Table: health_facilities_state_enforcement_actions_1997_2023_data_file , facility_name like all*

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

facid facility_name ltc fac_type_code fac_fdr district_office penalty_issue_date penalty_number disposition penalty_type penalty_detail penalty_category penalty_category_other violation_from_date violation_to_date appealed appeal_due_date appeal_received_date class_assessed_initial class_assessed_final total_amount_initial total_amount_due_final total_penalty_offset_amount total_collected_amount total_balance_due aclaims_visit_number eventid death_related intakeid_all priority_all sfy
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-06 00:00:00 010001426 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-11-11 00:00:00 1999-11-11 00:00:00 No 2000-02-02 00:00:00 None B None 1000 1000 -350 650 0 010010610 A99999 N None None SFY1999-00
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-26 00:00:00 010001435 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-03 00:00:00 1999-12-03 00:00:00 Yes 2000-06-26 00:00:00 2000-01-27 00:00:00 A A 7000 7000 0 7000 0 010010652 A99999 N None None SFY1999-00
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-26 00:00:00 010001436 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-08-28 00:00:00 1999-08-29 00:00:00 No 2000-02-24 00:00:00 None B None 500 1500 0 1500 0 010010654 A99999 N None None SFY1999-00
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-27 00:00:00 010001437 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-15 00:00:00 None No 2000-02-24 00:00:00 None B None 1000 1000 0 1000 0 010010657 A99999 N None None SFY1999-00
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-28 00:00:00 010001438 Closed Citation Citation B (HSC 1424) Other PTCARE/PHYENVIRONMEN 1999-06-01 00:00:00 1999-06-01 00:00:00 No 2000-02-18 00:00:00 None B None 1000 1000 -350 650 0 010010659 A99999 N None None SFY1999-00
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-28 00:00:00 010001439 Closed Citation Citation B (HSC 1424) Patient Care None 1998-03-09 00:00:00 1998-04-13 00:00:00 No 2000-02-18 00:00:00 None B None 1000 1000 -500 500 0 010010660 A99999 N None None SFY1999-00
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-02-02 00:00:00 010001441 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-28 00:00:00 1999-11-03 00:00:00 No 2000-02-29 00:00:00 None B None 1000 1100 -350 750 0 010010663 A99999 Y None None SFY1999-00
010000876 BLACKWELL HOME 3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-02-08 00:00:00 010001713 Closed Citation Citation B (HSC 1424) Patient Care None 1999-03-03 00:00:00 1999-12-30 00:00:00 Yes 2000-03-01 00:00:00 2000-02-11 00:00:00 B B 500 500 0 500 0 010012099 A99999 N None None SFY1999-00
010000743 TLC ON GARMONT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-02-08 00:00:00 010001714 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-03 00:00:00 None No 2000-03-08 00:00:00 None B None 700 700 -245 455 0 010012105 A99999 N None None SFY1999-00
010000507 HOLLY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-02-09 00:00:00 010001715 Closed Citation Citation B (HSC 1424) Other ADMINISTRATION/PTCAR 2000-01-18 00:00:00 None No 2000-03-09 00:00:00 None B None 800 800 -280 520 0 010012106 A99999 N None None SFY1999-00
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-02-10 00:00:00 010001716 Closed Citation Citation B (HSC 1424) Other PT. CARE/ABUSE 2000-01-18 00:00:00 None No 2000-08-01 00:00:00 None B None 1000 1000 0 1000 0 010012111 A99999 N None None SFY1999-00
010000598 SACRAMENTO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-02-23 00:00:00 010001717 Closed Citation Citation B (HSC 1424) Medication None 2000-01-24 00:00:00 2000-01-25 00:00:00 No 2000-03-20 00:00:00 None B None 400 400 0 400 0 010012236 A99999 N None None SFY1999-00
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-09 00:00:00 010001721 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-14 00:00:00 None No 2000-04-04 00:00:00 None B None 800 800 -280 520 0 010012299 A99999 N None None SFY1999-00
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-13 00:00:00 010001724 Closed Citation Citation B (HSC 1424) Patient Care None 1999-02-17 00:00:00 None Yes 2000-04-03 00:00:00 2000-03-15 00:00:00 B B 1000 2000 0 2000 0 010012303 A99999 N None None SFY1999-00
010000985 THE TAMALPAIS LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-22 00:00:00 010001732 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-02-23 00:00:00 None Yes 2000-06-05 00:00:00 2000-06-28 00:00:00 AA B 25000 21000 0 21000 0 010012341 A99999 Y None None SFY1999-00
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-22 00:00:00 010001733 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-16 00:00:00 2000-01-03 00:00:00 Yes 2000-06-06 00:00:00 2000-03-23 00:00:00 B None 600 850 0 850 0 010012348 A99999 N None None SFY1999-00
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-22 00:00:00 010001734 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-03 00:00:00 2000-01-12 00:00:00 Yes 2000-06-06 00:00:00 2000-03-23 00:00:00 B None 1000 1250 0 1250 0 010012348 A99999 N None None SFY1999-00
010000620 MUSTARD SEED LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-05-04 00:00:00 010001741 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/RIGHTS 2000-03-21 00:00:00 2000-03-22 00:00:00 No 2000-06-06 00:00:00 None B None 800 800 -280 520 0 010012540 A99999 N None None SFY1999-00
010000160 MILESTONES OF DEVELOPMENT #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-05-05 00:00:00 010001742 Closed Citation Citation A (HSC 1424) Other PATIENT CARE/RIGHTS 1999-08-30 00:00:00 None No 2000-06-01 00:00:00 None A None 7500 7500 -2625 4875 0 010012549 A99999 N None None SFY1999-00
010000876 BLACKWELL HOME 3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-05-19 00:00:00 010001744 Closed Citation Citation B (HSC 1424) Other ENVIRONMENT 2000-05-06 00:00:00 None Yes 2001-08-23 00:00:00 2001-08-13 00:00:00 B B 500 500 0 500 0 010012607 A99999 N None None SFY1999-00
010000679 GRAND CHALET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-05-23 00:00:00 010001746 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-05-15 00:00:00 None No 2000-06-16 00:00:00 None B None 1000 1000 -350 650 0 010012626 A99999 N None None SFY1999-00
010000679 GRAND CHALET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-05-23 00:00:00 010001747 Closed Citation Citation B (HSC 1424) Administration None 2000-05-15 00:00:00 None No 2000-06-16 00:00:00 None B None 1000 1000 0 1000 0 010012631 A99999 N None None SFY1999-00
010000876 BLACKWELL HOME 3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-05-26 00:00:00 010001748 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-04-20 00:00:00 2000-04-22 00:00:00 Yes 2001-08-23 00:00:00 2001-08-13 00:00:00 A A 5000 5000 0 5000 0 010012632 A99999 N None None SFY1999-00
010000507 HOLLY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-06-01 00:00:00 010001750 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-02 00:00:00 2000-05-05 00:00:00 No 2000-06-23 00:00:00 None B None 800 900 -280 620 0 010012654 A99999 N None None SFY1999-00
010000876 BLACKWELL HOME 3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-06-02 00:00:00 010001753 Closed Citation Citation B (HSC 1424) Staffing None 2000-04-22 00:00:00 2000-04-30 00:00:00 No 2000-06-30 00:00:00 None B None 1000 1000 0 1000 0 010012667 A99999 N None None SFY1999-00
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2000-06-09 00:00:00 010001754 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-18 00:00:00 2000-03-24 00:00:00 No 2000-06-30 00:00:00 None B None 1000 1000 -350 650 0 010012684 A99999 N None None SFY1999-00
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2000-06-15 00:00:00 010001755 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-13 00:00:00 None Yes 2001-04-13 00:00:00 2000-06-16 00:00:00 A A 3500 3500 -3500 0 0 010012694 A99999 N None None SFY1999-00
010000974 SUNRISE I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-06-22 00:00:00 010001756 Closed Citation Citation B (HSC 1424) Patient Care None 1999-07-28 00:00:00 1999-09-27 00:00:00 No 2000-07-14 00:00:00 None B None 800 800 -280 520 0 010012698 A99999 N None None SFY1999-00
010000160 MILESTONES OF DEVELOPMENT #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-06-29 00:00:00 010001757 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-01 00:00:00 None No 2000-07-21 00:00:00 None A None 3000 3000 -1050 1950 0 010012701 A99999 N None None SFY1999-00
010000974 SUNRISE I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-06-29 00:00:00 010001758 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-05 00:00:00 None Yes 2001-01-10 00:00:00 2000-12-27 00:00:00 A B 5000 10000 0 10000 0 010012781 A99999 N None None SFY1999-00
010000481 REDWOOD HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-07-03 00:00:00 010001759 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-23 00:00:00 None No 2000-07-26 00:00:00 None B None 500 500 0 500 0 010012792 A99999 N None None SFY2000-01
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2000-07-20 00:00:00 010001764 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-06-27 00:00:00 2000-07-12 00:00:00 No 2000-08-10 00:00:00 None B None 1000 1000 0 1000 0 010012877 A99999 N None None SFY2000-01
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2000-08-02 00:00:00 010001768 Closed Citation Citation AA (HSC 1424) Other PATIENT CARE/STAFFIN 2000-04-22 00:00:00 2000-04-22 00:00:00 Yes 2000-08-23 00:00:00 2000-08-09 00:00:00 AA AA 25000 25000 0 25000 0 010012923 A99999 Y None None SFY2000-01
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-08-21 00:00:00 010001769 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-13 00:00:00 2000-04-16 00:00:00 Yes 2000-09-15 00:00:00 2000-08-22 00:00:00 A A Trebled 5000 15000 -7500 7500 0 010012963 A99999 N None None SFY2000-01
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-08-29 00:00:00 010001770 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-07 00:00:00 None No 2000-09-19 00:00:00 None B None 1000 1000 0 1000 0 010012969 A99999 N None None SFY2000-01
010000646 GENEVIE DREAM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-08-31 00:00:00 010001771 Closed Citation Citation B (HSC 1424) Other ADMIN/PATIENT CARE 2000-08-16 00:00:00 None No 2000-09-25 00:00:00 None B None 700 700 0 700 0 010013000 A99999 N None None SFY2000-01
010000646 GENEVIE DREAM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-09-08 00:00:00 010001772 Closed Citation Citation B (HSC 1424) Staffing None 2000-06-10 00:00:00 2000-08-17 00:00:00 No 2000-11-28 00:00:00 None B None 1000 1000 0 1000 0 010013026 A99999 N None None SFY2000-01
010000646 GENEVIE DREAM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-09-08 00:00:00 010001773 Closed Citation Citation B (HSC 1424) Administration None 2000-08-02 00:00:00 2000-08-30 00:00:00 No 2000-11-28 00:00:00 None B None 1000 1000 0 1000 0 010013027 A99999 N None None SFY2000-01
010000646 GENEVIE DREAM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-09-08 00:00:00 010001774 Closed Citation Citation B (HSC 1424) Administration None 2000-08-14 00:00:00 2000-08-17 00:00:00 No 2000-11-28 00:00:00 None B None 1000 1000 0 1000 0 010013026 A99999 N None None SFY2000-01
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-09-21 00:00:00 010001777 Closed Citation Citation A (HSC 1424) Other PT CARE & PT RIGHTS 2000-03-07 00:00:00 None Yes 2000-10-17 00:00:00 2000-10-05 00:00:00 A A 10000 10000 -7300 2700 0 010013125 A99999 N None None SFY2000-01
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-09-21 00:00:00 010001778 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-07 00:00:00 None Yes 2000-10-17 00:00:00 2000-10-05 00:00:00 A A 5000 5000 -3650 1350 0 010013126 A99999 N None None SFY2000-01
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-09-21 00:00:00 010001779 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-06 00:00:00 None No 2000-10-23 00:00:00 None B None 1000 1000 0 1000 0 010013127 A99999 N None None SFY2000-01
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-09-21 00:00:00 010001780 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-02 00:00:00 None No 2000-10-13 00:00:00 None B None 1000 3000 -3000 0 0 010013138 A99999 N None None SFY2000-01
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2000-09-21 00:00:00 010001781 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-03 00:00:00 2000-09-13 00:00:00 No 2000-10-13 00:00:00 None B None 1000 1000 0 1000 0 010013141 A99999 N None None SFY2000-01
010000876 BLACKWELL HOME 3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-09-25 00:00:00 010001784 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-15 00:00:00 None Yes 2001-07-31 00:00:00 2000-10-06 00:00:00 B B 1000 1000 0 1000 0 010013146 A99999 N None None SFY2000-01
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2000-10-13 00:00:00 010001786 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-05-04 00:00:00 2000-06-27 00:00:00 No 2000-11-03 00:00:00 None B None 500 500 -175 325 0 010013264 A99999 N None None SFY2000-01
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-10-19 00:00:00 010001788 Closed Citation Citation B (HSC 1424) Staffing None 2000-09-03 00:00:00 2000-09-03 00:00:00 No 2000-11-13 00:00:00 None B None 1000 1000 -350 650 0 010013308 A99999 N None None SFY2000-01
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-10-18 00:00:00 010001789 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-25 00:00:00 None Yes 2000-11-08 00:00:00 2000-10-25 00:00:00 B B 1000 1000 0 1000 0 010013309 A99999 N None None SFY2000-01
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2000-10-19 00:00:00 010001790 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-30 00:00:00 None No 2000-11-13 00:00:00 None B None 750 750 -262.5 487.5 0 010013310 A99999 N None None SFY2000-01
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-10-19 00:00:00 010001791 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-01 00:00:00 None No 2000-11-09 00:00:00 None B None 750 750 -262.5 487.5 0 010013311 A99999 N None None SFY2000-01
010000782 PARADISE HOME DONCASTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-10-19 00:00:00 010001792 Closed Citation Citation A (HSC 1424) Other STAFFING & PAT. CARE 2000-07-30 00:00:00 2000-08-03 00:00:00 Yes 2001-07-19 00:00:00 2001-07-05 00:00:00 A A 5000 1750 0 1750 0 010013319 A99999 N None None SFY2000-01
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-10-27 00:00:00 010001794 Closed Citation Citation A (HSC 1424) Other PATIENT CARE/ADMIN. 2000-01-10 00:00:00 2000-01-11 00:00:00 Yes 2000-11-20 00:00:00 2000-11-14 00:00:00 A None 7500 7500 -7500 0 0 010013336 A99999 N None None SFY2000-01
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-11-17 00:00:00 010001797 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-21 00:00:00 2000-04-04 00:00:00 Yes 2000-12-12 00:00:00 2000-11-28 00:00:00 B B 250 250 0 250 0 010013471 A99999 N None None SFY2000-01
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2000-11-17 00:00:00 010001798 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-07-01 00:00:00 1999-08-31 00:00:00 No 2000-12-08 00:00:00 None B None 250 250 -87.5 162.5 0 010013472 A99999 N None None SFY2000-01
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-11-17 00:00:00 010001799 Closed Citation Citation B (HSC 1424) Administration None 2000-02-18 00:00:00 2000-02-18 00:00:00 Yes 2000-12-11 00:00:00 2000-11-27 00:00:00 B None 750 750 -750 0 0 010013476 A99999 N None None SFY2000-01
010001011 RAE LANE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2000-11-29 00:00:00 010001800 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-04-17 00:00:00 2000-11-21 00:00:00 No 2000-12-26 00:00:00 None A None 2000 2000 -700 1300 0 010013557 A99999 N None None SFY2000-01
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2001-01-04 00:00:00 010001816 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-23 00:00:00 None No 2001-01-29 00:00:00 None B None 1000 1000 -350 650 0 010013740 A99999 N None None SFY2000-01
010000598 SACRAMENTO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-01-24 00:00:00 010001821 Closed Citation Citation B (HSC 1424) Administration None 2000-10-13 00:00:00 None No 2001-02-15 00:00:00 None B None 1000 1000 -350 650 0 010013865 A99999 N None None SFY2000-01
010000822 BADGER CREEK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-01-26 00:00:00 010001826 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-11-18 00:00:00 2000-12-05 00:00:00 No 2001-02-20 00:00:00 None A None 5000 5000 -1750 3250 0 010013604 A99999 N None None SFY2000-01
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-02-01 00:00:00 010001827 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-24 00:00:00 2000-07-31 00:00:00 No 2001-05-09 00:00:00 None B None 1000 1000 -1000 0 0 010013950 A99999 N None None SFY2000-01
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2001-02-08 00:00:00 010001829 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/RIGHTS 2000-06-23 00:00:00 2000-06-26 00:00:00 No 2001-03-05 00:00:00 None B None 800 800 0 800 0 010013978 A99999 N None None SFY2000-01
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-02-23 00:00:00 010001830 Closed Citation Citation A (HSC 1424) Patient Care None 2000-08-03 00:00:00 2000-08-30 00:00:00 No 2001-05-09 00:00:00 None A None 10000 10000 -10000 0 0 010014014 A99999 N None None SFY2000-01
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2001-02-27 00:00:00 010001831 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-06 00:00:00 None No 2001-03-20 00:00:00 None B None 1000 1000 0 1000 0 010014015 A99999 N None None SFY2000-01
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-13 00:00:00 010001832 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-30 00:00:00 None Yes 2001-04-03 00:00:00 2001-03-22 00:00:00 A A 12000 5500 0 5500 0 010014025 A99999 N None None SFY2000-01
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-21 00:00:00 010001834 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/STAFFIN 2000-08-03 00:00:00 2000-08-21 00:00:00 No 2001-04-11 00:00:00 None B None 750 750 -750 0 0 010014052 A99999 N None None SFY2000-01
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-26 00:00:00 010001835 Closed Citation Citation B (HSC 1424) Other PATIENT RIGHTS/CARE 2000-06-01 00:00:00 2000-06-01 00:00:00 Yes 2001-04-16 00:00:00 2001-07-05 00:00:00 B B 1000 2000 0 2000 0 010014055 A99999 N None None SFY2000-01
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-26 00:00:00 010001836 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-07 00:00:00 2000-06-07 00:00:00 No 2001-05-07 00:00:00 None B None 1000 1000 -350 650 0 010014055 A99999 N None None SFY2000-01
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-29 00:00:00 010001837 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-31 00:00:00 2000-04-01 00:00:00 No 2001-04-23 00:00:00 None B B 1000 1000 -800 200 0 010014072 A99999 N None None SFY2000-01
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-29 00:00:00 010001838 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-18 00:00:00 2001-03-18 00:00:00 No 2001-04-23 00:00:00 None B B 1000 1000 -800 200 0 010014072 A99999 N None None SFY2000-01
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-04-07 00:00:00 010001839 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-27 00:00:00 2000-05-27 00:00:00 No 2001-05-07 00:00:00 None B B 1000 1000 -800 200 0 010014120 A99999 N None None SFY2000-01
010000858 TYSON HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-04-20 00:00:00 010001840 Closed Citation Citation B (HSC 1424) Other PATIENT RIGHTS/CARE 2001-03-24 00:00:00 2001-03-24 00:00:00 No 2001-05-11 00:00:00 None B None 1000 1000 0 1000 0 010014147 A99999 N None None SFY2000-01
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-04-27 00:00:00 010001841 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-04 00:00:00 2000-06-12 00:00:00 No 2001-05-18 00:00:00 None A A 20000 20000 -15000 5000 0 010014154 A99999 N None None SFY2000-01
010000480 VELMA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-05-07 00:00:00 010001842 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-16 00:00:00 2001-02-16 00:00:00 No 2001-05-29 00:00:00 None B None 600 600 -210 390 0 010014191 A99999 N None None SFY2000-01
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-05-22 00:00:00 010001843 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-03 00:00:00 2000-04-03 00:00:00 Yes 2001-06-14 00:00:00 2001-07-26 00:00:00 B B 1000 650 0 650 0 010014236 A99999 N None None SFY2000-01
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-05-22 00:00:00 010001844 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-10-25 00:00:00 2000-11-08 00:00:00 No 2001-06-13 00:00:00 None AA None 70000 70000 -70000 0 0 010014242 A99999 Y None None SFY2000-01
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-05-31 00:00:00 010001846 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-23 00:00:00 2000-04-23 00:00:00 No 2001-08-06 00:00:00 None B None 1000 1000 -1000 0 0 010014276 A99999 N None None SFY2000-01
010000822 BADGER CREEK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-06-04 00:00:00 010001847 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-29 00:00:00 2001-04-29 00:00:00 No 2001-06-25 00:00:00 None B None 750 750 -262.5 487.5 0 010014279 A99999 N None None SFY2000-01
010000765 HOPE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-06-07 00:00:00 010001849 Closed Citation Citation B (HSC 1424) Dietary None 2001-05-11 00:00:00 2001-05-11 00:00:00 No 2001-06-28 00:00:00 None B None 750 750 -262.5 487.5 0 010014297 A99999 N None None SFY2000-01
010000679 GRAND CHALET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-06-21 00:00:00 010001851 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-28 00:00:00 2001-05-27 00:00:00 No 2001-08-03 00:00:00 None B None 800 800 -280 520 0 010014325 A99999 N None None SFY2000-01
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-06-26 00:00:00 010001852 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-02 00:00:00 2000-08-06 00:00:00 No 2001-07-20 00:00:00 None B None 1000 1000 -1000 0 0 010014330 A99999 N None None SFY2000-01
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-06-26 00:00:00 010001853 Closed Citation Citation B (HSC 1424) Other PATIENT CARE 2000-12-30 00:00:00 2001-01-04 00:00:00 Yes 2001-07-23 00:00:00 2001-07-13 00:00:00 B B 1000 1000 -800 200 0 010014340 A99999 N None None SFY2000-01
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-06-28 00:00:00 010001854 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-27 00:00:00 2000-05-30 00:00:00 Yes 2001-07-23 00:00:00 2001-07-02 00:00:00 B B 1000 650 0 650 0 010014342 A99999 N None None SFY2000-01
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-12 00:00:00 010001856 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-28 00:00:00 2001-03-28 00:00:00 Yes 2001-08-06 00:00:00 2001-07-18 00:00:00 B B 1000 1000 -800 200 0 010014393 A99999 N None None SFY2001-02
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-12 00:00:00 010001857 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-09 00:00:00 2001-03-23 00:00:00 Yes 2001-08-07 00:00:00 2001-07-18 00:00:00 B B 1000 1000 -900 100 0 010014394 A99999 N None None SFY2001-02
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-12 00:00:00 010001858 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-20 00:00:00 2001-03-23 00:00:00 Yes 2001-08-03 00:00:00 2001-07-26 00:00:00 B B 1000 650 0 650 0 010014398 A99999 N None None SFY2001-02
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-24 00:00:00 010001859 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-13 00:00:00 2001-04-13 00:00:00 Yes 2001-08-14 00:00:00 2001-07-27 00:00:00 B None 1000 1000 -1000 0 0 010014421 A99999 N None None SFY2001-02
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-25 00:00:00 010001860 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-20 00:00:00 2001-05-05 00:00:00 No 2001-08-20 00:00:00 None B None 1000 1000 -350 650 0 010014424 A99999 N None None SFY2001-02
010000052 PETALUMA POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-26 00:00:00 010001861 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-11 00:00:00 2000-06-19 00:00:00 Yes 2001-08-20 00:00:00 2001-07-31 00:00:00 A A 7500 7500 -5625 1875 0 010014429 A99999 N None None SFY2001-02
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-02 00:00:00 010001862 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-24 00:00:00 2001-05-24 00:00:00 Yes 2001-08-24 00:00:00 2001-08-15 00:00:00 B B 1000 612 0 612 0 010014446 A99999 N None None SFY2001-02
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-10 00:00:00 010001863 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-27 00:00:00 2001-02-28 00:00:00 Yes 2001-08-31 00:00:00 2001-08-15 00:00:00 A A 12500 12500 -9375 3125 0 010014456 A99999 N None None SFY2001-02
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-07 00:00:00 010001864 Closed Citation Citation B (HSC 1424) Other PATIENT RIGHTS 2001-03-03 00:00:00 2001-03-25 00:00:00 No 2001-08-29 00:00:00 None B B 1000 1000 -800 200 0 010014458 A99999 N None None SFY2001-02
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-16 00:00:00 010001865 Closed Citation Citation B (HSC 1424) Dietary None 2001-06-25 00:00:00 2001-06-27 00:00:00 No 2001-09-07 00:00:00 None B None 1000 2000 0 2000 0 010014489 A99999 N None None SFY2001-02
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-17 00:00:00 010001866 Closed Citation Citation B (HSC 1424) Administration None 2001-07-26 00:00:00 2001-07-27 00:00:00 Yes 2001-09-07 00:00:00 2001-08-28 00:00:00 B B 1000 500 0 500 0 010014506 A99999 N None None SFY2001-02
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-08-24 00:00:00 010001867 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-22 00:00:00 2001-07-24 00:00:00 No 2001-09-20 00:00:00 None B None 1000 1000 -350 650 0 010014523 A99999 N None None SFY2001-02
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-30 00:00:00 010001868 Closed Citation Citation B (HSC 1424) Other PATIENT RECORDS 2001-02-14 00:00:00 2001-02-14 00:00:00 Yes 2001-09-26 00:00:00 2001-09-05 00:00:00 B None 1000 1000 0 1000 0 010014525 A99999 N None None SFY2001-02
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-24 00:00:00 010001869 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-20 00:00:00 2001-03-20 00:00:00 No 2001-09-20 00:00:00 None B None 1000 1000 -350 650 0 010014527 A99999 N None None SFY2001-02
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-29 00:00:00 010001870 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-07 00:00:00 2000-02-07 00:00:00 No 2001-09-20 00:00:00 None A B 7500 4700 0 4700 0 010014539 A99999 N None None SFY2001-02
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-28 00:00:00 010001874 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-26 00:00:00 2000-08-09 00:00:00 No 2001-09-26 00:00:00 None B None 1000 1000 -350 650 0 010014549 A99999 N None None SFY2001-02
010000089 NEW HAVEN - ICF-DD -H, INCORPORATED LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-08-29 00:00:00 010001875 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-05 00:00:00 2001-07-05 00:00:00 No 2001-09-24 00:00:00 None B None 800 800 -280 520 0 010014550 A99999 N None None SFY2001-02
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-30 00:00:00 010001876 Closed Citation Citation B (HSC 1424) Other PT RIGHTS/CARE MEDS. 2001-04-13 00:00:00 2001-07-17 00:00:00 Yes 2001-09-26 00:00:00 2001-09-05 00:00:00 B None 1000 3000 0 3000 0 010014553 A99999 N None None SFY2001-02
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2001-09-11 00:00:00 010001877 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-04 00:00:00 2001-05-04 00:00:00 No 2001-10-08 00:00:00 None B None 1000 3000 -3000 0 0 010014572 A99999 N None None SFY2001-02
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-09-18 00:00:00 010001878 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-05 00:00:00 2001-05-12 00:00:00 No 2001-10-16 00:00:00 None A A Trebled 5000 15000 -10950 4050 0 010014575 A99999 N None None SFY2001-02
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-09-20 00:00:00 010001879 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-05 00:00:00 2000-10-05 00:00:00 No 2001-10-23 00:00:00 None B B 1000 1000 -900 100 0 010014599 A99999 N None None SFY2001-02
010000087 BUTLER VALLEY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-09-19 00:00:00 010001880 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-01-18 00:00:00 2001-01-18 00:00:00 No 2001-10-26 00:00:00 None B None 1000 1000 -350 650 0 010014603 A99999 N None None SFY2001-02
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-09-28 00:00:00 010001881 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-21 00:00:00 2001-08-21 00:00:00 No 2001-10-23 00:00:00 None B None 1000 1000 -350 650 0 010014606 A99999 N None None SFY2001-02
010000086 BAYBERRY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-09-24 00:00:00 010001882 Closed Citation Citation B (HSC 1424) Administration None 2001-09-12 00:00:00 2001-09-12 00:00:00 No 2001-10-16 00:00:00 None B None 1000 1000 -350 650 0 010014621 A99999 N None None SFY2001-02
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-09-27 00:00:00 010001883 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-24 00:00:00 2001-08-31 00:00:00 No 2001-10-29 00:00:00 None B B 1000 1000 -900 100 0 010014623 A99999 N None None SFY2001-02
010000481 REDWOOD HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-09-27 00:00:00 010001884 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-08 00:00:00 2001-08-08 00:00:00 No 2001-10-30 00:00:00 None B None 1000 1250 0 1250 0 010014633 A99999 N None None SFY2001-02
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-04 00:00:00 010001885 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-25 00:00:00 2001-08-25 00:00:00 No 2001-10-29 00:00:00 None B None 1000 1000 -350 650 0 010014653 A99999 N None None SFY2001-02
010000858 TYSON HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-10-05 00:00:00 010001886 Closed Citation Citation B (HSC 1424) Medication None 2001-08-21 00:00:00 2001-08-21 00:00:00 No 2001-11-01 00:00:00 None B None 1000 1000 -350 650 0 010014659 A99999 N None None SFY2001-02
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-10-05 00:00:00 010001887 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-19 00:00:00 2001-06-19 00:00:00 No 2001-10-25 00:00:00 None B None 1000 1000 -350 650 0 010014660 A99999 N None None SFY2001-02
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-05 00:00:00 010001888 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-01 00:00:00 2000-11-01 00:00:00 No 2001-10-30 00:00:00 None B None 1000 1000 -350 650 0 010014661 A99999 N None None SFY2001-02
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-05 00:00:00 010001889 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-01 00:00:00 2000-08-22 00:00:00 No 2001-10-30 00:00:00 None B None 1000 1000 -350 650 0 010014669 A99999 N None None SFY2001-02
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-09 00:00:00 010001890 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-09-25 00:00:00 2001-09-25 00:00:00 No 2001-10-30 00:00:00 None B None 1000 1000 -350 650 0 010014673 A99999 N None None SFY2001-02
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-09 00:00:00 010001891 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-20 00:00:00 2001-08-21 00:00:00 No 2001-11-07 00:00:00 None B None 1000 1000 -1000 0 0 010014676 A99999 N None None SFY2001-02
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-11 00:00:00 010001892 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-21 00:00:00 2001-03-21 00:00:00 Yes 2001-11-13 00:00:00 2001-10-18 00:00:00 B B 1000 1000 0 1000 0 010014681 A99999 N None None SFY2001-02
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-16 00:00:00 010001893 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-05 00:00:00 2001-07-19 00:00:00 No 2001-11-06 00:00:00 None B None 1000 1000 0 1000 0 010014707 A99999 N None None SFY2001-02
010000165 SUMMERSIDE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-10-25 00:00:00 010001896 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-31 00:00:00 2001-10-09 00:00:00 No 2001-11-16 00:00:00 None B None 1000 1000 -350 650 0 010014755 A99999 N None None SFY2001-02
010000165 SUMMERSIDE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-10-25 00:00:00 010001897 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-20 00:00:00 2001-09-21 00:00:00 No 2001-12-12 00:00:00 None B None 1000 1000 -350 650 0 010014756 A99999 N None None SFY2001-02
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-10-25 00:00:00 010001898 Closed Citation Citation B (HSC 1424) Other ENFORCEMENT 2001-06-24 00:00:00 2001-10-04 00:00:00 No 2001-11-16 00:00:00 None B None 1000 1000 -350 650 0 010014757 A99999 N None None SFY2001-02
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-11-01 00:00:00 010001900 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-23 00:00:00 2001-10-02 00:00:00 No 2001-11-27 00:00:00 None B None 1000 1050 -350 700 0 010014765 A99999 N None None SFY2001-02
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-01 00:00:00 010001901 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-02 00:00:00 2001-04-20 00:00:00 No 2001-11-30 00:00:00 None B None 1000 1000 -350 650 0 010014766 A99999 N None None SFY2001-02
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-02 00:00:00 010001902 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-15 00:00:00 2001-06-17 00:00:00 Yes 2001-11-23 00:00:00 2001-11-05 00:00:00 B B 1000 557 0 557 0 010014779 A99999 N None None SFY2001-02
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-02 00:00:00 010001903 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-09 00:00:00 2001-03-09 00:00:00 Yes 2001-11-23 00:00:00 2001-11-05 00:00:00 B B 1000 557 0 557 0 010014780 A99999 N None None SFY2001-02
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-09 00:00:00 010001904 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-09 00:00:00 2001-04-20 00:00:00 No 2001-12-06 00:00:00 None B None 1000 1000 -1000 0 0 010014819 A99999 N None None SFY2001-02
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-13 00:00:00 010001905 Closed Citation Citation B (HSC 1424) Medication None 1998-09-07 00:00:00 1998-09-08 00:00:00 Yes 2001-12-04 00:00:00 2001-11-14 00:00:00 B B 800 400 0 400 0 010014824 A99999 N None None SFY2001-02
010000646 GENEVIE DREAM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-11-16 00:00:00 010001906 Closed Citation Citation B (HSC 1424) Administration None 2000-10-13 00:00:00 2001-10-31 00:00:00 Yes 2001-12-28 00:00:00 2001-12-06 00:00:00 B B 1000 1000 -1000 0 0 010014844 A99999 N None None SFY2001-02
010000646 GENEVIE DREAM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-11-16 00:00:00 010001907 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-27 00:00:00 2001-10-27 00:00:00 Yes 2001-12-28 00:00:00 2001-12-06 00:00:00 B B 1000 1000 -1000 0 0 010014848 A99999 N None None SFY2001-02
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-16 00:00:00 010001909 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-14 00:00:00 2001-07-14 00:00:00 No 2001-12-12 00:00:00 None B None 1000 1000 -350 650 0 010014865 A99999 N None None SFY2001-02
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-27 00:00:00 010001910 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-11-05 00:00:00 2001-11-08 00:00:00 No 2001-12-18 00:00:00 None B None 1000 1100 -100 1000 0 010014891 A99999 N None None SFY2001-02
010000765 HOPE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-11-30 00:00:00 010001911 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-26 00:00:00 2001-10-30 00:00:00 Yes 2004-05-26 00:00:00 2001-12-13 00:00:00 B B 800 800 0 800 0 010014900 A99999 N None None SFY2001-02
010000507 HOLLY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-12-04 00:00:00 010001912 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-24 00:00:00 2001-09-24 00:00:00 No 2001-12-27 00:00:00 None B None 1000 2700 0 2700 0 010014908 A99999 N None None SFY2001-02
010000907 GREENFIELDS II ICF-DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-12-05 00:00:00 010001913 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-27 00:00:00 2001-05-27 00:00:00 No 2001-12-28 00:00:00 None B None 1000 1000 0 1000 0 010014912 A99999 N None None SFY2001-02
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-07 00:00:00 010001914 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-25 00:00:00 2001-11-05 00:00:00 No 2002-01-07 00:00:00 None B None 1000 1000 -350 650 0 010014914 A99999 N None None SFY2001-02
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-12-18 00:00:00 010001915 Closed Citation Citation B (HSC 1424) Administration None 2001-06-26 00:00:00 2001-11-20 00:00:00 No 2002-01-10 00:00:00 None B None 1000 1050 -350 700 0 010014935 A99999 N None None SFY2001-02
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-19 00:00:00 010001916 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-01 00:00:00 2001-11-01 00:00:00 Yes 2002-01-17 00:00:00 2002-01-02 00:00:00 B B 1000 1000 -900 100 0 010014949 A99999 N None None SFY2001-02
010000507 HOLLY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2001-12-19 00:00:00 010001917 Closed Citation Citation B (HSC 1424) Administration None 2001-07-28 00:00:00 2001-09-20 00:00:00 No 2002-01-11 00:00:00 None B None 1000 1000 -350 650 0 010014954 A99999 N None None SFY2001-02
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-20 00:00:00 010001918 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-28 00:00:00 2001-06-28 00:00:00 No 2002-01-14 00:00:00 None B None 1000 1000 -350 650 0 010014955 A99999 N None None SFY2001-02
010000458 TOWNVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-01-30 00:00:00 010001919 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-07 00:00:00 2002-01-08 00:00:00 Yes 2002-02-27 00:00:00 2002-02-08 00:00:00 B B 1000 1000 0 1000 0 010015018 A99999 N None None SFY2001-02
010000088 BUTLER VALLEY #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-01-29 00:00:00 010001920 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-12 00:00:00 2002-01-09 00:00:00 No 2002-02-26 00:00:00 None B None 1000 1000 -350 650 0 010015019 A99999 N None None SFY2001-02
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-05 00:00:00 010001921 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-15 00:00:00 2000-12-16 00:00:00 Yes 2002-03-06 00:00:00 2002-02-08 00:00:00 A A 12000 6687 0 6687 0 010015035 A99999 N None None SFY2001-02
010000934 CANYON MANOR LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-08 00:00:00 010001922 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-04 00:00:00 2001-10-04 00:00:00 No 2002-03-11 00:00:00 None B None 500 500 -175 325 0 010015038 A99999 N None None SFY2001-02
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-11 00:00:00 010001923 Closed Citation Citation B (HSC 1424) Other PATIENT CARE 2001-11-20 00:00:00 2001-11-29 00:00:00 No 2002-03-06 00:00:00 None B None 1000 1000 -350 650 0 010015040 A99999 N None None SFY2001-02
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-07 00:00:00 010001924 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-17 00:00:00 2002-01-15 00:00:00 No 2002-03-06 00:00:00 None B None 1000 1000 -350 650 0 010015043 A99999 N None None SFY2001-02
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-07 00:00:00 010001925 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-16 00:00:00 2001-11-16 00:00:00 No 2002-03-04 00:00:00 None B None 1000 1000 -350 650 0 010015046 A99999 N None None SFY2001-02
010001037 SMITH RANCH SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-26 00:00:00 010001927 Closed Citation Citation A (HSC 1424) Patient Care None 1999-03-09 00:00:00 1999-03-26 00:00:00 Yes 2002-03-19 00:00:00 2002-03-01 00:00:00 A B 12000 3000 0 3000 0 010015071 A99999 N None None SFY2001-02
010001037 SMITH RANCH SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-26 00:00:00 010001928 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-03-09 00:00:00 1999-03-26 00:00:00 Yes 2002-03-19 00:00:00 2002-03-13 00:00:00 B Drop>Deficiency 700 0 0 0 0 010015073 A99999 N None None SFY2001-02
010000822 BADGER CREEK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-02-26 00:00:00 010001929 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-04 00:00:00 2001-11-02 00:00:00 No 2002-03-20 00:00:00 None B None 500 1500 -525 975 0 010015077 A99999 N None None SFY2001-02
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-28 00:00:00 010001930 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-08 00:00:00 2002-02-08 00:00:00 Yes 2002-03-21 00:00:00 2002-03-02 00:00:00 B B 1000 1000 0 1000 0 010015092 A99999 N None None SFY2001-02
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-03-12 00:00:00 010001931 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-09 00:00:00 2001-08-21 00:00:00 No 2002-04-03 00:00:00 None B None 1000 3000 0 3000 0 010015111 A99999 N None None SFY2001-02
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-03-22 00:00:00 010001932 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-15 00:00:00 2002-02-21 00:00:00 No 2002-04-17 00:00:00 None B None 1000 1050 -350 700 0 010015126 A99999 N None None SFY2001-02
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-03-22 00:00:00 010001933 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-15 00:00:00 2002-02-21 00:00:00 No 2002-04-17 00:00:00 None B None 1000 1050 -350 700 0 010015132 A99999 N None None SFY2001-02
010000793 PATHWAYS 2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-04-03 00:00:00 010001935 Closed Citation Citation B (HSC 1424) Administration None 2001-08-10 00:00:00 2002-03-26 00:00:00 No 2002-05-01 00:00:00 None B None 750 750 0 750 0 010015169 A99999 N None None SFY2001-02
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-04 00:00:00 010001936 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-27 00:00:00 2001-11-27 00:00:00 Yes 2002-04-29 00:00:00 2002-04-04 00:00:00 B B 750 750 0 750 0 010015181 A99999 N None None SFY2001-02
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-04 00:00:00 010001937 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-23 00:00:00 2001-11-05 00:00:00 Yes 2002-04-29 00:00:00 2002-04-04 00:00:00 B B 750 500 0 500 0 010015182 A99999 N None None SFY2001-02
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-12 00:00:00 010001938 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-19 00:00:00 2002-03-19 00:00:00 No 2002-05-03 00:00:00 None B None 1000 1000 -350 650 0 010015213 A99999 N None None SFY2001-02
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-12 00:00:00 010001939 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-18 00:00:00 2002-03-27 00:00:00 No 2002-05-06 00:00:00 None B None 1000 3000 -1050 1950 0 010015216 A99999 N None None SFY2001-02
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-12 00:00:00 010001940 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-20 00:00:00 2002-02-20 00:00:00 No 2002-05-06 00:00:00 None B None 1000 3000 -1050 1950 0 010015224 A99999 N None None SFY2001-02
010000643 PATHWAYS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-04-17 00:00:00 010001941 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-29 00:00:00 2002-03-01 00:00:00 No 2002-05-15 00:00:00 None B None 750 750 0 750 0 010015248 A99999 N None None SFY2001-02
010000086 BAYBERRY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-04-19 00:00:00 010001943 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-30 00:00:00 2001-08-29 00:00:00 No 2002-05-14 00:00:00 None B None 750 750 -262.5 487.5 0 010015254 A99999 N None None SFY2001-02
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-23 00:00:00 010001944 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-10 00:00:00 2002-02-15 00:00:00 No 2002-05-20 00:00:00 None B None 1000 1000 -350 650 0 010015255 A99999 N None None SFY2001-02
010000482 MOUNTAINVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-05-15 00:00:00 010001946 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-09-23 00:00:00 2001-11-05 00:00:00 No 2002-06-10 00:00:00 None A None 7500 7500 -2625 4875 0 010015305 A99999 N None None SFY2001-02
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-05-16 00:00:00 010001947 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-04 00:00:00 2002-03-12 00:00:00 Yes 2002-11-01 00:00:00 2002-05-31 00:00:00 B B 1000 1000 0 1000 0 010015342 A99999 N None None SFY2001-02
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-05-16 00:00:00 010001948 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-04 00:00:00 2002-03-12 00:00:00 Yes 2002-11-01 00:00:00 2002-05-31 00:00:00 B B 1000 3000 0 3000 0 010015343 A99999 N None None SFY2001-02
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-05-21 00:00:00 010001949 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-05-08 00:00:00 2002-05-10 00:00:00 No 2002-06-17 00:00:00 None B None 1000 1000 0 1000 0 010015344 A99999 N None None SFY2001-02
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-05-21 00:00:00 010001950 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-10 00:00:00 2002-04-10 00:00:00 No 2002-06-12 00:00:00 None B None 1000 1000 -350 650 0 010015349 A99999 N None None SFY2001-02
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2002-05-22 00:00:00 010001951 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-05 00:00:00 2002-04-05 00:00:00 No 2002-06-18 00:00:00 None B None 750 750 -262.5 487.5 0 010015352 A99999 N None None SFY2001-02
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-05-29 00:00:00 010001952 Closed Citation Citation B (HSC 1424) Administration None 2002-05-21 00:00:00 2002-05-21 00:00:00 No 2002-06-24 00:00:00 None B None 1000 1000 -350 650 0 010015382 A99999 N None None SFY2001-02
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-05-30 00:00:00 010001953 Closed Citation Citation B (HSC 1424) Administration None 2002-03-05 00:00:00 2002-03-08 00:00:00 Yes 2002-06-25 00:00:00 2002-06-14 00:00:00 B None 750 750 0 750 0 010015384 A99999 N None None SFY2001-02
010000907 GREENFIELDS II ICF-DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-06-05 00:00:00 010001954 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-20 00:00:00 2002-03-25 00:00:00 Yes 2002-06-26 00:00:00 2002-06-19 00:00:00 B B 800 2400 0 2400 0 010015394 A99999 N None None SFY2001-02
010000799 MY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-06-06 00:00:00 010001955 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-08 00:00:00 2002-03-08 00:00:00 No 2002-06-27 00:00:00 None B None 800 800 -280 520 0 010015402 A99999 N None None SFY2001-02
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-06-11 00:00:00 010001956 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-06 00:00:00 2002-05-06 00:00:00 Yes 2002-07-08 00:00:00 2002-06-14 00:00:00 B None 1000 3000 0 3000 0 010015423 A99999 N None None SFY2001-02
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-06-11 00:00:00 010001957 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-15 00:00:00 2002-04-15 00:00:00 Yes 2002-07-08 00:00:00 2002-06-14 00:00:00 B None 1000 3000 0 3000 0 010015424 A99999 N None None SFY2001-02
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-06-28 00:00:00 010001959 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-03 00:00:00 2002-05-08 00:00:00 Yes 2002-07-29 00:00:00 2002-07-25 00:00:00 B B 1000 1000 0 1000 0 010015476 A99999 N None None SFY2001-02
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-02 00:00:00 010001960 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-07 00:00:00 2002-04-19 00:00:00 No 2002-07-26 00:00:00 None B None 1000 1000 -350 650 0 010015503 A99999 N None None SFY2002-03
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-02 00:00:00 010001961 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-17 00:00:00 2002-04-25 00:00:00 Yes 2002-07-24 00:00:00 2002-07-26 00:00:00 A B 12500 7500 0 7500 0 010015505 A99999 Y None None SFY2002-03
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-05 00:00:00 010001962 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-22 00:00:00 2002-03-22 00:00:00 No 2002-07-08 00:00:00 None B None 1000 1000 -350 650 0 010015507 A99999 N None None SFY2002-03
010000834 CALISTOGA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-07-03 00:00:00 010001963 Closed Citation Citation B (HSC 1424) Administration None 2001-12-26 00:00:00 2002-04-02 00:00:00 No 2002-07-25 00:00:00 None B None 600 600 -210 390 0 010015508 A99999 N None None SFY2002-03
010000596 ROBERTS ROAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-07-30 00:00:00 010001964 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-03-08 00:00:00 2002-03-09 00:00:00 Yes 2002-08-29 00:00:00 2002-08-13 00:00:00 A A 10000 10000 0 10000 0 010015571 A99999 N None None SFY2002-03
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-31 00:00:00 010001965 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-22 00:00:00 2002-04-09 00:00:00 No 2002-08-21 00:00:00 None B None 1000 1000 0 1000 0 010015572 A99999 N None None SFY2002-03
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-08 00:00:00 010001966 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-24 00:00:00 2000-11-05 00:00:00 No 2002-08-29 00:00:00 None B None 1000 1000 -1000 0 0 010015596 A99999 N None None SFY2002-03
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-08 00:00:00 010001967 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-26 00:00:00 2000-11-08 00:00:00 No 2002-08-29 00:00:00 None B None 1000 1000 -1000 0 0 010015596 A99999 N None None SFY2002-03
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-08 00:00:00 010001968 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-01 00:00:00 2000-11-08 00:00:00 No 2002-08-29 00:00:00 None B None 1000 1000 -1000 0 0 010015596 A99999 N None None SFY2002-03
010000088 BUTLER VALLEY #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-08-09 00:00:00 010001969 Closed Citation Citation B (HSC 1424) Patient Record None 2002-02-01 00:00:00 2002-07-26 00:00:00 No 2002-08-30 00:00:00 None B None 800 800 -280 520 0 010015613 A99999 N None None SFY2002-03
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-14 00:00:00 010001970 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-07 00:00:00 2002-06-15 00:00:00 Yes 2002-09-05 00:00:00 2002-08-16 00:00:00 B None 1000 1000 0 1000 0 010015639 A99999 N None None SFY2002-03
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-15 00:00:00 010001971 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-02 00:00:00 2002-06-02 00:00:00 No 2002-09-06 00:00:00 None B None 1000 1000 0 1000 0 010015640 A99999 N None None SFY2002-03
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-21 00:00:00 010001972 Closed Citation Citation B (HSC 1424) Other PT CARE/PHY ENVIRONM 2002-01-11 00:00:00 2002-04-24 00:00:00 No 2002-09-12 00:00:00 None B None 1000 1000 -350 650 0 010015654 A99999 N None None SFY2002-03
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-21 00:00:00 010001973 Closed Citation Citation B (HSC 1424) Other ADMIN/PHY ENVIRONMEN 2002-04-03 00:00:00 2002-04-05 00:00:00 No 2002-09-11 00:00:00 None B None 1000 1000 -350 650 0 010015668 A99999 N None None SFY2002-03
010000076 SUMMERFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-27 00:00:00 010001974 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-20 00:00:00 2002-08-02 00:00:00 No 2002-09-18 00:00:00 None B None 1000 1000 -350 650 0 010015674 A99999 N None None SFY2002-03
010000089 NEW HAVEN - ICF-DD -H, INCORPORATED LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-08-30 00:00:00 010001975 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-14 00:00:00 2002-06-07 00:00:00 No 2002-09-23 00:00:00 None B None 1000 1000 -350 650 0 010015675 A99999 N None None SFY2002-03
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-27 00:00:00 010001976 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-01 00:00:00 2002-08-01 00:00:00 Yes 2002-09-18 00:00:00 2002-08-28 00:00:00 B B 500 1500 0 1500 0 010015676 A99999 N None None SFY2002-03
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-30 00:00:00 010001977 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-28 00:00:00 2002-07-28 00:00:00 Yes 2002-09-23 00:00:00 2002-09-08 00:00:00 B B 1000 1000 0 1000 0 010015711 A99999 N None None SFY2002-03
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 010001980 Closed Citation Citation B (HSC 1424) Administration None 2002-01-09 00:00:00 2002-06-12 00:00:00 No 2002-09-26 00:00:00 None B None 750 750 -262.5 487.5 0 010015726 A99999 N None None SFY2002-03
010000985 THE TAMALPAIS LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 010001981 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-18 00:00:00 2002-06-18 00:00:00 Yes 2002-09-26 00:00:00 2002-09-24 00:00:00 B B 1000 250 0 250 0 010015732 A99999 N None None SFY2002-03
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-17 00:00:00 010001982 Closed Citation Citation A (HSC 1424) Other PATIENT RIGHTS/CARE 2002-08-02 00:00:00 2002-08-03 00:00:00 Yes 2002-11-25 00:00:00 2002-10-02 00:00:00 A A 20000 8450 -450 8000 0 010015777 A99999 N None None SFY2002-03
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-20 00:00:00 010001983 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-15 00:00:00 2002-08-18 00:00:00 No 2002-10-11 00:00:00 None B None 500 1500 -525 975 0 010015786 A99999 N None None SFY2002-03
010000089 NEW HAVEN - ICF-DD -H, INCORPORATED LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-09-24 00:00:00 010001985 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-01 00:00:00 2002-09-04 00:00:00 No 2002-10-16 00:00:00 None B None 1000 1000 -350 650 0 010015792 A99999 N None None SFY2002-03
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-09-25 00:00:00 010001986 Closed Citation Citation B (HSC 1424) Other PT. CARE/MEDICATION 2002-02-01 00:00:00 2002-05-01 00:00:00 No 2002-10-17 00:00:00 None B None 500 1500 -525 975 0 010015808 A99999 N None None SFY2002-03
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-26 00:00:00 010001987 Closed Citation Citation B (HSC 1424) Other PT CARE/STAFFING/P 2002-06-13 00:00:00 2002-06-20 00:00:00 Yes 2002-10-18 00:00:00 2003-05-03 00:00:00 B None 1000 1000 0 1000 0 010015812 A99999 N None None SFY2002-03
010000985 THE TAMALPAIS LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-04 00:00:00 010001988 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-28 00:00:00 2002-07-28 00:00:00 Yes 2002-10-25 00:00:00 2002-10-07 00:00:00 B B 750 250 0 250 0 010015813 A99999 N None None SFY2002-03
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-26 00:00:00 010001989 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/RIGHTS 2002-06-15 00:00:00 2002-06-17 00:00:00 Yes 2002-10-17 00:00:00 2003-05-03 00:00:00 B None 1000 3000 0 3000 0 010015814 A99999 N None None SFY2002-03
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-27 00:00:00 010001990 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-31 00:00:00 2001-12-05 00:00:00 No 2002-10-21 00:00:00 None B None 1000 2300 0 2300 0 010015815 A99999 N None None SFY2002-03
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-03 00:00:00 010001991 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-22 00:00:00 2002-08-15 00:00:00 Yes 2002-11-25 00:00:00 2002-10-17 00:00:00 B None 1000 1000 0 1000 0 010015824 A99999 N None None SFY2002-03
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-02 00:00:00 010001992 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-31 00:00:00 2002-09-12 00:00:00 No 2002-11-22 00:00:00 None B None 1000 1000 0 1000 0 010015835 A99999 N None None SFY2002-03
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-04 00:00:00 010001993 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-21 00:00:00 2001-03-05 00:00:00 Yes 2002-10-28 00:00:00 2002-10-04 00:00:00 A B 16000 14000 0 14000 0 010015845 A99999 N None None SFY2002-03
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-10-17 00:00:00 010001994 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-18 00:00:00 2002-08-20 00:00:00 No 2002-11-07 00:00:00 None B None 800 800 -280 520 0 010015870 A99999 N None None SFY2002-03
010001139 GREENFIELDS III ICF-DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2002-10-23 00:00:00 010001995 Closed Citation Citation B (HSC 1424) Other PR,C 2002-09-04 00:00:00 2002-09-16 00:00:00 No 2002-11-25 00:00:00 None B None 1000 1000 0 1000 0 010015895 A99999 N None None SFY2002-03
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-23 00:00:00 010001996 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-25 00:00:00 2002-07-25 00:00:00 No 2002-11-26 00:00:00 None B None 1000 1000 -350 650 0 010015897 A99999 N None None SFY2002-03
010000022 FRIENDS HOUSE LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-24 00:00:00 010001997 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-11 00:00:00 2002-08-11 00:00:00 No 2002-11-15 00:00:00 None B None 500 500 -175 325 0 010015903 A99999 N None None SFY2002-03
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-11-06 00:00:00 010001998 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-03 00:00:00 2002-10-07 00:00:00 Yes 2002-12-02 00:00:00 2002-11-21 00:00:00 B B 1000 557 0 557 0 010015944 A99999 N None None SFY2002-03
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-11-22 00:00:00 010001999 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-22 00:00:00 2002-08-15 00:00:00 No 2002-12-17 00:00:00 None B None 1000 1000 -350 650 0 010015968 A99999 N None None SFY2002-03
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-11-21 00:00:00 010002000 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-12 00:00:00 2002-10-15 00:00:00 No 2002-12-20 00:00:00 None B None 1000 3000 0 3000 0 010015970 A99999 N None None SFY2002-03
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-12-03 00:00:00 010002001 Closed Citation Citation B (HSC 1424) Other PR C 2002-05-31 00:00:00 2002-05-31 00:00:00 Yes 2002-12-24 00:00:00 2002-12-04 00:00:00 B B 1000 600 0 600 0 010015978 A99999 N None None SFY2002-03
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-10 00:00:00 010002002 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-06 00:00:00 2002-12-06 00:00:00 No 2003-02-03 00:00:00 None B None 750 750 0 750 0 010016094 A99999 N None None SFY2002-03
010000431 PETALUMA ICF/DDH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-01-07 00:00:00 010002003 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-13 00:00:00 2002-09-13 00:00:00 No 2003-01-29 00:00:00 None B None 900 900 -315 585 0 010016047 A99999 N None None SFY2002-03
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-10 00:00:00 010002004 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-20 00:00:00 2002-07-14 00:00:00 No 2003-02-03 00:00:00 None B None 500 500 -175 325 0 010016106 A99999 N None None SFY2002-03
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-29 00:00:00 010002005 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-04-04 00:00:00 2001-04-04 00:00:00 Yes 2003-02-21 00:00:00 2003-01-31 00:00:00 AA A 70000 39008 0 39008 0 010016150 A99999 Y None None SFY2002-03
010000598 SACRAMENTO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-02-07 00:00:00 010002007 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-02 00:00:00 2002-07-18 00:00:00 No 2003-03-04 00:00:00 None B None 1000 1000 0 1000 0 010016187 A99999 N None None SFY2002-03
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-02-07 00:00:00 010002008 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-24 00:00:00 2002-08-26 00:00:00 No 2003-03-04 00:00:00 None B None 1000 1000 -350 650 0 010016208 A99999 N None None SFY2002-03
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2003-02-18 00:00:00 010002009 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-17 00:00:00 2002-11-17 00:00:00 Yes 2003-12-22 00:00:00 2004-01-30 00:00:00 A B 15000 5000 0 5000 0 010016219 A99999 N None None SFY2002-03
010000976 SUNRISE II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-02-19 00:00:00 010002010 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-30 00:00:00 2003-01-02 00:00:00 No 2003-03-12 00:00:00 None B None 900 900 -315 585 0 010016225 A99999 N None None SFY2002-03
010000793 PATHWAYS 2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-02-21 00:00:00 010002011 Closed Citation Citation B (HSC 1424) Other PR,A,C,S 2002-11-04 00:00:00 2002-11-04 00:00:00 No 2003-03-14 00:00:00 None B None 500 500 0 500 0 010016104 A99999 N None None SFY2002-03
010001031 STONEHAVEN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-02-20 00:00:00 010002012 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-13 00:00:00 2002-10-10 00:00:00 No 2003-03-13 00:00:00 None B None 750 750 -262.5 487.5 0 010015910 A99999 N None None SFY2002-03
010000480 VELMA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-03-06 00:00:00 010002013 Closed Citation Citation B (HSC 1424) Other C,PR 2003-01-10 00:00:00 2003-01-10 00:00:00 No 2003-03-27 00:00:00 None B None 750 750 0 750 0 010016282 A99999 N None None SFY2002-03
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-07 00:00:00 010002014 Closed Citation Citation B (HSC 1424) Other PR,C 2002-11-11 00:00:00 2002-11-11 00:00:00 No 2003-03-28 00:00:00 None B None 1000 3000 0 3000 0 010016283 A99999 N None None SFY2002-03
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-13 00:00:00 010002015 Closed Citation Citation A (HSC 1424) Patient Care None 2001-09-12 00:00:00 2001-11-21 00:00:00 Yes 2003-05-27 00:00:00 2003-04-21 00:00:00 A A 14000 8034 0 8034 0 010016307 A99999 N None None SFY2002-03
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-17 00:00:00 010002016 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-04 00:00:00 2003-01-04 00:00:00 No 2003-04-08 00:00:00 None B None 1000 1000 0 1000 0 010016211 A99999 N None None SFY2002-03
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-03-20 00:00:00 010002017 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-06-09 00:00:00 2002-06-10 00:00:00 Yes 2003-04-11 00:00:00 2003-04-03 00:00:00 A A 10000 10000 0 10000 0 010015425 A99999 N None None SFY2002-03
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-20 00:00:00 010002018 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-04 00:00:00 2003-03-04 00:00:00 No 2003-05-12 00:00:00 None B None 500 1500 0 1500 0 010016317 A99999 N None None SFY2002-03
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-25 00:00:00 010002019 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-24 00:00:00 2003-09-24 00:00:00 Yes 2003-04-16 00:00:00 2003-04-03 00:00:00 B None 600 600 0 600 0 010016125 A99999 N None None SFY2002-03
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-03 00:00:00 010002021 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-02 00:00:00 2002-02-02 00:00:00 No 2003-04-24 00:00:00 None B None 1000 1000 -350 650 0 010015108 A99999 N None None SFY2002-03
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-03 00:00:00 010002022 Closed Citation Citation B (HSC 1424) Other C,PR 2003-02-01 00:00:00 2003-02-01 00:00:00 Yes 2003-04-24 00:00:00 2003-04-03 00:00:00 B B 1000 600 0 600 0 010016200 A99999 N None None SFY2002-03
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-03 00:00:00 010002023 Closed Citation Citation B (HSC 1424) Other C,PR 2003-02-01 00:00:00 2003-02-01 00:00:00 Yes 2003-04-24 00:00:00 2003-04-03 00:00:00 B B 1000 600 0 600 0 010016198 A99999 N None None SFY2002-03
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-10 00:00:00 010002024 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-08 00:00:00 2002-07-12 00:00:00 Yes 2003-05-01 00:00:00 2003-04-18 00:00:00 B None 750 750 0 750 0 010016431 A99999 N None None SFY2002-03
010000160 MILESTONES OF DEVELOPMENT #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-04-25 00:00:00 010002025 Closed Citation Citation B (HSC 1424) Other C,PR 2003-02-28 00:00:00 2003-02-28 00:00:00 No 2003-05-16 00:00:00 None B None 650 650 -227.5 422.5 0 010016345 A99999 N None None SFY2002-03
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-17 00:00:00 010002026 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-04 00:00:00 2002-09-05 00:00:00 No 2003-05-08 00:00:00 None B None 1000 1000 -350 650 0 010016474 A99999 N None None SFY2002-03
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-08 00:00:00 010002027 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-05 00:00:00 2002-10-05 00:00:00 No 2003-06-25 00:00:00 None B None 700 700 0 700 0 010016571 A99999 N None None SFY2002-03
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-14 00:00:00 010002028 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-28 00:00:00 2003-02-28 00:00:00 No 2003-06-05 00:00:00 None B None 1000 1000 -350 650 0 010016323 A99999 N None None SFY2002-03
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-14 00:00:00 010002029 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-28 00:00:00 2003-02-28 00:00:00 No 2003-06-05 00:00:00 None B None 1000 1000 -350 650 0 010016576 A99999 N None None SFY2002-03
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-15 00:00:00 010002030 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-24 00:00:00 2003-04-24 00:00:00 No 2003-06-06 00:00:00 None B None 750 750 -262.5 487.5 0 010016573 A99999 N None None SFY2002-03
010000059 NORTHVINE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-29 00:00:00 010002031 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-03 00:00:00 2003-05-06 00:00:00 Yes 2003-06-19 00:00:00 2003-06-02 00:00:00 B B 750 750 0 750 0 010016561 A99999 N None None SFY2002-03
010001037 SMITH RANCH SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-30 00:00:00 010002032 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-23 00:00:00 2003-04-23 00:00:00 No 2003-07-14 00:00:00 None B None 750 750 -262.5 487.5 0 010016514 A99999 N None None SFY2002-03
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-06-04 00:00:00 010002033 Closed Citation Citation B (HSC 1424) Other A,S 2003-04-30 00:00:00 2003-05-15 00:00:00 No 2003-06-30 00:00:00 None B None 650 650 -227.5 422.5 0 010016564 A99999 N None None SFY2002-03
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2003-06-17 00:00:00 010002034 Closed Citation Citation B (HSC 1424) Other C, PR 2003-04-02 00:00:00 2003-04-13 00:00:00 Yes 2003-07-09 00:00:00 2003-06-17 00:00:00 B B Trebled 900 2700 0 2700 0 010016715 A99999 N None None SFY2002-03
010000166 SUMMERSIDE #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-06-19 00:00:00 010002035 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-11-29 00:00:00 2002-11-29 00:00:00 Yes 2003-07-28 00:00:00 2003-07-07 00:00:00 A A 7500 7500 0 7500 0 010015993 A99999 N None None SFY2002-03
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-06-19 00:00:00 010002036 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-07 00:00:00 2003-02-07 00:00:00 Yes 2003-07-11 00:00:00 2003-06-27 00:00:00 B B 750 750 0 750 0 010016724 A99999 N None None SFY2002-03
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2003-06-19 00:00:00 010002037 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-31 00:00:00 2003-03-31 00:00:00 No 2003-07-11 00:00:00 None B None 600 600 -210 390 0 010016725 A99999 N None None SFY2002-03
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-06-25 00:00:00 010002038 Closed Citation Citation B (HSC 1424) Administration None 2003-05-22 00:00:00 2003-05-22 00:00:00 No 2003-07-17 00:00:00 None B None 700 700 -245 455 0 010016649 A99999 N None None SFY2002-03
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-03 00:00:00 010002039 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-26 00:00:00 2003-03-26 00:00:00 Yes 2003-07-25 00:00:00 2003-07-15 00:00:00 B B 800 459 0 459 0 010016430 A99999 N None None SFY2003-04
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-03 00:00:00 010002040 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-06 00:00:00 2003-06-06 00:00:00 Yes 2003-07-25 00:00:00 2003-07-25 00:00:00 B B 750 430 0 430 0 010016705 A99999 N None None SFY2003-04
010000487 MAYETTE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-07-18 00:00:00 010002042 Closed Citation Citation B (HSC 1424) Administration None 2003-05-05 00:00:00 2003-05-05 00:00:00 No 2003-09-05 00:00:00 None B None 500 500 0 500 0 010016811 A99999 N None None SFY2003-04
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-24 00:00:00 010002043 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-01 00:00:00 2003-05-01 00:00:00 Yes 2003-08-14 00:00:00 2003-07-28 00:00:00 B None 800 800 0 800 0 010016721 A99999 N None None SFY2003-04
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-24 00:00:00 010002044 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-27 00:00:00 2003-04-27 00:00:00 Yes 2003-08-14 00:00:00 2003-07-28 00:00:00 B None 500 500 0 500 0 010016721 A99999 N None None SFY2003-04
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-30 00:00:00 010002045 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-25 00:00:00 2003-06-26 00:00:00 No 2003-08-27 00:00:00 None B None 750 750 0 750 0 010016769 A99999 N None None SFY2003-04
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-31 00:00:00 010002046 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-03 00:00:00 2003-07-03 00:00:00 Yes 2003-08-21 00:00:00 2003-07-31 00:00:00 B B 800 800 0 800 0 010016797 A99999 N None None SFY2003-04
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-20 00:00:00 010002047 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-30 00:00:00 2003-01-20 00:00:00 No 2003-09-11 00:00:00 None B None 1000 1000 -350 650 0 010016135 A99999 N None None SFY2003-04
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-15 00:00:00 010002048 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-30 00:00:00 2003-03-18 00:00:00 Yes 2003-09-08 00:00:00 2003-08-22 00:00:00 B B 750 750 0 750 0 010016586 A99999 N None None SFY2003-04
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-22 00:00:00 010002049 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-20 00:00:00 2003-07-20 00:00:00 Yes 2003-09-15 00:00:00 2003-08-22 00:00:00 B B 500 250 0 250 0 010016861 A99999 N None None SFY2003-04
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-25 00:00:00 010002050 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-10 00:00:00 2003-07-10 00:00:00 No 2003-09-16 00:00:00 None B None 500 500 -175 325 0 010016961 A99999 N None None SFY2003-04
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-04 00:00:00 010002051 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-31 00:00:00 2002-08-31 00:00:00 Yes 2003-09-25 00:00:00 2003-09-23 00:00:00 B B 500 679 0 679 0 010016944 A99999 N None None SFY2003-04
010000076 SUMMERFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-05 00:00:00 010002052 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-31 00:00:00 2003-05-31 00:00:00 No 2003-09-26 00:00:00 None B None 800 2400 0 2400 0 010016851 A99999 N None None SFY2003-04
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-04 00:00:00 010002053 Closed Citation Citation B (HSC 1424) Administration None 2002-11-15 00:00:00 2003-05-17 00:00:00 No 2003-09-25 00:00:00 None B None 800 800 -280 520 0 010016902 A99999 N None None SFY2003-04
010000076 SUMMERFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-10 00:00:00 010002054 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-19 00:00:00 2003-07-19 00:00:00 No 2003-10-01 00:00:00 None B None 800 800 0 800 0 010016911 A99999 N None None SFY2003-04
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-10 00:00:00 010002055 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-04 00:00:00 2003-09-04 00:00:00 No 2003-10-01 00:00:00 None B None 1000 1000 -350 650 0 010016860 A99999 N None None SFY2003-04
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-18 00:00:00 010002056 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-04 00:00:00 2003-08-04 00:00:00 No 2003-10-09 00:00:00 None B None 750 750 -262.5 487.5 0 010016897 A99999 N None None SFY2003-04
010000572 VICTORIA DRIVE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-10-07 00:00:00 010002057 Closed Citation Citation B (HSC 1424) Medication None 2003-08-13 00:00:00 2003-08-13 00:00:00 No 2003-11-07 00:00:00 None B None 500 500 -175 325 0 010017090 A99999 N None None SFY2003-04
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-10-23 00:00:00 010002058 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-25 00:00:00 2002-04-11 00:00:00 No 2003-12-10 00:00:00 None A None 10000 10700 -3500 7200 0 010015457 A99999 N None None SFY2003-04
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-10-29 00:00:00 010002059 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-06-12 00:00:00 2002-06-12 00:00:00 No 2003-11-20 00:00:00 None A None 16000 16000 -5600 10400 0 010017148 A99999 N None None SFY2003-04
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-10-29 00:00:00 010002060 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-11 00:00:00 2003-06-11 00:00:00 No 2003-12-09 00:00:00 None B None 700 700 0 700 0 010016323 A99999 N None None SFY2003-04
010000458 TOWNVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-11-04 00:00:00 010002061 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-06 00:00:00 2003-09-06 00:00:00 No 2003-11-26 00:00:00 None B None 600 600 -210 390 0 010017014 A99999 N None None SFY2003-04
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-03 00:00:00 010002062 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-10 00:00:00 2003-05-10 00:00:00 No 2003-11-25 00:00:00 None B None 800 800 0 800 0 010016714 A99999 Y None None SFY2003-04
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-06 00:00:00 010002063 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-06 00:00:00 2002-02-06 00:00:00 No 2003-12-02 00:00:00 None B None 1000 1000 -350 650 0 010015698 A99999 N None None SFY2003-04
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-06 00:00:00 010002064 Closed Citation Citation AA (HSC 1424) Administration None 2003-04-01 00:00:00 2003-04-01 00:00:00 Yes 2003-12-02 00:00:00 2003-11-26 00:00:00 AA AA 60000 30000 0 30000 0 010015668 A99999 Y None None SFY2003-04
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-07 00:00:00 010002065 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-08 00:00:00 2003-04-08 00:00:00 No 2003-12-03 00:00:00 None B None 800 800 -280 520 0 010016736 A99999 N None None SFY2003-04
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-10 00:00:00 010002066 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-29 00:00:00 2003-09-29 00:00:00 No 2003-12-04 00:00:00 None B None 600 600 0 600 0 010017072 A99999 N None None SFY2003-04
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-14 00:00:00 010002067 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-17 00:00:00 2001-12-18 00:00:00 Yes 2003-12-09 00:00:00 2003-11-18 00:00:00 B B 800 480 0 480 0 010014973 A99999 N None None SFY2003-04
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-14 00:00:00 010002068 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-10-12 00:00:00 2001-10-12 00:00:00 Yes 2003-12-09 00:00:00 2003-11-18 00:00:00 AA AA 60000 10000 0 10000 0 010014689 A99999 Y None None SFY2003-04
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-17 00:00:00 010002069 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-16 00:00:00 2003-09-16 00:00:00 Yes 2003-12-10 00:00:00 2003-11-21 00:00:00 B B 800 800 0 800 0 010017136 A99999 N None None SFY2003-04
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-17 00:00:00 010002070 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-10 00:00:00 2003-08-10 00:00:00 No 2003-12-10 00:00:00 None B None 800 800 -280 520 0 010016973 A99999 N None None SFY2003-04
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-19 00:00:00 010002071 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-04 00:00:00 2003-08-04 00:00:00 No 2003-12-12 00:00:00 None B None 700 700 -245 455 0 010016929 A99999 N None None SFY2003-04
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-26 00:00:00 010002072 Closed Citation Citation B (HSC 1424) Administration None 2003-10-22 00:00:00 2003-10-26 00:00:00 Yes 2003-12-19 00:00:00 2003-12-15 00:00:00 B None 750 750 -750 0 0 010017147 A99999 N None None SFY2003-04
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2003-12-01 00:00:00 010002073 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-30 00:00:00 2003-04-30 00:00:00 Yes 2003-12-22 00:00:00 2003-12-19 00:00:00 B None 800 800 0 800 0 010017239 A99999 N None None SFY2003-04
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-12-09 00:00:00 010002074 Closed Citation Citation B (HSC 1424) Administration None 2003-11-14 00:00:00 2003-11-18 00:00:00 No 2003-12-31 00:00:00 None B None 900 900 -315 585 0 010017217 A99999 N None None SFY2003-04
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2003-12-09 00:00:00 010002075 Closed Citation Citation B (HSC 1424) Administration None 2003-11-14 00:00:00 2003-11-14 00:00:00 No 2003-12-09 00:00:00 None B None 700 700 0 700 0 010017218 A99999 N None None SFY2003-04
010000793 PATHWAYS 2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2003-12-15 00:00:00 010002076 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-30 00:00:00 2003-10-30 00:00:00 Yes 2004-01-07 00:00:00 2003-01-26 00:00:00 B B 750 0 0 0 0 010017178 A99999 N None None SFY2003-04
010000166 SUMMERSIDE #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-01-09 00:00:00 010002077 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-25 00:00:00 2003-08-27 00:00:00 No 2004-02-10 00:00:00 None B None 600 600 0 600 0 010017004 A99999 N None None SFY2003-04
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-08 00:00:00 010002078 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-10 00:00:00 2003-03-10 00:00:00 Yes 2004-01-30 00:00:00 2004-01-08 00:00:00 A B 16000 1000 0 1000 0 010016451 A99999 N None None SFY2003-04
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-20 00:00:00 010002079 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-05 00:00:00 2003-05-05 00:00:00 No 2004-02-10 00:00:00 None B None 800 800 -280 520 0 010016323 A99999 N None None SFY2003-04
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-21 00:00:00 010002080 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-13 00:00:00 2003-10-13 00:00:00 No 2004-02-17 00:00:00 None B None 750 750 -262.5 487.5 0 010017100 A99999 N None None SFY2003-04
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-05 00:00:00 010002081 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-11-24 00:00:00 2003-12-03 00:00:00 No 2004-03-01 00:00:00 None B None 1000 1000 -350 650 0 010017242 A99999 N None None SFY2003-04
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-02-06 00:00:00 010002082 Closed Citation Citation B (HSC 1424) Dietary None 2004-01-12 00:00:00 2004-01-12 00:00:00 No 2004-03-02 00:00:00 None B None 800 800 0 800 0 010017455 A99999 N None None SFY2003-04
010000597 COOPER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-02-05 00:00:00 010002083 Closed Citation Citation B (HSC 1424) Patient Record None 2003-11-25 00:00:00 2003-11-25 00:00:00 No 2004-03-01 00:00:00 None B None 500 500 0 500 0 010017160 A99999 N None None SFY2003-04
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-02-06 00:00:00 010002084 Closed Citation Citation B (HSC 1424) Other A,P 2004-01-12 00:00:00 2004-01-12 00:00:00 No 2004-03-02 00:00:00 None B None 900 900 0 900 0 010017321 A99999 N None None SFY2003-04
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-05 00:00:00 010002085 Closed Citation Citation B (HSC 1424) Dietary None 2003-11-25 00:00:00 2003-11-25 00:00:00 No 2004-03-01 00:00:00 None B None 800 800 -280 520 0 010017242 A99999 N None None SFY2003-04
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-23 00:00:00 010002086 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-28 00:00:00 2004-01-28 00:00:00 No 2004-03-15 00:00:00 None B None 500 500 -175 325 0 010017450 A99999 N None None SFY2003-04
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-23 00:00:00 010002087 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-09 00:00:00 2004-02-09 00:00:00 No 2004-03-15 00:00:00 None B None 1000 1000 -350 650 0 010017468 A99999 N None None SFY2003-04
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-03-02 00:00:00 010002088 Closed Citation Citation B (HSC 1424) Other PT CARE/STAFFING/DIE 2004-01-12 00:00:00 None No 2004-03-23 00:00:00 None B None 1000 1700 -350 1350 0 010017499 A99999 N None None SFY2003-04
010000959 MARIN POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-04 00:00:00 010002089 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-02 00:00:00 2004-02-02 00:00:00 Yes 2004-03-25 00:00:00 2004-03-23 00:00:00 B B 500 250 0 250 0 010017502 A99999 N None None SFY2003-04
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-04 00:00:00 010002090 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-22 00:00:00 2004-01-22 00:00:00 Yes 2004-03-25 00:00:00 2004-03-05 00:00:00 B B 1000 500 0 500 0 010017503 A99999 N None None SFY2003-04
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-04 00:00:00 010002091 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-03 00:00:00 2004-02-03 00:00:00 No 2004-03-25 00:00:00 None B None 500 500 -175 325 0 010017507 A99999 N None None SFY2003-04
010000792 CROSSROADS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-03-11 00:00:00 010002092 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-01 00:00:00 2004-03-01 00:00:00 No 2004-04-02 00:00:00 None B None 600 600 -210 390 0 010017533 A99999 N None None SFY2003-04
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-12 00:00:00 010002093 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-04 00:00:00 2004-03-04 00:00:00 No 2004-04-05 00:00:00 None B None 600 600 -210 390 0 010017537 A99999 N None None SFY2003-04
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-17 00:00:00 010002094 Closed Citation Citation B (HSC 1424) Other A, PR 2004-01-29 00:00:00 2004-01-29 00:00:00 Yes 2004-04-08 00:00:00 2004-03-24 00:00:00 B None 800 800 0 800 0 010017466 A99999 N None None SFY2003-04
010000858 TYSON HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-03-17 00:00:00 010002095 Closed Citation Citation B (HSC 1424) Other M, S 2004-02-23 00:00:00 2004-02-23 00:00:00 No 2004-04-08 00:00:00 None B None 800 800 0 800 0 010017467 A99999 N None None SFY2003-04
010001001 MILES - CENTER ROAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-03-17 00:00:00 010002096 Closed Citation Citation B (HSC 1424) Other C, P 2004-02-23 00:00:00 2004-02-23 00:00:00 No 2004-04-08 00:00:00 None B None 700 700 -245 455 0 010017538 A99999 N None None SFY2003-04
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-24 00:00:00 010002097 Closed Citation Citation B (HSC 1424) Other A, S 2004-01-31 00:00:00 2004-01-31 00:00:00 No 2004-04-15 00:00:00 None B None 1000 1000 -350 650 0 010017491 A99999 N None None SFY2003-04
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-22 00:00:00 010002098 Closed Citation Citation A (HSC 1424) Patient Care None 2004-01-03 00:00:00 2004-01-03 00:00:00 No 2004-04-13 00:00:00 None A None 16000 16000 -5600 10400 0 010017347 A99999 N None None SFY2003-04
010000862 TLC ON LARCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-04-01 00:00:00 010002099 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-15 00:00:00 2004-02-15 00:00:00 No 2004-04-22 00:00:00 None B None 500 500 -175 325 0 010017476 A99999 N None None SFY2003-04
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-04-30 00:00:00 010002100 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-13 00:00:00 2004-02-13 00:00:00 No 2004-05-21 00:00:00 None B None 800 800 -280 520 0 010017668 A99999 N None None SFY2003-04
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-04-30 00:00:00 010002101 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-13 00:00:00 2004-02-13 00:00:00 No 2004-05-21 00:00:00 None B None 800 800 -280 520 0 010017669 A99999 N None None SFY2003-04
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-05-06 00:00:00 010002102 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-17 00:00:00 2004-03-17 00:00:00 No 2004-05-27 00:00:00 None B None 500 500 0 500 0 010017688 A99999 N None None SFY2003-04
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-06-04 00:00:00 010002103 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-10 00:00:00 2004-04-10 00:00:00 No 2004-06-25 00:00:00 None B None 800 800 -280 520 0 010017725 A99999 N None None SFY2003-04
010000598 SACRAMENTO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-05-25 00:00:00 010002104 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-13 00:00:00 2003-12-13 00:00:00 No 2004-06-16 00:00:00 None B None 800 800 -280 520 0 010017327 A99999 N None None SFY2003-04
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-06-04 00:00:00 010002105 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-24 00:00:00 2004-01-24 00:00:00 Yes 2004-06-25 00:00:00 2004-06-14 00:00:00 B B 600 360 0 360 0 010017430 A99999 N None None SFY2003-04
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-06-01 00:00:00 010002106 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-03 00:00:00 2004-05-03 00:00:00 No 2004-06-22 00:00:00 None B None 600 600 -210 390 0 010017740 A99999 N None None SFY2003-04
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-07-06 00:00:00 010002107 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-14 00:00:00 2004-02-14 00:00:00 No 2004-07-27 00:00:00 None B None 750 750 -262.5 487.5 0 010017539 A99999 N None None SFY2004-05
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-06-21 00:00:00 010002108 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-17 00:00:00 2003-12-17 00:00:00 No 2004-07-13 00:00:00 None B None 700 700 -245 455 0 010017316 A99999 N None None SFY2003-04
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2004-07-09 00:00:00 010002109 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-12-01 00:00:00 2003-12-13 00:00:00 Yes 2006-10-26 00:00:00 2004-07-19 00:00:00 AA AA 80000 80000 0 80000 0 010017820 A99999 Y None None SFY2004-05
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-06-24 00:00:00 010002110 Closed Citation Citation B (HSC 1424) Administration None 2003-10-09 00:00:00 2003-10-09 00:00:00 No 2004-07-16 00:00:00 None B None 700 700 0 700 0 010017823 A99999 N None None SFY2003-04
010000079 HILLCREST POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-06-29 00:00:00 010002111 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-17 00:00:00 2004-02-17 00:00:00 Yes 2004-07-21 00:00:00 2004-07-02 00:00:00 B Drop>Deficiency 750 0 0 0 0 010017825 A99999 N None None SFY2003-04
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-07-06 00:00:00 010002112 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-30 00:00:00 2003-12-30 00:00:00 No 2004-07-27 00:00:00 None B None 700 700 -245 455 0 010017550 A99999 N None None SFY2004-05
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-07-15 00:00:00 010002113 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-10 00:00:00 2003-02-10 00:00:00 Yes 2004-08-05 00:00:00 2004-09-14 00:00:00 B None 600 600 0 600 0 010017856 A99999 N None None SFY2004-05
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-02 00:00:00 010002114 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-08 00:00:00 2003-10-08 00:00:00 No 2004-08-23 00:00:00 None B None 900 900 -315 585 0 010017231 A99999 N None None SFY2004-05
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-09 00:00:00 010002115 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-17 00:00:00 2004-07-17 00:00:00 No 2004-08-30 00:00:00 None B None 750 750 -262.5 487.5 0 010017905 A99999 N None None SFY2004-05
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-23 00:00:00 010002116 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-05 00:00:00 2004-06-05 00:00:00 No 2004-09-14 00:00:00 None B None 800 800 0 800 0 010017908 A99999 N None None SFY2004-05
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-19 00:00:00 010002117 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-05 00:00:00 2004-05-05 00:00:00 No 2004-09-10 00:00:00 None B None 1000 1000 -350 650 0 010017928 A99999 N None None SFY2004-05
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-26 00:00:00 010002118 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-19 00:00:00 2004-05-19 00:00:00 No 2004-09-17 00:00:00 None B None 700 2100 0 2100 0 010017943 A99999 N None None SFY2004-05
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-09-03 00:00:00 010002119 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-03-29 00:00:00 2004-03-29 00:00:00 Yes 2004-09-27 00:00:00 2004-09-08 00:00:00 AA A 80000 30000 0 30000 0 010017695 A99999 Y None None SFY2004-05
010000458 TOWNVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-09-17 00:00:00 010002120 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-06-24 00:00:00 2004-06-27 00:00:00 No 2004-10-08 00:00:00 None B None 1000 1000 -350 650 0 010017972 A99999 N None None SFY2004-05
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-09-15 00:00:00 010002121 Closed Citation Citation B (HSC 1424) Other C,AB 2004-04-14 00:00:00 2004-04-14 00:00:00 No 2004-10-06 00:00:00 None B None 800 2400 -840 1560 0 010017635 A99999 N None None SFY2004-05
010000643 PATHWAYS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-09-30 00:00:00 010002122 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2003-10-27 00:00:00 2004-06-29 00:00:00 No 2004-10-22 00:00:00 None WF None 1000 1000 -350 650 0 010017818 A99999 None None None SFY2004-05
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-08 00:00:00 010002123 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-30 00:00:00 2004-08-02 00:00:00 No 2004-11-01 00:00:00 None B None 800 800 -280 520 0 010018019 A99999 N None None SFY2004-05
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-08 00:00:00 010002124 Closed Citation Citation B (HSC 1424) Dietary None 2004-07-30 00:00:00 2004-07-30 00:00:00 No 2004-11-01 00:00:00 None B None 800 800 -280 520 0 010018019 A99999 N None None SFY2004-05
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-08 00:00:00 010002125 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-30 00:00:00 2004-07-30 00:00:00 No 2004-11-01 00:00:00 None B None 800 800 -280 520 0 010018019 A99999 N None None SFY2004-05
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-08 00:00:00 010002126 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-30 00:00:00 2004-07-30 00:00:00 No 2004-11-01 00:00:00 None B None 800 800 -280 520 0 010018024 A99999 N None None SFY2004-05
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-08 00:00:00 010002127 Closed Citation Citation B (HSC 1424) Staffing None 2004-07-30 00:00:00 2004-07-30 00:00:00 No 2004-11-01 00:00:00 None B None 800 800 -280 520 0 010018024 A99999 N None None SFY2004-05
010000765 HOPE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-10-12 00:00:00 010002128 Closed Citation Citation B (HSC 1424) Medication None 2004-08-09 00:00:00 2004-08-09 00:00:00 No 2004-11-02 00:00:00 None B None 1000 1000 0 1000 0 010018026 A99999 N None None SFY2004-05
010000575 HOLLY HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-10-12 00:00:00 010002129 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-10 00:00:00 2004-05-10 00:00:00 No 2004-12-01 00:00:00 None B None 500 500 -500 0 0 010018027 A99999 N None None SFY2004-05
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-11-09 00:00:00 010002130 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-02 00:00:00 2003-10-02 00:00:00 Yes 2004-12-03 00:00:00 2004-12-02 00:00:00 B None 750 750 -262.5 487.5 0 010017389 A99999 N None None SFY2004-05
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-11-18 00:00:00 010002131 Closed Citation Citation A (HSC 1424) Patient Care None 2004-03-08 00:00:00 2004-03-08 00:00:00 Yes 2004-12-09 00:00:00 2004-11-30 00:00:00 A A 16000 5000 0 5000 0 010017546 A99999 N None None SFY2004-05
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-11-18 00:00:00 010002132 Closed Citation Citation A (HSC 1424) Patient Care None 2004-03-30 00:00:00 2004-03-30 00:00:00 Yes 2004-12-09 00:00:00 2004-11-30 00:00:00 A A 16000 5000 0 5000 0 010018113 A99999 N None None SFY2004-05
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2004-11-24 00:00:00 010002133 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-10-03 00:00:00 2003-10-03 00:00:00 Yes 2004-12-17 00:00:00 2004-12-15 00:00:00 AA A 100000 30000 0 30000 0 010017437 A99999 Y None None SFY2004-05
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-11-24 00:00:00 010002134 Closed Citation Citation A (HSC 1424) Patient Care None 2004-03-15 00:00:00 2004-03-15 00:00:00 Yes 2004-12-15 00:00:00 2004-12-07 00:00:00 A A 16000 16450 0 16450 0 010018117 A99999 Y None None SFY2004-05
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-12-02 00:00:00 010002135 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-07 00:00:00 2004-05-07 00:00:00 No 2005-01-06 00:00:00 None B None 700 2100 -735 1365 0 010018122 A99999 N None None SFY2004-05
010000657 ESTES HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-12-21 00:00:00 010002136 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-01-23 00:00:00 2004-01-23 00:00:00 No 2005-01-14 00:00:00 None A None 10000 10000 -3500 6500 0 010017451 A99999 Y None None SFY2004-05
010000597 COOPER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2004-12-21 00:00:00 010002137 Closed Citation Citation B (HSC 1424) Other C 2004-10-19 00:00:00 2004-10-19 00:00:00 No 2005-01-18 00:00:00 None B None 800 800 -280 520 0 010018103 A99999 N None None SFY2004-05
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-01-14 00:00:00 010002138 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-21 00:00:00 2004-12-21 00:00:00 No 2005-02-07 00:00:00 None B None 1000 3000 -1050 1950 0 010018177 A99999 N None None SFY2004-05
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-02-03 00:00:00 010002139 Closed Citation Citation B (HSC 1424) Other C,PR 2004-10-25 00:00:00 2004-10-25 00:00:00 No 2005-02-25 00:00:00 None B None 900 900 -315 585 0 010018257 A99999 N None None SFY2004-05
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-02-14 00:00:00 010002140 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-11-12 00:00:00 2004-11-12 00:00:00 Yes 2005-03-08 00:00:00 2005-02-18 00:00:00 B B 1000 500 0 500 0 010018264 A99999 N None None SFY2004-05
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-01 00:00:00 010002141 Closed Citation Citation B (HSC 1424) Other PR,TR 2004-10-04 00:00:00 2004-10-04 00:00:00 No 2005-03-22 00:00:00 None B None 1000 1000 -350 650 0 010018083 A99999 N None None SFY2004-05
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-04-04 00:00:00 010002142 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-10 00:00:00 2004-10-10 00:00:00 No 2005-04-25 00:00:00 None B None 750 750 0 750 0 010018047 A99999 N None None SFY2004-05
010000907 GREENFIELDS II ICF-DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2005-03-30 00:00:00 010002143 Closed Citation Citation B (HSC 1424) Other C,F 2004-12-20 00:00:00 2004-12-23 00:00:00 No 2005-04-21 00:00:00 None B None 1000 1000 -350 650 0 010018269 A99999 N None None SFY2004-05
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-25 00:00:00 010002144 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-28 00:00:00 2004-11-28 00:00:00 No 2005-04-18 00:00:00 None B None 1000 3000 -1050 1950 0 010018207 A99999 N None None SFY2004-05
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-25 00:00:00 010002145 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-18 00:00:00 2005-01-18 00:00:00 No 2005-04-18 00:00:00 None B None 1000 1000 -350 650 0 010018271 A99999 N None None SFY2004-05
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-25 00:00:00 010002146 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-09 00:00:00 2004-12-09 00:00:00 No 2005-04-18 00:00:00 None B None 1000 1000 0 1000 0 010018272 A99999 N None None SFY2004-05
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-25 00:00:00 010002147 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-09 00:00:00 2004-12-09 00:00:00 No 2005-04-18 00:00:00 None B None 1000 1000 0 1000 0 010018274 A99999 N None None SFY2004-05
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-25 00:00:00 010002148 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-12-09 00:00:00 2004-12-09 00:00:00 No 2005-04-18 00:00:00 None B None 800 800 0 800 0 010018275 A99999 N None None SFY2004-05
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-29 00:00:00 010002149 Closed Citation Citation A (HSC 1424) Patient Care None 2004-12-19 00:00:00 2004-12-19 00:00:00 Yes 2005-04-20 00:00:00 2005-03-31 00:00:00 A A 16000 8000 0 8000 0 010018276 A99999 N None None SFY2004-05
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-04-25 00:00:00 010002150 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-15 00:00:00 2004-07-15 00:00:00 Yes 2005-05-16 00:00:00 2005-05-16 00:00:00 B B 900 450 0 450 0 010018029 A99999 N None None SFY2004-05
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-04-25 00:00:00 010002151 Closed Citation Citation A (HSC 1424) Patient Care None 2004-11-26 00:00:00 2004-11-26 00:00:00 No 2005-05-16 00:00:00 None A None 9000 9000 0 9000 0 010018194 A99999 N None None SFY2004-05
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-04-25 00:00:00 010002152 Closed Citation Citation A (HSC 1424) Patient Care None 2004-11-03 00:00:00 2004-11-03 00:00:00 Yes 2005-05-16 00:00:00 2005-05-16 00:00:00 A Dismissed by Court 5000 0 0 0 0 010018279 A99999 N None None SFY2004-05
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-05-05 00:00:00 010002153 Closed Citation Citation A (HSC 1424) Patient Care None 2004-05-09 00:00:00 2004-05-09 00:00:00 No 2005-05-27 00:00:00 None A None 8000 8000 0 8000 0 010018281 A99999 N None None SFY2004-05
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-05-05 00:00:00 010002154 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-09 00:00:00 2003-12-09 00:00:00 No 2005-05-27 00:00:00 None B None 900 2700 0 2700 0 010018282 A99999 N None None SFY2004-05
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-05-05 00:00:00 010002155 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-13 00:00:00 2004-01-13 00:00:00 No 2005-05-27 00:00:00 None B None 1000 3000 0 3000 0 010018283 A99999 N None None SFY2004-05
010000482 MOUNTAINVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2005-05-16 00:00:00 010002156 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-21 00:00:00 2005-03-21 00:00:00 No 2005-06-07 00:00:00 None B None 1000 1000 -350 650 0 010018284 A99999 N None None SFY2004-05
010000959 MARIN POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-05-12 00:00:00 010002157 Closed Citation Citation A (HSC 1424) Patient Care None 2004-03-15 00:00:00 2004-04-29 00:00:00 Yes 2005-06-03 00:00:00 2005-05-19 00:00:00 A B 7000 14000 0 14000 0 010018285 A99999 Y None None SFY2004-05
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-05-27 00:00:00 010002158 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-07-20 00:00:00 2003-07-20 00:00:00 Yes 2005-06-20 00:00:00 2005-05-31 00:00:00 AA A 100000 30000 0 30000 0 010018292 A99999 Y None None SFY2004-05
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-06-28 00:00:00 010002159 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-16 00:00:00 2004-12-16 00:00:00 No 2005-07-20 00:00:00 None B None 800 800 0 800 0 010018301 A99999 N None None SFY2004-05
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-06-28 00:00:00 010002160 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-27 00:00:00 2005-03-27 00:00:00 No 2005-07-20 00:00:00 None B None 800 800 0 800 0 010018302 A99999 N None None SFY2004-05
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-07-07 00:00:00 010002161 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-28 00:00:00 2005-02-28 00:00:00 Yes 2005-08-01 00:00:00 2005-07-11 00:00:00 B B 750 450 0 450 0 010018303 A99999 N None None SFY2005-06
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-07-12 00:00:00 010002162 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-03-23 00:00:00 2005-03-23 00:00:00 Yes 2005-08-02 00:00:00 2006-05-09 00:00:00 AA AA 80000 25000 0 25000 0 010018304 A99999 Y None None SFY2005-06
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-07-12 00:00:00 010002163 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-06 00:00:00 2005-04-06 00:00:00 Yes 2005-08-02 00:00:00 2005-08-02 00:00:00 B B 1000 500 0 500 0 010018305 A99999 N None None SFY2005-06
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-07-12 00:00:00 010002164 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-02 00:00:00 2004-10-11 00:00:00 No 2005-08-02 00:00:00 None B None 1000 1000 -350 650 0 010018306 A99999 N None None SFY2005-06
010001005 ALDERSLY SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Santa Rosa 2005-07-19 00:00:00 010002165 Closed Citation Citation B (HSC 1424) Other C, PR 2005-01-26 00:00:00 2005-01-26 00:00:00 No 2005-08-09 00:00:00 None B None 1000 1000 -350 650 0 010018307 A99999 N None None SFY2005-06
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2005-08-01 00:00:00 010002166 Closed Citation Citation A (HSC 1424) Patient Care None 2004-06-29 00:00:00 2004-06-29 00:00:00 Yes 2005-08-22 00:00:00 2005-08-11 00:00:00 A A 10000 5000 0 5000 0 010018310 A99999 N None None SFY2005-06
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-08-05 00:00:00 010002167 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-07 00:00:00 2005-06-07 00:00:00 No 2005-08-29 00:00:00 None B None 800 2400 -840 1560 0 010018312 A99999 N None None SFY2005-06
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2005-09-13 00:00:00 010002168 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-06-03 00:00:00 2005-06-03 00:00:00 No 2005-10-04 00:00:00 None B None 800 800 -280 520 0 010018318 A99999 N None None SFY2005-06
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2005-09-13 00:00:00 010002169 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-03 00:00:00 2005-06-03 00:00:00 No 2005-10-04 00:00:00 None B None 800 800 -280 520 0 010018319 A99999 N None None SFY2005-06
010001011 RAE LANE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2005-09-28 00:00:00 010002170 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-07-09 00:00:00 2005-04-28 00:00:00 No 2005-10-20 00:00:00 None B None 600 600 -210 390 0 010018320 A99999 N None None SFY2005-06
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-10-05 00:00:00 010002171 Closed Citation Citation B (HSC 1424) Staffing None 2005-06-29 00:00:00 2005-06-29 00:00:00 Yes 2005-10-27 00:00:00 2005-10-05 00:00:00 B None 900 900 0 900 0 010018324 A99999 N None None SFY2005-06
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-10-05 00:00:00 010002172 Closed Citation Citation B (HSC 1424) Medication None 2005-06-29 00:00:00 2005-06-29 00:00:00 Yes 2005-10-27 00:00:00 2005-10-05 00:00:00 B None 1000 1000 0 1000 0 010018325 A99999 N None None SFY2005-06
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2005-10-05 00:00:00 010002173 Closed Citation Citation B (HSC 1424) Staffing None 2005-04-14 00:00:00 2005-04-14 00:00:00 No 2005-10-27 00:00:00 None B None 900 900 0 900 0 010018326 A99999 N None None SFY2005-06
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-10-20 00:00:00 010002174 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-10 00:00:00 2005-01-10 00:00:00 No 2005-11-10 00:00:00 None B None 1000 1000 -350 650 0 010018327 A99999 N None None SFY2005-06
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-11-07 00:00:00 010002175 Closed Citation Citation A (HSC 1424) Patient Care None 2005-02-04 00:00:00 2005-02-04 00:00:00 Yes 2011-12-05 00:00:00 2011-11-11 00:00:00 A A 18000 10000 0 10000 0 010018330 A99999 N None None SFY2005-06
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-11-29 00:00:00 010002176 Closed Citation Citation A (HSC 1424) Patient Care None 2004-06-10 00:00:00 2004-06-10 00:00:00 Yes 2010-07-28 00:00:00 2010-07-07 00:00:00 A A 16000 0 0 0 0 010018335 A99999 N None None SFY2005-06
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-11-29 00:00:00 010002177 Closed Citation Citation A (HSC 1424) Patient Care None 2004-06-19 00:00:00 2004-06-19 00:00:00 Yes 2010-08-30 00:00:00 2010-07-07 00:00:00 A A 14000 15000 0 15000 0 010018336 A99999 N None None SFY2005-06
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2005-12-15 00:00:00 010002178 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-14 00:00:00 2005-04-14 00:00:00 No 2006-01-09 00:00:00 None B None 1000 1000 -350 650 0 010018337 A99999 N None None SFY2005-06
010000793 PATHWAYS 2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-01-31 00:00:00 010002179 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-01 00:00:00 2005-04-01 00:00:00 Yes 2008-05-28 00:00:00 2006-02-03 00:00:00 B B 800 400 0 400 0 010018341 A99999 N CA00044503 B SFY2005-06
010000995 VILLA MARIN RETIREMENT RESIDENCES LTC SNF Skilled Nursing Facility Santa Rosa 2006-02-28 00:00:00 010002180 Closed Citation Citation B (HSC 1424) Other AB (Abuse) and Admin 2005-03-31 00:00:00 2005-03-31 00:00:00 Yes 2006-03-21 00:00:00 2006-03-07 00:00:00 B B 1000 500 0 500 0 010018342 A99999 N CA00043273 A SFY2005-06
010000995 VILLA MARIN RETIREMENT RESIDENCES LTC SNF Skilled Nursing Facility Santa Rosa 2006-02-28 00:00:00 010002181 Closed Citation Citation B (HSC 1424) Staffing None 2005-03-31 00:00:00 2005-03-31 00:00:00 No 2006-03-21 00:00:00 None B None 800 800 -280 520 0 010018343 A99999 N CA00043273, CA00043273 A, A SFY2005-06
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-02-15 00:00:00 010002182 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-16 00:00:00 2005-03-16 00:00:00 No 2006-03-09 00:00:00 None B None 1000 1000 -350 650 0 010018344 A99999 N CA00040867 A SFY2005-06
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2006-02-15 00:00:00 010002183 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-24 00:00:00 2005-08-24 00:00:00 No 2006-03-09 00:00:00 None B None 1000 1000 -350 650 0 010018345 A99999 N CA00059534 A SFY2005-06
010000482 MOUNTAINVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-02-15 00:00:00 010002184 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-12 00:00:00 2005-07-12 00:00:00 No 2006-03-09 00:00:00 None B None 1000 1000 -350 650 0 010018346 A99999 N CA00055976 A SFY2005-06
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-02-17 00:00:00 010002185 Closed Citation Citation B (HSC 1424) Administration None 2005-07-03 00:00:00 2005-07-03 00:00:00 No 2006-03-13 00:00:00 None B None 1000 1000 -350 650 0 010018347 A99999 N CA00053901 A SFY2005-06
010001009 DURAN DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-03-02 00:00:00 010002186 Closed Citation Citation B (HSC 1424) Physical Environment None 2005-07-10 00:00:00 2005-07-10 00:00:00 No 2006-03-23 00:00:00 None B None 800 800 0 800 0 010018349 A99999 N CA00054833 B SFY2005-06
010000643 PATHWAYS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-03-02 00:00:00 010002187 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-06 00:00:00 2005-06-06 00:00:00 No 2006-03-23 00:00:00 None B None 1000 1000 -350 650 0 010018350 A99999 N CA00050856 B SFY2005-06
020000077 SAN LEANDRO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 1999-04-26 00:00:00 020002353 Closed Citation Citation A (HSC 1424) Patient Care None 1999-03-16 00:00:00 None Yes 2000-01-12 00:00:00 1999-05-11 00:00:00 A A 7000 7000 -7000 0 0 020009764 A99999 N None None SFY1998-99
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 1999-06-16 00:00:00 020002371 Closed Citation Citation A (HSC 1424) Patient Care None 1999-02-05 00:00:00 None Yes 1999-07-14 00:00:00 1999-06-29 00:00:00 A A 9000 6300 -6300 0 0 020010074 A99999 N None None SFY1998-99
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 1999-07-29 00:00:00 020002387 Closed Citation Citation A (HSC 1424) Patient Care None 1999-03-28 00:00:00 None Yes 1999-08-25 00:00:00 1999-08-11 00:00:00 A A 10000 7000 -7000 0 0 020010274 A99999 N None None SFY1999-00
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-01-04 00:00:00 020002467 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-24 00:00:00 1999-09-23 00:00:00 Yes 2000-01-27 00:00:00 2000-01-18 00:00:00 A None 9000 27000 -27000 0 0 020011028 A99999 N None None SFY1999-00
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2000-01-06 00:00:00 020002468 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-03 00:00:00 None No 2000-01-31 00:00:00 None B None 500 500 -175 325 0 020011029 A99999 N None None SFY1999-00
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-01-06 00:00:00 020002469 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-15 00:00:00 1999-11-21 00:00:00 Yes 2000-01-27 00:00:00 2000-01-25 00:00:00 B B 900 300 0 300 0 020011033 A99999 N None None SFY1999-00
020000276 CANYON CREEK POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-01-06 00:00:00 020002470 Closed Citation Citation B (HSC 1424) Administration None 1999-11-08 00:00:00 1999-11-16 00:00:00 No 2000-02-01 00:00:00 None B None 1000 1000 -350 650 0 020011052 A99999 N None None SFY1999-00
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-01-06 00:00:00 020002471 Closed Citation Citation B (HSC 1424) Administration None 1999-11-30 00:00:00 1999-12-07 00:00:00 Yes 2000-01-27 00:00:00 2000-01-25 00:00:00 B B 1000 1000 0 1000 0 020011054 A99999 N None None SFY1999-00
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-01-13 00:00:00 020002473 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-18 00:00:00 1999-11-26 00:00:00 Yes 2000-02-10 00:00:00 2000-03-09 00:00:00 A A 6000 6000 -4380 1620 0 020011098 A99999 N None None SFY1999-00
020000040 MASONIC HOME LTC SNF Skilled Nursing Facility East Bay 2000-01-19 00:00:00 020002475 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-11-23 00:00:00 None Yes 2000-08-23 00:00:00 2000-02-04 00:00:00 B B 500 500 0 500 0 020011154 A99999 N None None SFY1999-00
020000020 WINDSOR COUNTRY DRIVE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-01-19 00:00:00 020002476 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-25 00:00:00 None No 2000-02-14 00:00:00 None B None 700 1200 0 1200 0 020011155 A99999 N None None SFY1999-00
020000020 WINDSOR COUNTRY DRIVE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-01-19 00:00:00 020002477 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-18 00:00:00 None No 2000-02-14 00:00:00 None B None 600 1100 0 1100 0 020011156 A99999 N None None SFY1999-00
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2000-01-18 00:00:00 020002478 Closed Citation Citation B (HSC 1424) Patient Care None 1999-06-01 00:00:00 1999-12-13 00:00:00 Yes 2000-06-05 00:00:00 2000-01-26 00:00:00 B B 600 600 0 600 0 020011157 A99999 N None None SFY1999-00
020000020 WINDSOR COUNTRY DRIVE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-01-28 00:00:00 020002480 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-12 00:00:00 None No 2000-02-25 00:00:00 None B B 1000 1000 -800 200 0 020011203 A99999 N None None SFY1999-00
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2000-01-28 00:00:00 020002481 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-17 00:00:00 None No 2000-02-18 00:00:00 None B B 1000 4250 -3825 425 0 020011222 A99999 N None None SFY1999-00
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-02-08 00:00:00 020002482 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-12-20 00:00:00 1999-12-26 00:00:00 No 2000-03-07 00:00:00 None AA None 15000 15400 -15400 0 0 020011259 A99999 Y None None SFY1999-00
020000911 META-CARE #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2000-02-07 00:00:00 020002483 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-11-27 00:00:00 None Yes 2000-03-01 00:00:00 2001-05-18 00:00:00 A A 8000 8550 -8550 0 0 020011262 A99999 N None None SFY1999-00
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-02-16 00:00:00 020002486 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-31 00:00:00 2000-01-03 00:00:00 Yes 2000-03-16 00:00:00 2000-02-22 00:00:00 B B 600 600 -540 60 0 020011310 A99999 N None None SFY1999-00
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-02-18 00:00:00 020002489 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-22 00:00:00 None No 2000-03-17 00:00:00 None B None 500 500 -500 0 0 020011336 A99999 N None None SFY1999-00
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-03-06 00:00:00 020002492 Closed Citation Citation B (HSC 1424) Administration None 1999-12-01 00:00:00 1999-12-01 00:00:00 No 2000-03-30 00:00:00 None B None 1000 1000 -350 650 0 020011415 A99999 N None None SFY1999-00
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2000-03-08 00:00:00 020002494 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-17 00:00:00 None No 2000-03-31 00:00:00 None B None 600 1800 -630 1170 0 020011424 A99999 N None None SFY1999-00
020001156 BARROW ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2000-03-13 00:00:00 020002495 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-04 00:00:00 None No 2000-04-11 00:00:00 None B None 500 500 -175 325 0 020011436 A99999 N None None SFY1999-00
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-03-13 00:00:00 020002496 Closed Citation Citation A (HSC 1424) Patient Care None 1999-07-05 00:00:00 1999-07-11 00:00:00 No 2000-04-05 00:00:00 None A None 8000 8000 0 8000 0 020011459 A99999 N None None SFY1999-00
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-03-13 00:00:00 020002497 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-07-05 00:00:00 1999-07-11 00:00:00 No 2000-04-05 00:00:00 None B None 800 800 0 800 0 020011460 A99999 N None None SFY1999-00
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2000-03-22 00:00:00 020002499 Closed Citation Citation A (HSC 1424) Patient Care None 1999-09-27 00:00:00 None Yes 2000-04-18 00:00:00 2000-04-11 00:00:00 A A 9000 27000 -18710 8290 0 020011492 A99999 N None None SFY1999-00
020000107 LAKESHORE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2000-03-28 00:00:00 020002501 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-04 00:00:00 None No 2000-04-21 00:00:00 None A None 8000 8000 -2800 5200 0 020011523 A99999 N None None SFY1999-00
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2000-03-30 00:00:00 020002502 Closed Citation Citation B (HSC 1424) Patient Record None 1999-10-07 00:00:00 2000-01-28 00:00:00 Yes 2000-04-24 00:00:00 2000-04-17 00:00:00 B B 1000 1000 -900 100 0 020011536 A99999 N None None SFY1999-00
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2000-04-04 00:00:00 020002503 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-09-23 00:00:00 None Yes 2000-04-27 00:00:00 2000-04-20 00:00:00 AA A 15000 15000 0 15000 0 020011543 A99999 Y None None SFY1999-00
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-04-05 00:00:00 020002504 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-11-30 00:00:00 None No 2000-05-01 00:00:00 None B None 600 600 -210 390 0 020011544 A99999 N None None SFY1999-00
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2000-04-05 00:00:00 020002505 Closed Citation Citation B (HSC 1424) Administration None 1999-11-24 00:00:00 2000-01-24 00:00:00 No 2000-05-01 00:00:00 None B None 1000 1000 -350 650 0 020011545 A99999 N None None SFY1999-00
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2000-04-05 00:00:00 020002506 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-05 00:00:00 None Yes 2000-05-03 00:00:00 2000-04-17 00:00:00 A A Trebled 9000 27000 -18710 8290 0 020011546 A99999 N None None SFY1999-00
020000112 KYAKAMEENA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-04-05 00:00:00 020002510 Closed Citation Citation A (HSC 1424) Patient Care None 1998-10-28 00:00:00 1999-11-20 00:00:00 No 2000-06-06 00:00:00 None A None 8000 24000 -12000 12000 0 020011554 A99999 N None None SFY1999-00
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2000-04-17 00:00:00 020002512 Closed Citation Citation A (HSC 1424) Patient Care None 1999-06-15 00:00:00 1999-07-08 00:00:00 No 2000-05-12 00:00:00 None A None 8000 8000 -2800 5200 0 020011599 A99999 N None None SFY1999-00
020000808 MORTON BAKAR CENTER LTC SNF Skilled Nursing Facility East Bay 2000-04-18 00:00:00 020002513 Closed Citation Citation B (HSC 1424) Administration None 1995-01-01 00:00:00 None Yes 2000-05-11 00:00:00 2000-05-03 00:00:00 B B 800 850 -50 800 0 020011609 A99999 N None None SFY1999-00
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2000-05-03 00:00:00 020002514 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-23 00:00:00 None No 2000-05-30 00:00:00 None B None 1000 1000 0 1000 0 020011650 A99999 N None None SFY1999-00
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-05-19 00:00:00 020002519 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-24 00:00:00 None Yes 2000-06-20 00:00:00 2000-05-30 00:00:00 B None 700 2100 0 2100 0 020011724 A99999 N None None SFY1999-00
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-05-30 00:00:00 020002523 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-13 00:00:00 None Yes 2000-12-14 00:00:00 2000-06-09 00:00:00 A A 9000 9000 -9000 0 0 020011754 A99999 N None None SFY1999-00
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-05-30 00:00:00 020002524 Closed Citation Citation B (HSC 1424) Administration None 2000-02-06 00:00:00 2000-03-15 00:00:00 No 2000-06-23 00:00:00 None B None 1000 1000 0 1000 0 020011759 A99999 N None None SFY1999-00
020000109 SUNSHINE ICF/DDH #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2000-06-01 00:00:00 020002526 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-26 00:00:00 None Yes 2001-02-01 00:00:00 2000-06-06 00:00:00 B B 600 600 0 600 0 020011770 A99999 N None None SFY1999-00
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-06-13 00:00:00 020002529 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-12-29 00:00:00 1999-12-29 00:00:00 Yes 2000-12-14 00:00:00 2000-06-19 00:00:00 AA AA 25000 25000 -25000 0 0 020011821 A99999 Y None None SFY1999-00
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-06-20 00:00:00 020002530 Closed Citation Citation B (HSC 1424) Staffing None 2000-04-02 00:00:00 2000-04-08 00:00:00 Yes 2000-07-17 00:00:00 2000-07-11 00:00:00 B B Trebled 600 1404 -650 754 0 020011849 A99999 N None None SFY1999-00
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-06-27 00:00:00 020002531 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-18 00:00:00 2000-05-19 00:00:00 No 2000-07-27 00:00:00 None B None 800 800 0 800 0 020011887 A99999 N None None SFY1999-00
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2000-07-18 00:00:00 020002532 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-26 00:00:00 None No 2000-08-14 00:00:00 None B None 800 800 -800 0 0 020011965 A99999 N None None SFY2000-01
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2000-07-17 00:00:00 020002533 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-12 00:00:00 2000-01-21 00:00:00 Yes 2001-06-11 00:00:00 2000-07-25 00:00:00 B B 600 600 0 600 0 020011966 A99999 N None None SFY2000-01
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2000-07-24 00:00:00 020002534 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-11 00:00:00 None No 2000-08-21 00:00:00 None B None 700 700 0 700 0 020011996 A99999 N None None SFY2000-01
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-07-26 00:00:00 020002535 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-29 00:00:00 2000-05-30 00:00:00 Yes 2000-08-18 00:00:00 2000-08-16 00:00:00 B B 800 246 0 246 0 020011997 A99999 N None None SFY2000-01
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2000-07-28 00:00:00 020002536 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-02 00:00:00 None No 2000-08-22 00:00:00 None B Dismissed by Court 800 0 0 0 0 020012007 A99999 N None None SFY2000-01
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2000-08-18 00:00:00 020002540 Closed Citation Citation B (HSC 1424) Staffing None 2000-01-01 00:00:00 2000-05-31 00:00:00 No 2000-09-15 00:00:00 None B None 1000 1000 -350 650 0 020012078 A99999 N None None SFY2000-01
020000048 CHAPARRAL HOUSE LTC SNF Skilled Nursing Facility East Bay 2000-08-23 00:00:00 020002541 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-01-26 00:00:00 None Yes 2001-01-19 00:00:00 2001-01-12 00:00:00 AA A 15000 6500 0 6500 0 020012091 A99999 Y None None SFY2000-01
020000915 META-CARE #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2000-09-05 00:00:00 020002545 Closed Citation Citation A (HSC 1424) Administration None 1999-08-17 00:00:00 2000-04-28 00:00:00 Yes 2001-09-14 00:00:00 2000-09-25 00:00:00 A B 2000 1000 -1000 0 0 020012164 A99999 N None None SFY2000-01
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2000-09-07 00:00:00 020002546 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-17 00:00:00 2000-08-21 00:00:00 Yes 2000-09-29 00:00:00 2000-09-22 00:00:00 B None 500 1850 0 1850 0 020012165 A99999 N None None SFY2000-01
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-09-07 00:00:00 020002549 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-03 00:00:00 2000-07-16 00:00:00 No 2000-09-29 00:00:00 None B None 1000 1000 -350 650 0 020012179 A99999 N None None SFY2000-01
020000047 HAYWARD HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-09-22 00:00:00 020002557 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-26 00:00:00 None No 2000-10-20 00:00:00 None B None 400 400 -140 260 0 020012248 A99999 N None None SFY2000-01
020000010 ASHBY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-09-25 00:00:00 020002564 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-21 00:00:00 2000-05-11 00:00:00 Yes 2001-07-13 00:00:00 2000-10-20 00:00:00 A A 6500 6500 0 6500 0 020012306 A99999 N None None SFY2000-01
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-10-03 00:00:00 020002565 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-22 00:00:00 None No 2000-11-03 00:00:00 None B None 900 2700 0 2700 0 020012323 A99999 N None None SFY2000-01
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-10-06 00:00:00 020002566 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-17 00:00:00 None No 2000-11-07 00:00:00 None B None 700 700 0 700 0 020012348 A99999 N None None SFY2000-01
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2000-10-17 00:00:00 020002569 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-05-01 00:00:00 2000-05-04 00:00:00 No 2000-11-14 00:00:00 None B None 900 2250 -315 1935 0 020012422 A99999 N None None SFY2000-01
020000070 ALL SAINT'S SUBACUTE & TRANSITIONAL CARE LTC SNF Skilled Nursing Facility East Bay 2000-10-17 00:00:00 020002570 Closed Citation Citation A (HSC 1424) Other INFECTION CONTROL 2000-09-13 00:00:00 None Yes 2001-07-17 00:00:00 2000-10-18 00:00:00 A A 5000 5000 0 5000 0 020012423 A99999 N None None SFY2000-01
020000010 ASHBY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-10-19 00:00:00 020002572 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-17 00:00:00 2000-03-25 00:00:00 Yes 2001-09-03 00:00:00 2000-11-14 00:00:00 A A 9000 9000 0 9000 0 020012442 A99999 N None None SFY2000-01
020000047 HAYWARD HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-11-21 00:00:00 020002574 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-25 00:00:00 None No 2000-12-19 00:00:00 None B None 500 500 -175 325 0 020012527 A99999 N None None SFY2000-01
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-11-21 00:00:00 020002575 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-04 00:00:00 None No 2000-12-15 00:00:00 None B None 600 600 -210 390 0 020012560 A99999 N None None SFY2000-01
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-12-08 00:00:00 020002576 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-16 00:00:00 None No 2001-01-12 00:00:00 None B None 400 400 0 400 0 020012616 A99999 N None None SFY2000-01
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2000-12-13 00:00:00 020002577 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-05 00:00:00 None No 2001-01-10 00:00:00 None B None 500 500 -175 325 0 020012630 A99999 N None None SFY2000-01
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-12-22 00:00:00 020002578 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-13 00:00:00 None No 2001-01-24 00:00:00 None B None 900 900 -315 585 0 020012778 A99999 N None None SFY2000-01
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-12-22 00:00:00 020002579 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-30 00:00:00 None No 2001-01-24 00:00:00 None B None 900 900 -315 585 0 020012779 A99999 N None None SFY2000-01
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2001-01-09 00:00:00 020002580 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-17 00:00:00 None No 2001-02-02 00:00:00 None B None 700 700 -245 455 0 020012571 A99999 N None None SFY2000-01
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2001-01-11 00:00:00 020002581 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-10 00:00:00 None Yes 2001-07-09 00:00:00 2001-01-11 00:00:00 B B 700 700 0 700 0 020012819 A99999 N None None SFY2000-01
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-01-24 00:00:00 020002584 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-25 00:00:00 2000-09-29 00:00:00 No 2001-02-22 00:00:00 None B None 600 600 0 600 0 020012887 A99999 N None None SFY2000-01
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2001-01-26 00:00:00 020002585 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-01 00:00:00 None No 2001-02-22 00:00:00 None B None 700 700 -245 455 0 020012845 A99999 N None None SFY2000-01
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2001-01-24 00:00:00 020002587 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-18 00:00:00 2000-10-25 00:00:00 Yes 2001-06-25 00:00:00 2001-01-30 00:00:00 B B 1000 1000 0 1000 0 020012911 A99999 N None None SFY2000-01
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2001-02-01 00:00:00 020002589 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-03 00:00:00 None No 2001-02-28 00:00:00 None A None 12000 12000 -4200 7800 0 020012948 A99999 N None None SFY2000-01
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-02-08 00:00:00 020002590 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-23 00:00:00 None No 2001-03-13 00:00:00 None A None 10000 10000 -10000 0 0 020012991 A99999 N None None SFY2000-01
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2001-02-14 00:00:00 020002591 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-31 00:00:00 2000-12-15 00:00:00 No 2001-03-12 00:00:00 None B None 800 800 -280 520 0 020013020 A99999 N None None SFY2000-01
020000077 SAN LEANDRO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-02-20 00:00:00 020002593 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-16 00:00:00 None No 2001-03-20 00:00:00 None B None 1000 1000 -1000 0 0 020012910 A99999 N None None SFY2000-01
020000053 CRESTWOOD MANOR - FREMONT LTC SNF Skilled Nursing Facility East Bay 2001-02-28 00:00:00 020002594 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-12-24 00:00:00 None Yes 2001-03-26 00:00:00 2001-03-01 00:00:00 AA AA 50000 20000 0 20000 0 020013122 A99999 Y None None SFY2000-01
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-06 00:00:00 020002595 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-03 00:00:00 None No 2001-03-29 00:00:00 None B None 700 700 -700 0 0 020013022 A99999 N None None SFY2000-01
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-05 00:00:00 020002596 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-15 00:00:00 None Yes 2001-04-06 00:00:00 2001-03-09 00:00:00 A A 20000 20000 -14600 5400 0 020013143 A99999 N None None SFY2000-01
020000091 PIEDMONT GARDENS HEALTH FACILITY LTC SNF Skilled Nursing Facility East Bay 2001-03-09 00:00:00 020002597 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-23 00:00:00 None Yes 2001-09-21 00:00:00 2001-09-06 00:00:00 B Drop>Deficiency 600 600 0 600 0 020012951 A99999 N None None SFY2000-01
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-07 00:00:00 020002598 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-13 00:00:00 None No 2001-04-02 00:00:00 None B None 1000 1000 0 1000 0 020013154 A99999 N None None SFY2000-01
020000070 ALL SAINT'S SUBACUTE & TRANSITIONAL CARE LTC SNF Skilled Nursing Facility East Bay 2001-03-07 00:00:00 020002599 Closed Citation Citation B (HSC 1424) Administration None 2001-02-01 00:00:00 None Yes 2001-04-13 00:00:00 2001-03-26 00:00:00 B None 1000 1000 0 1000 0 020012992 A99999 N None None SFY2000-01
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2001-03-09 00:00:00 020002600 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-08 00:00:00 None Yes 2001-03-30 00:00:00 2001-03-16 00:00:00 B None 700 700 0 700 0 020013062 A99999 N None None SFY2000-01
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-13 00:00:00 020002601 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-10-24 00:00:00 None Yes 2001-04-09 00:00:00 2001-03-16 00:00:00 AA A 80000 10000 0 10000 0 020012774 A99999 Y None None SFY2000-01
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-19 00:00:00 020002602 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-04 00:00:00 None No 2001-04-16 00:00:00 None B None 800 800 -800 0 0 020013186 A99999 N None None SFY2000-01
020000047 HAYWARD HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-19 00:00:00 020002603 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-22 00:00:00 None Yes 2001-09-06 00:00:00 2001-04-04 00:00:00 B B 600 1800 0 1800 0 020013140 A99999 N None None SFY2000-01
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-20 00:00:00 020002604 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-10 00:00:00 None No 2001-04-16 00:00:00 None B None 600 600 -210 390 0 020013192 A99999 N None None SFY2000-01
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-20 00:00:00 020002605 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-29 00:00:00 None No 2001-04-16 00:00:00 None B None 700 700 -245 455 0 020013199 A99999 N None None SFY2000-01
020000077 SAN LEANDRO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-03-27 00:00:00 020002606 Closed Citation Citation A (HSC 1424) Patient Care None 2000-11-22 00:00:00 2000-12-18 00:00:00 No 2001-04-23 00:00:00 None A None 18000 18000 -18000 0 0 020013217 A99999 N None None SFY2000-01
020000077 SAN LEANDRO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-04-03 00:00:00 020002607 Closed Citation Citation B (HSC 1424) Medication None 2000-11-22 00:00:00 2000-12-18 00:00:00 No 2001-05-01 00:00:00 None B None 1000 1000 -1000 0 0 020013217 A99999 N None None SFY2000-01
020001179 BRIDLE ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-04-04 00:00:00 020002608 Closed Citation Citation B (HSC 1424) Administration None 1999-07-20 00:00:00 2001-03-12 00:00:00 No 2001-04-30 00:00:00 None B None 800 800 -280 520 0 020013253 A99999 N None None SFY2000-01
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-04-05 00:00:00 020002609 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-28 00:00:00 None No 2001-04-30 00:00:00 None B None 1000 1000 -1000 0 0 020013256 A99999 N None None SFY2000-01
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2001-04-16 00:00:00 020002610 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-06 00:00:00 2001-03-11 00:00:00 No 2001-06-08 00:00:00 None B None 800 800 0 800 0 020013281 A99999 N None None SFY2000-01
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2001-04-17 00:00:00 020002611 Closed Citation Citation B (HSC 1424) Staffing None 2001-03-12 00:00:00 2001-03-23 00:00:00 No 2001-05-08 00:00:00 None B None 1000 1000 -350 650 0 020013285 A99999 N None None SFY2000-01
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-04-19 00:00:00 020002612 Closed Citation Citation B (HSC 1424) Staffing None 2001-03-29 00:00:00 None No 2001-05-14 00:00:00 None B None 500 500 0 500 0 020013243 A99999 N None None SFY2000-01
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-04-19 00:00:00 020002613 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-29 00:00:00 None No 2001-05-14 00:00:00 None B None 500 500 -175 325 0 020013243 A99999 N None None SFY2000-01
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2001-05-18 00:00:00 020002615 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-25 00:00:00 2001-03-25 00:00:00 No 2001-06-13 00:00:00 None B None 1000 1000 -350 650 0 020013294 A99999 N None None SFY2000-01
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2001-05-22 00:00:00 020002616 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-24 00:00:00 2001-02-21 00:00:00 Yes 2001-06-19 00:00:00 2001-06-11 00:00:00 A B 20000 7500 0 7500 0 020013285 A99999 N None None SFY2000-01
020000099 MCCLURE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2001-06-14 00:00:00 020002643 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-14 00:00:00 None No 2001-07-10 00:00:00 None B None 1000 1000 -350 650 0 020013261 A99999 N None None SFY2000-01
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2001-06-20 00:00:00 020002644 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-22 00:00:00 None No 2001-07-17 00:00:00 None B None 800 2400 -2400 0 0 020013408 A99999 N None None SFY2000-01
020001114 MAIN ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-07-12 00:00:00 020002645 Closed Citation Citation B (HSC 1424) Administration None 2001-02-22 00:00:00 2001-06-14 00:00:00 No 2001-08-07 00:00:00 None B None 600 600 -210 390 0 020013554 A99999 N None None SFY2001-02
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-07-17 00:00:00 020002646 Closed Citation Citation A (HSC 1424) Patient Care None 2000-11-05 00:00:00 None Yes 2001-08-10 00:00:00 2001-07-20 00:00:00 A B 20000 12133 0 12133 0 020013378 A99999 Y None None SFY2001-02
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-07-20 00:00:00 020002647 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-10 00:00:00 None Yes 2001-08-15 00:00:00 2001-07-27 00:00:00 B None 1000 1000 0 1000 0 020013260 A99999 N None None SFY2001-02
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2001-07-25 00:00:00 020002648 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-01 00:00:00 None No 2001-08-22 00:00:00 None B None 700 700 -245 455 0 020013546 A99999 N None None SFY2001-02
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2001-07-25 00:00:00 020002649 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-20 00:00:00 None No 2001-08-31 00:00:00 None B None 600 600 -210 390 0 020013510 A99999 N None None SFY2001-02
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2001-07-26 00:00:00 020002650 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-27 00:00:00 None Yes 2001-08-27 00:00:00 2001-08-06 00:00:00 A A 20000 5000 0 5000 0 020013485 A99999 Y None None SFY2001-02
020000077 SAN LEANDRO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-08-02 00:00:00 020002651 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-07-18 00:00:00 None No 2001-08-30 00:00:00 None B None 700 700 0 700 0 020013577 A99999 N None None SFY2001-02
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2001-08-01 00:00:00 020002652 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-25 00:00:00 2001-06-08 00:00:00 Yes 2001-08-24 00:00:00 2001-08-14 00:00:00 B None 800 800 0 800 0 020013534 A99999 N None None SFY2001-02
020000072 SOUTH SHORE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2001-08-07 00:00:00 020002653 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-13 00:00:00 None No 2001-08-30 00:00:00 None B None 800 800 -280 520 0 020013624 A99999 N None None SFY2001-02
020000084 IMMACULATE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-08-09 00:00:00 020002654 Closed Citation Citation B (HSC 1424) Staffing None 2001-07-25 00:00:00 2001-07-30 00:00:00 No 2001-08-30 00:00:00 None B None 600 600 0 600 0 020013627 A99999 N None None SFY2001-02
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2001-08-14 00:00:00 020002655 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-14 00:00:00 None Yes 2002-03-05 00:00:00 2002-02-26 00:00:00 B Drop>Deficiency 500 500 0 500 0 020013579 A99999 N None None SFY2001-02
020000019 VISTA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2001-08-21 00:00:00 020002657 Closed Citation Citation A (HSC 1424) Patient Care None 2001-06-27 00:00:00 None No 2001-09-14 00:00:00 None A None 12000 12000 -4200 7800 0 020013553 A99999 N None None SFY2001-02
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2001-08-23 00:00:00 020002658 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-23 00:00:00 None Yes 2002-02-14 00:00:00 2002-01-28 00:00:00 A B 15000 12000 0 12000 0 020013420 A99999 N None None SFY2001-02
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2001-08-23 00:00:00 020002659 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-01 00:00:00 2001-05-25 00:00:00 Yes 2001-09-18 00:00:00 2001-09-07 00:00:00 A A 20000 7500 0 7500 0 020013688 A99999 N None None SFY2001-02
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2001-08-30 00:00:00 020002661 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-03-17 00:00:00 2001-03-28 00:00:00 Yes 2001-09-25 00:00:00 2001-09-07 00:00:00 A Drop>Deficiency 20000 0 0 0 0 020013308 A99999 N None None SFY2001-02
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2001-08-30 00:00:00 020002662 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-06-07 00:00:00 None No 2001-09-24 00:00:00 None B None 500 500 -175 325 0 020013707 A99999 N None None SFY2001-02
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2001-09-10 00:00:00 020002663 Closed Citation Citation A (HSC 1424) Patient Care None 1999-06-07 00:00:00 None No 2001-10-09 00:00:00 None A B 12500 6500 0 6500 0 020013545 A99999 N None None SFY2001-02
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2001-10-02 00:00:00 020002665 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-10 00:00:00 None No 2001-10-30 00:00:00 None B None 900 2700 -945 1755 0 020013740 A99999 N None None SFY2001-02
020000019 VISTA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2001-10-02 00:00:00 020002666 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-30 00:00:00 None No 2001-10-26 00:00:00 None A None 15000 15000 -5250 9750 0 020013767 A99999 N None None SFY2001-02
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2001-10-10 00:00:00 020002667 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-01 00:00:00 None Yes 2001-11-02 00:00:00 2001-10-12 00:00:00 B None 800 2400 0 2400 0 020013757 A99999 N None None SFY2001-02
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2001-10-09 00:00:00 020002668 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-12-28 00:00:00 None Yes 2001-11-02 00:00:00 2001-10-11 00:00:00 A A 14000 8000 0 8000 0 020013784 A99999 N None None SFY2001-02
020000037 EMMANUEL POST ACUTE CARE - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2001-10-11 00:00:00 020002669 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-20 00:00:00 None Yes 2001-11-08 00:00:00 2001-10-22 00:00:00 B None 1000 1000 -350 650 0 020013599 A99999 N None None SFY2001-02
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-10-23 00:00:00 020002670 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-16 00:00:00 2001-09-07 00:00:00 No 2001-11-21 00:00:00 None B B 600 600 -540 60 0 020013791 A99999 N None None SFY2001-02
020000647 PARK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-11-01 00:00:00 020002671 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 None No 2001-12-05 00:00:00 None B None 600 600 -210 390 0 020013822 A99999 N None None SFY2001-02
020000808 MORTON BAKAR CENTER LTC SNF Skilled Nursing Facility East Bay 2001-11-13 00:00:00 020002672 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-27 00:00:00 None No 2001-12-11 00:00:00 None B None 800 800 -280 520 0 020013773 A99999 N None None SFY2001-02
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-11-30 00:00:00 020002673 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-10 00:00:00 2001-07-12 00:00:00 No 2001-12-31 00:00:00 None A A 15000 15000 -10950 4050 0 020013704 A99999 N None None SFY2001-02
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2002-01-02 00:00:00 020002674 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-28 00:00:00 None No 2002-01-30 00:00:00 None B B 850 850 -765 85 0 020013884 A99999 N None None SFY2001-02
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2002-01-02 00:00:00 020002675 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-29 00:00:00 None No 2002-01-30 00:00:00 None B B 900 900 -810 90 0 020013884 A99999 N None None SFY2001-02
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-01-03 00:00:00 020002676 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-11-20 00:00:00 2001-11-28 00:00:00 No 2002-01-29 00:00:00 None B None 750 750 -262.5 487.5 0 020013965 A99999 N None None SFY2001-02
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2002-01-03 00:00:00 020002677 Closed Citation Citation B (HSC 1424) Family/Council Requirement None 2001-11-14 00:00:00 None No 2002-01-25 00:00:00 None B None 700 700 -245 455 0 020013969 A99999 N None None SFY2001-02
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-01-14 00:00:00 020002678 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-15 00:00:00 None No 2002-02-11 00:00:00 None B B 800 800 -720 80 0 020013774 A99999 N None None SFY2001-02
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-01-15 00:00:00 020002679 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-29 00:00:00 None No 2002-02-08 00:00:00 None B None 800 800 -280 520 0 020013966 A99999 N None None SFY2001-02
020000648 STANLEY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2002-01-18 00:00:00 020002680 Closed Citation Citation B (HSC 1424) Patient Record None 2001-11-26 00:00:00 None No 2002-02-19 00:00:00 None B None 600 600 -210 390 0 020013940 A99999 N None None SFY2001-02
020000010 ASHBY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-01-23 00:00:00 020002681 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-07 00:00:00 2001-08-23 00:00:00 No 2002-02-19 00:00:00 None B None 750 1500 0 1500 0 020013997 A99999 N None None SFY2001-02
020000813 SERRA CENTER VALPEY PARK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2002-01-24 00:00:00 020002682 Closed Citation Citation B (HSC 1424) Other RETALIATION 2001-10-24 00:00:00 2001-11-14 00:00:00 Yes 2002-08-26 00:00:00 2002-01-28 00:00:00 B B 500 500 0 500 0 020013866 A99999 N None None SFY2001-02
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2002-01-23 00:00:00 020002683 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-06 00:00:00 2001-10-01 00:00:00 No 2002-02-19 00:00:00 None B None 600 600 -210 390 0 020013879 A99999 N None None SFY2001-02
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-02-06 00:00:00 020002684 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-12 00:00:00 None No 2002-03-05 00:00:00 None B None 700 700 -245 455 0 020013901 A99999 N None None SFY2001-02
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2002-02-07 00:00:00 020002685 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-17 00:00:00 None No 2002-03-06 00:00:00 None B None 700 700 -245 455 0 020014044 A99999 N None None SFY2001-02
020000037 EMMANUEL POST ACUTE CARE - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2002-02-21 00:00:00 020002686 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-06 00:00:00 2001-11-15 00:00:00 No 2002-03-21 00:00:00 None B None 1000 3000 -1050 1950 0 020013935 A99999 N None None SFY2001-02
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-02-22 00:00:00 020002687 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-27 00:00:00 None No 2002-03-19 00:00:00 None B None 600 600 0 600 0 020013836 A99999 N None None SFY2001-02
020000276 CANYON CREEK POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-03-01 00:00:00 020002688 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-11 00:00:00 None No 2002-03-29 00:00:00 None B None 500 500 -175 325 0 020013993 A99999 N None None SFY2001-02
020000099 MCCLURE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-03-01 00:00:00 020002689 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-08 00:00:00 2001-12-07 00:00:00 No 2002-03-27 00:00:00 None B None 750 750 0 750 0 020013985 A99999 N None None SFY2001-02
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2002-03-05 00:00:00 020002690 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-05 00:00:00 None No 2002-04-02 00:00:00 None B B 1000 650 0 650 0 020014089 A99999 N None None SFY2001-02
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2002-03-13 00:00:00 020002692 Closed Citation Citation B (HSC 1424) Patient Record None 2001-02-23 00:00:00 2002-02-28 00:00:00 No 2002-04-09 00:00:00 None B B 1000 650 0 650 0 020014154 A99999 N None None SFY2001-02
020000836 RUUS VILLA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2002-03-19 00:00:00 020002693 Closed Citation Citation B (HSC 1424) Administration None 2002-01-31 00:00:00 None No 2002-05-06 00:00:00 None B None 500 500 -175 325 0 020014042 A99999 N None None SFY2001-02
020000005 ST ANTHONY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-03-22 00:00:00 020002694 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-10 00:00:00 2002-01-28 00:00:00 No 2002-04-17 00:00:00 None B None 600 600 0 600 0 020014105 A99999 N None None SFY2001-02
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-03-29 00:00:00 020002695 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-05 00:00:00 2002-02-20 00:00:00 No 2002-04-29 00:00:00 None B None 500 500 -175 325 0 020014200 A99999 N None None SFY2001-02
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-03-28 00:00:00 020002696 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-30 00:00:00 2002-02-08 00:00:00 No 2002-04-23 00:00:00 None A A Trebled 15000 9700 0 9700 0 020014106 A99999 N None None SFY2001-02
020000813 SERRA CENTER VALPEY PARK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2002-04-17 00:00:00 020002697 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-24 00:00:00 None Yes 2002-05-10 00:00:00 2002-04-26 00:00:00 B None 1000 1000 0 1000 0 020013839 A99999 N None None SFY2001-02
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-05-02 00:00:00 020002699 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-29 00:00:00 2001-12-26 00:00:00 Yes 2002-05-30 00:00:00 2002-05-13 00:00:00 A A 15000 7500 0 7500 0 020014085 A99999 N None None SFY2001-02
020000808 MORTON BAKAR CENTER LTC SNF Skilled Nursing Facility East Bay 2002-05-15 00:00:00 020002700 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-02 00:00:00 None No 2002-06-11 00:00:00 None B None 900 900 0 900 0 020014187 A99999 N None None SFY2001-02
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2002-05-23 00:00:00 020002701 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-04 00:00:00 None Yes 2002-06-20 00:00:00 2002-06-24 00:00:00 B None 500 500 0 500 0 020014223 A99999 N None None SFY2001-02
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-05-29 00:00:00 020002702 Closed Citation Citation B (HSC 1424) Staffing None 2002-03-07 00:00:00 None Yes 2002-12-16 00:00:00 2002-06-06 00:00:00 B B 1000 1000 0 1000 0 020014135 A99999 N None None SFY2001-02
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2002-06-24 00:00:00 020002703 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-26 00:00:00 None No 2002-07-23 00:00:00 None B None 800 800 -280 520 0 020014278 A99999 N None None SFY2001-02
020000039 HAYWARD HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2002-06-26 00:00:00 020002704 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-10 00:00:00 2001-12-23 00:00:00 Yes 2002-07-22 00:00:00 2002-07-02 00:00:00 A B 10000 10000 0 10000 0 020014025 A99999 N None None SFY2001-02
020000084 IMMACULATE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-07-08 00:00:00 020002706 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-06-18 00:00:00 None No 2002-08-01 00:00:00 None B None 500 500 0 500 0 020014442 A99999 N None None SFY2002-03
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-07-10 00:00:00 020002707 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-27 00:00:00 None No 2002-08-02 00:00:00 None A None 12000 12000 -4200 7800 0 020014310 A99999 N None None SFY2002-03
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-07-11 00:00:00 020002708 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-05 00:00:00 None No 2002-08-05 00:00:00 None B None 600 600 0 600 0 020014315 A99999 N None None SFY2002-03
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-07-11 00:00:00 020002709 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-11 00:00:00 None No 2002-08-05 00:00:00 None B None 600 600 0 600 0 020014415 A99999 N None None SFY2002-03
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-07-15 00:00:00 020002710 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-23 00:00:00 None No 2002-08-08 00:00:00 None B None 900 2700 -945 1755 0 020014457 A99999 N None None SFY2002-03
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2002-07-16 00:00:00 020002711 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-26 00:00:00 2002-04-01 00:00:00 Yes 2002-08-08 00:00:00 2002-07-23 00:00:00 A A 18000 9000 0 9000 0 020014240 A99999 N None None SFY2002-03
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2002-07-29 00:00:00 020002712 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-02 00:00:00 None Yes 2002-11-19 00:00:00 2002-08-12 00:00:00 B B 700 700 0 700 0 020014438 A99999 N None None SFY2002-03
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-08-15 00:00:00 020002713 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-08 00:00:00 2002-03-02 00:00:00 No 2002-09-17 00:00:00 None B None 1000 1000 0 1000 0 020014313 A99999 N None None SFY2002-03
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-08-15 00:00:00 020002714 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-15 00:00:00 2002-04-15 00:00:00 No 2002-09-17 00:00:00 None B None 1000 1000 0 1000 0 020014313 A99999 N None None SFY2002-03
020000084 IMMACULATE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-09-10 00:00:00 020002715 Closed Citation Citation B (HSC 1424) Administration None 2002-08-28 00:00:00 None No 2002-10-01 00:00:00 None B None 500 500 0 500 0 020014669 A99999 N None None SFY2002-03
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-09-13 00:00:00 020002716 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-12 00:00:00 None No 2002-10-04 00:00:00 None B None 700 700 -245 455 0 020014562 A99999 N None None SFY2002-03
020000112 KYAKAMEENA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-09-13 00:00:00 020002717 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-02 00:00:00 2002-07-18 00:00:00 No 2002-10-28 00:00:00 None B None 600 600 -210 390 0 020014563 A99999 N None None SFY2002-03
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2002-10-02 00:00:00 020002718 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-09 00:00:00 None Yes 2003-06-02 00:00:00 2003-05-15 00:00:00 B B 600 300 0 300 0 020014661 A99999 N None None SFY2002-03
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2002-09-27 00:00:00 020002719 Closed Citation Citation B (HSC 1424) Medication None 2002-07-25 00:00:00 None No 2002-10-25 00:00:00 None B None 750 2250 -787.5 1462.5 0 020014571 A99999 N None None SFY2002-03
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-09-30 00:00:00 020002720 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-07 00:00:00 None No 2002-10-25 00:00:00 None B None 600 600 -210 390 0 020014526 A99999 N None None SFY2002-03
020000107 LAKESHORE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2002-10-10 00:00:00 020002721 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-08 00:00:00 2002-07-04 00:00:00 Yes 2003-04-15 00:00:00 2002-10-12 00:00:00 B B 750 750 0 750 0 020014583 A99999 N None None SFY2002-03
020000107 LAKESHORE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2002-10-10 00:00:00 020002722 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-08 00:00:00 2002-07-04 00:00:00 Yes 2003-05-08 00:00:00 2002-10-12 00:00:00 B B 750 750 0 750 0 020014583 A99999 N None None SFY2002-03
020000107 LAKESHORE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2002-10-10 00:00:00 020002723 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-08 00:00:00 2002-07-04 00:00:00 Yes 2003-05-08 00:00:00 2002-10-12 00:00:00 B B 750 750 0 750 0 020014583 A99999 N None None SFY2002-03
020001156 BARROW ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2002-10-21 00:00:00 020002724 Closed Citation Citation B (HSC 1424) Administration None 2002-08-28 00:00:00 None No 2002-11-22 00:00:00 None B None 500 500 -175 325 0 020014764 A99999 N None None SFY2002-03
020000084 IMMACULATE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-10-31 00:00:00 020002725 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-04 00:00:00 None No 2002-11-22 00:00:00 None B None 700 700 0 700 0 020014821 A99999 N None None SFY2002-03
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-10-30 00:00:00 020002726 Closed Citation Citation B (HSC 1424) Medication None 2002-09-06 00:00:00 None No 2002-11-25 00:00:00 None B None 600 600 -210 390 0 020014709 A99999 N None None SFY2002-03
020000010 ASHBY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-11-18 00:00:00 020002727 Closed Citation Citation A (HSC 1424) Patient Care None 2002-08-07 00:00:00 None No 2002-12-17 00:00:00 None A None 16000 16000 -5600 10400 0 020014611 A99999 N None None SFY2002-03
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2002-11-19 00:00:00 020002728 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-31 00:00:00 None Yes 2003-04-08 00:00:00 2003-03-27 00:00:00 B B 700 668 0 668 0 020014586 A99999 N None None SFY2002-03
020000084 IMMACULATE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-11-22 00:00:00 020002729 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-27 00:00:00 None No 2002-12-13 00:00:00 None B None 700 700 -700 0 0 020014826 A99999 N None None SFY2002-03
020000028 BERKELEY PINES SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2002-12-03 00:00:00 020002730 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-21 00:00:00 2002-02-05 00:00:00 Yes 2003-06-26 00:00:00 2003-06-20 00:00:00 B B 1000 1000 0 1000 0 020014379 A99999 N None None SFY2002-03
020000084 IMMACULATE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-12-23 00:00:00 020002731 Closed Citation Citation B (HSC 1424) Administration None 2002-12-10 00:00:00 None No 2003-01-13 00:00:00 None B None 800 800 -800 0 0 020014985 A99999 N None None SFY2002-03
020000037 EMMANUEL POST ACUTE CARE - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2002-12-23 00:00:00 020002732 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-31 00:00:00 None No 2003-01-21 00:00:00 None B None 1000 3000 -1050 1950 0 020014636 A99999 N None None SFY2002-03
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-12-30 00:00:00 020002733 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-11 00:00:00 None No 2003-01-24 00:00:00 None B None 650 650 0 650 0 020014705 A99999 N None None SFY2002-03
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2003-01-14 00:00:00 020002734 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-27 00:00:00 None No 2003-02-19 00:00:00 None B B Trebled 1000 3000 -2000 1000 0 020014782 A99999 N None None SFY2002-03
020000112 KYAKAMEENA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-01-13 00:00:00 020002735 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-18 00:00:00 2002-09-06 00:00:00 No 2003-02-04 00:00:00 None B None 900 900 -315 585 0 020014716 A99999 N None None SFY2002-03
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-01-16 00:00:00 020002736 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-06 00:00:00 None No 2003-02-11 00:00:00 None B None 900 900 -315 585 0 020014721 A99999 N None None SFY2002-03
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-01-23 00:00:00 020002737 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-13 00:00:00 None No 2003-02-19 00:00:00 None B None 600 600 -210 390 0 020014860 A99999 N None None SFY2002-03
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2003-01-27 00:00:00 020002738 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-14 00:00:00 None No 2003-02-25 00:00:00 None B None 800 800 -280 520 0 020014825 A99999 N None None SFY2002-03
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-01-31 00:00:00 020002739 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-16 00:00:00 None No 2003-02-27 00:00:00 None B None 800 800 -280 520 0 020015081 A99999 N None None SFY2002-03
020000019 VISTA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-02-04 00:00:00 020002740 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-09 00:00:00 2002-11-26 00:00:00 No 2003-03-04 00:00:00 None B None 800 800 -280 520 0 020014968 A99999 N None None SFY2002-03
020000028 BERKELEY PINES SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2003-02-10 00:00:00 020002741 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-02 00:00:00 None Yes 2003-06-10 00:00:00 2003-02-24 00:00:00 B B 800 800 0 800 0 020015015 A99999 N None None SFY2002-03
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2003-02-13 00:00:00 020002742 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-29 00:00:00 2002-07-15 00:00:00 Yes 2003-03-21 00:00:00 2003-03-19 00:00:00 A A 15000 4771 0 4771 0 020015143 A99999 N None None SFY2002-03
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-02-20 00:00:00 020002743 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-12 00:00:00 None No 2003-03-18 00:00:00 None B None 800 800 -280 520 0 020015161 A99999 N None None SFY2002-03
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2003-03-26 00:00:00 020002745 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-15 00:00:00 None Yes 2003-04-21 00:00:00 2003-04-02 00:00:00 A A 15000 8607 0 8607 0 020014934 A99999 N None None SFY2002-03
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-04-18 00:00:00 020002746 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-27 00:00:00 2003-01-29 00:00:00 No 2003-05-14 00:00:00 None B None 700 700 -245 455 0 020015164 A99999 N None None SFY2002-03
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-04-16 00:00:00 020002747 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-28 00:00:00 None No 2003-05-16 00:00:00 None B None 1000 1000 -350 650 0 020015041 A99999 N None None SFY2002-03
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-04-21 00:00:00 020002748 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-04 00:00:00 None No 2003-05-16 00:00:00 None B None 800 800 -280 520 0 020015063 A99999 N None None SFY2002-03
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-04-23 00:00:00 020002749 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-01-04 00:00:00 2003-01-14 00:00:00 No 2003-05-16 00:00:00 None B None 800 800 -280 520 0 020015063 A99999 N None None SFY2002-03
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2003-04-24 00:00:00 020002750 Closed Citation Citation B (HSC 1424) Staffing None 2003-03-02 00:00:00 None Yes 2003-05-20 00:00:00 2003-05-06 00:00:00 B B 900 510 0 510 0 020015204 A99999 N None None SFY2002-03
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2003-05-16 00:00:00 020002751 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-09 00:00:00 None Yes 2003-06-17 00:00:00 2003-06-02 00:00:00 B B 800 459 0 459 0 020015176 A99999 N None None SFY2002-03
020000070 ALL SAINT'S SUBACUTE & TRANSITIONAL CARE LTC SNF Skilled Nursing Facility East Bay 2003-05-23 00:00:00 020002752 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-10 00:00:00 None No 2003-06-18 00:00:00 None B None 800 800 -280 520 0 020015322 A99999 N None None SFY2002-03
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2003-05-28 00:00:00 020002753 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-27 00:00:00 None No 2003-06-23 00:00:00 None B None 600 600 0 600 0 020015363 A99999 N None None SFY2002-03
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2003-05-28 00:00:00 020002754 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-04-30 00:00:00 None No 2003-06-18 00:00:00 None B None 600 600 0 600 0 020015363 A99999 N None None SFY2002-03
020000817 SERRA CENTER GIBRALTAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2003-05-23 00:00:00 020002755 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-27 00:00:00 None No 2003-06-20 00:00:00 None B None 700 700 -245 455 0 020015355 A99999 N None None SFY2002-03
020000112 KYAKAMEENA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-06-04 00:00:00 020002756 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-30 00:00:00 None No 2003-06-25 00:00:00 None B None 1000 3000 -1050 1950 0 020015311 A99999 N None None SFY2002-03
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-06-06 00:00:00 020002757 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-13 00:00:00 None No 2003-07-07 00:00:00 None B None 1000 3000 -1050 1950 0 020015394 A99999 N None None SFY2002-03
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2003-06-17 00:00:00 020002758 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-27 00:00:00 2002-10-27 00:00:00 No 2003-07-15 00:00:00 None A None 12500 12500 -4375 8125 0 020015479 A99999 N None None SFY2002-03
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-07-09 00:00:00 020002759 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-05-27 00:00:00 2003-06-23 00:00:00 No 2003-08-04 00:00:00 None B None 900 900 -315 585 0 020015502 A99999 N None None SFY2003-04
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-07-17 00:00:00 020002760 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-17 00:00:00 None No 2003-08-12 00:00:00 None B None 700 700 -245 455 0 020015523 A99999 N None None SFY2003-04
020000048 CHAPARRAL HOUSE LTC SNF Skilled Nursing Facility East Bay 2003-07-18 00:00:00 020002762 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-12 00:00:00 None No 2003-08-12 00:00:00 None A None 12000 12000 -4200 7800 0 020015253 A99999 N None None SFY2003-04
020000064 ST. PAUL'S TOWERS LTC SNF Skilled Nursing Facility East Bay 2003-07-22 00:00:00 020002763 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-05 00:00:00 None Yes 2004-02-06 00:00:00 2004-01-28 00:00:00 B B 700 700 0 700 0 020015393 A99999 N None None SFY2003-04
020000070 ALL SAINT'S SUBACUTE & TRANSITIONAL CARE LTC SNF Skilled Nursing Facility East Bay 2003-08-01 00:00:00 020002764 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2003-06-22 00:00:00 None Yes 2003-12-26 00:00:00 2003-12-19 00:00:00 B B 300 300 -300 0 0 020015508 A99999 N None None SFY2003-04
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2003-08-11 00:00:00 020002765 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-26 00:00:00 None No 2003-09-09 00:00:00 None B None 600 600 -210 390 0 020015638 A99999 N None None SFY2003-04
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2003-08-15 00:00:00 020002767 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-23 00:00:00 2003-06-10 00:00:00 No 2003-09-15 00:00:00 None B None 1000 1000 -350 650 0 020015662 A99999 N None None SFY2003-04
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2003-09-02 00:00:00 020002769 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-18 00:00:00 None No 2003-09-26 00:00:00 None B None 700 700 -245 455 0 020015674 A99999 N None None SFY2003-04
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-09-03 00:00:00 020002770 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-16 00:00:00 None No 2003-09-26 00:00:00 None B None 800 800 -280 520 0 020015552 A99999 N None None SFY2003-04
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-09-03 00:00:00 020002771 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-17 00:00:00 None No 2003-09-29 00:00:00 None A None 12000 12000 -4200 7800 0 020015708 A99999 N None None SFY2003-04
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2003-09-09 00:00:00 020002772 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-21 00:00:00 None Yes 2004-07-26 00:00:00 2003-09-09 00:00:00 B B 500 500 0 500 0 020015596 A99999 N None None SFY2003-04
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2003-09-22 00:00:00 020002774 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-16 00:00:00 None Yes 2003-10-20 00:00:00 2003-09-26 00:00:00 B B 600 344 0 344 0 020015668 A99999 N None None SFY2003-04
020000836 RUUS VILLA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2003-10-01 00:00:00 020002775 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-20 00:00:00 None No 2003-10-27 00:00:00 None B None 500 500 -175 325 0 020015707 A99999 N None None SFY2003-04
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-10-16 00:00:00 020002776 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-06 00:00:00 2003-08-14 00:00:00 No 2003-11-07 00:00:00 None B None 1000 1000 -350 650 0 020015716 A99999 N None None SFY2003-04
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2003-10-22 00:00:00 020002777 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-16 00:00:00 None No 2003-11-19 00:00:00 None B None 800 800 -280 520 0 020015796 A99999 N None None SFY2003-04
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-10-23 00:00:00 020002778 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-20 00:00:00 None No 2003-11-17 00:00:00 None B None 800 800 -280 520 0 020015711 A99999 N None None SFY2003-04
020000020 WINDSOR COUNTRY DRIVE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-10-29 00:00:00 020002779 Closed Citation Citation A (HSC 1424) Patient Care None 2003-07-07 00:00:00 None Yes 2003-11-21 00:00:00 2003-11-20 00:00:00 A A 12000 10000 0 10000 0 020015559 A99999 N None None SFY2003-04
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-11-06 00:00:00 020002781 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-22 00:00:00 None No 2003-12-09 00:00:00 None B None 1000 1000 -350 650 0 020015778 A99999 N None None SFY2003-04
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-11-25 00:00:00 020002782 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-03 00:00:00 None No 2003-12-24 00:00:00 None B None 800 800 -280 520 0 020015803 A99999 N None None SFY2003-04
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2003-12-09 00:00:00 020002783 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-19 00:00:00 None No 2004-01-07 00:00:00 None B None 700 700 -245 455 0 020015865 A99999 N None None SFY2003-04
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2003-12-16 00:00:00 020002784 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-11-19 00:00:00 None No 2004-01-14 00:00:00 None B None 800 800 -280 520 0 020015919 A99999 N None None SFY2003-04
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-12-19 00:00:00 020002785 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-02 00:00:00 None No 2004-01-16 00:00:00 None B None 500 500 -175 325 0 020015963 A99999 N None None SFY2003-04
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-12-19 00:00:00 020002786 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-17 00:00:00 None Yes 2004-01-13 00:00:00 2003-12-30 00:00:00 B B 700 500 0 500 0 020015848 A99999 N None None SFY2003-04
020000071 WINDSOR POST-ACUTE CARE CENTER OF HAYWARD LTC SNF Skilled Nursing Facility East Bay 2004-01-08 00:00:00 020002788 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-12-16 00:00:00 None Yes 2004-02-04 00:00:00 2004-01-28 00:00:00 B Dismissed by Court 600 5950 -5950 0 0 020015977 A99999 N None None SFY2003-04
020000091 PIEDMONT GARDENS HEALTH FACILITY LTC SNF Skilled Nursing Facility East Bay 2004-01-09 00:00:00 020002789 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-12 00:00:00 None No 2004-02-04 00:00:00 None B None 600 600 -210 390 0 020015942 A99999 N None None SFY2003-04
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2004-01-08 00:00:00 020002790 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-12-22 00:00:00 None No 2004-02-10 00:00:00 None B None 800 800 0 800 0 020015994 A99999 N None None SFY2003-04
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2004-01-26 00:00:00 020002791 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-10 00:00:00 None No 2004-02-25 00:00:00 None B None 600 600 -210 390 0 020016001 A99999 N None None SFY2003-04
020000091 PIEDMONT GARDENS HEALTH FACILITY LTC SNF Skilled Nursing Facility East Bay 2004-01-26 00:00:00 020002792 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-28 00:00:00 2003-09-04 00:00:00 No 2004-02-24 00:00:00 None B None 600 600 -210 390 0 020015815 A99999 N None None SFY2003-04
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-01-29 00:00:00 020002793 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-21 00:00:00 None No 2004-03-01 00:00:00 None B None 700 700 -245 455 0 020015949 A99999 N None None SFY2003-04
020000070 ALL SAINT'S SUBACUTE & TRANSITIONAL CARE LTC SNF Skilled Nursing Facility East Bay 2004-03-29 00:00:00 020002794 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-05 00:00:00 None No 2004-04-23 00:00:00 None B None 600 600 -210 390 0 020016039 A99999 N None None SFY2003-04
020000068 ST JOHN KRONSTADT CONVALESCENT CENTER LTC SNF Skilled Nursing Facility East Bay 2004-03-29 00:00:00 020002795 Closed Citation Citation A (HSC 1424) Patient Care None 2003-04-23 00:00:00 2003-10-27 00:00:00 Yes 2004-04-20 00:00:00 2004-04-12 00:00:00 A A 12000 12000 0 12000 0 020015974 A99999 N None None SFY2003-04
020000068 ST JOHN KRONSTADT CONVALESCENT CENTER LTC SNF Skilled Nursing Facility East Bay 2004-03-29 00:00:00 020002796 Closed Citation Citation A (HSC 1424) Patient Care None 2004-01-24 00:00:00 2004-01-29 00:00:00 Yes 2007-11-07 00:00:00 2004-04-13 00:00:00 A A 12000 12000 0 12000 0 020016072 A99999 N None None SFY2003-04
020000068 ST JOHN KRONSTADT CONVALESCENT CENTER LTC SNF Skilled Nursing Facility East Bay 2004-03-29 00:00:00 020002797 Closed Citation Citation B (HSC 1424) Staffing None 2003-04-23 00:00:00 2003-06-24 00:00:00 Yes 2004-04-20 00:00:00 2004-04-12 00:00:00 B B 800 400 0 400 0 020015974 A99999 N None None SFY2003-04
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2004-04-06 00:00:00 020002798 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-09-21 00:00:00 None Yes 2007-11-13 00:00:00 2004-04-21 00:00:00 AA AA 70000 45000 0 45000 0 020015818 A99999 Y None None SFY2003-04
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2004-04-14 00:00:00 020002799 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-02-05 00:00:00 None No 2004-05-10 00:00:00 None B None 750 750 -262.5 487.5 0 020016269 A99999 N None None SFY2003-04
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2004-05-05 00:00:00 020002800 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-12 00:00:00 None No 2004-05-28 00:00:00 None B None 600 600 -210 390 0 020016310 A99999 N None None SFY2003-04
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-05-26 00:00:00 020002801 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-27 00:00:00 None No 2004-06-22 00:00:00 None B None 750 750 -262.5 487.5 0 020016355 A99999 N None None SFY2003-04
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-05-26 00:00:00 020002802 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-04-27 00:00:00 None No 2004-06-22 00:00:00 None B None 800 800 -280 520 0 020016355 A99999 N None None SFY2003-04
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-05-26 00:00:00 020002803 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-10 00:00:00 None No 2004-06-22 00:00:00 None B None 800 2400 -840 1560 0 020016356 A99999 N None None SFY2003-04
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2004-06-14 00:00:00 020002804 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-13 00:00:00 None Yes 2004-07-12 00:00:00 2004-07-02 00:00:00 B None 1000 1000 0 1000 0 020016368 A99999 N None None SFY2003-04
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2004-06-14 00:00:00 020002805 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-19 00:00:00 None Yes 2004-07-12 00:00:00 2004-07-02 00:00:00 B None 1000 1000 0 1000 0 020016368 A99999 N None None SFY2003-04
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2004-06-14 00:00:00 020002806 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-19 00:00:00 None Yes 2004-07-12 00:00:00 2004-07-06 00:00:00 B B 1000 300 0 300 0 020016368 A99999 N None None SFY2003-04
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2004-06-30 00:00:00 020002807 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-21 00:00:00 2003-10-03 00:00:00 Yes 2004-07-26 00:00:00 2004-07-06 00:00:00 B B 1000 2650 -2150 500 0 020016108 A99999 N None None SFY2003-04
020001179 BRIDLE ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2004-07-16 00:00:00 020002808 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-05 00:00:00 None No 2004-08-16 00:00:00 None B None 600 600 -210 390 0 020016408 A99999 N None None SFY2004-05
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2004-07-28 00:00:00 020002809 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-21 00:00:00 None Yes 2004-08-18 00:00:00 2004-08-10 00:00:00 B B 1000 1000 0 1000 0 020016447 A99999 N None None SFY2004-05
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2004-07-28 00:00:00 020002810 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-05-15 00:00:00 None No 2004-09-21 00:00:00 None B None 600 600 -210 390 0 020016448 A99999 N None None SFY2004-05
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-08-13 00:00:00 020002811 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-07-07 00:00:00 None No 2004-09-03 00:00:00 None B None 600 600 -210 390 0 020016465 A99999 N None None SFY2004-05
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2004-08-16 00:00:00 020002812 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-24 00:00:00 None Yes 2004-09-14 00:00:00 2004-08-21 00:00:00 B B 700 350 0 350 0 020016475 A99999 N None None SFY2004-05
020000817 SERRA CENTER GIBRALTAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2004-08-18 00:00:00 020002813 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-08 00:00:00 None No 2004-09-13 00:00:00 None B None 500 500 -175 325 0 020016476 A99999 N None None SFY2004-05
020000070 ALL SAINT'S SUBACUTE & TRANSITIONAL CARE LTC SNF Skilled Nursing Facility East Bay 2004-09-08 00:00:00 020002814 Closed Citation Citation B (HSC 1424) Administration None 2004-07-21 00:00:00 None No 2004-09-29 00:00:00 None B None 1000 1000 -1000 0 0 020016518 A99999 N None None SFY2004-05
020000020 WINDSOR COUNTRY DRIVE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2004-09-15 00:00:00 020002815 Closed Citation Citation A (HSC 1424) Patient Care None 2004-05-04 00:00:00 None Yes 2004-10-08 00:00:00 2004-09-17 00:00:00 A A 18000 5250 0 5250 0 020016521 A99999 N None None SFY2004-05
020000047 HAYWARD HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2004-09-29 00:00:00 020002816 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-15 00:00:00 None No 2004-10-28 00:00:00 None B None 600 600 -210 390 0 020016552 A99999 N None None SFY2004-05
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2004-10-04 00:00:00 020002817 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-28 00:00:00 None No 2004-10-28 00:00:00 None B None 650 650 -227.5 422.5 0 020016572 A99999 N None None SFY2004-05
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-10-27 00:00:00 020002818 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-06 00:00:00 None No 2004-11-30 00:00:00 None B None 600 600 -210 390 0 020016595 A99999 N None None SFY2004-05
020001052 SERRA CENTER SAN JUAN HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2004-11-03 00:00:00 020002819 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-12 00:00:00 None No 2004-11-29 00:00:00 None B None 500 500 -175 325 0 020016614 A99999 N None None SFY2004-05
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2004-11-05 00:00:00 020002820 Closed Citation Citation B (HSC 1424) Medication None 2004-06-24 00:00:00 2004-08-04 00:00:00 No 2004-12-07 00:00:00 None B None 1000 1000 -350 650 0 020016620 A99999 N None None SFY2004-05
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2004-11-08 00:00:00 020002821 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-03 00:00:00 None No 2004-12-06 00:00:00 None B None 700 700 -245 455 0 020016622 A99999 N None None SFY2004-05
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2004-11-10 00:00:00 020002822 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-04 00:00:00 None No 2004-12-09 00:00:00 None B None 700 700 -245 455 0 020016623 A99999 N None None SFY2004-05
020000091 PIEDMONT GARDENS HEALTH FACILITY LTC SNF Skilled Nursing Facility East Bay 2004-12-02 00:00:00 020002823 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-18 00:00:00 2004-11-18 00:00:00 No 2004-12-29 00:00:00 None B None 1000 1000 -350 650 0 020016672 A99999 N None None SFY2004-05
020000813 SERRA CENTER VALPEY PARK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2004-12-03 00:00:00 020002824 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-05 00:00:00 None No 2005-01-03 00:00:00 None B None 500 500 -175 325 0 020016680 A99999 N None None SFY2004-05
020000020 WINDSOR COUNTRY DRIVE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2004-12-20 00:00:00 020002825 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-02 00:00:00 None No 2005-01-14 00:00:00 None B None 600 600 -210 390 0 020016708 A99999 N None None SFY2004-05
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2005-01-10 00:00:00 020002826 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-14 00:00:00 None No 2005-02-07 00:00:00 None B None 600 600 -210 390 0 020016739 A99999 N None None SFY2004-05
020000091 PIEDMONT GARDENS HEALTH FACILITY LTC SNF Skilled Nursing Facility East Bay 2005-02-15 00:00:00 020002827 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-15 00:00:00 None No 2005-03-11 00:00:00 None B None 1000 1000 -350 650 0 020016784 A99999 N None None SFY2004-05
020000047 HAYWARD HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2005-03-01 00:00:00 020002828 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-27 00:00:00 None No 2005-04-01 00:00:00 None B None 600 600 0 600 0 020016785 A99999 N None None SFY2004-05
020000142 SUNSHINE ICF/DDH #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2005-03-17 00:00:00 020002829 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-08 00:00:00 None Yes 2005-04-11 00:00:00 2005-03-21 00:00:00 B B 500 250 0 250 0 020016786 A99999 N None None SFY2004-05
020000017 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2005-05-09 00:00:00 020002830 Closed Citation Citation A (HSC 1424) Patient Care None 2005-01-18 00:00:00 None No 2005-06-06 00:00:00 None A None 8000 8000 -2800 5200 0 020016787 A99999 N None None SFY2004-05
020000037 EMMANUEL POST ACUTE CARE - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2005-08-01 00:00:00 020002831 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-03-13 00:00:00 2005-03-13 00:00:00 Yes 2006-03-27 00:00:00 2006-03-20 00:00:00 AA AA 75000 15000 0 15000 0 020016788 A99999 Y None None SFY2005-06
020000877 ELENA'S ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2005-09-15 00:00:00 020002832 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-13 00:00:00 None No 2005-10-06 00:00:00 None B None 400 400 -140 260 0 020016789 A99999 N None None SFY2005-06
020000836 RUUS VILLA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2005-11-14 00:00:00 020002833 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-02 00:00:00 None No 2005-12-07 00:00:00 None B None 500 500 0 500 0 020016790 A99999 N None None SFY2005-06
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2006-01-17 00:00:00 020002834 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-03 00:00:00 2005-10-03 00:00:00 No 2006-02-10 00:00:00 None B None 1000 1000 -350 650 0 020016791 A99999 N None None SFY2005-06
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2006-03-08 00:00:00 020002899 Closed Citation Citation B (HSC 1424) Administration Patient Care 2005-12-27 00:00:00 2005-12-27 00:00:00 No 2006-03-29 00:00:00 None B None 600 600 -210 390 0 None EM4E11 N CA00067798, CA00067798, CA00067798 C, C, C SFY2005-06
020000813 SERRA CENTER VALPEY PARK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2006-07-21 00:00:00 020003213 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-28 00:00:00 2006-04-28 00:00:00 No 2006-08-11 00:00:00 None B None 600 600 -210 390 0 None INBN11 N None None SFY2006-07
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2006-12-01 00:00:00 020003536 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-24 00:00:00 2006-08-24 00:00:00 Yes 2006-12-22 00:00:00 2006-12-07 00:00:00 A None 15000 15000 0 15000 0 None CKBN11 N CA00093386 B SFY2006-07
020000111 JONES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2006-12-06 00:00:00 020003546 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-03 00:00:00 2006-08-03 00:00:00 No 2006-12-28 00:00:00 None A None 16000 16000 -5600 10400 0 None 49ZL11 N CA00090772 C SFY2006-07
020001292 E & J CARE PROVIDER, INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2007-01-18 00:00:00 020003638 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-21 00:00:00 2006-11-21 00:00:00 Yes 2007-02-16 00:00:00 2007-02-09 00:00:00 B B 800 400 0 400 0 None 8VNP11 N CA00100052, CA00100115 B, B SFY2006-07
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2007-02-09 00:00:00 020003708 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-19 00:00:00 2006-05-19 00:00:00 No 2007-03-02 00:00:00 None B None 1000 1000 0 1000 0 None I14811 N CA00082287 C SFY2006-07
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2007-03-26 00:00:00 020003845 Closed Citation Citation A (HSC 1424) Other Accidents 2006-12-01 00:00:00 2006-12-01 00:00:00 Yes 2007-04-16 00:00:00 2007-03-27 00:00:00 A A 15000 8000 0 8000 0 None I6R511 N CA00100215, CA00100309, CA00100310, CA00100828, CA00103427 B, B, B, B, D SFY2006-07
020001052 SERRA CENTER SAN JUAN HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2007-05-03 00:00:00 020003927 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-31 00:00:00 2007-03-31 00:00:00 No 2007-05-24 00:00:00 None B None 700 700 -245 455 0 None FGU711 N CA00111041 B SFY2006-07
020000276 CANYON CREEK POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2007-05-07 00:00:00 020003934 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-05 00:00:00 2007-04-05 00:00:00 No 2007-05-28 00:00:00 None B None 600 600 -210 390 0 None ECQ9 N CA00111438 B SFY2006-07
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2007-05-22 00:00:00 020003973 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-03-26 00:00:00 2007-03-26 00:00:00 Yes 2007-06-13 00:00:00 2007-05-29 00:00:00 B B 1000 500 0 500 0 None RVOC11 N CA00111071 C SFY2006-07
020000813 SERRA CENTER VALPEY PARK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2007-05-29 00:00:00 020003993 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-17 00:00:00 2007-04-17 00:00:00 No 2007-06-19 00:00:00 None B None 800 800 -280 520 0 None 1FTU11 N CA00113154, CA00113635, CA00114165 C, B, B SFY2006-07
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2007-07-03 00:00:00 020004058 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-16 00:00:00 2004-09-16 00:00:00 No 2007-07-25 00:00:00 None B None 600 800 0 800 0 None BLY111 N CA00118884 D SFY2007-08
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2007-10-22 00:00:00 020004369 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-04 00:00:00 2007-09-04 00:00:00 No 2007-11-13 00:00:00 None B None 500 500 -175 325 0 None 4CTI11 N CA00127751 B SFY2007-08
020000107 LAKESHORE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2007-11-05 00:00:00 020004418 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-04 00:00:00 2007-09-04 00:00:00 No 2007-11-30 00:00:00 None B None 1000 2000 -350 1650 0 None T65F11 N CA00127791 B SFY2007-08
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2007-11-06 00:00:00 020004425 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-16 00:00:00 2007-06-16 00:00:00 Yes 2007-11-30 00:00:00 2007-11-08 00:00:00 A A 18000 10000 0 10000 0 None YU8011 Y CA00117585, CA00118888 C, C SFY2007-08
140000138 CREEKSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2007-11-20 00:00:00 020004461 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-14 00:00:00 2006-10-14 00:00:00 No 2007-12-13 00:00:00 None B None 700 1150 0 1150 0 None 630111 N CA00095973 B SFY2007-08
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2007-12-20 00:00:00 020004526 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-08-24 00:00:00 2007-08-24 00:00:00 No 2008-01-15 00:00:00 None B None 600 1950 -210 1740 0 None 1E1C11 N CA00126087 C SFY2007-08
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2008-01-14 00:00:00 020004580 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-12-27 00:00:00 2007-12-27 00:00:00 No 2008-02-05 00:00:00 None B None 500 500 -175 325 0 None 96Z711 N CA00136159 A SFY2007-08
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2008-01-30 00:00:00 020004609 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-29 00:00:00 2007-12-29 00:00:00 No 2008-02-22 00:00:00 None B None 800 800 -280 520 0 None YJ6F11 N CA00136458, CA00136558 C, B SFY2007-08
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2008-01-31 00:00:00 020004639 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-24 00:00:00 2006-10-24 00:00:00 Yes 2008-02-25 00:00:00 2008-02-07 00:00:00 B B 1000 700 0 700 0 None FUJC11 N CA00096943 A SFY2007-08
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2008-02-13 00:00:00 020004683 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-28 00:00:00 2007-10-28 00:00:00 No 2008-03-06 00:00:00 None B None 1000 1000 -350 650 0 None 824111 N CA00135558 C SFY2007-08
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2008-04-02 00:00:00 020004841 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-24 00:00:00 2008-01-24 00:00:00 No 2008-04-28 00:00:00 None B None 700 700 -245 455 0 None QF2K11 N CA00141128, CA00141429 B, B SFY2007-08
020001289 NEAL'S HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2008-04-08 00:00:00 020004867 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-06 00:00:00 2008-01-06 00:00:00 No 2008-05-02 00:00:00 None B None 800 800 0 800 0 None Y9J011 N CA00141961, CA00142153 C, B SFY2007-08
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2008-05-06 00:00:00 020004967 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-11-24 00:00:00 2007-11-24 00:00:00 Yes 2010-07-16 00:00:00 2010-10-27 00:00:00 AA AA 60000 10000 0 10000 0 None 1V4W11 Y CA00133368, CA00133368 C, C SFY2007-08
020000677 SUNSHINE ICF/DDH #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2008-05-08 00:00:00 020005007 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-14 00:00:00 2008-04-14 00:00:00 Yes 2008-06-02 00:00:00 2008-05-16 00:00:00 B B 600 300 0 300 0 None BLXH11 N CA00147017 B SFY2007-08
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2008-05-22 00:00:00 020005057 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-06-17 00:00:00 None B None 800 800 -280 520 0 None C9RW11 N CA00148477 B SFY2007-08
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2008-06-11 00:00:00 020005128 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-23 00:00:00 2007-11-23 00:00:00 No 2008-07-07 00:00:00 None B None 1000 1000 -350 650 0 None CCUV11 N CA00140662 C SFY2007-08
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2008-07-16 00:00:00 020005236 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-26 00:00:00 2007-12-26 00:00:00 No 2008-08-06 00:00:00 None B None 900 900 -315 585 0 None 0KWU11 N CA00136959 C SFY2008-09
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2008-07-22 00:00:00 020005249 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-26 00:00:00 2008-05-26 00:00:00 Yes 2008-08-12 00:00:00 2008-08-04 00:00:00 B B 1000 500 0 500 0 None XCQC11 N CA00152129 C SFY2008-09
140001320 GLACIER WAY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2008-08-05 00:00:00 020005305 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-26 00:00:00 2008-05-26 00:00:00 No 2008-08-26 00:00:00 None B None 1000 1000 -350 650 0 None 95T711 N CA00151801 C SFY2008-09
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2008-08-06 00:00:00 020005306 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-26 00:00:00 2008-05-26 00:00:00 Yes 2012-08-08 00:00:00 2012-04-06 00:00:00 A A 20000 5500 0 5500 0 None XCQC11 N CA00152129 C SFY2008-09
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2008-08-25 00:00:00 020005347 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-27 00:00:00 2008-07-27 00:00:00 No 2008-09-16 00:00:00 None B None 750 750 -262.5 487.5 0 None UN6811 N CA00158834 B SFY2008-09
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2008-08-25 00:00:00 020005349 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-07 00:00:00 2008-06-07 00:00:00 No 2008-09-16 00:00:00 None B None 750 750 -262.5 487.5 0 None 0J1F11 N CA00153004 C SFY2008-09
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2008-09-17 00:00:00 020005430 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-08-22 00:00:00 2008-08-22 00:00:00 Yes 2008-10-08 00:00:00 2008-09-26 00:00:00 B B 750 375 0 375 0 None 4PF411 N CA00161320 C SFY2008-09
140001314 NEW WAY ICF/DD-H #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2008-09-25 00:00:00 020005463 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-06 00:00:00 2008-07-06 00:00:00 No 2008-10-17 00:00:00 None B None 750 750 -262.5 487.5 0 None M7XS11 N CA00156204 C SFY2008-09
140000105 LONE TREE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2008-09-25 00:00:00 020005465 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-16 00:00:00 2008-08-16 00:00:00 No 2008-10-22 00:00:00 None B None 600 600 -210 390 0 None N6MT11 N CA00161685 B SFY2008-09
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2008-09-25 00:00:00 020005466 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-28 00:00:00 2008-08-28 00:00:00 No 2008-10-17 00:00:00 None B None 600 600 -210 390 0 None 4PMR11 N CA00161834 B SFY2008-09
140000003 DELTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2008-10-03 00:00:00 020005493 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-25 00:00:00 2008-08-25 00:00:00 Yes 2008-10-27 00:00:00 2008-10-20 00:00:00 B B 550 275 0 275 0 None O45U11 N CA00161325 B SFY2008-09
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2008-10-14 00:00:00 020005517 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-16 00:00:00 2008-09-16 00:00:00 No 2008-11-14 00:00:00 None B None 700 1000 -245 755 0 None QD3211 N CA00163862 B SFY2008-09
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2008-11-13 00:00:00 020005599 Closed Citation Citation B (HSC 1424) Medication None 2008-09-10 00:00:00 2008-09-10 00:00:00 No 2008-12-15 00:00:00 None B None 1000 1000 -350 650 0 None LCNV11 N None None SFY2008-09
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2008-11-19 00:00:00 020005625 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-03 00:00:00 2008-03-03 00:00:00 Yes 2008-12-17 00:00:00 2008-11-21 00:00:00 B B 700 350 0 350 0 None XOO311 N CA00145397 A SFY2008-09
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2008-12-08 00:00:00 020005672 Closed Citation Citation B (HSC 1424) Administration None 2008-11-12 00:00:00 2008-11-12 00:00:00 No 2009-01-01 00:00:00 None B None 800 800 0 800 0 None P4BM11 N CA00169049 A SFY2008-09
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2008-12-08 00:00:00 020005674 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2008-11-12 00:00:00 2008-11-12 00:00:00 No 2009-01-01 00:00:00 None B None 700 700 0 700 0 None P4BM11 N CA00169049 A SFY2008-09
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2008-12-18 00:00:00 020005705 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-07 00:00:00 2008-11-07 00:00:00 No 2009-01-14 00:00:00 None B None 750 750 -262.5 487.5 0 None T6P911 N CA00168867, CA00168867 B, B SFY2008-09
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2008-12-18 00:00:00 020005707 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-05 00:00:00 2008-12-05 00:00:00 No 2009-01-14 00:00:00 None B None 750 750 -262.5 487.5 0 None Q86P11 N CA00170995 B SFY2008-09
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-01-12 00:00:00 020005764 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-19 00:00:00 2008-08-19 00:00:00 No 2009-02-09 00:00:00 None B None 500 500 -175 325 0 None LH3H11 N CA00172544 C SFY2008-09
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-01-16 00:00:00 020005781 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-11 00:00:00 2008-10-11 00:00:00 No 2009-02-06 00:00:00 None B None 750 750 -262.5 487.5 0 None OXFM11 N CA00166315 B SFY2008-09
020001263 MIKA'S HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2009-02-04 00:00:00 020005840 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-18 00:00:00 2008-12-18 00:00:00 Yes 2013-03-01 00:00:00 2013-01-29 00:00:00 A A 7500 7500 0 7500 0 None WBJI11 N CA00172792 C SFY2008-09
020000019 VISTA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2009-02-11 00:00:00 020005865 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-20 00:00:00 2009-01-20 00:00:00 No 2009-03-11 00:00:00 None B None 800 800 -280 520 0 None E9V211 N CA00175482 C SFY2008-09
020000010 ASHBY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-02-13 00:00:00 020005877 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-12-19 00:00:00 2008-12-19 00:00:00 No 2009-03-09 00:00:00 None B None 500 500 0 500 0 None 4CZB11 N CA00172512 B SFY2008-09
140001330 NEW WAY ICF/DD-N #N3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2009-03-13 00:00:00 020005961 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-27 00:00:00 2008-09-27 00:00:00 No 2009-04-06 00:00:00 None B None 700 700 -245 455 0 None 63XN11 N CA00164718 B SFY2008-09
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2009-03-26 00:00:00 020006012 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-05 00:00:00 2009-03-05 00:00:00 No 2009-04-17 00:00:00 None B None 1000 1000 0 1000 0 None IF1711 N CA00179949 C SFY2008-09
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-04-27 00:00:00 020006131 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-04-05 00:00:00 2009-04-05 00:00:00 No 2009-05-18 00:00:00 None B None 600 600 -210 390 0 None GK0J11 N CA00184212 C SFY2008-09
140000122 THE VINEYARDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-04-28 00:00:00 020006133 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-11-18 00:00:00 2008-11-18 00:00:00 No 2009-05-19 00:00:00 None B None 500 500 -175 325 0 None BP7X11 N CA00171327 B SFY2008-09
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-05-19 00:00:00 020006193 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-04-12 00:00:00 2009-04-12 00:00:00 No 2009-06-16 00:00:00 None B None 600 600 0 600 0 None 6NXJ11 N CA00186510 C SFY2008-09
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2009-05-20 00:00:00 020006204 Closed Citation Citation B (HSC 1424) Medication None 2009-04-04 00:00:00 2009-04-04 00:00:00 No 2009-06-11 00:00:00 None B None 750 750 -262.5 487.5 0 None NE9Y11 N CA00183863 B SFY2008-09
020000019 VISTA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2009-06-15 00:00:00 020006281 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-23 00:00:00 2009-05-23 00:00:00 No 2009-07-06 00:00:00 None B None 600 600 -210 390 0 None JCSR11 N CA00189664 B SFY2008-09
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2009-06-29 00:00:00 020006319 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-28 00:00:00 2009-03-28 00:00:00 Yes 2009-07-23 00:00:00 2009-07-01 00:00:00 A A 15000 15000 0 15000 0 None 3Q9111 N CA00184036 B SFY2008-09
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2009-08-20 00:00:00 020006479 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-06 00:00:00 2009-06-06 00:00:00 Yes 2009-09-11 00:00:00 2009-08-25 00:00:00 B B 600 390 0 390 0 None JOZN11 N CA00191017 C SFY2009-10
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-09-03 00:00:00 020006522 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-19 00:00:00 2009-06-19 00:00:00 Yes 2009-10-02 00:00:00 2009-09-14 00:00:00 B B 800 400 0 400 0 None NPU111 N CA00198065 C SFY2009-10
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2009-09-30 00:00:00 020006582 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-12 00:00:00 2009-09-12 00:00:00 No 2009-10-26 00:00:00 None B None 600 600 0 600 0 None GC3X11 N CA00201758 C SFY2009-10
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2009-10-14 00:00:00 020006611 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-09-01 00:00:00 2009-09-01 00:00:00 No 2009-11-10 00:00:00 None B None 600 600 0 600 0 None L6BE11 N CA00203533 B SFY2009-10
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2009-10-21 00:00:00 020006626 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-04 00:00:00 2009-04-04 00:00:00 Yes 2009-12-03 00:00:00 2009-10-30 00:00:00 B B 800 400 0 400 0 None 2GXO11 N CA00199301 C SFY2009-10
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2009-10-22 00:00:00 020006631 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-18 00:00:00 2009-09-18 00:00:00 No 2009-11-17 00:00:00 None B None 500 500 0 500 0 None P7N911 N CA00202357 B SFY2009-10
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2009-10-22 00:00:00 020006632 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-09 00:00:00 2009-09-09 00:00:00 No 2009-11-17 00:00:00 None B None 500 500 0 500 0 None P7N911 N CA00202565 B SFY2009-10
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-11-02 00:00:00 020006672 Closed Citation Citation B (HSC 1424) Other Sanitary Conditions 2009-10-04 00:00:00 2009-10-04 00:00:00 No 2009-12-01 00:00:00 None B None 950 950 -332.5 617.5 0 None K0VV11 N None None SFY2009-10
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-11-02 00:00:00 020006675 Closed Citation Citation B (HSC 1424) Administration None 2009-05-17 00:00:00 2009-05-17 00:00:00 No 2009-12-01 00:00:00 None B None 800 800 -280 520 0 None 4AI111 N None None SFY2009-10
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-11-02 00:00:00 020006676 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-01 00:00:00 2009-09-01 00:00:00 No 2009-12-01 00:00:00 None B None 800 800 -280 520 0 None 4AI111 N None None SFY2009-10
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-11-03 00:00:00 020006680 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-15 00:00:00 2008-12-15 00:00:00 No 2009-11-25 00:00:00 None B None 950 950 -332.5 617.5 0 None 4AI111 N None None SFY2009-10
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-11-03 00:00:00 020006682 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-06 00:00:00 2009-10-06 00:00:00 No 2009-11-25 00:00:00 None B None 900 900 -315 585 0 None 4AI111 N None None SFY2009-10
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-11-03 00:00:00 020006683 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-07 00:00:00 2009-10-07 00:00:00 No 2009-11-25 00:00:00 None B None 750 750 -262.5 487.5 0 None 4AI111 N None None SFY2009-10
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2009-11-18 00:00:00 020006720 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-20 00:00:00 2009-10-20 00:00:00 No 2009-12-11 00:00:00 None B None 1000 3000 -1050 1950 0 None SNUE11 N None None SFY2009-10
140001320 GLACIER WAY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2009-12-16 00:00:00 020006796 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-27 00:00:00 2009-06-27 00:00:00 Yes 2010-01-08 00:00:00 2009-12-23 00:00:00 B B 1000 650 0 650 0 None 525811 N CA00193338 C SFY2009-10
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2010-01-07 00:00:00 020006881 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-30 00:00:00 2009-07-30 00:00:00 No 2010-02-01 00:00:00 None B None 750 750 -262.5 487.5 0 None 522011 N CA00198631 C SFY2009-10
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2010-01-19 00:00:00 020006923 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-04 00:00:00 2009-08-04 00:00:00 No 2010-02-09 00:00:00 None B None 900 900 -315 585 0 None PVOC11 N CA00197615 C SFY2009-10
020000135 BAY AREA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2010-01-20 00:00:00 020006924 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-28 00:00:00 2009-09-28 00:00:00 No 2010-02-10 00:00:00 None B None 900 900 -315 585 0 None 0DPU11 N CA00204068 B SFY2009-10
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2010-01-25 00:00:00 020006936 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-12-10 00:00:00 2009-12-10 00:00:00 No 2010-03-01 00:00:00 None B None 800 800 -280 520 0 None HEV511 N CA00211127 B SFY2009-10
630009941 BIENVENUE ICFDD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2010-03-26 00:00:00 020007069 Closed Citation Citation B (HSC 1424) Administration None 2009-12-27 00:00:00 2009-12-27 00:00:00 No 2010-04-19 00:00:00 None B None 800 800 0 800 0 None TIP911 N CA00214106, CA00214208 C, C SFY2009-10
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2010-03-26 00:00:00 020007077 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-29 00:00:00 2008-03-29 00:00:00 No 2010-04-26 00:00:00 None B None 800 800 -280 520 0 None LXZT11 N CA00165850 C SFY2009-10
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2010-03-26 00:00:00 020007080 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-11 00:00:00 2009-06-11 00:00:00 Yes 2010-04-19 00:00:00 2010-04-05 00:00:00 B B 1000 650 0 650 0 None WXU611 N CA00197511 C SFY2009-10
140001346 MEADOWBROOK CIRCLE ICF/DDH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2010-03-30 00:00:00 020007086 Closed Citation Citation B (HSC 1424) Medication None 2009-11-16 00:00:00 2009-11-16 00:00:00 No 2010-04-26 00:00:00 None B None 750 750 -262.5 487.5 0 None ZYD811 N CA00210066 C SFY2009-10
020000276 CANYON CREEK POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2010-04-08 00:00:00 020007101 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-23 00:00:00 2010-03-23 00:00:00 No 2010-04-29 00:00:00 None B None 800 800 -280 520 0 None Z66Y11 N None None SFY2009-10
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2010-04-28 00:00:00 020007171 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-03 00:00:00 2009-07-03 00:00:00 Yes 2010-05-25 00:00:00 2010-04-29 00:00:00 B None 700 700 0 700 0 None YCJH11 N CA00194088 B SFY2009-10
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2010-05-13 00:00:00 020007213 Closed Citation Citation B (HSC 1424) Medication None 2010-01-01 00:00:00 2010-01-01 00:00:00 Yes 2010-06-04 00:00:00 2011-03-23 00:00:00 B None 600 600 0 600 0 None 9J6P11 N CA00217557 C SFY2009-10
020000681 SUNSHINE ICF/DDH #6 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2010-05-19 00:00:00 020007218 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-22 00:00:00 2010-04-22 00:00:00 Yes 2010-06-15 00:00:00 2010-06-16 00:00:00 B None 900 900 0 900 0 None 9NRB11 N CA00226357 B SFY2009-10
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2010-06-10 00:00:00 020007287 Closed Citation Citation A (HSC 1424) Patient Care None 2009-09-04 00:00:00 2009-09-04 00:00:00 Yes 2010-07-06 00:00:00 2010-06-23 00:00:00 A None 18000 18000 0 18000 0 None RXE711 N CA00201336, CA00212268 C, C SFY2009-10
140001356 NULL DRIVE ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2010-08-09 00:00:00 020007474 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-29 00:00:00 2010-03-29 00:00:00 No 2010-09-01 00:00:00 None B None 700 700 -245 455 0 None 2GM411 N CA00224375 C SFY2010-11
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2010-08-19 00:00:00 020007501 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-02 00:00:00 2010-03-02 00:00:00 No 2010-09-13 00:00:00 None B None 850 850 -297.5 552.5 0 None REL011 N CA00220698 C SFY2010-11
140000564 DIAMOND RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2010-08-19 00:00:00 020007502 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-13 00:00:00 2010-05-13 00:00:00 No 2010-09-20 00:00:00 None B None 850 850 -297.5 552.5 0 None W0WI11 N CA00229784 B SFY2010-11
140001338 WINGS I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2010-08-26 00:00:00 020007513 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-26 00:00:00 2009-10-26 00:00:00 No 2010-09-21 00:00:00 None B None 600 600 -210 390 0 None JVEX11 N CA00206618 C SFY2010-11
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2010-09-23 00:00:00 020007593 Closed Citation Citation A (HSC 1424) Patient Care None 2010-02-05 00:00:00 2010-02-05 00:00:00 Yes 2010-10-14 00:00:00 2010-10-05 00:00:00 A A 15000 6000 0 6000 0 None FM1X11 Y CA00217719 C SFY2010-11
140001348 FRANCISCO ICF LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2010-09-28 00:00:00 020007599 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-24 00:00:00 2010-06-24 00:00:00 No 2010-10-20 00:00:00 None B None 600 600 -210 390 0 None NF9311 N CA00231906 C SFY2010-11
020000015 BANCROFT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2010-10-13 00:00:00 020007606 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-06-10 00:00:00 2010-06-10 00:00:00 No 2010-11-03 00:00:00 None AA None 60000 60000 -21000 39000 0 None 3QDT11 Y CA00231955 B SFY2010-11
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2010-09-30 00:00:00 020007609 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-22 00:00:00 2010-05-22 00:00:00 No 2010-10-25 00:00:00 None B None 750 750 -262.5 487.5 0 None FBIG11 N CA00230951 B SFY2010-11
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2010-10-15 00:00:00 020007629 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-20 00:00:00 2010-08-20 00:00:00 No 2010-11-09 00:00:00 None B None 1000 1000 -350 650 0 None ZNN711 N CA00240606 B SFY2010-11
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2010-10-21 00:00:00 020007656 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-09 00:00:00 2010-08-09 00:00:00 No 2010-11-17 00:00:00 None B None 850 850 -297.5 552.5 0 None FKO811 N CA00238530 B SFY2010-11
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2010-10-21 00:00:00 020007658 Closed Citation Citation B (HSC 1424) Other Impeding investigation 2010-08-10 00:00:00 2010-08-10 00:00:00 No 2010-11-17 00:00:00 None B None 750 750 -262.5 487.5 0 None FKO811 N CA00238530 B SFY2010-11
020000020 WINDSOR COUNTRY DRIVE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2010-10-29 00:00:00 020007678 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-10 00:00:00 2010-09-10 00:00:00 Yes 2010-11-22 00:00:00 2010-11-15 00:00:00 B B 650 350 0 350 0 None D54B11 N CA00244174 B SFY2010-11
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2010-11-17 00:00:00 020007716 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-02 00:00:00 2010-10-02 00:00:00 No 2010-12-10 00:00:00 None B None 1000 1000 0 1000 0 None J4CK11 N CA00245150 B SFY2010-11
140000574 ALHAMBRA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2011-01-20 00:00:00 020007852 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-19 00:00:00 2010-03-19 00:00:00 No 2011-02-10 00:00:00 None B None 600 600 -210 390 0 None 7X1J11 N CA00222686 C SFY2010-11
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2011-01-26 00:00:00 020007871 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-20 00:00:00 2010-11-20 00:00:00 No 2011-02-16 00:00:00 None B None 650 650 0 650 0 None L85F11 N CA00250624 C SFY2010-11
140001126 TICE VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2011-03-02 00:00:00 020007982 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-11 00:00:00 2009-09-11 00:00:00 No 2011-03-23 00:00:00 None B None 600 600 -210 390 0 None LUTP11 N CA00243343 B SFY2010-11
140000003 DELTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2011-03-09 00:00:00 020008022 Closed Citation Citation A (HSC 1424) Medication None 2010-11-21 00:00:00 2010-11-21 00:00:00 Yes 2011-03-30 00:00:00 2011-03-17 00:00:00 A None 2300 2300 0 2300 0 None DSU611 N CA00251717 B SFY2010-11
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2011-03-14 00:00:00 020008026 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-31 00:00:00 2010-05-31 00:00:00 No 2011-04-05 00:00:00 None B None 650 650 -227.5 422.5 0 None L3GC11 N CA00231059 C SFY2010-11
020000043 ALAMEDA HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2011-05-03 00:00:00 020008184 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-12-23 06:00:00 2010-12-23 06:00:00 No 2011-05-24 00:00:00 None FTR BR None 1300 1300 0 1300 0 None M2NW11 None CA00255091 B SFY2010-11
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2011-05-17 00:00:00 020008251 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-31 00:00:00 2010-08-31 00:00:00 Yes 2014-04-30 00:00:00 2011-05-24 00:00:00 B B 600 600 0 600 0 None UXMG11 N CA00242575 B SFY2010-11
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2011-06-08 00:00:00 020008296 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-05-04 00:00:00 2011-05-04 00:00:00 No 2011-06-29 00:00:00 None B None 850 850 -297.5 552.5 0 None WPGS11 N CA00270114 B SFY2010-11
140000564 DIAMOND RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2011-08-12 00:00:00 020008464 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-08 00:00:00 2011-06-08 00:00:00 No 2011-09-02 00:00:00 None B None 600 600 0 600 0 None PY8T11 N CA00272577 C SFY2011-12
140000564 DIAMOND RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2011-08-12 00:00:00 020008466 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-03 00:00:00 2011-04-03 00:00:00 No 2011-09-02 00:00:00 None B None 750 750 0 750 0 None PY8T11 N CA00265938 B SFY2011-12
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2011-09-07 00:00:00 020008544 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-26 00:00:00 2010-03-26 00:00:00 Yes 2011-09-29 00:00:00 2011-09-08 00:00:00 A None 15000 15000 0 15000 0 None HBNO11 N CA00256713 B SFY2011-12
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2011-10-13 00:00:00 020008639 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-08-26 00:00:00 2011-08-26 00:00:00 No 2011-11-03 00:00:00 None B None 900 900 -315 585 0 None I3UR11 N CA00281614 B SFY2011-12
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2011-11-10 00:00:00 020008733 Closed Citation Citation B (HSC 1424) Medication None 2010-08-20 00:00:00 2010-08-20 00:00:00 No 2011-12-06 00:00:00 None B None 700 700 0 700 0 None NJQ511 N CA00244260 B SFY2011-12
140000051 LA CASA VIA TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2011-11-30 00:00:00 020008751 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-04 00:00:00 2011-06-04 00:00:00 Yes 2011-12-21 00:00:00 2011-12-14 00:00:00 B B 800 520 0 520 0 None YG3S11 N CA00272186, CA00272694 B, B SFY2011-12
140001291 AVONDALE VILLA POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2011-11-30 00:00:00 020008754 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-24 00:00:00 2011-09-24 00:00:00 No 2011-12-21 00:00:00 None B None 800 800 -280 520 0 None UNSD11 N CA00284713 B SFY2011-12
140000003 DELTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2011-11-18 00:00:00 020008758 Closed Citation Citation A (HSC 1424) Patient Care None 2010-12-19 00:00:00 2010-12-19 00:00:00 No 2011-12-13 00:00:00 None A None 7000 7000 0 7000 0 None XVEO11 N CA00256276 B SFY2011-12
140000962 PITTSBURG SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2011-12-19 00:00:00 020008828 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-23 00:00:00 2011-09-23 00:00:00 No 2012-01-11 00:00:00 None B None 750 750 -262.5 487.5 0 None 3RSR11 N CA00284560 B SFY2011-12
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2012-02-01 00:00:00 020008964 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-27 00:00:00 2011-07-27 00:00:00 No 2012-02-23 00:00:00 None B None 750 750 0 750 0 None V6XV11 N CA00277534 C SFY2011-12
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2012-03-02 00:00:00 020009068 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-01-13 00:00:00 2011-01-13 00:00:00 No 2012-03-23 00:00:00 None B None 750 750 0 750 0 None K04O11 N CA00258287 B SFY2011-12
140000051 LA CASA VIA TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2012-03-02 00:00:00 020009069 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-03-01 00:00:00 2011-03-01 00:00:00 No 2012-03-23 00:00:00 None B None 750 750 -262.5 487.5 0 None FGDY11 N CA00261823 B SFY2011-12
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2012-03-05 00:00:00 020009078 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-11-07 00:00:00 2010-11-07 00:00:00 Yes 2012-03-26 00:00:00 2012-03-08 00:00:00 AA AA 75000 37500 0 37500 0 None 8JFW11 Y CA00248567 C SFY2011-12
140000105 LONE TREE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2012-03-06 00:00:00 020009082 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-07 00:00:00 2011-08-07 00:00:00 No 2012-03-27 00:00:00 None B None 600 600 0 600 0 None PUKB11 N CA00281675 B SFY2011-12
020000808 MORTON BAKAR CENTER LTC SNF Skilled Nursing Facility East Bay 2012-03-12 00:00:00 020009084 Closed Citation Citation AA (HSC 1424) Patient Care None 2011-09-06 00:00:00 2011-09-06 00:00:00 Yes 2012-04-02 00:00:00 2012-03-22 00:00:00 AA A 60000 75000 0 75000 0 None ILXN11 Y CA00283531 C SFY2011-12
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2012-03-15 00:00:00 020009140 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-03-02 00:00:00 2011-03-02 00:00:00 No 2012-04-05 00:00:00 None B None 1000 1000 0 1000 0 None LZWC11 N CA00261023, CA00261133 B, B SFY2011-12
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2012-03-20 00:00:00 020009162 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-06 00:00:00 2010-10-06 00:00:00 No 2012-04-10 00:00:00 None B None 1000 1000 0 1000 0 None IPEX11 N CA00246053 B SFY2011-12
020000047 HAYWARD HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2012-03-20 00:00:00 020009163 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-29 00:00:00 2010-10-29 00:00:00 No 2012-04-10 00:00:00 None B None 700 700 0 700 0 None 1MH711 N CA00249074 B SFY2011-12
020000037 EMMANUEL POST ACUTE CARE - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2012-04-26 00:00:00 020009260 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-15 00:00:00 2011-07-15 00:00:00 No 2012-05-17 00:00:00 None B None 1000 1000 0 1000 0 None IRMQ11 N CA00276814 C SFY2011-12
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2012-04-26 00:00:00 020009261 Closed Citation Citation A (HSC 1424) Patient Care None 2011-11-23 00:00:00 2011-11-23 00:00:00 No 2012-05-17 00:00:00 None A None 15000 15000 0 15000 0 None JJQW11 N CA00291745 B SFY2011-12
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2012-05-14 00:00:00 020009298 Closed Citation Citation A (HSC 1424) Patient Care None 2011-03-12 00:00:00 2011-03-12 00:00:00 No 2012-06-05 00:00:00 None A None 19000 19000 0 19000 0 None 4PBU11 N CA00285092 B SFY2011-12
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2012-11-15 00:00:00 020009605 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-08-15 00:00:00 2012-08-15 00:00:00 Yes 2012-12-10 00:00:00 2012-11-29 00:00:00 B None 2000 2000 0 2000 0 None JH9I11 N CA00322235 B SFY2012-13
020000068 ST JOHN KRONSTADT CONVALESCENT CENTER LTC SNF Skilled Nursing Facility East Bay 2012-12-12 00:00:00 020009676 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-08-30 00:00:00 2012-08-30 00:00:00 No 2013-01-04 00:00:00 None B None 1500 1500 -525 975 0 None VIFI11 N CA00326008 B SFY2012-13
020000068 ST JOHN KRONSTADT CONVALESCENT CENTER LTC SNF Skilled Nursing Facility East Bay 2013-02-04 00:00:00 020009728 Closed Citation Citation AA (HSC 1424) Other Accidents 2012-07-18 00:00:00 2012-07-18 00:00:00 No 2013-02-26 00:00:00 None AA None 60000 60000 -21000 39000 0 None L8HA11 Y CA00318813 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009798 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009799 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009800 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009802 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009811 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-30 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009812 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-30 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009813 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-30 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009814 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-30 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009815 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-30 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009816 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-30 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009817 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-30 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009818 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009819 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 No 2013-05-16 00:00:00 None B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009820 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009821 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-30 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009822 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009823 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-20 00:00:00 2012-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-04-25 00:00:00 020009854 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-06-20 00:00:00 2011-06-20 00:00:00 Yes 2013-05-16 00:00:00 2013-04-26 00:00:00 B None 2000 2000 -700 1300 0 None 00JP11 N CA00333624 C SFY2012-13
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2013-07-22 00:00:00 020010021 Open Citation Citation B (HSC 1424) Patient Care None 2013-01-22 00:00:00 2013-01-22 00:00:00 Yes 2013-08-12 00:00:00 2013-07-26 00:00:00 B None 2000 2000 0 0 2000 None 55LZ11 N CA00354369 B SFY2013-14
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2013-07-29 00:00:00 020010043 Closed Citation Citation A (HSC 1424) Patient Care None 2013-02-21 00:00:00 2013-02-21 00:00:00 No 2013-08-19 00:00:00 None A None 20000 20000 -7000 13000 0 None S5DM11 Y CA00351456 B SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010062 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010065 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010066 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010067 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010069 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010070 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010071 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 12:00:00 2011-09-16 12:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010073 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010075 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 12:00:00 2011-09-16 12:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010076 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 12:00:00 2011-09-16 12:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B B 2000 1300 0 1300 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010077 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010078 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010079 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010080 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010081 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 12:00:00 2011-09-16 12:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010082 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 12:00:00 2011-09-16 12:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010084 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 12:00:00 2011-09-16 12:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-13 00:00:00 020010085 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 00:00:00 2011-09-16 00:00:00 Yes 2013-09-04 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2013-08-14 00:00:00 020010086 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-16 12:00:00 2011-09-16 12:00:00 Yes 2013-09-05 00:00:00 2013-08-19 00:00:00 B Drop>Deficiency 2000 0 0 0 0 None 00JP11 N CA00333624 C SFY2013-14
020000630 SERRA RESIDENTIAL CENTER - CRESTWOOD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2013-09-27 00:00:00 020010162 Closed Citation Citation A (HSC 1424) Other Supvr During Dining 2013-04-13 00:00:00 2013-04-13 00:00:00 Yes 2013-10-18 00:00:00 2013-10-17 00:00:00 A A 20000 20000 0 20000 0 None 1CW411 N CA00351206, CA00352674 B, B SFY2013-14
140000686 ALAMEDA HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility East Bay 2013-10-21 00:00:00 020010227 Closed Citation Citation A (HSC 1424) Medication None 2012-09-27 00:00:00 2012-09-27 00:00:00 No 2013-11-12 00:00:00 None A None 16000 16000 -5600 10400 0 None W92N11 N CA00327621 B SFY2013-14
140000396 SHIELDS NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2013-11-20 00:00:00 020010274 Open Citation Citation B (HSC 1424) Patient Rights None 2013-04-17 00:00:00 2013-04-17 00:00:00 Yes 2013-12-13 00:00:00 2013-12-03 00:00:00 B None 2000 2000 0 0 2000 None ZM9Z11 N CA00367739 B SFY2013-14
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2013-12-06 00:00:00 020010295 Closed Citation Citation B (HSC 1424) Patient Care None 2013-09-14 00:00:00 2013-09-14 00:00:00 No 2013-12-30 00:00:00 None B None 1200 1200 -420 780 0 None 02CG11 N CA00371398 B SFY2013-14
630011713 BAYWOOD COURT HEALTH CENTER LTC SNF Skilled Nursing Facility East Bay 2014-01-17 00:00:00 020010385 Closed Citation Citation A (HSC 1424) Patient Care None 2013-09-27 00:00:00 2013-09-27 00:00:00 No 2014-02-10 00:00:00 None A None 20000 20000 -7000 13000 0 None 5DUB11 N CA00372321 B SFY2013-14
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2014-03-19 00:00:00 020010555 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach by person other than a h/c worker None 2013-10-31 23:00:00 2013-10-31 23:00:00 Yes 2014-04-10 00:00:00 2014-04-01 00:00:00 FTR BR FTR BR 2800 2900 0 2900 0 None LFXV11 None CA00380202 C SFY2013-14
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2014-03-19 00:00:00 020010556 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach by person other than a h/c worker None 2013-10-31 11:00:00 2013-10-31 11:00:00 Yes 2014-04-10 00:00:00 2014-04-01 00:00:00 FTR RES FTR RES 2400 2400 0 2400 0 None LFXV11 None CA00380202 C SFY2013-14
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2014-03-26 00:00:00 020010569 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2013-10-31 00:00:00 2013-10-31 00:00:00 Yes 2015-02-24 00:00:00 2015-02-05 00:00:00 AP BR AP BR 244700 119700 0 119700 0 None LFXV11 None CA00380202 C SFY2013-14
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2014-06-04 00:00:00 020010744 Closed Citation Citation B (HSC 1424) Physical Environment None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2014-06-25 00:00:00 None B None 2000 2000 0 2000 0 None DLCF11 N CA00398982 A SFY2013-14
020000053 CRESTWOOD MANOR - FREMONT LTC SNF Skilled Nursing Facility East Bay 2014-06-06 00:00:00 020010747 Closed Citation Citation A (HSC 1424) Patient Care None 2013-11-23 00:00:00 2013-11-23 00:00:00 Yes 2014-06-27 00:00:00 2014-06-16 00:00:00 A A 15000 10000 0 10000 0 None DLZS11 N CA00380844 C SFY2013-14
140000086 PLEASANTON NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2014-07-09 00:00:00 020010852 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-21 00:00:00 2013-04-21 00:00:00 No 2014-07-30 00:00:00 None B None 1350 1350 -472.5 877.5 0 None LF0Q11 N CA00390298 B SFY2014-15
630011713 BAYWOOD COURT HEALTH CENTER LTC SNF Skilled Nursing Facility East Bay 2014-07-14 00:00:00 020010855 Closed Citation Citation B (HSC 1424) Patient Care None 2013-08-05 00:00:00 2013-08-05 00:00:00 No 2014-08-04 00:00:00 None B None 1500 1500 -525 975 0 None VGE011 N CA00365105 B SFY2014-15
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2014-07-14 00:00:00 020010860 Closed Citation Citation B (HSC 1424) Patient Care None 2013-08-05 00:00:00 2013-08-05 00:00:00 No 2014-08-04 00:00:00 None B None 1000 1000 0 1000 0 None L6Z311 N CA00395930, CA00395981 B, B SFY2014-15
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2014-07-17 00:00:00 020010865 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-26 00:00:00 2014-04-26 00:00:00 No 2014-08-07 00:00:00 None B None 1500 1500 -525 975 0 None KE2B11 N CA00396949 B SFY2014-15
140000105 LONE TREE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2014-08-06 00:00:00 020010913 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2014-08-27 00:00:00 None B None 1500 1500 -525 975 0 None IY8211 N CA00397922 C SFY2014-15
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2014-08-14 00:00:00 020010932 Closed Citation Citation B (HSC 1424) Patient Care None 2014-03-26 00:00:00 2014-03-26 00:00:00 No 2014-09-05 00:00:00 None B None 1500 1500 -525 975 0 None OLBN11 N CA00393004 B SFY2014-15
020000070 ALL SAINT'S SUBACUTE & TRANSITIONAL CARE LTC SNF Skilled Nursing Facility East Bay 2014-09-24 00:00:00 020010964 Closed Citation Citation B (HSC 1424) Administration None 2014-07-19 00:00:00 2014-07-19 00:00:00 No 2014-10-15 00:00:00 None B None 1500 1500 -525 975 0 None NF2H11 N CA00406356 B SFY2014-15
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2014-09-03 00:00:00 020010969 Closed Citation Citation B (HSC 1424) Patient Care None 2014-03-25 00:00:00 2014-03-25 00:00:00 Yes 2014-09-24 00:00:00 2014-09-12 00:00:00 B B 1500 1100 0 1100 0 None GJUU11 N CA00392901 B SFY2014-15
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2014-09-26 00:00:00 020011017 Closed Citation Citation B (HSC 1424) Problem Transfer None 2014-06-27 00:00:00 2014-06-27 00:00:00 No 2014-10-17 00:00:00 None B None 1500 1500 0 1500 0 None DMY511 N CA00403890 B SFY2014-15
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2014-10-02 00:00:00 020011038 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-14 00:00:00 2014-07-14 00:00:00 No 2014-10-23 00:00:00 None B None 1500 1500 -525 975 0 None ZMT411 N CA00406001, CA00406007 B, B SFY2014-15
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2014-10-02 00:00:00 020011043 Closed Citation Citation B (HSC 1424) Patient Care None 2014-06-11 00:00:00 2014-06-11 00:00:00 No 2014-10-23 00:00:00 None B None 2000 2000 -700 1300 0 None 943N11 N CA00402314 C SFY2014-15
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2014-11-19 00:00:00 020011051 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-06-04 00:00:00 2014-06-04 00:00:00 No 2014-12-12 00:00:00 None B None 1500 1500 0 1500 0 None SRD811 N CA00401163, CA00401503 B, B SFY2014-15
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2014-10-09 00:00:00 020011061 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-17 00:00:00 2014-04-17 00:00:00 No 2014-10-30 00:00:00 None B None 1500 1500 0 1500 0 None D9U211 N CA00395447 C SFY2014-15
020000004 WISTERIA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2014-11-05 00:00:00 020011063 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-27 00:00:00 2014-05-27 00:00:00 No 2014-12-01 00:00:00 None B None 1500 1500 -525 975 0 None GQ2K11 N CA00398198 B SFY2014-15
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2014-11-04 00:00:00 020011101 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-08-27 00:00:00 2014-08-27 00:00:00 No 2014-11-26 00:00:00 None B None 1500 1500 0 1500 0 None B58Y11 N None None SFY2014-15
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2014-11-04 00:00:00 020011104 Closed Citation Citation B (HSC 1424) Patient Care None 2014-09-10 00:00:00 2014-09-10 00:00:00 No 2014-11-26 00:00:00 None B None 1500 1500 0 1500 0 None B58Y11 N None None SFY2014-15
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2014-11-06 00:00:00 020011113 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-09-30 00:00:00 2014-09-30 00:00:00 Yes 2014-12-02 00:00:00 2014-11-12 00:00:00 B B 1500 750 0 750 0 None X75411 N CA00415448 B SFY2014-15
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2014-11-25 00:00:00 020011135 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-19 00:00:00 2014-07-19 00:00:00 No 2014-12-18 00:00:00 None B None 1500 1500 -525 975 0 None 35X411 N CA00406812, CA00407545 B, C SFY2014-15
020000042 KAISER PERMANENTE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2014-12-03 00:00:00 020011148 Closed Citation Citation B (HSC 1424) Patient Care None 2014-08-16 00:00:00 2014-08-16 00:00:00 No 2014-12-24 00:00:00 None B None 1500 1500 -525 975 0 None K6K811 N CA00409788 B SFY2014-15
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2014-12-08 00:00:00 020011159 Closed Citation Citation B (HSC 1424) Patient Care None 2014-10-06 00:00:00 2014-10-06 00:00:00 No 2014-12-30 00:00:00 None B None 1200 1200 0 1200 0 None 2IQY11 N None None SFY2014-15
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2015-01-15 00:00:00 020011230 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-07 00:00:00 2014-03-07 00:00:00 No 2015-02-06 00:00:00 None B None 1000 1000 0 1000 0 None J9Y311 N None None SFY2014-15
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2015-02-13 00:00:00 020011276 Closed Citation Citation B (HSC 1424) Patient Care None 2014-09-13 00:00:00 2014-09-13 00:00:00 No 2015-03-09 00:00:00 None B None 2000 2000 -700 1300 0 None DGWP11 N CA00413465 C SFY2014-15
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2015-02-13 00:00:00 020011279 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-29 00:00:00 2014-07-29 00:00:00 No 2015-03-09 00:00:00 None B None 2000 2000 -700 1300 0 None KI0M11 N CA00408737 C SFY2014-15
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2015-03-18 00:00:00 020011346 Closed Citation Citation B (HSC 1424) Other Bed-Hold 2015-01-20 00:00:00 2015-01-20 00:00:00 No 2015-04-09 00:00:00 None B None 1500 1500 0 1500 0 None CF2C11 N CA00425383 B SFY2014-15
020000091 PIEDMONT GARDENS HEALTH FACILITY LTC SNF Skilled Nursing Facility East Bay 2015-03-23 00:00:00 020011347 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-01-01 00:00:00 2015-01-01 00:00:00 No 2015-04-14 00:00:00 None B None 1500 1500 -525 975 0 None 15UI11 N CA00425743 B SFY2014-15
020000091 PIEDMONT GARDENS HEALTH FACILITY LTC SNF Skilled Nursing Facility East Bay 2015-03-23 00:00:00 020011348 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-01-01 00:00:00 2015-01-01 00:00:00 No 2015-04-14 00:00:00 None B None 1500 1500 -525 975 0 None 15UI11 N CA00425743 B SFY2014-15
020000070 ALL SAINT'S SUBACUTE & TRANSITIONAL CARE LTC SNF Skilled Nursing Facility East Bay 2015-04-17 00:00:00 020011376 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-01-24 00:00:00 2015-01-24 00:00:00 No 2015-05-08 00:00:00 None B None 1500 1500 -525 975 0 None K62F11 N CA00428524 B SFY2014-15
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2015-06-25 00:00:00 020011522 Closed Citation Citation A (HSC 1424) Patient Record None 2014-09-16 00:00:00 2014-09-16 00:00:00 Yes 2015-07-16 00:00:00 2015-07-16 00:00:00 A A 18000 12000 0 12000 0 None 9GS911 N CA00415805 B SFY2014-15
140000092 ORINDA CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2015-06-10 00:00:00 020011532 Closed Citation Citation B (HSC 1424) Patient Care None 2015-02-07 00:00:00 2015-02-07 00:00:00 No 2015-07-01 00:00:00 None B None 1500 1500 0 1500 0 None IHM111 N CA00431329 B SFY2014-15
020000040 MASONIC HOME LTC SNF Skilled Nursing Facility East Bay 2015-06-25 00:00:00 020011580 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-20 00:00:00 2015-04-20 00:00:00 No 2015-07-16 00:00:00 None B None 1500 1500 -525 975 0 None F0SB11 N CA00440207 B SFY2014-15
020000053 CRESTWOOD MANOR - FREMONT LTC SNF Skilled Nursing Facility East Bay 2015-07-13 00:00:00 020011617 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-07-26 00:00:00 2014-07-26 00:00:00 Yes 2015-08-03 00:00:00 2015-07-15 00:00:00 AA AA 100000 50000 0 50000 0 None HLUU11 Y CA00407437 B SFY2015-16
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2015-08-12 00:00:00 020011660 Closed Citation Citation B (HSC 1424) Medication None 2015-05-16 00:00:00 2015-05-16 00:00:00 No 2015-09-02 00:00:00 None B None 1500 1500 -525 975 0 None 1P6O11 N CA00443272, CA00444127 B, B SFY2015-16
020000043 ALAMEDA HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2015-09-01 00:00:00 020011701 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-09 00:00:00 2015-04-09 00:00:00 Yes 2015-09-23 00:00:00 2015-09-08 00:00:00 B B 1500 965 0 965 0 None PLEU11 N CA00438405 C SFY2015-16
020000071 WINDSOR POST-ACUTE CARE CENTER OF HAYWARD LTC SNF Skilled Nursing Facility East Bay 2015-09-29 00:00:00 020011761 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-23 00:00:00 2014-05-23 00:00:00 Yes 2015-10-20 00:00:00 2015-10-15 00:00:00 B B 1500 975 0 975 0 None DXZN11 N CA00445243 B SFY2015-16
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2015-10-21 00:00:00 020011787 Closed Citation Citation B (HSC 1424) Immediate Jeopardy None 2015-08-07 00:00:00 2015-08-07 00:00:00 Yes 2015-11-12 00:00:00 2015-11-09 00:00:00 B B 1500 1125 0 1125 0 None 312111 N CA00454254, CA00454254 C, C SFY2015-16
020000043 ALAMEDA HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2015-11-04 00:00:00 020011824 Open Citation Citation B (HSC 1424) Patient Care None 2015-01-18 00:00:00 2015-01-18 00:00:00 Yes 2015-11-30 00:00:00 2015-11-05 00:00:00 B None 2000 2000 0 0 2000 None 6DJ511 Y CA00427921, CA00427921 B, B SFY2015-16
140000733 STONEBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2015-11-05 00:00:00 020011831 Closed Citation Citation B (HSC 1424) Patient Care None 2014-11-19 00:00:00 2014-11-19 00:00:00 No 2015-12-01 00:00:00 None B None 1000 1000 0 1000 0 None WO0I11 N CA00421787 B SFY2015-16
140000003 DELTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2015-11-16 00:00:00 020011841 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-02 00:00:00 2015-07-02 00:00:00 No 2015-12-09 00:00:00 None B None 1500 1500 -525 975 0 None WLO612 N CA00449165 B SFY2015-16
020000071 WINDSOR POST-ACUTE CARE CENTER OF HAYWARD LTC SNF Skilled Nursing Facility East Bay 2015-11-17 00:00:00 020011850 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-18 00:00:00 2015-03-18 00:00:00 No 2015-12-10 00:00:00 None B None 1500 1500 -525 975 0 None 46T911 N None None SFY2015-16
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2015-11-19 00:00:00 020011858 Closed Citation Citation B (HSC 1424) Patient Care None 2015-06-26 00:00:00 2015-06-26 00:00:00 No 2015-12-14 00:00:00 None B None 1500 4500 0 4500 0 None CZML11 N None None SFY2015-16
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2015-11-19 00:00:00 020011859 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-09 00:00:00 2015-07-09 00:00:00 No 2015-12-14 00:00:00 None B None 2000 2000 0 2000 0 None CZML11 N None None SFY2015-16
140000023 BAYBERRY SKILLED NURSING & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2015-12-21 00:00:00 020011891 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-07-08 00:00:00 2015-07-08 00:00:00 No 2016-01-13 00:00:00 None B None 1500 1500 -525 975 0 None P8XS11 N CA00449806 B SFY2015-16
140000023 BAYBERRY SKILLED NURSING & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2015-12-21 00:00:00 020011892 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-02-04 00:00:00 2015-02-04 00:00:00 No 2016-01-13 00:00:00 None B None 1500 1500 -525 975 0 None FW6U11 N CA00430910 B SFY2015-16
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2015-12-22 00:00:00 020011912 Closed Citation Citation B (HSC 1424) Patient Care None 2015-05-01 00:00:00 2015-05-01 00:00:00 No 2016-01-13 00:00:00 None B None 2000 2000 0 2000 0 None EOZR11 N None None SFY2015-16
140000574 ALHAMBRA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2016-05-31 00:00:00 020011913 Closed Citation Citation B (HSC 1424) Patient Care None 2015-02-08 00:00:00 2015-02-08 00:00:00 No 2016-06-21 00:00:00 None B None 1500 1500 -525 975 0 None Q1NH12 N None None SFY2015-16
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2015-12-22 00:00:00 020011914 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-16 00:00:00 2015-04-16 00:00:00 No 2016-01-13 00:00:00 None B None 2000 2000 0 2000 0 None EOZR11 N CA00438864, CA00439704, CA00440054, CA00441554, CA00442519, CA00442519 B, B, B, B, B, B SFY2015-16
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2015-12-22 00:00:00 020011915 Closed Citation Citation B (HSC 1424) Patient Care None 2015-05-02 00:00:00 2015-05-02 00:00:00 No 2016-01-13 00:00:00 None B None 2000 2000 0 2000 0 None EOZR11 N None None SFY2015-16
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2016-05-19 00:00:00 020011916 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-09-28 00:00:00 2015-09-28 00:00:00 No 2016-06-10 00:00:00 None B None 1500 1500 -525 975 0 None L8R911 N CA00459957 B SFY2015-16
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2016-01-13 00:00:00 020011957 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-20 00:00:00 2015-10-20 00:00:00 No 2016-02-04 00:00:00 None B None 1000 1000 0 1000 0 None MZ3811 N None None SFY2015-16
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2016-01-13 00:00:00 020011961 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-10-20 00:00:00 2015-10-20 00:00:00 No 2016-02-04 00:00:00 None B None 1000 1000 0 1000 0 None MZ3811 N CA00462737, CA00462737, CA00462737 B, B, B SFY2015-16
020000103 HAYWARD GARDENS POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2016-04-13 00:00:00 020012177 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-09 00:00:00 2015-10-09 00:00:00 Yes 2016-05-04 00:00:00 2016-05-02 00:00:00 B None 1500 1500 0 1500 0 None G9IQ11 Y CA00461776, CA00461776, CA00461776 B, B, B SFY2015-16
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2016-05-11 00:00:00 020012242 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-02-03 00:00:00 2016-02-03 00:00:00 No 2016-06-02 00:00:00 None B None 1500 1500 -525 975 0 None Y7V011 N CA00475056, CA00475056 B, B SFY2015-16
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2018-01-11 00:00:00 020012249 Closed Citation Citation B (HSC 1424) Physical Environment None 2015-12-22 00:00:00 2015-12-22 00:00:00 Yes 2018-02-02 00:00:00 2016-05-18 00:00:00 B B 1500 1200 0 1200 0 None SPP211 N CA00470038 B SFY2017-18
020000629 SUNSHINE ICF/DDH #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2016-06-16 00:00:00 020012337 Closed Citation Citation A (HSC 1424) Patient Care None 2015-03-20 00:00:00 2015-03-20 00:00:00 No 2016-07-08 00:00:00 None A None 15000 15000 -5250 9750 0 None 81EI11 N CA00436078, CA00436078, CA00436078, CA00436078 A, A, A, A SFY2015-16
020000043 ALAMEDA HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2016-08-24 00:00:00 020012394 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-14 00:00:00 2015-10-14 00:00:00 No 2016-09-15 00:00:00 None B None 2000 2000 0 2000 0 None IID511 N CA00480942 C SFY2016-17
020000071 WINDSOR POST-ACUTE CARE CENTER OF HAYWARD LTC SNF Skilled Nursing Facility East Bay 2016-10-26 00:00:00 020012675 Closed Citation Citation B (HSC 1424) Patient Care None 2015-12-01 00:00:00 2015-12-01 00:00:00 No 2016-11-17 00:00:00 None B None 1500 1500 -525 975 0 None RNDL11 N CA00468361 B SFY2016-17
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2016-10-26 00:00:00 020012676 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-09 00:00:00 2015-03-09 00:00:00 No 2016-11-17 00:00:00 None B None 1500 1500 0 1500 0 None WHHQ11 N CA00482987 B SFY2016-17
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2016-10-26 00:00:00 020012677 Closed Citation Citation B (HSC 1424) Patient Care None 2015-12-16 00:00:00 2015-12-16 00:00:00 No 2016-11-17 00:00:00 None B None 1500 1500 0 1500 0 None FMK911 N CA00469923 C SFY2016-17
020000037 EMMANUEL POST ACUTE CARE - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2016-10-26 00:00:00 020012678 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-30 00:00:00 2015-11-30 00:00:00 No 2016-11-17 00:00:00 None B None 1000 1000 0 1000 0 None PSN611 N CA00467748, CA00467748 C, C SFY2016-17
020000043 ALAMEDA HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2016-12-08 00:00:00 020012796 Closed Citation Citation B (HSC 1424) Other Abuse 2016-10-06 00:00:00 2016-10-06 00:00:00 No 2016-12-30 00:00:00 None B None 2000 2000 -700 1300 0 None PNZM11 N CA00506332 B SFY2016-17
630011713 BAYWOOD COURT HEALTH CENTER LTC SNF Skilled Nursing Facility East Bay 2017-01-19 00:00:00 020012887 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-04-28 00:00:00 2016-04-28 00:00:00 No 2017-02-09 00:00:00 None B None 1500 1500 -525 975 0 None F2ZE11 N CA00486488 A SFY2016-17
020000004 WISTERIA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-02-16 00:00:00 020012918 Closed Citation Citation B (HSC 1424) Patient Care None 2016-12-06 00:00:00 2016-12-06 00:00:00 No 2017-03-10 00:00:00 None B None 1200 1200 -420 780 0 None G1TU11 N None None SFY2016-17
020000048 CHAPARRAL HOUSE LTC SNF Skilled Nursing Facility East Bay 2018-09-28 00:00:00 020012919 Open Citation Citation B (HSC 1424) Immediate Jeopardy None 2016-11-28 00:00:00 2016-11-28 00:00:00 Yes 2018-10-19 00:00:00 2017-02-03 00:00:00 B None 1200 1200 0 0 1200 None RVP911 N CA00512605 A SFY2018-19
020000048 CHAPARRAL HOUSE LTC SNF Skilled Nursing Facility East Bay 2018-09-28 00:00:00 020012920 Open Citation Citation B (HSC 1424) Immediate Jeopardy None 2016-11-28 00:00:00 2016-11-28 00:00:00 Yes 2018-10-19 00:00:00 2017-02-03 00:00:00 B None 1200 1200 0 0 1200 None RVP911 N CA00512605 A SFY2018-19
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2017-02-08 00:00:00 020012945 Closed Citation Citation B (HSC 1424) Medication None 2016-08-25 00:00:00 2016-08-25 00:00:00 No 2017-03-02 00:00:00 None B None 1500 1500 0 1500 0 None EBVK11 N CA00502413 B SFY2016-17
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2017-03-24 00:00:00 020013060 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-17 00:00:00 2017-02-17 00:00:00 No 2017-04-17 00:00:00 None B None 2000 6000 0 0 6000 None W00P11 N CA00521108 A SFY2016-17
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-03-22 00:00:00 020013061 Closed Citation Citation B (HSC 1424) Immediate Jeopardy None 2017-03-01 00:00:00 2017-03-01 00:00:00 No 2017-04-13 00:00:00 None B None 1800 1800 -1800 0 0 None TQAC11 N CA00524465 A SFY2016-17
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-03-22 00:00:00 020013062 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-16 00:00:00 2017-02-16 00:00:00 No 2017-04-13 00:00:00 None B None 1000 1000 -1000 0 0 None SJPD11 N CA00523301, CA00523301 B, B SFY2016-17
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-03-22 00:00:00 020013063 Closed Citation Citation B (HSC 1424) Immediate Jeopardy None 2017-02-17 00:00:00 2017-02-17 00:00:00 No 2017-04-13 00:00:00 None B None 1500 1500 -1500 0 0 None 7EGO11 N CA00521737 B SFY2016-17
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2017-03-22 00:00:00 020013072 Open Citation Citation B (HSC 1424) Other Quality of care 2016-11-16 00:00:00 2016-11-16 00:00:00 No 2017-04-13 00:00:00 None B None 2000 2000 0 0 2000 None B3I511 N CA00511482 B SFY2016-17
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2017-03-22 00:00:00 020013073 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-23 00:00:00 2016-09-23 00:00:00 No 2017-04-13 00:00:00 None B None 2000 2050 0 0 2050 None 1QT711 N CA00524765 A SFY2016-17
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2017-03-22 00:00:00 020013074 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-20 00:00:00 2017-02-20 00:00:00 No 2017-04-13 00:00:00 None B None 2000 2000 0 0 2000 None 2N9311 N CA00523163 A SFY2016-17
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2017-03-24 00:00:00 020013075 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-23 00:00:00 2016-09-23 00:00:00 No 2017-04-17 00:00:00 None B None 2000 6000 0 0 6000 None 1QT711 N CA00524765 A SFY2016-17
020000065 WE CARE SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility East Bay 2017-03-22 00:00:00 020013076 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-20 00:00:00 2017-02-20 00:00:00 No 2017-04-13 00:00:00 None B None 2000 2000 0 0 2000 None 2N9311 N CA00523163 A SFY2016-17
020000808 MORTON BAKAR CENTER LTC SNF Skilled Nursing Facility East Bay 2017-03-27 00:00:00 020013082 Closed Citation Citation B (HSC 1424) Immediate Jeopardy None 2016-05-30 00:00:00 2016-05-30 00:00:00 No 2017-04-18 00:00:00 None B None 2000 2000 0 2000 0 None FXHD11 N CA00490574 B SFY2016-17
020000808 MORTON BAKAR CENTER LTC SNF Skilled Nursing Facility East Bay 2017-03-27 00:00:00 020013083 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-05-30 00:00:00 2016-05-30 00:00:00 Yes 2017-04-18 00:00:00 2017-04-24 00:00:00 B B 2000 2000 0 2000 0 None FXHD11 N CA00490574 B SFY2016-17
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-05-02 00:00:00 020013171 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-01 00:00:00 2017-03-01 00:00:00 No 2017-05-23 00:00:00 None B None 1200 1200 -420 780 0 None 066V11 N CA00524759 A SFY2016-17
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2017-05-01 00:00:00 020013173 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-28 00:00:00 2016-09-28 00:00:00 No 2017-05-22 00:00:00 None B None 1200 1200 -420 780 0 None IO6311 N CA00505457 B SFY2016-17
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2017-05-15 00:00:00 020013197 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-04-12 00:00:00 2017-04-12 00:00:00 No 2017-06-06 00:00:00 None B None 2000 2550 0 2550 0 None 4GV011 N CA00532158 A SFY2016-17
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2018-01-16 00:00:00 020013332 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-25 00:00:00 2017-03-25 00:00:00 No 2018-02-06 00:00:00 None B None 1200 1200 -420 780 0 None F4EF11 N CA00528577 B SFY2017-18
020000112 KYAKAMEENA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-10-03 00:00:00 020013333 Closed Citation Citation B (HSC 1424) Medication None 2016-03-24 00:00:00 2016-03-24 00:00:00 No 2017-10-24 00:00:00 None B None 1500 1500 0 1500 0 None NLPT11 N None None SFY2017-18
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2017-08-01 00:00:00 020013386 Closed Citation Citation B (HSC 1424) Medication None 2017-02-14 00:00:00 2017-02-14 00:00:00 No 2017-08-22 00:00:00 None B None 2000 2000 -700 1300 0 None GPGO11 N CA00523456 B SFY2017-18
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2017-08-01 00:00:00 020013393 Closed Citation Citation B (HSC 1424) Patient Care None 2017-04-09 00:00:00 2017-04-09 00:00:00 No 2017-08-22 00:00:00 None B None 2000 2000 -700 1300 0 None FBUO11 N CA00531749 B SFY2017-18
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2017-08-01 00:00:00 020013395 Closed Citation Citation B (HSC 1424) Physical Environment None 2017-05-18 00:00:00 2017-05-18 00:00:00 No 2017-08-22 00:00:00 None B None 2000 2000 -700 1300 0 None M8I311 N CA00535936 A SFY2017-18
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2017-08-01 00:00:00 020013399 Closed Citation Citation B (HSC 1424) Other Resident Abuse 2017-06-03 00:00:00 2017-06-03 00:00:00 No 2017-08-22 00:00:00 None B None 1500 1500 0 1500 0 None 33DS11 N CA00538741 B SFY2017-18
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2017-08-07 00:00:00 020013410 Closed Citation Citation AA (HSC 1424) Patient Care None 2015-10-28 00:00:00 2015-10-28 00:00:00 No 2017-08-28 00:00:00 None AA None 100000 100000 -35000 65000 0 None RVFM11 Y CA00463984 B SFY2017-18
020000133 DRIFTWOOD HEALTHCARE CENTER - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2017-08-17 00:00:00 020013416 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-12 00:00:00 2017-06-12 00:00:00 No 2017-09-08 00:00:00 None B None 2000 2000 0 2000 0 None 38YG11 N CA00539698 C SFY2017-18
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2017-08-23 00:00:00 020013446 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-16 00:00:00 2017-05-16 00:00:00 No 2017-09-14 00:00:00 None B None 1500 1500 -525 975 0 None L4B011 N CA00536050 B SFY2017-18
140000105 LONE TREE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2017-08-25 00:00:00 020013450 Closed Citation Citation B (HSC 1424) Patient Care None 2016-08-11 00:00:00 2016-08-11 00:00:00 Yes 2017-09-18 00:00:00 2017-09-14 00:00:00 B B 1500 1500 0 1500 0 None 9QFC11 N CA00499461 B SFY2017-18
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-09-06 00:00:00 020013456 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-24 00:00:00 2017-05-24 00:00:00 No 2017-09-27 00:00:00 None B None 1500 1500 0 1500 0 None CFKC11 N CA00537782 C SFY2017-18
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-10-18 00:00:00 020013549 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-20 00:00:00 2017-08-20 00:00:00 No 2017-11-08 00:00:00 None B None 2000 6000 -2100 3900 0 None BH9411 N CA00549994 B SFY2017-18
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2017-10-27 00:00:00 020013578 Open Citation Citation A (HSC 1424) Medication None 2017-07-24 00:00:00 2017-07-24 00:00:00 Yes 2017-11-20 00:00:00 2017-11-03 00:00:00 A None 10000 10000 0 0 10000 None H85F11 N CA00546644 B SFY2017-18
140001338 WINGS I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2017-12-14 00:00:00 020013595 Closed Citation Citation B (HSC 1424) Administration None 2017-02-15 00:00:00 2017-02-15 00:00:00 No 2018-01-08 00:00:00 None B None 2000 2000 -700 1300 0 None XFB611 N None None SFY2017-18
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2017-11-15 00:00:00 020013620 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-11 00:00:00 2017-08-11 00:00:00 No 2017-12-08 00:00:00 None B None 1000 1000 -350 650 0 None F4S411 N CA00548743, CA00550053 B, B SFY2017-18
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2018-01-16 00:00:00 020013736 Closed Citation Citation B (HSC 1424) Physical Environment None 2017-10-29 00:00:00 2017-10-29 00:00:00 No 2018-02-06 00:00:00 None B None 1000 1000 -350 650 0 None JS4J11 N CA00558901 A SFY2017-18
020000124 FRUITVALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2018-03-14 00:00:00 020013900 Open Citation Citation B (HSC 1424) Physical Environment None 2017-11-17 00:00:00 2017-11-17 00:00:00 Yes 2018-04-04 00:00:00 2018-04-04 00:00:00 B B 2000 1600 0 0 1600 None ZPZT11 N CA00561993 C SFY2017-18
140000081 MORAGA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2018-03-23 00:00:00 020013929 Closed Citation Citation B (HSC 1424) Patient Care None 2018-02-03 00:00:00 2018-02-03 00:00:00 No 2018-04-13 00:00:00 None B None 1200 1200 -420 780 0 None RMVI11 N CA00573427 A SFY2017-18
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2018-03-29 00:00:00 020013932 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-18 00:00:00 2017-06-18 00:00:00 No 2018-04-19 00:00:00 None B None 1500 1500 0 1500 0 None FUOJ11 N CA00540528 B SFY2017-18
140000092 ORINDA CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2018-04-03 00:00:00 020013953 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-26 00:00:00 2018-01-26 00:00:00 Yes 2018-04-24 00:00:00 2018-04-20 00:00:00 B B 1500 1100 0 1100 0 None E52S11 N CA00572086 A SFY2017-18
020000880 OAKLAND HEIGHTS NURSING AND REHABILITATION LTC SNF Skilled Nursing Facility East Bay 2018-04-16 00:00:00 020014000 Closed Citation Citation B (HSC 1424) Other neglect 2017-12-18 00:00:00 2017-12-18 00:00:00 No 2018-05-07 00:00:00 None B None 1000 1000 0 1000 0 None 2UFM11 N CA00570002 B SFY2017-18
140001362 HAPPY VALLEY #6 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2018-05-30 00:00:00 020014088 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-22 00:00:00 2017-11-22 00:00:00 No 2018-06-20 00:00:00 None B None 1500 1500 -525 975 0 None 2LBZ11 Y CA00562937 B SFY2017-18
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2018-09-18 00:00:00 020014417 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-08-28 00:00:00 2018-08-28 00:00:00 No 2018-10-09 00:00:00 None B None 2000 2700 -700 2000 0 None W7C211 N CA00601681 A SFY2018-19
140000092 ORINDA CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2018-10-04 00:00:00 020014448 Closed Citation Citation B (HSC 1424) Other Accidents 2018-07-30 00:00:00 2018-07-30 00:00:00 No 2018-10-25 00:00:00 None B None 2000 2000 0 2000 0 None 1J8D11 N CA00598014, CA00599197, CA00599197 B, B, B SFY2018-19
020000112 KYAKAMEENA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2018-10-04 00:00:00 020014454 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-05-14 00:00:00 2018-05-14 00:00:00 Yes 2018-10-25 00:00:00 2018-10-22 00:00:00 B B 2000 1600 0 1600 0 None GODY11 N CA00587286, CA00588942 A, B SFY2018-19
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2018-10-18 00:00:00 020014507 Open Citation Citation B (HSC 1424) Problem Transfer None 2018-09-18 00:00:00 2018-09-18 00:00:00 Yes 2018-11-08 00:00:00 2018-10-25 00:00:00 B None 2000 2600 0 0 2600 None IC3G11 N CA00607724 A SFY2018-19
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2018-11-15 00:00:00 020014579 Closed Citation Citation B (HSC 1424) Other Resident Abuse 2018-09-09 00:00:00 2018-09-09 00:00:00 No 2018-12-10 00:00:00 None B None 2000 2000 -700 1300 0 None 7N7C11 N CA00603640 B SFY2018-19
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2018-12-13 00:00:00 020014621 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-13 00:00:00 2018-08-13 00:00:00 No 2019-01-04 00:00:00 None B None 2000 2000 0 2000 0 None Q18L11 N CA00599761 B SFY2018-19
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2018-12-07 00:00:00 020014632 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-11-18 00:00:00 2018-11-18 00:00:00 Yes 2018-12-31 00:00:00 2018-12-19 00:00:00 B None 1500 3950 -2450 1500 0 None 7DTE11 N CA00612625 A SFY2018-19
020000037 EMMANUEL POST ACUTE CARE - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2019-01-10 00:00:00 020014714 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-04 00:00:00 2018-09-04 00:00:00 No 2019-01-31 00:00:00 None B None 1000 1000 -350 650 0 None VCJK11 N CA00602770 B SFY2018-19
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2019-01-31 00:00:00 020014724 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-11-18 00:00:00 2018-11-18 00:00:00 No 2019-02-21 00:00:00 None B None 1000 1000 0 1000 0 None 2ZJ511 N CA00613394, CA00613498 A, A SFY2018-19
020000125 GARFIELD NEUROBEHAVIORAL CENTER LTC SNF Skilled Nursing Facility East Bay 2019-02-28 00:00:00 020014837 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-08 00:00:00 2018-12-08 00:00:00 No 2019-03-21 00:00:00 None B None 2000 6000 0 6000 0 None 1G5F11 N CA00615215 A SFY2018-19
020000040 MASONIC HOME LTC SNF Skilled Nursing Facility East Bay 2019-03-06 00:00:00 020014847 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-09 00:00:00 2018-09-09 00:00:00 Yes 2019-03-27 00:00:00 2019-03-22 00:00:00 A A 15000 10000 0 10000 0 None LSSN11 N CA00603352, CA00611253 B, B SFY2018-19
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2019-04-16 00:00:00 020014950 Closed Citation Citation B (HSC 1424) Other ACCIDENTS 2018-11-15 00:00:00 2018-11-15 00:00:00 No 2019-05-07 00:00:00 None B None 1800 1800 -630 1170 0 None GYK911 N CA00612205, CA00612205, CA00612205, CA00612347, CA00612347, CA00612347 B, B, B, B, B, B SFY2018-19
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2019-06-11 00:00:00 020015057 Open Citation Citation B (HSC 1424) Patient Rights None 2019-03-14 00:00:00 2019-03-14 00:00:00 Yes 2019-07-02 00:00:00 2019-07-02 00:00:00 B None 2000 2000 0 0 2000 None W7D811 N CA00628755 B SFY2018-19
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2019-05-14 00:00:00 020015072 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-30 00:00:00 2018-11-30 00:00:00 Yes 2019-06-04 00:00:00 2019-05-29 00:00:00 B B 2000 1600 0 1600 0 None 1U1711 N None None SFY2018-19
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2019-06-06 00:00:00 020015124 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-05-21 00:00:00 2019-05-21 00:00:00 No 2019-06-27 00:00:00 None B None 1500 2450 0 2450 0 None RMC411 N CA00638487 A SFY2018-19
020000020 WINDSOR COUNTRY DRIVE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2019-06-06 00:00:00 020015131 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-12 00:00:00 2019-02-12 00:00:00 No 2019-06-27 00:00:00 None B None 2000 2000 -700 1300 0 None 5HNW11 N CA00624624 B SFY2018-19
020000276 CANYON CREEK POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2019-06-10 00:00:00 020015135 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-15 00:00:00 2019-02-15 00:00:00 No 2019-07-01 00:00:00 None B None 2000 2000 -700 1300 0 None XZEY11 N CA00625626 B SFY2018-19
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2019-06-13 00:00:00 020015138 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-07 00:00:00 2019-04-07 00:00:00 No 2019-07-04 00:00:00 None B None 1500 1500 -525 975 0 None 5UFL11 N CA00633682 B SFY2018-19
020000047 HAYWARD HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2019-06-25 00:00:00 020015176 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-30 00:00:00 2019-04-30 00:00:00 No 2019-07-16 00:00:00 None B None 1500 1500 0 1500 0 None M4ZF11 N CA00635860 B SFY2018-19
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2019-06-21 00:00:00 020015189 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-28 00:00:00 2018-12-28 00:00:00 No 2019-07-12 00:00:00 None B None 1000 1000 0 1000 0 None SU9811 N None None SFY2018-19
020000064 ST. PAUL'S TOWERS LTC SNF Skilled Nursing Facility East Bay 2019-07-11 00:00:00 020015226 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-25 00:00:00 2018-08-25 00:00:00 No 2019-08-01 00:00:00 None B None 1500 1500 0 1500 0 None 6BBX11 N CA00604402 B SFY2019-20
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2019-08-12 00:00:00 020015295 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-09-02 00:00:00 None B None 2000 2000 -700 1300 0 None 7M4911 N CA00617676 B SFY2019-20
020000053 CRESTWOOD MANOR - FREMONT LTC SNF Skilled Nursing Facility East Bay 2019-10-15 00:00:00 020015432 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-05-09 00:00:00 2019-05-09 00:00:00 Yes 2019-11-05 00:00:00 2019-10-17 00:00:00 B None 2000 2000 0 0 2000 None G1WC11 N CA00637045, CA00637045 A, A SFY2019-20
020000010 ASHBY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2019-11-06 00:00:00 020015513 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-12 00:00:00 2019-09-12 00:00:00 No 2019-11-27 00:00:00 None A None 15000 15000 0 15000 0 None FPWP11 Y None None SFY2019-20
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2019-11-13 00:00:00 020015531 Open Citation Citation B (HSC 1424) Other Admit/Transfer/Discharge 2019-09-28 00:00:00 2019-09-28 00:00:00 Yes 2019-12-06 00:00:00 2019-12-06 00:00:00 B None 2000 2000 0 0 2000 None NUYY11 N CA00657091 A SFY2019-20
020000091 PIEDMONT GARDENS HEALTH FACILITY LTC SNF Skilled Nursing Facility East Bay 2020-02-27 00:00:00 020015714 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-29 00:00:00 2019-04-29 00:00:00 No 2020-03-19 00:00:00 None B None 1500 1500 -525 975 0 None 6EXP11 N CA00635856, CA00635856 B, B SFY2019-20
630015449 ELGIN CARE CENTER LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2020-02-28 00:00:00 020015768 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-20 00:00:00 2018-10-20 00:00:00 No 2020-03-20 00:00:00 None B None 1500 1500 -1500 0 0 None CHES11 N CA00609813, CA00609813 B, B SFY2019-20
020000116 EAST BAY POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2020-03-04 00:00:00 020015775 Closed Citation Citation AA (HSC 1424) Patient Care None 2019-03-21 00:00:00 2019-03-21 00:00:00 No 2020-03-25 00:00:00 None AA None 75000 75000 -26250 48750 0 None 4CXP11 Y CA00630570, CA00630570, CA00630570, CA00630570 B, B, B, B SFY2019-20
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2020-10-19 00:00:00 020016104 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-09-14 00:00:00 2020-09-14 00:00:00 No 2020-11-09 00:00:00 None B None 2000 2000 0 2000 0 None 865J11 N CA00705379 A SFY2020-21
140000092 ORINDA CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2021-01-21 00:00:00 020016244 Closed Citation Citation B (HSC 1424) Other IMMEDIATE JEOPARDY 2020-04-09 00:00:00 2020-04-09 00:00:00 Yes 2021-02-11 00:00:00 2021-02-03 00:00:00 B B 2000 1700 0 1700 0 None 3GXG11 N CA00684414, CA00684813 A, A SFY2020-21
140000092 ORINDA CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2021-01-21 00:00:00 020016245 Closed Citation Citation B (HSC 1424) Other IMMEDIATE JEOPARDY 2020-09-13 00:00:00 2020-09-13 00:00:00 Yes 2021-02-11 00:00:00 2021-02-03 00:00:00 B B 2000 1700 0 1700 0 None 26NW11 N CA00705244 A SFY2020-21
140000092 ORINDA CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2021-01-21 00:00:00 020016246 Closed Citation Citation B (HSC 1424) Other IMMEDIATE JEOPARDY 2020-09-13 00:00:00 2020-09-13 00:00:00 Yes 2021-02-11 00:00:00 2021-02-03 00:00:00 B B 2000 1700 0 1700 0 None 26NW11 N CA00705244 A SFY2020-21
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2021-01-26 00:00:00 020016249 Open Citation Citation B (HSC 1424) Other IMMEDIATE JEOPARDY 2020-04-29 00:00:00 2020-04-29 00:00:00 Yes 2021-02-17 00:00:00 2021-02-03 00:00:00 B None 2000 2000 0 0 2000 None H5JY11 N CA00686849 A SFY2020-21
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-05-14 00:00:00 020016494 Closed Citation Citation B (HSC 1424) Other Immediate Jeopardy 2021-02-04 00:00:00 2021-02-04 00:00:00 No 2021-06-07 00:00:00 None B None 2000 2000 0 2000 0 None 3OMK11 N CA00724234 A SFY2020-21
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-06-24 00:00:00 020016630 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-06 00:00:00 2021-02-06 00:00:00 Yes 2021-07-15 00:00:00 2021-07-20 00:00:00 B B 2000 1800 0 1800 0 None NZ4611 N CA00725815 B SFY2020-21
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-07-21 00:00:00 020016732 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-01-01 00:00:00 2020-01-01 00:00:00 No 2021-08-11 00:00:00 None B None 2000 2000 0 2000 0 None MTQJ11 N CA00670253, CA00670256, CA00670414 B, B, B SFY2021-22
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-08-24 00:00:00 020016839 Closed Citation Citation B (HSC 1424) Other Immediate Jeopardy 2021-06-28 00:00:00 2021-06-28 00:00:00 No 2021-09-15 00:00:00 None B None 2000 2000 0 2000 0 None HB9011 N None None SFY2021-22
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-09-13 00:00:00 020016900 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-02-16 00:00:00 2021-02-16 00:00:00 No 2021-10-04 00:00:00 None B None 2000 2000 0 2000 0 None B7TO11 N CA00726063 B SFY2021-22
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2021-10-29 00:00:00 020017045 Closed Citation Citation B (HSC 1424) Other Neglect 2021-03-31 00:00:00 2021-03-31 00:00:00 No 2021-11-22 00:00:00 None B None 2000 2000 -700 1300 0 None CFEH11 N CA00732609 B SFY2021-22
020000043 ALAMEDA HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2021-11-30 00:00:00 020017137 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-04-28 00:00:00 2021-04-28 00:00:00 No 2021-12-21 00:00:00 None B None 2000 2000 0 2000 0 None SVJG11 N CA00737983, CA00737983, CA00737983 B, B, B SFY2021-22
140000733 STONEBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-12-13 00:00:00 020017184 Closed Citation Citation B (HSC 1424) Other Accidents 2021-06-19 00:00:00 2021-06-19 00:00:00 No 2022-01-03 00:00:00 None B None 2000 2000 -700 1300 0 None 1PDK11 N CA00741128 B SFY2021-22
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2022-03-09 00:00:00 020017462 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-02-02 00:00:00 2022-02-02 00:00:00 Yes 2022-03-30 00:00:00 2022-03-23 00:00:00 B B 2000 1600 0 1600 0 None 6T2N11 N CA00774257 A SFY2021-22
020000132 FREMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-04-06 00:00:00 020017543 Closed Citation Citation B (HSC 1424) Medication None 2020-10-10 00:00:00 2020-10-10 00:00:00 No 2022-04-27 00:00:00 None B None 2000 2000 0 2000 0 None KZKP11 N CA00732346, CA00732346 B, B SFY2021-22
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2022-05-25 00:00:00 020017661 Closed Citation Citation B (HSC 1424) Other Immediate Jeopardy 2022-03-28 00:00:00 2022-03-28 00:00:00 No 2022-06-16 00:00:00 None B None 2000 2000 0 2000 0 None RCFN11 N CA00778798 A SFY2021-22
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-07-12 00:00:00 020017770 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-04-27 00:00:00 2022-04-27 00:00:00 No 2022-08-02 00:00:00 None B None 2000 2000 0 2000 0 None 7RP711 N CA00782486 A SFY2022-23
140001126 TICE VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2022-07-26 00:00:00 020017814 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-06 00:00:00 2020-11-06 00:00:00 No 2022-08-16 00:00:00 None B None 2000 2000 -700 1300 0 None 9TWP11 N CA00700281, CA00700281 B, B SFY2022-23
020000005 ST ANTHONY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-08-23 00:00:00 020017908 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-01-05 00:00:00 2022-01-05 00:00:00 No 2022-09-14 00:00:00 None B None 2000 2000 0 2000 0 None U65211 N CA00767848, CA00767848, CA00768215 A, A, A SFY2022-23
020000036 MISSION VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2022-09-08 00:00:00 020017934 Closed Citation Citation B (HSC 1424) Other Immediate Jeopardy 2022-04-24 00:00:00 2022-04-24 00:00:00 No 2022-09-29 00:00:00 None B None 2000 2000 -700 1300 0 None 7NTZ11 N CA00782248 B SFY2022-23
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-09-12 00:00:00 020017935 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-08 00:00:00 2022-02-08 00:00:00 No 2022-10-03 00:00:00 None B None 2000 2000 -700 1300 0 None W83E11 N CA00761629, CA00761629, CA00761629, CA00761629 B, B, B, B SFY2022-23
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-02-02 00:00:00 020018071 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-30 00:00:00 2021-06-30 00:00:00 No 2023-02-24 00:00:00 None A None 10000 10000 0 10000 0 None RD7J11 Y CA00743194 C SFY2022-23
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-10-19 00:00:00 020018089 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2022-06-20 00:00:00 2022-06-20 00:00:00 No 2022-11-09 00:00:00 None WF None 3500 3500 -1225 2275 0 None DS8X11 None CA00782163, CA00782163 B, B SFY2022-23
020000124 FRUITVALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-12-08 00:00:00 020018215 Open Citation Citation A (HSC 1424) Patient Care None 2021-12-28 00:00:00 2021-12-28 00:00:00 Yes 2022-12-29 00:00:00 2022-12-27 00:00:00 A None 2000 2000 0 0 2000 None VNUI11 N CA00767879 B SFY2022-23
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-01-24 00:00:00 020018316 Closed Citation Citation B (HSC 1424) Patient Care None 2022-10-23 00:00:00 2022-10-23 00:00:00 No 2023-02-14 00:00:00 None B None 2000 2000 0 2000 0 None 6O0F11 N CA00808806 B SFY2022-23
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2023-02-10 00:00:00 020018398 Closed Citation Citation B (HSC 1424) Other Dietary 2022-12-12 00:00:00 2022-12-12 00:00:00 No 2023-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None 974U11 N None None SFY2022-23
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2023-02-10 00:00:00 020018399 Closed Citation Citation B (HSC 1424) Other Dietary 2022-12-15 00:00:00 2022-12-15 00:00:00 No 2023-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None 974U11 N None None SFY2022-23
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2023-02-10 00:00:00 020018400 Closed Citation Citation B (HSC 1424) Other Dietary 2022-12-13 00:00:00 2022-12-13 00:00:00 No 2023-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None 974U11 N None None SFY2022-23
020000074 SERENETHOS CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2023-05-04 00:00:00 020018713 Closed Citation Citation B (HSC 1424) Other Accidents 2023-02-09 00:00:00 2023-02-09 00:00:00 No 2023-05-25 00:00:00 None B None 2000 2000 -700 1300 0 None EG0G11 N CA00826647 A SFY2022-23
140000105 LONE TREE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2023-07-14 00:00:00 020018948 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-04 00:00:00 2023-04-04 00:00:00 No 2023-08-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4MT11 N CA00837382 B SFY2023-24
020000090 EDEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-08-02 00:00:00 020019018 Closed Citation Citation B (HSC 1424) Other ACCIDENTS 2023-02-18 00:00:00 2023-02-18 00:00:00 No 2023-08-23 00:00:00 None B None 2000 2000 -700 1300 0 None UKYJ11 N CA00827979, CA00828006 B, B SFY2023-24
140000564 DIAMOND RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-10-09 00:00:00 020019228 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-08-17 00:00:00 2023-08-17 00:00:00 No 2023-10-30 00:00:00 None B None 2000 2000 -700 1300 0 None CWPK11 N CA00856314 A SFY2023-24
020000053 CRESTWOOD MANOR - FREMONT LTC SNF Skilled Nursing Facility East Bay 2023-10-16 00:00:00 020019251 Closed Citation Citation B (HSC 1424) Other Accidents 2021-11-30 00:00:00 2021-11-30 00:00:00 No 2023-11-06 00:00:00 None B None 2000 2000 -700 1300 0 None N0DR11 N CA00763500 B SFY2023-24
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2023-10-23 00:00:00 020019274 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-01 00:00:00 2023-09-01 00:00:00 Yes 2023-11-14 00:00:00 2023-11-07 00:00:00 B None 2000 2000 0 0 2000 None FBI711 N None None SFY2023-24
020000112 KYAKAMEENA CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-11-15 00:00:00 020019280 Closed Citation Citation B (HSC 1424) Patient Care None 2023-09-08 00:00:00 2023-09-08 00:00:00 No 2023-12-08 00:00:00 None B None 2000 2000 0 2000 0 None KOUF11 N CA00859624, CA00859624 B, B SFY2023-24
020000100 MERCY RETIREMENT & CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-12-21 00:00:00 020019513 Open Citation Citation B (HSC 1424) Patient Care None 2023-06-09 00:00:00 2023-06-09 00:00:00 No 2024-01-12 00:00:00 None B None 2000 2000 0 1300 700 None E0ZW11 N None None SFY2023-24
020000100 MERCY RETIREMENT & CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-12-21 00:00:00 020019521 Open Citation Citation B (HSC 1424) Physical Environment None 2023-06-09 00:00:00 2023-06-09 00:00:00 No 2024-01-12 00:00:00 None B None 2000 2000 0 1300 700 None E0ZW11 N None None SFY2023-24
020000114 LAKE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2024-01-03 00:00:00 020019535 Closed Citation Citation B (HSC 1424) Dietary Dietary 2023-10-24 00:00:00 2023-10-24 00:00:00 No 2024-01-24 00:00:00 None B None 2000 2000 0 2000 0 None L20K11 N None None SFY2023-24
630014957 STRATFORD VILLA POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2024-02-06 00:00:00 020019681 Open Citation Citation A (HSC 1424) Patient Care None 2022-07-05 00:00:00 2022-07-05 00:00:00 Yes 2024-02-27 00:00:00 2024-02-23 00:00:00 A None 25000 25000 0 0 25000 None ZHN111 Y CA00837686, CA00837686, CA00837686 B, B, B SFY2023-24
030001004 AMERICAN RIVER CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-01-14 00:00:00 030001995 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-31 00:00:00 None Yes 2000-02-10 00:00:00 2000-01-31 00:00:00 A A 8000 8000 -6000 2000 0 030013795 A99999 N None None SFY1999-00
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-01-25 00:00:00 030001997 Closed Citation Citation A (HSC 1424) Patient Care None 1999-09-01 00:00:00 None No 2000-02-17 00:00:00 None A None 10000 10000 -3500 6500 0 030013842 A99999 N None None SFY1999-00
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-02-23 00:00:00 030002000 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT 1999-10-15 00:00:00 None No 2000-03-16 00:00:00 None B None 800 800 -280 520 0 030013925 A99999 N None None SFY1999-00
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2000-03-22 00:00:00 030002003 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2000-02-15 00:00:00 None Yes 2000-04-17 00:00:00 2000-03-28 00:00:00 B None 800 800 0 800 0 030013976 A99999 N None None SFY1999-00
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-03-23 00:00:00 030002004 Closed Citation Citation A (HSC 1424) Other ABUSE 1999-12-28 00:00:00 None No 2000-04-17 00:00:00 None A None 8000 8000 -2800 5200 0 030013982 A99999 N None None SFY1999-00
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-03-23 00:00:00 030002005 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-28 00:00:00 None No 2000-04-17 00:00:00 None B None 800 800 -280 520 0 030013987 A99999 N None None SFY1999-00
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2000-04-14 00:00:00 030002009 Closed Citation Citation A (HSC 1424) Patient Care None 1999-09-26 00:00:00 None No 2000-05-05 00:00:00 None A None 6500 6500 0 6500 0 030014062 A99999 N None None SFY1999-00
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2000-04-14 00:00:00 030002010 Closed Citation Citation A (HSC 1424) Patient Care None 1999-09-26 00:00:00 None No 2000-05-05 00:00:00 None A None 6500 6500 0 6500 0 030014061 A99999 N None None SFY1999-00
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2000-05-03 00:00:00 030002013 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-05 00:00:00 None Yes 2000-05-31 00:00:00 2000-05-22 00:00:00 A A 8000 8000 -6400 1600 0 030014121 A99999 N None None SFY1999-00
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2000-05-03 00:00:00 030002014 Closed Citation Citation A (HSC 1424) Staffing None 1999-12-05 00:00:00 None No 2000-05-31 00:00:00 None A A Trebled 8000 24000 -12000 12000 0 030014122 A99999 N None None SFY1999-00
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2000-05-03 00:00:00 030002015 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-03 00:00:00 None Yes 2000-05-24 00:00:00 2000-05-22 00:00:00 A A 8000 5150 -150 5000 0 030014123 A99999 N None None SFY1999-00
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2000-06-05 00:00:00 030002020 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-27 00:00:00 None Yes 2000-07-12 00:00:00 2000-06-12 00:00:00 A A 8000 8000 -6000 2000 0 030014156 A99999 N None None SFY1999-00
030001202 CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Fresno 2000-05-31 00:00:00 030002021 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-31 00:00:00 None Yes 2000-06-29 00:00:00 2000-06-16 00:00:00 A B 6000 6000 0 6000 0 030014238 A99999 N None None SFY1999-00
030001202 CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Fresno 2000-05-31 00:00:00 030002022 Closed Citation Citation A (HSC 1424) Medication None 1999-12-30 00:00:00 None Yes 2000-07-11 00:00:00 2000-06-20 00:00:00 A A 6000 5000 0 5000 0 030014237 A99999 N None None SFY1999-00
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-07-17 00:00:00 030002029 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-16 00:00:00 None Yes 2000-08-11 00:00:00 2000-07-26 00:00:00 A A 10000 10000 -8000 2000 0 None 999999 N None None SFY2000-01
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-08-22 00:00:00 030002031 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-05-15 00:00:00 None No 2000-09-12 00:00:00 None B None 1000 1000 -350 650 0 030014360 A99999 N None None SFY2000-01
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-09-20 00:00:00 030002037 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-12 00:00:00 None Yes 2000-10-11 00:00:00 2000-09-26 00:00:00 A A 10000 10000 -7500 2500 0 030014543 A99999 N None None SFY2000-01
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2000-10-20 00:00:00 030002041 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-05 00:00:00 None No 2000-11-10 00:00:00 None A A 8000 8000 -6000 2000 0 030014674 A99999 N None None SFY2000-01
030000007 MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2000-11-06 00:00:00 030002043 Closed Citation Citation A (HSC 1424) Medication None 2000-08-23 00:00:00 None No 2000-11-27 00:00:00 None A None 7500 7500 -2625 4875 0 030014726 A99999 N None None SFY2000-01
030000005 COLLEGE OAK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-11-06 00:00:00 030002044 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-08 00:00:00 None No 2000-11-30 00:00:00 None A None 6000 6000 -2100 3900 0 030014727 A99999 N None None SFY2000-01
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2001-01-10 00:00:00 030002051 Closed Citation Citation A (HSC 1424) Other C,PR 2000-03-21 00:00:00 2000-03-21 00:00:00 Yes 2001-07-24 00:00:00 2001-01-15 00:00:00 A A 10000 10000 0 10000 0 030014562 A99999 N None None SFY2000-01
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-02-01 00:00:00 030002052 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-20 00:00:00 None No 2001-02-22 00:00:00 None A None 16000 16000 -16000 0 0 030015088 A99999 N None None SFY2000-01
030000804 TUOLUMNE GENERAL MEDICAL FACILITY D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2001-01-19 00:00:00 030002054 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-06 00:00:00 None No 2001-02-09 00:00:00 None B None 1000 1000 0 1000 0 030015096 A99999 N None None SFY2000-01
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-02-01 00:00:00 030002055 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-07 00:00:00 None Yes 2001-02-26 00:00:00 2001-02-21 00:00:00 A A 20000 10000 0 10000 0 030015117 A99999 N None None SFY2000-01
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-02-23 00:00:00 030002056 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-07 00:00:00 None Yes 2001-06-11 00:00:00 2001-05-30 00:00:00 B B 1000 350 0 350 0 030015171 A99999 N None None SFY2000-01
030000083 SUTTER TRANSITIONAL CARE CENTER-MIDTOWN D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2001-04-04 00:00:00 030002058 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-27 00:00:00 None No 2001-04-25 00:00:00 None B None 500 500 -175 325 0 030015377 A99999 N None None SFY2000-01
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-04-12 00:00:00 030002059 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-27 00:00:00 None No 2001-05-03 00:00:00 None B None 1000 1000 -350 650 0 030015339 A99999 N None None SFY2000-01
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-04-13 00:00:00 030002060 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-28 00:00:00 None No 2001-05-04 00:00:00 None A A 10000 10000 -8000 2000 0 030015356 A99999 N None None SFY2000-01
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-04-12 00:00:00 030002061 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-20 00:00:00 None No 2001-05-03 00:00:00 None B None 600 600 -210 390 0 030015169 A99999 N None None SFY2000-01
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2001-04-18 00:00:00 030002062 Closed Citation Citation B (HSC 1424) Other DIGNITY/PATIENT CARE 2001-02-06 00:00:00 None No 2001-05-11 00:00:00 None B B 800 800 -640 160 0 030015299 A99999 N None None SFY2000-01
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-04-18 00:00:00 030002063 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-05 00:00:00 None No 2001-05-09 00:00:00 None A None 12000 12000 -4200 7800 0 030015391 A99999 N None None SFY2000-01
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-04-20 00:00:00 030002064 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-19 00:00:00 None No 2001-05-11 00:00:00 None A A 10000 10000 -8000 2000 0 030015206 A99999 N None None SFY2000-01
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-05-15 00:00:00 030002065 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-09 00:00:00 None No 2001-06-06 00:00:00 None B None 600 600 0 600 0 030015494 A99999 N None None SFY2000-01
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-06-08 00:00:00 030002066 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-05 00:00:00 None No 2001-06-29 00:00:00 None A None 16000 16000 -5600 10400 0 030015391 A99999 N None None SFY2000-01
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2001-06-13 00:00:00 030002067 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-01-24 00:00:00 None Yes 2001-07-05 00:00:00 2001-06-18 00:00:00 AA A 60000 55000 0 55000 0 030015205 A99999 Y None None SFY2000-01
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2001-06-13 00:00:00 030002068 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-24 00:00:00 None Yes 2001-07-05 00:00:00 2001-06-18 00:00:00 A A 20000 15000 0 15000 0 030015205 A99999 N None None SFY2000-01
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-06-22 00:00:00 030002069 Closed Citation Citation B (HSC 1424) Medication None 2001-04-10 00:00:00 None No 2001-07-16 00:00:00 None B B 1000 1000 -800 200 0 030015562 A99999 N None None SFY2000-01
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2001-06-28 00:00:00 030002070 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-08 00:00:00 None No 2001-07-20 00:00:00 None B None 800 800 0 800 0 030015177 A99999 N None None SFY2000-01
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-06-28 00:00:00 030002071 Closed Citation Citation A (HSC 1424) Patient Care None 2000-08-24 00:00:00 None No 2001-07-20 00:00:00 None A None 12000 12000 -4200 7800 0 None 999999 N None None SFY2000-01
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-08-01 00:00:00 030002072 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-13 00:00:00 None No 2001-08-22 00:00:00 None B B 1000 1000 -800 200 0 030015589 A99999 N None None SFY2001-02
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2001-08-22 00:00:00 030002074 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-28 00:00:00 None No 2001-09-13 00:00:00 None B None 600 600 0 600 0 030015753 A99999 N None None SFY2001-02
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-08-31 00:00:00 030002075 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-20 00:00:00 None Yes 2001-09-24 00:00:00 2001-09-07 00:00:00 A A 15000 11000 0 11000 0 030015373 A99999 N None None SFY2001-02
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2001-09-28 00:00:00 030002076 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-14 00:00:00 None No 2001-10-22 00:00:00 None B None 800 800 -280 520 0 030015399 A99999 N None None SFY2001-02
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-10-04 00:00:00 030002077 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-13 00:00:00 None No 2001-10-26 00:00:00 None B None 800 800 -280 520 0 030015890 A99999 N None None SFY2001-02
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2001-10-04 00:00:00 030002078 Closed Citation Citation B (HSC 1424) Administration None 2001-06-08 00:00:00 None No 2001-10-26 00:00:00 None B None 800 800 -280 520 0 030015734 A99999 N None None SFY2001-02
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-10-04 00:00:00 030002079 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-01-28 00:00:00 None No 2001-10-26 00:00:00 None AA None 60000 60000 -21000 39000 0 030015625 A99999 Y None None SFY2001-02
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-10-16 00:00:00 030002080 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-12 00:00:00 None Yes 2001-11-06 00:00:00 2001-10-31 00:00:00 A A 20000 20000 0 20000 0 030015387 A99999 N None None SFY2001-02
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-10-12 00:00:00 030002081 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-13 00:00:00 None No 2001-11-02 00:00:00 None B None 800 800 -280 520 0 030015793 A99999 N None None SFY2001-02
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-10-23 00:00:00 030002082 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-09 00:00:00 None No 2001-11-14 00:00:00 None A None 15000 15000 -5250 9750 0 030015230 A99999 N None None SFY2001-02
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-10-26 00:00:00 030002083 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-08 00:00:00 None No 2001-11-27 00:00:00 None B None 800 800 -280 520 0 030015771 A99999 N None None SFY2001-02
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-11-21 00:00:00 030002084 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-14 00:00:00 None No 2001-12-14 00:00:00 None A None 16000 16000 -5600 10400 0 030016043 A99999 N None None SFY2001-02
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-12-14 00:00:00 030002085 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-08-24 00:00:00 None Yes 2002-01-11 00:00:00 2001-12-24 00:00:00 AA A 60000 50000 0 50000 0 030016089 A99999 Y None None SFY2001-02
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-12-19 00:00:00 030002086 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-03-31 00:00:00 None Yes 2002-01-17 00:00:00 2002-01-09 00:00:00 AA A 60000 30000 0 30000 0 030016107 A99999 Y None None SFY2001-02
030000007 MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2002-01-03 00:00:00 030002087 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-06-11 00:00:00 None No 2002-01-25 00:00:00 None AA None 95000 95000 -33250 61750 0 030016138 A99999 Y None None SFY2001-02
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-01-17 00:00:00 030002088 Closed Citation Citation A (HSC 1424) Patient Care None 2001-06-29 00:00:00 None Yes 2002-02-08 00:00:00 2002-01-28 00:00:00 A B 10000 5000 0 5000 0 030015951 A99999 N None None SFY2001-02
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-02-14 00:00:00 030002089 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-31 00:00:00 None No 2002-03-08 00:00:00 None A None 10000 30000 -10500 19500 0 030016048 A99999 N None None SFY2001-02
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2002-03-15 00:00:00 030002090 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-13 00:00:00 None No 2002-04-08 00:00:00 None B None 800 800 -280 520 0 030016076 A99999 N None None SFY2001-02
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2002-03-18 00:00:00 030002091 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-23 00:00:00 None No 2002-04-12 00:00:00 None A None 15000 15000 0 15000 0 030016306 A99999 N None None SFY2001-02
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-04-25 00:00:00 030002092 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-19 00:00:00 None No 2002-05-16 00:00:00 None A None 16000 16000 -5600 10400 0 030016105 A99999 N None None SFY2001-02
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-04-24 00:00:00 030002093 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-21 00:00:00 None Yes 2002-05-20 00:00:00 2002-05-14 00:00:00 A A 20000 11477 0 11477 0 030016161 A99999 N None None SFY2001-02
030000005 COLLEGE OAK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-06-07 00:00:00 030002094 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-08 00:00:00 None Yes 2002-07-02 00:00:00 2002-06-20 00:00:00 A None 15000 15000 0 15000 0 030016316 A99999 N None None SFY2001-02
030001254 KAISER FOUNDATION HOSPITAL MANTECA D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2002-06-11 00:00:00 030002095 Closed Citation Citation A (HSC 1424) Patient Care None 2001-09-29 00:00:00 None No 2002-07-05 00:00:00 None A None 16000 16000 -5600 10400 0 030015937 A99999 N None None SFY2001-02
030001081 LODI MEMORIAL HOSPITAL-WEST D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2003-01-06 00:00:00 030002096 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-15 00:00:00 None Yes 2003-02-05 00:00:00 2003-01-16 00:00:00 A B 15000 15000 0 15000 0 030016474 A99999 N None None SFY2002-03
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2002-07-10 00:00:00 030002097 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-24 00:00:00 None Yes 2002-08-05 00:00:00 2002-07-26 00:00:00 A A 16000 6000 0 6000 0 030016452 A99999 N None None SFY2002-03
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-07-22 00:00:00 030002098 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-03-20 00:00:00 None Yes 2002-08-15 00:00:00 2002-08-09 00:00:00 AA AA 90000 55000 0 55000 0 030016325 A99999 Y None None SFY2002-03
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-08-09 00:00:00 030002099 Closed Citation Citation B (HSC 1424) Other ABUSE 2002-06-16 00:00:00 None No 2002-08-30 00:00:00 None B None 1000 1000 -350 650 0 030016610 A99999 N None None SFY2002-03
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-08-13 00:00:00 030002100 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-08 00:00:00 None Yes 2002-09-09 00:00:00 2002-08-26 00:00:00 A B 10000 6600 0 6600 0 030016607 A99999 N None None SFY2002-03
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-08-28 00:00:00 030002101 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-25 00:00:00 None Yes 2002-09-24 00:00:00 2002-09-10 00:00:00 A A 10000 6700 0 6700 0 030016648 A99999 N None None SFY2002-03
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-08-19 00:00:00 030002102 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-31 00:00:00 None No 2002-09-10 00:00:00 None A None 16000 16000 -5600 10400 0 030015848 A99999 N None None SFY2002-03
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-08-19 00:00:00 030002103 Closed Citation Citation A (HSC 1424) Patient Care None 2002-05-14 00:00:00 None No 2002-09-12 00:00:00 None A None 14000 14000 -4900 9100 0 030016519 A99999 N None None SFY2002-03
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-08-19 00:00:00 030002104 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-03 00:00:00 None No 2002-09-10 00:00:00 None A None 20000 20000 -7000 13000 0 030016013 A99999 N None None SFY2002-03
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2002-09-04 00:00:00 030002105 Closed Citation Citation B (HSC 1424) Other ABUSE-SELF REPORTED 2002-04-03 00:00:00 None No 2002-10-01 00:00:00 None B None 500 500 -175 325 0 030016424 A99999 N None None SFY2002-03
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-09-12 00:00:00 030002106 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-22 00:00:00 None Yes 2003-07-11 00:00:00 2002-09-25 00:00:00 B B 400 400 0 400 0 030016706 A99999 N None None SFY2002-03
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-10-01 00:00:00 030002107 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-06 00:00:00 None No 2002-10-23 00:00:00 None B B 1000 650 0 650 0 030016934 A99999 N None None SFY2002-03
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-10-02 00:00:00 030002108 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-12 00:00:00 None No 2002-10-29 00:00:00 None B None 800 800 -280 520 0 030015958 A99999 N None None SFY2002-03
030000050 MAIN WEST POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2002-10-16 00:00:00 030002109 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-19 00:00:00 None No 2002-11-06 00:00:00 None B None 800 800 -280 520 0 030016709 A99999 N None None SFY2002-03
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-10-17 00:00:00 030002110 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-07 00:00:00 None No 2002-11-07 00:00:00 None B None 600 600 -210 390 0 030016668 A99999 N None None SFY2002-03
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-10-18 00:00:00 030002111 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-16 00:00:00 None No 2002-11-08 00:00:00 None B None 1000 1000 -350 650 0 030016871 A99999 N None None SFY2002-03
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-11-04 00:00:00 030002112 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-27 00:00:00 None Yes 2002-12-03 00:00:00 2002-11-12 00:00:00 B B 700 500 0 500 0 030016857 A99999 N None None SFY2002-03
030000016 NORTH STARR POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2002-11-06 00:00:00 030002113 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-21 00:00:00 None No 2002-12-02 00:00:00 None A None 10000 10000 -3500 6500 0 030016795 A99999 N None None SFY2002-03
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2002-11-14 00:00:00 030002114 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-31 00:00:00 None Yes 2002-12-09 00:00:00 2002-12-05 00:00:00 A A 12000 4000 0 4000 0 030017053 A99999 N None None SFY2002-03
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-11-20 00:00:00 030002115 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-26 00:00:00 None No 2002-12-17 00:00:00 None B None 600 600 -210 390 0 030016945 A99999 N None None SFY2002-03
030001202 CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Fresno 2002-12-11 00:00:00 030002116 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-01 00:00:00 2002-10-05 00:00:00 Yes 2003-01-08 00:00:00 2002-12-18 00:00:00 B None 600 600 0 600 0 030017014 A99999 N None None SFY2002-03
030001202 CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Fresno 2002-12-27 00:00:00 030002117 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-15 00:00:00 None Yes 2003-01-28 00:00:00 2003-01-03 00:00:00 B None 600 600 0 600 0 030017004 A99999 N None None SFY2002-03
030001004 AMERICAN RIVER CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-01-08 00:00:00 030002118 Closed Citation Citation B (HSC 1424) Other ABUSE SELF REPORTED 2001-06-18 00:00:00 None No 2003-02-04 00:00:00 None B None 1000 1000 -350 650 0 030016743 A99999 N None None SFY2002-03
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-01-15 00:00:00 030002119 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-10 00:00:00 None Yes 2003-02-11 00:00:00 2003-01-17 00:00:00 B B 500 500 0 500 0 030017101 A99999 N None None SFY2002-03
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2003-01-21 00:00:00 030002120 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-17 00:00:00 None Yes 2003-02-14 00:00:00 2003-02-05 00:00:00 A A 16000 4050 -50 4000 0 030016069 A99999 N None None SFY2002-03
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2003-01-21 00:00:00 030002121 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-28 00:00:00 None Yes 2003-02-14 00:00:00 2003-02-05 00:00:00 A B 16000 10050 -50 10000 0 030016069 A99999 N None None SFY2002-03
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-02-13 00:00:00 030002122 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-15 00:00:00 None Yes 2003-03-11 00:00:00 2003-02-18 00:00:00 A A 16000 8000 0 8000 0 030016827 A99999 N None None SFY2002-03
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-02-20 00:00:00 030002123 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-09-18 00:00:00 None Yes 2003-03-17 00:00:00 2003-02-28 00:00:00 A None 15000 15000 0 15000 0 030016925 A99999 N None None SFY2002-03
030000550 SUTTER AMADOR HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2003-03-14 00:00:00 030002124 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-05 00:00:00 None Yes 2003-04-09 00:00:00 2003-03-19 00:00:00 A A 10000 1000 0 1000 0 030016970 A99999 N None None SFY2002-03
030001202 CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Fresno 2003-03-18 00:00:00 030002125 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-03 00:00:00 None No 2003-04-14 00:00:00 None B None 400 400 -140 260 0 030016656 A99999 N None None SFY2002-03
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2003-03-20 00:00:00 030002126 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-28 00:00:00 None Yes 2003-04-15 00:00:00 2003-03-26 00:00:00 A A Trebled 20000 60000 -25570 34430 0 030017220 A99999 N None None SFY2002-03
030000060 FOLSOM CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-03-24 00:00:00 030002127 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-08 00:00:00 None No 2003-04-15 00:00:00 None A None 18000 18000 0 18000 0 030016667 A99999 N None None SFY2002-03
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-04-10 00:00:00 030002128 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-10 00:00:00 None No 2003-05-05 00:00:00 None B None 1000 1000 0 1000 0 030016533 A99999 N None None SFY2002-03
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-04-21 00:00:00 030002129 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-19 00:00:00 None No 2003-05-13 00:00:00 None B None 1000 1000 -350 650 0 030017024 A99999 N None None SFY2002-03
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-04-23 00:00:00 030002130 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-24 00:00:00 None No 2003-05-14 00:00:00 None B None 1000 1000 -350 650 0 030017382 A99999 N None None SFY2002-03
030000288 TURLOCK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2003-05-16 00:00:00 030002131 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-03 00:00:00 None No 2003-06-10 00:00:00 None B None 600 600 0 600 0 030017517 A99999 N None None SFY2002-03
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2003-05-23 00:00:00 030002132 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-13 00:00:00 None Yes 2003-06-20 00:00:00 2003-06-03 00:00:00 B B 800 459 0 459 0 030017548 A99999 N None None SFY2002-03
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-06-06 00:00:00 030002133 Closed Citation Citation A (HSC 1424) Other PATIENT CARE/NEGLECT 2003-03-28 00:00:00 None Yes 2003-06-30 00:00:00 2003-06-11 00:00:00 A A 10000 5738 0 5738 0 030017471 A99999 N None None SFY2002-03
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2003-06-18 00:00:00 030002134 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-19 00:00:00 None No 2003-07-10 00:00:00 None B B 1000 574 0 574 0 030017355 A99999 N None None SFY2002-03
030000550 SUTTER AMADOR HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2003-06-27 00:00:00 030002135 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-01-20 00:00:00 None Yes 2003-07-21 00:00:00 2003-07-01 00:00:00 AA AA 75000 30000 0 30000 0 030017242 A99999 Y None None SFY2002-03
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-07-01 00:00:00 030002136 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-28 00:00:00 None Yes 2003-07-28 00:00:00 2003-07-10 00:00:00 A A 10000 5738 0 5738 0 030017474 A99999 N None None SFY2003-04
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-07-01 00:00:00 030002137 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-01 00:00:00 None No 2003-07-23 00:00:00 None B None 1000 1000 -350 650 0 030017612 A99999 N None None SFY2003-04
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-07-03 00:00:00 030002138 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-19 00:00:00 2003-05-11 00:00:00 No 2003-07-30 00:00:00 None B None 1000 1000 -350 650 0 030017463 A99999 N None None SFY2003-04
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-07-28 00:00:00 030002139 Closed Citation Citation B (HSC 1424) Medication None 2002-05-14 00:00:00 2002-05-22 00:00:00 Yes 2004-01-09 00:00:00 2003-07-31 00:00:00 B B 1000 1000 0 1000 0 030016711 A99999 N None None SFY2003-04
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-07-28 00:00:00 030002140 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-05-14 00:00:00 2002-05-22 00:00:00 Yes 2003-08-20 00:00:00 2003-07-29 00:00:00 AA AA 85000 40000 0 40000 0 030016711 A99999 Y None None SFY2003-04
030000878 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2003-07-31 00:00:00 030002141 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-24 00:00:00 None No 2003-08-28 00:00:00 None A None 12000 12000 -4200 7800 0 030017231 A99999 N None None SFY2003-04
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-08-04 00:00:00 030002142 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-06 00:00:00 None No 2003-08-27 00:00:00 None A None 18000 18000 -6300 11700 0 030017362 A99999 N None None SFY2003-04
030000053 MANZANITA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-08-04 00:00:00 030002143 Closed Citation Citation A (HSC 1424) Patient Care None 2002-09-22 00:00:00 None Yes 2003-08-27 00:00:00 2003-08-21 00:00:00 A A 16000 1000 0 1000 0 030016990 A99999 N None None SFY2003-04
030000060 FOLSOM CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-08-11 00:00:00 030002144 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-29 00:00:00 None Yes 2003-09-17 00:00:00 2003-08-22 00:00:00 B B 700 200 0 200 0 030017590 A99999 N None None SFY2003-04
030000066 CERES POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2003-08-13 00:00:00 030002145 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-16 00:00:00 None No 2003-09-08 00:00:00 None A None 16000 16000 -5600 10400 0 030017429 A99999 N None None SFY2003-04
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-08-29 00:00:00 030002146 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-19 00:00:00 None No 2003-09-22 00:00:00 None B None 1000 1000 -350 650 0 030017665 A99999 N None None SFY2003-04
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-09-10 00:00:00 030002147 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-24 00:00:00 2003-06-24 00:00:00 Yes 2003-10-06 00:00:00 2003-09-18 00:00:00 B B 1000 500 0 500 0 030017906 A99999 N None None SFY2003-04
030000083 SUTTER TRANSITIONAL CARE CENTER-MIDTOWN D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2003-10-16 00:00:00 030002148 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-18 00:00:00 None Yes 2003-11-17 00:00:00 2003-10-23 00:00:00 B B 500 400 0 400 0 030017945 A99999 N None None SFY2003-04
030000050 MAIN WEST POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2003-10-24 00:00:00 030002149 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-26 00:00:00 None No 2003-11-17 00:00:00 None B None 800 800 -280 520 0 030017952 A99999 N None None SFY2003-04
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2003-10-31 00:00:00 030002150 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-07-06 00:00:00 None No 2003-11-24 00:00:00 None B None 1000 1000 -350 650 0 030017846 A99999 N None None SFY2003-04
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-11-14 00:00:00 030002151 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-19 00:00:00 None No 2003-12-09 00:00:00 None B None 500 500 -175 325 0 030017849 A99999 N None None SFY2003-04
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-12-10 00:00:00 030002152 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-06 00:00:00 None No 2004-01-02 00:00:00 None B None 500 500 0 500 0 030018214 A99999 N None None SFY2003-04
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2004-01-02 00:00:00 030002153 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-28 00:00:00 None Yes 2004-02-02 00:00:00 2004-01-14 00:00:00 B B 600 600 0 600 0 030017971 A99999 N None None SFY2003-04
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2004-01-05 00:00:00 030002154 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-24 00:00:00 None No 2004-02-02 00:00:00 None B None 1000 1000 -350 650 0 030017065 A99999 N None None SFY2003-04
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2004-01-04 00:00:00 030002155 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-24 00:00:00 None No 2004-02-02 00:00:00 None B None 1000 1000 -350 650 0 030017065 A99999 N None None SFY2003-04
030000060 FOLSOM CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-01-26 00:00:00 030002156 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-24 00:00:00 None No 2004-02-23 00:00:00 None B None 1000 1000 -350 650 0 030017997 A99999 N None None SFY2003-04
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-01-27 00:00:00 030002157 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-24 00:00:00 None No 2004-02-25 00:00:00 None B None 1000 1000 0 1000 0 030017881 A99999 N None None SFY2003-04
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-01-27 00:00:00 030002158 Closed Citation Citation A (HSC 1424) Patient Care None 2003-07-30 00:00:00 None No 2004-02-23 00:00:00 None A None 16000 16000 -5600 10400 0 030017909 A99999 N None None SFY2003-04
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2004-01-28 00:00:00 030002159 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-21 00:00:00 None No 2004-03-05 00:00:00 None B None 800 800 0 800 0 030018185 A99999 N None None SFY2003-04
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2004-02-10 00:00:00 030002160 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-08 00:00:00 None No 2004-03-04 00:00:00 None B None 800 800 -280 520 0 030017811 A99999 N None None SFY2003-04
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2004-02-26 00:00:00 030002161 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-24 00:00:00 None Yes 2006-04-11 00:00:00 2004-03-05 00:00:00 B B 1000 1000 0 1000 0 030018064 A99999 N None None SFY2003-04
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2004-02-26 00:00:00 030002162 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-24 00:00:00 None Yes 2004-10-07 00:00:00 2004-03-05 00:00:00 B B 1000 1000 0 1000 0 030018064 A99999 N None None SFY2003-04
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-03-02 00:00:00 030002163 Closed Citation Citation A (HSC 1424) Patient Care None 2003-07-18 00:00:00 None Yes 2004-03-23 00:00:00 2008-01-02 00:00:00 A A 10000 5000 0 5000 0 030018106 A99999 N None None SFY2003-04
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-03-03 00:00:00 030002164 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-25 00:00:00 None Yes 2004-03-29 00:00:00 2004-03-08 00:00:00 A A 20000 10000 0 10000 0 030018208 A99999 N None None SFY2003-04
030001202 CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Fresno 2004-03-04 00:00:00 030002165 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-01 00:00:00 None No 2004-04-02 00:00:00 None B None 1000 1000 -350 650 0 030018080 A99999 N None None SFY2003-04
030000013 AUBURN RAVINE TERRACE LTC SNF Skilled Nursing Facility Sacramento 2004-03-15 00:00:00 030002166 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-21 00:00:00 None No 2004-04-06 00:00:00 None A None 16000 16000 -5600 10400 0 030017739 A99999 N None None SFY2003-04
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-04-01 00:00:00 030002167 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-12-31 00:00:00 2003-12-31 00:00:00 Yes 2004-04-29 00:00:00 2004-04-20 00:00:00 B B 500 500 0 500 0 030018324 A99999 N None None SFY2003-04
030000053 MANZANITA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-03-30 00:00:00 030002168 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-19 00:00:00 None No 2004-04-21 00:00:00 None B None 1000 1000 -350 650 0 030016765 A99999 N None None SFY2003-04
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-04-14 00:00:00 030002169 Closed Citation Citation A (HSC 1424) Patient Care None 2002-09-08 00:00:00 None No 2004-05-12 00:00:00 None A None 10000 10000 -3500 6500 0 030016899 A99999 N None None SFY2003-04
030000005 COLLEGE OAK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-05-03 00:00:00 030002170 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-09 00:00:00 None No 2004-05-24 00:00:00 None A None 18000 18300 0 18300 0 030017385 A99999 N None None SFY2003-04
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-06-03 00:00:00 030002171 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-09 00:00:00 None No 2004-06-29 00:00:00 None B None 1000 1000 -350 650 0 030018448 A99999 N None None SFY2003-04
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-07-02 00:00:00 030002172 Closed Citation Citation A (HSC 1424) Patient Care None 2004-02-17 00:00:00 None No 2004-07-26 00:00:00 None A None 5000 5000 -1750 3250 0 030018470 A99999 N None None SFY2004-05
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-08-18 00:00:00 030002173 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-28 00:00:00 None No 2004-09-14 00:00:00 None B None 750 750 -262.5 487.5 0 030018809 A99999 N None None SFY2004-05
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2000-04-05 00:00:00 030002180 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-13 00:00:00 None Yes 2000-04-28 00:00:00 2000-04-24 00:00:00 A A 9000 9000 0 9000 0 030019023 A99999 N None None SFY1999-00
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-05-10 00:00:00 030002181 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-31 00:00:00 None No 2002-06-03 00:00:00 None B None 800 800 -280 520 0 030019036 A99999 N None None SFY2001-02
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-10-23 00:00:00 030002182 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-29 00:00:00 None No 2003-11-24 00:00:00 None B None 800 800 0 800 0 030019044 A99999 N None None SFY2003-04
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-04-27 00:00:00 030002183 Closed Citation Citation B (HSC 1424) Other ABUSE-FAC REPORTED 2003-12-30 00:00:00 None No 2004-05-24 00:00:00 None B None 1000 3000 -1050 1950 0 030019049 A99999 N None None SFY2003-04
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-07-29 00:00:00 030002184 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-29 00:00:00 None No 2004-08-19 00:00:00 None B None 1000 3000 0 3000 0 030019053 A99999 N None None SFY2004-05
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-07-29 00:00:00 030002185 Closed Citation Citation B (HSC 1424) Administration None 2003-03-31 00:00:00 None No 2004-08-19 00:00:00 None B None 1000 1000 0 1000 0 030019049 A99999 N None None SFY2004-05
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-06-02 00:00:00 030002203 Closed Citation Citation B (HSC 1424) Other TRANSFER/DISCHARGE 2000-04-13 00:00:00 None No 2000-06-26 00:00:00 None B None 1000 1000 0 1000 0 030019186 A99999 N None None SFY1999-00
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-03-07 00:00:00 030002204 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-19 00:00:00 None Yes 2001-03-28 00:00:00 2001-03-27 00:00:00 B B 900 900 0 900 0 030019193 A99999 N None None SFY2000-01
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-03-13 00:00:00 030002205 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-23 00:00:00 None Yes 2002-04-04 00:00:00 2002-03-27 00:00:00 B B 1000 1000 0 1000 0 030019205 A99999 N None None SFY2001-02
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-02-03 00:00:00 030002215 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-13 00:00:00 None Yes 2000-02-29 00:00:00 2000-02-24 00:00:00 A A 10000 7500 0 7500 0 030019284 A99999 N None None SFY1999-00
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-10-17 00:00:00 030002216 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-10 00:00:00 None No 2001-11-07 00:00:00 None B None 800 800 -280 520 0 030019297 A99999 N None None SFY2001-02
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-09-10 00:00:00 030002217 Closed Citation Citation B (HSC 1424) Other ABUSE 2002-07-16 00:00:00 None No 2002-10-03 00:00:00 None B None 1000 1000 -350 650 0 030019320 A99999 N None None SFY2002-03
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-12-31 00:00:00 030002218 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-13 00:00:00 None No 2003-01-23 00:00:00 None B None 500 500 -175 325 0 030019325 A99999 N None None SFY2002-03
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2000-05-17 00:00:00 030002227 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-31 00:00:00 None No 2000-06-07 00:00:00 None A None 5000 5000 -1750 3250 0 030019426 A99999 N None None SFY1999-00
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2000-06-21 00:00:00 030002228 Closed Citation Citation B (HSC 1424) Patient Care None 1999-02-26 00:00:00 None No 2000-07-12 00:00:00 None B None 700 700 -245 455 0 030019430 A99999 N None None SFY1999-00
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2002-05-09 00:00:00 030002230 Closed Citation Citation B (HSC 1424) Patient Record None 2002-03-03 00:00:00 None No 2002-06-05 00:00:00 None B None 600 600 -210 390 0 030019442 A99999 N None None SFY2001-02
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2003-01-07 00:00:00 030002231 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-17 00:00:00 None No 2003-02-04 00:00:00 None B None 900 900 -315 585 0 030019452 A99999 N None None SFY2002-03
030001821 WOODSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-11-28 00:00:00 030002240 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-07 00:00:00 None No 2001-12-31 00:00:00 None B None 800 800 -280 520 0 030019549 A99999 N None None SFY2001-02
030001821 WOODSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-01-16 00:00:00 030002241 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-14 00:00:00 None No 2002-02-07 00:00:00 None A None 8000 8000 0 8000 0 030019551 A99999 N None None SFY2001-02
030001821 WOODSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-09-16 00:00:00 030002242 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-18 00:00:00 None No 2003-10-07 00:00:00 None B None 1000 1000 0 1000 0 030019563 A99999 N None None SFY2003-04
030001821 WOODSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-11-26 00:00:00 030002243 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-28 00:00:00 None No 2003-12-26 00:00:00 None A None 18000 18000 -6300 11700 0 030019569 A99999 N None None SFY2003-04
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2002-08-01 00:00:00 030002254 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-12 00:00:00 None Yes 2002-11-07 00:00:00 2002-08-07 00:00:00 B B 1000 1000 0 1000 0 030019683 A99999 N None None SFY2002-03
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2003-07-18 00:00:00 030002255 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-30 00:00:00 None No 2003-08-19 00:00:00 None B B 900 502 0 502 0 030019725 A99999 N None None SFY2003-04
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2000-11-21 00:00:00 030002272 Closed Citation Citation B (HSC 1424) Other INADEQUATE SUPERV 2000-05-25 00:00:00 None No 2000-12-12 00:00:00 None B None 1000 1000 -350 650 0 030019917 A99999 N None None SFY2000-01
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-03-25 00:00:00 030002273 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-20 00:00:00 None No 2002-04-18 00:00:00 None B None 800 800 -280 520 0 030019927 A99999 N None None SFY2001-02
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-04-04 00:00:00 030002274 Closed Citation Citation B (HSC 1424) Other PHYS./MENTAL ABUSE 2002-03-17 00:00:00 None No 2002-04-29 00:00:00 None B None 900 900 0 900 0 030019930 A99999 N None None SFY2001-02
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-05-02 00:00:00 030002275 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-30 00:00:00 None No 2003-06-03 00:00:00 None B None 800 800 -280 520 0 030019950 A99999 N None None SFY2002-03
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-05-13 00:00:00 030002276 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-28 00:00:00 None No 2003-06-06 00:00:00 None B None 800 800 0 800 0 030019951 A99999 N None None SFY2002-03
030001829 ACC CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-02-21 00:00:00 030002281 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-12 00:00:00 None No 2003-07-14 00:00:00 None B Dismissed by Court 300 0 0 0 0 030020030 A99999 N None None SFY2002-03
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2001-09-05 00:00:00 030002285 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-23 00:00:00 None No 2001-09-26 00:00:00 None B None 800 800 -280 520 0 030020080 A99999 N None None SFY2001-02
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2001-11-01 00:00:00 030002286 Closed Citation Citation A (HSC 1424) Patient Care None 2000-08-30 00:00:00 None No 2001-11-27 00:00:00 None A None 18000 18000 -6300 11700 0 030020086 A99999 N None None SFY2001-02
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2001-12-11 00:00:00 030002287 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-13 00:00:00 None No 2002-01-03 00:00:00 None B None 800 800 0 800 0 030020091 A99999 N None None SFY2001-02
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2001-12-11 00:00:00 030002288 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-06 00:00:00 None No 2002-01-03 00:00:00 None B None 800 800 0 800 0 030020092 A99999 N None None SFY2001-02
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2001-12-11 00:00:00 030002289 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-06 00:00:00 None No 2002-01-03 00:00:00 None B None 800 800 0 800 0 030020093 A99999 N None None SFY2001-02
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2002-03-12 00:00:00 030002290 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-08 00:00:00 None No 2002-04-08 00:00:00 None B None 1000 1000 -350 650 0 030020099 A99999 N None None SFY2001-02
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2002-03-12 00:00:00 030002291 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-19 00:00:00 None No 2002-04-08 00:00:00 None B None 1000 1000 -350 650 0 030020100 A99999 N None None SFY2001-02
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2002-03-12 00:00:00 030002292 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-19 00:00:00 None No 2002-04-08 00:00:00 None B None 1000 1000 -350 650 0 030020101 A99999 N None None SFY2001-02
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2003-02-07 00:00:00 030002293 Closed Citation Citation B (HSC 1424) Other ABUSE SELF-REPORTED 2002-11-19 00:00:00 None Yes 2003-03-06 00:00:00 2003-02-18 00:00:00 B B 800 800 0 800 0 030020113 A99999 N None None SFY2002-03
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2003-03-04 00:00:00 030002294 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-20 00:00:00 None No 2003-03-25 00:00:00 None B None 800 800 -280 520 0 030020115 A99999 N None None SFY2002-03
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2003-06-12 00:00:00 030002295 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-01-25 00:00:00 None Yes 2003-07-10 00:00:00 2003-06-18 00:00:00 AA AA 75000 10000 0 10000 0 030020116 A99999 Y None None SFY2002-03
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2004-06-10 00:00:00 030002296 Closed Citation Citation B (HSC 1424) Other ABUSE-FAC REPORTED 2004-04-27 00:00:00 None No 2004-07-13 00:00:00 None B None 500 500 -175 325 0 030020142 A99999 N None None SFY2003-04
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2004-11-08 00:00:00 030002297 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-16 00:00:00 None No 2004-12-02 00:00:00 None B None 700 700 -245 455 0 030020214 A99999 N None None SFY2004-05
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2004-11-05 00:00:00 030002298 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-04 00:00:00 None No 2004-12-01 00:00:00 None B None 800 800 -280 520 0 030020219 A99999 N None None SFY2004-05
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-11-08 00:00:00 030002299 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-22 00:00:00 None No 2004-12-02 00:00:00 None B None 1000 1000 -350 650 0 030020223 A99999 N None None SFY2004-05
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2004-11-19 00:00:00 030002300 Closed Citation Citation A (HSC 1424) Patient Care None 2004-08-16 00:00:00 None No 2004-12-27 00:00:00 None A None 16000 16000 -5600 10400 0 030020248 A99999 N None None SFY2004-05
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-11-19 00:00:00 030002301 Closed Citation Citation B (HSC 1424) Administration None 2004-08-15 00:00:00 None No 2004-12-14 00:00:00 None B None 600 600 -210 390 0 030020254 A99999 N None None SFY2004-05
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-11-30 00:00:00 030002302 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-08 00:00:00 None No 2004-12-21 00:00:00 None B None 1000 1000 0 1000 0 030018451 A99999 N None None SFY2004-05
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2004-12-01 00:00:00 030002303 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-05 00:00:00 None No 2004-12-31 00:00:00 None B None 800 800 0 800 0 030020260 A99999 N None None SFY2004-05
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2004-12-03 00:00:00 030002304 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-09 00:00:00 None No 2004-12-24 00:00:00 None B None 1000 1000 -350 650 0 030020273 A99999 N None None SFY2004-05
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-12-10 00:00:00 030002305 Closed Citation Citation A (HSC 1424) Other ABUSE 2004-08-21 00:00:00 None No 2004-12-31 00:00:00 None A None 16000 16000 -5600 10400 0 030020294 A99999 N None None SFY2004-05
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-12-10 00:00:00 030002306 Closed Citation Citation B (HSC 1424) Administration None 2004-08-21 00:00:00 None No 2004-12-31 00:00:00 None B None 600 600 -210 390 0 030020295 A99999 N None None SFY2004-05
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2004-12-14 00:00:00 030002307 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-03 00:00:00 None No 2005-01-04 00:00:00 None A None 16000 16000 -5600 10400 0 030018459 A99999 N None None SFY2004-05
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-12-15 00:00:00 030002308 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-27 00:00:00 None No 2005-01-05 00:00:00 None B None 1000 1000 -350 650 0 030019046 A99999 N None None SFY2004-05
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-12-21 00:00:00 030002309 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-27 00:00:00 None No 2005-01-18 00:00:00 None B None 500 500 -175 325 0 030020305 A99999 N None None SFY2004-05
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-12-21 00:00:00 030002310 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-31 00:00:00 None No 2005-01-18 00:00:00 None B None 500 500 -175 325 0 030020305 A99999 N None None SFY2004-05
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2004-12-29 00:00:00 030002311 Closed Citation Citation B (HSC 1424) Administration None 2004-05-15 00:00:00 None No 2005-01-26 00:00:00 None B None 500 500 -175 325 0 030020325 A99999 N None None SFY2004-05
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-01-06 00:00:00 030002312 Closed Citation Citation B (HSC 1424) Administration None 2004-10-31 00:00:00 None No 2005-01-26 00:00:00 None B None 800 800 -280 520 0 030020330 A99999 N None None SFY2004-05
030000060 FOLSOM CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-01-11 00:00:00 030002313 Closed Citation Citation B (HSC 1424) Other ABUSE - NOT REPORTED 2004-06-01 00:00:00 None No 2005-02-02 00:00:00 None B None 500 500 -175 325 0 030020357 A99999 N None None SFY2004-05
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2005-01-28 00:00:00 030002314 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-12 00:00:00 None Yes 2005-03-01 00:00:00 2005-02-22 00:00:00 B B 1000 500 0 500 0 030020405 A99999 N None None SFY2004-05
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-02-18 00:00:00 030002315 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-24 00:00:00 None No 2005-03-14 00:00:00 None B None 1000 1000 -350 650 0 030020415 A99999 N None None SFY2004-05
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-03-09 00:00:00 030002316 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-15 00:00:00 None No 2005-04-05 00:00:00 None B None 1000 1000 -350 650 0 030020418 A99999 N None None SFY2004-05
030000288 TURLOCK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2005-03-22 00:00:00 030002317 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-10-25 00:00:00 None Yes 2005-04-18 00:00:00 2005-04-01 00:00:00 AA AA 90000 115000 0 115000 0 030020419 A99999 Y None None SFY2004-05
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2005-03-28 00:00:00 030002318 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-25 00:00:00 None No 2005-05-02 00:00:00 None B None 750 750 -262.5 487.5 0 030020420 A99999 N None None SFY2004-05
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-04-12 00:00:00 030002319 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-18 00:00:00 None No 2005-05-03 00:00:00 None B None 800 800 -280 520 0 030020424 A99999 N None None SFY2004-05
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2005-04-15 00:00:00 030002320 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-07 00:00:00 None No 2005-05-06 00:00:00 None B None 800 800 -280 520 0 030020425 A99999 N None None SFY2004-05
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2005-04-15 00:00:00 030002321 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-06 00:00:00 None No 2005-05-12 00:00:00 None B None 800 800 -280 520 0 030020426 A99999 N None None SFY2004-05
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-05-11 00:00:00 030002322 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-03 00:00:00 None No 2005-06-13 00:00:00 None B None 1000 1000 -350 650 0 030020431 A99999 N None None SFY2004-05
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-05-18 00:00:00 030002323 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-10 00:00:00 None No 2005-06-16 00:00:00 None B None 1000 1000 -350 650 0 030020432 A99999 N None None SFY2004-05
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-05-19 00:00:00 030002324 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-26 00:00:00 None Yes 2005-06-16 00:00:00 2005-05-19 00:00:00 A None 10000 10000 -10000 0 0 030020433 A99999 N None None SFY2004-05
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2005-05-24 00:00:00 030002325 Closed Citation Citation B (HSC 1424) Administration None 2004-12-13 00:00:00 None No 2005-06-15 00:00:00 None B None 1000 1000 -350 650 0 030020434 A99999 N None None SFY2004-05
030001081 LODI MEMORIAL HOSPITAL-WEST D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2005-05-24 00:00:00 030002326 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-12-02 00:00:00 None Yes 2005-06-21 00:00:00 2005-05-31 00:00:00 B B 500 250 0 250 0 030020435 A99999 N None None SFY2004-05
030000005 COLLEGE OAK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-06-07 00:00:00 030002327 Closed Citation Citation A (HSC 1424) Patient Care None 2003-07-06 00:00:00 None Yes 2005-06-28 00:00:00 2005-06-07 00:00:00 A A 16000 16000 0 16000 0 030017788 A99999 N None None SFY2004-05
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-06-24 00:00:00 030002328 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-26 00:00:00 None No 2005-07-18 00:00:00 None B None 1000 1000 -350 650 0 030020441 A99999 N None None SFY2004-05
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-06-29 00:00:00 030002329 Closed Citation Citation B (HSC 1424) Physical Environment None 2005-05-19 00:00:00 None No 2005-07-27 00:00:00 None B None 800 800 -280 520 0 030020443 A99999 N None None SFY2004-05
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-08-01 00:00:00 030002330 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-09 00:00:00 None No 2005-08-30 00:00:00 None B None 1000 1000 -350 650 0 030020447 A99999 N None None SFY2005-06
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-08-12 00:00:00 030002331 Closed Citation Citation B (HSC 1424) Staffing None 2005-05-01 00:00:00 None No 2005-09-02 00:00:00 None B None 1000 1000 -350 650 0 030020448 A99999 N None None SFY2005-06
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2005-09-02 00:00:00 030002332 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-08 00:00:00 None No 2005-10-17 00:00:00 None B None 600 600 -210 390 0 030020451 A99999 N None None SFY2005-06
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-09-02 00:00:00 030002333 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-16 00:00:00 2005-09-08 00:00:00 No 2005-09-26 00:00:00 None B None 800 800 -280 520 0 030020452 A99999 N None None SFY2005-06
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-10-12 00:00:00 030002334 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-06 00:00:00 None No 2005-11-09 00:00:00 None B None 1000 1400 -350 1050 0 030020455 A99999 N None None SFY2005-06
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2005-10-13 00:00:00 030002335 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-18 00:00:00 None Yes 2005-11-03 00:00:00 2005-11-02 00:00:00 B B 500 250 0 250 0 030020456 A99999 N None None SFY2005-06
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-10-13 00:00:00 030002336 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-27 00:00:00 None No 2005-11-10 00:00:00 None B None 1000 3000 -1050 1950 0 030020457 A99999 N None None SFY2005-06
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2005-10-28 00:00:00 030002338 Closed Citation Citation B (HSC 1424) Other ABUSE-SELF REPORTED 2005-09-02 00:00:00 None No 2005-12-06 00:00:00 None B None 1000 1000 0 1000 0 030020458 A99999 N None None SFY2005-06
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2005-10-28 00:00:00 030002339 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-23 00:00:00 None No 2005-12-08 00:00:00 None B None 1000 1000 -350 650 0 030020459 A99999 N None None SFY2005-06
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2005-11-04 00:00:00 030002340 Closed Citation Citation A (HSC 1424) Medication None 2005-07-14 00:00:00 None Yes 2009-10-27 00:00:00 2009-10-05 00:00:00 A A 14000 9000 0 9000 0 030020461 A99999 N CA00055767 B SFY2005-06
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2005-11-10 00:00:00 030002341 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-11 00:00:00 None No 2005-12-21 00:00:00 None B None 1000 1000 -350 650 0 030020463 A99999 N None None SFY2005-06
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-11-29 00:00:00 030002342 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-10 00:00:00 None No 2005-12-20 00:00:00 None B None 1000 1000 -350 650 0 030020467 A99999 N None None SFY2005-06
030000288 TURLOCK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2005-12-16 00:00:00 030002343 Closed Citation Citation B (HSC 1424) Medication None 2005-10-02 00:00:00 None No 2006-01-10 00:00:00 None B None 600 600 -210 390 0 030020471 A99999 N None None SFY2005-06
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-01-13 00:00:00 030002344 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-16 00:00:00 None No 2006-02-17 00:00:00 None B None 1000 1000 -350 650 0 030020473 A99999 N None None SFY2005-06
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-02-03 00:00:00 030002345 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-16 00:00:00 None No 2006-02-28 00:00:00 None B None 1000 1000 -350 650 0 030020474 A99999 N None None SFY2005-06
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-02-03 00:00:00 030002346 Closed Citation Citation B (HSC 1424) Other ABUSE SELF REPORTED 2005-04-24 00:00:00 None No 2006-02-28 00:00:00 None B None 500 500 -175 325 0 030020475 A99999 N None None SFY2005-06
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-08-08 00:00:00 030002914 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-12-06 00:00:00 2005-12-06 00:00:00 Yes 2006-08-29 00:00:00 2006-08-16 00:00:00 AA A 80000 21050 -1050 20000 0 None YJL311 Y CA00067861 A SFY2006-07
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-01-05 00:00:00 030002916 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-03-20 00:00:00 2005-03-20 00:00:00 Yes 2008-03-14 00:00:00 2008-03-26 00:00:00 AA A 90000 32500 0 32500 0 None 1UO911 Y CA00041684 C SFY2006-07
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2006-04-26 00:00:00 030002919 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-09 00:00:00 2005-08-09 00:00:00 No 2006-05-30 00:00:00 None A None 16000 16000 -5600 10400 0 None THVK11 Y CA00059704 B SFY2005-06
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2006-03-11 00:00:00 030002920 Closed Citation Citation B (HSC 1424) Other ABUSE SELF-REPORTED 2005-11-02 00:00:00 2005-11-02 00:00:00 No 2006-04-03 00:00:00 None B None 1000 1000 -350 650 0 None 2B1M11 N CA00064929 C SFY2005-06
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2006-03-21 00:00:00 030002940 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-21 00:00:00 2005-03-21 00:00:00 No 2006-04-12 00:00:00 None B None 1000 1000 -350 650 0 None Y2UR11 N CA00047871 C SFY2005-06
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-03-23 00:00:00 030002977 Closed Citation Citation B (HSC 1424) Other ABUSE 2005-09-13 00:00:00 2005-09-13 00:00:00 No 2006-04-14 00:00:00 None B None 1000 1000 -350 650 0 None N2PQ11 N CA00062047 B SFY2005-06
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2006-03-29 00:00:00 030002981 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-16 00:00:00 2005-05-16 00:00:00 No 2006-04-20 00:00:00 None B None 1000 1000 -350 650 0 None SE0211 N CA00061029 C SFY2005-06
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2006-03-29 00:00:00 030002987 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-22 00:00:00 2005-05-22 00:00:00 No 2006-04-20 00:00:00 None B None 1000 1000 -350 650 0 None SEO211 N CA00061029 C SFY2005-06
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-03-28 00:00:00 030002991 Closed Citation Citation A (HSC 1424) Patient Care None 2004-02-03 00:00:00 2004-02-03 00:00:00 No 2006-04-19 00:00:00 None A None 16000 16000 -5600 10400 0 None 19WG11 N CA00025661, CA00026432 C, C SFY2005-06
100000027 RIVER BEND NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-04-18 00:00:00 030003032 Closed Citation Citation A (HSC 1424) Patient Care None 2004-06-16 00:00:00 2004-06-16 00:00:00 Yes 2006-05-09 00:00:00 2006-04-24 00:00:00 A A 10000 6000 0 6000 0 None 6L3511 N CA00032038 B SFY2005-06
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-05-31 00:00:00 030003115 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-18 00:00:00 2005-04-18 00:00:00 No 2006-06-21 00:00:00 None B None 1000 1000 0 1000 0 None J02811 N CA00045501 B SFY2005-06
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-05-31 00:00:00 030003121 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-28 00:00:00 2005-07-28 00:00:00 No 2006-06-21 00:00:00 None B None 1000 1000 0 1000 0 None DVE911 N CA00057385 C SFY2005-06
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-06-14 00:00:00 030003150 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-01-02 00:00:00 2006-01-02 00:00:00 No 2006-07-06 00:00:00 None B None 500 500 -175 325 0 None 2CB511 N None None SFY2005-06
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2006-06-28 00:00:00 030003180 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-09-03 00:00:00 2005-09-03 00:00:00 No 2006-07-20 00:00:00 None AA None 100000 100000 -35000 65000 0 None IUPT11 Y CA00060356, CA00060576, CA00060997 B, B, B SFY2005-06
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2006-07-21 00:00:00 030003184 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-22 00:00:00 2005-09-22 00:00:00 No 2006-08-11 00:00:00 None B None 500 500 0 500 0 None DXQ811 N None None SFY2006-07
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-06-30 00:00:00 030003185 Closed Citation Citation A (HSC 1424) Patient Care None 2004-02-14 00:00:00 2004-02-14 00:00:00 No 2006-07-24 00:00:00 None A None 16000 16000 -5600 10400 0 None LQP911 N CA00020571 C SFY2005-06
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-06-30 00:00:00 030003187 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-13 00:00:00 2004-02-13 00:00:00 No 2006-07-24 00:00:00 None B None 800 800 -280 520 0 None LQP911 N CA00020571 C SFY2005-06
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-07-14 00:00:00 030003206 Closed Citation Citation AA (HSC 1424) Medication None 2006-01-04 00:00:00 2006-01-04 00:00:00 Yes 2006-08-04 00:00:00 2006-08-03 00:00:00 AA AA 80000 20000 0 20000 0 None UWW211 Y CA00070355, CA00070451, CA00070667, CA00082166 B, C, C, B SFY2006-07
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2007-06-15 00:00:00 030003214 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-28 00:00:00 2006-05-28 00:00:00 No 2007-07-09 00:00:00 None B None 1000 1000 -350 650 0 None C7A711 N CA00082206, CA00082401 B, B SFY2006-07
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2006-08-08 00:00:00 030003215 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-30 00:00:00 2006-01-30 00:00:00 No 2006-08-29 00:00:00 None B None 500 500 -175 325 0 None WO7211 N CA00071554 B SFY2006-07
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2006-12-20 00:00:00 030003318 Closed Citation Citation AA (HSC 1424) Patient Care Abuse/Fac Not Reported 2005-06-25 00:00:00 2005-06-25 00:00:00 Yes 2007-01-18 00:00:00 2007-01-10 00:00:00 AA A 100000 20000 0 20000 0 None CZQM11 Y CA00053421, CA00056632 B, B SFY2006-07
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-09-12 00:00:00 030003327 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-12 00:00:00 2005-08-12 00:00:00 No 2006-10-03 00:00:00 None B None 500 500 -175 325 0 None CGP511 N CA00059025 C SFY2006-07
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2006-09-14 00:00:00 030003328 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-06 00:00:00 2006-06-06 00:00:00 No 2006-10-05 00:00:00 None B None 1000 1000 -350 650 0 None Z5MQ11 N CA00088530 A SFY2006-07
100000027 RIVER BEND NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-09-13 00:00:00 030003329 Closed Citation Citation B (HSC 1424) Other Abuse Self Reported 2006-06-30 00:00:00 2006-06-30 00:00:00 Yes 2006-10-04 00:00:00 2006-09-22 00:00:00 B B 500 100 0 100 0 None QZDC11 N CA00086276 B SFY2006-07
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2006-09-12 00:00:00 030003332 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-03 00:00:00 2006-02-03 00:00:00 No 2006-10-03 00:00:00 None B None 500 500 -175 325 0 None B9CI11 N CA00072097 B SFY2006-07
030000050 MAIN WEST POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2006-10-12 00:00:00 030003333 Closed Citation Citation B (HSC 1424) Other Infection Control 2006-09-01 00:00:00 2006-09-01 00:00:00 No 2006-11-02 00:00:00 None B None 1000 1000 -350 650 0 None 7E2L11 N CA00092050 B SFY2006-07
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-09-20 00:00:00 030003347 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-29 00:00:00 2006-07-29 00:00:00 No 2006-10-12 00:00:00 None B None 1000 1000 -350 650 0 None XZDS11 N None None SFY2006-07
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2006-09-25 00:00:00 030003354 Closed Citation Citation B (HSC 1424) Patient Care Facility Report 2006-08-19 00:00:00 2006-08-19 00:00:00 No 2006-10-17 00:00:00 None B None 1000 1000 0 1000 0 None YTW211 N CA00090743 B SFY2006-07
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-10-02 00:00:00 030003370 Closed Citation Citation A (HSC 1424) Patient Care None 2005-10-13 00:00:00 2005-10-13 00:00:00 No 2006-10-24 00:00:00 None A None 15000 15000 -5250 9750 0 None QNI411 N CA00064970 C SFY2006-07
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-10-06 00:00:00 030003389 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-02 00:00:00 2005-09-02 00:00:00 Yes 2006-11-03 00:00:00 2006-10-13 00:00:00 B B 1000 500 0 500 0 None WPR611 N CA00061180 C SFY2006-07
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2006-10-05 00:00:00 030003390 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-12 00:00:00 2006-06-12 00:00:00 No 2006-10-27 00:00:00 None B None 1000 1000 -350 650 0 None 6XHN11 N CA00090485 B SFY2006-07
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-10-17 00:00:00 030003410 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-06 00:00:00 2004-08-06 00:00:00 No 2006-11-07 00:00:00 None B None 800 800 -280 520 0 None IUO911 N CA00041684 C SFY2006-07
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2006-10-13 00:00:00 030003414 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-07-30 00:00:00 2006-07-30 00:00:00 No 2006-11-03 00:00:00 None B None 1000 1000 -350 650 0 None RDYD11 N CA00088841 B SFY2006-07
100000100 STOLLWOOD CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2006-10-19 00:00:00 030003415 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-30 00:00:00 2006-07-30 00:00:00 No 2006-11-09 00:00:00 None B None 1000 1000 -350 650 0 None YXL411 N CA00089636, CA00089694 B, B SFY2006-07
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2006-10-24 00:00:00 030003430 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-06-01 00:00:00 2006-06-01 00:00:00 Yes 2006-11-21 00:00:00 2006-10-26 00:00:00 B B 800 400 0 400 0 None P1KC11 N CA00088291 B SFY2006-07
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2006-10-24 00:00:00 030003431 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-18 00:00:00 2006-09-18 00:00:00 Yes 2006-11-16 00:00:00 2006-11-03 00:00:00 B B 500 500 0 500 0 None UJHV11 N CA00093665 B SFY2006-07
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-10-25 00:00:00 030003440 Closed Citation Citation B (HSC 1424) Problem Transfer None 2006-05-27 00:00:00 2006-05-27 00:00:00 No 2006-11-16 00:00:00 None B None 1000 1000 -350 650 0 None H03911 N CA00082235 A SFY2006-07
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2006-10-30 00:00:00 030003444 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-10 00:00:00 2006-03-10 00:00:00 No 2006-11-21 00:00:00 None B None 1000 1000 -350 650 0 None DRCV11 N CA00075102, CA00075931 B, B SFY2006-07
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-05-09 00:00:00 030003448 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-14 00:00:00 2003-01-14 00:00:00 No 2007-05-31 00:00:00 None A None 20000 20000 -7000 13000 0 None VVSU11 N CA00022218 C SFY2006-07
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2006-12-12 00:00:00 030003476 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-02-24 00:00:00 2006-02-24 00:00:00 No 2007-01-04 00:00:00 None B None 500 500 0 500 0 None GF6811 N CA00074412 B SFY2006-07
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-11-13 00:00:00 030003480 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-04-13 00:00:00 2005-04-13 00:00:00 No 2006-12-06 00:00:00 None B None 1000 3000 -1050 1950 0 None NUIY11 N CA00050391 D SFY2006-07
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2007-01-23 00:00:00 030003486 Closed Citation Citation AA (HSC 1424) Medication None 2006-10-17 00:00:00 2006-10-17 00:00:00 Yes 2010-05-05 00:00:00 2010-05-04 00:00:00 AA AA 100000 83000 0 83000 0 None SLDK11 Y CA00096697 A SFY2006-07
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2006-11-17 00:00:00 030003489 Closed Citation Citation B (HSC 1424) Other Abuse - Facility Reported 2005-10-19 00:00:00 2005-10-19 00:00:00 No 2006-12-12 00:00:00 None B None 1000 1000 -350 650 0 None RX6R11 N CA00064288 C SFY2006-07
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2006-11-27 00:00:00 030003503 Closed Citation Citation B (HSC 1424) Problem Transfer None 2006-04-08 00:00:00 2006-04-08 00:00:00 No 2006-12-18 00:00:00 None B None 1000 1000 -350 650 0 None II9811 N CA00080621 B SFY2006-07
100001681 RCCA - DUTRA PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2006-12-01 00:00:00 030003508 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-26 00:00:00 2006-09-26 00:00:00 Yes 2006-12-26 00:00:00 2006-12-15 00:00:00 B B 600 300 0 300 0 None PCCC11 N CA00094717 B SFY2006-07
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-12-01 00:00:00 030003510 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-01 00:00:00 2006-10-01 00:00:00 Yes 2006-12-22 00:00:00 2006-12-07 00:00:00 B B 600 600 0 600 0 None P69C11 N CA00094960 B SFY2006-07
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2006-12-06 00:00:00 030003515 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-07 00:00:00 2006-11-07 00:00:00 No 2006-12-28 00:00:00 None B None 1000 1000 -350 650 0 None QOYF11 N None None SFY2006-07
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2006-12-06 00:00:00 030003516 Closed Citation Citation B (HSC 1424) Other Abuse 2006-10-26 00:00:00 2006-10-26 00:00:00 No 2006-12-28 00:00:00 None B None 1000 1000 0 1000 0 None 0JPP11 N CA00095275 B SFY2006-07
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2006-12-29 00:00:00 030003537 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-01 00:00:00 2006-06-01 00:00:00 No 2007-01-29 00:00:00 None B None 1000 1000 -350 650 0 None OCBW11 N CA00064815, CA00064815, CA00083301, CA00083301 C, C, B, B SFY2006-07
030001004 AMERICAN RIVER CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-12-20 00:00:00 030003573 Closed Citation Citation A (HSC 1424) Patient Care None 2003-12-08 00:00:00 2003-12-08 00:00:00 No 2007-01-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 085D11 N CA00036382 C SFY2006-07
030001004 AMERICAN RIVER CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-12-20 00:00:00 030003579 Closed Citation Citation B (HSC 1424) Staffing None 2003-12-08 00:00:00 2003-12-08 00:00:00 No 2007-01-17 00:00:00 None B None 1000 1000 -350 650 0 None 085D11 Y CA00036382 C SFY2006-07
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2006-12-20 00:00:00 030003580 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-06-25 00:00:00 2005-06-25 00:00:00 No 2007-01-12 00:00:00 None B None 1000 1000 -350 650 0 None CZQM11 N CA00053421, CA00056632 B, B SFY2006-07
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-12-20 00:00:00 030003582 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-16 00:00:00 2006-10-16 00:00:00 No 2007-01-15 00:00:00 None B None 1000 1000 -350 650 0 None QO7U11 N CA00096026 B SFY2006-07
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2006-12-20 00:00:00 030003586 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-10-14 00:00:00 2006-10-14 00:00:00 Yes 2007-01-18 00:00:00 2006-12-26 00:00:00 B B 600 300 0 300 0 None K8KF11 N CA00095953 B SFY2006-07
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2006-12-20 00:00:00 030003587 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-07-22 00:00:00 2006-07-22 00:00:00 Yes 2007-01-17 00:00:00 2007-01-08 00:00:00 B B 1000 500 0 500 0 None I9PU11 N CA00089192 B SFY2006-07
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2007-01-16 00:00:00 030003609 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-29 00:00:00 2006-07-29 00:00:00 No 2007-02-09 00:00:00 None B None 1000 1000 -350 650 0 None VR9M11 N CA00089576 B SFY2006-07
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-01-04 00:00:00 030003610 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-06 00:00:00 2005-03-06 00:00:00 No 2007-01-30 00:00:00 None B None 1000 1000 -350 650 0 None CEVJ11 N CA00060515 C SFY2006-07
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-01-04 00:00:00 030003616 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-26 00:00:00 2006-10-26 00:00:00 Yes 2007-01-25 00:00:00 2007-01-09 00:00:00 B B 600 300 0 300 0 None EQB611 N CA00097067 B SFY2006-07
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-01-16 00:00:00 030003636 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-02 00:00:00 2006-07-02 00:00:00 No 2007-02-06 00:00:00 None B None 1000 1000 -350 650 0 None 6Z1B11 N CA00085732, CA00089597 B, B SFY2006-07
100001455 WRS INC. NORTH PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-01-18 00:00:00 030003646 Closed Citation Citation B (HSC 1424) Patient Care Neglect 2006-01-24 00:00:00 2006-01-24 00:00:00 Yes 2007-02-19 00:00:00 2007-01-29 00:00:00 B Drop>Deficiency 800 0 0 0 0 None I7LO11 N CA00071133 B SFY2006-07
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-04-05 00:00:00 030003655 Closed Citation Citation B (HSC 1424) Administration Patient Care 2006-12-07 00:00:00 2006-12-07 00:00:00 No 2007-04-26 00:00:00 None B None 1000 1000 -350 650 0 None TGTL11 N CA00100864 A SFY2006-07
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-06-20 00:00:00 030003657 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-21 00:00:00 2006-11-21 00:00:00 No 2008-07-14 00:00:00 None A None 20000 20000 -7000 13000 0 None 00MS11 N CA00099479 B SFY2007-08
100001644 RCCA - LILY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-01-30 00:00:00 030003668 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-04-07 00:00:00 2006-04-07 00:00:00 Yes 2007-02-22 00:00:00 2007-02-02 00:00:00 B B 1000 500 0 500 0 None VNJ611 N CA00078429, CA00078434 B, B SFY2006-07
100001644 RCCA - LILY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-01-30 00:00:00 030003669 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-07-15 00:00:00 2006-07-15 00:00:00 Yes 2007-02-20 00:00:00 2007-02-02 00:00:00 B B 800 400 0 400 0 None WP2Z11 N CA00088561 B SFY2006-07
030000288 TURLOCK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2007-02-07 00:00:00 030003686 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-12 00:00:00 2005-06-12 00:00:00 No 2007-02-28 00:00:00 None B None 1000 1000 0 1000 0 None R7CL11 N CA00056965 C SFY2006-07
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2007-03-02 00:00:00 030003703 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-09 00:00:00 2006-11-09 00:00:00 No 2007-03-23 00:00:00 None B None 1000 1000 -350 650 0 None QDOJ11 N CA00098539, CA00098546 A, A SFY2006-07
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-11-27 00:00:00 030003709 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-30 00:00:00 2005-11-30 00:00:00 No 2007-12-21 00:00:00 None B None 1000 1000 -350 650 0 None VY1S11 N CA00066485 C SFY2007-08
030001004 AMERICAN RIVER CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-03-09 00:00:00 030003771 Closed Citation Citation B (HSC 1424) Medication None 2005-10-06 00:00:00 2005-10-06 00:00:00 No 2007-03-30 00:00:00 None B None 1000 1000 -350 650 0 None JLTU11 N CA00063787 C SFY2006-07
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-07-26 00:00:00 030003780 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-25 00:00:00 2005-08-25 00:00:00 Yes 2007-08-16 00:00:00 2007-08-09 00:00:00 B None 1000 1350 0 1350 0 None RB1011 N CA00076470 B SFY2007-08
100000104 VIENNA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-03-22 00:00:00 030003787 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-10-27 00:00:00 2006-10-27 00:00:00 Yes 2007-04-12 00:00:00 2007-03-29 00:00:00 B B 500 250 0 250 0 None HGOC11 N CA00097194 B SFY2006-07
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-03-22 00:00:00 030003790 Closed Citation Citation B (HSC 1424) Other Abuse-Not Self Reported 2006-10-09 00:00:00 2006-10-09 00:00:00 No 2007-04-30 00:00:00 None B None 500 500 0 500 0 None ZWKS11 N CA00097143 B SFY2006-07
100000104 VIENNA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-03-22 00:00:00 030003791 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-30 00:00:00 2006-06-30 00:00:00 Yes 2007-04-12 00:00:00 2007-04-05 00:00:00 B B 1000 500 0 500 0 None TD0T11 N CA00097593 B SFY2006-07
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-03-29 00:00:00 030003793 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-21 00:00:00 2005-08-21 00:00:00 No 2007-04-19 00:00:00 None B None 1000 1000 -350 650 0 None GEJO11 N CA00063979 C SFY2006-07
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-03-28 00:00:00 030003794 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-01 00:00:00 2006-08-01 00:00:00 Yes 2007-04-20 00:00:00 2007-04-02 00:00:00 B B 1000 550 0 550 0 None K1YS11 N CA00090165 B SFY2006-07
100000104 VIENNA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-03-22 00:00:00 030003796 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-15 00:00:00 2006-06-15 00:00:00 Yes 2007-04-16 00:00:00 2007-03-29 00:00:00 B B 1000 500 0 500 0 None P6PM11 N CA00084198 B SFY2006-07
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-03-23 00:00:00 030003830 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Patient Rights 2006-11-10 00:00:00 2006-11-10 00:00:00 No 2007-04-13 00:00:00 None B None 1000 1000 -350 650 0 None STXO11 N CA00072658, CA00098355 B, B SFY2006-07
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2007-03-26 00:00:00 030003836 Closed Citation Citation B (HSC 1424) Other Abuse - Self Reported 2007-01-22 00:00:00 2007-01-22 00:00:00 No 2007-04-16 00:00:00 None B None 800 800 0 800 0 None E6IY11 N CA00104486 A SFY2006-07
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-03-29 00:00:00 030003859 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-19 00:00:00 2007-02-19 00:00:00 No 2007-04-19 00:00:00 None B None 1000 1000 -350 650 0 None E3M511 N CA00107250 B SFY2006-07
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-03-30 00:00:00 030003861 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-02-13 00:00:00 2007-02-13 00:00:00 No 2007-04-20 00:00:00 None B None 600 600 -210 390 0 None EHZ211 N CA00106960 B SFY2006-07
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2007-03-30 00:00:00 030003863 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-04-15 00:00:00 2006-04-15 00:00:00 No 2007-04-20 00:00:00 None B None 1000 1000 -350 650 0 None RQD511 N CA00078568 B SFY2006-07
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2007-06-15 00:00:00 030003864 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-29 00:00:00 2006-05-29 00:00:00 No 2007-07-09 00:00:00 None B None 800 800 -280 520 0 None C7A711 N CA00082206, CA00082401 B, B SFY2006-07
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-04-03 00:00:00 030003865 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge Rights 2006-11-23 00:00:00 2006-11-23 00:00:00 No 2007-05-07 00:00:00 None B None 1000 1000 -350 650 0 None J21C11 N CA00100300 B SFY2006-07
030000530 OAK RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-04-19 00:00:00 030003885 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-04 00:00:00 2005-02-04 00:00:00 No 2007-05-10 00:00:00 None B None 1000 1000 -350 650 0 None R7SD11 N CA00039015, CA00039050 B, B SFY2006-07
030000530 OAK RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-04-19 00:00:00 030003886 Closed Citation Citation A (HSC 1424) Patient Care None 2005-02-07 00:00:00 2005-02-07 00:00:00 Yes 2007-05-10 00:00:00 2007-05-08 00:00:00 A A 20000 11000 0 11000 0 None R7SD11 N CA00039015, CA00039050 B, B SFY2006-07
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2007-04-17 00:00:00 030003891 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-05 00:00:00 2006-03-05 00:00:00 No 2007-05-08 00:00:00 None B None 1000 1000 -350 650 0 None 9CI311 N CA00076296, CA00076462 A, A SFY2006-07
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2007-04-17 00:00:00 030003897 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-03-22 00:00:00 2006-03-22 00:00:00 No 2007-05-08 00:00:00 None B None 1000 1000 -350 650 0 None JQM811 N CA00079719 B SFY2006-07
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-04-19 00:00:00 030003899 Closed Citation Citation A (HSC 1424) Patient Care None 2006-03-10 00:00:00 2006-03-10 00:00:00 Yes 2007-05-10 00:00:00 2007-04-23 00:00:00 A A 18000 18000 0 18000 0 None LX7W11 N CA00078378 B SFY2006-07
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-04-24 00:00:00 030003906 Closed Citation Citation B (HSC 1424) Other Abuse Facility Reported 2006-05-19 00:00:00 2006-05-19 00:00:00 No 2007-05-15 00:00:00 None B None 500 500 -175 325 0 None KL9D11 N CA00081731, CA00083269 B, B SFY2006-07
100001594 SHIRLEY'S ICF/DD-H #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2007-04-25 00:00:00 030003912 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-26 00:00:00 2006-09-26 00:00:00 No 2007-05-16 00:00:00 None B None 500 500 -175 325 0 None CP3F11 N CA00093397 B SFY2006-07
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-05-02 00:00:00 030003925 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-16 00:00:00 2005-03-16 00:00:00 No 2007-05-23 00:00:00 None B None 1000 1000 -350 650 0 None ICKN11 N CA00041039 C SFY2006-07
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2007-05-10 00:00:00 030003933 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-15 00:00:00 2007-03-15 00:00:00 Yes 2007-06-01 00:00:00 2007-05-15 00:00:00 B B 1000 500 0 500 0 None QY4211 N CA00081034 B SFY2006-07
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-05-10 00:00:00 030003935 Closed Citation Citation B (HSC 1424) Other Abuse 2007-04-06 00:00:00 2007-04-06 00:00:00 No 2007-06-05 00:00:00 None B None 1000 1000 -350 650 0 None NNIS11 N CA00109661 B SFY2006-07
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-05-09 00:00:00 030003938 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-14 00:00:00 2003-01-14 00:00:00 No 2007-05-31 00:00:00 None B None 1000 1000 -350 650 0 None VVSU11 N CA00022218 C SFY2006-07
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-05-09 00:00:00 030003948 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-14 00:00:00 2003-01-14 00:00:00 No 2007-05-30 00:00:00 None B None 1000 1000 -350 650 0 None VVSU11 N CA00022218 C SFY2006-07
100000030 THE GROVE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-05-17 00:00:00 030003963 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-02-11 00:00:00 2007-02-11 00:00:00 No 2007-06-07 00:00:00 None B None 1000 1000 -350 650 0 None PLCK11 N CA00114253 B SFY2006-07
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2007-06-01 00:00:00 030003990 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Patient Rights 2007-01-26 00:00:00 2007-01-26 00:00:00 No 2007-06-22 00:00:00 None B None 1000 1000 -350 650 0 None DOCV11 N CA00105138 B SFY2006-07
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-09-14 00:00:00 030004023 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-16 00:00:00 2006-06-16 00:00:00 No 2007-10-05 00:00:00 None B None 1000 1000 0 1000 0 None 8FV111 N CA00085668 B SFY2007-08
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-06-19 00:00:00 030004027 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-20 00:00:00 2006-05-20 00:00:00 No 2007-07-11 00:00:00 None B None 800 800 -280 520 0 None OJBU11 N CA00081922 B SFY2006-07
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-06-19 00:00:00 030004028 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-12 00:00:00 2004-01-12 00:00:00 Yes 2007-07-11 00:00:00 2007-07-17 00:00:00 B B 1000 1000 0 1000 0 None 83NZ11 N CA00086526 B SFY2006-07
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-06-14 00:00:00 030004030 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-01 00:00:00 2007-01-01 00:00:00 No 2007-07-06 00:00:00 None B None 1000 1000 -350 650 0 None U24D11 N CA00107143, CA00107361 B, B SFY2006-07
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-06-20 00:00:00 030004031 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-13 00:00:00 2006-08-13 00:00:00 Yes 2007-07-12 00:00:00 2007-06-28 00:00:00 A None 20000 20000 -20000 0 0 None 0CSO11 N CA00093117 B SFY2006-07
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-06-19 00:00:00 030004032 Closed Citation Citation A (HSC 1424) Patient Care None 2006-04-07 00:00:00 2006-04-07 00:00:00 Yes 2008-03-06 00:00:00 2008-02-22 00:00:00 A A 20000 10000 0 10000 0 None C2P311 N CA00101049 B SFY2006-07
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2007-06-19 00:00:00 030004033 Closed Citation Citation A (HSC 1424) Patient Care None 2006-03-21 00:00:00 2006-03-21 00:00:00 No 2007-07-11 00:00:00 None A None 20000 20000 -7000 13000 0 None 6V1G11 N CA00075814, CA00079676 B, B SFY2006-07
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-06-19 00:00:00 030004034 Closed Citation Citation A (HSC 1424) Patient Care None 2006-01-02 00:00:00 2006-01-02 00:00:00 No 2007-07-11 00:00:00 None A None 10000 10000 -3500 6500 0 None 4SW611 N CA00069495 B SFY2006-07
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-06-21 00:00:00 030004037 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-02-04 00:00:00 2007-02-04 00:00:00 Yes 2008-03-18 00:00:00 2008-02-29 00:00:00 AA AA 100000 50000 0 50000 0 None ZUX711 Y CA00107145 B SFY2006-07
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-06-27 00:00:00 030004042 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-14 00:00:00 2007-02-14 00:00:00 No 2007-07-19 00:00:00 None B None 800 800 -280 520 0 None TFHN11 N CA00106568 B SFY2006-07
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-06-27 00:00:00 030004043 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-04 00:00:00 2007-02-04 00:00:00 No 2007-07-26 00:00:00 None B None 1000 1000 -350 650 0 None LW1E11 N CA00106063 B SFY2006-07
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-06-27 00:00:00 030004044 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-01-28 00:00:00 2007-01-28 00:00:00 No 2007-07-19 00:00:00 None B None 800 800 -280 520 0 None 1DUQ11 N CA00105619 B SFY2006-07
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2007-06-27 00:00:00 030004047 Closed Citation Citation A (HSC 1424) Patient Care Physical Environment 2006-07-22 00:00:00 2006-07-22 00:00:00 Yes 2007-07-27 00:00:00 2007-07-17 00:00:00 A B 20000 5000 0 5000 0 None V63M11 N CA00087566 A SFY2006-07
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2007-06-27 00:00:00 030004048 Closed Citation Citation A (HSC 1424) Patient Care Physical Environment 2006-07-23 00:00:00 2006-07-23 00:00:00 Yes 2007-08-02 00:00:00 2007-07-17 00:00:00 A A 20000 20000 0 20000 0 None V63M11 N CA00087566 A SFY2006-07
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2007-06-27 00:00:00 030004050 Closed Citation Citation AA (HSC 1424) Patient Care Physical Environment 2006-07-22 00:00:00 2006-07-22 00:00:00 Yes 2007-08-02 00:00:00 2007-07-17 00:00:00 AA B 80000 5000 0 5000 0 None V63M11 Y CA00087566 A SFY2006-07
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2007-07-02 00:00:00 030004056 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-18 00:00:00 2007-01-18 00:00:00 No 2007-07-24 00:00:00 None B None 1000 1000 -350 650 0 None G5MX11 N CA00104302 B SFY2007-08
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2007-07-05 00:00:00 030004057 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-24 00:00:00 2007-02-24 00:00:00 No 2007-07-26 00:00:00 None B None 1000 1000 -350 650 0 None XQWR11 N CA00107670 B SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-07-06 00:00:00 030004065 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-04-06 00:00:00 2007-04-06 00:00:00 No 2007-07-27 00:00:00 None B None 1000 1000 0 1000 0 None HTQS11 N CA00112026 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-07-12 00:00:00 030004070 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-03-19 00:00:00 2005-03-19 00:00:00 Yes 2007-08-02 00:00:00 2007-07-25 00:00:00 AA AA 100000 50000 0 50000 0 None E65O11 Y CA00050742 C SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-07-18 00:00:00 030004096 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-11 00:00:00 2006-09-11 00:00:00 No 2007-08-08 00:00:00 None B None 1000 1000 -350 650 0 None QTQZ11 N CA00093101 B SFY2007-08
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-07-17 00:00:00 030004099 Closed Citation Citation B (HSC 1424) Other Abuse Facility Reported 2007-05-11 00:00:00 2007-05-11 00:00:00 Yes 2007-08-07 00:00:00 2007-07-25 00:00:00 B B 750 487.5 0 487.5 0 None 4KC311 N CA00114502 A SFY2007-08
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-07-19 00:00:00 030004105 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-19 00:00:00 2003-10-19 00:00:00 Yes 2007-08-09 00:00:00 2007-08-03 00:00:00 B B 1000 400 0 400 0 None QKGF11 N CA00076312 B SFY2007-08
030000050 MAIN WEST POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2007-07-19 00:00:00 030004111 Closed Citation Citation B (HSC 1424) Patient Care Nursing Services 2007-05-15 00:00:00 2007-05-15 00:00:00 No 2007-08-09 00:00:00 None B None 1000 1000 -350 650 0 None TNVM11 N CA00116360 B SFY2007-08
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-07-24 00:00:00 030004112 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-13 00:00:00 2006-12-13 00:00:00 Yes 2007-08-14 00:00:00 2007-07-27 00:00:00 B None 800 800 -280 520 0 None KF8O11 N CA00101202 B SFY2007-08
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2007-07-24 00:00:00 030004113 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-14 00:00:00 2006-06-14 00:00:00 No 2007-08-14 00:00:00 None B None 1000 1000 -350 650 0 None IPKB11 N CA00083823 B SFY2007-08
100000175 CASA DEL MAR #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-07-24 00:00:00 030004115 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-16 00:00:00 2007-02-16 00:00:00 Yes 2007-08-14 00:00:00 2007-08-10 00:00:00 B B 1000 500 0 500 0 None SFOV11 N CA00106954 B SFY2007-08
100000061 GARDENS HEALTHCARE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-07-24 00:00:00 030004116 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-16 00:00:00 2006-12-16 00:00:00 No 2007-08-14 00:00:00 None B None 1000 1000 -350 650 0 None ETKY11 N CA00100747 B SFY2007-08
100000170 ALTA'S ICF, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-07-24 00:00:00 030004117 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-06 00:00:00 2007-06-06 00:00:00 No 2007-08-14 00:00:00 None B None 1000 1000 -350 650 0 None MUVO11 N CA00116978 B SFY2007-08
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2007-07-26 00:00:00 030004124 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-19 00:00:00 2006-03-19 00:00:00 No 2007-08-16 00:00:00 None B None 1000 1000 -350 650 0 None 6V1G11 N CA00075814, CA00079676 B, B SFY2007-08
030000023 ADVENTIST HEALTH SONORA - D/P SNF (UNIT 6) LTC SNF Skilled Nursing Facility Stockton 2007-08-01 00:00:00 030004126 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-26 00:00:00 2006-09-26 00:00:00 No 2007-08-22 00:00:00 None B None 1000 1000 -350 650 0 None THJU11 N CA00094963 B SFY2007-08
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-07-26 00:00:00 030004128 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-27 00:00:00 2005-08-27 00:00:00 Yes 2007-08-16 00:00:00 2007-08-09 00:00:00 A A 15000 12350 -350 12000 0 None RB1011 N CA00076470 B SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-08-02 00:00:00 030004133 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-04-30 00:00:00 2007-04-30 00:00:00 No 2007-08-23 00:00:00 None B None 1000 1000 -350 650 0 None K4OW11 N CA00114513 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-07-31 00:00:00 030004134 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-25 00:00:00 2005-07-25 00:00:00 Yes 2007-08-21 00:00:00 2007-08-01 00:00:00 B None 1000 1000 -350 650 0 None T7EF11 N CA00059596 B SFY2007-08
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2007-08-06 00:00:00 030004137 Closed Citation Citation B (HSC 1424) Other ABUSE 2006-05-21 00:00:00 2006-05-21 00:00:00 No 2007-08-27 00:00:00 None B None 1000 1000 -350 650 0 None 6N9511 N CA00073359 C SFY2007-08
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2007-08-06 00:00:00 030004141 Closed Citation Citation B (HSC 1424) Other Abuse/Facility Reported 2006-11-16 00:00:00 2006-11-16 00:00:00 No 2007-08-27 00:00:00 None B None 1000 1000 -350 650 0 None MHR111 N CA00099016 B SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-08-02 00:00:00 030004143 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-30 00:00:00 2007-04-30 00:00:00 No 2007-08-23 00:00:00 None B None 1000 1000 -350 650 0 None 9L6T11 N CA00117325 B SFY2007-08
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2007-08-06 00:00:00 030004147 Closed Citation Citation B (HSC 1424) Other Abuse - Facility Reported 2007-04-25 00:00:00 2007-04-25 00:00:00 Yes 2007-08-27 00:00:00 2007-08-14 00:00:00 B B 1000 500 0 500 0 None 69DQ11 N CA00113748 B SFY2007-08
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-09-28 00:00:00 030004148 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-05-09 00:00:00 2007-05-09 00:00:00 No 2007-10-25 00:00:00 None B None 800 950 -280 670 0 None W3U511 N CA00115489 B SFY2007-08
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-08-03 00:00:00 030004155 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-16 00:00:00 2006-11-16 00:00:00 No 2007-08-24 00:00:00 None B None 1000 1000 0 1000 0 None 90BE11 N CA00099760, CA00099929 B, B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-08-03 00:00:00 030004161 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-09 00:00:00 2005-11-09 00:00:00 Yes 2007-08-29 00:00:00 2007-08-13 00:00:00 B B 1000 1000 0 1000 0 None VF0811 N CA00068261 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-08-03 00:00:00 030004163 Closed Citation Citation A (HSC 1424) Patient Care None 2005-11-09 00:00:00 2005-11-09 00:00:00 Yes 2007-08-24 00:00:00 2007-08-14 00:00:00 A A 15000 7500 0 7500 0 None VF0811 N CA00068261 B SFY2007-08
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-08-22 00:00:00 030004203 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-10 00:00:00 2007-07-10 00:00:00 No 2007-09-13 00:00:00 None B None 1000 1000 -350 650 0 None D2N311 N CA00120049 B SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-12 00:00:00 030004226 Closed Citation Citation B (HSC 1424) Other Abuse/Facility Reported 2007-07-11 00:00:00 2007-07-11 00:00:00 No 2007-11-02 00:00:00 None B None 1000 1000 -350 650 0 None 8EBX11 N CA00120844 B SFY2007-08
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-09-04 00:00:00 030004230 Closed Citation Citation B (HSC 1424) Other Abuse/Self Reported 2006-06-08 00:00:00 2006-06-08 00:00:00 Yes 2007-09-25 00:00:00 2007-09-07 00:00:00 B B 1000 400 0 400 0 None XQ9L11 N None None SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-09-05 00:00:00 030004231 Closed Citation Citation B (HSC 1424) Other Fac. Self Reported Abuse 2006-10-05 00:00:00 2006-10-05 00:00:00 No 2007-09-26 00:00:00 None B None 1000 1000 -350 650 0 None VN6Y11 N CA00095168 B SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-09-05 00:00:00 030004232 Closed Citation Citation B (HSC 1424) Other Fac. Self Report - Abuse 2006-01-24 00:00:00 2006-01-24 00:00:00 No 2007-09-26 00:00:00 None B None 1000 1000 -350 650 0 None QFDC11 N CA00070977 B SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-09-05 00:00:00 030004233 Closed Citation Citation B (HSC 1424) Other Fac. Self Report - Abuse 2006-10-05 00:00:00 2006-10-05 00:00:00 No 2007-09-26 00:00:00 None B None 1000 1000 -350 650 0 None VN6Y11 N CA00095170 B SFY2007-08
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2008-06-06 00:00:00 030004237 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-29 00:00:00 2007-04-29 00:00:00 Yes 2008-06-27 00:00:00 2008-07-09 00:00:00 A A 12000 7000 0 7000 0 None G5R711 N CA00111969 B SFY2007-08
100000061 GARDENS HEALTHCARE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-09-07 00:00:00 030004240 Closed Citation Citation B (HSC 1424) Patient Care Physical Environment 2007-07-12 00:00:00 2007-07-12 00:00:00 No 2007-09-28 00:00:00 None B None 1000 1000 0 1000 0 None QHJB11 N CA00120297 B SFY2007-08
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2007-09-28 00:00:00 030004241 Closed Citation Citation B (HSC 1424) Other Abuse/Facility Report 2007-05-05 00:00:00 2007-05-05 00:00:00 No 2007-10-22 00:00:00 None B None 800 800 0 800 0 None WJIS11 N CA00113973 B SFY2007-08
100000029 LODI CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-09-07 00:00:00 030004242 Closed Citation Citation B (HSC 1424) Other Injury of Unknown Orgin 2007-07-18 00:00:00 2007-07-18 00:00:00 No 2007-09-28 00:00:00 None B None 1000 1000 -350 650 0 None PVT311 N CA00121884 B SFY2007-08
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-09-07 00:00:00 030004243 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-07-02 00:00:00 2007-07-02 00:00:00 No 2007-09-28 00:00:00 None B None 1000 1000 -350 650 0 None QYCH11 N CA00119687 B SFY2007-08
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-09-07 00:00:00 030004244 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-02 00:00:00 2007-07-02 00:00:00 No 2007-09-28 00:00:00 None B None 1000 1000 -350 650 0 None QYCH11 N CA00119687 B SFY2007-08
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-09-17 00:00:00 030004245 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-17 00:00:00 2007-06-17 00:00:00 No 2007-10-09 00:00:00 None B None 1000 1000 -350 650 0 None WOGK11 N CA00117994 B SFY2007-08
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2007-09-17 00:00:00 030004251 Closed Citation Citation B (HSC 1424) Other Abuse/Self Report 2007-08-01 00:00:00 2007-08-01 00:00:00 No 2007-10-09 00:00:00 None B None 1000 1000 -350 650 0 None T9S111 N CA00122289 B SFY2007-08
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2007-09-12 00:00:00 030004257 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-16 00:00:00 2006-05-16 00:00:00 Yes 2007-10-03 00:00:00 2007-10-01 00:00:00 B B 1000 500 0 500 0 None PSKV11 N CA00081359 B SFY2007-08
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-09-14 00:00:00 030004261 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-21 00:00:00 2007-05-21 00:00:00 No 2007-10-05 00:00:00 None B None 1000 1000 -350 650 0 None 741F11 N CA00115358 B SFY2007-08
100001505 DUKE FACILITIES, INC. #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2007-09-19 00:00:00 030004279 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-16 00:00:00 2007-06-16 00:00:00 No 2007-10-25 00:00:00 None B None 800 800 -280 520 0 None 1IL111 N CA00118663 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-09-20 00:00:00 030004280 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-09 00:00:00 2007-06-09 00:00:00 Yes 2007-11-19 00:00:00 2007-10-09 00:00:00 B B 1000 1000 0 1000 0 None 665H11 N CA00117284 B SFY2007-08
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-09-21 00:00:00 030004281 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-01 00:00:00 2007-09-01 00:00:00 No 2007-10-15 00:00:00 None B None 1000 1000 0 1000 0 None 84Y311 N CA00125370 B SFY2007-08
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-09-21 00:00:00 030004282 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-09-01 00:00:00 2007-09-01 00:00:00 No 2007-10-15 00:00:00 None B None 1000 1000 0 1000 0 None 84Y311 N CA00125370 B SFY2007-08
100001535 MEADOWOOD A HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2007-09-26 00:00:00 030004283 Closed Citation Citation B (HSC 1424) Other Injury of Unknown Origin 2007-08-28 00:00:00 2007-08-28 00:00:00 No 2007-10-18 00:00:00 None B None 1000 1000 -350 650 0 None 085M11 N CA00125056 B SFY2007-08
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-09-24 00:00:00 030004290 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-08-06 00:00:00 2007-08-06 00:00:00 No 2007-11-29 00:00:00 None B None 1000 1050 -350 700 0 None 5WPY11 N CA00124293 A SFY2007-08
100000962 CAPITAL POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-10-01 00:00:00 030004294 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-24 00:00:00 2007-07-24 00:00:00 No 2007-10-23 00:00:00 None B None 800 800 -280 520 0 None 53OT11 N CA00121612 B SFY2007-08
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2007-10-01 00:00:00 030004295 Closed Citation Citation B (HSC 1424) Other Abuse/ Facility Reported 2007-07-01 00:00:00 2007-07-01 00:00:00 No 2007-11-07 00:00:00 None B None 1000 1000 -350 650 0 None 2V7V11 N CA00119212 A SFY2007-08
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-01 00:00:00 030004297 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-16 00:00:00 2007-08-16 00:00:00 No 2007-10-23 00:00:00 None B None 1000 3000 -1050 1950 0 None ZSZR11 N CA00123956 B SFY2007-08
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2007-10-01 00:00:00 030004298 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-23 00:00:00 2007-07-23 00:00:00 No 2007-10-23 00:00:00 None B None 1000 1000 -350 650 0 None U3IH11 N CA00121425, CA00123603 B, B SFY2007-08
100000058 TRACY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2007-10-08 00:00:00 030004317 Closed Citation Citation B (HSC 1424) Other Abuse 2007-08-30 00:00:00 2007-08-30 00:00:00 Yes 2007-10-29 00:00:00 2008-04-07 00:00:00 B None 650 650 -227.5 422.5 0 None IYQR11 N CA00125458 B SFY2007-08
030001004 AMERICAN RIVER CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-10 00:00:00 030004318 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Patient Rights 2007-06-21 00:00:00 2007-06-21 00:00:00 No 2007-10-31 00:00:00 None B None 650 650 0 650 0 None WRUH11 N CA00118831 B SFY2007-08
030001254 KAISER FOUNDATION HOSPITAL MANTECA D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2007-10-05 00:00:00 030004322 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-30 00:00:00 2005-11-30 00:00:00 Yes 2007-10-29 00:00:00 2007-10-12 00:00:00 B B 1000 500 0 500 0 None UGB111 N CA00069089 B SFY2007-08
100000036 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Fresno 2007-10-04 00:00:00 030004323 Closed Citation Citation B (HSC 1424) Patient Record None 2007-06-19 00:00:00 2007-06-19 00:00:00 Yes 2007-10-31 00:00:00 2007-10-05 00:00:00 B B 1000 500 0 500 0 None I76411 N CA00084285 B SFY2007-08
030001004 AMERICAN RIVER CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-10 00:00:00 030004325 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Patient Rights/Care 2007-06-28 00:00:00 2007-06-28 00:00:00 No 2007-11-05 00:00:00 None B None 1000 1000 0 1000 0 None YOHR11 N CA00118897 B SFY2007-08
030000096 SAN LUIS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2007-10-08 00:00:00 030004329 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Patiet Right/Patient Care 2007-08-11 00:00:00 2007-08-11 00:00:00 Yes 2007-10-29 00:00:00 2007-10-16 00:00:00 B B 1000 500 0 500 0 None 10D811 N CA00123176 B SFY2007-08
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-16 00:00:00 030004336 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-08 00:00:00 2006-12-08 00:00:00 No 2007-11-06 00:00:00 None B None 1000 1000 -350 650 0 None 20IU11 N CA00120398 B SFY2007-08
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-12 00:00:00 030004338 Closed Citation Citation B (HSC 1424) Medication None 2007-02-09 00:00:00 2007-02-09 00:00:00 No 2007-11-06 00:00:00 None B None 1000 1550 -350 1200 0 None 8T7X11 N CA00107999 B SFY2007-08
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-11 00:00:00 030004342 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-11 00:00:00 2005-07-11 00:00:00 No 2007-11-01 00:00:00 None B None 1000 1000 -350 650 0 None 85DC11 N CA00060531 C SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-10-11 00:00:00 030004344 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-06-08 00:00:00 2007-06-08 00:00:00 Yes 2007-11-01 00:00:00 2007-10-23 00:00:00 B B 1000 1000 0 1000 0 None MPX711 N CA00117590 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-10-11 00:00:00 030004345 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-05 00:00:00 2005-09-05 00:00:00 No 2007-11-01 00:00:00 None B None 1000 1000 -350 650 0 None LX6W11 N CA00073168 B SFY2007-08
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-11-16 00:00:00 030004351 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-10 00:00:00 2007-09-10 00:00:00 No 2007-12-11 00:00:00 None B None 1000 1000 -350 650 0 None D70711 N CA00119341, CA00120018, CA00123289, CA00125170 C, B, B, C SFY2007-08
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-10-22 00:00:00 030004379 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-21 00:00:00 2007-06-21 00:00:00 No 2007-11-19 00:00:00 None B None 1000 1000 -350 650 0 None PWX311 N CA00125090 B SFY2007-08
100000170 ALTA'S ICF, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2007-10-23 00:00:00 030004383 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-28 00:00:00 2007-07-28 00:00:00 No 2007-11-29 00:00:00 None B None 1000 1000 -350 650 0 None U35I11 N CA00122581 B SFY2007-08
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2007-10-23 00:00:00 030004386 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-18 00:00:00 2006-10-18 00:00:00 No 2007-11-29 00:00:00 None B None 1000 1000 -350 650 0 None LROJ11 N CA00101812 B SFY2007-08
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-23 00:00:00 030004388 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-25 00:00:00 2006-10-25 00:00:00 No 2007-11-14 00:00:00 None B None 1000 1000 -350 650 0 None 4LFY11 N CA00100724, CA00100745, CA00101234 B, B, B SFY2007-08
030000288 TURLOCK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2007-10-26 00:00:00 030004392 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-28 00:00:00 2007-02-28 00:00:00 No 2007-11-19 00:00:00 None B None 1000 1000 0 1000 0 None MDDG11 N CA00107902 B SFY2007-08
100000003 FAIRMONT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2007-10-29 00:00:00 030004395 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-01 00:00:00 2007-07-01 00:00:00 No 2007-11-20 00:00:00 None B None 1000 1000 -350 650 0 None 8UHB11 N CA00119431 B SFY2007-08
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-10-29 00:00:00 030004399 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-14 00:00:00 2007-04-14 00:00:00 No 2007-11-20 00:00:00 None B None 1000 1000 0 1000 0 None LHJD11 N CA00113397 B SFY2007-08
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2007-10-30 00:00:00 030004400 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-21 00:00:00 2004-07-21 00:00:00 Yes 2007-11-21 00:00:00 2007-11-20 00:00:00 B B 1000 500 0 500 0 None TCO311 N CA00051155 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-10-30 00:00:00 030004408 Closed Citation Citation B (HSC 1424) Medication None 2006-02-07 00:00:00 2006-02-07 00:00:00 Yes 2007-11-29 00:00:00 2007-11-01 00:00:00 B B 1000 500 0 500 0 None YW5911 N CA00072467 B SFY2007-08
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-11-30 00:00:00 030004414 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse/Fac Not Reported 2007-08-31 00:00:00 2007-08-31 00:00:00 No 2007-12-27 00:00:00 None B None 1000 1000 -350 650 0 None TMG911 N CA00125314 B SFY2007-08
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2007-11-14 00:00:00 030004416 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-10 00:00:00 2007-10-10 00:00:00 No 2007-12-07 00:00:00 None B None 1000 1000 -350 650 0 None SR4811 N CA00129071 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-12-21 00:00:00 030004419 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-10-13 00:00:00 2005-10-13 00:00:00 Yes 2008-01-15 00:00:00 2008-01-02 00:00:00 AA A 100000 50000 0 50000 0 None 713911 Y CA00063176 B SFY2007-08
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2007-11-27 00:00:00 030004460 Closed Citation Citation A (HSC 1424) Patient Care None 2005-11-11 00:00:00 2005-11-11 00:00:00 No 2007-12-18 00:00:00 None A None 20000 20000 -7000 13000 0 None VY1S11 N CA00066485 C SFY2007-08
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2008-02-27 00:00:00 030004487 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-16 00:00:00 2007-01-16 00:00:00 No 2008-03-21 00:00:00 None B None 1000 1000 -350 650 0 None LZTU11 N CA00103656 B SFY2007-08
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2008-02-27 00:00:00 030004488 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-16 00:00:00 2007-01-16 00:00:00 Yes 2008-03-21 00:00:00 2008-03-13 00:00:00 A A 18000 11700 0 11700 0 None LZTU11 N CA00103656 B SFY2007-08
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2008-02-27 00:00:00 030004491 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-21 00:00:00 2007-01-21 00:00:00 No 2008-03-19 00:00:00 None B None 1000 1000 -350 650 0 None LZTU11 N CA00103656 B SFY2007-08
100000036 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Fresno 2007-12-13 00:00:00 030004512 Closed Citation Citation A (HSC 1424) Patient Care None 2007-03-10 00:00:00 2007-03-10 00:00:00 Yes 2008-01-09 00:00:00 2007-12-18 00:00:00 A A 15000 10000 0 10000 0 None EEXN11 N CA00108984 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-12-14 00:00:00 030004513 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-30 00:00:00 2007-04-30 00:00:00 Yes 2008-01-17 00:00:00 2008-01-02 00:00:00 B B 1000 1000 0 1000 0 None D8WT11 N CA00113484 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2007-12-21 00:00:00 030004537 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-10 00:00:00 2005-10-10 00:00:00 Yes 2008-01-23 00:00:00 2008-01-02 00:00:00 B B 1000 1000 0 1000 0 None 713911 N CA00063176 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-01-29 00:00:00 030004563 Closed Citation Citation A (HSC 1424) Patient Care None 2005-02-27 00:00:00 2005-02-27 00:00:00 Yes 2008-02-21 00:00:00 2008-02-06 00:00:00 A A 20000 10300 -300 10000 0 None RKO911 N CA00073716 B SFY2007-08
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-01-25 00:00:00 030004605 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-02 00:00:00 2007-10-02 00:00:00 No 2008-02-29 00:00:00 None B None 1000 3000 -1050 1950 0 None GHSW11 N CA00130714 B SFY2007-08
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-02-05 00:00:00 030004652 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-24 00:00:00 2007-10-24 00:00:00 No 2008-02-29 00:00:00 None B None 1000 1000 -350 650 0 None AHMP11 N CA00130765 B SFY2007-08
030001254 KAISER FOUNDATION HOSPITAL MANTECA D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2008-02-06 00:00:00 030004653 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-28 00:00:00 2007-10-28 00:00:00 No 2008-02-29 00:00:00 None B None 1000 1000 -350 650 0 None GIWJ11 N CA00130805 B SFY2007-08
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-02-05 00:00:00 030004654 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-05 00:00:00 2007-10-05 00:00:00 No 2008-03-05 00:00:00 None B None 1000 1000 -350 650 0 None QCD511 N CA00128481 B SFY2007-08
100000030 THE GROVE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-02-08 00:00:00 030004664 Closed Citation Citation B (HSC 1424) Other Abuse/Facility Reported 2000-07-24 00:00:00 2000-07-24 00:00:00 No 2008-03-04 00:00:00 None B None 1000 1000 0 1000 0 None R45911 N CA00114490 B SFY2007-08
100000051 ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Stockton 2008-02-08 00:00:00 030004672 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-02-17 00:00:00 2007-02-17 00:00:00 Yes 2010-06-18 00:00:00 2010-05-28 00:00:00 AA AA 100000 75000 0 75000 0 None OLNV11 Y CA00107530 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-02-15 00:00:00 030004694 Closed Citation Citation A (HSC 1424) Patient Care None 2006-03-19 00:00:00 2006-03-19 00:00:00 Yes 2008-03-10 00:00:00 2008-02-20 00:00:00 A A 20000 10350 -350 10000 0 None ED2Z11 N CA00075767 B SFY2007-08
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2008-03-11 00:00:00 030004722 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-01 00:00:00 2007-08-01 00:00:00 No 2008-04-02 00:00:00 None B None 1000 1000 -350 650 0 None C9SE11 N CA00122921 B SFY2007-08
100001674 REIMS ICFDD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2008-03-12 00:00:00 030004751 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-10-08 00:00:00 2007-10-08 00:00:00 No 2008-04-03 00:00:00 None B None 800 800 0 800 0 None B4YW11 N CA00129457 B SFY2007-08
100001674 REIMS ICFDD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2008-03-12 00:00:00 030004769 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-08 00:00:00 2007-10-08 00:00:00 No 2008-04-07 00:00:00 None B None 1000 1000 0 1000 0 None B4YW11 N CA00129457 B SFY2007-08
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2008-03-17 00:00:00 030004786 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-01 00:00:00 2007-12-01 00:00:00 Yes 2008-04-15 00:00:00 2008-03-28 00:00:00 B B 1000 500 0 500 0 None LVHQ11 N CA00133899, CA00134707 B, B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-03-18 00:00:00 030004793 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-19 00:00:00 2005-09-19 00:00:00 Yes 2008-04-09 00:00:00 2008-03-21 00:00:00 A A 20000 10000 0 10000 0 None IY0E11 N CA00063899 C SFY2007-08
030001254 KAISER FOUNDATION HOSPITAL MANTECA D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2008-03-28 00:00:00 030004798 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-20 00:00:00 2007-06-20 00:00:00 No 2008-04-25 00:00:00 None B None 1000 1000 -350 650 0 None 1JKJ11 N CA00118506 B SFY2007-08
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2008-03-21 00:00:00 030004808 Closed Citation Citation A (HSC 1424) Other Urinary Incontinence 2007-10-28 00:00:00 2007-10-28 00:00:00 No 2008-04-14 00:00:00 None A None 15000 15000 -5250 9750 0 None 7M0Q11 N CA00130659 B SFY2007-08
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-03-21 00:00:00 030004809 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-07 00:00:00 2006-12-07 00:00:00 Yes 2008-04-21 00:00:00 2008-04-02 00:00:00 A A 20000 20000 -17371 2629 0 None VBCK11 N CA00103686 B SFY2007-08
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-03-28 00:00:00 030004829 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-04 00:00:00 2006-10-04 00:00:00 Yes 2008-04-21 00:00:00 2008-04-03 00:00:00 B B 1000 650 0 650 0 None Z1X511 N CA00081252 B SFY2007-08
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-03-28 00:00:00 030004833 Closed Citation Citation B (HSC 1424) Medication None 2006-10-04 00:00:00 2006-10-04 00:00:00 Yes 2008-04-21 00:00:00 2008-04-03 00:00:00 B B 1000 650 0 650 0 None Z1X511 N CA00081252 B SFY2007-08
030001064 MARSHALL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2009-01-16 00:00:00 030004857 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-13 00:00:00 2007-08-13 00:00:00 No 2009-02-06 00:00:00 None A None 16000 16000 -5600 10400 0 None 8J4V11 N CA00124061 B SFY2008-09
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-04-15 00:00:00 030004918 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-11 00:00:00 2007-05-11 00:00:00 Yes 2010-04-21 00:00:00 2010-04-01 00:00:00 A A 20000 13000 0 13000 0 None ZOQW11 N CA00115940 B SFY2007-08
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-04-15 00:00:00 030004920 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-11 00:00:00 2007-05-11 00:00:00 Yes 2010-04-21 00:00:00 2010-04-01 00:00:00 A A 20000 11500 0 11500 0 None ZOQW11 N CA00115940 B SFY2007-08
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2008-04-23 00:00:00 030004947 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-11 00:00:00 2007-04-11 00:00:00 No 2008-05-14 00:00:00 None B None 1000 3000 -1050 1950 0 None 4S0E11 N CA00111889 A SFY2007-08
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2008-04-30 00:00:00 030004968 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-14 00:00:00 2007-08-14 00:00:00 No 2008-05-27 00:00:00 None B None 1000 1200 -350 850 0 None XPT911 N CA00126902 B SFY2007-08
100000104 VIENNA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-05-05 00:00:00 030004979 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-08 00:00:00 2006-06-08 00:00:00 No 2008-05-29 00:00:00 None A None 20000 20000 -7000 13000 0 None LW8P11 N CA00087373 B SFY2007-08
100000058 TRACY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2008-03-17 00:00:00 030004984 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-07 00:00:00 2007-12-07 00:00:00 Yes 2008-04-08 00:00:00 2008-04-01 00:00:00 B B 1000 500 0 500 0 None 4BV011 N CA00134672 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-05-15 00:00:00 030005041 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-11-06 00:00:00 2007-11-06 00:00:00 Yes 2008-06-10 00:00:00 2008-05-22 00:00:00 B B 1000 1000 0 1000 0 None L48811 N CA00134972 A SFY2007-08
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2008-05-16 00:00:00 030005042 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-22 00:00:00 2008-02-22 00:00:00 Yes 2008-06-13 00:00:00 2008-05-21 00:00:00 B B 1000 800 -300 500 0 None TTEI11 N CA00144496 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-05-15 00:00:00 030005043 Closed Citation Citation B (HSC 1424) Other Transfer-Discharge 2007-12-13 00:00:00 2007-12-13 00:00:00 Yes 2008-06-10 00:00:00 2008-05-22 00:00:00 B B 1000 1000 0 1000 0 None YP0P11 N CA00136090, CA00136980 B, B SFY2007-08
030000804 TUOLUMNE GENERAL MEDICAL FACILITY D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2008-05-16 00:00:00 030005044 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-02-05 00:00:00 2008-02-05 00:00:00 No 2008-06-12 00:00:00 None B None 800 800 -280 520 0 None 6PVT11 N CA00141090 B SFY2007-08
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2008-05-19 00:00:00 030005046 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-10 00:00:00 2007-10-10 00:00:00 Yes 2008-06-12 00:00:00 2008-05-22 00:00:00 B B 1000 650 0 650 0 None GSJT11 N CA00129052 E SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-05-16 00:00:00 030005048 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-09 00:00:00 2005-06-09 00:00:00 Yes 2008-06-10 00:00:00 2008-05-22 00:00:00 A A 20000 10000 0 10000 0 None 5YKI11 N CA00104670 B SFY2007-08
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-05-16 00:00:00 030005050 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-28 00:00:00 2005-09-28 00:00:00 Yes 2008-06-10 00:00:00 2008-05-22 00:00:00 B B 1000 1000 0 1000 0 None 5YKI11 N CA00104670 B SFY2007-08
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2008-05-22 00:00:00 030005056 Closed Citation Citation A (HSC 1424) Patient Care None 2005-07-18 00:00:00 2005-07-18 00:00:00 Yes 2008-06-17 00:00:00 2008-06-03 00:00:00 A None 20000 20000 0 20000 0 None K1W211 N CA00110261 B SFY2007-08
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-05-22 00:00:00 030005061 Closed Citation Citation B (HSC 1424) Other Abuse 2006-08-21 00:00:00 2006-08-21 00:00:00 No 2008-06-13 00:00:00 None B None 1000 1000 -350 650 0 None NNQK11 N CA00109471, CA00110417 B, B SFY2007-08
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-05-22 00:00:00 030005067 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-02-10 00:00:00 2006-02-10 00:00:00 No 2008-06-13 00:00:00 None B None 1000 1000 -350 650 0 None NNQK11 N CA00109471, CA00110417 B, B SFY2007-08
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-05-30 00:00:00 030005078 Closed Citation Citation A (HSC 1424) Patient Care None 2005-11-02 00:00:00 2005-11-02 00:00:00 Yes 2008-06-24 00:00:00 2008-06-10 00:00:00 A A 18000 6000 0 6000 0 None MT0K11 N CA00067542 B SFY2007-08
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-05-30 00:00:00 030005079 Closed Citation Citation B (HSC 1424) Other Abuse - Facility Reported 2007-02-14 00:00:00 2007-02-14 00:00:00 Yes 2008-06-24 00:00:00 2008-06-10 00:00:00 B B 1000 650 0 650 0 None 0ZZZ11 N CA00106668 E SFY2007-08
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2008-05-29 00:00:00 030005081 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-30 00:00:00 2007-05-30 00:00:00 Yes 2010-05-05 00:00:00 2010-04-20 00:00:00 A A 20000 20000 0 20000 0 None 8E9111 N CA00116923 B SFY2007-08
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2010-01-14 00:00:00 030005090 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-12 00:00:00 2007-12-12 00:00:00 No 2010-02-08 00:00:00 None B None 1000 1000 -350 650 0 None 71WM11 N CA00140835, CA00141702 B, B SFY2009-10
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2008-06-02 00:00:00 030005091 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-02-10 00:00:00 2006-02-10 00:00:00 Yes 2008-06-23 00:00:00 2008-06-06 00:00:00 AA A 90000 25100 -100 25000 0 None 9P3111 Y CA00086645 B SFY2007-08
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2008-06-18 00:00:00 030005146 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-08-17 00:00:00 2006-08-17 00:00:00 No 2008-07-10 00:00:00 None B None 1000 1000 -350 650 0 None WWWD11 N CA00122279 B SFY2007-08
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2008-06-18 00:00:00 030005147 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-08-17 00:00:00 2006-08-17 00:00:00 No 2008-07-15 00:00:00 None B None 1000 1000 -350 650 0 None WWWD11 N CA00122279 B SFY2007-08
100000524 CASA DEL MAR #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2008-06-19 00:00:00 030005156 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-02 00:00:00 2007-06-02 00:00:00 Yes 2008-07-11 00:00:00 2008-07-03 00:00:00 B B 1000 500 0 500 0 None NYU911 N CA00119015 B SFY2007-08
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2008-06-19 00:00:00 030005162 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-29 00:00:00 2006-12-29 00:00:00 Yes 2008-07-15 00:00:00 2008-06-23 00:00:00 A A 20000 13000 0 13000 0 None WJ3F11 N CA00122664 B SFY2007-08
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2008-06-27 00:00:00 030005176 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-01 00:00:00 2007-05-01 00:00:00 No 2008-07-25 00:00:00 None B None 1000 1000 -350 650 0 None QRQV11 N CA00111294 B SFY2007-08
100001154 RCCA - LA ALMENDRA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2008-06-27 00:00:00 030005177 Closed Citation Citation B (HSC 1424) Medication None 2007-07-26 00:00:00 2007-07-26 00:00:00 Yes 2008-07-23 00:00:00 2008-07-10 00:00:00 B B 1000 500 0 500 0 None KEXV11 N CA00121659 B SFY2007-08
100000061 GARDENS HEALTHCARE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2008-06-27 00:00:00 030005180 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-12-25 00:00:00 2006-12-25 00:00:00 No 2008-07-22 00:00:00 None B None 800 800 0 800 0 None KYJ611 N CA00102378 B SFY2007-08
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2008-07-03 00:00:00 030005212 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-05 00:00:00 2006-09-05 00:00:00 Yes 2008-07-25 00:00:00 2008-07-10 00:00:00 B B 1000 550 0 550 0 None XGJ111 N CA00103612 B SFY2008-09
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2008-07-03 00:00:00 030005213 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-09-05 00:00:00 2006-09-05 00:00:00 Yes 2008-07-31 00:00:00 2008-07-10 00:00:00 B B 1000 550 0 550 0 None XGJ111 N CA00103612 B SFY2008-09
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-07-08 00:00:00 030005214 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-05-24 00:00:00 2008-05-24 00:00:00 No 2008-07-31 00:00:00 None B None 1000 1000 -350 650 0 None M0DE11 N CA00151969 C SFY2008-09
100001249 WRS INC., SQUAW PROGRAM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2008-08-07 00:00:00 030005261 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-27 00:00:00 2007-09-27 00:00:00 No 2008-08-29 00:00:00 None B None 1000 1000 -350 650 0 None D70411 N CA00128530, CA00128830 B, B SFY2008-09
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2008-08-07 00:00:00 030005262 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-22 00:00:00 2007-09-22 00:00:00 No 2008-08-28 00:00:00 None B None 1000 1000 -350 650 0 None UKIH11 N CA00127856 B SFY2008-09
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-07-31 00:00:00 030005271 Closed Citation Citation B (HSC 1424) Other Supv. & Prof. Standards 2007-08-05 00:00:00 2007-08-05 00:00:00 No 2008-08-22 00:00:00 None B None 1000 1000 -350 650 0 None 9XS411 N CA00122806 B SFY2008-09
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2008-08-05 00:00:00 030005277 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-10 00:00:00 2007-11-10 00:00:00 No 2008-09-05 00:00:00 None B None 1000 1000 -350 650 0 None WKQP11 N CA00131940 B SFY2008-09
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-08-01 00:00:00 030005278 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-25 00:00:00 2007-05-25 00:00:00 No 2008-08-22 00:00:00 None B None 1000 1000 -350 650 0 None BON311 N CA00141047 B SFY2008-09
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2008-08-01 00:00:00 030005280 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-25 00:00:00 2007-05-25 00:00:00 No 2008-08-26 00:00:00 None B None 1000 1000 -350 650 0 None BON311 N CA00122740, CA00129774, CA00141047 B, B, B SFY2008-09
030001202 CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Fresno 2008-08-05 00:00:00 030005281 Closed Citation Citation B (HSC 1424) Other Abuse-Facility Reported 2007-10-16 00:00:00 2007-10-16 00:00:00 No 2008-08-26 00:00:00 None B None 1000 1000 -350 650 0 None 3YY411 N CA00130404 B SFY2008-09
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2008-08-05 00:00:00 030005284 Closed Citation Citation B (HSC 1424) Other Abuse-Facility Reported 2008-05-24 00:00:00 2008-05-24 00:00:00 Yes 2014-07-29 00:00:00 2014-07-09 00:00:00 B B 850 637.5 0 637.5 0 None O1QO11 N CA00151691 B SFY2008-09
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2008-08-05 00:00:00 030005285 Closed Citation Citation B (HSC 1424) Other Abuse/Facility Reported 2008-05-24 00:00:00 2008-05-24 00:00:00 Yes 2014-07-29 00:00:00 2014-07-09 00:00:00 B B 850 637.5 0 637.5 0 None I8YX11 N CA00151688 B SFY2008-09
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2008-08-05 00:00:00 030005295 Closed Citation Citation B (HSC 1424) Other Employee to Res. Abuse 2007-12-05 00:00:00 2007-12-05 00:00:00 Yes 2008-08-29 00:00:00 2008-08-15 00:00:00 B B 1000 500 0 500 0 None ES3S11 N CA00134064 B SFY2008-09
100001453 WRS INC., MARSHALL PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2008-09-04 00:00:00 030005344 Closed Citation Citation B (HSC 1424) Dietary None 2008-03-20 00:00:00 2008-03-20 00:00:00 No 2008-09-26 00:00:00 None B None 1000 1000 -350 650 0 None 8GL811 N CA00144906 B SFY2008-09
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2008-08-26 00:00:00 030005355 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-17 00:00:00 2007-10-17 00:00:00 No 2008-09-19 00:00:00 None B None 1000 1000 -350 650 0 None 5ZMK11 N CA00130938 C SFY2008-09
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2008-08-26 00:00:00 030005356 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-09 00:00:00 2008-05-09 00:00:00 No 2008-09-17 00:00:00 None B None 800 800 -280 520 0 None R2Z811 N CA00149935 B SFY2008-09
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2008-09-04 00:00:00 030005367 Closed Citation Citation B (HSC 1424) Administration None 2007-12-12 00:00:00 2007-12-12 00:00:00 No 2008-10-03 00:00:00 None B None 1000 1000 -350 650 0 None J3DC11 N CA00134390, CA00134391 B, B SFY2008-09
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2008-09-03 00:00:00 030005377 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-06 00:00:00 2007-04-06 00:00:00 No 2008-09-26 00:00:00 None A None 20000 20000 -7000 13000 0 None 5BO111 N CA00111677 B SFY2008-09
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-09-04 00:00:00 030005384 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-05 00:00:00 2008-01-05 00:00:00 No 2008-09-29 00:00:00 None B None 1000 1000 0 1000 0 None D07411 N CA00137646 B SFY2008-09
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2008-09-09 00:00:00 030005393 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-19 00:00:00 2007-12-19 00:00:00 Yes 2008-10-03 00:00:00 2008-09-16 00:00:00 B B 1000 500 0 500 0 None 6S5T11 N CA00144193, CA00149697 B, B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-09-08 00:00:00 030005394 Closed Citation Citation Willful Material Omission (HSC 1424(f)(1)) Patient Record None 2007-05-29 00:00:00 2007-05-29 00:00:00 Yes 2008-09-29 00:00:00 2008-09-11 00:00:00 WO B 1000 500 0 500 0 None OD6Y11 None CA00116058 B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-09-08 00:00:00 030005395 Closed Citation Citation A (HSC 1424) Other Abuse 2007-05-29 00:00:00 2007-05-29 00:00:00 Yes 2008-09-29 00:00:00 2008-09-11 00:00:00 A A 20000 7600 0 7600 0 None OD6Y11 N CA00116058 B SFY2008-09
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-09-08 00:00:00 030005396 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-07 00:00:00 2007-05-07 00:00:00 No 2008-10-01 00:00:00 None A A 20000 20000 -17371 2629 0 None RGYC11 N CA00117351 B SFY2008-09
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-09-08 00:00:00 030005399 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-28 00:00:00 2008-03-28 00:00:00 No 2008-09-29 00:00:00 None A None 20000 20000 -7000 13000 0 None R37011 N CA00145586, CA00146291 B, B SFY2008-09
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2008-09-12 00:00:00 030005409 Closed Citation Citation A (HSC 1424) Patient Care None 2007-02-24 00:00:00 2007-02-24 00:00:00 No 2008-10-06 00:00:00 None A None 18000 18000 -6300 11700 0 None L2KD11 N CA00113691 B SFY2008-09
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-09-16 00:00:00 030005416 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-01 00:00:00 2006-11-01 00:00:00 No 2008-10-24 00:00:00 None A None 20000 20000 -7000 13000 0 None OEC211 Y CA00099764 B SFY2008-09
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-09-16 00:00:00 030005417 Closed Citation Citation B (HSC 1424) Staffing None 2006-11-10 00:00:00 2006-11-10 00:00:00 No 2008-10-29 00:00:00 None B None 1000 1000 -350 650 0 None OEC211 N CA00099764 B SFY2008-09
100001317 RCCA - MONTEVIEW DRIVE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2008-09-18 00:00:00 030005433 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-26 00:00:00 2008-01-26 00:00:00 Yes 2008-10-09 00:00:00 2009-12-22 00:00:00 A B 10000 10000 0 10000 0 None 1CSS11 N CA00139100 B SFY2008-09
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2008-09-18 00:00:00 030005441 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-29 00:00:00 2008-03-29 00:00:00 Yes 2008-10-23 00:00:00 2008-10-01 00:00:00 B B 1000 650 0 650 0 None VJIR11 N CA00145454 B SFY2008-09
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2008-09-29 00:00:00 030005471 Closed Citation Citation A (HSC 1424) Medication None 2007-05-01 00:00:00 2007-05-01 00:00:00 No 2008-10-21 00:00:00 None A None 20000 20000 -7000 13000 0 None 616Q11 N CA00114484 B SFY2008-09
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-10-01 00:00:00 030005479 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-05-15 00:00:00 2008-05-15 00:00:00 No 2008-10-23 00:00:00 None B None 1000 1000 -350 650 0 None XRRS11 N CA00150720 C SFY2008-09
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-10-01 00:00:00 030005480 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-01-31 00:00:00 2008-01-31 00:00:00 No 2008-10-27 00:00:00 None B None 1000 1000 -350 650 0 None XRRS11 N CA00151325 C SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-10-20 00:00:00 030005532 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-20 00:00:00 2008-02-20 00:00:00 Yes 2008-11-10 00:00:00 2008-10-23 00:00:00 B B 1000 500 0 500 0 None 74C911 N CA00141386 B SFY2008-09
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2008-10-24 00:00:00 030005545 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-18 00:00:00 2007-05-18 00:00:00 Yes 2010-05-05 00:00:00 2010-04-21 00:00:00 A A 20000 10000 0 10000 0 None KSFO11 N CA00115280 B SFY2008-09
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-11-06 00:00:00 030005576 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-15 00:00:00 2008-05-15 00:00:00 Yes 2008-12-02 00:00:00 2008-11-06 00:00:00 A B 20000 4000 -4000 0 0 None 5BT011 N CA00154296 B SFY2008-09
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-12-05 00:00:00 030005603 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-26 00:00:00 2007-04-26 00:00:00 No 2008-12-31 00:00:00 None B None 800 1050 -280 770 0 None TW9M11 N CA00113187 B SFY2008-09
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2008-11-18 00:00:00 030005608 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-11 00:00:00 2008-06-11 00:00:00 Yes 2008-12-18 00:00:00 2008-11-24 00:00:00 B B 700 525 0 525 0 None VNQ411 N CA00153821 B SFY2008-09
030000066 CERES POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2008-11-19 00:00:00 030005628 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-28 00:00:00 2007-06-28 00:00:00 Yes 2008-12-15 00:00:00 2008-11-21 00:00:00 A None 16000 16250 -5600 10650 0 None JBTJ11 N CA00121131 B SFY2008-09
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-11-20 00:00:00 030005632 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-18 00:00:00 2007-12-18 00:00:00 Yes 2008-12-16 00:00:00 2008-11-21 00:00:00 B None 1000 1000 -350 650 0 None 65W011 Y CA00135239, CA00136496, CA00136505 H, B, B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-12-09 00:00:00 030005679 Closed Citation Citation B (HSC 1424) Staffing None 2008-06-18 00:00:00 2008-06-18 00:00:00 Yes 2008-12-31 00:00:00 2008-12-12 00:00:00 B B 1000 500 0 500 0 None KP6M11 N CA00154059 B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-12-09 00:00:00 030005680 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-18 00:00:00 2008-06-18 00:00:00 Yes 2009-01-12 00:00:00 2008-12-12 00:00:00 A A 20000 13000 0 13000 0 None KP6M11 N CA00154059 B SFY2008-09
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-12-16 00:00:00 030005693 Closed Citation Citation A (HSC 1424) Patient Care None 2006-04-18 00:00:00 2006-04-18 00:00:00 No 2009-01-13 00:00:00 None A None 10000 10000 -3500 6500 0 None RG9S11 N CA00079344 B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-12-23 00:00:00 030005694 Closed Citation Citation B (HSC 1424) Staffing None 2007-10-13 00:00:00 2007-10-13 00:00:00 Yes 2009-01-27 00:00:00 2008-12-29 00:00:00 B B 1000 500 0 500 0 None L4X611 N CA00129327 B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-12-23 00:00:00 030005696 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-13 00:00:00 2007-10-13 00:00:00 Yes 2009-01-15 00:00:00 2009-02-09 00:00:00 B B 1000 500 0 500 0 None L4X611 N CA00129327 B SFY2008-09
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2009-02-20 00:00:00 030005703 Closed Citation Citation A (HSC 1424) Patient Care None 2007-11-16 00:00:00 2007-11-16 00:00:00 Yes 2010-03-24 00:00:00 2010-03-10 00:00:00 A B 20000 20000 0 20000 0 None PNSC11 N CA00132772 B SFY2008-09
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2008-12-18 00:00:00 030005710 Closed Citation Citation A (HSC 1424) Patient Rights None 2008-05-13 00:00:00 2008-05-13 00:00:00 No 2009-01-13 00:00:00 None A None 20000 20000 -7000 13000 0 None UKRB11 N CA00114610 A SFY2008-09
100001433 RCCA - WESTWOOD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2009-01-15 00:00:00 030005783 Closed Citation Citation A (HSC 1424) Patient Care None 2006-10-01 00:00:00 2006-10-01 00:00:00 Yes 2010-01-01 00:00:00 2009-12-22 00:00:00 A A 10000 10000 0 10000 0 None XCES11 N CA00098242, CA00098242 B, B SFY2008-09
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-01-16 00:00:00 030005797 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-08-21 00:00:00 2008-08-21 00:00:00 Yes 2009-02-11 00:00:00 2009-01-23 00:00:00 AA A 100000 25000 0 25000 0 None JBNY11 Y CA00151848 B SFY2008-09
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-01-30 00:00:00 030005827 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-10-16 00:00:00 2008-10-16 00:00:00 No 2009-02-25 00:00:00 None B None 1000 1000 0 1000 0 None 3HIH11 N CA00164344, CA00164345, CA00170524 A, A, B SFY2008-09
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2009-02-09 00:00:00 030005858 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-21 00:00:00 2008-03-21 00:00:00 Yes 2009-03-10 00:00:00 2009-02-10 00:00:00 B B 1000 500 0 500 0 None LE3311 N CA00163413 C SFY2008-09
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2009-02-11 00:00:00 030005864 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-01 00:00:00 2007-10-01 00:00:00 No 2009-03-09 00:00:00 None B None 1000 1000 -350 650 0 None 77ZI11 N CA00128118 C SFY2008-09
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-03-02 00:00:00 030005888 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-24 00:00:00 2007-08-24 00:00:00 No 2009-03-25 00:00:00 None A None 18000 18000 -6300 11700 0 None 0ZFB11 N CA00128710 B SFY2008-09
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-02-26 00:00:00 030005902 Closed Citation Citation B (HSC 1424) Staffing None 2008-09-04 00:00:00 2008-09-04 00:00:00 No 2009-03-19 00:00:00 None B None 600 600 -210 390 0 None 99WB11 N CA00170220 B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-03-03 00:00:00 030005912 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-03-25 00:00:00 2006-03-25 00:00:00 Yes 2009-04-14 00:00:00 2009-03-12 00:00:00 B B 1000 500 0 500 0 None 0ND111 N CA00076355 B SFY2008-09
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-02-27 00:00:00 030005913 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-17 00:00:00 2007-12-17 00:00:00 No 2009-03-20 00:00:00 None B None 1000 1000 -350 650 0 None T0KQ11 N CA00136232 B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-03-03 00:00:00 030005914 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-25 00:00:00 2006-03-25 00:00:00 Yes 2009-03-24 00:00:00 2009-03-12 00:00:00 B B 1000 500 0 500 0 None 0ND111 N CA00076355 B SFY2008-09
100001676 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS LTC SNF Skilled Nursing Facility Sacramento 2009-03-19 00:00:00 030005992 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-10 00:00:00 2008-01-10 00:00:00 No 2009-04-13 00:00:00 None B None 1000 1000 -350 650 0 None 1VTJ11 N CA00137765 B SFY2008-09
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-03-19 00:00:00 030005997 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-14 00:00:00 2008-01-14 00:00:00 No 2009-04-10 00:00:00 None B None 1000 1000 -350 650 0 None O18F11 N CA00142570 B SFY2008-09
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2009-04-01 00:00:00 030006022 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-06 00:00:00 2007-12-06 00:00:00 No 2009-04-24 00:00:00 None A None 20000 20000 -7000 13000 0 None Y8JG11 N CA00134699, CA00134852 B, B SFY2008-09
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2009-04-01 00:00:00 030006038 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-06 00:00:00 2007-12-06 00:00:00 No 2009-04-24 00:00:00 None A None 20000 20000 -7000 13000 0 None Y8JG11 N CA00134699, CA00134852 B, B SFY2008-09
100000003 FAIRMONT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2009-04-06 00:00:00 030006040 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-04 00:00:00 2007-09-04 00:00:00 Yes 2009-04-28 00:00:00 2009-04-14 00:00:00 A A 18000 10000 0 10000 0 None BUZ711 N CA00125695 B SFY2008-09
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2009-04-10 00:00:00 030006067 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-26 00:00:00 2008-10-26 00:00:00 No 2009-05-18 00:00:00 None B None 1000 1000 -350 650 0 None W7QY11 N CA00167795, CA00174990 A, B SFY2008-09
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2009-04-10 00:00:00 030006069 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-10-26 00:00:00 2008-10-26 00:00:00 No 2009-05-18 00:00:00 None B None 1000 1000 -350 650 0 None W7QY11 N CA00167795, CA00174990 A, B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-04-21 00:00:00 030006072 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-10-09 00:00:00 2007-10-09 00:00:00 Yes 2009-05-12 00:00:00 2009-05-01 00:00:00 B B 1000 1500 0 1500 0 None 7TJO11 N CA00128885 B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-04-21 00:00:00 030006076 Closed Citation Citation B (HSC 1424) Staffing None 2007-10-21 00:00:00 2007-10-21 00:00:00 Yes 2009-05-12 00:00:00 2009-05-01 00:00:00 B B 1000 500 0 500 0 None 4PN011 N CA00129892 B SFY2008-09
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-04-21 00:00:00 030006077 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-10-21 00:00:00 2007-10-21 00:00:00 Yes 2009-05-12 00:00:00 2009-05-04 00:00:00 B B 1000 1500 0 1500 0 None 4PN011 N CA00129892 B SFY2008-09
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-04-17 00:00:00 030006103 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-22 00:00:00 2008-01-22 00:00:00 No 2009-05-08 00:00:00 None B None 1000 3000 -1050 1950 0 None 345211 N CA00139796 B SFY2008-09
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2009-05-14 00:00:00 030006172 Closed Citation Citation A (HSC 1424) Patient Care None 2008-08-09 00:00:00 2008-08-09 00:00:00 No 2009-06-05 00:00:00 None A None 20000 20050 -7000 13050 0 None YHI011 N CA00159710 B SFY2008-09
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-06-12 00:00:00 030006277 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-05 00:00:00 2008-01-05 00:00:00 Yes 2009-07-07 00:00:00 2009-06-16 00:00:00 A A 20000 13000 0 13000 0 None ODE711 N CA00147695 B SFY2008-09
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-06-18 00:00:00 030006300 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-30 00:00:00 2008-01-30 00:00:00 No 2009-07-10 00:00:00 None A A 18000 12250 -550 11700 0 None 6N0911 N CA00139386, CA00139395, CA00141201 B, B, B SFY2008-09
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2009-06-25 00:00:00 030006309 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-02 00:00:00 2008-07-02 00:00:00 Yes 2009-07-20 00:00:00 2009-07-01 00:00:00 B B 1000 1000 0 1000 0 None TYZT11 N CA00155737 C SFY2008-09
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2009-07-16 00:00:00 030006386 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-26 00:00:00 2008-03-26 00:00:00 No 2009-08-28 00:00:00 None B None 1000 3000 -1050 1950 0 None I0C211 N CA00145372, CA00145906 B, B SFY2009-10
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-07-16 00:00:00 030006387 Closed Citation Citation B (HSC 1424) Staffing None 2008-01-01 00:00:00 2008-01-01 00:00:00 Yes 2009-08-06 00:00:00 2009-07-20 00:00:00 B B 1000 500 0 500 0 None FCXG11 N CA00148332 B SFY2009-10
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2009-08-13 00:00:00 030006422 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-27 00:00:00 2008-02-27 00:00:00 No 2009-09-03 00:00:00 None B None 1000 1000 -350 650 0 None 2DV611 N CA00148661 B SFY2009-10
030000007 MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2009-07-31 00:00:00 030006424 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-12 00:00:00 2008-09-12 00:00:00 No 2009-08-28 00:00:00 None A None 20000 20000 -7000 13000 0 None D27811 N CA00165112 B SFY2009-10
030000007 MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2009-07-31 00:00:00 030006425 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-08 00:00:00 2008-09-08 00:00:00 No 2009-08-28 00:00:00 None B None 800 800 -280 520 0 None D27811 N CA00165112 B SFY2009-10
100001316 RCCA - GATEWOOD DRIVE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2009-08-03 00:00:00 030006431 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-25 00:00:00 2008-01-25 00:00:00 Yes 2009-08-31 00:00:00 2009-08-24 00:00:00 B B 900 450 0 450 0 None W1VQ11 N CA00140669 B SFY2009-10
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-08-11 00:00:00 030006459 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-03-05 00:00:00 2009-03-05 00:00:00 No 2009-09-04 00:00:00 None B None 1000 1000 -350 650 0 None T0W111 N CA00145257, CA00145841, CA00164668 B, B, B SFY2009-10
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2009-08-19 00:00:00 030006468 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-11 00:00:00 2008-09-11 00:00:00 Yes 2009-09-14 00:00:00 2009-09-08 00:00:00 A A 18000 11750 0 11750 0 None W4TY11 N CA00163255 B SFY2009-10
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2009-08-19 00:00:00 030006469 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-08-14 00:00:00 2008-08-14 00:00:00 Yes 2010-09-02 00:00:00 2010-08-23 00:00:00 AA AA 100000 60000 0 60000 0 None DWKV11 Y CA00164153 B SFY2009-10
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-08-27 00:00:00 030006510 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-25 00:00:00 2009-03-25 00:00:00 Yes 2009-09-23 00:00:00 2009-09-22 00:00:00 A A 18000 20000 0 20000 0 None 3FY211 N CA00180472 B SFY2009-10
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2009-09-21 00:00:00 030006555 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-10-15 00:00:00 2006-10-15 00:00:00 No 2009-10-13 00:00:00 None A None 20000 20150 -7000 13150 0 None XFJY11 N CA00100171, CA00100852 B, B SFY2009-10
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-10-01 00:00:00 030006589 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-22 00:00:00 2008-07-22 00:00:00 No 2009-10-28 00:00:00 None B None 1000 1250 -350 900 0 None QOW511 N CA00158979 B SFY2009-10
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2009-10-08 00:00:00 030006600 Closed Citation Citation A (HSC 1424) Patient Care None 2008-04-25 00:00:00 2008-04-25 00:00:00 Yes 2012-08-07 00:00:00 2012-05-29 00:00:00 A B 20000 1000 0 1000 0 None VKMG11 N CA00151715 B SFY2009-10
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-10-14 00:00:00 030006603 Closed Citation Citation A (HSC 1424) Patient Care None 2006-09-12 00:00:00 2006-09-12 00:00:00 Yes 2009-11-06 00:00:00 2009-10-19 00:00:00 A A 19000 19000 0 19000 0 None QJFB11 N CA00093655, CA00093791 B, B SFY2009-10
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2009-10-23 00:00:00 030006628 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-06 00:00:00 2008-06-06 00:00:00 No 2009-11-16 00:00:00 None B None 800 800 -280 520 0 None 6TC611 N CA00154975 B SFY2009-10
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2009-10-22 00:00:00 030006639 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-06-13 00:00:00 2007-06-13 00:00:00 No 2009-11-17 00:00:00 None AA None 90000 90000 -31500 58500 0 None UHT111 Y CA00132271 B SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006697 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006698 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006699 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 Yes 2009-12-16 00:00:00 2009-12-08 00:00:00 B Drop>Deficiency 1000 0 0 0 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006700 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006701 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006702 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006703 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006704 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006705 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006707 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006708 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006709 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006710 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006711 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-11-17 00:00:00 030006712 Closed Citation Citation B (HSC 1424) Administration None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 1000 -350 650 0 None 0JG911 N CA00172536 C SFY2009-10
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-12-15 00:00:00 030006765 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-10 00:00:00 2008-03-10 00:00:00 No 2010-01-07 00:00:00 None B None 1000 1000 -350 650 0 None 57SQ11 N CA00144219, CA00178326 B, B SFY2009-10
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2009-12-15 00:00:00 030006766 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-10 00:00:00 2009-03-10 00:00:00 No 2010-01-07 00:00:00 None B None 1000 1000 -350 650 0 None 57SQ11 N CA00144219, CA00178326 B, B SFY2009-10
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-12-15 00:00:00 030006769 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-08 00:00:00 2008-06-08 00:00:00 No 2010-01-07 00:00:00 None B None 1000 1000 -350 650 0 None 7K0Z11 N CA00159564 B SFY2009-10
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-12-15 00:00:00 030006770 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-08 00:00:00 2008-06-08 00:00:00 No 2010-01-07 00:00:00 None B None 1000 1000 -350 650 0 None 7K0Z11 N CA00159564 B SFY2009-10
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2009-12-15 00:00:00 030006771 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-08 00:00:00 2008-06-08 00:00:00 No 2010-01-07 00:00:00 None A None 16000 16000 -5600 10400 0 None 7K0Z11 N CA00159564 B SFY2009-10
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2009-12-29 00:00:00 030006774 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-20 00:00:00 2009-07-20 00:00:00 Yes 2010-01-25 00:00:00 2010-01-04 00:00:00 B B 1000 750 0 750 0 None YJMS11 N CA00196787 B SFY2009-10
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-01-13 00:00:00 030006909 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-13 00:00:00 2006-09-13 00:00:00 No 2010-02-10 00:00:00 None B None 1000 1000 -350 650 0 None ZT0N11 N CA00095231 B SFY2009-10
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-02-05 00:00:00 030006971 Closed Citation Citation B (HSC 1424) Medication None 2006-06-01 00:00:00 2006-06-01 00:00:00 No 2010-02-26 00:00:00 None B None 1000 1000 -350 650 0 None HM2G11 N CA00152981 B SFY2009-10
100000522 CASA DEL MAR #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2010-03-04 00:00:00 030007020 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-21 00:00:00 2008-02-21 00:00:00 Yes 2010-03-26 00:00:00 2010-03-08 00:00:00 B B 1000 500 0 500 0 None ES1Z11 N CA00141765 C SFY2009-10
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2010-03-04 00:00:00 030007021 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-16 00:00:00 2009-08-16 00:00:00 Yes 2010-03-30 00:00:00 2010-03-15 00:00:00 B B 1000 750 0 750 0 None SENN11 N CA00198804 B SFY2009-10
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2010-03-26 00:00:00 030007032 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-11 00:00:00 2007-11-11 00:00:00 No 2010-04-21 00:00:00 None B None 1000 3000 -1050 1950 0 None 9I6Z11 N CA00130915 C SFY2009-10
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2010-03-26 00:00:00 030007070 Closed Citation Citation B (HSC 1424) Other Admission, Transfer&Disch 2009-08-21 00:00:00 2009-08-21 00:00:00 Yes 2010-04-21 00:00:00 2010-04-15 00:00:00 B B 1000 1000 0 1000 0 None 6K9Q11 N CA00199317 A SFY2009-10
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2010-03-26 00:00:00 030007071 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-26 00:00:00 2008-06-26 00:00:00 No 2010-04-20 00:00:00 None B None 1000 1000 -350 650 0 None 4RGG11 N CA00201768 B SFY2009-10
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2010-03-26 00:00:00 030007072 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-26 00:00:00 2008-06-26 00:00:00 No 2010-04-20 00:00:00 None B None 1000 1000 -350 650 0 None 4RGG11 N CA00201768 B SFY2009-10
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2010-03-26 00:00:00 030007073 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-26 00:00:00 2008-06-26 00:00:00 No 2010-04-20 00:00:00 None B None 1000 1000 -350 650 0 None 4RGG11 N CA00201768 B SFY2009-10
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-04-01 00:00:00 030007099 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-13 00:00:00 2008-03-13 00:00:00 No 2010-04-23 00:00:00 None B None 1000 1000 -350 650 0 None MYL911 N CA00144110 B SFY2009-10
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-04-02 00:00:00 030007100 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-05 00:00:00 2008-03-05 00:00:00 No 2010-04-26 00:00:00 None A None 18000 18000 -6300 11700 0 None T0W111 N CA00145257, CA00164668 B, B SFY2009-10
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2010-04-16 00:00:00 030007120 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-28 00:00:00 2008-03-28 00:00:00 No 2010-05-10 00:00:00 None B None 1000 1000 -350 650 0 None 7XWS11 N CA00145619 B SFY2009-10
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2010-04-16 00:00:00 030007121 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-29 00:00:00 2008-03-29 00:00:00 Yes 2010-05-07 00:00:00 2010-04-21 00:00:00 B B 800 520 0 520 0 None ZCCW11 N CA00145377 B SFY2009-10
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2010-04-16 00:00:00 030007122 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-29 00:00:00 2008-03-29 00:00:00 Yes 2010-06-09 00:00:00 2010-04-21 00:00:00 B B 1000 650 0 650 0 None ZCCW11 N CA00145377 B SFY2009-10
030001821 WOODSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-04-16 00:00:00 030007129 Closed Citation Citation A (HSC 1424) Patient Care None 2005-07-21 00:00:00 2005-07-21 00:00:00 Yes 2010-05-07 00:00:00 2010-05-04 00:00:00 A A 18000 11700 0 11700 0 None 2KXV11 N CA00136146 B SFY2009-10
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2010-04-26 00:00:00 030007150 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-09 00:00:00 2010-03-09 00:00:00 No 2010-05-20 00:00:00 None A None 20000 20000 -7000 13000 0 None DLUH11 N None None SFY2009-10
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-04-23 00:00:00 030007157 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-19 00:00:00 2008-05-19 00:00:00 No 2010-05-17 00:00:00 None B None 1000 1000 -350 650 0 None LE4D11 N CA00151058 B SFY2009-10
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-05-13 00:00:00 030007192 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-04 00:00:00 2008-04-04 00:00:00 No 2010-06-11 00:00:00 None B None 900 900 0 900 0 None T1SZ11 N CA00146248 B SFY2009-10
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2010-05-11 00:00:00 030007196 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-26 00:00:00 2010-01-26 00:00:00 No 2010-06-21 00:00:00 None A None 10000 10000 -3500 6500 0 None IJ7211 N CA00216260 B SFY2009-10
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2010-05-18 00:00:00 030007199 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-13 00:00:00 2008-03-13 00:00:00 No 2010-06-14 00:00:00 None B None 1000 1000 0 1000 0 None YQTH11 N CA00153967 B SFY2009-10
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2010-05-13 00:00:00 030007206 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-04 00:00:00 2008-07-04 00:00:00 Yes 2010-06-07 00:00:00 2010-05-27 00:00:00 B B 1000 650 0 650 0 None KG3O11 N CA00155873 B SFY2009-10
100000021 CASA COLOMA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-05-12 00:00:00 030007208 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-21 00:00:00 2010-03-21 00:00:00 No 2010-06-04 00:00:00 None B None 1000 1000 -350 650 0 None 5J2411 N None None SFY2009-10
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2010-05-13 00:00:00 030007210 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-05 00:00:00 2008-07-05 00:00:00 No 2010-06-04 00:00:00 None B None 600 600 0 600 0 None E5G011 N CA00155894 B SFY2009-10
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2010-06-10 00:00:00 030007303 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-20 00:00:00 2010-05-20 00:00:00 No 2010-07-05 00:00:00 None A None 18000 18000 -6300 11700 0 None P4OY11 N None None SFY2009-10
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2010-06-23 00:00:00 030007322 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-18 00:00:00 2008-05-18 00:00:00 Yes 2010-07-19 00:00:00 2010-07-09 00:00:00 A A 20000 13000 -0.03 12999.97 0 None QN8L11 N CA00151012 B SFY2009-10
030001254 KAISER FOUNDATION HOSPITAL MANTECA D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2010-07-01 00:00:00 030007345 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported FAILURE TO REPORT 2008-10-24 00:00:00 2008-10-24 00:00:00 No 2010-07-27 00:00:00 None B None 1000 1000 -350 650 0 None 1GXT11 N CA00167683 B SFY2010-11
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-07-02 00:00:00 030007346 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-10 00:00:00 2008-08-10 00:00:00 Yes 2010-08-04 00:00:00 2010-07-09 00:00:00 B B 1000 1000 0 1000 0 None Y9RW11 N CA00159708 B SFY2010-11
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-07-20 00:00:00 030007388 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-29 00:00:00 2008-11-29 00:00:00 No 2010-08-12 00:00:00 None B None 1000 1000 -350 650 0 None QNW211 N CA00170767 B SFY2010-11
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-07-20 00:00:00 030007389 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-10-08 00:00:00 2008-10-08 00:00:00 No 2010-08-12 00:00:00 None B None 600 600 -210 390 0 None 97DO11 N CA00235529 B SFY2010-11
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2010-07-28 00:00:00 030007421 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-16 00:00:00 2008-07-16 00:00:00 No 2010-08-23 00:00:00 None B None 800 1100 -280 820 0 None IYQ111 N CA00102077, CA00157701 B, B SFY2010-11
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2010-08-09 00:00:00 030007455 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-10-12 00:00:00 2007-10-12 00:00:00 Yes 2010-12-27 00:00:00 2010-12-06 00:00:00 AA AA 90000 80000 0 80000 0 None YLEB11 Y CA00130836 B SFY2010-11
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2010-08-06 00:00:00 030007468 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-03 00:00:00 2008-07-03 00:00:00 No 2010-08-30 00:00:00 None B None 1000 1000 0 1000 0 None QOZT11 N CA00158021 B SFY2010-11
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-08-09 00:00:00 030007470 Closed Citation Citation B (HSC 1424) Other Supervision 2007-02-02 00:00:00 2007-02-02 00:00:00 Yes 2010-09-07 00:00:00 2010-08-10 00:00:00 B B 1000 650 0 650 0 None GYJS11 N CA00138807 B SFY2010-11
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-08-09 00:00:00 030007471 Closed Citation Citation B (HSC 1424) Medication None 2007-02-03 00:00:00 2007-02-03 00:00:00 Yes 2010-09-03 00:00:00 2010-08-10 00:00:00 B B 1000 650 0 650 0 None GYJS11 N CA00138807 B SFY2010-11
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-08-09 00:00:00 030007472 Closed Citation Citation B (HSC 1424) Staffing None 2007-02-04 00:00:00 2007-02-04 00:00:00 Yes 2010-09-07 00:00:00 2010-08-10 00:00:00 B B 1000 650 0 650 0 None GYJS11 N CA00138807 B SFY2010-11
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-08-24 00:00:00 030007509 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-08-11 00:00:00 2008-08-11 00:00:00 Yes 2010-09-20 00:00:00 2010-09-02 00:00:00 B B 800 800 0 800 0 None ZF1T11 N CA00159948 B SFY2010-11
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2010-08-30 00:00:00 030007510 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-04 00:00:00 2008-07-04 00:00:00 No 2010-09-22 00:00:00 None A None 18000 18000 -6300 11700 0 None 87HS11 N CA00160294 B SFY2010-11
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-09-03 00:00:00 030007531 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-29 00:00:00 2008-03-29 00:00:00 No 2010-10-01 00:00:00 None A None 20000 20000 -7000 13000 0 None QD2811 N CA00146095, CA00160168 B, B SFY2010-11
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2010-09-08 00:00:00 030007534 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-27 00:00:00 2008-07-27 00:00:00 No 2010-10-04 00:00:00 None B None 1000 1000 -350 650 0 None 0PUG11 N CA00159484, CA00159779 B, B SFY2010-11
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2010-09-08 00:00:00 030007554 Closed Citation Citation A (HSC 1424) Patient Care None 2008-10-06 00:00:00 2008-10-06 00:00:00 Yes 2010-09-30 00:00:00 2010-09-22 00:00:00 A A 20000 13000 0 13000 0 None P1DV11 N CA00172847 B SFY2010-11
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2010-09-08 00:00:00 030007555 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-13 00:00:00 2008-11-13 00:00:00 Yes 2010-09-30 00:00:00 2010-09-22 00:00:00 B B 800 600 0 600 0 None P1DV11 N CA00172847 B SFY2010-11
030000053 MANZANITA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-09-27 00:00:00 030007577 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-07-20 00:00:00 2008-07-20 00:00:00 Yes 2010-10-18 00:00:00 2010-12-27 00:00:00 AA AA 100000 85050 -50 85000 0 None HDU911 Y CA00157781, CA00160099, CA00160099, CA00174717 B, B, B, B SFY2010-11
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-09-22 00:00:00 030007588 Closed Citation Citation B (HSC 1424) Problem Transfer None 2009-04-13 00:00:00 2009-04-13 00:00:00 Yes 2010-10-15 00:00:00 2010-10-06 00:00:00 B B 1000 750 0 750 0 None YC7O11 N CA00185318 B SFY2010-11
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2010-09-27 00:00:00 030007592 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-16 00:00:00 2008-05-16 00:00:00 Yes 2010-10-21 00:00:00 2010-10-08 00:00:00 A None 20000 20000 0 20000 0 None I4LH11 N CA00152436, CA00155928 C, B SFY2010-11
030000063 GOLD COUNTRY HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-09-30 00:00:00 030007603 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-30 00:00:00 2008-09-30 00:00:00 No 2010-10-25 00:00:00 None A None 20000 20000 -7000 13000 0 None LEPZ11 N CA00162543 B SFY2010-11
030000063 GOLD COUNTRY HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-09-30 00:00:00 030007604 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-22 00:00:00 2008-07-22 00:00:00 No 2010-10-25 00:00:00 None B None 1000 1050 -350 700 0 None INRU11 N CA00158199 B SFY2010-11
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2010-10-14 00:00:00 030007626 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-30 00:00:00 2008-05-30 00:00:00 No 2010-11-04 00:00:00 None B None 600 600 -210 390 0 None 7ING11 N CA00162210 B SFY2010-11
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2010-10-14 00:00:00 030007627 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-05-30 00:00:00 2008-05-30 00:00:00 No 2010-11-04 00:00:00 None B None 1000 1000 -350 650 0 None 7ING11 N CA00162210 B SFY2010-11
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2010-10-20 00:00:00 030007647 Closed Citation Citation B (HSC 1424) Medication None 2008-09-12 00:00:00 2008-09-12 00:00:00 No 2010-11-12 00:00:00 None B None 1000 1000 -350 650 0 None GUGE11 N CA00163616, CA00164547 B, B SFY2010-11
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-11-17 00:00:00 030007652 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-04-06 00:00:00 2008-04-06 00:00:00 Yes 2010-12-10 00:00:00 2011-02-11 00:00:00 AA AA 80000 16000 0 16000 0 None 6YGG11 Y CA00153502 B SFY2010-11
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2010-11-04 00:00:00 030007662 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-23 00:00:00 2010-04-23 00:00:00 No 2010-12-01 00:00:00 None B None 600 600 -210 390 0 None 82HE11 N CA00226726 B SFY2010-11
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2010-10-26 00:00:00 030007669 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-27 00:00:00 2008-06-27 00:00:00 Yes 2013-02-04 00:00:00 2012-11-21 00:00:00 A A 20000 13000 0 13000 0 None 5TK911 N CA00155628 B SFY2010-11
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2010-12-02 00:00:00 030007736 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-23 00:00:00 2008-11-23 00:00:00 Yes 2010-12-23 00:00:00 2010-12-21 00:00:00 A A 20000 16500 0 16500 0 None HRPZ11 N CA00192882 B SFY2010-11
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2010-12-15 00:00:00 030007773 Closed Citation Citation A (HSC 1424) Patient Care None 2008-10-29 00:00:00 2008-10-29 00:00:00 No 2011-01-05 00:00:00 None A None 18000 18000 -6300 11700 0 None 35BK11 Y CA00172315 B SFY2010-11
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2010-12-15 00:00:00 030007774 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-29 00:00:00 2008-10-29 00:00:00 No 2011-01-05 00:00:00 None B None 1000 1000 -350 650 0 None 35BK11 N CA00172315 B SFY2010-11
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2011-01-19 00:00:00 030007817 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-11 00:00:00 2008-10-11 00:00:00 No 2011-02-09 00:00:00 None B None 1000 3000 0 3000 0 None YWLS11 N CA00166108 C SFY2010-11
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-03-03 00:00:00 030007983 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-15 00:00:00 2008-06-15 00:00:00 Yes 2011-03-24 00:00:00 2011-03-09 00:00:00 B B 800 520 0 520 0 None Q3QO11 N CA00154437 B SFY2010-11
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-03-03 00:00:00 030007984 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-01 00:00:00 2008-06-01 00:00:00 Yes 2011-03-24 00:00:00 2011-03-09 00:00:00 A A 20000 11700 0 11700 0 None 6F7W11 N CA00166573 B SFY2010-11
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2011-03-10 00:00:00 030007987 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-08 00:00:00 2008-02-08 00:00:00 No 2011-04-01 00:00:00 None B None 1000 1000 -350 650 0 None DRWV11 N CA00166193 C SFY2010-11
100001681 RCCA - DUTRA PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2011-03-10 00:00:00 030007988 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-11-16 00:00:00 2008-11-16 00:00:00 Yes 2011-04-01 00:00:00 2011-03-29 00:00:00 B B 1000 500 0 500 0 None WOYV11 N CA00169822 C SFY2010-11
100001681 RCCA - DUTRA PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2011-03-10 00:00:00 030007994 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-11-16 00:00:00 2008-11-16 00:00:00 Yes 2011-04-01 00:00:00 2011-03-29 00:00:00 B B 1000 500 0 500 0 None WOYV11 N CA00169822 C SFY2010-11
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2011-03-10 00:00:00 030007995 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-08 00:00:00 2008-10-08 00:00:00 No 2011-04-01 00:00:00 None B None 1000 1000 -350 650 0 None DRWV11 N CA00166193 C SFY2010-11
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-03-09 00:00:00 030008005 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-20 00:00:00 2007-08-20 00:00:00 Yes 2011-03-30 00:00:00 2011-03-17 00:00:00 B B 1000 1500 0 1500 0 None S6VM11 N CA00128516, CA00128716 B, B SFY2010-11
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-03-11 00:00:00 030008019 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-01 00:00:00 2008-08-01 00:00:00 No 2011-04-04 00:00:00 None B None 1000 1000 -350 650 0 None 3NGJ11 N CA00162827, CA00174955 B, B SFY2010-11
100000031 CASA DE MODESTO LTC SNF Skilled Nursing Facility Fresno 2011-04-06 00:00:00 030008080 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-13 00:00:00 2009-08-13 00:00:00 No 2011-04-27 00:00:00 None B None 1000 1000 -350 650 0 None YFO911 N CA00198603 B SFY2010-11
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-03-30 00:00:00 030008087 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-07 00:00:00 2008-09-07 00:00:00 No 2011-04-21 00:00:00 None A None 20000 20000 -7000 13000 0 None TXDH11 N CA00167209 C SFY2010-11
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2011-04-06 00:00:00 030008092 Closed Citation Citation B (HSC 1424) Medication None 2009-05-11 00:00:00 2009-05-11 00:00:00 Yes 2011-04-27 00:00:00 2011-04-18 00:00:00 B B 1000 650 0 650 0 None 830211 N CA00188027 B SFY2010-11
100000029 LODI CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-04-19 00:00:00 030008153 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-01 00:00:00 2008-12-01 00:00:00 No 2011-05-10 00:00:00 None B None 1000 1000 -350 650 0 None 0R4411 N CA00170962 B SFY2010-11
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-04-25 00:00:00 030008174 Closed Citation Citation B (HSC 1424) Medication None 2008-12-28 00:00:00 2008-12-28 00:00:00 No 2011-05-16 00:00:00 None B None 1000 1050 -350 700 0 None VUD111 N CA00172735 B SFY2010-11
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-04-26 00:00:00 030008176 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-08 00:00:00 2008-12-08 00:00:00 No 2011-05-17 00:00:00 None B None 1000 1400 -350 1050 0 None YDFE11 N CA00171760 C SFY2010-11
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-04-25 00:00:00 030008178 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-18 00:00:00 2008-11-18 00:00:00 No 2011-05-16 00:00:00 None A None 16000 16050 -5600 10450 0 None IWZT11 N CA00169849 B SFY2010-11
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-04-26 00:00:00 030008194 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-01-10 00:00:00 2008-01-10 00:00:00 No 2011-05-17 00:00:00 None B None 1000 1000 -350 650 0 None DO4311 N CA00174848 B SFY2010-11
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-04-29 00:00:00 030008201 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-22 00:00:00 2008-11-22 00:00:00 Yes 2013-02-04 00:00:00 2012-11-26 00:00:00 A A 20000 15000 0 15000 0 None 2YW211 N CA00170213 B SFY2010-11
030000023 ADVENTIST HEALTH SONORA - D/P SNF (UNIT 6) LTC SNF Skilled Nursing Facility Stockton 2011-05-19 00:00:00 030008255 Closed Citation Citation A (HSC 1424) Patient Care None 2009-07-04 00:00:00 2009-07-04 00:00:00 No 2011-06-10 00:00:00 None A None 12000 12000 -4200 7800 0 None NJW911 N CA00194021 B SFY2010-11
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-05-26 00:00:00 030008270 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-01 00:00:00 2008-03-01 00:00:00 No 2011-06-17 00:00:00 None B None 1000 1000 0 1000 0 None BK5811 N CA00156568 B SFY2010-11
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-05-26 00:00:00 030008271 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-01 00:00:00 2008-03-01 00:00:00 No 2011-06-17 00:00:00 None B None 700 700 0 700 0 None BK5811 N CA00156568 B SFY2010-11
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-06-07 00:00:00 030008283 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-24 00:00:00 2008-12-24 00:00:00 No 2011-06-28 00:00:00 None B None 1000 1000 -350 650 0 None 3WW711 N CA00173408 B SFY2010-11
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-06-07 00:00:00 030008284 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-24 00:00:00 2008-12-24 00:00:00 No 2011-06-28 00:00:00 None B None 1000 1000 -350 650 0 None 3WW711 N CA00173408 B SFY2010-11
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-06-09 00:00:00 030008292 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-10 00:00:00 2009-02-10 00:00:00 Yes 2011-06-30 00:00:00 2011-06-16 00:00:00 A None 18000 54000 -54000 0 0 None 4Q3711 N CA00177675, CA00177784 B, C SFY2010-11
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-06-15 00:00:00 030008293 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-10-23 00:00:00 2008-10-23 00:00:00 Yes 2011-10-06 00:00:00 2011-10-04 00:00:00 AA AA 100000 70000 0 70000 0 None N3TQ11 Y CA00167537 B SFY2010-11
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-06-20 00:00:00 030008315 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-03-11 00:00:00 2010-03-11 00:00:00 No 2011-07-12 00:00:00 None B None 1000 1400 -350 1050 0 None 8F5011 N CA00225106, CA00225309, CA00227481 B, B, B SFY2010-11
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2011-06-24 00:00:00 030008321 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-11 00:00:00 2009-01-11 00:00:00 No 2011-07-18 00:00:00 None B None 1000 1000 -350 650 0 None H0MV11 N CA00175222 A SFY2010-11
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-07-07 00:00:00 030008360 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-06-17 00:00:00 2008-06-17 00:00:00 No 2011-07-28 00:00:00 None B None 1000 1000 0 1000 0 None YHZC11 N CA00154638 B SFY2011-12
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-07-07 00:00:00 030008361 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-06-15 00:00:00 2008-06-15 00:00:00 No 2011-07-28 00:00:00 None B None 1000 1000 -350 650 0 None BRV411 N CA00154403 B SFY2011-12
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-07-15 00:00:00 030008383 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-09 00:00:00 2009-02-09 00:00:00 No 2011-08-05 00:00:00 None B None 800 800 0 800 0 None NHU711 N CA00179168 A SFY2011-12
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2011-08-03 00:00:00 030008431 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-16 00:00:00 2009-05-16 00:00:00 No 2011-08-24 00:00:00 None B None 1000 1000 -350 650 0 None CGO911 N CA00178632 H SFY2011-12
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-08-04 00:00:00 030008433 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-06 00:00:00 2008-12-06 00:00:00 No 2011-08-25 00:00:00 None B None 1000 1000 -350 650 0 None X5MU11 N CA00171358 B SFY2011-12
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-08-04 00:00:00 030008434 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-06 00:00:00 2008-12-06 00:00:00 No 2011-08-25 00:00:00 None B None 1000 1000 0 1000 0 None X5MU11 N CA00171358 B SFY2011-12
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-08-04 00:00:00 030008435 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-17 00:00:00 2009-03-17 00:00:00 No 2011-08-25 00:00:00 None B None 1000 1000 -350 650 0 None STLX11 N CA00181650 C SFY2011-12
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-08-04 00:00:00 030008436 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-04-10 00:00:00 2009-04-10 00:00:00 No 2011-08-25 00:00:00 None B None 1000 1000 -350 650 0 None 579U11 N CA00184721 B SFY2011-12
100001481 RCCA - PHOENIX LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2011-08-11 00:00:00 030008447 Closed Citation Citation B (HSC 1424) Dietary None 2010-01-12 00:00:00 2010-01-12 00:00:00 No 2011-09-01 00:00:00 None B None 1000 1000 -350 650 0 None 6IQ211 N CA00214732 B SFY2011-12
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-08-12 00:00:00 030008453 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-03 00:00:00 2009-04-03 00:00:00 No 2011-09-02 00:00:00 None B None 1000 1000 -350 650 0 None VZR111 N CA00184998 B SFY2011-12
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2011-08-24 00:00:00 030008488 Closed Citation Citation B (HSC 1424) Administration None 2009-11-10 00:00:00 2009-11-10 00:00:00 No 2011-09-14 00:00:00 None B None 1000 1000 -350 650 0 None 39FH11 N CA00207911 B SFY2011-12
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2011-08-24 00:00:00 030008489 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-04 00:00:00 2010-07-04 00:00:00 No 2011-09-14 00:00:00 None B None 1000 1000 -350 650 0 None 9ZWT11 N CA00234657 B SFY2011-12
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-08-25 00:00:00 030008494 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-04 00:00:00 2009-11-04 00:00:00 No 2011-09-16 00:00:00 None B None 1000 1000 0 1000 0 None PGYY11 N CA00207445 B SFY2011-12
030000063 GOLD COUNTRY HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-08-26 00:00:00 030008501 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-03 00:00:00 2009-03-03 00:00:00 No 2011-09-19 00:00:00 None B None 1000 1000 -350 650 0 None 7QDV11 N CA00180190 B SFY2011-12
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2011-09-26 00:00:00 030008583 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-30 00:00:00 2009-03-30 00:00:00 Yes 2013-02-05 00:00:00 2012-11-20 00:00:00 A A 20000 12000 0 12000 0 None NHIV11 N CA00183799 B SFY2011-12
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-09-30 00:00:00 030008603 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-04-27 00:00:00 2009-04-27 00:00:00 No 2011-10-21 00:00:00 None B None 1000 1000 -350 650 0 None CXFK11 N CA00187587, CA00187606 C, C SFY2011-12
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-10-12 00:00:00 030008633 Closed Citation Citation B (HSC 1424) Medication None 2009-02-23 00:00:00 2009-02-23 00:00:00 No 2011-11-02 00:00:00 None B None 1000 1000 -350 650 0 None 5EPG11 N CA00180943 B SFY2011-12
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-10-14 00:00:00 030008634 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-01 00:00:00 2009-02-01 00:00:00 Yes 2011-11-04 00:00:00 2011-10-28 00:00:00 A A 18000 18000 0 18000 0 None B22X11 N CA00182993 B SFY2011-12
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-11-01 00:00:00 030008666 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-29 00:00:00 2009-05-29 00:00:00 Yes 2011-11-23 00:00:00 2011-11-07 00:00:00 B B 1000 650 0 650 0 None 1OFD11 N CA00192029 B SFY2011-12
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-11-01 00:00:00 030008667 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-29 00:00:00 2009-05-29 00:00:00 Yes 2011-11-23 00:00:00 2011-11-07 00:00:00 B B 1000 650 0 650 0 None 1OFD11 N CA00192029 B SFY2011-12
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-11-01 00:00:00 030008668 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-29 00:00:00 2009-05-29 00:00:00 Yes 2011-11-23 00:00:00 2011-11-07 00:00:00 B B 800 520 0 520 0 None 1OFD11 N CA00192029 B SFY2011-12
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2011-11-16 00:00:00 030008725 Closed Citation Citation B (HSC 1424) Medication None 2009-09-30 00:00:00 2009-09-30 00:00:00 No 2011-12-09 00:00:00 None B None 1000 1000 -350 650 0 None RTQR11 N CA00254183, CA00255861 B, B SFY2011-12
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2011-11-21 00:00:00 030008759 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-30 00:00:00 2009-04-30 00:00:00 No 2011-12-14 00:00:00 None B None 1000 1000 -350 650 0 None 6F8Q11 N CA00188838 B SFY2011-12
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-12-08 00:00:00 030008791 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-04-16 00:00:00 2009-04-16 00:00:00 No 2011-12-30 00:00:00 None B None 1000 1000 -350 650 0 None 9ZMQ11 N CA00186036 C SFY2011-12
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-12-08 00:00:00 030008793 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-04-16 00:00:00 2009-04-16 00:00:00 No 2011-12-30 00:00:00 None B None 1000 1000 -350 650 0 None 9ZMQ11 N CA00186036 C SFY2011-12
030000063 GOLD COUNTRY HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-12-28 00:00:00 030008829 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-16 00:00:00 2009-10-16 00:00:00 Yes 2012-01-20 00:00:00 2012-01-13 00:00:00 B B 1000 1000 0 1000 0 None KPLY11 N CA00206598 B SFY2011-12
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2011-12-29 00:00:00 030008835 Closed Citation Citation B (HSC 1424) Medication None 2010-07-05 00:00:00 2010-07-05 00:00:00 No 2012-01-23 00:00:00 None B None 1000 1000 -350 650 0 None I2LM11 N CA00237308 B SFY2011-12
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2012-01-06 00:00:00 030008848 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-25 00:00:00 2010-06-25 00:00:00 No 2012-01-30 00:00:00 None B None 1000 1000 -350 650 0 None LSMP11 N CA00233733 B SFY2011-12
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-01-30 00:00:00 030008941 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-24 00:00:00 2009-05-24 00:00:00 No 2012-02-21 00:00:00 None B None 800 900 -280 620 0 None 286J11 N CA00192441 A SFY2011-12
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-01-30 00:00:00 030008942 Closed Citation Citation B (HSC 1424) Problem Transfer None 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2012-02-21 00:00:00 None B None 1000 1000 -350 650 0 None 286J11 N CA00192441 A SFY2011-12
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-02-01 00:00:00 030008960 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-19 00:00:00 2009-05-19 00:00:00 No 2012-02-23 00:00:00 None B None 1000 1000 -350 650 0 None CINF11 N CA00189469 C SFY2011-12
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-02-15 00:00:00 030009001 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-02-23 00:00:00 2009-02-23 00:00:00 No 2012-03-08 00:00:00 None B None 1000 1000 -350 650 0 None YEXM11 N CA00179602, CA00179611 B, B SFY2011-12
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-02-16 00:00:00 030009009 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-01 00:00:00 2009-05-01 00:00:00 No 2012-03-09 00:00:00 None B None 1000 1000 -350 650 0 None 807J11 N CA00189854 C SFY2011-12
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-02-16 00:00:00 030009010 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-13 00:00:00 2009-05-13 00:00:00 No 2012-03-09 00:00:00 None B None 800 800 -280 520 0 None BC4C11 N CA00188964 C SFY2011-12
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-02-27 00:00:00 030009032 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-11-14 00:00:00 2009-11-14 00:00:00 No 2012-03-19 00:00:00 None B None 1000 1000 -350 650 0 None D9SI11 N CA00208673, CA00209698 B, B SFY2011-12
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-02-23 00:00:00 030009035 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-02-25 00:00:00 2009-02-25 00:00:00 Yes 2012-03-15 00:00:00 2012-03-26 00:00:00 B B 1000 800 0 800 0 None NCW011 N CA00179392 B SFY2011-12
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-03-07 00:00:00 030009085 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-10 00:00:00 2009-10-10 00:00:00 No 2012-03-28 00:00:00 None B None 1000 1000 -350 650 0 None LKKF11 N CA00205459 B SFY2011-12
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2012-03-08 00:00:00 030009086 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-11 00:00:00 2009-06-11 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None YXUK11 N CA00195664 B SFY2011-12
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2012-03-08 00:00:00 030009090 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-11 00:00:00 2009-03-11 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None TRMC11 N CA00180886 B SFY2011-12
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-03-15 00:00:00 030009124 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-04-13 00:00:00 2009-04-13 00:00:00 Yes 2012-04-05 00:00:00 2012-03-23 00:00:00 B B 1000 650 0 650 0 None SVZE11 N CA00184760 B SFY2011-12
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2012-03-16 00:00:00 030009138 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-23 00:00:00 2009-05-23 00:00:00 No 2012-04-06 00:00:00 None A None 20000 20000 -7000 13000 0 None JTYT11 N CA00190334 B SFY2011-12
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-03-28 00:00:00 030009182 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-10-16 00:00:00 2009-10-16 00:00:00 Yes 2012-04-18 00:00:00 2012-04-09 00:00:00 B B 1000 850 -100 750 0 None 4MZ411 N CA00205262 B SFY2011-12
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-03-28 00:00:00 030009183 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-14 00:00:00 2009-10-14 00:00:00 Yes 2012-04-18 00:00:00 2012-04-09 00:00:00 B B 1000 850 -100 750 0 None 4MZ411 N CA00296638 B SFY2011-12
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-04-10 00:00:00 030009213 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-15 00:00:00 2009-07-15 00:00:00 No 2012-05-01 00:00:00 None B None 1000 1000 -350 650 0 None F2RX11 N CA00195147, CA00195336, CA00195440, CA00195523 B, B, B, B SFY2011-12
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2012-11-28 00:00:00 030009216 Closed Citation Citation A (HSC 1424) Patient Rights None 2009-10-14 00:00:00 2009-10-14 00:00:00 No 2012-12-19 00:00:00 None A None 18000 18000 -6300 11700 0 None FIQ911 N CA00205143, CA00208053 B, A SFY2012-13
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-04-12 00:00:00 030009221 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-06 00:00:00 2009-06-06 00:00:00 No 2012-05-03 00:00:00 None B None 1000 1000 -350 650 0 None 99EV11 N CA00191342 B SFY2011-12
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-05-03 00:00:00 030009263 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-03 00:00:00 2009-05-03 00:00:00 No 2012-05-24 00:00:00 None B None 1000 1000 -350 650 0 None YCMX11 N CA00189866 B SFY2011-12
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-05-03 00:00:00 030009264 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-21 00:00:00 2009-05-21 00:00:00 No 2012-05-24 00:00:00 None B None 1000 1000 -350 650 0 None X87Z11 N CA00190259 B SFY2011-12
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-05-03 00:00:00 030009265 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-26 00:00:00 2009-05-26 00:00:00 No 2012-05-24 00:00:00 None B None 1000 1000 -350 650 0 None Y5S911 N CA00201109 B SFY2011-12
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-05-03 00:00:00 030009278 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-18 00:00:00 2009-05-18 00:00:00 No 2012-05-24 00:00:00 None B None 1000 1000 -350 650 0 None X87Z11 N CA00190259 B SFY2011-12
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2012-05-25 00:00:00 030009323 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-12 00:00:00 2008-12-12 00:00:00 No 2012-06-18 00:00:00 None B None 1000 1000 -350 650 0 None GOT011 N CA00175485 C SFY2011-12
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2012-05-25 00:00:00 030009324 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-12 00:00:00 2008-12-12 00:00:00 No 2012-06-18 00:00:00 None B None 1000 1000 -350 650 0 None GOT011 N None None SFY2011-12
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-05-25 00:00:00 030009332 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-12 00:00:00 2010-09-12 00:00:00 No 2012-06-18 00:00:00 None B None 1000 1000 -350 650 0 None X86V11 N None None SFY2011-12
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-06-07 00:00:00 030009346 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-13 00:00:00 2009-09-13 00:00:00 Yes 2012-06-28 00:00:00 2012-06-22 00:00:00 B B 1000 500 0 500 0 None ORVW11 N CA00195126 C SFY2011-12
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-06-07 00:00:00 030009350 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-13 00:00:00 2009-09-13 00:00:00 Yes 2012-06-28 00:00:00 2012-06-22 00:00:00 B B 1000 500 0 500 0 None ORVW11 N CA00195126 C SFY2011-12
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2012-07-12 00:00:00 030009390 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-10-23 00:00:00 2008-10-23 00:00:00 No 2012-08-02 00:00:00 None B None 1000 1000 -350 650 0 None K3C811 N CA00167694 B SFY2012-13
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2012-07-25 00:00:00 030009409 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-01-07 00:00:00 2009-01-07 00:00:00 No 2012-08-15 00:00:00 None B None 1000 1000 -350 650 0 None CJXY11 N CA00174147 C SFY2012-13
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-07-26 00:00:00 030009414 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-07-10 00:00:00 2009-07-10 00:00:00 No 2012-08-16 00:00:00 None B None 1000 1000 -350 650 0 None XJ5111 N CA00194821 B SFY2012-13
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-07-26 00:00:00 030009418 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-20 00:00:00 2008-03-20 00:00:00 No 2012-08-16 00:00:00 None B None 800 800 -280 520 0 None Y41011 N CA00144628 C SFY2012-13
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-08-16 00:00:00 030009433 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-14 00:00:00 2009-03-14 00:00:00 No 2012-09-07 00:00:00 None B None 500 500 0 500 0 None MBNG11 N CA00181582 B SFY2012-13
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-08-30 00:00:00 030009462 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-15 00:00:00 2010-03-15 00:00:00 No 2012-09-21 00:00:00 None B None 1000 1000 0 1000 0 None 60X311 N CA00262231 B SFY2012-13
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2012-09-12 00:00:00 030009480 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-07-19 00:00:00 2008-07-19 00:00:00 No 2012-10-03 00:00:00 None B None 1000 1000 0 1000 0 None E5I011 N CA00157595 B SFY2012-13
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-09-20 00:00:00 030009507 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-20 00:00:00 2010-04-20 00:00:00 Yes 2012-10-11 00:00:00 2012-10-01 00:00:00 B B 1000 700 0 700 0 None MSPR11 N CA00226218, CA00227515, CA00238786 B, B, A SFY2012-13
030001525 BARTON HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Sacramento 2012-09-28 00:00:00 030009530 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-24 00:00:00 2009-09-24 00:00:00 No 2012-10-19 00:00:00 None B None 1000 1000 0 1000 0 None SIEH11 N CA00203145 B SFY2012-13
030000050 MAIN WEST POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2012-10-04 00:00:00 030009531 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-23 00:00:00 2009-08-23 00:00:00 No 2012-10-25 00:00:00 None B None 1000 1000 -350 650 0 None 3HU211 Y CA00199717, CA00202315 H, B SFY2012-13
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-10-12 00:00:00 030009544 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-04 00:00:00 2009-01-04 00:00:00 Yes 2012-11-02 00:00:00 2012-10-31 00:00:00 B None 1000 1000 0 1000 0 None PA6N11 N CA00182759, CA00184726 B, B SFY2012-13
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-10-12 00:00:00 030009545 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-01-04 00:00:00 2009-01-04 00:00:00 Yes 2012-11-02 00:00:00 2012-10-31 00:00:00 B None 1000 1000 0 1000 0 None PA6N11 N CA00182759, CA00184726 B, B SFY2012-13
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2012-10-16 00:00:00 030009548 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-01 00:00:00 2010-07-01 00:00:00 No 2012-11-06 00:00:00 None B None 500 500 -175 325 0 None 8MJ411 N CA00234376 B SFY2012-13
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-10-23 00:00:00 030009564 Closed Citation Citation B (HSC 1424) Other STAFF QUALIFICATIONS 2005-11-04 00:00:00 2005-11-04 00:00:00 No 2012-11-14 00:00:00 None B None 1000 1000 -350 650 0 None 74CC11 N CA00219860 C SFY2012-13
630011271 HAPPY RANCH PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2012-10-25 00:00:00 030009566 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-26 00:00:00 2010-06-26 00:00:00 No 2012-11-16 00:00:00 None B None 500 500 -175 325 0 None O3WL11 N CA00233858 C SFY2012-13
100000036 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Fresno 2012-11-08 00:00:00 030009568 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-24 00:00:00 2009-12-24 00:00:00 No 2012-12-04 00:00:00 None B None 800 800 -280 520 0 None LT3Q11 N CA00214434 C SFY2012-13
100000015 CRESCENT COURT NURSING HOME LTC SNF Skilled Nursing Facility Sacramento 2012-11-08 00:00:00 030009571 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-21 00:00:00 2009-07-21 00:00:00 No 2012-12-04 00:00:00 None B None 800 800 -280 520 0 None MMG711 N CA00195839 B SFY2012-13
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2012-11-08 00:00:00 030009574 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-11 00:00:00 2009-09-11 00:00:00 No 2012-12-04 00:00:00 None B None 600 600 -210 390 0 None KQCC11 N CA00201562, CA00203994, CA00205387, CA00215909 C, C, B, C SFY2012-13
030001004 AMERICAN RIVER CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-11-15 00:00:00 030009588 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-24 00:00:00 2009-03-24 00:00:00 No 2012-12-10 00:00:00 None B None 1000 1000 -350 650 0 None 6NES11 N CA00182723, CA00182902 B, B SFY2012-13
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2012-11-19 00:00:00 030009602 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-10-30 00:00:00 2009-10-30 00:00:00 No 2012-12-12 00:00:00 None B None 1000 1000 -350 650 0 None 2T2011 N CA00206861 B SFY2012-13
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2012-12-20 00:00:00 030009612 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-27 00:00:00 2009-10-27 00:00:00 No 2013-01-14 00:00:00 None B None 1000 1000 -350 650 0 None OCQY11 N CA00206425 B SFY2012-13
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-11-28 00:00:00 030009613 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-17 00:00:00 2009-07-17 00:00:00 No 2012-12-19 00:00:00 None B None 1000 1000 -350 650 0 None HW7R11 N CA00196584 B SFY2012-13
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-12-07 00:00:00 030009629 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-07 00:00:00 2011-04-07 00:00:00 No 2012-12-31 00:00:00 None B None 1000 1000 0 1000 0 None SFB411 N CA00268899 B SFY2012-13
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2012-12-14 00:00:00 030009674 Closed Citation Citation B (HSC 1424) Staffing None 2009-03-26 00:00:00 2009-03-26 00:00:00 No 2013-01-08 00:00:00 None B None 1000 1000 -350 650 0 None U08X11 N CA00182926 B SFY2012-13
100001535 MEADOWOOD A HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2012-12-27 00:00:00 030009681 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-25 00:00:00 2009-06-25 00:00:00 No 2013-01-18 00:00:00 None B None 1000 1000 -350 650 0 None X7YY11 N CA00218345 B SFY2012-13
100000002 UNIVERSITY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Sacramento 2012-12-27 00:00:00 030009682 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-03-02 00:00:00 2012-03-02 00:00:00 No 2013-01-18 00:00:00 None B None 1000 1000 -350 650 0 None D47L11 N CA00331664 E SFY2012-13
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2013-01-15 00:00:00 030009691 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-26 00:00:00 2009-12-26 00:00:00 No 2013-02-06 00:00:00 None B None 1000 1000 -350 650 0 None 4MI011 N CA00212891 B SFY2012-13
030000053 MANZANITA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-01-11 00:00:00 030009697 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-03 00:00:00 2009-03-03 00:00:00 Yes 2013-02-04 00:00:00 2013-01-11 00:00:00 B None 1000 1000 0 1000 0 None 4JWJ11 N CA00186774, CA00197417 D, D SFY2012-13
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-01-18 00:00:00 030009698 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-05-27 00:00:00 2008-05-27 00:00:00 No 2013-02-11 00:00:00 None B None 1000 1000 0 1000 0 None D7US11 N CA00152040, CA00152583, CA00153330, CA00154846, CA00157068, CA00173777, CA00183459, CA00183470, CA00194415 C, C, C, C, C, B, B, B, C SFY2012-13
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2013-02-11 00:00:00 030009721 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-01 00:00:00 2010-02-01 00:00:00 No 2013-03-05 00:00:00 None B None 1000 1150 -350 800 0 None UKGN11 N CA00217009 C SFY2012-13
100000030 THE GROVE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2013-02-07 00:00:00 030009730 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-09 00:00:00 2010-11-09 00:00:00 No 2013-03-01 00:00:00 None B None 800 800 -280 520 0 None VBC511 N CA00249040 B SFY2012-13
100000999 JEAN MARTIN HOME #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2013-02-22 00:00:00 030009751 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-03 00:00:00 2009-09-03 00:00:00 No 2013-03-15 00:00:00 None B None 1000 1000 -350 650 0 None LBQI11 N CA00200718 A SFY2012-13
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-03-07 00:00:00 030009761 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-18 00:00:00 2010-06-18 00:00:00 No 2013-03-28 00:00:00 None B None 1000 1000 -350 650 0 None 579G11 N CA00232902 A SFY2012-13
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-03-07 00:00:00 030009770 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-02 00:00:00 2010-11-02 00:00:00 No 2013-03-28 00:00:00 None B None 500 500 -175 325 0 None QOTO11 N CA00248164 B SFY2012-13
100001810 SHIRLEY'S ICF/DD-H #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2013-03-11 00:00:00 030009773 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-21 00:00:00 2009-12-21 00:00:00 No 2013-04-02 00:00:00 None B None 500 500 -175 325 0 None 5J7211 N CA00242264 B SFY2012-13
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2013-03-08 00:00:00 030009775 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-07-30 00:00:00 2011-07-30 00:00:00 No 2013-03-29 00:00:00 None B None 500 500 -175 325 0 None GE7U11 N CA00278143, CA00278586 B, B SFY2012-13
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-03-12 00:00:00 030009780 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-13 00:00:00 2010-05-13 00:00:00 No 2013-04-03 00:00:00 None B None 1000 1000 -350 650 0 None HN1B11 N CA00254907, CA00260468 B, B SFY2012-13
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-03-21 00:00:00 030009792 Closed Citation Citation AA (HSC 1424) Patient Care None 2011-05-30 00:00:00 2011-05-30 00:00:00 Yes 2013-04-12 00:00:00 2013-04-11 00:00:00 AA AA 100000 90000 0 90000 0 None OZ5J11 Y CA00274673 C SFY2012-13
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2013-04-25 00:00:00 030009836 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-26 00:00:00 2010-02-26 00:00:00 No 2013-05-16 00:00:00 None B None 1000 1000 -350 650 0 None 664S11 N CA00219754 B SFY2012-13
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-05-09 00:00:00 030009884 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-08 00:00:00 2010-05-08 00:00:00 No 2013-05-31 00:00:00 None B None 1000 1000 0 1000 0 None I2YK11 N CA00228340, CA00229482 C, B SFY2012-13
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2013-05-16 00:00:00 030009885 Closed Citation Citation A (HSC 1424) Patient Care None 2011-02-13 00:00:00 2011-02-13 00:00:00 No 2013-06-07 00:00:00 None A None 20000 20000 -7000 13000 0 None ADZG11 Y CA00265051 B SFY2012-13
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2013-05-16 00:00:00 030009886 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-29 00:00:00 2009-05-29 00:00:00 No 2013-06-07 00:00:00 None B None 1000 1000 -350 650 0 None GX0L11 N CA00189885, CA00191261 B, B SFY2012-13
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2013-05-16 00:00:00 030009887 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-28 00:00:00 2010-11-28 00:00:00 No 2013-06-07 00:00:00 None B None 1000 1350 -350 1000 0 None EC9Y11 N CA00250717 B SFY2012-13
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2013-05-31 00:00:00 030009893 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-24 00:00:00 2010-12-24 00:00:00 No 2013-06-21 00:00:00 None B None 1000 1000 -350 650 0 None 4EIH11 N CA00256069 B SFY2012-13
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2013-05-20 00:00:00 030009898 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-04-26 00:00:00 2010-04-26 00:00:00 No 2013-06-11 00:00:00 None B None 500 500 -175 325 0 None GEDJ11 N CA00228786 B SFY2012-13
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2013-05-17 00:00:00 030009910 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-12 00:00:00 2011-08-12 00:00:00 No 2013-06-10 00:00:00 None B None 1000 1000 -350 650 0 None 7QZ211 N CA00279216, CA00282332 B, B SFY2012-13
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-06-10 00:00:00 030009914 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-25 00:00:00 2010-05-25 00:00:00 Yes 2013-07-01 00:00:00 2013-06-25 00:00:00 B None 1000 1000 0 1000 0 None 118X11 N CA00199959 B SFY2012-13
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2013-05-31 00:00:00 030009917 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-02-02 00:00:00 2011-02-02 00:00:00 No 2013-06-21 00:00:00 None B None 800 800 -280 520 0 None 28ZM11 N CA00258033 B SFY2012-13
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-05-29 00:00:00 030009920 Closed Citation Citation B (HSC 1424) Other FIRE SAFETY 2011-12-13 00:00:00 2011-12-13 00:00:00 No 2013-06-19 00:00:00 None B None 1000 1000 -350 650 0 None DG8C11 N CA00293455 B SFY2012-13
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-06-10 00:00:00 030009931 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-25 00:00:00 2010-05-25 00:00:00 Yes 2013-07-01 00:00:00 2013-06-25 00:00:00 B None 1000 1000 0 1000 0 None 118X11 N CA00230516, CA00231143 B, A SFY2012-13
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2013-06-25 00:00:00 030009944 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-02 00:00:00 2010-07-02 00:00:00 No 2013-07-17 00:00:00 None B None 1000 1000 -350 650 0 None 15G911 N CA00227506 B SFY2012-13
030001829 ACC CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-07-03 00:00:00 030009946 Closed Citation Citation AA (HSC 1424) Patient Care None 2012-01-09 00:00:00 2012-01-09 00:00:00 Yes 2013-07-25 00:00:00 2013-07-23 00:00:00 AA A 80000 11000 0 11000 0 None T51C11 Y CA00302503 B SFY2013-14
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2013-07-03 00:00:00 030009986 Closed Citation Citation B (HSC 1424) Medication None 2012-06-20 00:00:00 2012-06-20 00:00:00 No 2013-07-25 00:00:00 None B None 1000 1000 -350 650 0 None R65811 N CA00233171 A SFY2013-14
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-07-19 00:00:00 030009989 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-21 00:00:00 2010-02-21 00:00:00 No 2013-08-09 00:00:00 None B None 800 800 0 800 0 None U0RG11 N CA00222965 C SFY2013-14
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-07-08 00:00:00 030009992 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-04 00:00:00 2010-05-04 00:00:00 Yes 2013-07-29 00:00:00 2013-07-16 00:00:00 B None 1000 1000 0 1000 0 None 9YSD11 N CA00196509, CA00221549, CA00227829 B, C, B SFY2013-14
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2013-07-08 00:00:00 030009993 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-03-05 00:00:00 2013-03-05 00:00:00 No 2013-07-29 00:00:00 None B None 500 500 0 500 0 None 72UG11 N CA00347773 B SFY2013-14
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2013-07-19 00:00:00 030010006 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-22 00:00:00 2010-10-22 00:00:00 No 2013-08-09 00:00:00 None B None 1000 1000 -350 650 0 None LRZ311 N CA00247050 A SFY2013-14
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2013-07-25 00:00:00 030010007 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-22 00:00:00 2010-03-22 00:00:00 No 2013-08-15 00:00:00 None B None 1000 1000 -350 650 0 None R4K511 N CA00236654 B SFY2013-14
100001681 RCCA - DUTRA PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2013-07-18 00:00:00 030010011 Closed Citation Citation B (HSC 1424) Medication None 2011-06-23 00:00:00 2011-06-23 00:00:00 No 2013-08-08 00:00:00 None B None 1000 1000 -350 650 0 None RT0411 N CA00274271, CA00274753, CA00276881 C, C, B SFY2013-14
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2013-08-01 00:00:00 030010024 Closed Citation Citation B (HSC 1424) Problem Transfer None 2012-01-04 00:00:00 2012-01-04 00:00:00 No 2013-08-22 00:00:00 None B None 1000 1000 -350 650 0 None 1JZM11 N CA00295772 B SFY2013-14
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2013-08-14 00:00:00 030010044 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-23 00:00:00 2010-07-23 00:00:00 No 2013-09-05 00:00:00 None B None 1000 1000 -350 650 0 None FUWW11 N CA00241942 B SFY2013-14
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-08-01 00:00:00 030010045 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-16 00:00:00 2010-01-16 00:00:00 Yes 2013-08-22 00:00:00 2013-08-21 00:00:00 A None 20000 20000 0 20000 0 None Z75H11 N CA00218518 B SFY2013-14
100000017 BETHANY HOME SOCIETY SAN JOAQUIN COUNTY LTC SNF Skilled Nursing Facility Stockton 2013-08-08 00:00:00 030010063 Closed Citation Citation A (HSC 1424) Patient Care None 2010-06-14 00:00:00 2010-06-14 00:00:00 No 2013-08-29 00:00:00 None A None 20000 20000 -7000 13000 0 None TVGD11 N CA00232318 B SFY2013-14
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-08-13 00:00:00 030010068 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-12-26 00:00:00 2010-12-26 00:00:00 Yes 2013-09-04 00:00:00 2013-09-05 00:00:00 B None 800 800 0 800 0 None 0B8711 N CA00253677, CA00255452 B, B SFY2013-14
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2013-08-20 00:00:00 030010094 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-23 00:00:00 2010-03-23 00:00:00 Yes 2013-09-11 00:00:00 2013-08-26 00:00:00 A B 16000 10400 0 10400 0 None DSML11 N CA00241974 B SFY2013-14
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-08-27 00:00:00 030010112 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-24 00:00:00 2010-05-24 00:00:00 Yes 2013-09-18 00:00:00 2013-09-19 00:00:00 A None 20000 20000 0 20000 0 None EKZV11 Y CA00230035, CA00260735 B, C SFY2013-14
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-08-29 00:00:00 030010113 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-03-20 00:00:00 2011-03-20 00:00:00 Yes 2013-09-20 00:00:00 2013-09-05 00:00:00 B None 500 500 0 500 0 None BU0H11 N CA00264448 B SFY2013-14
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-08-29 00:00:00 030010115 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-03-20 00:00:00 2011-03-20 00:00:00 Yes 2013-09-20 00:00:00 2013-09-05 00:00:00 B None 800 800 0 800 0 None BU0H11 N CA00264448 B SFY2013-14
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-09-17 00:00:00 030010122 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-13 00:00:00 2010-10-13 00:00:00 No 2013-10-08 00:00:00 None B None 1000 1000 -350 650 0 None SB9Q11 N CA00247096 B SFY2013-14
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-09-17 00:00:00 030010123 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-13 00:00:00 2010-10-13 00:00:00 No 2013-10-08 00:00:00 None B None 1000 1000 -350 650 0 None SB9Q11 N CA00246591 B SFY2013-14
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2013-09-26 00:00:00 030010156 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-16 00:00:00 2010-07-16 00:00:00 No 2013-10-17 00:00:00 None B None 1000 1000 -350 650 0 None Z69W11 N CA00239622 C SFY2013-14
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2013-10-04 00:00:00 030010160 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-30 00:00:00 2010-08-30 00:00:00 Yes 2013-10-25 00:00:00 2013-10-15 00:00:00 B B 1000 1000 0 1000 0 None UM5711 N CA00242479 B SFY2013-14
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-10-02 00:00:00 030010172 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-25 00:00:00 2011-11-25 00:00:00 No 2013-10-23 00:00:00 None B None 1000 1000 0 1000 0 None J73S11 N CA00292023 B SFY2013-14
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-10-30 00:00:00 030010188 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-07-09 00:00:00 2013-07-09 00:00:00 No 2013-11-21 00:00:00 None FTR BR None 1200 1200 -300 900 0 None 95MC11 None CA00363771, CA00364852 B, D SFY2013-14
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-10-30 00:00:00 030010189 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-07-09 00:00:00 2013-07-09 00:00:00 No 2013-11-21 00:00:00 None FTR RES None 1100 1100 -275 825 0 None 95MC11 None CA00363771, CA00364852 B, D SFY2013-14
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-10-11 00:00:00 030010193 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-03 00:00:00 2010-05-03 00:00:00 No 2013-11-01 00:00:00 None B None 1000 1000 -350 650 0 None 0GMP11 N CA00228027, CA00228037 B, B SFY2013-14
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2013-10-23 00:00:00 030010206 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-25 00:00:00 2010-10-25 00:00:00 No 2013-11-14 00:00:00 None B None 1000 1000 -350 650 0 None OZPD11 N CA00247395 B SFY2013-14
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-10-22 00:00:00 030010222 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-06-08 00:00:00 2011-06-08 00:00:00 No 2013-11-13 00:00:00 None B None 1000 1000 -350 650 0 None 38S611 N CA00272704 B SFY2013-14
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2013-10-30 00:00:00 030010237 Closed Citation Citation A (HSC 1424) Patient Care None 2011-01-21 00:00:00 2011-01-21 00:00:00 No 2013-11-21 00:00:00 None A None 20000 20000 -7000 13000 0 None IIZJ11 N CA00255627 B SFY2013-14
030000053 MANZANITA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-11-14 00:00:00 030010243 Closed Citation Citation B (HSC 1424) Medication None 2011-04-04 00:00:00 2011-04-04 00:00:00 No 2013-12-09 00:00:00 None B None 1000 1000 0 1000 0 None Z3OJ11 N CA00268972 B SFY2013-14
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2013-11-13 00:00:00 030010244 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-30 00:00:00 2011-06-30 00:00:00 No 2013-12-06 00:00:00 None B None 1000 1000 -350 650 0 None J7AX11 N CA00275021, CA00275065, CA00365708 C, B, B SFY2013-14
030000063 GOLD COUNTRY HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-11-14 00:00:00 030010251 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-16 00:00:00 2011-09-16 00:00:00 No 2013-12-09 00:00:00 None B None 2000 2000 -700 1300 0 None 7KR311 N CA00283800 C SFY2013-14
100000021 CASA COLOMA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-11-14 00:00:00 030010252 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2013-12-09 00:00:00 None B None 500 500 -175 325 0 None MWG511 N CA00372475 B SFY2013-14
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2013-11-19 00:00:00 030010254 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-21 00:00:00 2012-01-21 00:00:00 No 2013-12-12 00:00:00 None B None 2000 2000 0 2000 0 None WJIB11 N CA00297288, CA00297802 D, B SFY2013-14
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2013-11-13 00:00:00 030010256 Closed Citation Citation AA (HSC 1424) Medication None 2007-01-01 00:00:00 2007-01-01 00:00:00 Yes 2013-12-06 00:00:00 2013-11-27 00:00:00 AA AA 100000 50000 0 50000 0 None 07SF11 Y CA00103216 D SFY2013-14
100000522 CASA DEL MAR #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2013-11-26 00:00:00 030010272 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-18 00:00:00 2011-11-18 00:00:00 No 2013-12-19 00:00:00 None B None 1000 1000 -350 650 0 None 8JZL11 N CA00290355, CA00290364 B, B SFY2013-14
100000522 CASA DEL MAR #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2013-11-26 00:00:00 030010273 Closed Citation Citation A (HSC 1424) Patient Rights None 2011-11-18 00:00:00 2011-11-18 00:00:00 No 2013-12-19 00:00:00 None A None 10000 10000 -3500 6500 0 None 8JZL11 N CA00290355, CA00290364, CA00290364, CA00290364 B, B, B, B SFY2013-14
030001821 WOODSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-12-03 00:00:00 030010280 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-24 00:00:00 2010-07-24 00:00:00 No 2013-12-24 00:00:00 None B None 1000 1000 -350 650 0 None HP2I11 N CA00237762 B SFY2013-14
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2013-11-27 00:00:00 030010281 Closed Citation Citation A (HSC 1424) Patient Care None 2010-12-03 00:00:00 2010-12-03 00:00:00 Yes 2013-12-20 00:00:00 2013-12-10 00:00:00 A A 10000 8000 0 8000 0 None HEV911 N CA00272052 B SFY2013-14
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2013-12-13 00:00:00 030010296 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-23 00:00:00 2011-11-23 00:00:00 Yes 2014-01-06 00:00:00 2014-01-03 00:00:00 B B 1000 650 0 650 0 None MWL411 N CA00303879 B SFY2013-14
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-01-29 00:00:00 030010372 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-19 00:00:00 2010-01-19 00:00:00 Yes 2014-02-20 00:00:00 2014-02-03 00:00:00 A None 5000 5000 0 5000 0 None BRMM11 N CA00217279 B SFY2013-14
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2014-01-24 00:00:00 030010380 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-03 00:00:00 2007-04-03 00:00:00 Yes 2014-02-14 00:00:00 2014-02-03 00:00:00 A B 20000 12500 0 12500 0 None 4SU711 N CA00111573 B SFY2013-14
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2014-01-16 00:00:00 030010381 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-26 00:00:00 2012-02-26 00:00:00 No 2014-02-07 00:00:00 None B None 1000 1000 0 1000 0 None FJ5H11 N CA00301391 C SFY2013-14
030001829 ACC CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-01-29 00:00:00 030010383 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-16 00:00:00 2012-02-16 00:00:00 No 2014-02-20 00:00:00 None B None 1000 1000 0 1000 0 None YS9P11 N CA00300015 B SFY2013-14
030000053 MANZANITA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-01-23 00:00:00 030010396 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-04-12 00:00:00 2011-04-12 00:00:00 Yes 2014-02-13 00:00:00 2014-01-23 00:00:00 B None 1000 1000 -350 650 0 None MGZG11 N CA00266172 B SFY2013-14
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2014-01-23 00:00:00 030010397 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-01-26 00:00:00 2011-01-26 00:00:00 No 2014-02-13 00:00:00 None B None 1000 1000 0 1000 0 None JUJ711 N CA00257105, CA00257217 B, B SFY2013-14
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2014-01-29 00:00:00 030010401 Closed Citation Citation A (HSC 1424) Patient Care None 2011-12-03 00:00:00 2011-12-03 00:00:00 Yes 2014-02-20 00:00:00 2014-02-10 00:00:00 A A 20000 11750 0 11750 0 None N0PY11 N CA00292037 B SFY2013-14
030000530 OAK RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-02-06 00:00:00 030010437 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-11-30 00:00:00 2010-11-30 00:00:00 Yes 2014-02-28 00:00:00 2014-02-10 00:00:00 B B 800 520 0 520 0 None AI0S11 N CA00255338 B SFY2013-14
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2014-02-12 00:00:00 030010445 Closed Citation Citation A (HSC 1424) Patient Care None 2011-10-01 00:00:00 2011-10-01 00:00:00 Yes 2014-03-06 00:00:00 2014-03-04 00:00:00 A A 20000 13000 0 13000 0 None LU9V11 N CA00286139 B SFY2013-14
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-02-12 00:00:00 030010456 Open Citation Citation A (HSC 1424) Patient Care None 2011-09-01 00:00:00 2011-09-01 00:00:00 Yes 2014-03-06 00:00:00 2014-02-13 00:00:00 A None 18000 18000 0 0 18000 None PW1911 N CA00286939 B SFY2013-14
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2014-02-26 00:00:00 030010495 Closed Citation Citation A (HSC 1424) Patient Care None 2012-02-29 00:00:00 2012-02-29 00:00:00 No 2014-03-19 00:00:00 None A None 10000 10000 -3500 6500 0 None VH1H11 N CA00301630 C SFY2013-14
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-03-25 00:00:00 030010549 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-12-17 00:00:00 2013-12-17 00:00:00 No 2014-04-16 00:00:00 None FTR BR None 300 300 -75 225 0 None XV0K11 None CA00382082 E SFY2013-14
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-03-25 00:00:00 030010550 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-12-17 00:00:00 2013-12-17 00:00:00 No 2014-04-16 00:00:00 None FTR RES None 300 300 -75 225 0 None XV0K11 None CA00382082 E SFY2013-14
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2014-07-10 00:00:00 030010840 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-03-19 00:00:00 2014-03-19 00:00:00 No 2014-07-31 00:00:00 None B None 1000 1000 -350 650 0 None 8G7611 N CA00392522 B SFY2014-15
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-09-17 00:00:00 030010988 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-06-25 00:00:00 2014-06-25 00:00:00 No 2014-10-08 00:00:00 None B None 2000 2000 -700 1300 0 None 055Z11 N CA00405022, CA00405037, CA00405052 B, B, B SFY2014-15
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-09-17 00:00:00 030010989 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-07-24 00:00:00 2014-07-24 00:00:00 No 2014-10-08 00:00:00 None B None 2000 2000 -700 1300 0 None ZH5211 N CA00407089, CA00407552 B, B SFY2014-15
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2014-10-24 00:00:00 030011076 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-04-11 00:00:00 2013-04-11 00:00:00 No 2014-11-17 00:00:00 None B None 1000 1000 -350 650 0 None 9U8111 N CA00414422 B SFY2014-15
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2014-10-17 00:00:00 030011077 Closed Citation Citation B (HSC 1424) Patient Care None 2013-12-16 00:00:00 2013-12-16 00:00:00 No 2014-11-07 00:00:00 None B None 2000 2000 0 2000 0 None 5L7E11 Y CA00380729 A SFY2014-15
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-11-13 00:00:00 030011094 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2014-12-08 00:00:00 None B None 2000 2000 -700 1300 0 None KQCE11 N CA00399121, CA00399185 A, A SFY2014-15
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2014-12-24 00:00:00 030011200 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-10-03 00:00:00 2014-10-03 00:00:00 No 2015-01-16 00:00:00 None B None 2000 2000 0 2000 0 None Y7S411 N CA00416395 A SFY2014-15
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2015-10-30 00:00:00 030011816 Open Citation Citation B (HSC 1424) Problem Transfer None 2015-06-17 00:00:00 2015-06-17 00:00:00 Yes 2015-11-23 00:00:00 2015-11-09 00:00:00 B None 2000 13850 0 0 13850 None UFRL11 N CA00454986 C SFY2015-16
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2015-11-06 00:00:00 030011834 Closed Citation Citation B (HSC 1424) Other Failure to Readmit 2015-09-18 00:00:00 2015-09-18 00:00:00 Yes 2015-12-02 00:00:00 2015-11-16 00:00:00 B B 2000 1200 0 1200 0 None SWE911 N CA00459728 B SFY2015-16
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2015-11-18 00:00:00 030011854 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-08-18 00:00:00 2015-08-18 00:00:00 No 2015-12-11 00:00:00 None B None 2000 2000 -700 1300 0 None XHKF11 N CA00454964, CA00454964 B, B SFY2015-16
100000495 TAHOE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2015-11-19 00:00:00 030011857 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-06-11 00:00:00 2015-06-11 00:00:00 No 2015-12-14 00:00:00 None B None 1000 1000 -350 650 0 None CMTX11 N CA00462469, CA00462635 A, A SFY2015-16
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2016-04-15 00:00:00 030012175 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-23 00:00:00 2014-07-23 00:00:00 No 2016-05-06 00:00:00 None A None 20000 20000 -7000 13000 0 None 5X3K11 N CA00436710 B SFY2015-16
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2016-04-20 00:00:00 030012176 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-02-10 00:00:00 2016-02-10 00:00:00 No 2016-05-11 00:00:00 None B None 2000 2000 -700 1300 0 None 5JOX11 N CA00476188 B SFY2015-16
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2016-04-20 00:00:00 030012183 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-08-23 00:00:00 2014-08-23 00:00:00 Yes 2016-05-11 00:00:00 2016-05-02 00:00:00 AA AA 80000 50000 0 50000 0 None IY5E11 Y CA00410834, CA00411801 B, B SFY2015-16
100000070 SHERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2016-05-18 00:00:00 030012238 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-03-26 00:00:00 2016-03-26 00:00:00 No 2016-06-09 00:00:00 None B None 2000 2000 -700 1300 0 None CYVQ11 N CA00482003 A SFY2015-16
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2016-06-16 00:00:00 030012302 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-04-04 00:00:00 2016-04-04 00:00:00 No 2016-07-08 00:00:00 None B None 2000 2000 -700 1300 0 None MBB811 N CA00482872 B SFY2015-16
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2016-06-08 00:00:00 030012313 Closed Citation Citation A (HSC 1424) Patient Care None 2012-08-08 00:00:00 2012-08-08 00:00:00 No 2016-06-29 00:00:00 None A None 4000 4000 -1400 2600 0 None WMMK11 N CA00322035 B SFY2015-16
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2016-07-27 00:00:00 030012428 Closed Citation Citation B (HSC 1424) Other Patient Safety 2016-06-11 00:00:00 2016-06-11 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2000 -700 1300 0 None EPVA11 N CA00493031 A SFY2016-17
100000030 THE GROVE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2016-08-09 00:00:00 030012495 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-03-26 00:00:00 2016-03-26 00:00:00 No 2016-08-30 00:00:00 None B None 2000 2000 -700 1300 0 None ETHU11 N CA00481986 B SFY2016-17
100001453 WRS INC., MARSHALL PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2016-08-31 00:00:00 030012524 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-12-23 00:00:00 2014-12-23 00:00:00 No 2016-09-22 00:00:00 None AA None 10000 10000 -3500 6500 0 None SM9111 Y CA00427024 B SFY2016-17
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2016-08-29 00:00:00 030012541 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-19 00:00:00 2016-06-19 00:00:00 No 2016-09-20 00:00:00 None B None 2000 2000 -700 1300 0 None 5KDG11 N CA00492618 A SFY2016-17
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2016-09-20 00:00:00 030012577 Closed Citation Citation B (HSC 1424) Other Failure to Report 2016-07-25 00:00:00 2016-07-25 00:00:00 No 2016-10-11 00:00:00 None B None 2000 2000 -700 1300 0 None TG5V11 N CA00493992 D SFY2016-17
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2016-09-20 00:00:00 030012583 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-09 00:00:00 2016-08-09 00:00:00 Yes 2016-10-11 00:00:00 2016-10-13 00:00:00 B B 2000 1300 0 1300 0 None 292L11 N CA00498378 A SFY2016-17
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2016-09-30 00:00:00 030012599 Closed Citation Citation B (HSC 1424) Other Refusal to Readmit 2016-07-04 00:00:00 2016-07-04 00:00:00 No 2016-10-21 00:00:00 None B None 2000 2000 -700 1300 0 None 1BHH11 N CA00494290, CA00494348 C, A SFY2016-17
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2016-09-30 00:00:00 030012604 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-11 00:00:00 2016-07-11 00:00:00 No 2016-10-21 00:00:00 None B None 2000 2000 -700 1300 0 None OFKR11 N CA00498778 B SFY2016-17
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2016-10-07 00:00:00 030012611 Closed Citation Citation A (HSC 1424) Other Res Care/ResSafety 2016-04-23 00:00:00 2016-04-23 00:00:00 No 2016-10-28 00:00:00 None A None 20000 20000 -7000 13000 0 None 34TL11 N CA00486000 B SFY2016-17
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2016-10-05 00:00:00 030012617 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-05 00:00:00 2016-06-05 00:00:00 No 2016-10-26 00:00:00 None B None 2000 2000 -700 1300 0 None 2UL011 N CA00495545 B SFY2016-17
030001831 GRAMERCY COURT LTC SNF Skilled Nursing Facility Sacramento 2016-10-21 00:00:00 030012674 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2016-05-19 00:00:00 2016-05-19 00:00:00 No 2016-11-14 00:00:00 None FTR BR None 2800 2800 0 2800 0 None 96ON11 None CA00493221 D SFY2016-17
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2016-11-10 00:00:00 030012717 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-02 00:00:00 2016-04-02 00:00:00 No 2016-12-06 00:00:00 None B None 2000 2000 -700 1300 0 None 80YP11 N CA00483112 B SFY2016-17
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2016-11-10 00:00:00 030012720 Closed Citation Citation B (HSC 1424) Patient Care None 2016-03-12 00:00:00 2016-03-12 00:00:00 No 2016-12-06 00:00:00 None B None 2000 2000 -700 1300 0 None 4BL611 N CA00480131 B SFY2016-17
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2016-12-02 00:00:00 030012787 Closed Citation Citation B (HSC 1424) Other Failure to re-admit 2016-04-09 00:00:00 2016-04-09 00:00:00 No 2016-12-23 00:00:00 None B None 2000 2000 -700 1300 0 None Z5JU11 N CA00483684 B SFY2016-17
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2016-12-30 00:00:00 030012832 Closed Citation Citation B (HSC 1424) Patient Care None 2016-02-16 00:00:00 2016-02-16 00:00:00 No 2017-01-24 00:00:00 None B None 2000 2000 -700 1300 0 None KQ4H11 N CA00481554 B SFY2016-17
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2017-02-09 00:00:00 030012928 Closed Citation Citation A (HSC 1424) Patient Care None 2014-01-08 00:00:00 2014-01-08 00:00:00 Yes 2017-03-03 00:00:00 2017-02-14 00:00:00 A None 20000 20000 0 20000 0 None M1HO11 N CA00471937 B SFY2016-17
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-02-02 00:00:00 030012930 Closed Citation Citation A (HSC 1424) Patient Care None 2015-11-03 00:00:00 2015-11-03 00:00:00 No 2017-02-24 00:00:00 None A None 20000 20000 -7000 13000 0 None 194911 N CA00448211 B SFY2016-17
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2017-02-03 00:00:00 030012933 Closed Citation Citation B (HSC 1424) Other Failure to Issue Bed-Hold 2016-03-25 00:00:00 2016-03-25 00:00:00 No 2017-02-27 00:00:00 None B None 2000 2200 -700 1500 0 None YS2211 N CA00480931, CA00496976 A, C SFY2016-17
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-03-03 00:00:00 030013014 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2016-08-03 00:00:00 2016-08-03 00:00:00 No 2017-03-24 00:00:00 None FTR BR None 3500 3500 -875 2625 0 None TRKS11 None CA00502656, CA00504815 B, B SFY2016-17
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-03-03 00:00:00 030013015 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2016-08-03 00:00:00 2016-08-03 00:00:00 No 2017-03-24 00:00:00 None FTR RES None 3400 3400 -850 2550 0 None TRKS11 None CA00502656, CA00504815 B, B SFY2016-17
100001511 GAPASIN MANOR ICF DDN #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Stockton 2017-03-16 00:00:00 030013050 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-20 00:00:00 2016-12-20 00:00:00 No 2017-04-07 00:00:00 None B None 1000 1000 -350 650 0 None 2BZV11 N CA00515581 A SFY2016-17
100000097 SAYLOR LANE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-03-24 00:00:00 030013081 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-27 00:00:00 2016-11-27 00:00:00 No 2017-04-17 00:00:00 None B None 2000 2000 -700 1300 0 None ONVX11 Y CA00511986 A SFY2016-17
030000589 LINCOLN MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-04-13 00:00:00 030013118 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-23 00:00:00 2017-01-23 00:00:00 No 2017-05-04 00:00:00 None B None 2000 2000 -700 1300 0 None 3X3J11 N CA00519088, CA00519715, CA00519761 A, A, A SFY2016-17
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2017-04-14 00:00:00 030013121 Closed Citation Citation B (HSC 1424) Other Failure to Re-admit 2016-08-01 00:00:00 2016-08-01 00:00:00 No 2017-05-05 00:00:00 None B None 2000 2000 -700 1300 0 None 4H6V11 N CA00499785 B SFY2016-17
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2017-04-14 00:00:00 030013126 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-03 00:00:00 2017-03-03 00:00:00 No 2017-05-05 00:00:00 None B None 2000 2000 -700 1300 0 None CWS811 N CA00524832 B SFY2016-17
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-07-14 00:00:00 030013349 Closed Citation Citation B (HSC 1424) Other Unsafe Transfer 2016-10-04 00:00:00 2016-10-04 00:00:00 Yes 2017-08-04 00:00:00 2017-07-26 00:00:00 B B 2000 1500 0 1500 0 None P39H11 N CA00505151, CA00506045, CA00506097 B, B, B SFY2017-18
100000029 LODI CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2017-08-09 00:00:00 030013415 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-07 00:00:00 2017-06-07 00:00:00 No 2017-08-30 00:00:00 None B None 2000 2000 -700 1300 0 None RUB211 N CA00539169 B SFY2017-18
100000097 SAYLOR LANE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-08-30 00:00:00 030013459 Closed Citation Citation B (HSC 1424) Other Failure to Readmit 2017-01-13 00:00:00 2017-01-13 00:00:00 No 2017-09-21 00:00:00 None B None 2000 2000 -700 1300 0 None HFC111 N CA00518158 B SFY2017-18
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2017-10-19 00:00:00 030013512 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2017-03-23 00:00:00 2017-03-23 00:00:00 Yes 2017-11-09 00:00:00 2017-10-31 00:00:00 B B 2000 4300 0 4300 0 None GYVJ11 N CA00531892, CA00538219, CA00541837 B, B, B SFY2017-18
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2017-10-05 00:00:00 030013526 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-07-25 00:00:00 2017-07-25 00:00:00 No 2017-10-26 00:00:00 None B None 2150 2150 -700 1450 0 None CFXI11 N CA00548020 B SFY2017-18
630013020 DHK MANOR LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2017-10-05 00:00:00 030013528 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-19 00:00:00 2017-01-19 00:00:00 No 2017-10-26 00:00:00 None B None 2000 2000 -700 1300 0 None C55F11 N None None SFY2017-18
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2017-10-09 00:00:00 030013532 Closed Citation Citation B (HSC 1424) Other Failure to readmit 2017-04-26 00:00:00 2017-04-26 00:00:00 Yes 2017-10-30 00:00:00 2017-10-19 00:00:00 B B 2000 1300 0 1300 0 None Y6VO11 N CA00537772, CA00538752, CA00540675, CA00544496 B, B, B, B SFY2017-18
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-10-20 00:00:00 030013560 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-01 00:00:00 2017-02-01 00:00:00 No 2017-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None HNBB11 N CA00526036 B SFY2017-18
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-10-27 00:00:00 030013565 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-15 00:00:00 2015-10-15 00:00:00 No 2017-11-20 00:00:00 None B None 2000 2000 -700 1300 0 None 7QED11 N CA00501126 B SFY2017-18
630013324 CITRUS HOME ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2017-11-01 00:00:00 030013591 Closed Citation Citation B (HSC 1424) Other Failure to Report 2017-07-26 00:00:00 2017-07-26 00:00:00 No 2017-11-27 00:00:00 None B None 500 500 -175 325 0 None 26RO11 N None None SFY2017-18
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2017-11-06 00:00:00 030013597 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-09-03 00:00:00 2017-09-03 00:00:00 No 2017-11-30 00:00:00 None B None 2000 2000 -700 1300 0 None MVZZ11 N None None SFY2017-18
100000030 THE GROVE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2017-11-09 00:00:00 030013604 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-07-26 00:00:00 2017-07-26 00:00:00 No 2017-12-05 00:00:00 None B None 2000 2000 -700 1300 0 None PNUX11 N CA00546223 B SFY2017-18
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-11-30 00:00:00 030013643 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-02 00:00:00 2017-07-02 00:00:00 No 2017-12-21 00:00:00 None B None 2000 2000 0 2000 0 None 892B11 N CA00545761 A SFY2017-18
100000070 SHERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-12-06 00:00:00 030013675 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-06 00:00:00 2017-08-06 00:00:00 No 2017-12-28 00:00:00 None B None 2000 2000 -700 1300 0 None EL6Y11 N CA00547340 B SFY2017-18
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2018-01-04 00:00:00 030013706 Closed Citation Citation B (HSC 1424) Other Failure to readmit 2016-05-16 00:00:00 2016-05-16 00:00:00 No 2018-01-25 00:00:00 None B None 2000 2000 -700 1300 0 None BFEE11 N CA00488423, CA00488688 A, A SFY2017-18
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2018-03-23 00:00:00 030013890 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-25 00:00:00 2017-03-25 00:00:00 Yes 2018-04-13 00:00:00 2018-03-28 00:00:00 B B 2000 1400 0 1400 0 None MQQN11 N CA00528920 B SFY2017-18
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2018-03-16 00:00:00 030013907 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-08-05 00:00:00 2017-08-05 00:00:00 No 2018-04-06 00:00:00 None B None 1000 1000 -350 650 0 None NSNB11 N CA00548200 B SFY2017-18
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-03-15 00:00:00 030013908 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-22 00:00:00 2015-12-22 00:00:00 Yes 2018-04-05 00:00:00 2018-03-23 00:00:00 A B 15000 15000 0 15000 0 None KD9211 Y CA00470036 B SFY2017-18
100000070 SHERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-04-04 00:00:00 030013950 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-19 00:00:00 2017-12-19 00:00:00 No 2018-04-25 00:00:00 None B None 2000 2400 -700 1700 0 None TC4O11 N CA00565917 B SFY2017-18
100000070 SHERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-04-04 00:00:00 030013951 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-19 00:00:00 2017-12-19 00:00:00 No 2018-04-25 00:00:00 None B None 2000 2400 -700 1700 0 None TC4O11 N CA00565917 B SFY2017-18
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-04-06 00:00:00 030013957 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-23 00:00:00 2018-01-23 00:00:00 No 2018-04-27 00:00:00 None B None 2000 2000 -700 1300 0 None P8UK11 N CA00570847 B SFY2017-18
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2018-04-20 00:00:00 030014010 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-17 00:00:00 2017-01-17 00:00:00 No 2018-05-11 00:00:00 None A None 20000 20000 -7000 13000 0 None 6J7D11 Y CA00519172 B SFY2017-18
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-04-26 00:00:00 030014015 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-02-21 00:00:00 2018-02-21 00:00:00 No 2018-05-17 00:00:00 None B None 2000 2000 -700 1300 0 None EQ2X11 N CA00571703, CA00574052 B, B SFY2017-18
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-06-01 00:00:00 030014086 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-18 00:00:00 2017-11-18 00:00:00 Yes 2018-06-22 00:00:00 2018-06-01 00:00:00 B None 2000 2000 0 2000 0 None R4CR11 N CA00563561 B SFY2017-18
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2018-09-12 00:00:00 030014371 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge Notice 2018-07-20 00:00:00 2018-07-20 00:00:00 No 2018-10-03 00:00:00 None B None 1000 1000 -350 650 0 None YOFZ11 N None None SFY2018-19
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-09-05 00:00:00 030014381 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-29 00:00:00 2018-07-29 00:00:00 No 2018-09-26 00:00:00 None B None 2000 2000 0 2000 0 None VDIP11 N CA00598135 B SFY2018-19
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2018-09-07 00:00:00 030014385 Closed Citation Citation AA (HSC 1424) Medication None 2017-12-29 00:00:00 2017-12-29 00:00:00 No 2018-09-28 00:00:00 None AA None 100000 100400 -35000 65400 0 None HETZ11 N CA00567190, CA00567190, CA00567190, CA00567190, CA00567525, CA00567525, CA00567525, CA00567525 A, A, A, A, B, B, B, B SFY2018-19
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2018-09-14 00:00:00 030014391 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-07 00:00:00 2018-01-07 00:00:00 No 2018-10-05 00:00:00 None B None 2000 2000 -700 1300 0 None 6SIJ11 N CA00577490, CA00577490, CA00577490 B, B, B SFY2018-19
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-10-05 00:00:00 030014457 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-28 00:00:00 2017-01-28 00:00:00 No 2018-10-26 00:00:00 None B None 2000 2000 0 2000 0 None JK8F11 N CA00521006 B SFY2018-19
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2018-10-10 00:00:00 030014476 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-07-17 00:00:00 2018-07-17 00:00:00 No 2018-10-31 00:00:00 None B None 2000 2000 -700 1300 0 None UIH211 N CA00598792, CA00598792, CA00598792, CA00598835, CA00598835, CA00598835 A, A, A, B, B, B SFY2018-19
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2018-10-18 00:00:00 030014484 Closed Citation Citation A (HSC 1424) Patient Care None 2015-11-23 00:00:00 2015-11-23 00:00:00 Yes 2018-11-08 00:00:00 2018-11-01 00:00:00 A A 12000 8850 0 8850 0 None 1BI211 Y CA00466845 B SFY2018-19
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2018-10-19 00:00:00 030014487 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-18 00:00:00 2018-03-18 00:00:00 No 2018-11-09 00:00:00 None B None 2000 2000 -700 1300 0 None QN5K11 N CA00579528 A SFY2018-19
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-10-18 00:00:00 030014496 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-02-26 00:00:00 2018-02-26 00:00:00 No 2018-11-08 00:00:00 None B None 2000 2000 -700 1300 0 None 0JRW11 N None None SFY2018-19
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2018-10-30 00:00:00 030014525 Closed Citation Citation B (HSC 1424) Other Failure to Readmit 2016-10-01 00:00:00 2016-10-01 00:00:00 Yes 2018-11-21 00:00:00 2018-11-05 00:00:00 B B 2000 1500 0 1500 0 None CU9Z11 N CA00524370, CA00533610 B, B SFY2018-19
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2018-10-29 00:00:00 030014529 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-02 00:00:00 2018-08-02 00:00:00 No 2018-11-20 00:00:00 None B None 2000 2050 0 2050 0 None 6FDO11 N CA00598108 B SFY2018-19
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2018-11-16 00:00:00 030014575 Closed Citation Citation B (HSC 1424) Other Transfer Notices 2018-01-16 00:00:00 2018-01-16 00:00:00 No 2018-12-11 00:00:00 None B None 1000 1000 -350 650 0 None 9U5611 N None None SFY2018-19
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2019-01-11 00:00:00 030014663 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-27 00:00:00 2017-03-27 00:00:00 No 2019-02-01 00:00:00 None B None 2000 2000 -700 1300 0 None VT4F11 N CA00534111, CA00534111 B, B SFY2018-19
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-01-03 00:00:00 030014689 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-10-02 00:00:00 2018-10-02 00:00:00 No 2019-01-24 00:00:00 None B None 2000 2000 -700 1300 0 None MCKV11 N CA00607682, CA00607682 B, B SFY2018-19
100000834 RCCA - BRENTFORD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-02-05 00:00:00 030014768 Closed Citation Citation B (HSC 1424) Other Abuse Reporting 2018-12-13 00:00:00 2018-12-13 00:00:00 No 2019-02-26 00:00:00 None B None 1000 1000 0 1000 0 None NRLW11 N None None SFY2018-19
100000524 CASA DEL MAR #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-02-12 00:00:00 030014794 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-06 00:00:00 2018-08-06 00:00:00 No 2019-03-05 00:00:00 None B None 2000 2000 0 2000 0 None 14ZL11 N None None SFY2018-19
100000173 CASA DEL MAR #1 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-02-12 00:00:00 030014806 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-20 00:00:00 2018-07-20 00:00:00 No 2019-03-05 00:00:00 None B None 2000 2000 0 2000 0 None NPZV11 N None None SFY2018-19
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2019-02-22 00:00:00 030014813 Closed Citation Citation B (HSC 1424) Other No notification to Ombuds 2019-01-16 00:00:00 2019-01-16 00:00:00 No 2019-03-15 00:00:00 None B None 1000 1000 -350 650 0 None HGZC11 N None None SFY2018-19
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-02-19 00:00:00 030014816 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-10-05 00:00:00 2018-10-05 00:00:00 No 2019-03-12 00:00:00 None B None 2000 2000 0 2000 0 None MUNK11 N CA00605084 B SFY2018-19
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-02-20 00:00:00 030014818 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-13 00:00:00 2018-10-13 00:00:00 No 2019-03-13 00:00:00 None B None 2000 2000 -700 1300 0 None IITR11 N CA00606517, CA00606517 B, B SFY2018-19
100001800 J & M'S ICF/DDH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2019-02-27 00:00:00 030014829 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-04 00:00:00 2018-12-04 00:00:00 No 2019-03-20 00:00:00 None B None 1000 1000 -350 650 0 None 589E11 N CA00614617, CA00616110, CA00616110 A, B, B SFY2018-19
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2019-03-27 00:00:00 030014902 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-28 00:00:00 2018-11-28 00:00:00 No 2019-04-17 00:00:00 None A None 10000 10000 -3500 6500 0 None JDD611 N CA00613838 B SFY2018-19
100000030 THE GROVE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-03-26 00:00:00 030014908 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-01-27 00:00:00 2019-01-27 00:00:00 No 2019-04-16 00:00:00 None B None 2000 2000 -700 1300 0 None QLKD11 N CA00622618 B SFY2018-19
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2019-04-04 00:00:00 030014914 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-24 00:00:00 2017-06-24 00:00:00 No 2019-04-25 00:00:00 None B None 1000 1000 -350 650 0 None OIBQ11 N CA00541278, CA00541278 B, B SFY2018-19
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-04-10 00:00:00 030014925 Closed Citation Citation B (HSC 1424) Other Resident Safety/Supervisi 2018-11-13 00:00:00 2018-11-13 00:00:00 No 2019-05-01 00:00:00 None B None 2000 2000 -700 1300 0 None JHBC11 N CA00612246, CA00612246 B, B SFY2018-19
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-04-17 00:00:00 030014943 Closed Citation Citation B (HSC 1424) Other Neglect 2019-01-04 00:00:00 2019-01-04 00:00:00 No 2019-05-08 00:00:00 None B None 2000 2000 -700 1300 0 None QFC711 N CA00619102 B SFY2018-19
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-04-17 00:00:00 030014944 Closed Citation Citation B (HSC 1424) Other Falcification 2019-01-04 00:00:00 2019-01-04 00:00:00 No 2019-05-08 00:00:00 None B None 2000 2000 -700 1300 0 None QFC711 N CA00619102, CA00619102 B, B SFY2018-19
100001484 RCCA - LEQUEL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-04-12 00:00:00 030014949 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-25 00:00:00 2019-02-25 00:00:00 No 2019-05-03 00:00:00 None B None 1000 1000 0 1000 0 None J5A911 N None None SFY2018-19
630011558 SHIRLEY'S ICF/DD-N #5 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Stockton 2019-04-17 00:00:00 030014956 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-01-05 00:00:00 2019-01-05 00:00:00 No 2019-05-08 00:00:00 None B None 2000 2000 0 2000 0 None RYA711 N None None SFY2018-19
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2019-04-24 00:00:00 030014978 Closed Citation Citation B (HSC 1424) Physical Environment None 2019-01-06 00:00:00 2019-01-06 00:00:00 Yes 2019-05-15 00:00:00 2019-05-13 00:00:00 B B 2000 1600 0 1600 0 None V3P511 N CA00618885, CA00618885 B, B SFY2018-19
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-04-29 00:00:00 030014994 Closed Citation Citation B (HSC 1424) Other Failure to Report 2018-12-07 00:00:00 2018-12-07 00:00:00 No 2019-05-20 00:00:00 None B None 2000 2000 -700 1300 0 None Z4R911 N CA00620411 B SFY2018-19
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-05-14 00:00:00 030015036 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-21 00:00:00 2019-02-21 00:00:00 No 2019-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None FYDV11 Y CA00627723 B SFY2018-19
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-05-14 00:00:00 030015037 Open Citation Citation A (HSC 1424) Patient Care None 2018-11-29 00:00:00 2018-11-29 00:00:00 Yes 2019-06-04 00:00:00 2019-06-03 00:00:00 A None 20000 20000 0 0 20000 None MHJ311 N CA00621546 B SFY2018-19
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2019-05-08 00:00:00 030015040 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-01-18 00:00:00 2019-01-18 00:00:00 No 2019-05-29 00:00:00 None B None 1000 1000 -350 650 0 None 0QUI11 N CA00608431 B SFY2018-19
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-05-10 00:00:00 030015047 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-21 00:00:00 2019-02-21 00:00:00 No 2019-05-31 00:00:00 None B None 2000 6000 -2100 3900 0 None TFKY11 N CA00626678, CA00626678, CA00626678 B, B, B SFY2018-19
630013324 CITRUS HOME ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-05-23 00:00:00 030015090 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-10 00:00:00 2018-03-10 00:00:00 Yes 2019-06-14 00:00:00 2019-06-05 00:00:00 B B 2000 1400 0 1400 0 None OR3Q11 N CA00606209 B SFY2018-19
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2019-05-28 00:00:00 030015092 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-03-12 00:00:00 2019-03-12 00:00:00 No 2019-06-18 00:00:00 None B None 2000 2000 -700 1300 0 None 5TRR11 N CA00628057 A SFY2018-19
100000017 BETHANY HOME SOCIETY SAN JOAQUIN COUNTY LTC SNF Skilled Nursing Facility Stockton 2019-06-03 00:00:00 030015098 Closed Citation Citation B (HSC 1424) Other Failure to notify Ombudsm 2019-01-15 00:00:00 2019-01-15 00:00:00 No 2019-06-24 00:00:00 None B None 1000 1000 -350 650 0 None JI0F11 N None None SFY2018-19
100001449 WRS INC., ELLIOT PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-05-29 00:00:00 030015111 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-04 00:00:00 2018-03-04 00:00:00 No 2019-06-19 00:00:00 None B None 2000 2000 -700 1300 0 None 6ZZH11 N CA00576950 B SFY2018-19
100000998 WAWONA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2019-05-31 00:00:00 030015113 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-05-01 00:00:00 2019-05-01 00:00:00 Yes 2019-06-21 00:00:00 2019-06-12 00:00:00 B B 1000 750 0 750 0 None PSKB11 N CA00636213 B SFY2018-19
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2019-05-30 00:00:00 030015115 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-06-20 00:00:00 None B None 2000 2000 -700 1300 0 None HCQS11 N CA00627990, CA00627990, CA00630670 B, B, A SFY2018-19
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2019-06-06 00:00:00 030015116 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-15 00:00:00 2018-11-15 00:00:00 Yes 2019-06-27 00:00:00 2019-06-13 00:00:00 A None 20000 20000 -7000 13000 0 None POM011 N None None SFY2018-19
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-06-17 00:00:00 030015156 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-16 00:00:00 2018-03-16 00:00:00 Yes 2019-07-08 00:00:00 2019-06-25 00:00:00 A A 20000 15000 0 15000 0 None 540G11 Y CA00585174, CA00585174 B, B SFY2018-19
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2019-06-21 00:00:00 030015164 Closed Citation Citation B (HSC 1424) Other Abuse Traning per DOJ 2019-05-20 00:00:00 2019-05-20 00:00:00 No 2019-07-12 00:00:00 None B None 1000 1000 -350 650 0 None GXLC11 N CA00636527, CA00636527, CA00636527 B, B, B SFY2018-19
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-06-19 00:00:00 030015167 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-04-17 00:00:00 2019-04-17 00:00:00 No 2019-07-10 00:00:00 None B None 2000 2000 0 2000 0 None K1MW11 N CA00633706, CA00633706 A, A SFY2018-19
100000834 RCCA - BRENTFORD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-06-21 00:00:00 030015177 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-03-22 00:00:00 2019-03-22 00:00:00 No 2019-07-12 00:00:00 None B None 1500 4500 0 4500 0 None 8WFL11 N CA00630099 B SFY2018-19
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-06-26 00:00:00 030015183 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-14 00:00:00 2019-01-14 00:00:00 No 2019-07-17 00:00:00 None B None 2000 2000 -700 1300 0 None 7EMF11 N CA00620336 B SFY2018-19
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-07-10 00:00:00 030015190 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-03 00:00:00 2017-05-03 00:00:00 No 2019-07-31 00:00:00 None B None 2000 2000 -700 1300 0 None KRZE11 N CA00534528 B SFY2019-20
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-07-11 00:00:00 030015194 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-31 00:00:00 2016-12-31 00:00:00 No 2019-08-01 00:00:00 None B None 2000 2000 -700 1300 0 None RJQ911 N CA00516747 B SFY2019-20
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-06-28 00:00:00 030015196 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-24 00:00:00 2018-01-24 00:00:00 No 2019-07-19 00:00:00 None B None 2000 2000 -700 1300 0 None 2D3M11 N CA00570838 E SFY2018-19
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-06-28 00:00:00 030015201 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2019-07-19 00:00:00 None B None 2000 2000 -700 1300 0 None 2D3M11 N CA00578897 E SFY2018-19
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-07-11 00:00:00 030015224 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-07-24 00:00:00 2018-07-24 00:00:00 Yes 2019-08-01 00:00:00 2019-07-18 00:00:00 A B 10000 10000 0 10000 0 None 5G3Y11 N CA00596620, CA00596620, CA00596707, CA00596707 A, A, B, B SFY2019-20
100000070 SHERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-07-12 00:00:00 030015227 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-04 00:00:00 2019-02-04 00:00:00 No 2019-08-02 00:00:00 None B None 2000 2000 -700 1300 0 None UEWR11 N CA00622824 B SFY2019-20
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-08-13 00:00:00 030015271 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-12 00:00:00 2017-10-12 00:00:00 No 2019-09-03 00:00:00 None B None 2000 2000 -700 1300 0 None 5NKR11 N None None SFY2019-20
100001433 RCCA - WESTWOOD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-08-14 00:00:00 030015293 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-05-22 00:00:00 2019-05-22 00:00:00 No 2019-09-04 00:00:00 None B None 2000 2000 0 2000 0 None K50D11 N CA00639086, CA00639086, CA00640100, CA00640100, CA00640524 B, B, B, B, B SFY2019-20
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2019-08-14 00:00:00 030015300 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-22 00:00:00 2018-07-22 00:00:00 No 2019-09-04 00:00:00 None B None 2000 2000 -700 1300 0 None E2HZ11 N CA00596360 B SFY2019-20
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-08-14 00:00:00 030015302 Closed Citation Citation B (HSC 1424) Other Patient Rights/Failure No 2019-03-06 00:00:00 2019-03-06 00:00:00 No 2019-09-04 00:00:00 None B None 2000 2000 -700 1300 0 None FKEH11 N CA00627659 B SFY2019-20
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-08-14 00:00:00 030015306 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-18 00:00:00 2019-02-18 00:00:00 No 2019-09-04 00:00:00 None B None 2000 2000 -700 1300 0 None 5M7O11 N CA00624919, CA00624919 B, B SFY2019-20
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2019-09-09 00:00:00 030015344 Closed Citation Citation B (HSC 1424) Other Post Ombudsman Info 2018-12-24 00:00:00 2018-12-24 00:00:00 No 2019-09-30 00:00:00 None B None 1000 3000 0 3000 0 None Q6BH11 N None None SFY2019-20
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2019-09-09 00:00:00 030015345 Closed Citation Citation B (HSC 1424) Other Post Ombudsman Info 2019-07-15 00:00:00 2019-07-15 00:00:00 No 2019-09-30 00:00:00 None B None 1000 3000 0 3000 0 None Q6BH11 N None None SFY2019-20
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2019-09-09 00:00:00 030015346 Closed Citation Citation B (HSC 1424) Other Post Ombudsman Info 2019-04-24 00:00:00 2019-04-24 00:00:00 No 2019-09-30 00:00:00 None B None 1000 3000 0 3000 0 None Q6BH11 N None None SFY2019-20
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2019-09-09 00:00:00 030015349 Closed Citation Citation B (HSC 1424) Other Post Ombudsman Info 2018-09-19 00:00:00 2018-09-19 00:00:00 No 2019-09-30 00:00:00 None B None 1000 3000 0 3000 0 None Q6BH11 N None None SFY2019-20
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-08-28 00:00:00 030015351 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-25 00:00:00 2019-02-25 00:00:00 No 2019-09-18 00:00:00 None B None 2000 2000 -700 1300 0 None HMPS11 N CA00626705 B SFY2019-20
100001482 RCCA - GREEN PARK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-08-30 00:00:00 030015354 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-02 00:00:00 2017-03-02 00:00:00 No 2019-09-20 00:00:00 None B None 2000 2000 0 2000 0 None WLLW11 N CA00532901 B SFY2019-20
630002961 DUKE FACILITIES, INC. #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2019-09-03 00:00:00 030015355 Closed Citation Citation B (HSC 1424) Other Governing body & Manageme 2017-06-07 00:00:00 2017-06-07 00:00:00 No 2019-09-24 00:00:00 None B None 1000 1000 -350 650 0 None MGPY11 N CA00538789 B SFY2019-20
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2019-09-10 00:00:00 030015362 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-22 00:00:00 2019-02-22 00:00:00 No 2019-10-01 00:00:00 None B None 2000 2000 -700 1300 0 None BEKS11 N None None SFY2019-20
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2019-09-18 00:00:00 030015388 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-08-08 00:00:00 2019-08-08 00:00:00 No 2019-10-09 00:00:00 None B None 2000 2000 0 2000 0 None LSIM11 N None None SFY2019-20
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-10-23 00:00:00 030015437 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-08 00:00:00 2018-10-08 00:00:00 Yes 2019-11-13 00:00:00 2019-10-31 00:00:00 B B 2000 2000 0 2000 0 None H00R11 N CA00606957, CA00606957 B, B SFY2019-20
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2019-10-31 00:00:00 030015467 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-06-07 00:00:00 2017-06-07 00:00:00 No 2019-11-21 00:00:00 None B None 2000 2000 -700 1300 0 None NVRA11 N CA00539614 B SFY2019-20
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2019-10-24 00:00:00 030015469 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-08-18 00:00:00 2019-08-18 00:00:00 No 2019-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None GZHF11 N CA00651965 B SFY2019-20
030000090 ROSEVILLE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-11-01 00:00:00 030015495 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-03-21 00:00:00 2019-03-21 00:00:00 No 2019-11-22 00:00:00 None B None 2000 2000 -700 1300 0 None 9GTI11 N CA00629803, CA00631272 B, B SFY2019-20
100000170 ALTA'S ICF, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-11-13 00:00:00 030015522 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-05-13 00:00:00 2019-05-13 00:00:00 No 2019-12-04 00:00:00 None B None 2000 2000 -700 1300 0 None XRWE11 N None None SFY2019-20
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2019-11-15 00:00:00 030015527 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-19 00:00:00 2018-11-19 00:00:00 No 2019-12-06 00:00:00 None B None 2000 2000 -700 1300 0 None XM8J11 Y CA00617856, CA00617856 B, B SFY2019-20
100001455 WRS INC. NORTH PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-11-19 00:00:00 030015533 Closed Citation Citation A (HSC 1424) Patient Care None 2019-04-11 00:00:00 2019-04-11 00:00:00 No 2019-12-10 00:00:00 None A None 10000 10000 -3500 6500 0 None KS7W11 Y CA00633082, CA00635958 B, B SFY2019-20
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-11-22 00:00:00 030015544 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-11 00:00:00 2019-09-11 00:00:00 No 2019-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None 3H7X11 N CA00658638, CA00658638 C, C SFY2019-20
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-11-27 00:00:00 030015551 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-16 00:00:00 2019-05-16 00:00:00 No 2019-12-18 00:00:00 None B None 2000 2000 -700 1300 0 None WPL111 N CA00638944 A SFY2019-20
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2019-11-26 00:00:00 030015552 Closed Citation Citation B (HSC 1424) Other Willful Falsification 2019-10-04 00:00:00 2019-10-04 00:00:00 No 2019-12-17 00:00:00 None B None 2000 2000 0 2000 0 None SLN911 N CA00659886 B SFY2019-20
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-11-27 00:00:00 030015556 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-24 00:00:00 2019-09-24 00:00:00 No 2019-12-18 00:00:00 None B None 2000 2000 -700 1300 0 None MS6M11 N None None SFY2019-20
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2019-12-06 00:00:00 030015563 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-10-01 00:00:00 2019-10-01 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 0 2000 0 None UIL011 N CA00657571 B SFY2019-20
100000524 CASA DEL MAR #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2019-12-04 00:00:00 030015564 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-02 00:00:00 2017-06-02 00:00:00 No 2019-12-25 00:00:00 None B None 2000 2000 0 2000 0 None IYDF11 N CA00539757 B SFY2019-20
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2020-01-06 00:00:00 030015613 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-27 00:00:00 2018-01-27 00:00:00 No 2020-01-27 00:00:00 None B None 2000 2000 -700 1300 0 None JU4T11 N CA00571529 C SFY2019-20
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2020-01-06 00:00:00 030015616 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-01 00:00:00 2018-01-01 00:00:00 No 2020-01-27 00:00:00 None B None 2000 2000 -700 1300 0 None P3NJ11 N CA00568401 E SFY2019-20
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2020-01-06 00:00:00 030015617 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-06-17 00:00:00 2018-06-17 00:00:00 No 2020-01-27 00:00:00 None B None 2000 2000 -700 1300 0 None 5UOF11 N CA00591400 B SFY2019-20
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2019-12-23 00:00:00 030015623 Closed Citation Citation AA (HSC 1424) Patient Care None 2019-08-02 00:00:00 2019-08-02 00:00:00 Yes 2020-01-15 00:00:00 2020-01-06 00:00:00 AA AA 100000 80000 0 80000 0 None IPGJ11 Y CA00648877 A SFY2019-20
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2020-01-09 00:00:00 030015654 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-11-03 00:00:00 2019-11-03 00:00:00 No 2020-01-30 00:00:00 None B None 1000 1000 -350 650 0 None 5ITG11 N None None SFY2019-20
100001535 MEADOWOOD A HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2020-01-15 00:00:00 030015684 Closed Citation Citation B (HSC 1424) Other Failure to report transfe 2019-09-25 00:00:00 2019-09-25 00:00:00 No 2020-02-05 00:00:00 None B None 1000 1000 -350 650 0 None NFMU11 N None None SFY2019-20
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2020-01-28 00:00:00 030015698 Closed Citation Citation B (HSC 1424) Other Not notifying ombudsman 2019-09-27 00:00:00 2019-09-27 00:00:00 No 2020-02-18 00:00:00 None B None 1000 1000 -350 650 0 None 1OO811 N CA00667416 B SFY2019-20
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2020-02-04 00:00:00 030015715 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-10-29 00:00:00 2019-10-29 00:00:00 No 2020-02-25 00:00:00 None B None 2000 2000 -700 1300 0 None QVXD11 N CA00664605 A SFY2019-20
100000027 RIVER BEND NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-02-25 00:00:00 030015743 Closed Citation Citation A (HSC 1424) Patient Care None 2019-08-21 00:00:00 2019-08-21 00:00:00 No 2020-03-17 00:00:00 None A None 20000 20250 -7000 13250 0 None 6E2X11 N CA00651253, CA00651253, CA00651253, CA00651253, CA00651253 A, A, A, A, A SFY2019-20
100000027 RIVER BEND NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-02-25 00:00:00 030015744 Closed Citation Citation A (HSC 1424) Patient Care None 2019-08-21 00:00:00 2019-08-21 00:00:00 No 2020-03-17 00:00:00 None A None 20000 20250 -7000 13250 0 None 6E2X11 N CA00651253, CA00651253, CA00651253, CA00651253, CA00651253, CA00651253 A, A, A, A, A, A SFY2019-20
100000027 RIVER BEND NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-02-25 00:00:00 030015745 Closed Citation Citation A (HSC 1424) Patient Care None 2019-08-21 00:00:00 2019-08-21 00:00:00 No 2020-03-17 00:00:00 None A None 20000 20250 -7000 13250 0 None 6E2X11 N CA00651253, CA00651253, CA00651253, CA00651253, CA00651253, CA00651253 A, A, A, A, A, A SFY2019-20
100000070 SHERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-03-05 00:00:00 030015784 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-12-24 00:00:00 2019-12-24 00:00:00 No 2020-03-26 00:00:00 None B None 2000 6000 -2100 3900 0 None VK6K11 N CA00668413, CA00668413, CA00669575, CA00669575 A, A, B, B SFY2019-20
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2020-03-12 00:00:00 030015792 Closed Citation Citation B (HSC 1424) Patient Care None 2014-10-23 00:00:00 2014-10-23 00:00:00 No 2020-04-02 00:00:00 None B None 2000 2000 -700 1300 0 None 75JZ11 N None None SFY2019-20
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2020-07-28 00:00:00 030015945 Closed Citation Citation B (HSC 1424) Other DOJ Training 2019-07-22 00:00:00 2019-07-22 00:00:00 No 2020-08-18 00:00:00 None B None 2000 2000 -700 1300 0 None NZ3211 N CA00678621 B SFY2020-21
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2020-07-28 00:00:00 030015946 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-02-28 00:00:00 2020-02-28 00:00:00 No 2020-08-18 00:00:00 None B None 2000 6000 -2100 3900 0 None NZ3211 N CA00678621, CA00678621 B, B SFY2020-21
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-08-28 00:00:00 030015995 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-02-28 00:00:00 2020-02-28 00:00:00 No 2020-09-21 00:00:00 None B None 2000 2000 -700 1300 0 None NLD911 N CA00678338, CA00678338, CA00678627 A, A, B SFY2020-21
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-10-19 00:00:00 030016090 Closed Citation Citation A (HSC 1424) Patient Care None 2014-10-25 00:00:00 2014-10-25 00:00:00 No 2020-11-09 00:00:00 None A None 20000 20350 -7000 13350 0 None DD2611 N CA00466608, CA00466608, CA00466608, CA00466608, CA00466608, CA00466608 D, D, D, D, D, D SFY2020-21
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2020-10-20 00:00:00 030016097 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-07 00:00:00 2020-08-07 00:00:00 No 2020-11-10 00:00:00 None B None 2000 2000 -700 1300 0 None CZD511 N CA00700184, CA00700184 A, A SFY2020-21
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-11-19 00:00:00 030016155 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-01 00:00:00 2020-10-01 00:00:00 Yes 2020-12-14 00:00:00 2020-12-01 00:00:00 B None 2000 2500 0 2500 0 None P24811 N CA00707200 B SFY2020-21
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2021-01-15 00:00:00 030016239 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-11-09 00:00:00 2020-11-09 00:00:00 No 2021-02-08 00:00:00 None B None 2000 6950 0 6950 0 None GGO211 N CA00712208, CA00714942 B, B SFY2020-21
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-01-28 00:00:00 030016250 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-09-21 00:00:00 2020-09-21 00:00:00 No 2021-02-19 00:00:00 None B None 2000 2000 -700 1300 0 None QLS011 N CA00691058, CA00691194, CA00704097 B, B, B SFY2020-21
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-04-16 00:00:00 030016422 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-07-20 00:00:00 2020-07-20 00:00:00 No 2021-05-07 00:00:00 None B None 2000 2000 -700 1300 0 None URDN11 N CA00697648 B SFY2020-21
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-04-22 00:00:00 030016431 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-29 00:00:00 2021-03-29 00:00:00 No 2021-05-13 00:00:00 None B None 2000 2000 -700 1300 0 None 8DY111 N CA00683214 D SFY2020-21
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-07-01 00:00:00 030016641 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-04-21 00:00:00 2020-04-21 00:00:00 No 2021-07-22 00:00:00 None B None 2000 2000 -700 1300 0 None BKEH11 N CA00685726 C SFY2021-22
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2021-08-02 00:00:00 030016747 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2020-06-21 00:00:00 2020-06-21 00:00:00 No 2021-08-23 00:00:00 None WF None 1000 1000 -350 650 0 None 4C6H11 None CA00694517 A SFY2021-22
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2021-08-17 00:00:00 030016791 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-05-08 00:00:00 2021-05-08 00:00:00 No 2021-09-08 00:00:00 None B None 2000 2000 -700 1300 0 None TUVI11 N CA00736402, CA00736402 B, B SFY2021-22
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2021-08-13 00:00:00 030016796 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-17 00:00:00 2021-06-17 00:00:00 No 2021-09-03 00:00:00 None A None 10000 10000 -3500 6500 0 None F8JX11 N CA00740781 A SFY2021-22
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2021-08-31 00:00:00 030016833 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-10 00:00:00 2021-08-10 00:00:00 Yes 2021-09-22 00:00:00 2021-09-08 00:00:00 B B 2000 2000 0 2000 0 None 4EN111 N CA00688063, CA00688063 B, B SFY2021-22
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2021-08-31 00:00:00 030016834 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-04-23 00:00:00 2021-04-23 00:00:00 Yes 2021-09-22 00:00:00 2021-09-08 00:00:00 B Drop>Deficiency 2000 3000 -3000 0 0 None 2TCD11 N CA00686020 C SFY2021-22
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2021-09-08 00:00:00 030016892 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-12 00:00:00 2021-08-12 00:00:00 No 2021-09-29 00:00:00 None B None 2000 2000 -700 1300 0 None 9TYM11 N CA00748211 B SFY2021-22
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2021-09-22 00:00:00 030016943 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-05-18 00:00:00 2021-05-18 00:00:00 No 2021-10-13 00:00:00 None B None 2000 2000 0 2000 0 None UJ8X11 N CA00739744, CA00739744 B, B SFY2021-22
100000170 ALTA'S ICF, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2021-09-24 00:00:00 030016945 Closed Citation Citation A (HSC 1424) Patient Care None 2020-02-03 00:00:00 2020-02-03 00:00:00 No 2021-10-15 00:00:00 None A None 10000 10000 -3500 6500 0 None QF7411 Y CA00686464, CA00686524 A, B SFY2021-22
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-10-14 00:00:00 030016974 Closed Citation Citation A (HSC 1424) Patient Care None 2021-09-17 00:00:00 2021-09-17 00:00:00 No 2021-11-04 00:00:00 None A None 10000 10000 -3500 6500 0 None NC4T11 N CA00752308 A SFY2021-22
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2021-10-15 00:00:00 030017010 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-10 00:00:00 2021-09-10 00:00:00 No 2021-11-05 00:00:00 None B None 2000 6000 -2100 3900 0 None V73C11 N CA00752510, CA00752510, CA00752510 B, B, B SFY2021-22
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2021-11-09 00:00:00 030017066 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-04-03 00:00:00 2021-04-03 00:00:00 No 2021-12-03 00:00:00 None AA None 75000 75000 -26250 48750 0 None 93KZ11 Y CA00731737, CA00734430, CA00734430, CA00734430, CA00734493, CA00734493, CA00734493, CA00734493 B, B, B, B, B, B, B, B SFY2021-22
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2021-12-13 00:00:00 030017141 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-29 00:00:00 2018-09-29 00:00:00 No 2022-01-03 00:00:00 None B None 2000 2000 0 2000 0 None D99M11 Y CA00605866, CA00606247, CA00606247, CA00606247 A, B, B, B SFY2021-22
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2021-12-15 00:00:00 030017173 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification WMF 2021-04-20 00:00:00 2021-04-20 00:00:00 No 2022-01-05 00:00:00 None WF None 5000 5000 0 5000 0 None 0HR811 Y CA00737348, CA00737348, CA00737348 B, B, B SFY2021-22
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2021-12-15 00:00:00 030017174 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-04-20 00:00:00 2021-04-20 00:00:00 Yes 2022-01-05 00:00:00 2022-01-03 00:00:00 AA AA 50000 20000 0 20000 0 None 0HR811 Y CA00737348, CA00737348, CA00737348, CA00737348 B, B, B, B SFY2021-22
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2021-12-22 00:00:00 030017204 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-25 00:00:00 2021-10-25 00:00:00 No 2022-01-12 00:00:00 None B None 2000 2000 -700 1300 0 None Q9HG11 N CA00759909, CA00759909, CA00759909 A, A, A SFY2021-22
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2021-12-22 00:00:00 030017205 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-25 00:00:00 2021-10-25 00:00:00 No 2022-01-12 00:00:00 None B None 2000 2000 -700 1300 0 None Q9HG11 N CA00759909, CA00759909, CA00759909 A, A, A SFY2021-22
030000854 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2022-02-02 00:00:00 030017292 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-24 00:00:00 2021-09-24 00:00:00 No 2022-02-24 00:00:00 None B None 2000 2000 -700 1300 0 None K3KX11 N CA00755194 B SFY2021-22
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2022-02-23 00:00:00 030017346 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-10-10 00:00:00 2021-10-10 00:00:00 No 2022-03-16 00:00:00 None B None 2000 2000 -700 1300 0 None MWIH11 N CA00756462, CA00756784, CA00758226, CA00758276, CA00759960 B, B, B, B, B SFY2021-22
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2022-03-17 00:00:00 030017487 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-11-10 00:00:00 2021-11-10 00:00:00 No 2022-04-08 00:00:00 None B None 2000 2000 -700 1300 0 None 4FHQ11 N CA00760924, CA00760924 B, B SFY2021-22
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2022-03-17 00:00:00 030017488 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-10 00:00:00 2021-11-10 00:00:00 No 2022-04-08 00:00:00 None B None 2000 2000 -700 1300 0 None 4FHQ11 N CA00760924, CA00760924, CA00760924 B, B, B SFY2021-22
100000194 LOCUST HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2022-04-13 00:00:00 030017548 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-02-24 00:00:00 2022-02-24 00:00:00 No 2022-05-04 00:00:00 None B None 2000 2000 -700 1300 0 None 0D7911 N CA00774915, CA00776476 B, B SFY2021-22
100001535 MEADOWOOD A HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2022-09-14 00:00:00 030017960 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-07-01 00:00:00 2022-07-01 00:00:00 No 2022-10-05 00:00:00 None B None 1000 1000 -350 650 0 None NB7N11 N CA00792446 B SFY2022-23
100001332 CARCIDO'S ICF/DD-H #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2022-09-14 00:00:00 030017977 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-02 00:00:00 2022-08-02 00:00:00 No 2022-10-05 00:00:00 None B None 3000 3000 -1050 1950 0 None D0E811 N None None SFY2022-23
100000773 CLEARWATER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2022-09-26 00:00:00 030017996 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-04-20 00:00:00 2022-04-20 00:00:00 No 2022-10-17 00:00:00 None B None 2000 2000 -700 1300 0 None CY8411 N CA00798869 A SFY2022-23
030000165 MOUNTAIN MANOR SENIOR RESIDENCE LTC SNF Skilled Nursing Facility Sacramento 2022-10-07 00:00:00 030018021 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-02-27 00:00:00 2022-02-27 00:00:00 No 2022-10-28 00:00:00 None B None 1000 1000 -350 650 0 None 5JRK11 N CA00775062, CA00775062 B, B SFY2022-23
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-10-07 00:00:00 030018036 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-04-06 00:00:00 2022-04-06 00:00:00 No 2022-10-28 00:00:00 None B None 1000 1000 -350 650 0 None NYDM11 N CA00779876 B SFY2022-23
100000021 CASA COLOMA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2022-10-06 00:00:00 030018044 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2021-12-14 00:00:00 2021-12-28 00:00:00 No 2022-10-27 00:00:00 None B None 2000 2700 -700 2000 0 None H82111 N CA00765195 A SFY2022-23
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-10-19 00:00:00 030018062 Closed Citation Citation B (HSC 1424) Other Refusal to Readmit 2022-04-18 00:00:00 2022-04-18 00:00:00 No 2022-11-09 00:00:00 None B None 2000 2000 0 2000 0 None EEWU11 N CA00781725 A SFY2022-23
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-10-11 00:00:00 030018066 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-22 00:00:00 2022-04-22 00:00:00 No 2022-11-01 00:00:00 None B None 3000 3000 -1050 1950 0 None RGVP11 N CA00790187, CA00790187, CA00790187 B, B, B SFY2022-23
100000021 CASA COLOMA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2022-10-13 00:00:00 030018070 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2021-12-16 00:00:00 2021-12-16 00:00:00 No 2022-11-03 00:00:00 None B None 2000 2000 -700 1300 0 None 6T7W11 N CA00765211, CA00765264 A, A SFY2022-23
030000046 WINDSOR EL CAMINO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2022-10-18 00:00:00 030018083 Open Citation Citation AA (HSC 1424) Patient Care None 2020-08-14 00:00:00 2020-08-14 00:00:00 Yes 2022-11-08 00:00:00 2022-11-01 00:00:00 AA None 30000 30000 0 0 30000 None HI0S11 Y CA00758897, CA00758897, CA00758897 B, B, B SFY2022-23
030000560 PINE CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2022-10-28 00:00:00 030018104 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-20 00:00:00 2022-07-20 00:00:00 No 2022-11-21 00:00:00 None A None 10000 10000 0 10000 0 None 3BCP11 N CA00795049 B SFY2022-23
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-03-15 00:00:00 030018429 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2022-12-15 00:00:00 2023-01-15 00:00:00 No 2023-04-06 00:00:00 None B None 3000 4550 -50 4500 0 None RUVZ11 N CA00819534 B SFY2022-23
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2023-03-02 00:00:00 030018437 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-09-07 00:00:00 2022-09-07 00:00:00 No 2023-03-23 00:00:00 None B None 2000 2000 -700 1300 0 None BOLZ11 N CA00802796 A SFY2022-23
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-03-07 00:00:00 030018447 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-06 00:00:00 2017-02-06 00:00:00 No 2023-03-28 00:00:00 None B None 2000 2000 -700 1300 0 None 48JM11 N CA00524209, CA00524209 A, A SFY2022-23
030000024 WESTVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-03-02 00:00:00 030018452 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-27 00:00:00 2021-05-27 00:00:00 No 2023-03-23 00:00:00 None B None 2000 2000 -700 1300 0 None NUOK11 N CA00738926 A SFY2022-23
030000053 MANZANITA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-03-08 00:00:00 030018453 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-17 00:00:00 2022-08-17 00:00:00 No 2023-03-29 00:00:00 None B None 3000 3000 -1050 1950 0 None JC2611 N CA00819854, CA00819854, CA00819854, CA00819854 B, B, B, B SFY2022-23
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-03-09 00:00:00 030018486 Closed Citation Citation B (HSC 1424) Staffing None 2022-10-27 00:00:00 2022-10-27 00:00:00 No 2023-03-30 00:00:00 None B None 2000 2000 -700 1300 0 None 7QW611 N CA00813019 B SFY2022-23
100000962 CAPITAL POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2023-03-29 00:00:00 030018506 Closed Citation Citation AA (HSC 1424) Patient Care None 2019-08-15 00:00:00 2019-08-15 00:00:00 No 2023-04-20 00:00:00 None AA None 100000 100000 -35000 65000 0 None 2FQV11 Y CA00651365 B SFY2022-23
100000524 CASA DEL MAR #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2023-03-16 00:00:00 030018515 Closed Citation Citation B (HSC 1424) Medication None 2019-08-21 00:00:00 2019-08-21 00:00:00 Yes 2023-04-07 00:00:00 2023-03-29 00:00:00 B None 2000 2000 -700 1300 0 None Z7HN11 N CA00652585, CA00652585 B, B SFY2022-23
100000962 CAPITAL POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2023-03-29 00:00:00 030018584 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-10-12 00:00:00 2021-10-12 00:00:00 No 2023-04-20 00:00:00 None B None 2000 2000 -700 1300 0 None NM3N11 N CA00756812, CA00756812 B, B SFY2022-23
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-04-06 00:00:00 030018605 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-17 00:00:00 2023-02-17 00:00:00 No 2023-04-27 00:00:00 None B None 2000 2000 -700 1300 0 None DL4T11 N CA00827559, CA00827571 B, B SFY2022-23
100001453 WRS INC., MARSHALL PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2023-04-13 00:00:00 030018620 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-01-13 00:00:00 2020-01-13 00:00:00 No 2023-05-04 00:00:00 None B None 1000 1000 -350 650 0 None Y67E11 N CA00671789, CA00671904 B, B SFY2022-23
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-04-18 00:00:00 030018627 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-21 00:00:00 2023-03-21 00:00:00 No 2023-05-09 00:00:00 None B None 2000 2000 -700 1300 0 None G5NL11 N CA00832748, CA00833596 B, B SFY2022-23
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-04-25 00:00:00 030018651 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-02-04 00:00:00 2020-02-04 00:00:00 No 2023-05-16 00:00:00 None B None 2000 2000 -700 1300 0 None 3CKK11 N CA00673937, CA00675988 C, B SFY2022-23
030001815 COURTYARD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-04-26 00:00:00 030018680 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-20 00:00:00 2021-04-20 00:00:00 Yes 2023-05-17 00:00:00 2023-05-12 00:00:00 B B 2000 1600 0 1600 0 None VFN011 Y CA00733760, CA00737092 B, B SFY2022-23
100000027 RIVER BEND NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-06-13 00:00:00 030018847 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-28 00:00:00 2022-10-28 00:00:00 No 2023-07-05 00:00:00 None B None 2000 2000 -700 1300 0 None 2WH411 N CA00830815, CA00830815, CA00830815, CA00835085, CA00835085, CA00835085 B, B, B, B, B, B SFY2022-23
030000105 WHITNEY OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-06-20 00:00:00 030018866 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-19 00:00:00 2023-04-19 00:00:00 No 2023-07-12 00:00:00 None B None 2000 2000 -700 1300 0 None 2EZJ11 N CA00835306, CA00835306 B, B SFY2022-23
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-06-28 00:00:00 030018890 Closed Citation Citation A (HSC 1424) Other Staff Competency 2022-07-22 00:00:00 2022-07-22 00:00:00 No 2023-07-20 00:00:00 None A None 25000 25000 0 25000 0 None CW8T11 N CA00805898, CA00805898 B, B SFY2022-23
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-07-10 00:00:00 030018893 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-09-03 00:00:00 2021-09-03 00:00:00 No 2023-07-31 00:00:00 None AA None 100000 100000 -35000 65000 0 None ZN0J11 Y CA00754186, CA00754186 B, B SFY2023-24
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-10-03 00:00:00 030018974 Closed Citation Citation A (HSC 1424) Medication None 2023-05-12 00:00:00 2023-05-12 00:00:00 No 2023-10-24 00:00:00 None A None 10000 10000 -3500 6500 0 None 32W511 N CA00841097, CA00841097, CA00841097, CA00841097, CA00841097, CA00841605, CA00841605, CA00841605, CA00841605, CA00841605 B, B, B, B, B, B, B, B, B, B SFY2023-24
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-02-27 00:00:00 030019046 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-04-08 00:00:00 2019-04-08 00:00:00 Yes 2023-09-14 00:00:00 2023-09-01 00:00:00 AP BR None 246900 246900 0 0 246900 None MCZU11 None CA00643663 C SFY2020-21
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-02-27 00:00:00 030019048 Open Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2019-04-08 00:00:00 2019-04-08 00:00:00 No 2021-03-19 00:00:00 None FTR RES None 3100 3100 0 0 3100 None MCZU11 None CA00643663, CA00643663 C, C SFY2020-21
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-09-05 00:00:00 030019120 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-05-30 00:00:00 2023-05-30 00:00:00 No 2023-09-26 00:00:00 None B None 2000 2000 -700 1300 0 None HI9J11 N CA00843190, CA00843190 B, B SFY2023-24
030000053 MANZANITA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-10-12 00:00:00 030019217 Closed Citation Citation AA (HSC 1424) Other QoC: Free of Accident Haz 2022-08-26 00:00:00 2022-08-26 00:00:00 No 2023-11-02 00:00:00 None AA None 120000 120000 0 120000 0 None 5T2111 Y CA00831775, CA00831775 B, B SFY2023-24
030000165 MOUNTAIN MANOR SENIOR RESIDENCE LTC SNF Skilled Nursing Facility Sacramento 2023-11-15 00:00:00 030019359 Closed Citation Citation A (HSC 1424) Patient Care Patient Care/Not reported 2023-03-07 00:00:00 2023-03-07 00:00:00 No 2023-12-08 00:00:00 None A None 25000 25000 -8750 16250 0 None 7WN311 N CA00830422, CA00830422, CA00831190 B, B, B SFY2023-24
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-11-16 00:00:00 030019360 Closed Citation Citation A (HSC 1424) Other Patient Care 2022-12-16 00:00:00 2022-12-16 00:00:00 No 2023-12-11 00:00:00 None A None 25000 27700 0 27700 0 None SVQ811 N CA00820959, CA00820959 B, B SFY2023-24
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-11-21 00:00:00 030019376 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-22 00:00:00 2023-08-22 00:00:00 No 2023-12-14 00:00:00 None B None 3000 3000 -1050 1950 0 None B3EL11 N CA00857406 A SFY2023-24
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-01-10 00:00:00 030019553 Closed Citation Citation A (HSC 1424) Patient Care None 2023-05-30 00:00:00 2023-05-30 00:00:00 No 2024-01-31 00:00:00 None A None 20000 20000 -7000 13000 0 None HI9J11 N CA00843190, CA00843190, CA00843190 B, B, B SFY2023-24
100000027 RIVER BEND NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-01-18 00:00:00 030019576 Closed Citation Citation A (HSC 1424) Patient Care None 2023-09-10 00:00:00 2023-09-10 00:00:00 No 2024-02-08 00:00:00 None A None 25000 25000 -8750 16250 0 None L9VC11 Y CA00863026, CA00863026, CA00863026, CA00863026 B, B, B, B SFY2023-24
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-01-18 00:00:00 030019593 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-29 00:00:00 2023-11-29 00:00:00 No 2024-02-08 00:00:00 None B None 3000 3000 0 3000 0 None OOUL11 N CA00872107, CA00872107 B, B SFY2023-24
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-01-18 00:00:00 030019600 Closed Citation Citation B (HSC 1424) Other Accidents 2023-08-18 00:00:00 2023-08-18 00:00:00 No 2024-02-08 00:00:00 None B None 3000 3000 -1050 1950 0 None WGQD11 Y CA00856897 B SFY2023-24
100000002 UNIVERSITY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Sacramento 2024-01-25 00:00:00 030019626 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-17 00:00:00 2023-11-17 00:00:00 No 2024-02-15 00:00:00 None B None 3000 3000 -1050 1950 0 None H0DU11 N CA00870839 A SFY2023-24
030000004 ROSEVILLE POINT HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-01-31 00:00:00 030019667 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-19 00:00:00 2024-01-19 00:00:00 No 2024-02-21 00:00:00 None B None 2000 2000 0 2000 0 None 2QU511 N CA00880637, CA00880637, CA00881474, CA00881474 B, B, B, B SFY2023-24
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2024-02-02 00:00:00 030019672 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-27 00:00:00 2023-12-27 00:00:00 No 2024-02-23 00:00:00 None B None 2000 2000 -700 1300 0 None 8WV811 N CA00874600 A SFY2023-24
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-02-20 00:00:00 030019674 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-03 00:00:00 2023-11-03 00:00:00 No 2024-03-12 00:00:00 None A None 25000 25000 -8750 16250 0 None Q52T11 N CA00868807 B SFY2023-24
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2024-03-13 00:00:00 030019840 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-05 00:00:00 2024-01-05 00:00:00 No 2024-04-04 00:00:00 None B None 3000 3000 -1050 1950 0 None 4ERW11 N CA00878419 C SFY2023-24
630025269 INTEGRITY CARE GROUP LLC LTC CLHF Congregate Living Health Facility Sacramento 2024-04-10 00:00:00 030019926 Open Citation Citation A (HSC 1424) Patient Care None 2023-09-25 00:00:00 2023-09-25 00:00:00 No 2024-05-01 00:00:00 None A None 10000 10000 -3500 6500 0 None PV0U11 N CA00880720, CA00880720 A, A SFY2023-24
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-05-01 00:00:00 030019962 Open Citation Citation A (HSC 1424) Other Quality of Care: Safety 2024-02-21 00:00:00 2024-02-21 00:00:00 No 2024-05-22 00:00:00 None A None 25000 26150 0 0 26150 None FOZ111 N CA00886307 B SFY2023-24
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-04-23 00:00:00 030020035 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-07 00:00:00 2024-03-07 00:00:00 No 2024-05-14 00:00:00 None B None 3000 3000 -1050 1950 0 None DGB311 N CA00888888, CA00888888 B, B SFY2023-24
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-05-02 00:00:00 030020068 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-04 00:00:00 2023-11-04 00:00:00 No 2024-05-23 00:00:00 None A None 17200 17200 -6020 11180 0 None CT5G11 N CA00887127 B SFY2023-24
630012655 SUNSHINE ICF DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2024-05-03 00:00:00 030020092 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-24 00:00:00 2024-03-24 00:00:00 No 2024-05-24 00:00:00 None B None 2000 2000 -700 1300 0 None 34BC11 N CA00891419, CA00891419 C, C SFY2023-24
100000962 CAPITAL POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2024-05-09 00:00:00 030020136 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-16 00:00:00 2024-03-16 00:00:00 No 2024-05-31 00:00:00 None B None 2000 2000 -700 1300 0 None JJ9811 N CA00892478 B SFY2023-24
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-05-17 00:00:00 030020196 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-20 00:00:00 2024-04-20 00:00:00 No 2024-06-10 00:00:00 None B None 3000 3000 -1050 1950 0 None YKJZ11 N CA00896900 B SFY2023-24
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2024-06-05 00:00:00 030020223 Closed Citation Citation A (HSC 1424) Patient Care None 2024-04-20 00:00:00 2024-04-20 00:00:00 No 2024-06-26 00:00:00 None A None 25000 25000 -8750 16250 0 None Y5I511 Y CA00896540, CA00896540 B, B SFY2023-24
100000911 JEAN MARTIN HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2024-06-17 00:00:00 030020303 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-03 00:00:00 2024-01-03 00:00:00 No 2024-07-09 00:00:00 None B None 3000 3000 -1050 1950 0 None TNC511 N CA00898947 B SFY2023-24
040001040 WILLOW CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 1998-09-15 00:00:00 040001142 Closed Citation Citation AA (HSC 1424) Patient Care None 1998-08-13 00:00:00 1998-08-13 00:00:00 Yes 1999-02-02 00:00:00 1999-01-22 00:00:00 AA B 25000 1000 -342 658 0 040009401 A99999 Y None None SFY1998-99
040000012 EVERGREEN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2000-02-22 00:00:00 040001170 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-03 00:00:00 1999-11-03 00:00:00 No 2000-03-16 00:00:00 None B None 1000 1000 -350 650 0 040010700 A99999 N None None SFY1999-00
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2000-03-03 00:00:00 040001173 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-02 00:00:00 1999-12-02 00:00:00 Yes 2000-09-27 00:00:00 2000-09-27 00:00:00 A A 10000 7500 0 7500 0 040010716 A99999 N None None SFY1999-00
040000034 MADERA REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2000-04-13 00:00:00 040001174 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-01 00:00:00 2000-02-01 00:00:00 Yes 2000-05-05 00:00:00 2000-04-18 00:00:00 B B Trebled 1000 1200 0 1200 0 040010798 A99999 N None None SFY1999-00
040000074 WISH-I-AH HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility Fresno 2000-04-13 00:00:00 040001176 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-17 00:00:00 2000-01-06 00:00:00 Yes 2000-05-05 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 1000 0 0 0 0 040010812 A99999 N None None SFY1999-00
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2000-06-30 00:00:00 040001178 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-02-16 00:00:00 None Yes 2000-07-24 00:00:00 2000-07-12 00:00:00 AA A 25000 18750 0 18750 0 040010984 A99999 Y None None SFY1999-00
040000026 COUNTRYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2000-06-29 00:00:00 040001179 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-06 00:00:00 2000-03-06 00:00:00 Yes 2001-03-05 00:00:00 2001-02-28 00:00:00 B Drop>Deficiency 1000 757 0 757 0 040010985 A99999 N None None SFY1999-00
040000014 HORIZON HEALTH & SUBACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2000-08-09 00:00:00 040001181 Closed Citation Citation B (HSC 1424) Patient Care None 1998-08-13 00:00:00 1998-08-13 00:00:00 Yes 2000-08-31 00:00:00 2000-08-09 00:00:00 B Dismissed by Court 1000 0 0 0 0 040011097 A99999 N None None SFY2000-01
040000076 THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE LTC SNF Skilled Nursing Facility Fresno 2000-09-13 00:00:00 040001184 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-29 00:00:00 2000-06-29 00:00:00 Yes 2001-09-11 00:00:00 2000-09-26 00:00:00 B B 100 100 0 100 0 040011224 A99999 N None None SFY2000-01
040000048 MERCED BEHAVIORAL CENTER LTC SNF Skilled Nursing Facility Fresno 2000-09-20 00:00:00 040001186 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-29 00:00:00 2000-06-29 00:00:00 Yes 2000-10-12 00:00:00 2000-09-22 00:00:00 B B 1000 900 0 900 0 040011226 A99999 N None None SFY2000-01
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2000-09-21 00:00:00 040001189 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-06-23 00:00:00 2000-06-23 00:00:00 No 2000-10-13 00:00:00 None AA None 25000 25000 0 25000 0 040011263 A99999 Y None None SFY2000-01
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2000-10-03 00:00:00 040001190 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-11 00:00:00 2000-04-11 00:00:00 No 2000-10-31 00:00:00 None B None 1000 1000 0 1000 0 040011277 A99999 N None None SFY2000-01
040000034 MADERA REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2000-11-30 00:00:00 040001194 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-10 00:00:00 2000-01-29 00:00:00 Yes 2000-12-21 00:00:00 2000-12-04 00:00:00 B Drop>Deficiency 1000 800 0 800 0 040011495 A99999 N None None SFY2000-01
040000034 MADERA REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2000-12-04 00:00:00 040001195 Closed Citation Citation B (HSC 1424) Other RES. TO RES. ABUSE 2000-07-23 00:00:00 2000-07-23 00:00:00 Yes 2000-12-29 00:00:00 2000-12-11 00:00:00 B B 1000 1000 0 1000 0 040011502 A99999 N None None SFY2000-01
040000049 COVENANT POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2000-12-06 00:00:00 040001196 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-10 00:00:00 2000-07-10 00:00:00 No 2001-01-09 00:00:00 None B None 1000 1000 -350 650 0 040011527 A99999 N None None SFY2000-01
040000035 FRANCISCAN POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2000-12-08 00:00:00 040001197 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-11 00:00:00 2000-08-11 00:00:00 Yes 2001-09-12 00:00:00 2000-12-08 00:00:00 B B 900 900 0 900 0 040011535 A99999 N None None SFY2000-01
040001041 DEWITT SUB-ACUTE & SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2000-12-21 00:00:00 040001198 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-25 00:00:00 2000-07-25 00:00:00 No 2001-01-16 00:00:00 None B None 900 900 -315 585 0 040011562 A99999 N None None SFY2000-01
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2001-01-02 00:00:00 040001201 Closed Citation Citation B (HSC 1424) Other RES. BEHAVIOR 2000-07-06 00:00:00 None No 2001-01-24 00:00:00 None B None 1000 1000 -350 650 0 040011600 A99999 N None None SFY2000-01
040000474 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2001-01-16 00:00:00 040001202 Closed Citation Citation A (HSC 1424) Other NURSING SERVICES 2000-08-16 00:00:00 2000-08-16 00:00:00 No 2001-02-06 00:00:00 None A None 8000 8000 -2800 5200 0 040011214 A99999 N None None SFY2000-01
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2001-01-24 00:00:00 040001203 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-28 00:00:00 2000-08-28 00:00:00 Yes 2001-05-30 00:00:00 2001-02-14 00:00:00 B B 1000 1000 0 1000 0 040011676 A99999 N None None SFY2000-01
040000063 PACIFIC GARDENS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2001-02-13 00:00:00 040001206 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-02 00:00:00 2000-02-02 00:00:00 Yes 2001-03-09 00:00:00 2001-02-20 00:00:00 A B 10000 10000 0 10000 0 040011753 A99999 N None None SFY2000-01
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2001-02-14 00:00:00 040001207 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-01 00:00:00 2000-06-01 00:00:00 No 2001-03-12 00:00:00 None B None 800 800 -280 520 0 040011746 A99999 N None None SFY2000-01
040000605 LOYD'S LIBERTY HOMES, INC. - AUGUSTA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2001-03-13 00:00:00 040001209 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-18 00:00:00 2000-11-18 00:00:00 No 2001-04-03 00:00:00 None B None 800 800 -280 520 0 040011848 A99999 N None None SFY2000-01
040001111 DAVIS GROUP HOMES LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2001-03-14 00:00:00 040001210 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-03 00:00:00 2000-12-03 00:00:00 No 2001-04-06 00:00:00 None B None 800 800 -280 520 0 040011851 A99999 N None None SFY2000-01
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2001-04-12 00:00:00 040001211 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-01 00:00:00 2001-01-01 00:00:00 No 2001-05-07 00:00:00 None B None 1000 1000 -350 650 0 040011952 A99999 N None None SFY2000-01
040000052 ROLLING HILLS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2001-05-03 00:00:00 040001215 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-27 00:00:00 2000-05-27 00:00:00 Yes 2001-12-14 00:00:00 2001-05-03 00:00:00 B B 1000 1000 0 1000 0 040012030 A99999 N None None SFY2000-01
040000647 ABLELIGHT INC. - ROGERS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2001-05-03 00:00:00 040001216 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-25 00:00:00 2000-11-25 00:00:00 Yes 2001-09-12 00:00:00 2001-05-14 00:00:00 B B 1000 1000 0 1000 0 040012031 A99999 N None None SFY2000-01
040000015 BETHEL LUTHERAN HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2001-05-10 00:00:00 040001217 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-16 00:00:00 2001-03-16 00:00:00 No 2001-06-04 00:00:00 None B None 500 500 -175 325 0 040011884 A99999 N None None SFY2000-01
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2001-06-04 00:00:00 040001218 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-26 00:00:00 2001-03-07 00:00:00 Yes 2001-10-12 00:00:00 2001-06-22 00:00:00 B B 1000 3000 0 3000 0 040011846 A99999 N None None SFY2000-01
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2001-06-07 00:00:00 040001219 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-15 00:00:00 2001-04-15 00:00:00 Yes 2001-06-28 00:00:00 2001-06-07 00:00:00 B B 1000 1000 0 1000 0 040012127 A99999 N None None SFY2000-01
040000038 COMMUNITY LIVING CENTER - FRESNO LTC SNF Skilled Nursing Facility Fresno 2001-06-26 00:00:00 040001221 Closed Citation Citation B (HSC 1424) Other NURSING SERVICE 2001-02-02 00:00:00 2001-02-02 00:00:00 Yes 2001-07-20 00:00:00 2001-07-23 00:00:00 B None 900 900 0 900 0 040011889 A99999 N None None SFY2000-01
040000073 GOLDEN MADERA CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2001-07-12 00:00:00 040001222 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-23 00:00:00 2001-04-23 00:00:00 No 2001-08-13 00:00:00 None B None 500 500 -175 325 0 040012010 A99999 N None None SFY2001-02
040000074 WISH-I-AH HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility Fresno 2001-07-19 00:00:00 040001223 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-13 00:00:00 2001-02-13 00:00:00 Yes 2001-08-10 00:00:00 2001-08-06 00:00:00 A B 20000 20000 0 20000 0 040012256 A99999 N None None SFY2001-02
040000047 HEALTHCARE CENTRE OF FRESNO LTC SNF Skilled Nursing Facility Fresno 2001-07-24 00:00:00 040001224 Closed Citation Citation B (HSC 1424) Other GENERAL MAINTENANCE 2001-04-25 00:00:00 2001-04-25 00:00:00 No 2001-08-14 00:00:00 None B None 1000 1000 -350 650 0 040012019 A99999 N None None SFY2001-02
040000534 CASA TERCEIRA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2001-07-25 00:00:00 040001225 Closed Citation Citation A (HSC 1424) Abuse/Facility Not Self Reported None 2001-04-29 00:00:00 2001-04-29 00:00:00 Yes 2001-12-14 00:00:00 2001-08-08 00:00:00 A A 10000 10000 0 10000 0 040012059 A99999 N None None SFY2001-02
040000010 PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR. LTC SNF Skilled Nursing Facility Fresno 2001-08-06 00:00:00 040001226 Closed Citation Citation B (HSC 1424) Other STAFF/RESIDENT ABUSE 2001-05-09 00:00:00 2001-05-09 00:00:00 Yes 2001-08-29 00:00:00 2003-06-16 00:00:00 B B 1000 1000 0 1000 0 040012097 A99999 N None None SFY2001-02
040000904 LOYD'S LIBERTY HOMES, INC., - ROBINSON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2001-09-28 00:00:00 040001227 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-04-16 00:00:00 2001-04-17 00:00:00 Yes 2001-10-23 00:00:00 2002-01-07 00:00:00 A None 8000 8000 0 8000 0 040012344 A99999 N None None SFY2001-02
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2001-08-23 00:00:00 040001228 Closed Citation Citation B (HSC 1424) Other IMPLEMENT DNR POLICY 2001-06-02 00:00:00 2001-06-02 00:00:00 No 2001-09-18 00:00:00 None B None 500 500 0 500 0 040012189 A99999 N None None SFY2001-02
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2001-09-19 00:00:00 040001229 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-05 00:00:00 2000-06-05 00:00:00 No 2001-10-15 00:00:00 None B Dismissed by Court 700 0 0 0 0 040012448 A99999 N None None SFY2001-02
040000034 MADERA REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2001-11-01 00:00:00 040001230 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-04 00:00:00 2001-01-04 00:00:00 No 2001-11-29 00:00:00 None B B 1000 1000 0 1000 0 040011625 A99999 N None None SFY2001-02
040000052 ROLLING HILLS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2001-11-06 00:00:00 040001231 Closed Citation Citation B (HSC 1424) Other FINANCIAL ABUSE 2001-08-23 00:00:00 2001-08-23 00:00:00 No 2002-02-05 00:00:00 None B B 1000 1000 0 1000 0 040012459 A99999 N None None SFY2001-02
040000063 PACIFIC GARDENS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2001-11-19 00:00:00 040001232 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-20 00:00:00 2001-03-20 00:00:00 Yes 2001-12-17 00:00:00 2001-11-30 00:00:00 B B 500 500 0 500 0 040012025 A99999 N None None SFY2001-02
040000345 JOHN C. FREMONT HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Fresno 2001-12-06 00:00:00 040001233 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-05 00:00:00 2001-08-05 00:00:00 No 2002-01-04 00:00:00 None B None 1000 1000 -350 650 0 040012377 A99999 N None None SFY2001-02
040000066 VALLEY CARE & GUIDANCE CENTER LTC SNF Skilled Nursing Facility Fresno 2001-12-11 00:00:00 040001234 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-06 00:00:00 2001-08-06 00:00:00 Yes 2002-01-10 00:00:00 2001-12-11 00:00:00 B None 500 500 0 500 0 040012341 A99999 N None None SFY2001-02
040001016 PROVIDENT HEALTH CARE - WINDY GAP LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2002-01-17 00:00:00 040001235 Closed Citation Citation A (HSC 1424) Other RESTRAINTS 2001-11-14 00:00:00 2001-11-14 00:00:00 Yes 2002-06-06 00:00:00 2002-02-07 00:00:00 A B 5000 0 0 0 0 040012686 A99999 N None None SFY2001-02
040000019 MORNING STAR POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2002-01-17 00:00:00 040001236 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-10 00:00:00 2001-09-10 00:00:00 No 2002-02-13 00:00:00 None B None 1000 1000 -350 650 0 040012478 A99999 N None None SFY2001-02
040000015 BETHEL LUTHERAN HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2002-02-14 00:00:00 040001237 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-21 00:00:00 2001-09-21 00:00:00 No 2002-03-13 00:00:00 None B None 1000 1000 -350 650 0 040012549 A99999 N None None SFY2001-02
040000060 SIERRA VIEW HOMES INC. LTC SNF Skilled Nursing Facility Fresno 2002-02-26 00:00:00 040001238 Closed Citation Citation B (HSC 1424) Other RES.BEHAVE. & FAC.PR 2001-08-27 00:00:00 2001-08-27 00:00:00 No 2002-03-21 00:00:00 None B Drop>Deficiency 500 0 0 0 0 040012561 A99999 N None None SFY2001-02
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-02-26 00:00:00 040001239 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-21 00:00:00 2001-09-21 00:00:00 Yes 2002-06-06 00:00:00 2002-05-20 00:00:00 B B 1000 1150 0 1150 0 040012535 A99999 N None None SFY2001-02
040001033 LOYD'S LIBERTY HOMES, INC. - COLUMBIA NORTH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2002-02-28 00:00:00 040001240 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-01-03 00:00:00 2002-01-03 00:00:00 No 2002-03-25 00:00:00 None B None 1000 1000 -350 650 0 040012927 A99999 N None None SFY2001-02
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-02-28 00:00:00 040001241 Closed Citation Citation B (HSC 1424) Other HOUSEKEEPING 2000-09-06 00:00:00 2000-09-06 00:00:00 No 2002-03-22 00:00:00 None B None 1000 1000 0 1000 0 040012012 A99999 N None None SFY2001-02
040000034 MADERA REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2002-03-14 00:00:00 040001242 Closed Citation Citation B (HSC 1424) Other RESTRAINTS 2001-04-22 00:00:00 2001-04-22 00:00:00 Yes 2002-04-05 00:00:00 2002-03-18 00:00:00 B B 500 400 0 400 0 040012027 A99999 N None None SFY2001-02
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-03-20 00:00:00 040001244 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-02 00:00:00 2002-01-02 00:00:00 No 2002-04-15 00:00:00 None B None 1000 1000 0 1000 0 040012811 A99999 N None None SFY2001-02
040000019 MORNING STAR POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2002-03-28 00:00:00 040001245 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-05-09 00:00:00 2001-05-09 00:00:00 Yes 2002-04-22 00:00:00 2002-04-05 00:00:00 A A 17500 13125 0 13125 0 040012379 A99999 N None None SFY2001-02
040000074 WISH-I-AH HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility Fresno 2002-04-11 00:00:00 040001246 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-16 00:00:00 2002-01-16 00:00:00 Yes 2002-08-27 00:00:00 2002-08-27 00:00:00 B B 1000 1000 0 1000 0 040012926 A99999 N None None SFY2001-02
040001033 LOYD'S LIBERTY HOMES, INC. - COLUMBIA NORTH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2002-04-18 00:00:00 040001247 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-29 00:00:00 2002-01-29 00:00:00 No 2002-05-09 00:00:00 None B None 1000 1000 -350 650 0 040012902 A99999 N None None SFY2001-02
040000022 COALINGA DISTINGUISHED COMMUNITY CARE, INC. LTC SNF Skilled Nursing Facility Fresno 2002-05-01 00:00:00 040001248 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-25 00:00:00 2001-12-25 00:00:00 No 2002-05-22 00:00:00 None B None 1000 1000 -350 650 0 040012832 A99999 N None None SFY2001-02
040000073 GOLDEN MADERA CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-05-14 00:00:00 040001249 Closed Citation Citation B (HSC 1424) Other NURSING SERVICE-GEN 2001-09-10 00:00:00 2001-09-10 00:00:00 Yes 2002-06-11 00:00:00 2002-05-29 00:00:00 B B 1000 1000 0 1000 0 040012505 A99999 N None None SFY2001-02
040000076 THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE LTC SNF Skilled Nursing Facility Fresno 2002-05-14 00:00:00 040001251 Closed Citation Citation B (HSC 1424) Other NURSING SERVICE - GE 2002-02-09 00:00:00 2002-02-09 00:00:00 Yes 2002-08-28 00:00:00 2002-08-16 00:00:00 B B 1000 1000 0 1000 0 040012973 A99999 N None None SFY2001-02
040000798 COALINGA REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Fresno 2002-05-21 00:00:00 040001252 Closed Citation Citation B (HSC 1424) Other NURSING SERVICE-GENE 2002-02-26 00:00:00 2002-02-26 00:00:00 No 2002-06-21 00:00:00 None B None 750 750 -262.5 487.5 0 040013056 A99999 N None None SFY2001-02
040000767 BLUE HAVEN ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2002-05-23 00:00:00 040001253 Closed Citation Citation B (HSC 1424) Other FIDUCIARY 2002-03-05 00:00:00 2002-03-05 00:00:00 No 2002-06-20 00:00:00 None B None 1000 1600 0 1600 0 040013322 A99999 N None None SFY2001-02
040000841 BLUE HAVEN ICF/DD-H #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2002-06-11 00:00:00 040001254 Closed Citation Citation B (HSC 1424) Other FIDUCIARY 2002-03-05 00:00:00 2002-03-05 00:00:00 No 2002-07-03 00:00:00 None B None 1000 1000 0 1000 0 040013376 A99999 N None None SFY2001-02
040000019 MORNING STAR POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2002-06-13 00:00:00 040001255 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-06 00:00:00 2002-04-06 00:00:00 No 2002-07-08 00:00:00 None B None 1000 3000 -1050 1950 0 040013386 A99999 N None None SFY2001-02
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-06-13 00:00:00 040001256 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-15 00:00:00 2002-05-15 00:00:00 No 2002-07-10 00:00:00 None B None 1000 1000 -350 650 0 040013315 A99999 N None None SFY2001-02
040000036 MANNING GARDENS CARE CENTER, INC. LTC SNF Skilled Nursing Facility Fresno 2002-06-13 00:00:00 040001257 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-29 00:00:00 2001-09-29 00:00:00 Yes 2002-09-23 00:00:00 2002-06-19 00:00:00 B B 500 500 0 500 0 040012475 A99999 N None None SFY2001-02
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-06-25 00:00:00 040001258 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-02-16 00:00:00 2002-02-16 00:00:00 Yes 2002-10-04 00:00:00 2002-09-23 00:00:00 A Dismissed by Court 20000 0 0 0 0 040013063 A99999 N None None SFY2001-02
040000680 SELMA COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Fresno 2002-06-25 00:00:00 040001259 Closed Citation Citation B (HSC 1424) Other NURSING SERVICES 2001-07-03 00:00:00 2002-06-25 00:00:00 No 2002-07-19 00:00:00 None B None 1000 1000 -350 650 0 040013299 A99999 N None None SFY2001-02
040000046 MERCED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2002-06-26 00:00:00 040001260 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-05 00:00:00 2002-05-05 00:00:00 Yes 2002-07-23 00:00:00 2002-07-03 00:00:00 B B 1000 800 0 800 0 040013282 A99999 N None None SFY2001-02
040000047 HEALTHCARE CENTRE OF FRESNO LTC SNF Skilled Nursing Facility Fresno 2002-06-27 00:00:00 040001261 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-25 00:00:00 2002-03-25 00:00:00 No 2002-07-22 00:00:00 None B None 500 500 -175 325 0 040013170 A99999 N None None SFY2001-02
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-07-25 00:00:00 040001263 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-06 00:00:00 2002-06-06 00:00:00 No 2002-08-21 00:00:00 None B None 1000 1000 0 1000 0 040013399 A99999 N None None SFY2002-03
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2002-08-12 00:00:00 040001264 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-04-29 00:00:00 2002-05-17 00:00:00 No 2002-09-03 00:00:00 None A None 5000 5000 -1750 3250 0 040013314 A99999 N None None SFY2002-03
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-08-14 00:00:00 040001265 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-05-02 00:00:00 2002-05-02 00:00:00 Yes 2002-09-10 00:00:00 2002-08-29 00:00:00 A B 10000 5573 0 5573 0 040013277 A99999 N None None SFY2002-03
040000022 COALINGA DISTINGUISHED COMMUNITY CARE, INC. LTC SNF Skilled Nursing Facility Fresno 2002-08-20 00:00:00 040001266 Closed Citation Citation A (HSC 1424) Other ACCIDENTS 2002-05-21 00:00:00 2002-05-21 00:00:00 Yes 2002-09-16 00:00:00 2002-08-27 00:00:00 A A 20000 11477 0 11477 0 040013372 A99999 N None None SFY2002-03
040000345 JOHN C. FREMONT HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Fresno 2002-09-13 00:00:00 040001267 Closed Citation Citation A (HSC 1424) Medication None 2001-10-24 00:00:00 2001-10-24 00:00:00 No 2002-10-07 00:00:00 None A None 2000 2000 -700 1300 0 040013697 A99999 N None None SFY2002-03
040000050 GOLDEN MERCED CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-09-18 00:00:00 040001268 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-04 00:00:00 2001-11-04 00:00:00 Yes 2002-10-16 00:00:00 2002-09-30 00:00:00 A B 20000 11145 0 11145 0 040012709 A99999 N None None SFY2002-03
040000841 BLUE HAVEN ICF/DD-H #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2002-09-25 00:00:00 040001270 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-04-03 00:00:00 2002-04-03 00:00:00 Yes 2002-10-23 00:00:00 2002-09-25 00:00:00 B None 1000 1000 0 1000 0 040013761 A99999 N None None SFY2002-03
040000920 LOYD'S LIBERTY HOMES, INC. - NORTH KNOLL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2002-09-25 00:00:00 040001271 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-05 00:00:00 2002-06-05 00:00:00 No 2002-10-24 00:00:00 None B None 1000 1000 -350 650 0 040013394 A99999 N None None SFY2002-03
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2000-04-17 00:00:00 040001310 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-11 00:00:00 2000-01-11 00:00:00 No 2000-05-12 00:00:00 None B None 1000 1000 0 1000 0 040013925 A99999 N None None SFY1999-00
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2001-10-02 00:00:00 040001311 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-04 00:00:00 None No 2001-10-24 00:00:00 None B None 300 300 0 300 0 040013937 A99999 N None None SFY2001-02
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2002-01-16 00:00:00 040001312 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-03 00:00:00 None No 2002-02-07 00:00:00 None B None 500 500 0 500 0 040013945 A99999 N None None SFY2001-02
040001366 KINGS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Fresno 2002-05-02 00:00:00 040001319 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-16 00:00:00 2001-05-16 00:00:00 Yes 2002-08-21 00:00:00 2002-08-09 00:00:00 B B 800 800 0 800 0 040014071 A99999 N None None SFY2001-02
040001366 KINGS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Fresno 2002-05-20 00:00:00 040001320 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-12 00:00:00 None No 2002-06-12 00:00:00 None B None 1000 1000 -350 650 0 040014072 A99999 N None None SFY2001-02
040001366 KINGS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Fresno 2002-09-23 00:00:00 040001321 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-15 00:00:00 None No 2002-10-16 00:00:00 None B None 800 800 -280 520 0 040014073 A99999 N None None SFY2002-03
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2002-10-09 00:00:00 040001322 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-26 00:00:00 2002-07-26 00:00:00 No 2002-11-04 00:00:00 None B None 1000 1000 -350 650 0 040013556 A99999 N None None SFY2002-03
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2002-10-10 00:00:00 040001323 Closed Citation Citation A (HSC 1424) Other NURSING SERVICES 2002-05-25 00:00:00 2002-05-25 00:00:00 Yes 2002-11-05 00:00:00 2002-10-16 00:00:00 A B 10000 5573 0 5573 0 040013392 A99999 N None None SFY2002-03
040000047 HEALTHCARE CENTRE OF FRESNO LTC SNF Skilled Nursing Facility Fresno 2002-10-11 00:00:00 040001324 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-27 00:00:00 2002-07-27 00:00:00 Yes 2002-11-05 00:00:00 2002-10-11 00:00:00 A A 2500 2500 0 2500 0 040013554 A99999 N None None SFY2002-03
040000920 LOYD'S LIBERTY HOMES, INC. - NORTH KNOLL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2002-10-30 00:00:00 040001325 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-08 00:00:00 2002-06-08 00:00:00 Yes 2002-11-27 00:00:00 2002-11-21 00:00:00 B B 1000 1000 0 1000 0 040013440 A99999 N None None SFY2002-03
040000049 COVENANT POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2002-10-31 00:00:00 040001326 Closed Citation Citation B (HSC 1424) Medication None 2002-07-15 00:00:00 2002-07-15 00:00:00 No 2002-11-27 00:00:00 None B None 500 500 0 500 0 040013555 A99999 N None None SFY2002-03
040000035 FRANCISCAN POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2003-01-09 00:00:00 040001327 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-29 00:00:00 2002-09-29 00:00:00 Yes 2003-07-15 00:00:00 2003-08-04 00:00:00 B B 1000 557 0 557 0 040014107 A99999 N None None SFY2002-03
040000474 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2003-02-11 00:00:00 040001328 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-26 00:00:00 2002-09-26 00:00:00 No 2003-03-12 00:00:00 None B None 900 900 -315 585 0 040013801 A99999 N None None SFY2002-03
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2003-03-07 00:00:00 040001329 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-18 00:00:00 2002-11-18 00:00:00 Yes 2003-04-03 00:00:00 2003-03-07 00:00:00 B Drop>Deficiency 500 279 0 279 0 040014273 A99999 N None None SFY2002-03
040000225 ANBERRY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2003-04-23 00:00:00 040001330 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-01 00:00:00 2003-02-01 00:00:00 Yes 2003-11-13 00:00:00 2003-10-27 00:00:00 B B 500 350 0 350 0 040014446 A99999 N None None SFY2002-03
040000010 PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR. LTC SNF Skilled Nursing Facility Fresno 2003-05-08 00:00:00 040001331 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-15 00:00:00 2002-02-15 00:00:00 Yes 2003-05-30 00:00:00 2003-05-03 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 040014678 A99999 N None None SFY2002-03
040000010 PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR. LTC SNF Skilled Nursing Facility Fresno 2003-05-08 00:00:00 040001332 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-15 00:00:00 2002-02-15 00:00:00 Yes 2003-05-30 00:00:00 2003-05-03 00:00:00 B B 1000 1000 0 1000 0 040014679 A99999 N None None SFY2002-03
040000010 PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR. LTC SNF Skilled Nursing Facility Fresno 2003-05-08 00:00:00 040001333 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-01 00:00:00 2002-02-01 00:00:00 Yes 2003-05-30 00:00:00 2003-05-03 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 040014680 A99999 N None None SFY2002-03
040000010 PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR. LTC SNF Skilled Nursing Facility Fresno 2003-05-08 00:00:00 040001334 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-13 00:00:00 2002-09-13 00:00:00 Yes 2003-05-30 00:00:00 2003-05-30 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 040014298 A99999 N None None SFY2002-03
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2003-05-15 00:00:00 040001335 Closed Citation Citation A (HSC 1424) Patient Rights None 2003-01-03 00:00:00 2003-01-03 00:00:00 Yes 2007-11-26 00:00:00 2008-04-24 00:00:00 A B 20000 2500 0 2500 0 040014374 A99999 N None None SFY2002-03
040000031 LOS BANOS POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2003-06-11 00:00:00 040001336 Closed Citation Citation A (HSC 1424) Patient Care None 2003-02-22 00:00:00 2003-02-22 00:00:00 No 2003-07-07 00:00:00 None A None 15000 15000 -5250 9750 0 040014550 A99999 N None None SFY2002-03
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-06-20 00:00:00 040001337 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-07-02 00:00:00 2002-07-02 00:00:00 Yes 2003-07-16 00:00:00 2003-07-07 00:00:00 B B 500 500 0 500 0 040014307 A99999 N None None SFY2002-03
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-06-20 00:00:00 040001338 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-07-02 00:00:00 2002-07-02 00:00:00 Yes 2003-07-16 00:00:00 2003-07-07 00:00:00 B None 500 500 -500 0 0 040014774 A99999 N None None SFY2002-03
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-06-20 00:00:00 040001339 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-07-02 00:00:00 2002-07-02 00:00:00 Yes 2003-07-16 00:00:00 2003-07-07 00:00:00 B None 500 500 -500 0 0 040014775 A99999 N None None SFY2002-03
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-06-20 00:00:00 040001340 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-07-02 00:00:00 2002-07-02 00:00:00 Yes 2003-07-16 00:00:00 2003-07-07 00:00:00 B None 500 500 -500 0 0 040014778 A99999 N None None SFY2002-03
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2003-06-18 00:00:00 040001341 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-26 00:00:00 2003-02-26 00:00:00 Yes 2003-07-16 00:00:00 2003-07-07 00:00:00 B B Trebled 1000 1672 0 1672 0 040014531 A99999 N None None SFY2002-03
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-06-20 00:00:00 040001342 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-07-02 00:00:00 2002-07-02 00:00:00 Yes 2003-07-16 00:00:00 2003-07-07 00:00:00 B None 500 500 -500 0 0 040014776 A99999 N None None SFY2002-03
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-06-20 00:00:00 040001343 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-07-02 00:00:00 2002-07-02 00:00:00 Yes 2003-07-16 00:00:00 2003-07-07 00:00:00 B None 500 500 -500 0 0 040014777 A99999 N None None SFY2002-03
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2003-06-18 00:00:00 040001344 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-13 00:00:00 2001-09-13 00:00:00 Yes 2003-07-11 00:00:00 2003-06-18 00:00:00 B None 1000 1000 0 1000 0 040014453 A99999 N None None SFY2002-03
040000226 LOYD'S LIBERTY HOMES, INC., - ALLUVIAL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-04 00:00:00 040001345 Closed Citation Citation A (HSC 1424) Patient Rights None 2003-01-24 00:00:00 2003-01-24 00:00:00 No 2003-08-27 00:00:00 None A None 10000 10000 -3500 6500 0 040015041 A99999 N None None SFY2003-04
040001033 LOYD'S LIBERTY HOMES, INC. - COLUMBIA NORTH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-11 00:00:00 040001346 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-16 00:00:00 2003-02-16 00:00:00 No 2003-09-04 00:00:00 None B None 900 900 -315 585 0 040014493 A99999 N None None SFY2003-04
040000904 LOYD'S LIBERTY HOMES, INC., - ROBINSON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-11 00:00:00 040001347 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-29 00:00:00 2003-04-29 00:00:00 No 2003-09-03 00:00:00 None B None 900 900 -315 585 0 040014687 A99999 N None None SFY2003-04
040000904 LOYD'S LIBERTY HOMES, INC., - ROBINSON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-11 00:00:00 040001348 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-18 00:00:00 2003-03-18 00:00:00 No 2003-09-03 00:00:00 None B None 1000 1000 -350 650 0 040014581 A99999 N None None SFY2003-04
040000857 HARMONY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-11 00:00:00 040001349 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-11-04 00:00:00 2002-11-04 00:00:00 Yes 2003-09-03 00:00:00 2003-09-08 00:00:00 B B 500 500 0 500 0 040014272 A99999 N None None SFY2003-04
040000857 HARMONY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-11 00:00:00 040001350 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-11-04 00:00:00 2002-11-04 00:00:00 Yes 2003-09-03 00:00:00 2003-09-09 00:00:00 B None 500 500 -500 0 0 040015039 A99999 N None None SFY2003-04
040000857 HARMONY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-11 00:00:00 040001351 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-11-04 00:00:00 2002-11-04 00:00:00 Yes 2003-09-03 00:00:00 2003-09-12 00:00:00 B None 500 500 -500 0 0 040015072 A99999 N None None SFY2003-04
040000647 ABLELIGHT INC. - ROGERS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-25 00:00:00 040001352 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-29 00:00:00 2003-01-29 00:00:00 No 2003-09-17 00:00:00 None B None 1000 1000 0 1000 0 040014445 A99999 N None None SFY2003-04
040000833 CLAREMY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2003-08-21 00:00:00 040001353 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-12-09 00:00:00 2002-12-09 00:00:00 Yes 2003-09-12 00:00:00 2003-09-02 00:00:00 B B 1000 1000 0 1000 0 040014302 A99999 N None None SFY2003-04
040000875 CASA SANTA MARIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2004-03-30 00:00:00 040001354 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-11 00:00:00 2003-08-11 00:00:00 No 2004-04-28 00:00:00 None B None 1000 1000 -350 650 0 040015087 A99999 N None None SFY2003-04
040001041 DEWITT SUB-ACUTE & SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2004-03-30 00:00:00 040001355 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-29 00:00:00 2003-06-29 00:00:00 No 2004-04-22 00:00:00 None B None 900 900 -315 585 0 040014989 A99999 N None None SFY2003-04
040000904 LOYD'S LIBERTY HOMES, INC., - ROBINSON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2004-04-06 00:00:00 040001356 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-01 00:00:00 2003-08-23 00:00:00 No 2004-04-28 00:00:00 None B None 1000 1000 -350 650 0 040015216 A99999 N None None SFY2003-04
040000039 GRACE HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2004-04-06 00:00:00 040001357 Closed Citation Citation B (HSC 1424) Medication None 2003-12-20 00:00:00 2003-12-20 00:00:00 No 2004-04-30 00:00:00 None B None 500 500 -175 325 0 040015617 A99999 N None None SFY2003-04
040000148 LOYD'S LIBERTY HOMES, INC., - MESA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2004-04-21 00:00:00 040001358 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-19 00:00:00 2003-05-19 00:00:00 No 2004-05-12 00:00:00 None B None 1000 1000 -350 650 0 040014756 A99999 N None None SFY2003-04
040000474 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2004-05-13 00:00:00 040001359 Closed Citation Citation B (HSC 1424) Medication None 2003-07-20 00:00:00 2003-07-20 00:00:00 No 2004-06-08 00:00:00 None B None 1000 1000 -350 650 0 040015263 A99999 N None None SFY2003-04
040000954 OUR HOUSE BERRY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2004-06-10 00:00:00 040001360 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-14 00:00:00 2004-01-14 00:00:00 No 2004-07-06 00:00:00 None B None 900 900 -315 585 0 040015572 A99999 N None None SFY2003-04
040000022 COALINGA DISTINGUISHED COMMUNITY CARE, INC. LTC SNF Skilled Nursing Facility Fresno 2004-07-13 00:00:00 040001361 Closed Citation Citation B (HSC 1424) Staffing None 2004-06-30 00:00:00 2004-06-30 00:00:00 No 2004-08-16 00:00:00 None B None 1000 1000 -350 650 0 040015971 A99999 N None None SFY2004-05
040000022 COALINGA DISTINGUISHED COMMUNITY CARE, INC. LTC SNF Skilled Nursing Facility Fresno 2004-07-14 00:00:00 040001362 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-05-20 00:00:00 2004-06-30 00:00:00 No 2004-08-04 00:00:00 None B None 1000 1000 0 1000 0 040016012 A99999 N None None SFY2004-05
040000641 ABLELIGHT INC. - FILBERT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2004-10-18 00:00:00 040001363 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-16 00:00:00 2004-07-16 00:00:00 No 2004-11-12 00:00:00 None B None 800 800 -280 520 0 040016302 A99999 N None None SFY2004-05
040000842 LOYD'S LIBERTY HOMES, INC. - LIBERTY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2004-10-18 00:00:00 040001364 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-31 00:00:00 2004-07-31 00:00:00 No 2004-11-10 00:00:00 None B None 1000 1000 -350 650 0 040016087 A99999 N None None SFY2004-05
040000920 LOYD'S LIBERTY HOMES, INC. - NORTH KNOLL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2004-10-18 00:00:00 040001365 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-06-24 00:00:00 2004-06-24 00:00:00 No 2004-11-10 00:00:00 None B None 800 800 -280 520 0 040015968 A99999 N None None SFY2004-05
040001335 PAUL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-01-11 00:00:00 040001366 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-03 00:00:00 2004-08-03 00:00:00 No 2005-02-08 00:00:00 None B None 1000 1000 -350 650 0 040016159 A99999 N None None SFY2004-05
040000767 BLUE HAVEN ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-01-25 00:00:00 040001367 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-12-06 00:00:00 2004-12-06 00:00:00 No 2005-02-18 00:00:00 None B None 1000 1000 -1000 0 0 040016571 A99999 N None None SFY2004-05
040000841 BLUE HAVEN ICF/DD-H #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-01-25 00:00:00 040001368 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-12-06 00:00:00 2004-12-06 00:00:00 No 2005-02-22 00:00:00 None B None 1000 1000 -1000 0 0 040016590 A99999 N None None SFY2004-05
040000767 BLUE HAVEN ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-01-25 00:00:00 040001369 Closed Citation Citation B (HSC 1424) Other FIDUCIARY ABUSE 2004-07-08 00:00:00 2004-07-28 00:00:00 No 2005-02-18 00:00:00 None B None 1000 1450 -1450 0 0 040016529 A99999 N None None SFY2004-05
040000841 BLUE HAVEN ICF/DD-H #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-01-25 00:00:00 040001370 Closed Citation Citation B (HSC 1424) Other FIDUCIARY ABUSE 2004-07-08 00:00:00 2004-07-08 00:00:00 No 2005-02-22 00:00:00 None B None 1000 1450 -1450 0 0 040016591 A99999 N None None SFY2004-05
040000904 LOYD'S LIBERTY HOMES, INC., - ROBINSON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-02-15 00:00:00 040001371 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-01 00:00:00 2004-10-01 00:00:00 No 2005-03-11 00:00:00 None B None 900 900 -315 585 0 040016300 A99999 N None None SFY2004-05
040000904 LOYD'S LIBERTY HOMES, INC., - ROBINSON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-05-19 00:00:00 040001372 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-08 00:00:00 2004-07-08 00:00:00 No 2005-06-14 00:00:00 None B None 1000 1000 -350 650 0 040016035 A99999 N None None SFY2004-05
040000899 SAFE HARBOR RESIDENTIAL SERVICES-MAGNOLIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-06-20 00:00:00 040001373 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-28 00:00:00 2005-01-28 00:00:00 No 2005-07-19 00:00:00 None B None 1000 1000 -350 650 0 040016638 A99999 N None None SFY2004-05
040000474 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2005-06-27 00:00:00 040001374 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-06-27 00:00:00 2004-06-27 00:00:00 No 2005-07-21 00:00:00 None AA None 80000 80000 -28000 52000 0 040016639 A99999 Y None None SFY2004-05
040001079 DAVIDSON SUN VALLEY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-08-18 00:00:00 040001375 Closed Citation Citation AA (HSC 1424) Patient Rights None 2005-02-13 00:00:00 2005-02-13 00:00:00 No 2005-09-09 00:00:00 None AA None 25000 25000 -8750 16250 0 040016640 A99999 Y None None SFY2005-06
040000035 FRANCISCAN POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2005-09-13 00:00:00 040001376 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-22 00:00:00 2005-07-22 00:00:00 Yes 2005-10-11 00:00:00 2005-10-04 00:00:00 B B 800 800 0 800 0 040016641 A99999 N None None SFY2005-06
040000833 CLAREMY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2005-09-12 00:00:00 040001377 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-20 00:00:00 2004-04-20 00:00:00 No 2005-10-05 00:00:00 None B None 800 800 -280 520 0 040016642 A99999 N None None SFY2005-06
040000022 COALINGA DISTINGUISHED COMMUNITY CARE, INC. LTC SNF Skilled Nursing Facility Fresno 2005-12-08 00:00:00 040001378 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2005-11-07 00:00:00 2005-11-07 00:00:00 No 2005-12-30 00:00:00 None B None 1000 1000 0 1000 0 040016645 A99999 N None None SFY2005-06
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2006-01-18 00:00:00 040001379 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-01 00:00:00 2005-07-01 00:00:00 No 2006-02-08 00:00:00 None B None 1000 1000 -350 650 0 040016646 A99999 N None None SFY2005-06
040000904 LOYD'S LIBERTY HOMES, INC., - ROBINSON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2006-02-03 00:00:00 040001380 Closed Citation Citation A (HSC 1424) Patient Care None 2006-04-18 00:00:00 2005-04-18 00:00:00 No 2006-03-03 00:00:00 None A None 10000 10000 -3500 6500 0 040016648 A99999 N None None SFY2005-06
040000035 FRANCISCAN POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2006-05-16 00:00:00 040003100 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-22 00:00:00 2005-09-22 00:00:00 Yes 2006-06-13 00:00:00 2006-06-15 00:00:00 B B 1000 500 0 500 0 None Z8M711 N CA00062511 C SFY2005-06
040001151 LOYD'S LIBERTY HOMES INC., RAMONA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2006-06-26 00:00:00 040003173 Closed Citation Citation B (HSC 1424) Physical Environment None 2005-12-08 00:00:00 2005-12-08 00:00:00 No 2006-07-18 00:00:00 None B None 1000 1000 -350 650 0 None EEPP11 N CA00074174 B SFY2005-06
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2006-06-26 00:00:00 040003177 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-30 00:00:00 2005-10-30 00:00:00 Yes 2006-07-18 00:00:00 2006-07-18 00:00:00 B B 600 300 0 300 0 None KH6Z11 N CA00065351 C SFY2005-06
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2006-09-11 00:00:00 040003319 Closed Citation Citation B (HSC 1424) Staffing None 2006-06-14 00:00:00 2006-06-14 00:00:00 No 2006-10-02 00:00:00 None B None 1000 1000 -1000 0 0 None 44X911 N None None SFY2006-07
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2006-09-11 00:00:00 040003321 Closed Citation Citation B (HSC 1424) Dietary None 2006-06-08 00:00:00 2006-06-08 00:00:00 No 2006-10-02 00:00:00 None B None 1000 1350 -1350 0 0 None RE5M11 N None None SFY2006-07
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2006-09-11 00:00:00 040003322 Closed Citation Citation B (HSC 1424) Dietary None 2006-06-06 00:00:00 2006-06-06 00:00:00 No 2006-10-02 00:00:00 None B None 1000 1350 -1350 0 0 None RE5M11 N None None SFY2006-07
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2006-09-11 00:00:00 040003325 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-06-14 00:00:00 2006-06-14 00:00:00 No 2006-10-02 00:00:00 None A None 15000 15000 -15000 0 0 None RE5M11 N None None SFY2006-07
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2006-09-11 00:00:00 040003326 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-13 00:00:00 2006-06-13 00:00:00 No 2006-10-02 00:00:00 None A None 20000 20000 -20000 0 0 None RE5M11 N None None SFY2006-07
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2006-09-11 00:00:00 040003330 Closed Citation Citation A (HSC 1424) Physical Environment None 2006-06-15 00:00:00 2006-06-15 00:00:00 No 2006-10-02 00:00:00 None A None 20000 20000 -20000 0 0 None RE5M11 N None None SFY2006-07
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2006-10-05 00:00:00 040003397 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-19 00:00:00 2005-10-19 00:00:00 No 2006-10-27 00:00:00 None B None 1000 1000 -350 650 0 None 4PRN11 N CA00070983 C SFY2006-07
040000047 HEALTHCARE CENTRE OF FRESNO LTC SNF Skilled Nursing Facility Fresno 2007-02-08 00:00:00 040003697 Closed Citation Citation A (HSC 1424) Medication None 2006-01-12 00:00:00 2006-01-12 00:00:00 No 2007-03-05 00:00:00 None A None 18000 18000 -6300 11700 0 None HJKJ11 N CA00070091 C SFY2006-07
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2007-02-09 00:00:00 040003698 Closed Citation Citation A (HSC 1424) Other Abuse/Patient Rights 2006-08-18 00:00:00 2006-08-18 00:00:00 No 2007-03-02 00:00:00 None A None 20000 20000 -7000 13000 0 None EZ8V11 N CA00090908 C SFY2006-07
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2007-02-23 00:00:00 040003743 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-09-03 00:00:00 2006-09-03 00:00:00 Yes 2007-03-16 00:00:00 2007-02-23 00:00:00 A A 10000 5000 0 5000 0 None Y9NE11 N CA00092063 B SFY2006-07
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2007-05-02 00:00:00 040003924 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-09 00:00:00 2006-10-09 00:00:00 No 2007-05-23 00:00:00 None B None 1000 1000 -350 650 0 None 6PN511 N CA00095193 C SFY2006-07
040000954 OUR HOUSE BERRY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2007-08-02 00:00:00 040004158 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-25 00:00:00 2006-09-25 00:00:00 No 2007-08-23 00:00:00 None B None 1000 1000 -350 650 0 None XPC011 N CA00094205 C SFY2007-08
040001378 ALLEN-FLORER FAMILY HOME - WHEELER LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2007-08-13 00:00:00 040004176 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-01-10 00:00:00 2007-01-10 00:00:00 No 2007-09-04 00:00:00 None B None 600 750 -210 540 0 None JJBT11 N CA00103969 C SFY2007-08
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2007-08-28 00:00:00 040004212 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-05-17 00:00:00 2006-05-17 00:00:00 Yes 2007-09-19 00:00:00 2007-10-18 00:00:00 B None 1000 1000 0 1000 0 None NBTD11 N CA00081619 C SFY2007-08
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2007-12-05 00:00:00 040004482 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-25 00:00:00 2006-03-25 00:00:00 No 2007-12-27 00:00:00 None B None 900 900 -315 585 0 None KFJE11 N CA00077131 C SFY2007-08
040001106 ALLEN-COX FAMILY HOME IV LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-01-17 00:00:00 040004592 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-12-01 00:00:00 2006-12-01 00:00:00 No 2008-02-08 00:00:00 None B None 1000 1200 0 1200 0 None 18PK11 N CA00105680 C SFY2007-08
040000583 DAVIDSON HOME - BROOKDALE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-02-08 00:00:00 040004593 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-20 00:00:00 2006-09-20 00:00:00 No 2008-03-04 00:00:00 None B None 1000 1200 -350 850 0 None OG6111 N CA00094385 C SFY2007-08
040000875 CASA SANTA MARIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-02-07 00:00:00 040004671 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-11 00:00:00 2007-04-11 00:00:00 No 2008-03-03 00:00:00 None B None 1000 1000 -350 650 0 None 6RBT11 N CA00112036 C SFY2007-08
040000224 LOYD'S LIBERTY HOMES, INC. - COLONIAL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-02-07 00:00:00 040004673 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-14 00:00:00 2007-08-14 00:00:00 No 2008-03-03 00:00:00 None B None 1000 1000 -350 650 0 None 9NP911 N CA00123578 C SFY2007-08
040000039 GRACE HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2008-02-14 00:00:00 040004685 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-23 00:00:00 2007-07-23 00:00:00 No 2008-03-07 00:00:00 None B None 800 800 -280 520 0 None TRIM11 N CA00121420 C SFY2007-08
040001363 ALLEN-FLORER FAMILY HOME - NINTH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-03-18 00:00:00 040004794 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-28 00:00:00 2007-05-28 00:00:00 No 2008-04-09 00:00:00 None A None 8000 8000 -2800 5200 0 None 4I4E11 N CA00116785 B SFY2007-08
630002861 MY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-03-18 00:00:00 040004795 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-01-31 00:00:00 2007-01-31 00:00:00 No 2008-04-09 00:00:00 None B None 1000 1000 0 1000 0 None GOR611 N CA00108373 B SFY2007-08
040001151 LOYD'S LIBERTY HOMES INC., RAMONA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-03-18 00:00:00 040004797 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-16 00:00:00 2006-11-16 00:00:00 No 2008-04-09 00:00:00 None B None 1000 1000 -350 650 0 None CUF011 N CA00098938 C SFY2007-08
040000641 ABLELIGHT INC. - FILBERT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-04-03 00:00:00 040004853 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-31 00:00:00 2007-08-31 00:00:00 No 2008-04-24 00:00:00 None A None 10000 10000 -3500 6500 0 None WN7F11 N CA00125419 C SFY2007-08
040000051 OAKWOOD GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2008-04-07 00:00:00 040004872 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-01-11 00:00:00 2008-01-11 00:00:00 Yes 2008-04-28 00:00:00 2008-04-08 00:00:00 B B 1000 1350 0 1350 0 None CP0I11 N CA00137576 B SFY2007-08
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2008-04-23 00:00:00 040004954 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-06 00:00:00 2007-02-06 00:00:00 No 2008-05-14 00:00:00 None B None 800 800 -280 520 0 None 5QIW11 N CA00105828 B SFY2007-08
040000642 ABLELIGHT INC. - BROWNING LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-05-13 00:00:00 040005011 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-23 00:00:00 2007-09-23 00:00:00 No 2008-06-04 00:00:00 None A None 10000 10000 -3500 6500 0 None GKWH11 N CA00128998 C SFY2007-08
040001106 ALLEN-COX FAMILY HOME IV LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-05-13 00:00:00 040005012 Closed Citation Citation A (HSC 1424) Patient Care staff to patient abuse 2008-03-08 00:00:00 2008-03-08 00:00:00 No 2008-06-09 00:00:00 None A None 10000 10000 -3500 6500 0 None I5XD11 N CA00143277 C SFY2007-08
040001106 ALLEN-COX FAMILY HOME IV LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2008-05-20 00:00:00 040005055 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-01 00:00:00 2007-12-01 00:00:00 No 2008-06-11 00:00:00 None B None 1000 1100 0 1100 0 None 4GUC11 N CA00133716 C SFY2007-08
040000051 OAKWOOD GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2008-05-29 00:00:00 040005080 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-18 00:00:00 2007-08-18 00:00:00 No 2008-06-20 00:00:00 None B None 1000 1000 -350 650 0 None K3D211 N CA00123838 C SFY2007-08
040000012 EVERGREEN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2008-09-16 00:00:00 040005415 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-18 00:00:00 2008-03-18 00:00:00 No 2008-10-07 00:00:00 None B None 1000 1000 0 1000 0 None UI8W11 N CA00144495 C SFY2008-09
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2008-09-16 00:00:00 040005418 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-09 00:00:00 2008-02-09 00:00:00 No 2008-10-07 00:00:00 None B None 800 800 0 800 0 None 78JO11 N CA00140767 C SFY2008-09
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2008-09-16 00:00:00 040005426 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-19 00:00:00 2008-06-19 00:00:00 No 2008-10-07 00:00:00 None B None 1000 1000 -350 650 0 None 6K8G11 N CA00154243 C SFY2008-09
040001106 ALLEN-COX FAMILY HOME IV LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2009-01-15 00:00:00 040005786 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-07 00:00:00 2008-07-07 00:00:00 No 2009-02-06 00:00:00 None B None 1000 1000 -350 650 0 None PCLV11 N CA00150091 C SFY2008-09
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2009-01-15 00:00:00 040005795 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-25 00:00:00 2008-05-25 00:00:00 No 2009-02-06 00:00:00 None B None 1000 1000 0 1000 0 None G61T11 N CA00151609 H SFY2008-09
040000856 BUCKINGHAM HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2009-01-20 00:00:00 040005809 Closed Citation Citation A (HSC 1424) Patient Care None 2008-08-01 00:00:00 2008-08-01 00:00:00 No 2009-02-10 00:00:00 None A None 10000 10000 0 10000 0 None 697211 N CA00159514 H SFY2008-09
040000012 EVERGREEN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2009-03-04 00:00:00 040005924 Closed Citation Citation AA (HSC 1424) Dietary None 2008-11-19 00:00:00 2008-11-19 00:00:00 Yes 2010-05-06 00:00:00 2010-04-28 00:00:00 AA AA 80000 80000 0 80000 0 None 6DHL11 Y CA00169920 B SFY2008-09
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2009-05-01 00:00:00 040006149 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-18 00:00:00 2009-03-18 00:00:00 Yes 2009-05-22 00:00:00 2009-05-15 00:00:00 A B 16000 16000 0 16000 0 None PWDX11 N CA00181569 C SFY2008-09
040001378 ALLEN-FLORER FAMILY HOME - WHEELER LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2009-05-11 00:00:00 040006167 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-16 00:00:00 2009-03-16 00:00:00 No 2009-06-04 00:00:00 None A None 10000 10000 -3500 6500 0 None YB9S11 N CA00181171 B SFY2008-09
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2009-06-10 00:00:00 040006238 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-10 00:00:00 2007-09-10 00:00:00 No 2009-07-02 00:00:00 None B None 1000 1000 -350 650 0 None PK5T11 N CA00125975 B SFY2008-09
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2009-07-10 00:00:00 040006381 Closed Citation Citation B (HSC 1424) Medication None 2006-03-19 00:00:00 2006-03-19 00:00:00 Yes 2009-08-03 00:00:00 2009-07-10 00:00:00 B B 1000 500 0 500 0 None PVED11 N CA00186975 B SFY2009-10
040000954 OUR HOUSE BERRY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2009-07-16 00:00:00 040006390 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-04 00:00:00 2008-09-04 00:00:00 No 2009-08-06 00:00:00 None B None 800 800 0 800 0 None 9BSO11 N CA00162354 B SFY2009-10
040000642 ABLELIGHT INC. - BROWNING LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2009-08-27 00:00:00 040006495 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-10 00:00:00 2008-12-10 00:00:00 No 2009-09-18 00:00:00 None B None 1000 1000 -350 650 0 None IBA711 N CA00171788 C SFY2009-10
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2009-09-25 00:00:00 040006583 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-07-16 00:00:00 2009-07-16 00:00:00 Yes 2009-10-19 00:00:00 2010-11-19 00:00:00 AP BR AP BR 125000 31250 0 31250 0 None MCEG11 None CA00195220 H SFY2009-10
040001366 KINGS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Fresno 2009-10-14 00:00:00 040006613 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-13 00:00:00 2009-06-13 00:00:00 No 2009-11-04 00:00:00 None B None 800 800 -280 520 0 None F7KL11 N CA00192282 C SFY2009-10
040000051 OAKWOOD GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2009-10-14 00:00:00 040006615 Closed Citation Citation B (HSC 1424) Medication None 2009-05-08 00:00:00 2009-05-08 00:00:00 No 2009-11-12 00:00:00 None B None 1000 1000 -350 650 0 None E4H211 N CA00187748 C SFY2009-10
040000051 OAKWOOD GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2009-10-14 00:00:00 040006617 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-11 00:00:00 2009-05-11 00:00:00 No 2009-11-12 00:00:00 None B None 1000 1000 -350 650 0 None HZG311 N CA00189078 C SFY2009-10
040000474 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2010-01-06 00:00:00 040006887 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-20 00:00:00 2009-08-20 00:00:00 Yes 2010-01-29 00:00:00 2010-01-14 00:00:00 B None 1000 1000 0 1000 0 None DIF711 N CA00200176 B SFY2009-10
040001363 ALLEN-FLORER FAMILY HOME - NINTH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2010-05-04 00:00:00 040007187 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-06 00:00:00 2009-12-06 00:00:00 No 2010-05-25 00:00:00 None B None 1000 1000 -350 650 0 None DK5W11 N CA00210566 C SFY2009-10
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2010-06-23 00:00:00 040007321 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-10 00:00:00 2007-06-10 00:00:00 No 2010-07-19 00:00:00 None B None 1000 1000 -350 650 0 None ZTLH11 N CA00144188 B SFY2009-10
630002861 MY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2010-06-29 00:00:00 040007338 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-10-15 00:00:00 2009-10-15 00:00:00 No 2010-07-22 00:00:00 None B None 600 600 0 600 0 None JE1I11 N CA00205240 C SFY2009-10
040000842 LOYD'S LIBERTY HOMES, INC. - LIBERTY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2010-10-14 00:00:00 040007643 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-20 00:00:00 2010-03-20 00:00:00 No 2010-11-09 00:00:00 None B None 1000 1150 -350 800 0 None L8L011 N CA00222364 C SFY2010-11
040001257 SHEPHERD FAMILY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2010-12-21 00:00:00 040007786 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-08-01 00:00:00 2010-08-01 00:00:00 Yes 2011-01-11 00:00:00 2011-01-12 00:00:00 AA None 25000 25000 -25000 0 0 None JU8711 Y CA00244672 C SFY2010-11
030000050 MAIN WEST POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2011-01-25 00:00:00 040007857 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-27 00:00:00 2010-03-27 00:00:00 No 2011-02-15 00:00:00 None B None 1000 1000 -350 650 0 None FMR811 N CA00223425 C SFY2010-11
040000790 CHOWCHILLA MEMORIAL HEALTHCARE DISTRICT LTC SNF Skilled Nursing Facility Fresno 2011-01-25 00:00:00 040007860 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-26 00:00:00 2010-11-26 00:00:00 No 2011-02-15 00:00:00 None B None 1000 1000 -350 650 0 None LN7F11 N CA00250947 C SFY2010-11
040001363 ALLEN-FLORER FAMILY HOME - NINTH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2011-03-01 00:00:00 040007970 Closed Citation Citation A (HSC 1424) Patient Rights None 2010-10-23 00:00:00 2010-10-23 00:00:00 No 2011-03-22 00:00:00 None A None 10000 10000 -3500 6500 0 None T66511 N CA00247173 B SFY2010-11
040001259 NEW BETHANY LTC SNF Skilled Nursing Facility Fresno 2011-03-23 00:00:00 040008052 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-16 00:00:00 2010-10-16 00:00:00 No 2011-04-14 00:00:00 None B None 800 800 -280 520 0 None XW9311 N CA00246238 C SFY2010-11
040000647 ABLELIGHT INC. - ROGERS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2011-09-07 00:00:00 040008542 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-14 00:00:00 2011-05-14 00:00:00 No 2011-09-29 00:00:00 None B None 1000 1000 -350 650 0 None 4K3J11 N CA00269866 B SFY2011-12
040000898 SAFE HARBOR RESIDENTIAL SERVICES-DOUTY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2011-09-13 00:00:00 040008563 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-09 00:00:00 2011-07-09 00:00:00 No 2011-10-05 00:00:00 None B None 1000 1000 -350 650 0 None UFKG11 N CA00276731 C SFY2011-12
040001040 WILLOW CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2012-01-03 00:00:00 040008876 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-27 00:00:00 2011-09-27 00:00:00 Yes 2012-01-25 00:00:00 2012-01-20 00:00:00 B None 1000 1000 0 1000 0 None W6QY11 N CA00284984 C SFY2011-12
040001000 ABLELIGHT INC. - GATEWAY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2012-03-08 00:00:00 040009096 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-15 00:00:00 2010-09-15 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None C7LS11 N CA00282371 C SFY2011-12
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2012-03-15 00:00:00 040009117 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-05 00:00:00 2011-08-05 00:00:00 No 2012-04-05 00:00:00 None B None 1000 1000 -350 650 0 None QT9S11 N CA00278548 C SFY2011-12
040000035 FRANCISCAN POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2012-03-27 00:00:00 040009139 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-02 00:00:00 2011-10-02 00:00:00 Yes 2012-04-17 00:00:00 2012-04-11 00:00:00 B B 1000 1050 0 1050 0 None 0I8311 N CA00285512 C SFY2011-12
040000798 COALINGA REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Fresno 2012-04-03 00:00:00 040009205 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-22 00:00:00 2011-11-22 00:00:00 No 2012-04-24 00:00:00 None B None 1000 1000 -350 650 0 None GSR111 N CA00290641 C SFY2011-12
100001316 RCCA - GATEWOOD DRIVE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2012-04-23 00:00:00 040009231 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-12-22 00:00:00 2011-12-22 00:00:00 Yes 2012-05-14 00:00:00 2012-05-10 00:00:00 B B 1000 500 0 500 0 None HVVC11 N CA00293868 B SFY2011-12
040000035 FRANCISCAN POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2012-08-21 00:00:00 040009448 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-06 00:00:00 2011-10-06 00:00:00 Yes 2012-09-12 00:00:00 2012-08-31 00:00:00 B None 2000 2000 0 2000 0 None OHVE11 N CA00286785 C SFY2012-13
040000932 PROVIDENT HEALTH CARE - LULANG LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2013-01-24 00:00:00 040009713 Closed Citation Citation AA (HSC 1424) Patient Care None 2012-04-12 00:00:00 2012-04-12 00:00:00 Yes 2013-02-14 00:00:00 2013-01-31 00:00:00 AA None 25000 25000 0 25000 0 None NYGY11 Y CA00306922 B SFY2012-13
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2013-02-14 00:00:00 040009746 Closed Citation Citation AA (HSC 1424) Other staff development 2012-02-19 00:00:00 2012-02-19 00:00:00 Yes 2013-03-08 00:00:00 2013-02-14 00:00:00 AA AA 80000 70350 -350 70000 0 None H83811 Y CA00300289 B SFY2012-13
040001000 ABLELIGHT INC. - GATEWAY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2013-03-05 00:00:00 040009768 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-03-13 00:00:00 2012-03-13 00:00:00 No 2013-03-26 00:00:00 None B None 1000 1100 -350 750 0 None IT9S11 N CA00302405 C SFY2012-13
040000033 VINEYARDS AT FOWLER LTC SNF Skilled Nursing Facility Fresno 2013-03-13 00:00:00 040009782 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-01-21 00:00:00 2013-01-21 00:00:00 Yes 2013-04-04 00:00:00 2013-03-13 00:00:00 B None 2000 2000 -700 1300 0 None 57FZ11 N CA00343660 B SFY2012-13
040000308 CASA FLAMENGOS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2013-04-25 00:00:00 040009853 Closed Citation Citation B (HSC 1424) Patient Care None 2012-12-21 00:00:00 2012-12-21 00:00:00 No 2013-05-16 00:00:00 None B None 1000 1000 -350 650 0 None 839X11 N CA00337417 B SFY2012-13
040001378 ALLEN-FLORER FAMILY HOME - WHEELER LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2013-05-13 00:00:00 040009896 Closed Citation Citation B (HSC 1424) Patient Care None 2013-02-24 00:00:00 2013-02-24 00:00:00 No 2013-06-04 00:00:00 None B None 1000 1100 0 1100 0 None F86J11 N CA00345050 C SFY2012-13
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2013-05-20 00:00:00 040009912 Open Citation Citation A (HSC 1424) Medication None 2012-10-26 00:00:00 2012-10-26 00:00:00 Yes 2013-06-11 00:00:00 2013-05-30 00:00:00 A None 17000 17000 0 0 17000 None VJJQ11 Y CA00331163 B SFY2012-13
040000058 MAJESTIC MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2013-07-25 00:00:00 040010032 Closed Citation Citation B (HSC 1424) Patient Care None 2013-03-29 00:00:00 2013-03-29 00:00:00 No 2013-08-15 00:00:00 None B None 2000 2000 -700 1300 0 None DPHX11 N CA00352336 B SFY2013-14
100000036 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Fresno 2013-08-15 00:00:00 040010097 Closed Citation Citation B (HSC 1424) Patient Care None 2012-12-04 00:00:00 2012-12-04 00:00:00 Yes 2013-09-06 00:00:00 2013-08-27 00:00:00 B B 800 600 0 600 0 None LX0F11 N CA00335226 B SFY2013-14
100000036 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Fresno 2013-10-03 00:00:00 040010178 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-10-01 00:00:00 2012-10-01 00:00:00 Yes 2013-10-24 00:00:00 2013-10-09 00:00:00 B B 2000 1000 0 1000 0 None MJDE11 N CA00337332 B SFY2013-14
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2013-10-22 00:00:00 040010229 Closed Citation Citation B (HSC 1424) Patient Care None 2013-03-02 00:00:00 2013-03-02 00:00:00 No 2013-11-13 00:00:00 None B None 2000 2000 0 2000 0 None Q2LP11 N CA00345578 B SFY2013-14
040000729 OUR HOUSE WESTGATE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2013-12-10 00:00:00 040010307 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-03 00:00:00 2013-09-03 00:00:00 No 2014-01-01 00:00:00 None B None 1000 1000 -350 650 0 None 73IZ11 N CA00368662 B SFY2013-14
040000729 OUR HOUSE WESTGATE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2013-12-10 00:00:00 040010308 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-03 00:00:00 2013-09-03 00:00:00 No 2014-01-01 00:00:00 None B None 1000 1000 -350 650 0 None 73IZ11 N CA00368648 B SFY2013-14
040000050 GOLDEN MERCED CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2014-05-05 00:00:00 040010702 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-12-20 00:00:00 2013-12-20 00:00:00 No 2014-05-27 00:00:00 None B None 1000 1000 -350 650 0 None 4OZ011 N CA00382436 B SFY2013-14
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2014-05-08 00:00:00 040010716 Closed Citation Citation B (HSC 1424) Patient Care None 2013-12-31 00:00:00 2013-12-31 00:00:00 No 2014-05-30 00:00:00 None B None 2000 2150 -700 1450 0 None 2IYZ11 N CA00382431 B SFY2013-14
630006901 MARIA'S HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2014-05-12 00:00:00 040010723 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-04-23 00:00:00 2014-04-23 00:00:00 No 2014-06-03 00:00:00 None B None 1000 1000 -350 650 0 None CJG511 N CA00396031 A SFY2013-14
040000034 MADERA REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2014-08-04 00:00:00 040010905 Open Citation Citation B (HSC 1424) Patient Care None 2014-02-01 00:00:00 2014-02-01 00:00:00 Yes 2014-08-25 00:00:00 2014-08-04 00:00:00 B None 2000 2000 0 0 2000 None E50111 N CA00386649 C SFY2014-15
040000645 ABLELIGHT INC. - MITCHELL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2014-08-21 00:00:00 040010948 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-07-03 00:00:00 2014-07-03 00:00:00 No 2014-09-12 00:00:00 None B None 1000 1000 -350 650 0 None 6KOE11 N CA00404438 C SFY2014-15
040000474 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2014-08-28 00:00:00 040010961 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-07-29 00:00:00 2014-07-29 00:00:00 No 2014-09-19 00:00:00 None B None 2000 2000 0 2000 0 None 17L211 N CA00407483 B SFY2014-15
040000036 MANNING GARDENS CARE CENTER, INC. LTC SNF Skilled Nursing Facility Fresno 2014-09-03 00:00:00 040010976 Closed Citation Citation B (HSC 1424) Patient Care None 2014-02-18 00:00:00 2014-02-18 00:00:00 No 2014-09-24 00:00:00 None B None 2000 2000 -700 1300 0 None 8V8E11 N None None SFY2014-15
040000898 SAFE HARBOR RESIDENTIAL SERVICES-DOUTY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2014-09-03 00:00:00 040010979 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-30 00:00:00 2014-07-30 00:00:00 No 2014-09-24 00:00:00 None B None 1000 1100 -350 750 0 None O0PC11 N CA00408013 C SFY2014-15
030000079 OAKDALE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2014-09-15 00:00:00 040010996 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-07 00:00:00 2014-07-07 00:00:00 No 2014-10-06 00:00:00 None B None 1000 1000 -350 650 0 None 045D11 N CA00404815 B SFY2014-15
040000647 ABLELIGHT INC. - ROGERS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2014-10-01 00:00:00 040011040 Closed Citation Citation B (HSC 1424) Patient Care None 2014-09-06 00:00:00 2014-09-06 00:00:00 No 2014-10-22 00:00:00 None B None 1000 1000 -350 650 0 None H29J11 N CA00413666 C SFY2014-15
040000920 LOYD'S LIBERTY HOMES, INC. - NORTH KNOLL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2014-10-07 00:00:00 040011050 Closed Citation Citation B (HSC 1424) Patient Care None 2014-09-04 00:00:00 2014-09-04 00:00:00 No 2014-10-28 00:00:00 None B None 1000 1000 -350 650 0 None SYOP11 N CA00410920 B SFY2014-15
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2014-11-24 00:00:00 040011133 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-09-23 00:00:00 2014-09-23 00:00:00 No 2014-12-17 00:00:00 None B None 1500 1500 -525 975 0 None 64XE11 N CA00414401 B SFY2014-15
040000074 WISH-I-AH HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility Fresno 2014-11-26 00:00:00 040011140 Closed Citation Citation A (HSC 1424) Patient Care None 2014-10-06 00:00:00 2014-10-06 00:00:00 No 2014-12-19 00:00:00 None A None 20000 20000 0 20000 0 None 3C3011 N CA00417327 E SFY2014-15
040000074 WISH-I-AH HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility Fresno 2014-11-26 00:00:00 040011141 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-15 00:00:00 2014-09-15 00:00:00 No 2014-12-19 00:00:00 None A None 20000 20000 0 20000 0 None 3C3011 N CA00414179 E SFY2014-15
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2015-01-12 00:00:00 040011219 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-09-29 00:00:00 2014-09-29 00:00:00 No 2015-02-03 00:00:00 None B None 1500 1500 -525 975 0 None S2Z011 N CA00415161 B SFY2014-15
040001150 HOLLYWOOD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2015-01-12 00:00:00 040011223 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-14 00:00:00 2014-09-14 00:00:00 No 2015-02-03 00:00:00 None A None 10000 10000 -3500 6500 0 None YNF711 N CA00413411 C SFY2014-15
040000584 LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2015-01-15 00:00:00 040011234 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-12-06 00:00:00 2014-12-06 00:00:00 No 2015-02-06 00:00:00 None B None 1000 1000 -350 650 0 None 42YI11 N CA00422738 C SFY2014-15
040000647 ABLELIGHT INC. - ROGERS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2015-04-09 00:00:00 040011375 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-10-28 00:00:00 2014-10-28 00:00:00 No 2015-04-30 00:00:00 None B None 1000 1050 -350 700 0 None 2YS411 N CA00418666 B SFY2014-15
040000224 LOYD'S LIBERTY HOMES, INC. - COLONIAL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2015-04-14 00:00:00 040011380 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-02-02 00:00:00 2015-02-02 00:00:00 No 2015-05-05 00:00:00 None B None 1000 1000 -350 650 0 None RXZQ11 N CA00429626 C SFY2014-15
040000833 CLAREMY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2015-05-01 00:00:00 040011427 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-12-07 00:00:00 2014-12-07 00:00:00 No 2015-05-22 00:00:00 None B None 1000 1200 -350 850 0 None 1ZMU11 N CA00424290 B SFY2014-15
630002861 MY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2015-05-13 00:00:00 040011460 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-04 00:00:00 2015-03-04 00:00:00 No 2015-06-04 00:00:00 None B None 1000 1000 -350 650 0 None JS6611 N CA00435510 B SFY2014-15
040000605 LOYD'S LIBERTY HOMES, INC. - AUGUSTA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2015-06-10 00:00:00 040011545 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-02-01 00:00:00 2015-02-01 00:00:00 No 2015-07-01 00:00:00 None B None 1000 1000 -350 650 0 None BJSI11 N CA00429965 B SFY2014-15
040001040 WILLOW CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2015-06-19 00:00:00 040011572 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-10-21 00:00:00 2014-10-21 00:00:00 No 2015-07-10 00:00:00 None B None 1500 1500 -525 975 0 None 8RWH11 N CA00432133 A SFY2014-15
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2015-07-06 00:00:00 040011595 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-03-13 00:00:00 2015-03-13 00:00:00 Yes 2015-07-27 00:00:00 2015-07-17 00:00:00 B B 2000 1300 0 1300 0 None C5B311 N CA00438824 B SFY2015-16
040000531 BETHESDA LUTHERAN COMMUNITIES - FLORADORA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2015-08-18 00:00:00 040011669 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-06-27 00:00:00 2015-06-27 00:00:00 No 2015-09-09 00:00:00 None B None 1000 1000 -350 650 0 None T1YC11 N CA00448396 C SFY2015-16
040000050 GOLDEN MERCED CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2015-09-04 00:00:00 040011710 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-09 00:00:00 2014-08-09 00:00:00 No 2015-09-28 00:00:00 None A None 2250 2250 0 2250 0 None ZQZ611 N CA00408885 B SFY2015-16
040000050 GOLDEN MERCED CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2015-09-23 00:00:00 040011741 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-24 00:00:00 2014-08-24 00:00:00 No 2015-10-14 00:00:00 None A None 10000 10100 0 10100 0 None ZQZ611 N CA00410687 B SFY2015-16
040000018 PALMS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2015-10-27 00:00:00 040011799 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-08 00:00:00 2015-06-08 00:00:00 No 2015-11-18 00:00:00 None A None 20000 20000 -7000 13000 0 None XJ1E11 N CA00445939 A SFY2015-16
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2015-11-24 00:00:00 040011866 Closed Citation Citation B (HSC 1424) Patient Care None 2015-09-02 00:00:00 2015-09-02 00:00:00 Yes 2015-12-17 00:00:00 2015-11-24 00:00:00 B B 1500 975 0 975 0 None XCN811 N CA00458057 B SFY2015-16
040000014 HORIZON HEALTH & SUBACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2015-12-09 00:00:00 040011885 Open Citation Citation B (HSC 1424) Patient Care None 2015-06-14 00:00:00 2015-06-14 00:00:00 Yes 2015-12-31 00:00:00 2015-12-10 00:00:00 B None 1500 1500 0 0 1500 None 1BM411 N CA00446735 B SFY2015-16
630005941 GOETHE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-01-26 00:00:00 040011991 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-11-10 00:00:00 2015-11-10 00:00:00 No 2016-02-17 00:00:00 None A None 10000 10000 -3500 6500 0 None BWYV11 N CA00465043 B SFY2015-16
040000644 ABLELIGHT INC. - HELM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-01-26 00:00:00 040011992 Closed Citation Citation AA (HSC 1424) Patient Care None 2015-06-10 00:00:00 2015-06-10 00:00:00 No 2016-02-17 00:00:00 None AA None 25000 25000 -8750 16250 0 None 4ZRM11 Y CA00446191 A SFY2015-16
040000474 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-02-24 00:00:00 040012044 Open Citation Citation B (HSC 1424) Patient Rights None 2015-10-14 00:00:00 2015-10-14 00:00:00 Yes 2016-03-16 00:00:00 2016-03-07 00:00:00 B None 1500 1500 0 0 1500 None 63X511 N None None SFY2015-16
040000474 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-02 00:00:00 040012057 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-03-23 00:00:00 None B None 2000 2000 0 2000 0 None 63X512 N None None SFY2015-16
030000066 CERES POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2016-03-14 00:00:00 040012076 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-11-19 00:00:00 2015-11-19 00:00:00 No 2016-04-05 00:00:00 None B None 2000 2000 0 2000 0 None WW6Z11 N CA00466410 B SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012077 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012078 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012079 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012081 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012082 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012087 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012088 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012089 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012090 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012091 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012092 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012094 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012095 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012097 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012098 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012099 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012103 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012104 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012105 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012107 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012108 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012109 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012110 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012111 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012112 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012113 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012114 Closed Citation Citation A (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 Yes 2016-04-07 00:00:00 2016-04-04 00:00:00 A A 20000 10000 0 10000 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012117 Closed Citation Citation A (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 Yes 2016-04-07 00:00:00 2016-04-04 00:00:00 A A 20000 10000 0 10000 0 None FZRR11 N CA00468198 A SFY2015-16
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-03-16 00:00:00 040012118 Closed Citation Citation A (HSC 1424) Problem Transfer None 2015-12-09 00:00:00 2015-12-09 00:00:00 Yes 2016-04-07 00:00:00 2016-04-04 00:00:00 A A 20000 10000 0 10000 0 None FZRR11 N CA00468198 A SFY2015-16
040000644 ABLELIGHT INC. - HELM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-03-22 00:00:00 040012130 Closed Citation Citation B (HSC 1424) Patient Care None 2016-01-11 00:00:00 2016-01-11 00:00:00 No 2016-04-13 00:00:00 None B None 2000 2000 0 2000 0 None 908D11 N CA00472261, CA00475863 C, E SFY2015-16
040000584 LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-03-24 00:00:00 040012132 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-28 00:00:00 2015-12-28 00:00:00 No 2016-04-15 00:00:00 None B None 1000 1000 -350 650 0 None I0HM11 N CA00470728 B SFY2015-16
040000584 LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-03-24 00:00:00 040012134 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-28 00:00:00 2015-12-28 00:00:00 No 2016-04-15 00:00:00 None B None 1000 1000 -350 650 0 None I0HM11 N CA00470728 B SFY2015-16
040000584 LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-03-24 00:00:00 040012135 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-28 00:00:00 2015-12-28 00:00:00 No 2016-04-15 00:00:00 None B None 1000 1000 -350 650 0 None I0HM11 N CA00470728 B SFY2015-16
040000584 LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-03-24 00:00:00 040012136 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-28 00:00:00 2015-12-28 00:00:00 No 2016-04-15 00:00:00 None B None 1000 1000 -350 650 0 None I0HM11 N CA00470728 B SFY2015-16
040000584 LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-03-24 00:00:00 040012137 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-28 00:00:00 2015-12-28 00:00:00 No 2016-04-15 00:00:00 None B None 1000 1000 -350 650 0 None I0HM11 N CA00470728 B SFY2015-16
040001120 SIERRA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-03-24 00:00:00 040012146 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-11-16 00:00:00 2015-11-16 00:00:00 No 2016-04-15 00:00:00 None A None 10000 10000 -3500 6500 0 None UY6V11 N CA00464981 C SFY2015-16
040000225 ANBERRY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2016-04-27 00:00:00 040012209 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-09-15 00:00:00 2015-09-15 00:00:00 Yes 2016-05-18 00:00:00 2016-05-02 00:00:00 B B 2000 1000 0 1000 0 None BC8Z11 N CA00462040 B SFY2015-16
040000308 CASA FLAMENGOS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-05-09 00:00:00 040012239 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-23 00:00:00 2015-12-23 00:00:00 No 2016-05-31 00:00:00 None A None 10000 10500 -3500 7000 0 None 0AEJ11 N CA00470725 B SFY2015-16
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2016-05-18 00:00:00 040012263 Closed Citation Citation B (HSC 1424) Patient Care None 2016-05-04 00:00:00 2016-05-04 00:00:00 No 2016-06-09 00:00:00 None B None 2000 2000 -700 1300 0 None 3RPJ11 N CA00479473 B SFY2015-16
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2016-05-20 00:00:00 040012275 Closed Citation Citation B (HSC 1424) Patient Care None 2016-03-02 00:00:00 2016-03-02 00:00:00 No 2016-06-13 00:00:00 None B None 2000 2000 0 2000 0 None LK2M11 N CA00478480 B SFY2015-16
040000037 SIERRA VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2016-05-25 00:00:00 040012291 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2016-04-27 00:00:00 2016-04-27 00:00:00 No 2016-06-16 00:00:00 None B None 2000 2000 0 2000 0 None REHO11 N CA00463683, CA00463683 B, B SFY2015-16
040000225 ANBERRY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2016-06-01 00:00:00 040012299 Open Citation Citation B (HSC 1424) Patient Care None 2016-05-11 00:00:00 2016-05-11 00:00:00 Yes 2016-06-22 00:00:00 2016-06-06 00:00:00 B None 2000 38400 0 0 38400 None UISX11 N CA00440945 B SFY2015-16
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012397 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012400 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012401 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012402 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012403 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012404 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012405 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012406 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012407 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012408 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012409 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012410 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012412 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012413 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012414 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012425 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012426 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012427 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012430 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012431 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012433 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012434 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012436 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012437 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012438 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935, CA00468935 B, B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012439 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012440 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935, CA00468935 B, B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012441 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935, CA00468935 B, B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012442 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012443 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012444 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935, CA00468935 B, B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012445 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012449 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012450 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012451 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935, CA00468935 B, B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012452 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012453 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935, CA00468935 B, B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012454 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012455 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012456 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012457 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012458 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012459 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012460 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012462 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B B 2000 1300 0 1300 0 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012464 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2000 0 0 2000 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012466 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2000 0 0 2000 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012468 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2000 0 0 2000 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012471 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2000 0 0 2000 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012473 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2000 0 0 2000 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012475 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2050 0 0 2050 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012476 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2050 0 0 2050 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012477 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2050 0 0 2050 None W2Y811 N CA00468935 B SFY2016-17
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-07-27 00:00:00 040012478 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-30 00:00:00 2015-12-30 00:00:00 No 2016-08-17 00:00:00 None B None 2000 2000 0 0 2000 None W2Y811 N CA00468935 B SFY2016-17
040000058 MAJESTIC MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-09-16 00:00:00 040012581 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-29 00:00:00 2016-07-29 00:00:00 No 2016-10-07 00:00:00 None B B 2000 1500 0 1500 0 None 77UF11 N CA00496994 B SFY2016-17
040000531 BETHESDA LUTHERAN COMMUNITIES - FLORADORA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-10-04 00:00:00 040012612 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-04 00:00:00 2016-06-04 00:00:00 No 2016-10-25 00:00:00 None B None 2000 2000 -700 1300 0 None V1TE11 N CA00491996 C SFY2016-17
040000076 THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE LTC SNF Skilled Nursing Facility Fresno 2016-10-19 00:00:00 040012662 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-09 00:00:00 2016-06-09 00:00:00 No 2016-11-09 00:00:00 None B None 2000 2000 -700 1300 0 None EYUQ11 N CA00491502 B SFY2016-17
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2016-10-20 00:00:00 040012663 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-09-01 00:00:00 2016-09-01 00:00:00 No 2016-11-10 00:00:00 None B None 2000 2000 0 2000 0 None DJXQ11 N CA00500840 B SFY2016-17
040000605 LOYD'S LIBERTY HOMES, INC. - AUGUSTA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-10-28 00:00:00 040012696 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-29 00:00:00 2016-07-29 00:00:00 No 2016-11-21 00:00:00 None B None 1000 1450 -350 1100 0 None IMZJ11 N CA00501138 H SFY2016-17
040000035 FRANCISCAN POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-12-08 00:00:00 040012798 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-16 00:00:00 2016-09-16 00:00:00 No 2016-12-30 00:00:00 None B None 2000 2000 -700 1300 0 None LH7H11 N CA00501613 A SFY2016-17
040000073 GOLDEN MADERA CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2016-12-09 00:00:00 040012802 Closed Citation Citation AA (HSC 1424) Medication None 2016-09-01 00:00:00 2016-09-01 00:00:00 No 2017-01-03 00:00:00 None AA None 100000 100000 -35000 65000 0 None CDX811 Y CA00501186, CA00501384 A, A SFY2016-17
040000644 ABLELIGHT INC. - HELM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2016-12-28 00:00:00 040012849 Closed Citation Citation A (HSC 1424) Patient Care None 2016-06-27 00:00:00 2016-06-27 00:00:00 No 2017-01-20 00:00:00 None A None 20000 20000 -7000 13000 0 None 4SEB11 Y CA00493640 B SFY2016-17
040000069 ORCHARD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2017-02-02 00:00:00 040012932 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-24 00:00:00 2016-08-24 00:00:00 No 2017-02-24 00:00:00 None A None 20000 20000 0 20000 0 None ZKDB11 N CA00501128 B SFY2016-17
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2017-02-08 00:00:00 040012956 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-10 00:00:00 2016-06-10 00:00:00 No 2017-03-02 00:00:00 None B None 2000 2000 -700 1300 0 None 8IH211 N CA00491420 A SFY2016-17
040000015 BETHEL LUTHERAN HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2017-03-24 00:00:00 040013080 Closed Citation Citation AA (HSC 1424) Patient Care None 2016-05-16 00:00:00 2016-05-16 00:00:00 No 2017-04-17 00:00:00 None AA None 100000 100000 -35000 65000 0 None H54511 Y CA00488228 B SFY2016-17
040000012 EVERGREEN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2017-04-28 00:00:00 040013169 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-01-18 00:00:00 2017-01-18 00:00:00 No 2017-05-19 00:00:00 None B None 2000 2000 -700 1300 0 None 26GM11 N CA00518922 B SFY2016-17
040000018 PALMS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2017-05-04 00:00:00 040013178 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-10-07 00:00:00 2016-10-07 00:00:00 No 2017-05-25 00:00:00 None B None 2000 2000 -700 1300 0 None IFYI11 N CA00506149 A SFY2016-17
040000018 PALMS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2017-05-04 00:00:00 040013181 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-11-23 00:00:00 2016-11-23 00:00:00 No 2017-05-25 00:00:00 None B None 2000 2000 -700 1300 0 None IFYI11 N CA00511997 A SFY2016-17
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2017-05-25 00:00:00 040013225 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-01-18 00:00:00 2017-01-18 00:00:00 No 2017-06-16 00:00:00 None B None 2000 2000 0 2000 0 None MJXP11 N CA00518850 B SFY2016-17
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2017-05-30 00:00:00 040013232 Closed Citation Citation B (HSC 1424) Problem Transfer None 2016-09-22 00:00:00 2016-09-22 00:00:00 No 2017-06-20 00:00:00 None B None 2000 2000 0 2000 0 None IHLJ11 N CA00508510 B SFY2016-17
040000646 BETHESDA LUTHERAN COMMUNITES - RICHERT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2017-05-31 00:00:00 040013234 Closed Citation Citation B (HSC 1424) Patient Care None 2016-08-05 00:00:00 2016-08-05 00:00:00 No 2017-06-21 00:00:00 None B None 2000 2000 -700 1300 0 None 4XM511 N CA00499533 C SFY2016-17
040000036 MANNING GARDENS CARE CENTER, INC. LTC SNF Skilled Nursing Facility Fresno 2017-07-26 00:00:00 040013358 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-02-04 00:00:00 2017-02-04 00:00:00 No 2017-08-16 00:00:00 None B None 2000 2000 -700 1300 0 None 0PDX11 N CA00534476 B SFY2017-18
040000036 MANNING GARDENS CARE CENTER, INC. LTC SNF Skilled Nursing Facility Fresno 2017-07-26 00:00:00 040013361 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-02-04 00:00:00 2017-02-04 00:00:00 No 2017-08-16 00:00:00 None B None 2000 2000 -700 1300 0 None 0PDX11 N CA00531944 B SFY2017-18
040000036 MANNING GARDENS CARE CENTER, INC. LTC SNF Skilled Nursing Facility Fresno 2017-07-26 00:00:00 040013363 Closed Citation Citation A (HSC 1424) Problem Transfer None 2016-10-06 00:00:00 2016-10-06 00:00:00 No 2017-08-16 00:00:00 None A None 20000 20000 -7000 13000 0 None 0PDX11 N CA00506068 B SFY2017-18
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2017-08-08 00:00:00 040013417 Closed Citation Citation B (HSC 1424) Dietary None 2016-07-26 00:00:00 2016-07-26 00:00:00 No 2017-08-29 00:00:00 None B None 2000 2000 -700 1300 0 None BIFB11 N CA00496941 B SFY2017-18
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2017-09-07 00:00:00 040013474 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-14 00:00:00 2016-12-14 00:00:00 No 2017-09-28 00:00:00 None A None 20000 20000 -7000 13000 0 None CTB411 N CA00515040 A SFY2017-18
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2017-09-13 00:00:00 040013483 Closed Citation Citation A (HSC 1424) Patient Rights None 2017-04-19 00:00:00 2017-04-19 00:00:00 No 2017-10-04 00:00:00 None A None 20000 20000 -7000 13000 0 None XWZD11 N CA00531444 B SFY2017-18
040000037 SIERRA VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2017-09-18 00:00:00 040013500 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-11-18 00:00:00 2016-11-18 00:00:00 No 2017-10-09 00:00:00 None B None 2000 2000 -700 1300 0 None LBCD11 N CA00511409 A SFY2017-18
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2017-10-06 00:00:00 040013533 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-27 00:00:00 2017-06-27 00:00:00 No 2017-10-27 00:00:00 None B None 2000 2000 -700 1300 0 None U4KL11 N CA00542034 B SFY2017-18
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2017-10-06 00:00:00 040013534 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-09-11 00:00:00 2017-09-11 00:00:00 No 2017-10-27 00:00:00 None B None 1000 1000 -350 650 0 None U4KL11 N None None SFY2017-18
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2018-01-10 00:00:00 040013721 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-13 00:00:00 2017-09-13 00:00:00 No 2018-01-31 00:00:00 None A None 20000 20000 0 20000 0 None NY3511 N CA00552396 B SFY2017-18
040001162 PROVIDENT HEALTH CARE - 619 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2018-02-08 00:00:00 040013797 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-10-16 00:00:00 2017-10-16 00:00:00 No 2018-03-02 00:00:00 None B None 2000 2300 -1000 1300 0 None YXC711 N CA00557202 A SFY2017-18
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2018-02-15 00:00:00 040013817 Closed Citation Citation A (HSC 1424) Medication None 2018-01-12 00:00:00 2018-01-12 00:00:00 Yes 2018-03-09 00:00:00 2018-02-16 00:00:00 A A 20000 12000 0 12000 0 None L95B11 N CA00569048 B SFY2017-18
040001040 WILLOW CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2018-04-06 00:00:00 040013973 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-12-05 00:00:00 2017-12-05 00:00:00 No 2018-04-27 00:00:00 None AA None 75000 75000 -26250 48750 0 None WICQ11 Y CA00564851 A SFY2017-18
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2018-04-12 00:00:00 040013991 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-02 00:00:00 2018-03-02 00:00:00 No 2018-05-03 00:00:00 None B None 2000 2000 0 2000 0 None LO0U11 N CA00574504, CA00574504 D, D SFY2017-18
040001366 KINGS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Fresno 2018-05-17 00:00:00 040014081 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-23 00:00:00 2017-11-23 00:00:00 No 2018-06-08 00:00:00 None A None 20000 20000 -7000 13000 0 None FH2S11 N CA00562274 B SFY2017-18
040001366 KINGS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Fresno 2018-05-17 00:00:00 040014084 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-15 00:00:00 2017-06-15 00:00:00 No 2018-06-08 00:00:00 None A None 20000 20000 -7000 13000 0 None FH2S11 N CA00537737 B SFY2017-18
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2018-05-23 00:00:00 040014089 Closed Citation Citation B (HSC 1424) Patient Care None 2018-02-06 00:00:00 2018-02-06 00:00:00 No 2018-06-14 00:00:00 None B None 2000 2000 -700 1300 0 None LO0U11 N CA00567224 B SFY2017-18
040000018 PALMS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2018-06-20 00:00:00 040014167 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-02 00:00:00 2018-04-02 00:00:00 No 2018-07-12 00:00:00 None A None 20000 20000 -7000 13000 0 None GJWX11 N CA00580714 A SFY2017-18
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2018-07-10 00:00:00 040014228 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-05 00:00:00 2018-03-05 00:00:00 No 2018-07-31 00:00:00 None B None 2000 2000 -700 1300 0 None GL1Q11 N CA00576796 A SFY2018-19
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2018-08-08 00:00:00 040014318 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-03-26 00:00:00 2018-03-26 00:00:00 No 2018-08-29 00:00:00 None B None 2000 2000 -700 1300 0 None J3XY11 N CA00583230 A SFY2018-19
040001363 ALLEN-FLORER FAMILY HOME - NINTH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Fresno 2018-08-09 00:00:00 040014325 Open Citation Citation A (HSC 1424) Patient Care None 2018-01-17 00:00:00 2018-01-17 00:00:00 Yes 2018-08-30 00:00:00 2018-08-28 00:00:00 A None 10000 10000 0 0 10000 None 344V11 Y CA00569909 C SFY2018-19
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2018-08-21 00:00:00 040014340 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-23 00:00:00 2018-02-23 00:00:00 Yes 2018-09-12 00:00:00 2018-08-21 00:00:00 A B 20000 12500 0 12500 0 None C4G811 N CA00575456, CA00577865 B, B SFY2018-19
040000012 EVERGREEN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2018-09-12 00:00:00 040014405 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-20 00:00:00 2017-09-20 00:00:00 No 2018-10-03 00:00:00 None A None 20000 20000 0 20000 0 None RVJ611 N CA00554036 B SFY2018-19
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2018-09-26 00:00:00 040014433 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-05-18 00:00:00 2018-05-18 00:00:00 No 2018-10-17 00:00:00 None B None 2000 2000 0 2000 0 None 971011 N CA00587242, CA00587242, CA00587242 A, A, A SFY2018-19
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2018-10-01 00:00:00 040014444 Closed Citation Citation A (HSC 1424) Problem Transfer None 2018-02-14 00:00:00 2018-02-14 00:00:00 No 2018-10-22 00:00:00 None A None 20000 20000 -7000 13000 0 None IJXL11 N CA00574409 A SFY2018-19
040000049 COVENANT POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2018-10-24 00:00:00 040014527 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-02 00:00:00 2018-07-02 00:00:00 No 2018-11-15 00:00:00 None B None 2000 2000 -700 1300 0 None 2T1H11 N CA00593826 B SFY2018-19
040000031 LOS BANOS POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2018-12-17 00:00:00 040014653 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-21 00:00:00 2018-04-21 00:00:00 No 2019-01-08 00:00:00 None A None 20000 20000 -7000 13000 0 None 7HSZ11 N CA00583730, CA00583730 B, B SFY2018-19
040000308 CASA FLAMENGOS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2019-02-27 00:00:00 040014842 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-10-16 00:00:00 2018-10-16 00:00:00 No 2019-03-20 00:00:00 None B None 2000 2000 -700 1300 0 None E7IQ11 N None None SFY2018-19
040000308 CASA FLAMENGOS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Fresno 2019-02-27 00:00:00 040014844 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-10-16 00:00:00 2018-10-16 00:00:00 No 2019-03-20 00:00:00 None B None 2000 2000 -700 1300 0 None E7IQ11 N None None SFY2018-19
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2019-03-29 00:00:00 040014915 Closed Citation Citation A (HSC 1424) Patient Rights None 2019-02-01 00:00:00 2019-02-01 00:00:00 No 2019-04-19 00:00:00 None A None 20000 20000 -7000 13000 0 None EM2Q13 N None None SFY2018-19
040000225 ANBERRY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2019-04-03 00:00:00 040014934 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-11-29 00:00:00 2018-11-29 00:00:00 Yes 2019-04-24 00:00:00 2019-04-18 00:00:00 AA A 100000 55000 0 55000 0 None S70D11 Y CA00613999 A SFY2018-19
630011955 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Fresno 2019-04-19 00:00:00 040014979 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-17 00:00:00 2018-04-17 00:00:00 No 2019-05-10 00:00:00 None A None 10000 10000 -3500 6500 0 None SBNN11 N CA00586384 C SFY2018-19
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2019-09-27 00:00:00 040015409 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-26 00:00:00 2019-05-26 00:00:00 No 2019-10-18 00:00:00 None B None 2000 2000 -700 1300 0 None 8VMU11 N CA00639912 A SFY2019-20
040000012 EVERGREEN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2019-12-16 00:00:00 040015610 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-23 00:00:00 2019-06-23 00:00:00 No 2020-01-06 00:00:00 None A None 20000 20050 -7000 13050 0 None ZT0B11 N CA00642928 B SFY2019-20
040000015 BETHEL LUTHERAN HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2020-01-29 00:00:00 040015708 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-23 00:00:00 2019-06-23 00:00:00 No 2020-02-19 00:00:00 None A None 20000 20000 -7000 13000 0 None PLZ211 N None None SFY2019-20
040000027 LA SIERRA CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2020-01-31 00:00:00 040015722 Open Citation Citation A (HSC 1424) Patient Care None 2019-07-13 00:00:00 2019-07-13 00:00:00 Yes 2020-02-21 00:00:00 2020-02-10 00:00:00 A B 20000 20000 0 20000 0 None D7H911 N CA00646193, CA00646193 A, A SFY2019-20
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2020-02-14 00:00:00 040015748 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-12 00:00:00 2019-09-12 00:00:00 Yes 2020-03-06 00:00:00 2020-03-02 00:00:00 A A 20000 12000 0 12000 0 None Y5PT11 N CA00654416 A SFY2019-20
040000014 HORIZON HEALTH & SUBACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2020-02-25 00:00:00 040015764 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-06 00:00:00 2018-08-06 00:00:00 Yes 2020-03-17 00:00:00 2020-03-13 00:00:00 A A 20000 16000 0 16000 0 None AL2L11 N CA00598760 B SFY2019-20
040000014 HORIZON HEALTH & SUBACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2020-02-25 00:00:00 040015765 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-03 00:00:00 2018-08-03 00:00:00 Yes 2020-03-17 00:00:00 2020-03-13 00:00:00 A A 20000 16000 0 16000 0 None AL2L11 N CA00599257 B SFY2019-20
040001040 WILLOW CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-11-23 00:00:00 040017121 Closed Citation Citation A (HSC 1424) Patient Care None 2020-12-22 00:00:00 2020-12-22 00:00:00 No 2021-12-16 00:00:00 None A None 18000 18000 -6300 11700 0 None GDDY11 N CA00718128 B SFY2021-22
040000015 BETHEL LUTHERAN HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2021-12-16 00:00:00 040017195 Closed Citation Citation B (HSC 1424) Physical Environment None 2019-03-27 00:00:00 2019-03-27 00:00:00 No 2022-01-06 00:00:00 None B None 2000 2000 -700 1300 0 None Q0H511 N CA00636077 B SFY2021-22
040000048 MERCED BEHAVIORAL CENTER LTC SNF Skilled Nursing Facility Fresno 2021-12-29 00:00:00 040017225 Closed Citation Citation A (HSC 1424) Patient Rights None 2020-10-06 00:00:00 2020-10-06 00:00:00 No 2022-01-20 00:00:00 None A None 20000 20000 0 20000 0 None RHML11 N CA00707973 A SFY2021-22
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2022-02-03 00:00:00 040017306 Closed Citation Citation A (HSC 1424) Physical Environment None 2021-06-23 00:00:00 2021-06-23 00:00:00 No 2022-02-25 00:00:00 None A None 18000 18000 -6300 11700 0 None 89V011 N CA00741469 B SFY2021-22
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2022-03-08 00:00:00 040017473 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-29 00:00:00 2020-07-29 00:00:00 No 2022-03-29 00:00:00 None B None 2000 2000 0 2000 0 None 9SUY11 N CA00699096 B SFY2021-22
040000058 MAJESTIC MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2022-04-06 00:00:00 040017547 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge Rights 2022-03-09 00:00:00 2022-03-09 00:00:00 No 2022-04-27 00:00:00 None B None 2000 2000 -700 1300 0 None APNQ11 N CA00776784 A SFY2021-22
630017833 SIERRA CARE CLOVIS LTC CLHF Congregate Living Health Facility Fresno 2022-06-13 00:00:00 040017705 Closed Citation Citation A (HSC 1424) Patient Care None 2022-04-09 00:00:00 2022-04-09 00:00:00 No 2022-07-05 00:00:00 None A None 8000 8000 0 8000 0 None W64811 N CA00780396 B SFY2021-22
040000015 BETHEL LUTHERAN HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2021-02-26 00:00:00 040017897 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-10-21 00:00:00 2019-10-21 00:00:00 No 2022-09-15 00:00:00 None AP BR None 15000 15000 0 15000 0 None WZXX11 None CA00660046 C SFY2020-21
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2022-10-24 00:00:00 040018108 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-28 00:00:00 2022-06-28 00:00:00 No 2022-11-15 00:00:00 None A None 20000 20000 -20000 0 0 None 9QID11 N CA00791521 B SFY2022-23
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2022-12-01 00:00:00 040018187 Closed Citation Citation A (HSC 1424) Patient Care None 2022-01-15 00:00:00 2022-01-15 00:00:00 No 2022-12-22 00:00:00 None A None 20000 20000 -7000 13000 0 None E1SM11 N CA00766351, CA00766351 B, B SFY2022-23
030000288 TURLOCK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2023-03-13 00:00:00 040018467 Open Citation Citation A (HSC 1424) Patient Care None 2020-10-29 00:00:00 2020-10-29 00:00:00 Yes 2023-04-04 00:00:00 2023-03-14 00:00:00 A None 20000 20050 0 0 20050 None W3BS11 N CA00725453, CA00725453 A, A SFY2022-23
630016994 BEACON OF HOPE CARE FACILITY LTC CLHF Congregate Living Health Facility Fresno 2023-04-18 00:00:00 040018636 Closed Citation Citation B (HSC 1424) Problem Transfer None 2023-02-27 00:00:00 2023-02-27 00:00:00 No 2023-05-09 00:00:00 None B None 500 500 0 500 0 None ZIQF11 N None None SFY2022-23
630016994 BEACON OF HOPE CARE FACILITY LTC CLHF Congregate Living Health Facility Fresno 2023-04-18 00:00:00 040018638 Open Citation Citation B (HSC 1424) Problem Transfer None 2023-02-27 00:00:00 2023-02-27 00:00:00 No 2023-05-09 00:00:00 None B None 500 500 0 500 0 None ZIQF11 N None None SFY2022-23
630016994 BEACON OF HOPE CARE FACILITY LTC CLHF Congregate Living Health Facility Fresno 2023-04-18 00:00:00 040018639 Open Citation Citation B (HSC 1424) Problem Transfer None 2023-02-27 00:00:00 2023-02-27 00:00:00 No 2023-05-09 00:00:00 None B None 500 500 0 500 0 None ZIQF11 N None None SFY2022-23
630016994 BEACON OF HOPE CARE FACILITY LTC CLHF Congregate Living Health Facility Fresno 2023-04-18 00:00:00 040018640 Open Citation Citation B (HSC 1424) Problem Transfer None 2023-02-27 00:00:00 2023-02-27 00:00:00 No 2023-05-09 00:00:00 None B None 500 500 0 500 0 None ZIQF11 N None None SFY2022-23
630016994 BEACON OF HOPE CARE FACILITY LTC CLHF Congregate Living Health Facility Fresno 2023-04-18 00:00:00 040018641 Open Citation Citation B (HSC 1424) Problem Transfer None 2023-02-27 00:00:00 2023-02-27 00:00:00 No 2023-05-09 00:00:00 None B None 500 500 0 500 0 None ZIQF11 N None None SFY2022-23
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-05-19 00:00:00 040018773 Open Citation Citation B (HSC 1424) Patient Care None 2022-11-02 00:00:00 2022-11-02 00:00:00 No 2023-06-12 00:00:00 None B None 2000 2000 0 0 2000 None SHQV11 N CA00809555, CA00809555 B, B SFY2022-23
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2023-06-02 00:00:00 040018819 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-23 00:00:00 2022-12-23 00:00:00 No 2023-06-23 00:00:00 None A None 18000 18000 0 18000 0 None GS0I11 N CA00817972 B SFY2022-23
040000048 MERCED BEHAVIORAL CENTER LTC SNF Skilled Nursing Facility Fresno 2023-07-19 00:00:00 040018968 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-01 00:00:00 2023-06-01 00:00:00 No 2023-08-09 00:00:00 None B None 2000 2050 0 2050 0 None DRHI11 N None None SFY2023-24
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-10-05 00:00:00 040019218 Open Citation Citation AA (HSC 1424) Patient Care None 2022-10-28 00:00:00 2022-10-28 00:00:00 Yes 2023-10-26 00:00:00 2023-10-26 00:00:00 AA None 80000 80000 0 0 80000 None SHQV11 Y CA00809584 A SFY2023-24
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-10-04 00:00:00 040019224 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-20 00:00:00 2023-03-20 00:00:00 No 2023-10-25 00:00:00 None B None 2000 2000 0 2000 0 None 20R211 N CA00834854 B SFY2023-24
040000042 BRIGHTON POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2023-12-07 00:00:00 040019442 Open Citation Citation B (HSC 1424) Patient Care None 2023-04-03 00:00:00 2023-04-03 00:00:00 No 2023-12-29 00:00:00 None B None 2000 2000 -700 1300 0 None N8LH11 N CA00834356 B SFY2023-24
040000077 CORNERSTONE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-12-07 00:00:00 040019444 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-06 00:00:00 2023-02-06 00:00:00 No 2023-12-29 00:00:00 None B None 2500 2500 -875 1625 0 None 2TYU11 N CA00825435 B SFY2023-24
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2024-01-22 00:00:00 040019620 Closed Citation Citation A (HSC 1424) Patient Care None 2023-08-31 00:00:00 2023-08-31 00:00:00 No 2024-02-12 00:00:00 None A None 20000 20000 -7000 13000 0 None MX3U11 N CA00858590, CA00858590, CA00858937, CA00860770 B, B, B, B SFY2023-24
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2024-01-23 00:00:00 040019622 Closed Citation Citation A (HSC 1424) Patient Care None 2023-09-19 00:00:00 2023-09-19 00:00:00 No 2024-02-13 00:00:00 None A None 15000 15000 0 15000 0 None E9OT11 N CA00861613, CA00861613, CA00861613, CA00862439, CA00862439, CA00862439 B, B, B, B, B, B SFY2023-24
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2024-04-02 00:00:00 040019655 Closed Citation Citation A (HSC 1424) Patient Care None 2022-09-23 00:00:00 2022-09-23 00:00:00 No 2024-04-23 00:00:00 None A None 20000 20000 0 20000 0 None ZQFL11 N CA00804752, CA00804752, CA00806643, CA00806643 B, B, B, B SFY2023-24
040000047 HEALTHCARE CENTRE OF FRESNO LTC SNF Skilled Nursing Facility Fresno 2024-02-29 00:00:00 040019796 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-06 00:00:00 2023-11-06 00:00:00 No 2024-03-21 00:00:00 None A None 20000 20000 0 20000 0 None OLVO11 N CA00868517 C SFY2023-24
630011850 LORETTA'S LITTLE MIRACLES LTC PDHRCF Pediatric Day Health & Respite Care Facility Fresno 2024-03-21 00:00:00 040019886 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-09 00:00:00 2022-02-09 00:00:00 No 2024-04-12 00:00:00 None B None 1000 1000 0 1000 0 None QYFI11 N CA00774285, CA00774285 C, C SFY2023-24
040000034 MADERA REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2024-05-03 00:00:00 040020083 Open Citation Citation A (HSC 1424) Patient Care None 2024-01-15 00:00:00 2024-01-15 00:00:00 Yes 2024-05-24 00:00:00 2024-05-07 00:00:00 A None 20000 20000 0 0 20000 None 45WD11 N CA00882482, CA00882482 B, B SFY2023-24
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2000-01-04 00:00:00 050001353 Closed Citation Citation B (HSC 1424) Patient Care None 1999-03-27 00:00:00 1999-03-27 00:00:00 No 2000-01-28 00:00:00 None B None 800 800 0 800 0 050013406 A99999 N None None SFY1999-00
050001111 THE ICF COTTAGE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-01-05 00:00:00 050001354 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-09 00:00:00 1999-12-09 00:00:00 No 2000-02-01 00:00:00 None B None 300 300 0 300 0 050013407 A99999 N None None SFY1999-00
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2000-01-04 00:00:00 050001355 Closed Citation Citation B (HSC 1424) Other PATIENT CARE & RIGHT 1999-10-25 00:00:00 None Yes 2000-05-29 00:00:00 2000-05-03 00:00:00 B B 800 500 0 500 0 050013408 A99999 N None None SFY1999-00
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2000-01-11 00:00:00 050001359 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/RIGHTS 1999-12-19 00:00:00 None Yes 2000-02-08 00:00:00 2000-01-24 00:00:00 B B 1000 1000 -900 100 0 050013429 A99999 N None None SFY1999-00
050001021 GOLETA VALLEY COTTAGE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Ventura 2000-01-28 00:00:00 050001360 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-01 00:00:00 1999-09-01 00:00:00 No 2000-02-18 00:00:00 None B None 1000 1000 -350 650 0 050013487 A99999 N None None SFY1999-00
050000131 VINEYARD HILLS HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2000-01-31 00:00:00 050001361 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/NEGLECT 1999-12-25 00:00:00 1999-12-25 00:00:00 No 2000-02-23 00:00:00 None B None 1000 1000 -350 650 0 050013488 A99999 N None None SFY1999-00
050000216 SINGH CARE HOME, INC. II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-01-28 00:00:00 050001362 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-12-20 00:00:00 None Yes 2000-02-25 00:00:00 2000-02-22 00:00:00 A A 10000 10000 -10000 0 0 050013490 A99999 N None None SFY1999-00
050000248 ST. JOHN'S HOSPITAL CAMARILLO D/P SNF LTC SNF Skilled Nursing Facility Ventura 2000-02-02 00:00:00 050001363 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-10 00:00:00 1999-09-10 00:00:00 No 2000-01-26 00:00:00 None B None 900 900 0 900 0 050013498 A99999 N None None SFY1999-00
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-02-18 00:00:00 050001365 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-06 00:00:00 2000-01-06 00:00:00 No 2000-03-30 00:00:00 None B None 700 700 -245 455 0 050013548 A99999 N None None SFY1999-00
050000079 MILTON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-02-25 00:00:00 050001366 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-02 00:00:00 2000-02-02 00:00:00 Yes 2000-07-18 00:00:00 2000-03-13 00:00:00 B B 500 500 0 500 0 050013560 A99999 N None None SFY1999-00
050001152 SAN LUIS OBISPO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-03-02 00:00:00 050001370 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-08-24 00:00:00 1999-08-24 00:00:00 Yes 2000-07-19 00:00:00 2000-07-07 00:00:00 B Dismissed by Court 800 0 0 0 0 050013583 A99999 N None None SFY1999-00
050001071 FARROLL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-03-08 00:00:00 050001371 Closed Citation Citation A (HSC 1424) Staffing None 2000-02-08 00:00:00 2000-02-08 00:00:00 Yes 2000-07-03 00:00:00 2001-01-31 00:00:00 A Drop>Deficiency 1000 1000 0 1000 0 050013618 A99999 N None None SFY1999-00
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2000-04-19 00:00:00 050001375 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2000-03-11 00:00:00 2000-03-11 00:00:00 Yes 2000-05-19 00:00:00 2000-04-20 00:00:00 B None 1000 1000 0 1000 0 050013763 A99999 N None None SFY1999-00
050000045 CASA DE VIDA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-05-02 00:00:00 050001378 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-02 00:00:00 None Yes 2000-08-17 00:00:00 2000-05-17 00:00:00 B B 1000 1000 0 1000 0 050013830 A99999 N None None SFY1999-00
050000248 ST. JOHN'S HOSPITAL CAMARILLO D/P SNF LTC SNF Skilled Nursing Facility Ventura 2000-05-19 00:00:00 050001379 Closed Citation Citation B (HSC 1424) Other PT RIGHTS/NEGLECT/AB 2000-04-26 00:00:00 2000-04-26 00:00:00 No 2000-06-14 00:00:00 None B None 1000 1000 0 1000 0 050013890 A99999 N None None SFY1999-00
050001111 THE ICF COTTAGE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-05-30 00:00:00 050001380 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-29 00:00:00 None No 2000-06-23 00:00:00 None B None 1000 1000 0 1000 0 050013908 A99999 N None None SFY1999-00
050001072 PEARL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-05-30 00:00:00 050001383 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-03 00:00:00 2000-04-03 00:00:00 No 2000-06-23 00:00:00 None B None 500 500 0 500 0 050013934 A99999 N None None SFY1999-00
050000612 SEASHORE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-05-30 00:00:00 050001384 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-14 00:00:00 2000-04-14 00:00:00 No 2000-06-26 00:00:00 None B None 700 700 0 700 0 050013935 A99999 N None None SFY1999-00
050000836 SUNSET COMMUNITY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-06-09 00:00:00 050001385 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-26 00:00:00 2000-04-26 00:00:00 Yes 2000-07-06 00:00:00 2000-06-12 00:00:00 B B 1000 1000 0 1000 0 050013976 A99999 N None None SFY1999-00
050001218 SIERRA VISTA REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2000-06-14 00:00:00 050001386 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-04-02 00:00:00 2000-04-02 00:00:00 Yes 2000-11-22 00:00:00 2000-11-08 00:00:00 B Dismissed by Court 800 0 0 0 0 050013991 A99999 N None None SFY1999-00
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2000-06-14 00:00:00 050001387 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-28 00:00:00 1999-11-28 00:00:00 No 2000-07-13 00:00:00 None B None 900 900 0 900 0 050013993 A99999 N None None SFY1999-00
050000139 BAYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2000-07-17 00:00:00 050001388 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT 2000-06-05 00:00:00 None No 2000-08-09 00:00:00 None B None 500 500 -175 325 0 050014111 A99999 N None None SFY2000-01
050000871 MAGNOLIA COMMUNITY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-07-20 00:00:00 050001389 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-02-14 00:00:00 2000-02-14 00:00:00 Yes 2000-11-24 00:00:00 2001-03-19 00:00:00 A A 6000 2000 0 2000 0 050014120 A99999 N None None SFY2000-01
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2000-08-10 00:00:00 050001390 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-19 00:00:00 1999-08-19 00:00:00 No 2000-08-31 00:00:00 None B None 1000 1000 -350 650 0 050014186 A99999 N None None SFY2000-01
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2000-08-10 00:00:00 050001391 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-19 00:00:00 1999-08-19 00:00:00 No 2000-09-07 00:00:00 None B None 1000 1000 -350 650 0 050014186 A99999 N None None SFY2000-01
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2000-09-20 00:00:00 050001395 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-15 00:00:00 2000-08-15 00:00:00 Yes 2000-10-13 00:00:00 2000-10-23 00:00:00 B B Trebled 1000 2250 0 2250 0 050014327 A99999 N None None SFY2000-01
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2000-09-29 00:00:00 050001396 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-08-24 00:00:00 2000-08-24 00:00:00 Yes 2000-10-31 00:00:00 2000-10-23 00:00:00 B B 1000 750 0 750 0 050014353 A99999 N None None SFY2000-01
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2000-10-05 00:00:00 050001398 Closed Citation Citation B (HSC 1424) Staffing None 2000-06-01 00:00:00 2000-08-20 00:00:00 Yes 2000-11-06 00:00:00 2000-10-18 00:00:00 B B 1000 750 0 750 0 050014363 A99999 N None None SFY2000-01
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2000-11-20 00:00:00 050001400 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-11 00:00:00 2000-09-11 00:00:00 Yes 2000-12-19 00:00:00 2000-11-21 00:00:00 B B 1000 750 0 750 0 050014473 A99999 N None None SFY2000-01
050000066 COASTAL VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2000-12-05 00:00:00 050001402 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-08 00:00:00 2000-10-08 00:00:00 Yes 2001-07-05 00:00:00 2001-07-02 00:00:00 B B 800 800 0 800 0 050014525 A99999 N None None SFY2000-01
050000066 COASTAL VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2000-12-19 00:00:00 050001406 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-08 00:00:00 2000-10-08 00:00:00 Yes 2001-07-05 00:00:00 2001-07-02 00:00:00 B B 800 800 0 800 0 050014572 A99999 N None None SFY2000-01
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-12-20 00:00:00 050001407 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-10-11 00:00:00 None No 2001-01-18 00:00:00 None A None 6000 6000 -2100 3900 0 050014573 A99999 N None None SFY2000-01
050001325 TOLTEC LIVING CENTER LTC CLHF Congregate Living Health Facility Ventura 2000-12-20 00:00:00 050001408 Closed Citation Citation B (HSC 1424) Patient Record None 2000-12-11 00:00:00 None Yes 2001-07-23 00:00:00 2001-01-03 00:00:00 B B 900 900 0 900 0 050014579 A99999 N None None SFY2000-01
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-01-08 00:00:00 050001409 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-24 00:00:00 2000-11-24 00:00:00 No 2001-02-13 00:00:00 None B None 1000 1000 -350 650 0 050014599 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001410 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014609 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001411 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014611 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001412 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-28 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014612 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001413 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014614 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001414 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014613 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001415 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014615 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001416 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014616 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001417 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-30 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014617 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001418 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-30 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014618 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001419 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-28 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014619 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001420 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-29 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014620 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001421 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-28 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014621 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001422 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-29 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 800 0 0 0 0 050014622 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001423 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 800 0 0 0 0 050014623 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001424 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-11-14 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 800 0 0 0 0 050014624 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001425 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014625 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001426 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 800 0 0 0 0 050014626 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001427 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-30 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014628 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001428 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-27 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 800 0 0 0 0 050014629 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001429 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-11-13 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014630 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001430 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-28 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014631 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001431 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-11-02 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 800 0 0 0 0 050014632 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001432 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-28 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014633 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001433 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-11-03 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B Drop>Deficiency 500 0 0 0 0 050014634 A99999 N None None SFY2000-01
050000001 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2001-01-12 00:00:00 050001434 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-10-28 00:00:00 None Yes 2001-02-07 00:00:00 2001-01-22 00:00:00 B B 500 10725 0 10725 0 050014635 A99999 N None None SFY2000-01
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2001-01-17 00:00:00 050001436 Closed Citation Citation B (HSC 1424) Staffing None 2000-10-28 00:00:00 None Yes 2001-02-28 00:00:00 2001-01-22 00:00:00 B B Trebled 1000 2250 0 2250 0 050014645 A99999 N None None SFY2000-01
050000871 MAGNOLIA COMMUNITY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-01-23 00:00:00 050001437 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-22 00:00:00 None Yes 2001-06-18 00:00:00 2001-01-25 00:00:00 B B 800 800 0 800 0 050014669 A99999 N None None SFY2000-01
050000070 SIMI HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-02-05 00:00:00 050001438 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-02 00:00:00 None Yes 2001-03-06 00:00:00 2001-02-14 00:00:00 A A 12000 6500 0 6500 0 050014714 A99999 N None None SFY2000-01
050000073 VENTURA ESTATES HEALTH MANOR LTC SNF Skilled Nursing Facility Ventura 2001-02-06 00:00:00 050001439 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-16 00:00:00 None Yes 2001-06-11 00:00:00 2001-02-13 00:00:00 B Drop>Deficiency 800 0 0 0 0 050014726 A99999 N None None SFY2000-01
050000610 PELICAN HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-02-06 00:00:00 050001440 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-25 00:00:00 None Yes 2001-08-06 00:00:00 2001-02-09 00:00:00 B B 1000 1050 0 1050 0 050014728 A99999 N None None SFY2000-01
050000248 ST. JOHN'S HOSPITAL CAMARILLO D/P SNF LTC SNF Skilled Nursing Facility Ventura 2001-02-06 00:00:00 050001441 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-10-28 00:00:00 None No 2001-03-07 00:00:00 None B None 1000 3000 -1050 1950 0 050014711 A99999 N None None SFY2000-01
050000610 PELICAN HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-02-09 00:00:00 050001442 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-12-09 00:00:00 None Yes 2001-08-14 00:00:00 2001-02-09 00:00:00 A A 5000 5000 0 5000 0 050014735 A99999 N None None SFY2000-01
050000062 THE CALIFORNIAN LTC SNF Skilled Nursing Facility Ventura 2001-02-21 00:00:00 050001443 Closed Citation Citation B (HSC 1424) Staffing None 2000-11-01 00:00:00 2000-11-01 00:00:00 No 2001-03-19 00:00:00 None B Drop>Deficiency 750 0 0 0 0 050014776 A99999 N None None SFY2000-01
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-02-22 00:00:00 050001444 Closed Citation Citation B (HSC 1424) Staffing None 2000-11-01 00:00:00 2000-11-01 00:00:00 No 2001-03-21 00:00:00 None B None 1000 1000 -1000 0 0 050014794 A99999 N None None SFY2000-01
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2001-03-08 00:00:00 050001446 Closed Citation Citation B (HSC 1424) Other ABUSE REPORTING 2001-01-31 00:00:00 2001-01-31 00:00:00 Yes 2001-03-29 00:00:00 2001-03-09 00:00:00 B None 650 650 0 650 0 050014826 A99999 N None None SFY2000-01
050001343 PIKE, THE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-03-22 00:00:00 050001447 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-13 00:00:00 None Yes 2001-08-07 00:00:00 2001-03-28 00:00:00 B B 800 800 0 800 0 050014908 A99999 N None None SFY2000-01
050000050 GLENWOOD CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-04-03 00:00:00 050001449 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-13 00:00:00 2000-12-13 00:00:00 Yes 2001-04-24 00:00:00 2001-04-09 00:00:00 A A 12000 5000 0 5000 0 050014939 A99999 N CA00066740 C SFY2000-01
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2001-04-09 00:00:00 050001451 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT REPORT 2001-02-23 00:00:00 None No 2001-05-03 00:00:00 None B None 200 200 -70 130 0 050014964 A99999 N None None SFY2000-01
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2001-04-10 00:00:00 050001452 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-21 00:00:00 None Yes 2001-11-06 00:00:00 2001-10-16 00:00:00 A A 18000 7500 0 7500 0 050014969 A99999 N None None SFY2000-01
050000139 BAYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-06-05 00:00:00 050001453 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-28 00:00:00 2000-04-28 00:00:00 No 2001-06-29 00:00:00 None B None 1000 1000 -350 650 0 050015133 A99999 N None None SFY2000-01
050000139 BAYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-06-05 00:00:00 050001454 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-01-29 00:00:00 1999-01-29 00:00:00 No 2001-06-29 00:00:00 None B None 1000 1000 -350 650 0 050015134 A99999 N None None SFY2000-01
050000139 BAYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-06-05 00:00:00 050001455 Closed Citation Citation B (HSC 1424) Administration None 2000-04-28 00:00:00 2000-04-28 00:00:00 No 2001-06-29 00:00:00 None B None 1000 1000 -350 650 0 050015136 A99999 N None None SFY2000-01
050000070 SIMI HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-06-06 00:00:00 050001456 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-28 00:00:00 2001-02-28 00:00:00 No 2001-07-02 00:00:00 None B None 1000 1000 0 1000 0 050015137 A99999 N None None SFY2000-01
050000044 SAN LUIS POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-06-26 00:00:00 050001457 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-11 00:00:00 2001-03-11 00:00:00 No 2001-07-24 00:00:00 None A None 3000 3000 -1050 1950 0 050015179 A99999 N None None SFY2000-01
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-06-27 00:00:00 050001459 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT 2001-03-30 00:00:00 2001-03-30 00:00:00 Yes 2001-10-30 00:00:00 2001-10-26 00:00:00 B B 800 800 0 800 0 050015178 A99999 N None None SFY2000-01
050000678 LA PALOMA GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-07-18 00:00:00 050001460 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-06-22 00:00:00 2001-06-22 00:00:00 No 2001-08-09 00:00:00 None A None 2000 2000 0 2000 0 050015253 A99999 N None None SFY2001-02
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2001-07-18 00:00:00 050001461 Closed Citation Citation A (HSC 1424) Patient Care None 2001-04-22 00:00:00 2001-04-22 00:00:00 Yes 2001-10-31 00:00:00 2001-10-16 00:00:00 A A 16000 16000 0 16000 0 050015092 A99999 N None None SFY2001-02
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-07-27 00:00:00 050001462 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2001-03-18 00:00:00 2001-03-18 00:00:00 No 2001-08-20 00:00:00 None B None 800 800 -280 520 0 050015274 A99999 N None None SFY2001-02
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2001-07-26 00:00:00 050001463 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-28 00:00:00 2001-05-28 00:00:00 No 2001-08-21 00:00:00 None B None 800 800 -280 520 0 050015284 A99999 N None None SFY2001-02
050001345 CHUPARROSA STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-08-15 00:00:00 050001464 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-06-09 00:00:00 2001-06-09 00:00:00 Yes 2001-11-28 00:00:00 2001-08-17 00:00:00 A A 1200 1200 0 1200 0 050015328 A99999 N None None SFY2001-02
050001110 VERONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-08-16 00:00:00 050001465 Closed Citation Citation A (HSC 1424) Other ABUSE/NEGLECT 2001-06-12 00:00:00 2001-06-12 00:00:00 Yes 2001-12-12 00:00:00 2001-08-29 00:00:00 A A 1200 1200 0 1200 0 050015337 A99999 N None None SFY2001-02
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2001-09-21 00:00:00 050001466 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-20 00:00:00 2001-08-20 00:00:00 No 2001-10-24 00:00:00 None B None 800 900 -280 620 0 050015409 A99999 N None None SFY2001-02
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2001-09-21 00:00:00 050001467 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-14 00:00:00 2001-04-14 00:00:00 No 2001-10-15 00:00:00 None B None 500 500 -175 325 0 050015415 A99999 N None None SFY2001-02
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2001-09-21 00:00:00 050001468 Closed Citation Citation B (HSC 1424) Staffing None 2001-04-13 00:00:00 2001-04-13 00:00:00 No 2001-10-24 00:00:00 None B None 1000 1000 -350 650 0 050015416 A99999 N None None SFY2001-02
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2001-10-03 00:00:00 050001469 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-09 00:00:00 2001-01-09 00:00:00 No 2001-10-26 00:00:00 None B None 800 800 -280 520 0 050015449 A99999 N None None SFY2001-02
050000611 SANDPIPER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-10-18 00:00:00 050001470 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-08-02 00:00:00 2001-08-02 00:00:00 Yes 2002-03-12 00:00:00 2002-02-28 00:00:00 A B 2500 2500 0 2500 0 050015462 A99999 N None None SFY2001-02
050001152 SAN LUIS OBISPO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-10-19 00:00:00 050001471 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-07-31 00:00:00 2001-07-31 00:00:00 Yes 2002-01-30 00:00:00 2002-01-22 00:00:00 A A 2500 3500 0 3500 0 050015469 A99999 N None None SFY2001-02
050000648 MORRO BAY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-10-19 00:00:00 050001472 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-06-24 00:00:00 2001-06-24 00:00:00 Yes 2002-01-28 00:00:00 2002-01-22 00:00:00 A Drop>Deficiency 2500 2500 0 2500 0 050015471 A99999 N None None SFY2001-02
050000648 MORRO BAY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-10-19 00:00:00 050001473 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-09-16 00:00:00 2001-09-16 00:00:00 Yes 2002-02-14 00:00:00 2002-01-29 00:00:00 A Dismissed by Court 2500 0 0 0 0 050015473 A99999 N None None SFY2001-02
050001021 GOLETA VALLEY COTTAGE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Ventura 2001-10-24 00:00:00 050001474 Closed Citation Citation A (HSC 1424) Other PHYSICIAN SVCS/NEGLC 2000-12-01 00:00:00 2000-12-01 00:00:00 Yes 2002-04-15 00:00:00 2001-11-14 00:00:00 A A 2000 2000 0 2000 0 050015479 A99999 N None None SFY2001-02
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-10-24 00:00:00 050001475 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-12 00:00:00 2001-09-12 00:00:00 No 2001-11-16 00:00:00 None B None 1000 1000 -350 650 0 050015480 A99999 N None None SFY2001-02
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2001-10-29 00:00:00 050001476 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-13 00:00:00 2001-07-31 00:00:00 No 2001-11-27 00:00:00 None B None 900 900 0 900 0 050015484 A99999 N None None SFY2001-02
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2001-11-01 00:00:00 050001477 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-07-03 00:00:00 2001-07-03 00:00:00 Yes 2001-11-27 00:00:00 2001-11-06 00:00:00 AA AA 60000 33435 0 33435 0 050015496 A99999 Y None None SFY2001-02
050000139 BAYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-11-01 00:00:00 050001478 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-03 00:00:00 None Yes 2002-03-22 00:00:00 2002-03-14 00:00:00 A A 3500 3500 0 3500 0 050015503 A99999 N None None SFY2001-02
050000073 VENTURA ESTATES HEALTH MANOR LTC SNF Skilled Nursing Facility Ventura 2001-11-19 00:00:00 050001479 Closed Citation Citation A (HSC 1424) Other ABUSE/NEGLECT 2001-08-15 00:00:00 None No 2001-12-13 00:00:00 None A None 12500 12500 -4375 8125 0 050015509 A99999 N None None SFY2001-02
050001278 MOORPARK HEALTHCARE CENTER LTC CLHF Congregate Living Health Facility Ventura 2001-11-19 00:00:00 050001480 Closed Citation Citation B (HSC 1424) Staffing None 2001-10-08 00:00:00 None No 2001-12-13 00:00:00 None B None 700 700 -245 455 0 050015510 A99999 N None None SFY2001-02
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2001-11-20 00:00:00 050001481 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT 2001-10-04 00:00:00 None No 2001-12-17 00:00:00 None B None 800 800 -280 520 0 050015524 A99999 N None None SFY2001-02
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-12-10 00:00:00 050001483 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-23 00:00:00 None Yes 2002-04-08 00:00:00 2001-12-31 00:00:00 B B 500 500 0 500 0 050015581 A99999 N None None SFY2001-02
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-12-11 00:00:00 050001484 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-13 00:00:00 None Yes 2002-03-22 00:00:00 2002-03-11 00:00:00 A A 5000 2786 0 2786 0 050015584 A99999 N None None SFY2001-02
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2001-12-27 00:00:00 050001486 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-06 00:00:00 None No 2002-01-25 00:00:00 None B None 500 500 -175 325 0 050015608 A99999 N None None SFY2001-02
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2001-12-31 00:00:00 050001487 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-05 00:00:00 None Yes 2002-04-02 00:00:00 2002-01-02 00:00:00 B B 800 800 0 800 0 050015609 A99999 N None None SFY2001-02
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2002-01-18 00:00:00 050001488 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-07 00:00:00 None No 2002-02-14 00:00:00 None B None 1000 1000 -350 650 0 050015651 A99999 N None None SFY2001-02
050000062 THE CALIFORNIAN LTC SNF Skilled Nursing Facility Ventura 2002-01-18 00:00:00 050001489 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-04 00:00:00 None Yes 2002-08-26 00:00:00 2002-08-12 00:00:00 A A 6000 2000 0 2000 0 050015653 A99999 N None None SFY2001-02
050001111 THE ICF COTTAGE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-02-04 00:00:00 050001490 Closed Citation Citation B (HSC 1424) Administration None 2000-07-25 00:00:00 None No 2002-02-27 00:00:00 None B None 500 500 0 500 0 050015682 A99999 N None None SFY2001-02
050001175 GENESIS DEVELOPMENTAL SERVICES - SALISBURY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-02-27 00:00:00 050001491 Closed Citation Citation B (HSC 1424) Administration None 2002-02-05 00:00:00 None No 2002-04-23 00:00:00 None B None 500 500 -175 325 0 050015724 A99999 N None None SFY2001-02
050000062 THE CALIFORNIAN LTC SNF Skilled Nursing Facility Ventura 2002-02-28 00:00:00 050001492 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-01-12 00:00:00 None Yes 2002-08-21 00:00:00 2002-03-18 00:00:00 B B 200 200 0 200 0 050015725 A99999 N None None SFY2001-02
050000136 WORK TRAINING PROGRAM INC'S PROJECT INDEPENDENCE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-03-04 00:00:00 050001493 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-12 00:00:00 None No 2002-03-26 00:00:00 None B None 200 200 0 200 0 050015727 A99999 N None None SFY2001-02
050001072 PEARL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-03-14 00:00:00 050001494 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-06 00:00:00 None Yes 2002-07-25 00:00:00 2002-03-18 00:00:00 B B 500 500 0 500 0 050015759 A99999 N None None SFY2001-02
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2002-03-18 00:00:00 050001495 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-26 00:00:00 None No 2002-04-10 00:00:00 None B None 500 500 -175 325 0 050015761 A99999 N None None SFY2001-02
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2002-03-21 00:00:00 050001496 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-26 00:00:00 None No 2002-04-17 00:00:00 None B None 1000 1000 -350 650 0 050015765 A99999 N None None SFY2001-02
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-03-21 00:00:00 050001497 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-29 00:00:00 None Yes 2002-08-26 00:00:00 2002-04-15 00:00:00 A A 10000 10000 0 10000 0 050015766 A99999 N None None SFY2001-02
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2002-03-25 00:00:00 050001498 Closed Citation Citation A (HSC 1424) Patient Care None 2002-02-19 00:00:00 None No 2002-04-22 00:00:00 None A None 10000 10050 -3500 6550 0 050015774 A99999 N None None SFY2001-02
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2002-04-17 00:00:00 050001499 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2001-12-01 00:00:00 None No 2002-05-10 00:00:00 None B None 500 500 0 500 0 050015815 A99999 N None None SFY2001-02
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2002-04-26 00:00:00 050001500 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-24 00:00:00 None Yes 2002-05-21 00:00:00 2002-05-01 00:00:00 A B 5000 7000 0 7000 0 050015827 A99999 N None None SFY2001-02
050000648 MORRO BAY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-05-10 00:00:00 050001501 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-12 00:00:00 None Yes 2002-10-04 00:00:00 2002-05-10 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 050015858 A99999 N None None SFY2001-02
050001180 STARFISH HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-05-17 00:00:00 050001502 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-05 00:00:00 None No 2002-06-18 00:00:00 None B None 800 800 0 800 0 050015874 A99999 N None None SFY2001-02
050001370 GENESIS DEVELOPMENTAL SERVICES - MOONCREST LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-05-16 00:00:00 050001503 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-10 00:00:00 None No 2002-06-18 00:00:00 None B None 600 600 -210 390 0 050015875 A99999 N None None SFY2001-02
050000648 MORRO BAY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-05-21 00:00:00 050001504 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-24 00:00:00 None Yes 2002-10-17 00:00:00 2002-09-30 00:00:00 B Drop>Deficiency 800 600 0 600 0 050015876 A99999 N None None SFY2001-02
050001111 THE ICF COTTAGE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-05-24 00:00:00 050001505 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-21 00:00:00 None No 2002-06-17 00:00:00 None B None 800 800 -280 520 0 050015896 A99999 N None None SFY2001-02
050001111 THE ICF COTTAGE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-05-24 00:00:00 050001506 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-21 00:00:00 None No 2002-07-02 00:00:00 None B None 800 800 -280 520 0 050015896 A99999 N None None SFY2001-02
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2002-05-30 00:00:00 050001507 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-26 00:00:00 None No 2002-06-24 00:00:00 None A None 20000 20000 -7000 13000 0 050015900 A99999 N None None SFY2001-02
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2002-06-10 00:00:00 050001508 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-08 00:00:00 None No 2002-07-08 00:00:00 None B None 800 800 0 800 0 050015919 A99999 N None None SFY2001-02
050000469 MOMENTUM AGENCIES BEL AIR HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-06-11 00:00:00 050001509 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-04-16 00:00:00 None No 2002-07-08 00:00:00 None A None 5000 5000 -1750 3250 0 050015920 A99999 N None None SFY2001-02
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2002-06-20 00:00:00 050001510 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-07 00:00:00 None No 2002-07-19 00:00:00 None B None 1000 1000 -350 650 0 050015938 A99999 N None None SFY2001-02
050000722 SCHOOL STREET HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-06-25 00:00:00 050001511 Closed Citation Citation B (HSC 1424) Administration None 2002-06-10 00:00:00 None Yes 2002-10-23 00:00:00 2002-10-04 00:00:00 B Drop>Deficiency 800 0 0 0 0 050015947 A99999 N None None SFY2001-02
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2002-07-19 00:00:00 050001512 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-30 00:00:00 None No 2002-08-12 00:00:00 None A None 10000 10000 -3500 6500 0 050016000 A99999 N None None SFY2002-03
050000049 GREENFIELD CARE CENTER OF FILLMORE, LLC LTC SNF Skilled Nursing Facility Ventura 2002-07-22 00:00:00 050001513 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-23 00:00:00 None No 2002-08-14 00:00:00 None B None 300 300 0 300 0 050016002 A99999 N None None SFY2002-03
050000140 MARIAN REGIONAL MEDICAL CENTER DP/SNF LTC SNF Skilled Nursing Facility Ventura 2002-08-07 00:00:00 050001514 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-07-12 00:00:00 None No 2002-08-30 00:00:00 None B None 100 100 0 100 0 050016028 A99999 N None None SFY2002-03
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2002-08-14 00:00:00 050001515 Closed Citation Citation B (HSC 1424) Administration None 2002-06-15 00:00:00 None No 2002-09-12 00:00:00 None B None 500 500 -175 325 0 050016060 A99999 N None None SFY2002-03
050000140 MARIAN REGIONAL MEDICAL CENTER DP/SNF LTC SNF Skilled Nursing Facility Ventura 2002-08-21 00:00:00 050001516 Closed Citation Citation A (HSC 1424) Patient Care None 2002-08-07 00:00:00 None No 2002-09-17 00:00:00 None A None 5000 5000 -1750 3250 0 050016072 A99999 N None None SFY2002-03
050001072 PEARL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-08-21 00:00:00 050001517 Closed Citation Citation A (HSC 1424) Administration None 2002-05-29 00:00:00 None Yes 2002-09-17 00:00:00 2002-09-13 00:00:00 A None 5000 5000 0 5000 0 050016077 A99999 N None None SFY2002-03
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2002-08-28 00:00:00 050001518 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-02 00:00:00 None Yes 2002-12-11 00:00:00 2002-11-22 00:00:00 B B 1000 1000 0 1000 0 050016086 A99999 N None None SFY2002-03
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2002-09-09 00:00:00 050001519 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-08 00:00:00 None No 2002-10-03 00:00:00 None A None 20000 20000 -7000 13000 0 050016107 A99999 N None None SFY2002-03
050001110 VERONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-09-10 00:00:00 050001520 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-28 00:00:00 None No 2002-10-07 00:00:00 None B None 1000 1000 0 1000 0 050016108 A99999 N None None SFY2002-03
050000045 CASA DE VIDA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-09-19 00:00:00 050001521 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-18 00:00:00 None Yes 2003-02-04 00:00:00 2002-10-10 00:00:00 B B 500 500 0 500 0 050016138 A99999 N None None SFY2002-03
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2002-09-24 00:00:00 050001522 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-07-10 00:00:00 None Yes 2002-10-22 00:00:00 2002-10-02 00:00:00 B B 100 100 0 100 0 050016155 A99999 N None None SFY2002-03
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2002-09-25 00:00:00 050001523 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-17 00:00:00 None No 2002-10-25 00:00:00 None B None 1000 1000 -350 650 0 050016158 A99999 N None None SFY2002-03
050000990 POTOMAC COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-10-11 00:00:00 050001524 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-09-12 00:00:00 None Yes 2003-05-20 00:00:00 2003-05-12 00:00:00 A B 10000 4000 0 4000 0 050016195 A99999 N None None SFY2002-03
050000990 POTOMAC COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-10-11 00:00:00 050001525 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-03-26 00:00:00 2002-09-12 00:00:00 Yes 2003-05-20 00:00:00 2003-05-14 00:00:00 B B 1000 250 0 250 0 050016197 A99999 N None None SFY2002-03
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2002-10-17 00:00:00 050001526 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-08 00:00:00 None Yes 2003-03-06 00:00:00 2003-02-19 00:00:00 B B 1000 1000 0 1000 0 050016201 A99999 N None None SFY2002-03
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2002-10-17 00:00:00 050001527 Closed Citation Citation B (HSC 1424) Administration None 2002-08-28 00:00:00 None Yes 2003-03-06 00:00:00 2003-02-19 00:00:00 B B 500 500 0 500 0 050016204 A99999 N None None SFY2002-03
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2002-10-17 00:00:00 050001528 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-09 00:00:00 None No 2002-11-12 00:00:00 None B None 1000 3000 -1050 1950 0 050016207 A99999 N None None SFY2002-03
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2002-10-17 00:00:00 050001529 Closed Citation Citation A (HSC 1424) Patient Care None 2002-08-15 00:00:00 None Yes 2003-03-06 00:00:00 2003-02-19 00:00:00 A B 2000 4000 0 4000 0 050016211 A99999 N None None SFY2002-03
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2002-10-24 00:00:00 050001531 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-10 00:00:00 2002-08-10 00:00:00 No 2002-11-15 00:00:00 None B None 800 800 -280 520 0 050016225 A99999 N None None SFY2002-03
050001021 GOLETA VALLEY COTTAGE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Ventura 2002-10-30 00:00:00 050001532 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-19 00:00:00 None No 2002-11-21 00:00:00 None B None 500 500 -175 325 0 050016231 A99999 N None None SFY2002-03
050001021 GOLETA VALLEY COTTAGE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Ventura 2002-10-30 00:00:00 050001533 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-23 00:00:00 2002-10-30 00:00:00 No 2002-11-21 00:00:00 None B None 1000 1000 -350 650 0 050016235 A99999 N None None SFY2002-03
050001021 GOLETA VALLEY COTTAGE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Ventura 2002-10-30 00:00:00 050001534 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-17 00:00:00 2002-10-30 00:00:00 No 2002-11-21 00:00:00 None B None 500 500 -175 325 0 050016239 A99999 N None None SFY2002-03
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2002-11-04 00:00:00 050001536 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-14 00:00:00 2002-10-31 00:00:00 No 2002-12-03 00:00:00 None B None 500 500 0 500 0 050016247 A99999 N None None SFY2002-03
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2002-11-13 00:00:00 050001537 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-23 00:00:00 None Yes 2002-12-09 00:00:00 2002-11-14 00:00:00 B None 1000 1250 0 1250 0 050016269 A99999 N None None SFY2002-03
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2002-11-13 00:00:00 050001538 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-10-23 00:00:00 None Yes 2002-12-09 00:00:00 2002-11-14 00:00:00 B None 800 800 0 800 0 050016270 A99999 N None None SFY2002-03
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2002-11-26 00:00:00 050001539 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-09-16 00:00:00 None Yes 2002-12-23 00:00:00 2002-12-16 00:00:00 AA AA 50000 50000 0 50000 0 050016286 A99999 Y None None SFY2002-03
050000990 POTOMAC COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-12-04 00:00:00 050001540 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-23 00:00:00 None Yes 2003-03-14 00:00:00 2002-12-18 00:00:00 B B 1000 1000 0 1000 0 050016306 A99999 N None None SFY2002-03
050000718 CASA DEL SOL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-12-05 00:00:00 050001541 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-21 00:00:00 None Yes 2002-12-27 00:00:00 2002-12-12 00:00:00 B Drop>Deficiency 800 0 0 0 0 050016307 A99999 N None None SFY2002-03
050001347 PEREIRA DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2002-12-05 00:00:00 050001542 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-05-09 00:00:00 None Yes 2003-03-14 00:00:00 2002-12-18 00:00:00 B B 200 200 0 200 0 050016309 A99999 N None None SFY2002-03
050001021 GOLETA VALLEY COTTAGE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Ventura 2003-01-10 00:00:00 050001545 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-26 00:00:00 None No 2003-02-04 00:00:00 None A None 20000 20000 -7000 13000 0 050016359 A99999 N None None SFY2002-03
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2003-02-20 00:00:00 050001546 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-14 00:00:00 None Yes 2003-10-06 00:00:00 2003-03-06 00:00:00 A A 12000 12000 0 12000 0 050016468 A99999 N None None SFY2002-03
050000055 MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2003-02-20 00:00:00 050001547 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-26 00:00:00 None No 2003-03-14 00:00:00 None B None 300 300 -105 195 0 050016469 A99999 N None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-02-21 00:00:00 050001548 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-11-04 00:00:00 None Yes 2003-03-17 00:00:00 2003-03-13 00:00:00 AA A 60000 40000 0 40000 0 050016476 A99999 Y None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-03-03 00:00:00 050001549 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-04 00:00:00 None Yes 2003-03-27 00:00:00 2003-03-13 00:00:00 A B 10000 6667 0 6667 0 050016489 A99999 N None None SFY2002-03
050001072 PEARL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-03-07 00:00:00 050001550 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-11-23 00:00:00 None No 2003-03-28 00:00:00 None B None 100 100 0 100 0 050016500 A99999 N None None SFY2002-03
050001072 PEARL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-03-07 00:00:00 050001551 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-23 00:00:00 None No 2003-03-28 00:00:00 None B None 500 500 0 500 0 050016500 A99999 N None None SFY2002-03
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2003-03-10 00:00:00 050001552 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-09-02 00:00:00 None Yes 2003-04-02 00:00:00 2003-03-21 00:00:00 AA A 60000 20000 0 20000 0 050016502 A99999 Y None None SFY2002-03
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-03-12 00:00:00 050001553 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-20 00:00:00 None Yes 2003-04-08 00:00:00 2003-03-17 00:00:00 B B 500 446 0 446 0 050016511 A99999 N None None SFY2002-03
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-03-12 00:00:00 050001554 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-18 00:00:00 None Yes 2003-04-08 00:00:00 2003-03-17 00:00:00 B B 800 446 0 446 0 050016511 A99999 N None None SFY2002-03
050000469 MOMENTUM AGENCIES BEL AIR HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-03-19 00:00:00 050001555 Closed Citation Citation B (HSC 1424) Patient Record None 2002-12-31 00:00:00 None No 2003-04-11 00:00:00 None B None 800 800 -280 520 0 050016529 A99999 N None None SFY2002-03
050000081 BEACHCOMBER HOME ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-03-19 00:00:00 050001556 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-02 00:00:00 None No 2003-04-11 00:00:00 None B None 300 300 -105 195 0 050016538 A99999 N None None SFY2002-03
050000139 BAYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-03-20 00:00:00 050001557 Closed Citation Citation A (HSC 1424) Patient Care None 2003-08-13 00:00:00 None No 2003-04-15 00:00:00 None A None 3000 3000 -1050 1950 0 050016540 A99999 N None None SFY2002-03
050001111 THE ICF COTTAGE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-03-25 00:00:00 050001558 Closed Citation Citation B (HSC 1424) Administration None 2003-02-20 00:00:00 None No 2003-04-22 00:00:00 None B None 800 800 0 800 0 050016546 A99999 N None None SFY2002-03
050000722 SCHOOL STREET HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-03-27 00:00:00 050001559 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-09-22 00:00:00 None Yes 2003-04-21 00:00:00 2003-04-01 00:00:00 A B 3000 1000 0 1000 0 050016554 A99999 N None None SFY2002-03
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-03-28 00:00:00 050001560 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-06 00:00:00 None No 2003-04-21 00:00:00 None B None 1000 1000 -350 650 0 050016559 A99999 N None None SFY2002-03
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-03-28 00:00:00 050001561 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-06 00:00:00 None No 2003-04-21 00:00:00 None B None 500 500 -175 325 0 050016559 A99999 N None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-04-08 00:00:00 050001562 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-25 00:00:00 None No 2003-05-05 00:00:00 None B None 1000 1550 -350 1200 0 050016567 A99999 N None None SFY2002-03
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2003-04-15 00:00:00 050001563 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-17 00:00:00 None Yes 2003-05-07 00:00:00 2003-04-25 00:00:00 A None 5000 5000 0 5000 0 050016571 A99999 N None None SFY2002-03
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2003-04-28 00:00:00 050001564 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-08 00:00:00 None No 2003-05-21 00:00:00 None B None 400 400 -140 260 0 050016603 A99999 N None None SFY2002-03
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2003-05-07 00:00:00 050001565 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-06 00:00:00 None Yes 2003-08-15 00:00:00 2003-08-06 00:00:00 B B 600 300 0 300 0 050016628 A99999 N None None SFY2002-03
050000931 TAYLOR COMMUNITY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-05-07 00:00:00 050001566 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-30 00:00:00 None Yes 2003-10-16 00:00:00 2003-10-10 00:00:00 A B 3000 3000 0 3000 0 050016629 A99999 N None None SFY2002-03
050000718 CASA DEL SOL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-05-07 00:00:00 050001567 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-13 00:00:00 None Yes 2003-05-30 00:00:00 2003-05-13 00:00:00 B None 500 500 0 500 0 050016630 A99999 N None None SFY2002-03
050001071 FARROLL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-05-12 00:00:00 050001568 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-24 00:00:00 None Yes 2003-09-23 00:00:00 2003-09-26 00:00:00 A A 3000 3000 0 3000 0 050016644 A99999 N None None SFY2002-03
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2003-05-15 00:00:00 050001569 Closed Citation Citation A (HSC 1424) Patient Care None 2003-02-06 00:00:00 None Yes 2003-08-29 00:00:00 2003-08-14 00:00:00 A B 15000 10000 0 10000 0 050016646 A99999 N None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-05-19 00:00:00 050001570 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-24 00:00:00 None Yes 2003-06-16 00:00:00 2003-06-09 00:00:00 A A 20000 13333 0 13333 0 050016660 A99999 N None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-05-19 00:00:00 050001571 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-24 00:00:00 None No 2003-06-16 00:00:00 None B None 1000 3000 -1050 1950 0 050016660 A99999 N None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-05-19 00:00:00 050001572 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-24 00:00:00 None No 2003-06-10 00:00:00 None B None 1000 1000 -350 650 0 050016660 A99999 N None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-05-19 00:00:00 050001573 Closed Citation Citation B (HSC 1424) Staffing None 2003-03-27 00:00:00 None No 2003-06-10 00:00:00 None B None 1000 1000 -350 650 0 050016660 A99999 N None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-05-19 00:00:00 050001574 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-24 00:00:00 None No 2003-06-16 00:00:00 None B None 1000 1000 -350 650 0 050016660 A99999 N None None SFY2002-03
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2003-05-19 00:00:00 050001575 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-24 00:00:00 None No 2003-06-16 00:00:00 None B None 1000 1000 -350 650 0 050016660 A99999 N None None SFY2002-03
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2003-05-28 00:00:00 050001576 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-03 00:00:00 None Yes 2003-11-13 00:00:00 2003-06-10 00:00:00 A A 15000 0 0 0 0 050016684 A99999 N None None SFY2002-03
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2003-05-30 00:00:00 050001577 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-16 00:00:00 None No 2003-06-23 00:00:00 None A None 10000 10000 -3500 6500 0 050016688 A99999 N None None SFY2002-03
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-06-05 00:00:00 050001578 Closed Citation Citation A (HSC 1424) Patient Care None 2002-05-05 00:00:00 None No 2003-06-27 00:00:00 None A None 10000 10000 -3500 6500 0 050016696 A99999 N None None SFY2002-03
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-06-13 00:00:00 050001579 Closed Citation Citation A (HSC 1424) Patient Care None 2003-04-11 00:00:00 None Yes 2003-07-07 00:00:00 2003-06-18 00:00:00 A B 5000 2786 0 2786 0 050016720 A99999 N None None SFY2002-03
050000610 PELICAN HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-07-29 00:00:00 050001580 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-07-06 00:00:00 None No 2003-08-21 00:00:00 None B None 1000 1000 0 1000 0 050016766 A99999 N None None SFY2003-04
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-07-31 00:00:00 050001581 Closed Citation Citation A (HSC 1424) Patient Care None 2003-05-22 00:00:00 None Yes 2003-08-26 00:00:00 2003-08-04 00:00:00 A A 10000 3000 0 3000 0 050016768 A99999 N None None SFY2003-04
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2003-08-12 00:00:00 050001582 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-05-28 00:00:00 None Yes 2003-09-04 00:00:00 2003-08-19 00:00:00 B B 500 500 0 500 0 050016781 A99999 N None None SFY2003-04
050001278 MOORPARK HEALTHCARE CENTER LTC CLHF Congregate Living Health Facility Ventura 2003-08-12 00:00:00 050001583 Closed Citation Citation B (HSC 1424) Staffing None 2003-05-26 00:00:00 None No 2003-09-04 00:00:00 None B None 1000 1000 -350 650 0 050016782 A99999 N None None SFY2003-04
050001180 STARFISH HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-08-19 00:00:00 050001584 Closed Citation Citation B (HSC 1424) Administration None 2003-08-06 00:00:00 None No 2003-09-12 00:00:00 None B None 600 600 0 600 0 050016786 A99999 N None None SFY2003-04
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2003-08-26 00:00:00 050001585 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-07 00:00:00 None Yes 2003-09-18 00:00:00 2003-08-27 00:00:00 B B 1000 1000 0 1000 0 050016798 A99999 N None None SFY2003-04
050001152 SAN LUIS OBISPO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-09-09 00:00:00 050001586 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-22 00:00:00 None Yes 2003-10-03 00:00:00 2003-09-11 00:00:00 B B 1000 1000 0 1000 0 050016820 A99999 N None None SFY2003-04
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-09-09 00:00:00 050001587 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-04 00:00:00 None No 2003-10-02 00:00:00 None B None 1000 1000 -350 650 0 050016825 A99999 N None None SFY2003-04
050001071 FARROLL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-09-12 00:00:00 050001588 Closed Citation Citation A (HSC 1424) Patient Rights None 2003-04-10 00:00:00 None No 2003-10-24 00:00:00 None A Drop>Deficiency 5000 1800 -300 1500 0 050016837 A99999 N None None SFY2003-04
050001347 PEREIRA DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-10-17 00:00:00 050001589 Closed Citation Citation A (HSC 1424) Patient Rights None 2003-04-27 00:00:00 2003-04-27 00:00:00 Yes 2003-11-10 00:00:00 2003-11-03 00:00:00 A B 5000 5000 0 5000 0 050016668 A99999 N None None SFY2003-04
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2003-10-27 00:00:00 050001590 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-24 00:00:00 None No 2003-11-20 00:00:00 None A None 3500 3500 -1225 2275 0 050016890 A99999 N None None SFY2003-04
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-11-06 00:00:00 050001591 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-03 00:00:00 None No 2003-12-10 00:00:00 None B None 800 2400 -840 1560 0 050016900 A99999 N None None SFY2003-04
050000073 VENTURA ESTATES HEALTH MANOR LTC SNF Skilled Nursing Facility Ventura 2003-11-06 00:00:00 050001592 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-01 00:00:00 None Yes 2004-05-05 00:00:00 2004-04-15 00:00:00 B B 1000 1000 -1000 0 0 050016901 A99999 N None None SFY2003-04
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2003-11-13 00:00:00 050001593 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-25 00:00:00 None Yes 2003-12-26 00:00:00 2003-11-20 00:00:00 B B 500 500 0 500 0 050016906 A99999 N None None SFY2003-04
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2003-11-14 00:00:00 050001594 Closed Citation Citation B (HSC 1424) Staffing None 2003-10-17 00:00:00 None Yes 2003-12-12 00:00:00 2003-12-05 00:00:00 B B 800 446 0 446 0 050016910 A99999 N None None SFY2003-04
050000131 VINEYARD HILLS HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2003-11-18 00:00:00 050001595 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-17 00:00:00 None No 2003-12-15 00:00:00 None B None 300 300 -105 195 0 050016913 A99999 N None None SFY2003-04
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2003-12-02 00:00:00 050001596 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-16 00:00:00 None No 2003-12-26 00:00:00 None B None 500 500 -175 325 0 050016928 A99999 N None None SFY2003-04
050000722 SCHOOL STREET HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-12-04 00:00:00 050001597 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-17 00:00:00 None Yes 2003-12-29 00:00:00 2004-05-04 00:00:00 B B 800 0 0 0 0 050016937 A99999 N None None SFY2003-04
050001175 GENESIS DEVELOPMENTAL SERVICES - SALISBURY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2004-02-11 00:00:00 050001598 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Other WILLFUL FALSIFICATIO 2003-10-20 00:00:00 None No 2004-03-05 00:00:00 None WF None 1000 1000 -350 650 0 050017061 A99999 None None None SFY2003-04
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2004-03-11 00:00:00 050001599 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-24 00:00:00 None No 2004-04-07 00:00:00 None B None 1000 1000 -350 650 0 050017104 A99999 N None None SFY2003-04
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2004-07-07 00:00:00 050001600 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-04-29 00:00:00 None No 2004-07-29 00:00:00 None B None 500 500 0 500 0 050017428 A99999 N None None SFY2004-05
050000136 WORK TRAINING PROGRAM INC'S PROJECT INDEPENDENCE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2004-07-12 00:00:00 050001601 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-04 00:00:00 None No 2004-08-02 00:00:00 None B None 1000 1000 -350 650 0 050017161 A99999 N None None SFY2004-05
050001072 PEARL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2004-07-22 00:00:00 050001602 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-30 00:00:00 None Yes 2004-08-13 00:00:00 2004-08-04 00:00:00 B B 1000 500 0 500 0 050017346 A99999 N None None SFY2004-05
050001072 PEARL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2004-07-22 00:00:00 050001603 Closed Citation Citation B (HSC 1424) Administration None 2004-03-22 00:00:00 None No 2004-08-13 00:00:00 None B None 500 500 -175 325 0 050017472 A99999 N None None SFY2004-05
050000612 SEASHORE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2004-07-22 00:00:00 050001604 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-21 00:00:00 None Yes 2004-08-13 00:00:00 2004-08-04 00:00:00 B B 600 300 0 300 0 050017479 A99999 N None None SFY2004-05
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2004-09-02 00:00:00 050001605 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-08-18 00:00:00 None Yes 2004-09-27 00:00:00 2004-09-09 00:00:00 B B 500 250 0 250 0 050017527 A99999 N None None SFY2004-05
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2004-09-02 00:00:00 050001606 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-07 00:00:00 None Yes 2004-09-27 00:00:00 2004-09-09 00:00:00 B B 800 400 0 400 0 050017527 A99999 N None None SFY2004-05
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2004-09-13 00:00:00 050001607 Closed Citation Citation B (HSC 1424) Medication None 2004-01-05 00:00:00 None No 2004-10-05 00:00:00 None B None 800 800 -280 520 0 050017537 A99999 N None None SFY2004-05
050000248 ST. JOHN'S HOSPITAL CAMARILLO D/P SNF LTC SNF Skilled Nursing Facility Ventura 2004-09-17 00:00:00 050001608 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-17 00:00:00 None No 2004-10-12 00:00:00 None B None 400 400 -140 260 0 050017542 A99999 N None None SFY2004-05
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2004-09-21 00:00:00 050001609 Closed Citation Citation A (HSC 1424) Patient Care None 2003-11-16 00:00:00 None Yes 2004-10-13 00:00:00 2004-10-07 00:00:00 A A 18000 7750 0 7750 0 050016967 A99999 N None None SFY2004-05
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2004-09-21 00:00:00 050001610 Closed Citation Citation Willful Material Omission (HSC 1424(f)(1)) Patient Care None 2003-11-16 00:00:00 None Yes 2004-10-13 00:00:00 2004-10-07 00:00:00 WO WMO>$1000 2500 2500 0 2500 0 050016967 A99999 None None None SFY2004-05
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2004-09-27 00:00:00 050001611 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-28 00:00:00 None No 2004-10-20 00:00:00 None B None 1000 1000 -1000 0 0 050017560 A99999 N None None SFY2004-05
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2004-09-27 00:00:00 050001612 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-14 00:00:00 None No 2004-10-20 00:00:00 None B None 1000 1000 -1000 0 0 050017560 A99999 N None None SFY2004-05
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2004-09-27 00:00:00 050001613 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-15 00:00:00 None No 2004-10-20 00:00:00 None B None 1000 1000 -1000 0 0 050017563 A99999 N None None SFY2004-05
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2004-09-27 00:00:00 050001614 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-16 00:00:00 None No 2004-10-19 00:00:00 None B None 1000 1000 -1000 0 0 050017563 A99999 N None None SFY2004-05
050000718 CASA DEL SOL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2004-11-22 00:00:00 050001615 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-19 00:00:00 None No 2004-12-15 00:00:00 None B None 1000 1000 -350 650 0 050017650 A99999 N None None SFY2004-05
050000718 CASA DEL SOL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2004-11-22 00:00:00 050001616 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-01 00:00:00 2004-07-31 00:00:00 No 2004-12-15 00:00:00 None B None 1000 1000 -350 650 0 050017650 A99999 N None None SFY2004-05
050000718 CASA DEL SOL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2004-11-22 00:00:00 050001617 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-08-06 00:00:00 None No 2004-12-15 00:00:00 None B None 1000 1000 -350 650 0 050017650 A99999 N None None SFY2004-05
050000953 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Ventura 2005-01-10 00:00:00 050001618 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-06-02 00:00:00 None Yes 2005-02-07 00:00:00 2005-01-24 00:00:00 AA AA 25000 10000 0 10000 0 050017742 A99999 Y None None SFY2004-05
050000953 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Ventura 2005-01-10 00:00:00 050001619 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-10-20 00:00:00 None No 2005-02-07 00:00:00 None B None 300 300 0 300 0 050017743 A99999 N None None SFY2004-05
050000048 DANISH CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2005-01-20 00:00:00 050001620 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-01 00:00:00 None No 2005-02-11 00:00:00 None B None 1000 1000 -350 650 0 050017766 A99999 N None None SFY2004-05
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-01-21 00:00:00 050001621 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-04-05 00:00:00 None No 2005-02-11 00:00:00 None B None 100 100 0 100 0 050017187 A99999 N None None SFY2004-05
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-01-21 00:00:00 050001622 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-08-11 00:00:00 None No 2005-02-11 00:00:00 None B None 200 200 -70 130 0 050017187 A99999 N None None SFY2004-05
050000898 JESSICA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-01-21 00:00:00 050001623 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-11-14 00:00:00 None No 2005-02-11 00:00:00 None B None 100 100 0 100 0 050017769 A99999 N None None SFY2004-05
050000604 MOONSTONE HOME ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-02-09 00:00:00 050001624 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-03 00:00:00 None No 2005-03-07 00:00:00 None B None 500 500 -175 325 0 050017796 A99999 N None None SFY2004-05
050001347 PEREIRA DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-02-23 00:00:00 050001625 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-12 00:00:00 None No 2005-03-21 00:00:00 None B None 800 800 -280 520 0 050017797 A99999 N None None SFY2004-05
050000610 PELICAN HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-05-04 00:00:00 050001626 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-09 00:00:00 2004-09-09 00:00:00 No 2005-06-07 00:00:00 None B None 800 800 0 800 0 050017802 A99999 N None None SFY2004-05
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2005-05-25 00:00:00 050001628 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-27 00:00:00 2005-04-27 00:00:00 No 2005-06-27 00:00:00 None B None 800 800 -280 520 0 050017803 A99999 N None None SFY2004-05
050000070 SIMI HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2005-08-09 00:00:00 050001629 Closed Citation Citation A (HSC 1424) Patient Care None 2004-12-09 00:00:00 2004-12-09 00:00:00 No 2005-09-02 00:00:00 None A None 3000 3000 -1050 1950 0 050017808 A99999 N None None SFY2005-06
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2005-09-21 00:00:00 050001630 Closed Citation Citation A (HSC 1424) Medication None 2005-01-20 00:00:00 2005-01-20 00:00:00 Yes 2005-10-18 00:00:00 2008-04-08 00:00:00 A A 18000 18000 0 18000 0 050017812 A99999 N None None SFY2005-06
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2005-09-21 00:00:00 050001631 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-12-15 00:00:00 2004-12-15 00:00:00 No 2005-10-18 00:00:00 None B None 1000 1000 -350 650 0 050017814 A99999 N None None SFY2005-06
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2005-09-21 00:00:00 050001632 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-27 00:00:00 2005-01-27 00:00:00 No 2005-10-18 00:00:00 None B None 800 800 -280 520 0 050017814 A99999 N None None SFY2005-06
050001158 OUR LADY OF GUADALUPE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-09-22 00:00:00 050001633 Closed Citation Citation B (HSC 1424) Physical Environment None 2005-06-21 00:00:00 2005-06-21 00:00:00 No 2005-10-14 00:00:00 None B None 800 800 0 800 0 050017815 A99999 N None None SFY2005-06
050000929 JOANNE COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-09-22 00:00:00 050001634 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-16 00:00:00 2005-08-16 00:00:00 No 2005-10-18 00:00:00 None B None 200 200 0 200 0 050017816 A99999 N None None SFY2005-06
050000070 SIMI HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2005-11-10 00:00:00 050001635 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-25 00:00:00 2005-03-25 00:00:00 No 2005-12-07 00:00:00 None B None 1000 1000 -350 650 0 050017840 A99999 N CA00043412 C SFY2005-06
050000718 CASA DEL SOL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-11-22 00:00:00 050001636 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-19 00:00:00 2005-02-19 00:00:00 Yes 2005-12-19 00:00:00 2005-11-28 00:00:00 B None 1000 3000 -3000 0 0 050017841 A99999 N None None SFY2005-06
050000070 SIMI HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2005-11-22 00:00:00 050001637 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-01 00:00:00 2004-04-01 00:00:00 Yes 2005-12-19 00:00:00 2005-12-07 00:00:00 B B 500 250 0 250 0 050017842 A99999 N None None SFY2005-06
050001278 MOORPARK HEALTHCARE CENTER LTC CLHF Congregate Living Health Facility Ventura 2005-12-13 00:00:00 050001638 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-08-27 00:00:00 2005-08-27 00:00:00 No 2006-01-09 00:00:00 None B None 250 250 0 250 0 050017844 A99999 N None None SFY2005-06
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2005-12-23 00:00:00 050001639 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-03-17 00:00:00 2005-03-17 00:00:00 Yes 2006-02-17 00:00:00 2005-12-27 00:00:00 B B 800 400 0 400 0 050017846 A99999 N None None SFY2005-06
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2005-12-23 00:00:00 050001640 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-02 00:00:00 2005-04-02 00:00:00 Yes 2006-02-17 00:00:00 2005-12-27 00:00:00 B B 800 400 0 400 0 050017847 A99999 N None None SFY2005-06
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2005-12-22 00:00:00 050001641 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-12 00:00:00 2005-03-12 00:00:00 No 2006-01-17 00:00:00 None B None 600 600 -210 390 0 050017848 A99999 N None None SFY2005-06
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2005-12-22 00:00:00 050001642 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-27 00:00:00 2005-04-27 00:00:00 No 2006-01-17 00:00:00 None B None 800 800 -280 520 0 050017849 A99999 N None None SFY2005-06
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2006-01-05 00:00:00 050001643 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-12-11 00:00:00 2005-12-11 00:00:00 No 2006-01-27 00:00:00 None B None 500 500 -175 325 0 050017850 A99999 N None None SFY2005-06
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-03-15 00:00:00 050002930 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-30 00:00:00 2005-12-30 00:00:00 No 2006-04-06 00:00:00 None B None 1000 1000 -350 650 0 None 2QL011 N CA00069275 C SFY2005-06
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-03-15 00:00:00 050002932 Closed Citation Citation B (HSC 1424) Administration None 2005-02-02 00:00:00 2005-02-02 00:00:00 No 2006-04-06 00:00:00 None B None 800 800 -280 520 0 None 2QL011 N None None SFY2005-06
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-03-17 00:00:00 050002963 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-23 00:00:00 2005-06-23 00:00:00 No 2006-04-10 00:00:00 None B None 800 800 -280 520 0 None 1T6U11 N CA00053618 C SFY2005-06
050001041 HORIZON HOUSE I LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-03-21 00:00:00 050002972 Closed Citation Citation A (HSC 1424) Patient Care None 2006-02-16 00:00:00 2006-02-16 00:00:00 No 2006-04-12 00:00:00 None A None 8000 8000 -2800 5200 0 None U6U511 N CA00072760 B SFY2005-06
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2006-04-06 00:00:00 050003015 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-14 00:00:00 2005-06-14 00:00:00 No 2006-04-27 00:00:00 None B None 1000 1000 -350 650 0 None JZ0911 N CA00052868 C SFY2005-06
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2006-04-06 00:00:00 050003016 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-12 00:00:00 2004-12-12 00:00:00 No 2006-04-27 00:00:00 None B None 1000 1000 -350 650 0 None LK2411 N CA00054325 C SFY2005-06
050000990 POTOMAC COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-06-28 00:00:00 050003181 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-09-10 00:00:00 2005-09-10 00:00:00 Yes 2006-07-20 00:00:00 2009-09-10 00:00:00 A Drop>Deficiency 1500 0 0 0 0 None Z0S611 N None None SFY2005-06
050000990 POTOMAC COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-06-28 00:00:00 050003182 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-04-15 00:00:00 2006-04-15 00:00:00 Yes 2006-07-20 00:00:00 2006-07-06 00:00:00 B B 250 125 0 125 0 None Z0S611 N None None SFY2005-06
050001347 PEREIRA DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-08-15 00:00:00 050003280 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-12-05 00:00:00 2005-12-05 00:00:00 Yes 2006-09-06 00:00:00 2006-08-29 00:00:00 B B 200 100 0 100 0 None IMUR11 N CA00073810, CA00084595 C, C SFY2006-07
050001347 PEREIRA DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-08-15 00:00:00 050003282 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-05 00:00:00 2005-12-05 00:00:00 Yes 2006-09-06 00:00:00 2006-08-29 00:00:00 B B 300 150 0 150 0 None IMUR11 N CA00084595 C SFY2006-07
050000604 MOONSTONE HOME ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-08-14 00:00:00 050003283 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-30 00:00:00 2006-05-30 00:00:00 No 2006-09-05 00:00:00 None B None 1000 1000 -350 650 0 None 1LTE11 N CA00083159 C SFY2006-07
050001021 GOLETA VALLEY COTTAGE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Ventura 2006-09-07 00:00:00 050003323 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-20 00:00:00 2005-12-20 00:00:00 No 2006-09-28 00:00:00 None B None 300 300 -105 195 0 None GX4K11 N CA00068549 C SFY2006-07
050000061 SAMARKAND SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Ventura 2006-09-14 00:00:00 050003342 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-15 00:00:00 2005-03-15 00:00:00 No 2006-10-05 00:00:00 None B None 1000 1000 -350 650 0 None TCG911 N CA00044146 C SFY2006-07
050000678 LA PALOMA GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-10-02 00:00:00 050003383 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-22 00:00:00 2006-08-22 00:00:00 No 2006-10-24 00:00:00 None B None 800 800 -280 520 0 None BLLL11 N None None SFY2006-07
050000678 LA PALOMA GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-10-02 00:00:00 050003384 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-08-18 00:00:00 2006-08-18 00:00:00 No 2006-10-24 00:00:00 None B None 200 200 -70 130 0 None BLLL11 N None None SFY2006-07
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-10-27 00:00:00 050003453 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-10-17 00:00:00 2006-10-17 00:00:00 No 2006-11-20 00:00:00 None B None 800 800 -280 520 0 None Q3GG11 N CA00096617 B SFY2006-07
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-10-31 00:00:00 050003456 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-05 00:00:00 2005-01-05 00:00:00 Yes 2006-11-22 00:00:00 2006-11-16 00:00:00 B B 800 800 0 800 0 None LD2H11 N CA00039095 C SFY2006-07
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-07 00:00:00 050003462 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-29 00:00:00 2005-04-29 00:00:00 No 2006-12-01 00:00:00 None B None 800 800 -280 520 0 None OEOU11 N CA00047342 C SFY2006-07
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-07 00:00:00 050003464 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-01 00:00:00 2006-04-01 00:00:00 No 2006-12-01 00:00:00 None B None 800 800 -280 520 0 None 7R9P11 N CA00077468 C SFY2006-07
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2006-11-08 00:00:00 050003469 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-12 00:00:00 2004-12-12 00:00:00 No 2006-12-04 00:00:00 None B None 800 800 -280 520 0 None EKYW11 N CA00037194 C SFY2006-07
050000045 CASA DE VIDA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-11-08 00:00:00 050003471 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-11 00:00:00 2006-03-11 00:00:00 Yes 2006-12-04 00:00:00 2006-11-16 00:00:00 B B 600 300 0 300 0 None POK211 N CA00077672, CA00077701 C, C SFY2006-07
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-09 00:00:00 050003481 Closed Citation Citation B (HSC 1424) Other Not Reporting Unusual Occ 2006-01-19 00:00:00 2006-01-19 00:00:00 No 2006-12-05 00:00:00 None B None 1000 1000 0 1000 0 None 0OX311 N CA00095367 C SFY2006-07
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-09 00:00:00 050003482 Closed Citation Citation A (HSC 1424) Patient Care None 2006-09-12 00:00:00 2006-09-12 00:00:00 No 2006-12-05 00:00:00 None A None 5000 5000 0 5000 0 None 0OX311 N CA00093092 C SFY2006-07
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-09 00:00:00 050003483 Closed Citation Citation A (HSC 1424) Other Neglect 2006-01-19 00:00:00 2006-01-19 00:00:00 No 2006-12-05 00:00:00 None A None 5000 5000 0 5000 0 None 0OX311 N CA00095367 C SFY2006-07
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-20 00:00:00 050003491 Closed Citation Citation A (HSC 1424) Patient Care None 2006-03-06 00:00:00 2006-03-06 00:00:00 Yes 2006-12-13 00:00:00 2006-12-08 00:00:00 A A 16000 8000 0 8000 0 None V6S311 N CA00076935 C SFY2006-07
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-20 00:00:00 050003492 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-18 00:00:00 2006-10-18 00:00:00 Yes 2007-01-12 00:00:00 2006-12-08 00:00:00 B B 800 500 0 500 0 None 3NN911 N CA00095338 B SFY2006-07
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-20 00:00:00 050003493 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-27 00:00:00 2006-07-27 00:00:00 Yes 2007-01-12 00:00:00 2006-12-08 00:00:00 B B 500 200 0 200 0 None 3NN911 N CA00095338 B SFY2006-07
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-21 00:00:00 050003506 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-04 00:00:00 2006-06-04 00:00:00 No 2006-12-14 00:00:00 None A None 5000 5000 -1750 3250 0 None 5C6B11 N CA00084704 C SFY2006-07
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2006-11-22 00:00:00 050003511 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-18 00:00:00 2006-09-18 00:00:00 No 2006-12-15 00:00:00 None B None 1000 1000 -350 650 0 None 40J511 N CA00093944 C SFY2006-07
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2006-11-22 00:00:00 050003512 Closed Citation Citation B (HSC 1424) Staffing None 2006-09-18 00:00:00 2006-09-18 00:00:00 No 2006-12-15 00:00:00 None B None 400 400 -140 260 0 None 7XD311 N None None SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-22 00:00:00 050003517 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-04 00:00:00 2006-10-04 00:00:00 No 2006-12-15 00:00:00 None B None 1000 1000 -350 650 0 None ZK6V11 N CA00095221, CA00095308 A, A SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2006-11-22 00:00:00 050003518 Closed Citation Citation B (HSC 1424) Other Failure to Report 2006-10-04 00:00:00 2006-10-04 00:00:00 No 2006-12-15 00:00:00 None B None 1000 1000 -350 650 0 None ZK6V11 N CA00095221, CA00095308 A, A SFY2006-07
050000045 CASA DE VIDA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-11-28 00:00:00 050003528 Closed Citation Citation AA (HSC 1424) Patient Rights None 2006-09-20 00:00:00 2006-09-20 00:00:00 Yes 2006-12-19 00:00:00 2007-09-12 00:00:00 AA A 25000 10000 0 10000 0 None MFWL11 Y CA00094033, CA00094056 B, B SFY2006-07
050000836 SUNSET COMMUNITY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2006-12-12 00:00:00 050003561 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-06-25 00:00:00 2006-06-25 00:00:00 Yes 2007-01-04 00:00:00 2006-12-26 00:00:00 A A 10000 5000 0 5000 0 None X1FQ11 N CA00084729, CA00084756, CA00085010 B, B, B SFY2006-07
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2006-12-08 00:00:00 050003562 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-08-10 00:00:00 2006-08-10 00:00:00 No 2007-01-02 00:00:00 None B None 1000 1000 0 1000 0 None ZHKQ11 N CA00090184, CA00094846 C, C SFY2006-07
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2006-12-08 00:00:00 050003563 Closed Citation Citation B (HSC 1424) Other Neglect 2006-08-10 00:00:00 2006-08-10 00:00:00 No 2007-01-02 00:00:00 None B None 1000 1000 0 1000 0 None ZHKQ11 N CA00090184, CA00094846 C, C SFY2006-07
050000062 THE CALIFORNIAN LTC SNF Skilled Nursing Facility Ventura 2006-12-12 00:00:00 050003564 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-16 00:00:00 2006-11-16 00:00:00 No 2007-01-04 00:00:00 None B None 1000 1000 -350 650 0 None WFI011 N CA00099091 B SFY2006-07
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2006-12-13 00:00:00 050003566 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-10 00:00:00 2006-05-10 00:00:00 Yes 2007-01-05 00:00:00 2006-12-20 00:00:00 B B 1000 500 0 500 0 None N7XL11 N CA00080486 B SFY2006-07
050000048 DANISH CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-01-11 00:00:00 050003627 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-26 00:00:00 2006-07-26 00:00:00 No 2007-02-01 00:00:00 None B None 1000 1000 -350 650 0 None 9G6S11 N CA00088137 B SFY2006-07
050000048 DANISH CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-01-11 00:00:00 050003628 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-03 00:00:00 2006-10-03 00:00:00 No 2007-02-01 00:00:00 None B None 1000 1000 -350 650 0 None GC6B11 N CA00094713 B SFY2006-07
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2007-01-18 00:00:00 050003640 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-11-20 00:00:00 2006-11-20 00:00:00 No 2007-02-08 00:00:00 None B None 300 300 0 300 0 None WN5211 N CA00099833 C SFY2006-07
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2007-01-18 00:00:00 050003641 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-26 00:00:00 2006-10-26 00:00:00 No 2007-02-08 00:00:00 None B None 600 600 0 600 0 None WN5211 N CA00099833 C SFY2006-07
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2007-01-18 00:00:00 050003642 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-11-20 00:00:00 2006-11-20 00:00:00 No 2007-02-08 00:00:00 None B None 1000 1000 0 1000 0 None WN5211 N CA00099833 C SFY2006-07
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2007-01-18 00:00:00 050003644 Closed Citation Citation B (HSC 1424) Medication None 2006-10-31 00:00:00 2006-10-31 00:00:00 No 2007-02-08 00:00:00 None B None 1000 1000 -350 650 0 None YOR811 N CA00097552, CA00097845 C, B SFY2006-07
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2007-01-25 00:00:00 050003660 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-06 00:00:00 2006-11-06 00:00:00 No 2007-02-15 00:00:00 None B None 1000 1000 -350 650 0 None XJOV11 N CA00097915 B SFY2006-07
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2007-01-25 00:00:00 050003661 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-22 00:00:00 2006-11-22 00:00:00 No 2007-02-15 00:00:00 None B None 800 800 -280 520 0 None XJOV11 N CA00099424 C SFY2006-07
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2007-01-25 00:00:00 050003662 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-11 00:00:00 2006-11-11 00:00:00 No 2007-02-15 00:00:00 None B None 1000 1000 -350 650 0 None XJOV11 N CA00099028 B SFY2006-07
050000050 GLENWOOD CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-02-02 00:00:00 050003673 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-11 00:00:00 2006-08-11 00:00:00 No 2007-02-23 00:00:00 None B None 1000 1000 0 1000 0 None 2YE611 N CA00092047 C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-02-01 00:00:00 050003675 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-02 00:00:00 2005-09-02 00:00:00 No 2007-02-26 00:00:00 None A None 5000 5000 0 5000 0 None OLEQ11 N CA00061909 C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-02-16 00:00:00 050003714 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-19 00:00:00 2006-07-19 00:00:00 No 2007-03-12 00:00:00 None B None 800 800 -280 520 0 None W8P311 N CA00077434 C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-01 00:00:00 050003718 Closed Citation Citation B (HSC 1424) Administration None 2006-09-29 00:00:00 2006-09-29 00:00:00 No 2007-03-22 00:00:00 None B None 800 800 -280 520 0 None LLIS11 N CA00066330 C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-08-03 00:00:00 050003719 Closed Citation Citation A (HSC 1424) Patient Care None 2006-02-13 00:00:00 2006-02-13 00:00:00 No 2007-08-24 00:00:00 None A None 20000 20000 -7000 13000 0 None 1ED711 N CA00073803 C SFY2007-08
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-09 00:00:00 050003721 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-02-23 00:00:00 2006-02-23 00:00:00 No 2007-03-30 00:00:00 None B None 1000 3000 -1050 1950 0 None DYPH11 N CA00073574, CA00074225 C, C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-09 00:00:00 050003723 Closed Citation Citation A (HSC 1424) Administration None 2004-02-16 00:00:00 2004-02-16 00:00:00 No 2007-03-30 00:00:00 None A None 10000 10000 -3500 6500 0 None DYPH11 N CA00073574, CA00074225 C, C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-09 00:00:00 050003724 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-02-22 00:00:00 2006-02-22 00:00:00 No 2007-03-30 00:00:00 None A None 20000 20000 -7000 13000 0 None DYPH11 N CA00073574, CA00074225 C, C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-01 00:00:00 050003725 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-16 00:00:00 2006-03-16 00:00:00 No 2007-03-22 00:00:00 None B None 500 500 -175 325 0 None 3Q0211 N CA00075794 C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-04-13 00:00:00 050003726 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-15 00:00:00 2006-04-15 00:00:00 No 2010-05-07 00:00:00 None B None 800 800 -280 520 0 None NN4O11 N CA00082548 C SFY2009-10
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2008-06-05 00:00:00 050003727 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Other Willful Material Falsific 2006-09-19 00:00:00 2006-09-19 00:00:00 No 2008-06-26 00:00:00 None WF None 2500 2500 -875 1625 0 None 6KJB11 None None None SFY2007-08
050000069 VALLE VERDE HEALTH FACILITY LTC SNF Skilled Nursing Facility Ventura 2007-08-02 00:00:00 050003728 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-15 00:00:00 2006-06-15 00:00:00 Yes 2007-08-23 00:00:00 2009-08-20 00:00:00 A Drop>Deficiency 8000 2000 0 2000 0 None 97W811 N CA00083899 C SFY2007-08
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2007-02-22 00:00:00 050003729 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-09 00:00:00 2006-06-09 00:00:00 No 2007-03-15 00:00:00 None A None 20000 20250 -7000 13250 0 None 77HK11 N CA00083618 C SFY2006-07
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2007-10-29 00:00:00 050003730 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-11 00:00:00 2006-06-11 00:00:00 No 2007-11-20 00:00:00 None A None 10000 10000 -3500 6500 0 None J6EI11 N CA00087725, CA00088800 C, C SFY2007-08
050000062 THE CALIFORNIAN LTC SNF Skilled Nursing Facility Ventura 2007-03-06 00:00:00 050003731 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-12 00:00:00 2006-11-12 00:00:00 Yes 2007-03-27 00:00:00 2007-03-16 00:00:00 B B 1000 1000 0 1000 0 None 6WS511 N CA00098538 C SFY2006-07
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2008-05-27 00:00:00 050003732 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-20 00:00:00 2006-07-20 00:00:00 No 2008-06-23 00:00:00 None B None 1000 1000 -350 650 0 None PXTD11 N CA00097222, CA00097976 C, A SFY2007-08
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2007-05-23 00:00:00 050003735 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-01 00:00:00 2006-06-01 00:00:00 No 2007-06-13 00:00:00 None B None 1000 1000 -350 650 0 None O7ZJ11 N CA00082668, CA00083141 C, C SFY2006-07
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-21 00:00:00 050003736 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-10 00:00:00 2006-11-10 00:00:00 No 2007-04-11 00:00:00 None B None 1000 1000 -350 650 0 None 1E5M11 N CA00099034 C SFY2006-07
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2007-07-13 00:00:00 050003737 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-21 00:00:00 2006-05-21 00:00:00 Yes 2007-08-03 00:00:00 2007-07-30 00:00:00 B None 1000 1000 0 1000 0 None 3PIV11 N CA00091649 C SFY2007-08
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2007-07-13 00:00:00 050003738 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-17 00:00:00 2006-08-17 00:00:00 Yes 2007-10-25 00:00:00 2007-07-30 00:00:00 A None 18000 18000 0 18000 0 None 3PIV11 N CA00091649 C SFY2007-08
050000612 SEASHORE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2007-10-16 00:00:00 050003740 Closed Citation Citation B (HSC 1424) Administration None 2006-07-31 00:00:00 2006-07-31 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 0 1000 0 None V4WQ11 N CA00089083, CA00090170 B, B SFY2007-08
050000612 SEASHORE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2007-10-16 00:00:00 050003741 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-29 00:00:00 2006-07-29 00:00:00 No 2007-11-08 00:00:00 None B None 300 300 0 300 0 None V4WQ11 N None None SFY2007-08
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-01 00:00:00 050003742 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-08 00:00:00 2007-02-08 00:00:00 No 2007-03-22 00:00:00 None B None 500 1500 0 1500 0 None XGBV11 N CA00106110 C SFY2006-07
050000720 ORCUTT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2007-03-07 00:00:00 050003769 Closed Citation Citation B (HSC 1424) Medication None 2006-09-29 00:00:00 2006-09-29 00:00:00 Yes 2007-03-28 00:00:00 2007-03-15 00:00:00 B B 500 500 0 500 0 None 8YTT11 N CA00096211 B SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-09 00:00:00 050003783 Closed Citation Citation B (HSC 1424) Administration None 2006-05-27 00:00:00 2006-05-27 00:00:00 No 2007-03-30 00:00:00 None B None 1000 1000 -350 650 0 None QW8I11 N CA00082332, CA00082357 C, C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-09 00:00:00 050003784 Closed Citation Citation B (HSC 1424) Administration None 2004-12-29 00:00:00 2004-12-29 00:00:00 No 2007-03-30 00:00:00 None B None 1000 1000 -350 650 0 None QW8I11 N CA00082332, CA00082357 C, C SFY2006-07
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-20 00:00:00 050003785 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-18 00:00:00 2005-12-18 00:00:00 No 2007-04-10 00:00:00 None B None 800 2400 -840 1560 0 None XVX011 N CA00068226 C SFY2006-07
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2007-03-12 00:00:00 050003786 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-06 00:00:00 2006-11-06 00:00:00 Yes 2007-04-02 00:00:00 2007-03-13 00:00:00 A None 10000 10000 -3500 6500 0 None DQJX11 Y CA00098893 C SFY2006-07
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-11-20 00:00:00 050003814 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-05 00:00:00 2007-01-05 00:00:00 No 2007-12-17 00:00:00 None A None 12000 12000 -4200 7800 0 None NXSD11 N CA00105204 C SFY2007-08
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-03-21 00:00:00 050003833 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-16 00:00:00 2006-11-16 00:00:00 No 2007-04-11 00:00:00 None B None 1000 1000 -350 650 0 None 1E5M11 N CA00099034 C SFY2006-07
050000871 MAGNOLIA COMMUNITY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2007-11-06 00:00:00 050003868 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-04-18 00:00:00 2006-04-18 00:00:00 Yes 2007-12-04 00:00:00 2007-11-19 00:00:00 B B 1000 500 0 500 0 None M2MF11 N CA00088325 C SFY2007-08
050000871 MAGNOLIA COMMUNITY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2007-11-06 00:00:00 050003869 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-04-29 00:00:00 2006-04-29 00:00:00 Yes 2007-11-30 00:00:00 2009-09-08 00:00:00 A A 2000 2000 0 2000 0 None M2MF11 N CA00079682 C SFY2007-08
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-07-11 00:00:00 050003876 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-07-28 00:00:00 2006-07-28 00:00:00 No 2007-08-01 00:00:00 None B None 800 800 0 800 0 None U2XR11 N None None SFY2007-08
050000074 VILLA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2007-10-31 00:00:00 050003910 Closed Citation Citation A (HSC 1424) Medication None 2007-03-06 00:00:00 2007-03-06 00:00:00 No 2007-11-26 00:00:00 None A None 5000 5000 -1750 3250 0 None 3DQW11 N CA00111629 B SFY2007-08
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2008-12-18 00:00:00 050003921 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-15 00:00:00 2006-08-15 00:00:00 No 2009-01-14 00:00:00 None A None 7500 7500 -2625 4875 0 None 4ZW511 N CA00090257 C SFY2008-09
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-07-06 00:00:00 050003962 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-30 00:00:00 2007-01-30 00:00:00 No 2007-07-27 00:00:00 None B None 800 800 -280 520 0 None 73R411 N CA00111181 C SFY2007-08
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-08-10 00:00:00 050003966 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-04 00:00:00 2006-11-04 00:00:00 Yes 2007-08-31 00:00:00 2007-08-23 00:00:00 B Drop>Deficiency 800 800 0 800 0 None 6NOP11 N CA00100028 B SFY2007-08
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2007-07-12 00:00:00 050003971 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-28 00:00:00 2007-04-28 00:00:00 No 2007-08-02 00:00:00 None A None 18000 18000 -6300 11700 0 None 4QXD11 N CA00113668 B SFY2007-08
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-08-10 00:00:00 050003974 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-05 00:00:00 2006-11-05 00:00:00 Yes 2007-08-31 00:00:00 2007-08-23 00:00:00 B Drop>Deficiency 500 500 0 500 0 None 6NOP11 N CA00100028 B SFY2007-08
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-08-10 00:00:00 050003975 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-13 00:00:00 2007-02-13 00:00:00 Yes 2007-08-31 00:00:00 2007-08-23 00:00:00 B B 300 300 0 300 0 None QNXD11 N CA00106627, CA00108256 C, C SFY2007-08
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-08-10 00:00:00 050003976 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-13 00:00:00 2007-02-13 00:00:00 Yes 2007-08-31 00:00:00 2007-08-23 00:00:00 B B 1000 1000 0 1000 0 None QNXD11 N CA00106627, CA00108256 C, C SFY2007-08
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-05-29 00:00:00 050003991 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-27 00:00:00 2007-01-27 00:00:00 No 2007-06-19 00:00:00 None B None 800 850 -280 570 0 None O38211 N CA00107185 C SFY2006-07
050000069 VALLE VERDE HEALTH FACILITY LTC SNF Skilled Nursing Facility Ventura 2007-07-12 00:00:00 050004064 Closed Citation Citation A (HSC 1424) Patient Care None 2007-03-01 00:00:00 2007-03-01 00:00:00 Yes 2007-08-09 00:00:00 2009-08-20 00:00:00 A B 8000 3000 0 3000 0 None YB8V11 N None None SFY2007-08
050000611 SANDPIPER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2007-08-29 00:00:00 050004066 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-26 00:00:00 2007-06-26 00:00:00 No 2007-09-20 00:00:00 None B None 1000 1000 -350 650 0 None Y39911 N CA00117809, CA00118623 C, B SFY2007-08
050000061 SAMARKAND SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Ventura 2007-07-12 00:00:00 050004083 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-09-08 00:00:00 2006-09-08 00:00:00 No 2007-08-02 00:00:00 None B None 1000 1000 -350 650 0 None ZN8N11 N None None SFY2007-08
050000061 SAMARKAND SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Ventura 2007-07-12 00:00:00 050004094 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-04-28 00:00:00 2006-04-28 00:00:00 No 2007-08-02 00:00:00 None B None 900 900 -315 585 0 None 8YLK11 N CA00079826 C SFY2007-08
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2007-08-30 00:00:00 050004173 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-30 00:00:00 2006-07-30 00:00:00 No 2007-09-21 00:00:00 None A None 10000 10000 -3500 6500 0 None OSTW11 N CA00088756, CA00090392 C, C SFY2007-08
050000049 GREENFIELD CARE CENTER OF FILLMORE, LLC LTC SNF Skilled Nursing Facility Ventura 2007-08-17 00:00:00 050004195 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-07-28 00:00:00 2007-07-28 00:00:00 No 2007-09-10 00:00:00 None B None 100 100 0 100 0 None PN4711 N CA00122323 B SFY2007-08
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-11-20 00:00:00 050004205 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-04 00:00:00 2007-01-04 00:00:00 No 2007-12-17 00:00:00 None B None 1000 1000 -350 650 0 None NXSD11 N CA00105204 C SFY2007-08
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2008-10-24 00:00:00 050004214 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-09 00:00:00 2007-04-09 00:00:00 Yes 2008-11-19 00:00:00 2008-11-05 00:00:00 B None 1000 1250 0 1250 0 None Y4FF11 N CA00113470 B SFY2008-09
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-09-05 00:00:00 050004235 Closed Citation Citation B (HSC 1424) Staffing None 2007-01-01 00:00:00 2007-01-01 00:00:00 No 2007-09-26 00:00:00 None B None 1000 1000 0 1000 0 None C8WL11 N None None SFY2007-08
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2007-10-17 00:00:00 050004272 Closed Citation Citation B (HSC 1424) Staffing None 2007-08-20 00:00:00 2007-08-20 00:00:00 No 2007-11-07 00:00:00 None B None 1000 1000 -350 650 0 None HJR611 N None None SFY2007-08
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-09-28 00:00:00 050004305 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-20 00:00:00 2007-01-20 00:00:00 Yes 2007-10-26 00:00:00 2007-10-02 00:00:00 B Dismissed by Court 700 0 0 0 0 None 9DDH11 N CA00104536 C SFY2007-08
050001175 GENESIS DEVELOPMENTAL SERVICES - SALISBURY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2008-05-21 00:00:00 050004309 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-05 00:00:00 2007-06-05 00:00:00 No 2008-06-17 00:00:00 None B None 800 800 -280 520 0 None P5L911 N CA00116730, CA00116855 B, C SFY2007-08
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-10-26 00:00:00 050004310 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-09-06 00:00:00 2007-09-06 00:00:00 No 2007-11-19 00:00:00 None B None 1000 1000 -350 650 0 None DGEQ11 N CA00126738 B SFY2007-08
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-10-26 00:00:00 050004311 Closed Citation Citation B (HSC 1424) Patient Care Mistreatment/Neglect 2007-09-25 00:00:00 2007-09-25 00:00:00 No 2007-11-19 00:00:00 None B None 1000 1000 -350 650 0 None CUF211 N CA00127641 H SFY2007-08
050001152 SAN LUIS OBISPO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2007-11-06 00:00:00 050004312 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-08-26 00:00:00 2007-08-26 00:00:00 Yes 2007-12-04 00:00:00 2007-11-14 00:00:00 B B 600 600 0 600 0 None RBDE11 N CA00127722 A SFY2007-08
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2007-11-01 00:00:00 050004315 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-13 00:00:00 2007-08-13 00:00:00 No 2007-11-27 00:00:00 None B None 800 800 -280 520 0 None D4VN11 N CA00125518 C SFY2007-08
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-11-21 00:00:00 050004396 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-06 00:00:00 2007-10-06 00:00:00 No 2007-12-17 00:00:00 None B None 1000 3000 -1050 1950 0 None 7SNN11 N CA00128659 C SFY2007-08
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2007-11-05 00:00:00 050004426 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-14 00:00:00 2006-07-14 00:00:00 No 2007-11-29 00:00:00 None A None 8000 8000 -2800 5200 0 None 104Z11 N CA00091669 C SFY2007-08
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-12-13 00:00:00 050004452 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-11 00:00:00 2007-10-11 00:00:00 No 2008-01-14 00:00:00 None B None 1000 1000 -350 650 0 None GLVG11 N CA00129492, CA00129996 C, C SFY2007-08
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-11-20 00:00:00 050004457 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-05 00:00:00 2007-01-05 00:00:00 No 2007-12-17 00:00:00 None B None 1000 1000 -350 650 0 None NXSD11 N CA00105204 C SFY2007-08
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-11-20 00:00:00 050004458 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-06 00:00:00 2007-01-06 00:00:00 No 2007-12-17 00:00:00 None B None 1000 1000 -350 650 0 None NXSD11 N CA00105204 C SFY2007-08
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2007-11-20 00:00:00 050004459 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-08 00:00:00 2007-01-08 00:00:00 No 2007-12-17 00:00:00 None B None 1000 1000 -350 650 0 None NXSD11 N CA00105204 C SFY2007-08
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2008-09-03 00:00:00 050004520 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-22 00:00:00 2007-06-22 00:00:00 Yes 2008-09-29 00:00:00 2008-09-18 00:00:00 B Drop>Deficiency 1000 1315 -700 615 0 None 35VN11 N CA00121278 B SFY2008-09
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2008-09-03 00:00:00 050004521 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-28 00:00:00 2007-06-28 00:00:00 Yes 2008-09-29 00:00:00 2008-09-18 00:00:00 B Drop>Deficiency 1000 1315 -700 615 0 None 35VN11 N CA00121278 B SFY2008-09
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2008-09-03 00:00:00 050004522 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-08 00:00:00 2007-06-08 00:00:00 Yes 2008-09-29 00:00:00 2008-09-18 00:00:00 B Drop>Deficiency 1000 615 0 615 0 None 35VN11 N CA00121278 B SFY2008-09
050000074 VILLA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2008-07-18 00:00:00 050004614 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-06 00:00:00 2005-05-06 00:00:00 No 2008-08-12 00:00:00 None B None 600 600 -210 390 0 None EDO911 N CA00048627 C SFY2008-09
050000074 VILLA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2008-07-18 00:00:00 050004615 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-09 00:00:00 2007-08-09 00:00:00 No 2008-08-12 00:00:00 None B None 600 600 -210 390 0 None 9DKZ11 N CA00123544 C SFY2008-09
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2008-02-01 00:00:00 050004633 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-16 00:00:00 2006-09-16 00:00:00 Yes 2008-03-04 00:00:00 2008-02-21 00:00:00 B B 800 800 0 800 0 None 6UDQ11 N CA00093960 C SFY2007-08
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2008-05-20 00:00:00 050004682 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-02 00:00:00 2006-04-02 00:00:00 No 2008-06-13 00:00:00 None B None 1000 1350 -350 1000 0 None J6JR11 N CA00076895 C SFY2007-08
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2008-06-10 00:00:00 050004712 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-11 00:00:00 2008-02-11 00:00:00 No 2008-07-08 00:00:00 None B None 1000 1000 -350 650 0 None QRNW11 N CA00139273 C SFY2007-08
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2008-04-16 00:00:00 050004766 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-12 00:00:00 2008-02-12 00:00:00 No 2008-05-14 00:00:00 None B None 800 800 0 800 0 None WSZD11 N None None SFY2007-08
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2008-06-10 00:00:00 050004767 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-29 00:00:00 2008-02-29 00:00:00 No 2008-07-08 00:00:00 None B None 1000 1000 -350 650 0 None QRNW11 N CA00139273 C SFY2007-08
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2008-06-10 00:00:00 050004768 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-29 00:00:00 2008-02-29 00:00:00 No 2008-07-08 00:00:00 None B None 800 800 -280 520 0 None WSZD11 N None None SFY2007-08
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2008-04-16 00:00:00 050004792 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-06 00:00:00 2008-03-06 00:00:00 No 2008-05-07 00:00:00 None B None 400 400 -140 260 0 None 7Q1X11 N CA00141860 B SFY2007-08
050000004 MISSION PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2008-04-16 00:00:00 050004845 Closed Citation Citation A (HSC 1424) Patient Care None 2005-02-12 00:00:00 2005-02-12 00:00:00 No 2008-05-07 00:00:00 None A None 6000 6000 -2100 3900 0 None ZTZY11 N CA00137555 C SFY2007-08
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2008-07-14 00:00:00 050004851 Closed Citation Citation A (HSC 1424) Patient Care None 2008-02-26 00:00:00 2008-02-26 00:00:00 Yes 2008-08-15 00:00:00 2008-07-29 00:00:00 A None 10000 30000 0 30000 0 None 99B611 N CA00142300, CA00144105 C, C SFY2008-09
050000061 SAMARKAND SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Ventura 2008-04-10 00:00:00 050004864 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-08 00:00:00 2008-02-08 00:00:00 No 2008-05-07 00:00:00 None B None 800 800 0 800 0 None HX9E11 N CA00140660 C SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005014 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005015 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005016 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005017 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005018 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005019 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005020 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005021 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005022 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005023 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005024 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005025 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005026 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005027 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-24 00:00:00 2008-04-24 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005028 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-29 00:00:00 2008-04-29 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-06-17 00:00:00 050005029 Closed Citation Citation B (HSC 1424) Other Transfer/Discharge 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-07-11 00:00:00 None B None 1000 1000 -350 650 0 None N8Z011 N CA00149155 B SFY2007-08
050001041 HORIZON HOUSE I LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2008-05-21 00:00:00 050005059 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-17 00:00:00 2007-12-17 00:00:00 No 2008-06-12 00:00:00 None B None 800 800 -280 520 0 None 4V4S11 N CA00135667, CA00135720 B, B SFY2007-08
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-03-09 00:00:00 050005085 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-29 00:00:00 2008-01-29 00:00:00 No 2009-04-01 00:00:00 None A None 10000 10000 0 10000 0 None SRUZ11 N CA00140624 B SFY2008-09
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-01-06 00:00:00 050005086 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-12 00:00:00 2008-03-12 00:00:00 No 2010-02-01 00:00:00 None B None 1000 1000 -350 650 0 None H4VX11 N CA00144763 B SFY2009-10
050001288 ARROYO GRANDE COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Ventura 2008-06-10 00:00:00 050005097 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-05 00:00:00 2008-04-05 00:00:00 No 2008-07-10 00:00:00 None B None 1000 1000 0 1000 0 None 4R9N11 N CA00146471 B SFY2007-08
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-01-06 00:00:00 050005100 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-21 00:00:00 2008-03-21 00:00:00 No 2010-02-01 00:00:00 None B None 1000 1000 -350 650 0 None H4VX11 N CA00144763 B SFY2009-10
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-01-06 00:00:00 050005101 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-21 00:00:00 2008-03-21 00:00:00 No 2010-02-01 00:00:00 None A None 8000 8000 -2800 5200 0 None H4VX11 N CA00144763 B SFY2009-10
050001071 FARROLL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2008-07-08 00:00:00 050005137 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-09 00:00:00 2008-06-09 00:00:00 Yes 2008-08-01 00:00:00 2008-07-17 00:00:00 B B 675 337.5 0 337.5 0 None IIF811 N None None SFY2008-09
050000919 PETIT COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2008-10-28 00:00:00 050005199 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-14 00:00:00 2008-06-14 00:00:00 No 2008-11-20 00:00:00 None A None 3000 3000 -1050 1950 0 None 47WL11 N CA00154149 C SFY2008-09
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2008-10-29 00:00:00 050005204 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-30 00:00:00 2008-03-30 00:00:00 No 2008-11-21 00:00:00 None B None 600 600 -210 390 0 None LI2V11 N CA00146442 C SFY2008-09
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2008-10-29 00:00:00 050005205 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-20 00:00:00 2008-05-20 00:00:00 No 2008-11-21 00:00:00 None B None 900 900 -315 585 0 None LI2V11 N CA00151246 B SFY2008-09
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2008-10-29 00:00:00 050005207 Closed Citation Citation A (HSC 1424) Patient Care None 2005-12-15 00:00:00 2005-12-15 00:00:00 Yes 2008-11-21 00:00:00 2008-11-07 00:00:00 A B 10000 10000 0 10000 0 None LI2V11 Y CA00068555 C SFY2008-09
050000061 SAMARKAND SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Ventura 2008-10-17 00:00:00 050005220 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-11-22 00:00:00 2007-11-22 00:00:00 No 2008-11-10 00:00:00 None B None 800 800 0 800 0 None XOZ511 N CA00137069 C SFY2008-09
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-08-29 00:00:00 050005225 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-06 00:00:00 2007-08-06 00:00:00 No 2008-09-26 00:00:00 None A None 18000 18000 -6300 11700 0 None Z2PT11 N CA00140594 C SFY2008-09
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-08-29 00:00:00 050005226 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-06 00:00:00 2007-08-06 00:00:00 No 2008-09-26 00:00:00 None B None 1000 1000 -350 650 0 None Z2PT11 N CA00140594 C SFY2008-09
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2008-08-29 00:00:00 050005302 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-18 00:00:00 2007-12-18 00:00:00 No 2008-09-26 00:00:00 None A None 18000 18000 -6300 11700 0 None 620E11 N CA00152348 C SFY2008-09
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2008-09-11 00:00:00 050005308 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-22 00:00:00 2008-07-22 00:00:00 No 2008-10-10 00:00:00 None B None 1000 1000 -350 650 0 None L6DY11 N CA00158033 C SFY2008-09
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2008-09-03 00:00:00 050005369 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-20 00:00:00 2007-06-20 00:00:00 Yes 2008-09-29 00:00:00 2009-08-18 00:00:00 A B 10000 6855 -700 6155 0 None 35VN11 N CA00121278 B SFY2008-09
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-01-30 00:00:00 050005372 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-10 00:00:00 2007-04-10 00:00:00 Yes 2009-02-25 00:00:00 2009-02-09 00:00:00 A B 8000 8000 0 8000 0 None PB6A11 N CA00112186 B SFY2008-09
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2012-07-25 00:00:00 050005373 Closed Citation Citation A (HSC 1424) Patient Care None 2008-08-05 00:00:00 2008-08-05 00:00:00 No 2012-08-15 00:00:00 None A None 10000 10000 -3500 6500 0 None 4F8G11 N CA00160114, CA00160693 C, C SFY2012-13
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2008-10-02 00:00:00 050005375 Closed Citation Citation B (HSC 1424) Other Failure to Report 2008-06-30 00:00:00 2008-06-30 00:00:00 No 2008-10-29 00:00:00 None B None 500 500 -175 325 0 None XJS411 N CA00158299 C SFY2008-09
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2009-03-09 00:00:00 050005445 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-18 00:00:00 2008-08-18 00:00:00 Yes 2009-04-13 00:00:00 2009-03-18 00:00:00 B B 1000 0 0 0 0 None 9WGY11 N CA00162637 C SFY2008-09
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2009-03-09 00:00:00 050005446 Closed Citation Citation Willful Material Omission (HSC 1424(f)(1)) Patient Record None 2008-08-18 00:00:00 2008-08-18 00:00:00 Yes 2009-03-30 00:00:00 2009-03-18 00:00:00 WO WMO>$1000 10000 2500 0 2500 0 None 9WGY11 None CA00162637 C SFY2008-09
050001152 SAN LUIS OBISPO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2008-10-16 00:00:00 050005451 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-08-26 00:00:00 2008-08-26 00:00:00 Yes 2008-11-12 00:00:00 2008-10-22 00:00:00 B B 1000 500 0 500 0 None VPML11 N CA00162612 C SFY2008-09
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2008-12-16 00:00:00 050005467 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-04 00:00:00 2006-11-04 00:00:00 No 2009-01-09 00:00:00 None A None 10000 10000 -3500 6500 0 None LEQR11 N CA00098128, CA00098344 C, B SFY2008-09
050001180 STARFISH HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2009-01-29 00:00:00 050005476 Closed Citation Citation A (HSC 1424) Patient Rights None 2008-06-06 00:00:00 2008-06-06 00:00:00 No 2009-02-24 00:00:00 None A None 10000 10000 -3500 6500 0 None WTPD11 N CA00153911 C SFY2008-09
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005495 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-08-08 00:00:00 2008-08-08 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005496 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-06-24 00:00:00 2008-06-24 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005497 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-07-03 00:00:00 2008-07-03 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005498 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-08-08 00:00:00 2008-08-08 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005499 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-06-19 00:00:00 2008-06-19 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005500 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-08-08 00:00:00 2008-08-08 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005501 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-08-08 00:00:00 2008-08-08 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005502 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-06-26 00:00:00 2008-06-26 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005503 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-08-08 00:00:00 2008-08-08 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005504 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-06-17 00:00:00 2008-06-17 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005505 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-08-08 00:00:00 2008-08-08 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-18 00:00:00 050005506 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-06-24 00:00:00 2008-06-24 00:00:00 No 2009-09-14 00:00:00 None B None 1000 1100 -350 750 0 None VQ8B11 N CA00164423 B SFY2009-10
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2008-10-30 00:00:00 050005513 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-10-02 00:00:00 2008-10-02 00:00:00 Yes 2008-12-02 00:00:00 2008-11-20 00:00:00 B B 1000 1000 0 1000 0 None H1J611 N CA00165382 B SFY2008-09
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2008-10-24 00:00:00 050005514 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-03 00:00:00 2007-12-03 00:00:00 Yes 2008-11-19 00:00:00 2008-11-05 00:00:00 A A 12000 12000 0 12000 0 None F58B11 N CA00134119 B SFY2008-09
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2008-12-11 00:00:00 050005548 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-01 00:00:00 2007-10-01 00:00:00 No 2009-01-09 00:00:00 None B None 500 500 -175 325 0 None POIC11 N CA00155145 B SFY2008-09
050000140 MARIAN REGIONAL MEDICAL CENTER DP/SNF LTC SNF Skilled Nursing Facility Ventura 2009-01-16 00:00:00 050005557 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-17 00:00:00 2008-09-17 00:00:00 No 2009-02-10 00:00:00 None B None 800 800 -280 520 0 None H6BQ11 N None None SFY2008-09
050000836 SUNSET COMMUNITY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2010-07-19 00:00:00 050005602 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-11 00:00:00 2008-10-11 00:00:00 No 2010-08-10 00:00:00 None B None 600 600 0 600 0 None H9GW11 N CA00166331, CA00166748 B, C SFY2010-11
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-03-04 00:00:00 050005643 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-11-03 00:00:00 2008-11-03 00:00:00 No 2009-03-26 00:00:00 None B None 300 300 0 300 0 None LLMQ11 N CA00169142 B SFY2008-09
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-03-09 00:00:00 050005644 Closed Citation Citation A (HSC 1424) Medication None 2008-11-01 00:00:00 2008-11-01 00:00:00 No 2009-04-01 00:00:00 None A None 5000 5000 0 5000 0 None LLMQ11 N CA00168487 C SFY2008-09
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-03-09 00:00:00 050005645 Closed Citation Citation A (HSC 1424) Medication None 2008-08-19 00:00:00 2008-08-19 00:00:00 No 2009-04-01 00:00:00 None A None 3500 3500 0 3500 0 None LLMQ11 N CA00162342 C SFY2008-09
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2008-12-23 00:00:00 050005646 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-18 00:00:00 2007-12-18 00:00:00 No 2009-01-16 00:00:00 None B None 1000 1000 -350 650 0 None 705711 N CA00137135 C SFY2008-09
050000074 VILLA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-05-26 00:00:00 050005648 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-27 00:00:00 2008-09-27 00:00:00 No 2011-06-17 00:00:00 None A None 8000 8000 -2800 5200 0 None SFNS11 N CA00165250, CA00165766 B, C SFY2010-11
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2008-12-31 00:00:00 050005650 Closed Citation Citation B (HSC 1424) Staffing None 2008-11-24 00:00:00 2008-11-24 00:00:00 Yes 2009-01-28 00:00:00 2009-01-20 00:00:00 B None 1000 1000 -1000 0 0 None S1Q411 N None None SFY2008-09
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-01-28 00:00:00 050005677 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-17 00:00:00 2008-11-17 00:00:00 No 2009-02-24 00:00:00 None B None 500 500 -175 325 0 None IR2Z11 N CA00169872 C SFY2008-09
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2009-01-13 00:00:00 050005736 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-27 00:00:00 2008-09-27 00:00:00 No 2009-02-06 00:00:00 None B None 1000 1000 -350 650 0 None LDY811 N CA00164778 C SFY2008-09
630011658 OAKVIEW SKILLED NURSING LTC SNF Skilled Nursing Facility Ventura 2009-01-28 00:00:00 050005738 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-16 00:00:00 2008-12-16 00:00:00 No 2009-02-24 00:00:00 None B None 500 500 -175 325 0 None 83QR11 N None None SFY2008-09
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-03-09 00:00:00 050005743 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-01 00:00:00 2008-11-01 00:00:00 No 2009-04-01 00:00:00 None B None 500 500 -175 325 0 None KU0J11 N CA00171288 C SFY2008-09
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-01-28 00:00:00 050005763 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-01 00:00:00 2008-12-01 00:00:00 No 2009-02-24 00:00:00 None B None 300 300 -105 195 0 None LWO111 N CA00171431 C SFY2008-09
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2010-04-19 00:00:00 050005785 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-28 00:00:00 2008-10-28 00:00:00 No 2010-05-13 00:00:00 None B None 600 600 0 600 0 None JIT911 N CA00167924 C SFY2009-10
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-03-09 00:00:00 050005910 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-29 00:00:00 2008-01-29 00:00:00 No 2009-04-01 00:00:00 None A None 5000 5000 0 5000 0 None SRUZ11 N CA00140624 B SFY2008-09
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-03-09 00:00:00 050005911 Closed Citation Citation B (HSC 1424) Administration Reporting 2008-01-29 00:00:00 2008-01-29 00:00:00 No 2009-04-01 00:00:00 None B None 800 800 0 800 0 None SRUZ11 N CA00140624 B SFY2008-09
050000063 SANTA PAULA HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2009-03-17 00:00:00 050005952 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-16 00:00:00 2008-04-16 00:00:00 No 2009-04-10 00:00:00 None B None 1000 1000 -1000 0 0 None H9PG11 N CA00147796 C SFY2008-09
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-01-11 00:00:00 050005987 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2009-02-24 00:00:00 2009-02-24 00:00:00 Yes 2010-02-03 00:00:00 2014-10-08 00:00:00 WF WMF<$1000 500 100 0 100 0 None 4LOU11 None CA00179293 C SFY2009-10
050000049 GREENFIELD CARE CENTER OF FILLMORE, LLC LTC SNF Skilled Nursing Facility Ventura 2009-04-03 00:00:00 050005988 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-14 00:00:00 2007-02-14 00:00:00 Yes 2009-04-24 00:00:00 2009-04-06 00:00:00 B B 1000 500 0 500 0 None CQI211 N CA00110691 B SFY2008-09
630010001 CARING CONCERN RESIDENTIAL HOMES INC - DANA POINT LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2009-04-23 00:00:00 050006007 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-27 00:00:00 2009-02-27 00:00:00 No 2009-05-28 00:00:00 None B None 1000 1350 -350 1000 0 None 6F3F11 N CA00179642 C SFY2008-09
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2009-12-18 00:00:00 050006091 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-10 00:00:00 2007-04-10 00:00:00 No 2010-01-13 00:00:00 None B None 1000 1000 -350 650 0 None M9QQ11 N CA00150916 C SFY2009-10
050000048 DANISH CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-04-19 00:00:00 050006109 Closed Citation Citation B (HSC 1424) Other Theft and Loss 2008-12-01 00:00:00 2008-12-01 00:00:00 Yes 2014-04-03 00:00:00 2010-05-10 00:00:00 B Dismissed by Court 300 0 0 0 0 None QG7B11 N None None SFY2009-10
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-10-08 00:00:00 050006125 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-04-12 00:00:00 2009-04-12 00:00:00 Yes 2014-03-28 00:00:00 2009-10-28 00:00:00 B B 1000 1000 0 1000 0 None U0PD11 N CA00184893, CA00184895 C, C SFY2009-10
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-10-08 00:00:00 050006126 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Failure to Report 2008-10-16 00:00:00 2008-10-16 00:00:00 Yes 2014-03-28 00:00:00 2009-10-28 00:00:00 B B 800 800 0 800 0 None U0PD11 N CA00184893, CA00184895 C, C SFY2009-10
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-10-08 00:00:00 050006127 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Failure to Report 2009-03-15 00:00:00 2009-03-15 00:00:00 Yes 2014-03-28 00:00:00 2009-10-28 00:00:00 B B 1000 1000 0 1000 0 None U0PD11 N CA00184893, CA00184895 C, C SFY2009-10
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2009-08-06 00:00:00 050006137 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-08-23 00:00:00 2008-08-23 00:00:00 Yes 2009-11-20 00:00:00 2009-08-17 00:00:00 B B 1000 650 0 650 0 None UWZE11 N CA00181244 C SFY2009-10
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2009-04-30 00:00:00 050006138 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Failure to Report 2008-07-08 00:00:00 2008-07-08 00:00:00 No 2009-05-26 00:00:00 None B None 500 500 -175 325 0 None 2OID11 N None None SFY2008-09
050000629 MITCHELL HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2009-04-30 00:00:00 050006139 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-04-18 00:00:00 2009-04-18 00:00:00 No 2009-05-27 00:00:00 None B None 1000 1000 0 1000 0 None HMJT11 N CA00185445, CA00185532 B, B SFY2008-09
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2009-05-08 00:00:00 050006152 Closed Citation Citation B (HSC 1424) Medication None 2008-05-13 00:00:00 2008-05-13 00:00:00 No 2009-06-08 00:00:00 None B None 1000 1000 -350 650 0 None 24VE11 N CA00151737 C SFY2008-09
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2009-05-08 00:00:00 050006153 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-13 00:00:00 2008-05-13 00:00:00 No 2009-06-08 00:00:00 None B None 1000 1000 -350 650 0 None 24VE11 N CA00151737 C SFY2008-09
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-06-18 00:00:00 050006156 Closed Citation Citation B (HSC 1424) Staffing None 2009-03-01 00:00:00 2009-03-01 00:00:00 No 2009-07-22 00:00:00 None B None 1000 1000 0 1000 0 None Y47711 N CA00185481 C SFY2008-09
050000046 CASA DORINDA LTC SNF Skilled Nursing Facility Ventura 2009-06-10 00:00:00 050006178 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-04-12 00:00:00 2009-04-12 00:00:00 Yes 2009-07-06 00:00:00 2009-06-12 00:00:00 B B 800 400 0 400 0 None GZLB11 N CA00184870 C SFY2008-09
050000065 ST JOSEPHS HEALTH AND RETIREMENT CENTER LTC SNF Skilled Nursing Facility Ventura 2011-04-07 00:00:00 050006236 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-17 00:00:00 2009-05-17 00:00:00 No 2011-04-28 00:00:00 None B None 800 800 0 800 0 None OBJL11 N CA00189230 C SFY2010-11
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-01-11 00:00:00 050006242 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-22 00:00:00 2009-05-22 00:00:00 Yes 2014-03-28 00:00:00 2014-03-20 00:00:00 B B 800 400 0 400 0 None E3CO11 N CA00190230 C SFY2009-10
050000919 PETIT COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2011-04-20 00:00:00 050006243 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Failure to Report 2009-05-12 00:00:00 2009-05-12 00:00:00 Yes 2011-05-11 00:00:00 2011-04-27 00:00:00 B B 600 300 0 300 0 None 9X5S11 N CA00187435 E SFY2010-11
050000919 PETIT COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2011-04-20 00:00:00 050006244 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-04-30 00:00:00 2009-04-30 00:00:00 Yes 2011-05-11 00:00:00 2011-04-27 00:00:00 B B 1000 500 0 500 0 None QMYV11 N CA00186969 C SFY2010-11
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-06-16 00:00:00 050006267 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-19 00:00:00 2009-03-19 00:00:00 No 2010-07-13 00:00:00 None B None 600 600 0 600 0 None 38UG11 N CA00185940 B SFY2009-10
050000248 ST. JOHN'S HOSPITAL CAMARILLO D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-12 00:00:00 050006286 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-06 00:00:00 2009-05-06 00:00:00 No 2009-09-16 00:00:00 None B None 1000 1000 -350 650 0 None GZYS11 N CA00187856 C SFY2009-10
050000248 ST. JOHN'S HOSPITAL CAMARILLO D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-12 00:00:00 050006287 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-18 00:00:00 2009-05-18 00:00:00 No 2009-09-16 00:00:00 None A None 3500 3500 -1225 2275 0 None PKC511 N CA00188978 B SFY2009-10
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-12-16 00:00:00 050006291 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-19 00:00:00 2009-04-19 00:00:00 Yes 2014-03-28 00:00:00 2014-03-25 00:00:00 B B 1000 1000 -350 650 0 None LAC211 N CA00165017 C SFY2009-10
050000248 ST. JOHN'S HOSPITAL CAMARILLO D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-08-12 00:00:00 050006417 Closed Citation Citation B (HSC 1424) Other willful falsification 2009-07-10 00:00:00 2009-07-10 00:00:00 No 2009-09-16 00:00:00 None B None 1000 1000 -350 650 0 None IURU11 N None None SFY2009-10
050000458 SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF LTC SNF Skilled Nursing Facility Ventura 2009-10-15 00:00:00 050006509 Closed Citation Citation A (HSC 1424) Physical Environment None 2009-08-21 00:00:00 2009-08-21 00:00:00 No 2009-11-10 00:00:00 None A None 2000 4800 0 4800 0 None Y2JP11 N None None SFY2009-10
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2009-12-18 00:00:00 050006536 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-28 00:00:00 2008-01-28 00:00:00 No 2010-01-13 00:00:00 None B None 1000 1000 -350 650 0 None K8UJ11 N CA00141234 C SFY2009-10
050000919 PETIT COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2010-02-02 00:00:00 050006581 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-11 00:00:00 2009-09-11 00:00:00 Yes 2010-02-25 00:00:00 2010-02-11 00:00:00 B B 500 250 0 250 0 None 52IG11 N None None SFY2009-10
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-01-04 00:00:00 050006592 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-13 00:00:00 2009-03-13 00:00:00 No 2010-02-03 00:00:00 None B None 1000 3000 -1050 1950 0 None NIZU11 N CA00182801 B SFY2009-10
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-06-01 00:00:00 050006663 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-05 00:00:00 2009-06-05 00:00:00 No 2011-06-22 00:00:00 None A None 9000 9000 -3150 5850 0 None HUMD11 N CA00191416 C SFY2010-11
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-04-14 00:00:00 050006684 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-29 00:00:00 2009-10-29 00:00:00 Yes 2010-07-08 00:00:00 2010-06-18 00:00:00 B Drop>Deficiency 800 1800 0 1800 0 None VV8811 N CA00206876 A SFY2009-10
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-01-11 00:00:00 050006759 Closed Citation Citation A (HSC 1424) Patient Care None 2009-08-12 00:00:00 2009-08-12 00:00:00 Yes 2015-04-16 00:00:00 2015-03-26 00:00:00 A A 8500 5500 0 5500 0 None OZKJ11 N CA00200652 C SFY2009-10
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-01-11 00:00:00 050006778 Closed Citation Citation A (HSC 1424) Patient Care None 2009-08-08 00:00:00 2009-08-08 00:00:00 Yes 2015-04-16 00:00:00 2015-03-26 00:00:00 A B 5000 5100 -100 5000 0 None HT0C11 N CA00200192 C SFY2009-10
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2009-12-22 00:00:00 050006820 Closed Citation Citation B (HSC 1424) Problem Transfer None 2009-04-07 00:00:00 2009-04-07 00:00:00 Yes 2014-03-28 00:00:00 2010-01-05 00:00:00 B B Trebled 1000 3000 0 3000 0 None H9O311 N CA00185454 C SFY2009-10
050000919 PETIT COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2010-02-02 00:00:00 050006871 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-11-09 00:00:00 2009-11-09 00:00:00 Yes 2010-02-25 00:00:00 2010-02-11 00:00:00 B B 500 250 0 250 0 None G99X11 N CA00208330 B SFY2009-10
050000006 CAMARILLO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-06-01 00:00:00 050006906 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-12 00:00:00 2009-12-12 00:00:00 No 2011-06-22 00:00:00 None A None 8000 8000 -2800 5200 0 None 189H11 N CA00211685 B SFY2010-11
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-04-07 00:00:00 050007026 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-09 00:00:00 2009-12-09 00:00:00 No 2010-05-19 00:00:00 None A None 9000 9000 0 9000 0 None MWIO11 N CA00211693 C SFY2009-10
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2010-06-08 00:00:00 050007049 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported FTR Patient Care 2010-01-16 12:01:00 2010-01-16 12:01:00 No 2010-07-01 00:00:00 None B None 100 100 0 100 0 None NK3511 N CA00216717 E SFY2009-10
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-04-07 00:00:00 050007076 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-21 00:00:00 2010-01-21 00:00:00 No 2010-05-19 00:00:00 None A None 10000 10000 0 10000 0 None L78B11 N CA00216730, CA00221498 C, C SFY2009-10
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-03-25 00:00:00 050007078 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-11 00:00:00 2009-10-11 00:00:00 Yes 2011-04-18 00:00:00 2011-04-07 00:00:00 A B 10000 6500 0 6500 0 None 1BKK11 N CA00214886 C SFY2010-11
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-04-13 00:00:00 050007081 Closed Citation Citation A (HSC 1424) Patient Rights None 2010-02-22 00:00:00 2010-02-22 00:00:00 Yes 2010-07-08 00:00:00 2010-06-17 00:00:00 A B 8000 10000 0 10000 0 None 074411 N CA00219723, CA00219912 C, A SFY2009-10
050000062 THE CALIFORNIAN LTC SNF Skilled Nursing Facility Ventura 2011-04-27 00:00:00 050007104 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-01-18 00:00:00 2010-01-18 00:00:00 Yes 2014-05-05 00:00:00 2011-05-06 00:00:00 B B 200 200 0 200 0 None RFB511 N CA00215667 B SFY2010-11
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2010-05-10 00:00:00 050007191 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-15 00:00:00 2009-08-15 00:00:00 No 2010-06-04 00:00:00 None B None 1000 1000 -350 650 0 None K6UT11 N CA00199488 B SFY2009-10
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2012-07-19 00:00:00 050007262 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-22 00:00:00 2009-05-22 00:00:00 No 2012-08-09 00:00:00 None A None 10000 10000 -10000 0 0 None 9B5G11 N CA00218890 B SFY2012-13
050000066 COASTAL VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2010-10-20 00:00:00 050007475 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-11 00:00:00 2010-05-11 00:00:00 Yes 2014-05-05 00:00:00 2010-11-01 00:00:00 A A 4000 4000 0 4000 0 None 75WJ11 N CA00228734 A SFY2010-11
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-04-20 00:00:00 050007580 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Failure to Report Abuse 2010-06-19 00:00:00 2010-06-19 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None I4R111 N CA00233765 B SFY2010-11
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-04-20 00:00:00 050007581 Closed Citation Citation B (HSC 1424) Patient Rights Resident to Resident Abus 2010-06-18 00:00:00 2010-06-18 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None I4R111 N CA00233765 B SFY2010-11
050000990 POTOMAC COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2011-04-20 00:00:00 050007589 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Failure to Report Abuse 2010-08-31 00:00:00 2010-08-31 00:00:00 Yes 2011-05-11 00:00:00 2011-04-27 00:00:00 B B 400 200 0 200 0 None CMSO11 N CA00241570 B SFY2010-11
050000468 MOMENTUM AGENCIES ICF/DD-N HILLCREST LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2012-04-11 00:00:00 050007674 Closed Citation Citation B (HSC 1424) Patient Rights sexual abuse 2010-09-18 00:00:00 2010-09-18 00:00:00 No 2012-05-02 00:00:00 None B None 1000 1000 -350 650 0 None 56PP11 N CA00243428 B SFY2011-12
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-08-23 00:00:00 050007730 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-09-06 00:00:00 2010-09-06 00:00:00 Yes 2011-09-13 00:00:00 2011-08-23 00:00:00 B B 500 325 0 325 0 None W6RQ11 N CA00243408 B SFY2011-12
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-04-20 00:00:00 050007732 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-06-07 00:00:00 2010-06-07 00:00:00 Yes 2014-05-05 00:00:00 2011-04-29 00:00:00 B B 800 800 -800 0 0 None FK7U11 N CA00234124 C SFY2010-11
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2011-02-28 00:00:00 050007853 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-18 00:00:00 2010-02-18 00:00:00 No 2011-03-21 00:00:00 None B None 200 200 0 200 0 None 7MUF11 N CA00255569 C SFY2010-11
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2011-02-28 00:00:00 050007911 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-18 00:00:00 2010-02-18 00:00:00 No 2011-03-21 00:00:00 None B None 300 300 0 300 0 None 7MUF11 N CA00255569 C SFY2010-11
050000074 VILLA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-07-26 00:00:00 050008061 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-02-14 00:00:00 2011-02-14 00:00:00 No 2011-08-16 00:00:00 None B None 200 200 -70 130 0 None 0OJ311 N CA00259878 C SFY2011-12
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-07-26 00:00:00 050008067 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-11-01 00:00:00 2010-11-01 00:00:00 No 2011-08-16 00:00:00 None B None 200 200 0 200 0 None P7EH11 N CA00249176 C SFY2011-12
630011658 OAKVIEW SKILLED NURSING LTC SNF Skilled Nursing Facility Ventura 2011-04-28 00:00:00 050008073 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-27 00:00:00 2010-08-27 00:00:00 No 2011-05-19 00:00:00 None A None 7000 7000 -2450 4550 0 None XSJ411 N CA00241240 C SFY2010-11
630011658 OAKVIEW SKILLED NURSING LTC SNF Skilled Nursing Facility Ventura 2011-04-28 00:00:00 050008074 Closed Citation Citation A (HSC 1424) Patient Care None 2011-01-21 00:00:00 2011-01-21 00:00:00 No 2011-05-19 00:00:00 None A None 8000 8000 -2800 5200 0 None XSJ411 N CA00241240 C SFY2010-11
050000048 DANISH CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-04-26 00:00:00 050008159 Closed Citation Citation B (HSC 1424) Problem Transfer None 2011-03-29 00:00:00 2011-03-29 00:00:00 No 2011-05-17 00:00:00 None B None 1000 1000 -350 650 0 None J5NY11 N CA00264406 B SFY2010-11
050000049 GREENFIELD CARE CENTER OF FILLMORE, LLC LTC SNF Skilled Nursing Facility Ventura 2011-05-19 00:00:00 050008256 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported Financial Occurrence 2010-11-10 00:00:00 2010-11-10 00:00:00 No 2011-06-10 00:00:00 None B None 200 200 -70 130 0 None ETND11 N CA00264576, CA00265065, CA00265071 B, B, B SFY2010-11
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-09-19 00:00:00 050008403 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-09-09 00:00:00 2010-09-09 00:00:00 No 2011-10-10 00:00:00 None B None 200 200 -70 130 0 None BN4U11 N CA00243694 C SFY2011-12
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2011-09-19 00:00:00 050008404 Closed Citation Citation B (HSC 1424) Problem Transfer None 2011-01-20 00:00:00 2011-01-20 00:00:00 No 2011-10-10 00:00:00 None B None 1000 1000 -350 650 0 None Q3M411 N CA00257324 C SFY2011-12
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-08-03 00:00:00 050008413 Closed Citation Citation A (HSC 1424) Patient Care None 2011-06-06 00:00:00 2011-06-06 00:00:00 Yes 2014-05-27 00:00:00 2014-05-12 00:00:00 A A 8000 8000 0 8000 0 None PNZR11 N CA00272495 B SFY2011-12
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-09-19 00:00:00 050008414 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-09 00:00:00 2010-09-09 00:00:00 No 2011-10-10 00:00:00 None B None 800 800 -280 520 0 None BN4U11 N CA00243694 C SFY2011-12
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-09-08 00:00:00 050008438 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-19 00:00:00 2011-07-19 00:00:00 No 2011-09-30 00:00:00 None B None 800 800 -800 0 0 None J8OC11 N CA00276905, CA00277082, CA00277296 B, B, B SFY2011-12
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-08-24 00:00:00 050008448 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported failure to report 2011-07-20 00:00:00 2011-07-20 00:00:00 Yes 2011-09-14 00:00:00 2011-08-24 00:00:00 B B 500 325 0 325 0 None P7SM11 N None None SFY2011-12
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-08-23 00:00:00 050008481 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-07-19 00:00:00 2011-07-19 00:00:00 Yes 2011-09-13 00:00:00 2011-08-23 00:00:00 B B 700 455 0 455 0 None J8OC11 N CA00276905, CA00277082, CA00277296 B, B, B SFY2011-12
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-08-24 00:00:00 050008482 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-02 00:00:00 2011-08-02 00:00:00 Yes 2011-09-14 00:00:00 2011-08-24 00:00:00 A None 20000 20000 -20000 0 0 None FP1S11 N CA00278451 B SFY2011-12
050000072 VENTURA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-10-18 00:00:00 050008645 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-12 00:00:00 2010-10-12 00:00:00 Yes 2014-06-05 00:00:00 2011-10-25 00:00:00 B B 500 550 -50 500 0 None KPTY12 N CA00258444 B SFY2011-12
050000072 VENTURA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2011-10-18 00:00:00 050008646 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-12 00:00:00 2010-11-12 00:00:00 Yes 2014-06-05 00:00:00 2011-10-25 00:00:00 B B 800 850 -50 800 0 None KPTY12 N CA00258444 B SFY2011-12
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-11-14 00:00:00 050008659 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-09 00:00:00 2011-09-09 00:00:00 No 2011-12-07 00:00:00 None B None 1000 1000 0 1000 0 None P65I11 N None None SFY2011-12
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2011-11-14 00:00:00 050008660 Closed Citation Citation B (HSC 1424) Administration None 2011-01-09 00:00:00 2011-01-09 00:00:00 No 2011-12-07 00:00:00 None B None 800 800 0 800 0 None P65I11 N None None SFY2011-12
050000061 SAMARKAND SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Ventura 2012-04-05 00:00:00 050008714 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-27 00:00:00 2009-09-27 00:00:00 No 2012-04-26 00:00:00 None B None 800 800 -280 520 0 None 8QUW11 N CA00204026 C SFY2011-12
050000061 SAMARKAND SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Ventura 2012-01-19 00:00:00 050008727 Closed Citation Citation A (HSC 1424) Patient Care None 2011-03-24 00:00:00 2011-03-24 00:00:00 No 2012-02-09 00:00:00 None A None 10000 10000 -3500 6500 0 None 70V011 N CA00265090 C SFY2011-12
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2012-01-10 00:00:00 050008821 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-05 00:00:00 2011-09-05 00:00:00 No 2012-02-01 00:00:00 None A None 9500 9500 -3325 6175 0 None VFM611 N None None SFY2011-12
050000139 BAYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2012-02-01 00:00:00 050008833 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-07 00:00:00 2011-09-07 00:00:00 Yes 2012-02-23 00:00:00 2012-04-13 00:00:00 A A 10000 6500 0 6500 0 None DCQM11 N None None SFY2011-12
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2013-12-04 00:00:00 050009092 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-08 00:00:00 2010-11-08 00:00:00 No 2013-12-26 00:00:00 None B None 500 500 -175 325 0 None 5X2M11 N CA00248775, CA00248817 E, E SFY2013-14
050000468 MOMENTUM AGENCIES ICF/DD-N HILLCREST LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2012-04-11 00:00:00 050009214 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-18 00:00:00 2010-09-18 00:00:00 No 2012-05-02 00:00:00 None B None 1000 1000 -350 650 0 None 56PP11 N CA00243431 B SFY2011-12
050000044 SAN LUIS POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2012-07-24 00:00:00 050009334 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-04 00:00:00 2009-05-04 00:00:00 Yes 2012-08-14 00:00:00 2012-08-07 00:00:00 A B 10000 6750 0 6750 0 None RTSV11 N CA00191362 B SFY2012-13
050000140 MARIAN REGIONAL MEDICAL CENTER DP/SNF LTC SNF Skilled Nursing Facility Ventura 2012-08-08 00:00:00 050009380 Closed Citation Citation A (HSC 1424) Patient Care None 2011-10-19 00:00:00 2011-10-19 00:00:00 No 2012-08-29 00:00:00 None A None 4000 4000 -1400 2600 0 None 4W7U11 N CA00287725 E SFY2012-13
050000049 GREENFIELD CARE CENTER OF FILLMORE, LLC LTC SNF Skilled Nursing Facility Ventura 2012-10-09 00:00:00 050009389 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2011-08-23 00:00:00 2011-08-23 00:00:00 No 2012-10-30 00:00:00 None B None 200 600 -210 390 0 None O2VT11 N CA00314800 C SFY2012-13
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2013-11-21 00:00:00 050009766 Closed Citation Citation B (HSC 1424) Other Quality of Care 2013-01-04 00:00:00 2013-01-04 00:00:00 No 2013-12-16 00:00:00 None B None 1000 1000 -350 650 0 None QHGB11 N CA00338510 B SFY2013-14
050000688 WAVECREST HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2014-02-14 00:00:00 050009832 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-04-04 00:00:00 2011-04-04 00:00:00 No 2014-03-10 00:00:00 None B None 500 500 -175 325 0 None JW8811 N CA00266792 B SFY2013-14
050000688 WAVECREST HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2014-02-14 00:00:00 050009833 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-04-04 00:00:00 2011-04-04 00:00:00 No 2014-03-10 00:00:00 None B None 1000 1000 -350 650 0 None JW8811 N CA00266792 B SFY2013-14
050000053 SANTA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2014-02-20 00:00:00 050010171 Closed Citation Citation A (HSC 1424) Patient Care None 2010-09-26 00:00:00 2010-09-26 00:00:00 No 2014-03-13 00:00:00 None A None 4000 4000 -1400 2600 0 None 71G211 Y CA00244360, CA00246881 C, C SFY2013-14
050000069 VALLE VERDE HEALTH FACILITY LTC SNF Skilled Nursing Facility Ventura 2014-07-01 00:00:00 050010827 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-17 00:00:00 2014-02-17 00:00:00 No 2014-07-23 00:00:00 None A None 4000 4000 -1400 2600 0 None KFBN11 N None None SFY2014-15
050000064 ATTERDAG CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2014-09-11 00:00:00 050010901 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-03 00:00:00 2014-06-03 00:00:00 No 2014-10-02 00:00:00 None A None 5000 5000 0 5000 0 None XQ6Q11 N CA00400951 C SFY2014-15
050000075 VISTA DEL MONTE LTC SNF Skilled Nursing Facility Ventura 2014-10-16 00:00:00 050010903 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-30 00:00:00 2014-06-30 00:00:00 Yes 2014-11-06 00:00:00 2014-10-20 00:00:00 A A 5000 3250 -3250 0 0 None UMCX11 N CA00404095 C SFY2014-15
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2015-01-02 00:00:00 050010993 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-07-06 00:00:00 2014-07-06 00:00:00 No 2015-01-26 00:00:00 None B None 1000 1000 -350 650 0 None 49VU11 N CA00405572, CA00407447, CA00407810, CA00408458, CA00409625 C, B, C, C, C SFY2014-15
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2015-02-05 00:00:00 050011023 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-07 00:00:00 2014-09-07 00:00:00 No 2015-02-27 00:00:00 None A None 6000 6000 -2100 3900 0 None 3JD411 N CA00412279, CA00412493, CA00413391, CA00414895, CA00415482 B, B, B, B, B SFY2014-15
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2014-11-25 00:00:00 050011030 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-03 00:00:00 2014-09-03 00:00:00 No 2014-12-18 00:00:00 None A None 5000 5000 -1750 3250 0 None 4JR311 N CA00411992, CA00411992 B, B SFY2014-15
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2015-01-09 00:00:00 050011086 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-07 00:00:00 2014-09-07 00:00:00 No 2015-02-02 00:00:00 None A None 5000 5000 -1750 3250 0 None 295N11 N CA00412336 B SFY2014-15
050000053 SANTA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2015-05-18 00:00:00 050011093 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-13 00:00:00 2014-03-13 00:00:00 No 2015-06-09 00:00:00 None A None 5000 5000 -1750 3250 0 None Q4SY11 N CA00406236 B SFY2014-15
050000055 MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2015-11-03 00:00:00 050011175 Closed Citation Citation A (HSC 1424) Medication None 2014-11-27 00:00:00 2014-11-27 00:00:00 No 2015-11-25 00:00:00 None A None 4500 4500 -1575 2925 0 None B2FE11 N CA00422115 A SFY2015-16
050000074 VILLA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2016-04-12 00:00:00 050011179 Closed Citation Citation A (HSC 1424) Patient Care None 2014-11-12 00:00:00 2014-11-12 00:00:00 No 2016-05-03 00:00:00 None A None 15542 15542 -5439.7 10102.3 0 None 1XP011 N CA00420377 C SFY2015-16
050000044 SAN LUIS POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2015-10-14 00:00:00 050011205 Closed Citation Citation A (HSC 1424) Patient Care None 2014-10-16 00:00:00 2014-10-16 00:00:00 No 2015-11-04 00:00:00 None A None 5000 5000 -1750 3250 0 None WJ8S11 N CA00417597 B SFY2015-16
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2015-04-02 00:00:00 050011239 Closed Citation Citation A (HSC 1424) Patient Care None 2014-10-13 00:00:00 2014-10-13 00:00:00 No 2015-04-23 00:00:00 None A None 5000 5600 -1750 3850 0 None SCMM11 N CA00416899 C SFY2014-15
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2016-09-26 00:00:00 050011308 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse/Not Self Reported 2015-02-04 00:00:00 2015-02-04 00:00:00 No 2016-10-17 00:00:00 None B None 855 855 -299.25 555.75 0 None 7RLM11 N CA00429923 B SFY2016-17
050000050 GLENWOOD CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-05-24 00:00:00 050011407 Closed Citation Citation AA (HSC 1424) Patient Care None 2015-03-16 00:00:00 2015-03-16 00:00:00 Yes 2016-06-15 00:00:00 2016-05-24 00:00:00 AA AA 77163 45000 0 45000 0 None Z27N11 Y CA00435205, CA00435228 B, B SFY2015-16
050001071 FARROLL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2015-07-06 00:00:00 050011520 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-01-03 00:00:00 2015-01-03 00:00:00 No 2015-07-27 00:00:00 None B None 1000 1000 -350 650 0 None DDWV11 N CA00426649 B SFY2015-16
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2015-11-24 00:00:00 050011521 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-08-24 00:00:00 2014-08-24 00:00:00 Yes 2015-12-17 00:00:00 2015-12-14 00:00:00 B B 1000 1000 0 1000 0 None SKJM11 N CA00436135, CA00441101 B, B SFY2015-16
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-02-01 00:00:00 050011614 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-15 00:00:00 2015-06-15 00:00:00 No 2016-02-23 00:00:00 None A None 6000 6000 -2100 3900 0 None L80411 N CA00446995 B SFY2015-16
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-07-29 00:00:00 050011623 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-06-23 00:00:00 2015-06-23 00:00:00 Yes 2016-08-19 00:00:00 2016-08-05 00:00:00 B B 1710 1026 0 1026 0 None ZZY411 N CA00447925 B SFY2016-17
050000629 MITCHELL HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2015-10-19 00:00:00 050011629 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-21 00:00:00 2015-05-21 00:00:00 No 2015-11-09 00:00:00 None B None 1000 1000 0 1000 0 None I58X11 N CA00442864, CA00448196 B, B SFY2015-16
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2016-01-26 00:00:00 050011735 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-07-25 00:00:00 2015-07-25 00:00:00 Yes 2016-02-17 00:00:00 2016-02-08 00:00:00 B B 2000 1500 0 1500 0 None ITZ711 N None None SFY2015-16
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-04-06 00:00:00 050011736 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-18 00:00:00 2015-06-18 00:00:00 Yes 2016-04-27 00:00:00 2016-04-11 00:00:00 A A 15542 10100 0 10100 0 None SLGS11 N None None SFY2015-16
050000248 ST. JOHN'S HOSPITAL CAMARILLO D/P SNF LTC SNF Skilled Nursing Facility Ventura 2015-10-30 00:00:00 050011791 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-04-20 00:00:00 2015-04-20 00:00:00 Yes 2015-11-23 00:00:00 2015-11-23 00:00:00 B Dismissed by Court 2000 250 -250 0 0 None WFPI11 N CA00444823 B SFY2015-16
050000054 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility Ventura 2016-04-07 00:00:00 050011804 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-10-05 00:00:00 2015-10-05 00:00:00 No 2016-04-28 00:00:00 None B None 600 850 -210 640 0 None D68Y11 N CA00461914 B SFY2015-16
050001416 LOMPOC SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Ventura 2016-03-01 00:00:00 050011959 Closed Citation Citation A (HSC 1424) Patient Care None 2015-10-26 00:00:00 2015-10-26 00:00:00 Yes 2016-03-22 00:00:00 2016-03-21 00:00:00 A B 7000 7000 0 7000 0 None IJOX11 N CA00463340 B SFY2015-16
050000064 ATTERDAG CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-05-24 00:00:00 050012055 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported failure to report abuse. 2016-01-28 00:00:00 2016-01-28 00:00:00 No 2016-06-15 00:00:00 None B None 800 800 -280 520 0 None X5RD11 N None None SFY2015-16
050000064 ATTERDAG CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-05-24 00:00:00 050012197 Closed Citation Citation B (HSC 1424) Administration None 2016-02-24 00:00:00 2016-02-24 00:00:00 No 2016-06-15 00:00:00 None B None 500 500 -175 325 0 None 2ZXU11 N None None SFY2015-16
050000069 VALLE VERDE HEALTH FACILITY LTC SNF Skilled Nursing Facility Ventura 2016-09-30 00:00:00 050012298 Closed Citation Citation B (HSC 1424) Administration None 2016-03-14 00:00:00 2016-03-14 00:00:00 No 2016-10-21 00:00:00 None B None 771 771 -269.85 501.15 0 None L8TL11 N CA00487714 B SFY2016-17
050000141 COMMUNITY MEMORIAL CONTINUING CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-08-08 00:00:00 050012340 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-22 00:00:00 2016-02-22 00:00:00 No 2016-08-29 00:00:00 None A None 15543 15543 -5440.05 10102.95 0 None EH4U11 N CA00477195 B SFY2016-17
630011658 OAKVIEW SKILLED NURSING LTC SNF Skilled Nursing Facility Ventura 2016-07-28 00:00:00 050012343 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-06 00:00:00 2016-05-06 00:00:00 No 2016-08-18 00:00:00 None A None 15543 15543 -5440.05 10102.95 0 None ZSD611 N CA00487425 B SFY2016-17
050000053 SANTA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2016-09-22 00:00:00 050012369 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-19 00:00:00 2016-04-19 00:00:00 No 2016-10-13 00:00:00 None B None 803 803 0 803 0 None MD1D11 N CA00483962, CA00483989 B, B SFY2016-17
050000052 HILLSIDE HOUSE INC LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Ventura 2016-07-26 00:00:00 050012385 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-20 00:00:00 2016-06-20 00:00:00 No 2016-08-16 00:00:00 None B None 850 850 0 850 0 None 4Z6M11 N CA00492454 B SFY2016-17
050000069 VALLE VERDE HEALTH FACILITY LTC SNF Skilled Nursing Facility Ventura 2016-08-26 00:00:00 050012504 Closed Citation Citation B (HSC 1424) Other 5 star posting 2016-08-01 00:00:00 2016-08-01 00:00:00 No 2016-09-19 00:00:00 None B None 428 428 0 428 0 None TB5Y11 N None None SFY2016-17
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-10-14 00:00:00 050012550 Closed Citation Citation B (HSC 1424) Other Unusual Occurence Report 2016-08-10 00:00:00 2016-08-10 00:00:00 No 2016-11-04 00:00:00 None B None 771 771 0 771 0 None G3J511 N CA00499351 B SFY2016-17
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2016-12-28 00:00:00 050012759 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-15 00:00:00 2016-07-15 00:00:00 No 2017-01-20 00:00:00 None B None 771 771 -269.85 501.15 0 None QU6N11 N CA00510019 B SFY2016-17
050000049 GREENFIELD CARE CENTER OF FILLMORE, LLC LTC SNF Skilled Nursing Facility Ventura 2017-01-12 00:00:00 050012841 Closed Citation Citation B (HSC 1424) Administration Administation 2016-12-08 00:00:00 2016-12-08 00:00:00 No 2017-02-03 00:00:00 None B None 500 500 -175 325 0 None TJGE11 N None None SFY2016-17
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2017-02-03 00:00:00 050012858 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse/Facility Not Self R 2016-08-15 00:00:00 2016-08-15 00:00:00 No 2017-02-27 00:00:00 None B None 855 855 -299.25 555.75 0 None 0FN611 N CA00504689, CA00505004 A, A SFY2016-17
050000007 CHANNEL ISLANDS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2017-05-08 00:00:00 050013045 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-21 00:00:00 2017-01-21 00:00:00 Yes 2017-05-30 00:00:00 2017-05-30 00:00:00 A Dismissed by Court 18000 0 0 0 0 None CCDB11 N CA00519053 B SFY2016-17
050000069 VALLE VERDE HEALTH FACILITY LTC SNF Skilled Nursing Facility Ventura 2017-05-08 00:00:00 050013117 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-10 00:00:00 2016-08-10 00:00:00 No 2017-05-30 00:00:00 None A None 15433 15433 -5401.55 10031.45 0 None UVP011 N CA00505742 B SFY2016-17
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2017-05-08 00:00:00 050013143 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse / facility not self 2017-01-08 00:00:00 2017-01-08 00:00:00 No 2017-05-30 00:00:00 None B None 1000 1000 0 1000 0 None OPA411 N CA00498214, CA00517862, CA00518044 B, A, A SFY2016-17
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2017-05-08 00:00:00 050013144 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-01-08 00:00:00 2017-01-08 00:00:00 No 2017-05-30 00:00:00 None B None 2000 2000 0 2000 0 None OPA411 N CA00517862, CA00518044 A, A SFY2016-17
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2017-05-08 00:00:00 050013145 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-02 00:00:00 2016-05-02 00:00:00 No 2017-05-30 00:00:00 None A None 15433 15433 0 15433 0 None OPA411 N CA00498214 B SFY2016-17
630014636 SIMI VALLEY CARE HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2019-01-23 00:00:00 050013174 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-04-10 00:00:00 2017-04-10 00:00:00 No 2019-02-13 00:00:00 None AA None 21375 21375 -7481.25 13893.75 0 None R4U311 Y CA00530780 A SFY2018-19
050000070 SIMI HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2017-07-19 00:00:00 050013213 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-01-18 00:00:00 2017-01-18 00:00:00 No 2017-08-09 00:00:00 None B None 1900 1900 -665 1235 0 None 41MT11 N CA00535485 B SFY2017-18
050000554 SURFRIDER HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2017-12-15 00:00:00 050013609 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-07-10 00:00:00 2017-07-10 00:00:00 No 2018-01-09 00:00:00 None B None 1710 1710 0 1710 0 None DTFZ11 N CA00543413 B SFY2017-18
050000051 MISSION VIEW HEALTH CENTER LTC SNF Skilled Nursing Facility Ventura 2018-02-27 00:00:00 050013770 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-06 00:00:00 2017-11-06 00:00:00 Yes 2018-03-20 00:00:00 2018-03-02 00:00:00 A B 17000 17000 0 17000 0 None L0FS11 N CA00560064, CA00560184, CA00561916, CA00562409 A, A, B, B SFY2017-18
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2018-08-22 00:00:00 050014302 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-03-30 00:00:00 2018-03-30 00:00:00 No 2018-09-13 00:00:00 None B None 1710 1710 0 1710 0 None ZTUE11 N CA00582550 B SFY2018-19
050000072 VENTURA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2018-08-23 00:00:00 050014317 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-10 00:00:00 2018-07-10 00:00:00 No 2018-09-14 00:00:00 None B None 1805 1805 0 1805 0 None ZA4D11 N CA00597720 A SFY2018-19
050001383 ALTA HEALTHCARE CENTER OF CAMARILLO LTC SNF Skilled Nursing Facility Ventura 2019-07-24 00:00:00 050014401 Closed Citation Citation AA (HSC 1424) Patient Care quality of care 2018-04-06 00:00:00 2018-04-06 00:00:00 No 2019-08-14 00:00:00 None AA None 81000 81000 -28350 52650 0 None 2HJQ11 Y CA00590564, CA00590564, CA00590564, CA00590564 B, B, B, B SFY2019-20
050000044 SAN LUIS POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2019-06-12 00:00:00 050014451 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-27 00:00:00 2018-04-27 00:00:00 Yes 2019-07-03 00:00:00 2019-06-12 00:00:00 A B 17100 14000 0 14000 0 None RF0G11 Y CA00586840 C SFY2018-19
050000067 THOUSAND OAKS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Ventura 2018-12-13 00:00:00 050014570 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-09-18 00:00:00 2018-09-18 00:00:00 No 2019-01-04 00:00:00 None A None 17100 17100 -5985 11115 0 None 8DUS11 N CA00603668, CA00603668, CA00603668, CA00603668, CA00603668, CA00603668, CA00603668, CA00603668 B, B, B, B, B, B, B, B SFY2018-19
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2019-01-15 00:00:00 050014701 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-02 00:00:00 2018-12-02 00:00:00 No 2019-02-05 00:00:00 None B None 1710 1710 -598.5 1111.5 0 None VUSM11 N CA00614485 B SFY2018-19
050000468 MOMENTUM AGENCIES ICF/DD-N HILLCREST LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2019-02-25 00:00:00 050014753 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-12-11 00:00:00 2018-12-11 00:00:00 No 2019-03-18 00:00:00 None B None 1805 1805 -631.75 1173.25 0 None PJO911 N CA00615637, CA00615637 B, B SFY2018-19
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2019-02-12 00:00:00 050014756 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-08 00:00:00 2018-12-08 00:00:00 No 2019-03-05 00:00:00 None B None 1805 1805 0 1805 0 None 4Z2M11 N CA00616618 A SFY2018-19
050000139 BAYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2019-06-27 00:00:00 050014856 Closed Citation Citation A (HSC 1424) Patient Care None 2019-02-21 00:00:00 2019-02-21 00:00:00 Yes 2019-07-18 00:00:00 2019-07-01 00:00:00 A A 17100 17100 0 17100 0 None K2RF11 N CA00625809 B SFY2018-19
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2019-08-09 00:00:00 050015119 Closed Citation Citation A (HSC 1424) Patient Care None 2019-02-16 00:00:00 2019-02-16 00:00:00 No 2019-08-30 00:00:00 None A None 18050 18050 -6317.5 11732.5 0 None QC5S11 N CA00625160, CA00625160 B, B SFY2019-20
050000062 THE CALIFORNIAN LTC SNF Skilled Nursing Facility Ventura 2019-09-19 00:00:00 050015132 Closed Citation Citation AA (HSC 1424) Patient Care None 2019-02-11 00:00:00 2019-02-11 00:00:00 No 2019-10-10 00:00:00 None AA None 90250 90250 0 90250 0 None 52FI11 Y CA00623796, CA00623796, CA00623796, CA00623796, CA00623834, CA00623834 A, A, A, A, A, A SFY2019-20
050000046 CASA DORINDA LTC SNF Skilled Nursing Facility Ventura 2019-10-10 00:00:00 050015244 Closed Citation Citation A (HSC 1424) Patient Care None 2019-05-07 00:00:00 2019-05-07 00:00:00 No 2019-10-31 00:00:00 None A None 17000 17000 -5950 11050 0 None EFKQ11 N CA00636685 B SFY2019-20
630016805 WHITE DOVES HOME CARE, LLC LTC CLHF Congregate Living Health Facility Ventura 2019-10-28 00:00:00 050015270 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-04 00:00:00 2019-06-04 00:00:00 No 2019-11-18 00:00:00 None A None 9025 9025 -3158.75 5866.25 0 None GNTT11 N CA00640166, CA00640166, CA00640166, CA00640166, CA00640166 A, A, A, A, A SFY2019-20
050000044 SAN LUIS POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2019-10-01 00:00:00 050015278 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-31 00:00:00 2019-05-31 00:00:00 No 2019-10-22 00:00:00 None B None 1805 1805 0 1805 0 None 12KI11 N CA00639957, CA00639957 B, B SFY2019-20
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2019-11-13 00:00:00 050015497 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-13 00:00:00 2019-06-13 00:00:00 No 2019-12-04 00:00:00 None A None 17000 17000 -5950 11050 0 None 3H1L11 N CA00641800 B SFY2019-20
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2020-01-06 00:00:00 050015570 Closed Citation Citation B (HSC 1424) Other sign posting 2019-11-13 00:00:00 2019-11-13 00:00:00 No 2020-01-27 00:00:00 None B None 900 900 -315 585 0 None PJID11 N None None SFY2019-20
050000070 SIMI HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2022-07-29 00:00:00 050015731 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-17 00:00:00 2019-11-17 00:00:00 No 2022-08-19 00:00:00 None A None 18000 18000 -6300 11700 0 None DVWX11 Y None None SFY2022-23
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2022-07-07 00:00:00 050017308 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-10-01 00:00:00 2021-10-01 00:00:00 No 2022-07-28 00:00:00 None AA None 81000 81000 -28350 52650 0 None IQ9X11 Y CA00755465 A SFY2022-23
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2023-04-13 00:00:00 050017470 Closed Citation Citation A (HSC 1424) Other Elopement 2022-01-04 00:00:00 2022-01-04 00:00:00 No 2023-05-04 00:00:00 None A None 3500 3500 0 3500 0 None HXQN11 N CA00768241, CA00768241 A, A SFY2022-23
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2023-03-14 00:00:00 050017471 Open Citation Citation B (HSC 1424) Other Failure to report 2022-01-04 00:00:00 2022-01-04 00:00:00 No 2023-04-05 00:00:00 None B None 1710 1710 0 0 1710 None HXQN11 N CA00768241, CA00768241, CA00768241 A, A, A SFY2022-23
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2023-03-16 00:00:00 050018017 Open Citation Citation B (HSC 1424) Other Fairure to report 2022-07-21 00:00:00 2022-07-21 00:00:00 No 2023-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None IJEE11 N CA00795753, CA00795753, CA00795753, CA00795753 A, A, A, A SFY2022-23
050000595 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2023-01-17 00:00:00 050018152 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-02 00:00:00 2022-11-02 00:00:00 No 2023-02-07 00:00:00 None B None 1805 1805 -631.75 1173.25 0 None B63W11 N CA00810177, CA00810448 A, A SFY2022-23
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2023-05-17 00:00:00 050018273 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-06-18 00:00:00 2022-06-18 00:00:00 Yes 2023-06-08 00:00:00 2023-05-19 00:00:00 B B 1710 1600 0 1600 0 None J6I211 N CA00788306, CA00788475 A, B SFY2022-23
050000072 VENTURA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2023-06-01 00:00:00 050018416 Closed Citation Citation A (HSC 1424) Other Abuse 2022-11-21 00:00:00 2022-11-21 00:00:00 No 2023-06-22 00:00:00 None A None 20250 20250 -7087.5 13162.5 0 None 6DDF11 N CA00812762 A SFY2022-23
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2023-07-19 00:00:00 050018451 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-27 00:00:00 2023-01-27 00:00:00 No 2023-08-09 00:00:00 None B None 2700 2700 -945 1755 0 None SDIP11 N CA00823697, CA00825313, CA00825313 B, A, A SFY2023-24
630017071 ROYAL LIVING HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2023-04-21 00:00:00 050018519 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-26 00:00:00 2023-01-26 00:00:00 No 2023-05-12 00:00:00 None B B 900 450 0 0 450 None YXS711 N CA00823234 A SFY2022-23
630017071 ROYAL LIVING HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2023-04-21 00:00:00 050018592 Open Citation Citation A (HSC 1424) Patient Care None 2023-01-27 00:00:00 2023-01-27 00:00:00 No 2023-05-12 00:00:00 None A A 19000 13300 0 0 13300 None XC5M11 N CA00823979 A SFY2022-23
630017071 ROYAL LIVING HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2023-04-21 00:00:00 050018597 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-27 00:00:00 2023-01-27 00:00:00 No 2023-05-12 00:00:00 None B B 1000 500 0 0 500 None XC5M11 N CA00823979 A SFY2022-23
630017071 ROYAL LIVING HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2023-04-21 00:00:00 050018598 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-05-12 00:00:00 None B B 1000 500 0 0 500 None WR4C11 N CA00825239 A SFY2022-23
630017071 ROYAL LIVING HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2023-04-21 00:00:00 050018622 Open Citation Citation A (HSC 1424) Patient Care None 2023-01-26 00:00:00 2023-01-26 00:00:00 No 2023-05-12 00:00:00 None A A 20000 14000 0 0 14000 None YXS711 N CA00823234, CA00823234 A, A SFY2022-23
630017071 ROYAL LIVING HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2023-04-21 00:00:00 050018623 Open Citation Citation A (HSC 1424) Other Abuse 2023-01-26 00:00:00 2023-01-26 00:00:00 No 2023-05-12 00:00:00 None A A 20000 14000 0 0 14000 None YXS711 N CA00823234, CA00823234 A, A SFY2022-23
630017071 ROYAL LIVING HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2023-04-21 00:00:00 050018642 Open Citation Citation A (HSC 1424) Administration None 2023-02-02 00:00:00 2023-02-02 00:00:00 No 2023-05-12 00:00:00 None A A 20000 14000 0 0 14000 None ML7G11 N None None SFY2022-23
630017071 ROYAL LIVING HOME, INC. LTC CLHF Congregate Living Health Facility Ventura 2023-04-21 00:00:00 050018647 Open Citation Citation A (HSC 1424) Other Licensee 2023-02-02 00:00:00 2023-02-02 00:00:00 No 2023-05-12 00:00:00 None A A 20000 14000 0 0 14000 None ML7G11 N None None SFY2022-23
050000079 MILTON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2023-06-15 00:00:00 050018710 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-06 00:00:00 2023-04-06 00:00:00 No 2023-07-07 00:00:00 None B None 2430 2430 0 2430 0 None 6FX711 N CA00836860 A SFY2022-23
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2023-12-12 00:00:00 050018808 Closed Citation Citation A (HSC 1424) Patient Care None 2023-02-04 00:00:00 2023-02-04 00:00:00 No 2024-01-03 00:00:00 None A None 20250 20250 -7087.5 13162.5 0 None KX0U11 N CA00825083, CA00825419 A, B SFY2023-24
630016241 POTTER CARE, LLC LTC CLHF Congregate Living Health Facility Ventura 2023-12-12 00:00:00 050019302 Open Citation Citation A (HSC 1424) Patient Care None 2023-09-11 00:00:00 2023-09-11 00:00:00 No 2024-01-03 00:00:00 None A None 9000 9000 0 0 9000 None LR6C11 N CA00860165, CA00860165, CA00860165, CA00860165, CA00860165, CA00860165 A, A, A, A, A, A SFY2023-24
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 1999-01-06 00:00:00 060000978 Closed Citation Citation A (HSC 1424) Patient Care None 1998-09-24 00:00:00 None Yes 1999-02-02 00:00:00 1999-01-25 00:00:00 A A 10000 8000 -8000 0 0 060008532 A99999 N None None SFY1998-99
060001583 HILL ROAD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2000-01-05 00:00:00 060001014 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-30 00:00:00 None No 2000-01-27 00:00:00 None B None 1000 1050 -350 700 0 060009268 A99999 N None None SFY1999-00
060000113 HARBOR VILLA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2000-01-10 00:00:00 060001015 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-25 00:00:00 None No 2000-02-02 00:00:00 None B None 700 700 -245 455 0 060009269 A99999 N None None SFY1999-00
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2000-01-26 00:00:00 060001016 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-09 00:00:00 None No 2000-02-23 00:00:00 None B None 700 700 -245 455 0 060009318 A99999 N None None SFY1999-00
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2000-01-27 00:00:00 060001017 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-06 00:00:00 None Yes 2000-02-24 00:00:00 2000-02-15 00:00:00 B B 1000 650 0 650 0 060009322 A99999 N None None SFY1999-00
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2000-01-27 00:00:00 060001018 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-02 00:00:00 None Yes 2000-02-22 00:00:00 2000-02-15 00:00:00 B B 1000 650 0 650 0 060009324 A99999 N None None SFY1999-00
060001166 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Orange 2000-05-01 00:00:00 060001019 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-22 00:00:00 None No 2000-05-22 00:00:00 None A None 10000 10000 -3500 6500 0 060009479 A99999 N None None SFY1999-00
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2000-05-18 00:00:00 060001020 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-07 00:00:00 None No 2000-06-09 00:00:00 None B None 1000 1000 -350 650 0 060009490 A99999 N None None SFY1999-00
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2000-05-18 00:00:00 060001021 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-19 00:00:00 None No 2000-06-09 00:00:00 None B None 1000 1000 -350 650 0 060009507 A99999 N None None SFY1999-00
060000124 HEALTHCARE CENTER OF ORANGE COUNTY LTC SNF Skilled Nursing Facility Orange 2000-05-25 00:00:00 060001022 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-07 00:00:00 None No 2000-06-20 00:00:00 None B None 800 800 -280 520 0 060009530 A99999 N None None SFY1999-00
060000124 HEALTHCARE CENTER OF ORANGE COUNTY LTC SNF Skilled Nursing Facility Orange 2000-05-25 00:00:00 060001023 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-17 00:00:00 None No 2000-06-20 00:00:00 None B None 1000 1000 -350 650 0 060009530 A99999 N None None SFY1999-00
060000194 CHAPMAN CARE CENTER LTC SNF Skilled Nursing Facility Orange 2000-05-25 00:00:00 060001024 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-07 00:00:00 None Yes 2000-11-02 00:00:00 2000-06-07 00:00:00 B B 1000 1000 0 1000 0 060009531 A99999 N None None SFY1999-00
060001077 INDEPENDENT OPTIONS, INC. MARK LANE II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2000-06-23 00:00:00 060001025 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-01-25 00:00:00 None No 2000-07-17 00:00:00 None B None 1000 1000 -350 650 0 060009579 A99999 N None None SFY1999-00
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2000-07-18 00:00:00 060001027 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-29 00:00:00 None Yes 2000-10-10 00:00:00 2000-09-25 00:00:00 A B 5000 1000 0 1000 0 060009623 A99999 N None None SFY2000-01
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2000-07-17 00:00:00 060001028 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-30 00:00:00 None Yes 2000-08-08 00:00:00 2000-07-24 00:00:00 B B 800 800 -800 0 0 060009648 A99999 N None None SFY2000-01
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2000-10-19 00:00:00 060001029 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-24 00:00:00 None No 2000-11-13 00:00:00 None B None 1000 1250 -350 900 0 060009848 A99999 N None None SFY2000-01
060001698 HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF LTC SNF Skilled Nursing Facility Orange 2000-10-24 00:00:00 060001030 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-29 00:00:00 None No 2000-11-16 00:00:00 None A None 7500 7500 -2625 4875 0 060009861 A99999 N None None SFY2000-01
060000784 MOMENTUM AGENCIES ICF/DD-H BUENA PARK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2000-10-24 00:00:00 060001031 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-03 00:00:00 None No 2000-11-15 00:00:00 None B None 700 700 -245 455 0 060009862 A99999 N None None SFY2000-01
060001154 PARK VISTA AT MORNINGSIDE LTC SNF Skilled Nursing Facility Orange 2000-10-27 00:00:00 060001032 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-24 00:00:00 None Yes 2001-06-19 00:00:00 2001-05-29 00:00:00 B Drop>Deficiency 700 700 0 700 0 060009867 A99999 N None None SFY2000-01
060000194 CHAPMAN CARE CENTER LTC SNF Skilled Nursing Facility Orange 2000-11-08 00:00:00 060001033 Closed Citation Citation B (HSC 1424) Patient Care None 1999-04-09 00:00:00 None No 2000-12-05 00:00:00 None B None 1000 1000 -350 650 0 060009888 A99999 N None None SFY2000-01
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2000-11-15 00:00:00 060001034 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-05 00:00:00 None No 2000-12-08 00:00:00 None B None 500 500 -175 325 0 060009902 A99999 N None None SFY2000-01
060001466 MANGO HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2000-12-06 00:00:00 060001035 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-14 00:00:00 None No 2000-12-29 00:00:00 None B None 500 550 0 550 0 060009968 A99999 N None None SFY2000-01
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2000-12-08 00:00:00 060001036 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-20 00:00:00 None No 2001-01-02 00:00:00 None A None 2500 2500 -875 1625 0 060009973 A99999 N None None SFY2000-01
060000134 REGENTS POINT - WINDCREST LTC SNF Skilled Nursing Facility Orange 2000-12-27 00:00:00 060001037 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-23 00:00:00 None Yes 2001-06-19 00:00:00 2001-01-03 00:00:00 A A 5000 5000 0 5000 0 060010195 A99999 N None None SFY2000-01
060001575 CRIS AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2001-01-23 00:00:00 060001038 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-16 00:00:00 None Yes 2001-07-19 00:00:00 2001-02-01 00:00:00 B B 1000 1000 0 1000 0 060010245 A99999 N None None SFY2000-01
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2001-01-23 00:00:00 060001039 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-23 00:00:00 None No 2001-02-20 00:00:00 None B None 1000 1100 0 1100 0 060010253 A99999 N None None SFY2000-01
060000156 GREENFIELD CARE CENTER OF FULLERTON, LLC LTC SNF Skilled Nursing Facility Orange 2001-02-09 00:00:00 060001040 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-15 00:00:00 None No 2001-03-06 00:00:00 None B None 1000 1300 -350 950 0 060010284 A99999 N None None SFY2000-01
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-02-05 00:00:00 060001041 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-14 00:00:00 None Yes 2001-03-01 00:00:00 2001-02-14 00:00:00 B B 500 1900 -900 1000 0 060010279 A99999 N None None SFY2000-01
060000050 LA PALMA NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2001-02-02 00:00:00 060001042 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-06 00:00:00 None Yes 2001-03-06 00:00:00 2001-02-22 00:00:00 A A 10000 8000 0 8000 0 060010293 A99999 N None None SFY2000-01
060001154 PARK VISTA AT MORNINGSIDE LTC SNF Skilled Nursing Facility Orange 2001-02-09 00:00:00 060001044 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-16 00:00:00 None Yes 2001-07-11 00:00:00 2001-06-25 00:00:00 B B 650 1000 0 1000 0 060010276 A99999 N None None SFY2000-01
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2001-02-23 00:00:00 060001045 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-16 00:00:00 None No 2001-03-19 00:00:00 None B None 1000 3000 -1050 1950 0 060010364 A99999 N None None SFY2000-01
060001112 HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Orange 2001-02-26 00:00:00 060001046 Closed Citation Citation B (HSC 1424) Patient Care None 1999-07-13 00:00:00 None No 2001-03-20 00:00:00 None B None 1000 1000 -350 650 0 060010366 A99999 N None None SFY2000-01
060000047 COVENTRY COURT HEALTH CENTER LTC SNF Skilled Nursing Facility Orange 2001-03-05 00:00:00 060001047 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-02 00:00:00 None Yes 2001-03-27 00:00:00 2001-03-14 00:00:00 A B 5000 5000 0 5000 0 060010390 A99999 N None None SFY2000-01
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2001-03-05 00:00:00 060001048 Closed Citation Citation A (HSC 1424) Patient Care None 2000-11-01 00:00:00 None No 2001-03-27 00:00:00 None A None 10000 10000 -3500 6500 0 060010391 A99999 N None None SFY2000-01
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2001-03-05 00:00:00 060001049 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-01 00:00:00 None No 2001-03-28 00:00:00 None B None 1000 3000 -1050 1950 0 060010391 A99999 N None None SFY2000-01
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2001-03-05 00:00:00 060001050 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-24 00:00:00 None No 2001-03-27 00:00:00 None B None 1000 3000 -1050 1950 0 060010391 A99999 N None None SFY2000-01
060000047 COVENTRY COURT HEALTH CENTER LTC SNF Skilled Nursing Facility Orange 2001-03-19 00:00:00 060001051 Closed Citation Citation B (HSC 1424) Other INFORMED CONSENT 2000-12-06 00:00:00 None No 2001-04-10 00:00:00 None B None 500 500 0 500 0 060010454 A99999 N None None SFY2000-01
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-03-27 00:00:00 060001052 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-10 00:00:00 None Yes 2001-04-18 00:00:00 2001-04-04 00:00:00 B None 1000 1000 -1000 0 0 060010490 A99999 N None None SFY2000-01
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2001-04-09 00:00:00 060001053 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-01 00:00:00 None No 2001-05-01 00:00:00 None B None 1000 3000 -1050 1950 0 060010391 A99999 N None None SFY2000-01
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2001-04-09 00:00:00 060001054 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-01 00:00:00 None No 2001-05-02 00:00:00 None B None 500 500 -175 325 0 060010520 A99999 N None None SFY2000-01
060001592 OLIVE STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2001-05-01 00:00:00 060001055 Closed Citation Citation B (HSC 1424) Other CLIENT TRUST 2000-04-01 00:00:00 2000-10-31 00:00:00 Yes 2001-08-20 00:00:00 2001-05-08 00:00:00 B B 500 500 0 500 0 060010555 A99999 N None None SFY2000-01
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2001-05-07 00:00:00 060001056 Closed Citation Citation B (HSC 1424) Staffing None 2000-10-01 00:00:00 None No 2001-05-29 00:00:00 None B None 1000 1000 -350 650 0 060010613 A99999 N None None SFY2000-01
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2001-05-07 00:00:00 060001057 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-01 00:00:00 None No 2001-05-29 00:00:00 None B None 1000 1000 -350 650 0 060010613 A99999 N None None SFY2000-01
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2001-06-06 00:00:00 060001058 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-08 00:00:00 None No 2001-06-29 00:00:00 None B None 1000 1000 -350 650 0 060010698 A99999 N None None SFY2000-01
060000113 HARBOR VILLA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-06-07 00:00:00 060001059 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-24 00:00:00 None Yes 2002-02-11 00:00:00 2001-06-08 00:00:00 A A 10000 10000 0 10000 0 060010701 A99999 N None None SFY2000-01
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2001-06-13 00:00:00 060001060 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-28 00:00:00 None Yes 2001-10-23 00:00:00 2001-06-14 00:00:00 B B 750 750 0 750 0 060010731 A99999 N None None SFY2000-01
060000147 PARK ANAHEIM HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-06-18 00:00:00 060001061 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-10 00:00:00 None Yes 2001-07-10 00:00:00 2001-06-27 00:00:00 B B 850 850 0 850 0 060010752 A99999 N None None SFY2000-01
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-06-18 00:00:00 060001062 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-05 00:00:00 None No 2001-07-12 00:00:00 None A None 15000 15000 -5250 9750 0 060010760 A99999 N None None SFY2000-01
060000030 BUENA PARK NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2001-06-19 00:00:00 060001063 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-14 00:00:00 None No 2001-07-12 00:00:00 None B None 1000 1000 -350 650 0 060010762 A99999 N None None SFY2000-01
060000780 JOHN DOUGLAS FRENCH CENTER FOR ALZHEIMER'S DISEASE LTC SNF Skilled Nursing Facility Orange 2001-07-12 00:00:00 060001064 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-03-01 00:00:00 None Yes 2001-10-25 00:00:00 2001-10-09 00:00:00 B B 800 800 0 800 0 060010848 A99999 N None None SFY2001-02
060000129 CRYSTAL COVE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-07-13 00:00:00 060001065 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-13 00:00:00 None No 2001-08-06 00:00:00 None B None 1000 1000 -350 650 0 060010856 A99999 N None None SFY2001-02
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2001-07-26 00:00:00 060001066 Closed Citation Citation A (HSC 1424) Patient Care None 2001-04-21 00:00:00 None Yes 2001-08-16 00:00:00 2001-08-02 00:00:00 A A 20000 10000 0 10000 0 060010892 A99999 N None None SFY2001-02
060000125 THE GROVE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2001-08-17 00:00:00 060001067 Closed Citation Citation A (HSC 1424) Patient Care None 2001-06-04 00:00:00 None Yes 2002-01-10 00:00:00 2001-12-20 00:00:00 A A 15000 7500 0 7500 0 060010958 A99999 N None None SFY2001-02
060000125 THE GROVE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2001-08-17 00:00:00 060001068 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-15 00:00:00 None No 2001-09-12 00:00:00 None B None 1000 1000 -350 650 0 060010958 A99999 N None None SFY2001-02
060001079 BEL AIR LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2001-08-21 00:00:00 060001069 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-24 00:00:00 None No 2001-09-13 00:00:00 None B None 600 750 0 750 0 060010972 A99999 N None None SFY2001-02
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2001-08-27 00:00:00 060001070 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-15 00:00:00 None Yes 2002-02-14 00:00:00 2001-08-28 00:00:00 B B 1000 1000 0 1000 0 060010981 A99999 N None None SFY2001-02
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2001-09-19 00:00:00 060001071 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-28 00:00:00 None Yes 2001-10-11 00:00:00 2001-09-26 00:00:00 B None 1000 1000 0 1000 0 060011059 A99999 N None None SFY2001-02
060001680 SAN JUAN HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-09-20 00:00:00 060001072 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-20 00:00:00 None No 2001-10-12 00:00:00 None B None 1000 1000 -350 650 0 060011070 A99999 N None None SFY2001-02
060000155 TERRACE VIEW CARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-10-05 00:00:00 060001073 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-04-11 00:00:00 None Yes 2002-02-15 00:00:00 2002-01-24 00:00:00 AA AA 85000 20000 0 20000 0 060011129 A99999 Y None None SFY2001-02
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2001-10-25 00:00:00 060001074 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-03 00:00:00 None No 2001-11-16 00:00:00 None B B 1000 1000 0 1000 0 060011195 A99999 N None None SFY2001-02
060000194 CHAPMAN CARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-01-04 00:00:00 060001075 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-25 00:00:00 None No 2002-01-28 00:00:00 None B None 1000 1000 0 1000 0 060011242 A99999 N None None SFY2001-02
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2001-11-30 00:00:00 060001076 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-11 00:00:00 2001-08-29 00:00:00 No 2001-12-21 00:00:00 None B B 800 1050 -350 700 0 060011254 A99999 N None None SFY2001-02
060000031 ANAHEIM CREST NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2001-11-30 00:00:00 060001077 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-26 00:00:00 None Yes 2002-06-21 00:00:00 2002-05-31 00:00:00 B Drop>Deficiency 500 1000 0 1000 0 060011168 A99999 N None None SFY2001-02
060000029 ST. ELIZABETH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2001-12-10 00:00:00 060001078 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-05 00:00:00 None No 2002-01-02 00:00:00 None B None 500 500 0 500 0 060011239 A99999 N None None SFY2001-02
060000159 TOWN & COUNTRY LTC SNF Skilled Nursing Facility Orange 2001-12-10 00:00:00 060001079 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-11 00:00:00 None No 2002-01-02 00:00:00 None B None 1000 1000 -350 650 0 060011148 A99999 Y None None SFY2001-02
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-01-11 00:00:00 060001081 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-03 00:00:00 None Yes 2002-02-04 00:00:00 2002-01-29 00:00:00 A B 15000 15000 0 15000 0 060011089 A99999 N None None SFY2001-02
060001166 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Orange 2002-01-07 00:00:00 060001082 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-11 00:00:00 None No 2002-01-29 00:00:00 None B None 1000 1100 -350 750 0 060011424 A99999 N None None SFY2001-02
060000151 STANLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-01-11 00:00:00 060001083 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-29 00:00:00 None No 2002-02-04 00:00:00 None B None 800 800 -280 520 0 060011299 A99999 N None None SFY2001-02
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-01-11 00:00:00 060001084 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-19 00:00:00 None Yes 2002-02-01 00:00:00 2002-01-29 00:00:00 B B 1000 3000 0 3000 0 060011318 A99999 N None None SFY2001-02
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2002-02-07 00:00:00 060001085 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-20 00:00:00 None Yes 2002-05-17 00:00:00 2002-05-08 00:00:00 A A 15000 6000 0 6000 0 060011393 A99999 N None None SFY2001-02
060000037 CAPISTRANO BEACH CARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-02-07 00:00:00 060001086 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-19 00:00:00 None No 2002-03-04 00:00:00 None B None 1000 1000 -350 650 0 060011499 A99999 N None None SFY2001-02
060000147 PARK ANAHEIM HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-02-28 00:00:00 060001087 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-30 00:00:00 None Yes 2002-03-21 00:00:00 2002-03-01 00:00:00 B B 800 200 0 200 0 060011618 A99999 N None None SFY2001-02
060000124 HEALTHCARE CENTER OF ORANGE COUNTY LTC SNF Skilled Nursing Facility Orange 2002-02-28 00:00:00 060001088 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-16 00:00:00 None Yes 2002-06-24 00:00:00 2002-03-11 00:00:00 B Dismissed by Court 1000 0 0 0 0 060011619 A99999 N None None SFY2001-02
060001374 MERCED HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2002-03-11 00:00:00 060001089 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-17 00:00:00 None No 2002-04-02 00:00:00 None B None 1000 1000 -350 650 0 060011651 A99999 N None None SFY2001-02
060001025 JENYMEL'S HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2002-03-11 00:00:00 060001090 Closed Citation Citation B (HSC 1424) Other SAFEGUARDS CLIENT MO 2002-02-08 00:00:00 None No 2002-04-02 00:00:00 None B None 1000 1000 -350 650 0 060011556 A99999 N None None SFY2001-02
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2002-03-25 00:00:00 060001091 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-24 00:00:00 None No 2002-04-16 00:00:00 None B None 1000 1000 -350 650 0 060011623 A99999 N None None SFY2001-02
060001680 SAN JUAN HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-03-25 00:00:00 060001092 Closed Citation Citation B (HSC 1424) Other ADMIN. & PT. RIGHTS 2002-02-28 00:00:00 None No 2002-04-16 00:00:00 None B None 1000 1000 -350 650 0 060011633 A99999 N None None SFY2001-02
060000049 GARDEN PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-04-18 00:00:00 060001094 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-01 00:00:00 None No 2002-05-09 00:00:00 None B None 800 800 0 800 0 060011596 A99999 N None None SFY2001-02
060001255 SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF LTC SNF Skilled Nursing Facility Orange 2002-04-18 00:00:00 060001095 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-31 00:00:00 None No 2002-05-09 00:00:00 None B None 1000 1000 -350 650 0 060011515 A99999 N None None SFY2001-02
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2002-04-26 00:00:00 060001096 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-15 00:00:00 None Yes 2002-05-17 00:00:00 2002-04-29 00:00:00 A None 8000 8000 0 8000 0 060011404 A99999 N None None SFY2001-02
060000054 HUNTINGTON VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-04-22 00:00:00 060001097 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-17 00:00:00 None Yes 2002-09-03 00:00:00 2002-08-14 00:00:00 B Drop>Deficiency 1000 500 0 500 0 060011493 A99999 N None None SFY2001-02
060000145 ST. EDNA SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-04-15 00:00:00 060001098 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-10 00:00:00 None Yes 2002-09-26 00:00:00 2002-04-16 00:00:00 B B 600 600 0 600 0 060011425 A99999 N None None SFY2001-02
060001166 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Orange 2002-07-11 00:00:00 060001099 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-08 00:00:00 None Yes 2002-08-01 00:00:00 2002-07-31 00:00:00 A A 20000 15050 0 15050 0 060011851 A99999 N None None SFY2002-03
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2002-04-26 00:00:00 060001100 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-04-08 00:00:00 None No 2002-05-17 00:00:00 None B None 750 750 -262.5 487.5 0 060011775 A99999 N None None SFY2001-02
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2002-05-03 00:00:00 060001101 Closed Citation Citation B (HSC 1424) Other PT. CARE - ABUSE 2002-04-18 00:00:00 None No 2002-05-24 00:00:00 None B None 1000 1000 -350 650 0 060011841 A99999 N None None SFY2001-02
060000037 CAPISTRANO BEACH CARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-05-03 00:00:00 060001102 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-25 00:00:00 None No 2002-05-24 00:00:00 None B None 1000 1000 -350 650 0 060011728 A99999 N None None SFY2001-02
060001154 PARK VISTA AT MORNINGSIDE LTC SNF Skilled Nursing Facility Orange 2002-05-21 00:00:00 060001103 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-27 00:00:00 None No 2002-06-13 00:00:00 None B None 500 500 0 500 0 060011962 A99999 N None None SFY2001-02
060001154 PARK VISTA AT MORNINGSIDE LTC SNF Skilled Nursing Facility Orange 2002-05-21 00:00:00 060001104 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-05 00:00:00 None No 2002-06-13 00:00:00 None B None 1000 1000 0 1000 0 060011561 A99999 N None None SFY2001-02
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-06-19 00:00:00 060001105 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-19 00:00:00 None No 2002-07-11 00:00:00 None B None 500 500 0 500 0 060012061 A99999 N None None SFY2001-02
060000839 FREEDOM VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-07-01 00:00:00 060001106 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-06 00:00:00 None No 2002-07-23 00:00:00 None B None 750 750 -262.5 487.5 0 060012095 A99999 N None None SFY2002-03
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2002-07-25 00:00:00 060001107 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-05 00:00:00 None No 2002-08-15 00:00:00 None B None 800 800 -280 520 0 060012210 A99999 N None None SFY2002-03
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-08-13 00:00:00 060001108 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-11 00:00:00 None No 2002-09-06 00:00:00 None B None 1000 1000 -350 650 0 060012241 A99999 N None None SFY2002-03
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-08-19 00:00:00 060001110 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-30 00:00:00 None No 2002-09-16 00:00:00 None B None 1000 1200 0 1200 0 060012342 A99999 N None None SFY2002-03
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-08-29 00:00:00 060001111 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-29 00:00:00 2002-03-29 00:00:00 Yes 2002-09-24 00:00:00 2002-09-10 00:00:00 B B 1000 500 0 500 0 060012375 A99999 N None None SFY2002-03
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-08-29 00:00:00 060001112 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-06 00:00:00 2002-05-06 00:00:00 Yes 2002-09-19 00:00:00 2002-09-10 00:00:00 B B 1000 500 0 500 0 060012376 A99999 N None None SFY2002-03
060000048 LEISURE COURT NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2002-09-09 00:00:00 060001113 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-13 00:00:00 None No 2002-10-02 00:00:00 None B None 100 100 0 100 0 060012417 A99999 N None None SFY2002-03
060001166 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Orange 2002-09-10 00:00:00 060001114 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-06-05 00:00:00 None Yes 2002-10-01 00:00:00 2002-09-16 00:00:00 AA AA 90000 45100 -100 45000 0 060012295 A99999 Y None None SFY2002-03
060000117 BONITA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2002-09-12 00:00:00 060001115 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-14 00:00:00 None No 2002-10-08 00:00:00 None B None 750 750 -262.5 487.5 0 060012435 A99999 N None None SFY2002-03
060000047 COVENTRY COURT HEALTH CENTER LTC SNF Skilled Nursing Facility Orange 2002-09-19 00:00:00 060001116 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-26 00:00:00 None No 2002-10-15 00:00:00 None B None 750 750 -262.5 487.5 0 060012458 A99999 N None None SFY2002-03
060000034 VICTORIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-10-08 00:00:00 060001117 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-20 00:00:00 None Yes 2002-10-30 00:00:00 2002-10-22 00:00:00 B B 750 568 0 568 0 060012509 A99999 N None None SFY2002-03
060001990 J AND P HOMES - SAN PEDRO LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2002-10-15 00:00:00 060001118 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-26 00:00:00 None No 2002-11-05 00:00:00 None B None 500 500 -175 325 0 060012520 A99999 N None None SFY2002-03
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2002-10-15 00:00:00 060001119 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-15 00:00:00 None No 2002-11-05 00:00:00 None A None 10000 10000 -10000 0 0 060012540 A99999 N None None SFY2002-03
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2002-10-17 00:00:00 060001120 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-25 00:00:00 None No 2002-11-07 00:00:00 None B None 750 1000 -262.5 737.5 0 060012555 A99999 N None None SFY2002-03
060001149 MISSION HOSPITAL LAGUNA BEACH D/P SNF LTC SNF Skilled Nursing Facility Orange 2002-11-13 00:00:00 060001121 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-24 00:00:00 None No 2002-12-06 00:00:00 None B None 1000 1000 -350 650 0 060012680 A99999 N None None SFY2002-03
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2002-12-19 00:00:00 060001122 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-31 00:00:00 None Yes 2003-01-13 00:00:00 2003-01-02 00:00:00 B B 1000 500 0 500 0 060012804 A99999 N None None SFY2002-03
060000125 THE GROVE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2002-12-19 00:00:00 060001123 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-04 00:00:00 None No 2003-01-13 00:00:00 None B None 1000 1000 -350 650 0 060012806 A99999 N None None SFY2002-03
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-01-13 00:00:00 060001124 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-14 00:00:00 2002-12-14 00:00:00 Yes 2003-02-03 00:00:00 2003-01-15 00:00:00 B B 1000 500 0 500 0 060012885 A99999 N None None SFY2002-03
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2003-01-22 00:00:00 060001125 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-28 00:00:00 None No 2003-02-13 00:00:00 None B None 800 800 -280 520 0 060012925 A99999 N None None SFY2002-03
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-01-31 00:00:00 060001126 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-30 00:00:00 None Yes 2003-02-25 00:00:00 2003-02-04 00:00:00 B B 750 418 0 418 0 060012868 A99999 N None None SFY2002-03
060000089 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-02-04 00:00:00 060001127 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-16 00:00:00 None Yes 2003-06-19 00:00:00 2003-06-10 00:00:00 B B 1000 500 0 500 0 060012966 A99999 N None None SFY2002-03
060000054 HUNTINGTON VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-02-25 00:00:00 060001128 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-21 00:00:00 None No 2003-03-18 00:00:00 None B None 500 500 -175 325 0 060012961 A99999 N None None SFY2002-03
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2003-05-14 00:00:00 060001129 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-23 00:00:00 None No 2003-06-12 00:00:00 None A A 15000 9750 0 9750 0 060012981 A99999 N None None SFY2002-03
060000043 GARDEN GROVE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2003-03-05 00:00:00 060001130 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-25 00:00:00 None No 2003-03-26 00:00:00 None B None 500 500 -175 325 0 060012979 A99999 N None None SFY2002-03
060001166 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Orange 2003-03-05 00:00:00 060001131 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-01-28 00:00:00 None No 2003-03-26 00:00:00 None B None 1000 1250 0 1250 0 060013085 A99999 N None None SFY2002-03
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-03-13 00:00:00 060001132 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-11 00:00:00 None No 2003-04-04 00:00:00 None B B 500 500 0 500 0 060012952 A99999 N None None SFY2002-03
060001627 ALL STATE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2003-03-17 00:00:00 060001133 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-02-04 00:00:00 None No 2003-04-08 00:00:00 None B None 750 750 -262.5 487.5 0 060013140 A99999 N None None SFY2002-03
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2003-04-18 00:00:00 060001134 Closed Citation Citation A (HSC 1424) Patient Care None 2002-12-28 00:00:00 None Yes 2003-05-09 00:00:00 2003-05-09 00:00:00 A A 15000 7577 0 7577 0 060013032 A99999 N None None SFY2002-03
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2003-04-18 00:00:00 060001135 Closed Citation Citation A (HSC 1424) Medication None 2002-05-01 00:00:00 2002-05-07 00:00:00 Yes 2003-05-09 00:00:00 2003-05-09 00:00:00 A B 16000 23446 0 23446 0 060012986 A99999 N None None SFY2002-03
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2003-04-18 00:00:00 060001136 Closed Citation Citation B (HSC 1424) Medication None 2002-05-18 00:00:00 None Yes 2003-05-09 00:00:00 2003-05-09 00:00:00 B B 1000 488 0 488 0 060013244 A99999 N None None SFY2002-03
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2003-04-18 00:00:00 060001137 Closed Citation Citation B (HSC 1424) Medication None 2002-11-22 00:00:00 None Yes 2003-05-09 00:00:00 2003-05-09 00:00:00 B B 1000 488 0 488 0 060013245 A99999 N None None SFY2002-03
060000053 SEA CLIFF HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-05-22 00:00:00 060001138 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-23 00:00:00 None No 2003-06-13 00:00:00 None B B 1000 574 0 574 0 060013385 A99999 N None None SFY2002-03
060000053 SEA CLIFF HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-07-08 00:00:00 060001139 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-16 00:00:00 None No 2003-07-29 00:00:00 None B B 1000 574 0 574 0 060013548 A99999 N None None SFY2003-04
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-07-14 00:00:00 060001140 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-15 00:00:00 None No 2003-08-04 00:00:00 None B B 1000 574 0 574 0 060013566 A99999 N None None SFY2003-04
060000046 GORDON LANE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-07-15 00:00:00 060001141 Closed Citation Citation B (HSC 1424) Patient Record None 2003-04-18 00:00:00 None No 2003-08-05 00:00:00 None B B 500 500 0 500 0 060013572 A99999 N None None SFY2003-04
060000145 ST. EDNA SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-07-11 00:00:00 060001142 Closed Citation Citation B (HSC 1424) Administration None 2003-07-08 00:00:00 None No 2003-09-03 00:00:00 None B None 500 500 0 500 0 060013672 A99999 N None None SFY2003-04
060001586 WASHINGTON AVENUE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2003-08-21 00:00:00 060001143 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-07 00:00:00 None Yes 2003-12-29 00:00:00 2003-09-04 00:00:00 B B 500 750 0 750 0 060013721 A99999 N None None SFY2003-04
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-08-25 00:00:00 060001144 Closed Citation Citation B (HSC 1424) Staffing None 2003-08-11 00:00:00 None No 2003-09-18 00:00:00 None B B 1000 574 0 574 0 060013724 A99999 N None None SFY2003-04
060000195 COUNTRY CLUB CONVALESCENT HOSPITAL, INC. LTC SNF Skilled Nursing Facility Orange 2003-08-25 00:00:00 060001145 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-27 00:00:00 None Yes 2003-12-12 00:00:00 2003-11-20 00:00:00 B Dismissed by Court 1000 0 0 0 0 060013727 A99999 N None None SFY2003-04
060000117 BONITA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2003-09-11 00:00:00 060001146 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-30 00:00:00 None No 2003-10-02 00:00:00 None B None 750 750 0 750 0 060013764 A99999 N None None SFY2003-04
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-09-11 00:00:00 060001147 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-02 00:00:00 None No 2003-10-03 00:00:00 None B B 1000 574 0 574 0 060013769 A99999 N None None SFY2003-04
060000145 ST. EDNA SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-09-11 00:00:00 060001148 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-28 00:00:00 None No 2003-10-08 00:00:00 None B None 1000 1000 -350 650 0 060013770 A99999 N None None SFY2003-04
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-10-01 00:00:00 060001149 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-01 00:00:00 None No 2003-10-23 00:00:00 None B None 700 700 -245 455 0 060013823 A99999 N None None SFY2003-04
060000053 SEA CLIFF HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-10-08 00:00:00 060001150 Closed Citation Citation A (HSC 1424) Patient Care None 2003-04-03 00:00:00 None No 2003-11-04 00:00:00 None A A 15000 8607 0 8607 0 060013841 A99999 N None None SFY2003-04
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-10-08 00:00:00 060001151 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-26 00:00:00 2000-09-26 00:00:00 Yes 2003-11-04 00:00:00 2003-10-20 00:00:00 B B 1000 500 0 500 0 060013842 A99999 N None None SFY2003-04
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2003-10-21 00:00:00 060001152 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-16 00:00:00 None Yes 2003-11-13 00:00:00 2003-10-31 00:00:00 B None 750 750 0 750 0 060013887 A99999 N None None SFY2003-04
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2003-10-24 00:00:00 060001153 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-21 00:00:00 None No 2003-11-18 00:00:00 None B None 800 850 -280 570 0 060013903 A99999 N None None SFY2003-04
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-10-28 00:00:00 060001154 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-02 00:00:00 None Yes 2003-11-24 00:00:00 2003-10-31 00:00:00 A A 20000 15100 -100 15000 0 060013910 A99999 N None None SFY2003-04
060000923 BEACH CREEK POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2003-11-14 00:00:00 060001155 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-08-11 00:00:00 None No 2003-12-09 00:00:00 None B None 500 500 -175 325 0 060013972 A99999 N None None SFY2003-04
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2003-11-19 00:00:00 060001156 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-15 00:00:00 None No 2003-12-16 00:00:00 None B None 1000 1000 -350 650 0 060013987 A99999 N None None SFY2003-04
060000037 CAPISTRANO BEACH CARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-12-23 00:00:00 060001157 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-16 00:00:00 None No 2004-01-15 00:00:00 None B None 1000 1000 -350 650 0 060014084 A99999 N None None SFY2003-04
060000037 CAPISTRANO BEACH CARE CENTER LTC SNF Skilled Nursing Facility Orange 2003-12-23 00:00:00 060001158 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-25 00:00:00 None No 2004-01-15 00:00:00 None B None 750 750 -262.5 487.5 0 060014085 A99999 N None None SFY2003-04
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2003-12-17 00:00:00 060001159 Closed Citation Citation A (HSC 1424) Patient Care None 2003-10-24 00:00:00 None No 2004-01-09 00:00:00 None A A 15000 8607 0 8607 0 060014100 A99999 N None None SFY2003-04
060000145 ST. EDNA SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2004-01-13 00:00:00 060001160 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-12 00:00:00 None No 2004-02-04 00:00:00 None B None 800 800 -280 520 0 060014163 A99999 N None None SFY2003-04
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2004-01-21 00:00:00 060001161 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-29 00:00:00 None No 2004-02-11 00:00:00 None B None 1000 1000 -350 650 0 060014189 A99999 N None None SFY2003-04
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2004-01-27 00:00:00 060001162 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-17 00:00:00 None No 2004-02-19 00:00:00 None B None 800 800 -280 520 0 060014209 A99999 N None None SFY2003-04
060000054 HUNTINGTON VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2004-02-25 00:00:00 060001163 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-23 00:00:00 None Yes 2004-03-17 00:00:00 2004-03-12 00:00:00 B B 1000 1000 0 1000 0 060014294 A99999 N None None SFY2003-04
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2004-03-02 00:00:00 060001164 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-12 00:00:00 None No 2004-03-23 00:00:00 None B None 750 1050 -262.5 787.5 0 060014312 A99999 N None None SFY2003-04
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2004-03-19 00:00:00 060001165 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-22 00:00:00 None No 2004-04-12 00:00:00 None B None 1000 1050 -350 700 0 060014385 A99999 N None None SFY2003-04
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2004-03-25 00:00:00 060001166 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-27 00:00:00 None No 2004-04-16 00:00:00 None B None 800 800 -280 520 0 060014406 A99999 N None None SFY2003-04
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2004-04-06 00:00:00 060001167 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-20 00:00:00 None No 2004-04-27 00:00:00 None B None 800 800 -280 520 0 060014442 A99999 N None None SFY2003-04
060000876 VILLA VALENCIA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2004-04-06 00:00:00 060001168 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-27 00:00:00 None Yes 2004-04-27 00:00:00 2004-04-23 00:00:00 B B 750 350 0 350 0 060014455 A99999 N None None SFY2003-04
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2004-04-20 00:00:00 060001169 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-20 00:00:00 None No 2004-05-11 00:00:00 None B None 1000 1000 -350 650 0 060014482 A99999 N None None SFY2003-04
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2004-05-25 00:00:00 060001170 Closed Citation Citation B (HSC 1424) Medication None 2004-04-06 00:00:00 None No 2004-06-16 00:00:00 None B None 1000 1000 -350 650 0 060014590 A99999 N None None SFY2003-04
060000049 GARDEN PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2004-05-25 00:00:00 060001171 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-03 00:00:00 None Yes 2004-06-17 00:00:00 2004-05-25 00:00:00 B B 750 375 0 375 0 060014596 A99999 N None None SFY2003-04
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2004-06-28 00:00:00 060001172 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-01 00:00:00 None Yes 2004-07-20 00:00:00 2004-07-02 00:00:00 B B 750 600 0 600 0 060014718 A99999 N None None SFY2003-04
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2004-06-29 00:00:00 060001173 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-10 00:00:00 None Yes 2004-07-21 00:00:00 2004-07-01 00:00:00 B B 1000 650 -100 550 0 060014719 A99999 N None None SFY2003-04
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2004-08-03 00:00:00 060001174 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-14 00:00:00 None Yes 2004-08-30 00:00:00 2004-08-13 00:00:00 B B 1000 1500 0 1500 0 060014825 A99999 N None None SFY2004-05
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2004-08-24 00:00:00 060001175 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-04 00:00:00 None No 2004-09-21 00:00:00 None B None 1000 1000 -350 650 0 060014910 A99999 N None None SFY2004-05
060000156 GREENFIELD CARE CENTER OF FULLERTON, LLC LTC SNF Skilled Nursing Facility Orange 2004-09-13 00:00:00 060001176 Closed Citation Citation A (HSC 1424) Patient Care None 2004-06-11 00:00:00 None No 2004-10-04 00:00:00 None A None 5000 5000 0 5000 0 060014954 A99999 N None None SFY2004-05
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2004-09-08 00:00:00 060001177 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-05 00:00:00 None No 2004-09-29 00:00:00 None B None 750 750 -262.5 487.5 0 060014961 A99999 N None None SFY2004-05
060000055 MISSION PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2004-09-14 00:00:00 060001178 Closed Citation Citation B (HSC 1424) Administration None 2004-07-03 00:00:00 None No 2004-10-05 00:00:00 None B None 1000 1000 -350 650 0 060014982 A99999 N None None SFY2004-05
060001053 CHRISTOPHER LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2004-09-16 00:00:00 060001179 Closed Citation Citation B (HSC 1424) Medication None 2004-08-17 00:00:00 None No 2004-10-07 00:00:00 None B None 1000 1000 -350 650 0 060014987 A99999 N None None SFY2004-05
060001051 PURE JOY #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2004-09-16 00:00:00 060001180 Closed Citation Citation B (HSC 1424) Medication None 2004-08-18 00:00:00 None No 2004-10-07 00:00:00 None B None 1000 1000 -350 650 0 060014994 A99999 N None None SFY2004-05
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2004-09-21 00:00:00 060001181 Closed Citation Citation A (HSC 1424) Patient Care None 2004-02-07 00:00:00 None Yes 2004-10-14 00:00:00 2004-10-12 00:00:00 A A 7000 7050 0 7050 0 060015005 A99999 N None None SFY2004-05
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2004-10-06 00:00:00 060001182 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-07 00:00:00 None Yes 2004-11-02 00:00:00 2004-10-08 00:00:00 B B 1000 500 0 500 0 060015083 A99999 N None None SFY2004-05
060000124 HEALTHCARE CENTER OF ORANGE COUNTY LTC SNF Skilled Nursing Facility Orange 2004-10-23 00:00:00 060001183 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-13 00:00:00 None No 2004-11-15 00:00:00 None B None 100 100 0 100 0 060015207 A99999 N None None SFY2004-05
060000050 LA PALMA NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2004-12-07 00:00:00 060001184 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-15 00:00:00 None Yes 2004-12-28 00:00:00 2004-12-10 00:00:00 B None 500 500 0 500 0 060015232 A99999 N None None SFY2004-05
060000037 CAPISTRANO BEACH CARE CENTER LTC SNF Skilled Nursing Facility Orange 2005-01-05 00:00:00 060001185 Closed Citation Citation A (HSC 1424) Patient Care None 2004-09-25 00:00:00 None No 2005-02-08 00:00:00 None A None 10000 10000 -3500 6500 0 060015278 A99999 N None None SFY2004-05
060001255 SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF LTC SNF Skilled Nursing Facility Orange 2005-01-10 00:00:00 060001186 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-07-30 00:00:00 None Yes 2005-02-03 00:00:00 2005-01-19 00:00:00 AA AA 75000 60150 -150 60000 0 060015292 A99999 Y None None SFY2004-05
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2005-02-01 00:00:00 060001187 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-23 00:00:00 None No 2005-02-25 00:00:00 None B None 750 750 -262.5 487.5 0 060015315 A99999 N None None SFY2004-05
060000113 HARBOR VILLA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2005-03-10 00:00:00 060001188 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-27 00:00:00 None Yes 2005-04-04 00:00:00 2005-03-29 00:00:00 B B 1000 500 0 500 0 060015319 A99999 N None None SFY2004-05
060000055 MISSION PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2005-03-17 00:00:00 060001189 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-07 00:00:00 None No 2005-04-13 00:00:00 None B None 800 800 -280 520 0 060015320 A99999 N None None SFY2004-05
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2005-04-05 00:00:00 060001190 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-11 00:00:00 None No 2005-04-29 00:00:00 None B None 1000 1050 0 1050 0 060015321 A99999 N None None SFY2004-05
060000051 ADVANCED REHAB CENTER OF TUSTIN LTC SNF Skilled Nursing Facility Orange 2005-05-05 00:00:00 060001191 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-18 00:00:00 None No 2005-06-06 00:00:00 None B None 750 750 -262.5 487.5 0 060015322 A99999 N None None SFY2004-05
080001542 ALTA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-02-26 00:00:00 060001201 Closed Citation Citation B (HSC 1424) Problem Transfer None 2001-12-19 00:00:00 None Yes 2002-06-04 00:00:00 2002-03-07 00:00:00 B B 1000 500 0 500 0 060015404 A99999 N None None SFY2001-02
080001542 ALTA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Orange 2002-06-17 00:00:00 060001202 Closed Citation Citation B (HSC 1424) Other INFECTION CONTROL 2001-11-01 00:00:00 None No 2002-07-16 00:00:00 None B None 1000 1000 -350 650 0 060015407 A99999 N None None SFY2001-02
060001366 ABLELIGHT INC. - FERROCARRIL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2005-08-11 00:00:00 060001203 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-07-18 00:00:00 None No 2005-09-09 00:00:00 None A None 10000 10000 -3500 6500 0 060015451 A99999 N None None SFY2005-06
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2005-03-24 00:00:00 060001223 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-27 00:00:00 None No 2005-04-18 00:00:00 None B None 900 900 -315 585 0 060015619 A99999 N None None SFY2004-05
060000839 FREEDOM VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2005-11-14 00:00:00 060001262 Closed Citation Citation A (HSC 1424) Patient Care None 2004-08-08 00:00:00 None Yes 2009-08-19 00:00:00 2009-09-23 00:00:00 A A 10000 6500 0 6500 0 060015964 A99999 N None None SFY2005-06
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2005-10-26 00:00:00 060001263 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-07 00:00:00 None No 2005-11-17 00:00:00 None B None 1000 1000 0 1000 0 060015965 A99999 N None None SFY2005-06
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2005-12-21 00:00:00 060001264 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-19 00:00:00 None No 2006-01-23 00:00:00 None B None 1000 3000 0 3000 0 060015966 A99999 N None None SFY2005-06
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2006-01-10 00:00:00 060001265 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-13 00:00:00 None No 2006-02-07 00:00:00 None B None 750 850 -262.5 587.5 0 060015967 A99999 N None None SFY2005-06
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2006-02-10 00:00:00 060001266 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-03 00:00:00 None Yes 2006-03-07 00:00:00 2006-02-24 00:00:00 B B 800 500 0 500 0 060015968 A99999 N None None SFY2005-06
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2006-02-06 00:00:00 060001267 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-05 00:00:00 2006-01-05 00:00:00 No 2006-03-01 00:00:00 None B None 1000 1050 0 1050 0 060015969 A99999 N None None SFY2005-06
060001374 MERCED HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2006-03-02 00:00:00 060002880 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-06 00:00:00 2005-12-06 00:00:00 No 2006-03-23 00:00:00 None B None 500 500 -175 325 0 None VLRX11 N CA00069956 C SFY2005-06
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2006-03-09 00:00:00 060002913 Closed Citation Citation A (HSC 1424) Other Abuse 2005-10-11 00:00:00 2005-10-11 00:00:00 No 2006-04-05 00:00:00 None A None 5000 5000 0 5000 0 None HFE711 N CA00066664 B SFY2005-06
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2006-04-07 00:00:00 060003019 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-26 00:00:00 2005-12-26 00:00:00 Yes 2006-05-03 00:00:00 2006-04-17 00:00:00 B B 750 375 0 375 0 None OY4111 N CA00070663 C SFY2005-06
060001970 MARGARET'S HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2006-04-10 00:00:00 060003023 Closed Citation Citation AA (HSC 1424) Patient Rights None 2006-01-26 00:00:00 2006-01-26 00:00:00 Yes 2006-05-01 00:00:00 2006-04-11 00:00:00 AA AA 50000 50000 0 50000 0 None P6J011 Y CA00071159 C SFY2005-06
060000048 LEISURE COURT NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2006-04-13 00:00:00 060003026 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-02 00:00:00 2005-07-02 00:00:00 Yes 2006-05-04 00:00:00 2006-05-02 00:00:00 B None 1000 1000 0 1000 0 None VWV011 N CA00073321 C SFY2005-06
060000923 BEACH CREEK POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2006-04-26 00:00:00 060003060 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-27 00:00:00 2006-01-27 00:00:00 No 2006-05-17 00:00:00 None B None 1000 1000 -350 650 0 None 18PG11 N CA00073472 C SFY2005-06
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2006-04-26 00:00:00 060003063 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-30 00:00:00 2006-01-30 00:00:00 Yes 2006-05-22 00:00:00 2006-05-15 00:00:00 B B Trebled 2000 3000 0 3000 0 None 8TTP11 N CA00074866 C SFY2005-06
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2006-05-02 00:00:00 060003071 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-29 00:00:00 2005-12-29 00:00:00 No 2006-05-23 00:00:00 None B None 2000 2000 0 2000 0 None QQTS11 N CA00070014 C SFY2005-06
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2006-06-28 00:00:00 060003179 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-03 00:00:00 2006-02-03 00:00:00 No 2006-07-20 00:00:00 None B None 750 750 0 750 0 None UFM111 N CA00073470 C SFY2005-06
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2006-07-27 00:00:00 060003221 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-01 00:00:00 2006-01-01 00:00:00 No 2006-08-17 00:00:00 None B None 1000 1000 0 1000 0 None 8KQL11 N CA00076064 C SFY2006-07
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2006-07-27 00:00:00 060003222 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-22 00:00:00 2006-05-22 00:00:00 No 2006-08-17 00:00:00 None B None 1000 1000 0 1000 0 None STYW11 N None None SFY2006-07
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2006-07-27 00:00:00 060003223 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-01-14 00:00:00 2006-01-14 00:00:00 No 2006-08-17 00:00:00 None B None 1000 1000 0 1000 0 None CVJP11 N CA00073301 C SFY2006-07
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2006-07-27 00:00:00 060003224 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-04 00:00:00 2006-01-04 00:00:00 No 2006-08-17 00:00:00 None B None 1000 1000 0 1000 0 None LL2711 N CA00072872 C SFY2006-07
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2006-08-17 00:00:00 060003290 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-01 00:00:00 2006-08-01 00:00:00 No 2006-09-08 00:00:00 None B None 750 750 -262.5 487.5 0 None X7TV11 N CA00086309 C SFY2006-07
060000167 EXTENDED CARE HOSPITAL OF WESTMINSTER LTC SNF Skilled Nursing Facility Orange 2006-08-17 00:00:00 060003293 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-21 00:00:00 2006-07-21 00:00:00 No 2006-09-08 00:00:00 None B None 1000 1950 -350 1600 0 None STUZ11 N CA00086293 C SFY2006-07
060001291 HARBOR HEALTH CARE, INC. - REDWOOD DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2006-08-28 00:00:00 060003310 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-28 00:00:00 2006-06-28 00:00:00 No 2006-09-19 00:00:00 None B None 1000 1050 -350 700 0 None 312111 N CA00090084 C SFY2006-07
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2006-09-11 00:00:00 060003331 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-04 00:00:00 2005-12-04 00:00:00 No 2006-10-02 00:00:00 None B None 1000 1000 -350 650 0 None RWZB11 N CA00075007 C SFY2006-07
060000147 PARK ANAHEIM HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2006-09-21 00:00:00 060003359 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-29 00:00:00 2006-06-29 00:00:00 Yes 2006-10-13 00:00:00 2006-10-02 00:00:00 B B 750 250 0 250 0 None M19H11 N CA00086634 C SFY2006-07
060000051 ADVANCED REHAB CENTER OF TUSTIN LTC SNF Skilled Nursing Facility Orange 2006-09-28 00:00:00 060003376 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-24 00:00:00 2006-06-24 00:00:00 No 2006-10-20 00:00:00 None B None 1000 1000 -350 650 0 None XXLF11 N CA00084850 C SFY2006-07
060000037 CAPISTRANO BEACH CARE CENTER LTC SNF Skilled Nursing Facility Orange 2006-10-02 00:00:00 060003382 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-25 00:00:00 2005-12-25 00:00:00 No 2006-10-24 00:00:00 None B None 750 750 -262.5 487.5 0 None 6H6611 N CA00086804 C SFY2006-07
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2006-10-31 00:00:00 060003455 Closed Citation Citation B (HSC 1424) Medication None 2006-10-16 00:00:00 2006-10-16 00:00:00 No 2006-11-22 00:00:00 None B None 1000 1000 0 1000 0 None OOFC11 N CA00095664 C SFY2006-07
060000030 BUENA PARK NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2006-11-22 00:00:00 060003505 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-06 00:00:00 2006-11-06 00:00:00 No 2006-12-15 00:00:00 None B None 750 850 -262.5 587.5 0 None 37YN11 N CA00092895 C SFY2006-07
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2006-12-20 00:00:00 060003591 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-14 00:00:00 2006-10-14 00:00:00 Yes 2007-01-16 00:00:00 2007-01-03 00:00:00 B B Trebled 1000 3000 0 3000 0 None UQD811 N CA00096170 C SFY2006-07
060000876 VILLA VALENCIA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-02-08 00:00:00 060003614 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-21 00:00:00 2006-09-21 00:00:00 No 2007-03-08 00:00:00 None B None 1000 1000 -350 650 0 None 6GN911 N CA00094663 H SFY2006-07
060000156 GREENFIELD CARE CENTER OF FULLERTON, LLC LTC SNF Skilled Nursing Facility Orange 2007-01-17 00:00:00 060003626 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-10 00:00:00 2006-11-10 00:00:00 No 2007-02-07 00:00:00 None B None 1000 1000 -350 650 0 None MFUX11 N CA00098980 C SFY2006-07
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2007-01-17 00:00:00 060003632 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-07 00:00:00 2006-11-07 00:00:00 No 2007-02-07 00:00:00 None B None 1000 1000 -350 650 0 None 3LZM11 N CA00100304 C SFY2006-07
060000089 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-01-23 00:00:00 060003643 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-06 00:00:00 2006-09-06 00:00:00 Yes 2007-02-13 00:00:00 2007-02-02 00:00:00 B None 1000 1000 0 1000 0 None IYI511 N CA00094775 C SFY2006-07
060000156 GREENFIELD CARE CENTER OF FULLERTON, LLC LTC SNF Skilled Nursing Facility Orange 2007-01-24 00:00:00 060003645 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-04 00:00:00 2006-09-04 00:00:00 No 2007-02-14 00:00:00 None B None 750 900 -262.5 637.5 0 None N6ZL11 N CA00093616 D SFY2006-07
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2007-01-30 00:00:00 060003656 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-23 00:00:00 2006-11-23 00:00:00 No 2007-02-20 00:00:00 None B None 1000 1000 -350 650 0 None S80U11 N CA00100354 C SFY2006-07
060000030 BUENA PARK NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2007-02-28 00:00:00 060003658 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-22 00:00:00 2006-07-22 00:00:00 No 2007-03-21 00:00:00 None A None 15000 15000 -5250 9750 0 None PCN611 N CA00094052 C SFY2006-07
060000080 ABLELIGHT INC. - REGINA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-01-31 00:00:00 060003671 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-03 00:00:00 2007-01-03 00:00:00 No 2007-02-21 00:00:00 None B None 1000 1000 0 1000 0 None PMDI11 N CA00103728 C SFY2006-07
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-02-05 00:00:00 060003688 Closed Citation Citation B (HSC 1424) Medication None 2006-12-09 00:00:00 2006-12-09 00:00:00 Yes 2007-02-26 00:00:00 2007-02-27 00:00:00 B B 1000 500 0 500 0 None JHF111 N CA00101496 C SFY2006-07
060001477 LIBERTY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-02-27 00:00:00 060003745 Closed Citation Citation B (HSC 1424) Dietary None 2007-02-06 00:00:00 2007-02-06 00:00:00 No 2007-03-20 00:00:00 None B None 1000 1100 -350 750 0 None PE5611 N None None SFY2006-07
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2007-02-27 00:00:00 060003747 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-07 00:00:00 2006-08-07 00:00:00 No 2007-03-20 00:00:00 None B None 1000 1000 -350 650 0 None N94511 Y CA00091473 C SFY2006-07
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2007-03-22 00:00:00 060003792 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-25 00:00:00 2007-01-25 00:00:00 Yes 2007-04-12 00:00:00 2007-04-05 00:00:00 A B 7500 7500 0 7500 0 None H4IH11 N CA00105326 C SFY2006-07
080001542 ALTA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-03-21 00:00:00 060003828 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-21 00:00:00 2006-12-21 00:00:00 No 2007-04-11 00:00:00 None B None 1000 1000 -350 650 0 None ECBR11 N CA00102392 C SFY2006-07
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2007-04-10 00:00:00 060003835 Closed Citation Citation A (HSC 1424) Patient Care None 2007-02-08 00:00:00 2007-02-08 00:00:00 No 2007-05-01 00:00:00 None A None 5000 5000 -1750 3250 0 None IR6011 N CA00106818 C SFY2006-07
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2007-04-10 00:00:00 060003842 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-27 00:00:00 2006-12-27 00:00:00 No 2007-05-01 00:00:00 None B None 1000 1000 -350 650 0 None F51711 N CA00102698 C SFY2006-07
060000876 VILLA VALENCIA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-04-05 00:00:00 060003843 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-27 00:00:00 2006-12-27 00:00:00 No 2007-04-26 00:00:00 None B None 1000 1200 0 1200 0 None 9PNE11 N CA00104774 C SFY2006-07
060001537 ANAHEIM GENERAL HOSPITAL-BUENA PARK CAMPUS-D/P SNF LTC SNF Skilled Nursing Facility Orange 2007-05-29 00:00:00 060003872 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-27 00:00:00 2007-03-27 00:00:00 No 2007-06-19 00:00:00 None B None 1000 1150 -350 800 0 None 50YU11 N CA00109262 C SFY2006-07
060000122 MESA VERDE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-04-17 00:00:00 060003878 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-04 00:00:00 2007-04-04 00:00:00 Yes 2007-05-18 00:00:00 2007-04-24 00:00:00 A A 25000 1000 0 1000 0 None 3UZ011 N CA00106841 A SFY2006-07
060000053 SEA CLIFF HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-04-17 00:00:00 060003893 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-20 00:00:00 2007-01-20 00:00:00 Yes 2007-05-08 00:00:00 2007-05-07 00:00:00 A A 30000 20000 0 20000 0 None XH0M11 N CA00106866 C SFY2006-07
060001376 ALL AMERICAN HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-05-21 00:00:00 060003943 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-24 00:00:00 2007-04-24 00:00:00 No 2007-06-11 00:00:00 None B None 1000 1000 -350 650 0 None WVZX11 N None None SFY2006-07
060001688 ARGUS HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-06-04 00:00:00 060004002 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-05-22 00:00:00 2007-05-22 00:00:00 No 2007-06-25 00:00:00 None B None 500 500 -175 325 0 None 9MSQ11 N None None SFY2006-07
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2007-07-10 00:00:00 060004068 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-26 00:00:00 2007-02-26 00:00:00 No 2007-07-31 00:00:00 None B None 1000 1000 -350 650 0 None 7JH011 N CA00110882 C SFY2007-08
060000048 LEISURE COURT NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2007-07-17 00:00:00 060004093 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-29 00:00:00 2007-04-29 00:00:00 Yes 2007-08-07 00:00:00 2007-07-23 00:00:00 B None 1000 1000 0 1000 0 None KYZ811 N CA00114101 C SFY2007-08
060001712 TRI-ELIZABETH HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-07-25 00:00:00 060004122 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-01 00:00:00 2007-06-01 00:00:00 No 2007-08-15 00:00:00 None B None 500 500 -175 325 0 None 80VN11 N CA00116841 C SFY2007-08
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-08-07 00:00:00 060004165 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-01 00:00:00 2007-07-01 00:00:00 Yes 2007-08-28 00:00:00 2007-08-08 00:00:00 B B 750 375 0 375 0 None CSVU11 N CA00119296 C SFY2007-08
060000077 ABLELIGHT INC. - HARTOG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-08-10 00:00:00 060004166 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-11 00:00:00 2007-07-11 00:00:00 No 2007-08-31 00:00:00 None B None 1000 1500 -350 1150 0 None LOT611 N CA00119887 C SFY2007-08
060000837 FOUNTAIN VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Orange 2007-08-14 00:00:00 060004174 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-01 00:00:00 2007-06-01 00:00:00 No 2007-09-05 00:00:00 None B None 1000 1000 -350 650 0 None 4ON511 N CA00117757 B SFY2007-08
060001374 MERCED HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-08-13 00:00:00 060004175 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-07-30 00:00:00 2007-07-30 00:00:00 No 2007-09-13 00:00:00 None B None 1000 1000 -350 650 0 None JH5U12 N None None SFY2007-08
060000147 PARK ANAHEIM HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-08-21 00:00:00 060004197 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-26 00:00:00 2007-04-26 00:00:00 Yes 2010-04-22 00:00:00 2010-04-06 00:00:00 A A 20000 15000 0 15000 0 None FH9C11 Y CA00113199 B SFY2007-08
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2007-08-29 00:00:00 060004198 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-01 00:00:00 2007-07-01 00:00:00 Yes 2007-09-24 00:00:00 2007-09-14 00:00:00 B None 1000 3000 0 3000 0 None Y21U11 N CA00120076 B SFY2007-08
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-08-23 00:00:00 060004199 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-18 00:00:00 2007-04-18 00:00:00 Yes 2007-09-14 00:00:00 2007-09-12 00:00:00 B None 1000 1000 0 1000 0 None 2KV611 N CA00119815 B SFY2007-08
060001255 SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF LTC SNF Skilled Nursing Facility Orange 2007-10-11 00:00:00 060004262 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-20 00:00:00 2007-05-20 00:00:00 No 2007-11-01 00:00:00 None A None 20000 20000 -7000 13000 0 None XO7L11 Y CA00120537 C SFY2007-08
060000046 GORDON LANE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-09-26 00:00:00 060004264 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-24 00:00:00 2007-05-24 00:00:00 Yes 2007-10-18 00:00:00 2007-10-01 00:00:00 B B 1000 400 0 400 0 None UD2S11 N CA00116634 C SFY2007-08
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-09-26 00:00:00 060004292 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-18 00:00:00 2005-11-18 00:00:00 Yes 2007-10-18 00:00:00 2007-10-11 00:00:00 B B 1000 500 0 500 0 None MRGC11 N CA00123017 C SFY2007-08
060001688 ARGUS HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-10-02 00:00:00 060004296 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-20 00:00:00 2007-07-20 00:00:00 No 2007-10-24 00:00:00 None B None 1000 1000 -350 650 0 None WSOZ11 N CA00127068 C SFY2007-08
060001466 MANGO HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-10-12 00:00:00 060004346 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-19 00:00:00 2007-09-19 00:00:00 Yes 2007-11-02 00:00:00 2007-10-15 00:00:00 B B 1000 500 0 500 0 None 0PXH11 N CA00126466 C SFY2007-08
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2007-10-11 00:00:00 060004348 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-19 00:00:00 2007-09-19 00:00:00 No 2007-11-01 00:00:00 None B None 1000 1000 -350 650 0 None FMG311 N None None SFY2007-08
060001255 SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF LTC SNF Skilled Nursing Facility Orange 2007-10-23 00:00:00 060004380 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-05 00:00:00 2007-10-05 00:00:00 No 2007-11-14 00:00:00 None B None 1000 1000 -350 650 0 None 0XUQ11 N CA00128686 C SFY2007-08
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2007-11-15 00:00:00 060004441 Closed Citation Citation A (HSC 1424) Patient Rights None 2007-10-08 00:00:00 2007-10-08 00:00:00 No 2007-12-10 00:00:00 None A None 10000 10050 0 10050 0 None 7Z0611 N CA00128722 C SFY2007-08
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2007-12-11 00:00:00 060004511 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-03 00:00:00 2006-09-03 00:00:00 Yes 2008-01-03 00:00:00 2007-12-12 00:00:00 B B 750 500 0 500 0 None 95CF11 N CA00130722 C SFY2007-08
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-01-16 00:00:00 060004572 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-04 00:00:00 2007-10-04 00:00:00 Yes 2008-02-19 00:00:00 2008-01-29 00:00:00 B B 1000 500 0 500 0 None XFQC11 N CA00128959 C SFY2007-08
060002145 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Orange 2008-01-17 00:00:00 060004588 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-16 00:00:00 2007-02-16 00:00:00 Yes 2008-02-08 00:00:00 2008-02-05 00:00:00 B None 1000 1000 0 1000 0 None VDNP11 N CA00130368 C SFY2007-08
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2008-02-06 00:00:00 060004637 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-02 00:00:00 2008-01-02 00:00:00 Yes 2008-03-05 00:00:00 2008-02-07 00:00:00 A None 10000 10000 -3500 6500 0 None NHFS11 N CA00136615, CA00136615 B, B SFY2007-08
060001519 BETHESDA LUTHERAN COMMUNITIES - PAPAGAYO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-02-01 00:00:00 060004649 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-11 00:00:00 2008-01-11 00:00:00 No 2008-03-03 00:00:00 None B None 1000 1000 -350 650 0 None NFKP11 N None None SFY2007-08
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2008-03-18 00:00:00 060004710 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-27 00:00:00 2007-11-27 00:00:00 No 2008-04-09 00:00:00 None B None 800 800 -280 520 0 None V5Z511 N CA00134854 C SFY2007-08
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2008-03-12 00:00:00 060004757 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-01-09 00:00:00 2008-01-09 00:00:00 No 2008-04-08 00:00:00 None B None 750 750 0 750 0 None E6TK11 N CA00137732 C SFY2007-08
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2008-03-13 00:00:00 060004772 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-22 00:00:00 2007-12-22 00:00:00 No 2008-04-04 00:00:00 None B None 500 500 -175 325 0 None 999999 N None None SFY2007-08
060000130 PARKVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2008-04-15 00:00:00 060004791 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-10-12 00:00:00 2007-10-12 00:00:00 Yes 2008-05-08 00:00:00 2008-04-17 00:00:00 AA AA 50000 50000 0 50000 0 None 63GR11 Y CA00135423 C SFY2007-08
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-03-26 00:00:00 060004801 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-06 00:00:00 2008-03-06 00:00:00 Yes 2008-04-24 00:00:00 2008-03-27 00:00:00 B B 1000 500 0 500 0 None 0HD111 N CA00142144 C SFY2007-08
060001477 LIBERTY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-03-20 00:00:00 060004802 Closed Citation Citation B (HSC 1424) Staffing None 2007-02-05 00:00:00 2007-02-05 00:00:00 No 2008-04-22 00:00:00 None B None 1000 1000 -350 650 0 None 59YL11 N None None SFY2007-08
060000210 BETHESDA LUTHERAN COMMUNITIES - OSPREY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-03-28 00:00:00 060004835 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-20 00:00:00 2008-03-20 00:00:00 Yes 2008-04-25 00:00:00 2008-04-02 00:00:00 B None 1000 1000 -350 650 0 None DX9E11 N None None SFY2007-08
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2008-04-11 00:00:00 060004877 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-06 00:00:00 2008-02-06 00:00:00 No 2008-05-08 00:00:00 None B None 1000 1000 -350 650 0 None OWSU11 N CA00141746 C SFY2007-08
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2008-04-15 00:00:00 060004901 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-09 00:00:00 2008-01-09 00:00:00 Yes 2008-05-12 00:00:00 2008-04-21 00:00:00 B B 1000 500 0 500 0 None 5RW911 N None None SFY2007-08
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2008-04-16 00:00:00 060004922 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-10 00:00:00 2007-08-10 00:00:00 No 2008-05-08 00:00:00 None B None 1000 3000 -1050 1950 0 None VL0011 N CA00138088 C SFY2007-08
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2008-04-29 00:00:00 060004924 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-20 00:00:00 2007-09-20 00:00:00 No 2008-05-22 00:00:00 None B None 1000 1000 -350 650 0 None 0NG411 N CA00142341 C SFY2007-08
060000130 PARKVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2008-05-15 00:00:00 060005036 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-23 00:00:00 2008-03-23 00:00:00 No 2008-06-09 00:00:00 None B None 1000 1000 -350 650 0 None 8GVS11 N CA00146258 C SFY2007-08
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2008-05-20 00:00:00 060005051 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-03 00:00:00 2008-04-03 00:00:00 Yes 2008-06-13 00:00:00 2008-05-30 00:00:00 B None 1000 1000 0 1000 0 None 7EYL11 N CA00146501, CA00146501 C, C SFY2007-08
060001374 MERCED HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-05-23 00:00:00 060005066 Closed Citation Citation B (HSC 1424) Staffing None 2008-05-06 00:00:00 2008-05-06 00:00:00 No 2008-06-16 00:00:00 None B None 1000 1100 -1100 0 0 None E54G11 N None None SFY2007-08
060000077 ABLELIGHT INC. - HARTOG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-06-06 00:00:00 060005102 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-28 00:00:00 2008-05-28 00:00:00 No 2008-06-30 00:00:00 None B None 1000 1000 -350 650 0 None UWZM11 N CA00151729 C SFY2007-08
060001640 TRI-ELIZABETH HOMES III LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-08-11 00:00:00 060005309 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-07-22 00:00:00 2008-07-22 00:00:00 No 2008-09-05 00:00:00 None B None 500 500 -175 325 0 None YKFQ11 N None None SFY2008-09
060001998 ELIZABETH HOMES - SAN RICARDO WAY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-08-11 00:00:00 060005312 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-18 00:00:00 2008-07-18 00:00:00 No 2008-09-05 00:00:00 None B None 1000 1000 -350 650 0 None 90N311 N CA00157424 C SFY2008-09
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2008-09-04 00:00:00 060005365 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-12 00:00:00 2008-07-12 00:00:00 Yes 2008-09-29 00:00:00 2008-09-04 00:00:00 B B 1000 530 0 530 0 None ZZH511 N CA00158004 C SFY2008-09
060000081 BETHESDA LUTHERAN COMMUNITIES - TWIG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-09-05 00:00:00 060005383 Closed Citation Citation A (HSC 1424) Patient Care None 2008-08-02 00:00:00 2008-08-02 00:00:00 No 2008-10-03 00:00:00 None A None 2500 2500 -875 1625 0 None MB6O11 N CA00159804 C SFY2008-09
060001077 INDEPENDENT OPTIONS, INC. MARK LANE II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-09-05 00:00:00 060005385 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-24 00:00:00 2008-07-24 00:00:00 No 2008-09-29 00:00:00 None B None 1000 1000 0 1000 0 None 7I5Q11 N CA00158144 C SFY2008-09
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2008-09-11 00:00:00 060005386 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-16 00:00:00 2007-09-16 00:00:00 Yes 2008-10-06 00:00:00 2008-10-23 00:00:00 A None 5000 5000 0 5000 0 None ELOC11 N CA00146128 A SFY2008-09
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2008-10-06 00:00:00 060005475 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-04 00:00:00 2008-07-04 00:00:00 No 2008-11-03 00:00:00 None B None 1000 1000 0 1000 0 None KQKF11 N CA00160065 C SFY2008-09
080001540 ANAHEIM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2008-10-02 00:00:00 060005477 Closed Citation Citation A (HSC 1424) Patient Care None 2008-02-01 00:00:00 2008-02-01 00:00:00 Yes 2008-10-28 00:00:00 2008-10-14 00:00:00 A A 5000 5000 0 5000 0 None ZVKN11 N CA00160157 C SFY2008-09
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2008-10-03 00:00:00 060005482 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-20 00:00:00 2008-08-20 00:00:00 No 2008-10-28 00:00:00 None B None 1000 1250 0 1250 0 None X5N111 N CA00161707 C SFY2008-09
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2008-12-22 00:00:00 060005715 Closed Citation Citation A (HSC 1424) Patient Care None 2008-08-25 00:00:00 2008-08-25 00:00:00 No 2009-01-16 00:00:00 None A None 20000 20050 -7000 13050 0 None Q1HF11 N CA00159832 C SFY2008-09
060001366 ABLELIGHT INC. - FERROCARRIL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2008-12-22 00:00:00 060005716 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-09 00:00:00 2008-11-09 00:00:00 No 2009-01-14 00:00:00 None B None 750 750 -262.5 487.5 0 None CXCU11 N CA00168963 C SFY2008-09
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2009-01-06 00:00:00 060005755 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-08 00:00:00 2008-10-08 00:00:00 Yes 2009-01-29 00:00:00 2009-01-07 00:00:00 B B 1000 500 0 500 0 None 4TMT11 N CA00167188 B SFY2008-09
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2009-01-06 00:00:00 060005758 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-17 00:00:00 2008-01-17 00:00:00 No 2009-02-04 00:00:00 None B None 1000 1000 -350 650 0 None H01F11 N CA00162924 C SFY2008-09
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-01-12 00:00:00 060005776 Closed Citation Citation B (HSC 1424) Staffing None 2008-12-10 00:00:00 2008-12-10 00:00:00 No 2009-02-04 00:00:00 None B None 1000 1000 -350 650 0 None F4I311 N CA00171619 B SFY2008-09
060001053 CHRISTOPHER LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-01-12 00:00:00 060005779 Closed Citation Citation B (HSC 1424) Staffing None 2008-12-10 00:00:00 2008-12-10 00:00:00 No 2009-02-04 00:00:00 None B None 1000 1000 -350 650 0 None 999999 N None None SFY2008-09
060001971 OLMSTEAD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-01-20 00:00:00 060005801 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-01 00:00:00 2009-01-01 00:00:00 No 2009-02-12 00:00:00 None B None 500 500 -175 325 0 None TGH111 N CA00174054 C SFY2008-09
060000051 ADVANCED REHAB CENTER OF TUSTIN LTC SNF Skilled Nursing Facility Orange 2009-01-21 00:00:00 060005811 Closed Citation Citation A (HSC 1424) Staffing None 2008-11-10 00:00:00 2008-11-10 00:00:00 No 2009-02-18 00:00:00 None A None 20000 20000 -7000 13000 0 None L0E311 N CA00169276 A SFY2008-09
060000031 ANAHEIM CREST NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2009-01-30 00:00:00 060005824 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-09-09 00:00:00 2008-09-09 00:00:00 Yes 2009-02-24 00:00:00 2009-02-12 00:00:00 AA A 75000 70000 0 70000 0 None ZPS911 Y CA00170421 C SFY2008-09
060001586 WASHINGTON AVENUE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-02-03 00:00:00 060005851 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-12 00:00:00 2009-01-12 00:00:00 Yes 2009-03-03 00:00:00 2009-02-19 00:00:00 B B 500 250 0 250 0 None S2WH11 N CA00174249 C SFY2008-09
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-02-03 00:00:00 060005852 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-29 00:00:00 2008-12-29 00:00:00 No 2009-02-27 00:00:00 None A None 10000 10100 -3500 6600 0 None DSC111 N CA00173338 C SFY2008-09
060000077 ABLELIGHT INC. - HARTOG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-02-06 00:00:00 060005859 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-13 00:00:00 2009-01-13 00:00:00 No 2009-03-03 00:00:00 None B None 1000 3000 -1050 1950 0 None 4ML112 N None None SFY2008-09
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2009-02-26 00:00:00 060005889 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-11 00:00:00 2009-01-11 00:00:00 Yes 2009-03-23 00:00:00 2009-03-18 00:00:00 B B 1000 650 0 650 0 None QZY711 N CA00174847 B SFY2008-09
060001197 ABLELIGHT INC. - MAWSON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-03-05 00:00:00 060005925 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-09 00:00:00 2008-12-09 00:00:00 No 2009-03-27 00:00:00 None B None 500 500 -175 325 0 None R3DQ11 N CA00176419 C SFY2008-09
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2009-03-05 00:00:00 060005927 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-11 00:00:00 2008-08-11 00:00:00 No 2009-03-27 00:00:00 None B None 1000 1000 0 1000 0 None 0ILB11 N CA00166503 B SFY2008-09
060001255 SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF LTC SNF Skilled Nursing Facility Orange 2009-03-17 00:00:00 060005968 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-17 00:00:00 2008-12-17 00:00:00 No 2009-04-09 00:00:00 None B None 1000 1000 0 1000 0 None B1YJ11 N CA00174676 C SFY2008-09
060001058 WALNUT VILLAGE REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-04-02 00:00:00 060006042 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-02-18 00:00:00 2009-02-18 00:00:00 No 2009-04-29 00:00:00 None B None 750 750 0 750 0 None U3CZ11 N CA00178852 B SFY2008-09
060001053 CHRISTOPHER LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-04-03 00:00:00 060006043 Closed Citation Citation B (HSC 1424) Medication None 2009-03-18 00:00:00 2009-03-18 00:00:00 Yes 2009-04-30 00:00:00 2009-04-23 00:00:00 B None 1000 1000 -350 650 0 None 3UV111 N None None SFY2008-09
060001053 CHRISTOPHER LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-04-07 00:00:00 060006044 Closed Citation Citation B (HSC 1424) Staffing None 2009-03-18 00:00:00 2009-03-18 00:00:00 Yes 2009-04-30 00:00:00 2009-04-23 00:00:00 B B 1000 500 0 500 0 None 3UV111 N None None SFY2008-09
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2009-04-07 00:00:00 060006051 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-03-18 00:00:00 2009-03-18 00:00:00 No 2009-04-30 00:00:00 None B None 1000 1000 -350 650 0 None 28CJ11 N CA00181390 C SFY2008-09
060001646 OCEAN BREEZE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-04-13 00:00:00 060006090 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-11 00:00:00 2009-03-11 00:00:00 No 2009-05-08 00:00:00 None B None 1000 1000 -350 650 0 None LPBJ11 N None None SFY2008-09
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-04-22 00:00:00 060006114 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-15 00:00:00 2009-03-15 00:00:00 Yes 2009-05-15 00:00:00 2009-04-24 00:00:00 B B 1000 500 0 500 0 None 5I7O11 N None None SFY2008-09
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-04-22 00:00:00 060006119 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-18 00:00:00 2009-03-18 00:00:00 Yes 2009-12-14 00:00:00 2009-12-07 00:00:00 A A 10000 7500 0 7500 0 None 5I7O11 N None None SFY2008-09
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2009-04-23 00:00:00 060006120 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-18 00:00:00 2009-03-18 00:00:00 Yes 2009-05-15 00:00:00 2009-05-05 00:00:00 B B 1000 650 0 650 0 None 0H4R11 N CA00182917 C SFY2008-09
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2009-04-27 00:00:00 060006121 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-17 00:00:00 2009-01-17 00:00:00 Yes 2009-05-21 00:00:00 2009-04-28 00:00:00 B None 1000 1000 0 1000 0 None L41111 N CA00179447 B SFY2008-09
060000125 THE GROVE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2009-05-19 00:00:00 060006129 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-02 00:00:00 2008-07-02 00:00:00 Yes 2009-06-10 00:00:00 2009-05-27 00:00:00 B B 1000 650 0 650 0 None YPAD11 N CA00156041 C SFY2008-09
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2009-05-11 00:00:00 060006162 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-01 00:00:00 2008-11-01 00:00:00 No 2009-06-03 00:00:00 None A None 20000 20000 -7000 13000 0 None V38L11 N CA00182032 C SFY2008-09
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2009-05-26 00:00:00 060006194 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-02-14 00:00:00 2009-02-14 00:00:00 No 2009-06-18 00:00:00 None B None 1000 1000 0 1000 0 None 152J11 N CA00184621 D SFY2008-09
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2009-06-03 00:00:00 060006202 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-01 00:00:00 2009-02-01 00:00:00 No 2009-06-26 00:00:00 None B None 800 800 0 800 0 None PVYZ11 N CA00178224 C SFY2008-09
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2009-05-26 00:00:00 060006203 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-12-19 00:00:00 2008-12-19 00:00:00 Yes 2009-10-20 00:00:00 2009-09-29 00:00:00 AA B 100000 20000 0 20000 0 None RNVX11 Y CA00180633 C SFY2008-09
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2009-05-26 00:00:00 060006213 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-09 00:00:00 2008-12-09 00:00:00 Yes 2010-04-21 00:00:00 2010-04-07 00:00:00 A A 20000 10000 0 10000 0 None SNGX11 N CA00171868 C SFY2008-09
060000054 HUNTINGTON VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-06-01 00:00:00 060006231 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-03-02 00:00:00 2009-03-02 00:00:00 Yes 2009-06-23 00:00:00 2009-06-17 00:00:00 AA A 80000 80000 0 80000 0 None YFMT11 Y CA00184802 C SFY2008-09
060000048 LEISURE COURT NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2009-06-09 00:00:00 060006240 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-19 00:00:00 2009-02-19 00:00:00 Yes 2009-07-01 00:00:00 2009-06-11 00:00:00 A None 10000 10000 0 10000 0 None 8W1R11 N CA00185175 C SFY2008-09
060002256 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE V LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-06-08 00:00:00 060006253 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-04-21 00:00:00 2009-04-21 00:00:00 No 2009-06-30 00:00:00 None B None 500 500 0 500 0 None RQXQ11 N CA00186707 C SFY2008-09
060000876 VILLA VALENCIA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-06-11 00:00:00 060006264 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-10 00:00:00 2009-04-10 00:00:00 Yes 2009-07-06 00:00:00 2009-06-23 00:00:00 A None 20000 20000 0 20000 0 None CLYH11 Y CA00186698 C SFY2008-09
060001314 SEA BRIGHT PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-06-19 00:00:00 060006298 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-04 00:00:00 2009-06-04 00:00:00 No 2009-07-16 00:00:00 None B None 1000 1000 -350 650 0 None C5DR11 N None None SFY2008-09
060001314 SEA BRIGHT PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-06-19 00:00:00 060006299 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-04 00:00:00 2009-06-04 00:00:00 No 2009-07-16 00:00:00 None B None 1000 1000 -350 650 0 None C5DR11 N None None SFY2008-09
060000070 TUSTIN CARE CENTER, INC. LTC ICF Intermediate Care Facility Orange 2009-06-26 00:00:00 060006323 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-03-14 00:00:00 2009-03-14 00:00:00 Yes 2010-09-07 00:00:00 2010-08-19 00:00:00 AA AA 50000 50000 0 50000 0 None 88QF11 Y CA00181842 C SFY2008-09
060000210 BETHESDA LUTHERAN COMMUNITIES - OSPREY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-06-30 00:00:00 060006336 Closed Citation Citation B (HSC 1424) Medication None 2009-05-31 00:00:00 2009-05-31 00:00:00 No 2009-07-23 00:00:00 None B None 1000 1000 -350 650 0 None NTER11 N CA00190468 C SFY2008-09
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-07-01 00:00:00 060006338 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-17 00:00:00 2009-04-17 00:00:00 Yes 2009-07-24 00:00:00 2009-07-07 00:00:00 B B 1000 650 0 650 0 None B4DI11 N CA00187891 B SFY2009-10
060000048 LEISURE COURT NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2009-07-15 00:00:00 060006384 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-06 00:00:00 2009-05-06 00:00:00 Yes 2009-08-07 00:00:00 2009-07-16 00:00:00 B None 1000 1000 0 1000 0 None ENPT11 N CA00187033 C SFY2009-10
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2009-07-16 00:00:00 060006385 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-15 00:00:00 2009-05-15 00:00:00 No 2009-08-10 00:00:00 None B None 1000 1000 0 1000 0 None O5VV11 N CA00189700 C SFY2009-10
060002251 THE COVINGTON CARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-07-31 00:00:00 060006440 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2009-08-25 00:00:00 None A None 10000 10000 -3500 6500 0 None C0FE11 N CA00192636 C SFY2009-10
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2009-08-18 00:00:00 060006470 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-01 00:00:00 2008-12-01 00:00:00 Yes 2009-09-09 00:00:00 2009-09-09 00:00:00 B None 1000 1000 0 1000 0 None BHH411 N CA00172465 C SFY2009-10
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2009-08-27 00:00:00 060006498 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-13 00:00:00 2009-07-13 00:00:00 Yes 2009-09-21 00:00:00 2009-09-10 00:00:00 B None 1000 1000 0 1000 0 None 5BO611 N CA00195542 B SFY2009-10
060000077 ABLELIGHT INC. - HARTOG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-08-31 00:00:00 060006499 Closed Citation Citation B (HSC 1424) Medication None 2009-07-14 00:00:00 2009-07-14 00:00:00 No 2009-09-24 00:00:00 None B None 1000 1000 -350 650 0 None BTW511 N CA00198242 C SFY2009-10
060001576 HEATHER LANE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-08-31 00:00:00 060006508 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-30 00:00:00 2009-06-30 00:00:00 Yes 2009-09-25 00:00:00 2009-09-22 00:00:00 B B 500 250 0 250 0 None 1MX711 N CA00193816 C SFY2009-10
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2009-09-15 00:00:00 060006549 Closed Citation Citation A (HSC 1424) Medication None 2009-02-05 00:00:00 2009-02-05 00:00:00 No 2009-10-07 00:00:00 None A None 20000 20000 -7000 13000 0 None 5X8E11 N CA00177843 C SFY2009-10
060000082 HARRIET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-09-16 00:00:00 060006551 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-11 00:00:00 2009-02-11 00:00:00 No 2009-10-08 00:00:00 None B None 1000 1000 -350 650 0 None 7R8P11 N None None SFY2009-10
080001540 ANAHEIM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-09-28 00:00:00 060006568 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-08 00:00:00 2009-05-08 00:00:00 No 2009-10-22 00:00:00 None B None 750 750 -262.5 487.5 0 None D1P711 N CA00189020 C SFY2009-10
080001540 ANAHEIM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-09-28 00:00:00 060006569 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-08 00:00:00 2009-07-08 00:00:00 No 2009-10-22 00:00:00 None B None 1000 1000 -350 650 0 None SWEU11 N CA00195187 C SFY2009-10
060000837 FOUNTAIN VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Orange 2009-09-28 00:00:00 060006579 Closed Citation Citation B (HSC 1424) Medication None 2009-08-07 00:00:00 2009-08-07 00:00:00 No 2009-10-21 00:00:00 None B None 1000 1000 -350 650 0 None 2D9K11 N CA00199232 C SFY2009-10
060000054 HUNTINGTON VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-09-29 00:00:00 060006591 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-25 00:00:00 2009-07-25 00:00:00 No 2009-10-22 00:00:00 None B None 1000 1000 -350 650 0 None KF0C11 N CA00198516 C SFY2009-10
060001053 CHRISTOPHER LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-09-30 00:00:00 060006595 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-03 00:00:00 2009-09-03 00:00:00 No 2009-10-26 00:00:00 None B None 1000 1400 -350 1050 0 None 3L3X11 N CA00200625 C SFY2009-10
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-10-05 00:00:00 060006596 Closed Citation Citation B (HSC 1424) Medication None 2009-09-10 00:00:00 2009-09-10 00:00:00 Yes 2009-10-30 00:00:00 2009-10-07 00:00:00 B B 1000 500 0 500 0 None IXOF11 N CA00201535 C SFY2009-10
060001450 CACHUELA ICF/DD-N HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-10-26 00:00:00 060006648 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-02 00:00:00 2009-10-02 00:00:00 No 2009-11-18 00:00:00 None B None 1000 1000 -350 650 0 None 10OW11 N CA00204301 C SFY2009-10
060001450 CACHUELA ICF/DD-N HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-10-26 00:00:00 060006650 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-02 00:00:00 2009-10-02 00:00:00 No 2009-11-18 00:00:00 None B None 1000 1000 -350 650 0 None 10OW11 N CA00204301 C SFY2009-10
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-11-17 00:00:00 060006695 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-19 00:00:00 2008-08-19 00:00:00 Yes 2009-12-14 00:00:00 2009-11-18 00:00:00 B B 1000 500 0 500 0 None IPMW11 N CA00197796 C SFY2009-10
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2009-11-17 00:00:00 060006696 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-02 00:00:00 2009-09-02 00:00:00 Yes 2009-12-15 00:00:00 2009-11-24 00:00:00 B None 500 500 0 500 0 None RHL311 N CA00200950 C SFY2009-10
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2009-11-17 00:00:00 060006713 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-02 00:00:00 2009-09-02 00:00:00 No 2009-12-15 00:00:00 None B None 500 500 -175 325 0 None YJGW11 N CA00204233 C SFY2009-10
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2009-11-18 00:00:00 060006719 Closed Citation Citation A (HSC 1424) Patient Care None 2009-07-12 00:00:00 2009-07-12 00:00:00 Yes 2009-12-16 00:00:00 2009-12-09 00:00:00 A A 15000 15000 0 15000 0 None QNKN11 N CA00195947 B SFY2009-10
060000209 BETHESDA LUTHERAN COMMUNITIES - DAPHNE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-11-23 00:00:00 060006721 Closed Citation Citation B (HSC 1424) Medication None 2009-10-21 00:00:00 2009-10-21 00:00:00 No 2009-12-18 00:00:00 None B None 1000 1000 -350 650 0 None FFQD11 N CA00205690 C SFY2009-10
060000876 VILLA VALENCIA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2009-12-09 00:00:00 060006731 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-07-30 00:00:00 2009-07-30 00:00:00 Yes 2010-09-07 00:00:00 2010-08-25 00:00:00 AA AA 100000 85000 0 85000 0 None 5XC511 Y CA00196889 A SFY2009-10
060000081 BETHESDA LUTHERAN COMMUNITIES - TWIG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-12-09 00:00:00 060006755 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-11-09 00:00:00 2009-11-09 00:00:00 No 2010-01-04 00:00:00 None B None 1000 1000 -350 650 0 None 767911 N None None SFY2009-10
060001077 INDEPENDENT OPTIONS, INC. MARK LANE II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-12-09 00:00:00 060006756 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-04 00:00:00 2009-09-04 00:00:00 No 2010-01-01 00:00:00 None B None 1000 1000 -350 650 0 None WZLO11 N CA00204357 C SFY2009-10
060001287 912 MAGNOLIA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-12-18 00:00:00 060006787 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2009-12-09 00:00:00 2009-12-09 00:00:00 Yes 2010-01-13 00:00:00 2009-12-21 00:00:00 B B 1000 500 0 500 0 None NZZ411 N None None SFY2009-10
060001576 HEATHER LANE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-12-18 00:00:00 060006801 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-10-14 00:00:00 2009-10-14 00:00:00 Yes 2010-01-21 00:00:00 2009-12-21 00:00:00 B B 500 250 0 250 0 None 6BZB11 N CA00205320 C SFY2009-10
060002269 LONIKA HOME APHENA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2009-12-23 00:00:00 060006834 Closed Citation Citation B (HSC 1424) Dietary None 2009-12-03 00:00:00 2009-12-03 00:00:00 No 2010-01-15 00:00:00 None B None 1000 1000 -350 650 0 None 743011 N CA00210270 B SFY2009-10
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2010-01-20 00:00:00 060006849 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-07-14 00:00:00 2009-07-14 00:00:00 Yes 2010-02-10 00:00:00 2010-02-04 00:00:00 AA A 85000 35000 0 35000 0 None FOUO11 Y CA00206488 B SFY2009-10
060000029 ST. ELIZABETH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2010-01-21 00:00:00 060006932 Closed Citation Citation A (HSC 1424) Patient Care None 2009-11-15 00:00:00 2009-11-15 00:00:00 Yes 2010-02-12 00:00:00 2010-01-25 00:00:00 A A 7500 7500 0 7500 0 None XIQZ11 N CA00209128 C SFY2009-10
060001999 RIDGLEA HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-02-25 00:00:00 060007014 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-23 00:00:00 2009-12-23 00:00:00 No 2010-03-18 00:00:00 None B None 800 800 0 800 0 None I1LO11 N CA00212491 C SFY2009-10
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2010-03-09 00:00:00 060007030 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-24 00:00:00 2009-10-24 00:00:00 No 2010-04-05 00:00:00 None B None 1000 1000 -350 650 0 None 8MR011 N CA00206495 C SFY2009-10
060001278 HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-03-25 00:00:00 060007065 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-25 00:00:00 2010-02-25 00:00:00 No 2010-04-19 00:00:00 None B None 1000 1000 -350 650 0 None 3ICL11 N CA00219556 C SFY2009-10
060001278 HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-03-25 00:00:00 060007066 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-25 00:00:00 2010-02-25 00:00:00 No 2010-04-19 00:00:00 None B None 1000 1000 -350 650 0 None 3ICL11 N CA00219556 C SFY2009-10
060001278 HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-03-25 00:00:00 060007068 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-25 00:00:00 2010-02-25 00:00:00 No 2010-04-19 00:00:00 None B None 600 600 -210 390 0 None 3ICL11 N CA00219556 C SFY2009-10
060000050 LA PALMA NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2010-04-16 00:00:00 060007130 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-13 00:00:00 2010-01-13 00:00:00 Yes 2010-05-10 00:00:00 2010-06-02 00:00:00 B None 800 800 0 800 0 None 4S3E11 N CA00216168 C SFY2009-10
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-04-15 00:00:00 060007131 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-18 00:00:00 2010-02-18 00:00:00 Yes 2010-05-10 00:00:00 2010-04-16 00:00:00 B B 800 400 800 1200 0 None IXNC11 N CA00221528 C SFY2009-10
060000839 FREEDOM VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2010-04-19 00:00:00 060007136 Closed Citation Citation B (HSC 1424) Medication None 2009-10-16 00:00:00 2009-10-16 00:00:00 No 2010-05-12 00:00:00 None B None 750 750 -262.5 487.5 0 None S93E11 Y CA00214769 B SFY2009-10
060001278 HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-05-04 00:00:00 060007190 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-04-02 00:00:00 2010-04-02 00:00:00 No 2010-05-27 00:00:00 None B None 1000 1000 -350 650 0 None HLYO11 N CA00223743 B SFY2009-10
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2010-05-13 00:00:00 060007211 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-03-08 00:00:00 2010-03-08 00:00:00 Yes 2010-06-08 00:00:00 2010-06-03 00:00:00 B B 1000 650 0 650 0 None 5U1711 N CA00223504 C SFY2009-10
060001096 LENMAR HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-05-21 00:00:00 060007229 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-02 00:00:00 2010-03-02 00:00:00 No 2010-06-15 00:00:00 None B None 500 500 -175 325 0 None L62211 N None None SFY2009-10
060001096 LENMAR HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-05-21 00:00:00 060007232 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-12 00:00:00 2010-04-12 00:00:00 No 2010-06-15 00:00:00 None B None 500 500 -175 325 0 None L62211 N None None SFY2009-10
060000046 GORDON LANE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2010-06-01 00:00:00 060007263 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-17 00:00:00 2010-01-17 00:00:00 Yes 2010-06-23 00:00:00 2010-06-09 00:00:00 A None 8000 8000 0 8000 0 None OO1411 N CA00216194 C SFY2009-10
060001058 WALNUT VILLAGE REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility Orange 2010-06-04 00:00:00 060007281 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-05 00:00:00 2010-03-05 00:00:00 No 2010-06-28 00:00:00 None B None 1000 1000 -350 650 0 None B0BS11 N CA00221502 C SFY2009-10
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2010-06-08 00:00:00 060007291 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-28 00:00:00 2009-10-28 00:00:00 Yes 2010-06-30 00:00:00 2010-06-09 00:00:00 A A 5000 5000 0 5000 0 None 24Z611 N CA00204225 C SFY2009-10
060000196 ANAHEIM HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Orange 2010-06-08 00:00:00 060007295 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-31 00:00:00 2009-08-31 00:00:00 Yes 2010-06-30 00:00:00 2010-06-22 00:00:00 B B 1000 650 0 650 0 None QJ6P11 N CA00205616 B SFY2009-10
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2010-06-09 00:00:00 060007298 Closed Citation Citation A (HSC 1424) Patient Care None 2010-02-20 00:00:00 2010-02-20 00:00:00 Yes 2010-06-30 00:00:00 2010-06-14 00:00:00 A A 10000 6500 0 6500 0 None Y7W011 N CA00219587 C SFY2009-10
060000147 PARK ANAHEIM HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2010-06-09 00:00:00 060007299 Closed Citation Citation A (HSC 1424) Patient Care None 2010-02-21 00:00:00 2010-02-21 00:00:00 Yes 2010-07-01 00:00:00 2010-06-28 00:00:00 A B 7000 7000 0 7000 0 None 5VGZ11 N CA00224378 C SFY2009-10
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2010-06-23 00:00:00 060007323 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-21 00:00:00 2010-05-21 00:00:00 Yes 2010-07-14 00:00:00 2010-07-01 00:00:00 B None 1000 1000 -883.6 116.4 0 None 2Z9I11 N CA00224550 C SFY2009-10
060000051 ADVANCED REHAB CENTER OF TUSTIN LTC SNF Skilled Nursing Facility Orange 2010-06-23 00:00:00 060007327 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-17 00:00:00 2010-04-17 00:00:00 No 2010-07-19 00:00:00 None B None 1000 1000 -350 650 0 None WYIZ11 N CA00227245 C SFY2009-10
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2010-06-28 00:00:00 060007335 Closed Citation Citation A (HSC 1424) Patient Care None 2010-02-17 00:00:00 2010-02-17 00:00:00 Yes 2010-07-20 00:00:00 2010-07-07 00:00:00 A A 10000 5000 0 5000 0 None IEFK11 N CA00220390 C SFY2009-10
630011297 LONIKA HOME DORIA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-06-29 00:00:00 060007337 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-20 00:00:00 2010-05-20 00:00:00 Yes 2010-07-20 00:00:00 2010-07-07 00:00:00 B None 500 500 0 500 0 None Z29W11 N CA00229508 C SFY2009-10
060000167 EXTENDED CARE HOSPITAL OF WESTMINSTER LTC SNF Skilled Nursing Facility Orange 2010-06-29 00:00:00 060007339 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-14 00:00:00 2010-05-14 00:00:00 No 2010-07-21 00:00:00 None B None 750 750 -262.5 487.5 0 None NWE811 N CA00229809 B SFY2009-10
060000034 VICTORIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2010-07-08 00:00:00 060007363 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2010-05-19 00:00:00 2010-05-19 00:00:00 No 2010-08-02 00:00:00 None WF None 700 700 -245 455 0 None 6I2311 None CA00230459 C SFY2010-11
060001627 ALL STATE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-07-19 00:00:00 060007385 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-03 00:00:00 2010-05-03 00:00:00 No 2010-08-11 00:00:00 None B None 500 500 -175 325 0 None GM1011 N CA00226373 B SFY2010-11
060001698 HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF LTC SNF Skilled Nursing Facility Orange 2010-07-27 00:00:00 060007405 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-28 00:00:00 2010-05-28 00:00:00 Yes 2013-01-29 00:00:00 2010-07-28 00:00:00 A A 10000 10100 0 10100 0 None QJCW11 N CA00231993 B SFY2010-11
060000045 BEACHSIDE NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2010-08-03 00:00:00 060007422 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-17 00:00:00 2010-06-17 00:00:00 No 2010-08-25 00:00:00 None B None 750 750 0 750 0 None ZP4S11 N CA00229296 C SFY2010-11
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2010-08-03 00:00:00 060007423 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-30 00:00:00 2010-04-30 00:00:00 No 2010-08-25 00:00:00 None B None 1000 1000 0 1000 0 None 58F011 N CA00227154 B SFY2010-11
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2010-08-12 00:00:00 060007486 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-21 00:00:00 2010-06-21 00:00:00 Yes 2010-09-14 00:00:00 2010-08-16 00:00:00 B None 1000 3000 0 3000 0 None P5GJ11 N CA00232880 C SFY2010-11
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2010-08-24 00:00:00 060007503 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-12 00:00:00 2010-01-12 00:00:00 Yes 2010-09-15 00:00:00 2010-09-01 00:00:00 B None 1000 1000 0 1000 0 None 3KRG11 N CA00214308 A SFY2010-11
060000030 BUENA PARK NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2010-08-25 00:00:00 060007516 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-20 00:00:00 2010-06-20 00:00:00 Yes 2010-09-16 00:00:00 2010-08-26 00:00:00 B None 1000 1000 0 1000 0 None 9BSY11 N CA00234456 B SFY2010-11
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2010-08-26 00:00:00 060007521 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-15 00:00:00 2010-06-15 00:00:00 Yes 2010-09-20 00:00:00 2010-09-03 00:00:00 B B 750 487.5 0 487.5 0 None YUTH11 N CA00229301 C SFY2010-11
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2010-08-26 00:00:00 060007522 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-15 00:00:00 2010-06-15 00:00:00 Yes 2010-09-21 00:00:00 2010-09-03 00:00:00 B B 1000 650 0 650 0 None YUTH11 N CA00232910 D SFY2010-11
060000167 EXTENDED CARE HOSPITAL OF WESTMINSTER LTC SNF Skilled Nursing Facility Orange 2010-08-26 00:00:00 060007525 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-18 00:00:00 2010-06-18 00:00:00 No 2010-09-20 00:00:00 None B None 1000 1000 -350 650 0 None IBRN11 N CA00233868 C SFY2010-11
060000029 ST. ELIZABETH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2010-10-26 00:00:00 060007670 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-19 00:00:00 2010-07-19 00:00:00 No 2010-11-18 00:00:00 None B None 750 750 -262.5 487.5 0 None 2Z3Z11 N CA00236402 B SFY2010-11
060002158 ROBIN DALE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2010-12-16 00:00:00 060007771 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-12 00:00:00 2010-09-12 00:00:00 No 2011-01-06 00:00:00 None B None 500 500 -175 325 0 None YNJL11 N CA00242972 C SFY2010-11
060000034 VICTORIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2011-02-10 00:00:00 060007811 Closed Citation Citation A (HSC 1424) Patient Care None 2010-09-08 00:00:00 2010-09-08 00:00:00 Yes 2011-03-04 00:00:00 2011-05-11 00:00:00 A AA 20000 20000 0 20000 0 None IQ8T11 N CA00244031, CA00244031 C, C SFY2010-11
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-01-11 00:00:00 060007833 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-02 00:00:00 2010-05-02 00:00:00 No 2011-02-02 00:00:00 None A None 7500 7500 -2625 4875 0 None NTJN11 N CA00230468 C SFY2010-11
060001255 SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF LTC SNF Skilled Nursing Facility Orange 2011-01-19 00:00:00 060007850 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-29 00:00:00 2010-10-29 00:00:00 No 2011-02-09 00:00:00 None B None 1000 1000 -350 650 0 None V7TR11 N CA00248272 C SFY2010-11
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2011-01-25 00:00:00 060007858 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-21 00:00:00 2010-10-21 00:00:00 No 2011-02-15 00:00:00 None B None 1000 1000 -350 650 0 None H0Z511 N CA00246596 B SFY2010-11
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2011-01-25 00:00:00 060007862 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-06 00:00:00 2010-10-06 00:00:00 No 2011-02-15 00:00:00 None B None 1000 1000 0 1000 0 None KFOU11 N CA00249204 C SFY2010-11
060000134 REGENTS POINT - WINDCREST LTC SNF Skilled Nursing Facility Orange 2011-01-26 00:00:00 060007872 Closed Citation Citation A (HSC 1424) Patient Care None 2010-11-23 00:00:00 2010-11-23 00:00:00 Yes 2011-02-16 00:00:00 2011-02-11 00:00:00 A None 7500 7500 0 7500 0 None JZ8711 N CA00251950 C SFY2010-11
060000077 ABLELIGHT INC. - HARTOG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-02-03 00:00:00 060007902 Closed Citation Citation B (HSC 1424) Medication None 2010-10-07 00:00:00 2010-10-07 00:00:00 No 2011-02-25 00:00:00 None B None 1000 1000 -350 650 0 None 0EVE11 N CA00253016 C SFY2010-11
060000077 ABLELIGHT INC. - HARTOG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-03-02 00:00:00 060007946 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-18 00:00:00 2010-12-18 00:00:00 No 2011-03-23 00:00:00 None B None 1000 1000 -350 650 0 None 683V11 N CA00252938 C SFY2010-11
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-03-22 00:00:00 060008039 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-01 00:00:00 2011-02-01 00:00:00 Yes 2011-04-13 00:00:00 2011-03-23 00:00:00 B None 1000 1000 0 1000 0 None XM3111 N CA00258491 C SFY2010-11
060000053 SEA CLIFF HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-03-22 00:00:00 060008042 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-28 00:00:00 2011-02-28 00:00:00 No 2011-04-13 00:00:00 None B None 1000 1000 -350 650 0 None V2KE11 N CA00260768 B SFY2010-11
060000030 BUENA PARK NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2011-03-25 00:00:00 060008058 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-12-21 00:00:00 2010-12-21 00:00:00 Yes 2011-04-18 00:00:00 2011-04-01 00:00:00 B None 1000 1000 0 1000 0 None 2P7S11 N CA00253952 C SFY2010-11
060000159 TOWN & COUNTRY LTC SNF Skilled Nursing Facility Orange 2011-04-14 00:00:00 060008146 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Medication None 2010-12-07 00:00:00 2010-12-07 00:00:00 No 2011-05-05 00:00:00 None WF None 500 500 -175 325 0 None MLD811 None CA00252441 B SFY2010-11
060000034 VICTORIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2011-04-14 00:00:00 060008150 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-11 00:00:00 2010-12-11 00:00:00 Yes 2011-05-05 00:00:00 2011-04-15 00:00:00 B None 1000 1000 0 1000 0 None LRIS11 N CA00255201 B SFY2010-11
060000159 TOWN & COUNTRY LTC SNF Skilled Nursing Facility Orange 2011-04-21 00:00:00 060008173 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-11 00:00:00 2011-04-11 00:00:00 No 2011-05-12 00:00:00 None B None 1000 1000 -350 650 0 None TFD011 N CA00265251 C SFY2010-11
630011296 LONIKA HOME MINOS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-04-26 00:00:00 060008185 Closed Citation Citation B (HSC 1424) Administration None 2011-02-23 00:00:00 2011-02-23 00:00:00 No 2011-05-17 00:00:00 None B None 500 500 -175 325 0 None KSYF11 N CA00260104 C SFY2010-11
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-05-24 00:00:00 060008236 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-28 00:00:00 2011-04-28 00:00:00 No 2011-06-15 00:00:00 None B None 1000 1000 0 1000 0 None V49H11 N CA00267887 C SFY2010-11
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2011-05-24 00:00:00 060008267 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-27 00:00:00 2010-11-27 00:00:00 No 2011-06-15 00:00:00 None B None 1000 1000 -350 650 0 None C5GV11 N CA00252061 C SFY2010-11
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-06-24 00:00:00 060008322 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-04-04 00:00:00 2011-04-04 00:00:00 No 2011-07-18 00:00:00 None B None 1000 1000 -350 650 0 None MP1M11 N CA00270211 C SFY2010-11
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2011-06-29 00:00:00 060008333 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-12 00:00:00 2011-04-12 00:00:00 Yes 2011-07-21 00:00:00 2011-07-11 00:00:00 B None 1000 1000 0 1000 0 None H45911 N CA00267188 A SFY2010-11
060000054 HUNTINGTON VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-07-13 00:00:00 060008363 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-20 00:00:00 2011-04-20 00:00:00 Yes 2011-08-03 00:00:00 2011-07-27 00:00:00 B None 1000 1000 0 1000 0 None E7EY11 N CA00267207 B SFY2011-12
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-07-15 00:00:00 060008382 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-04 00:00:00 2011-06-04 00:00:00 Yes 2011-08-05 00:00:00 2011-07-28 00:00:00 B None 1000 1000 -350 650 0 None 8JOE11 N CA00273903 C SFY2011-12
630012080 KINDRED HOSPITAL BREA D/P SNF LTC SNF Skilled Nursing Facility Orange 2011-07-27 00:00:00 060008424 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-12 00:00:00 2011-06-12 00:00:00 No 2011-08-17 00:00:00 None B None 1000 1600 -350 1250 0 None U45V11 N CA00272675 D SFY2011-12
060000837 FOUNTAIN VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Orange 2011-08-09 00:00:00 060008451 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-15 00:00:00 2011-07-15 00:00:00 No 2011-08-30 00:00:00 None B None 1000 1000 -350 650 0 None 66P811 N CA00276606 B SFY2011-12
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2011-08-09 00:00:00 060008452 Closed Citation Citation B (HSC 1424) Medication None 2011-03-09 00:00:00 2011-03-09 00:00:00 No 2011-08-30 00:00:00 None B None 1000 1000 -350 650 0 None XVPF11 N CA00262524 B SFY2011-12
080001542 ALTA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-08-11 00:00:00 060008455 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2011-06-01 00:00:00 2011-06-01 00:00:00 No 2011-09-01 00:00:00 None WF None 1000 1000 -350 650 0 None LLN011 None None None SFY2011-12
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2011-08-17 00:00:00 060008475 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-29 00:00:00 2011-05-29 00:00:00 No 2011-09-07 00:00:00 None B None 1000 1000 0 1000 0 None 0UZY11 N CA00271148 B SFY2011-12
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2011-08-17 00:00:00 060008478 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-10 00:00:00 2011-06-10 00:00:00 No 2011-09-07 00:00:00 None B None 700 700 0 700 0 None KNFW11 N CA00272663 C SFY2011-12
060000876 VILLA VALENCIA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-08-17 00:00:00 060008485 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-03-23 00:00:00 2010-03-23 00:00:00 No 2011-09-07 00:00:00 None B None 1000 1000 0 1000 0 None LTY711 N CA00271413 C SFY2011-12
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2011-08-17 00:00:00 060008487 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-19 00:00:00 2011-06-19 00:00:00 Yes 2011-09-07 00:00:00 2011-09-01 00:00:00 B B 1000 750 -100 650 0 None SB3W11 N CA00273610 B SFY2011-12
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2011-08-19 00:00:00 060008496 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-22 00:00:00 2011-07-22 00:00:00 No 2011-09-09 00:00:00 None B None 1000 1350 -350 1000 0 None OSBI11 N CA00278541 C SFY2011-12
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2011-09-01 00:00:00 060008525 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-26 00:00:00 2010-10-26 00:00:00 No 2011-09-23 00:00:00 None B None 750 750 0 750 0 None X6GB11 N CA00270705 C SFY2011-12
060001154 PARK VISTA AT MORNINGSIDE LTC SNF Skilled Nursing Facility Orange 2011-10-03 00:00:00 060008588 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-06 00:00:00 2011-07-06 00:00:00 No 2011-10-24 00:00:00 None B None 750 750 -262.5 487.5 0 None B0Y611 N CA00276381 C SFY2011-12
060000070 TUSTIN CARE CENTER, INC. LTC ICF Intermediate Care Facility Orange 2011-10-12 00:00:00 060008632 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-10 00:00:00 2011-04-10 00:00:00 No 2011-11-02 00:00:00 None B None 1000 1000 -350 650 0 None TRCY11 N CA00267448 B SFY2011-12
060000029 ST. ELIZABETH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-10-19 00:00:00 060008649 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-07-20 00:00:00 2011-07-20 00:00:00 No 2011-11-09 00:00:00 None B None 1000 1000 0 1000 0 None J4V811 N CA00278127 B SFY2011-12
060001971 OLMSTEAD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-10-21 00:00:00 060008651 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-14 00:00:00 2011-09-14 00:00:00 No 2011-11-14 00:00:00 None B None 750 750 -262.5 487.5 0 None M1F211 N CA00284480 C SFY2011-12
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2011-11-10 00:00:00 060008726 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-27 00:00:00 2011-09-27 00:00:00 Yes 2011-12-06 00:00:00 2011-11-14 00:00:00 A A 10000 10000 0 10000 0 None 22ED11 N CA00285486 B SFY2011-12
630011296 LONIKA HOME MINOS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-11-22 00:00:00 060008755 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-08-23 00:00:00 2011-08-23 00:00:00 No 2011-12-15 00:00:00 None B None 1000 1000 -350 650 0 None SM4Q11 N CA00280485 B SFY2011-12
060001652 CASA DE YORBA LINDA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-11-22 00:00:00 060008756 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-17 00:00:00 2011-10-17 00:00:00 No 2011-12-15 00:00:00 None B None 1000 1000 -350 650 0 None 999999 N None None SFY2011-12
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2011-12-01 00:00:00 060008760 Closed Citation Citation AA (HSC 1424) Patient Care None 2011-01-30 00:00:00 2011-01-30 00:00:00 Yes 2011-12-22 00:00:00 2012-03-23 00:00:00 AA AA 90000 90000 0 90000 0 None X6GB11 Y CA00270705 C SFY2011-12
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2011-11-30 00:00:00 060008776 Closed Citation Citation AA (HSC 1424) Patient Care None 2011-10-13 00:00:00 2011-10-13 00:00:00 Yes 2012-11-06 00:00:00 2012-07-02 00:00:00 AA A 100000 70000 0 70000 0 None 5TYP11 Y CA00283981 B SFY2011-12
060001680 SAN JUAN HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2011-12-07 00:00:00 060008782 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-29 00:00:00 2011-08-29 00:00:00 No 2011-12-29 00:00:00 None B None 1000 1000 -350 650 0 None 30MF11 N CA00281787 C SFY2011-12
630011296 LONIKA HOME MINOS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-12-14 00:00:00 060008798 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-30 00:00:00 2011-11-30 00:00:00 No 2012-01-06 00:00:00 None B None 1000 1000 -350 650 0 None L1RM11 N CA00291138 C SFY2011-12
060001287 912 MAGNOLIA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-12-14 00:00:00 060008818 Closed Citation Citation B (HSC 1424) Medication None 2011-11-16 00:00:00 2011-11-16 00:00:00 Yes 2012-01-06 00:00:00 2011-12-15 00:00:00 B B 1000 650 0 650 0 None 43Q911 N None None SFY2011-12
060001053 CHRISTOPHER LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-12-23 00:00:00 060008830 Closed Citation Citation B (HSC 1424) Patient Record None 2011-11-24 00:00:00 2011-11-24 00:00:00 Yes 2012-01-18 00:00:00 2011-12-28 00:00:00 B None 1000 1000 -350 650 0 None 6SO411 N CA00290999 C SFY2011-12
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2011-12-23 00:00:00 060008836 Closed Citation Citation B (HSC 1424) Patient Record None 2011-12-01 00:00:00 2011-12-01 00:00:00 Yes 2014-05-21 00:00:00 2012-01-03 00:00:00 B B 1000 1000 0 1000 0 None QESJ11 N CA00291945 C SFY2011-12
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2012-01-09 00:00:00 060008887 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-28 00:00:00 2011-10-28 00:00:00 Yes 2012-01-31 00:00:00 2012-01-18 00:00:00 B None 2000 6000 0 6000 0 None 6H9511 N CA00288388 B SFY2011-12
060000034 VICTORIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2012-01-13 00:00:00 060008910 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-29 00:00:00 2011-06-29 00:00:00 No 2012-02-06 00:00:00 None B None 1000 1150 0 1150 0 None MOOO11 N CA00281767 C SFY2011-12
630012563 CRESCENT HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2012-01-20 00:00:00 060008928 Closed Citation Citation A (HSC 1424) Patient Care None 2011-12-21 00:00:00 2011-12-21 00:00:00 No 2012-02-10 00:00:00 None A None 5500 5500 -1925 3575 0 None 9N6W11 N CA00293421 C SFY2011-12
060001287 912 MAGNOLIA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2012-02-01 00:00:00 060008961 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-01-17 00:00:00 2012-01-17 00:00:00 No 2012-02-23 00:00:00 None B None 1000 1000 -350 650 0 None Y55711 N CA00295220 D SFY2011-12
060001154 PARK VISTA AT MORNINGSIDE LTC SNF Skilled Nursing Facility Orange 2012-02-03 00:00:00 060008971 Closed Citation Citation A (HSC 1424) Patient Care None 2011-12-08 00:00:00 2011-12-08 00:00:00 No 2012-02-27 00:00:00 None A None 20000 20000 -7000 13000 0 None 4DIY11 N CA00293969 C SFY2011-12
060001278 HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2012-02-14 00:00:00 060008999 Closed Citation Citation A (HSC 1424) Patient Rights None 2011-12-24 00:00:00 2011-12-24 00:00:00 No 2012-03-07 00:00:00 None A None 10000 10000 -3500 6500 0 None S5I311 N CA00294859 B SFY2011-12
630012080 KINDRED HOSPITAL BREA D/P SNF LTC SNF Skilled Nursing Facility Orange 2012-02-28 00:00:00 060009042 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-14 00:00:00 2011-12-14 00:00:00 No 2012-03-20 00:00:00 None B None 1500 1500 -525 975 0 None 2BI611 N CA00293425 C SFY2011-12
060001154 PARK VISTA AT MORNINGSIDE LTC SNF Skilled Nursing Facility Orange 2012-03-01 00:00:00 060009056 Closed Citation Citation A (HSC 1424) Patient Care None 2011-07-15 00:00:00 2011-07-15 00:00:00 Yes 2012-03-22 00:00:00 2012-03-22 00:00:00 A A 10000 5000 0 5000 0 None D4V511 N CA00287639 C SFY2011-12
060000029 ST. ELIZABETH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2012-03-22 00:00:00 060009176 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-27 00:00:00 2012-02-27 00:00:00 No 2012-04-12 00:00:00 None B None 2000 2000 -700 1300 0 None VE5H11 N CA00301257 C SFY2011-12
060001166 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Orange 2012-04-24 00:00:00 060009257 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-27 00:00:00 2011-12-27 00:00:00 No 2012-05-15 00:00:00 None B None 2000 2000 0 2000 0 None PRGN11 N CA00298720 C SFY2011-12
060000046 GORDON LANE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2012-05-30 00:00:00 060009345 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-06 00:00:00 2011-12-06 00:00:00 No 2012-06-20 00:00:00 None B None 2000 2000 0 2000 0 None T97Z11 N CA00297884 B SFY2011-12
630012563 CRESCENT HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2012-06-06 00:00:00 060009354 Closed Citation Citation A (HSC 1424) Patient Care None 2012-01-30 00:00:00 2012-01-30 00:00:00 No 2012-06-27 00:00:00 None A None 10000 10000 -3500 6500 0 None 89ZF11 N CA00298031 D SFY2011-12
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2012-06-11 00:00:00 060009361 Closed Citation Citation B (HSC 1424) Administration None 2012-05-14 00:00:00 2012-05-14 00:00:00 No 2012-07-02 00:00:00 None B None 2000 2300 0 2300 0 None 00U811 N CA00310281 B SFY2011-12
060001137 BETHESDA LUTHERAN COMMUNITIES - LAS BOLSAS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2012-09-18 00:00:00 060009500 Closed Citation Citation A (HSC 1424) Patient Care None 2012-04-15 00:00:00 2012-04-15 00:00:00 No 2012-10-09 00:00:00 None A None 10000 10000 -3500 6500 0 None LIF011 N CA00310876 C SFY2012-13
060002181 LONIKA'S HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2012-09-19 00:00:00 060009504 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-07 00:00:00 2012-02-07 00:00:00 No 2012-10-10 00:00:00 None B None 1000 1050 -350 700 0 None HCUC11 Y None None SFY2012-13
060001245 ALL STAR HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2012-09-20 00:00:00 060009506 Closed Citation Citation B (HSC 1424) Medication None 2012-05-03 00:00:00 2012-05-03 00:00:00 No 2012-10-11 00:00:00 None B None 1000 1000 -350 650 0 None UOVX11 N None None SFY2012-13
060000129 CRYSTAL COVE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2012-12-03 00:00:00 060009572 Closed Citation Citation A (HSC 1424) Patient Care None 2011-12-02 00:00:00 2011-12-02 00:00:00 Yes 2012-12-24 00:00:00 2012-12-04 00:00:00 A A 10000 4000 0 4000 0 None JKNF11 N CA00305639, CA00380973 C, B SFY2012-13
060001558 NEW HORIZON INTEGRATED CARE - TROJAN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2012-11-16 00:00:00 060009599 Closed Citation Citation B (HSC 1424) Patient Care None 2012-09-14 00:00:00 2012-09-14 00:00:00 No 2012-12-11 00:00:00 None B None 1000 1000 -350 650 0 None DI5U11 N None None SFY2012-13
630012459 MARK LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2015-10-15 00:00:00 060009604 Closed Citation Citation B (HSC 1424) Patient Care None 2012-08-19 00:00:00 2012-08-19 00:00:00 Yes 2015-11-05 00:00:00 2012-11-30 00:00:00 B B 3500 3500 0 3500 0 None M3F611 N None None SFY2015-16
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2012-12-10 00:00:00 060009663 Closed Citation Citation B (HSC 1424) Patient Record None 2012-09-19 00:00:00 2012-09-19 00:00:00 No 2013-01-02 00:00:00 None B None 1000 1000 -350 650 0 None KLOI11 N None None SFY2012-13
060001137 BETHESDA LUTHERAN COMMUNITIES - LAS BOLSAS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2013-02-01 00:00:00 060009693 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-12-10 00:00:00 2012-12-10 00:00:00 No 2013-02-25 00:00:00 None B None 1000 1000 -350 650 0 None PDX511 N CA00334060 C SFY2012-13
060000130 PARKVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2013-03-08 00:00:00 060009777 Closed Citation Citation B (HSC 1424) Medication None 2013-01-16 00:00:00 2013-01-16 00:00:00 No 2013-03-29 00:00:00 None B None 1500 2150 -525 1625 0 None P2RX11 N None None SFY2012-13
630011296 LONIKA HOME MINOS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2013-04-05 00:00:00 060009829 Closed Citation Citation B (HSC 1424) Medication None 2013-02-14 00:00:00 2013-02-14 00:00:00 No 2013-04-26 00:00:00 None B None 600 650 -210 440 0 None J28Z11 N None None SFY2012-13
060001245 ALL STAR HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2013-05-17 00:00:00 060009903 Closed Citation Citation B (HSC 1424) Patient Care None 2013-03-28 00:00:00 2013-03-28 00:00:00 No 2013-06-10 00:00:00 None B None 1000 1000 -350 650 0 None GH0K11 N CA00350323 C SFY2012-13
060001079 BEL AIR LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2013-05-16 00:00:00 060009909 Closed Citation Citation B (HSC 1424) Patient Care None 2013-02-08 00:00:00 2013-02-08 00:00:00 No 2013-06-07 00:00:00 None B None 1000 1200 0 1200 0 None 7C5M11 N CA00345729 D SFY2012-13
060000055 MISSION PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2013-05-23 00:00:00 060009916 Closed Citation Citation A (HSC 1424) Patient Care None 2013-03-08 00:00:00 2013-03-08 00:00:00 Yes 2013-06-14 00:00:00 2013-05-30 00:00:00 A A 7000 4000 0 4000 0 None QYQ411 Y CA00352356 B SFY2012-13
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2013-08-26 00:00:00 060010117 Closed Citation Citation B (HSC 1424) Administration None 2013-04-01 00:00:00 2013-04-01 00:00:00 No 2013-09-17 00:00:00 None B None 1000 1000 0 1000 0 None L87E11 N CA00364055 C SFY2013-14
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2013-12-19 00:00:00 060010334 Closed Citation Citation B (HSC 1424) Patient Care None 2013-05-01 00:00:00 2013-05-01 00:00:00 No 2014-01-13 00:00:00 None B None 2000 2250 -700 1550 0 None 6EIF11 N CA00375885 B SFY2013-14
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2013-12-19 00:00:00 060010335 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-05-24 00:00:00 2013-05-24 00:00:00 No 2014-01-13 00:00:00 None B None 2000 2250 -700 1550 0 None 6EIF11 N CA00375885 B SFY2013-14
060000978 PARK REGENCY CARE CENTER LTC SNF Skilled Nursing Facility Orange 2014-03-04 00:00:00 060010517 Closed Citation Citation B (HSC 1424) Patient Care None 2014-01-07 00:00:00 2014-01-07 00:00:00 No 2014-03-25 00:00:00 None B None 1500 1500 0 1500 0 None IAE311 N None None SFY2013-14
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2014-05-21 00:00:00 060010735 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-07 00:00:00 2014-04-07 00:00:00 Yes 2014-06-12 00:00:00 2014-05-23 00:00:00 B B 1000 650 0 650 0 None NLW611 N None None SFY2013-14
060001578 GROVE STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2014-06-04 00:00:00 060010745 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-05 00:00:00 2014-04-05 00:00:00 No 2014-06-25 00:00:00 None B None 1000 1000 0 1000 0 None YGY411 N CA00395029 C SFY2013-14
060001076 INDEPENDENT OPTIONS, INC. CHRISTOPHER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2014-06-24 00:00:00 060010835 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-05-15 00:00:00 2014-05-15 00:00:00 No 2014-07-16 00:00:00 None B None 1000 1000 -350 650 0 None KU9K11 N None None SFY2013-14
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2014-07-08 00:00:00 060010851 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-05-29 00:00:00 2014-05-29 00:00:00 Yes 2014-07-29 00:00:00 2014-07-09 00:00:00 B None 1000 1150 -150 1000 0 None ZBSH11 N CA00399101 C SFY2014-15
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2014-07-24 00:00:00 060010883 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-07-03 00:00:00 2014-07-03 00:00:00 No 2014-08-14 00:00:00 None B None 1500 2600 -525 2075 0 None JFNW11 N CA00403433 C SFY2014-15
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2014-07-30 00:00:00 060010885 Closed Citation Citation B (HSC 1424) Medication None 2014-06-03 00:00:00 2014-06-03 00:00:00 No 2014-08-20 00:00:00 None B None 1000 1000 -350 650 0 None M9YN11 N None None SFY2014-15
060000134 REGENTS POINT - WINDCREST LTC SNF Skilled Nursing Facility Orange 2014-10-13 00:00:00 060011068 Closed Citation Citation B (HSC 1424) Patient Record None 2014-09-22 00:00:00 2014-09-22 00:00:00 No 2014-11-03 00:00:00 None B None 500 500 -175 325 0 None SCXJ11 N None None SFY2014-15
060002257 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE VI LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2014-11-10 00:00:00 060011116 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-09-09 00:00:00 2014-09-09 00:00:00 No 2014-12-04 00:00:00 None B None 1000 1000 -350 650 0 None J1L811 N None None SFY2014-15
060001291 HARBOR HEALTH CARE, INC. - REDWOOD DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2014-11-13 00:00:00 060011122 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-10-02 00:00:00 2014-10-02 00:00:00 No 2014-12-08 00:00:00 None B None 500 500 -175 325 0 None NH1K11 N CA00414198 B SFY2014-15
060000122 MESA VERDE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2014-11-14 00:00:00 060011127 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-08-12 00:00:00 2014-08-12 00:00:00 No 2014-12-09 00:00:00 None B None 2000 2000 -700 1300 0 None KHLZ11 N CA00409853 B SFY2014-15
060001278 HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2014-12-11 00:00:00 060011170 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-10-24 00:00:00 2014-10-24 00:00:00 Yes 2015-01-02 00:00:00 2014-12-22 00:00:00 A A 5000 2500 0 2500 0 None HJ9J11 N CA00418329 B SFY2014-15
060000078 ABLELIGHT INC. - MITHRA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2014-12-29 00:00:00 060011195 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-11-12 00:00:00 2014-11-12 00:00:00 No 2015-01-21 00:00:00 None B None 1000 1000 -350 650 0 None 5CY711 N None None SFY2014-15
060001096 LENMAR HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2014-12-30 00:00:00 060011196 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-12-02 00:00:00 2014-12-02 00:00:00 No 2015-01-22 00:00:00 None B None 1000 1000 -350 650 0 None QG7F11 N CA00422162 C SFY2014-15
630012459 MARK LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2015-10-15 00:00:00 060011249 Closed Citation Citation B (HSC 1424) Patient Care None 2012-08-19 00:00:00 2012-08-19 00:00:00 Yes 2015-11-05 00:00:00 2012-11-30 00:00:00 B B 3500 3500 0 3500 0 None M3F611 N None None SFY2015-16
060001166 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Orange 2015-04-15 00:00:00 060011387 Closed Citation Citation B (HSC 1424) Patient Care None 2015-01-18 00:00:00 2015-01-18 00:00:00 No 2015-05-06 00:00:00 None B None 2000 2000 -700 1300 0 None 5OLP11 N CA00434111 B SFY2014-15
060000053 SEA CLIFF HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2015-04-29 00:00:00 060011418 Closed Citation Citation B (HSC 1424) Medication None 2015-01-18 00:00:00 2015-01-18 00:00:00 No 2015-05-20 00:00:00 None B None 2000 2000 -700 1300 0 None D8MQ11 N None None SFY2014-15
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2015-07-28 00:00:00 060011642 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-16 00:00:00 2015-03-16 00:00:00 No 2015-08-18 00:00:00 None B None 1500 1500 -525 975 0 None PVEF11 N CA00439626, CA00440116 B, B SFY2015-16
060000122 MESA VERDE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2015-10-13 00:00:00 060011742 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-07-14 00:00:00 2014-07-14 00:00:00 No 2015-11-03 00:00:00 None B None 2000 2000 -700 1300 0 None KZFV11 N CA00451192, CA00453124, CA00453414, CA00454038, CA00455730 B, B, C, C, C SFY2015-16
060001314 SEA BRIGHT PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2015-10-02 00:00:00 060011767 Closed Citation Citation B (HSC 1424) Patient Care None 2015-09-17 00:00:00 2015-09-17 00:00:00 No 2015-10-23 00:00:00 None B None 800 800 -280 520 0 None 9DX911 N CA00450463 C SFY2015-16
060000159 TOWN & COUNTRY LTC SNF Skilled Nursing Facility Orange 2015-10-27 00:00:00 060011798 Closed Citation Citation B (HSC 1424) Patient Record None 2015-09-14 00:00:00 2015-09-14 00:00:00 No 2015-11-18 00:00:00 None B None 1500 1500 -525 975 0 None 3GDN11 N None None SFY2015-16
060000048 LEISURE COURT NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2015-11-05 00:00:00 060011825 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-21 00:00:00 2015-07-21 00:00:00 No 2015-12-01 00:00:00 None B None 1000 1000 0 1000 0 None M2F811 N CA00450611 H SFY2015-16
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2015-11-16 00:00:00 060011842 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-31 00:00:00 2015-08-31 00:00:00 No 2015-12-09 00:00:00 None B None 1500 1500 -525 975 0 None VRWS11 N CA00457821 C SFY2015-16
060000078 ABLELIGHT INC. - MITHRA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2015-12-09 00:00:00 060011886 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-09 00:00:00 2015-11-09 00:00:00 No 2015-12-31 00:00:00 None B None 1000 1000 -350 650 0 None S8NR11 N None None SFY2015-16
060000127 PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2016-03-02 00:00:00 060012053 Open Citation Citation B (HSC 1424) Patient Care None 2015-12-04 00:00:00 2015-12-04 00:00:00 Yes 2016-03-23 00:00:00 2016-03-03 00:00:00 B None 1500 1500 0 0 1500 None PO6H11 N CA00468881, CA00469542 C, B SFY2015-16
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2016-05-17 00:00:00 060012254 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-31 00:00:00 2015-08-31 00:00:00 Yes 2016-06-08 00:00:00 2016-05-20 00:00:00 A A 10000 7000 0 7000 0 None MJLN11 N CA00480287 B SFY2015-16
060001034 ENRICHING LIVES III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2016-06-15 00:00:00 060012331 Closed Citation Citation B (HSC 1424) Patient Care None 2016-04-25 00:00:00 2016-04-25 00:00:00 No 2016-07-07 00:00:00 None B None 1000 1000 0 1000 0 None LFRG11 N CA00485702 B SFY2015-16
060001574 ELM STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2016-11-01 00:00:00 060012706 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-22 00:00:00 2016-09-22 00:00:00 No 2016-11-23 00:00:00 None B None 1000 1000 -350 650 0 None 4OUN11 N CA00502135 B SFY2016-17
630012459 MARK LANE ONE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2016-11-08 00:00:00 060012730 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-05 00:00:00 2016-10-05 00:00:00 No 2016-12-02 00:00:00 None B None 1000 1000 -350 650 0 None XZW811 N CA00500927 B SFY2016-17
060001375 ARTEMIA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2016-12-14 00:00:00 060012801 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-27 00:00:00 2016-09-27 00:00:00 No 2017-01-06 00:00:00 None B None 1000 1000 -350 650 0 None PD0T11 N CA00505289 B SFY2016-17
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2017-01-23 00:00:00 060012897 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-01 00:00:00 2016-07-01 00:00:00 No 2017-02-13 00:00:00 None B None 2000 2000 0 2000 0 None J5PM11 N None None SFY2016-17
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2017-01-23 00:00:00 060012898 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-09 00:00:00 2016-11-09 00:00:00 No 2017-02-13 00:00:00 None B None 2000 2000 0 2000 0 None J5PM11 N None None SFY2016-17
060000934 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-02-14 00:00:00 060012968 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-19 00:00:00 2017-01-19 00:00:00 No 2017-03-08 00:00:00 None B None 1000 1000 -350 650 0 None Z7KT11 N CA00518487 B SFY2016-17
060001591 OLIVE STREET NORTH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-04-03 00:00:00 060013100 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-18 00:00:00 2017-01-18 00:00:00 No 2017-04-24 00:00:00 None B None 1000 1000 0 1000 0 None 53PH11 N None None SFY2016-17
060000255 PALM TERRACE HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2017-04-21 00:00:00 060013120 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-20 00:00:00 2017-01-20 00:00:00 No 2017-05-12 00:00:00 None A None 15000 15000 -5250 9750 0 None VBX011 N CA00519873 B SFY2016-17
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2017-07-17 00:00:00 060013348 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-01 00:00:00 2017-03-01 00:00:00 No 2017-08-07 00:00:00 None B None 2000 2000 0 2000 0 None 1J0P11 N CA00533304 B SFY2017-18
060000971 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-07-26 00:00:00 060013374 Closed Citation Citation B (HSC 1424) Patient Care None 2017-04-12 00:00:00 2017-04-12 00:00:00 No 2017-08-16 00:00:00 None B None 1000 1000 -350 650 0 None EOME11 Y CA00533411 B SFY2017-18
060001078 INDEPENDENT OPTIONS, INC. MARK LANE I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-08-23 00:00:00 060013448 Closed Citation Citation A (HSC 1424) Other Abuse 2017-05-14 00:00:00 2017-05-14 00:00:00 No 2017-09-14 00:00:00 None A None 10000 10000 -3500 6500 0 None YLR511 N CA00538312 A SFY2017-18
060000041 THE PAVILION AT SUNNY HILLS LTC SNF Skilled Nursing Facility Orange 2017-08-28 00:00:00 060013455 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-28 00:00:00 2016-11-28 00:00:00 Yes 2017-09-19 00:00:00 2017-09-01 00:00:00 A B 10000 20000 0 20000 0 None S05V11 N CA00512714 B SFY2017-18
060000784 MOMENTUM AGENCIES ICF/DD-H BUENA PARK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-08-30 00:00:00 060013458 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-12 00:00:00 2017-06-12 00:00:00 No 2017-09-21 00:00:00 None B None 1000 1000 -350 650 0 None O39M11 N None None SFY2017-18
060001652 CASA DE YORBA LINDA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-09-13 00:00:00 060013489 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-09 00:00:00 2017-05-09 00:00:00 No 2017-10-04 00:00:00 None B None 1000 1000 -350 650 0 None CDGI11 N None None SFY2017-18
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2017-09-22 00:00:00 060013507 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-06 00:00:00 2017-07-06 00:00:00 No 2017-10-13 00:00:00 None B None 1000 3000 0 3000 0 None 694711 N CA00543106 B SFY2017-18
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2017-09-27 00:00:00 060013519 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-05 00:00:00 2017-08-05 00:00:00 No 2017-10-18 00:00:00 None A None 2500 2500 0 2500 0 None 2QLG11 N CA00547804 B SFY2017-18
060001481 INDEPENDENT OPTIONS, INC. SHERWOOD HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-09-28 00:00:00 060013522 Closed Citation Citation A (HSC 1424) Other Abuse/Not Self Reported 2017-08-14 00:00:00 2017-08-14 00:00:00 No 2017-10-19 00:00:00 None A None 10000 10000 -3500 6500 0 None 6QMX11 N None None SFY2017-18
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2017-10-06 00:00:00 060013535 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-28 00:00:00 2017-08-28 00:00:00 No 2017-10-27 00:00:00 None A None 3500 3500 0 3500 0 None KUND11 N None None SFY2017-18
060001591 OLIVE STREET NORTH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-11-30 00:00:00 060013649 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-18 00:00:00 2017-09-18 00:00:00 No 2017-12-21 00:00:00 None B None 1000 3000 -1050 1950 0 None PDUF11 N CA00554930 B SFY2017-18
630003462 ATLANTA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-12-07 00:00:00 060013669 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-20 00:00:00 2017-10-20 00:00:00 No 2017-12-29 00:00:00 None B None 1000 1000 -350 650 0 None NIUM11 N CA00556530 B SFY2017-18
060001076 INDEPENDENT OPTIONS, INC. CHRISTOPHER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2017-12-18 00:00:00 060013695 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-10-20 00:00:00 2017-10-20 00:00:00 No 2018-01-09 00:00:00 None B None 1000 1000 -350 650 0 None 6C5111 N CA00556798 B SFY2017-18
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2017-12-19 00:00:00 060013696 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-22 00:00:00 2017-09-22 00:00:00 No 2018-01-10 00:00:00 None B None 2000 2000 -700 1300 0 None N5WB11 N CA00555023 B SFY2017-18
060001712 TRI-ELIZABETH HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-01-12 00:00:00 060013728 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-11-15 00:00:00 2017-11-15 00:00:00 No 2018-02-02 00:00:00 None B None 1000 1000 -350 650 0 None 0L3C11 N CA00561203 A SFY2017-18
060000089 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2018-01-24 00:00:00 060013750 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-17 00:00:00 2017-10-17 00:00:00 No 2018-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None SWYU11 N CA00558690 B SFY2017-18
060000971 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-03-12 00:00:00 060013896 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-12-20 00:00:00 2017-12-20 00:00:00 No 2018-04-02 00:00:00 None B None 1000 1000 -350 650 0 None DF4Q11 N CA00565913 B SFY2017-18
060000876 VILLA VALENCIA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2018-03-19 00:00:00 060013909 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-12 00:00:00 2018-01-12 00:00:00 No 2018-04-09 00:00:00 None B None 2000 2000 0 2000 0 None X7BI11 N CA00571138 B SFY2017-18
060001604 VILLA DE MARTIN JUDE HOMES - ARCHER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-04-11 00:00:00 060013988 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-02-10 00:00:00 2018-02-10 00:00:00 No 2018-05-02 00:00:00 None B None 1000 1000 -350 650 0 None JGWK11 N CA00573805 B SFY2017-18
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2018-04-23 00:00:00 060014012 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-14 00:00:00 2018-01-14 00:00:00 No 2018-05-14 00:00:00 None A None 4000 4150 -1400 2750 0 None PXZ411 N CA00571404 B SFY2017-18
060001586 WASHINGTON AVENUE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-04-25 00:00:00 060014019 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-26 00:00:00 2018-01-26 00:00:00 No 2018-05-16 00:00:00 None B None 1000 1000 -350 650 0 None BMRG11 N CA00570880 B SFY2017-18
060000083 MALBORO HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-06-14 00:00:00 060014151 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-19 00:00:00 2018-04-19 00:00:00 No 2018-07-06 00:00:00 None B None 1000 1000 -350 650 0 None 0MT211 N CA00584045 B SFY2017-18
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2018-06-29 00:00:00 060014195 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-08-01 00:00:00 2017-08-01 00:00:00 Yes 2018-07-23 00:00:00 2018-07-09 00:00:00 B None 1800 1800 0 1800 0 None BVUW11 N None None SFY2017-18
060001079 BEL AIR LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-07-27 00:00:00 060014272 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-31 00:00:00 2018-05-31 00:00:00 No 2018-08-17 00:00:00 None B None 1000 1000 -350 650 0 None 17SB11 N CA00589851 B SFY2018-19
060000147 PARK ANAHEIM HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2018-08-01 00:00:00 060014294 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-22 00:00:00 2018-05-22 00:00:00 Yes 2018-08-22 00:00:00 2018-08-08 00:00:00 A B 2000 2000 0 2000 0 None CG0M11 N CA00588207 B SFY2018-19
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2018-09-13 00:00:00 060014397 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-14 00:00:00 2018-07-14 00:00:00 No 2018-10-04 00:00:00 None B None 1500 1500 -525 975 0 None 4F9W11 N None None SFY2018-19
060001604 VILLA DE MARTIN JUDE HOMES - ARCHER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-09-12 00:00:00 060014404 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-31 00:00:00 2018-07-31 00:00:00 No 2018-10-03 00:00:00 None B None 1000 1000 -350 650 0 None UU1D11 N None None SFY2018-19
060001450 CACHUELA ICF/DD-N HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-09-21 00:00:00 060014422 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-31 00:00:00 2018-07-31 00:00:00 No 2018-10-12 00:00:00 None B None 1000 1550 -350 1200 0 None DI1F11 N None None SFY2018-19
630003462 ATLANTA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-10-10 00:00:00 060014460 Closed Citation Citation A (HSC 1424) Patient Care None 2018-07-14 00:00:00 2018-07-14 00:00:00 No 2018-10-31 00:00:00 None A None 10000 10000 -3500 6500 0 None XBRM11 Y CA00595475 B SFY2018-19
060001592 OLIVE STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-10-23 00:00:00 060014508 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-15 00:00:00 2018-08-15 00:00:00 No 2018-11-14 00:00:00 None B None 1000 1000 0 1000 0 None OXWT11 N CA00598485 B SFY2018-19
060001287 912 MAGNOLIA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-10-31 00:00:00 060014538 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-09-17 00:00:00 2018-09-17 00:00:00 No 2018-11-26 00:00:00 None B None 1000 1000 -350 650 0 None 37C711 N None None SFY2018-19
060001287 912 MAGNOLIA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-10-31 00:00:00 060014540 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-17 00:00:00 2018-09-17 00:00:00 No 2018-11-26 00:00:00 None B None 1000 1000 -350 650 0 None 37C711 N None None SFY2018-19
060001450 CACHUELA ICF/DD-N HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-11-20 00:00:00 060014592 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-05 00:00:00 2018-05-05 00:00:00 No 2018-12-13 00:00:00 None B None 1000 1000 -350 650 0 None N1TM11 N CA00601333, CA00601333 B, B SFY2018-19
060001079 BEL AIR LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-11-27 00:00:00 060014602 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-22 00:00:00 2018-08-22 00:00:00 No 2018-12-18 00:00:00 None B None 1000 3000 -1050 1950 0 None 0XWC11 N CA00602947 C SFY2018-19
060001604 VILLA DE MARTIN JUDE HOMES - ARCHER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2018-12-12 00:00:00 060014636 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-11-01 00:00:00 2018-11-01 00:00:00 No 2019-01-03 00:00:00 None B None 1000 1000 -350 650 0 None F80W11 N CA00610804 B SFY2018-19
060001074 GARDEN PARK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-01-04 00:00:00 060014702 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-20 00:00:00 2018-08-20 00:00:00 No 2019-01-25 00:00:00 None B None 1000 1000 -350 650 0 None C5UI11 N CA00607427 B SFY2018-19
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-03-12 00:00:00 060014871 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-09 00:00:00 2019-01-09 00:00:00 No 2019-04-02 00:00:00 None B None 1000 1000 -350 650 0 None R2Q011 N None None SFY2018-19
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-03-12 00:00:00 060014873 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-16 00:00:00 2018-07-16 00:00:00 No 2019-04-02 00:00:00 None B None 1000 1000 -350 650 0 None R2Q011 N None None SFY2018-19
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2019-03-19 00:00:00 060014887 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-14 00:00:00 2018-12-14 00:00:00 No 2019-04-09 00:00:00 None B None 2000 2350 -700 1650 0 None CT4611 N CA00620666, CA00623923, CA00623923 B, B, B SFY2018-19
060001245 ALL STAR HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-03-26 00:00:00 060014907 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-07 00:00:00 2019-02-07 00:00:00 No 2019-04-16 00:00:00 None B None 1000 1000 -350 650 0 None 940V11 N None None SFY2018-19
060001154 PARK VISTA AT MORNINGSIDE LTC SNF Skilled Nursing Facility Orange 2019-04-04 00:00:00 060014924 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-22 00:00:00 2019-01-22 00:00:00 No 2019-04-25 00:00:00 None B None 2000 2000 -700 1300 0 None XD6X11 N CA00625217, CA00625217 B, B SFY2018-19
060001034 ENRICHING LIVES III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-05-21 00:00:00 060015076 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-16 00:00:00 2019-04-16 00:00:00 No 2019-06-11 00:00:00 None B None 1000 1000 -350 650 0 None 42Y011 N CA00628444 B SFY2018-19
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2019-05-20 00:00:00 060015084 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-19 00:00:00 2019-02-19 00:00:00 No 2019-06-10 00:00:00 None B None 2000 2000 -700 1300 0 None IKNF11 N None None SFY2018-19
060001591 OLIVE STREET NORTH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-05-16 00:00:00 060015085 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-05 00:00:00 2019-04-05 00:00:00 No 2019-06-06 00:00:00 None B None 1000 1000 -350 650 0 None MDYK11 Y None None SFY2018-19
060000075 ENRICHING, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-05-22 00:00:00 060015088 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-14 00:00:00 2019-03-14 00:00:00 No 2019-06-12 00:00:00 None B None 1000 1000 -350 650 0 None HPUS11 N CA00626859 B SFY2018-19
060001450 CACHUELA ICF/DD-N HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-06-03 00:00:00 060015089 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-03-11 00:00:00 2019-03-11 00:00:00 No 2019-06-24 00:00:00 None B None 1000 1000 -350 650 0 None N33511 N CA00630017 B SFY2018-19
060001576 HEATHER LANE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-06-05 00:00:00 060015097 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-18 00:00:00 2019-03-18 00:00:00 No 2019-06-26 00:00:00 None B None 1000 1050 -350 700 0 None TPD211 Y CA00628388 B SFY2018-19
060000130 PARKVIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2019-05-29 00:00:00 060015112 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-03-26 00:00:00 2019-03-26 00:00:00 No 2019-06-19 00:00:00 None B None 2000 2000 -700 1300 0 None LV4M11 N CA00631679 B SFY2018-19
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2019-07-08 00:00:00 060015220 Closed Citation Citation B (HSC 1424) Medication None 2019-04-03 00:00:00 2019-04-03 00:00:00 No 2019-07-29 00:00:00 None B None 2000 2000 -700 1300 0 None BY1311 N CA00635228 B SFY2019-20
060001698 HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF LTC SNF Skilled Nursing Facility Orange 2019-08-06 00:00:00 060015266 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-04-18 00:00:00 2019-04-18 00:00:00 No 2019-08-27 00:00:00 None B None 2000 2000 -700 1300 0 None QC0B11 N CA00637700, CA00638316 B, A SFY2019-20
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2019-08-05 00:00:00 060015267 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-06 00:00:00 2019-06-06 00:00:00 No 2019-08-26 00:00:00 None B None 2000 2000 -700 1300 0 None 59H611 N None None SFY2019-20
060001291 HARBOR HEALTH CARE, INC. - REDWOOD DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-08-07 00:00:00 060015269 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-13 00:00:00 2019-05-13 00:00:00 No 2019-08-28 00:00:00 None B None 2000 2650 0 2650 0 None P0MP11 N CA00637973 B SFY2019-20
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2019-08-12 00:00:00 060015292 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-04 00:00:00 2019-06-04 00:00:00 No 2019-09-02 00:00:00 None B None 2000 2000 0 2000 0 None Q8EO11 N CA00640491 B SFY2019-20
060002256 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE V LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-08-19 00:00:00 060015320 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-07-10 00:00:00 2019-07-10 00:00:00 No 2019-09-09 00:00:00 None B None 1000 1000 -350 650 0 None PFJU11 N CA00640327 B SFY2019-20
060000056 HY-LOND GARDEN GROVE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-08-20 00:00:00 060015322 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-30 00:00:00 2019-05-30 00:00:00 No 2019-09-10 00:00:00 None B None 1000 1000 -350 650 0 None 5R8N11 N CA00639893 B SFY2019-20
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2019-08-20 00:00:00 060015323 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-12 00:00:00 2019-06-12 00:00:00 No 2019-09-10 00:00:00 None B None 1500 1500 -525 975 0 None O69U11 N None None SFY2019-20
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2019-09-10 00:00:00 060015368 Closed Citation Citation B (HSC 1424) Medication None 2019-07-28 00:00:00 2019-07-28 00:00:00 No 2019-10-01 00:00:00 None B None 2000 2000 -700 1300 0 None EQNZ11 N None None SFY2019-20
060000147 PARK ANAHEIM HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2019-09-09 00:00:00 060015372 Open Citation Citation B (HSC 1424) Patient Rights None 2019-07-16 00:00:00 2019-07-16 00:00:00 Yes 2019-09-30 00:00:00 2019-09-19 00:00:00 B None 2000 2000 0 0 2000 None 2G5L11 N CA00646909 B SFY2019-20
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-09-11 00:00:00 060015377 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-07 00:00:00 2019-08-07 00:00:00 No 2019-10-02 00:00:00 None B None 1000 1650 -350 1300 0 None FEL611 N CA00649294 C SFY2019-20
060001519 BETHESDA LUTHERAN COMMUNITIES - PAPAGAYO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-09-25 00:00:00 060015393 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-19 00:00:00 2019-08-19 00:00:00 No 2019-10-16 00:00:00 None B None 1000 1000 0 1000 0 None Z96M11 N None None SFY2019-20
060001576 HEATHER LANE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-09-30 00:00:00 060015421 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-28 00:00:00 2019-08-28 00:00:00 No 2019-10-21 00:00:00 None B None 1000 4950 -1050 3900 0 None WYGS11 N CA00650386 C SFY2019-20
630015860 ANACAPA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-10-02 00:00:00 060015427 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-23 00:00:00 2019-08-23 00:00:00 No 2019-10-23 00:00:00 None B None 1000 1000 -350 650 0 None WNHE11 N CA00645358 B SFY2019-20
060000123 NEWPORT NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2019-10-07 00:00:00 060015429 Closed Citation Citation B (HSC 1424) Medication None 2019-06-08 00:00:00 2019-06-08 00:00:00 No 2019-10-28 00:00:00 None B None 2000 2000 -700 1300 0 None ZJ6Y11 Y CA00648176 B SFY2019-20
060001680 SAN JUAN HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2019-10-14 00:00:00 060015446 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-11 00:00:00 2019-08-11 00:00:00 No 2019-11-04 00:00:00 None B None 2000 2000 -700 1300 0 None 3N6711 N None None SFY2019-20
060001585 IRENE WAY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-10-15 00:00:00 060015449 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-04 00:00:00 2019-09-04 00:00:00 No 2019-11-05 00:00:00 None B None 1000 2550 -350 2200 0 None HHOO11 N CA00649996 B SFY2019-20
060001578 GROVE STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-11-12 00:00:00 060015475 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-30 00:00:00 2019-09-30 00:00:00 No 2019-12-03 00:00:00 None B None 1000 1000 -350 650 0 None KEX811 N None None SFY2019-20
060000131 NEWPORT SUBACUTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2019-11-21 00:00:00 060015546 Closed Citation Citation A (HSC 1424) Patient Care None 2019-10-02 00:00:00 2019-10-02 00:00:00 No 2019-12-12 00:00:00 None A None 15000 15000 -5250 9750 0 None X7JW11 N CA00658358 B SFY2019-20
060001576 HEATHER LANE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2019-12-11 00:00:00 060015598 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-26 00:00:00 2019-11-26 00:00:00 No 2020-01-01 00:00:00 None B None 1000 3000 0 3000 0 None GR1X11 N CA00659252 B SFY2019-20
630012080 KINDRED HOSPITAL BREA D/P SNF LTC SNF Skilled Nursing Facility Orange 2019-12-18 00:00:00 060015614 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-10-24 00:00:00 2019-10-24 00:00:00 No 2020-01-08 00:00:00 None B None 2000 2000 -700 1300 0 None W8G011 N CA00661049, CA00661049 A, A SFY2019-20
060000164 FRENCH PARK CARE CENTER LTC SNF Skilled Nursing Facility Orange 2019-12-20 00:00:00 060015624 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-25 00:00:00 2019-05-25 00:00:00 No 2020-01-10 00:00:00 None B None 2000 2000 0 2000 0 None U01H11 N None None SFY2019-20
060000089 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2020-01-15 00:00:00 060015676 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-11-11 00:00:00 2019-11-11 00:00:00 No 2020-02-05 00:00:00 None B None 2000 2000 -700 1300 0 None 6YM211 N CA00663322 B SFY2019-20
060000089 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2020-02-14 00:00:00 060015734 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-21 00:00:00 2019-08-21 00:00:00 No 2020-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None 52Y611 N CA00666356, CA00666356 B, B SFY2019-20
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2020-02-21 00:00:00 060015759 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-12 00:00:00 2019-08-12 00:00:00 No 2020-03-13 00:00:00 None B None 2000 2000 -700 1300 0 None 0LVL11 N None None SFY2019-20
060000167 EXTENDED CARE HOSPITAL OF WESTMINSTER LTC SNF Skilled Nursing Facility Orange 2020-03-11 00:00:00 060015791 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-12-17 00:00:00 2019-12-17 00:00:00 No 2020-04-01 00:00:00 None B None 2000 2000 -700 1300 0 None KCGD11 N CA00668761, CA00668761, CA00668803, CA00668803 B, B, B, B SFY2019-20
630014382 MARK LANE TWO LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-06-17 00:00:00 060015902 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-25 00:00:00 2020-02-25 00:00:00 No 2020-07-08 00:00:00 None B None 1000 1650 -350 1300 0 None TXTZ11 N None None SFY2019-20
060001052 CHRISTOPHER LANE TWO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-06-23 00:00:00 060015903 Closed Citation Citation B (HSC 1424) Patient Care None 2020-01-28 00:00:00 2020-01-28 00:00:00 No 2020-07-14 00:00:00 None B None 1000 3000 -1050 1950 0 None 6F8611 N CA00673448 B SFY2019-20
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2020-07-17 00:00:00 060015931 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-02-15 00:00:00 2020-02-15 00:00:00 No 2020-08-07 00:00:00 None B None 2000 2000 -700 1300 0 None AUOR11 N CA00676666, CA00676666 A, A SFY2020-21
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2020-08-19 00:00:00 060015971 Closed Citation Citation A (HSC 1424) Patient Care None 2020-03-10 00:00:00 2020-03-10 00:00:00 No 2020-09-10 00:00:00 None A None 10000 10000 0 10000 0 None 0CZ811 Y CA00672846 B SFY2020-21
060000124 HEALTHCARE CENTER OF ORANGE COUNTY LTC SNF Skilled Nursing Facility Orange 2020-08-26 00:00:00 060015988 Closed Citation Citation B (HSC 1424) Problem Transfer Unsafe Discharge 2020-02-21 00:00:00 2020-02-21 00:00:00 No 2020-09-17 00:00:00 None B None 2000 2000 0 2000 0 None IJE811 N CA00677093, CA00677093 A, A SFY2020-21
060000124 HEALTHCARE CENTER OF ORANGE COUNTY LTC SNF Skilled Nursing Facility Orange 2020-08-26 00:00:00 060015990 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-02-19 00:00:00 2020-02-19 00:00:00 No 2020-09-17 00:00:00 None B None 2000 2000 0 2000 0 None LD8711 Y CA00678817, CA00678817 B, B SFY2020-21
060001519 BETHESDA LUTHERAN COMMUNITIES - PAPAGAYO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-09-08 00:00:00 060016001 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-06-23 00:00:00 2020-06-23 00:00:00 No 2020-09-29 00:00:00 None B None 1000 1000 0 1000 0 None 6KMY11 N CA00695829 A SFY2020-21
060000076 ABLELIGHT INC. - CHARLEMAGNE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-10-19 00:00:00 060016091 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-17 00:00:00 2020-08-17 00:00:00 No 2020-11-09 00:00:00 None B None 1000 2450 0 2450 0 None EVM411 N CA00702551 B SFY2020-21
630017849 OPTIMUM CARE LTC CLHF Congregate Living Health Facility Orange 2020-10-28 00:00:00 060016115 Closed Citation Citation A (HSC 1424) Patient Care None 2020-07-07 00:00:00 2020-07-07 00:00:00 No 2020-11-19 00:00:00 None A None 10000 10000 -3500 6500 0 None Y8YL11 N CA00701036, CA00701036 A, A SFY2020-21
630011440 STAR ICF/DD-N WAKEFIELD HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-11-09 00:00:00 060016131 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-16 00:00:00 2020-10-16 00:00:00 No 2020-12-03 00:00:00 None B None 1000 1000 -350 650 0 None PMYN11 N CA00703722 B SFY2020-21
630011296 LONIKA HOME MINOS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-11-17 00:00:00 060016156 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-08 00:00:00 2020-09-08 00:00:00 No 2020-12-10 00:00:00 None B None 1000 1000 -350 650 0 None V5QN11 N CA00704477 B SFY2020-21
060000923 BEACH CREEK POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2020-12-02 00:00:00 060016162 Closed Citation Citation A (HSC 1424) Patient Care None 2020-09-09 00:00:00 2020-09-09 00:00:00 Yes 2020-12-23 00:00:00 2020-12-10 00:00:00 A A 15000 11900 -400 11500 0 None 5M5S11 Y CA00704492 A SFY2020-21
060001574 ELM STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-12-08 00:00:00 060016182 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-09 00:00:00 2020-11-09 00:00:00 No 2020-12-30 00:00:00 None B None 1000 1000 0 1000 0 None 8B8411 N CA00706846 B SFY2020-21
060000517 INDEPENDENT OPTIONS, INC. STANLEY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-12-08 00:00:00 060016187 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-02 00:00:00 2020-10-02 00:00:00 No 2020-12-30 00:00:00 None B None 1000 1000 -350 650 0 None 3XK911 N CA00707765 B SFY2020-21
060001305 RAINBOW HOUSE ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2020-12-29 00:00:00 060016211 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-04 00:00:00 2020-10-04 00:00:00 No 2021-01-21 00:00:00 None B None 1000 1050 -350 700 0 None PHCN11 N CA00708262, CA00708262 B, B SFY2020-21
060000078 ABLELIGHT INC. - MITHRA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-01-07 00:00:00 060016213 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-10-07 00:00:00 2020-10-07 00:00:00 No 2021-01-29 00:00:00 None B None 1000 1000 0 1000 0 None WECI11 N CA00708832 B SFY2020-21
060000077 ABLELIGHT INC. - HARTOG LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-01-12 00:00:00 060016227 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-14 00:00:00 2020-11-14 00:00:00 No 2021-02-03 00:00:00 None B None 1000 1000 0 1000 0 None JMWG11 N CA00713237 B SFY2020-21
060001698 HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF LTC SNF Skilled Nursing Facility Orange 2021-01-08 00:00:00 060016229 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-16 00:00:00 2020-10-16 00:00:00 No 2021-02-01 00:00:00 None B None 2000 2000 -700 1300 0 None FVJ311 N CA00709778 B SFY2020-21
060001698 HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF LTC SNF Skilled Nursing Facility Orange 2021-01-08 00:00:00 060016233 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-16 00:00:00 2020-10-16 00:00:00 No 2021-02-01 00:00:00 None B None 2000 2000 -700 1300 0 None FVJ311 N CA00709778, CA00709778 B, B SFY2020-21
060001652 CASA DE YORBA LINDA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-02-16 00:00:00 060016275 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-03 00:00:00 2021-01-03 00:00:00 No 2021-03-09 00:00:00 None B None 1000 1000 -350 650 0 None I2PR11 N CA00719985 B SFY2020-21
630003381 ARCHER 2 HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-02-23 00:00:00 060016293 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-22 00:00:00 2020-12-22 00:00:00 No 2021-03-16 00:00:00 None B None 1000 1000 -350 650 0 None X4YU11 N CA00719799 B SFY2020-21
060000034 VICTORIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2021-02-24 00:00:00 060016307 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-05 00:00:00 2020-12-05 00:00:00 Yes 2021-03-17 00:00:00 2021-03-04 00:00:00 B B 2000 1800 -200 1600 0 None YS6P11 N CA00715682 B SFY2020-21
060001605 SAN ALTO HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-03-16 00:00:00 060016338 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-12-17 00:00:00 2020-12-17 00:00:00 No 2021-04-07 00:00:00 None B None 1000 1050 -350 700 0 None 2YPD11 N CA00722833 B SFY2020-21
060001287 912 MAGNOLIA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-03-23 00:00:00 060016355 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-01-01 00:00:00 2021-01-01 00:00:00 No 2021-04-14 00:00:00 None B None 1000 1000 -350 650 0 None 7S3X11 N CA00722828 B SFY2020-21
060001481 INDEPENDENT OPTIONS, INC. SHERWOOD HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-05-05 00:00:00 060016461 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-02 00:00:00 2021-04-02 00:00:00 No 2021-05-26 00:00:00 None B None 1000 1000 -350 650 0 None I4JO11 N CA00727773 B SFY2020-21
060001137 BETHESDA LUTHERAN COMMUNITIES - LAS BOLSAS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-06-09 00:00:00 060016558 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-13 00:00:00 2021-03-13 00:00:00 No 2021-06-30 00:00:00 None B None 1000 1000 0 1000 0 None CR9Q11 N CA00729536 B SFY2020-21
060000124 HEALTHCARE CENTER OF ORANGE COUNTY LTC SNF Skilled Nursing Facility Orange 2021-06-30 00:00:00 060016658 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-01 00:00:00 2021-06-01 00:00:00 No 2021-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None 7ESN11 N CA00731908, CA00731908 B, B SFY2020-21
060000837 FOUNTAIN VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Orange 2021-07-29 00:00:00 060016776 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-12 00:00:00 2021-05-12 00:00:00 No 2021-08-19 00:00:00 None B None 1500 1500 0 1500 0 None LN6P11 N CA00737406 B SFY2021-22
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2021-08-13 00:00:00 060016801 Closed Citation Citation B (HSC 1424) Patient Record None 2021-07-14 00:00:00 2021-07-14 00:00:00 No 2021-09-03 00:00:00 None B None 2000 2000 -700 1300 0 None KSZD11 N CA00737027 B SFY2021-22
630015860 ANACAPA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-09-08 00:00:00 060016897 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-24 00:00:00 2020-11-24 00:00:00 No 2021-09-29 00:00:00 None B None 1000 1000 -350 650 0 None 37XJ11 N None None SFY2021-22
630018677 LOS ANGELES WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-09-15 00:00:00 060016917 Closed Citation Citation B (HSC 1424) Other Client Behavior and Facil 2020-10-06 00:00:00 2020-10-06 00:00:00 No 2021-10-06 00:00:00 None B None 1000 1000 -350 650 0 None 4TWX11 N CA00740937 B SFY2021-22
630014382 MARK LANE TWO LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-09-21 00:00:00 060016940 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-11 00:00:00 2021-08-11 00:00:00 No 2021-10-12 00:00:00 None B None 1000 1000 -350 650 0 None ZF9311 N None None SFY2021-22
630014382 MARK LANE TWO LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-09-27 00:00:00 060016944 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-07-10 00:00:00 2021-07-10 00:00:00 No 2021-10-18 00:00:00 None B None 1000 1000 0 1000 0 None 7W8711 N CA00744335 B SFY2021-22
630012596 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Orange 2021-10-01 00:00:00 060016973 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-07-31 00:00:00 2021-07-31 00:00:00 No 2021-10-22 00:00:00 None B None 1000 1000 -350 650 0 None 5TS711 N CA00746767 A SFY2021-22
060001440 QUALITY CARE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-10-12 00:00:00 060016985 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-09-04 00:00:00 2021-09-04 00:00:00 No 2021-11-02 00:00:00 None B None 1000 1000 -350 650 0 None TNEZ11 N CA00751906, CA00751906 B, B SFY2021-22
060000075 ENRICHING, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-11-02 00:00:00 060017047 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-09 00:00:00 2021-09-09 00:00:00 No 2021-11-24 00:00:00 None B None 1000 1000 0 1000 0 None EL1L11 N CA00752867 B SFY2021-22
080001540 ANAHEIM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2021-11-04 00:00:00 060017053 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-12 00:00:00 2021-08-12 00:00:00 No 2021-11-30 00:00:00 None B None 2000 2000 -700 1300 0 None 4E5Q11 N CA00748856, CA00748856 B, B SFY2021-22
060002256 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE V LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-11-08 00:00:00 060017064 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-19 00:00:00 2021-09-19 00:00:00 No 2021-12-02 00:00:00 None B None 1000 1000 -350 650 0 None F98211 N CA00753728 B SFY2021-22
060000167 EXTENDED CARE HOSPITAL OF WESTMINSTER LTC SNF Skilled Nursing Facility Orange 2021-11-10 00:00:00 060017069 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-16 00:00:00 2021-08-16 00:00:00 No 2021-12-06 00:00:00 None B None 2000 2000 0 2000 0 None UCPQ11 N CA00749331 B SFY2021-22
060000561 ABLELIGHT INC. - MOSQUERO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-12-07 00:00:00 060017154 Closed Citation Citation B (HSC 1424) Other Dietary 2021-03-03 00:00:00 2021-03-03 00:00:00 No 2021-12-28 00:00:00 None B None 1000 1000 -350 650 0 None 1XSP11 N CA00756468 A SFY2021-22
060000080 ABLELIGHT INC. - REGINA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-12-07 00:00:00 060017156 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-04 00:00:00 2021-10-04 00:00:00 No 2021-12-28 00:00:00 None B None 1000 1000 -350 650 0 None NY0P11 N CA00756484 A SFY2021-22
060001519 BETHESDA LUTHERAN COMMUNITIES - PAPAGAYO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-12-07 00:00:00 060017159 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-28 00:00:00 2021-10-28 00:00:00 No 2021-12-28 00:00:00 None B None 1000 1000 -350 650 0 None USB511 N CA00756479 A SFY2021-22
060001604 VILLA DE MARTIN JUDE HOMES - ARCHER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-12-15 00:00:00 060017176 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-16 00:00:00 2021-10-16 00:00:00 No 2022-01-05 00:00:00 None B None 1000 1000 -350 650 0 None XCK311 N CA00757784 B SFY2021-22
630014382 MARK LANE TWO LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2021-12-14 00:00:00 060017188 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-07 00:00:00 2021-12-07 00:00:00 No 2022-01-04 00:00:00 None B None 1000 3200 0 3200 0 None BS6I11 N CA00758916 B SFY2021-22
060000194 CHAPMAN CARE CENTER LTC SNF Skilled Nursing Facility Orange 2022-01-20 00:00:00 060017263 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-23 00:00:00 2021-10-23 00:00:00 No 2022-02-10 00:00:00 None B None 2000 2000 -700 1300 0 None BVR111 N CA00758367 B SFY2021-22
060000047 COVENTRY COURT HEALTH CENTER LTC SNF Skilled Nursing Facility Orange 2022-02-03 00:00:00 060017309 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-04 00:00:00 2022-01-04 00:00:00 No 2022-02-25 00:00:00 None B None 3000 3000 0 3000 0 None HVRK11 N CA00763402 B SFY2021-22
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2022-03-16 00:00:00 060017496 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-02-15 00:00:00 2022-02-15 00:00:00 Yes 2022-04-07 00:00:00 2022-03-28 00:00:00 B B 3000 2500 0 2500 0 None 4Y2J11 N CA00765302 A SFY2021-22
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2022-04-06 00:00:00 060017546 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-03 00:00:00 2022-03-03 00:00:00 Yes 2022-04-27 00:00:00 2022-04-11 00:00:00 B B 2500 2500 0 2500 0 None I32T11 N CA00769456, CA00769456 B, B SFY2021-22
060000124 HEALTHCARE CENTER OF ORANGE COUNTY LTC SNF Skilled Nursing Facility Orange 2022-05-13 00:00:00 060017637 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-30 00:00:00 2022-03-30 00:00:00 No 2022-06-06 00:00:00 None B None 2500 7500 0 7500 0 None ROFJ11 N CA00774325 B SFY2021-22
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2022-05-24 00:00:00 060017647 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-04-14 00:00:00 2022-04-14 00:00:00 Yes 2022-06-15 00:00:00 2022-05-27 00:00:00 B B 3000 5000 0 5000 0 None LFNR11 N CA00775407 B SFY2021-22
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2022-07-15 00:00:00 060017781 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-06-15 00:00:00 2022-06-15 00:00:00 No 2022-08-05 00:00:00 None B None 3000 3000 -1050 1950 0 None OQIA11 N CA00782448, CA00782448 A, A SFY2022-23
630017553 QUEENSBURY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2022-08-16 00:00:00 060017887 Closed Citation Citation B (HSC 1424) Patient Care None 2022-07-01 00:00:00 2022-07-01 00:00:00 No 2022-09-07 00:00:00 None B None 1000 1000 -350 650 0 None 0AI411 N None None SFY2022-23
060000048 LEISURE COURT NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2022-08-29 00:00:00 060017896 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-07-19 00:00:00 2022-07-19 00:00:00 No 2022-09-20 00:00:00 None B None 3000 3000 0 3000 0 None 2P9011 N CA00786974 B SFY2022-23
060001366 ABLELIGHT INC. - FERROCARRIL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2022-09-13 00:00:00 060017979 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-09 00:00:00 2022-08-09 00:00:00 No 2022-10-04 00:00:00 None B None 1000 1000 -350 650 0 None 9P1R11 N None None SFY2022-23
630004641 LORI'S HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2022-09-15 00:00:00 060017983 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 No 2022-10-06 00:00:00 None B None 1000 1000 -350 650 0 None 39J311 N CA00796886 B SFY2022-23
060000080 ABLELIGHT INC. - REGINA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2022-09-29 00:00:00 060018022 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-02 00:00:00 2022-08-02 00:00:00 No 2022-10-20 00:00:00 None B None 1000 1000 -350 650 0 None CCTN11 N CA00797822 B SFY2022-23
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2022-10-27 00:00:00 060018102 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-21 00:00:00 2022-09-21 00:00:00 No 2022-11-18 00:00:00 None B None 3000 3000 -1050 1950 0 None Q2JV11 N CA00800584, CA00801532 B, B SFY2022-23
060001278 HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2022-11-15 00:00:00 060018137 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-24 00:00:00 2022-09-24 00:00:00 No 2022-12-07 00:00:00 None B None 1000 1000 -350 650 0 None B2P311 N CA00804986 B SFY2022-23
060000517 INDEPENDENT OPTIONS, INC. STANLEY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2022-12-06 00:00:00 060018191 Closed Citation Citation B (HSC 1424) Patient Care None 2022-10-13 00:00:00 2022-10-13 00:00:00 No 2022-12-27 00:00:00 None B None 1000 1000 -350 650 0 None MBCF11 N CA00807520 B SFY2022-23
060000080 ABLELIGHT INC. - REGINA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2023-02-16 00:00:00 060018406 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-29 00:00:00 2022-12-29 00:00:00 No 2023-03-10 00:00:00 None B None 1000 1000 -350 650 0 None V8S111 N CA00816138 B SFY2022-23
060000134 REGENTS POINT - WINDCREST LTC SNF Skilled Nursing Facility Orange 2023-03-09 00:00:00 060018477 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-03-30 00:00:00 None B None 2000 2000 0 2000 0 None 7DYQ11 N None None SFY2022-23
060001166 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Orange 2023-03-15 00:00:00 060018510 Closed Citation Citation A (HSC 1424) Patient Care None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-04-06 00:00:00 None A None 25000 25000 -8750 16250 0 None 7KOI11 N CA00820412 B SFY2022-23
060000075 ENRICHING, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2023-03-22 00:00:00 060018512 Closed Citation Citation A (HSC 1424) Patient Care None 2023-01-14 00:00:00 2023-01-14 00:00:00 No 2023-04-13 00:00:00 None A None 10000 10000 -3500 6500 0 None C4BV11 N CA00821993 B SFY2022-23
060002256 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE V LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2023-04-05 00:00:00 060018581 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-13 00:00:00 2023-02-13 00:00:00 No 2023-04-26 00:00:00 None B None 1000 1000 -350 650 0 None U54O11 N CA00826926 B SFY2022-23
080001538 MAINPLACE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2023-03-30 00:00:00 060018583 Closed Citation Citation A (HSC 1424) Patient Care None 2023-01-04 00:00:00 2023-01-04 00:00:00 No 2023-04-21 00:00:00 None A None 40000 40000 -14000 26000 0 None 546L11 Y None None SFY2022-23
060001305 RAINBOW HOUSE ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2023-04-06 00:00:00 060018590 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-16 00:00:00 2023-02-16 00:00:00 No 2023-04-27 00:00:00 None B None 1000 1000 -350 650 0 None M1S311 N CA00827465 B SFY2022-23
630018680 LORANE WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2023-04-11 00:00:00 060018606 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-20 00:00:00 2023-02-20 00:00:00 No 2023-05-02 00:00:00 None B None 1000 1000 -350 650 0 None X4SE11 N CA00827712 B SFY2022-23
060000151 STANLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2023-06-13 00:00:00 060018841 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-05 00:00:00 2023-06-05 00:00:00 No 2023-07-05 00:00:00 None B None 2000 2000 -700 1300 0 None 87J211 N None None SFY2022-23
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2023-07-12 00:00:00 060018941 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-06 00:00:00 2023-06-06 00:00:00 No 2023-08-02 00:00:00 None B None 3000 3000 -1050 1950 0 None OQUF11 N CA00841899 B SFY2023-24
060000113 HARBOR VILLA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2023-08-09 00:00:00 060019040 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-06 00:00:00 2023-07-06 00:00:00 No 2023-08-30 00:00:00 None B None 2000 2000 -700 1300 0 None ERWM11 N CA00848619, CA00848619 B, B SFY2023-24
060001078 INDEPENDENT OPTIONS, INC. MARK LANE I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2023-08-22 00:00:00 060019079 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-28 00:00:00 2023-06-28 00:00:00 No 2023-09-13 00:00:00 None B None 1000 1000 -350 650 0 None DTFX11 N CA00848856 B SFY2023-24
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2023-09-08 00:00:00 060019136 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-08 00:00:00 2023-08-08 00:00:00 No 2023-09-29 00:00:00 None B None 2000 2000 -700 1300 0 None ME1111 N CA00854195, CA00854195, CA00854558 B, B, B SFY2023-24
630011297 LONIKA HOME DORIA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2023-10-12 00:00:00 060019246 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-16 00:00:00 2023-08-16 00:00:00 No 2023-11-02 00:00:00 None B None 1000 1000 -350 650 0 None NDQC11 N CA00856774 B SFY2023-24
060000051 ADVANCED REHAB CENTER OF TUSTIN LTC SNF Skilled Nursing Facility Orange 2023-12-13 00:00:00 060019474 Closed Citation Citation B (HSC 1424) Other Dietary 2023-11-09 00:00:00 2023-11-09 00:00:00 No 2024-01-04 00:00:00 None B None 2000 2000 -700 1300 0 None HSC211 N None None SFY2023-24
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2023-12-20 00:00:00 060019508 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-15 00:00:00 2023-11-15 00:00:00 No 2024-01-11 00:00:00 None B None 3000 9000 0 9000 0 None LKPP11 N CA00868972 B SFY2023-24
060000020 SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2024-01-08 00:00:00 060019566 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-04 00:00:00 2023-12-04 00:00:00 No 2024-01-29 00:00:00 None B None 3000 3000 0 0 3000 None S1N311 N CA00870873 B SFY2023-24
060001680 SAN JUAN HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2024-01-09 00:00:00 060019577 Closed Citation Citation B (HSC 1424) Other Accidents/Hazards 2023-12-12 00:00:00 2023-12-12 00:00:00 No 2024-01-30 00:00:00 None B None 2000 2000 0 2000 0 None RJWZ11 N CA00872022 B SFY2023-24
060000933 INDEPENDENT OPTIONS, INC. HARBOR VILLAGE I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2024-06-07 00:00:00 060020267 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-05-02 00:00:00 2024-05-02 00:00:00 No 2024-06-28 00:00:00 None B None 1000 1000 -350 650 0 None 0CQV11 N CA00898279 B SFY2023-24
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 1999-05-14 00:00:00 070002246 Closed Citation Citation A (HSC 1424) Patient Care None 1999-04-15 00:00:00 None Yes 1999-06-09 00:00:00 1999-05-21 00:00:00 A A 5000 3500 -3500 0 0 070013569 A99999 N None None SFY1998-99
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2000-01-07 00:00:00 070002308 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-29 00:00:00 None Yes 2001-07-09 00:00:00 2000-01-20 00:00:00 B B 800 800 0 800 0 070014363 A99999 N None None SFY1999-00
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2000-01-07 00:00:00 070002309 Closed Citation Citation B (HSC 1424) Medication None 1999-12-13 00:00:00 None Yes 2001-07-16 00:00:00 2000-01-20 00:00:00 B B 800 800 0 800 0 070014371 A99999 N None None SFY1999-00
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2000-01-07 00:00:00 070002310 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-24 00:00:00 None Yes 2001-07-17 00:00:00 2000-01-20 00:00:00 B B 800 950 0 950 0 070014372 A99999 N None None SFY1999-00
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2000-01-13 00:00:00 070002311 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-24 00:00:00 None Yes 2001-07-17 00:00:00 2000-01-20 00:00:00 B B 800 800 0 800 0 070014391 A99999 N None None SFY1999-00
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2000-01-14 00:00:00 070002312 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-16 00:00:00 None No 2000-02-09 00:00:00 None B None 1000 1000 0 1000 0 070014395 A99999 N None None SFY1999-00
070000033 CARMEL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2000-02-03 00:00:00 070002313 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-23 00:00:00 None No 2000-02-29 00:00:00 None B None 600 600 0 600 0 070014488 A99999 N None None SFY1999-00
070000726 TUPAZ HOME #9 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2000-02-15 00:00:00 070002314 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-19 00:00:00 None No 2000-03-09 00:00:00 None B None 500 500 0 500 0 070014497 A99999 N None None SFY1999-00
070000726 TUPAZ HOME #9 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2000-02-15 00:00:00 070002315 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-19 00:00:00 None No 2000-03-09 00:00:00 None B None 600 600 0 600 0 070014498 A99999 N None None SFY1999-00
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-03-16 00:00:00 070002316 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-04 00:00:00 None Yes 2000-04-10 00:00:00 2000-03-23 00:00:00 A B 10000 10000 0 10000 0 070014549 A99999 N None None SFY1999-00
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-03-22 00:00:00 070002318 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-12-23 00:00:00 None Yes 2000-04-14 00:00:00 2000-03-27 00:00:00 AA AA 20000 20000 0 20000 0 070014563 A99999 Y None None SFY1999-00
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2000-03-31 00:00:00 070002319 Closed Citation Citation B (HSC 1424) Administration None 1999-12-31 00:00:00 None Yes 2000-04-25 00:00:00 2000-04-17 00:00:00 B B 800 800 -720 80 0 070014587 A99999 N None None SFY1999-00
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2000-04-07 00:00:00 070002321 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-23 00:00:00 None No 2000-04-28 00:00:00 None B None 500 500 -175 325 0 070014609 A99999 N None None SFY1999-00
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2000-04-07 00:00:00 070002322 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-17 00:00:00 None No 2000-04-28 00:00:00 None A None 10000 10000 -3500 6500 0 070014611 A99999 N None None SFY1999-00
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-04-18 00:00:00 070002323 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-29 00:00:00 None Yes 2000-09-18 00:00:00 2000-05-10 00:00:00 B B Trebled 1000 3000 0 3000 0 070014646 A99999 N None None SFY1999-00
070000060 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2000-04-21 00:00:00 070002324 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-21 00:00:00 None No 2000-05-17 00:00:00 None B None 400 400 -140 260 0 070014649 A99999 N None None SFY1999-00
070000060 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2000-05-05 00:00:00 070002325 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-24 00:00:00 None No 2000-05-30 00:00:00 None B None 400 1200 0 1200 0 070014702 A99999 N None None SFY1999-00
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2000-05-17 00:00:00 070002326 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-05 00:00:00 None Yes 2001-07-06 00:00:00 2000-05-19 00:00:00 B B 1000 1000 0 1000 0 070014740 A99999 N None None SFY1999-00
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2000-05-22 00:00:00 070002327 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-03 00:00:00 None No 2000-06-13 00:00:00 None A None 10000 10000 0 10000 0 070014759 A99999 N None None SFY1999-00
070000026 STONEBROOK HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility San Jose 2000-06-16 00:00:00 070002329 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-13 00:00:00 None Yes 2000-07-12 00:00:00 2000-06-28 00:00:00 A A 10000 10000 0 10000 0 070014823 A99999 N None None SFY1999-00
070000024 EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2000-06-29 00:00:00 070002334 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-04-15 00:00:00 None No 2000-07-25 00:00:00 None A None 8000 8000 -2800 5200 0 070014870 A99999 N None None SFY1999-00
070000906 WREN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2000-07-05 00:00:00 070002335 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-14 00:00:00 None Yes 2001-06-28 00:00:00 2000-07-11 00:00:00 B B 700 700 0 700 0 070014886 A99999 N None None SFY2000-01
070000055 7TH AVENUE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-07-07 00:00:00 070002336 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-05 00:00:00 None No 2000-07-28 00:00:00 None A None 8000 8000 -2800 5200 0 070014890 A99999 N None None SFY2000-01
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2000-07-25 00:00:00 070002337 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-05 00:00:00 None No 2000-08-17 00:00:00 None B None 1000 1350 -350 1000 0 070014939 A99999 N None None SFY2000-01
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-08-07 00:00:00 070002338 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-18 00:00:00 None Yes 2002-05-07 00:00:00 2000-08-17 00:00:00 B B Trebled 1000 3000 0 3000 0 070015057 A99999 N None None SFY2000-01
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-08-09 00:00:00 070002339 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-14 00:00:00 None No 2000-08-31 00:00:00 None B None 800 800 -280 520 0 070015061 A99999 N None None SFY2000-01
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-08-10 00:00:00 070002340 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-08 00:00:00 None Yes 2000-09-04 00:00:00 2000-09-05 00:00:00 B B 1000 0 0 0 0 070015075 A99999 N None None SFY2000-01
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-08-10 00:00:00 070002341 Closed Citation Citation B (HSC 1424) Administration None 2000-05-13 00:00:00 None Yes 2000-09-04 00:00:00 2000-09-05 00:00:00 B B 1000 0 0 0 0 070015075 A99999 N None None SFY2000-01
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2000-08-10 00:00:00 070002342 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-27 00:00:00 None No 2000-08-31 00:00:00 None B None 1000 1000 0 1000 0 070015077 A99999 N None None SFY2000-01
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2000-08-10 00:00:00 070002343 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-27 00:00:00 None No 2000-08-31 00:00:00 None B None 1000 1000 0 1000 0 070015077 A99999 N None None SFY2000-01
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2000-08-11 00:00:00 070002344 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-05 00:00:00 None Yes 2000-09-07 00:00:00 2000-08-23 00:00:00 B None 600 600 0 600 0 070014894 A99999 N None None SFY2000-01
070000009 VISTA MANOR NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2000-08-14 00:00:00 070002345 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-31 00:00:00 None Yes 2000-09-05 00:00:00 2000-08-15 00:00:00 B None 600 1850 0 1850 0 070014975 A99999 N None None SFY2000-01
070000307 NATIVIDAD MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Jose 2000-08-16 00:00:00 070002347 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-07 00:00:00 None No 2000-09-06 00:00:00 None A None 7000 7000 -2450 4550 0 070015103 A99999 N None None SFY2000-01
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2000-08-24 00:00:00 070002349 Closed Citation Citation A (HSC 1424) Patient Care None 2000-07-08 00:00:00 None No 2000-09-19 00:00:00 None A None 8000 8000 -2800 5200 0 070015123 A99999 N None None SFY2000-01
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2000-08-31 00:00:00 070002350 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-25 00:00:00 None No 2000-09-21 00:00:00 None A B 8000 7000 0 7000 0 070015144 A99999 N None None SFY2000-01
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2000-09-12 00:00:00 070002353 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-23 00:00:00 None No 2000-10-04 00:00:00 None B None 600 600 -210 390 0 070015046 A99999 N None None SFY2000-01
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2000-09-15 00:00:00 070002355 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-18 00:00:00 None No 2000-10-11 00:00:00 None B None 900 900 -315 585 0 070015192 A99999 N None None SFY2000-01
070000002 WOODLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-09-21 00:00:00 070002356 Closed Citation Citation B (HSC 1424) Staffing None 2000-07-08 00:00:00 None No 2000-10-24 00:00:00 None B None 600 600 0 600 0 070015216 A99999 N None None SFY2000-01
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-10-20 00:00:00 070002358 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-03 00:00:00 None No 2000-11-15 00:00:00 None B None 1000 1000 0 1000 0 070015198 A99999 N None None SFY2000-01
070000002 WOODLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-11-14 00:00:00 070002359 Closed Citation Citation A (HSC 1424) Patient Care None 2000-07-08 00:00:00 None Yes 2000-12-12 00:00:00 2000-12-06 00:00:00 A A 10000 5000 0 5000 0 070015216 A99999 N None None SFY2000-01
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2000-12-01 00:00:00 070002360 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-31 00:00:00 None No 2000-12-26 00:00:00 None B None 1000 1000 -350 650 0 070015377 A99999 N None None SFY2000-01
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2000-12-07 00:00:00 070002362 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-24 00:00:00 None No 2001-01-03 00:00:00 None B Drop>Deficiency 1000 500 0 500 0 070015240 A99999 N None None SFY2000-01
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2000-12-12 00:00:00 070002363 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-05 00:00:00 None No 2001-01-08 00:00:00 None B None 1000 1000 -350 650 0 070015256 A99999 N None None SFY2000-01
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2000-12-15 00:00:00 070002365 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-15 00:00:00 None Yes 2001-11-07 00:00:00 2001-01-05 00:00:00 A A 8000 8000 0 8000 0 070015091 A99999 N None None SFY2000-01
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-02-14 00:00:00 070002366 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-25 00:00:00 None Yes 2001-03-12 00:00:00 2001-02-22 00:00:00 A A 20000 1000 0 1000 0 070015715 A99999 N None None SFY2000-01
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-01-25 00:00:00 070002367 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-10 00:00:00 None Yes 2001-02-21 00:00:00 2001-06-13 00:00:00 B B 800 800 -640 160 0 070015924 A99999 N None None SFY2000-01
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2001-01-29 00:00:00 070002369 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-10 00:00:00 None No 2001-02-23 00:00:00 None B None 500 500 -175 325 0 070015127 A99999 N None None SFY2000-01
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2001-01-29 00:00:00 070002370 Closed Citation Citation B (HSC 1424) Administration None 2000-08-10 00:00:00 None No 2001-02-23 00:00:00 None B None 700 700 -245 455 0 070015127 A99999 N None None SFY2000-01
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-03-06 00:00:00 070002376 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-29 00:00:00 None Yes 2001-04-02 00:00:00 2001-03-16 00:00:00 B B 700 700 -560 140 0 070015943 A99999 N None None SFY2000-01
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-03-12 00:00:00 070002377 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-26 00:00:00 None No 2001-04-05 00:00:00 None B None 800 800 -280 520 0 070015982 A99999 N None None SFY2000-01
070000049 PACIFIC COAST MANOR LTC SNF Skilled Nursing Facility San Jose 2001-03-22 00:00:00 070002378 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-21 00:00:00 None No 2001-04-12 00:00:00 None B None 600 600 -210 390 0 070016045 A99999 N None None SFY2000-01
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2001-03-23 00:00:00 070002379 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-21 00:00:00 None No 2001-04-13 00:00:00 None B None 1000 3000 0 3000 0 070016047 A99999 N None None SFY2000-01
070001106 SHINRAI - CROYDON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2001-04-10 00:00:00 070002380 Closed Citation Citation B (HSC 1424) Administration None 2001-03-02 00:00:00 None No 2001-05-03 00:00:00 None B None 400 400 -140 260 0 070016058 A99999 N None None SFY2000-01
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-04-10 00:00:00 070002381 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-26 00:00:00 None Yes 2001-05-01 00:00:00 2001-04-27 00:00:00 B None 1000 1000 0 1000 0 070016001 A99999 N None None SFY2000-01
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2001-04-10 00:00:00 070002382 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-03-12 00:00:00 None No 2001-05-01 00:00:00 None B None 1000 1000 -350 650 0 070016022 A99999 N None None SFY2000-01
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-04-18 00:00:00 070002383 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-29 00:00:00 None No 2001-05-11 00:00:00 None B None 1000 3000 -1050 1950 0 070016108 A99999 N None None SFY2000-01
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-04-17 00:00:00 070002384 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-11 00:00:00 None Yes 2001-05-14 00:00:00 2001-04-30 00:00:00 B B 1000 1000 -800 200 0 070014967 A99999 N None None SFY2000-01
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-04-18 00:00:00 070002385 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-23 00:00:00 None No 2001-05-11 00:00:00 None B None 1000 1000 0 1000 0 070015203 A99999 N None None SFY2000-01
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-04-18 00:00:00 070002386 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-23 00:00:00 None No 2001-05-11 00:00:00 None B None 1000 1000 0 1000 0 070015203 A99999 N None None SFY2000-01
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-04-20 00:00:00 070002387 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-06 00:00:00 None Yes 2001-05-11 00:00:00 2001-04-27 00:00:00 B B 600 600 0 600 0 070016100 A99999 N None None SFY2000-01
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-05-08 00:00:00 070002388 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-17 00:00:00 None No 2001-05-30 00:00:00 None B None 1000 1000 -350 650 0 070016148 A99999 N None None SFY2000-01
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-05-16 00:00:00 070002389 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-07 00:00:00 None Yes 2001-06-13 00:00:00 2001-05-23 00:00:00 B None 600 600 0 600 0 070016144 A99999 N None None SFY2000-01
070000227 WOLFE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2001-05-23 00:00:00 070002390 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-29 00:00:00 None No 2001-06-15 00:00:00 None B None 900 900 -315 585 0 070016043 A99999 N None None SFY2000-01
070000989 SAN MIGUEL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2001-06-06 00:00:00 070002391 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-09 00:00:00 None Yes 2001-12-07 00:00:00 2001-06-07 00:00:00 B B 600 600 0 600 0 070016242 A99999 N None None SFY2000-01
070000568 TUPAZ HOME #10 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2001-06-07 00:00:00 070002392 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-12 00:00:00 None No 2001-06-29 00:00:00 None B None 800 800 -280 520 0 070016042 A99999 N None None SFY2000-01
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-06-19 00:00:00 070002393 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-31 00:00:00 None No 2001-07-13 00:00:00 None B None 1000 1000 0 1000 0 070016287 A99999 N None None SFY2000-01
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2001-07-12 00:00:00 070002395 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-31 00:00:00 None Yes 2002-01-10 00:00:00 2001-07-19 00:00:00 B B 1000 1000 -1000 0 0 070016322 A99999 N None None SFY2001-02
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-07-18 00:00:00 070002396 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-28 00:00:00 None No 2001-08-09 00:00:00 None B None 800 800 -280 520 0 070016318 A99999 N None None SFY2001-02
070000324 GEORGE L. MEE MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2001-07-25 00:00:00 070002397 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-07 00:00:00 None Yes 2002-02-21 00:00:00 2002-02-01 00:00:00 B B 600 600 0 600 0 070016363 A99999 N None None SFY2001-02
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-08-16 00:00:00 070002398 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-07 00:00:00 None No 2001-09-11 00:00:00 None B None 600 600 -210 390 0 070016364 A99999 N None None SFY2001-02
070000053 GOLDEN AGE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2001-08-22 00:00:00 070002399 Closed Citation Citation B (HSC 1424) Staffing None 2001-06-09 00:00:00 None No 2001-09-13 00:00:00 None B None 400 400 -140 260 0 070016399 A99999 N None None SFY2001-02
070000055 7TH AVENUE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-08-27 00:00:00 070002400 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-16 00:00:00 None Yes 2001-09-19 00:00:00 2001-08-31 00:00:00 B None 1000 1000 0 1000 0 070016411 A99999 N None None SFY2001-02
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2001-09-04 00:00:00 070002401 Closed Citation Citation B (HSC 1424) Administration None 2001-08-09 00:00:00 None No 2001-09-27 00:00:00 None B None 600 600 -210 390 0 070016436 A99999 N None None SFY2001-02
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-09-07 00:00:00 070002402 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-19 00:00:00 None No 2001-09-28 00:00:00 None B None 700 700 -245 455 0 070016466 A99999 N None None SFY2001-02
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-09-07 00:00:00 070002403 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-20 00:00:00 None No 2001-09-28 00:00:00 None B None 500 500 -175 325 0 070016466 A99999 N None None SFY2001-02
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2001-09-14 00:00:00 070002404 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-29 00:00:00 None Yes 2001-10-16 00:00:00 2001-09-24 00:00:00 B B 600 600 -540 60 0 070016532 A99999 N None None SFY2001-02
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2001-09-20 00:00:00 070002405 Closed Citation Citation B (HSC 1424) Administration None 2001-08-25 00:00:00 None No 2001-10-15 00:00:00 None B None 1000 3000 0 3000 0 070016539 A99999 N None None SFY2001-02
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2001-09-20 00:00:00 070002406 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-18 00:00:00 None No 2001-10-15 00:00:00 None B None 500 500 0 500 0 070016539 A99999 N None None SFY2001-02
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-10-10 00:00:00 070002407 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-03 00:00:00 None Yes 2001-11-01 00:00:00 2001-10-25 00:00:00 B B 800 500 0 500 0 070016580 A99999 N None None SFY2001-02
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-10-23 00:00:00 070002408 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-07 00:00:00 None Yes 2001-11-15 00:00:00 2001-10-25 00:00:00 B B 1000 600 0 600 0 070016599 A99999 N None None SFY2001-02
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-11-05 00:00:00 070002409 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-12 00:00:00 None No 2001-12-07 00:00:00 None B None 1000 1000 -350 650 0 070016683 A99999 N None None SFY2001-02
070000307 NATIVIDAD MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Jose 2001-11-19 00:00:00 070002410 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-24 00:00:00 None No 2001-12-12 00:00:00 None A None 20000 20000 -7000 13000 0 070016241 A99999 Y None None SFY2001-02
070000307 NATIVIDAD MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Jose 2001-11-19 00:00:00 070002411 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-05-24 00:00:00 None No 2001-12-12 00:00:00 None AA None 90000 90000 -31500 58500 0 070016241 A99999 Y None None SFY2001-02
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2001-11-27 00:00:00 070002412 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-13 00:00:00 None No 2001-12-19 00:00:00 None B None 800 800 -280 520 0 070016732 A99999 N None None SFY2001-02
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-11-26 00:00:00 070002413 Closed Citation Citation B (HSC 1424) Administration None 2001-10-12 00:00:00 2001-10-15 00:00:00 No 2001-12-17 00:00:00 None B None 1000 1000 -350 650 0 070016676 A99999 N None None SFY2001-02
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2001-12-03 00:00:00 070002414 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-06 00:00:00 None Yes 2001-12-27 00:00:00 2001-12-11 00:00:00 B B 500 500 0 500 0 070016746 A99999 N None None SFY2001-02
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-12-05 00:00:00 070002415 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-15 00:00:00 None No 2002-01-02 00:00:00 None B None 1000 3000 -1050 1950 0 070016634 A99999 N None None SFY2001-02
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-12-05 00:00:00 070002416 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-11 00:00:00 None No 2002-01-02 00:00:00 None B None 1000 1000 -350 650 0 070016610 A99999 N None None SFY2001-02
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2001-12-12 00:00:00 070002417 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-23 00:00:00 None No 2002-01-10 00:00:00 None B B 600 600 -540 60 0 070016684 A99999 N None None SFY2001-02
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-12-14 00:00:00 070002418 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2001-09-23 00:00:00 None No 2002-01-11 00:00:00 None B None 600 600 -210 390 0 070016600 A99999 N None None SFY2001-02
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-12-14 00:00:00 070002419 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2001-10-11 00:00:00 None No 2002-01-08 00:00:00 None B None 1000 1000 -350 650 0 070016610 A99999 N None None SFY2001-02
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-12-17 00:00:00 070002420 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2001-12-05 00:00:00 None No 2002-01-15 00:00:00 None B None 400 400 -140 260 0 070016776 A99999 N None None SFY2001-02
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-12-17 00:00:00 070002421 Closed Citation Citation B (HSC 1424) Administration None 2001-12-05 00:00:00 None No 2002-01-15 00:00:00 None B None 400 400 -140 260 0 070016776 A99999 N None None SFY2001-02
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2001-12-20 00:00:00 070002422 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-28 00:00:00 None No 2002-01-16 00:00:00 None B None 1000 1000 -350 650 0 070016750 A99999 N None None SFY2001-02
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-12-20 00:00:00 070002423 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-09 00:00:00 2001-10-10 00:00:00 Yes 2002-01-16 00:00:00 2002-01-14 00:00:00 A A 10000 6067 0 6067 0 070016818 A99999 N None None SFY2001-02
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-12-20 00:00:00 070002424 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-15 00:00:00 None Yes 2002-01-16 00:00:00 2002-01-14 00:00:00 B B 600 400 0 400 0 070016721 A99999 N None None SFY2001-02
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2001-12-21 00:00:00 070002425 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-13 00:00:00 None No 2002-01-17 00:00:00 None B None 1000 1000 -350 650 0 070016728 A99999 N None None SFY2001-02
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2002-01-22 00:00:00 070002426 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-26 00:00:00 None No 2002-02-15 00:00:00 None B None 1000 3450 -1050 2400 0 070016741 A99999 N None None SFY2001-02
070001060 SHINRAI-FLINTDALE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2002-01-24 00:00:00 070002427 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-15 00:00:00 None No 2002-02-15 00:00:00 None B None 500 500 -175 325 0 070016907 A99999 N None None SFY2001-02
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-01-25 00:00:00 070002428 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-12 00:00:00 2001-12-15 00:00:00 No 2002-02-20 00:00:00 None B None 1000 1000 -350 650 0 070016810 A99999 N None None SFY2001-02
070000053 GOLDEN AGE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2002-02-28 00:00:00 070002429 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-10-11 00:00:00 None No 2002-03-21 00:00:00 None B None 500 500 -175 325 0 070017013 A99999 N None None SFY2001-02
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2002-03-05 00:00:00 070002430 Closed Citation Citation B (HSC 1424) Administration None 2001-08-16 00:00:00 None No 2002-04-08 00:00:00 None B None 800 800 -280 520 0 070016951 A99999 N None None SFY2001-02
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-07 00:00:00 070002431 Closed Citation Citation B (HSC 1424) Medication None 2001-12-12 00:00:00 2001-12-16 00:00:00 No 2002-03-29 00:00:00 None B None 1000 1000 -350 650 0 070016911 A99999 N None None SFY2001-02
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-08 00:00:00 070002432 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-21 00:00:00 2002-02-21 00:00:00 Yes 2002-04-02 00:00:00 2002-03-18 00:00:00 B None 1000 1000 0 1000 0 070016981 A99999 N None None SFY2001-02
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-11 00:00:00 070002433 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-11-06 00:00:00 None No 2002-04-03 00:00:00 None B None 500 1500 -525 975 0 070017048 A99999 N None None SFY2001-02
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-20 00:00:00 070002434 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-31 00:00:00 None Yes 2002-04-17 00:00:00 2002-04-11 00:00:00 A A 20000 11145 0 11145 0 070016828 A99999 N None None SFY2001-02
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-20 00:00:00 070002435 Closed Citation Citation B (HSC 1424) Administration None 2002-02-11 00:00:00 None Yes 2002-04-17 00:00:00 2002-04-08 00:00:00 B B 1000 557 0 557 0 070016828 A99999 N None None SFY2001-02
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-20 00:00:00 070002436 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-12 00:00:00 None Yes 2002-04-17 00:00:00 2002-04-08 00:00:00 A B 20000 11145 0 11145 0 070016828 A99999 N None None SFY2001-02
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-20 00:00:00 070002437 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-01 00:00:00 None Yes 2002-04-17 00:00:00 2002-04-10 00:00:00 B Drop>Deficiency 1000 557 0 557 0 070016828 A99999 N None None SFY2001-02
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-21 00:00:00 070002438 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-10 00:00:00 None No 2002-04-16 00:00:00 None B None 300 300 -105 195 0 070017086 A99999 N None None SFY2001-02
070000227 WOLFE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2002-03-25 00:00:00 070002439 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-17 00:00:00 None No 2002-04-17 00:00:00 None B None 500 500 -175 325 0 070017067 A99999 N None None SFY2001-02
070000227 WOLFE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2002-03-25 00:00:00 070002440 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-01 00:00:00 None No 2002-04-17 00:00:00 None B None 800 800 -280 520 0 070017067 A99999 N None None SFY2001-02
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-26 00:00:00 070002441 Closed Citation Citation B (HSC 1424) Administration None 2002-01-22 00:00:00 None No 2002-04-22 00:00:00 None B None 1000 3050 0 3050 0 070016927 A99999 N None None SFY2001-02
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2002-03-26 00:00:00 070002442 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-24 00:00:00 None No 2002-04-22 00:00:00 None A B 20000 20000 0 20000 0 070017029 A99999 N None None SFY2001-02
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-04-08 00:00:00 070002443 Closed Citation Citation A (HSC 1424) Patient Care None 2002-12-28 00:00:00 None No 2002-05-07 00:00:00 None A B 20000 9500 0 9500 0 070016875 A99999 N None None SFY2001-02
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-04-10 00:00:00 070002444 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-17 00:00:00 None Yes 2002-05-03 00:00:00 2002-04-24 00:00:00 B B 600 400 0 400 0 070017088 A99999 N None None SFY2001-02
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-04-11 00:00:00 070002445 Closed Citation Citation B (HSC 1424) Administration None 2002-03-25 00:00:00 None Yes 2002-05-07 00:00:00 2002-04-22 00:00:00 B B Trebled 1000 1672 0 1672 0 070017135 A99999 N None None SFY2001-02
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-04-11 00:00:00 070002446 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-20 00:00:00 None Yes 2002-05-07 00:00:00 2002-04-22 00:00:00 B B 600 334 0 334 0 070017099 A99999 N None None SFY2001-02
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2002-04-17 00:00:00 070002447 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-04 00:00:00 2001-12-29 00:00:00 Yes 2002-05-09 00:00:00 2002-05-02 00:00:00 A A 20000 11750 0 11750 0 070017193 A99999 N None None SFY2001-02
070000024 EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2002-04-19 00:00:00 070002448 Closed Citation Citation B (HSC 1424) Other PATIENT CARE & RIGHT 2002-03-11 00:00:00 None No 2002-05-13 00:00:00 None B None 600 600 -210 390 0 070017097 A99999 N None None SFY2001-02
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-04-19 00:00:00 070002449 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-27 00:00:00 None No 2002-05-15 00:00:00 None B B 600 390 0 390 0 070017150 A99999 N None None SFY2001-02
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-05-03 00:00:00 070002450 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-20 00:00:00 None No 2002-05-28 00:00:00 None B None 400 400 -140 260 0 070017216 A99999 N None None SFY2001-02
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2002-05-07 00:00:00 070002451 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-31 00:00:00 None No 2002-06-03 00:00:00 None B None 600 600 -210 390 0 070017225 A99999 N None None SFY2001-02
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-05-16 00:00:00 070002452 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-27 00:00:00 None No 2002-06-11 00:00:00 None B None 1000 3000 -1050 1950 0 070017286 A99999 N None None SFY2001-02
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2002-05-20 00:00:00 070002453 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-26 00:00:00 None Yes 2002-06-17 00:00:00 2002-06-03 00:00:00 B B 600 334 0 334 0 070017282 A99999 N None None SFY2001-02
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-05-29 00:00:00 070002454 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-22 00:00:00 None Yes 2002-06-21 00:00:00 2002-05-30 00:00:00 B Drop>Deficiency 600 0 0 0 0 070017355 A99999 N None None SFY2001-02
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-05-31 00:00:00 070002455 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-18 00:00:00 None No 2002-06-26 00:00:00 None B None 600 600 -210 390 0 070017356 A99999 N None None SFY2001-02
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-06-05 00:00:00 070002457 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-09 00:00:00 None No 2002-06-28 00:00:00 None B None 400 400 -140 260 0 070017330 A99999 N None None SFY2001-02
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-06-07 00:00:00 070002458 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-29 00:00:00 None Yes 2003-05-23 00:00:00 2003-05-15 00:00:00 B B 800 446 0 446 0 070017365 A99999 N None None SFY2001-02
070000033 CARMEL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2002-06-12 00:00:00 070002459 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-10-02 00:00:00 None No 2002-07-10 00:00:00 None B None 1000 1850 -1850 0 0 070017300 A99999 N None None SFY2001-02
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-06-14 00:00:00 070002460 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-30 00:00:00 None No 2002-07-09 00:00:00 None B None 300 300 -105 195 0 070017396 A99999 N None None SFY2001-02
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-07-03 00:00:00 070002461 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-12 00:00:00 None Yes 2002-07-26 00:00:00 2002-07-08 00:00:00 B B 700 429 0 429 0 070017328 A99999 N None None SFY2002-03
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-07-10 00:00:00 070002462 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-30 00:00:00 None Yes 2002-07-31 00:00:00 2002-07-31 00:00:00 A B 5000 2786 0 2786 0 070017260 A99999 N None None SFY2002-03
070000033 CARMEL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2002-07-11 00:00:00 070002463 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-07 00:00:00 None No 2002-08-06 00:00:00 None B None 1000 1350 -1350 0 0 070017519 A99999 N None None SFY2002-03
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2002-07-11 00:00:00 070002464 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-30 00:00:00 None No 2002-08-02 00:00:00 None B None 1000 1050 -350 700 0 070017520 A99999 N None None SFY2002-03
070001028 SHINRAI - CAMINO VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2002-07-16 00:00:00 070002465 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-06-29 00:00:00 None Yes 2002-08-09 00:00:00 2002-07-23 00:00:00 A None 8000 8000 0 8000 0 070017509 A99999 N None None SFY2002-03
070000307 NATIVIDAD MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Jose 2002-07-24 00:00:00 070002466 Closed Citation Citation B (HSC 1424) Dietary None 2002-07-10 00:00:00 None No 2002-08-14 00:00:00 None B None 1000 1000 -350 650 0 070017585 A99999 N None None SFY2002-03
070000890 TUPAZ HOME #5 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2002-07-24 00:00:00 070002467 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-29 00:00:00 None No 2002-08-29 00:00:00 None B None 900 900 -315 585 0 070017570 A99999 N None None SFY2002-03
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-08-02 00:00:00 070002468 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-17 00:00:00 None Yes 2003-05-23 00:00:00 2003-05-15 00:00:00 B B 600 334 0 334 0 070017567 A99999 N None None SFY2002-03
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2002-08-07 00:00:00 070002469 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-19 00:00:00 None No 2002-09-04 00:00:00 None B None 1000 3000 -1050 1950 0 070017599 A99999 N None None SFY2002-03
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2002-08-08 00:00:00 070002470 Closed Citation Citation B (HSC 1424) Administration None 2002-07-31 00:00:00 None No 2002-09-03 00:00:00 None B None 1000 1000 -350 650 0 070017609 A99999 N None None SFY2002-03
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2002-08-07 00:00:00 070002471 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-18 00:00:00 None No 2002-09-04 00:00:00 None B None 1000 3000 -1050 1950 0 070017600 A99999 N None None SFY2002-03
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-08-22 00:00:00 070002472 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-13 00:00:00 None No 2002-09-19 00:00:00 None B None 1000 3000 -1050 1950 0 070017672 A99999 N None None SFY2002-03
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2002-08-28 00:00:00 070002473 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-30 00:00:00 None No 2002-09-24 00:00:00 None B None 1000 1000 -350 650 0 070017620 A99999 N None None SFY2002-03
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-09-09 00:00:00 070002474 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-05 00:00:00 None Yes 2003-05-23 00:00:00 2003-05-15 00:00:00 B B 800 446 0 446 0 070017648 A99999 N None None SFY2002-03
070000998 TUPAZ HOME #7 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2002-09-30 00:00:00 070002475 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-08-01 00:00:00 2002-08-03 00:00:00 Yes 2002-11-01 00:00:00 2002-10-04 00:00:00 A B 8000 5000 0 5000 0 070017723 A99999 N None None SFY2002-03
070000476 TUPAZ HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2002-09-26 00:00:00 070002476 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-23 00:00:00 None Yes 2002-10-21 00:00:00 2002-10-04 00:00:00 B Drop>Deficiency 900 900 0 900 0 070017773 A99999 N None None SFY2002-03
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2002-10-04 00:00:00 070002477 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-20 00:00:00 None No 2002-10-29 00:00:00 None B None 800 800 -280 520 0 070017775 A99999 N None None SFY2002-03
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-10-11 00:00:00 070002478 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-29 00:00:00 None Yes 2002-11-06 00:00:00 2002-10-28 00:00:00 B None 700 700 0 700 0 070017811 A99999 N None None SFY2002-03
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-11-01 00:00:00 070002479 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-24 00:00:00 None No 2002-11-27 00:00:00 None B None 800 800 0 800 0 070017810 A99999 N None None SFY2002-03
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2002-11-06 00:00:00 070002480 Closed Citation Citation B (HSC 1424) Medication None 2002-10-11 00:00:00 None No 2002-12-02 00:00:00 None B None 600 600 -210 390 0 070017902 A99999 N None None SFY2002-03
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2002-11-15 00:00:00 070002481 Closed Citation Citation A (HSC 1424) Patient Care None 2002-02-02 00:00:00 None Yes 2002-12-12 00:00:00 2002-11-20 00:00:00 A A 20000 5000 0 5000 0 070017931 A99999 N None None SFY2002-03
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2002-11-19 00:00:00 070002482 Closed Citation Citation B (HSC 1424) Administration None 2002-11-13 00:00:00 None No 2002-12-16 00:00:00 None B None 1000 1000 -350 650 0 070017977 A99999 N None None SFY2002-03
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2002-11-26 00:00:00 070002483 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-16 00:00:00 None No 2002-12-19 00:00:00 None B None 1000 3000 -1050 1950 0 070017951 A99999 N None None SFY2002-03
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2002-11-26 00:00:00 070002484 Closed Citation Citation B (HSC 1424) Administration None 2002-10-16 00:00:00 None No 2002-12-19 00:00:00 None B None 1000 1000 -350 650 0 070017951 A99999 N None None SFY2002-03
070000060 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2002-12-09 00:00:00 070002486 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-17 00:00:00 None No 2003-01-02 00:00:00 None B None 800 800 -280 520 0 070018019 A99999 N None None SFY2002-03
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-12-13 00:00:00 070002487 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-25 00:00:00 None No 2003-01-08 00:00:00 None B None 850 850 -297.5 552.5 0 070018031 A99999 N None None SFY2002-03
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-12-17 00:00:00 070002488 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-09 00:00:00 None No 2003-01-09 00:00:00 None B None 200 200 0 200 0 070018500 A99999 N None None SFY2002-03
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2002-12-18 00:00:00 070002489 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-11 00:00:00 None No 2003-01-10 00:00:00 None B None 1000 1000 -350 650 0 070017990 A99999 N None None SFY2002-03
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-01-03 00:00:00 070002490 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-21 00:00:00 None No 2003-01-31 00:00:00 None B None 1000 1500 -350 1150 0 070018527 A99999 N None None SFY2002-03
070000042 WINDSOR THE RIDGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-01-03 00:00:00 070002491 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-12 00:00:00 None No 2003-02-04 00:00:00 None B None 600 600 -210 390 0 070018524 A99999 N None None SFY2002-03
070000817 TUPAZ HOME #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2003-01-10 00:00:00 070002492 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-31 00:00:00 None No 2003-02-04 00:00:00 None B None 1000 1000 -350 650 0 070018582 A99999 N None None SFY2002-03
070000076 THE RIDGE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-01-15 00:00:00 070002493 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-14 00:00:00 None No 2003-02-07 00:00:00 None B None 600 600 -210 390 0 070018580 A99999 N None None SFY2002-03
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-01-15 00:00:00 070002494 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-18 00:00:00 None Yes 2003-02-10 00:00:00 2003-01-24 00:00:00 B None 1000 1000 0 1000 0 070018541 A99999 N None None SFY2002-03
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-01-23 00:00:00 070002495 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-08 00:00:00 None Yes 2003-02-19 00:00:00 2003-02-05 00:00:00 B B 800 446 0 446 0 070018601 A99999 N None None SFY2002-03
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-01-22 00:00:00 070002496 Closed Citation Citation B (HSC 1424) Administration None 2002-12-27 00:00:00 None No 2003-02-13 00:00:00 None B None 800 800 -280 520 0 070018577 A99999 N None None SFY2002-03
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-01-23 00:00:00 070002497 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-08-11 00:00:00 None Yes 2003-02-19 00:00:00 2003-01-27 00:00:00 AA AA 90000 51645 0 51645 0 070017690 A99999 Y None None SFY2002-03
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-01-29 00:00:00 070002498 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-10 00:00:00 None No 2003-02-21 00:00:00 None B None 1000 1000 0 1000 0 070018621 A99999 N None None SFY2002-03
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-02-04 00:00:00 070002499 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-17 00:00:00 None Yes 2003-03-06 00:00:00 2003-02-18 00:00:00 B B 1000 557 0 557 0 070018634 A99999 N None None SFY2002-03
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-02-11 00:00:00 070002500 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-16 00:00:00 None No 2003-03-10 00:00:00 None B None 750 750 -262.5 487.5 0 070018707 A99999 N None None SFY2002-03
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-02-11 00:00:00 070002501 Closed Citation Citation B (HSC 1424) Administration None 2003-01-16 00:00:00 None No 2003-03-10 00:00:00 None B None 750 750 -262.5 487.5 0 070018707 A99999 N None None SFY2002-03
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-02-11 00:00:00 070002502 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-16 00:00:00 None No 2003-03-10 00:00:00 None B None 750 750 -262.5 487.5 0 070018707 A99999 N None None SFY2002-03
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-02-13 00:00:00 070002503 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-30 00:00:00 None No 2003-03-10 00:00:00 None B None 600 600 -210 390 0 070018670 A99999 N None None SFY2002-03
070000082 PLUM TREE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-03-05 00:00:00 070002504 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-26 00:00:00 None Yes 2003-12-17 00:00:00 2003-03-12 00:00:00 B B 600 600 0 600 0 070018768 A99999 N None None SFY2002-03
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2003-03-10 00:00:00 070002505 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-24 00:00:00 None No 2003-04-03 00:00:00 None B None 600 600 -210 390 0 070018790 A99999 N None None SFY2002-03
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2003-03-13 00:00:00 070002506 Closed Citation Citation A (HSC 1424) Patient Care None 2003-02-02 00:00:00 None No 2003-04-07 00:00:00 None A None 10000 10000 -3500 6500 0 070018719 A99999 N None None SFY2002-03
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2003-04-11 00:00:00 070002507 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-18 00:00:00 None Yes 2003-05-06 00:00:00 2003-04-25 00:00:00 B B Trebled 600 1003 0 1003 0 070018912 A99999 N None None SFY2002-03
070000033 CARMEL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2003-05-21 00:00:00 070002508 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-22 00:00:00 None No 2003-06-19 00:00:00 None B None 1000 1000 -1000 0 0 070019027 A99999 N None None SFY2002-03
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2003-05-22 00:00:00 070002509 Closed Citation Citation B (HSC 1424) Administration None 2003-04-24 00:00:00 None No 2003-06-13 00:00:00 None B None 600 600 -210 390 0 070019008 A99999 N None None SFY2002-03
070000307 NATIVIDAD MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Jose 2003-05-22 00:00:00 070002510 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-05-09 00:00:00 None No 2003-06-13 00:00:00 None B None 1000 1000 -350 650 0 070019025 A99999 N None None SFY2002-03
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-05-28 00:00:00 070002511 Closed Citation Citation B (HSC 1424) Patient Record None 2003-01-16 00:00:00 None Yes 2003-06-23 00:00:00 2003-06-23 00:00:00 B None 600 600 -600 0 0 070018904 A99999 N None None SFY2002-03
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-06-10 00:00:00 070002512 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-21 00:00:00 None Yes 2003-07-02 00:00:00 2003-07-03 00:00:00 B None 1000 3000 -3000 0 0 070018863 A99999 N None None SFY2002-03
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-06-10 00:00:00 070002513 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-21 00:00:00 None Yes 2003-07-02 00:00:00 2003-07-03 00:00:00 B None 1000 1000 -1000 0 0 070018863 A99999 N None None SFY2002-03
070000046 GREENHILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2003-06-17 00:00:00 070002514 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-04 00:00:00 None No 2003-07-11 00:00:00 None B None 1000 1000 -350 650 0 070019116 A99999 N None None SFY2002-03
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-06-19 00:00:00 070002515 Closed Citation Citation B (HSC 1424) Administration None 2003-04-04 00:00:00 None No 2003-07-11 00:00:00 None B None 800 800 -280 520 0 070019127 A99999 N None None SFY2002-03
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-06-24 00:00:00 070002516 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-14 00:00:00 None No 2003-07-16 00:00:00 None B None 800 800 0 800 0 070019134 A99999 N None None SFY2002-03
070001130 KCARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2003-07-08 00:00:00 070002517 Closed Citation Citation B (HSC 1424) Administration None 2003-05-06 00:00:00 None No 2003-07-31 00:00:00 None B None 400 400 -140 260 0 070019167 A99999 N None None SFY2003-04
070000906 WREN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2003-07-09 00:00:00 070002518 Closed Citation Citation B (HSC 1424) Medication None 2003-06-24 00:00:00 None No 2003-08-01 00:00:00 None B None 500 500 -175 325 0 070019171 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-07-10 00:00:00 070002519 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-28 00:00:00 None No 2003-08-01 00:00:00 None B None 600 600 -210 390 0 070019157 A99999 N None None SFY2003-04
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-07-17 00:00:00 070002520 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-13 00:00:00 None No 2003-08-11 00:00:00 None B None 1000 1350 -350 1000 0 070019140 A99999 N None None SFY2003-04
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-07-21 00:00:00 070002521 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-12 00:00:00 None No 2003-08-13 00:00:00 None B None 600 600 -210 390 0 070019206 A99999 N None None SFY2003-04
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-07-31 00:00:00 070002522 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-05 00:00:00 None Yes 2003-08-27 00:00:00 2003-08-15 00:00:00 B B 1000 757 0 757 0 070019196 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-07-31 00:00:00 070002523 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-12 00:00:00 None No 2003-08-21 00:00:00 None B None 600 600 -210 390 0 070019223 A99999 N None None SFY2003-04
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-02 00:00:00 070002524 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-07-31 00:00:00 None No 2003-09-30 00:00:00 None B None 600 600 -210 390 0 070019322 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-11 00:00:00 070002525 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-26 00:00:00 None Yes 2003-10-03 00:00:00 2003-09-25 00:00:00 B B Trebled 1000 3300 -2886 414 0 070019360 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-11 00:00:00 070002526 Closed Citation Citation B (HSC 1424) Administration None 2003-08-09 00:00:00 None Yes 2003-10-03 00:00:00 2003-09-23 00:00:00 B B 1000 1000 -869 131 0 070019282 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-11 00:00:00 070002527 Closed Citation Citation B (HSC 1424) Administration None 2003-08-09 00:00:00 None Yes 2003-10-03 00:00:00 2003-09-23 00:00:00 B B 1000 1000 -869 131 0 070019282 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-11 00:00:00 070002528 Closed Citation Citation B (HSC 1424) Administration None 2003-08-12 00:00:00 None Yes 2003-10-03 00:00:00 2003-09-23 00:00:00 B B 1000 1150 -999 151 0 070019373 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-11 00:00:00 070002529 Closed Citation Citation B (HSC 1424) Staffing None 2003-08-04 00:00:00 None Yes 2004-01-30 00:00:00 2003-09-23 00:00:00 B B 1000 1000 0 1000 0 070019282 A99999 N None None SFY2003-04
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-18 00:00:00 070002530 Closed Citation Citation B (HSC 1424) Administration None 2003-09-02 00:00:00 None No 2003-10-14 00:00:00 None B None 500 500 -175 325 0 070019372 A99999 N None None SFY2003-04
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-18 00:00:00 070002531 Closed Citation Citation B (HSC 1424) Administration None 2003-09-02 00:00:00 None No 2003-10-14 00:00:00 None B None 500 500 -175 325 0 070019372 A99999 N None None SFY2003-04
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-09-19 00:00:00 070002532 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-30 00:00:00 None No 2003-10-15 00:00:00 None B None 600 1800 -630 1170 0 070019358 A99999 N None None SFY2003-04
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-09-19 00:00:00 070002533 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-01 00:00:00 None No 2003-10-15 00:00:00 None B None 600 1800 -630 1170 0 070019358 A99999 N None None SFY2003-04
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-09-22 00:00:00 070002534 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-02 00:00:00 None No 2003-10-15 00:00:00 None B None 600 1800 -630 1170 0 070019401 A99999 N None None SFY2003-04
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-26 00:00:00 070002535 Closed Citation Citation B (HSC 1424) Administration None 2003-09-12 00:00:00 None No 2003-10-21 00:00:00 None B None 1000 1000 -350 650 0 070019391 A99999 N None None SFY2003-04
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-26 00:00:00 070002536 Closed Citation Citation B (HSC 1424) Administration None 2003-09-12 00:00:00 None No 2003-10-21 00:00:00 None B None 1000 1000 -350 650 0 070019391 A99999 N None None SFY2003-04
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-09-26 00:00:00 070002537 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-12 00:00:00 None No 2003-10-21 00:00:00 None B None 1000 1000 -350 650 0 070019391 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-10-02 00:00:00 070002538 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-29 00:00:00 None Yes 2004-02-02 00:00:00 2004-01-20 00:00:00 B B 1000 1000 0 1000 0 070019244 A99999 N None None SFY2003-04
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2003-10-08 00:00:00 070002539 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-09 00:00:00 None No 2003-11-03 00:00:00 None B None 600 600 -210 390 0 070019475 A99999 N None None SFY2003-04
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-11-10 00:00:00 070002541 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-28 00:00:00 None No 2003-12-09 00:00:00 None B None 800 2400 -840 1560 0 070019542 A99999 N None None SFY2003-04
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-11-24 00:00:00 070002542 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-01 00:00:00 None Yes 2011-02-28 00:00:00 2003-12-03 00:00:00 B B 1000 1000 0 1000 0 070019565 A99999 N None None SFY2003-04
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2003-11-24 00:00:00 070002543 Closed Citation Citation B (HSC 1424) Administration None 2003-11-01 00:00:00 None No 2003-12-19 00:00:00 None B None 600 1800 -630 1170 0 070019565 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-12-03 00:00:00 070002544 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-02 00:00:00 None No 2003-12-29 00:00:00 None B None 1000 3000 0 3000 0 070019579 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-12-15 00:00:00 070002545 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-12 00:00:00 None Yes 2004-01-09 00:00:00 2003-12-23 00:00:00 B B 1000 1000 -869 131 0 070019561 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2003-12-15 00:00:00 070002546 Closed Citation Citation B (HSC 1424) Administration None 2003-10-12 00:00:00 None Yes 2004-01-09 00:00:00 2003-12-23 00:00:00 B B 1000 1000 -869 131 0 070019561 A99999 N None None SFY2003-04
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2003-12-12 00:00:00 070002547 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-20 00:00:00 None Yes 2004-01-09 00:00:00 2003-12-15 00:00:00 B B 1000 557 0 557 0 070019604 A99999 N None None SFY2003-04
070000053 GOLDEN AGE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2003-12-16 00:00:00 070002548 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-01 00:00:00 None No 2004-01-08 00:00:00 None B None 400 400 0 400 0 070019651 A99999 N None None SFY2003-04
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2003-12-18 00:00:00 070002549 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-24 00:00:00 None No 2004-01-13 00:00:00 None B None 600 600 -210 390 0 070019657 A99999 N None None SFY2003-04
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-12-22 00:00:00 070002550 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-27 00:00:00 None No 2004-01-15 00:00:00 None B None 400 400 -140 260 0 070019645 A99999 N None None SFY2003-04
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2003-12-22 00:00:00 070002551 Closed Citation Citation B (HSC 1424) Administration None 2003-11-29 00:00:00 None No 2004-01-15 00:00:00 None B None 400 400 -140 260 0 070019645 A99999 N None None SFY2003-04
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-01-08 00:00:00 070002552 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-10 00:00:00 None No 2004-02-03 00:00:00 None B None 800 800 -280 520 0 070019684 A99999 N None None SFY2003-04
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-01-08 00:00:00 070002553 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-16 00:00:00 None No 2004-02-03 00:00:00 None B None 800 800 -280 520 0 070019684 A99999 N None None SFY2003-04
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2004-01-08 00:00:00 070002554 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-15 00:00:00 None No 2004-01-30 00:00:00 None B None 1000 1000 -350 650 0 070019711 A99999 N None None SFY2003-04
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-02-05 00:00:00 070002555 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-18 00:00:00 None Yes 2004-03-02 00:00:00 2004-02-13 00:00:00 B None 600 1800 -1800 0 0 070019792 A99999 N None None SFY2003-04
070000060 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2004-02-10 00:00:00 070002556 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-31 00:00:00 None No 2004-03-05 00:00:00 None B None 800 800 -280 520 0 070019803 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2004-02-18 00:00:00 070002557 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-22 00:00:00 None Yes 2004-03-12 00:00:00 2004-02-19 00:00:00 B B 1000 1000 -869 131 0 070019812 A99999 N None None SFY2003-04
070000030 MARGUERITE TERRACE LTC SNF Skilled Nursing Facility San Jose 2004-02-19 00:00:00 070002558 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-15 00:00:00 None No 2004-03-12 00:00:00 None B None 800 800 -280 520 0 070019819 A99999 N None None SFY2003-04
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2004-03-05 00:00:00 070002559 Closed Citation Citation A (HSC 1424) Patient Care None 2003-11-14 00:00:00 None Yes 2004-03-29 00:00:00 2004-03-08 00:00:00 A A 20000 8050 -550 7500 0 070019652 A99999 N None None SFY2003-04
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2004-03-05 00:00:00 070002560 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-31 00:00:00 None Yes 2007-07-06 00:00:00 2004-03-08 00:00:00 B B 1000 1050 -550 500 0 070019652 A99999 N None None SFY2003-04
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2004-03-05 00:00:00 070002561 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-04 00:00:00 None Yes 2004-03-29 00:00:00 2004-03-08 00:00:00 B B 1000 1050 -550 500 0 070019652 A99999 N None None SFY2003-04
070000019 AVE MARIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2004-03-11 00:00:00 070002562 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-21 00:00:00 None No 2004-04-02 00:00:00 None B None 400 400 -140 260 0 070019872 A99999 N None None SFY2003-04
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2004-03-22 00:00:00 070002563 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-02-05 00:00:00 None Yes 2006-12-08 00:00:00 2004-04-12 00:00:00 AA AA 90000 90000 0 90000 0 070019856 A99999 Y None None SFY2003-04
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2004-03-23 00:00:00 070002564 Closed Citation Citation B (HSC 1424) Administration None 2003-08-09 00:00:00 None Yes 2004-04-16 00:00:00 2004-04-01 00:00:00 B B 800 400 0 400 0 070019906 A99999 N None None SFY2003-04
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2004-03-23 00:00:00 070002565 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-23 00:00:00 None Yes 2004-04-16 00:00:00 2004-04-01 00:00:00 B B 900 450 0 450 0 070019906 A99999 N None None SFY2003-04
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2004-03-23 00:00:00 070002566 Closed Citation Citation B (HSC 1424) Administration None 2003-08-09 00:00:00 None Yes 2004-04-16 00:00:00 2004-04-01 00:00:00 B B 800 400 0 400 0 070019906 A99999 N None None SFY2003-04
070000940 SHINRAI - PURPLE HILLS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2004-03-26 00:00:00 070002567 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-07 00:00:00 None No 2004-04-22 00:00:00 None B None 500 500 -175 325 0 070019912 A99999 N None None SFY2003-04
070000904 GOOD SAMARITAN HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2004-04-06 00:00:00 070002568 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-23 00:00:00 None No 2004-04-30 00:00:00 None B None 800 800 -280 520 0 070019930 A99999 N None None SFY2003-04
070000904 GOOD SAMARITAN HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2004-04-06 00:00:00 070002569 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-19 00:00:00 None No 2004-04-30 00:00:00 None B None 800 1650 -280 1370 0 070019930 A99999 N None None SFY2003-04
070000022 BELLEROSE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2004-04-08 00:00:00 070002570 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-23 00:00:00 None No 2004-05-04 00:00:00 None B None 400 400 -140 260 0 070019935 A99999 N None None SFY2003-04
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2004-05-07 00:00:00 070002571 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-07 00:00:00 None No 2004-06-01 00:00:00 None B None 1000 1000 -350 650 0 070019942 A99999 N None None SFY2003-04
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2004-04-19 00:00:00 070002572 Closed Citation Citation B (HSC 1424) Administration None 2004-03-18 00:00:00 None No 2004-05-11 00:00:00 None B None 1000 1000 -350 650 0 070019917 A99999 N None None SFY2003-04
070000024 EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2004-04-28 00:00:00 070002573 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-26 00:00:00 None Yes 2004-05-21 00:00:00 2004-05-12 00:00:00 B B 800 800 -695 105 0 070019971 A99999 N None None SFY2003-04
070000024 EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2004-04-28 00:00:00 070002574 Closed Citation Citation B (HSC 1424) Administration None 2004-03-26 00:00:00 None No 2004-05-21 00:00:00 None B None 400 400 -140 260 0 070019971 A99999 N None None SFY2003-04
070000034 CARMEL VALLEY MANOR LTC SNF Skilled Nursing Facility San Jose 2004-05-03 00:00:00 070002575 Closed Citation Citation B (HSC 1424) Medication None 2004-03-01 00:00:00 None No 2004-06-03 00:00:00 None B None 1000 1000 0 1000 0 070019973 A99999 N None None SFY2003-04
070000014 MONTEREY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2004-05-03 00:00:00 070002576 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-09 00:00:00 None No 2004-05-27 00:00:00 None B None 500 500 -500 0 0 070019977 A99999 N None None SFY2003-04
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2004-05-07 00:00:00 070002577 Closed Citation Citation B (HSC 1424) Administration None 2004-04-07 00:00:00 None No 2004-06-01 00:00:00 None B None 1000 1000 -350 650 0 070019942 A99999 N None None SFY2003-04
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-05-17 00:00:00 070002578 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-23 00:00:00 None No 2004-06-14 00:00:00 None B None 900 900 -315 585 0 070020009 A99999 N None None SFY2003-04
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-05-20 00:00:00 070002579 Closed Citation Citation B (HSC 1424) Administration None 2004-04-15 00:00:00 None No 2004-06-16 00:00:00 None B None 900 2700 -945 1755 0 070020013 A99999 N None None SFY2003-04
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-05-20 00:00:00 070002580 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-29 00:00:00 None No 2004-06-16 00:00:00 None B None 900 900 -315 585 0 070020013 A99999 N None None SFY2003-04
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-05-24 00:00:00 070002581 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-15 00:00:00 None No 2004-06-17 00:00:00 None B None 1000 1000 -350 650 0 070020017 A99999 N None None SFY2003-04
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2004-06-01 00:00:00 070002582 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-26 00:00:00 None No 2004-06-24 00:00:00 None B None 1000 1000 -350 650 0 070020032 A99999 N None None SFY2003-04
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-06-08 00:00:00 070002583 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-12 00:00:00 None No 2004-07-01 00:00:00 None B None 600 600 -210 390 0 070020042 A99999 N None None SFY2003-04
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-06-24 00:00:00 070002584 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-02 00:00:00 None Yes 2004-07-22 00:00:00 2004-06-28 00:00:00 B None 1000 1000 0 1000 0 070020074 A99999 N None None SFY2003-04
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2004-07-08 00:00:00 070002585 Closed Citation Citation B (HSC 1424) Administration None 2004-04-10 00:00:00 None No 2004-08-03 00:00:00 None B None 750 2250 -787.5 1462.5 0 070020101 A99999 N None None SFY2004-05
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2004-07-08 00:00:00 070002586 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-25 00:00:00 None No 2004-08-04 00:00:00 None B None 800 800 -280 520 0 070020102 A99999 N None None SFY2004-05
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2004-07-09 00:00:00 070002587 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-28 00:00:00 None No 2004-08-03 00:00:00 None B None 800 800 -280 520 0 070020103 A99999 N None None SFY2004-05
070000076 THE RIDGE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2004-07-13 00:00:00 070002588 Closed Citation Citation B (HSC 1424) Administration None 2004-02-07 00:00:00 None No 2004-08-04 00:00:00 None B None 800 800 -280 520 0 070020108 A99999 N None None SFY2004-05
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-07-27 00:00:00 070002589 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-28 00:00:00 None No 2004-08-19 00:00:00 None B None 800 800 -280 520 0 070020093 A99999 N None None SFY2004-05
070000028 CAPITOLA CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2004-09-21 00:00:00 070002590 Closed Citation Citation B (HSC 1424) Administration None 2004-05-11 00:00:00 None No 2004-10-15 00:00:00 None B None 800 800 -280 520 0 070020266 A99999 N None None SFY2004-05
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2004-11-24 00:00:00 070002591 Closed Citation Citation A (HSC 1424) Patient Care None 2004-08-25 00:00:00 None No 2004-12-17 00:00:00 None A None 20000 20000 -7000 13000 0 070020374 A99999 N None None SFY2004-05
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2004-12-22 00:00:00 070002592 Closed Citation Citation B (HSC 1424) Administration None 2004-12-14 00:00:00 None No 2005-01-13 00:00:00 None B None 700 700 -245 455 0 070020408 A99999 N None None SFY2004-05
070001398 ROUNDTREE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2004-12-23 00:00:00 070002593 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-22 00:00:00 None No 2005-01-14 00:00:00 None B None 500 500 -175 325 0 070020418 A99999 N None None SFY2004-05
070001106 SHINRAI - CROYDON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2005-01-05 00:00:00 070002594 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-18 00:00:00 None No 2005-01-27 00:00:00 None B None 800 800 -280 520 0 070020430 A99999 N None None SFY2004-05
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2005-02-11 00:00:00 070002595 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-23 00:00:00 None No 2005-03-08 00:00:00 None B None 1000 1000 -350 650 0 070020476 A99999 N None None SFY2004-05
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2005-03-23 00:00:00 070002596 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-02-16 00:00:00 None Yes 2005-04-14 00:00:00 2005-03-24 00:00:00 B None 400 2150 -2150 0 0 070020478 A99999 N None None SFY2004-05
070001060 SHINRAI-FLINTDALE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2005-04-07 00:00:00 070002597 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-13 00:00:00 None No 2005-05-12 00:00:00 None B None 800 800 -280 520 0 070020479 A99999 N None None SFY2004-05
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2005-05-02 00:00:00 070002598 Closed Citation Citation A (HSC 1424) Patient Care None 2004-12-08 00:00:00 2004-12-08 00:00:00 Yes 2005-05-23 00:00:00 2005-05-13 00:00:00 A None 20000 20000 0 20000 0 070020480 A99999 N CA00042373 B SFY2004-05
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2005-06-02 00:00:00 070002599 Closed Citation Citation B (HSC 1424) Administration None 2005-01-09 00:00:00 None No 2005-06-24 00:00:00 None B None 500 500 -175 325 0 070020481 A99999 N None None SFY2004-05
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2005-07-13 00:00:00 070002600 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-07-05 00:00:00 None No 2005-08-04 00:00:00 None B None 800 800 -280 520 0 070020485 A99999 N None None SFY2005-06
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2005-07-25 00:00:00 070002601 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-05-03 00:00:00 None No 2005-08-17 00:00:00 None B None 1000 1000 -350 650 0 070020486 A99999 N None None SFY2005-06
070001130 KCARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2005-08-01 00:00:00 070002602 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-21 00:00:00 None No 2005-08-23 00:00:00 None B None 800 800 -280 520 0 070020487 A99999 N None None SFY2005-06
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2005-08-03 00:00:00 070002603 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-07-15 00:00:00 None No 2005-08-29 00:00:00 None B None 400 400 0 400 0 070020488 A99999 N None None SFY2005-06
070001333 LENA'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2005-08-11 00:00:00 070002604 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-03 00:00:00 None Yes 2005-09-01 00:00:00 2005-08-15 00:00:00 B None 800 800 0 800 0 070020491 A99999 N None None SFY2005-06
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2005-08-18 00:00:00 070002605 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-27 00:00:00 None No 2005-09-19 00:00:00 None B None 800 800 -280 520 0 070020492 A99999 N None None SFY2005-06
070001362 SHINRAI-ARAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2005-08-30 00:00:00 070002606 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-31 00:00:00 None No 2005-09-26 00:00:00 None B None 900 900 0 900 0 070020493 A99999 N None None SFY2005-06
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2005-09-14 00:00:00 070002607 Closed Citation Citation B (HSC 1424) Administration None 2005-07-21 00:00:00 None Yes 2005-10-05 00:00:00 2005-09-15 00:00:00 B None 700 700 -700 0 0 070020498 A99999 N None None SFY2005-06
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2005-12-08 00:00:00 070002608 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-12 00:00:00 2005-09-12 00:00:00 Yes 2006-01-04 00:00:00 2007-12-12 00:00:00 A A 10000 3500 0 3500 0 070020501 A99999 N None None SFY2005-06
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2005-12-12 00:00:00 070002609 Closed Citation Citation B (HSC 1424) Administration None 2005-11-16 00:00:00 None No 2006-01-11 00:00:00 None B None 750 750 0 750 0 070020502 A99999 N None None SFY2005-06
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2006-01-05 00:00:00 070002610 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-30 00:00:00 None No 2006-01-27 00:00:00 None B None 800 800 0 800 0 070020504 A99999 N None None SFY2005-06
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2006-01-09 00:00:00 070002611 Closed Citation Citation B (HSC 1424) Medication None 2005-11-11 00:00:00 2005-11-11 00:00:00 No 2006-01-31 00:00:00 None B None 1000 1000 -350 650 0 070020505 A99999 N None None SFY2005-06
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2006-02-01 00:00:00 070002612 Closed Citation Citation B (HSC 1424) Administration None 2005-11-24 00:00:00 2005-11-24 00:00:00 Yes 2006-02-24 00:00:00 2006-02-02 00:00:00 B B 1000 1100 -100 1000 0 070020507 A99999 N None None SFY2005-06
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2006-03-14 00:00:00 070002923 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-03 00:00:00 2006-02-03 00:00:00 Yes 2006-04-05 00:00:00 2006-03-23 00:00:00 B B 1000 1000 0 1000 0 None WT8411 N CA00072037, CA00072382, CA00072384 B, B, B SFY2005-06
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2006-03-14 00:00:00 070002925 Closed Citation Citation B (HSC 1424) Administration None 2006-02-06 00:00:00 2006-02-06 00:00:00 Yes 2006-04-05 00:00:00 2006-03-23 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 None WT8411 N CA00072037 B SFY2005-06
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-03-15 00:00:00 070002935 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-03-05 00:00:00 2006-03-05 00:00:00 No 2006-04-06 00:00:00 None B None 850 850 -297.5 552.5 0 None IUY011 N CA00074156, CA00074510 B, B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002941 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-12-19 00:00:00 2005-12-19 00:00:00 Yes 2006-04-14 00:00:00 2006-04-10 00:00:00 A A 10000 3333 0 3333 0 None C3RW11 N CA00072470 B SFY2005-06
070001106 SHINRAI - CROYDON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-22 00:00:00 070002959 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-08-30 00:00:00 2005-08-30 00:00:00 No 2006-04-28 00:00:00 None AA None 20000 20000 -7000 13000 0 None IF0A11 Y CA00059878 B SFY2005-06
070001362 SHINRAI-ARAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002961 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-03 00:00:00 2005-12-03 00:00:00 No 2006-04-14 00:00:00 None B None 1000 1000 -350 650 0 None C6E911 N CA00072298 B SFY2005-06
070001362 SHINRAI-ARAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002978 Closed Citation Citation B (HSC 1424) Administration None 2005-08-30 00:00:00 2005-08-30 00:00:00 No 2006-05-05 00:00:00 None B None 1000 1000 -350 650 0 None C6E911 N CA00072298 B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002980 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-12-19 00:00:00 2005-12-19 00:00:00 Yes 2006-04-14 00:00:00 2006-04-10 00:00:00 A A 10000 3333 0 3333 0 None C3RW11 N CA00072470 B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002982 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-12-19 00:00:00 2005-12-19 00:00:00 Yes 2006-04-14 00:00:00 2006-04-10 00:00:00 A A 10000 3333 0 3333 0 None C3RW11 N CA00072470 B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002983 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-12-27 00:00:00 2005-12-27 00:00:00 Yes 2006-04-14 00:00:00 2006-04-10 00:00:00 A A 10000 3333 0 3333 0 None C3RW11 N CA00072470 B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002984 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-19 00:00:00 2005-12-19 00:00:00 No 2006-04-14 00:00:00 None B None 1000 1000 -350 650 0 None C3RW11 N CA00072470 B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002985 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-05-15 00:00:00 2004-05-15 00:00:00 Yes 2006-04-14 00:00:00 2006-04-10 00:00:00 A A 10000 3333 0 3333 0 None C3RW11 N CA00072470 B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002986 Closed Citation Citation AA (HSC 1424) Patient Rights None 2005-04-01 00:00:00 2005-04-01 00:00:00 Yes 2006-04-14 00:00:00 2006-04-10 00:00:00 AA AA 25000 8333 0 8333 0 None C3RW11 Y CA00072470 B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002988 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-27 00:00:00 2005-12-27 00:00:00 No 2006-04-14 00:00:00 None B None 1000 1000 -350 650 0 None C3RW11 N CA00072470 B SFY2005-06
070001384 BLOSSOM HILL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-03-23 00:00:00 070002989 Closed Citation Citation B (HSC 1424) Administration None 2006-03-07 00:00:00 2006-03-07 00:00:00 No 2006-04-14 00:00:00 None B None 1000 1000 -350 650 0 None C3RW11 N CA00072470 B SFY2005-06
070000076 THE RIDGE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-03-24 00:00:00 070002990 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-29 00:00:00 2005-03-29 00:00:00 Yes 2006-04-17 00:00:00 2006-04-03 00:00:00 B B 1000 500 0 500 0 None LINJ11 N CA00070504 B SFY2005-06
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2006-03-29 00:00:00 070003000 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-15 00:00:00 2006-03-15 00:00:00 Yes 2006-04-20 00:00:00 2006-04-03 00:00:00 B B 1000 500 0 500 0 None M31S11 N CA00070613 C SFY2005-06
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-04-06 00:00:00 070003018 Closed Citation Citation B (HSC 1424) Medication None 2006-02-17 00:00:00 2006-02-17 00:00:00 No 2006-04-27 00:00:00 None B None 900 900 -315 585 0 None 1TE611 N None None SFY2005-06
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-05-18 00:00:00 070003103 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-04-03 00:00:00 2006-04-03 00:00:00 Yes 2006-06-13 00:00:00 2006-05-23 00:00:00 B B 1000 500 0 500 0 None 6BRU11 N CA00076983 B SFY2005-06
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-05-18 00:00:00 070003107 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-04-03 00:00:00 2006-04-03 00:00:00 Yes 2006-06-13 00:00:00 2006-05-23 00:00:00 B B 1000 500 0 500 0 None 6BRU11 N CA00076983 B SFY2005-06
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2006-05-24 00:00:00 070003118 Closed Citation Citation B (HSC 1424) Problem Transfer None 2006-05-16 00:00:00 2006-05-16 00:00:00 No 2006-06-15 00:00:00 None B None 800 800 -280 520 0 None QXPK11 N CA00080997 B SFY2005-06
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-07-06 00:00:00 070003124 Closed Citation Citation A (HSC 1424) Patient Care None 2006-03-30 00:00:00 2006-03-30 00:00:00 Yes 2006-07-27 00:00:00 2006-07-14 00:00:00 A A 20000 8000 0 8000 0 None 6BRU11 Y CA00079887 B SFY2006-07
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2006-06-08 00:00:00 070003147 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-06-01 00:00:00 2006-06-01 00:00:00 No 2006-06-29 00:00:00 None B None 1000 3000 -1050 1950 0 None D05C11 N CA00079413, CA00080018, CA00082139 B, B, A SFY2005-06
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2006-06-08 00:00:00 070003149 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-05-31 00:00:00 2006-05-31 00:00:00 No 2006-06-29 00:00:00 None B None 1000 1000 -350 650 0 None D05C11 N CA00079413, CA00080018, CA00082139 B, B, A SFY2005-06
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-06-26 00:00:00 070003158 Closed Citation Citation A (HSC 1424) Patient Care None 2006-05-23 00:00:00 2006-05-23 00:00:00 No 2006-07-18 00:00:00 None A None 15000 15000 -5250 9750 0 None 64OH11 Y CA00081735 B SFY2005-06
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2006-06-28 00:00:00 070003183 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-16 00:00:00 2006-02-16 00:00:00 Yes 2011-02-28 00:00:00 2006-07-06 00:00:00 B B 1000 14300 -13300 1000 0 None 7UMF11 N CA00074974 A SFY2005-06
070000030 MARGUERITE TERRACE LTC SNF Skilled Nursing Facility San Jose 2006-07-14 00:00:00 070003210 Closed Citation Citation A (HSC 1424) Patient Care None 2006-04-19 00:00:00 2006-04-19 00:00:00 Yes 2006-08-04 00:00:00 2006-07-28 00:00:00 A A 20000 20000 0 20000 0 None H08T11 N CA00083254, CA00084243 B, B SFY2006-07
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-07-17 00:00:00 070003211 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-23 00:00:00 2006-06-23 00:00:00 Yes 2006-08-23 00:00:00 2006-07-19 00:00:00 B B 1000 500 0 500 0 None 9XIY11 N CA00084267, CA00084856 B, B SFY2006-07
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-07-26 00:00:00 070003227 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-07 00:00:00 2006-07-07 00:00:00 No 2006-08-16 00:00:00 None B None 1000 1000 -350 650 0 None 9VC711 N CA00085976 B SFY2006-07
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-08-15 00:00:00 070003285 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-07-25 00:00:00 2006-07-25 00:00:00 No 2006-09-06 00:00:00 None B None 1000 9650 -350 9300 0 None XKCN11 N CA00083429, CA00083644, CA00087351, CA00087477 B, B, C, B SFY2006-07
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-08-21 00:00:00 070003304 Closed Citation Citation B (HSC 1424) Administration None 2006-07-19 00:00:00 2006-07-19 00:00:00 Yes 2006-09-12 00:00:00 2006-08-25 00:00:00 B B 1000 500 0 500 0 None FZE911 N CA00088306 B SFY2006-07
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2006-08-29 00:00:00 070003314 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-24 00:00:00 2006-08-24 00:00:00 No 2006-09-20 00:00:00 None B None 1000 1000 -350 650 0 None 4GKQ11 N CA00090819 B SFY2006-07
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-09-13 00:00:00 070003343 Closed Citation Citation A (HSC 1424) Medication None 2006-06-16 00:00:00 2006-06-16 00:00:00 Yes 2006-10-04 00:00:00 2006-09-18 00:00:00 A A 16000 6000 0 6000 0 None 6NRF11 N CA00087432 C SFY2006-07
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-09-26 00:00:00 070003371 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-16 00:00:00 2006-06-16 00:00:00 Yes 2006-10-18 00:00:00 2006-10-12 00:00:00 A None 18000 18000 0 18000 0 None VIZ611 N CA00083911 B SFY2006-07
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-09-26 00:00:00 070003373 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-28 00:00:00 2006-06-28 00:00:00 Yes 2006-10-18 00:00:00 2006-10-12 00:00:00 B None 1000 1000 0 1000 0 None VIZ611 N CA00088868, CA00089152 B, B SFY2006-07
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2006-10-11 00:00:00 070003412 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-09-13 00:00:00 2006-09-13 00:00:00 Yes 2006-11-01 00:00:00 2006-10-17 00:00:00 B B 900 450 0 450 0 None N6W311 N CA00092990 B SFY2006-07
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2006-10-11 00:00:00 070003413 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-09-13 00:00:00 2006-09-13 00:00:00 Yes 2006-11-06 00:00:00 2006-10-17 00:00:00 B B 900 450 0 450 0 None N6W311 N CA00092990 B SFY2006-07
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-10-19 00:00:00 070003426 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-07-24 00:00:00 2006-07-24 00:00:00 Yes 2006-11-16 00:00:00 2006-10-23 00:00:00 AA AA 100000 100000 -86855 13145 0 None 8VSP11 Y CA00087808, CA00088047, CA00092697 B, B, B SFY2006-07
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-11-02 00:00:00 070003427 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-06-11 00:00:00 2006-06-11 00:00:00 Yes 2006-11-28 00:00:00 2006-11-03 00:00:00 AA AA 100000 100000 -86855 13145 0 None 8VSP11 Y CA00089987 B SFY2006-07
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-10-19 00:00:00 070003428 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-31 00:00:00 2006-08-31 00:00:00 Yes 2006-11-09 00:00:00 2006-10-23 00:00:00 A A 20000 20000 -17371 2629 0 None 8VSP11 N CA00091847, CA00093777 B, B SFY2006-07
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-10-19 00:00:00 070003429 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-26 00:00:00 2006-09-26 00:00:00 Yes 2006-11-09 00:00:00 2006-10-23 00:00:00 B B 1000 1000 -869 131 0 None 8VSP11 N CA00093260 B SFY2006-07
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-10-23 00:00:00 070003439 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-19 00:00:00 2006-09-19 00:00:00 Yes 2006-11-14 00:00:00 2006-10-31 00:00:00 B Dismissed by Court 850 0 0 0 0 None CFU511 N CA00093129, CA00093257 B, B SFY2006-07
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-11-02 00:00:00 070003460 Closed Citation Citation A (HSC 1424) Medication None 2006-07-31 00:00:00 2006-07-31 00:00:00 No 2006-11-28 00:00:00 None A None 20000 20000 -7000 13000 0 None MR7R11 N None None SFY2006-07
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-11-02 00:00:00 070003461 Closed Citation Citation B (HSC 1424) Medication None 2006-07-31 00:00:00 2006-07-31 00:00:00 No 2006-11-28 00:00:00 None B None 900 900 -315 585 0 None MR7R11 N None None SFY2006-07
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2006-11-08 00:00:00 070003472 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-28 00:00:00 2006-09-28 00:00:00 Yes 2006-12-04 00:00:00 2006-11-27 00:00:00 B B 900 450 0 450 0 None UYVE11 N CA00096309, CA00096476 C, B SFY2006-07
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-11-16 00:00:00 070003475 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-21 00:00:00 2006-10-21 00:00:00 No 2006-12-11 00:00:00 None B None 700 700 -245 455 0 None 4UWR11 N CA00097037, CA00097045 B, B SFY2006-07
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-11-30 00:00:00 070003529 Closed Citation Citation AA (HSC 1424) Medication None 2006-11-06 00:00:00 2006-11-06 00:00:00 Yes 2006-12-21 00:00:00 2006-12-14 00:00:00 AA A 100000 20000 0 20000 0 None H3O811 Y CA00097430 B SFY2006-07
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2006-12-07 00:00:00 070003530 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-14 00:00:00 2006-08-14 00:00:00 No 2006-12-29 00:00:00 None B None 1000 1000 -350 650 0 None YQ1I11 N CA00090167 C SFY2006-07
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2006-11-30 00:00:00 070003535 Closed Citation Citation B (HSC 1424) Medication None 2006-11-06 00:00:00 2006-11-06 00:00:00 No 2006-12-21 00:00:00 None B None 1000 1000 0 1000 0 None H3O811 N None None SFY2006-07
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2006-12-11 00:00:00 070003548 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-11-15 00:00:00 2006-11-15 00:00:00 No 2007-01-05 00:00:00 None B None 1000 1000 0 1000 0 None Y1T011 N CA00098674 B SFY2006-07
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2006-12-07 00:00:00 070003549 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-20 00:00:00 2006-11-20 00:00:00 Yes 2006-12-29 00:00:00 2006-12-15 00:00:00 B B 700 1050 0 1050 0 None V9WP11 N CA00099700, CA00099884 C, C SFY2006-07
070001333 LENA'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-12-05 00:00:00 070003550 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-30 00:00:00 2006-10-30 00:00:00 No 2006-12-27 00:00:00 None B None 1000 1000 -350 650 0 None 7F2011 N CA00098207 B SFY2006-07
070001333 LENA'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2006-12-05 00:00:00 070003551 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-30 00:00:00 2006-10-30 00:00:00 No 2006-12-27 00:00:00 None B None 1000 1000 -350 650 0 None 7F2011 N CA00098207 B SFY2006-07
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-01-08 00:00:00 070003595 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-16 00:00:00 2006-09-16 00:00:00 No 2007-02-06 00:00:00 None B None 800 800 0 800 0 None Y8R311 N CA00097452 B SFY2006-07
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-04-18 00:00:00 070003663 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-05 00:00:00 2006-12-05 00:00:00 No 2007-05-09 00:00:00 None B None 500 500 0 500 0 None 10T611 N CA00100688 B SFY2006-07
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2007-01-24 00:00:00 070003664 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-12-23 00:00:00 2006-12-23 00:00:00 No 2007-02-14 00:00:00 None B None 1000 3000 -1050 1950 0 None X4RL11 N CA00102817, CA00102830 B, B SFY2006-07
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2007-03-06 00:00:00 070003684 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-21 00:00:00 2006-11-21 00:00:00 No 2007-03-27 00:00:00 None B None 1000 1000 -350 650 0 None 1KO411 N CA00097972, CA00099519, CA00100943 C, C, C SFY2006-07
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2007-02-26 00:00:00 070003702 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-10-17 00:00:00 2006-10-17 00:00:00 Yes 2007-03-19 00:00:00 2007-03-02 00:00:00 AA A 100000 5000 0 5000 0 None NSI811 Y CA00104898 B SFY2006-07
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2007-02-26 00:00:00 070003757 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-17 00:00:00 2006-10-17 00:00:00 Yes 2007-04-06 00:00:00 2007-03-02 00:00:00 B Drop>Deficiency 1000 0 0 0 0 None NSI811 N CA00104898 B SFY2006-07
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2007-04-20 00:00:00 070003758 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-02-06 00:00:00 2007-02-06 00:00:00 Yes 2007-05-11 00:00:00 2007-05-03 00:00:00 B None 1000 1150 0 1150 0 None MTOP11 N CA00105986 C SFY2006-07
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2007-03-06 00:00:00 070003766 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-16 00:00:00 2006-05-16 00:00:00 No 2007-03-27 00:00:00 None B None 1000 1000 -350 650 0 None 1KO411 N CA00097972 C SFY2006-07
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2007-03-06 00:00:00 070003767 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-22 00:00:00 2006-05-22 00:00:00 No 2007-03-27 00:00:00 None B None 1000 1000 -350 650 0 None 1KO411 N CA00097972 C SFY2006-07
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-03-06 00:00:00 070003772 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-13 00:00:00 2007-02-13 00:00:00 No 2007-03-30 00:00:00 None B B Trebled 1000 3000 -2606 394 0 None Y0VE11 N CA00106500, CA00106593 C, A SFY2006-07
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2007-03-07 00:00:00 070003778 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-19 00:00:00 2007-02-19 00:00:00 Yes 2007-03-28 00:00:00 2007-03-20 00:00:00 B B 1000 500 0 500 0 None MTOP11 N CA00106836, CA00106926 B, B SFY2006-07
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2007-03-14 00:00:00 070003803 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-22 00:00:00 2007-02-22 00:00:00 No 2007-04-04 00:00:00 None B None 1000 1000 0 1000 0 None PAY011 N None None SFY2006-07
070000726 TUPAZ HOME #9 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2007-03-21 00:00:00 070003832 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-14 00:00:00 2007-02-14 00:00:00 No 2007-04-18 00:00:00 None B None 1000 1000 0 1000 0 None J2GG11 N CA00108426 A SFY2006-07
070000726 TUPAZ HOME #9 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2007-03-21 00:00:00 070003837 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-02-14 00:00:00 2007-02-14 00:00:00 No 2007-04-18 00:00:00 None B None 1000 1000 0 1000 0 None J2GG11 N CA00108426 A SFY2006-07
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-04-18 00:00:00 070003873 Closed Citation Citation B (HSC 1424) Patient Record None 2007-03-27 00:00:00 2007-03-27 00:00:00 Yes 2007-05-09 00:00:00 2007-04-27 00:00:00 B B 1000 550 -50 500 0 None 4SEV11 N CA00108933 C SFY2006-07
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-04-18 00:00:00 070003874 Closed Citation Citation B (HSC 1424) Administration None 2007-01-02 00:00:00 2007-01-02 00:00:00 Yes 2007-05-09 00:00:00 2007-04-27 00:00:00 B B 1000 550 -50 500 0 None 4SEV11 N CA00108933 C SFY2006-07
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-04-24 00:00:00 070003892 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-07 00:00:00 2007-03-07 00:00:00 Yes 2007-05-15 00:00:00 2007-05-01 00:00:00 B B 700 350 0 350 0 None Q8WW11 N CA00110542 B SFY2006-07
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2007-04-18 00:00:00 070003895 Closed Citation Citation B (HSC 1424) Patient Record None 2007-03-17 00:00:00 2007-03-17 00:00:00 No 2007-05-09 00:00:00 None B None 900 900 0 900 0 None XBYO11 N CA00110675 A SFY2006-07
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2007-04-18 00:00:00 070003898 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-31 00:00:00 2006-08-31 00:00:00 Yes 2007-05-09 00:00:00 2007-04-19 00:00:00 A A 2000 2000 0 2000 0 None DBNI11 N CA00098961 B SFY2006-07
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-06-01 00:00:00 070003903 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-13 00:00:00 2006-09-13 00:00:00 Yes 2007-06-22 00:00:00 2007-06-11 00:00:00 B B 700 300 0 300 0 None F4DD11 N CA00110407 C SFY2006-07
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2007-05-22 00:00:00 070003904 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-12 00:00:00 2007-04-12 00:00:00 Yes 2007-06-12 00:00:00 2007-06-06 00:00:00 B None 1000 3000 0 3000 0 None HJ4D11 N CA00110818, CA00111199, CA00111495, CA00111496 B, B, B, B SFY2006-07
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2007-04-20 00:00:00 070003909 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-06 00:00:00 2007-02-06 00:00:00 Yes 2007-05-11 00:00:00 2007-05-03 00:00:00 B None 1000 1150 0 1150 0 None MTOP11 N CA00105986 C SFY2006-07
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2007-05-09 00:00:00 070003931 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-15 00:00:00 2007-03-15 00:00:00 Yes 2007-05-31 00:00:00 2007-05-21 00:00:00 B B 500 250 0 250 0 None 5Z8N11 N CA00109362 B SFY2006-07
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2007-05-16 00:00:00 070003939 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-03 00:00:00 2007-03-03 00:00:00 No 2007-06-07 00:00:00 None B None 900 900 -315 585 0 None IUR611 N CA00108346, CA00108383 C, C SFY2006-07
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-05-17 00:00:00 070003940 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-02 00:00:00 2007-04-02 00:00:00 No 2007-06-07 00:00:00 None B None 400 400 -140 260 0 None 1OQF11 N CA00111132 B SFY2006-07
070000989 SAN MIGUEL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2007-05-21 00:00:00 070003969 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-19 00:00:00 2007-01-19 00:00:00 No 2007-06-11 00:00:00 None B None 1000 1000 0 1000 0 None LM3V11 N CA00104549 B SFY2006-07
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2007-06-04 00:00:00 070003981 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-03 00:00:00 2007-05-03 00:00:00 No 2007-06-25 00:00:00 None B None 600 600 -210 390 0 None VPKQ11 N CA00113698 B SFY2006-07
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-05-31 00:00:00 070003989 Closed Citation Citation A (HSC 1424) Medication None 2007-05-17 00:00:00 2007-05-17 00:00:00 No 2007-06-21 00:00:00 None A None 14000 14000 -4900 9100 0 None QXFO11 N CA00115103 B SFY2006-07
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-05-31 00:00:00 070003998 Closed Citation Citation B (HSC 1424) Medication None 2007-05-17 00:00:00 2007-05-17 00:00:00 No 2007-06-21 00:00:00 None B None 700 700 -245 455 0 None QXFO11 N CA00115103 B SFY2006-07
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-06-01 00:00:00 070004006 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-27 00:00:00 2007-03-27 00:00:00 Yes 2007-06-22 00:00:00 2007-06-11 00:00:00 B B 600 275 0 275 0 None F4DD11 N CA00110688 B SFY2006-07
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-06-08 00:00:00 070004013 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-21 00:00:00 2007-02-21 00:00:00 No 2007-06-29 00:00:00 None B None 600 600 -210 390 0 None 6C6I11 N CA00107833, CA00108479 B, B SFY2006-07
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2007-07-10 00:00:00 070004014 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-31 00:00:00 2007-01-31 00:00:00 No 2007-07-31 00:00:00 None B None 1000 1000 -350 650 0 None C3IL11 N CA00106931 A SFY2007-08
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2007-06-11 00:00:00 070004015 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-07 00:00:00 2007-04-07 00:00:00 No 2007-07-02 00:00:00 None B None 1000 1000 -350 650 0 None 1KKO11 N CA00111699 B SFY2006-07
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2007-07-05 00:00:00 070004061 Closed Citation Citation B (HSC 1424) Administration None 2007-04-30 00:00:00 2007-04-30 00:00:00 No 2007-07-26 00:00:00 None B None 400 400 -140 260 0 None B08A11 N CA00114872 B SFY2007-08
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2007-08-01 00:00:00 070004062 Closed Citation Citation A (HSC 1424) Dietary None 2007-06-16 00:00:00 2007-06-16 00:00:00 Yes 2007-08-30 00:00:00 2007-08-10 00:00:00 A A 20000 10500 0 10500 0 None OCX311 Y CA00117953 B SFY2007-08
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-08-17 00:00:00 070004063 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-06-12 00:00:00 2007-06-12 00:00:00 Yes 2007-09-10 00:00:00 2007-08-24 00:00:00 B B Trebled 1000 1500 0 1500 0 None TVZF11 N CA00117618 B SFY2007-08
070000012 LINCOLN GLEN SKILLED NURSING LTC SNF Skilled Nursing Facility San Jose 2007-07-05 00:00:00 070004071 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-29 00:00:00 2007-01-29 00:00:00 No 2007-07-26 00:00:00 None B None 400 400 0 400 0 None 0WU411 N CA00105731 B SFY2007-08
070000012 LINCOLN GLEN SKILLED NURSING LTC SNF Skilled Nursing Facility San Jose 2007-07-05 00:00:00 070004072 Closed Citation Citation B (HSC 1424) Administration None 2007-01-29 00:00:00 2007-01-29 00:00:00 No 2007-07-26 00:00:00 None B None 500 500 0 500 0 None 0WU411 N CA00105731 B SFY2007-08
070000012 LINCOLN GLEN SKILLED NURSING LTC SNF Skilled Nursing Facility San Jose 2007-07-05 00:00:00 070004073 Closed Citation Citation B (HSC 1424) Administration None 2007-01-29 00:00:00 2007-01-29 00:00:00 No 2007-07-26 00:00:00 None B None 600 600 0 600 0 None 0WU411 N CA00105731 B SFY2007-08
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2007-08-16 00:00:00 070004088 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-24 00:00:00 2007-06-24 00:00:00 Yes 2007-09-07 00:00:00 2007-08-28 00:00:00 B None 750 750 -750 0 0 None 9KBA11 N CA00118586, CA00118670 C, C SFY2007-08
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-09-04 00:00:00 070004089 Closed Citation Citation B (HSC 1424) Medication None 2007-05-11 00:00:00 2007-05-11 00:00:00 No 2007-09-25 00:00:00 None B None 850 850 -297.5 552.5 0 None ENS411 N CA00115403, CA00116407 B, B SFY2007-08
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2007-07-12 00:00:00 070004091 Closed Citation Citation B (HSC 1424) Administration None 2006-08-29 00:00:00 2006-08-29 00:00:00 No 2007-08-02 00:00:00 None B None 600 700 -210 490 0 None 36JK11 N CA00091871 B SFY2007-08
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-07-13 00:00:00 070004092 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-03 00:00:00 2007-07-03 00:00:00 No 2007-08-03 00:00:00 None B None 650 650 0 650 0 None ZYH811 N CA00118349 B SFY2007-08
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2007-08-16 00:00:00 070004106 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-19 00:00:00 2007-06-19 00:00:00 Yes 2007-09-07 00:00:00 2007-08-28 00:00:00 B None 600 600 -600 0 0 None 9KBA11 N CA00118124, CA00118227 B, B SFY2007-08
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2007-08-08 00:00:00 070004142 Closed Citation Citation B (HSC 1424) Medication None 2007-06-29 00:00:00 2007-06-29 00:00:00 No 2007-08-29 00:00:00 None B None 750 750 -262.5 487.5 0 None B0OT11 N None None SFY2007-08
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-08-13 00:00:00 070004151 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-07-17 00:00:00 2007-07-17 00:00:00 No 2007-09-04 00:00:00 None B None 700 700 0 700 0 None 1M6W11 N CA00121046, CA00121319 B, C SFY2007-08
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-08-21 00:00:00 070004162 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-25 00:00:00 2007-05-25 00:00:00 No 2007-09-12 00:00:00 None B None 750 750 -262.5 487.5 0 None U0JG11 N CA00115824 C SFY2007-08
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2007-08-28 00:00:00 070004164 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-22 00:00:00 2007-06-22 00:00:00 No 2007-09-19 00:00:00 None A None 15000 15000 0 15000 0 None 24UI11 N CA00118906 B SFY2007-08
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2007-09-06 00:00:00 070004178 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-21 00:00:00 2007-07-21 00:00:00 Yes 2007-09-27 00:00:00 2007-09-27 00:00:00 B B 750 487.5 0 487.5 0 None 4U6J11 N CA00121717 A SFY2007-08
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2007-09-06 00:00:00 070004183 Closed Citation Citation A (HSC 1424) Patient Care None 2007-07-01 00:00:00 2007-07-01 00:00:00 No 2007-09-27 00:00:00 None A None 15000 15000 0 15000 0 None VXON11 N CA00119153, CA00120119 B, C SFY2007-08
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2007-08-15 00:00:00 070004184 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-05 00:00:00 2007-07-05 00:00:00 Yes 2007-09-06 00:00:00 2007-08-24 00:00:00 B None 1000 1000 0 1000 0 None GWOF11 N CA00119500, CA00119508, CA00119566, CA00119571 B, B, B, B SFY2007-08
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-08-17 00:00:00 070004193 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-06-12 00:00:00 2007-06-12 00:00:00 Yes 2007-09-10 00:00:00 2007-08-24 00:00:00 B B 600 300 0 300 0 None TVZF11 N CA00117618 B SFY2007-08
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2007-12-20 00:00:00 070004210 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-25 00:00:00 2007-06-25 00:00:00 No 2008-01-16 00:00:00 None B B 600 600 -522 78 0 None 1ICS11 N CA00120865 B SFY2007-08
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2007-08-30 00:00:00 070004211 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-25 00:00:00 2007-06-25 00:00:00 No 2007-09-21 00:00:00 None A None 15000 15000 0 15000 0 None EXLHII N CA00122760 B SFY2007-08
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-09-06 00:00:00 070004238 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-08-27 00:00:00 2007-08-27 00:00:00 No 2007-09-27 00:00:00 None B None 900 900 -315 585 0 None T4QN11 N CA00124083 B SFY2007-08
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2007-09-25 00:00:00 070004263 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-07 00:00:00 2007-08-07 00:00:00 No 2007-10-17 00:00:00 None B None 1000 1000 0 1000 0 None MR2511 N CA00124264 B SFY2007-08
070000568 TUPAZ HOME #10 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2007-10-02 00:00:00 070004271 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-16 00:00:00 2007-07-16 00:00:00 No 2007-10-25 00:00:00 None B None 1000 1000 0 1000 0 None T98611 N CA00121270 B SFY2007-08
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2007-11-08 00:00:00 070004291 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-02 00:00:00 2007-03-02 00:00:00 Yes 2007-12-07 00:00:00 2007-11-19 00:00:00 B None 650 650 -650 0 0 None ER7311 N CA00123504 B SFY2007-08
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2007-10-12 00:00:00 070004303 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-24 00:00:00 2007-05-24 00:00:00 Yes 2007-11-02 00:00:00 2007-10-19 00:00:00 B B 600 600 0 600 0 None NTS011 N CA00115595 C SFY2007-08
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2008-01-11 00:00:00 070004321 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-20 00:00:00 2007-07-20 00:00:00 No 2008-02-05 00:00:00 None B None 1000 1000 0 1000 0 None XVQH11 N CA00121153, CA00121155 B, B SFY2007-08
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2007-10-25 00:00:00 070004393 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-15 00:00:00 2007-10-15 00:00:00 No 2007-11-16 00:00:00 None B None 600 600 0 600 0 None 86YO11 N CA00129403 A SFY2007-08
070000053 GOLDEN AGE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2007-11-01 00:00:00 070004417 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-10-09 00:00:00 2007-10-09 00:00:00 No 2007-11-27 00:00:00 None B None 650 650 -227.5 422.5 0 None OUH111 N CA00129868, CA00129992 B, B SFY2007-08
070000049 PACIFIC COAST MANOR LTC SNF Skilled Nursing Facility San Jose 2007-11-07 00:00:00 070004429 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-15 00:00:00 2007-09-15 00:00:00 Yes 2009-03-20 00:00:00 2009-03-11 00:00:00 A A 20000 34000 0 34000 0 None T1O811 N CA00126633 A SFY2007-08
070000049 PACIFIC COAST MANOR LTC SNF Skilled Nursing Facility San Jose 2007-11-07 00:00:00 070004430 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-09-15 00:00:00 2007-09-15 00:00:00 Yes 2007-12-03 00:00:00 2009-04-27 00:00:00 AA A 100000 10000 0 10000 0 None T1O811 Y CA00126633 A SFY2007-08
070000049 PACIFIC COAST MANOR LTC SNF Skilled Nursing Facility San Jose 2007-11-15 00:00:00 070004437 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-13 00:00:00 2006-06-13 00:00:00 Yes 2009-11-19 00:00:00 2009-11-03 00:00:00 A A 20000 14000 0 14000 0 None CS8711 N CA00108905 B SFY2007-08
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2007-11-08 00:00:00 070004438 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-07 00:00:00 2007-08-07 00:00:00 Yes 2007-12-07 00:00:00 2007-11-19 00:00:00 B None 750 750 -750 0 0 None ER7311 N CA00123504 B SFY2007-08
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-03-06 00:00:00 070004443 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-26 00:00:00 2007-10-26 00:00:00 Yes 2008-03-27 00:00:00 2008-03-07 00:00:00 B B 1000 500 0 500 0 None 7M3011 N CA00130506, CA00130814 C, B SFY2007-08
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-12-20 00:00:00 070004495 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-08-25 00:00:00 2007-08-25 00:00:00 No 2008-01-23 00:00:00 None B None 1000 1000 -350 650 0 None T0DJ11 N CA00131090, CA00132389 D, B SFY2007-08
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-12-20 00:00:00 070004496 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-10-25 00:00:00 2007-10-25 00:00:00 No 2008-01-23 00:00:00 None B None 1000 1000 -350 650 0 None T0DJ11 N CA00131090, CA00132389 D, B SFY2007-08
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-12-20 00:00:00 070004497 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-25 00:00:00 2007-10-25 00:00:00 No 2008-01-23 00:00:00 None B None 1000 1000 -350 650 0 None T0DJ11 N CA00130495 C SFY2007-08
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2007-12-10 00:00:00 070004498 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-15 00:00:00 2007-11-15 00:00:00 Yes 2008-01-08 00:00:00 2007-12-11 00:00:00 B B 750 375 0 375 0 None BL9L11 N CA00131645 B SFY2007-08
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2007-12-10 00:00:00 070004505 Closed Citation Citation A (HSC 1424) Patient Care None 2007-03-08 00:00:00 2007-03-08 00:00:00 Yes 2012-03-08 00:00:00 2012-02-22 00:00:00 A B 18000 18000 0 18000 0 None BL9L11 N None None SFY2007-08
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2007-12-10 00:00:00 070004506 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-28 00:00:00 2007-10-28 00:00:00 Yes 2008-01-08 00:00:00 2007-12-11 00:00:00 A Dismissed by Court 20000 0 0 0 0 None BL9L11 Y None None SFY2007-08
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-12-20 00:00:00 070004531 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-11-20 00:00:00 2007-11-20 00:00:00 No 2008-01-23 00:00:00 None B None 1000 1000 -350 650 0 None T0DJ11 N CA00130490, CA00133177 B, B SFY2007-08
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2008-01-11 00:00:00 070004581 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-07-20 00:00:00 2007-07-20 00:00:00 No 2008-02-05 00:00:00 None B None 1000 1000 0 1000 0 None XVQH11 N CA00121153, CA00121155 B, B SFY2007-08
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2008-01-11 00:00:00 070004582 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-14 00:00:00 2007-09-14 00:00:00 No 2008-02-05 00:00:00 None B None 1000 1000 0 1000 0 None XVQH11 N CA00126537, CA00131582 B, C SFY2007-08
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2008-01-16 00:00:00 070004590 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-08 00:00:00 2007-12-08 00:00:00 No 2008-02-11 00:00:00 None B None 600 600 -210 390 0 None PKGA11 N CA00134378 B SFY2007-08
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2008-02-07 00:00:00 070004595 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-06 00:00:00 2007-12-06 00:00:00 Yes 2008-03-05 00:00:00 2008-02-14 00:00:00 B B 900 450 0 450 0 None 6YHQ11 N CA00137347 A SFY2007-08
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2008-01-24 00:00:00 070004596 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-28 00:00:00 2007-10-28 00:00:00 No 2008-02-15 00:00:00 None B None 800 800 -280 520 0 None X43U11 N CA00131647 B SFY2007-08
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-01-31 00:00:00 070004631 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-01-09 00:00:00 2008-01-09 00:00:00 Yes 2008-02-25 00:00:00 2008-02-01 00:00:00 B B 1000 500 0 500 0 None VM0511 N CA00138068 A SFY2007-08
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-01-30 00:00:00 070004635 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-26 00:00:00 2007-08-26 00:00:00 No 2008-02-22 00:00:00 None B None 800 850 -280 570 0 None OMW311 N CA00135695 B SFY2007-08
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2008-01-31 00:00:00 070004640 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-17 00:00:00 2008-01-17 00:00:00 No 2008-02-25 00:00:00 None B None 950 950 0 950 0 None PBSY11 N CA00136137 B SFY2007-08
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2008-02-04 00:00:00 070004644 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-19 00:00:00 2007-11-19 00:00:00 Yes 2008-03-04 00:00:00 2008-02-06 00:00:00 B B 800 800 -695 105 0 None 3SEZ11 N CA00133925 B SFY2007-08
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-02-01 00:00:00 070004645 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-25 00:00:00 2007-12-25 00:00:00 Yes 2008-02-27 00:00:00 2008-02-13 00:00:00 B B 950 475 0 475 0 None 925911 N CA00137121 B SFY2007-08
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2008-02-08 00:00:00 070004656 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-08 00:00:00 2008-01-08 00:00:00 No 2008-03-04 00:00:00 None B None 900 900 -315 585 0 None ZL3G11 N CA00137137 B SFY2007-08
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2008-02-07 00:00:00 070004668 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-06 00:00:00 2007-12-06 00:00:00 Yes 2008-03-05 00:00:00 2008-02-14 00:00:00 B B 900 450 0 450 0 None 6YHQ11 N CA00137347 A SFY2007-08
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2008-02-07 00:00:00 070004669 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-06 00:00:00 2007-12-06 00:00:00 Yes 2008-03-05 00:00:00 2008-02-14 00:00:00 B B 900 450 0 450 0 None 6YHQ11 N CA00137347 A SFY2007-08
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-03-12 00:00:00 070004726 Closed Citation Citation A (HSC 1424) Patient Care None 2007-11-19 00:00:00 2007-11-19 00:00:00 No 2008-04-04 00:00:00 None A None 16000 16000 -5600 10400 0 None TYSP11 N CA00133433, CA00141880 B, B SFY2007-08
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-03-12 00:00:00 070004727 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-19 00:00:00 2007-11-19 00:00:00 No 2008-04-04 00:00:00 None B None 800 800 0 800 0 None TYSP11 N CA00138955 B SFY2007-08
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-04-23 00:00:00 070004728 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-24 00:00:00 2008-01-24 00:00:00 No 2008-05-20 00:00:00 None B None 750 750 0 750 0 None TKWZ11 N CA00139554 B SFY2007-08
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2008-03-20 00:00:00 070004748 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-26 00:00:00 2007-09-26 00:00:00 No 2008-04-15 00:00:00 None B None 650 650 -227.5 422.5 0 None RL2C11 N None None SFY2007-08
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-03-12 00:00:00 070004759 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-16 00:00:00 2008-02-16 00:00:00 No 2008-04-04 00:00:00 None B None 800 800 -280 520 0 None BTMF11 N CA00141045, CA00141385 B, B SFY2007-08
070000006 LOS GATOS MEADOWS GERIATRIC HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2008-04-02 00:00:00 070004818 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-02 00:00:00 2008-01-02 00:00:00 Yes 2008-04-29 00:00:00 2008-04-07 00:00:00 A A 14000 14000 0 14000 0 None 16KP11 N CA00144081 B SFY2007-08
070000006 LOS GATOS MEADOWS GERIATRIC HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2008-04-02 00:00:00 070004819 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-16 00:00:00 2008-01-16 00:00:00 Yes 2008-04-29 00:00:00 2008-04-07 00:00:00 A A 16000 16000 0 16000 0 None 16KP11 N CA00138758 B SFY2007-08
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-04-03 00:00:00 070004854 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-02-13 00:00:00 2008-02-13 00:00:00 No 2008-04-29 00:00:00 None B None 800 800 -280 520 0 None Q5WR11 N CA00141040, CA00141539 B, B SFY2007-08
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-04-03 00:00:00 070004855 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-02-14 00:00:00 2008-02-14 00:00:00 No 2008-04-29 00:00:00 None B None 800 800 -280 520 0 None Q5WR11 N CA00141040, CA00141539 B, B SFY2007-08
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-04-03 00:00:00 070004856 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-14 00:00:00 2008-02-14 00:00:00 Yes 2008-04-29 00:00:00 2008-04-07 00:00:00 B B 1000 500 0 500 0 None Q5WR11 N CA00141040, CA00141539 B, B SFY2007-08
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-04-08 00:00:00 070004866 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-22 00:00:00 2008-03-22 00:00:00 No 2008-04-29 00:00:00 None B None 750 750 -262.5 487.5 0 None NKV811 N CA00144692 B SFY2007-08
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2008-04-10 00:00:00 070004895 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-24 00:00:00 2008-03-24 00:00:00 No 2008-05-01 00:00:00 None B None 1000 1000 -350 650 0 None XPEP11 N CA00144948 B SFY2007-08
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2008-04-21 00:00:00 070004902 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-21 00:00:00 2008-03-21 00:00:00 No 2008-05-15 00:00:00 None B None 700 700 -245 455 0 None WRE611 N CA00145016 B SFY2007-08
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2008-04-21 00:00:00 070004914 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-01 00:00:00 2008-04-01 00:00:00 No 2008-05-16 00:00:00 None B None 900 900 -315 585 0 None LTLQ11 N CA00145748 B SFY2007-08
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-05-02 00:00:00 070004944 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-15 00:00:00 2008-04-15 00:00:00 No 2008-05-23 00:00:00 None B None 850 850 -297.5 552.5 0 None 3M2X11 N CA00146666 B SFY2007-08
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2008-04-21 00:00:00 070004945 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-21 00:00:00 2008-03-21 00:00:00 No 2008-05-15 00:00:00 None B None 750 750 -262.5 487.5 0 None WRE611 N CA00145016 B SFY2007-08
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2008-04-21 00:00:00 070004946 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-21 00:00:00 2008-03-21 00:00:00 No 2008-05-15 00:00:00 None B None 700 700 -245 455 0 None WRE611 N CA00145016 B SFY2007-08
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-05-05 00:00:00 070004951 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-09 00:00:00 2008-04-09 00:00:00 Yes 2008-05-29 00:00:00 2008-05-13 00:00:00 B B 800 400 0 400 0 None R18V11 N CA00147018, CA00147061, CA00147188, CA00147209 B, B, A, A SFY2007-08
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-04-23 00:00:00 070004955 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-03-20 00:00:00 2008-03-20 00:00:00 No 2008-05-20 00:00:00 None B None 700 700 0 700 0 None TKWZ11 N None None SFY2007-08
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2008-05-02 00:00:00 070004978 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-01-30 00:00:00 2008-01-30 00:00:00 Yes 2008-05-29 00:00:00 2008-05-09 00:00:00 B B 500 325 0 325 0 None DJTE11 N CA00148299 C SFY2007-08
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-05-01 00:00:00 070004981 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-11 00:00:00 2008-04-11 00:00:00 No 2008-05-22 00:00:00 None B None 800 800 -280 520 0 None T0CE11 N CA00146701 B SFY2007-08
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2008-05-02 00:00:00 070004986 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-04-25 00:00:00 2008-04-25 00:00:00 Yes 2008-05-29 00:00:00 2008-05-09 00:00:00 B B 550 357.5 0 357.5 0 None DJTE11 N CA00148033 A SFY2007-08
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-05-05 00:00:00 070004987 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-04-09 00:00:00 2008-04-09 00:00:00 Yes 2008-05-29 00:00:00 2008-05-13 00:00:00 B B 700 350 0 350 0 None R18V11 N CA00147018, CA00147061, CA00147188, CA00147209 B, B, A, A SFY2007-08
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-05-05 00:00:00 070004988 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-09 00:00:00 2008-04-09 00:00:00 Yes 2008-05-29 00:00:00 2008-05-13 00:00:00 B B 700 350 0 350 0 None R18V11 N CA00147018, CA00147061, CA00147188, CA00147209 B, B, A, A SFY2007-08
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-05-02 00:00:00 070004991 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-10 00:00:00 2008-04-10 00:00:00 No 2008-05-29 00:00:00 None B None 800 800 -280 520 0 None 3M2X11 N CA00146666, CA00146678 B, B SFY2007-08
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2008-05-09 00:00:00 070004994 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-04-21 00:00:00 2008-04-21 00:00:00 No 2008-06-02 00:00:00 None B None 850 850 -297.5 552.5 0 None OOSX11 N CA00147259, CA00147792, CA00148115, CA00148119 B, B, B, A SFY2007-08
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2008-06-09 00:00:00 070004997 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-19 00:00:00 2007-10-19 00:00:00 No 2008-06-30 00:00:00 None B None 1000 1000 -350 650 0 None S6X411 N CA00143341 B SFY2007-08
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2008-06-09 00:00:00 070004998 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-25 00:00:00 2008-03-25 00:00:00 No 2008-06-30 00:00:00 None B None 1000 1000 -350 650 0 None S6X411 N CA00144111 B SFY2007-08
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-05-06 00:00:00 070005001 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-28 00:00:00 2007-10-28 00:00:00 No 2008-06-02 00:00:00 None B None 700 700 -245 455 0 None HMWL11 N CA00145834 C SFY2007-08
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-05-09 00:00:00 070005009 Closed Citation Citation B (HSC 1424) Administration None 2008-04-03 00:00:00 2008-04-03 00:00:00 No 2008-06-02 00:00:00 None B None 750 750 -262.5 487.5 0 None P3JW11 N CA00146234 C SFY2007-08
070000022 BELLEROSE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2008-05-23 00:00:00 070005033 Closed Citation Citation A (HSC 1424) Patient Care None 2008-04-15 00:00:00 2008-04-15 00:00:00 No 2008-06-16 00:00:00 None A None 8500 8500 -2975 5525 0 None L96G11 N None None SFY2007-08
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-05-22 00:00:00 070005072 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-18 00:00:00 2008-04-18 00:00:00 No 2008-06-17 00:00:00 None B None 1000 1000 -350 650 0 None CCOB11 N CA00149803 B SFY2007-08
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-06-11 00:00:00 070005095 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-23 00:00:00 2008-04-23 00:00:00 No 2008-07-07 00:00:00 None B None 950 950 -332.5 617.5 0 None KYFW11 N CA00149699 B SFY2007-08
070000989 SAN MIGUEL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-05-30 00:00:00 070005096 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-25 00:00:00 2008-03-25 00:00:00 No 2008-06-20 00:00:00 None B None 500 500 -175 325 0 None WI7411 N CA00145286 B SFY2007-08
070000026 STONEBROOK HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility San Jose 2008-06-17 00:00:00 070005105 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-06 00:00:00 2008-05-06 00:00:00 Yes 2008-07-15 00:00:00 2008-06-30 00:00:00 A None 12000 12000 -12000 0 0 None JQI811 N CA00149707 B SFY2007-08
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-07-02 00:00:00 070005117 Closed Citation Citation B (HSC 1424) Medication None 2008-06-05 00:00:00 2008-06-05 00:00:00 No 2008-07-28 00:00:00 None B None 950 950 -332.5 617.5 0 None 7YKE11 N CA00125530 C SFY2008-09
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2008-06-19 00:00:00 070005118 Closed Citation Citation B (HSC 1424) Administration None 2008-05-04 00:00:00 2008-05-04 00:00:00 No 2008-07-21 00:00:00 None B None 900 900 0 900 0 None UNRC11 N CA00150162 B SFY2007-08
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-06-11 00:00:00 070005129 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-12 00:00:00 2008-05-12 00:00:00 No 2008-07-07 00:00:00 None B None 800 800 -280 520 0 None KYFW11 N CA00150290 B SFY2007-08
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-06-19 00:00:00 070005159 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-16 00:00:00 2008-03-16 00:00:00 No 2008-07-15 00:00:00 None A None 17000 17000 0 17000 0 None TR4911 N None None SFY2007-08
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-07-17 00:00:00 070005169 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-29 00:00:00 2008-04-29 00:00:00 Yes 2008-08-07 00:00:00 2008-07-24 00:00:00 B B 750 525 0 525 0 None 8QMF11 N CA00153195 B SFY2008-09
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-06-23 00:00:00 070005170 Closed Citation Citation B (HSC 1424) Medication None 2008-06-16 00:00:00 2008-06-16 00:00:00 Yes 2008-07-15 00:00:00 2008-06-24 00:00:00 B B 800 400 0 400 0 None G8XR11 N CA00152884 B SFY2007-08
070000817 TUPAZ HOME #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-06-24 00:00:00 070005172 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-12 00:00:00 2008-06-12 00:00:00 Yes 2008-07-17 00:00:00 2008-06-25 00:00:00 B B 800 400 0 400 0 None WGP411 N None None SFY2007-08
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-07-02 00:00:00 070005196 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-22 00:00:00 2007-08-22 00:00:00 No 2008-08-01 00:00:00 None B None 900 900 -315 585 0 None 7YKE11 N CA00125530 C SFY2008-09
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-07-02 00:00:00 070005197 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-06 00:00:00 2007-09-06 00:00:00 No 2008-07-28 00:00:00 None B None 900 900 -315 585 0 None 7YKE11 N CA00125530 C SFY2008-09
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2008-07-08 00:00:00 070005198 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-16 00:00:00 2008-06-16 00:00:00 No 2008-07-31 00:00:00 None B None 1000 1000 -350 650 0 None 95CW11 N None None SFY2008-09
070000026 STONEBROOK HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility San Jose 2008-07-11 00:00:00 070005222 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-04-11 00:00:00 2006-04-11 00:00:00 No 2008-08-04 00:00:00 None B None 800 800 0 800 0 None R5GV11 N CA00098314 B SFY2008-09
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-07-23 00:00:00 070005227 Closed Citation Citation A (HSC 1424) Patient Care None 2008-02-18 00:00:00 2008-02-18 00:00:00 No 2008-08-22 00:00:00 None A None 18000 18000 0 18000 0 None TDJD11 N CA00156338 B SFY2008-09
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-08-01 00:00:00 070005257 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-18 00:00:00 2008-07-18 00:00:00 No 2008-08-25 00:00:00 None B None 800 800 -280 520 0 None 0F6T11 N CA00156419, CA00157160 B, B SFY2008-09
070001060 SHINRAI-FLINTDALE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-08-01 00:00:00 070005258 Closed Citation Citation B (HSC 1424) Medication None 2007-11-09 00:00:00 2007-11-09 00:00:00 No 2008-08-25 00:00:00 None B None 400 400 0 400 0 None 0RR211 N None None SFY2008-09
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2008-08-13 00:00:00 070005298 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-04 00:00:00 2008-07-04 00:00:00 No 2008-09-16 00:00:00 None B None 750 950 -262.5 687.5 0 None OC5P11 N CA00155612 B SFY2008-09
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2008-08-13 00:00:00 070005299 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-04 00:00:00 2008-07-04 00:00:00 No 2008-09-04 00:00:00 None B None 700 700 -245 455 0 None OC5P11 N None None SFY2008-09
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2008-08-08 00:00:00 070005300 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-07-18 00:00:00 2008-07-18 00:00:00 No 2008-09-03 00:00:00 None B None 600 600 -210 390 0 None KROR11 N CA00157856 B SFY2008-09
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2008-08-22 00:00:00 070005357 Closed Citation Citation B (HSC 1424) Medication None 2008-06-06 00:00:00 2008-06-06 00:00:00 No 2008-09-19 00:00:00 None B None 650 650 -227.5 422.5 0 None LCO911 N CA00153382, CA00153382 B, B SFY2008-09
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-08-29 00:00:00 070005358 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-13 00:00:00 2008-08-13 00:00:00 No 2008-09-22 00:00:00 None B None 1000 1000 -350 650 0 None JOM211 N CA00160154 B SFY2008-09
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-08-22 00:00:00 070005360 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-31 00:00:00 2008-05-31 00:00:00 Yes 2008-09-15 00:00:00 2008-09-17 00:00:00 B B 700 350 0 350 0 None VR8M11 N CA00156278 B SFY2008-09
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-09-05 00:00:00 070005379 Closed Citation Citation A (HSC 1424) Patient Care None 2008-08-28 00:00:00 2008-08-28 00:00:00 No 2008-10-03 00:00:00 None A None 12000 12000 -4200 7800 0 None M04W11 N CA00160432, CA00161069 B, B SFY2008-09
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2008-09-26 00:00:00 070005422 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-04 00:00:00 2008-09-04 00:00:00 No 2008-10-21 00:00:00 None B None 700 700 -245 455 0 None BYXM11 N CA00162815 B SFY2008-09
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2008-09-23 00:00:00 070005458 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-05 00:00:00 2008-09-05 00:00:00 No 2008-10-21 00:00:00 None B None 700 700 -245 455 0 None QYAF11 N CA00162366 B SFY2008-09
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-09-23 00:00:00 070005459 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-07 00:00:00 2008-09-07 00:00:00 Yes 2008-10-20 00:00:00 2008-09-25 00:00:00 B B 750 375 0 375 0 None 2N4V11 N CA00162731 B SFY2008-09
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-10-02 00:00:00 070005461 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-17 00:00:00 2008-09-17 00:00:00 No 2008-10-24 00:00:00 None B None 800 800 -280 520 0 None 3IAR11 N None None SFY2008-09
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-10-01 00:00:00 070005473 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-09-24 00:00:00 2008-09-24 00:00:00 No 2008-10-28 00:00:00 None B None 1000 1000 -350 650 0 None TOP811 N CA00163528 B SFY2008-09
070000915 HACIENDA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-10-07 00:00:00 070005474 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-25 00:00:00 2008-09-25 00:00:00 No 2008-10-29 00:00:00 None B None 800 1000 -280 720 0 None HGZ211 N None None SFY2008-09
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-10-02 00:00:00 070005483 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-17 00:00:00 2008-09-17 00:00:00 No 2008-10-24 00:00:00 None B None 800 800 -280 520 0 None 3IAR11 N None None SFY2008-09
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-10-02 00:00:00 070005484 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-17 00:00:00 2008-09-17 00:00:00 No 2008-10-24 00:00:00 None B None 800 800 -280 520 0 None 3IAR11 N None None SFY2008-09
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2008-12-12 00:00:00 070005519 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-28 00:00:00 2008-09-28 00:00:00 Yes 2009-01-14 00:00:00 2008-12-31 00:00:00 B B 875 437.5 0 437.5 0 None X5BF11 N CA00165376 B SFY2008-09
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2008-10-17 00:00:00 070005527 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-10 00:00:00 2008-09-10 00:00:00 Yes 2008-11-10 00:00:00 2008-10-24 00:00:00 B B 800 800 0 800 0 None O30X11 N CA00163511 B SFY2008-09
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-10-17 00:00:00 070005535 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-26 00:00:00 2008-09-26 00:00:00 Yes 2011-03-07 00:00:00 2011-02-24 00:00:00 B Drop>Deficiency 800 0 0 0 0 None P6QR11 N CA00165038 B SFY2008-09
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-12-01 00:00:00 070005598 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-27 00:00:00 2008-10-27 00:00:00 Yes 2014-01-01 00:00:00 2013-12-16 00:00:00 B B 1000 1000 0 1000 0 None 3Q4C11 N CA00167747 B SFY2008-09
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2008-11-26 00:00:00 070005616 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-11 00:00:00 2008-09-11 00:00:00 Yes 2012-05-04 00:00:00 2012-04-23 00:00:00 A A 17000 8200 0 8200 0 None E5AT11 N CA00168971 B SFY2008-09
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-12-09 00:00:00 070005655 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-23 00:00:00 2008-10-23 00:00:00 No 2009-01-07 00:00:00 None B None 750 750 -262.5 487.5 0 None BMOM11 N CA00167366 B SFY2008-09
070001309 TUPAZ HOME #8 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-12-24 00:00:00 070005718 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-15 00:00:00 2008-12-15 00:00:00 Yes 2009-01-21 00:00:00 2009-01-07 00:00:00 B B 1000 500 0 500 0 None 7WUW11 N None None SFY2008-09
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2008-12-31 00:00:00 070005728 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-13 00:00:00 2008-12-13 00:00:00 No 2009-01-30 00:00:00 None B None 850 850 0 850 0 None BWY111 N CA00172401 B SFY2008-09
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2008-12-31 00:00:00 070005748 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-13 00:00:00 2008-12-13 00:00:00 No 2009-01-30 00:00:00 None B None 900 900 0 900 0 None BWY111 N CA00172401 B SFY2008-09
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2008-12-31 00:00:00 070005749 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-13 00:00:00 2008-12-13 00:00:00 No 2009-01-30 00:00:00 None B None 950 950 0 950 0 None BWY111 N CA00172401 B SFY2008-09
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-01-13 00:00:00 070005782 Closed Citation Citation B (HSC 1424) Medication None 2008-11-22 00:00:00 2008-11-22 00:00:00 No 2009-02-03 00:00:00 None B None 800 800 -280 520 0 None 6OP111 N CA00173446 B SFY2008-09
070001028 SHINRAI - CAMINO VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2009-01-14 00:00:00 070005794 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-21 00:00:00 2008-12-21 00:00:00 No 2009-02-25 00:00:00 None B None 600 600 -210 390 0 None DGHN11 N CA00172704 B SFY2008-09
070000049 PACIFIC COAST MANOR LTC SNF Skilled Nursing Facility San Jose 2009-01-23 00:00:00 070005818 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-01-05 00:00:00 2009-01-05 00:00:00 Yes 2014-02-10 00:00:00 2009-02-02 00:00:00 B Dismissed by Court 600 0 0 0 0 None 5E0Q11 N CA00174025 B SFY2008-09
070000022 BELLEROSE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2009-02-05 00:00:00 070005823 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-21 00:00:00 2009-01-21 00:00:00 Yes 2009-03-11 00:00:00 2009-02-18 00:00:00 B None 800 800 -800 0 0 None RHWA11 N CA00174727 B SFY2008-09
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-01-27 00:00:00 070005825 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-01-07 00:00:00 2009-01-07 00:00:00 Yes 2014-01-01 00:00:00 2009-02-04 00:00:00 B B 1000 1000 0 1000 0 None XPDT11 N CA00174274, CA00174277, CA00174346, CA00174348, CA00174445 B, B, B, B, B SFY2008-09
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-02-04 00:00:00 070005843 Closed Citation Citation B (HSC 1424) Administration None 2009-01-08 00:00:00 2009-01-08 00:00:00 No 2009-03-13 00:00:00 None B None 900 900 -315 585 0 None LXWB11 N CA00174662 C SFY2008-09
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-03-17 00:00:00 070005844 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-05 00:00:00 2009-01-05 00:00:00 No 2009-04-08 00:00:00 None B None 900 900 -315 585 0 None 0TI811 N CA00175727 B SFY2008-09
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2009-02-05 00:00:00 070005863 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-30 00:00:00 2009-01-30 00:00:00 Yes 2009-03-23 00:00:00 2009-02-18 00:00:00 B None 750 750 0 750 0 None TJHY11 N CA00176212 B SFY2008-09
070000026 STONEBROOK HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility San Jose 2009-02-11 00:00:00 070005879 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-28 00:00:00 2008-12-28 00:00:00 No 2009-03-16 00:00:00 None B None 750 750 -262.5 487.5 0 None BWZF11 N None None SFY2008-09
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-02-18 00:00:00 070005881 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-14 00:00:00 2008-10-14 00:00:00 No 2009-03-20 00:00:00 None B None 700 700 -245 455 0 None 0QFW11 N None None SFY2008-09
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-02-23 00:00:00 070005900 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-15 00:00:00 2009-01-15 00:00:00 Yes 2009-03-19 00:00:00 2009-03-02 00:00:00 B B 850 552.5 0 552.5 0 None C7NS11 N CA00175100 B SFY2008-09
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2009-02-25 00:00:00 070005901 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-07 00:00:00 2009-01-07 00:00:00 No 2009-03-20 00:00:00 None B None 750 750 -262.5 487.5 0 None E18F11 N CA00177323 B SFY2008-09
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-03-09 00:00:00 070005934 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-11 00:00:00 2009-02-11 00:00:00 No 2009-04-07 00:00:00 None B None 900 900 -315 585 0 None R0VT11 N CA00177842 A SFY2008-09
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-03-10 00:00:00 070005949 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 No 2009-04-03 00:00:00 None B None 600 600 0 600 0 None COMK11 N CA00178932, CA00179566 B, B SFY2008-09
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-03-17 00:00:00 070005970 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-13 00:00:00 2009-02-13 00:00:00 No 2009-04-08 00:00:00 None A None 7000 21000 -7350 13650 0 None HLWS11 N CA00177995, CA00180960 B, B SFY2008-09
630010933 SILVER STAR ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2009-03-18 00:00:00 070005980 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-02 00:00:00 2009-03-02 00:00:00 No 2009-04-21 00:00:00 None B None 700 700 -245 455 0 None ZELX11 N None None SFY2008-09
630010933 SILVER STAR ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2009-03-18 00:00:00 070005981 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-02 00:00:00 2009-03-02 00:00:00 No 2009-04-21 00:00:00 None B None 500 500 -175 325 0 None ZELX11 N None None SFY2008-09
070000002 WOODLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-04-10 00:00:00 070006045 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-01 00:00:00 2009-04-01 00:00:00 Yes 2009-05-18 00:00:00 2009-04-16 00:00:00 A None 13000 13000 -13000 0 0 None M5MO11 N CA00182153 B SFY2008-09
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-04-17 00:00:00 070006065 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-25 00:00:00 2009-03-25 00:00:00 No 2009-05-14 00:00:00 None B None 850 2550 -892.5 1657.5 0 None G49N11 N CA00182901 B SFY2008-09
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-04-24 00:00:00 070006073 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-05 00:00:00 2009-04-05 00:00:00 No 2009-05-15 00:00:00 None B None 600 600 -210 390 0 None 05DE11 N CA00178342, CA00179308, CA00179630, CA00180778, CA00181948, CA00182753, CA00183851 B, B, B, B, B, B, B SFY2008-09
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-04-24 00:00:00 070006074 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-05 00:00:00 2009-04-05 00:00:00 No 2009-05-15 00:00:00 None B None 900 900 -315 585 0 None 05DE11 N CA00179853 B SFY2008-09
070001279 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility San Jose 2009-04-17 00:00:00 070006088 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-02 00:00:00 2009-04-02 00:00:00 Yes 2009-05-13 00:00:00 2009-05-18 00:00:00 B B 800 520 0 520 0 None 24W511 N CA00183488, CA00183604 C, B SFY2008-09
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-04-23 00:00:00 070006105 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-18 00:00:00 2009-03-18 00:00:00 No 2009-05-14 00:00:00 None B None 950 1750 -332.5 1417.5 0 None G48S11 N CA00182602 B SFY2008-09
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-04-27 00:00:00 070006122 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-21 00:00:00 2009-04-21 00:00:00 No 2009-05-18 00:00:00 None B None 1000 1000 -350 650 0 None QLZY11 N CA00184977 B SFY2008-09
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-04-23 00:00:00 070006124 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-18 00:00:00 2009-03-18 00:00:00 No 2009-05-14 00:00:00 None B None 950 950 -332.5 617.5 0 None G48S11 N CA00182602 B SFY2008-09
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-04-30 00:00:00 070006136 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-17 00:00:00 2009-04-17 00:00:00 No 2009-05-26 00:00:00 None B None 850 850 0 850 0 None REO711 N CA00184846 B SFY2008-09
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-05-15 00:00:00 070006151 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-17 00:00:00 2009-04-17 00:00:00 No 2009-06-15 00:00:00 None A None 15000 15000 -5250 9750 0 None I6GO11 N CA00185008 B SFY2008-09
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2009-06-02 00:00:00 070006199 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-06 00:00:00 2009-05-06 00:00:00 Yes 2009-06-30 00:00:00 2009-06-11 00:00:00 B B 850 425 0 425 0 None VB8C11 N CA00187595 B SFY2008-09
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-05-27 00:00:00 070006220 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-11 00:00:00 2009-05-11 00:00:00 No 2009-06-19 00:00:00 None B None 950 1300 -332.5 967.5 0 None I6IH11 N CA00188217 B SFY2008-09
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-06-08 00:00:00 070006228 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-19 00:00:00 2009-05-19 00:00:00 No 2009-07-09 00:00:00 None B None 600 600 -210 390 0 None ETCI11 N None None SFY2008-09
070000002 WOODLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-06-03 00:00:00 070006229 Closed Citation Citation B (HSC 1424) Problem Transfer None 2009-05-26 00:00:00 2009-05-26 00:00:00 No 2009-06-24 00:00:00 None B None 650 650 -227.5 422.5 0 None LONM11 N CA00189646 B SFY2008-09
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2009-06-09 00:00:00 070006257 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-14 00:00:00 2009-05-14 00:00:00 No 2009-07-07 00:00:00 None B None 800 800 -280 520 0 None RFR211 N CA00188275 B SFY2008-09
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-06-08 00:00:00 070006263 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-19 00:00:00 2009-05-19 00:00:00 No 2009-07-09 00:00:00 None B None 600 600 -210 390 0 None ETCI11 N None None SFY2008-09
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2009-06-16 00:00:00 070006293 Closed Citation Citation B (HSC 1424) Medication None 2009-05-12 00:00:00 2009-05-12 00:00:00 No 2009-07-13 00:00:00 None B None 850 850 -297.5 552.5 0 None SL7P11 N CA00189254 B SFY2008-09
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2009-06-16 00:00:00 070006294 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-10 00:00:00 2009-04-10 00:00:00 No 2009-07-07 00:00:00 None B None 800 800 -280 520 0 None WHZX11 N CA00184878 B SFY2008-09
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2009-07-16 00:00:00 070006297 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-22 00:00:00 2009-05-22 00:00:00 Yes 2011-04-07 00:00:00 2009-07-27 00:00:00 B B 1000 1000 0 1000 0 None Y6G011 N CA00189626 B SFY2009-10
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2009-06-17 00:00:00 070006302 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-27 00:00:00 2009-05-27 00:00:00 No 2009-07-08 00:00:00 None B None 1000 1000 0 1000 0 None CRBK11 N None None SFY2008-09
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-06-26 00:00:00 070006328 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-24 00:00:00 2008-09-24 00:00:00 Yes 2009-07-27 00:00:00 2009-08-20 00:00:00 B Drop>Deficiency 700 0 0 0 0 None H67K11 Y CA00191821 B SFY2008-09
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-06-29 00:00:00 070006329 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-10 00:00:00 2009-05-10 00:00:00 No 2009-07-27 00:00:00 None B None 950 950 -332.5 617.5 0 None PJZW11 N CA00190470 B SFY2008-09
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2009-08-26 00:00:00 070006330 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-06 00:00:00 2009-01-06 00:00:00 Yes 2009-10-20 00:00:00 2009-08-31 00:00:00 B Drop>Deficiency 550 0 0 0 0 None ZVQK11 N CA00192506, CA00192848 B, B SFY2009-10
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-08 00:00:00 070006333 Closed Citation Citation B (HSC 1424) Dietary None 2009-05-31 00:00:00 2009-05-31 00:00:00 No 2009-08-12 00:00:00 None B None 1000 1000 -350 650 0 None 4JMM11 N CA00192373 B SFY2009-10
070001060 SHINRAI-FLINTDALE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2009-07-07 00:00:00 070006360 Closed Citation Citation B (HSC 1424) Medication None 2009-04-27 00:00:00 2009-04-27 00:00:00 No 2009-08-12 00:00:00 None B None 1000 1000 -350 650 0 None HMLG11 N None None SFY2009-10
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-07-06 00:00:00 070006361 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-17 00:00:00 2009-05-17 00:00:00 No 2009-07-27 00:00:00 None B None 850 850 -297.5 552.5 0 None 2JSF11 N CA00189648 C SFY2009-10
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-09 00:00:00 070006365 Closed Citation Citation B (HSC 1424) Administration None 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2009-07-30 00:00:00 None B None 850 850 -297.5 552.5 0 None XNWI11 N CA00193018 B SFY2009-10
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-07 00:00:00 070006369 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-01 00:00:00 2009-06-01 00:00:00 No 2009-08-13 00:00:00 None B None 750 750 0 750 0 None RYH611 N CA00190304 B SFY2009-10
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-08 00:00:00 070006374 Closed Citation Citation B (HSC 1424) Dietary None 2009-05-31 00:00:00 2009-05-31 00:00:00 No 2009-08-12 00:00:00 None B None 1000 1000 -350 650 0 None 4JMM11 N CA00192373 B SFY2009-10
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-08 00:00:00 070006375 Closed Citation Citation B (HSC 1424) Dietary None 2009-05-31 00:00:00 2009-05-31 00:00:00 No 2009-08-12 00:00:00 None B None 1000 1000 -350 650 0 None 4JMM11 N CA00192373 B SFY2009-10
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-09 00:00:00 070006382 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2009-07-30 00:00:00 None B None 950 950 -332.5 617.5 0 None XNWI11 N CA00193018 B SFY2009-10
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-07-27 00:00:00 070006419 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-28 00:00:00 2009-06-28 00:00:00 Yes 2009-09-01 00:00:00 2009-08-06 00:00:00 B Drop>Deficiency 900 0 0 0 0 None W6GR11 N CA00194135 B SFY2009-10
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-30 00:00:00 070006421 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-20 00:00:00 2009-07-20 00:00:00 No 2009-09-01 00:00:00 None B None 1000 1000 -350 650 0 None 57QO11 N CA00194472, CA00194474, CA00194781, CA00194794 B, B, B, B SFY2009-10
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-07-31 00:00:00 070006439 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-04-03 00:00:00 2009-04-03 00:00:00 Yes 2009-09-01 00:00:00 2009-08-05 00:00:00 AA A 80000 20000 0 20000 0 None 441R11 Y CA00193421 B SFY2009-10
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2009-09-17 00:00:00 070006453 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-27 00:00:00 2009-07-27 00:00:00 Yes 2014-03-28 00:00:00 2009-10-06 00:00:00 B B 800 800 0 800 0 None 78E111 N CA00196613 B SFY2009-10
070001362 SHINRAI-ARAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2009-08-18 00:00:00 070006454 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-26 00:00:00 2009-07-26 00:00:00 No 2009-09-11 00:00:00 None B None 650 650 0 650 0 None HQI011 N CA00196793 B SFY2009-10
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2009-12-21 00:00:00 070006461 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-18 00:00:00 2009-07-18 00:00:00 No 2010-01-13 00:00:00 None B None 800 800 0 800 0 None Q13I11 N CA00195612 B SFY2009-10
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2009-08-20 00:00:00 070006476 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-08 00:00:00 2009-08-08 00:00:00 No 2009-09-11 00:00:00 None B None 800 800 -280 520 0 None 052L11 N CA00198126 B SFY2009-10
070000002 WOODLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-09-25 00:00:00 070006478 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-08 00:00:00 2009-08-08 00:00:00 No 2009-11-02 00:00:00 None B None 500 500 -175 325 0 None VOVR11 N CA00198026 B SFY2009-10
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2009-08-20 00:00:00 070006482 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-01 00:00:00 2009-08-01 00:00:00 No 2009-09-11 00:00:00 None B None 1000 1000 -350 650 0 None H2R011 N CA00197086 B SFY2009-10
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2009-08-26 00:00:00 070006491 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-06 00:00:00 2009-01-06 00:00:00 Yes 2009-09-17 00:00:00 2009-08-31 00:00:00 B None 550 550 0 550 0 None ZVQK11 N CA00192506, CA00192848 B, B SFY2009-10
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-08-25 00:00:00 070006492 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-18 00:00:00 2009-07-18 00:00:00 Yes 2009-09-16 00:00:00 2009-08-31 00:00:00 B Drop>Deficiency 850 0 0 0 0 None DHSF11 N CA00195614 A SFY2009-10
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-08-25 00:00:00 070006493 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-19 00:00:00 2009-07-19 00:00:00 Yes 2009-09-16 00:00:00 2009-08-31 00:00:00 B Drop>Deficiency 850 0 0 0 0 None DHSF11 N CA00195435 B SFY2009-10
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-08-27 00:00:00 070006500 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2009-10-20 00:00:00 None B None 700 700 -245 455 0 None HLWZ11 N CA00197310 B SFY2009-10
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-08-27 00:00:00 070006501 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2009-10-20 00:00:00 None B None 700 700 -245 455 0 None HLWZ11 N CA00197310 B SFY2009-10
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2009-08-28 00:00:00 070006502 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-03 00:00:00 2009-08-03 00:00:00 No 2009-09-21 00:00:00 None B None 800 800 0 800 0 None FENV11 N CA00198030 B SFY2009-10
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2009-08-28 00:00:00 070006503 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-08-08 00:00:00 2009-08-08 00:00:00 Yes 2014-01-01 00:00:00 2013-12-16 00:00:00 B B 500 250 0 250 0 None FENV11 N CA00198223 B SFY2009-10
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-08-27 00:00:00 070006504 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-28 00:00:00 2009-07-28 00:00:00 Yes 2009-10-19 00:00:00 2009-08-31 00:00:00 B Drop>Deficiency 800 0 0 0 0 None QCLZ11 N CA00198829 B SFY2009-10
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-08-27 00:00:00 070006505 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-11 00:00:00 2009-08-11 00:00:00 Yes 2009-10-19 00:00:00 2009-08-31 00:00:00 B Drop>Deficiency 700 0 0 0 0 None QCLZ11 N None None SFY2009-10
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2009-09-16 00:00:00 070006507 Closed Citation Citation B (HSC 1424) Medication None 2009-08-24 00:00:00 2009-08-24 00:00:00 Yes 2009-10-07 00:00:00 2009-09-18 00:00:00 B Drop>Deficiency 900 0 0 0 0 None 463E11 N CA00198883 B SFY2009-10
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-08-31 00:00:00 070006513 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-15 00:00:00 2009-08-15 00:00:00 No 2009-09-22 00:00:00 None B None 800 800 -280 520 0 None L76311 N CA00198722, CA00198941, CA00199088, CA00199391 B, B, A, B SFY2009-10
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-08-31 00:00:00 070006514 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-08-15 00:00:00 2009-08-15 00:00:00 No 2009-09-22 00:00:00 None B None 600 600 -210 390 0 None L76311 N CA00198941, CA00199391 B, B SFY2009-10
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2009-09-03 00:00:00 070006527 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-07 00:00:00 2009-08-07 00:00:00 No 2009-09-25 00:00:00 None B None 1000 1000 0 1000 0 None 2TJ911 N CA00198072 B SFY2009-10
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2009-09-11 00:00:00 070006540 Closed Citation Citation B (HSC 1424) Other ABUSE 2009-08-10 00:00:00 2009-08-10 00:00:00 Yes 2009-10-02 00:00:00 2009-09-25 00:00:00 B B 1000 650 0 650 0 None 965111 N CA00198594 B SFY2009-10
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2009-09-14 00:00:00 070006543 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-19 00:00:00 2009-06-19 00:00:00 No 2009-10-19 00:00:00 None B None 800 800 -280 520 0 None RW2N11 N None None SFY2009-10
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-11-23 00:00:00 070006561 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-05 00:00:00 2009-07-05 00:00:00 Yes 2009-12-16 00:00:00 2009-12-14 00:00:00 B None 800 800 0 800 0 None 0F7711 N CA00196128, CA00196241 B, B SFY2009-10
070000890 TUPAZ HOME #5 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2009-09-17 00:00:00 070006562 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-27 00:00:00 2009-08-27 00:00:00 No 2009-10-27 00:00:00 None B None 800 850 0 850 0 None 58NV11 N CA00200280 B SFY2009-10
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2009-10-01 00:00:00 070006588 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-19 00:00:00 2009-09-19 00:00:00 No 2009-10-28 00:00:00 None B None 800 800 0 800 0 None W1EF11 N CA00202754 B SFY2009-10
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-10-26 00:00:00 070006593 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-28 00:00:00 2009-09-28 00:00:00 No 2009-11-17 00:00:00 None B None 1000 3000 -1050 1950 0 None V1TF11 N CA00202752 B SFY2009-10
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2009-10-19 00:00:00 070006627 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-12 00:00:00 2009-10-12 00:00:00 Yes 2009-12-03 00:00:00 2009-11-09 00:00:00 B B 750 375 0 375 0 None 9XS211 N CA00204850 B SFY2009-10
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-10-20 00:00:00 070006629 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-07 00:00:00 2009-10-07 00:00:00 No 2009-12-02 00:00:00 None B None 600 600 -210 390 0 None 0RD011 N CA00203561 B SFY2009-10
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2009-10-19 00:00:00 070006630 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-12 00:00:00 2009-10-12 00:00:00 Yes 2009-12-03 00:00:00 2009-11-09 00:00:00 B B 750 375 0 375 0 None 9XS211 N CA00204850 B SFY2009-10
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2009-10-20 00:00:00 070006634 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-20 00:00:00 2009-09-20 00:00:00 No 2009-11-10 00:00:00 None B None 800 800 -280 520 0 None W1EF11 N CA00202523 B SFY2009-10
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-10-26 00:00:00 070006653 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-05 00:00:00 2009-10-05 00:00:00 No 2009-11-17 00:00:00 None B None 1000 1000 -350 650 0 None QG2K11 N CA00204103 B SFY2009-10
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-11-04 00:00:00 070006662 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-08 00:00:00 2009-10-08 00:00:00 Yes 2009-11-30 00:00:00 2009-11-05 00:00:00 B None 700 700 0 700 0 None 6TR511 N CA00204058 B SFY2009-10
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-01-05 00:00:00 070006685 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-05 00:00:00 2009-10-05 00:00:00 Yes 2010-02-02 00:00:00 2010-01-13 00:00:00 A Drop>Deficiency 18000 0 0 0 0 None 782G11 N CA00206557 B SFY2009-10
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2009-12-18 00:00:00 070006686 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-29 00:00:00 2009-09-29 00:00:00 Yes 2010-01-12 00:00:00 2009-12-28 00:00:00 B None 1000 3000 0 3000 0 None 4PRW11 N CA00203452, CA00203598 B, B SFY2009-10
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2009-11-23 00:00:00 070006687 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-10-12 00:00:00 2009-10-12 00:00:00 No 2009-12-16 00:00:00 None B None 800 800 -280 520 0 None 1S8V11 N CA00204290 B SFY2009-10
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-11-23 00:00:00 070006726 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-11 00:00:00 2009-07-11 00:00:00 Yes 2009-12-16 00:00:00 2009-12-14 00:00:00 B None 700 700 0 700 0 None 0F7711 N CA00196128, CA00196241 B, B SFY2009-10
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-11-30 00:00:00 070006737 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-29 00:00:00 2009-09-29 00:00:00 No 2009-12-28 00:00:00 None B None 1000 1000 -350 650 0 None EIXQ11 N CA00208109 C SFY2009-10
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-12-10 00:00:00 070006740 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-01 00:00:00 2009-09-01 00:00:00 No 2010-01-06 00:00:00 None B None 800 800 -280 520 0 None 133B11 N CA00207229 B SFY2009-10
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2010-02-17 00:00:00 070006741 Closed Citation Citation B (HSC 1424) Administration None 2009-09-03 00:00:00 2009-09-03 00:00:00 Yes 2010-03-19 00:00:00 2010-04-06 00:00:00 B Drop>Deficiency 800 400 -400 0 0 None FMOH11 N CA00208889 B SFY2009-10
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2010-03-11 00:00:00 070006742 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-08-24 00:00:00 2009-08-24 00:00:00 Yes 2010-04-02 00:00:00 2010-03-29 00:00:00 AA None 80000 80000 -80000 0 0 None 22JE11 Y CA00199676, CA00200856 B, B SFY2009-10
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2009-12-29 00:00:00 070006791 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-07 00:00:00 2009-07-07 00:00:00 Yes 2010-02-03 00:00:00 2010-01-12 00:00:00 B B 800 400 0 400 0 None HU6211 N CA00208468 B SFY2009-10
070000918 AYER HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2009-12-18 00:00:00 070006792 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-02-20 00:00:00 2009-02-20 00:00:00 No 2010-01-12 00:00:00 None B None 1000 1000 -350 650 0 None SBR711 N CA00209407 B SFY2009-10
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-12-16 00:00:00 070006793 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-11-16 00:00:00 2009-11-16 00:00:00 No 2010-01-07 00:00:00 None B None 1000 1000 -350 650 0 None LCQZ11 N None None SFY2009-10
070000006 LOS GATOS MEADOWS GERIATRIC HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2009-12-29 00:00:00 070006827 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-16 00:00:00 2009-11-16 00:00:00 No 2010-02-01 00:00:00 None B None 1000 1000 0 1000 0 None MSQG11 N None None SFY2009-10
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-12-24 00:00:00 070006850 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-04 00:00:00 2009-12-04 00:00:00 No 2010-01-20 00:00:00 None B None 800 800 0 800 0 None B8JB11 N CA00210405 B SFY2009-10
070000053 GOLDEN AGE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2009-12-30 00:00:00 070006853 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-15 00:00:00 2009-12-15 00:00:00 No 2010-01-25 00:00:00 None B None 650 650 -227.5 422.5 0 None I8RZ11 N None None SFY2009-10
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-12-31 00:00:00 070006854 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-14 00:00:00 2009-11-14 00:00:00 No 2010-02-03 00:00:00 None B None 850 850 -297.5 552.5 0 None 5VFX11 N CA00209350 B SFY2009-10
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-12-29 00:00:00 070006863 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec Failure to Report 2009-10-06 07:00:00 2009-10-06 07:00:00 No 2010-01-22 00:00:00 None FTR BR None 1000 1000 -250 750 0 None 9W9Z11 None CA00205607 C SFY2009-10
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2010-01-26 00:00:00 070006893 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-26 00:00:00 2009-12-26 00:00:00 No 2010-03-05 00:00:00 None B None 800 800 -280 520 0 None RIMW11 N CA00212852 B SFY2009-10
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2010-01-29 00:00:00 070006914 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-13 00:00:00 2009-03-13 00:00:00 No 2010-03-09 00:00:00 None B None 900 900 0 900 0 None 7QYQ11 N CA00210828, CA00212734, CA00212791 B, B, B SFY2009-10
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2010-01-26 00:00:00 070006920 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-01-11 00:00:00 2010-01-11 00:00:00 No 2010-03-05 00:00:00 None B None 1000 1000 -350 650 0 None NKO911 N None None SFY2009-10
070000059 MORGAN HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-01-28 00:00:00 070006948 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-01-13 00:00:00 2010-01-13 00:00:00 No 2010-03-10 00:00:00 None B None 1000 1000 -350 650 0 None M6RK11 N None None SFY2009-10
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2010-02-16 00:00:00 070006997 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-15 00:00:00 2009-09-15 00:00:00 Yes 2010-03-19 00:00:00 2010-02-24 00:00:00 B Drop>Deficiency 850 0 0 0 0 None JTNU11 N None None SFY2009-10
070000817 TUPAZ HOME #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2010-02-19 00:00:00 070007011 Closed Citation Citation B (HSC 1424) Administration None 2010-01-25 00:00:00 2010-01-25 00:00:00 No 2010-04-02 00:00:00 None B None 800 800 0 800 0 None 8OWQ11 N CA00217727 B SFY2009-10
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-03-02 00:00:00 070007023 Closed Citation Citation B (HSC 1424) Medication None 2010-02-10 00:00:00 2010-02-10 00:00:00 No 2010-03-23 00:00:00 None B None 750 750 0 750 0 None HBGT11 N None None SFY2009-10
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-03-03 00:00:00 070007025 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-11 00:00:00 2010-02-11 00:00:00 No 2010-03-24 00:00:00 None B None 600 600 -210 390 0 None 88J311 N CA00218612, CA00218939 B, B SFY2009-10
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2010-03-18 00:00:00 070007036 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-26 00:00:00 2010-02-26 00:00:00 No 2010-04-21 00:00:00 None B None 750 750 0 750 0 None JZC711 N CA00219994 A SFY2009-10
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-03-10 00:00:00 070007041 Closed Citation Citation B (HSC 1424) Medication None 2009-11-20 00:00:00 2009-11-20 00:00:00 Yes 2014-03-28 00:00:00 2010-03-10 00:00:00 B B 600 600 0 600 0 None 55X411 N CA00218082 B SFY2009-10
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2010-03-16 00:00:00 070007050 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-19 00:00:00 2010-01-19 00:00:00 No 2010-04-21 00:00:00 None B None 600 600 -210 390 0 None 3SAS11 N CA00215603 B SFY2009-10
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2010-03-22 00:00:00 070007057 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-03-09 00:00:00 2010-03-09 00:00:00 No 2010-04-19 00:00:00 None B None 750 750 0 750 0 None 09W111 N CA00221275 B SFY2009-10
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-04-14 00:00:00 070007109 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-26 00:00:00 2010-03-26 00:00:00 No 2010-05-05 00:00:00 None A None 16000 16000 0 16000 0 None 4ZH011 N None None SFY2009-10
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-04-23 00:00:00 070007110 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-25 00:00:00 2010-03-25 00:00:00 Yes 2010-05-18 00:00:00 2010-05-12 00:00:00 B B 1000 650 0 650 0 None HYN911 N CA00223635, CA00224122 B, B SFY2009-10
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2010-04-29 00:00:00 070007116 Closed Citation Citation B (HSC 1424) Administration None 2010-04-03 00:00:00 2010-04-03 00:00:00 Yes 2010-06-18 00:00:00 2010-05-04 00:00:00 B B 600 300 0 300 0 None 7WMM11 N CA00219844, CA00224059 B, B SFY2009-10
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2010-05-05 00:00:00 070007126 Closed Citation Citation B (HSC 1424) Administration None 2010-02-14 00:00:00 2010-02-14 00:00:00 Yes 2010-06-23 00:00:00 2010-05-14 00:00:00 B B 500 325 0 325 0 None OTTR11 N CA00222476 B SFY2009-10
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-05-04 00:00:00 070007132 Closed Citation Citation B (HSC 1424) Medication None 2009-03-24 00:00:00 2009-03-24 00:00:00 No 2010-06-16 00:00:00 None B None 700 700 -245 455 0 None 4QJT11 N CA00223897 B SFY2009-10
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-04-23 00:00:00 070007161 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-06 00:00:00 2010-04-06 00:00:00 Yes 2010-05-18 00:00:00 2010-05-12 00:00:00 B B 1000 650 0 650 0 None HYN911 N CA00223635, CA00224122 B, B SFY2009-10
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2010-06-14 00:00:00 070007173 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-19 00:00:00 2010-03-19 00:00:00 No 2010-07-05 00:00:00 None B None 800 800 0 800 0 None EGH811 N CA00222298 B SFY2009-10
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2010-05-27 00:00:00 070007174 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-11 00:00:00 2010-04-11 00:00:00 No 2010-06-18 00:00:00 None B None 600 600 -210 390 0 None 8GPK11 N CA00225062 B SFY2009-10
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2010-05-18 00:00:00 070007175 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-10 00:00:00 2010-03-10 00:00:00 Yes 2012-11-30 00:00:00 2012-11-15 00:00:00 A A 17500 8000 0 8000 0 None O75N11 N CA00224140 B SFY2009-10
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2010-04-29 00:00:00 070007179 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-26 00:00:00 2010-01-26 00:00:00 Yes 2010-06-18 00:00:00 2010-05-04 00:00:00 B B 600 300 0 300 0 None SEEQ11 N CA00224634 B SFY2009-10
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-05-25 00:00:00 070007185 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-19 00:00:00 2010-04-19 00:00:00 Yes 2010-12-02 00:00:00 2010-05-26 00:00:00 B None 750 750 0 750 0 None S8PG11 N CA00226951 B SFY2009-10
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2010-05-11 00:00:00 070007207 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-28 00:00:00 2010-02-28 00:00:00 No 2010-06-21 00:00:00 None B None 850 850 -297.5 552.5 0 None WLS111 N CA00221000 B SFY2009-10
070001028 SHINRAI - CAMINO VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2010-05-19 00:00:00 070007231 Closed Citation Citation B (HSC 1424) Medication None 2010-05-04 00:00:00 2010-05-04 00:00:00 Yes 2010-06-10 00:00:00 2010-06-07 00:00:00 B B 800 400 0 400 0 None 206811 N CA00227848 B SFY2009-10
070001028 SHINRAI - CAMINO VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2010-05-19 00:00:00 070007233 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-03 00:00:00 2010-05-03 00:00:00 Yes 2010-06-10 00:00:00 2010-06-09 00:00:00 B B 800 400 0 400 0 None 206811 N CA00227503 C SFY2009-10
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2010-05-28 00:00:00 070007235 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-28 00:00:00 2010-04-28 00:00:00 No 2010-06-21 00:00:00 None B None 1000 1000 -350 650 0 None H7NY11 N CA00227226 B SFY2009-10
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2010-05-25 00:00:00 070007236 Closed Citation Citation B (HSC 1424) Medication None 2010-05-17 00:00:00 2010-05-17 00:00:00 Yes 2010-06-16 00:00:00 2010-06-15 00:00:00 B None 800 800 0 800 0 None 144011 N CA00228260 B SFY2009-10
070000012 LINCOLN GLEN SKILLED NURSING LTC SNF Skilled Nursing Facility San Jose 2010-06-03 00:00:00 070007245 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-21 00:00:00 2010-04-21 00:00:00 No 2010-06-24 00:00:00 None B None 1000 1000 0 1000 0 None NWWW11 N CA00227698 B SFY2009-10
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-05-27 00:00:00 070007246 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-26 00:00:00 2010-02-26 00:00:00 No 2010-06-18 00:00:00 None B None 800 800 -280 520 0 None EJSZ11 N None None SFY2009-10
070000324 GEORGE L. MEE MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2010-05-27 00:00:00 070007247 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-05 00:00:00 2010-02-05 00:00:00 No 2010-11-30 00:00:00 None B None 800 800 -280 520 0 None HBYN11 N None None SFY2009-10
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2010-06-14 00:00:00 070007309 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-24 00:00:00 2010-03-24 00:00:00 No 2010-11-30 00:00:00 None B None 800 800 0 800 0 None EGH811 N CA00223129 B SFY2009-10
070000076 THE RIDGE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-06-16 00:00:00 070007314 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-10 00:00:00 2010-06-10 00:00:00 No 2010-07-07 00:00:00 None B None 550 550 -192.5 357.5 0 None K32J11 N CA00231646 B SFY2009-10
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2010-06-17 00:00:00 070007316 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-07 00:00:00 2010-04-07 00:00:00 No 2010-07-08 00:00:00 None B None 1000 1000 -350 650 0 None H3KZ11 N None None SFY2009-10
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2010-06-21 00:00:00 070007317 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-06 00:00:00 2010-04-06 00:00:00 Yes 2011-03-01 00:00:00 2011-02-15 00:00:00 B B 1000 650 0 650 0 None Y7UO11 N CA00225299 B SFY2009-10
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2010-06-23 00:00:00 070007324 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-06-02 00:00:00 2010-06-02 00:00:00 No 2010-07-14 00:00:00 None B None 600 600 0 600 0 None Y8HU11 N CA00231049 B SFY2009-10
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2010-06-30 00:00:00 070007348 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-25 00:00:00 2010-05-25 00:00:00 Yes 2010-07-21 00:00:00 2010-07-08 00:00:00 A A 20000 13500 0 13500 0 None NOIC11 N CA00230566 B SFY2009-10
630011211 IN GOOD HANDS HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2010-07-01 00:00:00 070007351 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-03-24 00:00:00 2010-03-24 00:00:00 No 2010-07-22 00:00:00 None B None 600 600 0 600 0 None CROW11 N CA00228193, CA00228199 B, B SFY2010-11
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2010-07-16 00:00:00 070007354 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-14 00:00:00 2010-06-14 00:00:00 No 2010-08-06 00:00:00 None B None 800 800 -280 520 0 None WDNQ11 N CA00233492 B SFY2010-11
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-07-13 00:00:00 070007355 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-06-13 00:00:00 2010-06-13 00:00:00 No 2010-12-07 00:00:00 None B None 800 800 -280 520 0 None 0Q5611 N CA00232233, CA00232390 B, B SFY2010-11
070000726 TUPAZ HOME #9 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2010-07-02 00:00:00 070007356 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-16 00:00:00 2010-06-16 00:00:00 Yes 2010-07-23 00:00:00 2010-07-13 00:00:00 B B 800 950 0 950 0 None BLZP11 N CA00233388, CA00233399 B, B SFY2010-11
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-08-05 00:00:00 070007357 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-20 00:00:00 2010-06-20 00:00:00 Yes 2014-05-08 00:00:00 2014-04-29 00:00:00 B Drop>Deficiency 750 0 0 0 0 None RVPV11 N CA00232921 B SFY2010-11
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-07-16 00:00:00 070007379 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-02 00:00:00 2010-06-02 00:00:00 No 2010-08-09 00:00:00 None B None 800 800 -280 520 0 None PRUQ11 N CA00233521 A SFY2010-11
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-07-16 00:00:00 070007397 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-20 00:00:00 2009-10-20 00:00:00 Yes 2010-08-06 00:00:00 2010-07-22 00:00:00 B None 900 900 0 900 0 None 5MCW11 N None None SFY2010-11
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2010-07-23 00:00:00 070007402 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-13 00:00:00 2010-01-13 00:00:00 Yes 2010-08-13 00:00:00 2010-07-27 00:00:00 B None 750 750 0 750 0 None E24111 N CA00234728 B SFY2010-11
070000032 CANTERBURY WOODS LTC SNF Skilled Nursing Facility San Jose 2010-07-29 00:00:00 070007403 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-10 00:00:00 2010-06-10 00:00:00 No 2010-08-19 00:00:00 None B None 1000 1000 -350 650 0 None TTWF11 N None None SFY2010-11
070001106 SHINRAI - CROYDON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2010-08-17 00:00:00 070007428 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-21 00:00:00 2009-09-21 00:00:00 No 2010-09-08 00:00:00 None B None 700 700 0 700 0 None E3BW11 N None None SFY2010-11
070000324 GEORGE L. MEE MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2010-08-10 00:00:00 070007442 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-12 00:00:00 2010-07-12 00:00:00 No 2010-11-30 00:00:00 None B None 800 800 -280 520 0 None LL0O11 N CA00235424 B SFY2010-11
070001106 SHINRAI - CROYDON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2010-08-17 00:00:00 070007492 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-07-21 00:00:00 2010-07-21 00:00:00 No 2010-09-08 00:00:00 None B None 700 700 0 700 0 None E3BW11 N None None SFY2010-11
070000082 PLUM TREE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-08-25 00:00:00 070007515 Closed Citation Citation B (HSC 1424) Medication None 2010-05-24 00:00:00 2010-05-24 00:00:00 Yes 2010-09-16 00:00:00 2010-08-31 00:00:00 B B 650 422.5 0 422.5 0 None 6JPT11 N CA00235205 B SFY2010-11
070000082 PLUM TREE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-08-25 00:00:00 070007520 Closed Citation Citation B (HSC 1424) Medication None 2010-07-04 00:00:00 2010-07-04 00:00:00 Yes 2010-09-16 00:00:00 2010-08-31 00:00:00 B B 650 422.5 0 422.5 0 None 6JPT11 N CA00235205 B SFY2010-11
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2010-10-06 00:00:00 070007561 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2010-08-30 00:00:00 2010-08-30 00:00:00 No 2010-10-29 00:00:00 None WF None 550 550 0 550 0 None YGPU11 None CA00239503 B SFY2010-11
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-11-01 00:00:00 070007562 Closed Citation Citation B (HSC 1424) Medication None 2009-08-17 00:00:00 2009-08-17 00:00:00 No 2010-11-23 00:00:00 None B None 700 700 -245 455 0 None S2NN11 N CA00240862 B SFY2010-11
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2010-09-14 00:00:00 070007570 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-23 00:00:00 2008-05-23 00:00:00 Yes 2012-11-30 00:00:00 2012-11-15 00:00:00 A B 18500 16000 0 16000 0 None 3NYO11 N CA00228960 B SFY2010-11
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-10-01 00:00:00 070007590 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-11 00:00:00 2010-08-11 00:00:00 No 2010-10-22 00:00:00 None B None 700 700 -245 455 0 None IDBO11 N CA00240542, CA00241931 B, B SFY2010-11
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-09-21 00:00:00 070007591 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-08-28 00:00:00 2010-08-28 00:00:00 No 2010-10-12 00:00:00 None B None 650 650 -227.5 422.5 0 None 37H011 N CA00241236 B SFY2010-11
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2010-09-27 00:00:00 070007598 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-15 00:00:00 2010-09-15 00:00:00 No 2010-10-18 00:00:00 None B None 800 800 -280 520 0 None TOLD11 N CA00241146 B SFY2010-11
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-10-05 00:00:00 070007611 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-06 00:00:00 2010-07-06 00:00:00 No 2010-10-26 00:00:00 None B None 600 600 -210 390 0 None QL4511 N CA00241862 B SFY2010-11
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-10-11 00:00:00 070007613 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-29 00:00:00 2010-07-29 00:00:00 No 2010-11-01 00:00:00 None B None 800 800 -280 520 0 None O81S11 N CA00238961 B SFY2010-11
070000906 WREN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2010-10-01 00:00:00 070007614 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-19 00:00:00 2010-09-19 00:00:00 No 2010-10-22 00:00:00 None B None 600 600 0 600 0 None JILU11 N CA00242413 B SFY2010-11
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2010-10-27 00:00:00 070007677 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-12 00:00:00 2010-10-12 00:00:00 Yes 2010-11-18 00:00:00 2010-11-12 00:00:00 B None 800 800 0 800 0 None OBN711 N CA00245450 B SFY2010-11
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-11-10 00:00:00 070007681 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-26 00:00:00 2010-09-26 00:00:00 Yes 2010-12-06 00:00:00 2010-11-17 00:00:00 B B 700 1500 0 1500 0 None ELW911 N CA00244237 C SFY2010-11
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2010-11-16 00:00:00 070007682 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-12 00:00:00 2010-10-12 00:00:00 No 2010-12-09 00:00:00 None B None 700 700 -245 455 0 None 8MMQ11 N CA00245834 B SFY2010-11
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-11-02 00:00:00 070007684 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-13 00:00:00 2010-09-13 00:00:00 No 2010-11-24 00:00:00 None B None 900 900 -315 585 0 None 85PX11 N CA00244688 B SFY2010-11
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-11-03 00:00:00 070007685 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-07 00:00:00 2010-10-07 00:00:00 No 2010-11-29 00:00:00 None B None 950 950 -332.5 617.5 0 None OWYB11 N CA00245386, CA00245840 B, B SFY2010-11
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-10-28 00:00:00 070007686 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-06-19 00:00:00 2010-06-19 00:00:00 Yes 2010-11-19 00:00:00 2010-11-10 00:00:00 B B 700 490 0 490 0 None 4X3I11 N CA00243085 B SFY2010-11
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2010-11-19 00:00:00 070007704 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-23 00:00:00 2010-10-23 00:00:00 No 2010-12-14 00:00:00 None B None 700 2100 -735 1365 0 None H4JZ11 N CA00246988 B SFY2010-11
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-11-16 00:00:00 070007714 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-17 00:00:00 2010-09-17 00:00:00 No 2010-12-09 00:00:00 None B None 650 650 -227.5 422.5 0 None 0PGR11 N CA00247990 B SFY2010-11
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-12-02 00:00:00 070007743 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-17 00:00:00 2010-10-17 00:00:00 Yes 2010-12-23 00:00:00 2010-12-14 00:00:00 B B 850 700 0 700 0 None 9GRE11 N CA00248213 B SFY2010-11
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2010-12-08 00:00:00 070007754 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-26 00:00:00 2010-10-26 00:00:00 No 2010-12-29 00:00:00 None B None 800 800 -280 520 0 None WBW011 N CA00247380 B SFY2010-11
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-12-17 00:00:00 070007755 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-11-14 00:00:00 2010-11-14 00:00:00 Yes 2011-08-19 00:00:00 2011-08-02 00:00:00 AA A 80000 65000 0 65000 0 None 3TC411 Y CA00249178 B SFY2010-11
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-12-09 00:00:00 070007756 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-11-24 00:00:00 2010-11-24 00:00:00 No 2010-12-30 00:00:00 None B None 750 750 -262.5 487.5 0 None GSYT11 N CA00249916 B SFY2010-11
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-12-09 00:00:00 070007757 Closed Citation Citation B (HSC 1424) Medication None 2010-10-17 00:00:00 2010-10-17 00:00:00 Yes 2010-12-30 00:00:00 2014-04-29 00:00:00 B B 800 800 0 800 0 None VLHJ11 N CA00247428 B SFY2010-11
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-12-14 00:00:00 070007758 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-04 00:00:00 2010-11-04 00:00:00 No 2011-01-04 00:00:00 None B None 800 800 -280 520 0 None 2O0M11 N CA00248177 B SFY2010-11
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-12-09 00:00:00 070007765 Closed Citation Citation B (HSC 1424) Medication None 2010-10-17 00:00:00 2010-10-17 00:00:00 Yes 2010-12-30 00:00:00 2014-04-29 00:00:00 B Drop>Deficiency 850 0 0 0 0 None VLHJ11 N CA00247428 B SFY2010-11
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2011-01-04 00:00:00 070007792 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-19 00:00:00 2010-10-19 00:00:00 Yes 2011-01-26 00:00:00 2011-01-28 00:00:00 B B 850 552.5 0 552.5 0 None MS7R11 N CA00246518 B SFY2010-11
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2010-12-31 00:00:00 070007802 Closed Citation Citation A (HSC 1424) Patient Care None 2010-12-10 00:00:00 2010-12-10 00:00:00 No 2011-01-24 00:00:00 None A None 12000 12000 -4200 7800 0 None MNH411 N CA00252276 B SFY2010-11
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-12-30 00:00:00 070007804 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-12-18 00:00:00 2010-12-18 00:00:00 No 2011-01-21 00:00:00 None B None 600 600 -210 390 0 None X1CC11 N CA00252758, CA00253676 B, B SFY2010-11
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2011-01-18 00:00:00 070007830 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-19 00:00:00 2010-12-19 00:00:00 Yes 2011-02-08 00:00:00 2011-01-19 00:00:00 B B 700 455 0 455 0 None 360M11 N CA00252963 B SFY2010-11
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2011-01-21 00:00:00 070007831 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-16 00:00:00 2010-12-16 00:00:00 No 2011-02-11 00:00:00 None B None 600 600 -210 390 0 None 1DW211 N CA00252806 B SFY2010-11
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2011-01-20 00:00:00 070007855 Closed Citation Citation B (HSC 1424) Medication None 2010-12-25 00:00:00 2010-12-25 00:00:00 Yes 2011-02-10 00:00:00 2011-02-09 00:00:00 B B 600 740 -122.5 617.5 0 None NCEF11 N CA00253946 C SFY2010-11
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2011-01-24 00:00:00 070007861 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-01-04 00:00:00 2011-01-04 00:00:00 No 2011-02-14 00:00:00 None B None 650 650 -227.5 422.5 0 None CI3M11 N CA00254815 A SFY2010-11
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2011-02-08 00:00:00 070007892 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-01-24 00:00:00 2011-01-24 00:00:00 No 2011-03-02 00:00:00 None B None 850 850 0 850 0 None W9NL11 N CA00256588, CA00256876, CA00256890 B, B, B SFY2010-11
070000032 CANTERBURY WOODS LTC SNF Skilled Nursing Facility San Jose 2011-02-07 00:00:00 070007918 Closed Citation Citation B (HSC 1424) Administration None 2011-01-27 00:00:00 2011-01-27 00:00:00 No 2011-03-01 00:00:00 None B None 650 650 -227.5 422.5 0 None EG0J11 N CA00256464 B SFY2010-11
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2011-02-16 00:00:00 070007919 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-16 00:00:00 2011-01-16 00:00:00 Yes 2011-03-10 00:00:00 2011-02-22 00:00:00 B B 750 487.5 0 487.5 0 None EJUF11 N CA00255715, CA00257038 B, B SFY2010-11
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2011-02-09 00:00:00 070007922 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-12-20 00:00:00 2010-12-20 00:00:00 Yes 2011-03-03 00:00:00 2011-02-14 00:00:00 B Drop>Deficiency 550 550 0 550 0 None F6DO11 N CA00252919, CA00253313 B, B SFY2010-11
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2011-02-07 00:00:00 070007925 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-17 00:00:00 2011-01-17 00:00:00 No 2011-03-01 00:00:00 None B None 600 600 -210 390 0 None J3I311 N CA00255929 B SFY2010-11
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2011-02-25 00:00:00 070007937 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-28 00:00:00 2011-01-28 00:00:00 Yes 2011-03-18 00:00:00 2011-03-01 00:00:00 B B 900 900 0 900 0 None UUHG11 N CA00257390 B SFY2010-11
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2011-02-18 00:00:00 070007952 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-02-01 00:00:00 2011-02-01 00:00:00 No 2011-03-14 00:00:00 None B None 500 500 0 500 0 None YZRH11 N None None SFY2010-11
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2011-02-25 00:00:00 070007958 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-06 00:00:00 2011-01-06 00:00:00 No 2011-03-18 00:00:00 None B None 650 650 -227.5 422.5 0 None VFRK11 N CA00254966, CA00255497 B, B SFY2010-11
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2011-02-25 00:00:00 070007968 Closed Citation Citation B (HSC 1424) Dietary None 2011-02-06 00:00:00 2011-02-06 00:00:00 Yes 2011-03-18 00:00:00 2011-03-01 00:00:00 B None 750 750 0 750 0 None UUHG11 N None None SFY2010-11
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-03-25 00:00:00 070007990 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-28 00:00:00 2011-01-28 00:00:00 No 2011-04-18 00:00:00 None B None 800 800 -280 520 0 None S0ML11 N CA00257537, CA00259191 B, B SFY2010-11
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2011-03-22 00:00:00 070007991 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-02-24 00:00:00 2011-02-24 00:00:00 No 2011-04-13 00:00:00 None B None 1000 1000 -350 650 0 None PZKA11 N CA00259217, CA00259296 B, B SFY2010-11
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2011-03-03 00:00:00 070007992 Closed Citation Citation B (HSC 1424) Medication None 2011-02-04 00:00:00 2011-02-04 00:00:00 Yes 2011-03-24 00:00:00 2011-03-23 00:00:00 B None 650 650 0 650 0 None KCBT11 N CA00258144 B SFY2010-11
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-03-14 00:00:00 070008004 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-16 00:00:00 2011-02-16 00:00:00 Yes 2011-04-05 00:00:00 2011-03-24 00:00:00 B None 700 700 0 700 0 None TF5B11 N CA00259521 B SFY2010-11
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-03-29 00:00:00 070008056 Closed Citation Citation A (HSC 1424) Patient Care None 2011-02-19 00:00:00 2011-02-19 00:00:00 Yes 2012-11-30 00:00:00 2011-04-01 00:00:00 A A 10000 10000 0 10000 0 None HDD611 N CA00260067 B SFY2010-11
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2011-03-25 00:00:00 070008057 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-08 00:00:00 2011-02-08 00:00:00 No 2011-04-18 00:00:00 None B None 850 2550 -892.5 1657.5 0 None 9BOR11 N CA00259697 B SFY2010-11
070001106 SHINRAI - CROYDON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2011-03-25 00:00:00 070008059 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-05 00:00:00 2011-03-05 00:00:00 No 2011-04-18 00:00:00 None B None 700 700 0 700 0 None XNJE11 N CA00261247 B SFY2010-11
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-04-25 00:00:00 070008060 Closed Citation Citation A (HSC 1424) Patient Care None 2010-11-12 00:00:00 2010-11-12 00:00:00 No 2011-05-16 00:00:00 None A None 15000 15000 -5250 9750 0 None B21J11 N CA00262441 B SFY2010-11
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-05-09 00:00:00 070008139 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-20 00:00:00 2010-05-20 00:00:00 Yes 2011-05-31 00:00:00 2011-05-16 00:00:00 B Drop>Deficiency 500 0 0 0 0 None Z7QB11 N CA00263606 B SFY2010-11
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-04-21 00:00:00 070008140 Closed Citation Citation A (HSC 1424) Patient Care None 2011-02-07 00:00:00 2011-02-07 00:00:00 Yes 2011-05-12 00:00:00 2011-05-03 00:00:00 A A 16000 16000 0 16000 0 None IQUX11 N CA00261860, CA00261860 B, B SFY2010-11
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2011-05-05 00:00:00 070008141 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-30 00:00:00 2011-03-30 00:00:00 No 2011-05-26 00:00:00 None B None 600 600 -210 390 0 None 61LL11 N CA00264444 B SFY2010-11
630011211 IN GOOD HANDS HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2011-04-29 00:00:00 070008205 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-21 00:00:00 2011-04-21 00:00:00 No 2011-05-20 00:00:00 None B None 600 600 -210 390 0 None 1YDY11 N None None SFY2010-11
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2011-05-04 00:00:00 070008212 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-19 00:00:00 2011-03-19 00:00:00 Yes 2011-05-25 00:00:00 2011-05-12 00:00:00 B B 500 325 0 325 0 None ZUQN11 N CA00262994 B SFY2010-11
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2011-05-16 00:00:00 070008230 Closed Citation Citation AA (HSC 1424) Patient Care None 2011-05-03 00:00:00 2011-05-03 00:00:00 Yes 2012-03-29 00:00:00 2012-03-22 00:00:00 AA AA 80000 37500 0 37500 0 None 8J7H11 Y CA00267140, CA00267608 C, B SFY2010-11
070001333 LENA'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2011-05-16 00:00:00 070008231 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-04 00:00:00 2011-05-04 00:00:00 No 2011-06-07 00:00:00 None B None 600 600 -210 390 0 None 3GFV11 N None None SFY2010-11
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2011-05-12 00:00:00 070008235 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-03-29 00:00:00 2011-03-29 00:00:00 No 2011-06-03 00:00:00 None B None 800 800 -280 520 0 None P0OF11 N CA00265049, CA00265228, CA00265254, CA00265269, CA00266046 B, B, B, B, B SFY2010-11
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-07-13 00:00:00 070008239 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-05 00:00:00 2011-05-05 00:00:00 No 2011-08-03 00:00:00 None B None 650 650 -227.5 422.5 0 None E23B11 N CA00267621, CA00268317 B, B SFY2011-12
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2011-06-01 00:00:00 070008240 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-04-10 00:00:00 2011-04-10 00:00:00 Yes 2011-06-22 00:00:00 2011-06-07 00:00:00 B B 600 390 0 390 0 None L9E411 N CA00265556 B SFY2010-11
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-05-19 00:00:00 070008260 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-04-28 00:00:00 2011-04-28 00:00:00 No 2011-06-10 00:00:00 None B None 700 700 -245 455 0 None 6S2811 N CA00268147 B SFY2010-11
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2011-06-09 00:00:00 070008280 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-02 00:00:00 2011-05-02 00:00:00 No 2011-06-30 00:00:00 None B None 600 600 -210 390 0 None KEK111 N CA00269865 B SFY2010-11
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2011-06-21 00:00:00 070008286 Closed Citation Citation B (HSC 1424) Medication None 2011-05-27 00:00:00 2011-05-27 00:00:00 No 2011-07-13 00:00:00 None B None 750 750 -262.5 487.5 0 None F5PD11 N CA00266183 B SFY2010-11
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-06-16 00:00:00 070008312 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-28 00:00:00 2011-02-28 00:00:00 Yes 2011-07-08 00:00:00 2011-06-22 00:00:00 B B 750 562.5 0 562.5 0 None N8FQ11 N CA00269214 B SFY2010-11
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2011-07-13 00:00:00 070008349 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-07 00:00:00 2011-05-07 00:00:00 No 2011-08-03 00:00:00 None B None 600 600 -210 390 0 None IFRX11 N CA00274224 A SFY2011-12
630012069 SHINRAI-WHITE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2011-07-13 00:00:00 070008375 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-02 00:00:00 2011-07-02 00:00:00 No 2011-08-03 00:00:00 None B None 600 600 -210 390 0 None H5SE11 N CA00274825 A SFY2011-12
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2011-09-26 00:00:00 070008376 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-02 00:00:00 2011-06-02 00:00:00 Yes 2011-10-17 00:00:00 2011-09-28 00:00:00 B B 800 520 0 520 0 None 662H11 N CA00274774 B SFY2011-12
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-07-13 00:00:00 070008378 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach of IT system theft/loss of edevice/med rec None 2011-05-24 08:00:00 2011-05-24 08:00:00 No 2011-08-03 00:00:00 None FTR RES None 1300 1300 0 1300 0 None MNSF11 None CA00274998 B SFY2011-12
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-07-13 00:00:00 070008379 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2011-05-24 08:00:00 2011-05-24 08:00:00 No 2011-08-03 00:00:00 None FTR BR None 1300 1300 0 1300 0 None MNSF11 None CA00274998 B SFY2011-12
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-07-13 00:00:00 070008380 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach of IT system theft/loss of edevice/med rec None 2011-05-10 08:00:00 2011-05-10 08:00:00 No 2011-08-03 00:00:00 None FTR RES None 4200 4200 0 4200 0 None E23B11 None CA00267621, CA00268317 B, B SFY2011-12
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-07-18 00:00:00 070008391 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-06-25 00:00:00 2011-06-25 00:00:00 No 2011-08-08 00:00:00 None B None 500 500 -175 325 0 None Z06511 N CA00274339 B SFY2011-12
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2011-07-19 00:00:00 070008393 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-09 00:00:00 2011-07-09 00:00:00 No 2011-08-09 00:00:00 None B None 750 750 -262.5 487.5 0 None L1RY11 N CA00275625, CA00276067 B, B SFY2011-12
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2011-07-21 00:00:00 070008408 Closed Citation Citation B (HSC 1424) Medication None 2011-05-29 00:00:00 2011-05-29 00:00:00 Yes 2011-08-11 00:00:00 2011-07-28 00:00:00 B B 850 552.5 0 552.5 0 None QUCX11 N CA00274370 B SFY2011-12
070000019 AVE MARIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2011-08-01 00:00:00 070008429 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-09 00:00:00 2011-07-09 00:00:00 No 2011-08-22 00:00:00 None B None 650 650 -227.5 422.5 0 None DGD011 N CA00275785, CA00276060 B, B SFY2011-12
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-08-30 00:00:00 070008444 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-02 00:00:00 2011-08-02 00:00:00 Yes 2011-09-21 00:00:00 2011-09-20 00:00:00 B B 700 455 0 455 0 None YFEV11 N CA00277298 B SFY2011-12
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2011-09-09 00:00:00 070008476 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-31 00:00:00 2011-07-31 00:00:00 No 2011-10-03 00:00:00 None B None 600 600 -210 390 0 None VJDB11 N CA00277999, CA00278924 B, B SFY2011-12
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2011-08-16 00:00:00 070008477 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-22 00:00:00 2011-07-22 00:00:00 No 2011-09-06 00:00:00 None B None 650 650 -227.5 422.5 0 None NOV011 N CA00277164 B SFY2011-12
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2011-08-25 00:00:00 070008506 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-08-08 00:00:00 2011-08-08 00:00:00 Yes 2011-09-16 00:00:00 2011-09-08 00:00:00 B B Trebled 800 1560 0 1560 0 None 07Q411 N CA00278609, CA00279321 C, B SFY2011-12
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-09-02 00:00:00 070008516 Closed Citation Citation B (HSC 1424) Medication None 2010-12-25 00:00:00 2010-12-25 00:00:00 No 2011-09-26 00:00:00 None B None 1000 1000 -350 650 0 None XJXR11 N None None SFY2011-12
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2011-08-30 00:00:00 070008517 Closed Citation Citation B (HSC 1424) Medication None 2011-08-22 00:00:00 2011-08-22 00:00:00 Yes 2011-09-21 00:00:00 2011-09-13 00:00:00 B None 700 700 0 700 0 None M42511 N CA00279876 B SFY2011-12
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-09-02 00:00:00 070008529 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-08-16 00:00:00 2011-08-16 00:00:00 No 2011-09-26 00:00:00 None B None 500 500 -175 325 0 None XJXR11 N None None SFY2011-12
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-09-07 00:00:00 070008535 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-15 00:00:00 2011-07-15 00:00:00 No 2011-09-29 00:00:00 None B None 700 700 -245 455 0 None 13TI11 N CA00277266 B SFY2011-12
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2011-09-08 00:00:00 070008552 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-08-27 00:00:00 2011-08-27 00:00:00 No 2011-09-30 00:00:00 None B None 600 600 -210 390 0 None YVI511 N CA00281670 B SFY2011-12
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-09-09 00:00:00 070008555 Closed Citation Citation B (HSC 1424) Medication None 2011-07-29 00:00:00 2011-07-29 00:00:00 Yes 2014-06-06 00:00:00 2011-09-12 00:00:00 B Dismissed by Court 600 0 0 0 0 None TYZR11 N CA00280740 B SFY2011-12
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-10-06 00:00:00 070008575 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-01 00:00:00 2011-09-01 00:00:00 No 2011-10-27 00:00:00 None B None 600 600 -210 390 0 None DFVN11 N CA00282477 B SFY2011-12
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-09-29 00:00:00 070008576 Closed Citation Citation A (HSC 1424) Problem Transfer None 2011-08-26 00:00:00 2011-08-26 00:00:00 Yes 2012-11-19 00:00:00 2011-10-11 00:00:00 A A 16000 16000 0 16000 0 None BYS711 Y CA00282651, CA00282788, CA00283096 B, B, B SFY2011-12
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-10-10 00:00:00 070008582 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-14 00:00:00 2011-09-14 00:00:00 No 2011-10-31 00:00:00 None B None 200 200 0 200 0 None P83B11 N None None SFY2011-12
070000046 GREENHILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2011-10-12 00:00:00 070008637 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-22 00:00:00 2011-09-22 00:00:00 Yes 2014-10-09 00:00:00 2011-10-17 00:00:00 B B 800 800 0 800 0 None 5YYI11 N CA00285603 B SFY2011-12
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-10-21 00:00:00 070008653 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-26 00:00:00 2011-09-26 00:00:00 No 2011-11-14 00:00:00 None B None 600 600 -210 390 0 None 02P711 N CA00284469, CA00284521 B, B SFY2011-12
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2011-10-26 00:00:00 070008670 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-04 00:00:00 2011-10-04 00:00:00 No 2011-11-17 00:00:00 None B None 600 600 -210 390 0 None 97BE11 N CA00285875 B SFY2011-12
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2011-10-26 00:00:00 070008673 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-10 00:00:00 2011-10-10 00:00:00 No 2011-11-17 00:00:00 None B None 500 500 -175 325 0 None 97BE11 N CA00285773 B SFY2011-12
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-11-10 00:00:00 070008744 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-10-12 08:00:00 2011-10-12 08:00:00 No 2011-12-06 00:00:00 None FTR BR None 100 100 -25 75 0 None DUPZ11 None CA00287083 B SFY2011-12
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2011-11-10 00:00:00 070008745 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-10-12 08:00:00 2011-10-12 08:00:00 No 2011-12-06 00:00:00 None FTR RES None 1600 1600 -400 1200 0 None DUPZ11 None CA00287083 B SFY2011-12
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-12-09 00:00:00 070008781 Closed Citation Citation A (HSC 1424) Patient Care None 2011-11-18 00:00:00 2011-11-18 00:00:00 Yes 2012-01-03 00:00:00 2011-12-30 00:00:00 A A Trebled 20000 60000 0 60000 0 None V0W611 N CA00290353, CA00290648 B, B SFY2011-12
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2012-01-18 00:00:00 070008820 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-11-18 00:00:00 2011-11-18 00:00:00 No 2012-02-08 00:00:00 None B None 1000 1000 -350 650 0 None RE4E11 N CA00290592, CA00290640, CA00290740 B, B, B SFY2011-12
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2012-01-23 00:00:00 070008901 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-28 00:00:00 2011-11-28 00:00:00 Yes 2012-02-13 00:00:00 2012-02-01 00:00:00 B None 900 900 0 900 0 None 7F6O11 N CA00291160, CA00291857 B, B SFY2011-12
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2012-01-23 00:00:00 070008934 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-19 00:00:00 2011-02-19 00:00:00 No 2012-02-13 00:00:00 None B None 1000 1000 0 1000 0 None EWHR11 N CA00293862 B SFY2011-12
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2012-01-25 00:00:00 070008939 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-18 00:00:00 2012-01-18 00:00:00 Yes 2012-02-15 00:00:00 2012-02-07 00:00:00 B B 750 750 0 750 0 None PWOR11 N CA00295118, CA00295123 B, B SFY2011-12
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2012-01-30 00:00:00 070008956 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-07 00:00:00 2012-01-07 00:00:00 No 2012-02-21 00:00:00 None B None 750 750 -262.5 487.5 0 None RX1611 N CA00295380 B SFY2011-12
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2012-02-14 00:00:00 070008957 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-13 00:00:00 2012-01-13 00:00:00 No 2012-03-07 00:00:00 None B None 800 2400 -840 1560 0 None CFPM11 N CA00295034 B SFY2011-12
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2012-02-14 00:00:00 070008994 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-01-26 00:00:00 2012-01-26 00:00:00 Yes 2012-03-07 00:00:00 2012-02-29 00:00:00 B B 800 800 0 800 0 None XSNY11 N CA00297781 B SFY2011-12
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2012-02-15 00:00:00 070009012 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-01-18 00:00:00 2012-01-18 00:00:00 No 2012-03-08 00:00:00 None B None 700 700 -245 455 0 None 3QHW11 N CA00294615 B SFY2011-12
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2012-03-07 00:00:00 070009073 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-05 00:00:00 2009-11-05 00:00:00 Yes 2012-03-28 00:00:00 2012-03-22 00:00:00 B B 800 800 0 800 0 None 0F7711 N CA00196128, CA00196241 B, B SFY2011-12
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2012-06-04 00:00:00 070009349 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2012-06-25 00:00:00 None B None 1400 1900 0 1900 0 None VGCQ11 N CA00307810 B SFY2011-12
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2012-07-20 00:00:00 070009407 Closed Citation Citation B (HSC 1424) Patient Record None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2012-08-10 00:00:00 None B None 600 600 -210 390 0 None HYC811 N CA00315132 B SFY2012-13
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2012-07-20 00:00:00 070009408 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-07-06 00:00:00 2012-07-06 00:00:00 Yes 2012-08-10 00:00:00 2012-07-23 00:00:00 B None 1400 1400 0 1400 0 None 5DYX11 N CA00316923, CA00317456 B, B SFY2012-13
070000092 VALLEY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2012-10-17 00:00:00 070009541 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-09-21 00:00:00 2012-09-21 00:00:00 Yes 2012-11-07 00:00:00 2012-10-25 00:00:00 B B 1200 900 0 900 0 None Z7VK11 N CA00326693 B SFY2012-13
070001333 LENA'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2012-11-14 00:00:00 070009578 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-10-16 00:00:00 2012-10-16 00:00:00 No 2012-12-07 00:00:00 None B None 600 600 -210 390 0 None XFVT11 N CA00329956 B SFY2012-13
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2012-12-18 00:00:00 070009683 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2012-10-30 08:00:00 2012-10-30 08:00:00 No 2013-01-10 00:00:00 None FTR BR None 600 600 -150 450 0 None VFHW11 None CA00335214 C SFY2012-13
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2012-12-18 00:00:00 070009684 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-10-30 08:00:00 2012-10-30 08:00:00 No 2013-01-10 00:00:00 None FTR RES None 800 800 -200 600 0 None VFHW11 None CA00335214 C SFY2012-13
070000868 O'CONNOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Jose 2013-03-05 00:00:00 070009756 Closed Citation Citation AA (HSC 1424) Patient Care None 2012-12-26 00:00:00 2012-12-26 00:00:00 Yes 2013-03-26 00:00:00 2013-03-18 00:00:00 AA Dismissed by Court 65000 0 0 0 0 None I7KF11 Y CA00338028 B SFY2012-13
070001130 KCARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2013-05-02 00:00:00 070009874 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-01 08:00:00 2013-04-01 08:00:00 No 2013-05-23 00:00:00 None FTR BR None 200 200 0 200 0 None W6RL11 None CA00349465 C SFY2012-13
070001130 KCARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2013-05-02 00:00:00 070009877 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-02 08:00:00 2013-04-02 08:00:00 No 2013-05-23 00:00:00 None FTR RES None 600 600 0 600 0 None W6RL11 None CA00349465 C SFY2012-13
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2013-06-26 00:00:00 070009970 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-05-27 00:00:00 2013-05-27 00:00:00 Yes 2013-07-18 00:00:00 2013-07-05 00:00:00 B None 1600 1600 0 1600 0 None 0O0911 N CA00357585 B SFY2012-13
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2013-09-09 00:00:00 070010132 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-06-17 00:00:00 2013-06-17 00:00:00 No 2013-09-30 00:00:00 None FTR BR None 1300 1300 -325 975 0 None 0RTH11 None CA00359623 B SFY2013-14
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2013-09-09 00:00:00 070010137 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-06-17 00:00:00 2013-06-17 00:00:00 No 2013-09-30 00:00:00 None FTR RES None 6300 6300 -1575 4725 0 None 0RTH11 None CA00359623 B SFY2013-14
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2013-10-14 00:00:00 070010190 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-10-04 00:00:00 2013-10-04 00:00:00 No 2013-11-04 00:00:00 None B None 1300 1300 -455 845 0 None BCY511 N CA00371839, CA00371978 B, B SFY2013-14
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2013-11-15 00:00:00 070010263 Closed Citation Citation B (HSC 1424) Patient Care None 2013-11-04 00:00:00 2013-11-04 00:00:00 No 2013-12-10 00:00:00 None B None 800 800 0 800 0 None O1O611 N CA00375841 A SFY2013-14
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2013-12-04 00:00:00 070010287 Closed Citation Citation B (HSC 1424) Medication None 2013-11-18 00:00:00 2013-11-18 00:00:00 No 2013-12-26 00:00:00 None B None 1500 1500 -525 975 0 None 82LS11 N CA00377639 A SFY2013-14
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2014-04-30 00:00:00 070010621 Closed Citation Citation B (HSC 1424) Patient Care None 2014-03-18 00:00:00 2014-03-18 00:00:00 No 2014-05-21 00:00:00 None B None 1400 2250 -490 1760 0 None 6IDK11 N CA00391855 C SFY2013-14
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2014-05-12 00:00:00 070010708 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-16 00:00:00 2014-02-16 00:00:00 No 2014-06-03 00:00:00 None A None 15000 15000 -5250 9750 0 None L3C011 N CA00396608 B SFY2013-14
070001089 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI LTC SNF Skilled Nursing Facility San Jose 2014-05-13 00:00:00 070010713 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-28 00:00:00 2014-04-28 00:00:00 No 2014-06-04 00:00:00 None B None 1200 1200 -420 780 0 None Z92C11 N CA00397377 B SFY2013-14
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2014-05-28 00:00:00 070010740 Closed Citation Citation A (HSC 1424) Patient Care None 2014-04-02 00:00:00 2014-04-02 00:00:00 Yes 2014-06-18 00:00:00 2014-06-20 00:00:00 A A 12000 8950 -1150 7800 0 None SOTI11 N CA00394887, CA00394887, CA00394887 B, B, B SFY2013-14
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2014-08-28 00:00:00 070010942 Closed Citation Citation B (HSC 1424) Patient Care None 2014-08-01 00:00:00 2014-08-01 00:00:00 No 2014-09-19 00:00:00 None B None 1000 3000 0 3000 0 None J6DS11 N CA00408809 B SFY2014-15
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2014-09-04 00:00:00 070010981 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-08-20 00:00:00 2014-08-20 00:00:00 No 2014-09-25 00:00:00 None B None 1000 1000 -350 650 0 None SRLB11 N CA00410150 B SFY2014-15
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2014-09-10 00:00:00 070010985 Closed Citation Citation B (HSC 1424) Patient Care None 2014-08-21 00:00:00 2014-08-21 00:00:00 No 2014-10-01 00:00:00 None B None 1000 1000 -350 650 0 None KEB311 N CA00410603 B SFY2014-15
070000906 WREN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2014-09-11 00:00:00 070011001 Closed Citation Citation B (HSC 1424) Patient Care None 2014-08-05 00:00:00 2014-08-05 00:00:00 No 2014-10-02 00:00:00 None B None 1000 1000 -350 650 0 None ZMPE11 N CA00408497 B SFY2014-15
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2014-11-04 00:00:00 070011107 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-07-29 00:00:00 2014-07-29 00:00:00 No 2014-11-26 00:00:00 None FTR BR None 6900 6900 -1725 5175 0 None IKUE11 None CA00416785 C SFY2014-15
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2014-11-04 00:00:00 070011108 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-07-29 00:00:00 2014-07-29 00:00:00 No 2014-11-26 00:00:00 None FTR RES None 6900 6900 -1725 5175 0 None IKUE11 None CA00416785 C SFY2014-15
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2014-12-09 00:00:00 070011143 Closed Citation Citation B (HSC 1424) Patient Care None 2014-11-10 00:00:00 2014-11-10 00:00:00 No 2014-12-31 00:00:00 None B None 2000 2000 0 2000 0 None WM5L11 N CA00420521 B SFY2014-15
070000046 GREENHILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2015-01-16 00:00:00 070011214 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-12-08 00:00:00 2014-12-08 00:00:00 No 2015-02-09 00:00:00 None B None 1600 1600 0 1600 0 None 2TL111 N CA00425898 C SFY2014-15
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-03-24 00:00:00 070011333 Closed Citation Citation B (HSC 1424) Medication None 2015-02-22 00:00:00 2015-02-22 00:00:00 No 2015-04-15 00:00:00 None B None 1000 1000 0 1000 0 None 0USZ11 N CA00432626 B SFY2014-15
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-04-14 00:00:00 070011377 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-03-19 00:00:00 2015-03-19 00:00:00 No 2015-05-05 00:00:00 None B None 1000 1000 -350 650 0 None HN4Q11 N CA00436662, CA00436748 B, B SFY2014-15
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2015-04-17 00:00:00 070011383 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-19 00:00:00 2015-03-19 00:00:00 No 2015-05-08 00:00:00 None B None 900 900 0 900 0 None GFPY11 N CA00436670 B SFY2014-15
630012933 GATEWAY CENTER ICF1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2015-05-29 00:00:00 070011386 Closed Citation Citation A (HSC 1424) Patient Care None 2015-03-08 00:00:00 2015-03-08 00:00:00 No 2015-06-19 00:00:00 None A None 5000 5000 -1750 3250 0 None UV7W11 N CA00434338 B SFY2014-15
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2015-04-29 00:00:00 070011398 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-03-21 00:00:00 2015-03-21 00:00:00 Yes 2015-05-20 00:00:00 2015-04-30 00:00:00 B B 1000 1000 0 1000 0 None 6YIR11 N CA00435895 B SFY2014-15
630011211 IN GOOD HANDS HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2015-05-29 00:00:00 070011428 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-25 00:00:00 2015-02-25 00:00:00 No 2015-06-19 00:00:00 None A None 5000 5000 -1750 3250 0 None SQQ511 N CA00433065 B SFY2014-15
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2015-07-27 00:00:00 070011494 Closed Citation Citation A (HSC 1424) Patient Care None 2015-04-04 00:00:00 2015-04-04 00:00:00 No 2015-08-17 00:00:00 None A None 4000 4000 -1400 2600 0 None 7KN911 N CA00437631 B SFY2015-16
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2015-06-30 00:00:00 070011563 Closed Citation Citation B (HSC 1424) Patient Care None 2015-05-15 00:00:00 2015-05-15 00:00:00 Yes 2015-07-21 00:00:00 2015-07-07 00:00:00 B Drop>Deficiency 2000 1300 0 1300 0 None ALHJ11 N CA00443898 B SFY2014-15
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2015-07-01 00:00:00 070011582 Closed Citation Citation B (HSC 1424) Patient Care None 2015-06-13 00:00:00 2015-06-13 00:00:00 No 2015-07-22 00:00:00 None B None 1000 1000 -350 650 0 None 2MX111 N CA00446578 C SFY2015-16
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-07-24 00:00:00 070011591 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-06-07 00:00:00 2015-06-07 00:00:00 No 2015-08-14 00:00:00 None B None 2000 2000 0 2000 0 None BSD911 N CA00446175 B SFY2015-16
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-07-24 00:00:00 070011592 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-06-07 00:00:00 2015-06-07 00:00:00 No 2015-08-14 00:00:00 None B None 500 500 0 500 0 None BSD911 N CA00446175 B SFY2015-16
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2015-07-16 00:00:00 070011620 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-02-20 00:00:00 2015-02-20 00:00:00 Yes 2015-08-06 00:00:00 2015-07-17 00:00:00 B Drop>Deficiency 1000 1000 -550 450 0 None IRVY11 N CA00448716 B SFY2015-16
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2015-08-17 00:00:00 070011655 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-14 00:00:00 2015-05-14 00:00:00 No 2015-09-08 00:00:00 None B None 500 500 -175 325 0 None 009P11 N CA00453158 B SFY2015-16
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2015-09-01 00:00:00 070011667 Closed Citation Citation B (HSC 1424) Patient Care None 2015-06-24 00:00:00 2015-06-24 00:00:00 No 2015-09-23 00:00:00 None B None 1000 3000 -1050 1950 0 None 9EJW11 N CA00452255 B SFY2015-16
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2015-09-01 00:00:00 070011668 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-07 00:00:00 2015-08-07 00:00:00 No 2015-09-23 00:00:00 None B None 500 500 -175 325 0 None 9EJW11 N CA00454341 C SFY2015-16
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-09-04 00:00:00 070011679 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-07-03 00:00:00 2015-07-03 00:00:00 No 2015-09-28 00:00:00 None B None 1000 1000 -350 650 0 None N88T11 N CA00449689 B SFY2015-16
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-09-04 00:00:00 070011680 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-07-15 00:00:00 2015-07-15 00:00:00 No 2015-09-28 00:00:00 None B None 1000 1000 -350 650 0 None N88T11 N CA00453336 B SFY2015-16
070001060 SHINRAI-FLINTDALE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2015-11-25 00:00:00 070011682 Closed Citation Citation A (HSC 1424) Patient Care None 2015-07-20 00:00:00 2015-07-20 00:00:00 No 2015-12-18 00:00:00 None A None 5000 5000 -1750 3250 0 None 9OZZ11 N CA00451417 B SFY2015-16
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-09-04 00:00:00 070011698 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-07-14 00:00:00 2015-07-14 00:00:00 No 2015-09-28 00:00:00 None B None 2000 2000 -700 1300 0 None BCNQ11 N CA00451400 B SFY2015-16
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-10-05 00:00:00 070011728 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-07 00:00:00 2015-09-07 00:00:00 No 2015-10-26 00:00:00 None B None 1000 1000 0 1000 0 None JW3D11 N CA00457511, CA00458455 B, B SFY2015-16
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2015-09-18 00:00:00 070011730 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-07 00:00:00 2015-08-07 00:00:00 No 2015-10-09 00:00:00 None B None 2000 2000 -700 1300 0 None 9YP511 N CA00454093 B SFY2015-16
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2015-10-22 00:00:00 070011783 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-10-06 00:00:00 2015-10-06 00:00:00 Yes 2015-11-13 00:00:00 2015-10-23 00:00:00 B B 2000 1300 0 1300 0 None XL2I11 N CA00461443 B SFY2015-16
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2015-10-28 00:00:00 070011784 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-05 00:00:00 2015-10-05 00:00:00 No 2015-11-19 00:00:00 None B None 1000 1000 -350 650 0 None 24DI11 N CA00460956, CA00460961, CA00460976, CA00460978, CA00460981, CA00460983, CA00461162 A, A, A, B, A, A, A SFY2015-16
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2015-11-13 00:00:00 070011840 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-19 00:00:00 2015-10-19 00:00:00 No 2015-12-08 00:00:00 None B None 2000 2000 0 2000 0 None L4TC11 N CA00461238 B SFY2015-16
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2015-12-31 00:00:00 070011928 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-06 00:00:00 2015-11-06 00:00:00 No 2016-01-25 00:00:00 None B None 1000 3000 0 3000 0 None K1BR11 N CA00464833 B SFY2015-16
070000906 WREN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2015-12-29 00:00:00 070011930 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-11-09 00:00:00 2015-11-09 00:00:00 No 2016-01-21 00:00:00 None B None 1000 1000 -350 650 0 None YWEJ11 N CA00465267 B SFY2015-16
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-02-02 00:00:00 070012004 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-12-17 00:00:00 2015-12-17 00:00:00 No 2016-02-24 00:00:00 None B None 500 1500 -525 975 0 None R0U211 N CA00468770 B SFY2015-16
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-02-02 00:00:00 070012005 Closed Citation Citation B (HSC 1424) Medication None 2015-11-24 00:00:00 2015-11-24 00:00:00 No 2016-02-24 00:00:00 None B None 2000 2000 -700 1300 0 None R0U211 N CA00468770 B SFY2015-16
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-03-09 00:00:00 070012020 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-26 00:00:00 2016-01-26 00:00:00 No 2016-03-30 00:00:00 None B None 500 500 -175 325 0 None YXYL11 N None None SFY2015-16
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2016-02-23 00:00:00 070012037 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-21 00:00:00 2016-01-21 00:00:00 No 2016-03-15 00:00:00 None B None 1000 1000 0 1000 0 None T88511 N CA00473799 B SFY2015-16
070000042 WINDSOR THE RIDGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2016-03-16 00:00:00 070012119 Closed Citation Citation B (HSC 1424) Patient Care None 2015-12-28 00:00:00 2015-12-28 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None LC0M11 N CA00473782 B SFY2015-16
070000042 WINDSOR THE RIDGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2016-03-16 00:00:00 070012120 Closed Citation Citation B (HSC 1424) Patient Care None 2016-01-24 00:00:00 2016-01-24 00:00:00 No 2016-04-07 00:00:00 None B None 1000 1000 -350 650 0 None 10J811 N CA00473464 B SFY2015-16
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-03-15 00:00:00 070012121 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-03-02 00:00:00 2016-03-02 00:00:00 No 2016-04-06 00:00:00 None B None 1000 1000 -350 650 0 None 56PH11 N CA00478698 B SFY2015-16
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-03-25 00:00:00 070012145 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-03-05 00:00:00 2016-03-05 00:00:00 No 2016-04-18 00:00:00 None B None 500 500 0 500 0 None JT6911 N CA00479326 B SFY2015-16
630012069 SHINRAI-WHITE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-04-22 00:00:00 070012173 Closed Citation Citation B (HSC 1424) Patient Care None 2016-03-19 00:00:00 2016-03-19 00:00:00 No 2016-05-13 00:00:00 None B None 1000 1000 -350 650 0 None N72C11 N CA00480852 B SFY2015-16
070000012 LINCOLN GLEN SKILLED NURSING LTC SNF Skilled Nursing Facility San Jose 2016-04-14 00:00:00 070012174 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-03-04 00:00:00 2016-03-04 00:00:00 No 2016-05-05 00:00:00 None B None 2000 2000 0 2000 0 None Y7ND11 N None None SFY2015-16
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-04-20 00:00:00 070012195 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-04 00:00:00 2016-04-04 00:00:00 No 2016-05-11 00:00:00 None B None 1000 1000 0 1000 0 None SO8W11 N CA00483320 B SFY2015-16
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-04-22 00:00:00 070012196 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-03-05 00:00:00 2016-03-05 00:00:00 No 2016-05-13 00:00:00 None B None 1000 1000 -350 650 0 None VCKZ11 N CA00483615 B SFY2015-16
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-04-22 00:00:00 070012205 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-03-31 00:00:00 2016-03-31 00:00:00 No 2016-05-13 00:00:00 None B None 500 500 -175 325 0 None VCKZ11 N CA00483027 B SFY2015-16
630012069 SHINRAI-WHITE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-04-22 00:00:00 070012212 Closed Citation Citation B (HSC 1424) Patient Care None 2016-03-19 00:00:00 2016-03-19 00:00:00 No 2016-05-13 00:00:00 None B None 500 500 -175 325 0 None N72C11 N CA00480852 B SFY2015-16
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2016-05-27 00:00:00 070012250 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-04-02 00:00:00 2016-04-02 00:00:00 No 2016-06-20 00:00:00 None B None 2000 2000 0 2000 0 None YYH011 N CA00483902 A SFY2015-16
630012069 SHINRAI-WHITE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-05-16 00:00:00 070012251 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-18 00:00:00 2016-04-18 00:00:00 No 2016-06-07 00:00:00 None B None 2000 2000 -700 1300 0 None UWHB11 N None None SFY2015-16
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2016-06-15 00:00:00 070012252 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-26 00:00:00 2016-04-26 00:00:00 No 2016-07-07 00:00:00 None B None 1000 1000 -350 650 0 None 1V8D11 N CA00486865 B SFY2015-16
070000049 PACIFIC COAST MANOR LTC SNF Skilled Nursing Facility San Jose 2016-05-16 00:00:00 070012253 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-04-19 00:00:00 2016-04-19 00:00:00 Yes 2016-06-07 00:00:00 2016-05-26 00:00:00 B B 2000 1400 0 1400 0 None 1CCP11 N CA00486341 B SFY2015-16
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-05-16 00:00:00 070012255 Closed Citation Citation B (HSC 1424) Patient Care None 2016-04-26 00:00:00 2016-04-26 00:00:00 Yes 2016-06-07 00:00:00 2016-05-17 00:00:00 B B 1000 650 0 650 0 None S6EC11 N CA00485790 B SFY2015-16
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2016-05-17 00:00:00 070012257 Closed Citation Citation B (HSC 1424) Patient Care None 2016-04-29 00:00:00 2016-04-29 00:00:00 No 2016-06-08 00:00:00 None B None 500 500 -175 325 0 None 25EV11 N CA00486458 B SFY2015-16
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2016-06-30 00:00:00 070012318 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-22 00:00:00 2016-04-22 00:00:00 Yes 2016-07-22 00:00:00 2016-07-25 00:00:00 A A 5000 5000 0 5000 0 None R1Y211 N CA00485618 B SFY2015-16
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2016-06-28 00:00:00 070012345 Closed Citation Citation B (HSC 1424) Other UNUSUAL OCCURENCES 2016-06-11 00:00:00 2016-06-11 00:00:00 No 2016-07-20 00:00:00 None B None 1000 1000 -350 650 0 None D5PL11 N CA00491930 B SFY2015-16
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-07-21 00:00:00 070012376 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-19 00:00:00 2016-05-19 00:00:00 Yes 2016-08-11 00:00:00 2016-08-01 00:00:00 A A 10000 6500 0 6500 0 None ZKGM11 N CA00489559 B SFY2016-17
070001398 ROUNDTREE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-07-11 00:00:00 070012377 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-15 00:00:00 2016-06-15 00:00:00 No 2016-08-01 00:00:00 None B None 2000 2000 -700 1300 0 None DIV911 N CA00492183 B SFY2016-17
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2016-06-30 00:00:00 070012378 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-05-11 00:00:00 2016-05-11 00:00:00 No 2016-07-22 00:00:00 None B None 1000 1000 -350 650 0 None QLEL11 N CA00488395 C SFY2015-16
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-07-14 00:00:00 070012390 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-19 00:00:00 2016-06-19 00:00:00 No 2016-08-04 00:00:00 None B None 1000 1000 -350 650 0 None PXZB11 N CA00492690 B SFY2016-17
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-07-14 00:00:00 070012391 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-06-19 00:00:00 2016-06-19 00:00:00 No 2016-08-04 00:00:00 None B None 1000 1000 -350 650 0 None PXZB11 N CA00492690 B SFY2016-17
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2016-07-25 00:00:00 070012420 Closed Citation Citation B (HSC 1424) Other improper discharge 2016-06-18 00:00:00 2016-06-18 00:00:00 No 2016-08-15 00:00:00 None B None 2000 2000 0 2000 0 None 223Z11 N CA00492923 B SFY2016-17
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2016-07-25 00:00:00 070012421 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-18 00:00:00 2016-06-18 00:00:00 No 2016-08-15 00:00:00 None B None 2000 2000 0 2000 0 None 223Z11 N CA00492457 B SFY2016-17
070000026 STONEBROOK HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility San Jose 2016-07-26 00:00:00 070012422 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-18 00:00:00 2016-06-18 00:00:00 No 2016-08-16 00:00:00 None B None 2000 2000 -700 1300 0 None B7WZ11 N CA00492464 B SFY2016-17
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-07-20 00:00:00 070012423 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-11 00:00:00 2016-07-11 00:00:00 No 2016-08-10 00:00:00 None B None 1000 1000 0 1000 0 None QSJS11 N CA00494202 B SFY2016-17
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-07-26 00:00:00 070012424 Closed Citation Citation B (HSC 1424) Other Improper Discharge 2016-05-20 00:00:00 2016-05-20 00:00:00 No 2016-08-16 00:00:00 None B None 1000 1000 0 1000 0 None O7Q811 N CA00489686 B SFY2016-17
070000789 TUPAZ HOME #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-08-08 00:00:00 070012447 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-09 00:00:00 2016-07-09 00:00:00 No 2016-08-29 00:00:00 None B None 1000 1000 0 1000 0 None Q9LE11 N CA00494820 B SFY2016-17
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2016-08-12 00:00:00 070012469 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-24 00:00:00 2016-06-24 00:00:00 No 2016-09-02 00:00:00 None B None 1000 1000 0 1000 0 None N6Y911 N CA00493866 B SFY2016-17
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-09-22 00:00:00 070012470 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-04 00:00:00 2016-07-04 00:00:00 No 2016-10-13 00:00:00 None A None 10000 10000 -3500 6500 0 None FY1H11 N CA00494427 B SFY2016-17
070000053 GOLDEN AGE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2016-08-11 00:00:00 070012497 Closed Citation Citation B (HSC 1424) Patient Care None 2016-02-23 00:00:00 2016-02-23 00:00:00 No 2016-09-01 00:00:00 None B None 2000 2000 -1300 700 0 None STY411 N None None SFY2016-17
070001089 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI LTC SNF Skilled Nursing Facility San Jose 2016-08-16 00:00:00 070012510 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-16 00:00:00 2016-07-16 00:00:00 No 2016-09-07 00:00:00 None B None 1000 1000 0 1000 0 None IKET11 N CA00496667 B SFY2016-17
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-08-31 00:00:00 070012531 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-07 00:00:00 2016-07-07 00:00:00 No 2016-09-22 00:00:00 None B None 2000 2000 -700 1300 0 None RF3B11 N None None SFY2016-17
070001333 LENA'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-09-12 00:00:00 070012563 Closed Citation Citation B (HSC 1424) Patient Care None 2016-08-12 00:00:00 2016-08-12 00:00:00 No 2016-10-03 00:00:00 None B None 2000 2000 0 2000 0 None F6JG11 N CA00499776, CA00499777 B, B SFY2016-17
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2016-09-15 00:00:00 070012574 Closed Citation Citation B (HSC 1424) Patient Care None 2016-08-15 00:00:00 2016-08-15 00:00:00 No 2016-10-06 00:00:00 None B None 2000 6000 -2100 3900 0 None LTLC11 N CA00499290 B SFY2016-17
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2016-10-10 00:00:00 070012625 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-21 00:00:00 2016-08-21 00:00:00 Yes 2016-10-31 00:00:00 2016-10-19 00:00:00 B None 2000 2000 -2000 0 0 None MK0Y11 N None None SFY2016-17
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2016-10-10 00:00:00 070012626 Closed Citation Citation B (HSC 1424) Medication None 2016-09-20 00:00:00 2016-09-20 00:00:00 Yes 2016-10-31 00:00:00 2016-10-19 00:00:00 B B 2000 1000 0 1000 0 None MK0Y11 N None None SFY2016-17
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2016-10-10 00:00:00 070012627 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-09-20 00:00:00 2016-09-20 00:00:00 Yes 2016-10-31 00:00:00 2016-10-19 00:00:00 B B 2000 500 0 500 0 None MK0Y11 N None None SFY2016-17
070001404 TUPAZ HOME #11 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-10-17 00:00:00 070012640 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-21 00:00:00 2016-09-21 00:00:00 No 2016-11-07 00:00:00 None B None 1000 1000 0 1000 0 None 9OZQ11 N CA00505112 B SFY2016-17
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-10-14 00:00:00 070012641 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-20 00:00:00 2015-11-20 00:00:00 No 2016-11-04 00:00:00 None B None 2000 2000 -700 1300 0 None 54CZ11 N None None SFY2016-17
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-10-31 00:00:00 070012668 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-10-07 00:00:00 2016-10-07 00:00:00 No 2016-11-22 00:00:00 None B None 500 1500 -525 975 0 None 8E0411 N CA00506175 B SFY2016-17
070000906 WREN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-11-04 00:00:00 070012691 Closed Citation Citation B (HSC 1424) Patient Care None 2016-08-21 00:00:00 2016-08-21 00:00:00 No 2016-11-30 00:00:00 None B None 1000 1000 -350 650 0 None Z5KK11 N CA00500750 B SFY2016-17
070000998 TUPAZ HOME #7 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2016-10-31 00:00:00 070012692 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-16 00:00:00 2016-08-16 00:00:00 No 2016-11-22 00:00:00 None B None 1000 1000 0 1000 0 None 88YU11 N CA00503132, CA00503132 B, B SFY2016-17
070000012 LINCOLN GLEN SKILLED NURSING LTC SNF Skilled Nursing Facility San Jose 2016-11-10 00:00:00 070012724 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-02 00:00:00 2016-10-02 00:00:00 Yes 2016-12-06 00:00:00 2016-11-28 00:00:00 B B 2000 1400 0 1400 0 None MA0411 N CA00505406 B SFY2016-17
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-11-28 00:00:00 070012741 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-15 00:00:00 2016-10-15 00:00:00 No 2016-12-19 00:00:00 None A None 10000 10000 -3500 6500 0 None 4MSP11 N CA00507572 B SFY2016-17
070000026 STONEBROOK HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility San Jose 2016-11-23 00:00:00 070012751 Closed Citation Citation B (HSC 1424) Medication None 2016-11-08 00:00:00 2016-11-08 00:00:00 No 2016-12-16 00:00:00 None B None 1000 1000 -350 650 0 None GB3R11 N None None SFY2016-17
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-11-22 00:00:00 070012773 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-25 00:00:00 2016-09-25 00:00:00 No 2016-12-15 00:00:00 None B None 1000 3000 0 3000 0 None CG1611 N CA00504765, CA00506586 B, B SFY2016-17
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-11-28 00:00:00 070012775 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-24 00:00:00 2016-10-24 00:00:00 No 2016-12-19 00:00:00 None B None 2000 2000 0 2000 0 None LEIH11 N CA00508680 B SFY2016-17
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-11-28 00:00:00 070012776 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-10-24 00:00:00 2016-10-24 00:00:00 No 2016-12-19 00:00:00 None B None 1000 1000 0 1000 0 None LEIH11 N CA00508680 B SFY2016-17
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-12-05 00:00:00 070012788 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-12 00:00:00 2016-10-12 00:00:00 No 2016-12-27 00:00:00 None B None 1000 1000 -350 650 0 None W80L11 N CA00506646 B SFY2016-17
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2016-12-29 00:00:00 070012789 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-09 00:00:00 2016-11-09 00:00:00 Yes 2017-01-23 00:00:00 2017-01-23 00:00:00 A A 20000 11000 0 11000 0 None MW1C11 N CA00510770 B SFY2016-17
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2016-12-09 00:00:00 070012804 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-18 00:00:00 2016-11-18 00:00:00 Yes 2017-01-03 00:00:00 2016-12-28 00:00:00 B B 1500 500 0 500 0 None U3PO11 N CA00510003 C SFY2016-17
070000062 WESTLAND HOUSE LTC SNF Skilled Nursing Facility San Jose 2016-12-13 00:00:00 070012805 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-11 00:00:00 2016-11-11 00:00:00 No 2017-01-05 00:00:00 None B None 2000 2000 -700 1300 0 None 96M511 N CA00512203 B SFY2016-17
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-12-12 00:00:00 070012806 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-20 00:00:00 2016-09-20 00:00:00 No 2017-01-04 00:00:00 None B None 2000 2000 0 2000 0 None 1UV411 N CA00509539 B SFY2016-17
070001089 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI LTC SNF Skilled Nursing Facility San Jose 2016-12-09 00:00:00 070012807 Closed Citation Citation B (HSC 1424) Medication None 2016-09-07 00:00:00 2016-09-07 00:00:00 No 2017-01-03 00:00:00 None B None 2000 2000 -700 1300 0 None ZJYN11 N CA00512044 B SFY2016-17
070000059 MORGAN HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-12-20 00:00:00 070012823 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-20 00:00:00 2016-07-20 00:00:00 No 2017-01-12 00:00:00 None B None 1000 1000 -350 650 0 None KM4811 N None None SFY2016-17
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-12-22 00:00:00 070012840 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-30 00:00:00 2016-11-30 00:00:00 No 2017-01-17 00:00:00 None B None 500 1500 0 1500 0 None C7VK11 N CA00512838 B SFY2016-17
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2016-12-29 00:00:00 070012848 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-12-05 00:00:00 2016-12-05 00:00:00 Yes 2017-01-23 00:00:00 2017-01-23 00:00:00 B B 1000 850 0 850 0 None JDTL11 N CA00513177 B SFY2016-17
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-01-06 00:00:00 070012866 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-17 00:00:00 2016-11-17 00:00:00 No 2017-01-30 00:00:00 None B None 1000 3000 -1050 1950 0 None CHZI11 N CA00511304 B SFY2016-17
070000568 TUPAZ HOME #10 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2017-01-30 00:00:00 070012880 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-09 00:00:00 2017-01-09 00:00:00 No 2017-02-21 00:00:00 None B None 1000 1000 0 1000 0 None NCIY11 N None None SFY2016-17
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2017-02-03 00:00:00 070012938 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-25 00:00:00 2016-10-25 00:00:00 No 2017-02-27 00:00:00 None B None 2000 2000 0 2000 0 None MEE911 N None None SFY2016-17
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2017-02-03 00:00:00 070012939 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-09 00:00:00 2017-01-09 00:00:00 No 2017-02-27 00:00:00 None B None 2000 2000 0 2000 0 None MEE911 N None None SFY2016-17
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2017-02-07 00:00:00 070012940 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-18 00:00:00 2016-12-18 00:00:00 No 2017-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None W6NN11 N CA00515100, CA00515170, CA00515993, CA00516435 B, B, B, B SFY2016-17
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-02-08 00:00:00 070012958 Closed Citation Citation B (HSC 1424) Other Readmission 2017-01-09 00:00:00 2017-01-09 00:00:00 Yes 2017-03-02 00:00:00 2017-02-13 00:00:00 B B 2000 1300 0 1300 0 None UKNF11 N CA00517443, CA00520482 B, B SFY2016-17
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2017-02-16 00:00:00 070012966 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-06 00:00:00 2016-12-06 00:00:00 No 2017-03-10 00:00:00 None B None 2000 2000 0 2000 0 None GSK211 N CA00520736 B SFY2016-17
070000002 WOODLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-03-09 00:00:00 070013026 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-13 00:00:00 2017-02-13 00:00:00 No 2017-03-30 00:00:00 None B None 2000 2000 -700 1300 0 None 3CXQ11 N CA00522501 B SFY2016-17
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2017-04-05 00:00:00 070013053 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-04 00:00:00 2017-02-04 00:00:00 Yes 2017-04-26 00:00:00 2017-04-13 00:00:00 B None 2000 2000 0 2000 0 None WGO111 N CA00522080 B SFY2016-17
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-03-16 00:00:00 070013054 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-22 00:00:00 2016-11-22 00:00:00 No 2017-04-07 00:00:00 None B None 2000 2000 0 2000 0 None OQB711 N None None SFY2016-17
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2017-03-21 00:00:00 070013055 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-02-27 00:00:00 2017-02-27 00:00:00 No 2017-04-12 00:00:00 None B None 2000 2000 -700 1300 0 None N3JW11 N CA00524249 B SFY2016-17
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2017-04-03 00:00:00 070013069 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-07 00:00:00 2017-03-07 00:00:00 No 2017-04-24 00:00:00 None B None 2000 2000 -700 1300 0 None FBQS11 N CA00525782 B SFY2016-17
070000012 LINCOLN GLEN SKILLED NURSING LTC SNF Skilled Nursing Facility San Jose 2017-03-29 00:00:00 070013089 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-27 00:00:00 2017-02-27 00:00:00 No 2017-04-20 00:00:00 None B None 2000 6000 0 6000 0 None 9L0E11 N CA00524348 B SFY2016-17
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2017-04-26 00:00:00 070013097 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-24 00:00:00 2017-02-24 00:00:00 No 2017-05-17 00:00:00 None B None 2000 6000 0 6000 0 None SCVX11 N CA00527047 B SFY2016-17
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-04-11 00:00:00 070013101 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-24 00:00:00 2017-03-24 00:00:00 No 2017-05-02 00:00:00 None B None 1000 1000 -350 650 0 None RRC911 N None None SFY2016-17
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2017-04-12 00:00:00 070013106 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-24 00:00:00 2017-03-24 00:00:00 No 2017-05-03 00:00:00 None B None 1000 3000 0 3000 0 None 6PX411 N CA00528225 B SFY2016-17
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-04-11 00:00:00 070013115 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-17 00:00:00 2017-02-17 00:00:00 No 2017-05-02 00:00:00 None B None 2000 2000 0 2000 0 None EPM011 N CA00524747 B SFY2016-17
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-04-13 00:00:00 070013116 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-03-20 00:00:00 2017-03-20 00:00:00 No 2017-05-04 00:00:00 None B None 2000 2000 -700 1300 0 None Z8O811 N CA00527611 B SFY2016-17
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-04-19 00:00:00 070013135 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-04-02 00:00:00 2017-04-02 00:00:00 No 2017-05-10 00:00:00 None B None 2000 2000 -700 1300 0 None MWR711 N None None SFY2016-17
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-05-03 00:00:00 070013159 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-04-12 00:00:00 2017-04-12 00:00:00 No 2017-05-24 00:00:00 None B None 2000 6000 -2100 3900 0 None IRIO11 N CA00531875, CA00531880 B, B SFY2016-17
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-05-31 00:00:00 070013208 Closed Citation Citation B (HSC 1424) Patient Care None 2017-04-29 00:00:00 2017-04-29 00:00:00 No 2017-06-21 00:00:00 None B None 2000 2000 -700 1300 0 None 2F7911 N None None SFY2016-17
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-06-14 00:00:00 070013229 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-03-18 00:00:00 2017-03-18 00:00:00 No 2017-07-06 00:00:00 None AA None 100000 100000 -35000 65000 0 None WON711 Y CA00527071 A SFY2016-17
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-05-31 00:00:00 070013236 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-24 00:00:00 2017-05-24 00:00:00 No 2017-06-21 00:00:00 None B None 2000 2000 -700 1300 0 None 2F7911 N None None SFY2016-17
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-06-01 00:00:00 070013241 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-04-24 00:00:00 2017-04-24 00:00:00 No 2017-06-22 00:00:00 None B None 2000 2000 0 2000 0 None N35911 N CA00533881 B SFY2016-17
070000998 TUPAZ HOME #7 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2017-06-02 00:00:00 070013248 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-18 00:00:00 2017-02-18 00:00:00 No 2017-06-23 00:00:00 None B None 1000 1000 0 1000 0 None OL3D11 N CA00525982 B SFY2016-17
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-06-16 00:00:00 070013287 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-14 00:00:00 2017-05-14 00:00:00 No 2017-07-10 00:00:00 None B None 2000 2000 -700 1300 0 None 8OI611 N CA00535491 B SFY2016-17
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2017-06-15 00:00:00 070013288 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-18 00:00:00 2017-05-18 00:00:00 No 2017-07-07 00:00:00 None B None 1000 1000 -350 650 0 None 9LDD11 N CA00536717 B SFY2016-17
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-06-14 00:00:00 070013289 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-02 00:00:00 2017-06-02 00:00:00 Yes 2017-07-06 00:00:00 2017-07-05 00:00:00 B B 2000 1400 0 1400 0 None ETMB11 N None None SFY2016-17
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2017-07-06 00:00:00 070013321 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-19 00:00:00 2017-06-19 00:00:00 No 2017-07-27 00:00:00 None B None 2000 6000 -2100 3900 0 None 3JNY11 N CA00540040 B SFY2017-18
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-07-11 00:00:00 070013325 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-08 00:00:00 2017-06-08 00:00:00 No 2017-08-01 00:00:00 None B None 2000 2000 -700 1300 0 None 4GG811 N CA00538807 B SFY2017-18
220001046 PALO ALTO SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2017-07-14 00:00:00 070013341 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-06-19 00:00:00 2017-06-19 00:00:00 No 2017-08-04 00:00:00 None B None 2000 2000 -700 1300 0 None T04O11 N CA00540816, CA00540974 B, B SFY2017-18
220001046 PALO ALTO SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2017-07-14 00:00:00 070013342 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-19 00:00:00 2017-06-19 00:00:00 No 2017-08-04 00:00:00 None B None 2000 2000 -700 1300 0 None T04O11 N CA00540816, CA00540974 B, B SFY2017-18
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2017-07-17 00:00:00 070013344 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-07 00:00:00 2017-07-07 00:00:00 No 2017-08-07 00:00:00 None B None 2000 2000 -700 1300 0 None AAGU11 N None None SFY2017-18
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2017-07-17 00:00:00 070013345 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-18 00:00:00 2017-06-18 00:00:00 No 2017-08-07 00:00:00 None B None 2000 2000 -2000 0 0 None FR2W11 N CA00540455 B SFY2017-18
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-07-18 00:00:00 070013346 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-14 00:00:00 2017-06-14 00:00:00 No 2017-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None KQXF11 N CA00540779 B SFY2017-18
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2017-07-19 00:00:00 070013355 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-16 00:00:00 2017-06-16 00:00:00 No 2017-08-09 00:00:00 None B None 2000 2000 -700 1300 0 None 189611 N CA00540279 B SFY2017-18
070000476 TUPAZ HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2017-08-02 00:00:00 070013397 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-13 00:00:00 2017-07-13 00:00:00 No 2017-08-23 00:00:00 None B None 1000 1000 -350 650 0 None ISRL11 Y CA00543891 B SFY2017-18
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2017-07-27 00:00:00 070013398 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-07-06 00:00:00 2017-07-06 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 -700 1300 0 None RSSD11 N CA00543254 B SFY2017-18
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-08-07 00:00:00 070013408 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-26 00:00:00 2017-07-26 00:00:00 No 2017-08-28 00:00:00 None B None 2000 2000 -700 1300 0 None 20P111 N CA00544851 B SFY2017-18
070001028 SHINRAI - CAMINO VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2017-08-18 00:00:00 070013420 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-02 00:00:00 2017-08-02 00:00:00 No 2017-09-11 00:00:00 None B None 1000 1000 -350 650 0 None OPY411 N CA00546605 B SFY2017-18
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-08-09 00:00:00 070013421 Closed Citation Citation B (HSC 1424) Other UNUSUAL OCCURRENCES 2017-07-23 00:00:00 2017-07-23 00:00:00 No 2017-08-30 00:00:00 None B None 1000 1000 -350 650 0 None UZ4Q11 N CA00546169 B SFY2017-18
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-08-10 00:00:00 070013422 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-17 00:00:00 2017-01-17 00:00:00 No 2017-08-31 00:00:00 None B None 2000 2000 -700 1300 0 None VRDN11 N None None SFY2017-18
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-08-10 00:00:00 070013423 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-22 00:00:00 2017-07-22 00:00:00 No 2017-08-31 00:00:00 None B None 2000 2000 -700 1300 0 None PX9011 N CA00545367, CA00546115 B, B SFY2017-18
070000032 CANTERBURY WOODS LTC SNF Skilled Nursing Facility San Jose 2017-08-15 00:00:00 070013425 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-11 00:00:00 2017-07-11 00:00:00 No 2017-09-06 00:00:00 None A None 20000 20000 -7000 13000 0 None F5T611 N CA00543879, CA00544575 B, B SFY2017-18
220001063 WEBSTER HOUSE LTC SNF Skilled Nursing Facility San Jose 2017-08-18 00:00:00 070013428 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-05 00:00:00 2017-08-05 00:00:00 No 2017-09-11 00:00:00 None B None 2000 2000 -700 1300 0 None D2IK11 N CA00547513 B SFY2017-18
070001060 SHINRAI-FLINTDALE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2017-09-07 00:00:00 070013463 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-06-27 00:00:00 2017-06-27 00:00:00 No 2017-09-28 00:00:00 None B None 1000 1000 -350 650 0 None Y04F11 N CA00548128 B SFY2017-18
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2017-08-30 00:00:00 070013465 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-21 00:00:00 2017-05-21 00:00:00 No 2017-09-21 00:00:00 None B None 2000 2000 -700 1300 0 None VL6R11 N None None SFY2017-18
220001020 IDYLWOOD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-09-13 00:00:00 070013494 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-02 00:00:00 2017-08-02 00:00:00 Yes 2017-10-04 00:00:00 2017-09-19 00:00:00 B B 2000 1600 0 1600 0 None YPHU11 N CA00549356 B SFY2017-18
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-10-04 00:00:00 070013502 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-05-02 00:00:00 2017-05-02 00:00:00 No 2017-10-25 00:00:00 None B None 2000 6000 -2100 3900 0 None DM8E11 N CA00552576 B SFY2017-18
070000042 WINDSOR THE RIDGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2017-09-21 00:00:00 070013503 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-04 00:00:00 2017-09-04 00:00:00 No 2017-10-12 00:00:00 None B None 2000 2000 -700 1300 0 None DT0W11 N CA00551471 B SFY2017-18
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-10-30 00:00:00 070013583 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-10 00:00:00 2017-10-10 00:00:00 No 2017-11-21 00:00:00 None B None 2000 2000 0 2000 0 None XY4011 N CA00556967 B SFY2017-18
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2017-11-03 00:00:00 070013584 Closed Citation Citation B (HSC 1424) Medication None 2017-10-07 00:00:00 2017-10-07 00:00:00 No 2017-11-29 00:00:00 None B None 2000 2000 -700 1300 0 None M1VF11 N CA00556869 B SFY2017-18
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2017-11-08 00:00:00 070013585 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-07-18 00:00:00 2017-07-18 00:00:00 No 2017-12-04 00:00:00 None B None 2000 2000 -700 1300 0 None 6PIZ11 N CA00556744, CA00556753 B, B SFY2017-18
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2017-11-15 00:00:00 070013594 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-09 00:00:00 2017-10-09 00:00:00 No 2017-12-08 00:00:00 None B None 2000 2000 -700 1300 0 None 2B8S11 N CA00557047 B SFY2017-18
630010977 CIRCLE OF CARE ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2017-11-27 00:00:00 070013622 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-07-24 00:00:00 2017-07-24 00:00:00 No 2017-12-18 00:00:00 None B None 1000 1000 -350 650 0 None DJ2N11 N None None SFY2017-18
070000009 VISTA MANOR NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2017-12-05 00:00:00 070013654 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-16 00:00:00 2017-03-16 00:00:00 Yes 2017-12-27 00:00:00 2017-12-26 00:00:00 B B 2000 1800 0 1800 0 None 2R4D11 N None None SFY2017-18
220001063 WEBSTER HOUSE LTC SNF Skilled Nursing Facility San Jose 2017-12-06 00:00:00 070013668 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-11-02 00:00:00 2017-11-02 00:00:00 No 2017-12-28 00:00:00 None B None 2000 2000 -700 1300 0 None 3SIP11 N CA00561661 B SFY2017-18
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2017-12-11 00:00:00 070013681 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-26 00:00:00 2017-10-26 00:00:00 No 2018-01-02 00:00:00 None B None 2000 2000 -700 1300 0 None E7PC11 N CA00558628 B SFY2017-18
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-01-23 00:00:00 070013698 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-09 00:00:00 2017-12-09 00:00:00 No 2018-02-13 00:00:00 None B None 2000 2000 -700 1300 0 None PMQD11 N CA00564393 B SFY2017-18
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2018-01-02 00:00:00 070013699 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-26 00:00:00 2017-11-26 00:00:00 No 2018-01-23 00:00:00 None B None 2000 2000 -700 1300 0 None BM6011 N CA00562363 B SFY2017-18
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2018-01-11 00:00:00 070013707 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-11-28 00:00:00 2017-11-28 00:00:00 No 2018-02-01 00:00:00 None B None 1000 1000 -350 650 0 None M5XC11 N CA00562723 B SFY2017-18
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2018-01-12 00:00:00 070013723 Closed Citation Citation B (HSC 1424) Other FAILURE TO REPORT 2017-12-29 00:00:00 2017-12-29 00:00:00 Yes 2018-02-02 00:00:00 2018-01-17 00:00:00 B B 2000 1400 0 1400 0 None IDP711 N CA00567327 B SFY2017-18
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-01-22 00:00:00 070013749 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-11 00:00:00 2018-01-11 00:00:00 No 2018-02-12 00:00:00 None B None 2000 2000 -700 1300 0 None QQ1T11 N CA00568936 B SFY2017-18
070001309 TUPAZ HOME #8 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2018-01-26 00:00:00 070013751 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-19 00:00:00 2017-12-19 00:00:00 No 2018-02-16 00:00:00 None B None 1000 1000 0 1000 0 None 7FHP11 N CA00565820, CA00565947, CA00566443, CA00567267 B, B, B, B SFY2017-18
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-01-24 00:00:00 070013762 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-27 00:00:00 2017-12-27 00:00:00 No 2018-02-14 00:00:00 None B None 2000 6000 -2100 3900 0 None 846T11 N CA00566718 B SFY2017-18
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-01-29 00:00:00 070013763 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-02 00:00:00 2018-01-02 00:00:00 No 2018-02-19 00:00:00 None B None 2000 2000 -700 1300 0 None 5DQO11 N CA00567132 B SFY2017-18
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2018-03-08 00:00:00 070013806 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-12-04 00:00:00 2017-12-04 00:00:00 No 2018-03-29 00:00:00 None B None 1000 3000 -1050 1950 0 None Y8NQ11 N CA00572247, CA00573418 B, B SFY2017-18
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2018-02-22 00:00:00 070013807 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-21 00:00:00 2018-01-21 00:00:00 No 2018-03-15 00:00:00 None B None 2000 2000 -700 1300 0 None PRUW11 N CA00570330, CA00570905 B, B SFY2017-18
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-02-12 00:00:00 070013808 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-09 00:00:00 2017-10-09 00:00:00 No 2018-03-05 00:00:00 None B None 2000 6000 -2100 3900 0 None C8ZH11 N CA00566647 B SFY2017-18
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-02-23 00:00:00 070013840 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-29 00:00:00 2018-01-29 00:00:00 No 2018-03-16 00:00:00 None B None 2000 6000 -2100 3900 0 None Y9OW11 N CA00571506 B SFY2017-18
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2018-03-13 00:00:00 070013888 Closed Citation Citation B (HSC 1424) Patient Care None 2018-02-12 00:00:00 2018-02-12 00:00:00 No 2018-04-03 00:00:00 None B None 2000 2000 -700 1300 0 None MG1X11 N CA00573748, CA00575142 B, B SFY2017-18
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-03-26 00:00:00 070013905 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-04 00:00:00 2017-12-04 00:00:00 No 2018-04-16 00:00:00 None B None 2000 6000 0 6000 0 None D33H11 N None None SFY2017-18
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2018-03-30 00:00:00 070013938 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-13 00:00:00 2018-03-13 00:00:00 No 2018-04-20 00:00:00 None B None 2000 2000 0 2000 0 None Y6WY11 N None None SFY2017-18
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2018-03-30 00:00:00 070013939 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-26 00:00:00 2018-01-26 00:00:00 No 2018-04-20 00:00:00 None B None 2000 6000 0 6000 0 None I1PD11 N CA00573976 B SFY2017-18
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-04-02 00:00:00 070013952 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-22 00:00:00 2018-01-22 00:00:00 No 2018-04-23 00:00:00 None B None 2000 2000 -700 1300 0 None 2EXQ11 N CA00570270, CA00579638 B, B SFY2017-18
070000035 PACIFIC COAST POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-04-03 00:00:00 070013954 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-08 00:00:00 2018-03-08 00:00:00 No 2018-04-24 00:00:00 None B None 2000 6000 -2100 3900 0 None OGTR11 N CA00577402, CA00577798 B, B SFY2017-18
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-04-12 00:00:00 070013984 Closed Citation Citation B (HSC 1424) Medication None 2017-12-11 00:00:00 2017-12-11 00:00:00 No 2018-05-03 00:00:00 None B None 2000 6000 -2100 3900 0 None 42H711 N None None SFY2017-18
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2018-04-20 00:00:00 070013985 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-02 00:00:00 2018-04-02 00:00:00 No 2018-05-11 00:00:00 None B None 2000 2000 -700 1300 0 None YNT711 N None None SFY2017-18
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2018-04-20 00:00:00 070013986 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-04-02 00:00:00 2018-04-02 00:00:00 No 2018-05-11 00:00:00 None B None 2000 2000 -700 1300 0 None YNT711 N None None SFY2017-18
220001046 PALO ALTO SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2018-04-18 00:00:00 070013999 Closed Citation Citation B (HSC 1424) Medication None 2018-04-02 00:00:00 2018-04-02 00:00:00 No 2018-05-09 00:00:00 None B None 2000 2000 0 2000 0 None OKHN11 N None None SFY2017-18
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2018-05-03 00:00:00 070014045 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-04-06 00:00:00 2018-04-06 00:00:00 No 2018-05-24 00:00:00 None B None 2000 2000 0 2000 0 None XDDL11 N CA00581804, CA00581835 B, B SFY2017-18
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2018-05-04 00:00:00 070014047 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-04-18 00:00:00 2018-04-18 00:00:00 Yes 2018-05-25 00:00:00 2018-05-11 00:00:00 B B 2000 1400 0 1400 0 None W9LK11 N CA00583678 B SFY2017-18
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-05-07 00:00:00 070014050 Closed Citation Citation B (HSC 1424) Medication None 2018-03-26 00:00:00 2018-03-26 00:00:00 No 2018-05-29 00:00:00 None B None 2000 2000 0 2000 0 None E0UD11 N CA00580385 B SFY2017-18
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2018-05-16 00:00:00 070014083 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-04-28 00:00:00 2018-04-28 00:00:00 No 2018-06-06 00:00:00 None B None 2000 6000 0 6000 0 None 6UN311 N CA00584819, CA00585646 B, B SFY2017-18
630006021 VI AT PALO ALTO LTC SNF Skilled Nursing Facility San Jose 2018-06-15 00:00:00 070014100 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-09 00:00:00 2018-05-09 00:00:00 No 2018-07-09 00:00:00 None A None 20000 20000 -7000 13000 0 None R43W11 Y CA00586347 B SFY2017-18
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-06-06 00:00:00 070014124 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-14 00:00:00 2018-05-14 00:00:00 No 2018-06-27 00:00:00 None B None 2000 6000 -2100 3900 0 None EOK311 N CA00586887 B SFY2017-18
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2018-06-13 00:00:00 070014143 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-29 00:00:00 2018-04-29 00:00:00 No 2018-07-05 00:00:00 None B None 2000 6000 -2100 3900 0 None BD5811 N CA00588915 B SFY2017-18
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-06-25 00:00:00 070014184 Closed Citation Citation B (HSC 1424) Medication None 2018-05-28 00:00:00 2018-05-28 00:00:00 No 2018-07-17 00:00:00 None B None 2000 2000 -700 1300 0 None TUHH11 N CA00589251, CA00589503 B, B SFY2017-18
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-07-11 00:00:00 070014230 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-17 00:00:00 2018-05-17 00:00:00 No 2018-08-01 00:00:00 None B None 1500 4500 -1575 2925 0 None 43DC11 N CA00591668 B SFY2018-19
070000918 AYER HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2018-07-20 00:00:00 070014240 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-08 00:00:00 2018-05-08 00:00:00 No 2018-08-10 00:00:00 None A None 5000 5000 -1750 3250 0 None FIB011 Y CA00588254 A SFY2018-19
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-07-17 00:00:00 070014244 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-07-03 00:00:00 2018-07-03 00:00:00 No 2018-08-07 00:00:00 None B None 1000 1000 -350 650 0 None Z0J311 N CA00594264 A SFY2018-19
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-07-18 00:00:00 070014254 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-04 00:00:00 2018-03-04 00:00:00 No 2018-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None 64SB11 Y CA00583435 B SFY2018-19
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-07-30 00:00:00 070014285 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-01 00:00:00 2018-07-01 00:00:00 No 2018-08-20 00:00:00 None B None 2000 2000 -700 1300 0 None HJCX11 N CA00593607, CA00595157 B, A SFY2018-19
220001030 THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING LTC SNF Skilled Nursing Facility San Jose 2018-08-02 00:00:00 070014286 Closed Citation Citation B (HSC 1424) Patient Care None 2018-06-25 00:00:00 2018-06-25 00:00:00 Yes 2018-08-23 00:00:00 2018-08-15 00:00:00 B B 2000 1300 0 1300 0 None XZUO11 N CA00595224 B SFY2018-19
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2018-07-31 00:00:00 070014299 Closed Citation Citation B (HSC 1424) Medication None 2018-06-18 00:00:00 2018-06-18 00:00:00 No 2018-08-21 00:00:00 None B None 2000 2000 -700 1300 0 None TRTD11 N CA00594003 B SFY2018-19
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-10-19 00:00:00 070014326 Closed Citation Citation A (HSC 1424) Patient Care None 2018-06-16 00:00:00 2018-06-16 00:00:00 No 2018-11-09 00:00:00 None A None 20000 20000 -7000 13000 0 None ZKOJ11 Y CA00591484 B SFY2018-19
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2018-09-17 00:00:00 070014412 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-10 00:00:00 2018-08-10 00:00:00 No 2018-10-08 00:00:00 None B None 2000 2000 0 2000 0 None 3LS011 N CA00599532 B SFY2018-19
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2018-10-05 00:00:00 070014461 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-13 00:00:00 2018-09-13 00:00:00 No 2018-10-26 00:00:00 None B None 2000 2000 -700 1300 0 None 8X3911 N None None SFY2018-19
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-10-10 00:00:00 070014472 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-28 00:00:00 2018-09-28 00:00:00 No 2018-10-31 00:00:00 None B None 2000 6000 0 6000 0 None TKM211 N CA00605634, CA00605634 A, A SFY2018-19
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2018-10-16 00:00:00 070014497 Closed Citation Citation B (HSC 1424) Administration None 2018-06-15 00:00:00 2018-06-15 00:00:00 No 2018-11-06 00:00:00 None B None 1000 1000 -350 650 0 None 9FXH11 N CA00605005 B SFY2018-19
070000082 PLUM TREE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-12-07 00:00:00 070014498 Closed Citation Citation AA (HSC 1424) Medication None 2018-08-20 00:00:00 2018-08-20 00:00:00 Yes 2018-12-31 00:00:00 2018-12-14 00:00:00 AA AA 100000 75000 0 75000 0 None 73IM11 Y CA00603886 B SFY2018-19
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2018-10-30 00:00:00 070014542 Closed Citation Citation B (HSC 1424) Other Discharge Planning 2018-10-25 00:00:00 2018-10-25 00:00:00 Yes 2018-11-21 00:00:00 2018-11-07 00:00:00 B None 2000 2000 0 2000 0 None DTMR11 N CA00607756 B SFY2018-19
220001027 SARATOGA RETIREMENT COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility San Jose 2018-11-28 00:00:00 070014543 Closed Citation Citation AA (HSC 1424) Medication None 2018-08-30 00:00:00 2018-08-30 00:00:00 Yes 2018-12-19 00:00:00 2018-12-18 00:00:00 AA AA 100000 75000 0 75000 0 None U5UC11 Y CA00602315 B SFY2018-19
070000026 STONEBROOK HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility San Jose 2018-11-30 00:00:00 070014567 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-10 00:00:00 2018-10-10 00:00:00 No 2018-12-21 00:00:00 None B None 2000 2000 -700 1300 0 None MQDQ11 N CA00608411, CA00608613 B, B SFY2018-19
630012059 FOREST HILL MANOR HEALTH CENTER LTC SNF Skilled Nursing Facility San Jose 2018-12-06 00:00:00 070014606 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-18 00:00:00 2018-11-18 00:00:00 Yes 2018-12-28 00:00:00 2018-12-24 00:00:00 B B 2000 1600 0 1600 0 None OUMD11 N None None SFY2018-19
220001020 IDYLWOOD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2018-12-12 00:00:00 070014608 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-31 00:00:00 2018-10-31 00:00:00 Yes 2019-01-03 00:00:00 2018-12-17 00:00:00 B B 2000 1500 0 1500 0 None 7OBK11 N CA00610366 B SFY2018-19
070001060 SHINRAI-FLINTDALE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2018-12-11 00:00:00 070014617 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-02 00:00:00 2018-11-02 00:00:00 No 2019-01-02 00:00:00 None B None 1000 1000 -350 650 0 None LLNP11 N CA00610734 B SFY2018-19
070000026 STONEBROOK HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility San Jose 2018-12-19 00:00:00 070014642 Closed Citation Citation B (HSC 1424) Medication None 2018-12-04 00:00:00 2018-12-04 00:00:00 No 2019-01-10 00:00:00 None B None 2000 2000 0 2000 0 None CL5T11 N None None SFY2018-19
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2019-01-03 00:00:00 070014643 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-07 00:00:00 2018-10-07 00:00:00 No 2019-01-24 00:00:00 None B None 2000 2150 0 2150 0 None D9HG11 N CA00607947 B SFY2018-19
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2019-01-08 00:00:00 070014669 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-08-08 00:00:00 2018-08-08 00:00:00 No 2019-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None MKPW11 N CA00614100 A SFY2018-19
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2019-01-24 00:00:00 070014727 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-22 00:00:00 2018-10-22 00:00:00 No 2019-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None JP2W11 N CA00610378 B SFY2018-19
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-01-24 00:00:00 070014728 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-01-02 00:00:00 2019-01-02 00:00:00 No 2019-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None 4TQ211 N CA00618198 B SFY2018-19
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2019-02-04 00:00:00 070014745 Open Citation Citation B (HSC 1424) Patient Care None 2019-01-02 00:00:00 2019-01-02 00:00:00 Yes 2019-02-25 00:00:00 2019-02-21 00:00:00 B B 2000 5100 0 0 5100 None RDTH11 N CA00618468 B SFY2018-19
070000076 THE RIDGE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-01-18 00:00:00 070014746 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-05 00:00:00 2018-12-05 00:00:00 No 2019-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None BL8K11 N None None SFY2018-19
070000076 THE RIDGE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-01-18 00:00:00 070014747 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-17 00:00:00 2018-11-17 00:00:00 No 2019-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None BL8K11 N None None SFY2018-19
630011211 IN GOOD HANDS HOME ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2019-01-31 00:00:00 070014772 Closed Citation Citation B (HSC 1424) Administration None 2018-12-06 00:00:00 2018-12-06 00:00:00 No 2019-02-21 00:00:00 None B None 1000 1000 -350 650 0 None 8L1P11 N CA00614906 B SFY2018-19
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2019-02-13 00:00:00 070014773 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-26 00:00:00 2018-12-26 00:00:00 No 2019-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None HYKM11 N CA00618988 B SFY2018-19
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2019-02-28 00:00:00 070014830 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-12-17 00:00:00 2018-12-17 00:00:00 No 2019-03-21 00:00:00 None B None 2000 2000 0 2000 0 None 26X111 N CA00617061, CA00617066, CA00617073 A, A, A SFY2018-19
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2019-03-05 00:00:00 070014839 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-30 00:00:00 2019-01-30 00:00:00 No 2019-03-26 00:00:00 None B None 2000 2000 0 2000 0 None 14TP11 N CA00623600 B SFY2018-19
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2019-03-05 00:00:00 070014848 Closed Citation Citation B (HSC 1424) Other Discharge (Unsafe) 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-03-26 00:00:00 None B None 2000 2000 0 2000 0 None YQ8P11 N CA00621152 A SFY2018-19
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2019-03-19 00:00:00 070014865 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-27 00:00:00 2018-08-27 00:00:00 No 2019-04-09 00:00:00 None B None 2000 2000 0 2000 0 None 8BWG11 N None None SFY2018-19
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2019-03-19 00:00:00 070014866 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-03 00:00:00 2019-03-03 00:00:00 No 2019-04-09 00:00:00 None B None 2000 2000 0 2000 0 None 8BWG11 N CA00627942 B SFY2018-19
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2019-03-15 00:00:00 070014892 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-02 00:00:00 2019-02-02 00:00:00 No 2019-04-05 00:00:00 None B None 2000 2000 -700 1300 0 None ZZCB11 N CA00623721 A SFY2018-19
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2019-04-02 00:00:00 070014923 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-03-15 00:00:00 2019-03-15 00:00:00 No 2019-04-23 00:00:00 None B None 2000 2000 -700 1300 0 None WZEB11 N CA00628924 B SFY2018-19
070000980 TUPAZ HOME #6 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2019-04-16 00:00:00 070014939 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-29 00:00:00 2019-03-29 00:00:00 No 2019-05-07 00:00:00 None B None 1000 1000 0 1000 0 None U8H011 N CA00631386 B SFY2018-19
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-04-18 00:00:00 070014947 Closed Citation Citation B (HSC 1424) Medication None 2019-04-04 00:00:00 2019-04-04 00:00:00 No 2019-05-09 00:00:00 None B None 2000 2000 -700 1300 0 None DABZ11 N None None SFY2018-19
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2019-04-24 00:00:00 070014959 Closed Citation Citation B (HSC 1424) Medication None 2019-04-08 00:00:00 2019-04-08 00:00:00 No 2019-05-15 00:00:00 None B None 2000 2000 -700 1300 0 None D3LM11 N None None SFY2018-19
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2019-04-24 00:00:00 070014960 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-11 00:00:00 2019-04-11 00:00:00 No 2019-05-15 00:00:00 None B None 2000 2000 -700 1300 0 None D3LM11 N None None SFY2018-19
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2019-04-24 00:00:00 070014961 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-11 00:00:00 2019-04-11 00:00:00 No 2019-05-15 00:00:00 None B None 2000 2000 -700 1300 0 None D3LM11 N None None SFY2018-19
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-05-02 00:00:00 070014971 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-09 00:00:00 2019-03-09 00:00:00 No 2019-05-23 00:00:00 None B None 2000 2000 -700 1300 0 None PDHI11 N CA00627927 B SFY2018-19
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-05-02 00:00:00 070014972 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-15 00:00:00 2019-04-15 00:00:00 No 2019-05-23 00:00:00 None B None 2000 6000 -2100 3900 0 None PDHI11 N CA00633507 A SFY2018-19
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2019-05-02 00:00:00 070015002 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-26 00:00:00 2018-11-26 00:00:00 No 2019-05-23 00:00:00 None B None 2000 2000 0 2000 0 None 9ID511 N None None SFY2018-19
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-05-16 00:00:00 070015082 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-09 00:00:00 2018-11-09 00:00:00 Yes 2019-06-06 00:00:00 2019-06-03 00:00:00 B B 2000 1600 0 1600 0 None 7YTW11 Y CA00614514 B SFY2018-19
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-05-16 00:00:00 070015086 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-09 00:00:00 2018-11-09 00:00:00 Yes 2019-06-06 00:00:00 2019-06-04 00:00:00 A A 20000 4000 0 4000 0 None 7YTW11 Y CA00614514 B SFY2018-19
070000076 THE RIDGE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-05-28 00:00:00 070015103 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-04-21 00:00:00 2019-04-21 00:00:00 No 2019-06-18 00:00:00 None B None 2000 2000 -700 1300 0 None 4N4X11 N CA00635050, CA00637595 A, B SFY2018-19
070000042 WINDSOR THE RIDGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2019-06-10 00:00:00 070015128 Closed Citation Citation B (HSC 1424) Medication None 2019-05-08 00:00:00 2019-05-08 00:00:00 No 2019-07-01 00:00:00 None B None 2000 2000 -700 1300 0 None NIUZ11 N CA00639759 B SFY2018-19
220001027 SARATOGA RETIREMENT COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility San Jose 2019-07-03 00:00:00 070015159 Closed Citation Citation A (HSC 1424) Patient Care None 2019-05-11 00:00:00 2019-05-11 00:00:00 No 2019-07-24 00:00:00 None A None 20000 20000 -7000 13000 0 None N8T611 N CA00637398 B SFY2019-20
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2019-07-02 00:00:00 070015184 Closed Citation Citation B (HSC 1424) Medication None 2018-07-11 00:00:00 2018-07-11 00:00:00 No 2019-07-23 00:00:00 None B None 2000 2000 -2000 0 0 None BIIO11 N None None SFY2019-20
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2019-07-02 00:00:00 070015186 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-05 00:00:00 2019-06-05 00:00:00 No 2019-07-23 00:00:00 None B None 2000 2000 -2000 0 0 None BIIO11 N CA00640439 B SFY2019-20
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2019-07-02 00:00:00 070015191 Closed Citation Citation B (HSC 1424) Dietary None 2019-06-17 00:00:00 2019-06-17 00:00:00 No 2019-07-23 00:00:00 None B None 2000 2000 -700 1300 0 None YO5Z11 N None None SFY2019-20
220001063 WEBSTER HOUSE LTC SNF Skilled Nursing Facility San Jose 2019-07-15 00:00:00 070015228 Closed Citation Citation A (HSC 1424) Patient Rights None 2019-06-09 00:00:00 2019-06-09 00:00:00 Yes 2019-08-05 00:00:00 2019-07-19 00:00:00 A A 20000 14400 -400 14000 0 None Y5O911 N CA00641086 B SFY2019-20
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2019-07-29 00:00:00 070015239 Closed Citation Citation B (HSC 1424) Medication None 2019-07-15 00:00:00 2019-07-15 00:00:00 Yes 2019-08-19 00:00:00 2019-08-07 00:00:00 B None 2000 2000 0 2000 0 None 9W9N11 N None None SFY2019-20
070000050 EMPRESS CARE CENTER, LLC LTC SNF Skilled Nursing Facility San Jose 2019-07-29 00:00:00 070015245 Closed Citation Citation B (HSC 1424) Other Readmission 2019-07-09 00:00:00 2019-07-09 00:00:00 No 2019-08-19 00:00:00 None B None 2000 2000 -700 1300 0 None GUP511 N CA00645147 B SFY2019-20
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2019-08-02 00:00:00 070015248 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-27 00:00:00 2019-05-27 00:00:00 No 2019-08-23 00:00:00 None B None 2000 2000 -700 1300 0 None 2B5B11 N CA00639888 B SFY2019-20
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2019-08-06 00:00:00 070015272 Closed Citation Citation B (HSC 1424) Other Unsafe Discharge 2019-07-24 00:00:00 2019-07-24 00:00:00 No 2019-08-27 00:00:00 None B None 2000 2000 -700 1300 0 None B37D11 N CA00646015, CA00646765 A, B SFY2019-20
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-08-19 00:00:00 070015282 Closed Citation Citation B (HSC 1424) Other Pharmacy Services 2018-10-27 00:00:00 2018-10-27 00:00:00 No 2019-09-09 00:00:00 None B None 2000 2000 -700 1300 0 None MCKX11 N CA00647579, CA00647579 B, B SFY2019-20
220001032 THE TERRACES AT LOS ALTOS HEALTH FACILITY LTC SNF Skilled Nursing Facility San Jose 2019-08-13 00:00:00 070015304 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-29 00:00:00 2018-12-29 00:00:00 No 2019-09-03 00:00:00 None B None 2000 2000 -700 1300 0 None S0O111 N CA00647850 B SFY2019-20
220001041 SUNNYVALE POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2019-08-15 00:00:00 070015305 Closed Citation Citation B (HSC 1424) Other REFUSED TO READMIT 2019-07-05 00:00:00 2019-07-05 00:00:00 No 2019-09-05 00:00:00 None B None 2000 2000 0 2000 0 None NL1111 N CA00644580, CA00644619, CA00649781 A, A, A SFY2019-20
220001024 MISSION SKILLED NURSING & SUBACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2019-08-19 00:00:00 070015307 Closed Citation Citation B (HSC 1424) Medication None 2019-06-02 00:00:00 2019-06-02 00:00:00 No 2019-09-09 00:00:00 None B None 2000 2000 -700 1300 0 None V38E11 N None None SFY2019-20
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2019-09-03 00:00:00 070015331 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-10 00:00:00 2019-08-10 00:00:00 No 2019-09-24 00:00:00 None B None 2000 2000 0 2000 0 None JC3611 N CA00649859 B SFY2019-20
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-09-03 00:00:00 070015357 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-15 00:00:00 2019-08-15 00:00:00 No 2019-09-24 00:00:00 None B None 2000 2000 -700 1300 0 None KRXY11 N CA00650758, CA00650855, CA00651120 B, B, B SFY2019-20
070000067 INVIGORATE POST ACUTE OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2019-09-25 00:00:00 070015369 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-08-30 00:00:00 2019-08-30 00:00:00 No 2019-10-16 00:00:00 None B None 2000 2000 -2000 0 0 None UMXX11 N CA00652690 B SFY2019-20
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2019-09-25 00:00:00 070015410 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-17 00:00:00 2019-07-17 00:00:00 No 2019-10-16 00:00:00 None B None 2000 2000 -700 1300 0 None 30G311 N CA00646586, CA00647184 B, B SFY2019-20
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2019-10-29 00:00:00 070015481 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-29 00:00:00 2019-07-29 00:00:00 No 2019-11-19 00:00:00 None B None 2000 2000 -700 1300 0 None P4JY11 N None None SFY2019-20
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2019-11-06 00:00:00 070015483 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-16 00:00:00 2019-09-16 00:00:00 No 2019-11-27 00:00:00 None B None 2000 2000 0 2000 0 None S4VW11 N CA00657285 B SFY2019-20
220001039 SUNNY VIEW MANOR LTC SNF Skilled Nursing Facility San Jose 2019-11-05 00:00:00 070015493 Closed Citation Citation B (HSC 1424) Medication None 2019-10-22 00:00:00 2019-10-22 00:00:00 No 2019-11-26 00:00:00 None B None 2000 2000 0 2000 0 None 82SE11 N None None SFY2019-20
220001039 SUNNY VIEW MANOR LTC SNF Skilled Nursing Facility San Jose 2019-11-05 00:00:00 070015494 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-29 00:00:00 2019-04-29 00:00:00 No 2019-11-26 00:00:00 None B None 2000 2000 0 2000 0 None 82SE11 N None None SFY2019-20
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2019-11-21 00:00:00 070015509 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-22 00:00:00 2019-10-22 00:00:00 No 2019-12-12 00:00:00 None B None 2000 6000 -2100 3900 0 None 8FB011 N CA00656488 B SFY2019-20
220001041 SUNNYVALE POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2019-12-05 00:00:00 070015545 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-15 00:00:00 2019-11-15 00:00:00 No 2019-12-26 00:00:00 None B None 2000 2000 0 2000 0 None EN3411 N CA00663688 A SFY2019-20
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2019-12-09 00:00:00 070015557 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-03 00:00:00 2019-05-03 00:00:00 No 2019-12-30 00:00:00 None B None 2000 6000 -2100 3900 0 None CKLU11 N None None SFY2019-20
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-02-19 00:00:00 070015611 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-11-24 00:00:00 2019-11-24 00:00:00 Yes 2020-03-11 00:00:00 2020-03-05 00:00:00 B B 2000 1300 0 1300 0 None 3RVP11 N CA00666658, CA00666827 A, B SFY2019-20
070000009 VISTA MANOR NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2019-12-24 00:00:00 070015627 Closed Citation Citation B (HSC 1424) Medication None 2019-12-18 00:00:00 2019-12-18 00:00:00 No 2020-01-14 00:00:00 None B None 2000 2000 -700 1300 0 None O7HP11 N None None SFY2019-20
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2020-01-03 00:00:00 070015628 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-11-28 00:00:00 2019-11-28 00:00:00 No 2020-01-24 00:00:00 None B None 2000 2000 -700 1300 0 None 1U2711 N None None SFY2019-20
070000009 VISTA MANOR NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2019-12-24 00:00:00 070015629 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-03 00:00:00 2019-12-03 00:00:00 No 2020-01-14 00:00:00 None B None 2000 2000 -700 1300 0 None O7HP11 N None None SFY2019-20
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2020-01-03 00:00:00 070015632 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-15 00:00:00 2019-08-15 00:00:00 No 2020-01-24 00:00:00 None B None 2000 2000 -700 1300 0 None 1U2711 N None None SFY2019-20
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2020-01-03 00:00:00 070015633 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-23 00:00:00 2019-11-23 00:00:00 No 2020-01-24 00:00:00 None B None 2000 2000 -700 1300 0 None 1U2711 N None None SFY2019-20
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-01-03 00:00:00 070015650 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-13 00:00:00 2019-12-13 00:00:00 No 2020-01-24 00:00:00 None B None 2000 2000 0 2000 0 None ESXN11 N CA00668022 B SFY2019-20
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-01-06 00:00:00 070015659 Closed Citation Citation B (HSC 1424) Medication None 2019-12-04 00:00:00 2019-12-04 00:00:00 Yes 2020-01-27 00:00:00 2020-01-13 00:00:00 B None 2000 2000 0 2000 0 None 7MQ811 N CA00668716 B SFY2019-20
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2020-02-05 00:00:00 070015679 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-21 00:00:00 2019-12-21 00:00:00 No 2020-02-26 00:00:00 None B None 2000 6000 -2100 3900 0 None CF9V11 N CA00669863 B SFY2019-20
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2020-02-03 00:00:00 070015709 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-01-10 00:00:00 2020-01-10 00:00:00 No 2020-02-24 00:00:00 None B None 2000 2000 -700 1300 0 None 2DCM11 N CA00671048 A SFY2019-20
220001030 THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING LTC SNF Skilled Nursing Facility San Jose 2020-01-29 00:00:00 070015710 Closed Citation Citation B (HSC 1424) Medication None 2020-01-15 00:00:00 2020-01-15 00:00:00 No 2020-02-19 00:00:00 None B None 2000 2000 0 2000 0 None 67CM11 N None None SFY2019-20
220001048 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT LTC SNF Skilled Nursing Facility San Jose 2020-01-30 00:00:00 070015720 Closed Citation Citation B (HSC 1424) Medication None 2020-01-19 00:00:00 2020-01-19 00:00:00 No 2020-02-20 00:00:00 None B None 2000 2000 -700 1300 0 None 8F3J11 N None None SFY2019-20
220001046 PALO ALTO SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2020-02-26 00:00:00 070015740 Closed Citation Citation B (HSC 1424) Administration None 2020-01-13 00:00:00 2020-01-13 00:00:00 Yes 2020-03-18 00:00:00 2020-03-09 00:00:00 B B 2000 1400 0 1400 0 None YPLM11 N CA00671175 B SFY2019-20
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2020-02-26 00:00:00 070015746 Closed Citation Citation B (HSC 1424) Other Laboratory Services 2020-01-25 00:00:00 2020-01-25 00:00:00 No 2020-03-18 00:00:00 None B None 2000 2000 -700 1300 0 None YO5E11 N CA00675548 B SFY2019-20
070000002 WOODLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-02-27 00:00:00 070015750 Closed Citation Citation B (HSC 1424) Medication None 2020-02-13 00:00:00 2020-02-13 00:00:00 No 2020-03-19 00:00:00 None B None 2000 2000 -700 1300 0 None ZMVY11 N None None SFY2019-20
220001046 PALO ALTO SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2020-02-26 00:00:00 070015758 Closed Citation Citation B (HSC 1424) Patient Care None 2020-01-13 00:00:00 2020-01-13 00:00:00 Yes 2020-03-18 00:00:00 2020-03-09 00:00:00 B B 2000 1400 0 1400 0 None YPLM11 N CA00671175 B SFY2019-20
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-03-09 00:00:00 070015789 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-02-29 00:00:00 2020-02-29 00:00:00 No 2020-03-30 00:00:00 None B None 2000 2000 -700 1300 0 None 0HDB11 N CA00678592, CA00678623 B, B SFY2019-20
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2020-03-17 00:00:00 070015797 Closed Citation Citation B (HSC 1424) Patient Care None 2020-03-02 00:00:00 2020-03-02 00:00:00 No 2020-04-07 00:00:00 None B None 2000 2000 0 2000 0 None E0WG11 N None None SFY2019-20
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-03-17 00:00:00 070015798 Closed Citation Citation B (HSC 1424) Medication None 2019-12-17 00:00:00 2019-12-17 00:00:00 No 2020-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None PSGQ11 N None None SFY2019-20
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-03-17 00:00:00 070015811 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-19 00:00:00 2019-12-19 00:00:00 No 2020-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None PSGQ11 N None None SFY2019-20
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-03-23 00:00:00 070015812 Closed Citation Citation B (HSC 1424) Other Preparation for Safe DC 2020-03-06 00:00:00 2020-03-06 00:00:00 No 2020-04-13 00:00:00 None B None 2000 2000 0 2000 0 None LCPY11 N CA00680089, CA00680352 A, A SFY2019-20
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-03-23 00:00:00 070015822 Closed Citation Citation B (HSC 1424) Other Preparation for Safe DC 2020-02-16 00:00:00 2020-02-16 00:00:00 No 2020-04-13 00:00:00 None B None 2000 2000 0 2000 0 None 7K2T11 N CA00680362 A SFY2019-20
070001130 KCARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2023-05-31 00:00:00 070015881 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-08 00:00:00 2020-05-08 00:00:00 No 2023-06-21 00:00:00 None A None 20000 20000 -7000 13000 0 None 2U1T11 Y CA00688176, CA00688176, CA00689065, CA00689065 B, B, B, B SFY2022-23
220001054 GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2020-06-19 00:00:00 070015904 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-06-12 00:00:00 2020-06-12 00:00:00 No 2020-07-10 00:00:00 None B None 1000 1000 -350 650 0 None VMOF11 N None None SFY2019-20
070000034 CARMEL VALLEY MANOR LTC SNF Skilled Nursing Facility San Jose 2020-07-16 00:00:00 070015929 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-07-08 00:00:00 2020-07-08 00:00:00 No 2020-08-06 00:00:00 None B None 1000 1000 0 1000 0 None D6TU11 N None None SFY2020-21
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2020-07-20 00:00:00 070015930 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-06-28 00:00:00 2020-06-28 00:00:00 No 2020-08-10 00:00:00 None B None 1000 1000 0 1000 0 None R8N411 N None None SFY2020-21
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2020-07-20 00:00:00 070015935 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-07-10 00:00:00 2020-07-10 00:00:00 No 2020-08-10 00:00:00 None B None 1000 1000 -350 650 0 None U3J711 N None None SFY2020-21
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2020-07-22 00:00:00 070015943 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-07-15 00:00:00 2020-07-15 00:00:00 No 2020-08-12 00:00:00 None B None 1000 1050 0 1050 0 None GHCL11 N None None SFY2020-21
630006021 VI AT PALO ALTO LTC SNF Skilled Nursing Facility San Jose 2020-08-10 00:00:00 070015967 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-07-27 00:00:00 2020-07-27 00:00:00 Yes 2020-08-31 00:00:00 2020-08-25 00:00:00 B B 1000 1000 0 1000 0 None W1Z411 N None None SFY2020-21
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2020-08-10 00:00:00 070015970 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-08-05 00:00:00 2020-08-05 00:00:00 No 2020-08-31 00:00:00 None B None 1000 1000 -350 650 0 None XDD511 N None None SFY2020-21
220001079 HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO LTC SNF Skilled Nursing Facility San Jose 2020-08-24 00:00:00 070015992 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-08-08 00:00:00 2020-08-08 00:00:00 No 2020-09-15 00:00:00 None B None 1000 1000 -350 650 0 None M1K411 N None None SFY2020-21
220001046 PALO ALTO SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2020-08-27 00:00:00 070016000 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-08-13 00:00:00 2020-08-13 00:00:00 No 2020-09-18 00:00:00 None B None 1000 1000 -350 650 0 None VP2011 N None None SFY2020-21
070000062 WESTLAND HOUSE LTC SNF Skilled Nursing Facility San Jose 2020-09-23 00:00:00 070016033 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-09-04 00:00:00 2020-09-04 00:00:00 No 2020-10-14 00:00:00 None B None 1000 1000 0 1000 0 None 9NDY11 N None None SFY2020-21
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2020-09-14 00:00:00 070016034 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-08-27 00:00:00 2020-08-27 00:00:00 No 2020-10-05 00:00:00 None B None 1000 1000 -350 650 0 None 7LEL11 N None None SFY2020-21
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2020-09-23 00:00:00 070016035 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-09-01 00:00:00 2020-09-01 00:00:00 Yes 2020-10-14 00:00:00 2020-10-06 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 None 935411 N None None SFY2020-21
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2020-09-23 00:00:00 070016036 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-08-27 00:00:00 2020-08-27 00:00:00 No 2020-10-14 00:00:00 None B None 1000 3000 0 3000 0 None PM3X11 N None None SFY2020-21
630006021 VI AT PALO ALTO LTC SNF Skilled Nursing Facility San Jose 2020-09-28 00:00:00 070016064 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-09-14 00:00:00 2020-09-14 00:00:00 Yes 2020-10-19 00:00:00 2020-10-29 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 None TPCZ11 N None None SFY2020-21
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2022-02-10 00:00:00 070016089 Closed Citation Citation A (HSC 1424) Patient Care None 2020-06-16 00:00:00 2020-06-16 00:00:00 Yes 2022-03-04 00:00:00 2022-02-22 00:00:00 A None 20000 20000 -7000 13000 0 None R5XW11 N CA00696996, CA00697644 B, B SFY2021-22
070000009 VISTA MANOR NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2020-11-03 00:00:00 070016132 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-10-15 00:00:00 2020-10-15 00:00:00 Yes 2020-11-25 00:00:00 2020-11-17 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 None Z4FN11 N None None SFY2020-21
220001076 SUNNYVALE GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2020-11-05 00:00:00 070016138 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-10-13 00:00:00 2020-10-13 00:00:00 No 2020-12-01 00:00:00 None B None 1000 1000 -350 650 0 None J4ER11 N None None SFY2020-21
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-11-10 00:00:00 070016140 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-10-16 00:00:00 2020-10-16 00:00:00 No 2020-12-04 00:00:00 None B None 1000 1000 0 1000 0 None GY2F11 N None None SFY2020-21
070000019 AVE MARIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2020-11-09 00:00:00 070016141 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-10-14 00:00:00 2020-10-14 00:00:00 No 2020-12-03 00:00:00 None B None 1000 1000 0 1000 0 None NF8D11 N None None SFY2020-21
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2020-11-10 00:00:00 070016144 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-10-09 00:00:00 2020-10-09 00:00:00 No 2020-12-04 00:00:00 None B None 1000 1000 -350 650 0 None 5YYV11 N None None SFY2020-21
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2020-11-10 00:00:00 070016145 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-10-09 00:00:00 2020-10-09 00:00:00 No 2020-12-04 00:00:00 None B None 1000 1000 0 1000 0 None W0FR11 N None None SFY2020-21
070000085 INSPIRE BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility San Jose 2020-11-30 00:00:00 070016172 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-10-28 00:00:00 2020-10-28 00:00:00 No 2020-12-21 00:00:00 None B None 1000 1000 0 1000 0 None D1BM11 N None None SFY2020-21
220001054 GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2020-12-01 00:00:00 070016173 Closed Citation Citation B (HSC 1424) Other Reporting Of Outbreaks 2020-11-11 00:00:00 2020-11-11 00:00:00 No 2020-12-22 00:00:00 None B None 1000 1000 -350 650 0 None VUYM11 N None None SFY2020-21
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-09-08 00:00:00 070016207 Closed Citation Citation AA (HSC 1424) Patient Care None 2020-04-04 00:00:00 2020-04-04 00:00:00 Yes 2021-09-29 00:00:00 2021-09-20 00:00:00 AA AA 100000 70500 -500 70000 0 None BJ9611 Y CA00692112 B SFY2021-22
070001028 SHINRAI - CAMINO VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2021-03-19 00:00:00 070016208 Closed Citation Citation B (HSC 1424) Other Infection Control 2020-11-18 00:00:00 2020-11-18 00:00:00 No 2021-04-12 00:00:00 None B None 1000 1000 -350 650 0 None 7TB911 N CA00712324 B SFY2020-21
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-03-12 00:00:00 070016342 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-04-16 00:00:00 2020-04-16 00:00:00 No 2021-04-05 00:00:00 None B None 2000 2000 -700 1300 0 None OO0811 N CA00685415 B SFY2020-21
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-03-12 00:00:00 070016343 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-10-08 00:00:00 2020-10-08 00:00:00 No 2021-04-05 00:00:00 None B None 2000 2000 -700 1300 0 None HBVW11 N None None SFY2020-21
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2021-03-19 00:00:00 070016368 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-29 00:00:00 2020-12-29 00:00:00 No 2021-04-12 00:00:00 None B None 2000 2000 -700 1300 0 None IXC811 N CA00718427 B SFY2020-21
220001024 MISSION SKILLED NURSING & SUBACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-03-19 00:00:00 070016369 Closed Citation Citation B (HSC 1424) Medication None 2019-09-17 00:00:00 2019-09-17 00:00:00 No 2021-04-12 00:00:00 None B None 2000 2000 0 2000 0 None WJ2N11 N CA00703969 B SFY2020-21
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-03-24 00:00:00 070016378 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-01 00:00:00 2020-10-01 00:00:00 No 2021-04-15 00:00:00 None B None 2000 2000 0 2000 0 None 9BD911 N CA00716521 B SFY2020-21
070001362 SHINRAI-ARAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2021-04-13 00:00:00 070016417 Closed Citation Citation B (HSC 1424) Other Unusual Occurrences 2021-01-07 00:00:00 2021-01-07 00:00:00 No 2021-05-04 00:00:00 None B None 1000 1000 0 1000 0 None DCM111 N CA00719417 B SFY2020-21
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-04-20 00:00:00 070016425 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-03 00:00:00 2021-03-03 00:00:00 No 2021-05-11 00:00:00 None B None 2000 2000 -700 1300 0 None GQMW11 N CA00727738, CA00727738 A, A SFY2020-21
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2021-05-10 00:00:00 070016463 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-14 00:00:00 2021-04-14 00:00:00 No 2021-06-01 00:00:00 None B None 2000 2000 -700 1300 0 None 7YEF11 N CA00732962, CA00733036 B, B SFY2020-21
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-05-11 00:00:00 070016464 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-02-06 00:00:00 2021-02-06 00:00:00 No 2021-06-02 00:00:00 None B None 2000 2000 0 2000 0 None XVM111 N CA00724644 B SFY2020-21
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-05-10 00:00:00 070016465 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-04-12 00:00:00 2021-04-12 00:00:00 No 2021-06-01 00:00:00 None B None 2000 2000 0 2000 0 None QKIA11 N CA00732438, CA00732712 A, A SFY2020-21
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-05-11 00:00:00 070016466 Closed Citation Citation B (HSC 1424) Other DON 2021-04-23 00:00:00 2021-04-23 00:00:00 No 2021-06-02 00:00:00 None B None 2000 2000 0 2000 0 None XVM111 N None None SFY2020-21
070000096 WESTWOOD POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-05-11 00:00:00 070016467 Closed Citation Citation B (HSC 1424) Medication None 2021-04-20 00:00:00 2021-04-20 00:00:00 No 2021-06-02 00:00:00 None B None 2000 2000 0 2000 0 None XVM111 N None None SFY2020-21
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-09-08 00:00:00 070016503 Closed Citation Citation A (HSC 1424) Patient Care None 2021-02-22 00:00:00 2021-02-22 00:00:00 No 2021-09-29 00:00:00 None A None 20000 20000 -7000 13000 0 None 2D5K11 N None None SFY2021-22
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2021-06-04 00:00:00 070016565 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-03-09 00:00:00 2021-03-09 00:00:00 No 2021-06-25 00:00:00 None B None 2000 2000 0 2000 0 None D28511 N CA00728497 A SFY2020-21
220001024 MISSION SKILLED NURSING & SUBACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-06-28 00:00:00 070016625 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-06-05 00:00:00 2021-06-05 00:00:00 No 2021-07-19 00:00:00 None B None 2000 2000 0 2000 0 None 34RB11 N None None SFY2020-21
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2021-06-30 00:00:00 070016664 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-05-11 00:00:00 2021-05-11 00:00:00 Yes 2021-07-21 00:00:00 2021-07-06 00:00:00 B B 2000 1800 0 1800 0 None YG4C11 N None None SFY2020-21
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-06-30 00:00:00 070016666 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-06-07 00:00:00 2021-06-07 00:00:00 No 2021-07-21 00:00:00 None B None 2000 2000 0 2000 0 None 170Y11 N None None SFY2020-21
070001089 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI LTC SNF Skilled Nursing Facility San Jose 2021-07-27 00:00:00 070016761 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-30 00:00:00 2021-03-30 00:00:00 No 2021-08-17 00:00:00 None B None 2000 2000 0 2000 0 None H4H011 N CA00683520 B SFY2021-22
070000815 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC DAY H LTC PDHRCF Pediatric Day Health & Respite Care Facility San Jose 2021-09-17 00:00:00 070016763 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-16 00:00:00 2021-03-16 00:00:00 No 2021-10-08 00:00:00 None B None 1000 1000 0 1000 0 None DCMY11 N CA00682209 B SFY2021-22
070000048 PACIFIC HILLS MANOR LTC SNF Skilled Nursing Facility San Jose 2021-07-27 00:00:00 070016764 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-04 00:00:00 2021-04-04 00:00:00 No 2021-08-17 00:00:00 None B None 2000 2000 -700 1300 0 None PTWQ11 N None None SFY2021-22
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2021-08-06 00:00:00 070016792 Closed Citation Citation B (HSC 1424) Medication None 2021-07-20 00:00:00 2021-07-20 00:00:00 No 2021-08-27 00:00:00 None B None 2000 2000 0 2000 0 None J24F11 N None None SFY2021-22
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2021-08-06 00:00:00 070016793 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-24 00:00:00 2021-05-24 00:00:00 No 2021-08-27 00:00:00 None B None 2000 2000 -700 1300 0 None J24F11 N None None SFY2021-22
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2021-08-06 00:00:00 070016795 Closed Citation Citation B (HSC 1424) Medication None 2021-07-20 00:00:00 2021-07-20 00:00:00 No 2021-08-27 00:00:00 None B None 2000 2000 -700 1300 0 None J24F11 N None None SFY2021-22
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-10-06 00:00:00 070016986 Closed Citation Citation A (HSC 1424) Patient Care None 2020-12-30 00:00:00 2020-12-30 00:00:00 Yes 2021-10-27 00:00:00 2021-10-27 00:00:00 A A 20000 14000 0 14000 0 None YPL211 N CA00721730, CA00721809 B, B SFY2021-22
070000817 TUPAZ HOME #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2021-10-14 00:00:00 070017015 Closed Citation Citation B (HSC 1424) Other COVID Reporting 2021-09-13 00:00:00 2021-09-13 00:00:00 No 2021-11-04 00:00:00 None B None 1000 1000 0 1000 0 None RTG511 N CA00753558 B SFY2021-22
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-10-22 00:00:00 070017033 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-10-13 00:00:00 2021-10-13 00:00:00 No 2021-11-15 00:00:00 None B None 2000 2000 0 2000 0 None WFUB11 N CA00753109, CA00756736 B, B SFY2021-22
220001030 THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING LTC SNF Skilled Nursing Facility San Jose 2021-11-05 00:00:00 070017078 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-09-09 00:00:00 2021-09-09 00:00:00 No 2021-12-01 00:00:00 None B None 2000 2000 0 2000 0 None XWV911 N CA00752300, CA00752737 B, B SFY2021-22
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2021-11-23 00:00:00 070017124 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-31 00:00:00 2021-03-31 00:00:00 No 2021-12-16 00:00:00 None B None 2000 2000 0 2000 0 None ZZX111 N CA00741174, CA00753919, CA00753996, CA00754040 B, A, A, A SFY2021-22
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-12-24 00:00:00 070017213 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-06 00:00:00 2021-12-06 00:00:00 No 2022-01-14 00:00:00 None B None 2000 2000 0 2000 0 None 8B8021 N None None SFY2021-22
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-01-27 00:00:00 070017295 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-01 00:00:00 2021-09-01 00:00:00 No 2022-02-17 00:00:00 None B None 2000 2000 0 2000 0 None TMGT11 N CA00731510 B SFY2021-22
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-02-14 00:00:00 070017352 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-21 00:00:00 2021-06-21 00:00:00 No 2022-03-08 00:00:00 None B None 2000 2000 0 2000 0 None ZK9711 N CA00741289, CA00741289, CA00752535, CA00752535 B, B, B, B SFY2021-22
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2022-02-17 00:00:00 070017356 Closed Citation Citation B (HSC 1424) Other Admission, T & D 2022-01-27 00:00:00 2022-01-27 00:00:00 No 2022-03-11 00:00:00 None B None 2000 2000 -700 1300 0 None HTKE11 N CA00771333 A SFY2021-22
070000088 WINDSOR SKYLINE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-02-17 00:00:00 070017366 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-01-21 00:00:00 2022-01-21 00:00:00 No 2022-03-11 00:00:00 None B None 2000 2000 0 2000 0 None V7GL11 N CA00763471, CA00770735 B, A SFY2021-22
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2022-03-02 00:00:00 070017460 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-03-17 00:00:00 2021-03-17 00:00:00 No 2022-03-23 00:00:00 None B None 2000 2000 -700 1300 0 None TEZ211 N CA00729385, CA00729385 B, B SFY2021-22
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-04-05 00:00:00 070017499 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-25 00:00:00 2020-11-25 00:00:00 Yes 2022-04-26 00:00:00 2022-04-08 00:00:00 B None 2000 3550 0 3550 0 None 4KFU11 N CA00714223 B SFY2021-22
070000047 MILPITAS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-04-04 00:00:00 070017537 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-02-10 00:00:00 2022-02-10 00:00:00 Yes 2022-04-25 00:00:00 2022-04-07 00:00:00 B None 2000 2000 0 2000 0 None VILM11 N CA00772290 A SFY2021-22
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2022-04-27 00:00:00 070017539 Closed Citation Citation A (HSC 1424) Patient Care None 2021-07-31 00:00:00 2021-07-31 00:00:00 No 2022-05-18 00:00:00 None A None 20000 20000 -7000 13000 0 None OU3W11 N CA00746351 B SFY2021-22
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-05-23 00:00:00 070017654 Closed Citation Citation B (HSC 1424) Medication None 2022-04-26 00:00:00 2022-04-26 00:00:00 No 2022-06-14 00:00:00 None B None 2000 2000 0 2000 0 None T7PX11 N None None SFY2021-22
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-05-23 00:00:00 070017656 Closed Citation Citation B (HSC 1424) Medication None 2022-04-18 00:00:00 2022-04-18 00:00:00 No 2022-06-14 00:00:00 None B None 2000 2000 0 2000 0 None T7PX11 N None None SFY2021-22
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-05-23 00:00:00 070017657 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-04-12 00:00:00 2022-04-12 00:00:00 No 2022-06-14 00:00:00 None B None 2000 2000 0 2000 0 None T7PX11 N CA00780455, CA00780455, CA00781096, CA00781096 B, B, A, A SFY2021-22
070000012 LINCOLN GLEN SKILLED NURSING LTC SNF Skilled Nursing Facility San Jose 2022-06-02 00:00:00 070017686 Closed Citation Citation B (HSC 1424) Medication None 2022-04-26 00:00:00 2022-04-26 00:00:00 No 2022-06-23 00:00:00 None B None 2000 2000 0 2000 0 None FJRS11 N None None SFY2021-22
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-06-07 00:00:00 070017692 Closed Citation Citation B (HSC 1424) Other Failure to Readmit 2022-03-24 00:00:00 2022-03-24 00:00:00 No 2022-06-28 00:00:00 None B None 2000 2000 0 2000 0 None L16711 N CA00782555 B SFY2021-22
070000043 ALMADEN HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2022-07-11 00:00:00 070017769 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-05-22 00:00:00 2022-05-22 00:00:00 No 2022-08-01 00:00:00 None B None 3000 3000 0 3000 0 None 08GC11 N CA00785825, CA00786125 B, B SFY2022-23
070000073 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-07-11 00:00:00 070017774 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-17 00:00:00 2021-07-17 00:00:00 No 2022-08-01 00:00:00 None B None 2000 6000 0 6000 0 None 68SG11 N CA00747458 B SFY2022-23
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-07-19 00:00:00 070017792 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-06-27 00:00:00 2022-06-27 00:00:00 No 2022-08-09 00:00:00 None B None 3000 9000 0 9000 0 None C5BH11 N CA00766500, CA00791116 B, A SFY2022-23
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2022-08-02 00:00:00 070017866 Closed Citation Citation B (HSC 1424) Medication None 2022-07-14 00:00:00 2022-07-14 00:00:00 No 2022-08-23 00:00:00 None B None 3000 3000 -1050 1950 0 None 8RQ011 N None None SFY2022-23
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2022-08-03 00:00:00 070017870 Closed Citation Citation B (HSC 1424) Other accidents 2022-07-14 00:00:00 2022-07-14 00:00:00 No 2022-08-24 00:00:00 None B None 3000 3000 -1050 1950 0 None 8RQ011 N CA00793897, CA00794373, CA00794412 B, B, B SFY2022-23
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-08-25 00:00:00 070017904 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2022-08-05 00:00:00 2022-08-08 00:00:00 No 2022-09-16 00:00:00 None B None 3000 3150 -1050 2100 0 None 9CIJ11 N CA00798189 A SFY2022-23
070000086 CREEKSIDE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-09-02 00:00:00 070017959 Closed Citation Citation A (HSC 1424) Other Sexual Abuse 2022-04-23 00:00:00 2022-04-23 00:00:00 No 2022-09-26 00:00:00 None A None 20000 20000 -7000 13000 0 None LGUE11 N CA00782007, CA00782832 A, A SFY2022-23
220001041 SUNNYVALE POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-12-05 00:00:00 070018196 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-07 00:00:00 2022-11-07 00:00:00 No 2022-12-26 00:00:00 None B None 3000 3000 0 3000 0 None 7DTP11 N CA00811561 A SFY2022-23
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2022-12-05 00:00:00 070018205 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-07-08 00:00:00 2022-07-08 00:00:00 No 2022-12-26 00:00:00 None B None 3000 3000 -1050 1950 0 None F44I11 N CA00809358 B SFY2022-23
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2023-01-19 00:00:00 070018212 Closed Citation Citation A (HSC 1424) Patient Care None 2022-02-17 00:00:00 2022-02-17 00:00:00 Yes 2023-02-09 00:00:00 2022-12-20 00:00:00 A None 25000 25000 -8750 16250 0 None C19N11 Y CA00797582 B SFY2022-23
220001058 VILLA SIENA LTC SNF Skilled Nursing Facility San Jose 2023-01-18 00:00:00 070018253 Closed Citation Citation B (HSC 1424) Staffing None 2022-12-09 00:00:00 2022-12-09 00:00:00 No 2023-02-08 00:00:00 None B None 3000 3000 -1050 1950 0 None 4O7Q11 N None None SFY2022-23
070000009 VISTA MANOR NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2023-01-19 00:00:00 070018321 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-02 00:00:00 2022-08-02 00:00:00 No 2023-02-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 2H9911 N CA00796559, CA00796559 B, B SFY2022-23
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2023-01-23 00:00:00 070018341 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-06-28 00:00:00 2022-06-28 00:00:00 No 2023-02-13 00:00:00 None B None 3000 3000 0 3000 0 None JB9811 N CA00813847, CA00813847 A, A SFY2022-23
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2023-01-23 00:00:00 070018346 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-06-28 00:00:00 2022-06-28 00:00:00 No 2023-02-13 00:00:00 None B None 3000 3000 0 3000 0 None JB9811 N CA00813847 A SFY2022-23
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2023-03-13 00:00:00 070018409 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-26 00:00:00 2022-10-26 00:00:00 No 2023-04-04 00:00:00 None A None 25000 25000 -8750 16250 0 None YSZ011 N None None SFY2022-23
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2023-03-06 00:00:00 070018410 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-21 00:00:00 2023-01-21 00:00:00 No 2023-03-27 00:00:00 None B None 3000 3000 0 3000 0 None TVJ111 N CA00822459, CA00822793 B, B SFY2022-23
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2023-03-06 00:00:00 070018412 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-06 00:00:00 2023-02-06 00:00:00 No 2023-03-27 00:00:00 None B None 3000 3000 0 3000 0 None 2X2Y11 N None None SFY2022-23
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2023-03-30 00:00:00 070018549 Closed Citation Citation B (HSC 1424) Medication None 2023-03-04 00:00:00 2023-03-04 00:00:00 No 2023-04-21 00:00:00 None B None 3000 3000 -1050 1950 0 None WC0J11 N CA00829688 B SFY2022-23
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2023-05-12 00:00:00 070018577 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-29 00:00:00 2022-08-29 00:00:00 Yes 2023-06-05 00:00:00 2023-05-19 00:00:00 B B 3000 2500 0 2500 0 None PCC711 N CA00819547 B SFY2022-23
630016694 GATEWAY CENTER ICF2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2023-06-14 00:00:00 070018756 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-08 00:00:00 2023-04-08 00:00:00 No 2023-07-06 00:00:00 None B None 3000 3000 0 3000 0 None ZUBH11 N CA00835773 B SFY2022-23
220001054 GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2023-06-09 00:00:00 070018765 Open Citation Citation B (HSC 1424) Patient Care None 2023-02-22 00:00:00 2023-02-22 00:00:00 Yes 2023-06-30 00:00:00 2023-06-15 00:00:00 B None 3000 3000 0 0 3000 None XC4M11 N CA00829774, CA00829774 B, B SFY2022-23
630016694 GATEWAY CENTER ICF2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2023-06-14 00:00:00 070018780 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-08 00:00:00 2023-04-08 00:00:00 No 2023-07-06 00:00:00 None B None 3000 3000 0 3000 0 None ZUBH11 N CA00835773, CA00835773 B, B SFY2022-23
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2023-07-17 00:00:00 070018891 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-17 00:00:00 2023-03-17 00:00:00 No 2023-08-07 00:00:00 None B None 3000 3000 0 0 3000 None N9MT11 N CA00832559 B SFY2023-24
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2023-08-31 00:00:00 070018929 Open Citation Citation B (HSC 1424) Problem Transfer None 2023-02-24 00:00:00 2023-02-24 00:00:00 No 2023-09-22 00:00:00 None B None 3000 3000 0 1950 1050 None OZM211 N CA00834969, CA00841567 A, A SFY2023-24
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2023-11-09 00:00:00 070018933 Open Citation Citation A (HSC 1424) Patient Care None 2023-06-23 00:00:00 2023-06-23 00:00:00 Yes 2023-12-05 00:00:00 2023-11-13 00:00:00 A None 25000 25000 0 0 25000 None 4J1M11 N CA00847292, CA00847307, CA00847682, CA00847682 B, B, A, A SFY2023-24
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2023-08-11 00:00:00 070018955 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-15 00:00:00 2022-12-15 00:00:00 No 2023-09-01 00:00:00 None B None 3000 3000 0 3000 0 None 9L1311 N CA00834005 B SFY2023-24
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2023-11-17 00:00:00 070019080 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-11 00:00:00 2023-03-11 00:00:00 No 2023-12-12 00:00:00 None B None 3000 3000 0 3000 0 None SI4W11 N CA00843759, CA00843759, CA00851311, CA00851311 B, B, B, B SFY2023-24
070000003 VASONA CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-03-11 00:00:00 070019088 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-13 00:00:00 2023-08-13 00:00:00 No 2024-04-02 00:00:00 None B None 3000 3000 -1050 1950 0 None IW0T11 N CA00856267, CA00856267 B, B SFY2023-24
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2023-10-18 00:00:00 070019102 Closed Citation Citation B (HSC 1424) Problem Transfer None 2023-04-11 00:00:00 2023-04-11 00:00:00 No 2023-11-08 00:00:00 None B None 3000 3000 0 3000 0 None 8RUJ11 N CA00835473 A SFY2023-24
630016694 GATEWAY CENTER ICF2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2023-10-18 00:00:00 070019104 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-12 00:00:00 2023-08-12 00:00:00 No 2023-11-08 00:00:00 None B None 3000 3000 0 3000 0 None 8P7J11 N CA00855899 B SFY2023-24
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2023-12-07 00:00:00 070019198 Closed Citation Citation AA (HSC 1424) Patient Care None 2023-03-19 00:00:00 2023-03-19 00:00:00 No 2023-12-29 00:00:00 None AA None 120000 120000 0 120000 0 None NES511 Y CA00843156 B SFY2023-24
070000061 SAN JOSE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2023-10-26 00:00:00 070019256 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-08 00:00:00 2023-08-08 00:00:00 No 2023-11-17 00:00:00 None B None 3000 3000 -1050 1950 0 None 162411 N CA00857900 B SFY2023-24
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2023-10-18 00:00:00 070019270 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-11 00:00:00 2023-04-11 00:00:00 No 2023-11-08 00:00:00 None B None 3000 3000 0 3000 0 None 8RUJ11 N CA00835473 A SFY2023-24
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2023-11-17 00:00:00 070019339 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Failure to report injury 2023-10-17 00:00:00 2023-10-17 00:00:00 No 2023-12-12 00:00:00 None B None 3000 3000 -1050 1950 0 None QVE811 N CA00863188, CA00863188, CA00863251, CA00863689 B, B, B, B SFY2023-24
070000778 THE TERRACES OF LOS GATOS LTC SNF Skilled Nursing Facility San Jose 2023-11-17 00:00:00 070019358 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-06 00:00:00 2023-06-06 00:00:00 No 2023-12-12 00:00:00 None B None 3000 3000 0 3000 0 None BSU211 N CA00856597 B SFY2023-24
070000780 EDEN VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-01-30 00:00:00 070019523 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-29 00:00:00 2023-11-29 00:00:00 No 2024-02-20 00:00:00 None A None 25000 25000 0 25000 0 None KJGU11 Y CA00873047, CA00873047, CA00873047, CA00873047, CA00873318, CA00873318 A, A, A, A, A, A SFY2023-24
630012059 FOREST HILL MANOR HEALTH CENTER LTC SNF Skilled Nursing Facility San Jose 2024-03-06 00:00:00 070019628 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-16 00:00:00 2024-01-16 00:00:00 No 2024-03-27 00:00:00 None B None 3000 3000 -1050 1950 0 None VYST11 N None None SFY2023-24
070000036 WHITE BLOSSOM CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-03-08 00:00:00 070019629 Open Citation Citation AA (HSC 1424) Patient Care None 2023-09-22 00:00:00 2023-09-22 00:00:00 No 2024-03-29 00:00:00 None AA None 120000 120000 0 0 120000 None 7LFN11 Y CA00862208, CA00862319 A, A SFY2023-24
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2024-02-14 00:00:00 070019654 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-08 00:00:00 2023-09-08 00:00:00 No 2024-03-06 00:00:00 None B None 3000 3000 -1050 1950 0 None 99ZV11 N CA00859829 B SFY2023-24
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2024-04-16 00:00:00 070019693 Open Citation Citation B (HSC 1424) Patient Care None 2023-02-15 00:00:00 2023-02-15 00:00:00 No 2024-05-07 00:00:00 None B None 3000 3000 0 0 3000 None HFPG11 N CA00857480 B SFY2023-24
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2024-02-09 00:00:00 070019695 Open Citation Citation B (HSC 1424) Medication None 2023-09-20 00:00:00 2023-09-20 00:00:00 No 2024-03-01 00:00:00 None B None 3000 3000 0 1950 1050 None CSUZ11 N CA00861839, CA00861992 B, B SFY2023-24
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2024-03-01 00:00:00 070019722 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-26 00:00:00 2024-01-26 00:00:00 No 2024-03-22 00:00:00 None B None 3000 3000 -1050 1950 0 None DT0C11 N None None SFY2023-24
070000089 SKYLINE HEALTHCARE CENTER - SAN JOSE LTC SNF Skilled Nursing Facility San Jose 2024-02-27 00:00:00 070019723 Closed Citation Citation B (HSC 1424) Dietary None 2024-01-23 00:00:00 2024-01-23 00:00:00 No 2024-03-19 00:00:00 None B None 3000 3000 -1050 1950 0 None DT0C11 N None None SFY2023-24
070000953 LAWRENCE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2024-02-16 00:00:00 070019754 Closed Citation Citation B (HSC 1424) Patient Care None 2023-12-15 00:00:00 2023-12-15 00:00:00 No 2024-03-08 00:00:00 None B None 3000 3000 -1050 1950 0 None 5BMM11 N CA00875228, CA00876831 B, B SFY2023-24
070000998 TUPAZ HOME #7 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2024-03-15 00:00:00 070019755 Open Citation Citation A (HSC 1424) Patient Care None 2023-03-04 00:00:00 2023-03-04 00:00:00 Yes 2024-04-05 00:00:00 2024-04-05 00:00:00 A None 20000 20000 0 0 20000 None GX9H11 Y CA00829905 B SFY2023-24
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-03-22 00:00:00 070019764 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-28 00:00:00 2024-01-28 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 0 0 3000 None LDCT11 N CA00885094 B SFY2023-24
070000057 HERMAN HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-03-22 00:00:00 070019813 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-12 00:00:00 2024-02-12 00:00:00 No 2024-04-15 00:00:00 None B None 3000 5150 0 0 5150 None LDCT11 N None None SFY2023-24
070001309 TUPAZ HOME #8 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2024-03-29 00:00:00 070019815 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-28 00:00:00 2024-02-28 00:00:00 Yes 2024-04-22 00:00:00 2024-04-18 00:00:00 B None 3000 3000 0 0 3000 None 3TM811 N None None SFY2023-24
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2024-04-03 00:00:00 070019829 Open Citation Citation A (HSC 1424) Patient Care None 2023-06-09 00:00:00 2023-06-09 00:00:00 No 2024-04-24 00:00:00 None A None 15000 15000 0 0 15000 None Y1BG11 N CA00852609 A SFY2023-24
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2024-05-17 00:00:00 070019849 Open Citation Citation AA (HSC 1424) Patient Care None 2023-06-03 00:00:00 2023-06-03 00:00:00 Yes 2024-06-10 00:00:00 2024-06-07 00:00:00 AA None 100000 100000 0 0 100000 None SRRR11 Y CA00876083 B SFY2023-24
070000076 THE RIDGE POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2024-06-13 00:00:00 070019851 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-15 00:00:00 2023-06-15 00:00:00 No 2024-07-05 00:00:00 None B None 3000 3000 0 0 3000 None 3WYB11 N CA00851514 A SFY2023-24
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-03-27 00:00:00 070019852 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-17 00:00:00 2023-06-17 00:00:00 No 2024-04-18 00:00:00 None B None 3000 3000 -1050 1950 0 None 72NT11 N None None SFY2023-24
070001365 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Jose 2024-04-05 00:00:00 070019880 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-25 00:00:00 2022-06-25 00:00:00 No 2024-04-26 00:00:00 None B None 3000 3000 0 3000 0 None 3OI911 N None None SFY2023-24
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-04-12 00:00:00 070019891 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-16 00:00:00 2023-04-16 00:00:00 No 2024-05-03 00:00:00 None B None 3000 3000 0 3000 0 None OSVO11 N CA00836768 B SFY2023-24
220001054 GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2024-04-22 00:00:00 070019917 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-17 00:00:00 2024-02-17 00:00:00 No 2024-05-13 00:00:00 None B None 3000 3000 -1050 1950 0 None 7S4P11 N CA00870437, CA00870680, CA00881961, CA00885373, CA00885687 B, B, B, B, B SFY2023-24
220001032 THE TERRACES AT LOS ALTOS HEALTH FACILITY LTC SNF Skilled Nursing Facility San Jose 2024-04-30 00:00:00 070019987 Closed Citation Citation B (HSC 1424) Patient Care None 2024-04-02 00:00:00 2024-04-02 00:00:00 No 2024-05-21 00:00:00 None B None 3000 3000 0 3000 0 None 1B5X11 N CA00879248 B SFY2023-24
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2024-05-06 00:00:00 070020005 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-29 00:00:00 2023-04-29 00:00:00 No 2024-05-28 00:00:00 None B None 3000 3000 -1050 1950 0 None YEW511 N CA00838453 B SFY2023-24
070000626 MISSION DE LA CASA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2024-04-16 00:00:00 070020009 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-19 00:00:00 2024-02-19 00:00:00 No 2024-05-07 00:00:00 None B None 3000 3000 -1050 1950 0 None C5U911 N CA00886175 B SFY2023-24
070000042 WINDSOR THE RIDGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2024-04-17 00:00:00 070020031 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-15 00:00:00 2022-10-15 00:00:00 No 2024-05-08 00:00:00 None B None 3000 3000 -1050 1950 0 None 817N11 N CA00807582 B SFY2023-24
220001039 SUNNY VIEW MANOR LTC SNF Skilled Nursing Facility San Jose 2024-05-10 00:00:00 070020041 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-11 00:00:00 2023-12-11 00:00:00 Yes 2024-06-03 00:00:00 2024-05-30 00:00:00 A None 60000 60200 0 0 60200 None 7IM411 Y CA00875255, CA00875268 A, A SFY2023-24
630006021 VI AT PALO ALTO LTC SNF Skilled Nursing Facility San Jose 2024-04-23 00:00:00 070020054 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-06 00:00:00 2023-08-06 00:00:00 Yes 2024-05-14 00:00:00 2024-05-01 00:00:00 A None 60000 60000 0 0 60000 None ROQ811 Y CA00866071 A SFY2023-24
220001058 VILLA SIENA LTC SNF Skilled Nursing Facility San Jose 2024-05-08 00:00:00 070020057 Closed Citation Citation B (HSC 1424) Patient Care None 2024-04-19 00:00:00 2024-04-19 00:00:00 No 2024-05-30 00:00:00 None B None 3000 3000 -1050 1950 0 None 5D8B11 N None None SFY2023-24
220001032 THE TERRACES AT LOS ALTOS HEALTH FACILITY LTC SNF Skilled Nursing Facility San Jose 2024-05-01 00:00:00 070020084 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-02 00:00:00 2024-04-02 00:00:00 No 2024-05-22 00:00:00 None B None 3000 3000 0 3000 0 None 1B5X11 N CA00874909, CA00879248, CA00880063 B, B, B SFY2023-24
070000066 KATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility San Jose 2024-05-17 00:00:00 070020095 Closed Citation Citation B (HSC 1424) Patient Care None 2024-04-22 00:00:00 2024-04-22 00:00:00 No 2024-06-10 00:00:00 None B None 3000 3000 -1050 1950 0 None GHAS11 N None None SFY2023-24
070000062 WESTLAND HOUSE LTC SNF Skilled Nursing Facility San Jose 2024-05-22 00:00:00 070020118 Closed Citation Citation B (HSC 1424) Patient Care None 2024-04-30 00:00:00 2024-04-30 00:00:00 No 2024-06-13 00:00:00 None B None 3000 3000 0 3000 0 None 8KR511 N None None SFY2023-24
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2024-05-29 00:00:00 070020151 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-08 00:00:00 2024-03-08 00:00:00 No 2024-06-19 00:00:00 None B None 3000 3000 -1050 1950 0 None DR6E11 N CA00888801, CA00891006 B, B SFY2023-24
070000049 PACIFIC COAST MANOR LTC SNF Skilled Nursing Facility San Jose 2024-06-07 00:00:00 070020198 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-05-08 00:00:00 2024-05-08 00:00:00 No 2024-06-28 00:00:00 None B None 3000 3000 0 0 3000 None Y73411 N CA00898501, CA00898979 B, B SFY2023-24
070000868 O'CONNOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Jose 2024-06-14 00:00:00 070020207 Closed Citation Citation B (HSC 1424) Patient Care None 2024-05-15 00:00:00 2024-05-15 00:00:00 No 2024-07-08 00:00:00 None B None 3000 3000 0 3000 0 None H3MW11 N None None SFY2023-24
070001025 SHINRAI-GRIDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Jose 2024-06-06 00:00:00 070020226 Closed Citation Citation B (HSC 1424) Other Infection Control 2024-05-19 00:00:00 2024-05-19 00:00:00 No 2024-06-27 00:00:00 None B None 3000 3000 -1050 1950 0 None 43O411 N CA00901380 B SFY2023-24
220001024 MISSION SKILLED NURSING & SUBACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-06-17 00:00:00 070020234 Open Citation Citation A (HSC 1424) Other Abuse 2023-12-13 00:00:00 2023-12-13 00:00:00 Yes 2024-07-09 00:00:00 2024-06-20 00:00:00 A None 60000 60000 0 0 60000 None 12V511 Y CA00874766, CA00875588 A, A SFY2023-24
070000031 CAMDEN POSTACUTE CARE, INC. LTC SNF Skilled Nursing Facility San Jose 2024-06-05 00:00:00 070020263 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-19 00:00:00 2024-04-19 00:00:00 No 2024-06-26 00:00:00 None B None 3000 3000 0 0 3000 None T53D11 N CA00896615 A SFY2023-24
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2024-06-26 00:00:00 070020302 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-15 00:00:00 2024-04-15 00:00:00 No 2024-07-18 00:00:00 None B None 3000 3000 -1050 1950 0 None JEB511 N CA00893301, CA00893751, CA00895005 A, B, B SFY2023-24
080001107 GROSSMONT HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Diego 2000-02-04 00:00:00 080002743 Closed Citation Citation AA (HSC 1424) Medication None 1999-11-30 00:00:00 None No 2000-02-28 00:00:00 None AA None 20000 20000 -7000 13000 0 080021279 A99999 Y None None SFY1999-00
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-03-24 00:00:00 080002748 Closed Citation Citation B (HSC 1424) Patient Care None 1997-09-14 00:00:00 None Yes 2001-01-03 00:00:00 2000-03-30 00:00:00 B B First 1000 1000 -1000 0 0 080021547 A99999 N None None SFY1999-00
080000617 STANFORD COURT SKILLED NURSING & REHAB CENTER LTC SNF Skilled Nursing Facility San Diego 2000-05-23 00:00:00 080002750 Closed Citation Citation B (HSC 1424) Other ANTS AND SPRAY 1999-08-05 00:00:00 None No 2000-06-13 00:00:00 None B None 750 750 -262.5 487.5 0 080021785 A99999 N None None SFY1999-00
080000617 STANFORD COURT SKILLED NURSING & REHAB CENTER LTC SNF Skilled Nursing Facility San Diego 2000-05-23 00:00:00 080002751 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-25 00:00:00 None No 2000-06-14 00:00:00 None B None 500 500 -175 325 0 080021786 A99999 N None None SFY1999-00
080000617 STANFORD COURT SKILLED NURSING & REHAB CENTER LTC SNF Skilled Nursing Facility San Diego 2000-05-23 00:00:00 080002752 Closed Citation Citation B (HSC 1424) Administration None 1999-08-14 00:00:00 1999-08-20 00:00:00 No 2000-06-15 00:00:00 None B None 500 500 -175 325 0 080021787 A99999 N None None SFY1999-00
080000679 THE VILLAS AT POWAY LTC SNF Skilled Nursing Facility San Diego 2000-06-02 00:00:00 080002753 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-13 00:00:00 None Yes 2000-12-15 00:00:00 2000-06-22 00:00:00 B B 1000 1000 0 1000 0 080021817 A99999 N None None SFY1999-00
080000685 CASA DE LAS CAMPANAS LTC SNF Skilled Nursing Facility San Diego 2000-06-13 00:00:00 080002754 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-15 00:00:00 2000-06-13 00:00:00 No 2000-07-07 00:00:00 None B None 650 650 0 650 0 080021822 A99999 N None None SFY1999-00
080000060 THE SHORES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2000-06-14 00:00:00 080002755 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-06 00:00:00 None No 2000-07-10 00:00:00 None A None 8000 8000 -2800 5200 0 080021872 A99999 N None None SFY1999-00
080000060 THE SHORES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2000-06-28 00:00:00 080002756 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-31 00:00:00 None No 2000-07-26 00:00:00 None B None 1000 1000 -350 650 0 080021919 A99999 N None None SFY1999-00
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2000-06-30 00:00:00 080002757 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-21 00:00:00 2000-04-21 00:00:00 No 2000-07-24 00:00:00 None B None 1000 1000 -350 650 0 080021920 A99999 N None None SFY1999-00
080000617 STANFORD COURT SKILLED NURSING & REHAB CENTER LTC SNF Skilled Nursing Facility San Diego 2000-06-30 00:00:00 080002758 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-07 00:00:00 None No 2000-07-24 00:00:00 None B None 1000 1000 -350 650 0 080021921 A99999 N None None SFY1999-00
080000007 BOULDER CREEK POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2000-07-11 00:00:00 080002759 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-03-29 00:00:00 None No 2000-08-04 00:00:00 None WF None 150 150 0 150 0 080021933 A99999 None None None SFY2000-01
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-08-09 00:00:00 080002760 Closed Citation Citation Retaliation/Discrimination (HSC 1432) Patient Rights None 2000-07-17 00:00:00 None Yes 2000-08-30 00:00:00 2000-08-11 00:00:00 RD R/D=<$1000 950 950 0 950 0 080022001 A99999 None None None SFY2000-01
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-08-09 00:00:00 080002762 Closed Citation Citation Willful Material Omission (HSC 1424(f)(1)) Patient Record None 2000-07-12 00:00:00 None Yes 2000-08-30 00:00:00 2000-08-14 00:00:00 WO WMO=<$1000 950 950 0 950 0 080022002 A99999 None None None SFY2000-01
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-08-15 00:00:00 080002763 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-21 00:00:00 2000-08-15 00:00:00 Yes 2001-05-09 00:00:00 2001-05-09 00:00:00 B B 1000 1000 0 1000 0 080022031 A99999 N None None SFY2000-01
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-08-30 00:00:00 080002764 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-01 00:00:00 None No 2000-09-21 00:00:00 None B None 1000 1000 -350 650 0 080022061 A99999 N None None SFY2000-01
080000032 GROSSMONT POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2000-08-29 00:00:00 080002765 Closed Citation Citation A (HSC 1424) Dietary None 2000-05-03 00:00:00 None Yes 2000-09-21 00:00:00 2000-09-18 00:00:00 A A 7500 5000 0 5000 0 080022062 A99999 N None None SFY2000-01
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2000-09-29 00:00:00 080002766 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-03 00:00:00 None No 2000-10-26 00:00:00 None B None 900 900 -315 585 0 080022132 A99999 N None None SFY2000-01
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2000-09-27 00:00:00 080002767 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-18 00:00:00 None No 2000-10-27 00:00:00 None B None 700 700 -245 455 0 080022133 A99999 N None None SFY2000-01
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-10-05 00:00:00 080002768 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2000-08-11 00:00:00 None Yes 2001-02-06 00:00:00 2000-10-23 00:00:00 B B 750 750 -600 150 0 080022144 A99999 N None None SFY2000-01
080000283 PALOMAR CONTINUING CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility San Diego 2000-10-06 00:00:00 080002769 Closed Citation Citation B (HSC 1424) Other PATIENT CARE & RIGHT 2000-09-16 00:00:00 None No 2000-10-31 00:00:00 None B None 900 900 -315 585 0 080022149 A99999 N None None SFY2000-01
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-01-05 00:00:00 080002770 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-12 00:00:00 None No 2001-01-29 00:00:00 None B Drop>Deficiency 1000 3000 0 3000 0 080022678 A99999 N None None SFY2000-01
080000987 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF LTC SNF Skilled Nursing Facility San Diego 2001-01-12 00:00:00 080002771 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-16 00:00:00 None No 2001-02-08 00:00:00 None A None 5000 5000 0 5000 0 080022693 A99999 N None None SFY2000-01
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-01-09 00:00:00 080002772 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-30 00:00:00 None No 2001-02-05 00:00:00 None B None 1000 3000 0 3000 0 080022700 A99999 N None None SFY2000-01
080000617 STANFORD COURT SKILLED NURSING & REHAB CENTER LTC SNF Skilled Nursing Facility San Diego 2001-02-01 00:00:00 080002773 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-13 00:00:00 None No 2001-02-28 00:00:00 None B None 1000 3000 -1050 1950 0 080022786 A99999 N None None SFY2000-01
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2001-04-10 00:00:00 080002775 Closed Citation Citation B (HSC 1424) Other TRUST FUND SECURITY 2001-02-23 00:00:00 None No 2001-05-29 00:00:00 None B None 900 900 -315 585 0 080023007 A99999 N None None SFY2000-01
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-04-11 00:00:00 080002776 Closed Citation Citation B (HSC 1424) Other TRUST FUND SECURITY 2001-02-08 00:00:00 None No 2001-05-25 00:00:00 None B B 800 800 -640 160 0 080023008 A99999 N None None SFY2000-01
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-04-17 00:00:00 080002777 Closed Citation Citation AA (HSC 1424) Other CARE AND ENVIRONMENT 2001-02-14 00:00:00 None Yes 2001-08-10 00:00:00 2001-08-09 00:00:00 AA AA 60000 25000 0 25000 0 080023037 A99999 Y None None SFY2000-01
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-04-27 00:00:00 080002778 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-02 00:00:00 None Yes 2001-05-25 00:00:00 2001-06-13 00:00:00 B B 800 800 -640 160 0 080023077 A99999 N None None SFY2000-01
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2001-05-11 00:00:00 080002779 Closed Citation Citation B (HSC 1424) Other ABUSE/FAC REPORTED 2000-11-01 00:00:00 None No 2001-06-04 00:00:00 None B None 900 900 0 900 0 080023105 A99999 N None None SFY2000-01
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2001-05-11 00:00:00 080002780 Closed Citation Citation A (HSC 1424) Other ABUSE/FAC REPORTED 2001-03-28 00:00:00 None Yes 2001-06-04 00:00:00 2001-06-04 00:00:00 A A 18000 9000 0 9000 0 080023111 A99999 N None None SFY2000-01
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-05-17 00:00:00 080002781 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-09 00:00:00 None Yes 2001-06-19 00:00:00 2001-06-13 00:00:00 B B 900 900 -720 180 0 080023130 A99999 N None None SFY2000-01
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-05-24 00:00:00 080002782 Closed Citation Citation B (HSC 1424) Other ABUSE/FAC REPORTED 2001-04-16 00:00:00 None No 2001-06-15 00:00:00 None B None 825 825 0 825 0 080023137 A99999 N None None SFY2000-01
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2001-05-24 00:00:00 080002783 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-10 00:00:00 None No 2001-06-15 00:00:00 None B B 1000 1000 -900 100 0 080023150 A99999 N None None SFY2000-01
080000617 STANFORD COURT SKILLED NURSING & REHAB CENTER LTC SNF Skilled Nursing Facility San Diego 2001-06-01 00:00:00 080002784 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-20 00:00:00 None No 2001-06-25 00:00:00 None B None 900 900 0 900 0 080023179 A99999 N None None SFY2000-01
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2001-06-20 00:00:00 080002785 Closed Citation Citation B (HSC 1424) Other ABUSE/FAC REPORTED 2001-05-19 00:00:00 None No 2001-07-12 00:00:00 None B None 850 850 -297.5 552.5 0 080023270 A99999 N None None SFY2000-01
080000222 OCEAN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-07-27 00:00:00 080002786 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-08 00:00:00 None No 2001-08-21 00:00:00 None B None 1000 1000 -350 650 0 080023318 A99999 N None None SFY2001-02
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2001-07-20 00:00:00 080002787 Closed Citation Citation A (HSC 1424) Patient Care None 2001-04-16 00:00:00 None No 2001-08-10 00:00:00 None A None 13000 13000 -4550 8450 0 080023321 A99999 N None None SFY2001-02
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-07-19 00:00:00 080002788 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-04 00:00:00 None No 2001-08-09 00:00:00 None B B Trebled 1000 3000 -1500 1500 0 080023327 A99999 N None None SFY2001-02
080000222 OCEAN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-07-30 00:00:00 080002789 Closed Citation Citation B (HSC 1424) Other PT CARE/ENVIRONMENT 2001-06-19 00:00:00 None No 2001-08-20 00:00:00 None B None 1000 1000 -350 650 0 080023355 A99999 N None None SFY2001-02
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-08-01 00:00:00 080002790 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-02 00:00:00 2001-07-02 00:00:00 Yes 2001-08-23 00:00:00 2001-08-14 00:00:00 B None 1000 1000 0 1000 0 080023367 A99999 N None None SFY2001-02
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-08-30 00:00:00 080002791 Closed Citation Citation B (HSC 1424) Other INF CONTROL/LAUNDRY 2001-08-08 00:00:00 None No 2001-09-21 00:00:00 None B None 1000 1000 -350 650 0 080023442 A99999 N None None SFY2001-02
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-08-29 00:00:00 080002792 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-07 00:00:00 2001-07-07 00:00:00 No 2001-09-24 00:00:00 None B None 950 950 -332.5 617.5 0 080023457 A99999 N None None SFY2001-02
080001264 LAS VILLAS DE CARLSBAD HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2001-08-31 00:00:00 080002793 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-15 00:00:00 2001-08-15 00:00:00 No 2001-09-25 00:00:00 None B None 900 900 -315 585 0 080023463 A99999 N None None SFY2001-02
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-09-25 00:00:00 080002794 Closed Citation Citation B (HSC 1424) Other ABUSE/FAC REPORTED 2001-07-10 00:00:00 None No 2001-10-17 00:00:00 None B None 1000 3000 -1050 1950 0 080023516 A99999 N None None SFY2001-02
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-09-27 00:00:00 080002795 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-15 00:00:00 2001-08-15 00:00:00 Yes 2002-03-05 00:00:00 2002-02-13 00:00:00 A B 19000 14250 0 14250 0 080023451 A99999 N None None SFY2001-02
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-10-05 00:00:00 080002796 Closed Citation Citation A (HSC 1424) Other CARE/ENVIRONMENT 2001-09-02 00:00:00 None Yes 2002-02-06 00:00:00 2002-01-11 00:00:00 A A 19000 19000 0 19000 0 080023546 A99999 N None None SFY2001-02
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-10-05 00:00:00 080002797 Closed Citation Citation B (HSC 1424) Medication None 2001-08-31 00:00:00 None Yes 2001-11-01 00:00:00 2001-10-11 00:00:00 B B 1000 1000 0 1000 0 080023560 A99999 N None None SFY2001-02
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-10-23 00:00:00 080002798 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-10 00:00:00 None No 2001-11-14 00:00:00 None B None 1000 1000 -350 650 0 080023609 A99999 N None None SFY2001-02
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-11-06 00:00:00 080002799 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-15 00:00:00 None Yes 2001-12-06 00:00:00 2001-11-09 00:00:00 B B 1000 1000 0 1000 0 080023675 A99999 N None None SFY2001-02
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-11-07 00:00:00 080002800 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-31 00:00:00 2001-08-31 00:00:00 No 2001-12-19 00:00:00 None B None 1000 1500 0 1500 0 080023552 A99999 N None None SFY2001-02
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-11-07 00:00:00 080002801 Closed Citation Citation A (HSC 1424) Other PT CARE/MEDICATION 2001-09-15 00:00:00 None No 2001-12-03 00:00:00 None A None 20000 20000 -7000 13000 0 080023691 A99999 N None None SFY2001-02
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-11-07 00:00:00 080002802 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-30 00:00:00 2001-08-30 00:00:00 No 2001-12-04 00:00:00 None B None 1000 2250 0 2250 0 080023552 A99999 N None None SFY2001-02
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-11-07 00:00:00 080002803 Closed Citation Citation B (HSC 1424) Dietary None 2001-08-30 00:00:00 2001-08-30 00:00:00 No 2001-12-04 00:00:00 None B None 1000 2250 0 2250 0 080023552 A99999 N None None SFY2001-02
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-11-15 00:00:00 080002804 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-09 00:00:00 2001-08-09 00:00:00 No 2001-12-12 00:00:00 None B None 1000 3000 0 3000 0 080023684 A99999 N None None SFY2001-02
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-12-07 00:00:00 080002805 Closed Citation Citation B (HSC 1424) Other ADMIN, CARE & RECORD 2001-01-13 00:00:00 None No 2001-12-31 00:00:00 None B None 925 925 -323.75 601.25 0 080023135 A99999 N None None SFY2001-02
080000060 THE SHORES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-12-21 00:00:00 080002806 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2001-11-03 00:00:00 2001-11-03 00:00:00 No 2002-01-18 00:00:00 None B None 1000 1000 -350 650 0 080023695 A99999 N None None SFY2001-02
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-01-03 00:00:00 080002807 Closed Citation Citation AA (HSC 1424) Other ADMIN & PATIENT CARE 2001-10-13 00:00:00 None Yes 2002-01-30 00:00:00 2002-01-10 00:00:00 AA AA 95000 52250 0 52250 0 080023590 A99999 Y None None SFY2001-02
080000835 THE DOROTHY AND JOSEPH GOLDBERG HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-01-03 00:00:00 080002808 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-04 00:00:00 2001-10-11 00:00:00 No 2002-01-28 00:00:00 None B None 950 950 -332.5 617.5 0 080023701 A99999 N None None SFY2001-02
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2002-01-04 00:00:00 080002809 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-13 00:00:00 None No 2002-01-28 00:00:00 None B None 1000 1000 -350 650 0 080023804 A99999 N None None SFY2001-02
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2002-01-18 00:00:00 080002810 Closed Citation Citation B (HSC 1424) Other CARE/RIGHTS 2001-11-15 00:00:00 None No 2002-02-11 00:00:00 None B None 1000 1000 -350 650 0 080023801 A99999 N None None SFY2001-02
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-02-05 00:00:00 080002812 Closed Citation Citation A (HSC 1424) Physical Environment None 2001-10-05 00:00:00 2001-10-05 00:00:00 Yes 2002-06-10 00:00:00 2002-02-20 00:00:00 A B 20000 15000 0 15000 0 080023933 A99999 N None None SFY2001-02
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2002-02-08 00:00:00 080002813 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-19 00:00:00 2001-08-16 00:00:00 Yes 2002-06-03 00:00:00 2002-05-20 00:00:00 B B 950 950 0 950 0 080023943 A99999 N None None SFY2001-02
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-03-04 00:00:00 080002815 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-21 00:00:00 2001-11-21 00:00:00 Yes 2002-03-26 00:00:00 2002-03-11 00:00:00 A B 19000 15000 0 15000 0 080023816 A99999 N None None SFY2001-02
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-03-01 00:00:00 080002816 Closed Citation Citation B (HSC 1424) Other ABUSE FAC SELF REPOR 2002-01-04 00:00:00 None No 2002-03-22 00:00:00 None B None 1000 1000 -350 650 0 080023885 A99999 N None None SFY2001-02
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2002-03-05 00:00:00 080002817 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-25 00:00:00 2002-01-25 00:00:00 No 2002-04-02 00:00:00 None B None 900 900 -315 585 0 080024012 A99999 N None None SFY2001-02
080000642 REMINGTON CLUB HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2002-03-06 00:00:00 080002818 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-18 00:00:00 2001-08-18 00:00:00 No 2002-04-05 00:00:00 None B None 1000 1000 -350 650 0 080024021 A99999 N None None SFY2001-02
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-04-19 00:00:00 080002819 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-19 00:00:00 None No 2002-05-13 00:00:00 None B None 1000 3000 0 3000 0 080023928 A99999 N None None SFY2001-02
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-04-19 00:00:00 080002820 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-11 00:00:00 None No 2002-05-13 00:00:00 None B None 1000 3000 0 3000 0 080023928 A99999 N None None SFY2001-02
080000060 THE SHORES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2002-04-23 00:00:00 080002821 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-22 00:00:00 2002-02-22 00:00:00 No 2002-05-17 00:00:00 None B None 1000 1000 -350 650 0 080024215 A99999 N None None SFY2001-02
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-04-24 00:00:00 080002822 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-21 00:00:00 2002-01-21 00:00:00 No 2002-05-20 00:00:00 None B None 1000 1000 -350 650 0 080024228 A99999 N None None SFY2001-02
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-05-07 00:00:00 080002823 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-20 00:00:00 None No 2002-06-03 00:00:00 None B None 900 900 -315 585 0 080024122 A99999 N None None SFY2001-02
080000987 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF LTC SNF Skilled Nursing Facility San Diego 2002-07-03 00:00:00 080002825 Closed Citation Citation B (HSC 1424) Other ABUSE/FAC SELF REPOR 2002-05-31 00:00:00 None No 2002-07-30 00:00:00 None B None 1000 1000 -350 650 0 080024386 A99999 N None None SFY2002-03
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-07-31 00:00:00 080002826 Closed Citation Citation B (HSC 1424) Medication None 2002-05-05 00:00:00 2002-05-05 00:00:00 No 2002-11-04 00:00:00 None B B 1000 1000 0 1000 0 080024487 A99999 N None None SFY2002-03
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2002-08-02 00:00:00 080002827 Closed Citation Citation A (HSC 1424) Other ABUSE/FAC REPORTED 2002-06-04 00:00:00 None Yes 2002-08-26 00:00:00 2002-08-08 00:00:00 A B 15000 8250 0 8250 0 080024662 A99999 N None None SFY2002-03
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-09-11 00:00:00 080002828 Closed Citation Citation A (HSC 1424) Physical Environment None 2002-08-05 00:00:00 2002-08-05 00:00:00 Yes 2003-03-11 00:00:00 2003-02-26 00:00:00 A A 18000 10750 0 10750 0 080024820 A99999 N None None SFY2002-03
080000017 THE ROYAL HOME LTC SNF Skilled Nursing Facility San Diego 2002-09-12 00:00:00 080002829 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-08-16 00:00:00 None No 2002-10-08 00:00:00 None B None 1000 1000 -350 650 0 080024753 A99999 N None None SFY2002-03
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-09-12 00:00:00 080002830 Closed Citation Citation B (HSC 1424) Other PATIENTS CARE/RIGHTS 2002-07-02 00:00:00 2002-07-02 00:00:00 Yes 2002-10-03 00:00:00 2002-09-18 00:00:00 B None 1000 1000 0 1000 0 080024512 A99999 N None None SFY2002-03
080000752 GROSSMONT GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-09-16 00:00:00 080002831 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-08 00:00:00 None No 2002-10-08 00:00:00 None B None 1000 1000 -350 650 0 080024839 A99999 N None None SFY2002-03
080000062 PARKWAY HILLS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility San Diego 2002-11-22 00:00:00 080002832 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-11 00:00:00 2002-10-11 00:00:00 No 2002-12-17 00:00:00 None B None 1000 1000 -350 650 0 080025003 A99999 N None None SFY2002-03
080001502 BAYSHIRE CARLSBAD LTC SNF Skilled Nursing Facility San Diego 2002-12-06 00:00:00 080002833 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-02 00:00:00 None No 2003-01-07 00:00:00 None B None 1000 1000 -350 650 0 080024771 A99999 N None None SFY2002-03
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2003-01-21 00:00:00 080002834 Closed Citation Citation B (HSC 1424) Other RIGHTS/NURSING SVCS 2002-11-14 00:00:00 2002-11-14 00:00:00 Yes 2003-05-27 00:00:00 2003-05-07 00:00:00 B B 1000 1000 0 1000 0 080025152 A99999 N None None SFY2002-03
080000752 GROSSMONT GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2003-01-10 00:00:00 080002835 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-25 00:00:00 None No 2003-02-03 00:00:00 None B None 1000 1000 -350 650 0 080025323 A99999 N None None SFY2002-03
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2003-01-14 00:00:00 080002836 Closed Citation Citation A (HSC 1424) Patient Care None 2002-08-08 00:00:00 None No 2003-02-06 00:00:00 None A None 18000 18000 -6300 11700 0 080025326 A99999 N None None SFY2002-03
080001264 LAS VILLAS DE CARLSBAD HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2003-02-20 00:00:00 080002837 Closed Citation Citation B (HSC 1424) Other ABUSE - FAC SELF RPT 2002-12-18 00:00:00 2002-12-25 00:00:00 No 2003-03-14 00:00:00 None B None 1000 1000 -350 650 0 080025280 A99999 N None None SFY2002-03
080000007 BOULDER CREEK POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2003-03-26 00:00:00 080002838 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-26 00:00:00 2002-12-26 00:00:00 Yes 2003-04-18 00:00:00 2003-09-16 00:00:00 B B 1000 750 0 750 0 080025289 A99999 N None None SFY2002-03
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2003-04-29 00:00:00 080002839 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-01 00:00:00 2002-10-01 00:00:00 No 2003-05-27 00:00:00 None B None 1000 1000 -350 650 0 080025325 A99999 N None None SFY2002-03
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2003-04-28 00:00:00 080002840 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-20 00:00:00 None No 2003-05-20 00:00:00 None B None 1000 1000 -350 650 0 080025406 A99999 N None None SFY2002-03
080000017 THE ROYAL HOME LTC SNF Skilled Nursing Facility San Diego 2003-04-25 00:00:00 080002841 Closed Citation Citation B (HSC 1424) Medication None 2003-03-10 00:00:00 None No 2003-05-20 00:00:00 None B None 1000 1000 -350 650 0 080025562 A99999 N None None SFY2002-03
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2003-06-19 00:00:00 080002842 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-19 00:00:00 2003-05-19 00:00:00 Yes 2003-07-15 00:00:00 2003-07-03 00:00:00 B B 1000 500 0 500 0 080025898 A99999 N None None SFY2002-03
080000835 THE DOROTHY AND JOSEPH GOLDBERG HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2003-06-26 00:00:00 080002843 Closed Citation Citation B (HSC 1424) Other ABUSE/FACILITY RPT 2003-06-13 00:00:00 None No 2003-07-21 00:00:00 None B None 1000 1000 0 1000 0 080025941 A99999 N None None SFY2002-03
080000001 ENCINITAS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2003-07-29 00:00:00 080002844 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-09 00:00:00 2003-05-09 00:00:00 Yes 2003-08-22 00:00:00 2003-08-04 00:00:00 B B 1000 800 0 800 0 080025981 A99999 N None None SFY2003-04
080001692 VI AT LA JOLLA VILLAGE LTC SNF Skilled Nursing Facility San Diego 2003-09-15 00:00:00 080002845 Closed Citation Citation B (HSC 1424) Other ABUSE-FAC SELF REPRT 2003-08-14 00:00:00 None No 2003-10-10 00:00:00 None B None 800 800 -280 520 0 080026236 A99999 N None None SFY2003-04
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2003-10-02 00:00:00 080002846 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-25 00:00:00 2003-08-25 00:00:00 Yes 2003-11-04 00:00:00 2003-10-20 00:00:00 B B 1000 500 0 500 0 080026228 A99999 N None None SFY2003-04
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2004-01-08 00:00:00 080002848 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-15 00:00:00 None No 2004-02-02 00:00:00 None B None 800 800 -280 520 0 080026594 A99999 N None None SFY2003-04
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2004-01-20 00:00:00 080002849 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-01-09 00:00:00 2004-01-09 00:00:00 Yes 2004-02-16 00:00:00 2004-01-23 00:00:00 B B 1000 2700 -700 2000 0 080026666 A99999 N None None SFY2003-04
080000001 ENCINITAS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2004-02-10 00:00:00 080002850 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-09 00:00:00 2004-01-09 00:00:00 Yes 2004-03-05 00:00:00 2004-02-23 00:00:00 B None 1000 1000 -1000 0 0 080026644 A99999 N None None SFY2003-04
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2004-03-05 00:00:00 080002851 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-19 00:00:00 None No 2004-03-29 00:00:00 None B None 1000 1000 -350 650 0 080026818 A99999 N None None SFY2003-04
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2004-03-26 00:00:00 080002852 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-23 00:00:00 2004-02-23 00:00:00 Yes 2004-04-21 00:00:00 2004-04-05 00:00:00 B B 900 1000 0 1000 0 080026897 A99999 N None None SFY2003-04
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2004-03-30 00:00:00 080002853 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-17 00:00:00 2004-03-17 00:00:00 Yes 2004-04-23 00:00:00 2004-04-13 00:00:00 B B 1000 500 0 500 0 080026909 A99999 N None None SFY2003-04
080000032 GROSSMONT POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2004-04-06 00:00:00 080002854 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-25 00:00:00 2004-02-25 00:00:00 Yes 2005-02-28 00:00:00 2005-02-18 00:00:00 B B 1000 1000 0 1000 0 080026824 A99999 N None None SFY2003-04
080000987 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF LTC SNF Skilled Nursing Facility San Diego 2004-05-28 00:00:00 080002855 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-05-01 00:00:00 None No 2004-06-22 00:00:00 None B None 1000 1000 0 1000 0 080027031 A99999 N None None SFY2003-04
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2004-06-03 00:00:00 080002856 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-29 00:00:00 2003-10-29 00:00:00 No 2004-06-28 00:00:00 None B None 1000 1000 -350 650 0 080026939 A99999 N None None SFY2003-04
080000066 PALOMAR HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2004-07-07 00:00:00 080002857 Closed Citation Citation B (HSC 1424) Other ABUSE/FAC. SELF RPT. 2004-06-04 00:00:00 2004-06-04 00:00:00 No 2004-08-03 00:00:00 None B None 900 900 -315 585 0 080027106 A99999 N None None SFY2004-05
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2004-09-09 00:00:00 080002859 Closed Citation Citation B (HSC 1424) Administration None 2004-09-03 00:00:00 None No 2004-09-30 00:00:00 None B None 1000 1000 -350 650 0 080027278 A99999 N None None SFY2004-05
080000001 ENCINITAS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2004-11-02 00:00:00 080002860 Closed Citation Citation A (HSC 1424) Patient Care None 2004-09-24 00:00:00 2004-09-24 00:00:00 Yes 2004-12-02 00:00:00 2004-11-03 00:00:00 A A 18000 12000 0 12000 0 080027409 A99999 N None None SFY2004-05
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2004-12-02 00:00:00 080002861 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-02 00:00:00 2004-12-02 00:00:00 Yes 2004-12-30 00:00:00 2004-12-09 00:00:00 B B 1000 1 0 1 0 080027263 A99999 N None None SFY2004-05
080000066 PALOMAR HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2004-12-30 00:00:00 080002862 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-24 00:00:00 2004-11-24 00:00:00 No 2005-01-21 00:00:00 None B None 1000 1000 -350 650 0 080027482 A99999 N None None SFY2004-05
080000642 REMINGTON CLUB HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2005-02-14 00:00:00 080002863 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-08 00:00:00 2005-02-08 00:00:00 Yes 2005-03-10 00:00:00 2005-02-28 00:00:00 B None 1000 1000 0 1000 0 080027706 A99999 N None None SFY2004-05
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2005-03-21 00:00:00 080002864 Closed Citation Citation B (HSC 1424) Administration None 2005-02-28 00:00:00 2005-02-28 00:00:00 No 2005-04-12 00:00:00 None B None 1000 1000 -350 650 0 080027708 A99999 N None None SFY2004-05
080001264 LAS VILLAS DE CARLSBAD HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2005-04-15 00:00:00 080002867 Closed Citation Citation A (HSC 1424) Patient Care None 2004-08-04 00:00:00 None No 2005-05-09 00:00:00 None A None 16000 16000 -5600 10400 0 080027712 A99999 N None None SFY2004-05
080000007 BOULDER CREEK POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2005-04-15 00:00:00 080002868 Closed Citation Citation A (HSC 1424) Patient Care None 2005-02-05 00:00:00 2005-02-05 00:00:00 Yes 2005-05-06 00:00:00 2007-03-23 00:00:00 A A 20000 13000 0 13000 0 080027713 A99999 N None None SFY2004-05
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2005-05-03 00:00:00 080002869 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-25 00:00:00 None No 2005-05-31 00:00:00 None B None 950 950 -332.5 617.5 0 080027715 A99999 N None None SFY2004-05
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2005-05-04 00:00:00 080002870 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-05 00:00:00 2005-04-05 00:00:00 Yes 2005-06-03 00:00:00 2005-05-16 00:00:00 B B 1000 625 0 625 0 080027716 A99999 N None None SFY2004-05
080000070 ARBOR HILLS NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2005-05-12 00:00:00 080002871 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-24 00:00:00 None Yes 2005-06-08 00:00:00 2005-05-17 00:00:00 B B 1000 1000 0 1000 0 080027717 A99999 N None None SFY2004-05
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2005-05-19 00:00:00 080002872 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-31 00:00:00 None No 2005-06-13 00:00:00 None B None 700 700 -245 455 0 080027718 A99999 N None None SFY2004-05
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2005-08-23 00:00:00 080002873 Closed Citation Citation A (HSC 1424) Patient Care None 2005-04-27 00:00:00 None Yes 2005-09-19 00:00:00 2005-08-24 00:00:00 A None 18000 18000 -18000 0 0 080027721 A99999 N None None SFY2005-06
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2005-08-30 00:00:00 080002874 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-31 00:00:00 2005-07-31 00:00:00 Yes 2005-09-27 00:00:00 2005-09-07 00:00:00 B B 1000 500 0 500 0 080027722 A99999 N None None SFY2005-06
080000031 COUNTRY MANOR LA MESA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2005-10-21 00:00:00 080002875 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-15 00:00:00 None No 2005-11-15 00:00:00 None B None 900 900 -315 585 0 080027725 A99999 N None None SFY2005-06
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2005-12-08 00:00:00 080002876 Closed Citation Citation B (HSC 1424) Other ABUSE 2005-11-15 00:00:00 2005-11-15 00:00:00 No 2006-01-04 00:00:00 None B None 1000 1000 -350 650 0 080027727 A99999 N None None SFY2005-06
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-01-12 00:00:00 080002877 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-29 00:00:00 None No 2006-02-07 00:00:00 None B None 1000 1000 0 1000 0 080027728 A99999 N None None SFY2005-06
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-01-24 00:00:00 080002878 Closed Citation Citation B (HSC 1424) Other ABUSE 2005-12-28 00:00:00 2005-12-28 00:00:00 No 2006-02-22 00:00:00 None B None 1000 1000 -350 650 0 080027730 A99999 N None None SFY2005-06
080000066 PALOMAR HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2006-02-03 00:00:00 080002879 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-01-11 00:00:00 None Yes 2006-03-02 00:00:00 2006-02-15 00:00:00 AA AA 100000 50000 0 50000 0 080027731 A99999 Y None None SFY2005-06
080000685 CASA DE LAS CAMPANAS LTC SNF Skilled Nursing Facility San Diego 2006-03-06 00:00:00 080002883 Closed Citation Citation A (HSC 1424) Other Neglect 2005-12-11 00:00:00 2005-12-11 00:00:00 No 2006-03-27 00:00:00 None A None 16000 16000 -5600 10400 0 None BTW111 N CA00069937 B SFY2005-06
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2006-03-07 00:00:00 080002898 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-12-23 00:00:00 2005-12-23 00:00:00 Yes 2007-09-10 00:00:00 2007-08-29 00:00:00 AA AA 94000 55000 0 55000 0 None ZHQS11 Y CA00070251, CA00070284 C, C SFY2005-06
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-03-30 00:00:00 080002994 Closed Citation Citation B (HSC 1424) Other Abuse 2006-02-04 00:00:00 2006-02-04 00:00:00 No 2006-04-21 00:00:00 None B None 1000 1000 -350 650 0 None 928611 N CA00071775 B SFY2005-06
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2006-04-13 00:00:00 080003027 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-07 00:00:00 2006-02-07 00:00:00 No 2006-05-04 00:00:00 None B None 1000 1000 0 1000 0 None 9Y1K11 N CA00074264 B SFY2005-06
080000222 OCEAN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2006-05-04 00:00:00 080003078 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-04-28 00:00:00 2006-04-28 00:00:00 No 2006-05-30 00:00:00 None B None 500 500 -175 325 0 None OVW611 N CA00075813 B SFY2005-06
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-08-09 00:00:00 080003263 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-12-02 00:00:00 2005-12-02 00:00:00 No 2006-08-30 00:00:00 None B None 1000 3000 -1050 1950 0 None EZTH11 N CA00088893 B SFY2006-07
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-08-10 00:00:00 080003264 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-15 00:00:00 2006-05-15 00:00:00 No 2006-08-31 00:00:00 None B None 1000 1000 -350 650 0 None BEZM11 N CA00080719 B SFY2006-07
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2006-08-09 00:00:00 080003265 Closed Citation Citation B (HSC 1424) Other Patient Care/Rights 2006-07-13 00:00:00 2006-07-13 00:00:00 Yes 2006-08-30 00:00:00 2006-08-28 00:00:00 B B 1000 500 0 500 0 None 2Z1811 N CA00085681 B SFY2006-07
080000094 BRADLEY COURT LTC SNF Skilled Nursing Facility San Diego 2006-08-24 00:00:00 080003305 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-07-15 00:00:00 2006-07-15 00:00:00 No 2006-09-15 00:00:00 None B None 1000 1000 -350 650 0 None RWQ511 N CA00087270 A SFY2006-07
080000470 CASA PALMERA CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-09-15 00:00:00 080003339 Closed Citation Citation B (HSC 1424) Other Pharmacy Services 2006-08-23 00:00:00 2006-08-23 00:00:00 No 2006-10-06 00:00:00 None B None 1000 1000 -350 650 0 None SVEF11 N None None SFY2006-07
080000470 CASA PALMERA CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-09-15 00:00:00 080003340 Closed Citation Citation B (HSC 1424) Other Staff Development/Dietary 2006-08-23 00:00:00 2006-08-23 00:00:00 No 2006-10-06 00:00:00 None B None 1000 1000 -350 650 0 None SVEF11 N None None SFY2006-07
080000470 CASA PALMERA CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-09-15 00:00:00 080003341 Closed Citation Citation B (HSC 1424) Other Pt. Care Policies & Proc. 2006-08-23 00:00:00 2006-08-23 00:00:00 No 2006-10-06 00:00:00 None B None 1000 1000 -350 650 0 None SVEF11 N None None SFY2006-07
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2006-09-26 00:00:00 080003361 Closed Citation Citation A (HSC 1424) Patient Care None 2006-04-16 00:00:00 2006-04-16 00:00:00 No 2006-10-19 00:00:00 None A None 18000 18000 0 18000 0 None LV4711 N CA00088309 B SFY2006-07
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-10-26 00:00:00 080003450 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-03 00:00:00 2006-08-03 00:00:00 No 2006-11-17 00:00:00 None B None 1000 1000 0 1000 0 None 77ZS11 Y CA00080351 B SFY2006-07
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-10-27 00:00:00 080003454 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-12 00:00:00 2006-10-12 00:00:00 Yes 2006-12-01 00:00:00 2006-11-09 00:00:00 B B 800 400 0 400 0 None HTLL11 N CA00095532 B SFY2006-07
080000094 BRADLEY COURT LTC SNF Skilled Nursing Facility San Diego 2006-12-21 00:00:00 080003593 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-10-05 00:00:00 2006-10-05 00:00:00 Yes 2007-01-16 00:00:00 2007-01-09 00:00:00 B B 1000 3000 0 3000 0 None F38S11 N CA00095183 A SFY2006-07
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2006-12-29 00:00:00 080003613 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-29 00:00:00 2005-11-29 00:00:00 Yes 2007-02-09 00:00:00 2007-01-08 00:00:00 B B 1000 500 0 500 0 None KWX211 N CA00097669 B SFY2006-07
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2007-02-01 00:00:00 080003674 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-16 00:00:00 2007-01-16 00:00:00 No 2007-02-22 00:00:00 None B None 1000 1000 -350 650 0 None C3PL11 N CA00102873 C SFY2006-07
080001264 LAS VILLAS DE CARLSBAD HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2007-03-05 00:00:00 080003768 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-05 00:00:00 2007-02-05 00:00:00 Yes 2007-03-27 00:00:00 2007-03-05 00:00:00 B B 1000 1000 0 1000 0 None CGSK11 N CA00104837 C SFY2006-07
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2007-04-05 00:00:00 080003875 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-02-21 00:00:00 2007-02-21 00:00:00 Yes 2007-12-21 00:00:00 2007-12-17 00:00:00 AA A 100000 80000 0 80000 0 None 14V411 Y CA00106369 C SFY2006-07
080000283 PALOMAR CONTINUING CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility San Diego 2007-04-13 00:00:00 080003894 Closed Citation Citation A (HSC 1424) Patient Care None 2004-08-11 00:00:00 2004-08-11 00:00:00 Yes 2007-05-04 00:00:00 2007-04-20 00:00:00 A B 20000 5000 0 5000 0 None 2TQ11 N CA00052366 B SFY2006-07
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2007-04-20 00:00:00 080003908 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-21 00:00:00 2007-03-21 00:00:00 No 2007-05-15 00:00:00 None B None 900 900 -315 585 0 None ZCEL11 N CA00107320 C SFY2006-07
080000642 REMINGTON CLUB HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2007-04-20 00:00:00 080003913 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-13 00:00:00 2006-11-13 00:00:00 No 2007-05-11 00:00:00 None B None 1000 1000 -350 650 0 None K3OS11 N CA00107750 C SFY2006-07
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2007-05-30 00:00:00 080003994 Closed Citation Citation B (HSC 1424) Other Abuse Facility Self Repor 2007-05-16 00:00:00 2007-05-16 00:00:00 No 2007-06-20 00:00:00 None B None 1000 1000 0 1000 0 None TOK011 N CA00113417 C SFY2006-07
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2007-05-30 00:00:00 080003995 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-05-20 00:00:00 2007-05-20 00:00:00 No 2007-06-20 00:00:00 None B None 1000 1000 -350 650 0 None H4YX11 N CA00115438 C SFY2006-07
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2007-06-01 00:00:00 080003997 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-19 00:00:00 2007-05-19 00:00:00 Yes 2007-06-22 00:00:00 2007-06-08 00:00:00 B None 1000 1000 0 1000 0 None 8FVL11 N CA00115167 C SFY2006-07
080000617 STANFORD COURT SKILLED NURSING & REHAB CENTER LTC SNF Skilled Nursing Facility San Diego 2007-06-15 00:00:00 080004004 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-24 00:00:00 2007-05-24 00:00:00 Yes 2008-02-26 00:00:00 2008-02-08 00:00:00 A B 15000 13000 0 13000 0 None R6X011 Y CA00112903 C SFY2006-07
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2007-06-01 00:00:00 080004005 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-09 00:00:00 2007-05-09 00:00:00 No 2007-06-22 00:00:00 None B None 1000 1000 0 1000 0 None 3QUS11 N CA00114325 C SFY2006-07
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2007-07-18 00:00:00 080004108 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-23 00:00:00 2007-05-23 00:00:00 No 2007-08-08 00:00:00 None B None 1000 1000 0 1000 0 None O1SJ11 N CA00115710 C SFY2007-08
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2007-08-03 00:00:00 080004156 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-07-07 00:00:00 2007-07-07 00:00:00 No 2007-08-29 00:00:00 None B None 1000 3000 -1050 1950 0 None 08L811 N CA00121491 A SFY2007-08
080000060 THE SHORES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2007-09-07 00:00:00 080004247 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-25 00:00:00 2007-06-25 00:00:00 No 2007-09-28 00:00:00 None B None 1000 1000 0 1000 0 None PJI211 N CA00115078 C SFY2007-08
080000642 REMINGTON CLUB HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2007-09-07 00:00:00 080004252 Closed Citation Citation B (HSC 1424) Medication None 2007-07-05 00:00:00 2007-07-05 00:00:00 No 2007-09-28 00:00:00 None B None 1000 1000 -350 650 0 None DPUJ11 N CA00120862 A SFY2007-08
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2007-10-19 00:00:00 080004374 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-10-02 00:00:00 2007-10-02 00:00:00 No 2007-11-13 00:00:00 None B None 1000 1000 -350 650 0 None DBBE11 N CA00128212 A SFY2007-08
080000283 PALOMAR CONTINUING CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility San Diego 2007-11-15 00:00:00 080004442 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-25 00:00:00 2007-09-25 00:00:00 Yes 2007-12-10 00:00:00 2007-11-29 00:00:00 A A 16000 8500 0 8500 0 None NDR911 N CA00128538 C SFY2007-08
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2007-12-04 00:00:00 080004479 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-08 00:00:00 2007-10-08 00:00:00 No 2007-12-26 00:00:00 None B None 1000 1000 -350 650 0 None TH2Y11 N CA00129079 C SFY2007-08
080000922 TOGETHER WE GROW LTC PDHRCF Pediatric Day Health & Respite Care Facility San Diego 2008-01-24 00:00:00 080004602 Closed Citation Citation B (HSC 1424) Other Accidents 2007-11-30 00:00:00 2007-11-30 00:00:00 No 2008-02-19 00:00:00 None B None 1000 1000 -350 650 0 None 6LQ211 N CA00134328 C SFY2007-08
080000222 OCEAN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-01-24 00:00:00 080004608 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-01 00:00:00 2007-11-01 00:00:00 No 2008-02-21 00:00:00 None B None 1000 1000 -350 650 0 None SP8C11 N CA00132903 C SFY2007-08
080000066 PALOMAR HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-01-31 00:00:00 080004630 Closed Citation Citation AA (HSC 1424) Other Supervision 2007-11-26 00:00:00 2007-11-26 00:00:00 Yes 2008-02-27 00:00:00 2008-02-04 00:00:00 AA A 100000 95000 0 95000 0 None SQOZ11 Y CA00132860 A SFY2007-08
080000035 RADY CHILDREN'S CONVALESCENT HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Diego 2008-02-21 00:00:00 080004704 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-03 00:00:00 2008-01-03 00:00:00 No 2008-03-14 00:00:00 None B None 1000 1000 0 1000 0 None K0CJ11 N CA00136306 C SFY2007-08
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-04-11 00:00:00 080004915 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-02 00:00:00 2008-04-02 00:00:00 Yes 2008-05-02 00:00:00 2008-04-14 00:00:00 B None 1000 1000 0 1000 0 None DTMQ11 N CA00145646 C SFY2007-08
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-06-18 00:00:00 080005161 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-05-27 00:00:00 2008-05-27 00:00:00 No 2008-07-10 00:00:00 None B None 1000 1000 -350 650 0 None PLG111 N CA00151967 A SFY2007-08
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2008-06-20 00:00:00 080005165 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-11 00:00:00 2008-05-11 00:00:00 No 2008-07-14 00:00:00 None B None 1000 3000 -1050 1950 0 None FQH511 N CA00150075 C SFY2007-08
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-07-30 00:00:00 080005272 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-28 00:00:00 2008-06-28 00:00:00 No 2008-08-20 00:00:00 None B None 1000 1000 -350 650 0 None S81R11 N CA00155347 A SFY2008-09
080001264 LAS VILLAS DE CARLSBAD HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2008-08-14 00:00:00 080005323 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-06-02 00:00:00 2008-06-02 00:00:00 Yes 2008-09-09 00:00:00 2008-08-21 00:00:00 B None 1000 1000 0 1000 0 None D0H412 N None None SFY2008-09
080000017 THE ROYAL HOME LTC SNF Skilled Nursing Facility San Diego 2008-08-14 00:00:00 080005331 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-07-18 00:00:00 2008-07-18 00:00:00 No 2008-09-08 00:00:00 None B None 1000 1000 -350 650 0 None 7P7611 N CA00158895 C SFY2008-09
080001502 BAYSHIRE CARLSBAD LTC SNF Skilled Nursing Facility San Diego 2008-09-05 00:00:00 080005397 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-08-23 00:00:00 2008-08-23 00:00:00 No 2008-09-30 00:00:00 None B None 1000 1000 -350 650 0 None ZOKS11 N CA00161730 A SFY2008-09
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-10-01 00:00:00 080005481 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-22 00:00:00 2008-01-22 00:00:00 No 2008-10-24 00:00:00 None B None 1000 1750 0 1750 0 None FO6811 N CA00161548 C SFY2008-09
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-10-07 00:00:00 080005509 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-09-12 00:00:00 2008-09-12 00:00:00 No 2008-11-04 00:00:00 None B None 1000 1000 -350 650 0 None RO6311 N CA00164403 A SFY2008-09
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-10-09 00:00:00 080005516 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-30 00:00:00 2007-12-30 00:00:00 Yes 2008-11-03 00:00:00 2008-10-23 00:00:00 B None 1000 1000 0 1000 0 None IX6O11 N CA00164203 A SFY2008-09
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2008-11-07 00:00:00 080005587 Closed Citation Citation B (HSC 1424) Other INFECTION CONTROL 2008-10-30 00:00:00 2008-10-30 00:00:00 No 2008-12-04 00:00:00 None B None 1000 1000 0 1000 0 None G7ZT11 N CA00167758 C SFY2008-09
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-11-06 00:00:00 080005591 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-04 00:00:00 2008-09-04 00:00:00 No 2008-12-02 00:00:00 None B None 1000 3000 0 3000 0 None ZEJH11 N CA00160901 C SFY2008-09
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2008-12-12 00:00:00 080005688 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-19 00:00:00 2008-10-19 00:00:00 No 2009-01-06 00:00:00 None B None 1000 1000 -350 650 0 None CE2C11 N CA00167311 A SFY2008-09
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-12-18 00:00:00 080005709 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-11-17 00:00:00 2008-11-17 00:00:00 No 2009-01-12 00:00:00 None B None 1000 1000 0 1000 0 None T1LA11 N None None SFY2008-09
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-01-07 00:00:00 080005754 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-11-21 00:00:00 2008-11-21 00:00:00 No 2009-01-28 00:00:00 None B None 1000 1050 0 1050 0 None THQ811 N CA00170132 C SFY2008-09
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2009-01-20 00:00:00 080005796 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-17 00:00:00 2008-11-17 00:00:00 Yes 2009-02-10 00:00:00 2009-01-21 00:00:00 B None 1000 1000 -350 650 0 None 7ZDH11 N CA00169696 C SFY2008-09
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-02-11 00:00:00 080005875 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-08 00:00:00 2009-01-08 00:00:00 No 2009-03-09 00:00:00 None B None 1000 1000 0 1000 0 None X19011 N CA00174163 C SFY2008-09
080000810 CARE MERIDIAN LTC CLHF Congregate Living Health Facility San Diego 2009-02-24 00:00:00 080005876 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-29 00:00:00 2009-01-29 00:00:00 Yes 2009-04-03 00:00:00 2009-03-12 00:00:00 B B 1000 650 0 650 0 None VUQ811 N CA00176056 A SFY2008-09
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-02-25 00:00:00 080005891 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-11-30 00:00:00 2008-11-30 00:00:00 Yes 2009-03-20 00:00:00 2009-03-04 00:00:00 AA AA 90000 45000 0 45000 0 None Q34O11 Y CA00171321 C SFY2008-09
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2009-02-26 00:00:00 080005908 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-25 00:00:00 2008-12-25 00:00:00 Yes 2009-03-23 00:00:00 2009-03-13 00:00:00 B B 1000 650 0 650 0 None FLPB11 N CA00174210 C SFY2008-09
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2009-03-02 00:00:00 080005915 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-22 00:00:00 2009-01-22 00:00:00 No 2009-03-23 00:00:00 None B None 1000 1000 -350 650 0 None EO9V11 N CA00175692 H SFY2008-09
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-03-04 00:00:00 080005919 Closed Citation Citation B (HSC 1424) Other Abuse 2009-01-28 00:00:00 2009-01-28 00:00:00 No 2009-03-25 00:00:00 None B None 1000 1000 0 1000 0 None AYV711 N CA00176580 A SFY2008-09
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-03-04 00:00:00 080005920 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-29 00:00:00 2009-01-29 00:00:00 No 2009-03-25 00:00:00 None B None 1000 1000 0 1000 0 None AYV711 N CA00176580 A SFY2008-09
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2009-03-04 00:00:00 080005926 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-14 00:00:00 2009-01-14 00:00:00 No 2009-03-26 00:00:00 None B None 1000 1000 -350 650 0 None FS8K11 N CA00174882 C SFY2008-09
080000642 REMINGTON CLUB HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2009-03-18 00:00:00 080005977 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-14 00:00:00 2009-01-14 00:00:00 No 2009-04-09 00:00:00 None B None 1000 1000 -350 650 0 None 9NK111 N CA00174958 C SFY2008-09
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-04-08 00:00:00 080006053 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-28 00:00:00 2008-12-28 00:00:00 Yes 2009-04-29 00:00:00 2009-04-14 00:00:00 B B 1000 500 0 500 0 None 4Q3V11 N CA00173311 C SFY2008-09
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-04-08 00:00:00 080006060 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-28 00:00:00 2008-12-28 00:00:00 Yes 2009-04-29 00:00:00 2009-04-14 00:00:00 A A 20000 13000 0 13000 0 None 4Q3V11 N CA00173311 C SFY2008-09
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-04-15 00:00:00 080006097 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-03-04 00:00:00 2009-03-04 00:00:00 Yes 2009-05-11 00:00:00 2009-04-20 00:00:00 B B 1000 1050 -400 650 0 None RQWL11 N CA00178549 C SFY2008-09
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-04-29 00:00:00 080006135 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-03-23 00:00:00 2009-03-23 00:00:00 No 2009-05-22 00:00:00 None B None 1000 1000 -350 650 0 None 597T11 N CA00182650 A SFY2008-09
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-05-07 00:00:00 080006165 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-14 00:00:00 2009-04-14 00:00:00 No 2009-05-29 00:00:00 None B None 1000 1000 -350 650 0 None CMR911 N CA00184894 C SFY2008-09
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-05-08 00:00:00 080006166 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-08 00:00:00 2009-03-08 00:00:00 No 2009-06-02 00:00:00 None B None 1000 1000 -350 650 0 None 7FGD11 N CA00180550 C SFY2008-09
080000617 STANFORD COURT SKILLED NURSING & REHAB CENTER LTC SNF Skilled Nursing Facility San Diego 2009-05-14 00:00:00 080006186 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-04-11 00:00:00 2009-04-11 00:00:00 Yes 2009-06-09 00:00:00 2009-05-14 00:00:00 B None 750 800 -262.5 537.5 0 None X6U211 N CA00184720 C SFY2008-09
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-05-27 00:00:00 080006221 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-18 00:00:00 2009-05-18 00:00:00 No 2009-06-17 00:00:00 None B None 1000 1000 -350 650 0 None 4D2E11 N CA00188684 C SFY2008-09
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-06-09 00:00:00 080006246 Closed Citation Citation A (HSC 1424) Other PT Neglect/Elopement 2009-05-06 00:00:00 2009-05-06 00:00:00 Yes 2009-07-02 00:00:00 2009-06-17 00:00:00 A A 16000 16000 0 16000 0 None OISX11 N CA00187747, CA00187896 B, C SFY2008-09
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-06-09 00:00:00 080006270 Closed Citation Citation AA (HSC 1424) Physical Environment None 2009-05-10 00:00:00 2009-05-10 00:00:00 Yes 2009-07-02 00:00:00 2009-06-17 00:00:00 AA A 100000 100000 0 100000 0 None 65BB11 Y CA00187815, CA00187885 A, C SFY2008-09
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-06-19 00:00:00 080006307 Closed Citation Citation B (HSC 1424) Other Abuse 2008-02-27 00:00:00 2008-02-27 00:00:00 No 2009-07-10 00:00:00 None B None 1000 1050 0 1050 0 None CKBB11 N CA00188626 C SFY2008-09
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-07-06 00:00:00 080006349 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-09 00:00:00 2009-05-09 00:00:00 No 2009-07-27 00:00:00 None B None 1000 1000 0 1000 0 None 67D511 N CA00187931 H SFY2009-10
080000032 GROSSMONT POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2009-07-06 00:00:00 080006362 Open Citation Citation A (HSC 1424) Patient Care None 2009-01-12 00:00:00 2009-01-12 00:00:00 Yes 2012-10-01 00:00:00 2012-06-07 00:00:00 A A 20000 20000 0 0 20000 None 7UVM11 N CA00176743 C SFY2009-10
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-07-09 00:00:00 080006380 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-21 00:00:00 2008-12-21 00:00:00 No 2009-08-05 00:00:00 None B None 1000 1000 0 1000 0 None 6IKT11 N CA00190499 C SFY2009-10
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-07-23 00:00:00 080006413 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-01-15 00:00:00 2009-01-15 00:00:00 No 2009-08-14 00:00:00 None B None 1000 1000 -350 650 0 None D4SL11 N CA00194402 C SFY2009-10
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-07-29 00:00:00 080006423 Closed Citation Citation A (HSC 1424) Medication None 2009-03-12 00:00:00 2009-03-12 00:00:00 Yes 2009-08-20 00:00:00 2009-08-12 00:00:00 A A 16000 16000 0 16000 0 None TS2L11 N CA00188615 C SFY2009-10
080000679 THE VILLAS AT POWAY LTC SNF Skilled Nursing Facility San Diego 2009-08-12 00:00:00 080006455 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-08-05 00:00:00 2009-08-05 00:00:00 Yes 2009-09-02 00:00:00 2009-08-17 00:00:00 B B 750 375 0 375 0 None 6GKJ11 N CA00194360 C SFY2009-10
080001692 VI AT LA JOLLA VILLAGE LTC SNF Skilled Nursing Facility San Diego 2009-08-25 00:00:00 080006484 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-07-19 00:00:00 2009-07-19 00:00:00 No 2009-09-16 00:00:00 None B None 1000 1000 -350 650 0 None KD8T11 N CA00197497 C SFY2009-10
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-08-25 00:00:00 080006486 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-07-24 00:00:00 2009-07-24 00:00:00 No 2009-09-21 00:00:00 None B None 1000 1000 -350 650 0 None 8CKZ11 N CA00197527 C SFY2009-10
080000685 CASA DE LAS CAMPANAS LTC SNF Skilled Nursing Facility San Diego 2009-09-03 00:00:00 080006531 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-29 00:00:00 2009-07-29 00:00:00 Yes 2009-09-29 00:00:00 2009-09-03 00:00:00 B B 1000 1000 0 1000 0 None 6MIN11 N CA00196580 C SFY2009-10
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2009-09-08 00:00:00 080006541 Closed Citation Citation AA (HSC 1424) Other Accidents 2009-06-08 00:00:00 2009-06-08 00:00:00 No 2009-09-30 00:00:00 None AA None 90000 90000 -31500 58500 0 None I6J511 Y CA00191586 C SFY2009-10
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-09-25 00:00:00 080006571 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported Call light system 2009-08-13 00:00:00 2009-08-13 00:00:00 No 2009-10-19 00:00:00 None B None 1000 1000 0 1000 0 None S2EN11 N CA00197043 C SFY2009-10
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-11-10 00:00:00 080006668 Closed Citation Citation A (HSC 1424) Medication None 2009-07-17 00:00:00 2009-07-17 00:00:00 Yes 2012-06-14 00:00:00 2009-11-16 00:00:00 A A 20000 20000 0 20000 0 None TIJQ11 N CA00195438 H SFY2009-10
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-11-05 00:00:00 080006689 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-24 00:00:00 2009-10-24 00:00:00 Yes 2009-12-01 00:00:00 2009-11-06 00:00:00 B B 1000 500 0 500 0 None G2IS11 N CA00206160 A SFY2009-10
080000066 PALOMAR HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-11-13 00:00:00 080006706 Closed Citation Citation B (HSC 1424) Other Abuse 2009-10-24 00:00:00 2009-10-24 00:00:00 Yes 2009-12-09 00:00:00 2009-11-30 00:00:00 B B 1000 750 0 750 0 None V0Y711 N CA00206231 C SFY2009-10
080000066 PALOMAR HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-11-13 00:00:00 080006714 Closed Citation Citation B (HSC 1424) Other Abuse 2009-10-24 00:00:00 2009-10-24 00:00:00 No 2009-12-08 00:00:00 None B None 1000 1000 -350 650 0 None IBDJ11 N CA00206233 C SFY2009-10
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-11-13 00:00:00 080006715 Closed Citation Citation B (HSC 1424) Other Abuse 2009-10-28 00:00:00 2009-10-28 00:00:00 No 2009-12-08 00:00:00 None B None 1000 1000 0 1000 0 None GFRL11 N CA00206514 A SFY2009-10
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2009-11-18 00:00:00 080006718 Closed Citation Citation B (HSC 1424) Other abuse 2009-10-13 00:00:00 2009-10-13 00:00:00 Yes 2009-12-11 00:00:00 2009-11-18 00:00:00 B B 1000 500 0 500 0 None YMNE11 N CA00204265 C SFY2009-10
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-11-23 00:00:00 080006725 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-29 00:00:00 2009-10-29 00:00:00 No 2009-12-16 00:00:00 None B None 1000 3000 -1050 1950 0 None NI0D11 N CA00207001 C SFY2009-10
080000052 RANCHO VISTA LTC SNF Skilled Nursing Facility San Diego 2009-12-01 00:00:00 080006738 Open Citation Citation A (HSC 1424) Patient Care None 2009-08-24 00:00:00 2009-08-24 00:00:00 Yes 2009-12-22 00:00:00 2012-06-06 00:00:00 A A 16000 16000 0 0 16000 None IWYL11 N CA00200409 C SFY2009-10
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-01-05 00:00:00 080006874 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-06 00:00:00 2009-10-06 00:00:00 No 2010-02-02 00:00:00 None B None 1000 1000 0 1000 0 None JNQT11 N CA00203887 C SFY2009-10
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-02-03 00:00:00 080006919 Closed Citation Citation AA (HSC 1424) Other Accidents & Supervision 2009-11-07 00:00:00 2009-11-07 00:00:00 Yes 2010-09-28 00:00:00 2010-09-10 00:00:00 AA AA 100000 100000 0 100000 0 None IGZ911 Y CA00207618 C SFY2009-10
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-02-03 00:00:00 080006960 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-11 00:00:00 2009-10-11 00:00:00 No 2010-02-24 00:00:00 None B None 1000 1000 -350 650 0 None Q89V11 N CA00205909 B SFY2009-10
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-02-03 00:00:00 080006961 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-10-11 00:00:00 2009-10-11 00:00:00 No 2010-02-24 00:00:00 None B None 1000 1000 -350 650 0 None Q89V11 N CA00205909 B SFY2009-10
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-02-05 00:00:00 080006972 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-11-27 00:00:00 2009-11-27 00:00:00 No 2010-03-01 00:00:00 None B None 1000 3000 -1050 1950 0 None NLT311 N CA00209752 H SFY2009-10
080000222 OCEAN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-03-10 00:00:00 080007040 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-24 00:00:00 2010-02-24 00:00:00 No 2010-04-01 00:00:00 None B None 1000 1000 -350 650 0 None O17K11 N CA00216032 C SFY2009-10
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-03-19 00:00:00 080007058 Closed Citation Citation B (HSC 1424) Other Quality of Care/Treatment 2009-10-23 00:00:00 2009-10-23 00:00:00 No 2010-04-22 00:00:00 None B None 1000 1000 -350 650 0 None 7YDB11 N CA00206213 C SFY2009-10
630009562 CENTER FOR DISCOVERY LA JOLLA LTC CLHF Congregate Living Health Facility San Diego 2010-04-22 00:00:00 080007153 Closed Citation Citation B (HSC 1424) Staffing None 2010-01-12 00:00:00 2010-01-12 00:00:00 No 2010-05-20 00:00:00 None B None 1000 1700 -350 1350 0 None PN1C11 N CA00212744 C SFY2009-10
630009562 CENTER FOR DISCOVERY LA JOLLA LTC CLHF Congregate Living Health Facility San Diego 2010-04-22 00:00:00 080007154 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-03 00:00:00 2010-02-03 00:00:00 No 2010-05-13 00:00:00 None B None 1000 1000 -350 650 0 None PN1C11 N CA00212744 C SFY2009-10
630009562 CENTER FOR DISCOVERY LA JOLLA LTC CLHF Congregate Living Health Facility San Diego 2010-04-22 00:00:00 080007155 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-05 00:00:00 2010-02-05 00:00:00 No 2010-05-13 00:00:00 None B None 1000 1000 -350 650 0 None PN1C11 N CA00212744 C SFY2009-10
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-04-26 00:00:00 080007164 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-09 00:00:00 2009-12-09 00:00:00 No 2010-05-17 00:00:00 None A None 16000 16000 -5600 10400 0 None Q0J411 N CA00209829 C SFY2009-10
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-06-23 00:00:00 080007325 Closed Citation Citation A (HSC 1424) Other Infection Control 2010-05-26 00:00:00 2010-05-26 00:00:00 No 2010-07-16 00:00:00 None A None 15000 15000 -5250 9750 0 None 6UN111 N None None SFY2009-10
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-06-24 00:00:00 080007330 Closed Citation Citation B (HSC 1424) Other Nursing Services 2009-10-01 00:00:00 2009-10-01 00:00:00 No 2010-07-15 00:00:00 None B None 1000 1000 -350 650 0 None F18M11 N CA00218074 C SFY2009-10
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-07-20 00:00:00 080007384 Closed Citation Citation A (HSC 1424) Medication None 2010-03-21 00:00:00 2010-03-21 00:00:00 Yes 2010-08-10 00:00:00 2010-07-28 00:00:00 A A 20000 20000 0 20000 0 None 5G2S11 N CA00222619 C SFY2010-11
080000077 AVIARA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-09-23 00:00:00 080007594 Closed Citation Citation B (HSC 1424) Other Policies & Procedures 2010-06-18 00:00:00 2010-06-18 00:00:00 No 2010-10-15 00:00:00 None B None 1000 1000 -350 650 0 None LYJL11 N CA00232878 B SFY2010-11
080000283 PALOMAR CONTINUING CARE CENTER D/P SNF LTC SNF Skilled Nursing Facility San Diego 2010-10-07 00:00:00 080007615 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-27 00:00:00 2010-08-27 00:00:00 No 2010-10-29 00:00:00 None A None 15000 15400 -5250 10150 0 None WZ5011 N CA00240878 B SFY2010-11
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-10-12 00:00:00 080007624 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-09-25 00:00:00 2010-09-25 00:00:00 No 2010-11-03 00:00:00 None B None 1000 1000 -350 650 0 None 1ONS11 N CA00243937 B SFY2010-11
080000017 THE ROYAL HOME LTC SNF Skilled Nursing Facility San Diego 2010-10-14 00:00:00 080007640 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-17 00:00:00 2010-09-17 00:00:00 No 2010-11-04 00:00:00 None B None 1000 1000 -350 650 0 None 3GKY11 N CA00243542 B SFY2010-11
080001708 MONTECATINI LTC CLHF Congregate Living Health Facility San Diego 2010-11-19 00:00:00 080007709 Closed Citation Citation B (HSC 1424) Other PHARMACEUDICAL SERVICES 2010-09-22 00:00:00 2010-09-22 00:00:00 No 2010-12-14 00:00:00 None B None 1000 1000 -350 650 0 None KMRY11 N CA00236428 B SFY2010-11
080001708 MONTECATINI LTC CLHF Congregate Living Health Facility San Diego 2010-11-19 00:00:00 080007710 Closed Citation Citation B (HSC 1424) Other NURSING SERVICES 2010-09-22 00:00:00 2010-09-22 00:00:00 No 2010-12-14 00:00:00 None B None 1000 1000 -350 650 0 None KMRY11 N CA00236428 B SFY2010-11
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-12-03 00:00:00 080007751 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-11 00:00:00 2010-10-11 00:00:00 No 2010-12-24 00:00:00 None B None 1000 1000 -350 650 0 None ZU7311 N CA00245451 B SFY2010-11
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-01-11 00:00:00 080007837 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-13 00:00:00 2010-10-13 00:00:00 No 2011-02-02 00:00:00 None B None 1000 1000 -350 650 0 None RIIQ11 N CA00246813 B SFY2010-11
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-02-04 00:00:00 080007920 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-09 00:00:00 2010-11-09 00:00:00 No 2011-02-28 00:00:00 None B None 1000 1000 -350 650 0 None K9I811 N CA00249905 B SFY2010-11
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-03-16 00:00:00 080008021 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-02 00:00:00 2011-02-02 00:00:00 No 2011-04-07 00:00:00 None B None 1000 1000 -350 650 0 None K3E511 N CA00257773 B SFY2010-11
080000070 ARBOR HILLS NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2011-03-16 00:00:00 080008032 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2010-06-21 00:00:00 2010-06-21 00:00:00 Yes 2011-04-07 00:00:00 2014-03-27 00:00:00 WF Dismissed by Court 350 0 0 0 0 None F2V113 None CA00215464 C SFY2010-11
080000642 REMINGTON CLUB HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2011-04-14 00:00:00 080008151 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-08 00:00:00 2011-01-08 00:00:00 No 2011-05-05 00:00:00 None B None 1000 1050 0 1050 0 None PLP711 N CA00255758 C SFY2010-11
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2011-04-20 00:00:00 080008171 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-03-28 00:00:00 2011-03-28 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None TWKD11 N CA00264351 B SFY2010-11
080000090 VALLE VISTA POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-04-28 00:00:00 080008203 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-02-25 00:00:00 2011-02-25 00:00:00 Yes 2014-04-07 00:00:00 2014-03-20 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 None Q36M11 N CA00259827 C SFY2010-11
080000090 VALLE VISTA POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-04-28 00:00:00 080008207 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-02-25 00:00:00 2011-02-25 00:00:00 Yes 2011-05-19 00:00:00 2014-03-20 00:00:00 B B 1000 1000 -1000 0 0 None Q36M11 N CA00259827 C SFY2010-11
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2011-06-02 00:00:00 080008285 Closed Citation Citation B (HSC 1424) Administration None 2011-03-15 00:00:00 2011-03-15 00:00:00 No 2011-06-23 00:00:00 None B None 1000 1000 -350 650 0 None 6G5F11 N CA00262650 B SFY2010-11
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2011-06-09 00:00:00 080008287 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-19 00:00:00 2011-04-19 00:00:00 Yes 2011-06-30 00:00:00 2011-06-09 00:00:00 B None 1000 1000 0 1000 0 None 42MX11 N CA00266685, CA00267440 B, B SFY2010-11
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2011-06-16 00:00:00 080008299 Closed Citation Citation B (HSC 1424) Other ACCIDENTS 2011-04-02 00:00:00 2011-04-02 00:00:00 No 2011-07-08 00:00:00 None B None 1000 1650 -350 1300 0 None RXQU11 Y CA00264702, CA00264704 H, B SFY2010-11
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-06-29 00:00:00 080008340 Closed Citation Citation A (HSC 1424) Other Accidents 2010-03-21 00:00:00 2010-03-21 00:00:00 Yes 2011-07-21 00:00:00 2013-03-19 00:00:00 A A 20000 20000 0 20000 0 None 9P3I11 N CA00249801 B SFY2010-11
080000014 REDWOOD TERRACE HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2011-06-29 00:00:00 080008343 Closed Citation Citation A (HSC 1424) Other ACCIDENTS 2011-05-26 00:00:00 2011-05-26 00:00:00 Yes 2011-07-21 00:00:00 2011-07-18 00:00:00 A A 18000 18000 0 18000 0 None TENI11 N None None SFY2010-11
080000642 REMINGTON CLUB HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2011-06-30 00:00:00 080008351 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-11-20 00:00:00 2010-11-20 00:00:00 No 2011-07-22 00:00:00 None B None 1000 1000 -350 650 0 None V0M911 N CA00252590, CA00252838 B, B SFY2010-11
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-07-14 00:00:00 080008381 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-12-04 00:00:00 2010-12-04 00:00:00 Yes 2011-08-04 00:00:00 2011-07-19 00:00:00 B B 1000 1227.5 -350 877.5 0 None 5OD911 Y CA00264607 B SFY2011-12
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-08-03 00:00:00 080008430 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-25 00:00:00 2011-06-25 00:00:00 Yes 2011-08-24 00:00:00 2011-08-12 00:00:00 B B 1000 1000 0 1000 0 None 82GK11 N CA00274313, CA00274316 B, B SFY2011-12
080000059 LAKESIDE SPECIAL CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2011-08-04 00:00:00 080008439 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-07-20 00:00:00 2011-07-20 00:00:00 No 2011-08-25 00:00:00 None B None 500 500 -175 325 0 None G9EH11 N CA00277377 C SFY2011-12
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-08-30 00:00:00 080008515 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-07-21 00:00:00 2011-07-21 00:00:00 No 2011-09-21 00:00:00 None B None 1000 1000 0 1000 0 None N3UD11 N CA00277249 B SFY2011-12
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2011-10-17 00:00:00 080008643 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-29 00:00:00 2010-12-29 00:00:00 No 2011-11-07 00:00:00 None B None 1000 1000 -350 650 0 None MU5N11 N CA00254562 B SFY2011-12
080000692 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2011-10-26 00:00:00 080008672 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-08-09 00:00:00 2011-08-09 00:00:00 No 2011-11-17 00:00:00 None B None 1000 1000 -350 650 0 None CF6X11 N CA00279174 B SFY2011-12
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-11-01 00:00:00 080008689 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-04 00:00:00 2011-08-04 00:00:00 Yes 2013-02-13 00:00:00 2013-01-23 00:00:00 A A 20000 10000 0 10000 0 None WHD311 N CA00278325 A SFY2011-12
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2011-11-10 00:00:00 080008740 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2011-03-30 00:00:00 2011-03-30 00:00:00 No 2011-12-06 00:00:00 None B None 1000 1000 -350 650 0 None XP3M11 N CA00264181 B SFY2011-12
080000685 CASA DE LAS CAMPANAS LTC SNF Skilled Nursing Facility San Diego 2011-11-22 00:00:00 080008765 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-05 00:00:00 2011-06-05 00:00:00 Yes 2011-12-15 00:00:00 2011-11-22 00:00:00 B B 1000 650 0 650 0 None 5LZ311 N CA00271977 B SFY2011-12
080000090 VALLE VISTA POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-12-12 00:00:00 080008801 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-18 00:00:00 2011-10-18 00:00:00 No 2012-01-04 00:00:00 None B None 1000 1050 -350 700 0 None TJUQ11 N CA00287031 B SFY2011-12
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2011-12-12 00:00:00 080008805 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-15 00:00:00 2011-03-15 00:00:00 No 2012-01-04 00:00:00 None B None 1000 1000 0 1000 0 None HHOS11 N CA00262450 B SFY2011-12
080000060 THE SHORES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2012-02-17 00:00:00 080009027 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-30 00:00:00 2011-06-30 00:00:00 No 2012-03-12 00:00:00 None B None 1000 1000 -350 650 0 None KCHC11 N CA00274760, CA00274766 B, B SFY2011-12
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2012-02-17 00:00:00 080009028 Closed Citation Citation B (HSC 1424) Medication None 2012-02-08 00:00:00 2012-02-08 00:00:00 No 2012-03-12 00:00:00 None B None 1000 1000 -350 650 0 None RKZW11 N CA00298999 A SFY2011-12
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2012-03-20 00:00:00 080009159 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-01-02 00:00:00 2012-01-02 00:00:00 No 2012-04-10 00:00:00 None B None 1000 1000 0 1000 0 None B6Q311 N CA00294904, CA00295114 A, B SFY2011-12
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2012-05-17 00:00:00 080009310 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-12-13 00:00:00 2011-12-13 00:00:00 No 2012-06-08 00:00:00 None B None 1000 1000 0 1000 0 None 1RH911 N CA00293943 B SFY2011-12
080000835 THE DOROTHY AND JOSEPH GOLDBERG HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2012-06-21 00:00:00 080009370 Closed Citation Citation B (HSC 1424) Other Not following P&P on Abus 2012-03-15 00:00:00 2012-03-15 00:00:00 No 2012-07-13 00:00:00 None B None 2000 2000 0 2000 0 None GMFE11 N CA00310367 B SFY2011-12
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2013-02-01 00:00:00 080009727 Closed Citation Citation B (HSC 1424) Patient Care None 2012-05-30 00:00:00 2012-05-30 00:00:00 No 2013-02-25 00:00:00 None B None 2000 2000 -700 1300 0 None KKDZ11 N CA00313908 B SFY2012-13
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2013-03-13 00:00:00 080009783 Closed Citation Citation AA (HSC 1424) Dietary None 2012-10-29 00:00:00 2012-10-29 00:00:00 Yes 2013-04-04 00:00:00 2013-03-27 00:00:00 AA A 100000 90000 0 90000 0 None 9EL211 Y CA00331193 A SFY2012-13
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2013-04-17 00:00:00 080009842 Closed Citation Citation B (HSC 1424) Patient Care None 2013-02-20 00:00:00 2013-02-20 00:00:00 Yes 2013-05-08 00:00:00 2013-04-24 00:00:00 B B 2000 1800 0 1800 0 None 14N311 N CA00344441, CA00344531 C, C SFY2012-13
080000012 POWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2013-10-02 00:00:00 080010173 Closed Citation Citation B (HSC 1424) Patient Care None 2013-09-04 00:00:00 2013-09-04 00:00:00 No 2013-10-23 00:00:00 None B None 2000 2000 -700 1300 0 None GFKW11 N CA00352776 B SFY2013-14
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2013-11-26 00:00:00 080010278 Closed Citation Citation B (HSC 1424) Patient Care None 2013-10-14 00:00:00 2013-10-14 00:00:00 Yes 2013-12-19 00:00:00 2013-12-03 00:00:00 B B 2000 2000 0 2000 0 None 82DL11 N CA00373436 B SFY2013-14
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2013-12-19 00:00:00 080010344 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-07-21 00:00:00 2013-07-21 00:00:00 No 2014-01-13 00:00:00 None B None 2000 2000 -700 1300 0 None HL8W11 N CA00362772, CA00363169 C, B SFY2013-14
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2014-02-13 00:00:00 080010451 Closed Citation Citation A (HSC 1424) Patient Record None 2013-11-21 00:00:00 2013-11-21 00:00:00 Yes 2014-03-07 00:00:00 2014-02-21 00:00:00 A A 20000 16000 0 16000 0 None D6TF11 N CA00377568 B SFY2013-14
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2014-05-01 00:00:00 080010680 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-12-07 00:00:00 2013-12-07 00:00:00 Yes 2014-05-22 00:00:00 2014-05-14 00:00:00 B B 1200 0 0 0 0 None Z2X911 N CA00379669 B SFY2013-14
080000030 ESCONDIDO POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2014-05-01 00:00:00 080010694 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-03-07 00:00:00 2014-03-07 00:00:00 Yes 2014-05-22 00:00:00 2014-05-14 00:00:00 B B 2000 0 0 0 0 None 5MRR11 N CA00390434, CA00391963 B, B SFY2013-14
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2014-07-01 00:00:00 080010839 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2014-07-23 00:00:00 None B None 2000 2000 -700 1300 0 None VRQX11 N None None SFY2014-15
080000032 GROSSMONT POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2014-09-30 00:00:00 080011035 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-26 00:00:00 2014-03-26 00:00:00 Yes 2014-10-21 00:00:00 2014-10-17 00:00:00 B None 2000 2000 0 2000 0 None QY8W11 N CA00392751 B SFY2014-15
080000052 RANCHO VISTA LTC SNF Skilled Nursing Facility San Diego 2015-02-17 00:00:00 080011187 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-21 00:00:00 2014-07-21 00:00:00 No 2015-03-10 00:00:00 None A None 20000 20000 -7000 13000 0 None ES0Q11 N CA00406600 B SFY2014-15
080000007 BOULDER CREEK POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2015-02-05 00:00:00 080011251 Closed Citation Citation A (HSC 1424) Patient Care None 2013-09-30 00:00:00 2013-09-30 00:00:00 Yes 2015-02-27 00:00:00 2015-02-17 00:00:00 A None 20000 20000 0 20000 0 None EX0X11 N CA00371817 B SFY2014-15
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-06 00:00:00 080011255 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-09-10 00:00:00 2014-09-10 00:00:00 Yes 2015-03-02 00:00:00 2015-02-27 00:00:00 B B 2000 1300 -300 1000 0 None 5FO411 N CA00413400 B SFY2014-15
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-06 00:00:00 080011257 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-23 00:00:00 2014-07-23 00:00:00 Yes 2015-03-02 00:00:00 2015-02-27 00:00:00 B B 2000 2100 -1100 1000 0 None K4YL11 N None None SFY2014-15
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-06 00:00:00 080011258 Closed Citation Citation B (HSC 1424) Administration None 2014-09-08 00:00:00 2014-09-08 00:00:00 Yes 2015-03-02 00:00:00 2015-02-27 00:00:00 B B 2000 2050 -1050 1000 0 None K4YL11 N None None SFY2014-15
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-06 00:00:00 080011259 Closed Citation Citation B (HSC 1424) Administration None 2014-09-08 00:00:00 2014-09-08 00:00:00 Yes 2015-03-02 00:00:00 2015-02-27 00:00:00 B B 2000 3300 -300 3000 0 None K4YL11 N None None SFY2014-15
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-06 00:00:00 080011260 Closed Citation Citation B (HSC 1424) Administration None 2014-08-01 00:00:00 2014-08-01 00:00:00 Yes 2015-03-02 00:00:00 2015-02-27 00:00:00 B B 2000 1350 -350 1000 0 None K4YL11 N None None SFY2014-15
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-06 00:00:00 080011261 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-09-09 00:00:00 2014-09-09 00:00:00 Yes 2015-03-02 00:00:00 2015-02-27 00:00:00 A A 20000 15000 0 15000 0 None QS5P11 N CA00414885, CA00414923 B, B SFY2014-15
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-06 00:00:00 080011262 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-15 00:00:00 2014-03-15 00:00:00 Yes 2015-03-02 00:00:00 2015-02-27 00:00:00 A B 20000 20000 0 20000 0 None K4YL11 N None None SFY2014-15
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-06 00:00:00 080011263 Closed Citation Citation A (HSC 1424) Other Abuse/facility not report 2014-07-04 00:00:00 2014-07-04 00:00:00 Yes 2015-03-02 00:00:00 2015-02-27 00:00:00 A A 20000 15350 -350 15000 0 None K4YL11 N None None SFY2014-15
080000059 LAKESIDE SPECIAL CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-03-06 00:00:00 080011307 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-11-12 00:00:00 2014-11-12 00:00:00 No 2015-03-27 00:00:00 None B None 1000 1000 -350 650 0 None D3GJ11 N CA00424833 B SFY2014-15
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-07-14 00:00:00 080011611 Closed Citation Citation B (HSC 1424) Patient Care None 2015-05-14 00:00:00 2015-05-14 00:00:00 No 2015-08-04 00:00:00 None B None 2000 2400 0 2400 0 None J1YP11 N None None SFY2015-16
080000052 RANCHO VISTA LTC SNF Skilled Nursing Facility San Diego 2015-08-05 00:00:00 080011648 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-21 00:00:00 2015-04-21 00:00:00 No 2015-08-26 00:00:00 None B None 2000 2000 -700 1300 0 None XHHI11 N None None SFY2015-16
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2015-11-03 00:00:00 080011803 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-08 00:00:00 2015-08-08 00:00:00 No 2015-11-25 00:00:00 None B None 2000 2000 -700 1300 0 None D2BQ11 N CA00454059 A SFY2015-16
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2015-12-11 00:00:00 080011883 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-04 00:00:00 2015-08-04 00:00:00 No 2016-01-04 00:00:00 None B None 2000 2000 -700 1300 0 None 60IU11 N CA00453174 A SFY2015-16
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2015-12-11 00:00:00 080011884 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-05 00:00:00 2015-10-05 00:00:00 No 2016-01-04 00:00:00 None B None 2000 2000 -700 1300 0 None XOG211 N CA00460841 B SFY2015-16
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2015-12-29 00:00:00 080011922 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-10-09 00:00:00 2015-10-09 00:00:00 No 2016-01-19 00:00:00 None B None 2000 2000 0 2000 0 None 4Y6B11 N CA00462089 A SFY2015-16
080000089 LA PALOMA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2016-02-04 00:00:00 080012010 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-08 00:00:00 2015-09-08 00:00:00 No 2016-02-26 00:00:00 None B None 2000 2550 -700 1850 0 None GPWG11 N CA00457970 A SFY2015-16
080000307 LAS VILLAS DEL NORTE HEALTH CARE LTC SNF Skilled Nursing Facility San Diego 2016-05-05 00:00:00 080012219 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-03-17 00:00:00 2016-03-17 00:00:00 No 2016-05-26 00:00:00 None B None 2000 2000 -700 1300 0 None 2HY711 N CA00475453, CA00475453 B, B SFY2015-16
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2016-06-16 00:00:00 080012326 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-05-06 00:00:00 2016-05-06 00:00:00 No 2016-07-08 00:00:00 None B None 2000 2000 0 2000 0 None DMPX11 N CA00487069 B SFY2015-16
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2017-01-19 00:00:00 080012896 Closed Citation Citation A (HSC 1424) Medication None 2016-08-26 00:00:00 2016-08-26 00:00:00 No 2017-02-09 00:00:00 None A None 20000 20000 -7000 13000 0 None 8TK911 N CA00501920 B SFY2016-17
080000795 VISTA KNOLL SPECIALIZED CARE FACILITY LTC SNF Skilled Nursing Facility San Diego 2017-01-25 00:00:00 080012899 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-02 00:00:00 2016-12-02 00:00:00 No 2017-02-15 00:00:00 None A None 20000 21500 -7000 14500 0 None 55X711 N None None SFY2016-17
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2017-11-30 00:00:00 080013648 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-03 00:00:00 2017-07-03 00:00:00 No 2017-12-21 00:00:00 None B None 2000 2000 -700 1300 0 None WQ5N11 N CA00542388 B SFY2017-18
080000062 PARKWAY HILLS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility San Diego 2017-12-05 00:00:00 080013660 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-04 00:00:00 2017-06-04 00:00:00 No 2017-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 50BH11 Y CA00539510, CA00539510 B, B SFY2017-18
080000007 BOULDER CREEK POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2018-03-27 00:00:00 080013928 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-08-08 00:00:00 2017-08-08 00:00:00 No 2018-04-17 00:00:00 None B None 2000 2000 -700 1300 0 None PN7N11 N CA00547579, CA00547579 B, B SFY2017-18
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2018-05-22 00:00:00 080014077 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-13 00:00:00 2017-12-13 00:00:00 No 2018-06-13 00:00:00 None A None 20000 20000 -7000 13000 0 None KENT11 Y CA00564817, CA00564817, CA00565444, CA00565444 B, B, B, B SFY2017-18
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2018-06-11 00:00:00 080014130 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-28 00:00:00 2018-01-28 00:00:00 No 2018-07-02 00:00:00 None B None 2000 2000 -700 1300 0 None SCSP11 N CA00571883 A SFY2017-18
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2018-07-02 00:00:00 080014193 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-02-07 00:00:00 2018-02-07 00:00:00 No 2018-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None 0JTT11 N CA00573067 A SFY2018-19
090000105 SOMERSET SUBACUTE AND CARE LTC SNF Skilled Nursing Facility San Diego 2000-02-25 00:00:00 090002744 Closed Citation Citation B (HSC 1424) Administration None 1999-12-07 00:00:00 None No 2000-03-20 00:00:00 None B None 900 900 -315 585 0 090021421 A99999 N None None SFY1999-00
090001130 CONTINENTAL REHAB HOSPITAL OF SAN DIEGO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2000-03-03 00:00:00 090002745 Closed Citation Citation B (HSC 1424) Other DECUBITUS ULCERS 1999-06-26 00:00:00 None No 2000-03-27 00:00:00 None B None 1000 1000 -350 650 0 090021456 A99999 N None None SFY1999-00
090000027 ALVARADO CONVALESCENT & REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility San Diego 2000-03-06 00:00:00 090002746 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-20 00:00:00 None No 2000-03-29 00:00:00 None B None 500 500 -175 325 0 090021457 A99999 N None None SFY1999-00
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2000-03-13 00:00:00 090002747 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-05 00:00:00 None Yes 2000-04-10 00:00:00 2000-03-24 00:00:00 A A 10000 7000 0 7000 0 090021495 A99999 N None None SFY1999-00
090000042 WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2000-04-17 00:00:00 090002749 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-23 00:00:00 None No 2000-05-09 00:00:00 None B None 800 800 -280 520 0 090021673 A99999 N None None SFY1999-00
090000324 VILLA CORONADO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2000-06-29 00:00:00 090002750 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-05-10 00:00:00 None No 2000-07-24 00:00:00 None B None 1000 1000 -350 650 0 090021864 A99999 N None None SFY1999-00
090000082 LUTH GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2000-07-05 00:00:00 090002751 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-12 00:00:00 None No 2000-07-31 00:00:00 None B None 650 650 -227.5 422.5 0 090021869 A99999 N None None SFY2000-01
090000102 AMAYA SPRINGS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-07-18 00:00:00 090002753 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-11 00:00:00 2000-04-11 00:00:00 No 2000-08-09 00:00:00 None B None 500 500 0 500 0 090021924 A99999 N None None SFY2000-01
090001340 MOUNTAIN SHADOWS COMMUNITY HOMES - OAK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2000-07-25 00:00:00 090002755 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-30 00:00:00 None No 2000-08-17 00:00:00 None B None 750 750 -262.5 487.5 0 090021955 A99999 N None None SFY2000-01
090000112 HOME OF GUIDING HANDS UNIT #6 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2000-09-08 00:00:00 090002756 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-10 00:00:00 2000-04-10 00:00:00 No 2000-10-02 00:00:00 None B None 700 700 -245 455 0 090022103 A99999 N None None SFY2000-01
090001342 MOUNTAIN SHADOWS COMMUNITY HOMES - ELM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2000-09-20 00:00:00 090002757 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-06 00:00:00 2000-07-06 00:00:00 No 2000-11-28 00:00:00 None B None 650 650 -227.5 422.5 0 090022156 A99999 N None None SFY2000-01
090000115 FRASER INTERMEDIATE CARE LTC ICF Intermediate Care Facility San Diego 2000-09-22 00:00:00 090002758 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-12 00:00:00 None Yes 2001-02-05 00:00:00 2000-10-10 00:00:00 B B 700 700 0 700 0 090022166 A99999 N None None SFY2000-01
090000119 MOUNT VERNON GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2000-10-11 00:00:00 090002759 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-02 00:00:00 2000-07-02 00:00:00 No 2000-11-02 00:00:00 None B None 500 500 -175 325 0 090022181 A99999 N None None SFY2000-01
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2000-11-20 00:00:00 090002760 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-06 00:00:00 None No 2000-12-18 00:00:00 None A A 8000 8000 -6000 2000 0 090022299 A99999 N None None SFY2000-01
090001239 VIEW POINTE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2000-12-08 00:00:00 090002761 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-18 00:00:00 2000-10-18 00:00:00 No 2001-01-08 00:00:00 None B None 350 350 0 350 0 090022366 A99999 N None None SFY2000-01
090000076 JACOB HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-12-15 00:00:00 090002762 Closed Citation Citation B (HSC 1424) Other PATIENT TRUST ACCNT. 2000-08-29 00:00:00 None No 2001-01-10 00:00:00 None B None 1000 1000 -350 650 0 090022371 A99999 N None None SFY2000-01
090000061 GOLDEN HILL POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2000-12-21 00:00:00 090002763 Closed Citation Citation B (HSC 1424) Dietary None 2000-11-23 00:00:00 2000-11-23 00:00:00 No 2001-01-18 00:00:00 None B None 900 900 0 900 0 090022394 A99999 N None None SFY2000-01
090000041 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-12-27 00:00:00 090002764 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-21 00:00:00 None No 2001-01-22 00:00:00 None B None 1000 1000 -350 650 0 090022400 A99999 N None None SFY2000-01
090000324 VILLA CORONADO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2001-06-04 00:00:00 090002766 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-21 00:00:00 2001-04-21 00:00:00 No 2001-06-29 00:00:00 None B None 800 800 -280 520 0 090022905 A99999 N None None SFY2000-01
090000324 VILLA CORONADO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2001-07-02 00:00:00 090002767 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-01 00:00:00 2001-06-01 00:00:00 No 2001-07-24 00:00:00 None B None 900 900 -315 585 0 090022992 A99999 N None None SFY2001-02
090001032 GREENCASTLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2001-07-02 00:00:00 090002768 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-02 00:00:00 None No 2001-07-25 00:00:00 None B None 500 500 -175 325 0 090022993 A99999 N None None SFY2001-02
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-08-30 00:00:00 090002770 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-06-22 00:00:00 2001-06-22 00:00:00 No 2001-10-12 00:00:00 None AA AA 80000 80000 -28000 52000 0 090023090 A99999 Y None None SFY2001-02
090001316 MILLER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2001-08-17 00:00:00 090002772 Closed Citation Citation B (HSC 1424) Other ABUSE 2001-06-17 00:00:00 2001-06-17 00:00:00 No 2001-09-10 00:00:00 None B None 800 800 -280 520 0 090023151 A99999 N None None SFY2001-02
090000959 HOME OF GUIDING HANDS UNIT #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2001-08-17 00:00:00 090002774 Closed Citation Citation B (HSC 1424) Medication None 2001-07-19 00:00:00 2001-07-19 00:00:00 No 2001-09-10 00:00:00 None B None 550 550 -192.5 357.5 0 090023154 A99999 N None None SFY2001-02
090000324 VILLA CORONADO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2001-08-17 00:00:00 090002775 Closed Citation Citation B (HSC 1424) Medication None 2001-08-01 00:00:00 2001-08-01 00:00:00 No 2001-09-10 00:00:00 None B None 1000 1000 -350 650 0 090023155 A99999 N None None SFY2001-02
090000076 JACOB HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-08-30 00:00:00 090002776 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-17 00:00:00 2001-07-17 00:00:00 No 2001-10-10 00:00:00 None B None 700 700 -245 455 0 090023166 A99999 N None None SFY2001-02
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2001-09-14 00:00:00 090002777 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-29 00:00:00 2001-06-29 00:00:00 No 2001-10-10 00:00:00 None B None 1000 1000 -350 650 0 090023172 A99999 N None None SFY2001-02
090000140 PRYOR STREET GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2001-09-27 00:00:00 090002778 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-26 00:00:00 2001-08-26 00:00:00 No 2001-10-19 00:00:00 None B None 600 600 -210 390 0 090023278 A99999 N None None SFY2001-02
090000103 HOME OF GUIDING HANDS UNIT - #10 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2001-10-19 00:00:00 090002780 Closed Citation Citation B (HSC 1424) Other CLIENT CARE 2001-09-07 00:00:00 2001-09-07 00:00:00 No 2001-11-14 00:00:00 None B None 500 500 -175 325 0 090023343 A99999 N None None SFY2001-02
090000318 MOUNTAIN SHADOWS COMMUNITY HOMES - ORANGE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2001-10-24 00:00:00 090002781 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-22 00:00:00 2001-10-22 00:00:00 No 2001-11-19 00:00:00 None B None 850 850 -297.5 552.5 0 090023353 A99999 N None None SFY2001-02
090000996 FRIENDSHIP VILLA AMISTAD LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2001-11-07 00:00:00 090002782 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-05 00:00:00 2001-11-05 00:00:00 No 2001-12-03 00:00:00 None B None 700 700 -245 455 0 090023338 A99999 N None None SFY2001-02
090000120 ANZA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2001-11-07 00:00:00 090002783 Closed Citation Citation A (HSC 1424) Other CLIENT CARE 2001-08-31 00:00:00 2001-08-31 00:00:00 No 2001-12-03 00:00:00 None A None 8000 8000 -2800 5200 0 090023228 A99999 N None None SFY2001-02
090000115 FRASER INTERMEDIATE CARE LTC ICF Intermediate Care Facility San Diego 2001-11-13 00:00:00 090002784 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-05-13 00:00:00 2001-05-13 00:00:00 No 2001-12-11 00:00:00 None A None 18000 18000 -6300 11700 0 090023408 A99999 N None None SFY2001-02
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2001-12-06 00:00:00 090002786 Closed Citation Citation B (HSC 1424) Administration None 2001-01-01 00:00:00 2001-01-01 00:00:00 No 2002-01-02 00:00:00 None B None 800 800 -280 520 0 090023412 A99999 N None None SFY2001-02
090000282 MOUNTAIN SHADOWS COMMUNITY HOMES - PALM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-01-17 00:00:00 090002787 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-21 00:00:00 2001-12-21 00:00:00 No 2002-02-11 00:00:00 None B None 950 950 -332.5 617.5 0 090023545 A99999 N None None SFY2001-02
090000134 MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-02-06 00:00:00 090002788 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-08 00:00:00 2002-01-08 00:00:00 No 2002-03-06 00:00:00 None B None 550 550 -192.5 357.5 0 090023583 A99999 N None None SFY2001-02
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2002-02-13 00:00:00 090002789 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-23 00:00:00 2002-01-23 00:00:00 No 2002-03-12 00:00:00 None B None 900 900 -315 585 0 090023619 A99999 N None None SFY2001-02
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2002-02-22 00:00:00 090002790 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-02-01 00:00:00 2002-02-01 00:00:00 No 2002-03-28 00:00:00 None B None 950 950 -332.5 617.5 0 090023677 A99999 N None None SFY2001-02
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2002-02-21 00:00:00 090002791 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-26 00:00:00 None No 2002-03-25 00:00:00 None B None 700 700 0 700 0 090023634 A99999 N None None SFY2001-02
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2002-02-22 00:00:00 090002792 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-01-31 00:00:00 2002-01-31 00:00:00 No 2002-03-28 00:00:00 None B None 950 950 -332.5 617.5 0 090023677 A99999 N None None SFY2001-02
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2002-02-22 00:00:00 090002793 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-01-31 00:00:00 2002-01-31 00:00:00 No 2002-03-28 00:00:00 None B None 950 950 -332.5 617.5 0 090023677 A99999 N None None SFY2001-02
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2002-02-26 00:00:00 090002794 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-07 00:00:00 2002-02-26 00:00:00 No 2002-03-25 00:00:00 None B None 900 900 0 900 0 090023661 A99999 N None None SFY2001-02
090000082 LUTH GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-03-01 00:00:00 090002795 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-08 00:00:00 2002-01-08 00:00:00 No 2002-03-22 00:00:00 None A None 8500 8500 -2975 5525 0 090023595 A99999 N None None SFY2001-02
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2002-03-07 00:00:00 090002797 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-28 00:00:00 2002-01-28 00:00:00 No 2002-04-02 00:00:00 None B None 900 900 -315 585 0 090023669 A99999 N None None SFY2001-02
090000010 PARADISE VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-03-14 00:00:00 090002799 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-02-19 00:00:00 2002-02-19 00:00:00 No 2002-04-05 00:00:00 None B None 850 850 -297.5 552.5 0 090023749 A99999 N None None SFY2001-02
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2002-04-18 00:00:00 090002800 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-31 00:00:00 2002-03-31 00:00:00 No 2002-05-09 00:00:00 None B None 900 2700 -945 1755 0 090023801 A99999 N None None SFY2001-02
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2002-05-02 00:00:00 090002801 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-06 00:00:00 2002-03-06 00:00:00 No 2002-05-29 00:00:00 None B None 1000 1000 -350 650 0 090023735 A99999 N None None SFY2001-02
090000018 EDGEMOOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Diego 2002-05-30 00:00:00 090002802 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-03 00:00:00 2002-04-03 00:00:00 No 2002-06-20 00:00:00 None A None 8000 8000 -2800 5200 0 090023805 A99999 Y None None SFY2001-02
090000277 MOUNTAIN SHADOWS COMMUNITY HOMES - ASH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-06-07 00:00:00 090002803 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-05 00:00:00 2002-06-05 00:00:00 No 2002-06-28 00:00:00 None B None 500 500 0 500 0 090023995 A99999 N None None SFY2001-02
090000134 MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-06-12 00:00:00 090002804 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-19 00:00:00 2002-05-19 00:00:00 No 2002-07-03 00:00:00 None B None 550 1650 -577.5 1072.5 0 090023997 A99999 N None None SFY2001-02
090000112 HOME OF GUIDING HANDS UNIT #6 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-07-23 00:00:00 090002805 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-06-01 00:00:00 2002-06-01 00:00:00 No 2002-08-13 00:00:00 None A None 9000 9000 -3150 5850 0 090024022 A99999 N None None SFY2002-03
090000055 FRIENDSHIP HOMES LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-07-23 00:00:00 090002806 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-09 00:00:00 2002-06-09 00:00:00 No 2002-08-14 00:00:00 None B None 750 750 -262.5 487.5 0 090024053 A99999 N None None SFY2002-03
090000282 MOUNTAIN SHADOWS COMMUNITY HOMES - PALM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-08-15 00:00:00 090002808 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-16 00:00:00 2002-06-16 00:00:00 No 2002-09-06 00:00:00 None B None 1000 3000 -1050 1950 0 090024082 A99999 N None None SFY2002-03
090000745 MONTGOMERY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-08-20 00:00:00 090002809 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-17 00:00:00 2002-07-17 00:00:00 No 2002-09-11 00:00:00 None B None 1000 1000 -350 650 0 090024269 A99999 N None None SFY2002-03
090000317 MOUNTAIN SHADOWS COMMUNITY HOMES - MAPLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-08-20 00:00:00 090002810 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-09 00:00:00 2002-07-09 00:00:00 No 2002-09-11 00:00:00 None B None 900 900 0 900 0 090024242 A99999 N None None SFY2002-03
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-09-19 00:00:00 090002811 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-27 00:00:00 2002-07-27 00:00:00 No 2002-10-10 00:00:00 None B None 1000 1000 -350 650 0 090024389 A99999 N None None SFY2002-03
090000057 LA MESA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-09-20 00:00:00 090002812 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-13 00:00:00 2002-08-13 00:00:00 No 2002-10-11 00:00:00 None B None 1000 1000 -350 650 0 090024426 A99999 N None None SFY2002-03
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2002-09-26 00:00:00 090002813 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-28 00:00:00 2002-08-28 00:00:00 No 2002-10-18 00:00:00 None B None 900 900 -315 585 0 090024408 A99999 N None None SFY2002-03
090001576 CUMBRE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-10-07 00:00:00 090002814 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-10 00:00:00 2002-08-10 00:00:00 No 2002-10-29 00:00:00 None B None 1000 1000 -350 650 0 090024348 A99999 N None None SFY2002-03
090000042 WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2002-10-11 00:00:00 090002815 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-19 00:00:00 2002-09-19 00:00:00 No 2002-11-04 00:00:00 None B None 1000 1000 -350 650 0 090024496 A99999 N None None SFY2002-03
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2002-10-16 00:00:00 090002816 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-16 00:00:00 None No 2002-11-06 00:00:00 None B None 1000 1000 -350 650 0 090024483 A99999 N None None SFY2002-03
090000114 JACK CLOSE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-10-17 00:00:00 090002817 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-11 00:00:00 None No 2002-11-07 00:00:00 None B None 1000 1000 -350 650 0 090024490 A99999 N None None SFY2002-03
090000139 SWEDELIUS GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-10-22 00:00:00 090002818 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-02 00:00:00 None No 2002-11-19 00:00:00 None B None 950 950 0 950 0 090024485 A99999 N None None SFY2002-03
090000097 VERBECK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-11-05 00:00:00 090002820 Closed Citation Citation A (HSC 1424) Patient Care None 2002-09-22 00:00:00 None No 2002-11-27 00:00:00 None A None 2000 2000 -700 1300 0 090024518 A99999 N None None SFY2002-03
090000076 JACOB HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-11-19 00:00:00 090002821 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-09-28 00:00:00 2002-09-28 00:00:00 Yes 2002-12-10 00:00:00 2002-12-10 00:00:00 B B 250 950 0 950 0 090024530 A99999 N None None SFY2002-03
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2002-11-22 00:00:00 090002822 Closed Citation Citation B (HSC 1424) Medication None 2002-07-05 00:00:00 None No 2002-12-17 00:00:00 None B None 1000 1550 -350 1200 0 090024621 A99999 N None None SFY2002-03
090000139 SWEDELIUS GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-12-26 00:00:00 090002823 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-21 00:00:00 None No 2003-01-17 00:00:00 None B None 1000 1000 -350 650 0 090024637 A99999 N None None SFY2002-03
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2003-02-13 00:00:00 090002824 Closed Citation Citation B (HSC 1424) Medication None 2002-09-11 00:00:00 None Yes 2003-03-07 00:00:00 2003-02-20 00:00:00 B B 900 750 0 750 0 090024833 A99999 N None None SFY2002-03
090001105 ALVARADO HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Diego 2003-02-20 00:00:00 090002825 Closed Citation Citation B (HSC 1424) Medication None 2003-01-14 00:00:00 None No 2003-03-13 00:00:00 None B None 950 950 -332.5 617.5 0 090024924 A99999 N None None SFY2002-03
090000034 PARKSIDE HEALTH AND WELLNESS CENTER LTC SNF Skilled Nursing Facility San Diego 2003-02-20 00:00:00 090002826 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-14 00:00:00 None No 2003-03-13 00:00:00 None B None 700 700 -245 455 0 090024836 A99999 N None None SFY2002-03
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2003-04-03 00:00:00 090002827 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-04 00:00:00 2003-03-04 00:00:00 No 2003-04-24 00:00:00 None B None 1000 1000 -350 650 0 090025086 A99999 N None None SFY2002-03
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2003-04-10 00:00:00 090002828 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-14 00:00:00 2003-04-10 00:00:00 No 2003-05-01 00:00:00 None B None 900 900 -315 585 0 090025167 A99999 N None None SFY2002-03
090000018 EDGEMOOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Diego 2003-05-07 00:00:00 090002829 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-11 00:00:00 2003-05-07 00:00:00 No 2003-05-29 00:00:00 None A None 14000 14000 -4900 9100 0 090025136 A99999 N None None SFY2002-03
090001576 CUMBRE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2003-05-09 00:00:00 090002830 Closed Citation Citation B (HSC 1424) Medication None 2002-10-21 00:00:00 2002-10-21 00:00:00 No 2003-06-02 00:00:00 None B None 1000 1000 -350 650 0 090025184 A99999 N None None SFY2002-03
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2003-05-20 00:00:00 090002831 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-23 00:00:00 None No 2003-06-11 00:00:00 None B None 900 900 -315 585 0 090025333 A99999 N None None SFY2002-03
090000280 MOUNTAIN SHADOWS COMMUNITY HOMES- CREPE MYRTLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2003-08-07 00:00:00 090002832 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-20 00:00:00 2003-07-20 00:00:00 No 2003-08-28 00:00:00 None B None 1000 1000 -350 650 0 090025612 A99999 N None None SFY2003-04
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2003-10-30 00:00:00 090002833 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-22 00:00:00 2003-09-22 00:00:00 Yes 2003-11-21 00:00:00 2003-11-10 00:00:00 B B 900 700 0 700 0 090025918 A99999 N None None SFY2003-04
090000139 SWEDELIUS GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2004-03-26 00:00:00 090002834 Closed Citation Citation B (HSC 1424) Staffing None 2004-02-21 00:00:00 2004-03-26 00:00:00 No 2004-04-19 00:00:00 None B None 950 950 0 950 0 090026396 A99999 N None None SFY2003-04
090001105 ALVARADO HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Diego 2004-05-03 00:00:00 090002835 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-14 00:00:00 2004-03-14 00:00:00 No 2004-05-24 00:00:00 None B None 1000 1000 -350 650 0 090026675 A99999 N None None SFY2003-04
090000082 LUTH GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2004-05-26 00:00:00 090002836 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-19 00:00:00 2004-04-19 00:00:00 No 2004-06-17 00:00:00 None B None 950 950 -332.5 617.5 0 090026766 A99999 N None None SFY2003-04
090000729 CORTE MARIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2004-05-26 00:00:00 090002837 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-07 00:00:00 2004-05-07 00:00:00 No 2004-06-17 00:00:00 None B None 950 950 -332.5 617.5 0 090026767 A99999 N None None SFY2003-04
090001571 PINE DRIVE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2004-05-27 00:00:00 090002838 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-12 00:00:00 2004-04-12 00:00:00 No 2004-06-18 00:00:00 None B None 1000 1000 -350 650 0 090026771 A99999 N None None SFY2003-04
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2004-06-18 00:00:00 090002839 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-20 00:00:00 2004-05-20 00:00:00 No 2004-07-12 00:00:00 None B None 1000 1600 -350 1250 0 090026829 A99999 N None None SFY2003-04
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2004-06-18 00:00:00 090002841 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-05-21 00:00:00 2004-05-21 00:00:00 No 2004-07-12 00:00:00 None B None 1000 2750 -350 2400 0 090026838 A99999 N None None SFY2003-04
090001556 REGINAS COURT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2004-07-15 00:00:00 090002842 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-21 00:00:00 2004-05-21 00:00:00 No 2004-08-05 00:00:00 None B None 1000 1000 -350 650 0 090026770 A99999 N None None SFY2004-05
090000312 MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2004-08-02 00:00:00 090002843 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-23 00:00:00 2004-04-23 00:00:00 No 2004-08-23 00:00:00 None B None 1000 1000 -350 650 0 090026947 A99999 N None None SFY2004-05
090000067 IMPERIAL MANOR LTC SNF Skilled Nursing Facility San Diego 2004-09-13 00:00:00 090002844 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-06 00:00:00 2004-08-06 00:00:00 No 2004-10-04 00:00:00 None B None 900 900 -315 585 0 090027063 A99999 N None None SFY2004-05
090001340 MOUNTAIN SHADOWS COMMUNITY HOMES - OAK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2004-09-27 00:00:00 090002845 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-29 00:00:00 2004-08-29 00:00:00 No 2004-10-19 00:00:00 None B None 1000 1000 -350 650 0 090027095 A99999 N None None SFY2004-05
090000123 LA COSTA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2004-09-27 00:00:00 090002846 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-20 00:00:00 2004-08-20 00:00:00 No 2004-10-19 00:00:00 None B None 1000 1000 -350 650 0 090027096 A99999 N None None SFY2004-05
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2005-02-24 00:00:00 090002847 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-17 00:00:00 2005-01-17 00:00:00 Yes 2005-03-17 00:00:00 2005-02-28 00:00:00 B None 850 850 -850 0 0 090027461 A99999 N None None SFY2004-05
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2005-03-07 00:00:00 090002848 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-05 00:00:00 2005-01-05 00:00:00 No 2005-03-28 00:00:00 None B None 1000 1000 -350 650 0 090027462 A99999 N None None SFY2004-05
090000101 HOME OF GUIDING HANDS LOS RANCHITOS WAY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2005-03-08 00:00:00 090002849 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-24 00:00:00 2005-01-24 00:00:00 No 2005-03-29 00:00:00 None B None 850 850 -297.5 552.5 0 090027463 A99999 N None None SFY2004-05
090001576 CUMBRE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2005-03-25 00:00:00 090002850 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-17 00:00:00 2005-02-17 00:00:00 No 2005-04-18 00:00:00 None B None 1000 1000 -350 650 0 090027464 A99999 N None None SFY2004-05
090000324 VILLA CORONADO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2005-04-14 00:00:00 090002851 Closed Citation Citation A (HSC 1424) Patient Care None 2004-12-01 00:00:00 2004-12-01 00:00:00 No 2005-05-05 00:00:00 None A None 18000 18000 -6300 11700 0 090027465 A99999 Y None None SFY2004-05
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2005-05-12 00:00:00 090002852 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-04 00:00:00 2005-03-04 00:00:00 No 2005-06-03 00:00:00 None B None 1000 1000 -350 650 0 090027466 A99999 N None None SFY2004-05
090000310 WINDMILL VIEW LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2005-05-12 00:00:00 090002853 Closed Citation Citation B (HSC 1424) Staffing None 2005-03-10 00:00:00 2005-03-10 00:00:00 No 2005-06-03 00:00:00 None B None 950 950 -332.5 617.5 0 090027467 A99999 N None None SFY2004-05
090000315 MOUNTAIN SHADOWS COMMUNITY HOMES - TANGELO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2005-07-01 00:00:00 090002854 Closed Citation Citation B (HSC 1424) Staffing None 2005-06-08 00:00:00 2005-06-08 00:00:00 No 2005-07-25 00:00:00 None B None 750 750 -262.5 487.5 0 090027468 A99999 N None None SFY2005-06
090001336 VIA MINDANAO HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2005-08-05 00:00:00 090002855 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-20 00:00:00 2005-03-20 00:00:00 No 2005-08-26 00:00:00 None B None 900 900 0 900 0 090027469 A99999 N None None SFY2005-06
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2005-10-18 00:00:00 090002856 Closed Citation Citation B (HSC 1424) Medication None 2005-07-31 00:00:00 2005-07-31 00:00:00 No 2005-11-08 00:00:00 None B None 700 700 -245 455 0 090027470 A99999 N None None SFY2005-06
090000055 FRIENDSHIP HOMES LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-01-05 00:00:00 090002857 Closed Citation Citation B (HSC 1424) Staffing None 2005-11-07 00:00:00 2005-11-07 00:00:00 No 2006-01-27 00:00:00 None B None 950 950 -332.5 617.5 0 090027471 A99999 N None None SFY2005-06
090000055 FRIENDSHIP HOMES LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-01-17 00:00:00 090002858 Closed Citation Citation B (HSC 1424) Staffing None 2005-11-10 00:00:00 2005-11-10 00:00:00 No 2006-02-07 00:00:00 None B None 975 975 -341.25 633.75 0 090027472 A99999 N None None SFY2005-06
090000055 FRIENDSHIP HOMES LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-01-17 00:00:00 090002859 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-17 00:00:00 2005-11-17 00:00:00 No 2006-02-07 00:00:00 None B None 1000 1000 -350 650 0 090027473 A99999 N None None SFY2005-06
090001471 KASEY'S HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-04-06 00:00:00 090003001 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-09 00:00:00 2006-03-09 00:00:00 No 2006-04-27 00:00:00 None B None 950 950 -332.5 617.5 0 None R3O111 N None None SFY2005-06
090000485 WASHINGTON STREET GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-04-12 00:00:00 090003020 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-06 00:00:00 2006-03-06 00:00:00 No 2006-05-09 00:00:00 None B None 900 900 -315 585 0 None DIP211 N CA00074234 B SFY2005-06
090000140 PRYOR STREET GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-04-12 00:00:00 090003025 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-03 00:00:00 2006-03-03 00:00:00 No 2006-05-03 00:00:00 None B None 900 900 -315 585 0 None CZ2B11 N CA00073997 B SFY2005-06
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-06-09 00:00:00 090003133 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-02-22 00:00:00 2006-02-22 00:00:00 Yes 2006-06-30 00:00:00 2006-06-20 00:00:00 AA A 90000 40000 0 40000 0 None W7KV11 Y CA00073170 B SFY2005-06
090000218 SANTANA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-06-13 00:00:00 090003156 Closed Citation Citation B (HSC 1424) Administration None 2006-05-17 00:00:00 2006-05-17 00:00:00 No 2006-07-05 00:00:00 None B None 950 950 -332.5 617.5 0 None NGG411 N CA00081023 B SFY2005-06
090001338 MARBLEHEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-07-11 00:00:00 090003198 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-01-05 00:00:00 2006-01-05 00:00:00 Yes 2006-08-01 00:00:00 2006-07-13 00:00:00 AA Dismissed by Court 25000 0 0 0 0 None MP5F11 Y None None SFY2006-07
090000009 REO VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-08-09 00:00:00 090003259 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-14 00:00:00 2006-07-14 00:00:00 Yes 2006-08-30 00:00:00 2006-08-11 00:00:00 B B 800 400 0 400 0 None T0TS11 N CA00086820 B SFY2006-07
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2006-08-18 00:00:00 090003298 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-16 00:00:00 2006-06-16 00:00:00 No 2006-09-11 00:00:00 None B None 1000 1000 -350 650 0 None GEG211 N CA00086705 C SFY2006-07
090000729 CORTE MARIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-09-01 00:00:00 090003316 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-31 00:00:00 2006-07-31 00:00:00 No 2006-09-25 00:00:00 None B None 850 850 -297.5 552.5 0 None D5T711 N CA00088759 B SFY2006-07
090000324 VILLA CORONADO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2006-09-27 00:00:00 090003372 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-05 00:00:00 2006-06-05 00:00:00 No 2006-10-19 00:00:00 None B None 900 900 -315 585 0 None ZFG411 N CA00082731 B SFY2006-07
090000277 MOUNTAIN SHADOWS COMMUNITY HOMES - ASH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-10-18 00:00:00 090003424 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-02 00:00:00 2006-09-02 00:00:00 No 2006-11-08 00:00:00 None B None 800 800 -280 520 0 None UJ6S11 N CA00091989 B SFY2006-07
090000055 FRIENDSHIP HOMES LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-11-03 00:00:00 090003465 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-30 00:00:00 2006-07-30 00:00:00 Yes 2006-11-29 00:00:00 2006-11-17 00:00:00 B B 800 400 0 400 0 None Z53C11 N CA00088577 B SFY2006-07
090000475 CASTLE MANOR NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2006-11-08 00:00:00 090003468 Closed Citation Citation A (HSC 1424) Patient Care None 2006-03-25 00:00:00 2006-03-25 00:00:00 Yes 2006-12-04 00:00:00 2006-11-15 00:00:00 A A 15000 15000 0 15000 0 None E0TI11 N CA00076504 B SFY2006-07
090000063 SAN DIEGO POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-11-17 00:00:00 090003495 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-03 00:00:00 2006-10-03 00:00:00 No 2006-12-12 00:00:00 None B None 850 850 -297.5 552.5 0 None 06XV11 N CA00094984 B SFY2006-07
090000046 UNIVERSITY CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2006-12-20 00:00:00 090003589 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-03 00:00:00 2006-11-03 00:00:00 No 2007-01-12 00:00:00 None B None 1000 1000 -350 650 0 None 3OI811 N CA00097803 B SFY2006-07
090000277 MOUNTAIN SHADOWS COMMUNITY HOMES - ASH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2006-12-29 00:00:00 090003611 Closed Citation Citation B (HSC 1424) Medication None 2006-06-13 00:00:00 2006-06-13 00:00:00 No 2007-01-22 00:00:00 None B None 950 950 -332.5 617.5 0 None PV8S11 N CA00083694 B SFY2006-07
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2007-01-11 00:00:00 090003631 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-21 00:00:00 2006-11-21 00:00:00 No 2007-02-01 00:00:00 None B None 1000 1000 0 1000 0 None 3OBI11 N CA00099828 B SFY2006-07
090000714 CB/FORTUNA GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2007-01-12 00:00:00 090003634 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-08 00:00:00 2006-12-08 00:00:00 No 2007-02-02 00:00:00 None B None 1000 1000 -350 650 0 None OKTM11 N CA00100889 B SFY2006-07
090000054 FREDERICKA MANOR CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2007-01-18 00:00:00 090003647 Closed Citation Citation B (HSC 1424) Administration None 2006-08-02 00:00:00 2006-08-02 00:00:00 No 2007-02-08 00:00:00 None B None 900 900 -315 585 0 None 8LTJ11 N CA00102813 C SFY2006-07
090001471 KASEY'S HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2007-03-20 00:00:00 090003817 Closed Citation Citation B (HSC 1424) Staffing None 2006-12-06 00:00:00 2006-12-06 00:00:00 No 2007-04-10 00:00:00 None B None 900 900 -315 585 0 None 7QFH11 N CA00100687 B SFY2006-07
090000051 BRIGHTON PLACE SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2007-05-01 00:00:00 090003926 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-27 00:00:00 2007-02-27 00:00:00 No 2007-05-22 00:00:00 None B None 600 600 0 600 0 None MXRE11 N CA00107785 B SFY2006-07
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2007-06-08 00:00:00 090004025 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-20 00:00:00 2007-04-20 00:00:00 No 2007-06-29 00:00:00 None B None 950 3500 -997.5 2502.5 0 None YWUM11 N CA00112681 C SFY2006-07
090000091 EAST 15TH STREET GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2007-08-27 00:00:00 090004208 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-11 00:00:00 2007-08-11 00:00:00 No 2007-09-18 00:00:00 None B None 1000 1000 -350 650 0 None THZH11 N CA00123149 C SFY2007-08
090000729 CORTE MARIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2007-10-05 00:00:00 090004326 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-13 00:00:00 2007-09-13 00:00:00 No 2007-10-29 00:00:00 None B None 1000 1000 0 1000 0 None 8F8Q11 N CA00126364 B SFY2007-08
090000018 EDGEMOOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Diego 2007-10-19 00:00:00 090004364 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-26 00:00:00 2007-07-26 00:00:00 Yes 2007-11-09 00:00:00 2007-10-19 00:00:00 B None 700 700 0 700 0 None MFOY11 N CA00121583 C SFY2007-08
090001471 KASEY'S HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2007-11-13 00:00:00 090004440 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-09-25 00:00:00 2007-09-25 00:00:00 Yes 2007-12-06 00:00:00 2007-11-26 00:00:00 B B 850 425 0 425 0 None SS5O11 N None None SFY2007-08
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2007-12-14 00:00:00 090004518 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-29 00:00:00 2007-05-29 00:00:00 Yes 2008-01-08 00:00:00 2008-01-08 00:00:00 B None 850 1350 0 1350 0 None HO6611 N None None SFY2007-08
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2007-12-20 00:00:00 090004525 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-04 00:00:00 2007-10-04 00:00:00 No 2008-01-14 00:00:00 None B None 1000 1000 -350 650 0 None L2U611 N CA00129715 B SFY2007-08
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2008-01-10 00:00:00 090004571 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-30 00:00:00 2007-10-30 00:00:00 Yes 2008-02-01 00:00:00 2008-01-18 00:00:00 B B 1000 500 0 500 0 None 0WXT11 N CA00130877 B SFY2007-08
090000057 LA MESA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-02-06 00:00:00 090004659 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-11 00:00:00 2007-12-11 00:00:00 No 2008-02-29 00:00:00 None B None 900 900 -315 585 0 None N85C11 N CA00136476 B SFY2007-08
090000046 UNIVERSITY CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-02-15 00:00:00 090004698 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-18 00:00:00 2007-11-18 00:00:00 No 2008-03-10 00:00:00 None B None 600 600 -210 390 0 None QWT511 N CA00132560 C SFY2007-08
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-07-01 00:00:00 090004754 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-03 00:00:00 2007-10-03 00:00:00 No 2008-07-25 00:00:00 None B None 1000 1000 -350 650 0 None QGKV11 N CA00133976, CA00134080 C, C SFY2008-09
090000011 THE PAVILION AT OCEAN POINT LTC SNF Skilled Nursing Facility San Diego 2008-03-10 00:00:00 090004763 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-11-09 00:00:00 2007-11-09 00:00:00 Yes 2008-04-01 00:00:00 2008-03-11 00:00:00 B B 1000 750 0 750 0 None LWVX11 N CA00139542 C SFY2007-08
090000018 EDGEMOOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Diego 2008-05-09 00:00:00 090005010 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-23 00:00:00 2007-12-23 00:00:00 Yes 2008-06-02 00:00:00 2008-05-09 00:00:00 B B 950 475 0 475 0 None 3J2011 N CA00136598 C SFY2007-08
090000218 SANTANA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2008-05-30 00:00:00 090005092 Closed Citation Citation B (HSC 1424) Administration None 2008-04-24 00:00:00 2008-04-24 00:00:00 No 2008-06-20 00:00:00 None B None 900 900 -315 585 0 None 898G11 N CA00147618 C SFY2007-08
090000018 EDGEMOOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Diego 2008-06-26 00:00:00 090005186 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-04 00:00:00 2007-12-04 00:00:00 Yes 2008-07-18 00:00:00 2012-03-15 00:00:00 A B 10000 10000 0 10000 0 None P4OZ11 N CA00134208 C SFY2007-08
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2008-07-16 00:00:00 090005230 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-27 00:00:00 2007-06-27 00:00:00 No 2008-08-08 00:00:00 None B None 1000 1000 0 1000 0 None Z6DK11 N CA00118881 C SFY2008-09
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2008-09-24 00:00:00 090005462 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-04 00:00:00 2008-07-04 00:00:00 No 2008-10-20 00:00:00 None B None 1000 1000 -350 650 0 None NDZQ11 N None None SFY2008-09
090000102 AMAYA SPRINGS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-09-25 00:00:00 090005464 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-05-18 00:00:00 2008-05-18 00:00:00 No 2008-10-21 00:00:00 None B None 1000 1000 -350 650 0 None IWCD11 N CA00150822 C SFY2008-09
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-10-30 00:00:00 090005564 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-25 00:00:00 2008-08-25 00:00:00 No 2008-12-02 00:00:00 None B None 1000 1250 0 1250 0 None VM1H11 N CA00162432 C SFY2008-09
090000004 HILLCREST HEIGHTS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2008-11-17 00:00:00 090005612 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-16 00:00:00 2008-02-16 00:00:00 Yes 2008-12-15 00:00:00 2008-12-09 00:00:00 B B 600 300 0 300 0 None MTDC11 N CA00141398 C SFY2008-09
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-12-03 00:00:00 090005658 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-24 00:00:00 2008-04-24 00:00:00 No 2009-01-01 00:00:00 None B None 1000 1000 -350 650 0 None 91V611 Y CA00148208 C SFY2008-09
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2008-12-03 00:00:00 090005659 Closed Citation Citation B (HSC 1424) Patient Record None 2008-04-24 00:00:00 2008-04-24 00:00:00 No 2008-12-24 00:00:00 None B None 1000 1000 -350 650 0 None 91V611 N CA00148208 C SFY2008-09
090000128 LETICIA GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2008-12-05 00:00:00 090005670 Closed Citation Citation B (HSC 1424) Administration None 2008-10-10 00:00:00 2008-10-10 00:00:00 No 2009-01-01 00:00:00 None B None 800 800 0 800 0 None PJXO11 N CA00166653 C SFY2008-09
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2008-12-17 00:00:00 090005704 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-03-31 00:00:00 2008-03-31 00:00:00 Yes 2009-01-09 00:00:00 2008-12-29 00:00:00 AA B 80000 80000 0 80000 0 None 4K1N11 Y CA00145400 B SFY2008-09
090000011 THE PAVILION AT OCEAN POINT LTC SNF Skilled Nursing Facility San Diego 2009-03-11 00:00:00 090005944 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-27 00:00:00 2008-07-27 00:00:00 No 2009-04-02 00:00:00 None B None 1000 1000 0 1000 0 None QBIH11 N CA00158376, CA00158610 C, C SFY2008-09
090000064 HILLCREST MANOR SANITARIUM LTC SNF Skilled Nursing Facility San Diego 2009-05-12 00:00:00 090006174 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-12 00:00:00 2009-03-12 00:00:00 No 2009-06-03 00:00:00 None B None 1000 1000 -350 650 0 None 8XPU11 N CA00180819 C SFY2008-09
090000134 MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2009-05-13 00:00:00 090006180 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-02-01 00:00:00 2009-02-01 00:00:00 No 2009-06-04 00:00:00 None B None 800 800 -280 520 0 None GVLU11 N CA00176681 C SFY2008-09
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2009-05-22 00:00:00 090006207 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-13 00:00:00 2009-03-13 00:00:00 No 2009-06-15 00:00:00 None B None 800 800 -280 520 0 None E8M911 N CA00181188 B SFY2008-09
090000058 FRIENDSHIP MANOR NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2009-08-07 00:00:00 090006446 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-12 00:00:00 2009-06-12 00:00:00 No 2009-08-28 00:00:00 None B None 900 900 -315 585 0 None WSTF11 N CA00192310 C SFY2009-10
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2009-09-23 00:00:00 090006574 Closed Citation Citation B (HSC 1424) Administration None 2009-06-12 00:00:00 2009-06-12 00:00:00 No 2009-10-15 00:00:00 None B None 1000 1000 -350 650 0 None LN3H11 N CA00191326 C SFY2009-10
090000041 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-09-25 00:00:00 090006584 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-13 00:00:00 2009-08-13 00:00:00 No 2009-10-19 00:00:00 None B None 1000 1000 -350 650 0 None GBAD11 N CA00198713 C SFY2009-10
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2009-11-24 00:00:00 090006730 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-22 00:00:00 2009-08-22 00:00:00 No 2009-12-17 00:00:00 None B None 600 600 -210 390 0 None 67CQ11 N CA00199442 C SFY2009-10
090000074 COTTONWOOD CANYON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-04-20 00:00:00 090007145 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-14 00:00:00 2010-01-14 00:00:00 No 2010-05-11 00:00:00 None B None 1000 1000 0 1000 0 None 70XL11 N CA00221578 B SFY2009-10
090000004 HILLCREST HEIGHTS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2010-04-22 00:00:00 090007148 Closed Citation Citation B (HSC 1424) Administration None 2005-12-31 00:00:00 2005-12-31 00:00:00 No 2010-05-13 00:00:00 None B None 1000 1000 -350 650 0 None CUWO11 N CA00211441 C SFY2009-10
090000061 GOLDEN HILL POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-04-26 00:00:00 090007156 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-21 00:00:00 2009-02-21 00:00:00 Yes 2010-05-17 00:00:00 2010-05-04 00:00:00 B B 1000 850 0 850 0 None 2JZG11 N CA00178729, CA00178968 C, C SFY2009-10
090000061 GOLDEN HILL POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-04-26 00:00:00 090007166 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-02-21 00:00:00 2009-02-21 00:00:00 Yes 2010-05-17 00:00:00 2010-05-04 00:00:00 B B 1000 850 0 850 0 None 2JZG11 N CA00178729, CA00178968 C, C SFY2009-10
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-05-10 00:00:00 090007195 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-09 00:00:00 2010-02-09 00:00:00 No 2010-06-01 00:00:00 None B None 1000 1000 -350 650 0 None L38D11 N CA00218281, CA00218299, CA00218807 C, C, C SFY2009-10
090000117 SAN DIEGO INTERMEDIATE CARE CENTER LTC ICF Intermediate Care Facility San Diego 2010-07-16 00:00:00 090007390 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-06-09 00:00:00 2010-06-09 00:00:00 No 2010-08-09 00:00:00 None B None 1000 1500 -350 1150 0 None CZ8U11 N None None SFY2010-11
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2010-07-16 00:00:00 090007395 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-12-26 00:00:00 2009-12-26 00:00:00 No 2010-08-09 00:00:00 None B None 1000 1000 -350 650 0 None XHTQ11 N CA00212754 B SFY2010-11
090000416 SHARP CHULA VISTA MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Diego 2010-09-07 00:00:00 090007548 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-23 00:00:00 2010-04-23 00:00:00 No 2010-09-28 00:00:00 None B None 500 500 -175 325 0 None 0F7V11 N CA00226467 C SFY2010-11
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2010-09-16 00:00:00 090007578 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-06 00:00:00 2010-07-06 00:00:00 Yes 2010-10-07 00:00:00 2010-09-16 00:00:00 B B 1000 650 0 650 0 None 8FSR11 N CA00234929 C SFY2010-11
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2010-11-12 00:00:00 090007713 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-03 00:00:00 2010-08-03 00:00:00 Yes 2010-12-07 00:00:00 2010-11-16 00:00:00 B B 1000 650 0 650 0 None VMJS11 N CA00239917 C SFY2010-11
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2010-12-30 00:00:00 090007805 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-30 00:00:00 2010-04-30 00:00:00 Yes 2011-01-21 00:00:00 2011-01-13 00:00:00 B B 1000 650 0 650 0 None V02N11 N CA00229362 C SFY2010-11
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2011-01-07 00:00:00 090007821 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-23 00:00:00 2009-12-23 00:00:00 No 2011-01-31 00:00:00 None B None 1000 1000 0 1000 0 None WNGI11 N CA00220117 C SFY2010-11
090001571 PINE DRIVE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2011-02-14 00:00:00 090007931 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-01 00:00:00 2010-09-01 00:00:00 No 2011-03-08 00:00:00 None B None 500 500 -175 325 0 None RN8C11 N CA00241518 C SFY2010-11
090000771 ORIENTE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2011-03-15 00:00:00 090008029 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-26 00:00:00 2010-07-26 00:00:00 No 2011-04-06 00:00:00 None B None 800 800 -280 520 0 None E41511 N CA00238739 B SFY2010-11
090000771 ORIENTE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2011-03-15 00:00:00 090008030 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-27 00:00:00 2010-07-27 00:00:00 No 2011-04-06 00:00:00 None B None 700 700 -245 455 0 None E41511 N CA00238739 B SFY2010-11
090000138 HELIX LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2011-04-11 00:00:00 090008123 Closed Citation Citation B (HSC 1424) Other Staff Training 2010-12-24 00:00:00 2010-12-24 00:00:00 No 2011-05-02 00:00:00 None B None 750 750 -262.5 487.5 0 None DY4U11 N CA00253544 C SFY2010-11
090000134 MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2011-04-20 00:00:00 090008169 Closed Citation Citation A (HSC 1424) Patient Care None 2010-04-07 00:00:00 2010-04-07 00:00:00 No 2011-05-11 00:00:00 None A None 10000 10000 -3500 6500 0 None SX5711 Y CA00224516 C SFY2010-11
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2011-05-20 00:00:00 090008266 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-14 00:00:00 2010-12-14 00:00:00 No 2011-06-13 00:00:00 None B None 1000 1000 0 1000 0 None TXNZ11 N CA00252359 C SFY2010-11
090000324 VILLA CORONADO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2011-07-06 00:00:00 090008362 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-05-02 00:00:00 2011-05-02 00:00:00 No 2011-07-27 00:00:00 None B None 900 900 -315 585 0 None ETHQ11 N CA00268274 C SFY2011-12
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2011-07-26 00:00:00 090008398 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-02 00:00:00 2011-02-02 00:00:00 No 2011-08-16 00:00:00 None B None 1000 1000 0 1000 0 None 6RCD11 N CA00257297 C SFY2011-12
090000011 THE PAVILION AT OCEAN POINT LTC SNF Skilled Nursing Facility San Diego 2011-08-17 00:00:00 090008480 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-04-26 00:00:00 2011-04-26 00:00:00 No 2011-09-07 00:00:00 None B None 900 900 0 900 0 None PUD111 N CA00267462 B SFY2011-12
090000051 BRIGHTON PLACE SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2011-08-26 00:00:00 090008509 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-30 00:00:00 2011-05-30 00:00:00 No 2011-09-19 00:00:00 None B None 800 800 -280 520 0 None 0TWH11 N CA00276478 C SFY2011-12
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2011-08-26 00:00:00 090008512 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2011-07-29 00:00:00 2011-07-29 00:00:00 No 2011-09-19 00:00:00 None B None 1000 1000 0 1000 0 None C70411 Y CA00280290 C SFY2011-12
090000074 COTTONWOOD CANYON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2011-08-31 00:00:00 090008521 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-12-01 00:00:00 2010-12-01 00:00:00 Yes 2011-09-22 00:00:00 2011-09-15 00:00:00 B B 1000 1000 0 1000 0 None HM2J11 N CA00251223 C SFY2011-12
090000310 WINDMILL VIEW LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2011-09-01 00:00:00 090008526 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-06-19 00:00:00 2010-06-19 00:00:00 No 2011-09-23 00:00:00 None B None 750 750 -262.5 487.5 0 None BN6O11 N CA00257406 B SFY2011-12
090000067 IMPERIAL MANOR LTC SNF Skilled Nursing Facility San Diego 2011-10-25 00:00:00 090008656 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-19 00:00:00 2011-05-19 00:00:00 No 2011-11-16 00:00:00 None B None 750 750 -262.5 487.5 0 None KYBE11 N CA00276644 C SFY2011-12
090000051 BRIGHTON PLACE SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2011-11-17 00:00:00 090008753 Closed Citation Citation B (HSC 1424) Administration None 2010-02-16 00:00:00 2010-02-16 00:00:00 No 2011-12-12 00:00:00 None B None 750 750 0 750 0 None 7FMP11 N CA00223254 C SFY2011-12
090000727 ANJA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2011-12-29 00:00:00 090008860 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-08-10 00:00:00 2011-08-10 00:00:00 No 2012-01-23 00:00:00 None B None 500 500 -175 325 0 None O5NY11 N CA00279063 C SFY2011-12
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2011-12-29 00:00:00 090008861 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-02 00:00:00 2011-03-02 00:00:00 No 2012-01-23 00:00:00 None B None 1000 1000 0 1000 0 None HWJR11 N CA00261124 C SFY2011-12
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2012-03-20 00:00:00 090009016 Closed Citation Citation A (HSC 1424) Physical Environment None 2012-01-31 00:00:00 2012-01-31 00:00:00 No 2012-04-10 00:00:00 None A None 10000 10000 -10000 0 0 None NSY123 N None None SFY2011-12
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2012-03-20 00:00:00 090009017 Closed Citation Citation A (HSC 1424) Physical Environment None 2012-01-31 00:00:00 2012-01-31 00:00:00 No 2012-04-10 00:00:00 None A None 10000 10000 -10000 0 0 None NSY123 N None None SFY2011-12
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2012-03-08 00:00:00 090009097 Closed Citation Citation B (HSC 1424) Administration None 2010-12-31 00:00:00 2010-12-31 00:00:00 No 2012-03-29 00:00:00 None B None 1000 2350 -2350 0 0 None IC8211 N CA00283815 C SFY2011-12
090000063 SAN DIEGO POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Diego 2012-06-07 00:00:00 090009355 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-02 00:00:00 2011-03-02 00:00:00 No 2012-06-28 00:00:00 None B None 1000 1000 -350 650 0 None UNR811 N CA00261153 C SFY2011-12
090000063 SAN DIEGO POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Diego 2012-06-07 00:00:00 090009356 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-03-04 00:00:00 2011-03-04 00:00:00 No 2012-06-28 00:00:00 None B None 1000 1000 -350 650 0 None YX2211 N CA00263177 C SFY2011-12
090000061 GOLDEN HILL POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2012-08-02 00:00:00 090009427 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-10-18 00:00:00 2011-10-18 00:00:00 No 2012-08-23 00:00:00 None B None 750 750 0 750 0 None CZNW11 N CA00295364 B SFY2012-13
630010892 FAIRWAY COURT LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2012-08-21 00:00:00 090009450 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-18 00:00:00 2012-03-18 00:00:00 Yes 2012-09-12 00:00:00 2012-09-04 00:00:00 B B 750 375 0 375 0 None EI9B11 N CA00303653 B SFY2012-13
090000312 MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2012-09-05 00:00:00 090009474 Open Citation Citation B (HSC 1424) Staffing None 2012-04-30 00:00:00 2012-04-30 00:00:00 Yes 2012-09-26 00:00:00 2012-09-14 00:00:00 B None 750 750 0 0 750 None XN4D11 N CA00308784 B SFY2012-13
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2012-09-06 00:00:00 090009478 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-29 00:00:00 2011-12-29 00:00:00 No 2012-09-27 00:00:00 None B None 1500 1500 0 1500 0 None M9RZ11 N CA00294597 B SFY2012-13
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2012-09-11 00:00:00 090009486 Closed Citation Citation B (HSC 1424) Patient Care None 2012-06-18 00:00:00 2012-06-18 00:00:00 No 2012-10-02 00:00:00 None B None 750 750 -262.5 487.5 0 None CQT811 N CA00314713, CA00314713 B, B SFY2012-13
090000011 THE PAVILION AT OCEAN POINT LTC SNF Skilled Nursing Facility San Diego 2012-10-17 00:00:00 090009562 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-30 00:00:00 2011-10-30 00:00:00 No 2012-11-07 00:00:00 None B None 750 750 0 750 0 None 8JII11 N CA00289568 B SFY2012-13
090001316 MILLER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2012-11-20 00:00:00 090009614 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-03-23 00:00:00 2012-03-23 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None SHZH11 N CA00304294 B SFY2012-13
090000140 PRYOR STREET GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2013-03-22 00:00:00 090009796 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-02-06 00:00:00 2013-02-06 00:00:00 No 2013-04-15 00:00:00 None B None 1000 1000 -350 650 0 None 11CJ11 N CA00342723 B SFY2012-13
090000134 MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2013-05-31 00:00:00 090009926 Closed Citation Citation B (HSC 1424) Patient Care None 2013-03-07 00:00:00 2013-03-07 00:00:00 No 2013-06-21 00:00:00 None B None 1000 1000 -350 650 0 None RUPV11 N CA00346206, CA00346461, CA00347921, CA00347930 C, B, B, B SFY2012-13
090000042 WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2013-10-01 00:00:00 090010170 Open Citation Citation B (HSC 1424) Patient Care None 2012-11-18 00:00:00 2012-11-18 00:00:00 Yes 2013-10-22 00:00:00 2013-10-04 00:00:00 B None 1800 1800 0 0 1800 None 433K11 N CA00334565 B SFY2013-14
090000011 THE PAVILION AT OCEAN POINT LTC SNF Skilled Nursing Facility San Diego 2014-01-31 00:00:00 090010181 Closed Citation Citation B (HSC 1424) Patient Care None 2013-01-16 00:00:00 2013-01-16 00:00:00 No 2014-02-24 00:00:00 None B None 1500 1500 -525 975 0 None N18M11 N CA00341514 B SFY2013-14
090000107 SOUTH BAY POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2013-11-07 00:00:00 090010183 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-01-09 00:00:00 2013-01-09 00:00:00 No 2013-12-03 00:00:00 None B None 1600 1900 -560 1340 0 None FKDW11 N CA00339708, CA00340037 B, B SFY2013-14
090000277 MOUNTAIN SHADOWS COMMUNITY HOMES - ASH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2014-03-28 00:00:00 090010419 Closed Citation Citation B (HSC 1424) Patient Care None 2014-01-04 00:00:00 2014-01-04 00:00:00 No 2014-04-21 00:00:00 None B None 1000 1000 -350 650 0 None VRVV11 N CA00382681 B SFY2013-14
090000003 MAGNOLIA POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2014-10-09 00:00:00 090010914 Closed Citation Citation B (HSC 1424) Patient Care None 2014-02-03 00:00:00 2014-02-03 00:00:00 No 2014-10-30 00:00:00 None B None 1000 1000 -350 650 0 None OLD111 N CA00387566 B SFY2014-15
090000102 AMAYA SPRINGS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-12 00:00:00 090011000 Closed Citation Citation B (HSC 1424) Dietary None 2014-07-02 00:00:00 2014-07-02 00:00:00 No 2015-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None WIWM11 N CA00403402, CA00403527 A, A SFY2014-15
090000018 EDGEMOOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Diego 2014-10-10 00:00:00 090011003 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-30 00:00:00 2010-05-30 00:00:00 No 2014-10-31 00:00:00 None B None 1000 1000 0 1000 0 None EPK811 N CA00233761 C SFY2014-15
090000034 PARKSIDE HEALTH AND WELLNESS CENTER LTC SNF Skilled Nursing Facility San Diego 2015-02-27 00:00:00 090011283 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-02-22 00:00:00 2014-02-22 00:00:00 No 2015-03-20 00:00:00 None B None 2000 2000 -700 1300 0 None WQOZ11 N CA00388961 C SFY2014-15
090000311 MOUNTAIN SHADOWS COMMUNITY HOMES - SPRUCE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2015-04-24 00:00:00 090011414 Closed Citation Citation B (HSC 1424) Patient Care None 2015-02-22 00:00:00 2015-02-22 00:00:00 No 2015-05-15 00:00:00 None B None 1000 1000 -350 650 0 None 13Y111 N CA00433225 B SFY2014-15
090000312 MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2015-06-30 00:00:00 090011586 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-17 00:00:00 2015-04-17 00:00:00 No 2015-07-21 00:00:00 None B None 1000 1000 -350 650 0 None I7IB11 N CA00439260 A SFY2014-15
090000039 MISSION HILLS POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2015-11-24 00:00:00 090011869 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-26 00:00:00 2015-10-26 00:00:00 No 2015-12-17 00:00:00 None B None 2000 2000 0 2000 0 None 9ZR111 N CA00452724 B SFY2015-16
090000714 CB/FORTUNA GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2016-04-21 00:00:00 090012185 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-11-04 00:00:00 2015-11-04 00:00:00 No 2016-05-12 00:00:00 None B None 500 500 -175 325 0 None ID9J11 N CA00464779 B SFY2015-16
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2016-11-22 00:00:00 090012381 Closed Citation Citation A (HSC 1424) Patient Care None 2015-01-01 00:00:00 2015-01-01 00:00:00 No 2016-12-15 00:00:00 None A None 10000 10000 -3500 6500 0 None HLAG11 N CA00429012 C SFY2016-17
090000119 MOUNT VERNON GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2016-10-13 00:00:00 090012650 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-05-27 00:00:00 2016-05-27 00:00:00 No 2016-11-03 00:00:00 None B None 1000 1000 -350 650 0 None 4XZ511 N CA00490091 A SFY2016-17
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2016-12-21 00:00:00 090012723 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-10-18 00:00:00 2014-10-18 00:00:00 No 2017-01-13 00:00:00 None B None 2000 2000 0 2000 0 None KMB011 N CA00417388 A SFY2016-17
090001556 REGINAS COURT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2016-12-16 00:00:00 090012735 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-05-28 00:00:00 2016-05-28 00:00:00 No 2017-01-10 00:00:00 None B None 600 600 -210 390 0 None 6EKN11 N CA00490779 A SFY2016-17
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2017-01-13 00:00:00 090012881 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-17 00:00:00 2016-06-17 00:00:00 No 2017-02-06 00:00:00 None B None 800 800 -280 520 0 None 83Y211 N None None SFY2016-17
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2017-01-13 00:00:00 090012882 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-06 00:00:00 2016-04-06 00:00:00 No 2017-02-06 00:00:00 None B None 700 700 -245 455 0 None 83Y211 N None None SFY2016-17
090000061 GOLDEN HILL POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2017-04-13 00:00:00 090013028 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-10-04 00:00:00 2016-10-04 00:00:00 No 2017-05-04 00:00:00 None B None 1600 1600 -560 1040 0 None FLSB11 N CA00506003 B SFY2016-17
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2017-08-16 00:00:00 090013030 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-17 00:00:00 2016-05-17 00:00:00 No 2017-09-07 00:00:00 None A None 6000 6000 0 6000 0 None LM5Y11 Y CA00488668, CA00488668, CA00488668, CA00488668 A, A, A, A SFY2017-18
090000054 FREDERICKA MANOR CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2017-08-31 00:00:00 090013189 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-15 00:00:00 2016-09-15 00:00:00 No 2017-09-22 00:00:00 None B None 800 800 -280 520 0 None 5U8R11 N CA00503161 B SFY2017-18
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2017-05-24 00:00:00 090013196 Closed Citation Citation B (HSC 1424) Physical Environment Accidents 2016-09-20 00:00:00 2016-09-20 00:00:00 No 2017-06-15 00:00:00 None B None 1200 1200 0 1200 0 None N2VH11 N CA00503895 B SFY2016-17
090000104 VICTORIA POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2017-05-31 00:00:00 090013233 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-06 00:00:00 2017-01-06 00:00:00 No 2017-06-21 00:00:00 None B None 1200 1200 -420 780 0 None HT9L11 N CA00517275 B SFY2016-17
090000009 REO VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2019-02-21 00:00:00 090013462 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-15 00:00:00 2015-10-15 00:00:00 No 2019-03-14 00:00:00 None B None 2000 2000 -700 1300 0 None YD7B11 Y CA00462036 A SFY2018-19
090000218 SANTANA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2018-07-24 00:00:00 090014263 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-27 00:00:00 2017-01-27 00:00:00 No 2018-08-14 00:00:00 None B None 1000 1000 -350 650 0 None 85FG11 N CA00565177 B SFY2018-19
090000324 VILLA CORONADO D/P SNF LTC SNF Skilled Nursing Facility San Diego 2018-10-24 00:00:00 090014511 Closed Citation Citation B (HSC 1424) Patient Care None 2017-04-28 00:00:00 2017-04-28 00:00:00 No 2018-11-15 00:00:00 None B None 2000 2000 0 2000 0 None 7D8811 N CA00533322, CA00535940 B, B SFY2018-19
100000002 UNIVERSITY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Sacramento 2000-01-11 00:00:00 100001993 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-12 00:00:00 None No 2000-02-04 00:00:00 None B None 1000 3200 0 3200 0 100013790 A99999 N None None SFY1999-00
100000002 UNIVERSITY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Sacramento 2000-01-11 00:00:00 100001994 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-12 00:00:00 None Yes 2000-02-03 00:00:00 2000-08-21 00:00:00 A A 10000 8200 -200 8000 0 100013791 A99999 N None None SFY1999-00
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2000-01-25 00:00:00 100001996 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-02 00:00:00 None No 2000-02-15 00:00:00 None A A 8000 8000 -5840 2160 0 100013836 A99999 N None None SFY1999-00
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2000-01-27 00:00:00 100001998 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-12 00:00:00 None Yes 2000-02-21 00:00:00 2000-02-02 00:00:00 A A 8000 5500 0 5500 0 100013849 A99999 N None None SFY1999-00
100000003 FAIRMONT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2000-03-08 00:00:00 100002001 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-17 00:00:00 None Yes 2000-03-29 00:00:00 2000-03-16 00:00:00 A A 10000 6000 0 6000 0 100013953 A99999 N None None SFY1999-00
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-03-09 00:00:00 100002002 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-11 00:00:00 None No 2000-04-03 00:00:00 None A None 8000 24000 -8400 15600 0 100013959 A99999 N None None SFY1999-00
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2000-03-29 00:00:00 100002006 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-17 00:00:00 None No 2000-04-26 00:00:00 None A None 8000 8000 -2800 5200 0 100013996 A99999 N None None SFY1999-00
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2000-03-29 00:00:00 100002007 Closed Citation Citation B (HSC 1424) Other PATIENT ABUSE 2000-03-02 00:00:00 None No 2000-04-19 00:00:00 None B None 900 900 0 900 0 100013997 A99999 N None None SFY1999-00
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2000-04-20 00:00:00 100002011 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-25 00:00:00 None No 2000-05-11 00:00:00 None A None 4000 4000 -1400 2600 0 100014070 A99999 N None None SFY1999-00
100000051 ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Stockton 2000-04-25 00:00:00 100002012 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-12 00:00:00 None Yes 2000-05-25 00:00:00 2000-12-11 00:00:00 A B 8000 5000 0 5000 0 100014071 A99999 N None None SFY1999-00
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2000-05-03 00:00:00 100002016 Closed Citation Citation A (HSC 1424) Patient Care None 1999-06-10 00:00:00 None Yes 2000-05-29 00:00:00 2000-05-15 00:00:00 A A 8000 8000 -6000 2000 0 100014124 A99999 N None None SFY1999-00
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-05-17 00:00:00 100002018 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-09 00:00:00 None No 2000-06-13 00:00:00 None B None 1000 1000 -350 650 0 100014146 A99999 N None None SFY1999-00
100000834 RCCA - BRENTFORD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2000-05-18 00:00:00 100002019 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-10 00:00:00 2000-04-27 00:00:00 Yes 2000-06-14 00:00:00 2000-06-07 00:00:00 A A 9000 7000 0 7000 0 100014154 A99999 N None None SFY1999-00
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-06-01 00:00:00 100002023 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-10 00:00:00 None Yes 2000-07-14 00:00:00 2000-06-19 00:00:00 A A 8000 8000 -5840 2160 0 100014239 A99999 N None None SFY1999-00
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-06-29 00:00:00 100002027 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-01 00:00:00 None Yes 2000-08-03 00:00:00 2000-07-17 00:00:00 A B 10000 1000 0 1000 0 100014288 A99999 N None None SFY1999-00
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-06-29 00:00:00 100002028 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-03 00:00:00 None Yes 2000-08-03 00:00:00 2000-07-14 00:00:00 B B 1000 500 0 500 0 100014295 A99999 N None None SFY1999-00
100000097 SAYLOR LANE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-07-19 00:00:00 100002030 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-29 00:00:00 None No 2000-08-11 00:00:00 None A B 5000 6000 0 6000 0 100014333 A99999 N None None SFY2000-01
100001449 WRS INC., ELLIOT PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2000-08-02 00:00:00 100002032 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-14 00:00:00 None No 2000-08-28 00:00:00 None B None 1000 1000 0 1000 0 100014365 A99999 N None None SFY2000-01
100001676 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS LTC SNF Skilled Nursing Facility Sacramento 2000-08-15 00:00:00 100002033 Closed Citation Citation A (HSC 1424) Patient Care None 2000-07-15 00:00:00 2000-07-15 00:00:00 Yes 2000-09-08 00:00:00 2000-08-30 00:00:00 A A 4000 4000 0 4000 0 100014412 A99999 N None None SFY2000-01
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-08-23 00:00:00 100002034 Closed Citation Citation A (HSC 1424) Other NEGLECT/ABUSE 2000-06-06 00:00:00 None Yes 2000-09-14 00:00:00 2000-09-11 00:00:00 A B 8000 6000 0 6000 0 100014438 A99999 N None None SFY2000-01
100000036 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Fresno 2000-09-20 00:00:00 100002035 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-05-22 00:00:00 None No 2000-10-11 00:00:00 None B None 500 500 -175 325 0 100014537 A99999 N None None SFY2000-01
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-09-22 00:00:00 100002036 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-05 00:00:00 None No 2000-10-16 00:00:00 None B None 1000 1000 0 1000 0 100014542 A99999 N None None SFY2000-01
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2000-09-27 00:00:00 100002038 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-22 00:00:00 None Yes 2000-10-18 00:00:00 2000-10-10 00:00:00 B B Trebled 1000 3000 -1500 1500 0 100014557 A99999 N None None SFY2000-01
100001453 WRS INC., MARSHALL PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2000-10-18 00:00:00 100002039 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-18 00:00:00 None No 2000-11-08 00:00:00 None A None 9000 9000 -3150 5850 0 100014655 A99999 N None None SFY2000-01
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2000-10-25 00:00:00 100002040 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-04 00:00:00 None No 2000-11-15 00:00:00 None A None 8000 8000 -2800 5200 0 100014665 A99999 N None None SFY2000-01
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2000-11-02 00:00:00 100002042 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-18 00:00:00 2000-03-18 00:00:00 Yes 2001-06-20 00:00:00 2001-06-06 00:00:00 A A 10000 10250 0 10250 0 100014720 A99999 N None None SFY2000-01
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2000-11-07 00:00:00 100002047 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-25 00:00:00 None No 2000-11-28 00:00:00 None B None 1000 1000 -350 650 0 100014739 A99999 N None None SFY2000-01
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2000-11-20 00:00:00 100002048 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-05 00:00:00 2000-09-29 00:00:00 No 2000-12-13 00:00:00 None B None 1000 1000 -350 650 0 100014762 A99999 N None None SFY2000-01
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2001-01-16 00:00:00 100002053 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-25 00:00:00 None Yes 2001-02-06 00:00:00 2001-01-23 00:00:00 A Drop>Deficiency 10000 8000 0 8000 0 100014229 A99999 N None None SFY2000-01
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-01-18 00:00:00 100002054 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-05 00:00:00 None No 2001-02-08 00:00:00 None B None 1000 1000 0 1000 0 100014747 A99999 N None None SFY2000-01
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-01-18 00:00:00 100002055 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-05-19 00:00:00 None No 2001-02-08 00:00:00 None B None 1000 1000 0 1000 0 100014747 A99999 N None None SFY2000-01
100000017 BETHANY HOME SOCIETY SAN JOAQUIN COUNTY LTC SNF Skilled Nursing Facility Stockton 2001-01-31 00:00:00 100002056 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-10 00:00:00 2000-07-10 00:00:00 Yes 2001-06-11 00:00:00 2001-02-22 00:00:00 B B 500 550 0 550 0 100015110 A99999 N None None SFY2000-01
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2001-01-31 00:00:00 100002057 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-20 00:00:00 None Yes 2001-02-23 00:00:00 2001-06-12 00:00:00 B B 600 650 -480 170 0 100015111 A99999 N None None SFY2000-01
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2001-02-02 00:00:00 100002058 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-18 00:00:00 None No 2001-02-27 00:00:00 None B None 900 900 -315 585 0 100015118 A99999 N None None SFY2000-01
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2001-02-02 00:00:00 100002059 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-14 00:00:00 None No 2001-02-27 00:00:00 None B None 1000 1000 -350 650 0 100015118 A99999 N None None SFY2000-01
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-02-06 00:00:00 100002060 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-05 00:00:00 None No 2001-03-01 00:00:00 None A None 16000 16000 -5600 10400 0 100015123 A99999 N None None SFY2000-01
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-02-06 00:00:00 100002061 Closed Citation Citation B (HSC 1424) Other ABUSE, FAILURE TO RP 2001-01-04 00:00:00 None No 2001-03-01 00:00:00 None B None 600 600 -210 390 0 100015119 A99999 N None None SFY2000-01
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-02-06 00:00:00 100002062 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-05 00:00:00 None No 2001-03-01 00:00:00 None A None 16000 16000 -5600 10400 0 100015123 A99999 N None None SFY2000-01
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-02-06 00:00:00 100002063 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-15 00:00:00 None No 2001-03-01 00:00:00 None B None 600 600 -210 390 0 100015119 A99999 N None None SFY2000-01
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-02-13 00:00:00 100002064 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-10 00:00:00 None No 2001-03-07 00:00:00 None B None 800 800 -280 520 0 100015058 A99999 N None None SFY2000-01
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2001-03-06 00:00:00 100002066 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-28 00:00:00 None No 2001-03-27 00:00:00 None B None 900 900 0 900 0 100015099 A99999 N None None SFY2000-01
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-02-23 00:00:00 100002067 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-10 00:00:00 None No 2001-03-16 00:00:00 None B None 1000 1000 -350 650 0 100015149 A99999 N None None SFY2000-01
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-03-07 00:00:00 100002069 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-23 00:00:00 None Yes 2001-08-15 00:00:00 2001-06-26 00:00:00 B B 800 400 0 400 0 100015126 A99999 N None None SFY2000-01
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-03-14 00:00:00 100002070 Closed Citation Citation A (HSC 1424) Other PATIENT CARE, MEDS 2000-04-07 00:00:00 None No 2001-04-04 00:00:00 None A None 16000 16000 0 16000 0 100015228 A99999 N None None SFY2000-01
100000051 ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Stockton 2001-04-16 00:00:00 100002071 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-01-28 00:00:00 None Yes 2001-05-07 00:00:00 2001-04-28 00:00:00 AA A 60000 50000 0 50000 0 100015302 A99999 Y None None SFY2000-01
100000056 LODI HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-04-18 00:00:00 100002072 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-15 00:00:00 None No 2001-05-09 00:00:00 None A None 16000 16000 -16000 0 0 100015183 A99999 N None None SFY2000-01
100000029 LODI CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-05-01 00:00:00 100002073 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-30 00:00:00 None No 2001-05-22 00:00:00 None A B 8000 1000 0 1000 0 100015279 A99999 N None None SFY2000-01
100000056 LODI HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-05-02 00:00:00 100002074 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-14 00:00:00 None No 2001-05-23 00:00:00 None B None 900 900 -900 0 0 100015364 A99999 N None None SFY2000-01
100000029 LODI CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-05-01 00:00:00 100002075 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-30 00:00:00 None Yes 2001-05-22 00:00:00 2001-05-15 00:00:00 B Drop>Deficiency 800 1000 0 1000 0 100015279 A99999 N None None SFY2000-01
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2001-06-05 00:00:00 100002076 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-04 00:00:00 2001-04-04 00:00:00 Yes 2001-07-06 00:00:00 2001-06-13 00:00:00 B B 1000 750 0 750 0 100015450 A99999 N None None SFY2000-01
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2001-06-05 00:00:00 100002077 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-19 00:00:00 None Yes 2001-07-09 00:00:00 2001-06-13 00:00:00 B B 900 800 0 800 0 100015322 A99999 N None None SFY2000-01
100001433 RCCA - WESTWOOD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-06-05 00:00:00 100002078 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-19 00:00:00 None No 2001-07-03 00:00:00 None B None 1000 1000 0 1000 0 100015214 A99999 N None None SFY2000-01
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-06-06 00:00:00 100002079 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-03 00:00:00 None No 2001-06-25 00:00:00 None B None 1000 1000 0 1000 0 100015303 A99999 N None None SFY2000-01
100001249 WRS INC., SQUAW PROGRAM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-06-07 00:00:00 100002080 Closed Citation Citation B (HSC 1424) Other OTHER 2001-05-02 00:00:00 None No 2001-06-28 00:00:00 None B B 800 800 0 800 0 100015421 A99999 N None None SFY2000-01
100000051 ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Stockton 2001-06-12 00:00:00 100002082 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-19 00:00:00 None No 2001-07-06 00:00:00 None B None 900 900 -315 585 0 100015337 A99999 N None None SFY2000-01
100000061 GARDENS HEALTHCARE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-06-13 00:00:00 100002083 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-23 00:00:00 None No 2001-07-05 00:00:00 None B None 900 900 -315 585 0 100015255 A99999 N None None SFY2000-01
100000061 GARDENS HEALTHCARE LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-06-13 00:00:00 100002084 Closed Citation Citation B (HSC 1424) Other ABUSE & NEGLECT 2001-03-18 00:00:00 None No 2001-07-05 00:00:00 None B B 900 900 0 900 0 100015263 A99999 N None None SFY2000-01
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2001-07-13 00:00:00 100002085 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-18 00:00:00 None No 2001-08-03 00:00:00 None B None 1000 1000 0 1000 0 100015180 A99999 N None None SFY2001-02
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2001-07-13 00:00:00 100002086 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-31 00:00:00 2001-02-01 00:00:00 No 2001-08-03 00:00:00 None B None 800 800 0 800 0 100015180 A99999 N None None SFY2001-02
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2001-07-19 00:00:00 100002087 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-02 00:00:00 None No 2001-08-09 00:00:00 None B None 600 600 -210 390 0 100015471 A99999 N None None SFY2001-02
100001481 RCCA - PHOENIX LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-09-06 00:00:00 100002089 Closed Citation Citation A (HSC 1424) Other ABUSE 2001-05-17 00:00:00 None Yes 2002-02-18 00:00:00 2002-02-05 00:00:00 A B 8500 5000 0 5000 0 100015543 A99999 N None None SFY2001-02
100001445 MACIEL PROGRAM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-08-03 00:00:00 100002092 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-11 00:00:00 None No 2001-08-24 00:00:00 None B None 900 900 0 900 0 100015584 A99999 N None None SFY2001-02
100001453 WRS INC., MARSHALL PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-08-27 00:00:00 100002093 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-20 00:00:00 None No 2001-09-18 00:00:00 None B None 1000 1000 -350 650 0 100015660 A99999 N None None SFY2001-02
100001455 WRS INC. NORTH PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-08-27 00:00:00 100002094 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-20 00:00:00 None No 2001-09-18 00:00:00 None B None 1000 1000 -350 650 0 100015661 A99999 N None None SFY2001-02
100001246 WRS INC., GUM PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-08-27 00:00:00 100002095 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-20 00:00:00 None No 2001-09-18 00:00:00 None B None 1000 1000 -350 650 0 100015662 A99999 N None None SFY2001-02
100001249 WRS INC., SQUAW PROGRAM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-08-27 00:00:00 100002096 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-20 00:00:00 None No 2001-09-18 00:00:00 None B None 1000 1000 -350 650 0 100015663 A99999 N None None SFY2001-02
100001451 WRS INC. EVERGREEN PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-08-27 00:00:00 100002097 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-20 00:00:00 None No 2001-09-18 00:00:00 None B None 1000 1000 -350 650 0 100015664 A99999 N None None SFY2001-02
100001449 WRS INC., ELLIOT PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2001-08-27 00:00:00 100002098 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-20 00:00:00 None No 2001-09-18 00:00:00 None B None 1000 1000 -350 650 0 100015665 A99999 N None None SFY2001-02
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-08-28 00:00:00 100002099 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/ABUSE 2001-06-01 00:00:00 None No 2001-09-26 00:00:00 None B None 900 900 -315 585 0 100015680 A99999 N None None SFY2001-02
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2001-08-28 00:00:00 100002101 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-14 00:00:00 None No 2001-09-19 00:00:00 None B None 1000 1000 -350 650 0 100015682 A99999 N None None SFY2001-02
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-09-06 00:00:00 100002103 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-28 00:00:00 None Yes 2001-10-05 00:00:00 2001-09-26 00:00:00 B B 800 600 0 600 0 100015716 A99999 N None None SFY2001-02
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2001-09-07 00:00:00 100002104 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-23 00:00:00 None No 2001-09-28 00:00:00 None B None 900 900 -315 585 0 100015505 A99999 N None None SFY2001-02
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2001-09-11 00:00:00 100002105 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-15 00:00:00 None Yes 2001-10-02 00:00:00 2001-09-17 00:00:00 B B Trebled 1000 1500 0 1500 0 100015669 A99999 N None None SFY2001-02
100000027 RIVER BEND NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-09-17 00:00:00 100002106 Closed Citation Citation B (HSC 1424) Medication None 2001-05-09 00:00:00 None No 2001-10-09 00:00:00 None B None 800 800 -280 520 0 100015767 A99999 N None None SFY2001-02
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2001-09-19 00:00:00 100002107 Closed Citation Citation A (HSC 1424) Patient Care None 2001-04-11 00:00:00 None Yes 2001-10-15 00:00:00 2001-09-19 00:00:00 A Dismissed by Court 18000 0 0 0 0 100015771 A99999 N None None SFY2001-02
100000051 ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Stockton 2001-09-19 00:00:00 100002108 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-07 00:00:00 None No 2001-10-11 00:00:00 None B None 800 2400 -840 1560 0 100015772 A99999 N None None SFY2001-02
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2001-09-26 00:00:00 100002109 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-13 00:00:00 None Yes 2001-10-25 00:00:00 2001-10-04 00:00:00 A A 15000 15000 -11250 3750 0 100015784 A99999 N None None SFY2001-02
100000051 ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Stockton 2001-10-01 00:00:00 100002110 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-21 00:00:00 None No 2001-10-23 00:00:00 None A None 15000 15000 -5250 9750 0 100015791 A99999 N None None SFY2001-02
100001641 ESTRELLA'S ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2001-10-12 00:00:00 100002111 Closed Citation Citation B (HSC 1424) Medication None 2001-08-15 00:00:00 None No 2001-11-02 00:00:00 None B None 500 500 -175 325 0 100015844 A99999 N None None SFY2001-02
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2001-10-23 00:00:00 100002113 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-17 00:00:00 None Yes 2001-11-22 00:00:00 2001-10-26 00:00:00 A A 18000 10750 0 10750 0 100015885 A99999 N None None SFY2001-02
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2001-10-23 00:00:00 100002114 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-16 00:00:00 None No 2001-11-22 00:00:00 None A B 5000 3250 0 3250 0 100015896 A99999 N None None SFY2001-02
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2001-10-23 00:00:00 100002115 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-22 00:00:00 None Yes 2001-11-22 00:00:00 2001-10-31 00:00:00 A A 15000 10750 0 10750 0 100015897 A99999 N None None SFY2001-02
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-10-23 00:00:00 100002116 Closed Citation Citation A (HSC 1424) Other PATIENT CARE/MEDS 2000-11-02 00:00:00 None No 2001-12-12 00:00:00 None A A 15000 15000 -10950 4050 0 100015901 A99999 N None None SFY2001-02
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-10-24 00:00:00 100002117 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-09 00:00:00 None Yes 2001-11-27 00:00:00 2001-11-13 00:00:00 A A 15000 8607 0 8607 0 100015907 A99999 N None None SFY2001-02
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2001-10-24 00:00:00 100002119 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-08 00:00:00 None No 2001-11-15 00:00:00 None B None 800 800 -280 520 0 100015908 A99999 N None None SFY2001-02
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2001-11-28 00:00:00 100002122 Closed Citation Citation B (HSC 1424) Other RETALIATION 2001-10-05 00:00:00 None No 2001-12-19 00:00:00 None B None 1000 1000 -350 650 0 100016007 A99999 N None None SFY2001-02
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2001-12-10 00:00:00 100002124 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-01 00:00:00 None Yes 2002-01-07 00:00:00 2002-01-07 00:00:00 A A 16000 9181 0 9181 0 100016025 A99999 N None None SFY2001-02
100000055 GARDEN CITY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2001-12-20 00:00:00 100002128 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-04 00:00:00 None No 2002-01-14 00:00:00 None A None 17000 17000 -5950 11050 0 100015951 A99999 N None None SFY2001-02
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2002-01-29 00:00:00 100002129 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-25 00:00:00 None No 2002-02-21 00:00:00 None A None 16000 16000 -5600 10400 0 100015176 A99999 N None None SFY2001-02
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-01-17 00:00:00 100002131 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-29 00:00:00 None No 2002-02-14 00:00:00 None B None 800 800 -280 520 0 100016110 A99999 N None None SFY2001-02
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-01-29 00:00:00 100002132 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-21 00:00:00 None No 2002-02-21 00:00:00 None A None 17000 17000 -5950 11050 0 100015862 A99999 N None None SFY2001-02
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-02-01 00:00:00 100002133 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-15 00:00:00 None No 2002-03-04 00:00:00 None B None 900 900 -315 585 0 100016191 A99999 N None None SFY2001-02
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-02-15 00:00:00 100002134 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-03 00:00:00 None Yes 2002-03-12 00:00:00 2002-02-21 00:00:00 A Dismissed by Court 18000 0 0 0 0 100015999 A99999 N None None SFY2001-02
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2002-02-14 00:00:00 100002135 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-31 00:00:00 None No 2002-03-08 00:00:00 None B None 900 900 -315 585 0 100016229 A99999 N None None SFY2001-02
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-02-22 00:00:00 100002136 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-02 00:00:00 None No 2002-03-19 00:00:00 None B None 1000 1000 -350 650 0 100016230 A99999 N None None SFY2001-02
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-03-01 00:00:00 100002137 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-31 00:00:00 None No 2002-03-28 00:00:00 None B None 900 900 0 900 0 100016265 A99999 N None None SFY2001-02
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-03-07 00:00:00 100002138 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-22 00:00:00 None Yes 2002-03-28 00:00:00 2002-03-25 00:00:00 B B 600 334 0 334 0 100016277 A99999 N None None SFY2001-02
100000034 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Sacramento 2002-03-07 00:00:00 100002139 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-22 00:00:00 None Yes 2002-03-29 00:00:00 2002-03-12 00:00:00 A A 16000 10000 0 10000 0 100016288 A99999 N None None SFY2001-02
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2002-03-14 00:00:00 100002140 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-19 00:00:00 None Yes 2002-07-03 00:00:00 2002-03-19 00:00:00 B B 1000 1000 0 1000 0 100016289 A99999 N None None SFY2001-02
100001453 WRS INC., MARSHALL PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2002-03-26 00:00:00 100002146 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2001-07-03 00:00:00 None No 2002-04-17 00:00:00 None B None 1000 1000 -350 650 0 100016373 A99999 N None None SFY2001-02
100001249 WRS INC., SQUAW PROGRAM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2002-03-26 00:00:00 100002147 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2001-09-07 00:00:00 None No 2002-05-02 00:00:00 None B None 1000 1000 -350 650 0 100016374 A99999 N None None SFY2001-02
100001455 WRS INC. NORTH PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2002-03-26 00:00:00 100002148 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2001-07-02 00:00:00 None No 2002-04-17 00:00:00 None B None 1000 1000 0 1000 0 100016375 A99999 N None None SFY2001-02
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-03-28 00:00:00 100002149 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-03 00:00:00 None No 2002-04-23 00:00:00 None A None 20000 20000 -7000 13000 0 100015412 A99999 N None None SFY2001-02
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-03-29 00:00:00 100002150 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-09 00:00:00 None Yes 2002-04-25 00:00:00 2002-04-10 00:00:00 A A 20000 12500 0 12500 0 100016140 A99999 N None None SFY2001-02
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-04-03 00:00:00 100002152 Closed Citation Citation B (HSC 1424) Other VERBAL ABUSE 2002-02-13 00:00:00 None No 2002-04-30 00:00:00 None B None 800 800 -280 520 0 100016403 A99999 N None None SFY2001-02
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-04-05 00:00:00 100002154 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-14 00:00:00 None No 2002-04-26 00:00:00 None B None 1000 1000 0 1000 0 100016436 A99999 N None None SFY2001-02
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2002-04-12 00:00:00 100002155 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-30 00:00:00 None No 2002-05-03 00:00:00 None B None 800 800 -280 520 0 100016451 A99999 N None None SFY2001-02
100000058 TRACY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2002-04-25 00:00:00 100002156 Closed Citation Citation A (HSC 1424) Patient Care None 2002-02-15 00:00:00 None No 2002-05-17 00:00:00 None A None 14000 14000 -4900 9100 0 100016249 A99999 N None None SFY2001-02
100001455 WRS INC. NORTH PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2002-05-03 00:00:00 100002157 Closed Citation Citation AA (HSC 1424) Patient Rights None 2001-12-12 00:00:00 None No 2002-05-24 00:00:00 None AA None 22000 22000 -7700 14300 0 100016053 A99999 Y None None SFY2001-02
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2002-05-14 00:00:00 100002160 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-25 00:00:00 None No 2002-06-05 00:00:00 None B None 1000 1000 -350 650 0 100016518 A99999 N None None SFY2001-02
100000100 STOLLWOOD CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2002-06-04 00:00:00 100002161 Closed Citation Citation B (HSC 1424) Administration None 2002-01-31 00:00:00 None Yes 2002-06-28 00:00:00 2002-06-19 00:00:00 B B 900 1 0 1 0 100016354 A99999 N None None SFY2001-02
100001166 CARCIDO'S ICF/DD-H #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2002-06-04 00:00:00 100002162 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-08 00:00:00 None No 2002-06-28 00:00:00 None B None 600 600 -210 390 0 100016570 A99999 N None None SFY2001-02
100000962 CAPITAL POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-06-04 00:00:00 100002163 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-29 00:00:00 None Yes 2002-09-18 00:00:00 2002-09-04 00:00:00 A A 16000 16238 0 16238 0 100016440 A99999 N None None SFY2001-02
100001453 WRS INC., MARSHALL PROGRAM LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2002-07-19 00:00:00 100002164 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-04 00:00:00 None No 2002-08-09 00:00:00 None B None 1000 1000 -350 650 0 100016450 A99999 N None None SFY2002-03
100000017 BETHANY HOME SOCIETY SAN JOAQUIN COUNTY LTC SNF Skilled Nursing Facility Stockton 2002-07-25 00:00:00 100002165 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-01 00:00:00 None No 2002-08-21 00:00:00 None A None 12000 12000 -4200 7800 0 100016781 A99999 N None None SFY2002-03
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2002-07-25 00:00:00 100002166 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-22 00:00:00 None Yes 2002-08-23 00:00:00 2002-08-07 00:00:00 A A 16000 9181 0 9181 0 100016686 A99999 N None None SFY2002-03
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-07-30 00:00:00 100002167 Closed Citation Citation A (HSC 1424) Patient Care None 2002-05-24 00:00:00 None Yes 2002-08-30 00:00:00 2002-08-16 00:00:00 A A 18000 39000 0 39000 0 100016666 A99999 N None None SFY2002-03
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2002-08-07 00:00:00 100002168 Closed Citation Citation A (HSC 1424) Patient Care None 2002-05-15 00:00:00 None Yes 2002-09-06 00:00:00 2002-08-14 00:00:00 A A 19000 10903 0 10903 0 100016805 A99999 N None None SFY2002-03
100000524 CASA DEL MAR #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2002-08-02 00:00:00 100002170 Closed Citation Citation A (HSC 1424) Patient Care None 2002-05-01 00:00:00 None Yes 2002-11-13 00:00:00 2002-10-31 00:00:00 A B 10000 6500 0 6500 0 100016537 A99999 N None None SFY2002-03
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-08-14 00:00:00 100002171 Closed Citation Citation A (HSC 1424) Patient Care None 2002-05-25 00:00:00 None No 2002-09-09 00:00:00 None A None 20000 20000 -7000 13000 0 100016875 A99999 N None None SFY2002-03
100001505 DUKE FACILITIES, INC. #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2002-08-15 00:00:00 100002172 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-01 00:00:00 None No 2002-09-11 00:00:00 None B None 500 500 -175 325 0 100016869 A99999 N None None SFY2002-03
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-08-14 00:00:00 100002173 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-26 00:00:00 None No 2002-09-09 00:00:00 None B None 1000 1000 -350 650 0 100016663 A99999 N None None SFY2002-03
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2002-09-05 00:00:00 100002174 Closed Citation Citation B (HSC 1424) Medication None 2002-06-29 00:00:00 None No 2002-10-03 00:00:00 None B None 1000 1000 -350 650 0 100016932 A99999 N None None SFY2002-03
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2002-09-09 00:00:00 100002175 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-08-21 00:00:00 None No 2002-10-18 00:00:00 None A B 18000 6000 0 6000 0 100016926 A99999 N None None SFY2002-03
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2002-09-12 00:00:00 100002177 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-26 00:00:00 None No 2002-10-04 00:00:00 None B None 800 800 0 800 0 100017008 A99999 N None None SFY2002-03
100001535 MEADOWOOD A HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2002-09-13 00:00:00 100002178 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-25 00:00:00 None No 2002-10-08 00:00:00 None B None 600 600 -210 390 0 100016804 A99999 N None None SFY2002-03
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-09-25 00:00:00 100002179 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-29 00:00:00 None No 2002-11-04 00:00:00 None B None 1000 1000 -350 650 0 100016827 A99999 N None None SFY2002-03
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-09-25 00:00:00 100002180 Closed Citation Citation A (HSC 1424) Other PR,C 2002-08-01 00:00:00 None No 2002-11-04 00:00:00 None A None 20000 20000 -7000 13000 0 100016938 A99999 N None None SFY2002-03
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2002-10-11 00:00:00 100002181 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-12 00:00:00 None Yes 2002-11-06 00:00:00 2002-10-17 00:00:00 B B 1000 350 0 350 0 100016895 A99999 N None None SFY2002-03
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2002-10-11 00:00:00 100002182 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-21 00:00:00 None Yes 2002-11-08 00:00:00 2002-10-16 00:00:00 A Drop>Deficiency 20000 5000 0 5000 0 100016734 A99999 N None None SFY2002-03
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2002-10-21 00:00:00 100002183 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-31 00:00:00 None No 2002-11-08 00:00:00 None B None 800 800 -280 520 0 100016958 A99999 N None None SFY2002-03
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2002-10-21 00:00:00 100002184 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-24 00:00:00 None No 2002-11-18 00:00:00 None B None 800 800 -280 520 0 100016783 A99999 N None None SFY2002-03
100001445 MACIEL PROGRAM LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2002-11-01 00:00:00 100002185 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-01-30 00:00:00 None No 2002-12-06 00:00:00 None B None 1000 1000 -350 650 0 100016385 A99999 N None None SFY2002-03
100000100 STOLLWOOD CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2002-11-01 00:00:00 100002186 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-03 00:00:00 None Yes 2002-12-02 00:00:00 2002-11-20 00:00:00 A A 18000 10000 0 10000 0 100016507 A99999 N None None SFY2002-03
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2002-11-05 00:00:00 100002187 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-06 00:00:00 None No 2002-12-02 00:00:00 None A B 18000 12600 0 12600 0 100016896 A99999 N None None SFY2002-03
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2002-11-14 00:00:00 100002188 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-13 00:00:00 None Yes 2002-12-10 00:00:00 2002-01-21 00:00:00 A A Trebled 20000 34430 0 34430 0 100016858 A99999 N None None SFY2002-03
100000031 CASA DE MODESTO LTC SNF Skilled Nursing Facility Fresno 2002-11-18 00:00:00 100002189 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-22 00:00:00 None No 2002-12-13 00:00:00 None A None 15000 15000 -5250 9750 0 100017153 A99999 N None None SFY2002-03
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2002-11-14 00:00:00 100002190 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-23 00:00:00 None Yes 2003-03-12 00:00:00 2002-12-03 00:00:00 B B 500 500 0 500 0 100017093 A99999 N None None SFY2002-03
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-11-15 00:00:00 100002191 Closed Citation Citation A (HSC 1424) Patient Care None 2002-08-20 00:00:00 None No 2002-12-12 00:00:00 None A None 20000 20000 -7000 13000 0 100017058 A99999 N None None SFY2002-03
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2002-11-15 00:00:00 100002192 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-09 00:00:00 None No 2002-12-13 00:00:00 None A A 16000 8000 0 8000 0 100016679 A99999 N None None SFY2002-03
100000104 VIENNA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2002-11-21 00:00:00 100002193 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-10-20 00:00:00 None Yes 2002-12-16 00:00:00 2002-12-04 00:00:00 B B 600 600 0 600 0 100017202 A99999 N None None SFY2002-03
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2002-12-05 00:00:00 100002194 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-29 00:00:00 None No 2003-01-15 00:00:00 None B None 1000 1000 -350 650 0 100016825 A99999 N None None SFY2002-03
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2002-12-27 00:00:00 100002195 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-15 00:00:00 None Yes 2003-01-28 00:00:00 2002-12-31 00:00:00 A A 15000 15000 0 15000 0 100016506 A99999 N None None SFY2002-03
100000175 CASA DEL MAR #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-01-02 00:00:00 100002197 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-05 00:00:00 None No 2003-01-30 00:00:00 None B None 700 700 -245 455 0 100017160 A99999 N None None SFY2002-03
100001154 RCCA - LA ALMENDRA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-02-13 00:00:00 100002200 Closed Citation Citation B (HSC 1424) Other ABUSE SELF REPORTED 2002-11-09 00:00:00 None No 2003-03-11 00:00:00 None B None 500 500 -175 325 0 100017370 A99999 N None None SFY2002-03
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-02-21 00:00:00 100002202 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-04 00:00:00 None No 2003-03-19 00:00:00 None B None 1000 3000 0 3000 0 100017227 A99999 N None None SFY2002-03
100001482 RCCA - GREEN PARK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-02-26 00:00:00 100002203 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-14 00:00:00 None No 2003-03-19 00:00:00 None B None 1000 1000 -350 650 0 100017109 A99999 N None None SFY2002-03
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-03-04 00:00:00 100002204 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-27 00:00:00 None No 2003-04-04 00:00:00 None B None 800 800 -280 520 0 100017418 A99999 N None None SFY2002-03
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-03-06 00:00:00 100002206 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-01 00:00:00 None No 2003-04-09 00:00:00 None B None 500 500 -175 325 0 100017422 A99999 N None None SFY2002-03
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-03-07 00:00:00 100002207 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-11 00:00:00 None No 2003-04-03 00:00:00 None A None 20000 20000 -7000 13000 0 100016641 A99999 N None None SFY2002-03
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2003-03-20 00:00:00 100002208 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-10 00:00:00 None No 2003-04-21 00:00:00 None B None 500 500 0 500 0 100017616 A99999 N None None SFY2002-03
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2003-03-21 00:00:00 100002209 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-17 00:00:00 None Yes 2003-04-17 00:00:00 2003-03-25 00:00:00 A B 15000 1000 0 1000 0 100016846 A99999 N None None SFY2002-03
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-03-25 00:00:00 100002210 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-06-24 00:00:00 None Yes 2003-04-18 00:00:00 2003-04-16 00:00:00 AA A 85000 8500 0 8500 0 100016696 A99999 Y None None SFY2002-03
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2003-04-03 00:00:00 100002211 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-05 00:00:00 None No 2003-04-28 00:00:00 None B None 800 800 -280 520 0 100017680 A99999 N None None SFY2002-03
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-04-03 00:00:00 100002212 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-31 00:00:00 2002-10-31 00:00:00 Yes 2003-05-06 00:00:00 2003-04-30 00:00:00 B B 800 250 0 250 0 100017189 A99999 N None None SFY2002-03
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2003-04-08 00:00:00 100002213 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-10 00:00:00 None Yes 2003-05-09 00:00:00 2003-04-21 00:00:00 B B 800 446 0 446 0 100017508 A99999 N None None SFY2002-03
100000201 PRESIDENT JOHN ADAMS MANOR III - FALCONER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-04-15 00:00:00 100002214 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-04 00:00:00 None Yes 2003-06-09 00:00:00 2003-05-14 00:00:00 B B 500 500 0 500 0 100017768 A99999 N None None SFY2002-03
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-05-06 00:00:00 100002216 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-27 00:00:00 None No 2003-06-05 00:00:00 None B None 800 800 -280 520 0 100017561 A99999 N None None SFY2002-03
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-05-13 00:00:00 100002218 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-07 00:00:00 None No 2003-06-20 00:00:00 None B None 800 800 -280 520 0 100017743 A99999 N None None SFY2002-03
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2003-05-22 00:00:00 100002219 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-29 00:00:00 None No 2003-06-17 00:00:00 None B None 800 800 -280 520 0 100017221 A99999 N None None SFY2002-03
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2003-05-22 00:00:00 100002220 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-29 00:00:00 None No 2003-06-17 00:00:00 None A None 15000 15000 -5250 9750 0 100017221 A99999 N None None SFY2002-03
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-06-05 00:00:00 100002221 Closed Citation Citation B (HSC 1424) Other GENERAL MAINTENANCE 2003-05-14 00:00:00 None No 2003-07-07 00:00:00 None B None 800 800 -280 520 0 100017976 A99999 N None None SFY2002-03
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-06-06 00:00:00 100002222 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-10 00:00:00 None Yes 2003-07-07 00:00:00 2003-06-18 00:00:00 B B 900 516 0 516 0 100017329 A99999 N None None SFY2002-03
100001433 RCCA - WESTWOOD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-06-06 00:00:00 100002223 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-25 00:00:00 None No 2003-06-27 00:00:00 None B None 800 800 -280 520 0 100017885 A99999 N None None SFY2002-03
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2003-07-03 00:00:00 100002225 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-04 00:00:00 None Yes 2003-07-31 00:00:00 2003-07-08 00:00:00 A A 15000 5000 0 5000 0 100017468 A99999 N None None SFY2003-04
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2003-07-25 00:00:00 100002227 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-06 00:00:00 None No 2003-08-19 00:00:00 None B None 900 900 0 900 0 100018060 A99999 N None None SFY2003-04
100000082 HARVEST CROSSING POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2003-07-25 00:00:00 100002228 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-18 00:00:00 None Yes 2004-01-09 00:00:00 2004-01-08 00:00:00 A A 10000 10000 -10000 0 0 100017677 A99999 Y None None SFY2003-04
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2003-08-22 00:00:00 100002229 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-14 00:00:00 None No 2003-09-22 00:00:00 None B None 800 800 -280 520 0 100018102 A99999 N None None SFY2003-04
100001681 RCCA - DUTRA PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-08-26 00:00:00 100002230 Closed Citation Citation B (HSC 1424) Administration None 2003-02-17 00:00:00 None Yes 2003-09-22 00:00:00 2003-08-29 00:00:00 B B 500 500 0 500 0 100018291 A99999 N None None SFY2003-04
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-08-26 00:00:00 100002231 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-15 00:00:00 None No 2003-09-23 00:00:00 None B None 1000 1000 0 1000 0 100018185 A99999 N None None SFY2003-04
100000006 DAVIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-09-04 00:00:00 100002232 Closed Citation Citation A (HSC 1424) Patient Care None 2003-08-27 00:00:00 None Yes 2003-10-02 00:00:00 2003-09-10 00:00:00 A Dismissed by Court 16000 0 0 0 0 100018266 A99999 N None None SFY2003-04
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-09-16 00:00:00 100002234 Closed Citation Citation A (HSC 1424) Patient Care None 2003-07-13 00:00:00 None Yes 2003-10-21 00:00:00 2003-09-22 00:00:00 A B 9000 6000 0 6000 0 100018275 A99999 N None None SFY2003-04
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2003-09-19 00:00:00 100002235 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-18 00:00:00 None Yes 2003-10-27 00:00:00 2003-09-30 00:00:00 B B 500 287 0 287 0 100018306 A99999 N None None SFY2003-04
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-09-29 00:00:00 100002236 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-20 00:00:00 None No 2003-10-28 00:00:00 None B None 1000 1000 -350 650 0 100018395 A99999 N None None SFY2003-04
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-09-30 00:00:00 100002237 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-26 00:00:00 None No 2003-10-30 00:00:00 None B None 1000 1000 0 1000 0 100018429 A99999 N None None SFY2003-04
100001484 RCCA - LEQUEL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-10-14 00:00:00 100002238 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-30 00:00:00 None No 2003-11-04 00:00:00 None B None 1000 1000 -350 650 0 100018363 A99999 N None None SFY2003-04
100000029 LODI CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-10-22 00:00:00 100002240 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-08-05 00:00:00 None Yes 2003-12-02 00:00:00 2003-11-06 00:00:00 AA AA 80000 35000 0 35000 0 100018320 A99999 Y None None SFY2003-04
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2003-10-23 00:00:00 100002241 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-19 00:00:00 None Yes 2003-12-11 00:00:00 2003-10-28 00:00:00 B B 800 400 0 400 0 100018166 A99999 N None None SFY2003-04
100000170 ALTA'S ICF, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2003-11-19 00:00:00 100002243 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-28 00:00:00 None No 2003-12-17 00:00:00 None B None 800 800 -280 520 0 100018268 A99999 N None None SFY2003-04
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2003-11-21 00:00:00 100002244 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-14 00:00:00 None No 2003-12-26 00:00:00 None B None 800 800 -280 520 0 100017877 A99999 N None None SFY2003-04
100000058 TRACY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2003-11-26 00:00:00 100002246 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-05 00:00:00 None No 2003-12-26 00:00:00 None B None 1000 1000 -350 650 0 100018583 A99999 N None None SFY2003-04
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-12-17 00:00:00 100002247 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-16 00:00:00 None Yes 2004-01-16 00:00:00 2004-01-08 00:00:00 B B 900 900 0 900 0 100018647 A99999 N None None SFY2003-04
100000021 CASA COLOMA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2003-12-23 00:00:00 100002248 Closed Citation Citation A (HSC 1424) Patient Care None 2003-12-09 00:00:00 None Yes 2004-01-23 00:00:00 2004-01-14 00:00:00 A A 18000 2000 0 2000 0 100018591 A99999 N None None SFY2003-04
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2003-12-30 00:00:00 100002249 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-16 00:00:00 None No 2004-01-22 00:00:00 None B None 1000 1000 0 1000 0 100018336 A99999 N None None SFY2003-04
100000962 CAPITAL POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-01-02 00:00:00 100002250 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-30 00:00:00 None No 2004-02-03 00:00:00 None B None 800 800 0 800 0 100017961 A99999 N None None SFY2003-04
100000851 VINTAGE FAIRE NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2004-02-03 00:00:00 100002251 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-30 00:00:00 None No 2004-03-08 00:00:00 None A A 18000 3000 0 3000 0 100018534 A99999 N None None SFY2003-04
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2004-02-25 00:00:00 100002252 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-16 00:00:00 None No 2004-03-19 00:00:00 None B None 800 800 -280 520 0 100018885 A99999 N None None SFY2003-04
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-03-11 00:00:00 100002253 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-08 00:00:00 None No 2004-04-12 00:00:00 None A None 18000 18000 -6300 11700 0 100018500 A99999 N None None SFY2003-04
100001804 MY FRIENDS PEDIATRIC DAY HEALTH CARE CENTER II LTC PDHRCF Pediatric Day Health & Respite Care Facility Sacramento 2004-03-15 00:00:00 100002255 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-02-18 00:00:00 None No 2004-04-22 00:00:00 None B None 1000 1000 -350 650 0 100018959 A99999 N None None SFY2003-04
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2004-03-17 00:00:00 100002256 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-03 00:00:00 None No 2004-05-03 00:00:00 None B None 1000 1000 -350 650 0 100018734 A99999 N None None SFY2003-04
100000039 WINDSOR HAMPTON CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2004-03-19 00:00:00 100002257 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-03 00:00:00 None Yes 2004-04-15 00:00:00 2004-04-01 00:00:00 B B 800 400 0 400 0 100018845 A99999 N None None SFY2003-04
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2004-03-23 00:00:00 100002258 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-01 00:00:00 None No 2004-04-21 00:00:00 None B None 1000 1000 -350 650 0 100018985 A99999 N None None SFY2003-04
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2004-03-24 00:00:00 100002259 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-01 00:00:00 None No 2004-04-15 00:00:00 None B None 800 800 -280 520 0 100019032 A99999 N None None SFY2003-04
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2004-04-28 00:00:00 100002261 Closed Citation Citation A (HSC 1424) Patient Care None 2004-02-10 00:00:00 None No 2004-05-24 00:00:00 None A None 18000 18000 -6300 11700 0 100018973 A99999 N None None SFY2003-04
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-05-20 00:00:00 100002262 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-16 00:00:00 None No 2004-06-16 00:00:00 None B None 1000 1000 -350 650 0 100018336 A99999 N None None SFY2003-04
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2004-07-19 00:00:00 100002264 Closed Citation Citation A (HSC 1424) Patient Care None 2004-01-06 00:00:00 None Yes 2004-08-23 00:00:00 2004-07-21 00:00:00 A B 18000 18000 0 18000 0 100018810 A99999 N None None SFY2004-05
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2004-07-27 00:00:00 100002265 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-05 00:00:00 None No 2004-08-17 00:00:00 None B None 1000 1000 0 1000 0 100019313 A99999 N None None SFY2004-05
100001681 RCCA - DUTRA PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2004-08-04 00:00:00 100002268 Closed Citation Citation B (HSC 1424) Administration None 2004-07-11 00:00:00 None Yes 2004-08-31 00:00:00 2004-08-10 00:00:00 B B 1000 500 0 500 0 100019390 A99999 N None None SFY2004-05
100001681 RCCA - DUTRA PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2004-08-04 00:00:00 100002269 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-11 00:00:00 None Yes 2004-08-31 00:00:00 2004-08-10 00:00:00 B B 1000 500 0 500 0 100019390 A99999 N None None SFY2004-05
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-09-03 00:00:00 100002270 Closed Citation Citation A (HSC 1424) Patient Care None 2004-03-20 00:00:00 None Yes 2004-10-12 00:00:00 2004-09-15 00:00:00 A None 18000 18000 0 18000 0 100019496 A99999 N None None SFY2004-05
100000814 WAGNER HEIGHTS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2004-09-16 00:00:00 100002271 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-30 00:00:00 None No 2004-10-15 00:00:00 None B None 500 500 -175 325 0 100018556 A99999 N None None SFY2004-05
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-10-19 00:00:00 100002272 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-22 00:00:00 None No 2004-11-09 00:00:00 None B None 800 800 -280 520 0 100019472 A99999 N None None SFY2004-05
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-10-19 00:00:00 100002273 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-22 00:00:00 None No 2004-11-09 00:00:00 None B None 800 800 -280 520 0 100019472 A99999 N None None SFY2004-05
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2004-10-21 00:00:00 100002274 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-27 00:00:00 None No 2004-11-12 00:00:00 None B None 500 500 -175 325 0 100019610 A99999 N None None SFY2004-05
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2004-10-28 00:00:00 100002275 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-12 00:00:00 None No 2004-11-19 00:00:00 None B None 1000 3000 -1050 1950 0 100019653 A99999 N None None SFY2004-05
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2004-11-10 00:00:00 100002276 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-25 00:00:00 None Yes 2004-12-20 00:00:00 2004-11-17 00:00:00 B B 700 350 0 350 0 100019680 A99999 N None None SFY2004-05
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2004-11-10 00:00:00 100002277 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-18 00:00:00 None Yes 2004-12-14 00:00:00 2004-11-18 00:00:00 B B 1000 500 0 500 0 100019652 A99999 N None None SFY2004-05
100001482 RCCA - GREEN PARK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2004-11-17 00:00:00 100002278 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-08-13 00:00:00 None No 2004-12-17 00:00:00 None A None 9000 9000 -3150 5850 0 100019493 A99999 N None None SFY2004-05
100001299 RCCA - FARNELL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2004-11-18 00:00:00 100002279 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-13 00:00:00 None No 2004-12-22 00:00:00 None B None 500 500 -175 325 0 100019662 A99999 N CA00020033, CA00020212 B, B SFY2004-05
100000962 CAPITAL POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2004-12-13 00:00:00 100002280 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-05-04 00:00:00 None Yes 2005-01-13 00:00:00 2004-12-17 00:00:00 AA A 80000 100000 0 100000 0 100019764 A99999 Y None None SFY2004-05
100001482 RCCA - GREEN PARK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2004-12-22 00:00:00 100002281 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-20 00:00:00 None No 2005-01-18 00:00:00 None B None 1000 1000 -350 650 0 100019793 A99999 N None None SFY2004-05
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2005-02-03 00:00:00 100002282 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-12-11 00:00:00 None Yes 2005-03-16 00:00:00 2005-02-14 00:00:00 B B 1000 500 0 500 0 100019907 A99999 N None None SFY2004-05
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2005-02-04 00:00:00 100002283 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-12-10 00:00:00 None No 2005-02-28 00:00:00 None B None 1000 3000 -1050 1950 0 100019894 A99999 N None None SFY2004-05
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2005-03-07 00:00:00 100002284 Closed Citation Citation B (HSC 1424) Other ABUSE-NOT REPORTED 2004-12-04 00:00:00 None Yes 2005-03-28 00:00:00 2005-03-14 00:00:00 B B 1000 400 0 400 0 100019796 A99999 N None None SFY2004-05
100000015 CRESCENT COURT NURSING HOME LTC SNF Skilled Nursing Facility Sacramento 2005-03-29 00:00:00 100002285 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-21 00:00:00 None No 2005-04-20 00:00:00 None B None 1000 1000 -350 650 0 100019940 A99999 N CA00036558 C SFY2004-05
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2005-04-13 00:00:00 100002286 Closed Citation Citation A (HSC 1424) Patient Care None 2004-12-16 00:00:00 None Yes 2006-11-08 00:00:00 2006-11-01 00:00:00 A A 17000 4000 0 4000 0 100019788 A99999 N None None SFY2004-05
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2005-04-14 00:00:00 100002287 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-24 00:00:00 None No 2005-05-05 00:00:00 None B None 900 900 -315 585 0 100019942 A99999 N None None SFY2004-05
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2005-04-15 00:00:00 100002288 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-11 00:00:00 None No 2005-05-06 00:00:00 None B None 1000 3000 -1050 1950 0 100019943 A99999 N None None SFY2004-05
100000048 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-05-04 00:00:00 100002289 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-14 00:00:00 None Yes 2005-06-03 00:00:00 2005-05-06 00:00:00 B B 800 440 0 440 0 100019947 A99999 N None None SFY2004-05
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2005-05-10 00:00:00 100002290 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-11-15 00:00:00 None No 2005-06-01 00:00:00 None B None 800 800 -280 520 0 100019948 A99999 N None None SFY2004-05
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2005-05-11 00:00:00 100002291 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-21 00:00:00 None Yes 2005-06-14 00:00:00 2005-05-18 00:00:00 B B 800 400 0 400 0 100019949 A99999 N None None SFY2004-05
100000100 STOLLWOOD CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2005-05-16 00:00:00 100002292 Closed Citation Citation B (HSC 1424) Other ABUSE-NOT REPORTED 2004-11-24 00:00:00 None No 2005-06-07 00:00:00 None B None 800 800 -280 520 0 100019950 A99999 N None None SFY2004-05
100000029 LODI CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2005-06-01 00:00:00 100002293 Closed Citation Citation A (HSC 1424) Patient Care None 2005-01-08 00:00:00 None Yes 2005-06-22 00:00:00 2005-06-20 00:00:00 A A 18000 9000 0 9000 0 100019891 A99999 N None None SFY2004-05
100000057 GREENHAVEN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-06-02 00:00:00 100002294 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-06 00:00:00 None No 2005-06-29 00:00:00 None B None 800 800 -280 520 0 100019954 A99999 N None None SFY2004-05
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2005-06-07 00:00:00 100002295 Closed Citation Citation B (HSC 1424) Administration None 2005-05-17 00:00:00 None No 2005-06-28 00:00:00 None B None 1000 1000 -350 650 0 100019955 A99999 N None None SFY2004-05
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2005-06-22 00:00:00 100002296 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-17 00:00:00 None No 2005-07-19 00:00:00 None B None 800 800 -280 520 0 100019959 A99999 N None None SFY2004-05
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2005-06-23 00:00:00 100002297 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-15 00:00:00 None No 2005-07-15 00:00:00 None B None 800 850 -280 570 0 100019961 A99999 N None None SFY2004-05
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2005-10-14 00:00:00 100002299 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-09 00:00:00 None Yes 2005-11-17 00:00:00 2005-11-04 00:00:00 B None 1000 1000 0 1000 0 100019965 A99999 N CA00075767 B SFY2005-06
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2005-11-18 00:00:00 100002300 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-24 00:00:00 None Yes 2005-12-19 00:00:00 2005-11-23 00:00:00 B B 1000 500 0 500 0 100019967 A99999 N None None SFY2005-06
100001681 RCCA - DUTRA PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2005-11-29 00:00:00 100002301 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-17 00:00:00 None No 2006-01-09 00:00:00 None B None 1000 1000 0 1000 0 100019968 A99999 N None None SFY2005-06
100000042 RIVER VIEW POST ACUTE LTC SNF Skilled Nursing Facility Stockton 2006-01-11 00:00:00 100002302 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-05 00:00:00 None No 2006-02-02 00:00:00 None B None 1000 1000 -350 650 0 100019971 A99999 N None None SFY2005-06
100001639 RCCA - WAWONA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2006-01-11 00:00:00 100002303 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-06 00:00:00 None No 2006-02-02 00:00:00 None B None 1000 1000 -350 650 0 100019972 A99999 N None None SFY2005-06
100000093 MCKINLEY PARK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2006-01-13 00:00:00 100002304 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-08-03 00:00:00 2005-08-03 00:00:00 No 2006-02-06 00:00:00 None B None 1000 1000 -350 650 0 100019973 A99999 N CA00057033 A SFY2005-06
080000068 KEARNY MESA CONVALESCENT AND NURSING HOME LTC SNF Skilled Nursing Facility San Diego 2018-12-20 00:00:00 100014664 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-05-26 00:00:00 2018-05-26 00:00:00 No 2019-01-11 00:00:00 None B None 800 800 0 800 0 None EQCN11 N CA00588800 B SFY2018-19
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2018-12-20 00:00:00 100014665 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-25 00:00:00 2018-09-25 00:00:00 No 2019-01-11 00:00:00 None B None 2000 2000 0 2000 0 None OJKN11 N None None SFY2018-19
080001515 BAYSHIRE TORREY PINES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2019-02-01 00:00:00 100014778 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-13 00:00:00 2018-01-13 00:00:00 No 2019-02-22 00:00:00 None B None 2000 2000 -700 1300 0 None QAEQ11 N CA00570024, CA00570024 B, B SFY2018-19
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2019-02-15 00:00:00 100014821 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-04-06 00:00:00 2018-04-06 00:00:00 No 2019-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None MMEK11 N CA00587851, CA00587851 B, B SFY2018-19
080000059 LAKESIDE SPECIAL CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2019-06-03 00:00:00 100015120 Closed Citation Citation B (HSC 1424) Other FAILURE TO REPORT 2018-12-14 00:00:00 2018-12-14 00:00:00 No 2019-06-24 00:00:00 None B None 1000 1000 0 1000 0 None WW6G11 N CA00616158 B SFY2018-19
090000107 SOUTH BAY POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2019-06-12 00:00:00 100015125 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-14 00:00:00 2018-05-14 00:00:00 No 2019-07-03 00:00:00 None B None 1500 1900 -525 1375 0 None 89NE11 N CA00587473 B SFY2018-19
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2019-06-12 00:00:00 100015136 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-14 00:00:00 2019-05-14 00:00:00 No 2019-07-03 00:00:00 None B None 2000 2000 -700 1300 0 None 8Q3V11 N CA00614451, CA00614451 B, B SFY2018-19
090000745 MONTGOMERY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2019-06-24 00:00:00 100015174 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-11-19 00:00:00 2018-11-19 00:00:00 No 2019-07-15 00:00:00 None B None 1000 1000 -350 650 0 None DVUJ11 N CA00611333 B SFY2018-19
090000034 PARKSIDE HEALTH AND WELLNESS CENTER LTC SNF Skilled Nursing Facility San Diego 2019-06-25 00:00:00 100015195 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-08 00:00:00 2018-07-08 00:00:00 No 2019-07-16 00:00:00 None B None 2000 2000 -700 1300 0 None 1SF111 N CA00594013, CA00594606 B, B SFY2018-19
090000051 BRIGHTON PLACE SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2019-07-17 00:00:00 100015225 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-04-26 00:00:00 2019-04-26 00:00:00 No 2019-08-07 00:00:00 None B None 800 800 -280 520 0 None 5ZCM11 N CA00635280 A SFY2019-20
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2019-09-12 00:00:00 100015386 Closed Citation Citation B (HSC 1424) Other REFUSAL TO READMIT 2018-08-31 00:00:00 2018-08-31 00:00:00 No 2019-10-03 00:00:00 None B None 2000 2000 0 2000 0 None EH1O11 N CA00645126 B SFY2019-20
090000009 REO VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2019-10-07 00:00:00 100015443 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-09 00:00:00 2019-02-09 00:00:00 No 2019-10-28 00:00:00 None B None 2000 2000 -700 1300 0 None 103U11 N CA00623726 B SFY2019-20
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2019-11-05 00:00:00 100015511 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-28 00:00:00 2019-08-28 00:00:00 No 2019-11-26 00:00:00 None B None 2000 2000 -700 1300 0 None OPGD11 N CA00652451 B SFY2019-20
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2019-11-15 00:00:00 100015538 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-03 00:00:00 2019-04-03 00:00:00 No 2019-12-06 00:00:00 None B None 2000 2000 -700 1300 0 None H30L11 N CA00638766, CA00638766 B, B SFY2019-20
090000018 EDGEMOOR HOSPITAL DP/SNF LTC SNF Skilled Nursing Facility San Diego 2019-11-26 00:00:00 100015547 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-04-24 00:00:00 2019-04-24 00:00:00 No 2019-12-17 00:00:00 None B None 1000 1000 0 1000 0 None NPHC11 N CA00635020 B SFY2019-20
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2020-01-09 00:00:00 100015634 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-27 00:00:00 2019-07-27 00:00:00 No 2020-01-30 00:00:00 None B None 2000 2000 -700 1300 0 None 6GQF11 N CA00631673, CA00631673 A, A SFY2019-20
080000962 THE SPRINGS AT PACIFIC REGENT LTC SNF Skilled Nursing Facility San Diego 2020-01-24 00:00:00 100015705 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-12 00:00:00 2019-12-12 00:00:00 No 2020-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None GOF111 N CA00623049 B SFY2019-20
090000057 LA MESA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2020-01-24 00:00:00 100015713 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-05 00:00:00 2019-09-05 00:00:00 No 2020-02-14 00:00:00 None B None 1500 1500 -525 975 0 None F94L11 N CA00653266 B SFY2019-20
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2020-01-29 00:00:00 100015716 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-11-30 00:00:00 2019-11-30 00:00:00 No 2020-02-19 00:00:00 None B None 2000 2000 -700 1300 0 None MDAV11 N CA00665823 B SFY2019-20
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2021-01-07 00:00:00 100016225 Closed Citation Citation B (HSC 1424) Patient Care None 2020-03-05 00:00:00 2020-03-05 00:00:00 No 2021-01-29 00:00:00 None B None 1200 1200 -420 780 0 None P78V11 N CA00698464 B SFY2020-21
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2021-05-18 00:00:00 100016510 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-19 00:00:00 2019-06-19 00:00:00 No 2021-06-09 00:00:00 None B None 2000 2000 -700 1300 0 None 4CFS11 N CA00643512 A SFY2020-21
080000062 PARKWAY HILLS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility San Diego 2021-05-24 00:00:00 100016538 Open Citation Citation A (HSC 1424) Other ABUSE POLICY 2020-01-13 00:00:00 2020-01-13 00:00:00 Yes 2021-06-15 00:00:00 2021-06-07 00:00:00 A None 16000 16000 0 0 16000 None LXYP11 N CA00671254 A SFY2020-21
090000118 HILLDALE HABILITATION CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID San Diego 2021-09-29 00:00:00 100016831 Closed Citation Citation B (HSC 1424) Other nursing services 2019-06-05 00:00:00 2019-06-05 00:00:00 No 2021-10-20 00:00:00 None B None 2000 2000 -700 1300 0 None OPBI11 Y CA00640707 B SFY2021-22
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2021-09-29 00:00:00 100016966 Closed Citation Citation B (HSC 1424) Other Discharge Process 2020-07-27 00:00:00 2020-07-27 00:00:00 No 2021-10-20 00:00:00 None B None 1500 1500 0 1500 0 None KV6E11 N CA00698995, CA00698995, CA00698995, CA00698995, CA00698995 B, B, B, B, B SFY2021-22
090000118 HILLDALE HABILITATION CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID San Diego 2021-12-23 00:00:00 100017223 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-04-08 00:00:00 2020-04-08 00:00:00 No 2022-01-13 00:00:00 None B None 2000 2000 -700 1300 0 None SIQ111 N CA00684264 B SFY2021-22
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2022-06-13 00:00:00 100017706 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-11-19 00:00:00 2021-11-19 00:00:00 No 2022-07-05 00:00:00 None AA None 25000 25000 -8750 16250 0 None QZO611 Y CA00762107, CA00762107 B, B SFY2021-22
090000011 THE PAVILION AT OCEAN POINT LTC SNF Skilled Nursing Facility San Diego 2022-08-04 00:00:00 100017873 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-03-11 00:00:00 2021-03-11 00:00:00 No 2022-08-25 00:00:00 None B None 1400 1400 0 1400 0 None XJFX11 N CA00728691, CA00729084 B, B SFY2022-23
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2022-09-16 00:00:00 100017993 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2021-07-12 00:00:00 2021-07-12 00:00:00 No 2022-10-07 00:00:00 None B None 1500 1500 -525 975 0 None Z46M11 N None None SFY2022-23
090000042 WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2022-10-21 00:00:00 100018096 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-20 00:00:00 2022-09-20 00:00:00 No 2022-11-14 00:00:00 None B None 1400 1400 -490 910 0 None KM0M11 N CA00804097, CA00804097 B, B SFY2022-23
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-01-24 00:00:00 100018347 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-26 00:00:00 2022-01-26 00:00:00 No 2023-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None M16611 N CA00770723, CA00770982 A, B SFY2022-23
090000729 CORTE MARIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2023-02-06 00:00:00 100018372 Closed Citation Citation B (HSC 1424) Other ftr elopement 2022-08-28 00:00:00 2022-08-28 00:00:00 No 2023-02-28 00:00:00 None B None 2000 2000 -700 1300 0 None 37IM11 N CA00801764 B SFY2022-23
090000063 SAN DIEGO POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-05-09 00:00:00 100018727 Open Citation Citation B (HSC 1424) Patient Care None 2023-02-01 00:00:00 2023-02-01 00:00:00 No 2023-05-31 00:00:00 None B None 2400 2400 -840 1560 0 None QNO811 N CA00824692 B SFY2022-23
080000094 BRADLEY COURT LTC SNF Skilled Nursing Facility San Diego 2023-05-10 00:00:00 100018731 Open Citation Citation A (HSC 1424) Patient Care None 2020-02-20 00:00:00 2020-02-20 00:00:00 No 2023-06-01 00:00:00 None A None 20000 20000 0 20000 0 None BF1411 Y CA00677267, CA00677267 B, B SFY2022-23
090000009 REO VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-06-27 00:00:00 100018900 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-13 00:00:00 2023-04-13 00:00:00 No 2023-07-19 00:00:00 None B None 3000 3000 -1050 1950 0 None Y8LQ11 N CA00836331 B SFY2022-23
090000105 SOMERSET SUBACUTE AND CARE LTC SNF Skilled Nursing Facility San Diego 2023-06-30 00:00:00 100018916 Closed Citation Citation A (HSC 1424) Patient Care None 2023-03-26 00:00:00 2023-03-26 00:00:00 No 2023-07-24 00:00:00 None A None 51000 51200 -17850 33350 0 None JSFX11 N CA00835079, CA00835079, CA00835079 B, B, B SFY2022-23
080000062 PARKWAY HILLS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility San Diego 2023-07-14 00:00:00 100018951 Closed Citation Citation B (HSC 1424) Patient Care None 2022-10-29 00:00:00 2022-10-29 00:00:00 No 2023-08-04 00:00:00 None B None 3000 3000 -1050 1950 0 None DI0T11 N CA00838299 B SFY2023-24
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2023-08-18 00:00:00 100019077 Open Citation Citation A (HSC 1424) Patient Care None 2022-09-16 00:00:00 2022-09-16 00:00:00 No 2023-09-11 00:00:00 None A None 20000 20100 -7000 13000 100 None Q68H11 Y CA00842213, CA00842213, CA00842213, CA00842213, CA00842213, CA00842213, CA00842213 B, B, B, B, B, B, B SFY2023-24
090000074 COTTONWOOD CANYON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-08-31 00:00:00 100019110 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-06-18 00:00:00 2023-06-18 00:00:00 No 2023-09-22 00:00:00 None B None 1500 1500 -525 975 0 None OVM611 N CA00846283 B SFY2023-24
090000063 SAN DIEGO POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-09-15 00:00:00 100019157 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-07-30 00:00:00 2023-07-30 00:00:00 No 2023-10-06 00:00:00 None B None 2700 2700 -945 1755 0 None 4H5111 N CA00853135 B SFY2023-24
090000315 MOUNTAIN SHADOWS COMMUNITY HOMES - TANGELO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2023-09-14 00:00:00 100019161 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-30 00:00:00 2022-01-30 00:00:00 No 2023-10-05 00:00:00 None B None 3000 3000 -1050 1950 0 None WCZU11 Y CA00771793, CA00771793, CA00772038, CA00772038 B, B, B, B SFY2023-24
080001751 GLENBROOK LTC SNF Skilled Nursing Facility San Diego 2023-09-28 00:00:00 100019204 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-05 00:00:00 2021-03-05 00:00:00 No 2023-10-19 00:00:00 None B None 2000 2000 -700 1300 0 None MDQ611 Y CA00777833, CA00777833 B, B SFY2023-24
090000128 LETICIA GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2023-10-24 00:00:00 100019293 Open Citation Citation B (HSC 1424) Patient Care None 2023-07-30 00:00:00 2023-07-30 00:00:00 No 2023-11-15 00:00:00 None B None 1000 1150 -350 650 150 None 5FOI11 N CA00855381 B SFY2023-24
630003961 SAVA HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Diego 2023-10-26 00:00:00 100019297 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-05-16 00:00:00 2021-05-16 00:00:00 No 2023-11-17 00:00:00 None B None 1200 1200 0 1200 0 None PJRY11 N CA00737519, CA00737522, CA00737837 A, A, B SFY2023-24
080000066 PALOMAR HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2023-10-26 00:00:00 100019298 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-01-27 00:00:00 2022-01-27 00:00:00 No 2023-11-17 00:00:00 None B None 1200 1200 -420 780 0 None T25L11 N CA00771168 B SFY2023-24
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2023-10-31 00:00:00 100019319 Open Citation Citation AA (HSC 1424) Patient Care None 2023-08-24 00:00:00 2023-08-24 00:00:00 No 2023-11-22 00:00:00 None AA None 96000 97200 0 0 97200 None 4S4T11 Y CA00857677, CA00857677, CA00857677 B, B, B SFY2023-24
090000009 REO VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-11-15 00:00:00 100019361 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-17 00:00:00 2023-08-17 00:00:00 No 2023-12-08 00:00:00 None B None 3000 9000 0 9000 0 None VS7A11 N CA00861244 B SFY2023-24
090000416 SHARP CHULA VISTA MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Diego 2023-12-01 00:00:00 100019406 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-09 00:00:00 2023-11-09 00:00:00 No 2023-12-22 00:00:00 None B None 2100 2100 -735 1365 0 None GCLN11 N None None SFY2023-24
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2024-03-12 00:00:00 100019853 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-13 00:00:00 2024-01-13 00:00:00 No 2024-04-02 00:00:00 None B None 2400 2400 -840 1560 0 None RDLK11 N CA00879730 B SFY2023-24
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2024-03-12 00:00:00 100019857 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-13 00:00:00 2024-01-13 00:00:00 No 2024-04-02 00:00:00 None B None 2400 2400 0 2400 0 None RDLK11 N CA00879730 B SFY2023-24
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2024-03-21 00:00:00 100019888 Closed Citation Citation A (HSC 1424) Patient Care None 2024-01-31 00:00:00 2024-01-31 00:00:00 No 2024-04-12 00:00:00 None A None 20000 20000 0 20000 0 None I6O311 N CA00885029 B SFY2023-24
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2024-03-21 00:00:00 100019889 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-07 00:00:00 2023-11-07 00:00:00 No 2024-04-12 00:00:00 None B None 800 800 0 800 0 None I6O311 N None None SFY2023-24
090000006 MOUNT MIGUEL COVENANT VILLAGE HEALTH FACILITY LTC SNF Skilled Nursing Facility San Diego 2024-03-22 00:00:00 100019895 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-06 00:00:00 2024-01-06 00:00:00 No 2024-04-15 00:00:00 None B None 1800 1800 0 1800 0 None 2EZC11 N CA00878704 B SFY2023-24
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2024-04-03 00:00:00 100019948 Closed Citation Citation AA (HSC 1424) Patient Care None 2023-11-30 00:00:00 2023-11-30 00:00:00 No 2024-04-24 00:00:00 None AA None 96000 96000 -33600 62400 0 None 0WGK11 N CA00879084 B SFY2023-24
080000059 LAKESIDE SPECIAL CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2024-04-22 00:00:00 100020039 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-17 00:00:00 2024-02-17 00:00:00 No 2024-05-13 00:00:00 None B None 2800 2800 -980 1820 0 None 5Y3811 N CA00885596 B SFY2023-24
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2024-05-08 00:00:00 100020115 Closed Citation Citation A (HSC 1424) Patient Record None 2022-07-20 00:00:00 2022-07-20 00:00:00 No 2024-05-30 00:00:00 None A None 10000 10000 -3500 6500 0 None KBSV11 N CA00794706 B SFY2023-24
080000694 VILLA RANCHO BERNARDO CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2024-05-09 00:00:00 100020120 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-06 00:00:00 2021-12-06 00:00:00 No 2024-05-31 00:00:00 None A None 20000 20000 -7000 13000 0 None UE9I11 N None None SFY2023-24
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2024-05-07 00:00:00 100020123 Open Citation Citation A (HSC 1424) Patient Care None 2022-06-09 00:00:00 2022-06-09 00:00:00 No 2024-05-29 00:00:00 None A None 12000 12000 -4200 7800 0 None G40Z11 N CA00788349 B SFY2023-24
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2024-05-24 00:00:00 100020229 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-13 00:00:00 2024-04-13 00:00:00 No 2024-06-17 00:00:00 None B None 3000 3000 0 3000 0 None JCMD11 N None None SFY2023-24
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2024-06-25 00:00:00 100020353 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-26 00:00:00 2023-10-26 00:00:00 No 2024-07-17 00:00:00 None B None 3000 3000 -1050 1950 0 None X45T11 N None None SFY2023-24
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-13 00:00:00 110001430 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-10 00:00:00 1999-11-10 00:00:00 No 2000-02-04 00:00:00 None B None 1000 1000 -350 650 0 110010638 A99999 N None None SFY1999-00
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-20 00:00:00 110001434 Closed Citation Citation B (HSC 1424) Physical Environment None 1999-11-29 00:00:00 1999-12-29 00:00:00 No 2000-02-17 00:00:00 None B None 500 500 -175 325 0 110010646 A99999 N None None SFY1999-00
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-01-28 00:00:00 110001440 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-26 00:00:00 None No 2000-03-10 00:00:00 None B None 1000 1000 -350 650 0 110010662 A99999 N None None SFY1999-00
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2000-02-24 00:00:00 110001718 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-06-24 00:00:00 2000-01-06 00:00:00 No 2000-03-20 00:00:00 None B None 1000 1400 -350 1050 0 110012242 A99999 N None None SFY1999-00
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2000-02-24 00:00:00 110001719 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-01 00:00:00 2000-01-01 00:00:00 No 2000-03-20 00:00:00 None B None 800 800 -280 520 0 110012242 A99999 N None None SFY1999-00
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-10 00:00:00 110001722 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-05 00:00:00 None No 2000-04-03 00:00:00 None B None 800 800 -280 520 0 110012302 A99999 N None None SFY1999-00
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-16 00:00:00 110001726 Closed Citation Citation A (HSC 1424) Patient Care None 1999-05-15 00:00:00 1999-05-15 00:00:00 No 2000-04-10 00:00:00 None A None 8000 8000 0 8000 0 110012318 A99999 N None None SFY1999-00
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-16 00:00:00 110001727 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-08 00:00:00 1999-10-09 00:00:00 No 2000-04-10 00:00:00 None A None 8000 8000 -2800 5200 0 110012320 A99999 N None None SFY1999-00
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-21 00:00:00 110001728 Closed Citation Citation A (HSC 1424) Patient Care None 1999-03-06 00:00:00 2000-01-08 00:00:00 No 2000-04-11 00:00:00 None A None 7000 7000 -2450 4550 0 110012336 A99999 N None None SFY1999-00
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-21 00:00:00 110001729 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-11 00:00:00 None No 2000-04-11 00:00:00 None A None 5000 5000 -1750 3250 0 110012336 A99999 N None None SFY1999-00
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-21 00:00:00 110001731 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-08 00:00:00 2000-03-08 00:00:00 No 2000-04-11 00:00:00 None B None 1000 1000 0 1000 0 110012339 A99999 N None None SFY1999-00
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2000-07-25 00:00:00 110001765 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-07 00:00:00 1999-10-08 00:00:00 Yes 2000-08-17 00:00:00 2000-08-07 00:00:00 A A 10000 7500 0 7500 0 110012890 A99999 N None None SFY2000-01
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2000-07-31 00:00:00 110001767 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-16 00:00:00 None Yes 2000-08-21 00:00:00 2000-08-07 00:00:00 A A 5000 5000 0 5000 0 110012911 A99999 N None None SFY2000-01
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-09-12 00:00:00 110001775 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-01 00:00:00 2000-01-31 00:00:00 No 2000-10-09 00:00:00 None B None 1000 1000 -350 650 0 110013033 A99999 N None None SFY2000-01
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-10-19 00:00:00 110001787 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-10 00:00:00 2000-03-10 00:00:00 No 2000-11-13 00:00:00 None B None 1000 1000 -350 650 0 110013304 A99999 N None None SFY2000-01
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-10-27 00:00:00 110001796 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-01-01 00:00:00 2000-01-02 00:00:00 Yes 2000-11-22 00:00:00 2000-11-01 00:00:00 A A 10000 10000 -7500 2500 0 110013355 A99999 N None None SFY2000-01
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2000-12-08 00:00:00 110001807 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-01 00:00:00 2000-03-01 00:00:00 No 2001-01-03 00:00:00 None B None 1000 1000 -350 650 0 110013585 A99999 N None None SFY2000-01
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2000-12-08 00:00:00 110001808 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-14 00:00:00 2000-04-14 00:00:00 Yes 2000-12-29 00:00:00 2000-12-15 00:00:00 B None 1000 1000 -1000 0 0 110013587 A99999 N None None SFY2000-01
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2000-12-08 00:00:00 110001809 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-09-03 00:00:00 None No 2001-01-05 00:00:00 None B None 1000 1000 -350 650 0 110013588 A99999 N None None SFY2000-01
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2000-12-15 00:00:00 110001813 Closed Citation Citation A (HSC 1424) Administration None 2000-10-09 00:00:00 2000-10-10 00:00:00 No 2001-01-11 00:00:00 None A None 10000 10000 -3500 6500 0 110013639 A99999 N None None SFY2000-01
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2000-12-20 00:00:00 110001814 Closed Citation Citation A (HSC 1424) Patient Care None 2000-07-22 00:00:00 None Yes 2001-01-10 00:00:00 2001-06-25 00:00:00 A A 7500 7500 -5625 1875 0 110013674 A99999 N None None SFY2000-01
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2001-02-13 00:00:00 110001828 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-07 00:00:00 2000-07-31 00:00:00 No 2001-03-12 00:00:00 None B None 800 800 -280 520 0 110013962 A99999 N None None SFY2000-01
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-02-08 00:00:00 110001829 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-24 00:00:00 2000-05-27 00:00:00 Yes 2001-03-05 00:00:00 2001-02-20 00:00:00 A A 14500 10875 0 10875 0 110013969 A99999 N None None SFY2000-01
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-22 00:00:00 110001832 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-20 00:00:00 2000-06-20 00:00:00 Yes 2001-04-12 00:00:00 2001-03-23 00:00:00 A A 12000 7500 0 7500 0 110014095 A99999 N None None SFY2000-01
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-22 00:00:00 110001833 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-31 00:00:00 2001-01-01 00:00:00 No 2001-04-17 00:00:00 None B None 1000 1000 0 1000 0 110014097 A99999 N None None SFY2000-01
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-27 00:00:00 110001834 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-09-13 00:00:00 2000-09-13 00:00:00 No 2001-04-20 00:00:00 None B None 1000 1000 -350 650 0 110014107 A99999 N None None SFY2000-01
110000760 THE MEADOWS OF NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-04-06 00:00:00 110001835 Closed Citation Citation B (HSC 1424) Administration None 2001-02-25 00:00:00 None No 2001-04-27 00:00:00 None B None 800 800 -280 520 0 110014143 A99999 N None None SFY2000-01
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-04-20 00:00:00 110001838 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-11 00:00:00 None Yes 2001-05-14 00:00:00 2001-05-18 00:00:00 B None 800 800 0 800 0 110014172 A99999 N None None SFY2000-01
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2001-05-24 00:00:00 110001839 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-30 00:00:00 None No 2001-06-15 00:00:00 None B None 750 750 -262.5 487.5 0 110014572 A99999 N None None SFY2000-01
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-05-30 00:00:00 110001840 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-03 00:00:00 None Yes 2002-08-28 00:00:00 2002-08-23 00:00:00 A A 16000 3816.79 0 3816.79 0 110014589 A99999 N None None SFY2000-01
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-05-30 00:00:00 110001841 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-05 00:00:00 2000-10-05 00:00:00 No 2001-06-20 00:00:00 None A None 16000 16000 -5600 10400 0 110014593 A99999 N None None SFY2000-01
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-06-11 00:00:00 110001843 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-06 00:00:00 None No 2001-07-03 00:00:00 None B None 1000 1000 -350 650 0 110014634 A99999 N None None SFY2000-01
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-06-18 00:00:00 110001846 Closed Citation Citation B (HSC 1424) Problem Transfer None 2001-01-25 00:00:00 2001-03-16 00:00:00 No 2001-07-10 00:00:00 None B None 1000 1000 -350 650 0 110014658 A99999 N None None SFY2000-01
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-06 00:00:00 110001848 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-18 00:00:00 2000-12-19 00:00:00 No 2001-07-27 00:00:00 None B None 700 700 -245 455 0 110014689 A99999 N None None SFY2001-02
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-27 00:00:00 110001850 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-03 00:00:00 2001-07-11 00:00:00 No 2001-08-20 00:00:00 None B None 800 800 -280 520 0 110014804 A99999 N None None SFY2001-02
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-07-31 00:00:00 110001851 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-20 00:00:00 2000-07-20 00:00:00 No 2001-08-24 00:00:00 None B None 1000 1000 0 1000 0 110014811 A99999 N None None SFY2001-02
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-01 00:00:00 110001852 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-01-14 00:00:00 2000-10-02 00:00:00 Yes 2001-08-27 00:00:00 2000-11-01 00:00:00 AA AA 80000 80000 -28000 52000 0 110014818 A99999 Y None None SFY2001-02
110001210 DOCTORS MEDICAL CENTER - SAN PABLO/PINOLE D/P SNF LTC SNF Skilled Nursing Facility East Bay 2000-01-10 00:00:00 110001862 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-14 00:00:00 None No 2000-02-08 00:00:00 None A None 10000 10000 -3500 6500 0 110015111 A99999 N None None SFY1999-00
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-05 00:00:00 110001865 Closed Citation Citation B (HSC 1424) Other MEDICATION 2001-04-10 00:00:00 2001-05-07 00:00:00 No 2001-10-29 00:00:00 None B None 1000 1000 -350 650 0 110014522 A99999 N None None SFY2001-02
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-09 00:00:00 110001866 Closed Citation Citation B (HSC 1424) Problem Transfer None 2001-07-16 00:00:00 2001-07-16 00:00:00 No 2001-11-06 00:00:00 None B None 800 800 -280 520 0 110015245 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001867 Closed Citation Citation B (HSC 1424) Other ADMIN, PATIENT CARE 2001-07-16 00:00:00 2001-08-30 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B Dismissed by Court 1000 0 0 0 0 110015293 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001868 Closed Citation Citation B (HSC 1424) Administration None 2001-07-18 00:00:00 2001-07-20 00:00:00 No 2001-11-09 00:00:00 None B None 1000 1000 -350 650 0 110015294 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001869 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-17 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015295 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001870 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-17 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015296 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001871 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-17 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015297 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001872 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-18 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015298 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001873 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-18 00:00:00 Yes 2001-11-21 00:00:00 2001-10-30 00:00:00 B B 1000 579 0 579 0 110015299 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001874 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-18 00:00:00 Yes 2002-01-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015300 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001875 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-23 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015301 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001876 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-18 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015302 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001877 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-16 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015304 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001878 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-17 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015305 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001879 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-20 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015303 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001880 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-19 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015307 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001881 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-18 00:00:00 2001-07-19 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015308 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001882 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-19 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015309 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001883 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-23 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015310 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001884 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-23 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015311 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001885 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-20 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015312 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001886 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-20 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 579 0 579 0 110015313 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-19 00:00:00 110001887 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-16 00:00:00 2001-07-20 00:00:00 Yes 2001-11-09 00:00:00 2001-10-31 00:00:00 B B 1000 578 0 578 0 110015314 A99999 N None None SFY2001-02
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-23 00:00:00 110001888 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-23 00:00:00 2001-06-23 00:00:00 No 2001-11-14 00:00:00 None B None 1000 1000 -350 650 0 110015317 A99999 N None None SFY2001-02
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-25 00:00:00 110001889 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-08 00:00:00 2001-01-08 00:00:00 Yes 2001-11-20 00:00:00 2001-11-09 00:00:00 B B 1000 650 0 650 0 110015339 A99999 N None None SFY2001-02
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-25 00:00:00 110001890 Closed Citation Citation B (HSC 1424) Other PT. RIGHT, TRANSFER 2000-12-27 00:00:00 2000-12-27 00:00:00 No 2001-11-20 00:00:00 None B None 800 800 0 800 0 110015340 A99999 N None None SFY2001-02
110000686 SUTTER MEDICAL CENTER OF SANTA ROSA-CHANATE CAMPUS LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-16 00:00:00 110001893 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-06 00:00:00 1999-11-02 00:00:00 No 2001-12-11 00:00:00 None A None 10000 10000 -3500 6500 0 110014670 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001894 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001895 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001896 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001897 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-11-29 00:00:00 110001898 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-17 00:00:00 2000-11-16 00:00:00 No 2001-12-24 00:00:00 None A None 8000 8000 -2800 5200 0 110014473 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001899 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001900 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001901 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001902 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-01-02 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-05 00:00:00 110001903 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-24 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-05 00:00:00 110001904 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-12 00:00:00 2002-07-02 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001913 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001914 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001915 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001916 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001917 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-12 00:00:00 2002-07-24 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001918 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001919 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001920 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-16 00:00:00 2001-12-28 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001921 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001922 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001923 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-19 00:00:00 2001-12-28 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-05 00:00:00 110001924 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-12 00:00:00 2002-07-24 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001925 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-12 00:00:00 2002-07-24 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001926 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-01-17 00:00:00 2002-07-15 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000760 THE MEADOWS OF NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-05 00:00:00 110001927 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-07 00:00:00 2000-07-07 00:00:00 No 2001-12-28 00:00:00 None B None 1000 1000 -350 650 0 110015470 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001928 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001929 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-15 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001930 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-22 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001931 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001932 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-31 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001933 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-16 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001934 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-15 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001935 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-16 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001936 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-15 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001937 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001938 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001939 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-12 00:00:00 2002-07-24 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001941 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001942 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-25 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001943 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001944 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-05 00:00:00 2002-07-19 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001945 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-31 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001946 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001947 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-15 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001948 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-07-23 00:00:00 2002-07-03 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001949 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-26 00:00:00 2002-08-09 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001950 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-22 00:00:00 2002-07-29 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001951 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-23 00:00:00 2002-08-09 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001952 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-23 00:00:00 2002-08-08 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001953 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-01-02 00:00:00 2001-12-28 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001954 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-22 00:00:00 2002-08-05 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001955 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-26 00:00:00 2002-08-09 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001956 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-19 00:00:00 2002-07-29 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001957 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-19 00:00:00 2002-07-29 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-11 00:00:00 110001958 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-04 00:00:00 2001-04-20 00:00:00 Yes 2002-08-15 00:00:00 2002-07-30 00:00:00 B B 1000 500 0 500 0 110015221 A99999 N None None SFY2001-02
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-07 00:00:00 110001959 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-11 00:00:00 1999-12-09 00:00:00 No 2001-12-31 00:00:00 None A None 18000 18000 -6300 11700 0 110014896 A99999 N None None SFY2001-02
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-14 00:00:00 110001960 Closed Citation Citation A (HSC 1424) Other MEDICATION, PT. CARE 2001-01-29 00:00:00 2001-01-31 00:00:00 Yes 2002-01-10 00:00:00 2001-12-27 00:00:00 A A 16000 8000 0 8000 0 110013929 A99999 N None None SFY2001-02
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-18 00:00:00 110001961 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-03 00:00:00 2001-05-03 00:00:00 No 2002-01-16 00:00:00 None B None 1000 1000 0 1000 0 110015147 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-21 00:00:00 110001962 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-25 00:00:00 2000-11-25 00:00:00 Yes 2002-01-14 00:00:00 2002-01-03 00:00:00 B B 1000 500 0 500 0 110013999 A99999 N None None SFY2001-02
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-21 00:00:00 110001963 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-25 00:00:00 2001-02-25 00:00:00 No 2002-01-17 00:00:00 None B None 1000 1000 -350 650 0 110014531 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-21 00:00:00 110001964 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-12 00:00:00 2001-01-19 00:00:00 Yes 2002-01-14 00:00:00 2002-01-03 00:00:00 B B Trebled 1000 1500 0 1500 0 110013987 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-28 00:00:00 110001965 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-06 00:00:00 2000-11-06 00:00:00 Yes 2002-08-29 00:00:00 2002-08-12 00:00:00 B B 1000 500 0 500 0 110014487 A99999 N None None SFY2001-02
110000064 HEART OF NAPA LTC SNF Skilled Nursing Facility Santa Rosa 2001-12-31 00:00:00 110001966 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-10 00:00:00 2001-04-10 00:00:00 Yes 2002-08-29 00:00:00 2002-08-12 00:00:00 B B 1000 500 0 500 0 110015545 A99999 N None None SFY2001-02
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2002-01-09 00:00:00 110001967 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-12 00:00:00 2000-03-16 00:00:00 Yes 2002-02-05 00:00:00 2002-01-31 00:00:00 A B 15000 750 0 750 0 110015555 A99999 N None None SFY2001-02
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-25 00:00:00 110001970 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-03 00:00:00 2001-11-03 00:00:00 No 2002-05-20 00:00:00 None B None 1000 1000 -350 650 0 110015512 A99999 N None None SFY2001-02
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-25 00:00:00 110001971 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-17 00:00:00 2000-07-17 00:00:00 Yes 2002-05-20 00:00:00 2002-05-02 00:00:00 B B 1000 238.55 0 238.55 0 110015870 A99999 N None None SFY2001-02
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-29 00:00:00 110001972 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-08 00:00:00 2000-10-08 00:00:00 No 2002-05-23 00:00:00 None B None 1000 1000 -350 650 0 110014603 A99999 N None None SFY2001-02
110000016 CRESTWOOD MANOR VALLEJO LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-29 00:00:00 110001973 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-06 00:00:00 2000-05-06 00:00:00 No 2002-05-23 00:00:00 None B None 800 800 -280 520 0 110014474 A99999 N None None SFY2001-02
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2002-05-17 00:00:00 110001974 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-21 00:00:00 2001-06-21 00:00:00 No 2002-06-11 00:00:00 None B None 1000 1000 -350 650 0 110014669 A99999 N None None SFY2001-02
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2002-06-12 00:00:00 110001975 Closed Citation Citation B (HSC 1424) Patient Care None 1999-07-13 00:00:00 1999-07-13 00:00:00 No 2002-07-09 00:00:00 None B None 1000 1000 -350 650 0 110015291 A99999 N None None SFY2001-02
110000016 CRESTWOOD MANOR VALLEJO LTC SNF Skilled Nursing Facility Santa Rosa 2002-06-13 00:00:00 110001976 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-05-15 00:00:00 2002-05-15 00:00:00 Yes 2002-12-17 00:00:00 2002-12-03 00:00:00 B Drop>Deficiency 1000 800 0 800 0 110015920 A99999 N None None SFY2001-02
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2002-06-18 00:00:00 110001977 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-06 00:00:00 2002-03-06 00:00:00 No 2002-07-10 00:00:00 None B None 1000 1000 -350 650 0 110015772 A99999 N None None SFY2001-02
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-06-20 00:00:00 110001979 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-11 00:00:00 2001-12-11 00:00:00 No 2002-07-16 00:00:00 None B None 1000 1000 -350 650 0 110015981 A99999 N None None SFY2001-02
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-12 00:00:00 110001982 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-18 00:00:00 2000-05-08 00:00:00 No 2002-08-05 00:00:00 None B None 800 800 -280 520 0 110014716 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-17 00:00:00 110001983 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-04 00:00:00 2002-07-17 00:00:00 No 2002-08-09 00:00:00 None B None 800 800 -280 520 0 110015601 A99999 N None None SFY2002-03
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-19 00:00:00 110001984 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-19 00:00:00 2002-01-19 00:00:00 No 2002-08-12 00:00:00 None B None 1000 1000 -350 650 0 110015632 A99999 N None None SFY2002-03
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-19 00:00:00 110001985 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-10 00:00:00 2002-03-10 00:00:00 No 2002-08-12 00:00:00 None B None 800 800 -280 520 0 110015773 A99999 N None None SFY2002-03
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-19 00:00:00 110001986 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-24 00:00:00 2001-08-24 00:00:00 Yes 2002-08-21 00:00:00 2002-08-02 00:00:00 B B 800 500 0 500 0 110015396 A99999 N None None SFY2002-03
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-25 00:00:00 110001987 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-06 00:00:00 2002-01-06 00:00:00 No 2002-08-19 00:00:00 None B None 1000 1000 -350 650 0 110015614 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-30 00:00:00 110001988 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-03 00:00:00 2001-09-19 00:00:00 No 2002-08-23 00:00:00 None B None 1000 1000 -350 650 0 110015374 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-31 00:00:00 110001989 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-13 00:00:00 2001-10-13 00:00:00 Yes 2002-08-21 00:00:00 2002-08-12 00:00:00 B B 1000 238.55 0 238.55 0 110016161 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-07-31 00:00:00 110001990 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-03 00:00:00 2001-09-03 00:00:00 Yes 2002-08-21 00:00:00 2002-08-12 00:00:00 B B 1000 238.55 0 238.55 0 110015332 A99999 N None None SFY2002-03
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-05 00:00:00 110001991 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-04 00:00:00 2001-03-04 00:00:00 Yes 2002-08-23 00:00:00 2002-08-12 00:00:00 A B 16000 16000 0 16000 0 110014890 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-08 00:00:00 110001994 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-03 00:00:00 2000-07-08 00:00:00 Yes 2002-08-29 00:00:00 2002-08-30 00:00:00 A A 20000 4770.99 0 4770.99 0 110013884 A99999 N None None SFY2002-03
110000016 CRESTWOOD MANOR VALLEJO LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-13 00:00:00 110001995 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-02-14 00:00:00 2002-02-14 00:00:00 Yes 2002-09-09 00:00:00 2002-08-21 00:00:00 AA A 75000 70000 0 70000 0 110015673 A99999 Y None None SFY2002-03
110000016 CRESTWOOD MANOR VALLEJO LTC SNF Skilled Nursing Facility Santa Rosa 2002-08-16 00:00:00 110001996 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-01 00:00:00 2001-08-01 00:00:00 Yes 2002-09-12 00:00:00 2002-08-26 00:00:00 B B 1000 1000 0 1000 0 110014861 A99999 N None None SFY2002-03
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-03 00:00:00 110001997 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-18 00:00:00 2002-03-18 00:00:00 No 2002-09-24 00:00:00 None B None 1000 1000 -350 650 0 110015766 A99999 N None None SFY2002-03
110000739 SERENO CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 110001998 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-24 00:00:00 2000-02-24 00:00:00 No 2002-09-26 00:00:00 None B None 800 800 -280 520 0 110015150 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 110001999 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-14 00:00:00 2001-02-14 00:00:00 No 2002-09-26 00:00:00 None B None 1000 1000 -350 650 0 110014058 A99999 N None None SFY2002-03
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 110002000 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-12 00:00:00 2001-01-12 00:00:00 No 2002-09-26 00:00:00 None B None 1000 1000 -350 650 0 110013990 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 110002001 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-15 00:00:00 2001-11-15 00:00:00 No 2002-09-26 00:00:00 None B None 800 800 -280 520 0 110015412 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 110002002 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-30 00:00:00 2000-10-30 00:00:00 Yes 2002-09-26 00:00:00 2002-09-17 00:00:00 B B 800 600 0 600 0 110014602 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-13 00:00:00 110002003 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-02 00:00:00 2001-08-02 00:00:00 Yes 2002-10-04 00:00:00 2002-09-25 00:00:00 B B 800 500 0 500 0 110014873 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-13 00:00:00 110002004 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-27 00:00:00 2001-08-27 00:00:00 Yes 2002-10-04 00:00:00 2002-09-25 00:00:00 A A 18000 10000 0 10000 0 110015181 A99999 N None None SFY2002-03
110000702 HEALDSBURG HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-12 00:00:00 110002005 Closed Citation Citation B (HSC 1424) Staffing None 2002-08-26 00:00:00 2002-08-26 00:00:00 No 2002-10-03 00:00:00 None B None 1000 1000 -350 650 0 110016316 A99999 N None None SFY2002-03
110000055 ROBERTS NURSING HOME LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-18 00:00:00 110002006 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-27 00:00:00 2002-03-27 00:00:00 Yes 2003-05-02 00:00:00 2002-10-11 00:00:00 A A 18000 18000 0 18000 0 110016323 A99999 N None None SFY2002-03
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-03 00:00:00 110002007 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-28 00:00:00 2002-01-28 00:00:00 No 2002-10-25 00:00:00 None B None 800 800 -280 520 0 110015718 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-04 00:00:00 110002008 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-07-15 00:00:00 2002-07-15 00:00:00 Yes 2002-10-28 00:00:00 2002-10-14 00:00:00 B B 1000 500 0 500 0 110016389 A99999 N None None SFY2002-03
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-28 00:00:00 110002009 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-06-27 00:00:00 2002-06-27 00:00:00 No 2002-11-19 00:00:00 None B None 1000 1000 -350 650 0 110016070 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-10-28 00:00:00 110002010 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-27 00:00:00 2001-11-27 00:00:00 Yes 2002-11-19 00:00:00 2002-11-18 00:00:00 B B 1000 238.55 0 238.55 0 110015484 A99999 N None None SFY2002-03
110000035 EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA LTC SNF Skilled Nursing Facility Santa Rosa 2002-11-14 00:00:00 110002011 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-22 00:00:00 2001-11-22 00:00:00 Yes 2002-12-11 00:00:00 2002-11-27 00:00:00 B B 800 550 0 550 0 110015463 A99999 N None None SFY2002-03
110000686 SUTTER MEDICAL CENTER OF SANTA ROSA-CHANATE CAMPUS LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-03 00:00:00 110002012 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-06 00:00:00 2001-02-06 00:00:00 No 2003-01-27 00:00:00 None B None 750 750 -262.5 487.5 0 110013988 A99999 N None None SFY2002-03
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-09 00:00:00 110002013 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-11 00:00:00 2002-07-11 00:00:00 No 2003-02-04 00:00:00 None B None 1000 1000 -350 650 0 110016275 A99999 N None None SFY2002-03
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-14 00:00:00 110002014 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-02 00:00:00 2002-01-02 00:00:00 Yes 2003-02-04 00:00:00 2003-01-21 00:00:00 B B 1000 400 0 400 0 110015575 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-14 00:00:00 110002015 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-21 00:00:00 2001-10-21 00:00:00 Yes 2003-02-10 00:00:00 2003-01-21 00:00:00 B B 1000 600 0 600 0 110015576 A99999 N None None SFY2002-03
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-15 00:00:00 110002016 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-14 00:00:00 2001-08-14 00:00:00 Yes 2003-02-11 00:00:00 2003-02-03 00:00:00 B B 1000 557 0 557 0 110015290 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-16 00:00:00 110002017 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-05-02 00:00:00 2002-05-02 00:00:00 No 2003-02-11 00:00:00 None B None 1000 1000 -350 650 0 110015886 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-16 00:00:00 110002018 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-17 00:00:00 2002-07-17 00:00:00 No 2003-02-11 00:00:00 None B None 800 800 -280 520 0 110016143 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-16 00:00:00 110002019 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-27 00:00:00 2001-03-27 00:00:00 No 2003-02-11 00:00:00 None B None 1000 1000 -350 650 0 110015196 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-16 00:00:00 110002020 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-01 00:00:00 2001-11-01 00:00:00 No 2003-02-11 00:00:00 None B None 1000 1000 -350 650 0 110015429 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-17 00:00:00 110002021 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-01 00:00:00 2002-06-01 00:00:00 Yes 2003-02-11 00:00:00 2003-01-17 00:00:00 B B 1000 650 0 650 0 110015998 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-17 00:00:00 110002022 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-01 00:00:00 2002-06-01 00:00:00 Yes 2003-02-11 00:00:00 2003-01-29 00:00:00 B B 1000 650 0 650 0 110015998 A99999 N None None SFY2002-03
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-24 00:00:00 110002023 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-29 00:00:00 2002-03-29 00:00:00 Yes 2003-02-21 00:00:00 2003-01-30 00:00:00 B B 1000 557 0 557 0 110015867 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-23 00:00:00 110002024 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-30 00:00:00 2001-07-30 00:00:00 Yes 2003-02-14 00:00:00 2003-02-13 00:00:00 B B 1000 238.55 0 238.55 0 110014874 A99999 N None None SFY2002-03
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-30 00:00:00 110002025 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-22 00:00:00 2002-11-22 00:00:00 No 2003-02-24 00:00:00 None B None 750 750 0 750 0 110016520 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-01-29 00:00:00 110002026 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-17 00:00:00 2001-04-17 00:00:00 Yes 2003-02-21 00:00:00 2003-02-21 00:00:00 B B 1000 238.55 0 238.55 0 110014681 A99999 N None None SFY2002-03
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2003-02-05 00:00:00 110002027 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-10 00:00:00 2002-03-13 00:00:00 No 2003-03-05 00:00:00 None B None 1000 1000 -350 650 0 110015946 A99999 N None None SFY2002-03
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-02-05 00:00:00 110002028 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-30 00:00:00 2002-06-30 00:00:00 No 2003-03-04 00:00:00 None B None 1000 1000 -350 650 0 110016205 A99999 N None None SFY2002-03
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-02-05 00:00:00 110002029 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-06 00:00:00 2002-10-06 00:00:00 No 2003-03-04 00:00:00 None A A 18000 10329 0 10329 0 110016588 A99999 N None None SFY2002-03
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-02-20 00:00:00 110002030 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2002-09-30 00:00:00 2002-09-30 00:00:00 No 2003-03-13 00:00:00 None B None 1000 1000 0 1000 0 110016388 A99999 N None None SFY2002-03
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-07 00:00:00 110002031 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-07 00:00:00 2001-12-07 00:00:00 Yes 2003-03-28 00:00:00 2003-03-28 00:00:00 A A 20000 11477 0 11477 0 110015879 A99999 N None None SFY2002-03
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-14 00:00:00 110002032 Closed Citation Citation A (HSC 1424) Patient Care None 2002-08-10 00:00:00 2002-08-10 00:00:00 Yes 2003-04-08 00:00:00 2003-03-28 00:00:00 A A 16000 9181 0 9181 0 110016270 A99999 N None None SFY2002-03
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-14 00:00:00 110002033 Closed Citation Citation A (HSC 1424) Patient Care None 2001-09-07 00:00:00 2001-09-07 00:00:00 Yes 2003-04-08 00:00:00 2003-03-28 00:00:00 A A 14000 8034 0 8034 0 110015723 A99999 N None None SFY2002-03
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-18 00:00:00 110002034 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-13 00:00:00 2002-10-13 00:00:00 Yes 2003-04-14 00:00:00 2003-03-28 00:00:00 A A 20000 11477 0 11477 0 110016519 A99999 N None None SFY2002-03
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-20 00:00:00 110002035 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-22 00:00:00 2001-06-22 00:00:00 Yes 2003-04-15 00:00:00 2003-06-11 00:00:00 B B 1000 574 0 574 0 110015764 A99999 N None None SFY2002-03
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-25 00:00:00 110002036 Closed Citation Citation A (HSC 1424) Patient Care None 2001-04-15 00:00:00 2001-04-15 00:00:00 No 2003-04-21 00:00:00 None A A 12000 6886 0 6886 0 110014190 A99999 N None None SFY2002-03
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-25 00:00:00 110002037 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-30 00:00:00 2002-03-30 00:00:00 Yes 2003-04-16 00:00:00 2003-06-27 00:00:00 A A 18000 10329 0 10329 0 110015838 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-03 00:00:00 110002038 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-15 00:00:00 2001-12-15 00:00:00 Yes 2003-04-28 00:00:00 2003-04-16 00:00:00 B B 1000 238.55 0 238.55 0 110015724 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-03 00:00:00 110002039 Closed Citation Citation B (HSC 1424) Medication None 2001-07-26 00:00:00 2001-07-26 00:00:00 Yes 2003-04-28 00:00:00 2003-04-16 00:00:00 B B 1000 238.55 0 238.55 0 110015724 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-03 00:00:00 110002040 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-01-30 00:00:00 2003-01-30 00:00:00 Yes 2003-04-28 00:00:00 2003-04-16 00:00:00 B B 800 190.84 0 190.84 0 110016749 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-03 00:00:00 110002041 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-07 00:00:00 2003-01-07 00:00:00 Yes 2003-04-28 00:00:00 2003-04-16 00:00:00 B B 1000 238.55 0 238.55 0 110016698 A99999 N None None SFY2002-03
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-08 00:00:00 110002042 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-28 00:00:00 2002-11-28 00:00:00 No 2003-05-01 00:00:00 None A None 15000 15000 -5250 9750 0 110016788 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-15 00:00:00 110002043 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-15 00:00:00 2001-07-15 00:00:00 Yes 2003-05-06 00:00:00 2003-04-23 00:00:00 B B 1000 238.55 0 238.55 0 110015338 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-15 00:00:00 110002044 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-27 00:00:00 2001-07-31 00:00:00 Yes 2003-05-06 00:00:00 2003-04-24 00:00:00 B B 1000 238.55 0 238.55 0 110015338 A99999 N None None SFY2002-03
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-16 00:00:00 110002045 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-29 00:00:00 2002-10-29 00:00:00 Yes 2003-05-19 00:00:00 2003-04-24 00:00:00 B Drop>Deficiency 1000 557 0 557 0 110016843 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-21 00:00:00 110002046 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-10 00:00:00 2002-01-19 00:00:00 Yes 2003-05-12 00:00:00 2003-04-24 00:00:00 A A 20000 10000 0 10000 0 110015790 A99999 N None None SFY2002-03
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-24 00:00:00 110002047 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-03 00:00:00 2001-02-03 00:00:00 Yes 2003-05-19 00:00:00 2003-05-02 00:00:00 A B 10000 6000 0 6000 0 110016971 A99999 N None None SFY2002-03
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-04-29 00:00:00 110002048 Closed Citation Citation A (HSC 1424) Medication None 2002-07-31 00:00:00 2002-07-31 00:00:00 Yes 2003-05-20 00:00:00 2003-05-17 00:00:00 A A 16000 2000 0 2000 0 110016973 A99999 N None None SFY2002-03
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-06 00:00:00 110002049 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-23 00:00:00 2003-02-23 00:00:00 No 2003-06-03 00:00:00 None B None 800 800 -280 520 0 110016983 A99999 N None None SFY2002-03
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-09 00:00:00 110002050 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-09 00:00:00 2002-11-09 00:00:00 No 2003-06-02 00:00:00 None B None 1000 1000 -350 650 0 110016997 A99999 N None None SFY2002-03
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-06 00:00:00 110002051 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-28 00:00:00 2002-08-28 00:00:00 No 2003-05-30 00:00:00 None B None 1000 1000 0 1000 0 110016258 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-05-09 00:00:00 110002052 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-31 00:00:00 2002-01-31 00:00:00 Yes 2003-06-02 00:00:00 2003-05-13 00:00:00 B B 1000 238.55 0 238.55 0 110015802 A99999 N None None SFY2002-03
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2003-06-05 00:00:00 110002055 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-27 00:00:00 2003-02-27 00:00:00 No 2003-06-30 00:00:00 None B B Trebled 1000 1721 0 1721 0 110017099 A99999 N None None SFY2002-03
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-06-10 00:00:00 110002056 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-16 00:00:00 2001-11-16 00:00:00 Yes 2003-07-01 00:00:00 2003-06-18 00:00:00 A A 18000 4293.89 0 4293.89 0 110015864 A99999 N None None SFY2002-03
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-06-09 00:00:00 110002057 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-18 00:00:00 2003-02-18 00:00:00 No 2003-06-30 00:00:00 None B None 750 750 -262.5 487.5 0 110016839 A99999 N None None SFY2002-03
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-18 00:00:00 110002058 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-29 00:00:00 2003-04-29 00:00:00 No 2003-08-11 00:00:00 None B None 1000 1000 -350 650 0 110017021 A99999 N None None SFY2003-04
110000055 ROBERTS NURSING HOME LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-22 00:00:00 110002059 Closed Citation Citation A (HSC 1424) Patient Care None 2003-03-08 00:00:00 2003-03-08 00:00:00 No 2003-08-13 00:00:00 None A None 12000 36000 -12600 23400 0 110017190 A99999 N None None SFY2003-04
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-22 00:00:00 110002060 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-07 00:00:00 2003-01-07 00:00:00 No 2003-08-14 00:00:00 None A None 20000 20000 -7000 13000 0 110016742 A99999 N None None SFY2003-04
110000035 EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-24 00:00:00 110002061 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-13 00:00:00 2002-07-13 00:00:00 Yes 2003-08-19 00:00:00 2003-07-29 00:00:00 B B 1000 750 -150 600 0 110016163 A99999 N None None SFY2003-04
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-13 00:00:00 110002062 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-14 00:00:00 2003-05-27 00:00:00 No 2003-09-09 00:00:00 None B B 1000 574 0 574 0 110017087 A99999 N None None SFY2003-04
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-13 00:00:00 110002064 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-24 00:00:00 2003-03-24 00:00:00 Yes 2003-09-09 00:00:00 2003-08-25 00:00:00 B B 1000 500 0 500 0 110016886 A99999 N None None SFY2003-04
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-21 00:00:00 110002065 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-26 00:00:00 2003-03-26 00:00:00 Yes 2003-09-12 00:00:00 2003-11-05 00:00:00 B B 1000 574 0 574 0 110016982 A99999 N None None SFY2003-04
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-20 00:00:00 110002066 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-17 00:00:00 2002-01-17 00:00:00 Yes 2003-09-15 00:00:00 2003-09-11 00:00:00 A A 16000 10000 0 10000 0 110016356 A99999 N None None SFY2003-04
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-22 00:00:00 110002067 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-03 00:00:00 2003-01-03 00:00:00 Yes 2003-09-15 00:00:00 2003-09-04 00:00:00 B B 1000 238.55 0 238.55 0 110017270 A99999 N None None SFY2003-04
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-08-28 00:00:00 110002068 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-27 00:00:00 2003-03-27 00:00:00 No 2003-09-23 00:00:00 None B B 1000 557 0 557 0 110016963 A99999 N None None SFY2003-04
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-11 00:00:00 110002069 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-17 00:00:00 2003-06-17 00:00:00 No 2003-10-06 00:00:00 None B None 800 800 -280 520 0 110017143 A99999 N None None SFY2003-04
110000035 EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-17 00:00:00 110002070 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-10 00:00:00 2003-08-10 00:00:00 Yes 2003-10-14 00:00:00 2003-09-26 00:00:00 B B 1000 1000 0 1000 0 110017273 A99999 N None None SFY2003-04
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-09-25 00:00:00 110002071 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-24 00:00:00 2003-06-24 00:00:00 Yes 2003-10-16 00:00:00 2003-10-03 00:00:00 B B 1000 400 0 400 0 110017305 A99999 N None None SFY2003-04
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2003-10-02 00:00:00 110002072 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-21 00:00:00 2003-05-21 00:00:00 No 2003-11-06 00:00:00 None B None 1000 1000 -350 650 0 110017294 A99999 N None None SFY2003-04
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-03-13 00:00:00 110002091 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-16 00:00:00 2000-12-09 00:00:00 No 2001-04-03 00:00:00 None B None 1000 1000 -350 650 0 110017461 A99999 N None None SFY2000-01
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-06-11 00:00:00 110002092 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-31 00:00:00 2000-10-31 00:00:00 No 2001-07-02 00:00:00 None B None 1000 1850 -350 1500 0 110017476 A99999 N None None SFY2000-01
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-17 00:00:00 110002093 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-04 00:00:00 2001-08-22 00:00:00 No 2001-11-13 00:00:00 None B None 1000 1000 -350 650 0 110017486 A99999 N None None SFY2001-02
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-02-20 00:00:00 110002094 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-05 00:00:00 2002-02-07 00:00:00 No 2002-03-19 00:00:00 None B None 500 1500 -525 975 0 110017491 A99999 N None None SFY2001-02
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-03-21 00:00:00 110002095 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-22 00:00:00 2002-02-19 00:00:00 No 2002-04-16 00:00:00 None B None 1000 3000 -1050 1950 0 110017492 A99999 N None None SFY2001-02
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-04-22 00:00:00 110002096 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-20 00:00:00 2002-02-27 00:00:00 No 2002-05-15 00:00:00 None B None 750 2250 -787.5 1462.5 0 110017500 A99999 N None None SFY2001-02
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-06-05 00:00:00 110002121 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-20 00:00:00 2000-04-20 00:00:00 No 2001-06-26 00:00:00 None B None 1000 1000 0 1000 0 110017626 A99999 N None None SFY2000-01
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2001-08-28 00:00:00 110002123 Closed Citation Citation AA (HSC 1424) Other PATIENT CARE/DIETARY 2000-09-05 00:00:00 2000-09-20 00:00:00 Yes 2004-01-22 00:00:00 2004-01-07 00:00:00 AA A 65000 25000 0 25000 0 110017635 A99999 Y None None SFY2001-02
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-06-21 00:00:00 110002124 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-27 00:00:00 2002-04-27 00:00:00 No 2002-07-15 00:00:00 None B None 1000 1000 -350 650 0 110017663 A99999 N None None SFY2001-02
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 110002125 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-19 00:00:00 2002-08-07 00:00:00 No 2002-09-26 00:00:00 None B None 750 750 -262.5 487.5 0 110017671 A99999 N None None SFY2002-03
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2002-09-05 00:00:00 110002126 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-30 00:00:00 2002-08-03 00:00:00 No 2002-09-26 00:00:00 None B None 750 750 -262.5 487.5 0 110017672 A99999 N None None SFY2002-03
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-02-05 00:00:00 110002127 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-18 00:00:00 2002-11-18 00:00:00 No 2003-02-28 00:00:00 None B None 500 500 -175 325 0 110017690 A99999 N None None SFY2002-03
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2003-10-06 00:00:00 110002128 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-27 00:00:00 2003-02-27 00:00:00 No 2003-10-30 00:00:00 None B None 1000 1000 -350 650 0 110017304 A99999 N None None SFY2003-04
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2003-10-09 00:00:00 110002129 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-13 00:00:00 2003-09-13 00:00:00 No 2003-11-03 00:00:00 None B None 1000 1000 -350 650 0 110017739 A99999 N None None SFY2003-04
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-10-28 00:00:00 110002130 Closed Citation Citation A (HSC 1424) Patient Care None 2003-05-28 00:00:00 2003-05-28 00:00:00 Yes 2003-11-24 00:00:00 2003-10-30 00:00:00 A A Trebled 20000 34430 0 34430 0 110017184 A99999 N None None SFY2003-04
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-10-30 00:00:00 110002131 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-02 00:00:00 2003-07-02 00:00:00 Yes 2003-11-25 00:00:00 2003-11-05 00:00:00 B B Trebled 1000 1721 0 1721 0 110017185 A99999 N None None SFY2003-04
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-03 00:00:00 110002132 Closed Citation Citation A (HSC 1424) Patient Care None 2003-05-26 00:00:00 2003-05-26 00:00:00 Yes 2003-11-26 00:00:00 2004-02-18 00:00:00 A A 13000 2000 0 2000 0 110017178 A99999 N None None SFY2003-04
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-06 00:00:00 110002133 Closed Citation Citation A (HSC 1424) Patient Care None 2003-02-05 00:00:00 2003-02-05 00:00:00 Yes 2003-12-04 00:00:00 2003-12-01 00:00:00 A A 20000 7800 0 7800 0 110016799 A99999 N None None SFY2003-04
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-06 00:00:00 110002134 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-02 00:00:00 2003-10-02 00:00:00 Yes 2003-12-04 00:00:00 2003-11-12 00:00:00 B B Trebled 1000 1721 0 1721 0 110017736 A99999 N None None SFY2003-04
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-06 00:00:00 110002135 Closed Citation Citation A (HSC 1424) Medication None 2003-03-21 00:00:00 2003-03-21 00:00:00 Yes 2003-12-04 00:00:00 2003-12-01 00:00:00 A A 20000 7800 0 7800 0 110016898 A99999 N None None SFY2003-04
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-06 00:00:00 110002136 Closed Citation Citation A (HSC 1424) Patient Care None 2003-05-08 00:00:00 2003-05-08 00:00:00 No 2003-12-02 00:00:00 None A None 14000 14000 -4900 9100 0 110017078 A99999 N None None SFY2003-04
110000016 CRESTWOOD MANOR VALLEJO LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-06 00:00:00 110002137 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-12 00:00:00 2003-07-12 00:00:00 Yes 2003-12-04 00:00:00 2003-11-11 00:00:00 B B 800 400 0 400 0 110017193 A99999 N None None SFY2003-04
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-10 00:00:00 110002138 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-19 00:00:00 2002-10-19 00:00:00 Yes 2003-12-08 00:00:00 2003-11-12 00:00:00 B B 1000 574 0 574 0 110016800 A99999 N None None SFY2003-04
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-07 00:00:00 110002139 Closed Citation Citation B (HSC 1424) Medication None 2003-09-22 00:00:00 2003-09-22 00:00:00 Yes 2003-12-04 00:00:00 2003-11-12 00:00:00 B B 1000 574 0 574 0 110017359 A99999 N None None SFY2003-04
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-14 00:00:00 110002140 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-15 00:00:00 2003-09-15 00:00:00 Yes 2003-12-11 00:00:00 2003-11-24 00:00:00 B B 1000 500 0 500 0 110017823 A99999 N None None SFY2003-04
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-14 00:00:00 110002141 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-09-15 00:00:00 2003-09-15 00:00:00 No 2003-12-19 00:00:00 None B None 1000 1000 -350 650 0 110017823 A99999 N None None SFY2003-04
110000035 EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-19 00:00:00 110002142 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-24 00:00:00 2003-09-24 00:00:00 Yes 2003-12-12 00:00:00 2003-11-20 00:00:00 A A 20000 20000 0 20000 0 110017717 A99999 N None None SFY2003-04
110000055 ROBERTS NURSING HOME LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-25 00:00:00 110002143 Closed Citation Citation A (HSC 1424) Patient Care None 2003-05-31 00:00:00 2003-05-31 00:00:00 No 2003-12-18 00:00:00 None A None 18000 18000 -6300 11700 0 110017245 A99999 N None None SFY2003-04
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-11-26 00:00:00 110002144 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-11 00:00:00 2003-11-11 00:00:00 Yes 2004-03-09 00:00:00 2004-05-18 00:00:00 B B 1000 450 0 450 0 110017843 A99999 N None None SFY2003-04
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-12-02 00:00:00 110002145 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-05 00:00:00 2003-10-05 00:00:00 No 2003-12-23 00:00:00 None B None 1000 1000 0 1000 0 110017737 A99999 N None None SFY2003-04
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2003-12-12 00:00:00 110002146 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-25 00:00:00 2003-09-25 00:00:00 Yes 2004-01-07 00:00:00 2003-12-17 00:00:00 B B 1000 500 0 500 0 110017715 A99999 N None None SFY2003-04
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-12-18 00:00:00 110002147 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-13 00:00:00 2003-06-13 00:00:00 Yes 2004-01-14 00:00:00 2004-01-05 00:00:00 A A 18000 4293.89 0 4293.89 0 110017265 A99999 N None None SFY2003-04
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-12-18 00:00:00 110002148 Closed Citation Citation A (HSC 1424) Patient Care None 2003-11-17 00:00:00 2003-11-17 00:00:00 No 2004-01-14 00:00:00 None A A 18000 10329 0 10329 0 110017857 A99999 N None None SFY2003-04
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2003-12-31 00:00:00 110002149 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-16 00:00:00 2003-07-16 00:00:00 No 2004-01-23 00:00:00 None B None 1000 1000 -350 650 0 110017308 A99999 N None None SFY2003-04
110000016 CRESTWOOD MANOR VALLEJO LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-09 00:00:00 110002150 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-09-22 00:00:00 2003-09-22 00:00:00 Yes 2003-02-05 00:00:00 2004-01-12 00:00:00 AA AA 100000 25000 0 25000 0 110017719 A99999 Y None None SFY2003-04
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2000-03-10 00:00:00 110002171 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-10 00:00:00 1999-11-11 00:00:00 Yes 2000-03-31 00:00:00 2000-03-23 00:00:00 A A 8000 5000 0 5000 0 110018042 A99999 N None None SFY1999-00
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-05-31 00:00:00 110002172 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-27 00:00:00 2000-10-25 00:00:00 Yes 2002-09-23 00:00:00 2001-06-04 00:00:00 A A 20000 13000 0 13000 0 110018052 A99999 N None None SFY2000-01
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2001-10-25 00:00:00 110002173 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-14 00:00:00 2000-09-24 00:00:00 Yes 2001-11-16 00:00:00 2001-10-31 00:00:00 B B 1000 500 0 500 0 110018058 A99999 N None None SFY2001-02
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2003-07-17 00:00:00 110002174 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-14 00:00:00 2003-07-14 00:00:00 Yes 2003-08-07 00:00:00 2003-07-18 00:00:00 B B 750 487.5 0 487.5 0 110018075 A99999 N None None SFY2003-04
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-16 00:00:00 110002175 Closed Citation Citation A (HSC 1424) Patient Care None 2003-08-27 00:00:00 2003-08-27 00:00:00 Yes 2004-02-09 00:00:00 2003-01-26 00:00:00 A A 18000 4293.89 0 4293.89 0 110017283 A99999 N None None SFY2003-04
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-22 00:00:00 110002176 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-22 00:00:00 2003-10-07 00:00:00 Yes 2004-02-18 00:00:00 2004-02-09 00:00:00 B B 1000 750 0 750 0 110017766 A99999 N None None SFY2003-04
110000035 EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-30 00:00:00 110002177 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-07 00:00:00 2003-11-07 00:00:00 Yes 2004-02-25 00:00:00 2004-02-09 00:00:00 B B 1000 600 0 600 0 110017830 A99999 N None None SFY2003-04
110000035 EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-30 00:00:00 110002178 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-07 00:00:00 2003-11-07 00:00:00 Yes 2004-02-25 00:00:00 2004-02-09 00:00:00 B B 1000 600 0 600 0 110017830 A99999 N None None SFY2003-04
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-01-29 00:00:00 110002179 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-31 00:00:00 2002-12-31 00:00:00 Yes 2004-02-23 00:00:00 2004-02-09 00:00:00 B B 1000 238.55 0 238.55 0 110017104 A99999 N None None SFY2003-04
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-05 00:00:00 110002180 Closed Citation Citation A (HSC 1424) Patient Care None 2003-12-18 00:00:00 2003-12-18 00:00:00 Yes 2004-03-03 00:00:00 2004-02-17 00:00:00 A A 18000 12000 0 12000 0 110018134 A99999 N None None SFY2003-04
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-06 00:00:00 110002181 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-11 00:00:00 2003-10-11 00:00:00 No 2004-03-04 00:00:00 None B None 1000 3000 -1050 1950 0 110017768 A99999 N None None SFY2003-04
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-19 00:00:00 110002182 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-28 00:00:00 2003-05-28 00:00:00 No 2004-03-16 00:00:00 None B None 1000 3000 -1050 1950 0 110017282 A99999 N None None SFY2003-04
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-19 00:00:00 110002183 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-03 00:00:00 2003-09-03 00:00:00 No 2004-03-15 00:00:00 None B None 1000 1000 -350 650 0 110017303 A99999 N None None SFY2003-04
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2004-02-27 00:00:00 110002184 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-01 00:00:00 2003-11-01 00:00:00 No 2004-03-23 00:00:00 None B None 800 800 0 800 0 110017814 A99999 N None None SFY2003-04
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-04 00:00:00 110002185 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-22 00:00:00 2003-06-22 00:00:00 No 2004-03-29 00:00:00 None B None 1000 1000 -350 650 0 110017263 A99999 N None None SFY2003-04
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-17 00:00:00 110002186 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-23 00:00:00 2003-09-23 00:00:00 Yes 2004-04-13 00:00:00 2004-04-01 00:00:00 A A 18000 7000 0 7000 0 110017362 A99999 N None None SFY2003-04
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-19 00:00:00 110002187 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-14 00:00:00 2003-11-14 00:00:00 No 2004-04-14 00:00:00 None B None 1000 1000 0 1000 0 110017835 A99999 N None None SFY2003-04
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-19 00:00:00 110002188 Closed Citation Citation A (HSC 1424) Patient Care None 2003-07-24 00:00:00 2003-07-24 00:00:00 Yes 2004-04-12 00:00:00 2004-03-30 00:00:00 A A 14000 6000 0 6000 0 110017310 A99999 N None None SFY2003-04
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-03-23 00:00:00 110002189 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-28 00:00:00 2003-12-28 00:00:00 Yes 2004-04-14 00:00:00 2004-03-25 00:00:00 B B 1000 750 0 750 0 110018113 A99999 N None None SFY2003-04
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-04-06 00:00:00 110002190 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-28 00:00:00 2004-01-28 00:00:00 No 2004-04-27 00:00:00 None B None 1000 1000 0 1000 0 110018224 A99999 N None None SFY2003-04
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-04-30 00:00:00 110002191 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-04 00:00:00 2004-04-04 00:00:00 No 2004-05-21 00:00:00 None B None 1000 1000 -350 650 0 110018345 A99999 N None None SFY2003-04
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-05-19 00:00:00 110002192 Closed Citation Citation B (HSC 1424) Administration None 2004-02-11 00:00:00 2004-02-11 00:00:00 No 2004-06-10 00:00:00 None B None 1000 1000 -350 650 0 110018395 A99999 N None None SFY2003-04
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-05-24 00:00:00 110002193 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-05 00:00:00 2003-06-05 00:00:00 Yes 2004-06-15 00:00:00 2004-06-08 00:00:00 A A 15000 6000 0 6000 0 110017130 A99999 N None None SFY2003-04
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-05-24 00:00:00 110002194 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-06-05 00:00:00 2003-06-05 00:00:00 Yes 2004-06-15 00:00:00 2004-06-08 00:00:00 B B 1000 1000 -869 131 0 110017131 A99999 N None None SFY2003-04
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-05-24 00:00:00 110002195 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-28 00:00:00 2003-06-28 00:00:00 Yes 2004-06-15 00:00:00 2004-06-08 00:00:00 A A 20000 6000 0 6000 0 110017179 A99999 N None None SFY2003-04
110000083 MARLINDA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2004-05-27 00:00:00 110002196 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-28 00:00:00 2004-02-28 00:00:00 Yes 2004-06-18 00:00:00 2004-06-17 00:00:00 B B 1000 1000 -1000 0 0 110018405 A99999 N None None SFY2003-04
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2004-05-27 00:00:00 110002197 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-20 00:00:00 2004-02-20 00:00:00 No 2004-06-18 00:00:00 None B None 1000 1000 -350 650 0 110018212 A99999 N None None SFY2003-04
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-05-28 00:00:00 110002198 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-13 00:00:00 2003-08-13 00:00:00 No 2004-06-21 00:00:00 None B None 1000 1000 -350 650 0 110017761 A99999 N None None SFY2003-04
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-07-19 00:00:00 110002199 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-28 00:00:00 2004-04-28 00:00:00 No 2004-08-09 00:00:00 None B None 1000 3000 -1050 1950 0 110018348 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-12 00:00:00 110002200 Closed Citation Citation A (HSC 1424) Patient Care None 2004-01-03 00:00:00 2004-01-03 00:00:00 Yes 2004-09-07 00:00:00 2004-08-26 00:00:00 A A 20000 24550 -50 24500 0 110017957 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-12 00:00:00 110002201 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-22 00:00:00 2004-02-22 00:00:00 No 2004-09-07 00:00:00 None B None 1000 1000 -350 650 0 110018517 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-12 00:00:00 110002202 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-02-22 00:00:00 2004-02-22 00:00:00 No 2004-09-07 00:00:00 None B None 1000 1000 -350 650 0 110017957 A99999 N None None SFY2004-05
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-18 00:00:00 110002203 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-05-04 00:00:00 2004-05-04 00:00:00 Yes 2004-09-09 00:00:00 2004-08-25 00:00:00 B B 1000 1500 0 1500 0 110018524 A99999 N None None SFY2004-05
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-18 00:00:00 110002204 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-04 00:00:00 2004-05-04 00:00:00 Yes 2004-09-09 00:00:00 2004-08-31 00:00:00 B B 1000 1500 0 1500 0 110018525 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-24 00:00:00 110002205 Closed Citation Citation B (HSC 1424) Patient Care None 1996-02-24 00:00:00 1996-02-24 00:00:00 No 2004-09-14 00:00:00 None B None 1000 1000 -1000 0 0 110016525 A99999 N None None SFY2004-05
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-27 00:00:00 110002206 Closed Citation Citation B (HSC 1424) Staffing None 2004-05-27 00:00:00 2004-05-27 00:00:00 Yes 2004-09-23 00:00:00 2004-09-03 00:00:00 B B 1000 650 0 650 0 110018546 A99999 N None None SFY2004-05
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-27 00:00:00 110002207 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-05-24 00:00:00 2004-05-24 00:00:00 Yes 2004-09-23 00:00:00 2004-09-03 00:00:00 B B 1000 500 0 500 0 110018548 A99999 N None None SFY2004-05
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-08-30 00:00:00 110002208 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-06 00:00:00 2004-02-06 00:00:00 Yes 2004-10-01 00:00:00 2004-09-07 00:00:00 B B 1000 1500 0 1500 0 110018553 A99999 N None None SFY2004-05
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-09-09 00:00:00 110002209 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-06 00:00:00 2003-07-06 00:00:00 No 2004-09-30 00:00:00 None B None 800 800 -280 520 0 110018560 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-09-17 00:00:00 110002210 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-08 00:00:00 2004-04-08 00:00:00 No 2004-10-08 00:00:00 None B None 1000 1000 -350 650 0 110018572 A99999 N None None SFY2004-05
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-09-20 00:00:00 110002211 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-11 00:00:00 2004-01-11 00:00:00 No 2004-12-22 00:00:00 None B None 1000 1000 -350 650 0 110018175 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-09-17 00:00:00 110002212 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-30 00:00:00 2003-05-30 00:00:00 No 2004-10-08 00:00:00 None B None 1000 1000 -350 650 0 110018577 A99999 N None None SFY2004-05
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-09-30 00:00:00 110002213 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-27 00:00:00 2004-05-27 00:00:00 No 2004-10-22 00:00:00 None B None 1000 1000 -350 650 0 110018599 A99999 N None None SFY2004-05
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-05 00:00:00 110002214 Closed Citation Citation B (HSC 1424) Administration None 2004-05-31 00:00:00 2004-05-31 00:00:00 No 2004-11-02 00:00:00 None B None 800 800 -280 520 0 110018602 A99999 N None None SFY2004-05
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-07 00:00:00 110002215 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-07-30 00:00:00 2004-07-30 00:00:00 Yes 2004-10-28 00:00:00 2004-10-12 00:00:00 B B 1000 500 0 500 0 110018607 A99999 N None None SFY2004-05
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-26 00:00:00 110002216 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-06-23 00:00:00 2004-06-23 00:00:00 Yes 2004-11-18 00:00:00 2004-11-08 00:00:00 A A 18000 11700 0 11700 0 110018497 A99999 N None None SFY2004-05
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-26 00:00:00 110002217 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-06-23 00:00:00 2004-06-23 00:00:00 No 2004-11-22 00:00:00 None B None 1000 1000 -350 650 0 110018641 A99999 N None None SFY2004-05
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-26 00:00:00 110002218 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-26 00:00:00 2004-06-26 00:00:00 No 2004-11-18 00:00:00 None B None 800 800 -280 520 0 110018611 A99999 N None None SFY2004-05
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-28 00:00:00 110002219 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-24 00:00:00 2004-05-24 00:00:00 Yes 2004-12-01 00:00:00 2004-11-08 00:00:00 B B 1000 400 0 400 0 110018647 A99999 N None None SFY2004-05
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-10-29 00:00:00 110002220 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-21 00:00:00 2004-07-21 00:00:00 Yes 2004-11-29 00:00:00 2004-11-08 00:00:00 B B Trebled 1000 1800 0 1800 0 110018652 A99999 N None None SFY2004-05
110000760 THE MEADOWS OF NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-12-01 00:00:00 110002221 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-03 00:00:00 2004-07-03 00:00:00 Yes 2004-12-24 00:00:00 2004-12-02 00:00:00 B B 1000 500 0 500 0 110018472 A99999 N None None SFY2004-05
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-12-03 00:00:00 110002222 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-12 00:00:00 2004-07-12 00:00:00 No 2004-12-31 00:00:00 None B None 1000 1000 0 1000 0 110018484 A99999 N None None SFY2004-05
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2004-12-14 00:00:00 110002223 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-07 00:00:00 2004-05-07 00:00:00 No 2005-01-18 00:00:00 None B None 1000 1000 -350 650 0 110018716 A99999 N None None SFY2004-05
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2004-12-20 00:00:00 110002224 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-07 00:00:00 2004-02-07 00:00:00 No 2005-01-10 00:00:00 None B None 1000 1000 0 1000 0 110018173 A99999 N None None SFY2004-05
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2004-12-20 00:00:00 110002225 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-01-11 00:00:00 2004-01-16 00:00:00 Yes 2005-01-18 00:00:00 2005-01-03 00:00:00 AA AA 80000 20000 0 20000 0 110018443 A99999 Y None None SFY2004-05
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2005-01-06 00:00:00 110002226 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-12-02 00:00:00 2004-12-02 00:00:00 Yes 2005-02-01 00:00:00 2005-01-11 00:00:00 B B 1000 550 0 550 0 110018718 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-01-14 00:00:00 110002227 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-06 00:00:00 2004-07-06 00:00:00 No 2005-02-10 00:00:00 None B None 1000 1000 -350 650 0 110018467 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-01-14 00:00:00 110002228 Closed Citation Citation A (HSC 1424) Patient Care None 2004-06-17 00:00:00 2004-06-17 00:00:00 Yes 2005-02-10 00:00:00 2005-02-03 00:00:00 A A 18000 6600 0 6600 0 110018449 A99999 N None None SFY2004-05
110000054 NAZARETH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-01-14 00:00:00 110002229 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-23 00:00:00 2004-09-23 00:00:00 Yes 2005-02-10 00:00:00 2005-02-01 00:00:00 B B 1000 2000 0 2000 0 110018595 A99999 N None None SFY2004-05
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2005-02-18 00:00:00 110002230 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-02 00:00:00 2004-09-02 00:00:00 Yes 2005-03-14 00:00:00 2005-03-01 00:00:00 B B 1000 600 0 600 0 110018559 A99999 N None None SFY2004-05
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2005-02-18 00:00:00 110002231 Closed Citation Citation A (HSC 1424) Patient Care None 2004-08-25 00:00:00 2004-08-25 00:00:00 No 2005-03-14 00:00:00 None A None 18000 18000 -6300 11700 0 110018609 A99999 N None None SFY2004-05
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-25 00:00:00 110002233 Closed Citation Citation A (HSC 1424) Patient Care None 2004-07-09 00:00:00 2004-07-09 00:00:00 Yes 2005-04-18 00:00:00 2005-03-28 00:00:00 A A 20000 7500 0 7500 0 110018808 A99999 N None None SFY2004-05
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-03-25 00:00:00 110002234 Closed Citation Citation A (HSC 1424) Patient Care None 2004-08-06 00:00:00 2004-08-06 00:00:00 Yes 2005-04-18 00:00:00 2005-03-25 00:00:00 A A 18000 10000 0 10000 0 110018690 A99999 N None None SFY2004-05
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-07-15 00:00:00 110002235 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-15 00:00:00 2005-01-15 00:00:00 No 2005-08-09 00:00:00 None B None 800 2400 -840 1560 0 110018811 A99999 N None None SFY2005-06
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-07-15 00:00:00 110002236 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-19 00:00:00 2005-01-19 00:00:00 No 2005-08-09 00:00:00 None B None 1000 3000 -1050 1950 0 110018772 A99999 N None None SFY2005-06
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2005-08-01 00:00:00 110002237 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-31 00:00:00 2004-12-31 00:00:00 Yes 2005-08-25 00:00:00 2005-08-16 00:00:00 B B 800 600 0 600 0 110018746 A99999 N None None SFY2005-06
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-09-27 00:00:00 110002238 Closed Citation Citation A (HSC 1424) Other C,PR 2004-09-14 00:00:00 2004-09-14 00:00:00 Yes 2006-11-03 00:00:00 2006-10-19 00:00:00 A B 16000 16000 0 16000 0 110018815 A99999 N None None SFY2005-06
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2005-11-21 00:00:00 110002239 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-18 00:00:00 2005-07-18 00:00:00 No 2005-12-19 00:00:00 None B None 1000 3000 -1050 1950 0 110018817 A99999 N None None SFY2005-06
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-11-29 00:00:00 110002240 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-02-25 00:00:00 2005-02-25 00:00:00 Yes 2005-12-20 00:00:00 2005-12-02 00:00:00 B B 1000 650 0 650 0 110018818 A99999 N None None SFY2005-06
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-11-29 00:00:00 110002241 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-25 00:00:00 2005-02-25 00:00:00 Yes 2005-12-20 00:00:00 2005-12-02 00:00:00 B B 1000 600 0 600 0 110018818 A99999 N None None SFY2005-06
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-11-29 00:00:00 110002242 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-03-05 00:00:00 2005-03-05 00:00:00 Yes 2005-12-20 00:00:00 2005-12-02 00:00:00 B B 1000 650 0 650 0 110018819 A99999 N None None SFY2005-06
110000035 EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA LTC SNF Skilled Nursing Facility Santa Rosa 2005-12-20 00:00:00 110002243 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-15 00:00:00 2005-09-15 00:00:00 Yes 2006-01-25 00:00:00 2005-12-28 00:00:00 B B 1000 600 0 600 0 110018822 A99999 N None None SFY2005-06
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2005-12-29 00:00:00 110002244 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-25 00:00:00 2005-01-25 00:00:00 No 2006-01-23 00:00:00 None B None 1000 1000 -350 650 0 110018825 A99999 N None None SFY2005-06
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2006-03-02 00:00:00 110002882 Closed Citation Citation A (HSC 1424) Patient Care None 2004-12-08 00:00:00 2004-12-08 00:00:00 No 2006-04-04 00:00:00 None A None 20000 20000 -7000 13000 0 None 26P211 N CA00037175 B SFY2005-06
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-03-07 00:00:00 110002895 Closed Citation Citation A (HSC 1424) Patient Care None 2005-05-08 00:00:00 2005-05-08 00:00:00 Yes 2006-03-28 00:00:00 2006-03-09 00:00:00 A A 12000 12000 0 12000 0 None SRDX11 N CA00047621 A SFY2005-06
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-03-13 00:00:00 110002897 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-01-17 00:00:00 2006-01-17 00:00:00 No 2006-04-04 00:00:00 None B None 600 600 -210 390 0 None U2DB11 N CA00070836 A SFY2005-06
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-03-09 00:00:00 110002910 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-11 00:00:00 2005-08-11 00:00:00 Yes 2011-04-28 00:00:00 2011-05-05 00:00:00 A A 20000 13000 0 13000 0 None DCHU11 N CA00058332 B SFY2005-06
010000059 NORTHVINE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-16 00:00:00 110002912 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-07 00:00:00 2005-06-07 00:00:00 No 2006-07-10 00:00:00 None B None 500 500 -175 325 0 None Q0VO11 N CA00051283 A SFY2005-06
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-13 00:00:00 110002928 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-06 00:00:00 2006-03-06 00:00:00 Yes 2007-01-05 00:00:00 2006-12-20 00:00:00 B B 1000 550 0 550 0 None UBBE11 N CA00074273 A SFY2006-07
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-03-16 00:00:00 110002933 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-19 00:00:00 2005-04-19 00:00:00 No 2006-04-07 00:00:00 None B None 1000 1000 -350 650 0 None 01XU11 N CA00050369 A SFY2005-06
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-28 00:00:00 110002937 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-12-06 00:00:00 2005-12-06 00:00:00 Yes 2006-07-20 00:00:00 2006-07-20 00:00:00 A None 18000 18000 0 18000 0 None C2D111 N CA00067733 B SFY2005-06
010000679 GRAND CHALET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-04-03 00:00:00 110002962 Closed Citation Citation B (HSC 1424) Administration None 2006-03-09 00:00:00 2006-03-09 00:00:00 No 2006-04-24 00:00:00 None B None 1000 1000 -350 650 0 None CKTP11 N CA00075148 B SFY2005-06
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-05-02 00:00:00 110003009 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-07 00:00:00 2005-01-07 00:00:00 No 2006-05-23 00:00:00 None B None 800 2400 -840 1560 0 None FUG311 N CA00056115 B SFY2005-06
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2006-09-19 00:00:00 110003033 Closed Citation Citation A (HSC 1424) Patient Care None 2006-02-19 00:00:00 2006-02-19 00:00:00 Yes 2006-10-11 00:00:00 2006-09-27 00:00:00 A A 18000 9000 0 9000 0 None SEZO11 N CA00072930 B SFY2006-07
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-27 00:00:00 110003042 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-09 00:00:00 2006-01-09 00:00:00 No 2006-07-19 00:00:00 None B None 1000 1000 -350 650 0 None 5Q9C11 N CA00070503 B SFY2005-06
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-04-26 00:00:00 110003053 Closed Citation Citation B (HSC 1424) Other abuse reporting 2005-10-14 00:00:00 2005-10-14 00:00:00 No 2006-05-17 00:00:00 None B None 1000 1000 -350 650 0 None EZ0V11 N CA00064741 A SFY2005-06
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-05-05 00:00:00 110003057 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-30 00:00:00 2005-03-30 00:00:00 No 2006-05-26 00:00:00 None B None 1000 1000 0 1000 0 None A8BP11 N CA00044135 A SFY2005-06
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2006-05-04 00:00:00 110003058 Closed Citation Citation A (HSC 1424) Patient Care None 2005-07-11 00:00:00 2005-07-11 00:00:00 Yes 2006-05-25 00:00:00 2006-05-08 00:00:00 A None 18000 18000 0 18000 0 None BNW511 N CA00055223 B SFY2005-06
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-23 00:00:00 110003061 Closed Citation Citation A (HSC 1424) Patient Care None 2005-07-17 00:00:00 2005-07-17 00:00:00 No 2006-07-17 00:00:00 None A None 16000 16000 -5600 10400 0 None S87Q11 N CA00055847 B SFY2005-06
010000059 NORTHVINE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2006-08-30 00:00:00 110003066 Closed Citation Citation A (HSC 1424) Medication None 2006-04-01 00:00:00 2006-04-01 00:00:00 No 2006-09-21 00:00:00 None A None 16000 16000 -5600 10400 0 None 34KD11 N CA00076603, CA00077283 B, B SFY2006-07
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-20 00:00:00 110003077 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-14 00:00:00 2005-01-14 00:00:00 No 2006-11-13 00:00:00 None B None 1000 1000 -350 650 0 None U40K11 N CA00048755 A SFY2006-07
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-28 00:00:00 110003111 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-21 00:00:00 2005-06-21 00:00:00 Yes 2006-07-20 00:00:00 2006-07-20 00:00:00 A None 16000 16000 0 16000 0 None M9ZW11 N CA00054191 B SFY2005-06
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-07 00:00:00 110003116 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-03 00:00:00 2005-11-03 00:00:00 Yes 2006-06-28 00:00:00 2006-06-09 00:00:00 B B 1000 500 0 500 0 None 5KSV11 N CA00065638 A SFY2005-06
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-27 00:00:00 110003122 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-05 00:00:00 2005-08-05 00:00:00 No 2006-07-19 00:00:00 None B None 1000 1000 -350 650 0 None LYPN11 N CA00057473 B SFY2005-06
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-07-07 00:00:00 110003140 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-25 00:00:00 2006-05-25 00:00:00 No 2006-07-28 00:00:00 None B None 1000 1000 -350 650 0 None JZWE11 N CA00081881 B SFY2006-07
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-20 00:00:00 110003141 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-14 00:00:00 2006-01-14 00:00:00 No 2006-11-13 00:00:00 None B None 1000 1000 -350 650 0 None U40K11 N CA00048755 A SFY2006-07
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-20 00:00:00 110003142 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-07 00:00:00 2005-05-07 00:00:00 No 2006-11-13 00:00:00 None B None 1000 1000 -350 650 0 None U40K11 N CA00048755 A SFY2006-07
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-27 00:00:00 110003143 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-18 00:00:00 2005-06-18 00:00:00 No 2006-07-19 00:00:00 None B None 900 900 -315 585 0 None OT9T11 N CA00052295 A SFY2005-06
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-28 00:00:00 110003144 Closed Citation Citation A (HSC 1424) Patient Care None 2005-07-14 00:00:00 2005-07-14 00:00:00 Yes 2006-07-20 00:00:00 2006-07-18 00:00:00 A A 18000 11500 0 11500 0 None 9H3511 N CA00055436 A SFY2005-06
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-08 00:00:00 110003146 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-28 00:00:00 2005-01-28 00:00:00 No 2006-06-29 00:00:00 None B None 1000 1000 -350 650 0 None F78611 N CA00038079 A SFY2005-06
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-27 00:00:00 110003159 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-12 00:00:00 2005-06-12 00:00:00 Yes 2006-07-19 00:00:00 2006-07-10 00:00:00 A A 20000 20000 -17371 2629 0 None 5L8H11 Y CA00051666 B SFY2005-06
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2006-08-16 00:00:00 110003165 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-05-09 00:00:00 2005-05-09 00:00:00 Yes 2006-09-08 00:00:00 2006-08-16 00:00:00 A None 18000 18000 0 18000 0 None LET511 N CA00052356, CA00054374 B, B SFY2006-07
010000059 NORTHVINE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2006-06-16 00:00:00 110003169 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-07 00:00:00 2005-06-07 00:00:00 No 2006-07-10 00:00:00 None B None 1000 1000 -350 650 0 None 8ZHJ11 N CA00051283 A SFY2005-06
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-09-14 00:00:00 110003191 Closed Citation Citation A (HSC 1424) Patient Care None 2006-05-02 00:00:00 2006-05-02 00:00:00 No 2006-10-05 00:00:00 None A None 16000 16000 -5600 10400 0 None 1W3I11 N CA00079809 B SFY2006-07
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-13 00:00:00 110003208 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-07 00:00:00 2006-06-07 00:00:00 No 2006-11-03 00:00:00 None B None 1000 1000 -350 650 0 None 2SSE11 N CA00083764 A SFY2006-07
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-08-23 00:00:00 110003216 Closed Citation Citation A (HSC 1424) Other C,M 2005-09-22 00:00:00 2005-09-22 00:00:00 No 2006-09-14 00:00:00 None A None 18000 18050 -6300 11750 0 None 18I911 N CA00061890, CA00063419 B, B SFY2006-07
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-07-26 00:00:00 110003226 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-12 00:00:00 2005-08-12 00:00:00 No 2006-08-16 00:00:00 None B None 1000 1000 -350 650 0 None HCJX11 N CA00058921 B SFY2006-07
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-08-31 00:00:00 110003228 Closed Citation Citation A (HSC 1424) Patient Care None 2005-05-19 00:00:00 2005-05-19 00:00:00 Yes 2012-01-19 00:00:00 2012-01-05 00:00:00 A A 18000 7800 -300 7500 0 None HBLE11 N CA00052147 A SFY2006-07
010000089 NEW HAVEN - ICF-DD -H, INCORPORATED LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-11-28 00:00:00 110003229 Closed Citation Citation B (HSC 1424) Other c,ab,pr 2005-11-24 00:00:00 2005-11-24 00:00:00 No 2006-12-19 00:00:00 None B None 1000 1000 -350 650 0 None 9SHU11 N CA00066833 A SFY2006-07
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-11-28 00:00:00 110003248 Closed Citation Citation A (HSC 1424) Other C, PE 2006-07-19 00:00:00 2006-07-19 00:00:00 Yes 2006-12-19 00:00:00 2006-11-29 00:00:00 A A 16000 7500 0 7500 0 None C6NX11 N CA00087741 A SFY2006-07
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-08-03 00:00:00 110003251 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-08 00:00:00 2006-06-08 00:00:00 No 2006-08-24 00:00:00 None B None 1000 1000 -350 650 0 None D8E211 N CA00083397 A SFY2006-07
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2006-08-04 00:00:00 110003254 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-29 00:00:00 2005-06-29 00:00:00 Yes 2006-08-25 00:00:00 2006-08-08 00:00:00 A A 16000 6000 0 6000 0 None P1Q911 N CA00053631 B SFY2006-07
010000166 SUMMERSIDE #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-10-12 00:00:00 110003266 Closed Citation Citation B (HSC 1424) Other C, P 2006-07-18 00:00:00 2006-07-18 00:00:00 No 2006-11-02 00:00:00 None B None 800 800 -280 520 0 None 3ZYF11 N CA00087030 A SFY2006-07
010000166 SUMMERSIDE #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-11-15 00:00:00 110003267 Closed Citation Citation B (HSC 1424) Other pr, c 2006-06-11 00:00:00 2006-06-11 00:00:00 Yes 2006-12-08 00:00:00 2006-11-22 00:00:00 B None 1000 1000 -1000 0 0 None F8G011 N CA00083311 A SFY2006-07
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-03-26 00:00:00 110003274 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-21 00:00:00 2006-06-21 00:00:00 No 2007-04-16 00:00:00 None B None 1000 1000 -350 650 0 None RUNW11 N CA00088611 B SFY2006-07
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-03-26 00:00:00 110003275 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-05 00:00:00 2006-08-05 00:00:00 No 2007-04-16 00:00:00 None B None 1000 1000 -350 650 0 None RUNW11 N CA00088588 B SFY2006-07
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-01 00:00:00 110003276 Closed Citation Citation A (HSC 1424) Medication None 2006-04-18 00:00:00 2006-04-18 00:00:00 No 2006-12-22 00:00:00 None A None 18000 18000 -6300 11700 0 None U0EJ11 N CA00078887, CA00080681 B, B SFY2006-07
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-04 00:00:00 110003289 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-08 00:00:00 2005-11-08 00:00:00 No 2006-10-26 00:00:00 None B None 1000 1000 -350 650 0 None KZNB11 N CA00065570 A SFY2006-07
010000620 MUSTARD SEED LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-08-23 00:00:00 110003307 Closed Citation Citation B (HSC 1424) Dietary None 2006-06-02 00:00:00 2006-06-02 00:00:00 No 2006-09-14 00:00:00 None B None 750 750 -262.5 487.5 0 None MF5F11 N CA00082648 B SFY2006-07
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-11-30 00:00:00 110003315 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-27 00:00:00 2006-08-27 00:00:00 No 2006-12-21 00:00:00 None B None 1000 1000 -350 650 0 None VSO811 N CA00091303 A SFY2006-07
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-09-27 00:00:00 110003374 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-09 00:00:00 2005-12-09 00:00:00 No 2006-10-19 00:00:00 None B None 1000 3000 -1050 1950 0 None 139I11 N CA00067756 A SFY2006-07
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-06 00:00:00 110003380 Closed Citation Citation B (HSC 1424) Medication None 2005-03-03 00:00:00 2005-03-03 00:00:00 No 2006-10-30 00:00:00 None B None 900 900 -315 585 0 None PRSM11 N CA00040667 B SFY2006-07
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-04-26 00:00:00 110003381 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-17 00:00:00 2006-09-17 00:00:00 No 2007-05-17 00:00:00 None B None 1000 1000 -350 650 0 None BM7R11 N CA00093575 B SFY2006-07
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-13 00:00:00 110003417 Closed Citation Citation B (HSC 1424) Administration None 2006-06-07 00:00:00 2006-06-07 00:00:00 No 2006-11-03 00:00:00 None B None 1000 1000 -350 650 0 None 2SSE11 N CA00083764 A SFY2006-07
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-17 00:00:00 110003419 Closed Citation Citation B (HSC 1424) Other c, pr 2006-04-27 00:00:00 2006-04-27 00:00:00 Yes 2006-11-07 00:00:00 2006-10-19 00:00:00 B B 1000 650 0 650 0 None VIVF11 N CA00079270 A SFY2006-07
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-01 00:00:00 110003421 Closed Citation Citation A (HSC 1424) Patient Care None 2006-01-25 00:00:00 2006-01-25 00:00:00 No 2006-12-22 00:00:00 None A None 18000 18000 -6300 11700 0 None YLL511 N CA00071254 B SFY2006-07
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2006-10-20 00:00:00 110003433 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-24 00:00:00 2006-07-24 00:00:00 Yes 2006-11-13 00:00:00 2006-11-08 00:00:00 B B 900 450 0 450 0 None 4FN711 N CA00087961 B SFY2006-07
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-31 00:00:00 110003445 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-19 00:00:00 2006-10-19 00:00:00 No 2007-06-21 00:00:00 None B None 1000 1000 -350 650 0 None LVEO11 N CA00095909 B SFY2006-07
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-31 00:00:00 110003446 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-14 00:00:00 2006-10-14 00:00:00 No 2007-06-21 00:00:00 None B None 1000 1000 -350 650 0 None LVEO11 N CA00095909 B SFY2006-07
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-31 00:00:00 110003447 Closed Citation Citation B (HSC 1424) Administration None 2006-10-14 00:00:00 2006-10-14 00:00:00 No 2007-06-21 00:00:00 None B None 1000 1000 -350 650 0 None LVEO11 N CA00095909 B SFY2006-07
630001741 SANTA LUCIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-12-08 00:00:00 110003449 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-21 00:00:00 2006-10-21 00:00:00 No 2007-01-02 00:00:00 None B None 800 800 -280 520 0 None WBKB11 N CA00096405 A SFY2006-07
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-01 00:00:00 110003451 Closed Citation Citation A (HSC 1424) Patient Care None 2006-09-15 00:00:00 2006-09-15 00:00:00 No 2006-12-22 00:00:00 None A None 14000 14000 -4900 9100 0 None 8XFB11 N CA00093446 B SFY2006-07
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-20 00:00:00 110003458 Closed Citation Citation A (HSC 1424) Patient Care None 2006-01-14 00:00:00 2006-01-14 00:00:00 Yes 2007-01-12 00:00:00 2006-12-28 00:00:00 A A 18000 18000 0 18000 0 None CJ1Z11 N CA00071352 A SFY2006-07
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-31 00:00:00 110003474 Closed Citation Citation B (HSC 1424) Administration None 2006-09-05 00:00:00 2006-09-05 00:00:00 No 2007-06-22 00:00:00 None B None 800 800 0 800 0 None G96R11 N CA00092849 A SFY2006-07
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-03-08 00:00:00 110003498 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-27 00:00:00 2006-10-27 00:00:00 Yes 2007-03-29 00:00:00 2007-03-19 00:00:00 B B 1000 1000 -500 500 0 None PC2I11 N CA00096936 A SFY2006-07
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-26 00:00:00 110003501 Closed Citation Citation A (HSC 1424) Patient Care None 2006-10-14 00:00:00 2006-10-14 00:00:00 Yes 2007-08-16 00:00:00 2007-07-30 00:00:00 A A 20000 10000 0 10000 0 None T2ZP11 N CA00095695 B SFY2007-08
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-06-20 00:00:00 110003504 Closed Citation Citation A (HSC 1424) Patient Care None 2006-10-21 00:00:00 2006-10-21 00:00:00 No 2007-07-16 00:00:00 None A A 18000 18350 -15984 2366 0 None YX7X11 N CA00097129 B SFY2006-07
010000164 MILESTONES OF DEVELOPMENT #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-03-01 00:00:00 110003513 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-29 00:00:00 2006-09-29 00:00:00 No 2007-03-22 00:00:00 None B None 1000 1000 0 1000 0 None QGUZ11 N CA00094967 B SFY2006-07
010000089 NEW HAVEN - ICF-DD -H, INCORPORATED LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-11-28 00:00:00 110003520 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-11-24 00:00:00 2005-11-24 00:00:00 No 2006-12-19 00:00:00 None B None 1000 1000 -350 650 0 None 9SHU11 N CA00066833 A SFY2006-07
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-26 00:00:00 110003521 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-10 00:00:00 2005-05-10 00:00:00 No 2007-01-17 00:00:00 None B None 1000 1000 -350 650 0 None DEPK11 N CA00047640 B SFY2006-07
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-08 00:00:00 110003523 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-07 00:00:00 2006-01-07 00:00:00 No 2007-01-02 00:00:00 None B None 900 900 -315 585 0 None ZV7T11 N CA00070004 B SFY2006-07
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-27 00:00:00 110003524 Closed Citation Citation A (HSC 1424) Patient Care None 2005-02-21 00:00:00 2005-02-21 00:00:00 No 2007-01-18 00:00:00 None A None 20000 20000 -7000 13000 0 None 69QS11 N CA00040592 B SFY2006-07
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-11-30 00:00:00 110003527 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-03-05 00:00:00 2006-03-05 00:00:00 No 2006-12-21 00:00:00 None B None 1000 1000 -350 650 0 None DR3711 N CA00074920, CA00074920 A, A SFY2006-07
010000052 PETALUMA POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-01 00:00:00 110003532 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-28 00:00:00 2005-09-28 00:00:00 Yes 2013-11-01 00:00:00 2006-12-16 00:00:00 B B 1000 1000 0 1000 0 None KFCZ11 N CA00062339 A SFY2006-07
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2007-01-31 00:00:00 110003534 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-11 00:00:00 2005-06-11 00:00:00 Yes 2011-08-17 00:00:00 2011-11-10 00:00:00 A A 20000 8000 0 8000 0 None QFJ411 N CA00062351, CA00064241 B, B SFY2006-07
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-08 00:00:00 110003539 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-29 00:00:00 2005-09-29 00:00:00 No 2007-01-02 00:00:00 None B None 1000 1000 -350 650 0 None HRU311 N CA00062497 B SFY2006-07
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-04-26 00:00:00 110003545 Closed Citation Citation A (HSC 1424) Other A, C, P 2006-11-11 00:00:00 2006-11-11 00:00:00 Yes 2007-05-17 00:00:00 2007-05-01 00:00:00 A A 18000 8000 0 8000 0 None EG7C11 N CA00098370 C SFY2006-07
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-28 00:00:00 110003554 Closed Citation Citation A (HSC 1424) Other c,m 2006-07-08 00:00:00 2006-07-08 00:00:00 No 2007-01-19 00:00:00 None A None 20000 20000 -7000 13000 0 None SDWI11 N CA00086098 B SFY2006-07
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-12 00:00:00 110003569 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-31 00:00:00 2006-07-31 00:00:00 No 2007-01-04 00:00:00 None B None 800 800 -280 520 0 None JQTF11 N CA00058240 B SFY2006-07
010000022 FRIENDS HOUSE LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-20 00:00:00 110003574 Closed Citation Citation B (HSC 1424) Other C, AB 2006-09-06 00:00:00 2006-09-06 00:00:00 No 2007-01-12 00:00:00 None B None 800 800 -280 520 0 None VCEQ11 N CA00092718, CA00092780, CA00093660, CA00094337 A, H, B, A SFY2006-07
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-06 00:00:00 110003575 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-02 00:00:00 2006-11-02 00:00:00 No 2007-07-27 00:00:00 None B None 1000 1000 -350 650 0 None 67NK11 N CA00097756 A SFY2007-08
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-06-06 00:00:00 110003576 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-24 00:00:00 2006-10-24 00:00:00 No 2007-06-27 00:00:00 None B None 1000 1000 -350 650 0 None E5BM11 N CA00097833 A SFY2006-07
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2007-01-03 00:00:00 110003577 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-02 00:00:00 2005-11-02 00:00:00 No 2007-01-24 00:00:00 None B None 1000 1000 0 1000 0 None KNUQ11 N CA00064908 B SFY2006-07
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-26 00:00:00 110003588 Closed Citation Citation B (HSC 1424) Problem Transfer None 2006-06-15 00:00:00 2006-06-15 00:00:00 No 2007-01-17 00:00:00 None B None 1000 1000 0 1000 0 None SPUH11 N CA00083818 A SFY2006-07
630000561 TWIN RESIDENTIAL LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2006-12-19 00:00:00 110003590 Closed Citation Citation B (HSC 1424) Administration None 2006-12-05 00:00:00 2006-12-05 00:00:00 No 2007-01-11 00:00:00 None B None 1000 1000 -350 650 0 None SBJU11 N None None SFY2006-07
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2006-12-27 00:00:00 110003592 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-27 00:00:00 2006-01-27 00:00:00 No 2007-01-18 00:00:00 None B None 1000 3000 -1050 1950 0 None HEBC11 N CA00071432 A SFY2006-07
630001741 SANTA LUCIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-02-01 00:00:00 110003615 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-12 00:00:00 2006-12-12 00:00:00 Yes 2008-05-28 00:00:00 2007-02-12 00:00:00 A A 10000 6500 0 6500 0 None ZW1H11 N CA00101055 B SFY2006-07
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-01-31 00:00:00 110003620 Closed Citation Citation A (HSC 1424) Physical Environment None 2006-04-01 00:00:00 2006-04-01 00:00:00 Yes 2007-02-21 00:00:00 2007-02-16 00:00:00 A A 20000 20000 -17371 2629 0 None 8NOV11 N CA00076549 B SFY2006-07
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-01-31 00:00:00 110003635 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-20 00:00:00 2006-08-20 00:00:00 Yes 2007-02-21 00:00:00 2007-02-16 00:00:00 A A 18000 18000 -15634 2366 0 None 504Y11 N CA00090881 A SFY2006-07
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-01-26 00:00:00 110003648 Closed Citation Citation B (HSC 1424) Dietary None 2006-05-24 00:00:00 2006-05-24 00:00:00 No 2007-02-16 00:00:00 None B None 1000 1000 -350 650 0 None 925B11 N None None SFY2006-07
010000907 GREENFIELDS II ICF-DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-06-13 00:00:00 110003651 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-02 00:00:00 2007-01-02 00:00:00 No 2007-07-05 00:00:00 None B None 1000 1000 0 1000 0 None K24711 N CA00102559 A SFY2006-07
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-01-26 00:00:00 110003652 Closed Citation Citation A (HSC 1424) Patient Care None 2006-01-17 00:00:00 2006-01-17 00:00:00 Yes 2011-10-03 00:00:00 2011-09-19 00:00:00 A A 18000 6000 -2500 3500 0 None 925B11 N None None SFY2006-07
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-02-09 00:00:00 110003670 Closed Citation Citation A (HSC 1424) Other c, m 2005-10-13 00:00:00 2005-10-13 00:00:00 Yes 2011-11-18 00:00:00 2011-10-28 00:00:00 A A 18000 6000 -2500 3500 0 None 2UQ911 N CA00065376 A SFY2006-07
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-04-10 00:00:00 110003677 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-08 00:00:00 2006-12-08 00:00:00 Yes 2007-05-01 00:00:00 2007-04-25 00:00:00 B B 1000 650 0 650 0 None 7ELG11 N CA00103479 B SFY2006-07
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-15 00:00:00 110003678 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-01 00:00:00 2007-01-01 00:00:00 No 2007-06-05 00:00:00 None B None 1000 1000 0 1000 0 None RVBB11 N CA00103196 B SFY2006-07
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-02-05 00:00:00 110003679 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-05 00:00:00 2005-06-05 00:00:00 No 2007-02-26 00:00:00 None B None 1000 1000 -350 650 0 None PVL811 N CA00051700 A SFY2006-07
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-11-01 00:00:00 110003694 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-30 00:00:00 2006-12-30 00:00:00 Yes 2007-11-28 00:00:00 2007-11-14 00:00:00 B None 800 800 -280 520 0 None N25C11 N CA00102578 B SFY2007-08
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-11-01 00:00:00 110003695 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-30 00:00:00 2006-12-30 00:00:00 Yes 2007-11-28 00:00:00 2007-11-14 00:00:00 B None 800 800 -280 520 0 None N25C11 N CA00102578 B SFY2007-08
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-09-11 00:00:00 110003712 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-19 00:00:00 2007-01-19 00:00:00 Yes 2007-10-02 00:00:00 2007-09-20 00:00:00 A A 18000 9000 0 9000 0 None 88BI11 N CA00104337 B SFY2007-08
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2007-03-16 00:00:00 110003782 Closed Citation Citation A (HSC 1424) Other pc, m 2006-06-01 00:00:00 2006-06-01 00:00:00 No 2007-04-06 00:00:00 None A None 15000 15000 -5250 9750 0 None HE0911 N CA00082370 B SFY2006-07
630001741 SANTA LUCIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-06-29 00:00:00 110003789 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-03-05 00:00:00 2007-03-05 00:00:00 No 2007-07-23 00:00:00 None B None 900 900 0 900 0 None LJSD11 N CA00108963 B SFY2006-07
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2007-03-14 00:00:00 110003798 Closed Citation Citation B (HSC 1424) Administration None 2006-08-23 00:00:00 2006-08-23 00:00:00 No 2007-04-04 00:00:00 None B None 1000 1000 -1000 0 0 None YHXI11 N None None SFY2006-07
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-03-14 00:00:00 110003799 Closed Citation Citation B (HSC 1424) Administration None 2006-08-23 00:00:00 2006-08-23 00:00:00 No 2007-04-04 00:00:00 None B None 1000 1000 -1000 0 0 None X18J11 N None None SFY2006-07
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-03-14 00:00:00 110003801 Closed Citation Citation B (HSC 1424) Administration None 2006-08-23 00:00:00 2006-08-23 00:00:00 No 2007-04-04 00:00:00 None B None 1000 1000 -1000 0 0 None 23SV11 N None None SFY2006-07
010000208 SPRING LAKE VILLAGE LTC SNF Skilled Nursing Facility Santa Rosa 2007-03-14 00:00:00 110003802 Closed Citation Citation B (HSC 1424) Administration None 2006-08-23 00:00:00 2006-08-23 00:00:00 No 2007-04-04 00:00:00 None B None 1000 1000 -1000 0 0 None 23SV11 N None None SFY2006-07
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-06-25 00:00:00 110003834 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-03-04 00:00:00 2007-03-04 00:00:00 Yes 2007-07-17 00:00:00 2007-06-27 00:00:00 AA AA 100000 100000 -84920.68 15079.32 0 None TNO811 Y CA00108782 B SFY2006-07
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-31 00:00:00 110003846 Closed Citation Citation B (HSC 1424) Staffing None 2007-02-22 00:00:00 2007-02-22 00:00:00 No 2007-06-21 00:00:00 None B None 1000 1000 -1000 0 0 None BVRB11 N CA00106819, CA00107010 B, B SFY2006-07
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-24 00:00:00 110003853 Closed Citation Citation A (HSC 1424) Patient Rights None 2007-03-06 00:00:00 2007-03-06 00:00:00 No 2007-09-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 1Z0H11 N CA00109226 A SFY2007-08
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-16 00:00:00 110003860 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-03-10 00:00:00 2006-03-10 00:00:00 Yes 2010-02-09 00:00:00 2010-02-02 00:00:00 AA AA 100000 58000 0 58000 0 None 0IP611 Y CA00074799, CA00078508 A, B SFY2007-08
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-09 00:00:00 110003867 Closed Citation Citation A (HSC 1424) Patient Care None 2007-03-28 00:00:00 2007-03-28 00:00:00 No 2007-08-30 00:00:00 None A A Trebled 20000 60000 -52113 7887 0 None 8QED11 N CA00110575 B SFY2007-08
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-04-09 00:00:00 110003880 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-21 00:00:00 2007-01-21 00:00:00 No 2007-04-30 00:00:00 None B None 1000 3000 -1050 1950 0 None PXIN11 N CA00104474 B SFY2006-07
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-07 00:00:00 110003881 Closed Citation Citation A (HSC 1424) Other Medication, Patient Care 2006-10-05 00:00:00 2006-10-05 00:00:00 Yes 2011-08-29 00:00:00 2011-08-04 00:00:00 A A 20000 11370 -2300 9070 0 None 8LY011 N CA00096963 B SFY2007-08
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-25 00:00:00 110003884 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-03-28 00:00:00 2007-03-28 00:00:00 No 2007-08-15 00:00:00 None B None 1000 1000 -350 650 0 None 5OF711 N CA00110894 B SFY2007-08
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-10 00:00:00 110003889 Closed Citation Citation A (HSC 1424) Patient Care None 2006-05-01 00:00:00 2006-05-01 00:00:00 Yes 2007-06-01 00:00:00 2007-05-16 00:00:00 A A 18000 10000 0 10000 0 None 8NQY11 N CA00079724, CA00083279 B, B SFY2006-07
010000087 BUTLER VALLEY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-05-10 00:00:00 110003902 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-01 00:00:00 2006-08-01 00:00:00 No 2007-06-01 00:00:00 None B None 500 500 0 500 0 None F6MU11 N CA00090179 B SFY2006-07
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-10 00:00:00 110003907 Closed Citation Citation A (HSC 1424) Other a,c 2005-04-20 00:00:00 2005-04-20 00:00:00 Yes 2007-06-01 00:00:00 2007-05-16 00:00:00 A A 18000 9500 0 9500 0 None V7CB11 N CA00063130 B SFY2006-07
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-11 00:00:00 110003914 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-14 00:00:00 2006-06-14 00:00:00 Yes 2007-06-04 00:00:00 2007-05-15 00:00:00 A A 15000 6000 0 6000 0 None TE5211 N CA00087934 B SFY2006-07
010000086 BAYBERRY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-07-26 00:00:00 110003915 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-11 00:00:00 2007-04-11 00:00:00 Yes 2007-08-16 00:00:00 2007-08-03 00:00:00 A B 8000 5200 0 5200 0 None 0UXZ11 N CA00111841 A SFY2007-08
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-14 00:00:00 110003918 Closed Citation Citation A (HSC 1424) Patient Care None 2007-04-13 00:00:00 2007-04-13 00:00:00 Yes 2011-08-17 00:00:00 2011-08-08 00:00:00 A A 18000 8000 0 8000 0 None 2O6N11 N CA00112132 B SFY2007-08
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-06-25 00:00:00 110003937 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-04 00:00:00 2006-06-04 00:00:00 Yes 2011-10-03 00:00:00 2011-09-19 00:00:00 A A 18000 6000 -2500 3500 0 None XUOZ11 N CA00082614 A SFY2006-07
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-24 00:00:00 110003952 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-13 00:00:00 2007-03-13 00:00:00 No 2007-09-17 00:00:00 None B None 1000 3000 -1050 1950 0 None 1Z0H11 N CA00109226 A SFY2007-08
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-05-21 00:00:00 110003965 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-28 00:00:00 2006-04-28 00:00:00 Yes 2008-04-30 00:00:00 2007-05-23 00:00:00 B B 1000 650 0 650 0 None L2EE11 N CA00081755 B SFY2006-07
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-11-07 00:00:00 110003968 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-10 00:00:00 2007-05-10 00:00:00 Yes 2011-12-01 00:00:00 2011-10-18 00:00:00 A A 9000 5850 0 5850 0 None 2D5211 N CA00114518, CA00114622 B, B SFY2007-08
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-06-08 00:00:00 110003970 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-06-22 00:00:00 2006-06-22 00:00:00 Yes 2007-06-29 00:00:00 2007-06-11 00:00:00 AA AA 80000 70000 0 70000 0 None JK8T11 Y CA00082829 B SFY2006-07
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-09 00:00:00 110003977 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-25 00:00:00 2006-11-25 00:00:00 No 2007-08-30 00:00:00 None B None 1000 1600 -350 1250 0 None 1FQK11 N CA00104273 B SFY2007-08
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-25 00:00:00 110003982 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-09 00:00:00 2006-10-09 00:00:00 No 2007-08-15 00:00:00 None B None 1000 1000 -350 650 0 None Z7E511 N CA00096227 A SFY2007-08
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-12 00:00:00 110003999 Closed Citation Citation B (HSC 1424) Medication None 2007-05-11 00:00:00 2007-05-11 00:00:00 No 2007-08-02 00:00:00 None B None 900 900 -315 585 0 None LFZE11 N CA00114673 B SFY2007-08
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-06-06 00:00:00 110004017 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-01 00:00:00 2006-10-01 00:00:00 No 2007-06-27 00:00:00 None B None 1000 1000 -350 650 0 None 6HCL11 N CA00094585 A SFY2006-07
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-06-09 00:00:00 110004026 Closed Citation Citation B (HSC 1424) Administration None 2006-12-23 00:00:00 2006-12-23 00:00:00 No 2007-06-29 00:00:00 None B None 1000 1000 0 1000 0 None ZESN11 Y None None SFY2006-07
010000208 SPRING LAKE VILLAGE LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-29 00:00:00 110004059 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-06 00:00:00 2007-06-06 00:00:00 No 2008-02-22 00:00:00 None A None 18000 18000 0 18000 0 None LHRM11 N CA00116852 B SFY2007-08
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-13 00:00:00 110004060 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-25 00:00:00 2007-06-25 00:00:00 Yes 2011-08-19 00:00:00 2011-08-12 00:00:00 A B 18000 10800 0 10800 0 None D7WF11 N CA00118706 B SFY2007-08
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-25 00:00:00 110004075 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-28 00:00:00 2007-03-28 00:00:00 No 2007-08-15 00:00:00 None B None 1000 1000 -350 650 0 None 5OF711 N CA00110894 B SFY2007-08
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-12-19 00:00:00 110004085 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-25 00:00:00 2007-06-25 00:00:00 No 2008-01-11 00:00:00 None B None 800 800 0 800 0 None IBLW11 N CA00118648, CA00118861 B, C SFY2007-08
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-12 00:00:00 110004086 Closed Citation Citation B (HSC 1424) Other c, pe 2007-03-08 00:00:00 2007-03-08 00:00:00 Yes 2007-08-02 00:00:00 2007-07-27 00:00:00 B B 1000 500 0 500 0 None QY2X11 N CA00111006 B SFY2007-08
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-12-19 00:00:00 110004087 Closed Citation Citation B (HSC 1424) Other c, ab, pr 2007-06-24 00:00:00 2007-06-24 00:00:00 No 2008-01-11 00:00:00 None B None 800 800 0 800 0 None 55J911 N CA00118646, CA00118720 A, C SFY2007-08
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-24 00:00:00 110004123 Closed Citation Citation B (HSC 1424) Administration None 2007-07-13 00:00:00 2007-07-13 00:00:00 No 2007-08-14 00:00:00 None B B 1000 1000 -869 131 0 None BZSL11 N CA00120688 A SFY2007-08
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-07-30 00:00:00 110004130 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-03-16 00:00:00 2007-03-16 00:00:00 No 2007-08-20 00:00:00 None B B 1000 1000 -869 131 0 None VEM611 N CA00120873 B SFY2007-08
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-24 00:00:00 110004131 Closed Citation Citation B (HSC 1424) Administration None 2007-05-16 00:00:00 2007-05-16 00:00:00 No 2007-09-17 00:00:00 None B None 1000 1000 -350 650 0 None HV0611 N CA00114787 A SFY2007-08
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-14 00:00:00 110004132 Closed Citation Citation A (HSC 1424) Patient Care None 2006-09-07 00:00:00 2006-09-07 00:00:00 Yes 2007-09-05 00:00:00 2007-08-21 00:00:00 A A 18000 8000 0 8000 0 None TEYZ11 N CA00067567 B SFY2007-08
010000166 SUMMERSIDE #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-08-09 00:00:00 110004138 Closed Citation Citation B (HSC 1424) Administration None 2007-07-12 00:00:00 2007-07-12 00:00:00 No 2007-08-30 00:00:00 None B None 1000 1000 -1000 0 0 None 4V7R11 N None None SFY2007-08
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-14 00:00:00 110004139 Closed Citation Citation A (HSC 1424) Patient Care None 2006-09-07 00:00:00 2006-09-07 00:00:00 Yes 2007-09-05 00:00:00 2007-08-21 00:00:00 A A 18000 8000 0 8000 0 None TEYZ11 N CA00067567 B SFY2007-08
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-31 00:00:00 110004140 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-19 00:00:00 2007-07-19 00:00:00 No 2008-02-25 00:00:00 None B None 1000 1000 0 1000 0 None YC4T11 N CA00121034 B SFY2007-08
010000042 MENDOCINO NURSING CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-02 00:00:00 110004153 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-29 00:00:00 2007-07-29 00:00:00 No 2007-08-23 00:00:00 None B B 1000 1000 -869 131 0 None 3Y9011 N CA00121761 B SFY2007-08
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2008-03-05 00:00:00 110004168 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-12 00:00:00 2007-05-12 00:00:00 No 2008-03-26 00:00:00 None A None 18000 18000 -6300 11700 0 None 0D5911 N CA00114795, CA00114795 B, B SFY2007-08
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-31 00:00:00 110004194 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-10 00:00:00 2006-08-10 00:00:00 No 2007-09-24 00:00:00 None B None 1000 1000 -350 650 0 None ECK011 N CA00089824 A SFY2007-08
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-24 00:00:00 110004204 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-10 00:00:00 2006-08-10 00:00:00 No 2007-09-17 00:00:00 None B None 800 800 -280 520 0 None SXDJ11 N CA00093740 B SFY2007-08
010000086 BAYBERRY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-09-20 00:00:00 110004206 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-08-05 00:00:00 2007-08-05 00:00:00 No 2007-10-12 00:00:00 None B None 1000 1000 0 1000 0 None P92I11 N CA00122596 B SFY2007-08
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-24 00:00:00 110004213 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-01 00:00:00 2007-03-01 00:00:00 No 2007-09-17 00:00:00 None B None 1000 3000 -1050 1950 0 None 1Z0H11 N CA00109226 A SFY2007-08
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-08-31 00:00:00 110004222 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-08-16 00:00:00 2006-08-16 00:00:00 Yes 2007-09-24 00:00:00 2007-09-17 00:00:00 AA A 100000 75000 0 75000 0 None TRO311 Y CA00090407 A SFY2007-08
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-09-11 00:00:00 110004228 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-17 00:00:00 2007-01-17 00:00:00 Yes 2007-10-02 00:00:00 2007-09-20 00:00:00 B B 1000 500 0 500 0 None 88BI11 N CA00104337 B SFY2007-08
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-09-11 00:00:00 110004229 Closed Citation Citation B (HSC 1424) Administration None 2007-01-17 00:00:00 2007-01-17 00:00:00 Yes 2007-10-02 00:00:00 2007-09-20 00:00:00 B B 1000 500 0 500 0 None 88BI11 N CA00104337 B SFY2007-08
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-03 00:00:00 110004236 Closed Citation Citation A (HSC 1424) Patient Care None 2007-02-04 00:00:00 2007-02-04 00:00:00 No 2008-06-27 00:00:00 None A None 20000 20000 -7000 13000 0 None RMMQ11 N CA00105691 A SFY2007-08
010000970 DEVON DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2008-02-14 00:00:00 110004276 Closed Citation Citation B (HSC 1424) Medication None 2007-08-11 00:00:00 2007-08-11 00:00:00 No 2008-03-07 00:00:00 None B None 1000 1000 -350 650 0 None D95N11 N CA00124327 B SFY2007-08
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-13 00:00:00 110004284 Closed Citation Citation A (HSC 1424) Patient Care None 2007-07-21 00:00:00 2007-07-21 00:00:00 Yes 2011-08-31 00:00:00 2011-08-08 00:00:00 A B 18000 9000 0 9000 0 None ZWVC11 N None None SFY2007-08
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-28 00:00:00 110004301 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-13 00:00:00 2006-10-13 00:00:00 No 2008-02-20 00:00:00 None B None 1000 1150 -350 800 0 None ZH5D11 N CA00122041 B SFY2007-08
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-28 00:00:00 110004302 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2006-10-13 00:00:00 2006-10-13 00:00:00 No 2008-02-20 00:00:00 None B None 1000 1150 -350 800 0 None ZH5D11 N CA00122041 B SFY2007-08
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-11-15 00:00:00 110004306 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-25 00:00:00 2006-05-25 00:00:00 No 2007-12-11 00:00:00 None B None 800 800 -280 520 0 None 94VY11 N None None SFY2007-08
010001005 ALDERSLY SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Santa Rosa 2007-12-20 00:00:00 110004324 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-12 00:00:00 2007-09-12 00:00:00 Yes 2011-09-20 00:00:00 2011-09-06 00:00:00 A A 18000 9000 0 9000 0 None SL3811 Y CA00126952 B SFY2007-08
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-21 00:00:00 110004327 Closed Citation Citation B (HSC 1424) Dietary None 2007-09-18 00:00:00 2007-09-18 00:00:00 No 2008-03-13 00:00:00 None B None 1000 1000 -350 650 0 None Y5NQ11 N None None SFY2007-08
010000657 ESTES HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2007-10-10 00:00:00 110004335 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-29 00:00:00 2007-07-29 00:00:00 No 2007-10-31 00:00:00 None B None 1000 1000 0 1000 0 None JNY611 N CA00121712 B SFY2007-08
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-25 00:00:00 110004339 Closed Citation Citation A (HSC 1424) Patient Care None 2007-07-13 00:00:00 2007-07-13 00:00:00 Yes 2011-10-03 00:00:00 2008-03-13 00:00:00 A A 18000 4000 0 4000 0 None 3ECY11 N CA00120306 B SFY2007-08
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-10-26 00:00:00 110004355 Closed Citation Citation B (HSC 1424) Other C, S, AB 2007-08-16 00:00:00 2007-08-16 00:00:00 Yes 2007-11-19 00:00:00 2007-11-07 00:00:00 B B 1000 650 0 650 0 None ED0G11 N CA00123695 A SFY2007-08
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-14 00:00:00 110004372 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-23 00:00:00 2007-05-23 00:00:00 No 2008-03-17 00:00:00 None A None 18000 18000 0 18000 0 None 3G8611 N CA00119287 C SFY2007-08
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-10-18 00:00:00 110004373 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-16 00:00:00 2006-10-16 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 -350 650 0 None SFK911 N CA00097288, CA00097464 B, B SFY2007-08
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-10-26 00:00:00 110004384 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-16 00:00:00 2007-08-16 00:00:00 Yes 2007-11-19 00:00:00 2007-11-07 00:00:00 B B 1000 650 0 650 0 None ED0G11 N CA00123695 A SFY2007-08
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-10-26 00:00:00 110004385 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-16 00:00:00 2007-08-16 00:00:00 Yes 2007-11-19 00:00:00 2007-11-07 00:00:00 B B 1000 650 0 650 0 None ED0G11 N CA00123695 A SFY2007-08
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2007-11-01 00:00:00 110004387 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-27 00:00:00 2006-12-27 00:00:00 No 2007-11-27 00:00:00 None A None 18000 18000 -6300 11700 0 None NDI311 N CA00102046 A SFY2007-08
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-31 00:00:00 110004389 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-21 00:00:00 2007-09-21 00:00:00 No 2008-02-25 00:00:00 None B None 1000 1000 -350 650 0 None GDPI11 N CA00127005, CA00127064, CA00127097 A, A, A SFY2007-08
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-10-24 00:00:00 110004390 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-02 00:00:00 2006-10-02 00:00:00 No 2007-11-16 00:00:00 None B None 1000 1000 -350 650 0 None Z9Q511 N None None SFY2007-08
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-10-24 00:00:00 110004391 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-10-01 00:00:00 2006-10-01 00:00:00 No 2007-11-16 00:00:00 None B None 1000 1000 -350 650 0 None Z9Q511 N None None SFY2007-08
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-25 00:00:00 110004406 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-19 00:00:00 2007-05-19 00:00:00 Yes 2011-11-07 00:00:00 2011-10-21 00:00:00 A B 18000 6850 0 6850 0 None O2CL11 N CA00115210 B SFY2007-08
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-11-29 00:00:00 110004407 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-09 00:00:00 2007-09-09 00:00:00 No 2007-12-26 00:00:00 None B None 1000 1000 -350 650 0 None GBPE11 N CA00125990 B SFY2007-08
010000022 FRIENDS HOUSE LTC SNF Skilled Nursing Facility Santa Rosa 2008-04-07 00:00:00 110004431 Closed Citation Citation A (HSC 1424) Medication None 2007-05-23 00:00:00 2007-05-23 00:00:00 Yes 2011-08-22 00:00:00 2011-08-05 00:00:00 A A 18000 18000 0 18000 0 None T5GG11 N CA00131570 B SFY2007-08
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2007-11-09 00:00:00 110004434 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-26 00:00:00 2006-10-26 00:00:00 No 2007-12-05 00:00:00 None B None 1000 1000 -350 650 0 None LX5I11 N CA00104413 B SFY2007-08
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-09 00:00:00 110004439 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-23 00:00:00 2007-10-23 00:00:00 No 2008-07-02 00:00:00 None B None 900 900 0 900 0 None IT5911 N CA00130384, CA00130642 B, B SFY2007-08
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2007-12-12 00:00:00 110004503 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-27 00:00:00 2007-04-27 00:00:00 No 2008-01-04 00:00:00 None B None 800 800 -280 520 0 None O9S611 N CA00113569 A SFY2007-08
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-03 00:00:00 110004509 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-25 00:00:00 2007-06-25 00:00:00 No 2008-07-01 00:00:00 None A None 18000 18000 -6300 11700 0 None 77WD11 N CA00130724, CA00130724 B, B SFY2007-08
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-05-05 00:00:00 110004547 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-13 00:00:00 2007-12-13 00:00:00 No 2008-05-27 00:00:00 None B None 1000 1000 -350 650 0 None 2QSE11 N CA00133639 B SFY2007-08
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-17 00:00:00 110004554 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-29 00:00:00 2007-12-29 00:00:00 No 2008-07-09 00:00:00 None B None 1000 1000 -350 650 0 None 35J911 N CA00136419 B SFY2007-08
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-05-07 00:00:00 110004555 Closed Citation Citation A (HSC 1424) Patient Care None 2007-11-19 00:00:00 2007-11-19 00:00:00 No 2008-05-29 00:00:00 None A None 18000 18000 -6300 11700 0 None 1Q3M11 N CA00132714 B SFY2007-08
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-17 00:00:00 110004567 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-30 00:00:00 2007-11-30 00:00:00 No 2008-07-09 00:00:00 None B None 1000 1000 -350 650 0 None EMVW11 N CA00133911, CA00133992 A, A SFY2007-08
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-08-21 00:00:00 110004570 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-17 00:00:00 2007-12-17 00:00:00 Yes 2008-09-16 00:00:00 2008-08-26 00:00:00 B B 1000 500 0 500 0 None YGF711 N CA00135343 B SFY2008-09
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-10 00:00:00 110004573 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-09 00:00:00 2007-05-09 00:00:00 No 2008-02-15 00:00:00 None B None 1000 1000 -350 650 0 None 8BY811 N CA00114409 A SFY2007-08
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-29 00:00:00 110004610 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-24 00:00:00 2007-08-24 00:00:00 No 2008-02-25 00:00:00 None B None 1000 1000 0 1000 0 None LXDD11 N CA00124331, CA00124335 A, A SFY2007-08
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-18 00:00:00 110004612 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-27 00:00:00 2007-12-27 00:00:00 No 2008-07-10 00:00:00 None B None 1000 1000 -350 650 0 None T2SZ11 N CA00136110 B SFY2007-08
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2008-07-28 00:00:00 110004617 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-11-29 00:00:00 2007-11-29 00:00:00 No 2008-08-18 00:00:00 None B None 1000 1000 -350 650 0 None GD4H11 N CA00133517, CA00133532 A, A SFY2008-09
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-29 00:00:00 110004622 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-03 00:00:00 2007-02-03 00:00:00 No 2008-02-21 00:00:00 None B None 1000 1000 -350 650 0 None JIUU11 N CA00119315 A SFY2007-08
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-06 00:00:00 110004624 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-08 00:00:00 2007-06-08 00:00:00 Yes 2008-03-03 00:00:00 2008-02-15 00:00:00 A A 20000 10000 0 10000 0 None ITIO11 N None None SFY2007-08
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-30 00:00:00 110004626 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-16 00:00:00 2007-10-16 00:00:00 No 2008-07-25 00:00:00 None A None 20000 20000 0 20000 0 None 7LLC11 N CA00129620, CA00129657, CA00130019 B, B, B SFY2007-08
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2008-01-31 00:00:00 110004628 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-04 00:00:00 2007-06-04 00:00:00 No 2008-02-25 00:00:00 None B None 1000 1000 -350 650 0 None PZZN11 N CA00116771 B SFY2007-08
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-09-22 00:00:00 110004641 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-17 00:00:00 2007-06-17 00:00:00 No 2008-10-17 00:00:00 None A None 9000 9000 -3150 5850 0 None 61KU11 N CA00120414 B SFY2008-09
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-05-07 00:00:00 110004650 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-29 00:00:00 2007-12-29 00:00:00 Yes 2011-09-19 00:00:00 2011-08-30 00:00:00 A A 18000 11700 0 11700 0 None CZC811 N CA00138295 B SFY2007-08
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-06 00:00:00 110004651 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-22 00:00:00 2007-08-22 00:00:00 Yes 2011-11-30 00:00:00 2011-11-11 00:00:00 A A 18000 12000 0 12000 0 None 7Z4S11 N CA00124362 B SFY2007-08
010000431 PETALUMA ICF/DDH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2008-03-27 00:00:00 110004658 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-28 00:00:00 2008-01-28 00:00:00 Yes 2011-12-15 00:00:00 2008-03-28 00:00:00 A A 6000 6000 0 6000 0 None CP0311 N CA00139358 A SFY2007-08
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-07 00:00:00 110004667 Closed Citation Citation A (HSC 1424) Patient Care None 2006-10-05 00:00:00 2006-10-05 00:00:00 Yes 2011-08-29 00:00:00 2011-08-04 00:00:00 A A 20000 9070 0 9070 0 None 8LY011 N CA00096963 B SFY2007-08
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-07 00:00:00 110004670 Closed Citation Citation A (HSC 1424) Patient Care None 2006-10-05 00:00:00 2006-10-05 00:00:00 Yes 2011-08-29 00:00:00 2011-08-04 00:00:00 A A 20000 9070 0 9070 0 None 8LY011 N CA00096963 B SFY2007-08
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-05 00:00:00 110004674 Closed Citation Citation B (HSC 1424) Other Patient Care, Medication 2007-12-27 00:00:00 2007-12-27 00:00:00 No 2008-07-02 00:00:00 None B None 1000 1000 -350 650 0 None 72Q411 N CA00137247 B SFY2007-08
110000002 CALISTOGA GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-04-15 00:00:00 110004681 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-25 00:00:00 2007-05-25 00:00:00 No 2008-05-06 00:00:00 None A None 16000 16000 -5600 10400 0 None 306W11 N CA00120566 B SFY2007-08
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-05 00:00:00 110004692 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-11 00:00:00 2007-12-11 00:00:00 Yes 2009-04-01 00:00:00 2009-03-13 00:00:00 A A 20000 8000 0 8000 0 None HBVN11 Y CA00134384 A SFY2008-09
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-02 00:00:00 110004693 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-11 00:00:00 2007-12-11 00:00:00 No 2008-10-28 00:00:00 None A None 10000 10000 0 10000 0 None PL3P11 N CA00133392 B SFY2008-09
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2008-02-20 00:00:00 110004703 Closed Citation Citation B (HSC 1424) Other Patient Rights, Care 2007-10-06 00:00:00 2007-10-06 00:00:00 No 2008-03-12 00:00:00 None B None 1000 1000 0 1000 0 None LFH511 N CA00129592 A SFY2007-08
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2008-09-23 00:00:00 110004721 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-19 00:00:00 2007-09-19 00:00:00 No 2008-10-16 00:00:00 None B None 1000 1000 -350 650 0 None EKYH11 N CA00127738 B SFY2008-09
010000208 SPRING LAKE VILLAGE LTC SNF Skilled Nursing Facility Santa Rosa 2008-11-21 00:00:00 110004742 Closed Citation Citation A (HSC 1424) Patient Care None 2008-02-18 00:00:00 2008-02-18 00:00:00 Yes 2008-12-26 00:00:00 2008-11-26 00:00:00 A None 18000 18000 0 18000 0 None IO9111 N CA00141484 B SFY2008-09
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2008-07-08 00:00:00 110004753 Closed Citation Citation B (HSC 1424) Medication None 2008-02-29 00:00:00 2008-02-29 00:00:00 No 2008-07-29 00:00:00 None B None 1000 1000 -350 650 0 None HSL811 N CA00142510 B SFY2008-09
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-21 00:00:00 110004804 Closed Citation Citation A (HSC 1424) Patient Care None 2007-03-01 00:00:00 2007-03-01 00:00:00 No 2008-11-17 00:00:00 None A None 18000 18000 0 18000 0 None LXYJ11 N CA00127471 B SFY2008-09
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-12 00:00:00 110004806 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-14 00:00:00 2008-03-14 00:00:00 No 2008-07-03 00:00:00 None B None 1000 1000 -350 650 0 None YFTD11 N CA00144114 A SFY2007-08
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-12 00:00:00 110004807 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-14 00:00:00 2008-03-14 00:00:00 No 2008-07-03 00:00:00 None B None 1000 1000 -350 650 0 None YFTD11 N CA00144114 A SFY2007-08
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-09-04 00:00:00 110004810 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-09 00:00:00 2008-03-09 00:00:00 No 2008-09-29 00:00:00 None B None 1000 3000 -1050 1950 0 None QRQ311 N CA00143422 A SFY2008-09
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-05-05 00:00:00 110004832 Closed Citation Citation B (HSC 1424) Administration None 2006-09-14 00:00:00 2006-09-14 00:00:00 No 2008-05-30 00:00:00 None B None 1000 1000 -350 650 0 None P8BL11 N CA00140868 B SFY2007-08
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-09-25 00:00:00 110004837 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-06 00:00:00 2008-03-06 00:00:00 No 2008-10-17 00:00:00 None B None 1000 1000 -350 650 0 None HO2F11 N CA00143312, CA00143491, CA00143497 B, B, A SFY2008-09
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2008-08-20 00:00:00 110004847 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-21 00:00:00 2008-03-21 00:00:00 Yes 2008-09-15 00:00:00 2008-08-27 00:00:00 B B 1000 500 0 500 0 None W4GQ11 N CA00144494 A SFY2008-09
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-04-09 00:00:00 110004861 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-02 00:00:00 2007-05-02 00:00:00 Yes 2008-05-01 00:00:00 2008-04-09 00:00:00 A A 20000 10000 0 10000 0 None ITI011 N None None SFY2007-08
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-08-21 00:00:00 110004862 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-23 00:00:00 2007-08-23 00:00:00 No 2008-09-16 00:00:00 None A None 20000 20000 0 20000 0 None DUQK11 N CA00124471, CA00141046, CA00141211 B, B, B SFY2008-09
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-20 00:00:00 110004883 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-22 00:00:00 2007-12-22 00:00:00 Yes 2009-02-12 00:00:00 2009-01-26 00:00:00 A A 18000 9000 0 9000 0 None DSO211 N CA00136645 B SFY2008-09
010000487 MAYETTE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2008-09-25 00:00:00 110004887 Closed Citation Citation B (HSC 1424) Other Admin / Patient Care 2007-07-02 00:00:00 2007-07-02 00:00:00 No 2008-10-20 00:00:00 None B None 1000 1050 0 1050 0 None IV6Z11 N CA00138585 A SFY2008-09
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2008-04-22 00:00:00 110004933 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-08 00:00:00 2008-02-08 00:00:00 No 2008-05-13 00:00:00 None B None 1000 1000 0 1000 0 None 30RM11 N CA00140354 A SFY2007-08
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-24 00:00:00 110004935 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-02 00:00:00 2008-01-02 00:00:00 Yes 2008-11-18 00:00:00 2008-10-28 00:00:00 B B 1000 1800 -1300 500 0 None O01211 N CA00135390 B SFY2008-09
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-07-30 00:00:00 110004941 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-24 00:00:00 2008-01-24 00:00:00 Yes 2008-08-25 00:00:00 2008-08-05 00:00:00 B None 1000 1000 0 1000 0 None DDGO11 N CA00138709 A SFY2008-09
010000061 PALM DRIVE NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-04-18 00:00:00 110004943 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-10 00:00:00 2007-12-10 00:00:00 Yes 2008-05-09 00:00:00 2008-04-22 00:00:00 B B Trebled 1000 1500 0 1500 0 None WCTQ11 N CA00134629 A SFY2007-08
010000679 GRAND CHALET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2008-10-30 00:00:00 110004953 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-03 00:00:00 2008-04-03 00:00:00 No 2008-11-21 00:00:00 None B None 1000 1000 -350 650 0 None FXH111 N None None SFY2008-09
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-04-24 00:00:00 110004957 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-08 00:00:00 2006-03-08 00:00:00 No 2008-05-15 00:00:00 None B None 500 500 -175 325 0 None 268L11 N CA00074405, CA00074408 A, A SFY2007-08
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-12-18 00:00:00 110004963 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-11 00:00:00 2008-04-11 00:00:00 No 2009-01-09 00:00:00 None B None 1000 1000 -350 650 0 None BJ8I11 N CA00147009, CA00147764 A, B SFY2008-09
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-12-18 00:00:00 110004964 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-14 00:00:00 2008-04-14 00:00:00 No 2009-01-09 00:00:00 None B None 800 800 -280 520 0 None BJ8I11 N CA00147009, CA00147764 A, B SFY2008-09
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-05-05 00:00:00 110004980 Closed Citation Citation B (HSC 1424) Administration None 2006-09-14 00:00:00 2006-09-14 00:00:00 No 2008-05-30 00:00:00 None B None 1000 1000 -350 650 0 None P8BL11 N CA00140868 B SFY2007-08
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2008-05-08 00:00:00 110004992 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2008-02-10 00:00:00 2008-02-10 00:00:00 No 2008-06-02 00:00:00 None B None 1000 1000 -350 650 0 None JZOY11 N CA00142218 B SFY2007-08
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-07-18 00:00:00 110004999 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-08-08 00:00:00 None B None 1000 1000 -350 650 0 None INKE11 N CA00148083 A SFY2008-09
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-05-08 00:00:00 110005004 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-13 00:00:00 2008-03-13 00:00:00 No 2008-05-30 00:00:00 None B None 800 800 -280 520 0 None CTES11 N CA00143837 A SFY2007-08
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-21 00:00:00 110005047 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-04-17 00:00:00 2008-04-17 00:00:00 No 2008-11-12 00:00:00 None B None 1000 1000 -350 650 0 None 4PC311 N CA00154031 A SFY2008-09
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-12-23 00:00:00 110005099 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-27 00:00:00 2008-05-27 00:00:00 No 2009-01-16 00:00:00 None B None 1000 3000 -1050 1950 0 None 1VMB11 N CA00151932 B SFY2008-09
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-13 00:00:00 110005114 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-24 00:00:00 2008-05-24 00:00:00 No 2009-05-06 00:00:00 None B None 1000 1000 -350 650 0 None CRM511 N CA00151692 B SFY2008-09
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2008-12-19 00:00:00 110005127 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-05-10 00:00:00 2008-05-10 00:00:00 No 2009-01-14 00:00:00 None B None 1000 1000 -350 650 0 None C5WJ11 N CA00151966 B SFY2008-09
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-23 00:00:00 110005139 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-08 00:00:00 2008-02-08 00:00:00 No 2009-05-14 00:00:00 None B None 800 800 -280 520 0 None UJ0B11 N CA00152591, CA00152636 A, A SFY2008-09
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-06-17 00:00:00 110005149 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-30 00:00:00 2007-11-30 00:00:00 No 2008-07-09 00:00:00 None B None 1000 1000 -350 650 0 None EMVW11 N CA00133911, CA00133992 A, A SFY2007-08
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-11-10 00:00:00 110005163 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-25 00:00:00 2008-05-25 00:00:00 No 2008-12-04 00:00:00 None B None 1000 1000 0 1000 0 None UROO11 N CA00150303 B SFY2008-09
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2008-07-21 00:00:00 110005164 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-22 00:00:00 2008-01-22 00:00:00 Yes 2008-08-11 00:00:00 2008-07-24 00:00:00 B None 1000 1000 0 1000 0 None V5O311 N CA00138644 B SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-08-01 00:00:00 110005173 Closed Citation Citation A (HSC 1424) Other medication, patient care 2007-03-18 00:00:00 2007-03-18 00:00:00 Yes 2012-01-19 00:00:00 2008-08-13 00:00:00 A A 20000 20050 0 20050 0 None 1ZNC11 N CA00111244 B SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-17 00:00:00 110005240 Closed Citation Citation A (HSC 1424) Patient Care None 2007-11-22 00:00:00 2007-11-22 00:00:00 No 2009-04-14 00:00:00 None A None 19000 19000 -6650 12350 0 None 5WFG11 Y CA00137558, CA00155047 B, B SFY2008-09
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-07 00:00:00 110005243 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-01 00:00:00 2008-07-01 00:00:00 No 2009-04-28 00:00:00 None B None 1000 1000 -350 650 0 None VU2L11 N CA00156160 B SFY2008-09
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-21 00:00:00 110005260 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-25 00:00:00 2007-10-25 00:00:00 Yes 2009-02-16 00:00:00 2009-01-23 00:00:00 B B 1000 650 0 650 0 None NFTS11 N CA00157727 A SFY2008-09
110000016 CRESTWOOD MANOR VALLEJO LTC SNF Skilled Nursing Facility Santa Rosa 2008-07-29 00:00:00 110005265 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-10-16 00:00:00 2007-10-16 00:00:00 Yes 2008-08-20 00:00:00 2008-07-30 00:00:00 AA AA 100000 65000 0 65000 0 None U3BH11 Y CA00129313 A SFY2008-09
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-10-19 00:00:00 110005291 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-19 00:00:00 2008-07-19 00:00:00 Yes 2009-11-09 00:00:00 2009-10-26 00:00:00 A A 18000 11700 0 11700 0 None V0LJ11 N CA00157650 B SFY2009-10
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-14 00:00:00 110005292 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-02 00:00:00 2008-07-02 00:00:00 Yes 2009-05-05 00:00:00 2009-05-20 00:00:00 B None 1000 1000 0 1000 0 None 9MGU11 N CA00157154, CA00157618 B, B SFY2008-09
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-09-01 00:00:00 110005332 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-29 00:00:00 2008-07-29 00:00:00 Yes 2011-11-18 00:00:00 2011-10-27 00:00:00 A A 18000 11700 0 11700 0 None Y1FN11 N CA00158675 B SFY2009-10
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-20 00:00:00 110005336 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-21 00:00:00 2008-05-21 00:00:00 No 2009-02-10 00:00:00 None A None 18000 18000 -6300 11700 0 None F5YU11 N CA00152848 B SFY2008-09
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-21 00:00:00 110005337 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-04 00:00:00 2008-06-04 00:00:00 No 2008-11-12 00:00:00 None B None 1000 1000 0 1000 0 None EG7M11 N CA00152813 B SFY2008-09
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-15 00:00:00 110005346 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-09 00:00:00 2008-03-09 00:00:00 No 2008-11-05 00:00:00 None B None 800 800 -280 520 0 None 2TBN11 N CA00144083 A SFY2008-09
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2008-09-29 00:00:00 110005352 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-31 00:00:00 2007-12-31 00:00:00 No 2008-10-22 00:00:00 None B None 1000 1000 -350 650 0 None C61G11 N CA00136364 A SFY2008-09
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-02 00:00:00 110005353 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-27 00:00:00 2008-03-27 00:00:00 No 2009-04-27 00:00:00 None B None 1000 1000 -350 650 0 None C5SN11 N CA00147297 B SFY2008-09
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-30 00:00:00 110005359 Closed Citation Citation A (HSC 1424) Patient Care None 2008-08-21 00:00:00 2008-08-21 00:00:00 Yes 2009-02-27 00:00:00 2009-02-05 00:00:00 A A 12000 7000 0 7000 0 None SVZQ11 N CA00160779 A SFY2008-09
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-15 00:00:00 110005406 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-20 00:00:00 2007-01-20 00:00:00 Yes 2008-11-07 00:00:00 2008-10-16 00:00:00 A A 18000 10000 0 10000 0 None Y4R911 N CA00105232 A SFY2008-09
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-05 00:00:00 110005410 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-11 00:00:00 2007-12-11 00:00:00 Yes 2009-04-01 00:00:00 2009-03-13 00:00:00 A A 20000 8000 0 8000 0 None N3C311 Y CA00161995 A SFY2008-09
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2008-09-23 00:00:00 110005412 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-09-19 00:00:00 2007-09-19 00:00:00 No 2008-10-16 00:00:00 None B None 1000 1000 -350 650 0 None EKYH11 N CA00127738 B SFY2008-09
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-13 00:00:00 110005420 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-23 00:00:00 2008-01-23 00:00:00 No 2009-02-06 00:00:00 None B None 1000 1000 -350 650 0 None BYNT11 N CA00138653 A SFY2008-09
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-11-21 00:00:00 110005424 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-23 00:00:00 2008-05-23 00:00:00 No 2008-12-19 00:00:00 None A None 10000 10000 0 10000 0 None 9NIT11 N CA00151713 B SFY2008-09
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-01 00:00:00 110005427 Closed Citation Citation B (HSC 1424) Dietary None 2008-04-24 00:00:00 2008-04-24 00:00:00 No 2008-10-27 00:00:00 None B None 1000 1000 0 1000 0 None 0L9B11 N CA00146764 B SFY2008-09
010000907 GREENFIELDS II ICF-DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2008-09-23 00:00:00 110005432 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-29 00:00:00 2007-10-29 00:00:00 No 2008-10-16 00:00:00 None A A 9000 5850 0 5850 0 None DD7L11 N CA00131055 B SFY2008-09
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-21 00:00:00 110005434 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-25 00:00:00 2008-03-25 00:00:00 No 2008-11-12 00:00:00 None B None 1000 1000 -350 650 0 None 4PC311 N CA00148975 A SFY2008-09
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-01 00:00:00 110005450 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-21 00:00:00 2008-06-21 00:00:00 Yes 2011-12-06 00:00:00 2011-11-10 00:00:00 A A 18000 11700 0 11700 0 None SCQ611 N CA00154383, CA00154587, CA00162708 B, B, B SFY2008-09
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2008-09-26 00:00:00 110005457 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2008-10-20 00:00:00 None B None 1000 1000 -350 650 0 None SKXQ11 N CA00147993 A SFY2008-09
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-29 00:00:00 110005472 Closed Citation Citation B (HSC 1424) Dietary None 2008-08-28 00:00:00 2008-08-28 00:00:00 No 2008-11-20 00:00:00 None B None 900 900 -315 585 0 None RU0K11 N CA00160425 B SFY2008-09
110000621 JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-05 00:00:00 110005488 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-30 00:00:00 2008-09-30 00:00:00 No 2009-01-27 00:00:00 None B None 900 900 -315 585 0 None 5R2D11 N CA00164776 A SFY2008-09
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-10 00:00:00 110005510 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-02-07 00:00:00 2008-02-07 00:00:00 Yes 2008-11-04 00:00:00 2008-10-20 00:00:00 B B 1000 500 0 500 0 None J5FP11 N CA00140581 A SFY2008-09
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-10 00:00:00 110005511 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-07 00:00:00 2008-02-07 00:00:00 Yes 2008-11-04 00:00:00 2008-10-21 00:00:00 B B 1000 500 0 500 0 None J5FP11 N CA00140581 A SFY2008-09
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-16 00:00:00 110005528 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-19 00:00:00 2007-09-19 00:00:00 Yes 2008-11-10 00:00:00 2008-10-21 00:00:00 B B 1000 500 0 500 0 None ZMBC11 N CA00127031 B SFY2008-09
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-02-12 00:00:00 110005541 Closed Citation Citation B (HSC 1424) Administration None 2008-08-07 00:00:00 2008-08-07 00:00:00 No 2009-03-06 00:00:00 None B None 1000 1000 -350 650 0 None C1GN11 N CA00156220 B SFY2008-09
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-24 00:00:00 110005542 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-10-05 00:00:00 2007-10-05 00:00:00 No 2008-11-17 00:00:00 None B None 1000 1000 0 1000 0 None Z7LS11 N CA00128701 B SFY2008-09
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-10-31 00:00:00 110005547 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-23 00:00:00 2008-07-23 00:00:00 No 2008-12-01 00:00:00 None B None 900 900 -315 585 0 None M8XW11 N CA00158060 A SFY2008-09
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-02-27 00:00:00 110005549 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-27 00:00:00 2008-03-27 00:00:00 No 2009-03-23 00:00:00 None A None 18000 18000 -6300 11700 0 None C3S811 Y CA00145710 A SFY2008-09
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-11-04 00:00:00 110005554 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-02 00:00:00 2008-01-02 00:00:00 No 2008-11-26 00:00:00 None B None 1000 1000 -350 650 0 None 46S311 N CA00140436 A SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-11-03 00:00:00 110005560 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-16 00:00:00 2007-09-16 00:00:00 No 2008-12-04 00:00:00 None B None 1000 1000 -350 650 0 None QHEF11 N CA00126677 A SFY2008-09
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-12-17 00:00:00 110005617 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-28 00:00:00 2008-05-28 00:00:00 No 2009-01-13 00:00:00 None B None 1000 1000 -350 650 0 None WYF811 N CA00151998 A SFY2008-09
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2008-11-26 00:00:00 110005621 Closed Citation Citation A (HSC 1424) Other Patient Care/Medication 2008-09-14 00:00:00 2008-09-14 00:00:00 No 2008-12-26 00:00:00 None A None 18000 18000 -6300 11700 0 None XHWE11 N CA00163601, CA00163904 B, B SFY2008-09
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2009-02-11 00:00:00 110005633 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-18 00:00:00 2008-11-18 00:00:00 No 2009-03-06 00:00:00 None B None 1000 1000 -350 650 0 None HMY011 N CA00169263 B SFY2008-09
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2009-09-01 00:00:00 110005647 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-21 00:00:00 2008-11-21 00:00:00 No 2009-09-28 00:00:00 None B None 1000 1000 -350 650 0 None 7UOC11 N CA00170045, CA00170045 A, A SFY2009-10
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-14 00:00:00 110005653 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-11 00:00:00 2008-11-11 00:00:00 Yes 2009-05-05 00:00:00 2009-04-20 00:00:00 A A 18000 11700 0 11700 0 None X17W11 N CA00169165 B SFY2008-09
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-09-02 00:00:00 110005684 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-27 00:00:00 2008-08-27 00:00:00 Yes 2009-09-28 00:00:00 2009-09-23 00:00:00 B B 1000 1000 -1000 0 0 None XN7111 N CA00161370 A SFY2009-10
010000679 GRAND CHALET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2008-12-26 00:00:00 110005692 Closed Citation Citation B (HSC 1424) Administration None 2008-07-07 00:00:00 2008-07-07 00:00:00 No 2009-01-16 00:00:00 None B None 1000 2200 -350 1850 0 None Z9CH11 N None None SFY2008-09
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2008-12-23 00:00:00 110005697 Closed Citation Citation A (HSC 1424) Other Patient Care/Medication 2008-04-23 00:00:00 2008-04-23 00:00:00 No 2009-01-19 00:00:00 None A None 18000 18000 -6300 11700 0 None HX9H11 N CA00148235 A SFY2008-09
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2008-12-18 00:00:00 110005698 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-04 00:00:00 2008-04-04 00:00:00 No 2009-01-09 00:00:00 None B None 1000 1000 -350 650 0 None RWQD11 N CA00150074 A SFY2008-09
010000792 CROSSROADS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2008-12-19 00:00:00 110005701 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-01 00:00:00 2008-12-01 00:00:00 No 2009-01-12 00:00:00 None B None 800 800 -280 520 0 None EJ1L11 N CA00171412 A SFY2008-09
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2009-02-05 00:00:00 110005714 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-14 00:00:00 2008-12-14 00:00:00 Yes 2011-12-01 00:00:00 2009-02-19 00:00:00 A A 16000 16000 0 16000 0 None MNV011 N CA00172029, CA00172141 A, A SFY2008-09
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-05 00:00:00 110005741 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-12 00:00:00 2007-11-12 00:00:00 Yes 2009-01-26 00:00:00 2009-01-21 00:00:00 B None 1000 1000 0 1000 0 None S39H11 N CA00162172 B SFY2008-09
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-05 00:00:00 110005742 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-29 00:00:00 2008-07-29 00:00:00 Yes 2009-01-26 00:00:00 2009-01-21 00:00:00 B None 1000 1000 0 1000 0 None S39H11 N CA00158515 A SFY2008-09
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-07 00:00:00 110005756 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-10 00:00:00 2008-03-10 00:00:00 Yes 2009-02-02 00:00:00 2009-01-09 00:00:00 B B 1000 650 0 650 0 None KA1411 N CA00146558 A SFY2008-09
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-07 00:00:00 110005757 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-10 00:00:00 2008-03-10 00:00:00 Yes 2009-02-02 00:00:00 2009-01-09 00:00:00 B B 1000 650 0 650 0 None KA1411 N CA00146558 A SFY2008-09
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-08 00:00:00 110005759 Closed Citation Citation B (HSC 1424) Other Patient Care/Medication 2008-12-25 00:00:00 2008-12-25 00:00:00 No 2009-06-02 00:00:00 None B None 1000 1000 0 1000 0 None ELRB11 N CA00173032 B SFY2008-09
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-07 00:00:00 110005760 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-30 00:00:00 2008-04-30 00:00:00 Yes 2009-02-02 00:00:00 2009-01-09 00:00:00 B B 1000 750 0 750 0 None 7JUO11 N CA00148804 B SFY2008-09
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-27 00:00:00 110005761 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-18 00:00:00 2008-10-18 00:00:00 No 2009-02-19 00:00:00 None B None 1000 1000 -350 650 0 None YDU611 N CA00166968 A SFY2008-09
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-02-05 00:00:00 110005765 Open Citation Citation B (HSC 1424) Administration None 2008-12-25 00:00:00 2008-12-25 00:00:00 Yes 2009-03-05 00:00:00 2009-02-25 00:00:00 B None 1000 1000 0 0 1000 None 9Z3111 N CA00173671 A SFY2008-09
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-13 00:00:00 110005766 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-06 00:00:00 2008-12-06 00:00:00 Yes 2010-02-08 00:00:00 2010-01-25 00:00:00 B B 1000 650 0 650 0 None Q1VX11 N CA00171368 A SFY2009-10
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-30 00:00:00 110005770 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-12 00:00:00 2008-01-12 00:00:00 No 2009-02-26 00:00:00 None B None 1000 1000 -350 650 0 None R1JW11 N CA00139357 A SFY2008-09
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-27 00:00:00 110005771 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-18 00:00:00 2008-12-18 00:00:00 No 2009-04-20 00:00:00 None B None 1000 1000 -350 650 0 None QSMX11 N CA00173255 B SFY2008-09
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-16 00:00:00 110005774 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-28 00:00:00 2007-06-28 00:00:00 No 2009-02-10 00:00:00 None B None 1000 1000 -350 650 0 None 44LX11 N CA00119531 B SFY2008-09
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-16 00:00:00 110005775 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-04 00:00:00 2007-07-04 00:00:00 No 2009-02-10 00:00:00 None B None 1000 1000 -350 650 0 None 44LX11 N CA00119531 B SFY2008-09
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-06-05 00:00:00 110005784 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-25 00:00:00 2008-12-25 00:00:00 No 2009-06-29 00:00:00 None A None 18000 18000 -6300 11700 0 None B8KJ11 N CA00173798 B SFY2008-09
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-27 00:00:00 110005819 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-02 00:00:00 2008-12-02 00:00:00 No 2009-02-19 00:00:00 None B None 1000 1000 -350 650 0 None CY9V11 N CA00170954 B SFY2008-09
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-27 00:00:00 110005820 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-10-18 00:00:00 2008-10-18 00:00:00 No 2009-02-19 00:00:00 None B None 1000 1000 -350 650 0 None YDU611 N CA00166968 A SFY2008-09
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-05 00:00:00 110005833 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-24 00:00:00 2008-07-24 00:00:00 Yes 2009-05-27 00:00:00 2009-05-21 00:00:00 B B Trebled 1000 2450 -950 1500 0 None UCHO11 N CA00158303 A SFY2008-09
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-26 00:00:00 110005842 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-04 00:00:00 2008-07-04 00:00:00 Yes 2011-11-30 00:00:00 2011-11-09 00:00:00 A B 18000 18000 0 18000 0 None 9TLS11 N CA00156129 B SFY2008-09
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-06 00:00:00 110005860 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-31 00:00:00 2007-01-31 00:00:00 No 2009-03-30 00:00:00 None A None 18000 18000 -6300 11700 0 None 2XGK11 N CA00105687 B SFY2008-09
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-03-12 00:00:00 110005861 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-30 00:00:00 2009-01-30 00:00:00 No 2009-04-03 00:00:00 None B None 1000 1000 -350 650 0 None W2OL11 N CA00176634 A SFY2008-09
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-10-13 00:00:00 110005862 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-15 00:00:00 2008-12-15 00:00:00 Yes 2009-11-03 00:00:00 2009-10-26 00:00:00 B None 1000 1000 0 1000 0 None G0LS11 N None None SFY2009-10
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2009-02-18 00:00:00 110005869 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-06 00:00:00 2009-01-06 00:00:00 Yes 2009-03-11 00:00:00 2009-03-05 00:00:00 B B 1000 500 0 500 0 None DV2I11 N CA00174301 A SFY2008-09
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2009-02-26 00:00:00 110005870 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-05-17 00:00:00 2008-05-17 00:00:00 No 2009-03-19 00:00:00 None B None 1000 1000 -350 650 0 None 8STP11 N CA00176016 B SFY2008-09
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-17 00:00:00 110005892 Closed Citation Citation A (HSC 1424) Patient Care None 2009-01-20 00:00:00 2009-01-20 00:00:00 Yes 2011-11-17 00:00:00 2011-11-02 00:00:00 A B 16000 16000 0 16000 0 None 3CWW11 N CA00174894 B SFY2008-09
010000086 BAYBERRY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-03-05 00:00:00 110005894 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-08 00:00:00 2008-12-08 00:00:00 No 2009-03-27 00:00:00 None B None 1000 1000 0 1000 0 None YZN711 N CA00171308 A SFY2008-09
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-02 00:00:00 110005903 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-21 00:00:00 2008-09-21 00:00:00 Yes 2009-03-23 00:00:00 2009-03-09 00:00:00 B B 1000 500 0 500 0 None 6PWN11 N CA00164179 A SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-01 00:00:00 110005909 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-20 00:00:00 2008-03-20 00:00:00 No 2009-04-27 00:00:00 None B None 1000 1000 -350 650 0 None ZTF511 N CA00144559 A SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-11 00:00:00 110005916 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-12-02 00:00:00 2008-12-02 00:00:00 No 2009-04-07 00:00:00 None B None 1000 1000 -350 650 0 None OEWH11 N CA00171852 A SFY2008-09
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-03-04 00:00:00 110005923 Closed Citation Citation B (HSC 1424) Staffing None 2009-01-26 00:00:00 2009-01-26 00:00:00 Yes 2009-03-26 00:00:00 2009-03-10 00:00:00 B B 1000 500 0 500 0 None 11DW11 N CA00176440 B SFY2008-09
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-26 00:00:00 110005929 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-16 00:00:00 2008-12-16 00:00:00 Yes 2012-07-16 00:00:00 2012-07-03 00:00:00 A B 18000 9000 0 9000 0 None CK6L11 N CA00177646 B SFY2009-10
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-12 00:00:00 110005936 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-06 00:00:00 2009-02-06 00:00:00 No 2010-02-08 00:00:00 None B None 1000 1000 0 1000 0 None 2EUM11 N CA00177408 B SFY2009-10
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-02 00:00:00 110005937 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-10 00:00:00 2009-02-10 00:00:00 No 2009-04-29 00:00:00 None B None 1000 1000 -350 650 0 None DMCZ11 N CA00179376 A SFY2008-09
010000597 COOPER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-04-14 00:00:00 110005963 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-11 00:00:00 2009-01-11 00:00:00 No 2009-05-07 00:00:00 None B None 1000 1000 0 1000 0 None N2YY11 N CA00174786 B SFY2008-09
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-06-09 00:00:00 110005983 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-18 00:00:00 2009-02-18 00:00:00 Yes 2011-11-21 00:00:00 2011-11-03 00:00:00 A A 20000 13000 0 13000 0 None VGMT11 Y CA00178957, CA00178957 B, B SFY2008-09
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-21 00:00:00 110005984 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-12 00:00:00 2008-10-12 00:00:00 Yes 2009-08-11 00:00:00 2009-07-27 00:00:00 B B 1000 500 0 500 0 None PE6311 N CA00178744 B SFY2009-10
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-06-09 00:00:00 110005985 Closed Citation Citation A (HSC 1424) Patient Care None 2009-01-27 00:00:00 2009-01-27 00:00:00 Yes 2011-11-18 00:00:00 2011-10-28 00:00:00 A A 20000 13000 0 13000 0 None VGMT11 N CA00178957 B SFY2008-09
010000166 SUMMERSIDE #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-04-20 00:00:00 110006000 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-18 00:00:00 2009-03-18 00:00:00 No 2009-05-11 00:00:00 None B None 1000 2100 -2100 0 0 None DDN411 N CA00177025 B SFY2008-09
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-02 00:00:00 110006008 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-26 00:00:00 2008-03-26 00:00:00 No 2009-05-04 00:00:00 None B None 1000 1000 -350 650 0 None O10Q11 N CA00145114, CA00145116 A, A SFY2008-09
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-09-17 00:00:00 110006017 Closed Citation Citation A (HSC 1424) Patient Care None 2009-01-17 00:00:00 2009-01-17 00:00:00 No 2009-10-13 00:00:00 None A None 18000 18000 -6300 11700 0 None T0Z411 N CA00176403 B SFY2009-10
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-05 00:00:00 110006018 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-24 00:00:00 2008-07-24 00:00:00 Yes 2009-05-27 00:00:00 2009-05-18 00:00:00 B B 1000 500 0 500 0 None UCHO11 N CA00158303 A SFY2008-09
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-23 00:00:00 110006025 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-15 00:00:00 2009-01-15 00:00:00 Yes 2009-05-18 00:00:00 2009-05-11 00:00:00 B None 1000 1000 0 1000 0 None 2YFQ11 N CA00175083 A SFY2008-09
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-23 00:00:00 110006026 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-15 00:00:00 2009-01-15 00:00:00 Yes 2009-05-18 00:00:00 2009-05-11 00:00:00 B None 1000 1000 0 1000 0 None 2YFQ11 N CA00175083 A SFY2008-09
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-12-22 00:00:00 110006027 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-08-15 00:00:00 2010-08-15 00:00:00 No 2011-01-12 00:00:00 None B None 1000 1000 -350 650 0 None F0OD11 N CA00240748, CA00240748 B, B SFY2010-11
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-02 00:00:00 110006028 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-21 00:00:00 2008-08-21 00:00:00 Yes 2009-04-27 00:00:00 2009-04-08 00:00:00 B B 1000 650 0 650 0 None 6HVX11 N CA00161017 A SFY2008-09
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-02 00:00:00 110006029 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-26 00:00:00 2008-06-26 00:00:00 Yes 2009-04-27 00:00:00 2009-04-07 00:00:00 B B 1000 530 0 530 0 None Z5Y311 N CA00155180 B SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-02 00:00:00 110006030 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-16 00:00:00 2008-06-16 00:00:00 No 2009-04-27 00:00:00 None B None 1000 1000 -350 650 0 None LV7411 N CA00153952 A SFY2008-09
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-13 00:00:00 110006036 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-28 00:00:00 2008-12-28 00:00:00 No 2010-02-10 00:00:00 None B None 1000 1000 -350 650 0 None IE6G11 N CA00176854 B SFY2009-10
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-16 00:00:00 110006037 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-02 00:00:00 2008-11-02 00:00:00 No 2009-05-07 00:00:00 None B None 1000 1000 -350 650 0 None LL6Y11 N CA00168300 B SFY2008-09
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-22 00:00:00 110006046 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-26 00:00:00 2008-12-26 00:00:00 No 2010-02-12 00:00:00 None B None 1000 1000 -350 650 0 None P9DZ11 N CA00179496, CA00181170 B, B SFY2009-10
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-23 00:00:00 110006047 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-16 00:00:00 2008-06-16 00:00:00 No 2009-05-14 00:00:00 None A None 16000 16000 -5600 10400 0 None QBXF11 N CA00158691 B SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-12 00:00:00 110006049 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-17 00:00:00 2009-03-17 00:00:00 No 2009-06-03 00:00:00 None B None 1000 1000 -350 650 0 None VVHR11 N CA00183630 A SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-20 00:00:00 110006050 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-17 00:00:00 2009-03-17 00:00:00 Yes 2009-06-16 00:00:00 2009-05-26 00:00:00 A None 20000 20000 0 20000 0 None KJHS11 N CA00183663 A SFY2008-09
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-21 00:00:00 110006064 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-12 00:00:00 2009-01-12 00:00:00 No 2009-05-28 00:00:00 None B None 1000 1000 -350 650 0 None 7G0K11 N CA00174661 B SFY2008-09
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-16 00:00:00 110006082 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-08 00:00:00 2008-08-08 00:00:00 No 2009-05-11 00:00:00 None B None 1000 1000 0 1000 0 None UD9K11 N CA00159936 B SFY2008-09
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-16 00:00:00 110006083 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-08 00:00:00 2008-08-08 00:00:00 No 2009-05-11 00:00:00 None B None 1000 1000 0 1000 0 None UD9K11 N CA00159936 B SFY2008-09
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-15 00:00:00 110006096 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-28 00:00:00 2009-03-28 00:00:00 No 2009-05-06 00:00:00 None B None 1000 1000 -350 650 0 None N6FW11 N CA00183131 B SFY2008-09
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-24 00:00:00 110006098 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-15 00:00:00 2008-05-15 00:00:00 No 2009-05-15 00:00:00 None B None 1000 1000 -350 650 0 None O8G911 Y CA00156087 B SFY2008-09
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-24 00:00:00 110006099 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-15 00:00:00 2008-05-15 00:00:00 No 2009-05-15 00:00:00 None B None 1000 1000 -350 650 0 None O8G911 N CA00156087 B SFY2008-09
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-09 00:00:00 110006104 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-24 00:00:00 2008-06-24 00:00:00 No 2009-08-03 00:00:00 None B None 1000 1000 -350 650 0 None 820I11 N CA00150780 B SFY2009-10
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-09 00:00:00 110006123 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-13 00:00:00 2009-04-13 00:00:00 No 2010-04-30 00:00:00 None A None 10000 10000 -3500 6500 0 None Z9CE11 N CA00184892 B SFY2009-10
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-24 00:00:00 110006134 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-19 00:00:00 2009-04-19 00:00:00 No 2009-08-14 00:00:00 None B None 1000 1000 -350 650 0 None 0EHH11 N CA00185669 A SFY2009-10
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-01 00:00:00 110006141 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-27 00:00:00 2008-12-27 00:00:00 No 2009-05-27 00:00:00 None B None 1000 1000 -350 650 0 None PIBI11 N CA00173092 A SFY2008-09
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-01 00:00:00 110006142 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-10 00:00:00 2009-02-10 00:00:00 Yes 2009-05-26 00:00:00 2009-05-06 00:00:00 B B 1000 650 0 650 0 None 3FD611 N CA00177597 A SFY2008-09
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-04-30 00:00:00 110006145 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-09 00:00:00 2007-09-09 00:00:00 No 2009-05-27 00:00:00 None B None 1000 1000 -350 650 0 None KNUL11 N CA00169960 B SFY2008-09
010000022 FRIENDS HOUSE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-15 00:00:00 110006154 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-28 00:00:00 2009-02-28 00:00:00 Yes 2012-07-12 00:00:00 2010-06-29 00:00:00 A A 18000 18000 0 18000 0 None DE4411 N CA00179788 B SFY2009-10
010001124 MONTE VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-07-01 00:00:00 110006160 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-24 00:00:00 2008-12-24 00:00:00 No 2009-07-22 00:00:00 None A None 10000 10000 -3500 6500 0 None 06PV11 Y CA00173231 B SFY2009-10
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-11 00:00:00 110006169 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-15 00:00:00 2008-07-15 00:00:00 No 2009-06-04 00:00:00 None B None 1000 1000 -350 650 0 None GLDN11 N CA00157904 A SFY2008-09
630010921 CROSSROADS III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-06-11 00:00:00 110006170 Closed Citation Citation B (HSC 1424) Other Patient Care/Admission 2008-08-26 00:00:00 2008-08-26 00:00:00 Yes 2009-07-06 00:00:00 2009-06-26 00:00:00 B Dismissed by Court 1000 0 0 0 0 None 3HX411 N CA00185583 A SFY2008-09
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-05-11 00:00:00 110006171 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-07-15 00:00:00 2008-07-15 00:00:00 No 2009-06-04 00:00:00 None B None 1000 1000 0 1000 0 None GLDN11 N CA00157904 A SFY2008-09
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-29 00:00:00 110006183 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-24 00:00:00 2009-03-24 00:00:00 Yes 2010-01-22 00:00:00 2010-01-04 00:00:00 B B 1000 500 0 500 0 None MEVX11 N CA00185031 A SFY2009-10
010000052 PETALUMA POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-18 00:00:00 110006189 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-01 00:00:00 2008-07-01 00:00:00 Yes 2010-01-12 00:00:00 2010-01-06 00:00:00 A None 18000 18000 0 18000 0 None UQ2711 N CA00155750 B SFY2009-10
010000959 MARIN POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-26 00:00:00 110006205 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-30 00:00:00 2009-04-30 00:00:00 Yes 2014-04-07 00:00:00 2010-02-02 00:00:00 B B 1000 1000 0 1000 0 None WT9U11 N CA00186275 B SFY2009-10
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2009-06-17 00:00:00 110006219 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-30 00:00:00 2008-08-30 00:00:00 No 2009-07-08 00:00:00 None B None 1000 1000 0 1000 0 None R7AM11 N CA00162300 A SFY2008-09
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2009-10-07 00:00:00 110006224 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-25 00:00:00 2009-04-25 00:00:00 No 2009-10-29 00:00:00 None B None 1000 1000 -350 650 0 None YGK011 N CA00186138, CA00186153 B, B SFY2009-10
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-06-08 00:00:00 110006225 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-17 00:00:00 2007-08-17 00:00:00 Yes 2009-06-29 00:00:00 2009-06-10 00:00:00 A A 18000 11700 0 11700 0 None A2QI11 N CA00123824 B SFY2008-09
010000208 SPRING LAKE VILLAGE LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-30 00:00:00 110006233 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-07 00:00:00 2008-11-07 00:00:00 No 2009-08-21 00:00:00 None B None 1000 1000 -350 650 0 None H93U11 N CA00164464, CA00169153, CA00169290 B, A, A SFY2009-10
010000208 SPRING LAKE VILLAGE LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-30 00:00:00 110006234 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-07 00:00:00 2008-11-07 00:00:00 No 2009-08-21 00:00:00 None B None 1000 1000 -350 650 0 None H93U11 N CA00164464, CA00169153, CA00169290, CA00169290 B, A, A, A SFY2009-10
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-06-08 00:00:00 110006245 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-27 00:00:00 2009-04-27 00:00:00 No 2009-07-01 00:00:00 None B None 1000 3000 -1050 1950 0 None TUPI11 N CA00186135 A SFY2008-09
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-11-23 00:00:00 110006248 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-30 00:00:00 2009-04-30 00:00:00 Yes 2009-12-16 00:00:00 2009-12-04 00:00:00 B B 1000 650 0 650 0 None 7L9I11 N CA00187569 B SFY2009-10
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-09-28 00:00:00 110006265 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-13 00:00:00 2008-07-13 00:00:00 Yes 2009-10-20 00:00:00 2009-10-02 00:00:00 A A 18000 11700 0 11700 0 None FCFR11 N CA00162894 A SFY2009-10
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-15 00:00:00 110006269 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-12 00:00:00 2009-05-12 00:00:00 No 2009-08-05 00:00:00 None B None 1000 1000 0 1000 0 None VLY811 N CA00188355 B SFY2009-10
010000449 MEADOWVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-07-09 00:00:00 110006280 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-02 00:00:00 2009-06-02 00:00:00 No 2009-08-03 00:00:00 None B None 800 800 -280 520 0 None F0QY11 N CA00191125 A SFY2009-10
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-22 00:00:00 110006284 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-03 00:00:00 2008-11-03 00:00:00 Yes 2010-01-14 00:00:00 2009-12-24 00:00:00 A A 16000 7000 0 7000 0 None PAGI11 N CA00168967 A SFY2009-10
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-08-12 00:00:00 110006303 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-04 00:00:00 2008-12-04 00:00:00 No 2009-09-02 00:00:00 None B None 1000 1000 0 1000 0 None UI4N11 N CA00171155 A SFY2009-10
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-27 00:00:00 110006304 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-01 00:00:00 2008-12-01 00:00:00 No 2009-08-19 00:00:00 None B None 1000 1000 0 1000 0 None E8H811 N CA00170980 A SFY2009-10
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-16 00:00:00 110006310 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-04 00:00:00 2009-06-04 00:00:00 Yes 2010-01-08 00:00:00 2009-12-31 00:00:00 B None 1000 1000 0 1000 0 None 9S9M11 N CA00191988 B SFY2009-10
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-16 00:00:00 110006326 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-29 00:00:00 2009-04-29 00:00:00 Yes 2010-01-13 00:00:00 2009-12-31 00:00:00 B None 1000 1000 0 1000 0 None GLL011 N CA00192885 B SFY2009-10
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-18 00:00:00 110006341 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-29 00:00:00 2009-05-29 00:00:00 No 2010-01-12 00:00:00 None B None 1000 1000 -350 650 0 None 7US811 N CA00190281 A SFY2009-10
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-01 00:00:00 110006342 Closed Citation Citation B (HSC 1424) Staffing None 2008-11-19 00:00:00 2008-11-19 00:00:00 Yes 2009-07-29 00:00:00 2009-07-08 00:00:00 B B 1000 500 0 500 0 None ZYUL11 N CA00170808 B SFY2009-10
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-19 00:00:00 110006350 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-24 00:00:00 2008-11-24 00:00:00 Yes 2011-12-05 00:00:00 2011-11-10 00:00:00 A A 18000 12000 0 12000 0 None 87RD11 N CA00170313 B SFY2009-10
010000596 ROBERTS ROAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-07-28 00:00:00 110006378 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-03 00:00:00 2009-07-03 00:00:00 Yes 2009-08-20 00:00:00 2009-08-11 00:00:00 B None 1000 1000 -1000 0 0 None QCHU11 N CA00193865 A SFY2009-10
010000596 ROBERTS ROAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-07-28 00:00:00 110006379 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse/Facility Not Report 2009-07-03 00:00:00 2009-07-03 00:00:00 Yes 2009-08-20 00:00:00 2009-08-11 00:00:00 B None 1000 1000 -1000 0 0 None QCHU11 N CA00193865 A SFY2009-10
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2009-08-07 00:00:00 110006397 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-19 00:00:00 2009-05-19 00:00:00 Yes 2009-08-28 00:00:00 2009-08-07 00:00:00 B B 1000 500 0 500 0 None JEBS11 N CA00189066 A SFY2009-10
010000782 PARADISE HOME DONCASTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-07-29 00:00:00 110006400 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-14 00:00:00 2008-10-14 00:00:00 No 2009-08-19 00:00:00 None B None 1000 1000 -350 650 0 None WBGO11 N CA00166314 A SFY2009-10
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-24 00:00:00 110006406 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-23 00:00:00 2009-05-23 00:00:00 No 2009-08-14 00:00:00 None B None 1000 1000 -350 650 0 None JXK111 N CA00189749 A SFY2009-10
010001143 PARADISE VALLEY ICF DDH, INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2009-09-28 00:00:00 110006407 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-15 00:00:00 2009-02-15 00:00:00 No 2009-10-22 00:00:00 None A None 10000 10950 -3500 7450 0 None G45311 N CA00178003, CA00178609 B, B SFY2009-10
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2009-10-13 00:00:00 110006408 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-30 00:00:00 2009-05-30 00:00:00 Yes 2009-11-03 00:00:00 2009-11-03 00:00:00 B B 1000 500 0 500 0 None GV7S11 N CA00194707 A SFY2009-10
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-07-24 00:00:00 110006415 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-18 00:00:00 2009-04-18 00:00:00 No 2009-08-14 00:00:00 None B None 1000 1000 -350 650 0 None 0EHH11 N CA00185669 A SFY2009-10
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-08 00:00:00 110006428 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-23 00:00:00 2008-10-23 00:00:00 Yes 2009-12-30 00:00:00 2009-12-10 00:00:00 B B 1000 500 0 500 0 None MOR011 N CA00167496 B SFY2009-10
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-18 00:00:00 110006437 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-11 00:00:00 2008-10-11 00:00:00 Yes 2010-01-12 00:00:00 2009-12-21 00:00:00 B B 1000 650 0 650 0 None 5SQF11 N CA00166258 B SFY2009-10
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-07 00:00:00 110006443 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-25 00:00:00 2009-07-25 00:00:00 Yes 2009-12-29 00:00:00 2009-12-11 00:00:00 B B 1000 450 0 450 0 None GMNW11 N CA00196667 A SFY2009-10
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-26 00:00:00 110006471 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-07 00:00:00 2009-08-07 00:00:00 Yes 2010-02-16 00:00:00 2010-02-16 00:00:00 B None 1000 1000 0 1000 0 None CM5611 N CA00197832 B SFY2009-10
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-02-11 00:00:00 110006472 Closed Citation Citation A (HSC 1424) Patient Care None 2009-07-22 00:00:00 2009-07-22 00:00:00 Yes 2011-11-18 00:00:00 2011-11-03 00:00:00 A A 20000 10000 0 10000 0 None 5QPI11 N CA00196133, CA00197834, CA00197834, CA00200206 B, B, B, B SFY2009-10
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-02-11 00:00:00 110006497 Closed Citation Citation A (HSC 1424) Patient Care None 2009-08-22 00:00:00 2009-08-22 00:00:00 Yes 2011-12-01 00:00:00 2011-11-09 00:00:00 A A 20000 10000 0 10000 0 None Y9YO11 N CA00199417 A SFY2009-10
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-09-03 00:00:00 110006520 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-24 00:00:00 2009-05-24 00:00:00 No 2009-09-28 00:00:00 None B None 1000 1000 -350 650 0 None 0GLJ11 N CA00189698 B SFY2009-10
010000051 PACIFIC REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2010-03-17 00:00:00 110006550 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-08-23 00:00:00 2009-08-23 00:00:00 Yes 2010-04-08 00:00:00 2010-03-23 00:00:00 B B 1000 500 0 500 0 None WYXG11 N CA00199695 C SFY2009-10
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-02-11 00:00:00 110006552 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-13 00:00:00 2009-06-13 00:00:00 Yes 2010-03-04 00:00:00 2010-02-23 00:00:00 B B 1000 650 0 650 0 None JDOJ11 N CA00191919 B SFY2009-10
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2009-09-24 00:00:00 110006575 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-01 00:00:00 2009-06-01 00:00:00 No 2009-10-16 00:00:00 None B None 1000 3000 0 3000 0 None PR8G11 N CA00190506 A SFY2009-10
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-25 00:00:00 110006580 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-19 00:00:00 2009-09-19 00:00:00 No 2010-11-30 00:00:00 None B None 1000 1000 -350 650 0 None 9GYJ11 Y CA00202450 B SFY2010-11
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-15 00:00:00 110006594 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-21 00:00:00 2009-07-21 00:00:00 No 2010-05-10 00:00:00 None B None 800 800 -280 520 0 None D3SW11 N CA00196134 B SFY2009-10
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2009-10-09 00:00:00 110006601 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-18 00:00:00 2009-08-18 00:00:00 No 2009-11-02 00:00:00 None B None 1000 1000 -350 650 0 None OJ1K11 N CA00198624 C SFY2009-10
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-10-08 00:00:00 110006602 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-21 00:00:00 2009-08-21 00:00:00 No 2009-10-30 00:00:00 None B None 1000 3000 -1050 1950 0 None 28LL11 N CA00199396 A SFY2009-10
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-16 00:00:00 110006614 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-08 00:00:00 2009-10-08 00:00:00 Yes 2010-01-12 00:00:00 2009-12-30 00:00:00 A A 18000 0 0 0 0 None J5IE11 N CA00204254 A SFY2009-10
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2009-10-21 00:00:00 110006621 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-02 00:00:00 2009-07-02 00:00:00 No 2009-11-12 00:00:00 None B None 1000 1000 -350 650 0 None HJIF11 N CA00193902 A SFY2009-10
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2009-10-21 00:00:00 110006633 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-27 00:00:00 2008-05-27 00:00:00 Yes 2009-11-16 00:00:00 2009-10-28 00:00:00 B None 1000 1000 0 1000 0 None 4IIE11 N CA00151629 A SFY2009-10
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-11-04 00:00:00 110006644 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-04 00:00:00 2008-05-04 00:00:00 Yes 2011-12-06 00:00:00 2011-11-14 00:00:00 A A 18000 10000 0 10000 0 None FKSR11 N CA00147832 B SFY2009-10
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-11-04 00:00:00 110006645 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-04 00:00:00 2008-05-04 00:00:00 Yes 2009-11-30 00:00:00 2009-11-19 00:00:00 B B 1000 530 0 530 0 None FKSR11 N CA00147832 B SFY2009-10
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-11-04 00:00:00 110006646 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-04 00:00:00 2008-03-04 00:00:00 Yes 2011-12-14 00:00:00 2009-11-19 00:00:00 A A 18000 0 0 0 0 None FKSR11 N CA00147832 B SFY2009-10
010000431 PETALUMA ICF/DDH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-04-16 00:00:00 110006647 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-10 00:00:00 2009-10-10 00:00:00 No 2010-05-07 00:00:00 None B None 1000 1000 -350 650 0 None IG9311 N CA00205463 A SFY2009-10
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-22 00:00:00 110006657 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-14 00:00:00 2009-04-14 00:00:00 No 2010-02-18 00:00:00 None B None 1000 1000 -350 650 0 None XY9511 N CA00185002 B SFY2009-10
010000622 SARATOGA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-01-27 00:00:00 110006694 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-01 00:00:00 2009-11-01 00:00:00 No 2010-02-17 00:00:00 None B None 1000 1000 0 1000 0 None 2WIC11 N CA00206777 B SFY2009-10
010000022 FRIENDS HOUSE LTC SNF Skilled Nursing Facility Santa Rosa 2009-11-24 00:00:00 110006722 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-19 00:00:00 2009-10-19 00:00:00 Yes 2009-12-17 00:00:00 2009-11-30 00:00:00 A A 16000 16000 0 16000 0 None S65711 N None None SFY2009-10
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-15 00:00:00 110006752 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-24 00:00:00 2009-06-24 00:00:00 Yes 2010-05-06 00:00:00 2010-04-23 00:00:00 B B 1000 530 0 530 0 None FMR211 N CA00193265 A SFY2009-10
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-08 00:00:00 110006753 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-10-23 00:00:00 2008-10-23 00:00:00 Yes 2009-12-30 00:00:00 2009-12-10 00:00:00 B B 1000 500 0 500 0 None MOR011 N CA00167496 B SFY2009-10
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-20 00:00:00 110006754 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-08-30 00:00:00 2009-08-30 00:00:00 No 2010-11-10 00:00:00 None B None 1000 1000 0 1000 0 None R48611 N CA00200508 C SFY2010-11
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-16 00:00:00 110006760 Closed Citation Citation B (HSC 1424) Administration None 2009-04-29 00:00:00 2009-04-29 00:00:00 Yes 2010-01-08 00:00:00 2009-12-31 00:00:00 B None 1000 1000 0 1000 0 None GLL011 N CA00192885 B SFY2009-10
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2009-12-16 00:00:00 110006763 Closed Citation Citation B (HSC 1424) Administration None 2009-01-02 00:00:00 2009-01-02 00:00:00 Yes 2010-01-12 00:00:00 2009-12-30 00:00:00 B None 1000 1000 0 1000 0 None FK7S11 N CA00200051 B SFY2009-10
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-12 00:00:00 110006783 Closed Citation Citation B (HSC 1424) Administration None 2009-11-30 00:00:00 2009-11-30 00:00:00 No 2010-02-08 00:00:00 None B None 1000 1000 -350 650 0 None 817Q11 N None None SFY2009-10
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-12 00:00:00 110006785 Closed Citation Citation A (HSC 1424) Patient Care None 2008-10-31 00:00:00 2008-10-31 00:00:00 Yes 2011-12-01 00:00:00 2011-11-10 00:00:00 A B 20000 22000 0 22000 0 None A68611 N CA00168061 B SFY2009-10
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2010-03-10 00:00:00 110006794 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-01 00:00:00 2009-08-01 00:00:00 No 2010-04-01 00:00:00 None B None 1000 1000 0 1000 0 None W3D911 N CA00199062 C SFY2009-10
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-14 00:00:00 110006807 Closed Citation Citation B (HSC 1424) Administration None 2009-10-28 00:00:00 2009-10-28 00:00:00 No 2010-05-05 00:00:00 None B None 1000 1000 -350 650 0 None PJQW11 N CA00207900 B SFY2009-10
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-14 00:00:00 110006808 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-28 00:00:00 2009-10-28 00:00:00 No 2010-05-05 00:00:00 None A None 10000 10000 -3500 6500 0 None PJQW11 N CA00207900 B SFY2009-10
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-29 00:00:00 110006851 Closed Citation Citation B (HSC 1424) Administration None 2009-10-12 00:00:00 2009-10-12 00:00:00 No 2010-02-19 00:00:00 None B None 1000 1000 -350 650 0 None 72MX11 N None None SFY2009-10
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-11-04 00:00:00 110006872 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-12-12 00:00:00 2009-12-12 00:00:00 No 2010-11-30 00:00:00 None B None 1000 1000 -350 650 0 None S6DV11 N CA00211760 A SFY2010-11
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2010-08-19 00:00:00 110006873 Closed Citation Citation B (HSC 1424) Problem Transfer None 2009-12-18 00:00:00 2009-12-18 00:00:00 No 2010-09-14 00:00:00 None B None 1000 1000 -350 650 0 None 5WB211 N CA00211865 A SFY2010-11
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-15 00:00:00 110006877 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-10 00:00:00 2009-11-10 00:00:00 Yes 2010-05-06 00:00:00 2010-04-29 00:00:00 B None 1000 1000 0 1000 0 None 0ZFU11 N CA00207953 B SFY2009-10
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-20 00:00:00 110006878 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-02 00:00:00 2009-12-02 00:00:00 No 2010-05-11 00:00:00 None B None 1000 1000 -350 650 0 None MKBW11 N CA00209561 B SFY2009-10
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-07-16 00:00:00 110006879 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-08-04 00:00:00 2009-08-04 00:00:00 No 2010-08-11 00:00:00 None B None 1000 1000 -350 650 0 None TD7011 N CA00198047 C SFY2010-11
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-07-16 00:00:00 110006880 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-08-04 00:00:00 2009-08-04 00:00:00 No 2010-08-11 00:00:00 None B None 1000 1000 -350 650 0 None TD7011 N CA00198047 C SFY2010-11
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-12 00:00:00 110006894 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-06 00:00:00 2009-02-06 00:00:00 No 2010-02-08 00:00:00 None B None 1000 1000 0 1000 0 None 2EUM11 N CA00177408 B SFY2009-10
010000622 SARATOGA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-01-27 00:00:00 110006895 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-09 00:00:00 2009-10-09 00:00:00 No 2010-02-18 00:00:00 None B None 1000 1000 -350 650 0 None ES5F11 N CA00204647 B SFY2009-10
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-21 00:00:00 110006900 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-07 00:00:00 2009-06-07 00:00:00 Yes 2012-10-10 00:00:00 2012-09-19 00:00:00 A A 18000 12000 0 12000 0 None EBED11 N CA00191184 B SFY2009-10
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-14 00:00:00 110006901 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-25 00:00:00 2009-08-25 00:00:00 Yes 2010-05-07 00:00:00 2010-04-14 00:00:00 B B 1000 650 0 650 0 None FWIZ11 N CA00199628 C SFY2009-10
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-25 00:00:00 110006929 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-17 00:00:00 2009-09-17 00:00:00 Yes 2010-02-18 00:00:00 2010-02-05 00:00:00 B None 1000 1000 0 1000 0 None 6KVQ11 N CA00201985 A SFY2009-10
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2010-02-19 00:00:00 110006930 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-23 00:00:00 2009-10-23 00:00:00 Yes 2012-10-26 00:00:00 2012-10-15 00:00:00 A B 20000 15000 0 15000 0 None EHF911 Y CA00206130 A SFY2009-10
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2010-01-20 00:00:00 110006931 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-10 00:00:00 2008-11-10 00:00:00 Yes 2010-02-10 00:00:00 2010-01-26 00:00:00 B None 1000 1000 0 1000 0 None 1SQK11 N None None SFY2009-10
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-09-08 00:00:00 110006934 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-07 00:00:00 2009-12-07 00:00:00 Yes 2010-09-29 00:00:00 2010-09-15 00:00:00 B B 1000 1950 0 1950 0 None L10I11 N CA00210728, CA00210728 B, B SFY2010-11
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-01-19 00:00:00 110006944 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-16 00:00:00 2009-11-16 00:00:00 Yes 2011-02-09 00:00:00 2011-01-19 00:00:00 B B 1000 650 0 650 0 None INZV11 N CA00208327 B SFY2010-11
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-02-11 00:00:00 110006968 Closed Citation Citation A (HSC 1424) Patient Care None 2009-08-07 00:00:00 2009-08-07 00:00:00 No 2010-03-12 00:00:00 None A None 18000 18000 -6300 11700 0 None NMVM11 N CA00197975 B SFY2009-10
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-11-04 00:00:00 110006973 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-12-12 00:00:00 2009-12-12 00:00:00 No 2010-11-30 00:00:00 None B None 1000 1000 -350 650 0 None S6DV11 N CA00211760 A SFY2010-11
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-03-23 00:00:00 110006991 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-18 00:00:00 2009-11-18 00:00:00 Yes 2010-04-16 00:00:00 2010-04-09 00:00:00 B None 1000 1000 0 1000 0 None 9NM911 N CA00209479 A SFY2009-10
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2010-02-17 00:00:00 110006993 Closed Citation Citation B (HSC 1424) Administration None 2009-08-21 00:00:00 2009-08-21 00:00:00 Yes 2010-03-10 00:00:00 2010-02-18 00:00:00 B B 1000 500 0 500 0 None 0NPZ11 N CA00199847, CA00199847, CA00199929, CA00199929 B, B, C, C SFY2009-10
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2010-02-17 00:00:00 110006994 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-21 00:00:00 2009-08-21 00:00:00 Yes 2010-03-10 00:00:00 2010-02-23 00:00:00 B B 1000 500 0 500 0 None 0NPZ11 N CA00199847, CA00199929 B, C SFY2009-10
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-20 00:00:00 110007001 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-29 00:00:00 2009-12-29 00:00:00 No 2010-05-11 00:00:00 None B None 1000 1000 -350 650 0 None E58C11 N CA00214139 B SFY2009-10
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-02-19 00:00:00 110007005 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-08 00:00:00 2009-02-08 00:00:00 Yes 2010-03-22 00:00:00 2010-02-22 00:00:00 B None 1000 1000 0 1000 0 None ERG511 N CA00177333, CA00177333 B, B SFY2009-10
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2011-01-19 00:00:00 110007019 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-02 00:00:00 2009-08-02 00:00:00 Yes 2014-09-03 00:00:00 2011-01-31 00:00:00 B B 1000 1000 -1000 0 0 None H3T311 N CA00197252 B SFY2010-11
010000431 PETALUMA ICF/DDH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-04-16 00:00:00 110007029 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-10-10 00:00:00 2009-10-10 00:00:00 No 2010-05-07 00:00:00 None B None 1000 1000 -350 650 0 None IG9311 N CA00205463 A SFY2009-10
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-27 00:00:00 110007031 Closed Citation Citation B (HSC 1424) Patient Care Admin. & Patient Care 2009-06-09 00:00:00 2009-06-09 00:00:00 Yes 2010-11-18 00:00:00 2010-11-12 00:00:00 B B 1000 650 0 650 0 None LUH311 N CA00191495 A SFY2010-11
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-09-08 00:00:00 110007054 Closed Citation Citation B (HSC 1424) Administration None 2010-02-11 00:00:00 2010-02-11 00:00:00 Yes 2010-10-06 00:00:00 2010-09-29 00:00:00 B None 1000 1000 0 1000 0 None VPFO11 N CA00220623 B SFY2010-11
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-12-16 00:00:00 110007111 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-26 00:00:00 2009-11-26 00:00:00 Yes 2012-01-10 00:00:00 2011-12-20 00:00:00 B B 1000 1145 -300 845 0 None TW0511 N CA00209610 A SFY2011-12
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-11-30 00:00:00 110007112 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-24 00:00:00 2010-03-24 00:00:00 Yes 2013-06-05 00:00:00 2011-01-06 00:00:00 A A 18000 18000 0 18000 0 None EFTG11 N CA00223232 B SFY2010-11
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-07-15 00:00:00 110007114 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-03-13 00:00:00 2010-03-13 00:00:00 No 2010-08-11 00:00:00 None B None 1000 1000 -350 650 0 None OWIK11 N CA00222235 A SFY2010-11
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-04-14 00:00:00 110007123 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-25 00:00:00 2009-08-25 00:00:00 Yes 2010-05-07 00:00:00 2010-04-14 00:00:00 B B 1000 650 0 650 0 None FWIZ11 N CA00199628 C SFY2009-10
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-08-24 00:00:00 110007146 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-29 00:00:00 2010-03-29 00:00:00 Yes 2010-09-20 00:00:00 2010-09-17 00:00:00 B None 1000 1000 0 1000 0 None HDLQ11 N CA00223569 B SFY2010-11
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-08-18 00:00:00 110007159 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-03 00:00:00 2009-12-03 00:00:00 No 2010-09-14 00:00:00 None B None 1000 1000 -350 650 0 None Y75F11 N CA00210242 B SFY2010-11
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2013-07-29 00:00:00 110007167 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-16 00:00:00 2010-04-16 00:00:00 Yes 2013-08-19 00:00:00 2013-07-29 00:00:00 B None 1000 1000 -350 650 0 None 5PHQ11 N CA00224167, CA00225709, CA00228718 A, C, B SFY2013-14
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-06-21 00:00:00 110007227 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-12-28 00:00:00 2009-12-28 00:00:00 No 2010-07-15 00:00:00 None B None 1000 1000 -350 650 0 None ZWNI11 N CA00213458 A SFY2009-10
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2011-03-01 00:00:00 110007234 Closed Citation Citation A (HSC 1424) Patient Rights None 2009-12-06 00:00:00 2009-12-06 00:00:00 Yes 2011-03-22 00:00:00 2011-03-14 00:00:00 A B 20000 10000 0 10000 0 None SB5W11 N CA00210526 A SFY2010-11
010000970 DEVON DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-10-18 00:00:00 110007244 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-29 00:00:00 2010-01-29 00:00:00 No 2010-11-08 00:00:00 None B None 1000 1000 -350 650 0 None KKMB11 N CA00215518 B SFY2010-11
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2012-07-05 00:00:00 110007292 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-31 00:00:00 2010-05-31 00:00:00 No 2012-07-26 00:00:00 None B None 1000 1000 -350 650 0 None LZC611 N CA00231079 A SFY2012-13
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-26 00:00:00 110007293 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-03-04 00:00:00 2010-03-04 00:00:00 No 2010-11-19 00:00:00 None B None 1000 1000 -350 650 0 None PIXW11 N CA00220403, CA00220459 A, A SFY2010-11
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-26 00:00:00 110007294 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-03-04 00:00:00 2010-03-04 00:00:00 No 2010-11-19 00:00:00 None B None 1000 1000 -350 650 0 None PIXW11 N CA00220403, CA00220459 A, A SFY2010-11
010000792 CROSSROADS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-11-05 00:00:00 110007300 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-15 00:00:00 2010-02-15 00:00:00 Yes 2010-12-01 00:00:00 2010-11-15 00:00:00 B B 1000 650 0 650 0 None H30W11 N CA00223731 A SFY2010-11
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-06-15 00:00:00 110007301 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-01-12 00:00:00 2010-01-12 00:00:00 No 2010-07-06 00:00:00 None B None 1000 1000 -350 650 0 None J4BG11 N CA00214798 A SFY2009-10
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-06-15 00:00:00 110007302 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-12 00:00:00 2010-01-12 00:00:00 No 2010-07-06 00:00:00 None B None 1000 1000 -350 650 0 None J4BG11 N CA00214798 A SFY2009-10
010000585 FIFTY-O-ONE PARKHURST LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-07-20 00:00:00 110007307 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-17 00:00:00 2010-03-17 00:00:00 No 2010-08-12 00:00:00 None B None 1000 1000 -350 650 0 None ST8S11 N CA00222706, CA00224292 A, B SFY2010-11
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-03-17 00:00:00 110007358 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-06-21 00:00:00 2010-06-21 00:00:00 Yes 2011-04-08 00:00:00 2011-04-05 00:00:00 B None 1000 1000 0 1000 0 None OUBG11 N CA00233220 A SFY2010-11
010000792 CROSSROADS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-11-05 00:00:00 110007359 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-29 00:00:00 2010-05-29 00:00:00 Yes 2010-12-02 00:00:00 2010-11-15 00:00:00 B B 1000 650 0 650 0 None P55J11 N CA00230718 A SFY2010-11
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-07-15 00:00:00 110007362 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-20 00:00:00 2010-03-20 00:00:00 No 2010-08-11 00:00:00 None B None 1000 1000 -350 650 0 None OWIK11 N CA00222235 A SFY2010-11
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2010-09-28 00:00:00 110007473 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-30 00:00:00 2010-07-30 00:00:00 No 2010-10-21 00:00:00 None B None 1000 1000 -350 650 0 None TQ8F11 N CA00237857 A SFY2010-11
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-08-31 00:00:00 110007504 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-16 00:00:00 2010-05-16 00:00:00 No 2010-09-24 00:00:00 None B None 1000 1000 -350 650 0 None S44311 N CA00228958, CA00231751 B, B SFY2010-11
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-08-31 00:00:00 110007505 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-25 00:00:00 2010-05-25 00:00:00 No 2010-09-24 00:00:00 None B None 1000 1000 -350 650 0 None R0U311 N CA00230072 B SFY2010-11
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-12-23 00:00:00 110007506 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-02 00:00:00 2009-09-02 00:00:00 Yes 2011-01-13 00:00:00 2010-12-29 00:00:00 B B 1000 650 0 650 0 None W75U11 N CA00200836 B SFY2010-11
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-09-21 00:00:00 110007508 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-09 00:00:00 2010-03-09 00:00:00 Yes 2010-10-12 00:00:00 2010-09-21 00:00:00 B B 1000 650 0 650 0 None V47W11 N CA00220597, CA00230968, CA00231940 B, B, B SFY2010-11
010000792 CROSSROADS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-11-05 00:00:00 110007512 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-15 00:00:00 2010-02-15 00:00:00 Yes 2010-12-01 00:00:00 2010-11-15 00:00:00 B B 1000 650 0 650 0 None H30W11 N CA00223731 A SFY2010-11
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2010-09-14 00:00:00 110007549 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-17 00:00:00 2010-02-17 00:00:00 No 2010-10-05 00:00:00 None B None 1000 1000 0 1000 0 None 43BI11 N CA00218642 A SFY2010-11
010000679 GRAND CHALET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-09-27 00:00:00 110007550 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-24 00:00:00 2010-08-24 00:00:00 No 2010-10-18 00:00:00 None B None 1000 1000 -350 650 0 None LRMR11 N CA00239220 B SFY2010-11
630010921 CROSSROADS III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-10-05 00:00:00 110007571 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-08-10 00:00:00 2010-08-10 00:00:00 No 2010-10-26 00:00:00 None B None 1000 1000 0 1000 0 None PML911 N CA00238454 A SFY2010-11
010000792 CROSSROADS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-11-05 00:00:00 110007576 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-29 00:00:00 2010-05-29 00:00:00 Yes 2010-12-01 00:00:00 2010-11-15 00:00:00 B B 1000 650 0 650 0 None P55J11 N CA00230718 A SFY2010-11
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-21 00:00:00 110007582 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-09-09 00:00:00 2010-09-09 00:00:00 Yes 2010-11-12 00:00:00 2010-10-28 00:00:00 B B 1000 530 0 530 0 None 7IHD11 N CA00242382 A SFY2010-11
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-09-22 00:00:00 110007583 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-04-10 00:00:00 2010-04-10 00:00:00 Yes 2010-10-13 00:00:00 2010-10-05 00:00:00 B None 1000 3000 0 3000 0 None EPI811 N CA00225083 A SFY2010-11
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-09-22 00:00:00 110007584 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-04-10 00:00:00 2010-04-10 00:00:00 Yes 2010-10-13 00:00:00 2010-10-05 00:00:00 B None 1000 3000 0 3000 0 None EPI811 N CA00225083 A SFY2010-11
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-20 00:00:00 110007585 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-12 00:00:00 2009-07-12 00:00:00 No 2010-11-10 00:00:00 None B None 1000 1000 0 1000 0 None NWPI11 N CA00200212 C SFY2010-11
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-10-19 00:00:00 110007586 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-15 00:00:00 2010-08-15 00:00:00 Yes 2012-11-09 00:00:00 2012-10-25 00:00:00 A A 20000 12000 0 12000 0 None HWSE11 N CA00240708 B SFY2012-13
630010921 CROSSROADS III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2010-10-05 00:00:00 110007600 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-08-03 00:00:00 2010-08-03 00:00:00 No 2010-10-26 00:00:00 None B None 1000 1000 0 1000 0 None PML911 N None None SFY2010-11
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-21 00:00:00 110007655 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-21 00:00:00 2009-07-21 00:00:00 Yes 2010-11-12 00:00:00 2010-10-28 00:00:00 B B 1000 530 0 530 0 None 1SER11 N CA00195958 A SFY2010-11
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-12-17 00:00:00 110007660 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-13 00:00:00 2010-05-13 00:00:00 Yes 2011-01-07 00:00:00 2010-12-23 00:00:00 A A 20000 13000 0 13000 0 None DCKY11 N CA00230264 B SFY2010-11
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2010-10-21 00:00:00 110007661 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-21 00:00:00 2010-07-21 00:00:00 Yes 2010-11-16 00:00:00 2010-10-28 00:00:00 B B 1000 530 0 530 0 None 1SER11 N CA00195958 A SFY2010-11
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-09-04 00:00:00 110007663 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-20 00:00:00 2010-09-20 00:00:00 No 2012-09-25 00:00:00 None B None 1000 1000 0 1000 0 None NIDL11 N CA00244624 B SFY2012-13
010001128 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Santa Rosa 2011-05-10 00:00:00 110007672 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-10 00:00:00 2010-01-10 00:00:00 Yes 2011-06-01 00:00:00 2011-05-19 00:00:00 B B 1000 650 0 650 0 None P27V11 N CA00214147 C SFY2010-11
110000016 CRESTWOOD MANOR VALLEJO LTC SNF Skilled Nursing Facility Santa Rosa 2011-03-10 00:00:00 110007700 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-07 00:00:00 2010-04-07 00:00:00 Yes 2011-04-01 00:00:00 2011-03-17 00:00:00 B B 1000 750 0 750 0 None W1Z111 N CA00224594 A SFY2010-11
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-12-23 00:00:00 110007707 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-07-27 00:00:00 2010-07-27 00:00:00 Yes 2011-01-13 00:00:00 2010-12-29 00:00:00 B B 1000 1950 0 1950 0 None 7UM611 N CA00238258 A SFY2010-11
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2010-12-23 00:00:00 110007708 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-27 00:00:00 2010-07-27 00:00:00 Yes 2011-01-13 00:00:00 2010-12-29 00:00:00 B B 1000 650 0 650 0 None 7UM611 N CA00238258 A SFY2010-11
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2011-05-25 00:00:00 110007752 Closed Citation Citation A (HSC 1424) Patient Care None 2010-09-16 00:00:00 2010-09-16 00:00:00 Yes 2013-06-06 00:00:00 2013-05-17 00:00:00 A A 19000 15000 0 15000 0 None TEFJ11 N CA00242993, CA00243131 A, A SFY2010-11
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2011-08-10 00:00:00 110007800 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-26 00:00:00 2010-11-26 00:00:00 No 2011-08-31 00:00:00 None B None 1000 1000 -350 650 0 None TO3K11 N CA00250531 A SFY2011-12
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2011-03-29 00:00:00 110007832 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-15 00:00:00 2010-06-15 00:00:00 No 2011-04-20 00:00:00 None B None 1000 1000 -350 650 0 None TY9E11 N CA00232343 B SFY2010-11
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2011-04-13 00:00:00 110007849 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-01-08 00:00:00 2011-01-08 00:00:00 No 2011-05-04 00:00:00 None B None 1000 1000 -350 650 0 None 0QBC11 N CA00255094 A SFY2010-11
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-04-19 00:00:00 110007851 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-28 00:00:00 2009-10-28 00:00:00 No 2011-05-10 00:00:00 None B None 1000 1000 -350 650 0 None W98L11 N CA00208376 B SFY2010-11
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2011-04-05 00:00:00 110007912 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-02 00:00:00 2010-11-02 00:00:00 No 2011-04-26 00:00:00 None B None 1000 1000 -350 650 0 None DPPZ11 N CA00248099 A SFY2010-11
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2011-04-21 00:00:00 110007916 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-03-17 00:00:00 2010-03-17 00:00:00 No 2011-05-12 00:00:00 None B None 1000 1000 -350 650 0 None D35D11 N CA00221627 A SFY2010-11
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2011-03-03 00:00:00 110007941 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-10-13 00:00:00 2009-10-13 00:00:00 No 2011-03-24 00:00:00 None B None 1000 1000 -350 650 0 None EHFQ11 N CA00204791 A SFY2010-11
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-12-07 00:00:00 110007964 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-17 00:00:00 2010-03-17 00:00:00 No 2012-12-31 00:00:00 None B None 1000 1000 -350 650 0 None I5HC11 N CA00257346 B SFY2012-13
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2011-03-17 00:00:00 110007965 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-08 00:00:00 2010-07-08 00:00:00 No 2011-04-08 00:00:00 None B None 1000 1000 -350 650 0 None 0F8411 N CA00234986 B SFY2010-11
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2011-05-10 00:00:00 110007966 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-08-06 00:00:00 2010-08-06 00:00:00 Yes 2011-06-01 00:00:00 2011-05-12 00:00:00 B B 1000 1000 0 1000 0 None OC9Q11 N CA00237750, CA00238078 B, B SFY2010-11
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2011-08-03 00:00:00 110007972 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-02-18 00:00:00 2011-02-18 00:00:00 No 2011-08-24 00:00:00 None B None 1000 1000 0 1000 0 None QHUS11 N CA00259642 A SFY2011-12
110000030 HEARTWOOD AVENUE HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2011-05-10 00:00:00 110007980 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-27 00:00:00 2010-09-27 00:00:00 Yes 2011-06-01 00:00:00 2011-05-27 00:00:00 B B 1000 650 0 650 0 None MOMT11 N CA00248548 A SFY2010-11
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2011-05-11 00:00:00 110007981 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-20 00:00:00 2010-10-20 00:00:00 Yes 2011-06-02 00:00:00 2011-05-25 00:00:00 B B 1000 1000 0 1000 0 None GT3D11 N CA00247206, CA00247666 A, B SFY2010-11
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2011-04-27 00:00:00 110007996 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-25 00:00:00 2010-10-25 00:00:00 No 2011-05-18 00:00:00 None B None 1000 1000 -350 650 0 None EWJK11 N CA00247433 B SFY2010-11
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-07-20 00:00:00 110007999 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-11-17 00:00:00 2010-11-17 00:00:00 No 2011-08-10 00:00:00 None B None 1000 1000 -350 650 0 None 9R6Z11 N CA00249863 A SFY2011-12
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-04-21 00:00:00 110008031 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-21 00:00:00 2010-12-21 00:00:00 No 2011-05-12 00:00:00 None B None 1000 1000 -350 650 0 None T2P911 N CA00253106 B SFY2010-11
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2011-03-29 00:00:00 110008038 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-03 00:00:00 2009-07-03 00:00:00 No 2011-04-20 00:00:00 None B None 1000 1000 -350 650 0 None XBFH11 N CA00193944 B SFY2010-11
010000643 PATHWAYS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2011-04-22 00:00:00 110008070 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-03-07 00:00:00 2011-03-07 00:00:00 No 2011-05-13 00:00:00 None B None 1000 1350 -350 1000 0 None WZVO11 N None None SFY2010-11
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2011-10-27 00:00:00 110008190 Closed Citation Citation A (HSC 1424) Physical Environment None 2011-04-16 00:00:00 2011-04-16 00:00:00 Yes 2013-06-05 00:00:00 2011-11-04 00:00:00 A A 18000 18000 0 18000 0 None PQXC11 Y CA00266254, CA00266416, CA00266416, CA00285434 A, A, A, B SFY2011-12
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2011-11-02 00:00:00 110008200 Closed Citation Citation A (HSC 1424) Patient Care None 2011-04-22 00:00:00 2011-04-22 00:00:00 Yes 2013-11-01 00:00:00 2011-11-16 00:00:00 A A 16000 15500 0 15500 0 None J5ZZ11 N CA00260660, CA00262107, CA00262787 A, B, B SFY2011-12
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2011-05-25 00:00:00 110008229 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-16 00:00:00 2010-09-16 00:00:00 Yes 2011-06-16 00:00:00 2011-06-08 00:00:00 B B 1000 650 0 650 0 None TEFJ11 N CA00242993, CA00243131 A, A SFY2010-11
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-05-17 00:00:00 110008237 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-26 00:00:00 2010-02-26 00:00:00 Yes 2011-06-08 00:00:00 2011-05-31 00:00:00 B None 1000 1000 0 1000 0 None ED0711 N CA00228443 B SFY2010-11
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2012-02-29 00:00:00 110008291 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-06-03 00:00:00 2011-06-03 00:00:00 Yes 2012-03-21 00:00:00 2012-03-02 00:00:00 B None 1000 1000 -1000 0 0 None EUJX11 N CA00246859 A SFY2011-12
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2011-07-07 00:00:00 110008325 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-14 00:00:00 2011-06-14 00:00:00 No 2011-07-28 00:00:00 None B None 1000 1000 0 1000 0 None EHO711 N None None SFY2011-12
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2011-09-30 00:00:00 110008359 Closed Citation Citation B (HSC 1424) Administration None 2011-06-27 00:00:00 2011-06-27 00:00:00 No 2011-10-21 00:00:00 None B None 1000 1000 -350 650 0 None BU5011 N None None SFY2011-12
010000052 PETALUMA POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2014-01-03 00:00:00 110008387 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-01-27 00:00:00 2011-01-27 00:00:00 No 2014-01-27 00:00:00 None B None 1000 1000 -350 650 0 None IPNM11 N CA00256178 B SFY2013-14
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2011-07-28 00:00:00 110008396 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-06-10 00:00:00 2010-06-10 00:00:00 No 2011-08-18 00:00:00 None B None 1000 1000 -350 650 0 None 34I911 N CA00232793 B SFY2011-12
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2011-09-20 00:00:00 110008445 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-08-16 00:00:00 2010-08-16 00:00:00 No 2011-10-11 00:00:00 None B None 1000 1000 -350 650 0 None X4NL11 N CA00239673 A SFY2011-12
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2011-09-20 00:00:00 110008446 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-08-14 00:00:00 2010-08-14 00:00:00 No 2011-10-11 00:00:00 None B None 1000 1000 -350 650 0 None X8XZ11 N CA00239725 A SFY2011-12
010000970 DEVON DRIVE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2011-09-14 00:00:00 110008460 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-07-29 00:00:00 2011-07-29 00:00:00 No 2011-10-06 00:00:00 None B None 1000 1000 -350 650 0 None MPMN11 N CA00277332 A SFY2011-12
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2012-05-30 00:00:00 110008463 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-11 00:00:00 2011-07-11 00:00:00 No 2012-06-20 00:00:00 None B None 1000 1000 0 1000 0 None POAP11 N CA00277148 A SFY2011-12
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2011-09-20 00:00:00 110008479 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-08-15 00:00:00 2010-08-15 00:00:00 No 2011-10-11 00:00:00 None B None 1000 1000 -350 650 0 None RMV411 N CA00239525 A SFY2011-12
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-09-16 00:00:00 110008556 Closed Citation Citation A (HSC 1424) Patient Care None 2010-02-23 00:00:00 2010-02-23 00:00:00 No 2011-10-07 00:00:00 None A None 17000 17000 -5950 11050 0 None YWHJ11 N CA00219568 B SFY2011-12
010000480 VELMA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2011-10-26 00:00:00 110008562 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-06-28 00:00:00 2011-06-28 00:00:00 No 2011-11-17 00:00:00 None B None 1000 1000 0 0 1000 None 3CY611 N CA00274270 A SFY2011-12
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2011-10-31 00:00:00 110008587 Closed Citation Citation A (HSC 1424) Patient Rights None 2011-08-30 00:00:00 2011-08-30 00:00:00 No 2011-11-22 00:00:00 None A None 6000 6000 -2100 3900 0 None 83TC11 N CA00281757 B SFY2011-12
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2013-05-16 00:00:00 110008617 Closed Citation Citation AA (HSC 1424) Medication None 2011-08-08 00:00:00 2011-08-08 00:00:00 Yes 2013-06-07 00:00:00 2013-05-31 00:00:00 AA AA 100000 65000 0 65000 0 None 6MV911 Y CA00278625 B SFY2012-13
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2011-11-14 00:00:00 110008625 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-09-10 00:00:00 2010-09-10 00:00:00 No 2011-12-07 00:00:00 None B None 1000 1000 -350 650 0 None 6DVO11 N CA00242388 A SFY2011-12
110000760 THE MEADOWS OF NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-12-01 00:00:00 110008626 Closed Citation Citation B (HSC 1424) Administration None 2011-08-29 00:00:00 2011-08-29 00:00:00 No 2011-12-22 00:00:00 None B None 1000 1000 -350 650 0 None T2RZ11 N None None SFY2011-12
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2012-01-12 00:00:00 110008655 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-12-17 00:00:00 2010-12-17 00:00:00 No 2012-02-03 00:00:00 None B None 1000 1000 -350 650 0 None RR4C11 N CA00252921, CA00286841 A, B SFY2011-12
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2011-12-19 00:00:00 110008661 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-23 00:00:00 2011-03-23 00:00:00 Yes 2012-01-11 00:00:00 2012-01-10 00:00:00 B None 1000 1000 0 1000 0 None D4YV11 N CA00263381 B SFY2011-12
010000052 PETALUMA POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2011-12-07 00:00:00 110008712 Closed Citation Citation B (HSC 1424) Administration None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2011-12-29 00:00:00 None B None 1000 1000 -350 650 0 None 66IN11 N None None SFY2011-12
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-01 00:00:00 110008780 Open Citation Citation B (HSC 1424) Patient Rights None 2011-10-19 00:00:00 2011-10-19 00:00:00 Yes 2012-03-22 00:00:00 2012-03-20 00:00:00 B None 1000 1000 0 0 1000 None LRK411 N CA00288693 A SFY2011-12
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2012-01-12 00:00:00 110008786 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-12-17 00:00:00 2010-12-17 00:00:00 No 2012-02-03 00:00:00 None B None 1000 1000 -350 650 0 None RR4C11 N CA00252921, CA00286841 A, B SFY2011-12
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2012-05-02 00:00:00 110008823 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-15 00:00:00 2010-11-15 00:00:00 No 2012-05-23 00:00:00 None B B 1000 500 0 500 0 None MUR211 N CA00251720 B SFY2011-12
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2012-10-15 00:00:00 110008824 Closed Citation Citation B (HSC 1424) Administration None 2011-11-25 00:00:00 2011-11-25 00:00:00 No 2012-11-05 00:00:00 None B None 1000 1000 0 1000 0 None 12JO11 N CA00291450, CA00291521 B, B SFY2012-13
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2012-05-02 00:00:00 110008826 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-12-10 00:00:00 2010-12-10 00:00:00 No 2012-05-23 00:00:00 None B B 1000 500 0 500 0 None 6LI111 N CA00251925 B SFY2011-12
010001124 MONTE VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2012-08-08 00:00:00 110008845 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-27 00:00:00 2011-05-27 00:00:00 No 2012-08-29 00:00:00 None B None 1000 1000 -350 650 0 None JI5511 N CA00271384 A SFY2012-13
010001124 MONTE VERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2012-08-08 00:00:00 110008846 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported AB Abuse/Facility Not Rep 2011-05-27 00:00:00 2011-05-27 00:00:00 No 2012-08-29 00:00:00 None B None 1000 1000 -350 650 0 None JI5511 N CA00271384 A SFY2012-13
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008866 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008867 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008868 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008869 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008870 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008871 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008872 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008873 Closed Citation Citation B (HSC 1424) Dietary None 2011-10-31 00:00:00 2011-10-31 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008874 Closed Citation Citation B (HSC 1424) Dietary None 2011-10-31 00:00:00 2011-10-31 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2012-02-29 00:00:00 110008884 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported AB Abuse/Fac Not Self Rep 2011-10-07 00:00:00 2011-10-07 00:00:00 Yes 2012-03-21 00:00:00 2012-03-02 00:00:00 B None 1000 1000 -1000 0 0 None EUJX11 N CA00246859 A SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008952 Closed Citation Citation B (HSC 1424) Dietary None 2011-10-31 00:00:00 2011-10-31 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-08 00:00:00 110008953 Closed Citation Citation B (HSC 1424) Administration None 2011-10-31 00:00:00 2011-10-31 00:00:00 No 2012-03-29 00:00:00 None B None 1000 1000 -350 650 0 None XJ2R11 N None None SFY2011-12
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2012-04-27 00:00:00 110008977 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-13 00:00:00 2012-01-13 00:00:00 Yes 2012-05-18 00:00:00 2012-05-16 00:00:00 B None 1000 1000 0 1000 0 None RW8Q11 N CA00296216 B SFY2011-12
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-14 00:00:00 110009098 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-18 00:00:00 2010-12-18 00:00:00 No 2012-04-04 00:00:00 None B None 1000 1000 -350 650 0 None VLCF11 Y None None SFY2011-12
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-01 00:00:00 110009120 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-15 00:00:00 2012-02-15 00:00:00 Yes 2012-06-22 00:00:00 2012-06-08 00:00:00 B None 2000 2000 -2000 0 0 None STR811 N CA00297398 B SFY2011-12
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-01 00:00:00 110009121 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-12 00:00:00 2012-01-12 00:00:00 Yes 2012-06-22 00:00:00 2012-06-08 00:00:00 B None 2000 2000 -2000 0 0 None STR811 N CA00296082, CA00296086 B, B SFY2011-12
630010921 CROSSROADS III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2015-03-13 00:00:00 110009175 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-01-13 00:00:00 2012-01-13 00:00:00 Yes 2015-04-06 00:00:00 2015-03-19 00:00:00 B None 2000 2300 -2300 0 0 None RWEQ11 N CA00296099, CA00296102 A, A SFY2014-15
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2012-05-30 00:00:00 110009217 Closed Citation Citation B (HSC 1424) Administration None 2012-03-12 00:00:00 2012-03-12 00:00:00 No 2012-06-20 00:00:00 None B None 1000 15600 -350 15250 0 None Q99K11 N None None SFY2011-12
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2012-05-30 00:00:00 110009218 Open Citation Citation B (HSC 1424) Administration None 2012-03-12 00:00:00 2012-03-12 00:00:00 Yes 2012-06-20 00:00:00 2012-06-15 00:00:00 B None 1000 1000 0 0 1000 None Q99K11 N None None SFY2011-12
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2012-05-30 00:00:00 110009220 Closed Citation Citation B (HSC 1424) Administration None 2012-03-12 00:00:00 2012-03-12 00:00:00 No 2012-06-20 00:00:00 None B None 1000 18200 -350 17850 0 None Q99K11 N None None SFY2011-12
010000572 VICTORIA DRIVE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2012-10-11 00:00:00 110009251 Open Citation Citation B (HSC 1424) Patient Care None 2011-11-08 00:00:00 2011-11-08 00:00:00 No 2012-11-01 00:00:00 None B None 600 600 0 0 600 None KEUH11 N CA00287585, CA00288372 B, B SFY2012-13
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2012-05-16 00:00:00 110009252 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-20 00:00:00 2012-04-20 00:00:00 No 2012-06-07 00:00:00 None B None 1000 1000 -350 650 0 None 91T511 N None None SFY2011-12
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2012-05-30 00:00:00 110009253 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-08-09 00:00:00 2011-08-09 00:00:00 No 2012-06-20 00:00:00 None B None 1000 1000 0 1000 0 None Y66O11 N CA00281026, CA00281026, CA00281031 A, A, A SFY2011-12
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2013-12-12 00:00:00 110009258 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-17 00:00:00 2011-08-17 00:00:00 No 2014-01-06 00:00:00 None A A 20000 19500 0 19500 0 None WF6711 N CA00278426 B SFY2013-14
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2012-09-19 00:00:00 110009281 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-03-09 00:00:00 2012-03-09 00:00:00 No 2012-10-10 00:00:00 None B None 2000 2000 -700 1300 0 None 83R411 N CA00303075 A SFY2012-13
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-19 00:00:00 110009291 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-30 00:00:00 2012-04-30 00:00:00 No 2012-07-11 00:00:00 None B None 1000 1000 -1000 0 0 None N7V911 N None None SFY2011-12
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-19 00:00:00 110009294 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-30 00:00:00 2012-04-30 00:00:00 No 2012-07-11 00:00:00 None B None 1000 1000 -1000 0 0 None N7V911 N None None SFY2011-12
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-19 00:00:00 110009295 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-30 00:00:00 2012-04-30 00:00:00 No 2012-07-11 00:00:00 None B None 1000 1000 -1000 0 0 None N7V911 N None None SFY2011-12
010000065 SONOMA ACRES CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-19 00:00:00 110009296 Closed Citation Citation B (HSC 1424) Dietary None 2012-04-30 00:00:00 2012-04-30 00:00:00 No 2012-07-11 00:00:00 None B None 1000 1000 -1000 0 0 None N7V911 N None None SFY2011-12
010000076 SUMMERFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-04 00:00:00 110009311 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-15 00:00:00 2011-02-15 00:00:00 No 2012-06-25 00:00:00 None B None 2000 2000 -700 1300 0 None 6Y7F11 N CA00259335 A SFY2011-12
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-12-07 00:00:00 110009322 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-19 00:00:00 2010-03-19 00:00:00 No 2012-12-31 00:00:00 None B None 1000 1000 -350 650 0 None I5HC11 N CA00257346 B SFY2012-13
110001250 MEADOWOOD NURSING CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-13 00:00:00 110009335 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-16 00:00:00 2011-07-16 00:00:00 No 2012-07-05 00:00:00 None B None 1000 1000 -350 650 0 None W3YO11 N CA00279514 B SFY2011-12
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2012-06-15 00:00:00 110009336 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-05-17 00:00:00 2012-05-17 00:00:00 No 2012-07-09 00:00:00 None B None 1000 1000 -350 650 0 None J45811 N None None SFY2011-12
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-11-20 00:00:00 110009357 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-04-16 00:00:00 2012-04-16 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None UP8T11 N None None SFY2012-13
010000646 GENEVIE DREAM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2014-03-27 00:00:00 110009367 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-27 00:00:00 2012-02-27 00:00:00 No 2014-04-18 00:00:00 None B None 1000 1000 -350 650 0 None IJN711 N CA00300903, CA00301507 B, A SFY2013-14
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2013-04-10 00:00:00 110009374 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-21 00:00:00 2011-09-21 00:00:00 No 2013-05-01 00:00:00 None A None 18000 18000 -6300 11700 0 None ZXHR11 N None None SFY2012-13
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-07-13 00:00:00 110009395 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-03 00:00:00 2012-01-03 00:00:00 Yes 2012-08-03 00:00:00 2012-07-19 00:00:00 B B 1000 850 0 850 0 None CI4T11 N CA00294316 B SFY2012-13
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2012-08-16 00:00:00 110009412 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-07-16 00:00:00 2012-07-16 00:00:00 No 2012-09-07 00:00:00 None B None 1000 1000 0 1000 0 None SN7K11 N None None SFY2012-13
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2013-02-15 00:00:00 110009476 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-25 00:00:00 2011-11-25 00:00:00 No 2013-03-11 00:00:00 None B None 1000 1000 -350 650 0 None SVRC11 N CA00292637 A SFY2012-13
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2013-02-15 00:00:00 110009477 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-11-25 00:00:00 2011-11-25 00:00:00 No 2013-03-11 00:00:00 None B None 1000 1000 -350 650 0 None SVRC11 N CA00292637 A SFY2012-13
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2012-12-19 00:00:00 110009547 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-09 00:00:00 2010-10-09 00:00:00 Yes 2013-01-11 00:00:00 2012-12-20 00:00:00 B None 1000 1000 -1000 0 0 None L6WH11 N CA00254388 A SFY2012-13
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-10-22 00:00:00 110009561 Closed Citation Citation B (HSC 1424) Administration None 2012-10-02 00:00:00 2012-10-02 00:00:00 No 2012-11-13 00:00:00 None B None 1000 1000 -350 650 0 None 581V11 N None None SFY2012-13
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2012-11-20 00:00:00 110009576 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-10-09 00:00:00 2012-10-09 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None DLX811 N None None SFY2012-13
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2012-12-04 00:00:00 110009582 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-10-12 00:00:00 2012-10-12 00:00:00 No 2012-12-26 00:00:00 None B None 2000 2000 -700 1300 0 None 9ETU11 N CA00331179 H SFY2012-13
630010921 CROSSROADS III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2012-12-06 00:00:00 110009593 Closed Citation Citation A (HSC 1424) Patient Rights None 2011-11-22 00:00:00 2011-11-22 00:00:00 Yes 2012-12-28 00:00:00 2012-12-12 00:00:00 A None 10000 10000 0 10000 0 None N0RN11 N CA00290656 B SFY2012-13
010000646 GENEVIE DREAM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2014-03-13 00:00:00 110009619 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-17 00:00:00 2010-11-17 00:00:00 No 2014-04-04 00:00:00 None B None 1000 1000 0 1000 0 None 74K211 N CA00249933 B SFY2013-14
110000233 VALLEY OF THE MOON POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2012-12-06 00:00:00 110009620 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-11-16 00:00:00 2012-11-16 00:00:00 No 2012-12-28 00:00:00 None B None 2000 2000 0 2000 0 None PG5Q11 N None None SFY2012-13
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2012-12-19 00:00:00 110009677 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-11-30 00:00:00 2012-11-30 00:00:00 No 2013-01-11 00:00:00 None B None 1000 1000 -350 650 0 None 69W011 N None None SFY2012-13
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2013-01-10 00:00:00 110009687 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-02-01 00:00:00 2011-02-01 00:00:00 No 2013-02-01 00:00:00 None B None 1000 1000 0 1000 0 None J3OU11 N CA00258548, CA00295822 A, H SFY2012-13
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2013-02-06 00:00:00 110009712 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-01-08 00:00:00 2013-01-08 00:00:00 No 2013-02-28 00:00:00 None B None 1000 1000 -350 650 0 None VHOX11 N None None SFY2012-13
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2013-12-30 00:00:00 110009715 Closed Citation Citation A (HSC 1424) Patient Care None 2012-12-15 00:00:00 2012-12-15 00:00:00 No 2014-01-22 00:00:00 None A None 20000 20000 -7000 13000 0 None 2Z5J11 N CA00336364 B SFY2013-14
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2013-02-21 00:00:00 110009717 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-02-09 00:00:00 2011-02-09 00:00:00 No 2013-03-14 00:00:00 None B None 1000 1000 -350 650 0 None LSZ011 N CA00259561 A SFY2012-13
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2013-02-21 00:00:00 110009718 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-10-09 00:00:00 2011-10-09 00:00:00 No 2013-03-14 00:00:00 None B None 1000 1000 -350 650 0 None LSZ011 N CA00259561 A SFY2012-13
110000702 HEALDSBURG HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2014-01-24 00:00:00 110009753 Closed Citation Citation AA (HSC 1424) Patient Care None 2012-06-05 00:00:00 2012-06-05 00:00:00 No 2014-02-14 00:00:00 None AA None 50000 50000 -17500 32500 0 None IB9G11 Y CA00314658 C SFY2013-14
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2013-04-25 00:00:00 110009855 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-04 00:00:00 2010-08-04 00:00:00 Yes 2013-05-16 00:00:00 2013-04-29 00:00:00 A A 20000 18000 0 18000 0 None D5FU11 N CA00264590 B SFY2012-13
010001128 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Santa Rosa 2014-09-05 00:00:00 110009925 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-05 00:00:00 2013-04-05 00:00:00 No 2014-09-26 00:00:00 None B None 1000 1000 0 1000 0 None 1TDM11 N None None SFY2014-15
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-04-01 00:00:00 110009966 Closed Citation Citation A (HSC 1424) Patient Care None 2013-04-02 00:00:00 2013-04-02 00:00:00 Yes 2014-04-22 00:00:00 2014-04-16 00:00:00 A A 20000 7000 0 7000 0 None LMNO11 N None None SFY2013-14
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-04-01 00:00:00 110009967 Closed Citation Citation A (HSC 1424) Patient Care None 2013-05-03 00:00:00 2013-05-03 00:00:00 Yes 2014-04-22 00:00:00 2014-04-16 00:00:00 A A 20000 7000 0 7000 0 None LMNO11 N CA00353315 B SFY2013-14
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2013-07-16 00:00:00 110009981 Closed Citation Citation B (HSC 1424) Administration None 2013-06-08 00:00:00 2013-06-08 00:00:00 No 2013-08-06 00:00:00 None B None 1000 1000 0 1000 0 None NO5Z11 N CA00357817 A SFY2013-14
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-04-01 00:00:00 110009983 Closed Citation Citation A (HSC 1424) Patient Care None 2013-04-29 00:00:00 2013-04-29 00:00:00 Yes 2014-04-22 00:00:00 2014-04-16 00:00:00 A A 20000 6000 0 6000 0 None LMNO11 N None None SFY2013-14
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2013-10-10 00:00:00 110010028 Closed Citation Citation B (HSC 1424) Administration None 2013-07-23 00:00:00 2013-07-23 00:00:00 No 2013-10-31 00:00:00 None B None 1000 1000 -350 650 0 None 6LQP11 N CA00362749 B SFY2013-14
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2013-12-17 00:00:00 110010047 Closed Citation Citation A (HSC 1424) Patient Care None 2011-06-01 00:00:00 2011-06-01 00:00:00 No 2014-01-09 00:00:00 None A None 10000 10000 -3500 6500 0 None H2SR11 N CA00271524, CA00271605 A, A SFY2013-14
010000801 DANNY'S PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2013-12-30 00:00:00 110010091 Closed Citation Citation A (HSC 1424) Patient Care None 2013-02-03 00:00:00 2013-02-03 00:00:00 No 2014-01-22 00:00:00 None A None 10000 10000 -3500 6500 0 None J80F11 N CA00343590 B SFY2013-14
010000428 LAKEVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2014-03-10 00:00:00 110010096 Closed Citation Citation A (HSC 1424) Patient Rights None 2013-06-27 00:00:00 2013-06-27 00:00:00 No 2014-04-01 00:00:00 None A None 10000 10000 -3500 6500 0 None 1WCB11 N CA00360105 A SFY2013-14
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2014-03-04 00:00:00 110010198 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-16 00:00:00 2011-09-16 00:00:00 No 2014-03-25 00:00:00 None A None 20000 20000 -7000 13000 0 None INM411 N CA00283725 B SFY2013-14
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-07-03 00:00:00 110010226 Closed Citation Citation A (HSC 1424) Patient Care None 2013-07-28 00:00:00 2013-07-28 00:00:00 Yes 2014-07-25 00:00:00 2014-07-08 00:00:00 A A 20000 10000 0 10000 0 None DF9111 N CA00366311 A SFY2014-15
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2014-03-11 00:00:00 110010480 Closed Citation Citation A (HSC 1424) Patient Care None 2013-12-27 00:00:00 2013-12-27 00:00:00 No 2014-04-02 00:00:00 None A None 20000 20000 -7000 13000 0 None 2UMO11 N CA00382091 C SFY2013-14
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2014-03-28 00:00:00 110010481 Closed Citation Citation A (HSC 1424) Patient Care None 2014-01-08 00:00:00 2014-01-08 00:00:00 No 2014-04-21 00:00:00 None A None 20000 20000 -7000 13000 0 None HJ0D11 N CA00384202, CA00386272 B, A SFY2013-14
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2014-07-30 00:00:00 110010516 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-06 00:00:00 2014-02-06 00:00:00 Yes 2014-08-20 00:00:00 2014-08-11 00:00:00 A B 20000 10000 0 10000 0 None 5OC111 N CA00386154 B SFY2014-15
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-03-25 00:00:00 110010548 Closed Citation Citation B (HSC 1424) Patient Care None 2014-03-07 00:00:00 2014-03-07 00:00:00 No 2014-04-16 00:00:00 None B None 1000 1000 -350 650 0 None IW5W11 N None None SFY2013-14
010000657 ESTES HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2014-04-04 00:00:00 110010557 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-30 00:00:00 2011-11-30 00:00:00 No 2014-04-25 00:00:00 None B None 1000 1000 -350 650 0 None 3HZB11 N CA00291467 A SFY2013-14
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-03-27 00:00:00 110010572 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-01-15 00:00:00 2012-01-15 00:00:00 No 2014-04-18 00:00:00 None B None 2000 2000 -700 1300 0 None W7PB11 N CA00296252 B SFY2013-14
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-05-15 00:00:00 110010573 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-06-23 00:00:00 2012-06-23 00:00:00 No 2014-06-06 00:00:00 None B None 1000 1000 -350 650 0 None VPHK11 N CA00315382 A SFY2013-14
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2014-09-16 00:00:00 110010655 Closed Citation Citation A (HSC 1424) Patient Care None 2012-07-02 00:00:00 2012-07-02 00:00:00 No 2014-10-07 00:00:00 None A None 20000 20000 -7000 13000 0 None P3QU11 N CA00322798 B SFY2014-15
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-10-24 00:00:00 110010719 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-03 00:00:00 2014-02-03 00:00:00 No 2014-11-17 00:00:00 None A None 20000 20000 -7000 13000 0 None USMI11 N CA00386463 A SFY2014-15
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2014-06-16 00:00:00 110010758 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-01-23 00:00:00 2013-01-23 00:00:00 No 2014-07-08 00:00:00 None B None 1000 1000 -350 650 0 None UX6F11 N CA00341128, CA00341144 B, B SFY2013-14
010000161 MILESTONES OF DEVELOPMENT #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2017-05-25 00:00:00 110010848 Closed Citation Citation A (HSC 1424) Patient Care None 2014-04-10 00:00:00 2014-04-10 00:00:00 No 2017-06-16 00:00:00 None A None 10000 10000 -3500 6500 0 None GP4N11 N CA00394559 B SFY2016-17
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-08-06 00:00:00 110010849 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-17 00:00:00 2014-06-17 00:00:00 Yes 2014-08-27 00:00:00 2014-08-12 00:00:00 A A 20000 13000 0 13000 0 None 2DKG11 N CA00399671 B SFY2014-15
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-10-02 00:00:00 110010869 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-05-21 00:00:00 2014-05-21 00:00:00 No 2014-10-23 00:00:00 None B None 2000 2000 -700 1300 0 None 99CQ11 N CA00399468 A SFY2014-15
010000959 MARIN POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2014-07-25 00:00:00 110010871 Closed Citation Citation B (HSC 1424) Patient Care None 2014-01-10 00:00:00 2014-01-10 00:00:00 No 2014-08-15 00:00:00 None B None 1000 1000 0 1000 0 None 0OTT11 N CA00383433 A SFY2014-15
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2014-08-14 00:00:00 110010873 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-05-12 00:00:00 2014-05-12 00:00:00 Yes 2014-09-05 00:00:00 2014-08-25 00:00:00 B None 2000 2000 0 0 2000 None PIH511 N CA00403400 A SFY2014-15
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2014-09-26 00:00:00 110010906 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-07-21 00:00:00 2014-07-21 00:00:00 No 2014-10-17 00:00:00 None B None 1000 1000 -350 650 0 None 553511 N CA00406549 A SFY2014-15
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2014-10-01 00:00:00 110010928 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-09 00:00:00 2014-06-09 00:00:00 No 2014-10-22 00:00:00 None A None 20000 20000 -7000 13000 0 None VXL911 N CA00401525 B SFY2014-15
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2015-01-27 00:00:00 110010946 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-08-05 00:00:00 2014-08-05 00:00:00 No 2015-02-18 00:00:00 None B None 2000 2000 -700 1300 0 None 2ULI11 N CA00409158 B SFY2014-15
010000022 FRIENDS HOUSE LTC SNF Skilled Nursing Facility Santa Rosa 2014-09-19 00:00:00 110010984 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-27 00:00:00 2014-05-27 00:00:00 No 2014-10-10 00:00:00 None B None 2000 2000 -700 1300 0 None UK9V11 N None None SFY2014-15
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-12-23 00:00:00 110011033 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-19 00:00:00 2014-06-19 00:00:00 No 2015-01-14 00:00:00 None A None 20000 20000 -7000 13000 0 None P8QR11 N CA00403344 B SFY2014-15
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2014-10-13 00:00:00 110011047 Closed Citation Citation B (HSC 1424) Patient Care None 2014-09-21 00:00:00 2014-09-21 00:00:00 No 2014-11-03 00:00:00 None B None 2000 2000 -700 1300 0 None G6HR11 N CA00326850, CA00327530 B, B SFY2014-15
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2014-10-09 00:00:00 110011054 Closed Citation Citation A (HSC 1424) Patient Care None 2012-08-20 00:00:00 2012-08-20 00:00:00 No 2014-10-30 00:00:00 None A None 20000 20000 -7000 13000 0 None J5B111 N CA00322737, CA00322742 A, A SFY2014-15
110000053 PINER'S NURSING HOME LTC SNF Skilled Nursing Facility Santa Rosa 2014-10-15 00:00:00 110011062 Closed Citation Citation A (HSC 1424) Patient Care None 2013-11-23 00:00:00 2013-11-23 00:00:00 Yes 2014-11-05 00:00:00 2014-11-04 00:00:00 A A 18000 8750 -1750 7000 0 None 0FLK11 N CA00378243 B SFY2014-15
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-01-13 00:00:00 110011099 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-14 00:00:00 2014-09-14 00:00:00 No 2015-02-04 00:00:00 None A None 20000 20000 -7000 13000 0 None ABPS11 Y CA00413271 B SFY2014-15
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2014-11-18 00:00:00 110011120 Closed Citation Citation A (HSC 1424) Patient Care None 2011-05-03 00:00:00 2011-05-03 00:00:00 No 2014-12-11 00:00:00 None A None 18000 18000 -6300 11700 0 None 7QKK11 N CA00269632 B SFY2014-15
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2015-01-27 00:00:00 110011158 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-05 00:00:00 2014-08-05 00:00:00 No 2015-02-18 00:00:00 None A None 20000 20000 -7000 13000 0 None 2ULI11 N CA00409158 B SFY2014-15
110000233 VALLEY OF THE MOON POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2014-12-30 00:00:00 110011192 Closed Citation Citation A (HSC 1424) Patient Care None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2015-01-22 00:00:00 None A None 20000 20750 0 20750 0 None QWH911 N CA00405185 B SFY2014-15
110000233 VALLEY OF THE MOON POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2014-12-30 00:00:00 110011193 Closed Citation Citation A (HSC 1424) Patient Care None 2013-04-05 00:00:00 2013-04-05 00:00:00 No 2015-01-22 00:00:00 None A None 20000 20750 0 20750 0 None H3DN11 N CA00350047 C SFY2014-15
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-05-15 00:00:00 110011216 Closed Citation Citation B (HSC 1424) Patient Care None 2012-08-26 00:00:00 2012-08-26 00:00:00 No 2015-06-08 00:00:00 None B None 2000 2000 -700 1300 0 None 030I11 N CA00323422 B SFY2014-15
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-02-11 00:00:00 110011264 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-17 00:00:00 2014-08-17 00:00:00 No 2015-03-05 00:00:00 None A None 20000 20000 -7000 13000 0 None PCOK11 N CA00411173 B SFY2014-15
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2015-04-01 00:00:00 110011267 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-08-08 00:00:00 2014-08-08 00:00:00 No 2015-04-22 00:00:00 None B None 2000 2000 -700 1300 0 None 880J11 N CA00409335 B SFY2014-15
010000022 FRIENDS HOUSE LTC SNF Skilled Nursing Facility Santa Rosa 2015-03-10 00:00:00 110011273 Closed Citation Citation B (HSC 1424) Patient Care None 2013-02-26 00:00:00 2013-02-26 00:00:00 No 2015-04-01 00:00:00 None B None 2000 2000 0 2000 0 None F74511 N CA00346278 B SFY2014-15
010001128 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Santa Rosa 2015-07-02 00:00:00 110011284 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-01 00:00:00 2015-02-01 00:00:00 Yes 2015-07-23 00:00:00 2015-07-21 00:00:00 A A 10000 6500 0 6500 0 None M9BT11 N CA00430701 B SFY2015-16
110000760 THE MEADOWS OF NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2015-07-08 00:00:00 110011290 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-21 00:00:00 2014-02-21 00:00:00 Yes 2015-07-29 00:00:00 2015-07-24 00:00:00 A A 20000 20000 0 20000 0 None D0FY11 N CA00388682 B SFY2015-16
010000976 SUNRISE II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2015-03-27 00:00:00 110011332 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-12 00:00:00 2015-02-12 00:00:00 Yes 2015-04-20 00:00:00 2015-04-14 00:00:00 B B 2000 1300 0 1300 0 None I7EZ11 N CA00431401 A SFY2014-15
010001139 GREENFIELDS III ICF-DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2015-04-23 00:00:00 110011340 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-01 00:00:00 2014-07-01 00:00:00 No 2015-05-14 00:00:00 None B None 1000 1000 -350 650 0 None M85Z11 N CA00404302 B SFY2014-15
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-04-01 00:00:00 110011341 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-30 00:00:00 2014-04-30 00:00:00 No 2015-04-22 00:00:00 None B None 2000 2000 -700 1300 0 None RVEL11 N CA00397038 A SFY2014-15
010000076 SUMMERFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2015-05-05 00:00:00 110011361 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-09-02 00:00:00 2014-09-02 00:00:00 No 2015-05-27 00:00:00 None B None 2000 2000 0 2000 0 None WOY611 N CA00411904 B SFY2014-15
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2015-08-27 00:00:00 110011426 Closed Citation Citation A (HSC 1424) Patient Care None 2013-08-10 00:00:00 2013-08-10 00:00:00 No 2015-09-18 00:00:00 None A None 20000 20000 -7000 13000 0 None BI8P11 N CA00365444, CA00367586, CA00400294 B, B, B SFY2015-16
010001128 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Santa Rosa 2015-07-02 00:00:00 110011436 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-06 00:00:00 2015-03-06 00:00:00 No 2015-07-23 00:00:00 None B None 1000 1000 -350 650 0 None JC4T11 N CA00434137 C SFY2015-16
110000621 JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2015-10-22 00:00:00 110011473 Closed Citation Citation A (HSC 1424) Patient Care None 2014-12-06 00:00:00 2014-12-06 00:00:00 No 2015-11-13 00:00:00 None A None 20000 20000 -7000 13000 0 None GOIW11 N CA00425299 B SFY2015-16
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2015-08-27 00:00:00 110011502 Closed Citation Citation B (HSC 1424) Patient Care None 2013-08-10 00:00:00 2013-08-10 00:00:00 No 2015-09-18 00:00:00 None B None 2000 2000 -700 1300 0 None BI8P11 N CA00365444, CA00367586, CA00400294 B, B, B SFY2015-16
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-06-16 00:00:00 110011503 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-21 00:00:00 2015-03-21 00:00:00 No 2015-07-07 00:00:00 None B None 2000 2000 -700 1300 0 None NJHS11 N CA00436041, CA00436463 B, B SFY2014-15
110000233 VALLEY OF THE MOON POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-08-25 00:00:00 110011509 Closed Citation Citation A (HSC 1424) Patient Care None 2014-12-28 00:00:00 2014-12-28 00:00:00 No 2015-09-16 00:00:00 None A None 20000 20000 0 20000 0 None R2CH11 N CA00425451, CA00425451 B, B SFY2015-16
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2015-09-18 00:00:00 110011524 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-13 00:00:00 2015-05-13 00:00:00 No 2015-10-09 00:00:00 None B None 2000 2000 0 2000 0 None CPD211 N None None SFY2015-16
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2015-08-11 00:00:00 110011542 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-08-16 00:00:00 2014-08-16 00:00:00 No 2015-09-01 00:00:00 None B None 2000 2000 -700 1300 0 None RNNF11 N CA00409766 B SFY2015-16
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-07-02 00:00:00 110011588 Closed Citation Citation B (HSC 1424) Patient Care None 2013-05-31 00:00:00 2013-05-31 00:00:00 No 2015-07-23 00:00:00 None B None 2000 2000 -700 1300 0 None CVSN11 N CA00357111, CA00357317 B, B SFY2015-16
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2015-09-09 00:00:00 110011594 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-01-02 00:00:00 2015-01-02 00:00:00 No 2015-09-30 00:00:00 None B None 2000 2000 -700 1300 0 None 813011 N CA00427099 A SFY2015-16
010000974 SUNRISE I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2016-10-20 00:00:00 110011695 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-28 00:00:00 2015-04-28 00:00:00 No 2016-11-10 00:00:00 None B None 2000 2000 -700 1300 0 None O5TP11 N CA00440917 C SFY2016-17
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2015-10-27 00:00:00 110011771 Closed Citation Citation B (HSC 1424) Patient Care None 2015-05-15 00:00:00 2015-05-15 00:00:00 No 2015-11-18 00:00:00 None B None 2000 2000 -700 1300 0 None CPD211 N None None SFY2015-16
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-11-10 00:00:00 110011788 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-10-03 00:00:00 2015-10-03 00:00:00 No 2015-12-04 00:00:00 None B None 1000 1000 0 1000 0 None N4GW11 N CA00460759 A SFY2015-16
630001741 SANTA LUCIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2015-11-16 00:00:00 110011800 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-11 00:00:00 2015-09-11 00:00:00 Yes 2015-12-09 00:00:00 2015-11-20 00:00:00 B B 2000 1300 0 1300 0 None 1XT011 N CA00458076 B SFY2015-16
630001741 SANTA LUCIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2015-11-16 00:00:00 110011801 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-11 00:00:00 2015-09-11 00:00:00 Yes 2015-12-09 00:00:00 2015-11-20 00:00:00 B B 2000 1300 0 1300 0 None 1XT011 N CA00458076 B SFY2015-16
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-10 00:00:00 110011805 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-29 00:00:00 2015-08-29 00:00:00 No 2016-10-31 00:00:00 None A None 20000 20000 0 20000 0 None V1YU11 N CA00456430 B SFY2016-17
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-10 00:00:00 110011806 Closed Citation Citation A (HSC 1424) Patient Care None 2015-09-01 00:00:00 2015-09-01 00:00:00 No 2016-10-31 00:00:00 None A None 20000 20000 0 20000 0 None V1YU11 N CA00456745 B SFY2016-17
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-10 00:00:00 110011807 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-14 00:00:00 2015-04-14 00:00:00 No 2016-10-31 00:00:00 None B None 2000 2000 0 2000 0 None V1YU11 N CA00439154 B SFY2016-17
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-10 00:00:00 110011808 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-14 00:00:00 2015-04-14 00:00:00 No 2016-10-31 00:00:00 None B None 2000 2000 0 2000 0 None V1YU11 N CA00439154 B SFY2016-17
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-10 00:00:00 110011820 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-14 00:00:00 2015-08-14 00:00:00 No 2016-10-31 00:00:00 None B None 2000 2000 0 2000 0 None V1YU11 N None None SFY2016-17
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-10 00:00:00 110011821 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-15 00:00:00 2015-08-15 00:00:00 No 2016-10-31 00:00:00 None B None 2000 2000 0 2000 0 None V1YU11 N None None SFY2016-17
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-10 00:00:00 110011822 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-16 00:00:00 2015-08-16 00:00:00 No 2016-10-31 00:00:00 None B None 2000 2000 0 2000 0 None V1YU11 N None None SFY2016-17
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2015-11-09 00:00:00 110011827 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-08 00:00:00 2015-08-08 00:00:00 Yes 2015-12-03 00:00:00 2015-11-13 00:00:00 B B 2000 1300 0 1300 0 None 4FMQ11 N CA00365443 B SFY2015-16
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2015-11-24 00:00:00 110011830 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-09 00:00:00 2013-04-09 00:00:00 No 2015-12-17 00:00:00 None B None 2000 2000 -700 1300 0 None LX0B11 N CA00350419 A SFY2015-16
010000208 SPRING LAKE VILLAGE LTC SNF Skilled Nursing Facility Santa Rosa 2015-12-18 00:00:00 110011872 Open Citation Citation A (HSC 1424) Patient Care None 2013-06-23 00:00:00 2013-06-23 00:00:00 Yes 2016-01-11 00:00:00 2015-12-21 00:00:00 A None 18000 18000 0 0 18000 None 2KNW11 Y CA00356817 B SFY2015-16
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2018-07-10 00:00:00 110011875 Closed Citation Citation B (HSC 1424) Patient Care None 2014-10-22 00:00:00 2014-10-22 00:00:00 No 2018-07-31 00:00:00 None B None 2000 2000 0 2000 0 None 4ZFF11 N CA00417913, CA00417913, CA00431704, CA00431704, CA00432881, CA00432881, CA00445951, CA00445951, CA00446900, CA00446900 H, H, H, H, H, H, H, H, H, H SFY2018-19
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2015-12-23 00:00:00 110011877 Closed Citation Citation A (HSC 1424) Patient Care None 2013-09-19 00:00:00 2013-09-19 00:00:00 Yes 2016-01-15 00:00:00 2016-01-06 00:00:00 A None 20000 20000 -20000 0 0 None TDG911 N CA00370648 B SFY2015-16
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2016-03-23 00:00:00 110011896 Open Citation Citation B (HSC 1424) Patient Rights None 2014-10-06 00:00:00 2014-10-06 00:00:00 Yes 2016-04-14 00:00:00 2016-03-29 00:00:00 B None 2000 2000 0 0 2000 None CL8711 N CA00415483, CA00415487, CA00415724 B, B, A SFY2015-16
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2016-04-05 00:00:00 110011899 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-10-03 00:00:00 2015-10-03 00:00:00 No 2016-04-26 00:00:00 None B None 2000 2000 -700 1300 0 None KNNB11 N None None SFY2015-16
110000621 JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2016-01-20 00:00:00 110011925 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-11-09 00:00:00 2014-11-09 00:00:00 No 2016-02-10 00:00:00 None B None 2000 2000 -700 1300 0 None C8TE11 N CA00420246 B SFY2015-16
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2016-02-05 00:00:00 110011937 Closed Citation Citation B (HSC 1424) Administration None 2015-12-18 00:00:00 2015-12-18 00:00:00 No 2016-02-29 00:00:00 None B None 500 500 -175 325 0 None 07UM11 N None None SFY2015-16
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-03-08 00:00:00 110011954 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-08 00:00:00 2014-07-08 00:00:00 Yes 2016-03-29 00:00:00 2016-03-22 00:00:00 A A 20000 15000 0 15000 0 None 2YDK11 N CA00404802, CA00407096 B, A SFY2015-16
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-03-08 00:00:00 110011956 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-23 00:00:00 2014-06-23 00:00:00 Yes 2016-03-29 00:00:00 2016-03-22 00:00:00 A A 20000 15000 0 15000 0 None 2YDK11 N CA00406254, CA00407666 B, B SFY2015-16
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2016-03-03 00:00:00 110011974 Closed Citation Citation A (HSC 1424) Patient Care None 2015-11-16 00:00:00 2015-11-16 00:00:00 No 2016-03-24 00:00:00 None A None 20000 20000 -7000 13000 0 None IIDI11 N CA00465881 C SFY2015-16
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2016-06-16 00:00:00 110011981 Closed Citation Citation A (HSC 1424) Patient Care None 2013-11-19 00:00:00 2013-11-19 00:00:00 No 2016-07-08 00:00:00 None A None 20000 20000 -7000 13000 0 None 6S5Q11 Y CA00377713 B SFY2015-16
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2016-03-28 00:00:00 110011994 Closed Citation Citation B (HSC 1424) Medication None 2015-04-20 00:00:00 2015-04-20 00:00:00 No 2016-04-19 00:00:00 None B None 2000 2200 -700 1500 0 None XGTZ11 N CA00442033 B SFY2015-16
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-05-24 00:00:00 110012000 Closed Citation Citation B (HSC 1424) Patient Care None 2015-06-08 00:00:00 2015-06-08 00:00:00 No 2016-06-15 00:00:00 None B None 2000 2000 -700 1300 0 None JU1411 N CA00445958 B SFY2015-16
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2016-03-30 00:00:00 110012028 Closed Citation Citation A (HSC 1424) Patient Care None 2015-10-22 00:00:00 2015-10-22 00:00:00 No 2016-04-21 00:00:00 None A None 20000 20000 0 20000 0 None QKN411 N CA00463071 B SFY2015-16
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-03-09 00:00:00 110012047 Closed Citation Citation A (HSC 1424) Patient Care None 2013-12-14 00:00:00 2013-12-14 00:00:00 No 2016-03-30 00:00:00 None A None 20000 20400 -7000 13400 0 None H4AB11 N CA00380547, CA00382184 B, B SFY2015-16
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2016-12-29 00:00:00 110012048 Closed Citation Citation A (HSC 1424) Patient Care None 2013-11-16 00:00:00 2013-11-16 00:00:00 No 2017-01-23 00:00:00 None A None 20000 20000 0 20000 0 None 8RYX11 N CA00377968 B SFY2016-17
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2016-09-22 00:00:00 110012051 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-09 00:00:00 2015-07-09 00:00:00 No 2016-10-13 00:00:00 None B None 1000 1000 0 1000 0 None 8SSQ11 N CA00475759 C SFY2016-17
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2016-06-29 00:00:00 110012069 Closed Citation Citation B (HSC 1424) Dietary None 2015-12-22 00:00:00 2015-12-22 00:00:00 No 2016-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None S0H011 N CA00468762 B SFY2015-16
110000621 JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2017-11-01 00:00:00 110012138 Open Citation Citation A (HSC 1424) Patient Care None 2015-06-06 00:00:00 2015-06-06 00:00:00 No 2017-11-27 00:00:00 None A None 20000 20000 -7000 13000 0 None U56W11 N CA00448194 B SFY2017-18
010001128 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility Santa Rosa 2016-06-16 00:00:00 110012228 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-15 00:00:00 2016-04-15 00:00:00 No 2016-07-08 00:00:00 None B None 1000 1000 -350 650 0 None ZBSF11 N CA00486193 A SFY2015-16
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2016-05-24 00:00:00 110012237 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-12-26 00:00:00 2015-12-26 00:00:00 No 2016-06-15 00:00:00 None A None 10000 10000 -3500 6500 0 None VKL711 N CA00470100 A SFY2015-16
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2016-06-13 00:00:00 110012256 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-27 00:00:00 2016-04-27 00:00:00 Yes 2016-07-05 00:00:00 2016-06-20 00:00:00 A B 20000 20000 0 20000 0 None P6CJ11 N CA00486369 B SFY2015-16
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2016-06-15 00:00:00 110012260 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-05-07 00:00:00 2016-05-07 00:00:00 No 2016-07-07 00:00:00 None B None 2000 2000 -700 1300 0 None IC4011 N CA00487484 A SFY2015-16
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2016-06-23 00:00:00 110012282 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-05-05 00:00:00 2016-05-05 00:00:00 No 2016-07-15 00:00:00 None B None 2000 2000 0 2000 0 None 3KPQ11 N CA00487306 A SFY2015-16
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-09-16 00:00:00 110012316 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-07 00:00:00 2015-07-07 00:00:00 No 2016-10-07 00:00:00 None B None 2000 2000 -700 1300 0 None X36711 N CA00451724 B SFY2016-17
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-07-29 00:00:00 110012375 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-06 00:00:00 2016-04-06 00:00:00 Yes 2016-08-19 00:00:00 2016-08-19 00:00:00 A A 20000 13000 0 13000 0 None 1BC911 N CA00485090 B SFY2016-17
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-25 00:00:00 110012382 Closed Citation Citation AA (HSC 1424) Patient Care None 2015-04-01 00:00:00 2015-04-01 00:00:00 Yes 2016-11-16 00:00:00 2016-10-31 00:00:00 AA A 100000 32279.04 0 32279.04 0 None N0ZZ11 Y CA00437790, CA00437985 A, C SFY2016-17
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2017-06-01 00:00:00 110012392 Closed Citation Citation A (HSC 1424) Patient Care None 2015-04-17 00:00:00 2015-04-17 00:00:00 No 2017-06-22 00:00:00 None A None 20000 20000 -7000 13000 0 None ENC411 N CA00453698, CA00453698 C, C SFY2016-17
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2016-08-16 00:00:00 110012467 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-02 00:00:00 2015-12-02 00:00:00 Yes 2016-09-07 00:00:00 2016-08-19 00:00:00 A A 20000 14000 0 14000 0 None 95ZV11 N CA00468724 B SFY2016-17
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2016-08-16 00:00:00 110012472 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-05 00:00:00 2015-12-05 00:00:00 Yes 2016-09-07 00:00:00 2016-08-22 00:00:00 A A 20000 14000 0 14000 0 None 95ZV11 N CA00468724 B SFY2016-17
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2016-09-07 00:00:00 110012498 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-14 00:00:00 2016-04-14 00:00:00 Yes 2016-09-28 00:00:00 2016-09-13 00:00:00 A A 20000 13000 0 13000 0 None 845R11 N CA00484596, CA00485294 B, B SFY2016-17
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2016-09-07 00:00:00 110012499 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-14 00:00:00 2016-07-14 00:00:00 Yes 2016-09-28 00:00:00 2016-09-15 00:00:00 A A 20000 13000 0 13000 0 None 845R11 N None None SFY2016-17
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-08-17 00:00:00 110012502 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-06 00:00:00 2015-02-06 00:00:00 No 2016-09-08 00:00:00 None B None 2000 2250 -700 1550 0 None LSSS11 N CA00430534 B SFY2016-17
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-09-15 00:00:00 110012513 Closed Citation Citation A (HSC 1424) Patient Care None 2015-11-13 00:00:00 2015-11-13 00:00:00 No 2016-10-06 00:00:00 None A None 20000 20000 -7000 13000 0 None OUQ811 N CA00465980, CA00465980 B, B SFY2016-17
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2016-09-21 00:00:00 110012518 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-15 00:00:00 2016-07-15 00:00:00 No 2016-10-12 00:00:00 None B None 2000 2000 0 2000 0 None J5KT11 N None None SFY2016-17
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-15 00:00:00 110012540 Closed Citation Citation B (HSC 1424) Patient Care None 2016-03-03 00:00:00 2016-03-03 00:00:00 No 2021-07-06 00:00:00 None B None 2000 2000 -700 1300 0 None F3XU11 N CA00478858 B SFY2020-21
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-09-13 00:00:00 110012555 Closed Citation Citation B (HSC 1424) Administration None 2016-08-15 00:00:00 2016-08-15 00:00:00 No 2016-10-04 00:00:00 None B None 1000 1000 -350 650 0 None 1BC912 N CA00485090 B SFY2016-17
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-12-28 00:00:00 110012568 Closed Citation Citation A (HSC 1424) Patient Care None 2013-04-03 00:00:00 2013-04-03 00:00:00 Yes 2017-01-20 00:00:00 2017-01-03 00:00:00 A B 20000 2000 0 2000 0 None I45V11 N CA00358074 B SFY2016-17
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-01-31 00:00:00 110012609 Closed Citation Citation A (HSC 1424) Patient Care None 2015-07-19 00:00:00 2015-07-19 00:00:00 No 2017-02-22 00:00:00 None A None 20000 20000 -7000 13000 0 None PCMM11 Y CA00451719 B SFY2016-17
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2016-10-18 00:00:00 110012613 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-08-07 00:00:00 2016-08-07 00:00:00 No 2016-11-08 00:00:00 None B None 2000 2000 0 2000 0 None 845R12 N CA00498171 C SFY2016-17
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2017-01-18 00:00:00 110012614 Closed Citation Citation A (HSC 1424) Patient Care None 2016-09-05 00:00:00 2016-09-05 00:00:00 Yes 2017-02-08 00:00:00 2017-01-20 00:00:00 A A 20000 13000 0 13000 0 None 845R12 N CA00498171, CA00500097 C, C SFY2016-17
010000985 THE TAMALPAIS LTC SNF Skilled Nursing Facility Santa Rosa 2016-12-12 00:00:00 110012664 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-05 00:00:00 2015-07-05 00:00:00 Yes 2017-01-04 00:00:00 2017-01-12 00:00:00 B None 2000 2000 0 2000 0 None NYYG11 N CA00449414, CA00452459 C, B SFY2016-17
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-11-29 00:00:00 110012731 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-18 00:00:00 2014-03-18 00:00:00 No 2016-12-20 00:00:00 None A None 20000 20000 -7000 13000 0 None 1G5R11 N CA00395650 B SFY2016-17
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2016-12-28 00:00:00 110012744 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-26 00:00:00 2016-08-26 00:00:00 Yes 2017-01-20 00:00:00 2017-01-06 00:00:00 A A 20000 14000 0 14000 0 None LSI111 N CA00501015, CA00501261, CA00501261 B, B, B SFY2016-17
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2020-03-13 00:00:00 110012745 Closed Citation Citation AA (HSC 1424) Patient Care None 2015-08-06 00:00:00 2015-08-06 00:00:00 No 2020-04-06 00:00:00 None AA None 100000 100000 -35000 65000 0 None J15711 N CA00455113 B SFY2019-20
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2016-12-13 00:00:00 110012748 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-11-30 00:00:00 2013-11-30 00:00:00 No 2017-01-04 00:00:00 None B None 2000 2000 -700 1300 0 None HH2D11 N CA00495143 A SFY2016-17
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2016-12-28 00:00:00 110012774 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-22 00:00:00 2016-07-22 00:00:00 No 2017-01-20 00:00:00 None B None 2000 2000 -700 1300 0 None OUBI11 N CA00496739 B SFY2016-17
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-01-13 00:00:00 110012818 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-14 00:00:00 2016-06-14 00:00:00 No 2017-02-06 00:00:00 None B None 2000 2000 0 2000 0 None XOJI11 N None None SFY2016-17
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-01-13 00:00:00 110012819 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-10 00:00:00 2016-08-10 00:00:00 No 2017-02-06 00:00:00 None B None 2000 2000 0 2000 0 None XOJI11 N None None SFY2016-17
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-06 00:00:00 110012861 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-04 00:00:00 2016-04-04 00:00:00 No 2017-02-28 00:00:00 None A None 20000 21100 -7000 14100 0 None 2S1G11 N CA00483494 C SFY2016-17
010000585 FIFTY-O-ONE PARKHURST LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2017-01-18 00:00:00 110012865 Closed Citation Citation B (HSC 1424) Medication None 2016-04-08 00:00:00 2016-04-08 00:00:00 No 2017-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None CWW911 N CA00483994 B SFY2016-17
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012902 Closed Citation Citation A (HSC 1424) Staffing None 2016-10-26 00:00:00 2016-10-26 00:00:00 Yes 2017-03-21 00:00:00 2017-03-07 00:00:00 A A 20000 14000 0 14000 0 None G9FK11 N None None SFY2016-17
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012903 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-25 00:00:00 2016-10-25 00:00:00 Yes 2017-03-21 00:00:00 2017-03-07 00:00:00 A A 20000 14000 0 14000 0 None G9FK11 N None None SFY2016-17
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012904 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-22 00:00:00 2016-05-22 00:00:00 Yes 2017-03-21 00:00:00 2017-03-07 00:00:00 A A 20000 14000 0 14000 0 None G9FK11 N None None SFY2016-17
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012905 Closed Citation Citation A (HSC 1424) Administration None 2016-05-22 00:00:00 2016-05-22 00:00:00 Yes 2017-03-21 00:00:00 2017-03-07 00:00:00 A A 20000 14000 0 14000 0 None G9FK11 N None None SFY2016-17
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-07 00:00:00 110012906 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-12 00:00:00 2016-08-12 00:00:00 No 2017-03-01 00:00:00 None B None 1000 1000 -350 650 0 None FJ8X11 N None None SFY2016-17
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-16 00:00:00 110012907 Closed Citation Citation A (HSC 1424) Patient Care None 2016-09-16 00:00:00 2016-09-16 00:00:00 Yes 2017-03-10 00:00:00 2017-03-02 00:00:00 A A 20000 13000 0 13000 0 None BBN311 N CA00503478 B SFY2016-17
110000760 THE MEADOWS OF NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012915 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-04 00:00:00 2016-04-04 00:00:00 No 2017-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None BJKS11 N CA00484343 B SFY2016-17
110000760 THE MEADOWS OF NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012917 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-31 00:00:00 2016-10-31 00:00:00 No 2017-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None T3C111 N CA00509070 A SFY2016-17
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-03-14 00:00:00 110012936 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-02 00:00:00 2016-09-02 00:00:00 No 2017-04-05 00:00:00 None B None 2000 2000 -700 1300 0 None G9FK11 N None None SFY2016-17
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012991 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-26 00:00:00 2016-08-26 00:00:00 Yes 2017-03-21 00:00:00 2017-03-07 00:00:00 A A 20000 14000 0 14000 0 None G9FK11 N None None SFY2016-17
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2017-03-16 00:00:00 110012994 Closed Citation Citation B (HSC 1424) Administration None 2017-02-14 00:00:00 2017-02-14 00:00:00 No 2017-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None 2S1G12 N CA00483494 C SFY2016-17
010000066 BROADWAY VILLA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2017-08-24 00:00:00 110012996 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-13 00:00:00 2017-02-13 00:00:00 No 2017-09-15 00:00:00 None B None 2000 6000 -2100 3900 0 None W1WE11 N CA00522613 B SFY2017-18
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012997 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-12 00:00:00 2016-08-12 00:00:00 Yes 2017-03-21 00:00:00 2017-03-07 00:00:00 A A 20000 14000 0 14000 0 None G9FK11 N None None SFY2016-17
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012998 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-16 00:00:00 2016-08-16 00:00:00 Yes 2017-03-21 00:00:00 2017-03-07 00:00:00 A A 20000 14000 0 14000 0 None G9FK11 N None None SFY2016-17
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-28 00:00:00 110012999 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-24 00:00:00 2016-05-24 00:00:00 Yes 2017-03-21 00:00:00 2017-03-07 00:00:00 A A 20000 14000 0 14000 0 None G9FK11 N None None SFY2016-17
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2024-02-21 00:00:00 110013023 Open Citation Citation AA (HSC 1424) Patient Care None 2016-10-21 00:00:00 2016-10-21 00:00:00 Yes 2024-03-13 00:00:00 2024-02-27 00:00:00 AA None 100000 100000 0 0 100000 None SURI11 Y CA00511845 B SFY2023-24
010001037 SMITH RANCH SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-12-27 00:00:00 110013047 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-30 00:00:00 2016-06-30 00:00:00 No 2018-01-19 00:00:00 None B None 2000 2000 -700 1300 0 None 6DUC11 N CA00495503 H SFY2017-18
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2017-03-30 00:00:00 110013071 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-08 00:00:00 2016-07-08 00:00:00 No 2017-04-21 00:00:00 None A None 20000 20000 -7000 13000 0 None GYFL11 N None None SFY2016-17
010000037 CLOVERDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-06-01 00:00:00 110013108 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-19 00:00:00 2017-03-19 00:00:00 No 2017-06-22 00:00:00 None B None 2000 2000 -700 1300 0 None 0L1T11 N CA00527304 A SFY2016-17
010001005 ALDERSLY SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Santa Rosa 2017-12-14 00:00:00 110013127 Closed Citation Citation B (HSC 1424) Patient Care None 2014-03-09 00:00:00 2014-03-09 00:00:00 No 2018-01-05 00:00:00 None B None 2000 2000 0 2000 0 None PS4J11 N CA00390571 B SFY2017-18
010000998 ABLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2017-05-12 00:00:00 110013134 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-07 00:00:00 2016-11-07 00:00:00 No 2017-06-05 00:00:00 None A None 6000 18000 -6300 11700 0 None UWMS11 N CA00509218 B SFY2016-17
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-05-30 00:00:00 110013184 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-25 00:00:00 2016-12-25 00:00:00 No 2017-06-20 00:00:00 None A None 20000 20000 -7000 13000 0 None QZNA11 N None None SFY2016-17
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2018-09-14 00:00:00 110013194 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-02 00:00:00 2017-01-02 00:00:00 No 2018-10-05 00:00:00 None A None 20000 20000 -7000 13000 0 None YIV511 N CA00518676 B SFY2018-19
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2018-09-14 00:00:00 110013195 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-05 00:00:00 2017-01-05 00:00:00 No 2018-10-05 00:00:00 None A None 20000 20000 -7000 13000 0 None P2H811 Y CA00518672 B SFY2018-19
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-07-20 00:00:00 110013307 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-04-09 00:00:00 2017-04-09 00:00:00 No 2017-08-10 00:00:00 None B None 2000 2000 0 2000 0 None 5D9F11 N CA00530177, CA00530182 A, A SFY2017-18
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2017-11-28 00:00:00 110013326 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-03-21 00:00:00 2017-03-21 00:00:00 No 2017-12-19 00:00:00 None B None 2000 2000 -700 1300 0 None LFWG11 N CA00527537, CA00527891 C, B SFY2017-18
010000047 NORTHBROOK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-08-28 00:00:00 110013413 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-27 00:00:00 2016-09-27 00:00:00 No 2017-09-19 00:00:00 None B None 2000 2000 -700 1300 0 None NRPS11 N None None SFY2017-18
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2017-08-29 00:00:00 110013447 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-13 00:00:00 2015-11-13 00:00:00 No 2017-09-20 00:00:00 None B None 2000 2000 -700 1300 0 None FHER11 N CA00458007 B SFY2017-18
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2018-08-03 00:00:00 110013449 Closed Citation Citation A (HSC 1424) Medication None 2017-02-01 00:00:00 2017-02-01 00:00:00 Yes 2018-08-24 00:00:00 2018-08-20 00:00:00 A A 20000 15000 0 15000 0 None E1WP11 Y CA00526940, CA00526940, CA00526940 B, B, B SFY2018-19
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2018-06-18 00:00:00 110013457 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-23 00:00:00 2016-09-23 00:00:00 No 2018-07-10 00:00:00 None B None 2000 2000 -700 1300 0 None E4YG11 N CA00504572, CA00504575 H, H SFY2017-18
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-07-19 00:00:00 110013517 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-09 00:00:00 2017-02-09 00:00:00 No 2018-08-09 00:00:00 None B None 2000 2000 0 2000 0 None KE3X11 Y CA00528995, CA00528995, CA00534293, CA00534293, CA00534293, CA00534293 C, C, B, B, B, B SFY2018-19
010001031 STONEHAVEN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2017-11-14 00:00:00 110013592 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-01-16 00:00:00 2014-01-16 00:00:00 No 2017-12-07 00:00:00 None B None 1000 1000 -350 650 0 None LQFN11 N CA00384510 B SFY2017-18
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-07-19 00:00:00 110013619 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-09 00:00:00 2017-02-09 00:00:00 No 2018-08-09 00:00:00 None A None 20000 20000 0 20000 0 None KE3X11 Y CA00528995, CA00534293, CA00534293, CA00534293 C, B, B, B SFY2018-19
010000620 MUSTARD SEED LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2018-01-24 00:00:00 110013703 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-05 00:00:00 2017-06-05 00:00:00 No 2018-02-14 00:00:00 None B None 1000 1000 0 1000 0 None BW5S11 N None None SFY2017-18
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-03-16 00:00:00 110013766 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-17 00:00:00 2017-08-17 00:00:00 No 2018-04-06 00:00:00 None B None 2000 2000 -700 1300 0 None NVQ111 N CA00549124, CA00549124 C, C SFY2017-18
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-03-16 00:00:00 110013767 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-17 00:00:00 2017-08-17 00:00:00 No 2018-04-06 00:00:00 None B None 2000 2000 -700 1300 0 None NVQ111 N CA00549124, CA00549124 C, C SFY2017-18
010000427 ADULTS IN COMMUNITY TRANSITIONS- ACT 1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2018-03-26 00:00:00 110013822 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-30 00:00:00 2017-10-30 00:00:00 No 2018-04-16 00:00:00 None B None 2000 2000 -700 1300 0 None O8OP11 N CA00559514, CA00559514, CA00559514 B, B, B SFY2017-18
010000427 ADULTS IN COMMUNITY TRANSITIONS- ACT 1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2018-03-26 00:00:00 110013824 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-30 00:00:00 2017-10-30 00:00:00 No 2018-04-16 00:00:00 None B None 2000 2000 -700 1300 0 None O8OP11 N CA00559514, CA00559514, CA00559514, CA00559514 B, B, B, B SFY2017-18
010000703 BAIRD HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2018-03-02 00:00:00 110013832 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-01-18 00:00:00 2018-01-18 00:00:00 No 2018-03-23 00:00:00 None B None 2000 2000 -700 1300 0 None FCVI11 N CA00570414 E SFY2017-18
010001140 ARBOL RESIDENCES OF SANTA ROSA LTC SNF Skilled Nursing Facility Santa Rosa 2018-06-18 00:00:00 110013899 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-23 00:00:00 2016-06-23 00:00:00 No 2018-07-10 00:00:00 None B None 2000 2000 -700 1300 0 None ECNO11 N CA00493136, CA00493136 C, C SFY2017-18
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2018-04-03 00:00:00 110013921 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-02-19 00:00:00 2018-02-19 00:00:00 No 2018-04-24 00:00:00 None B None 2000 2000 -2000 0 0 None JZL911 N CA00574833 A SFY2017-18
010000020 FIRCREST CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Santa Rosa 2018-04-03 00:00:00 110013922 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-02-17 00:00:00 2018-02-17 00:00:00 No 2018-04-24 00:00:00 None B None 2000 2000 -2000 0 0 None JZL911 N CA00574833, CA00574833, CA00574833 A, A, A SFY2017-18
010000938 SOUTH MARIN HEALTH & WELLNESS CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2018-06-05 00:00:00 110013978 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-04 00:00:00 2018-03-04 00:00:00 No 2018-06-26 00:00:00 None B None 2000 2000 -700 1300 0 None O8ON11 N CA00576466, CA00576466 B, B SFY2017-18
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-07-19 00:00:00 110014016 Closed Citation Citation A (HSC 1424) Dietary Dietary 2015-07-09 00:00:00 2015-07-09 00:00:00 No 2018-08-09 00:00:00 None A None 20000 20000 0 20000 0 None DSUR11 N CA00450065 C SFY2018-19
010000585 FIFTY-O-ONE PARKHURST LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2018-09-13 00:00:00 110014035 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-09-25 00:00:00 2016-09-25 00:00:00 No 2018-10-04 00:00:00 None B None 2000 2000 -700 1300 0 None S0IJ11 N CA00504534 A SFY2018-19
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-07-05 00:00:00 110014173 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2018-07-26 00:00:00 None B None 2000 2000 0 2000 0 None QSWF11 N CA00580409 B SFY2018-19
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-07-05 00:00:00 110014174 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2018-07-26 00:00:00 None B None 2000 2000 0 2000 0 None QSWF11 N CA00580409, CA00580409 B, B SFY2018-19
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2018-09-21 00:00:00 110014265 Closed Citation Citation B (HSC 1424) Problem Transfer Post Ombudsman Info 2018-04-14 00:00:00 2018-04-14 00:00:00 No 2018-10-12 00:00:00 None B None 2000 2000 -700 1300 0 None R1PO11 N None None SFY2018-19
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2018-09-21 00:00:00 110014266 Closed Citation Citation B (HSC 1424) Problem Transfer Post Ombudsman Info 2018-05-03 00:00:00 2018-05-03 00:00:00 No 2018-10-12 00:00:00 None B None 2000 2000 -700 1300 0 None R1PO11 N None None SFY2018-19
110000467 VACAVILLE CONVALESCENT AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2018-09-21 00:00:00 110014267 Closed Citation Citation B (HSC 1424) Problem Transfer Post Ombudsman Info 2018-05-06 00:00:00 2018-05-06 00:00:00 No 2018-10-12 00:00:00 None B None 2000 2000 -700 1300 0 None R1PO11 N None None SFY2018-19
010000079 HILLCREST POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-11-20 00:00:00 110014288 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-01 00:00:00 2018-07-01 00:00:00 No 2018-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None L1OD11 N CA00593793 B SFY2018-19
110000053 PINER'S NURSING HOME LTC SNF Skilled Nursing Facility Santa Rosa 2018-10-22 00:00:00 110014306 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-04-25 00:00:00 2018-04-25 00:00:00 No 2018-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None ODJ411 N None None SFY2018-19
010001037 SMITH RANCH SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2018-12-11 00:00:00 110014363 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-30 00:00:00 2017-01-30 00:00:00 No 2019-01-02 00:00:00 None B None 2000 2000 0 2000 0 None T2VD11 N CA00519197 B SFY2018-19
010001037 SMITH RANCH SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2019-01-29 00:00:00 110014366 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-18 00:00:00 2016-05-18 00:00:00 Yes 2019-02-19 00:00:00 2019-02-15 00:00:00 A B 20000 15000 0 15000 0 None 0WG111 Y CA00489444 B SFY2018-19
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2018-12-07 00:00:00 110014524 Closed Citation Citation B (HSC 1424) Patient Rights Post-Ombudsman Info 2018-07-25 00:00:00 2018-07-25 00:00:00 No 2018-12-31 00:00:00 None B None 2000 2000 0 2000 0 None YDHM11 N CA00594499, CA00594499 B, B SFY2018-19
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2019-04-03 00:00:00 110014564 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-06 00:00:00 2018-10-06 00:00:00 No 2019-04-24 00:00:00 None B None 2000 2000 -700 1300 0 None GY1411 N CA00606968, CA00606968, CA00607010, CA00607010 A, A, A, A SFY2018-19
010001001 MILES - CENTER ROAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2018-12-13 00:00:00 110014647 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-02 00:00:00 2018-01-02 00:00:00 No 2019-01-04 00:00:00 None B None 1000 1000 0 1000 0 None 8FY911 N CA00567708, CA00567717 B, B SFY2018-19
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2019-08-29 00:00:00 110014677 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-07 00:00:00 2016-12-07 00:00:00 No 2019-09-19 00:00:00 None B None 1000 1000 0 1000 0 None DC4Q11 N CA00513418 H SFY2019-20
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2019-02-21 00:00:00 110014741 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-09-10 00:00:00 2018-09-10 00:00:00 No 2019-03-14 00:00:00 None B None 2000 2000 -700 1300 0 None 80F911 N CA00603236 B SFY2018-19
010000060 SEAVIEW REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2019-02-15 00:00:00 110014797 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-14 00:00:00 2018-06-14 00:00:00 No 2019-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None NHUL11 N CA00590999 A SFY2018-19
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-08 00:00:00 110014877 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-08-17 00:00:00 2018-08-17 00:00:00 No 2021-04-29 00:00:00 None B None 2000 2000 0 2000 0 None E9CK11 N CA00556925, CA00594648, CA00594648 B, B, B SFY2020-21
110000074 SPRINGS ROAD HEALTHCARE LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-08 00:00:00 110014878 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-08-16 00:00:00 2018-08-16 00:00:00 No 2021-04-29 00:00:00 None B None 2000 2000 0 2000 0 None E9CK11 N CA00556925, CA00556925, CA00594648, CA00594648 B, B, B, B SFY2020-21
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2021-09-10 00:00:00 110014886 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-30 00:00:00 2018-11-30 00:00:00 No 2021-10-01 00:00:00 None B None 2000 2000 0 2000 0 None 9DQ311 N CA00615201, CA00615562 B, B SFY2021-22
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2019-05-29 00:00:00 110014895 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-11 00:00:00 2018-08-11 00:00:00 No 2019-06-19 00:00:00 None A None 20000 20000 -7000 13000 0 None WQKY11 N CA00602802 B SFY2018-19
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2019-05-29 00:00:00 110014932 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-03 00:00:00 2018-08-03 00:00:00 No 2019-06-19 00:00:00 None A None 20000 20000 -7000 13000 0 None Z5SI11 N CA00599094 B SFY2018-19
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015142 Open Citation Citation B (HSC 1424) Patient Care None 2018-12-12 00:00:00 2018-12-12 00:00:00 No 2019-08-28 00:00:00 None B None 2000 2000 -700 1300 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015143 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015144 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015145 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015146 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015147 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015148 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015149 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015150 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-07 00:00:00 110015151 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2019-08-28 00:00:00 None B None 1000 1000 -350 650 0 None Z25911 N CA00586915, CA00609895 C, C SFY2019-20
010001005 ALDERSLY SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-09 00:00:00 110015152 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-01-17 00:00:00 2019-01-17 00:00:00 No 2019-08-30 00:00:00 None B None 2000 2000 0 2000 0 None QVGX11 N None None SFY2019-20
010001005 ALDERSLY SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-09 00:00:00 110015153 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-01-17 00:00:00 2019-01-17 00:00:00 No 2019-08-30 00:00:00 None B None 2000 2000 0 2000 0 None QVGX11 N None None SFY2019-20
010001005 ALDERSLY SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Santa Rosa 2019-08-09 00:00:00 110015154 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-01-17 00:00:00 2019-01-17 00:00:00 No 2019-08-30 00:00:00 None B None 2000 2000 0 2000 0 None QVGX11 N None None SFY2019-20
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2019-07-12 00:00:00 110015192 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-07 00:00:00 2019-05-07 00:00:00 No 2019-08-02 00:00:00 None B None 2000 2000 0 2000 0 None JCIP11 N CA00636978, CA00636978 B, B SFY2019-20
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-07-26 00:00:00 110015203 Closed Citation Citation A (HSC 1424) Patient Care None 2019-02-20 00:00:00 2019-02-20 00:00:00 No 2022-08-16 00:00:00 None A None 20000 20000 -7000 13000 0 None 4IC111 Y CA00626655 B SFY2022-23
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2019-10-04 00:00:00 110015274 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-04-12 00:00:00 2019-04-12 00:00:00 No 2019-10-25 00:00:00 None B None 2000 2000 -700 1300 0 None C02Q11 N None None SFY2019-20
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2019-10-04 00:00:00 110015275 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-04-12 00:00:00 2019-04-12 00:00:00 No 2019-10-25 00:00:00 None B None 2000 2000 -700 1300 0 None C02Q11 N None None SFY2019-20
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2019-12-23 00:00:00 110015276 Closed Citation Citation B (HSC 1424) Administration None 2019-03-28 00:00:00 2019-03-28 00:00:00 No 2020-01-13 00:00:00 None B None 1000 1000 0 1000 0 None POMP11 N None None SFY2019-20
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2019-09-17 00:00:00 110015299 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-13 00:00:00 2018-10-13 00:00:00 No 2019-10-08 00:00:00 None B None 2000 2000 0 2000 0 None 40NG11 N CA00607985 A SFY2019-20
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2019-10-10 00:00:00 110015325 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-24 23:59:00 2019-04-24 23:59:00 No 2019-10-31 00:00:00 None B None 2000 2000 0 2000 0 None QCZQ11 N CA00638989, CA00638989 B, B SFY2019-20
010000022 FRIENDS HOUSE LTC SNF Skilled Nursing Facility Santa Rosa 2019-09-20 00:00:00 110015343 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-06-01 00:00:00 2019-06-01 00:00:00 No 2019-10-11 00:00:00 None B None 2000 2000 -700 1300 0 None BUNK11 N None None SFY2019-20
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2019-11-14 00:00:00 110015440 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-12 00:00:00 2018-12-12 00:00:00 Yes 2019-12-05 00:00:00 2019-12-04 00:00:00 A A 20000 14000 6000 20000 0 None EM0Z11 N None None SFY2019-20
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2019-10-22 00:00:00 110015441 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-23 00:00:00 2019-03-23 00:00:00 No 2019-11-12 00:00:00 None B None 2000 2000 0 2000 0 None C75411 N CA00630522, CA00630522, CA00630522, CA00630522 B, B, B, B SFY2019-20
010000080 UKIAH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2019-12-17 00:00:00 110015496 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-01-10 00:00:00 2019-01-10 00:00:00 No 2020-01-07 00:00:00 None B None 2000 2000 -700 1300 0 None KWOZ11 N CA00623470 C SFY2019-20
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2019-11-14 00:00:00 110015499 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2019-03-08 00:00:00 2019-03-08 00:00:00 No 2019-12-05 00:00:00 None B None 1000 1000 0 1000 0 None EM0Z11 N None None SFY2019-20
630010921 CROSSROADS III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2021-03-26 00:00:00 110015609 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-20 00:00:00 2018-12-20 00:00:00 No 2021-04-19 00:00:00 None B None 1000 1000 0 1000 0 None 72M611 N CA00616887, CA00616887, CA00617317, CA00617317 B, B, C, C SFY2020-21
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-26 00:00:00 110015667 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-08-26 00:00:00 2019-08-26 00:00:00 No 2021-05-17 00:00:00 None B None 2000 2000 -700 1300 0 None PMM711 N CA00652253 B SFY2020-21
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-28 00:00:00 110015668 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse/Facility Not Report 2019-08-26 00:00:00 2019-08-26 00:00:00 No 2021-05-19 00:00:00 None B None 2000 2000 -700 1300 0 None PMM711 N CA00652253 B SFY2020-21
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-07-09 00:00:00 110015683 Closed Citation Citation A (HSC 1424) Other Abuse/Facility Not Report 2019-07-29 00:00:00 2019-07-29 00:00:00 No 2021-07-30 00:00:00 None A None 20000 20000 0 20000 0 None 1HI911 N CA00648105, CA00649914, CA00650584 A, B, A SFY2021-22
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-02-03 00:00:00 110015725 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-02-21 23:59:00 2019-02-21 23:59:00 No 2021-02-25 00:00:00 None B None 2000 2000 0 2000 0 None 4QYE11 N CA00632415 A SFY2020-21
110000233 VALLEY OF THE MOON POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-03-23 00:00:00 110015777 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-16 00:00:00 2019-10-16 00:00:00 No 2021-04-14 00:00:00 None B None 2000 2000 -700 1300 0 None 6EQH11 N None None SFY2020-21
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2020-07-21 00:00:00 110015918 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-07 00:00:00 2016-09-07 00:00:00 No 2020-08-11 00:00:00 None B None 2000 2000 0 2000 0 None WD1311 N CA00531933 B SFY2020-21
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-07-01 00:00:00 110016048 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-12-09 00:00:00 2019-12-09 00:00:00 No 2021-07-22 00:00:00 None B None 2000 2000 0 2000 0 None 8NEX11 N None None SFY2021-22
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-05-26 00:00:00 110016049 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-12-13 00:00:00 2019-12-13 00:00:00 No 2021-06-17 00:00:00 None B None 2000 2000 0 2000 0 None 8NEX11 N None None SFY2020-21
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-15 00:00:00 110016050 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-10-18 00:00:00 2019-10-18 00:00:00 No 2021-05-06 00:00:00 None B None 2000 2000 -700 1300 0 None HT8U11 N None None SFY2020-21
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-15 00:00:00 110016051 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-10-18 00:00:00 2019-10-18 00:00:00 No 2021-05-06 00:00:00 None B None 2000 2000 -700 1300 0 None HT8U11 N None None SFY2020-21
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-15 00:00:00 110016052 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-10-17 00:00:00 2019-10-17 00:00:00 No 2021-05-06 00:00:00 None B None 2000 2000 -700 1300 0 None HT8U11 N None None SFY2020-21
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-15 00:00:00 110016053 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-10-21 00:00:00 2019-10-21 00:00:00 No 2021-05-06 00:00:00 None B None 2000 2000 -700 1300 0 None HT8U11 N None None SFY2020-21
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-03 00:00:00 110016057 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-01 00:00:00 2019-03-01 00:00:00 No 2021-06-24 00:00:00 None B None 2000 2000 -700 1300 0 None BQOR11 N CA00626902, CA00626902, CA00633467 B, B, B SFY2020-21
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-07-29 00:00:00 110016072 Closed Citation Citation A (HSC 1424) Patient Care None 2020-07-29 23:59:00 2020-07-29 23:59:00 No 2021-08-19 00:00:00 None A None 20000 20000 -7000 13000 0 None IOXG11 N None None SFY2021-22
110000053 PINER'S NURSING HOME LTC SNF Skilled Nursing Facility Santa Rosa 2021-02-11 00:00:00 110016082 Closed Citation Citation A (HSC 1424) Patient Care None 2020-04-25 00:00:00 2020-04-25 00:00:00 No 2021-03-05 00:00:00 None A None 20000 20000 0 20000 0 None W6UJ11 N CA00686586 C SFY2020-21
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-01-12 00:00:00 110016088 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-04-22 00:00:00 2020-04-22 00:00:00 No 2021-02-03 00:00:00 None B None 2000 2000 -700 1300 0 None RSUJ11 N CA00686110 A SFY2020-21
110000863 LAUREL CREEK HEALTH CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-01-13 00:00:00 110016125 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-07 00:00:00 2019-06-07 00:00:00 No 2021-02-04 00:00:00 None A None 20000 20000 -7000 13000 0 None DVT411 N CA00641545 A SFY2020-21
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-05-05 00:00:00 110016180 Closed Citation Citation A (HSC 1424) Patient Care None 2020-10-06 00:00:00 2020-10-06 00:00:00 No 2021-05-26 00:00:00 None A None 20000 20000 0 20000 0 None ZJ9W11 N CA00702089 B SFY2020-21
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2024-03-22 00:00:00 110016267 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-05 00:00:00 2021-01-05 00:00:00 No 2024-04-15 00:00:00 None A None 20000 20000 -7000 13000 0 None LDX311 N CA00719657, CA00720286, CA00720325, CA00720403, CA00721088 B, A, A, A, B SFY2023-24
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2024-03-22 00:00:00 110016269 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-05 00:00:00 2021-01-05 00:00:00 No 2024-04-15 00:00:00 None A None 20000 20000 -7000 13000 0 None LDX311 N CA00721338, CA00721338 B, B SFY2023-24
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2024-03-22 00:00:00 110016270 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-05 00:00:00 2021-01-05 00:00:00 No 2024-04-15 00:00:00 None A None 20000 20000 -7000 13000 0 None LDX311 N CA00720355 A SFY2023-24
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-21 00:00:00 110016331 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-15 00:00:00 2018-08-15 00:00:00 No 2021-05-12 00:00:00 None B None 2000 2000 -700 1300 0 None Z1HB11 N CA00603417, CA00607058 E, B SFY2020-21
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-03-25 00:00:00 110016354 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-26 00:00:00 2018-12-26 00:00:00 No 2021-04-16 00:00:00 None B None 2000 2000 0 2000 0 None WE2911 N CA00660593 B SFY2020-21
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2021-03-26 00:00:00 110016361 Closed Citation Citation B (HSC 1424) Medication None 2019-11-21 00:00:00 2019-11-21 00:00:00 No 2021-04-19 00:00:00 None B None 2000 2000 -700 1300 0 None Y09W11 N CA00672007, CA00672007 B, B SFY2020-21
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2021-03-26 00:00:00 110016362 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-06-29 00:00:00 2020-06-29 00:00:00 No 2021-04-19 00:00:00 None B None 1000 1000 -350 650 0 None EMWQ11 N CA00695149 B SFY2020-21
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2022-02-28 00:00:00 110016434 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-10 00:00:00 2021-01-10 00:00:00 No 2022-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None ZDGV11 Y CA00721043, CA00721048 B, B SFY2021-22
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-05-28 00:00:00 110016512 Closed Citation Citation A (HSC 1424) Medication None 2019-01-22 00:00:00 2019-01-22 00:00:00 No 2021-06-21 00:00:00 None A None 20000 20000 0 20000 0 None 8PMH11 N CA00622285, CA00622285, CA00622752 E, E, B SFY2020-21
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-03 00:00:00 110016539 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-11-22 00:00:00 2019-11-22 00:00:00 No 2021-06-24 00:00:00 None B None 2000 2000 0 2000 0 None CZ0U11 N CA00665247, CA00665247 B, B SFY2020-21
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-15 00:00:00 110016550 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-08-23 00:00:00 2019-08-23 00:00:00 No 2021-07-06 00:00:00 None B None 2000 2000 0 2000 0 None VZNF11 Y CA00654903, CA00654903, CA00656915, CA00656915, CA00658085, CA00658085, CA00658180, CA00658180 B, B, B, B, B, B, B, B SFY2020-21
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-15 00:00:00 110016551 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-08-27 00:00:00 2019-08-27 00:00:00 No 2021-07-06 00:00:00 None B None 2000 2000 0 2000 0 None VZNF11 Y CA00654903, CA00654903, CA00656915, CA00656915, CA00658085, CA00658085, CA00658180, CA00658180 B, B, B, B, B, B, B, B SFY2020-21
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-15 00:00:00 110016552 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-08-14 00:00:00 2019-08-14 00:00:00 No 2021-07-06 00:00:00 None B None 2000 2000 0 2000 0 None VZNF11 Y CA00654903, CA00654903, CA00656915, CA00656915, CA00658085, CA00658085, CA00658180, CA00658180 B, B, B, B, B, B, B, B SFY2020-21
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-15 00:00:00 110016553 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-09-05 00:00:00 2019-09-05 00:00:00 No 2021-07-06 00:00:00 None B None 2000 2000 0 2000 0 None VZNF11 Y CA00654903, CA00654903, CA00656915, CA00656915, CA00658085, CA00658085, CA00658180, CA00658180 B, B, B, B, B, B, B, B SFY2020-21
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-15 00:00:00 110016591 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-02-04 00:00:00 2019-02-04 00:00:00 No 2021-07-06 00:00:00 None B None 2000 2000 -700 1300 0 None QVXQ11 N CA00627861, CA00627861 A, A SFY2020-21
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-10-20 00:00:00 110016826 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-04-16 00:00:00 2019-04-16 00:00:00 No 2021-11-10 00:00:00 None B None 2000 2000 0 2000 0 None B63L11 N CA00634057 A SFY2021-22
010000005 RIDGEWAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-02-28 00:00:00 110016845 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-04-26 00:00:00 2021-04-26 00:00:00 No 2022-03-21 00:00:00 None B None 2000 2000 0 2000 0 None FHWC11 N CA00734453 B SFY2021-22
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-09-10 00:00:00 110016863 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-03 00:00:00 2017-04-03 00:00:00 No 2021-10-01 00:00:00 None A None 20000 20000 -7000 13000 0 None 61P911 Y CA00536680 B SFY2021-22
010000026 APPLE VALLEY POST-ACUTE REHAB LTC SNF Skilled Nursing Facility Santa Rosa 2021-10-19 00:00:00 110016983 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-04 00:00:00 2020-06-04 00:00:00 No 2021-11-09 00:00:00 None B None 2000 2000 -700 1300 0 None 6ZO611 N CA00691524 C SFY2021-22
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-03-21 00:00:00 110017032 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-07-14 00:00:00 2021-07-14 00:00:00 No 2022-04-12 00:00:00 None B None 2000 2000 -700 1300 0 None EKZR11 N CA00747683 A SFY2021-22
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2022-02-18 00:00:00 110017056 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-03-18 00:00:00 2021-03-18 00:00:00 No 2022-03-14 00:00:00 None B None 2000 2000 0 2000 0 None R0PG11 N CA00746731 B SFY2021-22
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2022-02-22 00:00:00 110017068 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-01 00:00:00 2019-04-01 00:00:00 No 2022-03-15 00:00:00 None B None 2000 2000 0 2000 0 None BDD211 N CA00644661 B SFY2021-22
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2022-07-26 00:00:00 110017082 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-10 00:00:00 2019-09-10 00:00:00 No 2022-08-16 00:00:00 None A None 20000 23100 0 23100 0 None SM8511 N CA00654972 B SFY2022-23
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2022-02-07 00:00:00 110017083 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-08-28 00:00:00 2019-08-28 00:00:00 No 2022-03-01 00:00:00 None B None 2000 2000 0 2000 0 None SM8511 N CA00654972, CA00654972 B, B SFY2021-22
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2022-02-07 00:00:00 110017084 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-08-27 00:00:00 2019-08-27 00:00:00 No 2022-03-01 00:00:00 None B None 2000 2000 0 2000 0 None SM8511 N CA00654972 B SFY2021-22
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2022-01-06 00:00:00 110017206 Open Citation Citation A (HSC 1424) Administration None 2021-11-15 00:00:00 2021-11-15 00:00:00 No 2022-01-28 00:00:00 None A None 20000 20000 0 0 20000 None 5CKL11 N None None SFY2021-22
010000029 HEALDSBURG SENIOR LIVING COMMUNITY LTC SNF Skilled Nursing Facility Santa Rosa 2022-01-06 00:00:00 110017208 Open Citation Citation A (HSC 1424) Patient Care Abuse/No Self-Report 2021-11-15 00:00:00 2021-11-15 00:00:00 No 2022-01-28 00:00:00 None A None 20000 20000 0 0 20000 None 5CKL11 N None None SFY2021-22
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2022-02-22 00:00:00 110017348 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-01 00:00:00 2019-04-01 00:00:00 No 2022-03-15 00:00:00 None B None 2000 2000 0 2000 0 None BDD211 N CA00644661, CA00644661 B, B SFY2021-22
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-12-18 00:00:00 110017392 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-11-30 00:00:00 2020-11-30 00:00:00 No 2024-01-09 00:00:00 None B None 1000 1000 -350 650 0 None GT2C11 N CA00715300 B SFY2023-24
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-12-18 00:00:00 110017393 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-12-05 00:00:00 2020-12-05 00:00:00 No 2024-01-09 00:00:00 None B None 1000 1000 -350 650 0 None GT2C11 N CA00715300 B SFY2023-24
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-12-18 00:00:00 110017394 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-11-13 00:00:00 2020-11-13 00:00:00 No 2024-01-09 00:00:00 None B None 1000 1000 -350 650 0 None GT2C11 N CA00715300 B SFY2023-24
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-12-18 00:00:00 110017395 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-03-05 00:00:00 2021-03-05 00:00:00 No 2024-01-09 00:00:00 None B None 1000 1000 -350 650 0 None HD3R11 N CA00728528 B SFY2023-24
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-12-18 00:00:00 110017396 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-02-28 00:00:00 2021-02-28 00:00:00 No 2024-01-09 00:00:00 None B None 1000 1000 -350 650 0 None HD3R11 N CA00728528, CA00728528, CA00728528 B, B, B SFY2023-24
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-12-18 00:00:00 110017397 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-02-12 00:00:00 2021-02-12 00:00:00 No 2024-01-09 00:00:00 None B None 1000 1000 -350 650 0 None HD3R11 N CA00728528, CA00728528, CA00728528 B, B, B SFY2023-24
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-03-11 00:00:00 110017484 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-05-20 00:00:00 2020-05-20 00:00:00 No 2022-04-04 00:00:00 None B None 2000 2000 -700 1300 0 None JGWU11 N CA00689647 A SFY2021-22
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2022-03-23 00:00:00 110017508 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-10-25 00:00:00 2021-10-25 00:00:00 No 2022-04-14 00:00:00 None B None 2000 2000 0 2000 0 None A0R511 N CA00758738, CA00759035 B, B SFY2021-22
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2022-03-23 00:00:00 110017509 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-10-25 00:00:00 2021-10-25 00:00:00 No 2022-04-14 00:00:00 None B None 2000 2000 0 2000 0 None A0R511 N CA00758738, CA00759035 B, B SFY2021-22
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2022-05-25 00:00:00 110017525 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-06 00:00:00 2018-09-06 00:00:00 No 2022-06-16 00:00:00 None B None 2000 2000 -700 1300 0 None 5KZ311 Y CA00638373 B SFY2021-22
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2022-05-09 00:00:00 110017609 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-01-20 00:00:00 2020-01-20 00:00:00 No 2022-05-31 00:00:00 None B None 2000 2000 0 2000 0 None 00WX11 N CA00672952 B SFY2021-22
010000864 CROSSROADS II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Santa Rosa 2022-07-01 00:00:00 110017658 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-05 00:00:00 2022-02-05 00:00:00 No 2022-07-25 00:00:00 None B None 2000 2000 -700 1300 0 None VBF711 N CA00772394, CA00772394, CA00772394 E, E, E SFY2022-23
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-08-03 00:00:00 110017794 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-05-21 00:00:00 2020-05-21 00:00:00 No 2022-08-24 00:00:00 None B None 2000 2000 -700 1300 0 None V03511 N CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170 B, B, B, B, B, B, B SFY2022-23
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-08-03 00:00:00 110017795 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-10-21 00:00:00 2021-10-21 00:00:00 No 2022-08-24 00:00:00 None B None 2000 2950 0 2950 0 None V03511 N CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170 B, B, B, B, B, B, B, B SFY2022-23
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-09-16 00:00:00 110017885 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-02-24 00:00:00 2022-02-24 00:00:00 No 2022-10-07 00:00:00 None B None 2000 2000 -700 1300 0 None UE7211 N CA00782613 A SFY2022-23
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2022-11-22 00:00:00 110018082 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-03-01 00:00:00 2022-03-01 00:00:00 No 2022-12-15 00:00:00 None B None 2000 2000 0 2000 0 None Y4D511 N CA00782592, CA00782592 A, A SFY2022-23
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2024-05-03 00:00:00 110019467 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-01-20 00:00:00 2022-01-20 00:00:00 No 2024-05-24 00:00:00 None B None 2000 2000 0 2000 0 None D4XT11 N CA00772661, CA00772661 A, A SFY2023-24
120000339 LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2000-01-06 00:00:00 120001357 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-11-10 00:00:00 1999-11-10 00:00:00 No 2000-02-01 00:00:00 None B None 800 800 -280 520 0 120013410 A99999 N None None SFY1999-00
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2000-01-06 00:00:00 120001358 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-06-13 00:00:00 None Yes 2000-02-01 00:00:00 2000-01-27 00:00:00 AA A 25000 15000 0 15000 0 120013416 A99999 Y None None SFY1999-00
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2000-02-08 00:00:00 120001364 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-23 00:00:00 1999-10-23 00:00:00 Yes 2000-03-13 00:00:00 2000-02-16 00:00:00 B B 1000 1000 0 1000 0 120013520 A99999 N None None SFY1999-00
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2000-02-25 00:00:00 120001367 Closed Citation Citation AA (HSC 1424) Other NEGLECT 1999-12-08 00:00:00 1999-12-08 00:00:00 Yes 2000-03-27 00:00:00 2000-03-13 00:00:00 AA B 23000 17500 0 17500 0 120013563 A99999 Y None None SFY1999-00
120000390 LOYD'S LIBERTY HOMES, INC. - WOODLAKE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2000-02-28 00:00:00 120001368 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-16 00:00:00 1999-12-16 00:00:00 No 2000-03-20 00:00:00 None B None 600 600 -210 390 0 120013571 A99999 N None None SFY1999-00
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2000-02-28 00:00:00 120001369 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-07 00:00:00 1999-12-07 00:00:00 No 2000-03-24 00:00:00 None B None 800 800 -280 520 0 120013572 A99999 N None None SFY1999-00
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2000-03-14 00:00:00 120001372 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-04 00:00:00 2000-02-04 00:00:00 Yes 2000-04-10 00:00:00 2000-03-27 00:00:00 B Dismissed by Court 1000 0 0 0 0 120013639 A99999 N None None SFY1999-00
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2000-03-22 00:00:00 120001373 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-25 00:00:00 1999-12-25 00:00:00 No 2000-04-18 00:00:00 None B None 200 200 -70 130 0 120013676 A99999 N None None SFY1999-00
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2000-04-13 00:00:00 120001374 Closed Citation Citation B (HSC 1424) Other PATIENT CARE & ABUSE 1999-09-03 00:00:00 1999-09-03 00:00:00 Yes 2000-05-09 00:00:00 2000-04-24 00:00:00 B B 1000 1000 0 1000 0 120013743 A99999 N None None SFY1999-00
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2000-04-24 00:00:00 120001376 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-10 00:00:00 None No 2000-05-23 00:00:00 None B None 1000 1000 0 1000 0 120013800 A99999 N None None SFY1999-00
120001082 MERCY WESTSIDE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2000-05-03 00:00:00 120001377 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-24 00:00:00 2000-02-24 00:00:00 No 2000-06-08 00:00:00 None B None 1000 1000 -350 650 0 120013829 A99999 N None None SFY1999-00
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2000-05-26 00:00:00 120001381 Closed Citation Citation B (HSC 1424) Other PT CARE/RIGHTS 2000-03-06 00:00:00 2000-03-06 00:00:00 Yes 2000-06-23 00:00:00 2000-06-14 00:00:00 B B 1000 1000 0 1000 0 120013926 A99999 N None None SFY1999-00
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2000-05-30 00:00:00 120001382 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-22 00:00:00 2000-02-22 00:00:00 No 2000-06-26 00:00:00 None B None 800 800 0 800 0 120013933 A99999 N None None SFY1999-00
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2000-08-30 00:00:00 120001393 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-28 00:00:00 2000-05-28 00:00:00 No 2000-09-29 00:00:00 None B None 1000 1000 -350 650 0 120014269 A99999 N None None SFY2000-01
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2000-09-06 00:00:00 120001394 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-06 00:00:00 2000-05-06 00:00:00 No 2000-10-06 00:00:00 None B None 900 900 0 900 0 120014280 A99999 N None None SFY2000-01
120000976 LOYD'S LIBERTY HOMES, INC. - CASWELL HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2000-10-05 00:00:00 120001397 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-18 00:00:00 None No 2000-10-27 00:00:00 None B None 600 600 -210 390 0 120014357 A99999 N None None SFY2000-01
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2000-10-12 00:00:00 120001399 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-22 00:00:00 None No 2000-11-09 00:00:00 None B None 850 850 -297.5 552.5 0 120014375 A99999 N None None SFY2000-01
120000573 SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2000-12-01 00:00:00 120001401 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-12 00:00:00 None No 2001-01-10 00:00:00 None B None 600 650 0 650 0 120014507 A99999 N None None SFY2000-01
120001082 MERCY WESTSIDE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2000-12-05 00:00:00 120001403 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-09-19 00:00:00 2000-09-19 00:00:00 No 2000-12-26 00:00:00 None B None 1000 1000 -350 650 0 120014529 A99999 N None None SFY2000-01
120000339 LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2000-12-14 00:00:00 120001404 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-31 00:00:00 None No 2001-01-17 00:00:00 None B None 1000 3000 -1050 1950 0 120014555 A99999 N None None SFY2000-01
120001037 HIGHER GROUND HOMES, INC. #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2001-01-12 00:00:00 120001435 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-13 00:00:00 2000-12-13 00:00:00 No 2001-02-14 00:00:00 None B None 600 600 -210 390 0 120014636 A99999 N None None SFY2000-01
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2001-03-06 00:00:00 120001445 Closed Citation Citation A (HSC 1424) Patient Care None 2000-11-22 00:00:00 None Yes 2001-03-27 00:00:00 2001-09-21 00:00:00 A B 12000 6000 0 6000 0 120014814 A99999 N None None SFY2000-01
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2001-03-28 00:00:00 120001448 Closed Citation Citation A (HSC 1424) Patient Care None 2000-11-22 00:00:00 2000-11-22 00:00:00 Yes 2001-04-26 00:00:00 2001-09-21 00:00:00 A B 18000 9000 0 9000 0 120014920 A99999 N None None SFY2000-01
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2001-04-06 00:00:00 120001450 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-10 00:00:00 None No 2001-05-01 00:00:00 None B None 1000 3000 -1050 1950 0 120014963 A99999 N None None SFY2000-01
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2001-05-22 00:00:00 120001453 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-16 00:00:00 None No 2001-06-13 00:00:00 None B B 1000 1000 0 1000 0 120015088 A99999 N None None SFY2000-01
120001402 DELTA HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2000-04-13 00:00:00 120001457 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-23 00:00:00 2000-04-13 00:00:00 No 2000-05-09 00:00:00 None B None 1000 1000 0 1000 0 120015171 A99999 N None None SFY1999-00
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2000-07-19 00:00:00 120001524 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-21 00:00:00 2000-01-21 00:00:00 No 2000-08-09 00:00:00 None B None 1000 1000 -350 650 0 120015487 A99999 N None None SFY2000-01
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2001-06-04 00:00:00 120001525 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-01 00:00:00 None No 2001-06-25 00:00:00 None B B 300 300 0 300 0 120015492 A99999 N None None SFY2000-01
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2001-06-15 00:00:00 120001526 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-15 00:00:00 None No 2001-07-09 00:00:00 None A A 2000 2000 0 2000 0 120015505 A99999 N None None SFY2000-01
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2001-06-15 00:00:00 120001528 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-21 00:00:00 None Yes 2001-07-06 00:00:00 2001-06-25 00:00:00 A B 10000 5573 0 5573 0 120015508 A99999 N None None SFY2000-01
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2001-06-15 00:00:00 120001529 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-07 00:00:00 None Yes 2001-07-09 00:00:00 2001-06-22 00:00:00 A B 20000 20000 0 20000 0 120015509 A99999 Y None None SFY2000-01
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2001-07-02 00:00:00 120001530 Closed Citation Citation B (HSC 1424) Medication None 2001-01-16 00:00:00 None No 2001-07-24 00:00:00 None B None 500 500 -175 325 0 120015537 A99999 N None None SFY2001-02
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2001-07-12 00:00:00 120001531 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-18 00:00:00 None No 2001-08-02 00:00:00 None B None 500 500 -175 325 0 120015556 A99999 N None None SFY2001-02
120001082 MERCY WESTSIDE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2001-07-23 00:00:00 120001532 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-13 00:00:00 None No 2001-08-13 00:00:00 None B None 1000 1000 0 1000 0 120015576 A99999 N None None SFY2001-02
120000399 ADVENTIST HEALTH DELANO D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2001-07-20 00:00:00 120001533 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-25 00:00:00 None No 2001-08-10 00:00:00 None B None 500 500 -175 325 0 120015573 A99999 N None None SFY2001-02
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2001-10-15 00:00:00 120001535 Closed Citation Citation A (HSC 1424) Patient Care None 2001-04-23 00:00:00 None No 2001-11-05 00:00:00 None A None 20000 20000 -7000 13000 0 120015650 A99999 N None None SFY2001-02
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2001-10-17 00:00:00 120001536 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-04 00:00:00 None No 2001-11-07 00:00:00 None B None 300 300 0 300 0 120015689 A99999 N None None SFY2001-02
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2001-10-19 00:00:00 120001537 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-24 00:00:00 2001-09-24 00:00:00 No 2001-11-09 00:00:00 None B None 1000 1000 -350 650 0 120015719 A99999 N None None SFY2001-02
120000903 LOYD'S LIBERTY HOMES, INC. - JOELYLE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2001-10-30 00:00:00 120001538 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-07 00:00:00 None Yes 2002-03-01 00:00:00 2002-02-21 00:00:00 A B 10000 10000 0 10000 0 120015641 A99999 N None None SFY2001-02
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2001-11-06 00:00:00 120001539 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-31 00:00:00 2000-12-31 00:00:00 No 2001-11-30 00:00:00 None B None 2000 2300 -700 1600 0 120015783 A99999 N None None SFY2001-02
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2001-11-21 00:00:00 120001540 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-07 00:00:00 2001-11-07 00:00:00 No 2001-12-14 00:00:00 None B None 700 700 -245 455 0 120015811 A99999 N None None SFY2001-02
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2001-12-20 00:00:00 120001541 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-04 00:00:00 None No 2002-01-15 00:00:00 None B None 1000 1000 0 1000 0 120015796 A99999 N None None SFY2001-02
120000399 ADVENTIST HEALTH DELANO D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2001-12-24 00:00:00 120001542 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-08 00:00:00 None No 2002-01-16 00:00:00 None B None 500 500 0 500 0 120015898 A99999 N None None SFY2001-02
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2001-12-31 00:00:00 120001543 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-12 00:00:00 None Yes 2002-04-10 00:00:00 2001-12-31 00:00:00 B B 500 550 0 550 0 120015896 A99999 N None None SFY2001-02
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2002-01-03 00:00:00 120001544 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-22 00:00:00 None No 2002-01-25 00:00:00 None B None 1000 1000 0 1000 0 120015821 A99999 N None None SFY2001-02
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2002-02-19 00:00:00 120001546 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-06 00:00:00 2002-02-06 00:00:00 Yes 2002-03-12 00:00:00 2002-03-06 00:00:00 B Drop>Deficiency 500 750 0 750 0 120015970 A99999 N None None SFY2001-02
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2002-02-20 00:00:00 120001547 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-14 00:00:00 None No 2002-03-13 00:00:00 None B None 300 300 -105 195 0 120015753 A99999 N None None SFY2001-02
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2002-02-25 00:00:00 120001548 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-01 00:00:00 None No 2002-03-18 00:00:00 None B None 500 1500 -525 975 0 120015926 A99999 N None None SFY2001-02
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2002-03-21 00:00:00 120001549 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-12 00:00:00 None No 2002-04-12 00:00:00 None B None 500 500 -175 325 0 120016036 A99999 N None None SFY2001-02
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2002-04-16 00:00:00 120001550 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-15 00:00:00 None Yes 2002-07-24 00:00:00 2002-07-10 00:00:00 B B 500 300 0 300 0 120016040 A99999 N None None SFY2001-02
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2002-05-14 00:00:00 120001551 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2002-02-08 00:00:00 None No 2002-06-05 00:00:00 None B None 500 500 -175 325 0 120016003 A99999 N None None SFY2001-02
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2002-06-17 00:00:00 120001554 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-28 00:00:00 None No 2002-07-16 00:00:00 None B None 500 500 -175 325 0 120016151 A99999 N None None SFY2001-02
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2002-07-03 00:00:00 120001555 Closed Citation Citation B (HSC 1424) Staffing None 2002-04-15 00:00:00 2002-04-29 00:00:00 No 2002-07-29 00:00:00 None B None 500 500 -175 325 0 120016107 A99999 N None None SFY2002-03
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2002-07-10 00:00:00 120001556 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-28 00:00:00 None Yes 2003-03-06 00:00:00 2003-02-21 00:00:00 B B 1000 1050 0 1050 0 120016033 A99999 N None None SFY2002-03
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2002-07-17 00:00:00 120001557 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-03 00:00:00 None No 2002-08-13 00:00:00 None B None 300 300 -105 195 0 120016222 A99999 N None None SFY2002-03
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2002-07-17 00:00:00 120001558 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-29 00:00:00 None No 2002-08-12 00:00:00 None B None 300 300 -105 195 0 120016108 A99999 N None None SFY2002-03
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2002-09-10 00:00:00 120001559 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-11 00:00:00 None No 2002-10-09 00:00:00 None B None 500 500 -175 325 0 120016324 A99999 N None None SFY2002-03
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2002-09-26 00:00:00 120001561 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-08 00:00:00 None No 2002-10-22 00:00:00 None B None 1000 1000 -350 650 0 120016331 A99999 N None None SFY2002-03
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2002-09-26 00:00:00 120001562 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-13 00:00:00 None No 2002-10-22 00:00:00 None B None 1000 1000 -350 650 0 120016325 A99999 N None None SFY2002-03
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2001-04-19 00:00:00 120001592 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-31 00:00:00 2000-12-31 00:00:00 No 2001-05-10 00:00:00 None B None 900 900 -315 585 0 120016726 A99999 N None None SFY2000-01
120001440 DINUBA HEALTHCARE LTC SNF Skilled Nursing Facility Bakersfield 2000-09-15 00:00:00 120001611 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-10 00:00:00 2000-04-10 00:00:00 No 2000-10-09 00:00:00 None B None 100 100 0 100 0 120016974 A99999 N None None SFY2000-01
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2001-02-13 00:00:00 120001637 Closed Citation Citation A (HSC 1424) Other REQUIRED SERVICES 2000-07-09 00:00:00 2000-07-09 00:00:00 Yes 2001-05-31 00:00:00 2001-02-15 00:00:00 A A 10000 10000 0 10000 0 120017111 A99999 Y None None SFY2000-01
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2002-09-26 00:00:00 120001638 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-11 00:00:00 2002-07-11 00:00:00 No 2002-10-18 00:00:00 None B None 1000 1000 -350 650 0 120017132 A99999 N None None SFY2002-03
120001448 KAWEAH DELTA DISTRICT HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2002-03-12 00:00:00 120001641 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLET 2001-05-09 00:00:00 2001-05-09 00:00:00 No 2002-04-09 00:00:00 None B None 500 500 -175 325 0 120017270 A99999 N None None SFY2001-02
120001460 MEMORIAL HOSPITAL AT EXETER D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2001-05-02 00:00:00 120001649 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-24 00:00:00 2000-11-29 00:00:00 No 2001-05-29 00:00:00 None B None 500 500 -175 325 0 120017419 A99999 N None None SFY2000-01
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2000-11-06 00:00:00 120001665 Closed Citation Citation B (HSC 1424) Other PHYSICAL/MENTAL ABUS 2000-07-24 00:00:00 2000-07-24 00:00:00 No 2000-12-01 00:00:00 None B None 1000 1000 -350 650 0 120017525 A99999 N None None SFY2000-01
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2000-08-24 00:00:00 120001685 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-06-03 00:00:00 2000-06-03 00:00:00 No 2000-09-14 00:00:00 None B None 1000 1000 -350 650 0 120017809 A99999 N None None SFY2000-01
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2001-02-15 00:00:00 120001686 Closed Citation Citation B (HSC 1424) Other NURSING SERVICES 2000-12-24 00:00:00 2000-12-24 00:00:00 No 2001-03-09 00:00:00 None B None 1000 1000 -350 650 0 120017816 A99999 N None None SFY2000-01
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2001-06-13 00:00:00 120001705 Closed Citation Citation B (HSC 1424) Other NURSING SERVICE 2000-07-01 00:00:00 None Yes 2002-05-08 00:00:00 2002-04-25 00:00:00 B B 1000 1000 0 1000 0 120017962 A99999 N None None SFY2000-01
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2000-01-13 00:00:00 120001720 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-29 00:00:00 1999-12-29 00:00:00 Yes 2000-02-04 00:00:00 2000-01-31 00:00:00 B None 1000 1000 0 1000 0 120018067 A99999 N None None SFY1999-00
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2001-02-13 00:00:00 120001721 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-08 00:00:00 2000-09-08 00:00:00 No 2001-03-08 00:00:00 None B None 500 500 0 500 0 120018074 A99999 N None None SFY2000-01
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2001-04-24 00:00:00 120001722 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-16 00:00:00 2001-01-16 00:00:00 No 2001-05-16 00:00:00 None B None 1000 1000 0 1000 0 120018077 A99999 N None None SFY2000-01
120001507 GAITHER'S FAMILY HOME 3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2002-07-17 00:00:00 120001738 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-08 00:00:00 2002-05-08 00:00:00 No 2002-08-23 00:00:00 None B None 1000 1000 -350 650 0 120018392 A99999 N None None SFY2002-03
120001526 LINDSAY GARDENS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Bakersfield 2002-05-14 00:00:00 120001741 Closed Citation Citation B (HSC 1424) Other NURSING SERVICE-GEN 2002-03-19 00:00:00 2002-03-19 00:00:00 Yes 2002-06-07 00:00:00 2002-05-14 00:00:00 B None 1000 1000 0 1000 0 120018577 A99999 N None None SFY2001-02
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2002-10-03 00:00:00 120001742 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-11 00:00:00 None No 2002-10-29 00:00:00 None B None 1000 1000 -350 650 0 120016409 A99999 N None None SFY2002-03
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2002-10-03 00:00:00 120001743 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-29 00:00:00 None No 2002-10-25 00:00:00 None B None 1000 1000 -350 650 0 120016412 A99999 N None None SFY2002-03
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2002-10-15 00:00:00 120001744 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-05 00:00:00 None Yes 2002-11-06 00:00:00 2002-10-17 00:00:00 B B 1000 650 0 650 0 120016374 A99999 N None None SFY2002-03
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2002-10-17 00:00:00 120001745 Closed Citation Citation B (HSC 1424) Other PT CARE / PT RIGHTS 2002-08-08 00:00:00 None No 2002-11-07 00:00:00 None B None 1000 1000 -350 650 0 120017841 A99999 N None None SFY2002-03
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2002-10-24 00:00:00 120001746 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-27 00:00:00 None No 2002-11-19 00:00:00 None B None 1000 1000 -350 650 0 120018825 A99999 N None None SFY2002-03
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2002-12-04 00:00:00 120001747 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-23 00:00:00 None No 2002-12-31 00:00:00 None B None 500 500 -175 325 0 120018952 A99999 N None None SFY2002-03
120001544 SIERRA VISTA RESIDENTIAL CARE HOME #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-01-23 00:00:00 120001748 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-11-10 00:00:00 None Yes 2003-02-18 00:00:00 2003-02-13 00:00:00 A B 10000 5000 0 5000 0 120019214 A99999 N None None SFY2002-03
120001532 ADAMS HOUSE - SANTA CLARA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-03-10 00:00:00 120001749 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-06 00:00:00 None No 2003-04-02 00:00:00 None B None 1000 1000 -350 650 0 120019298 A99999 N None None SFY2002-03
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2003-03-11 00:00:00 120001750 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-06 00:00:00 None Yes 2003-07-18 00:00:00 2002-03-20 00:00:00 B B 500 500 0 500 0 120019061 A99999 N None None SFY2002-03
120001433 BETHESDA LUTHERAN COMMUNITIES - SAN LUCIA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-04-17 00:00:00 120001751 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-07 00:00:00 None No 2003-05-12 00:00:00 None B None 300 450 0 450 0 120019344 A99999 N None None SFY2002-03
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-04-21 00:00:00 120001752 Closed Citation Citation A (HSC 1424) Patient Rights None 2003-02-26 00:00:00 None No 2003-05-13 00:00:00 None A None 10000 10000 -3500 6500 0 120019354 A99999 N None None SFY2002-03
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2003-04-22 00:00:00 120001753 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-18 00:00:00 None No 2003-05-15 00:00:00 None B None 1000 1000 -350 650 0 120019408 A99999 N None None SFY2002-03
120001505 MORGAN'S TLC - LINDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-05-08 00:00:00 120001754 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-11 00:00:00 None No 2003-06-05 00:00:00 None B None 300 300 -105 195 0 120019527 A99999 N None None SFY2002-03
120001515 BETHESDA LUTHERAN COMMUNITIES-BELLEVIEW LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-06-16 00:00:00 120001755 Closed Citation Citation A (HSC 1424) Medication None 2002-09-07 00:00:00 None Yes 2003-10-17 00:00:00 2003-06-17 00:00:00 A A 2000 2000 0 2000 0 120018452 A99999 N None None SFY2002-03
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2003-07-17 00:00:00 120001756 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-23 00:00:00 None No 2003-08-11 00:00:00 None B None 500 500 -175 325 0 120019355 A99999 N None None SFY2003-04
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2003-08-20 00:00:00 120001757 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-19 00:00:00 None No 2003-09-11 00:00:00 None B None 300 900 -315 585 0 120019852 A99999 N None None SFY2003-04
120001435 BETHESDA LUTHERAN COMMUNITIES-MATHEW LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-10-22 00:00:00 120001758 Closed Citation Citation B (HSC 1424) Medication None 2003-10-09 00:00:00 None No 2002-11-18 00:00:00 None B None 300 300 0 300 0 120020034 A99999 N None None SFY2003-04
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2003-10-24 00:00:00 120001759 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-24 00:00:00 None No 2003-11-18 00:00:00 None B None 1000 3000 -1050 1950 0 120019777 A99999 N None None SFY2003-04
120000976 LOYD'S LIBERTY HOMES, INC. - CASWELL HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-12-18 00:00:00 120001760 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-22 00:00:00 None No 2004-01-13 00:00:00 None B None 1000 1000 -350 650 0 120019725 A99999 N None None SFY2003-04
120000382 LOYD'S LIBERTY HOMES, INC. - PANORAMA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2003-12-18 00:00:00 120001761 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-18 00:00:00 None No 2004-01-13 00:00:00 None B None 1000 1000 -350 650 0 120020128 A99999 N None None SFY2003-04
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2003-12-31 00:00:00 120001762 Closed Citation Citation B (HSC 1424) Administration None 2003-10-22 00:00:00 None No 2004-01-26 00:00:00 None B None 1000 1000 -350 650 0 120020080 A99999 N None None SFY2003-04
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2003-12-31 00:00:00 120001763 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-05 00:00:00 None No 2004-01-23 00:00:00 None B None 1000 1000 -350 650 0 120019773 A99999 N None None SFY2003-04
120001435 BETHESDA LUTHERAN COMMUNITIES-MATHEW LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2004-01-23 00:00:00 120001764 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-04 00:00:00 None No 2004-02-19 00:00:00 None B None 500 500 -175 325 0 120020052 A99999 N None None SFY2003-04
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-02-04 00:00:00 120001765 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/RIGHTS 2003-12-02 00:00:00 None No 2004-03-03 00:00:00 None B None 1000 1000 -350 650 0 120020180 A99999 N None None SFY2003-04
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2004-02-05 00:00:00 120001766 Closed Citation Citation B (HSC 1424) Administration None 2003-12-20 00:00:00 None No 2004-03-03 00:00:00 None B None 1000 1000 -350 650 0 120020227 A99999 N None None SFY2003-04
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-02-11 00:00:00 120001767 Closed Citation Citation B (HSC 1424) Administration None 2003-09-03 00:00:00 None No 2004-03-08 00:00:00 None B None 1000 1000 -350 650 0 120020340 A99999 N None None SFY2003-04
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2004-02-17 00:00:00 120001768 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-23 00:00:00 None No 2004-03-15 00:00:00 None B None 500 500 -175 325 0 120020223 A99999 N None None SFY2003-04
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2004-02-17 00:00:00 120001769 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-23 00:00:00 None No 2004-03-09 00:00:00 None B None 1000 1000 -350 650 0 120020060 A99999 N None None SFY2003-04
120001449 KAWEAH HEALTH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2004-02-20 00:00:00 120001770 Closed Citation Citation A (HSC 1424) Patient Care None 2003-08-20 00:00:00 None Yes 2004-06-07 00:00:00 2004-05-18 00:00:00 A A 20000 16500 0 16500 0 120020375 A99999 N None None SFY2003-04
120001421 GATEWAY POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2004-03-03 00:00:00 120001771 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-07 00:00:00 None Yes 2004-03-24 00:00:00 2004-03-03 00:00:00 B Drop>Deficiency 300 0 0 0 0 120020333 A99999 N None None SFY2003-04
120001449 KAWEAH HEALTH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2004-03-10 00:00:00 120001772 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-23 00:00:00 None Yes 2004-07-20 00:00:00 2004-03-29 00:00:00 A A 20000 20000 0 20000 0 120019921 A99999 Y None None SFY2003-04
120001507 GAITHER'S FAMILY HOME 3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2004-03-11 00:00:00 120001773 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-21 00:00:00 2004-02-22 00:00:00 No 2004-04-13 00:00:00 None B None 1000 1000 -350 650 0 120020381 A99999 N None None SFY2003-04
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2004-03-29 00:00:00 120001774 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-19 00:00:00 None No 2004-04-20 00:00:00 None B None 1000 1000 0 1000 0 120020217 A99999 N None None SFY2003-04
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2004-04-01 00:00:00 120001775 Closed Citation Citation B (HSC 1424) Other PT. CARE/MEDICATION 2003-10-28 00:00:00 None No 2004-04-26 00:00:00 None B None 1000 1300 -350 950 0 120020177 A99999 N None None SFY2003-04
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2004-04-01 00:00:00 120001776 Closed Citation Citation B (HSC 1424) Other PT CARE/MEDICATION 2003-10-28 00:00:00 None No 2004-04-26 00:00:00 None B None 1000 1300 -350 950 0 120020177 A99999 N None None SFY2003-04
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2004-04-07 00:00:00 120001777 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-08-20 00:00:00 None No 2004-05-03 00:00:00 None B None 500 500 -175 325 0 120020472 A99999 N None None SFY2003-04
120000406 MERCY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2004-04-09 00:00:00 120001778 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-18 00:00:00 None No 2004-05-17 00:00:00 None B None 500 500 -175 325 0 120020479 A99999 N None None SFY2003-04
120001566 JAN & GAIL'S CARE HOME 4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2004-04-16 00:00:00 120001779 Closed Citation Citation B (HSC 1424) Administration None 2004-01-19 00:00:00 None No 2004-05-25 00:00:00 None B None 300 300 -105 195 0 120020486 A99999 N None None SFY2003-04
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2004-04-29 00:00:00 120001780 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-16 00:00:00 None Yes 2004-05-20 00:00:00 2004-04-29 00:00:00 B B 1000 500 0 500 0 120020353 A99999 N None None SFY2003-04
120001440 DINUBA HEALTHCARE LTC SNF Skilled Nursing Facility Bakersfield 2004-05-06 00:00:00 120001781 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-07 00:00:00 None No 2004-05-27 00:00:00 None B None 600 600 -210 390 0 120020525 A99999 N None None SFY2003-04
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-05-06 00:00:00 120001782 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-12 00:00:00 None No 2004-05-27 00:00:00 None B None 1000 1000 0 1000 0 120020526 A99999 N None None SFY2003-04
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2004-05-17 00:00:00 120001783 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-11-14 00:00:00 None No 2004-06-10 00:00:00 None B None 1000 1000 -350 650 0 120020136 A99999 N None None SFY2003-04
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-05-28 00:00:00 120001784 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-06-23 00:00:00 None No 2004-06-22 00:00:00 None B None 1000 1000 -350 650 0 120019775 A99999 N None None SFY2003-04
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-07-20 00:00:00 120001785 Closed Citation Citation B (HSC 1424) Administration None 2004-07-08 00:00:00 None No 2004-08-13 00:00:00 None B None 1000 1000 -350 650 0 120020637 A99999 N None None SFY2004-05
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-07-26 00:00:00 120001786 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-10 00:00:00 None No 2004-08-18 00:00:00 None B None 1000 1000 -350 650 0 120020645 A99999 N None None SFY2004-05
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-08-11 00:00:00 120001788 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-21 00:00:00 None No 2004-09-03 00:00:00 None B None 1000 1000 -350 650 0 120019681 A99999 N None None SFY2004-05
120000573 SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2004-08-11 00:00:00 120001789 Closed Citation Citation B (HSC 1424) Administration None 2003-08-27 00:00:00 None No 2004-09-01 00:00:00 None B None 1000 1000 -350 650 0 120019878 A99999 N None None SFY2004-05
120000573 SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2004-08-11 00:00:00 120001790 Closed Citation Citation A (HSC 1424) Other PATIENT CARE/RIGHTS 2003-08-27 00:00:00 None No 2004-09-01 00:00:00 None A None 10000 10000 -3500 6500 0 120019878 A99999 N None None SFY2004-05
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-08-19 00:00:00 120001791 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-22 00:00:00 None No 2004-09-10 00:00:00 None B None 500 500 0 500 0 120020667 A99999 N None None SFY2004-05
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-08-20 00:00:00 120001792 Closed Citation Citation A (HSC 1424) Patient Care None 2003-07-30 00:00:00 None Yes 2006-11-28 00:00:00 2004-08-25 00:00:00 A A 16000 16000 0 16000 0 120019865 A99999 N None None SFY2004-05
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2004-08-23 00:00:00 120001793 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-02-03 00:00:00 None No 2004-09-24 00:00:00 None B None 300 300 -105 195 0 120020330 A99999 N None None SFY2004-05
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2004-08-23 00:00:00 120001794 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-02 00:00:00 None No 2004-09-24 00:00:00 None B None 300 300 -105 195 0 120020330 A99999 N None None SFY2004-05
120001440 DINUBA HEALTHCARE LTC SNF Skilled Nursing Facility Bakersfield 2004-09-02 00:00:00 120001795 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-26 00:00:00 None No 2004-09-28 00:00:00 None B None 600 1800 0 1800 0 120020683 A99999 N None None SFY2004-05
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2004-09-10 00:00:00 120001796 Closed Citation Citation B (HSC 1424) Other ADMIN/TRANSFER/DISCH 2004-01-15 00:00:00 None No 2004-10-04 00:00:00 None B None 300 300 -105 195 0 120020355 A99999 N None None SFY2004-05
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2004-11-08 00:00:00 120001797 Closed Citation Citation A (HSC 1424) Patient Care None 2003-10-09 00:00:00 None No 2004-12-02 00:00:00 None A None 5000 5000 -1750 3250 0 120020026 A99999 N None None SFY2004-05
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2004-11-08 00:00:00 120001798 Closed Citation Citation A (HSC 1424) Patient Rights None 2003-12-02 00:00:00 None Yes 2004-12-08 00:00:00 2004-11-12 00:00:00 A B 5000 5000 0 5000 0 120020766 A99999 N None None SFY2004-05
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2004-11-08 00:00:00 120001799 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-12-21 00:00:00 None No 2004-12-08 00:00:00 None B Drop>Deficiency 500 0 0 0 0 120020766 A99999 N None None SFY2004-05
120001011 LOYD'S LIBERTY HOMES, INC. - HOLLY OAK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2004-11-16 00:00:00 120001800 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-03-15 00:00:00 None Yes 2004-12-10 00:00:00 2004-11-22 00:00:00 A A 10000 10000 0 10000 0 120020775 A99999 N None None SFY2004-05
120001402 DELTA HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2004-11-17 00:00:00 120001801 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-15 00:00:00 2004-10-25 00:00:00 No 2004-12-17 00:00:00 None B None 1000 1000 -350 650 0 120020778 A99999 N None None SFY2004-05
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2004-12-01 00:00:00 120001802 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-04 00:00:00 None No 2004-12-24 00:00:00 None B None 1000 1000 -350 650 0 120020792 A99999 N None None SFY2004-05
120001421 GATEWAY POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2004-12-03 00:00:00 120001803 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-28 00:00:00 None Yes 2004-12-24 00:00:00 2004-12-03 00:00:00 B B 750 375 0 375 0 120020794 A99999 N None None SFY2004-05
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-12-14 00:00:00 120001804 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-03-11 00:00:00 None Yes 2005-01-11 00:00:00 2004-12-16 00:00:00 B B 1000 500 0 500 0 120020810 A99999 N None None SFY2004-05
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2004-12-14 00:00:00 120001805 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-11 00:00:00 None Yes 2005-01-11 00:00:00 2004-12-16 00:00:00 B B 1000 500 0 500 0 120020810 A99999 N None None SFY2004-05
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2004-12-15 00:00:00 120001806 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-31 00:00:00 None Yes 2005-01-05 00:00:00 2004-12-22 00:00:00 B B 1000 650 0 650 0 120020236 A99999 N None None SFY2004-05
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2004-12-15 00:00:00 120001807 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-01-01 00:00:00 None Yes 2005-01-05 00:00:00 2004-12-22 00:00:00 B B 500 325 0 325 0 120020236 A99999 N None None SFY2004-05
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2004-12-16 00:00:00 120001808 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-02 00:00:00 None No 2005-01-10 00:00:00 None B None 1000 1000 -350 650 0 120020318 A99999 N None None SFY2004-05
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2004-12-16 00:00:00 120001809 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-02 00:00:00 None No 2005-01-10 00:00:00 None B None 1000 1000 -350 650 0 120020318 A99999 N None None SFY2004-05
120000339 LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2004-12-16 00:00:00 120001810 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-18 00:00:00 None No 2005-01-10 00:00:00 None B None 1000 1000 -350 650 0 120020814 A99999 N None None SFY2004-05
120000573 SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2004-12-28 00:00:00 120001811 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-17 00:00:00 None No 2005-01-19 00:00:00 None B None 1000 1000 -350 650 0 120020337 A99999 N None None SFY2004-05
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2004-12-30 00:00:00 120001812 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-05 00:00:00 None No 2005-01-24 00:00:00 None B None 750 750 -262.5 487.5 0 120020836 A99999 N None None SFY2004-05
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2004-12-30 00:00:00 120001813 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-05 00:00:00 None No 2005-01-24 00:00:00 None B None 750 750 -262.5 487.5 0 120020836 A99999 N None None SFY2004-05
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2005-01-13 00:00:00 120001814 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-26 00:00:00 None No 2005-02-11 00:00:00 None B None 1000 1000 -350 650 0 120020870 A99999 N None None SFY2004-05
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2005-01-13 00:00:00 120001815 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-07 00:00:00 None No 2005-02-08 00:00:00 None B None 1000 1000 0 1000 0 120020871 A99999 N None None SFY2004-05
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2005-01-20 00:00:00 120001816 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-08 00:00:00 None No 2005-02-10 00:00:00 None B None 500 500 -175 325 0 120020102 A99999 N None None SFY2004-05
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2005-01-20 00:00:00 120001817 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-08 00:00:00 None No 2005-02-10 00:00:00 None B None 500 500 -175 325 0 120020102 A99999 N None None SFY2004-05
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2005-03-11 00:00:00 120001818 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-31 00:00:00 None No 2005-04-04 00:00:00 None B None 1000 1000 -350 650 0 120020442 A99999 N None None SFY2004-05
120001544 SIERRA VISTA RESIDENTIAL CARE HOME #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2005-04-12 00:00:00 120001819 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-12-19 00:00:00 None No 2005-05-03 00:00:00 None B None 1000 1000 -350 650 0 120020910 A99999 N None None SFY2004-05
120000976 LOYD'S LIBERTY HOMES, INC. - CASWELL HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2005-04-12 00:00:00 120001820 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-18 00:00:00 None No 2005-05-09 00:00:00 None B None 1000 1000 -350 650 0 120020430 A99999 N None None SFY2004-05
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2005-04-25 00:00:00 120001821 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-09 00:00:00 None Yes 2005-05-17 00:00:00 2005-05-02 00:00:00 B None 1000 1000 0 1000 0 120020913 A99999 N None None SFY2004-05
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2005-05-05 00:00:00 120001822 Closed Citation Citation A (HSC 1424) Patient Care None 2004-04-12 00:00:00 None Yes 2005-06-01 00:00:00 2005-05-24 00:00:00 A B 20000 10000 0 10000 0 120020915 A99999 N None None SFY2004-05
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2005-06-27 00:00:00 120001823 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-13 00:00:00 None No 2005-07-19 00:00:00 None B None 1000 1000 -350 650 0 120020111 A99999 N None None SFY2004-05
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2005-07-22 00:00:00 120001824 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-30 00:00:00 None Yes 2005-08-12 00:00:00 2005-08-08 00:00:00 B B 1000 500 0 500 0 120020918 A99999 N None None SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2005-08-03 00:00:00 120001825 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-19 00:00:00 None No 2005-08-26 00:00:00 None B None 1000 1000 -350 650 0 120020920 A99999 N None None SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2005-08-03 00:00:00 120001826 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-22 00:00:00 None No 2005-08-26 00:00:00 None B None 1000 1000 -350 650 0 120020358 A99999 N None None SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2005-08-03 00:00:00 120001827 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-01-25 00:00:00 None No 2005-08-26 00:00:00 None B None 1000 1000 -350 650 0 120020358 A99999 N None None SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2005-08-03 00:00:00 120001828 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-02-16 00:00:00 None No 2005-08-26 00:00:00 None B None 1000 1000 -350 650 0 120020921 A99999 N None None SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2005-08-03 00:00:00 120001829 Closed Citation Citation A (HSC 1424) Patient Care None 2005-03-04 00:00:00 None Yes 2005-08-26 00:00:00 2005-08-04 00:00:00 A A 10000 5100 -100 5000 0 120020922 A99999 N None None SFY2005-06
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2005-09-20 00:00:00 120001830 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-03-08 00:00:00 None No 2005-10-17 00:00:00 None B None 300 300 -105 195 0 120020926 A99999 N None None SFY2005-06
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2005-09-21 00:00:00 120001831 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-06-02 00:00:00 None No 2005-10-17 00:00:00 None B None 500 500 -175 325 0 120020927 A99999 N None None SFY2005-06
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2005-10-06 00:00:00 120001832 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-28 00:00:00 None No 2005-11-01 00:00:00 None B None 300 300 -105 195 0 120020930 A99999 N None None SFY2005-06
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2005-10-06 00:00:00 120001833 Closed Citation Citation A (HSC 1424) Patient Care None 2005-03-05 00:00:00 2005-03-05 00:00:00 Yes 2008-02-19 00:00:00 2008-02-22 00:00:00 A B 10000 3000 0 3000 0 120020931 A99999 N None None SFY2005-06
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2005-10-06 00:00:00 120001834 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-15 00:00:00 None Yes 2005-11-09 00:00:00 2005-10-19 00:00:00 B B 1000 500 0 500 0 120020932 A99999 N None None SFY2005-06
120000826 LOYD'S LIBERTY HOMES, INC. - IRONWOOD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2005-10-11 00:00:00 120001835 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-08-12 00:00:00 None No 2005-11-02 00:00:00 None B None 1000 1000 -350 650 0 120020933 A99999 N None None SFY2005-06
120000826 LOYD'S LIBERTY HOMES, INC. - IRONWOOD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2005-10-11 00:00:00 120001836 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-12 00:00:00 None No 2005-11-02 00:00:00 None B None 1000 2050 -350 1700 0 120020933 A99999 N None None SFY2005-06
120000530 POSITIVE DIRECTIONS # 3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2005-10-14 00:00:00 120001837 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-18 00:00:00 None No 2005-11-09 00:00:00 None B None 500 500 -175 325 0 120020934 A99999 N None None SFY2005-06
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2005-11-14 00:00:00 120001838 Closed Citation Citation A (HSC 1424) Patient Care None 2005-03-02 00:00:00 None No 2005-12-14 00:00:00 None A None 10000 10000 -3500 6500 0 120020939 A99999 N None None SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-01-05 00:00:00 120001839 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-20 00:00:00 None No 2006-02-01 00:00:00 None B None 1000 1000 -350 650 0 120021011 A99999 N None None SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-01-18 00:00:00 120001840 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-30 00:00:00 None No 2006-02-10 00:00:00 None B None 500 500 -175 325 0 120021012 A99999 N None None SFY2005-06
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2006-01-19 00:00:00 120001841 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-19 00:00:00 None Yes 2006-02-10 00:00:00 2006-01-20 00:00:00 B B 1000 500 0 500 0 120021013 A99999 N None None SFY2005-06
120000503 POSITIVE DIRECTIONS # 2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2006-01-19 00:00:00 120001842 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-13 00:00:00 None No 2006-02-10 00:00:00 None B None 300 450 -105 345 0 120021014 A99999 N None None SFY2005-06
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2006-02-01 00:00:00 120001843 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-18 00:00:00 None No 2006-03-10 00:00:00 None B None 1000 1000 -350 650 0 120021018 A99999 N None None SFY2005-06
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2006-02-02 00:00:00 120001844 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-01-08 00:00:00 None No 2006-02-28 00:00:00 None B None 500 500 0 500 0 120021019 A99999 N None None SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-02-14 00:00:00 120001845 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-27 00:00:00 2005-12-27 00:00:00 No 2006-03-08 00:00:00 None B None 1000 1000 -350 650 0 120021022 A99999 N CA00068988 B SFY2005-06
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2006-02-15 00:00:00 120001846 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-28 00:00:00 2004-02-28 00:00:00 No 2006-03-09 00:00:00 None B None 1000 1000 -350 650 0 120021024 A99999 N CA00018958 B SFY2005-06
120001517 BETHESDA LUTHERAN COMMUNITIES-SUMMIT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2006-02-16 00:00:00 120001847 Closed Citation Citation B (HSC 1424) Medication None 2005-02-23 00:00:00 2005-02-23 00:00:00 No 2006-03-10 00:00:00 None B None 500 500 -175 325 0 120021025 A99999 N CA00040156 C SFY2005-06
120001517 BETHESDA LUTHERAN COMMUNITIES-SUMMIT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2006-02-16 00:00:00 120001848 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-24 00:00:00 2005-02-24 00:00:00 No 2006-03-10 00:00:00 None B None 500 500 -175 325 0 120021025 A99999 N CA00039870 C SFY2005-06
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2006-02-21 00:00:00 120001849 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-09 00:00:00 2004-04-09 00:00:00 No 2006-03-14 00:00:00 None B None 1000 1000 -350 650 0 120021026 A99999 N CA00023178, CA00023178 D, D SFY2005-06
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2006-02-22 00:00:00 120001850 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-19 00:00:00 2003-11-19 00:00:00 Yes 2006-04-03 00:00:00 2006-03-09 00:00:00 B B 1000 1000 0 1000 0 120021027 A99999 N CA00023878 C SFY2005-06
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2006-07-07 00:00:00 120002917 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-03 00:00:00 2005-07-03 00:00:00 No 2006-07-28 00:00:00 None B None 600 600 -210 390 0 None 4GPE11 N None None SFY2006-07
120001402 DELTA HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2006-03-10 00:00:00 120002921 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-19 00:00:00 2005-02-19 00:00:00 Yes 2006-04-03 00:00:00 2006-03-10 00:00:00 B B 500 250 0 250 0 None T54E11 N CA00039610 C SFY2005-06
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2006-03-15 00:00:00 120002927 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-25 00:00:00 2005-06-25 00:00:00 No 2006-04-10 00:00:00 None B None 600 600 -210 390 0 None 7W6311 N CA00053402 C SFY2005-06
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-05-15 00:00:00 120002958 Closed Citation Citation Retaliation/Discrimination (HSC 1432) Other Wrongful Termination 2006-01-04 00:00:00 2006-01-04 00:00:00 Yes 2006-06-06 00:00:00 2006-05-17 00:00:00 RD R/D First 10000 10000 -8686 1314 0 None G9W011 None CA00070190 B SFY2005-06
120001451 KAWEAH HEALTH MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2006-04-10 00:00:00 120002968 Closed Citation Citation B (HSC 1424) Administration None 2005-06-30 00:00:00 2005-06-30 00:00:00 No 2006-05-01 00:00:00 None B None 500 500 -175 325 0 None GPHJ11 N CA00054049 C SFY2005-06
120001451 KAWEAH HEALTH MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2006-04-10 00:00:00 120002969 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-30 00:00:00 2005-06-30 00:00:00 No 2006-05-01 00:00:00 None B None 1000 1000 -350 650 0 None GPHJ11 N CA00054049 C SFY2005-06
120001564 DE BOER HOME #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2006-08-25 00:00:00 120003062 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-01 00:00:00 2005-06-01 00:00:00 No 2006-09-18 00:00:00 None A None 10000 10000 -3500 6500 0 None 0P8K11 N CA00050287 B SFY2006-07
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2006-07-11 00:00:00 120003075 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-06 00:00:00 2005-10-06 00:00:00 Yes 2006-08-01 00:00:00 2006-07-11 00:00:00 B None 400 400 0 400 0 None SLO211 N CA00054218 C SFY2006-07
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2006-05-18 00:00:00 120003076 Closed Citation Citation A (HSC 1424) Patient Care None 2005-07-06 00:00:00 2005-07-06 00:00:00 Yes 2006-06-09 00:00:00 2006-05-18 00:00:00 A None 5000 5000 0 5000 0 None SLO211 N CA00063739 B SFY2005-06
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2006-10-04 00:00:00 120003119 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-04-21 00:00:00 2006-04-21 00:00:00 No 2006-10-30 00:00:00 None B None 1000 1000 -350 650 0 None KM4211 N CA00078911 C SFY2006-07
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2006-07-12 00:00:00 120003190 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-15 00:00:00 2006-01-15 00:00:00 No 2006-08-02 00:00:00 None B None 1000 2100 -350 1750 0 None T1P111 N CA00070323 B SFY2006-07
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2006-10-17 00:00:00 120003202 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-18 00:00:00 2005-09-18 00:00:00 Yes 2006-11-07 00:00:00 2009-07-15 00:00:00 A B 20000 10350 -350 10000 0 None FOXR11 N CA00061750 B SFY2006-07
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-08-04 00:00:00 120003203 Closed Citation Citation A (HSC 1424) Patient Care None 2005-10-18 00:00:00 2005-10-18 00:00:00 No 2006-08-25 00:00:00 None A None 20000 20000 -7000 13000 0 None F3FL11 Y CA00064070 B SFY2006-07
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-08-23 00:00:00 120003212 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-22 00:00:00 2005-12-22 00:00:00 No 2006-09-14 00:00:00 None B None 1000 1000 -350 650 0 None ZQ3D11 N CA00069013 B SFY2006-07
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2006-09-20 00:00:00 120003255 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-23 00:00:00 2005-08-23 00:00:00 No 2006-10-12 00:00:00 None B None 1000 1000 -350 650 0 None M0BB11 N CA00059324 C SFY2006-07
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2006-08-15 00:00:00 120003273 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-27 00:00:00 2005-10-27 00:00:00 No 2006-09-12 00:00:00 None B None 1000 1000 -350 650 0 None HTCV11 N CA00064551 B SFY2006-07
120001549 MELENDEZ FAMILY HOME, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2006-11-07 00:00:00 120003287 Closed Citation Citation A (HSC 1424) Patient Care None 2005-07-01 00:00:00 2005-07-01 00:00:00 No 2006-12-01 00:00:00 None A None 20000 20000 -7000 13000 0 None 2TDX11 N CA00053819 A SFY2006-07
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-08-23 00:00:00 120003295 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-22 00:00:00 2005-12-22 00:00:00 No 2006-09-14 00:00:00 None B None 1000 1000 -350 650 0 None ZQ3D11 N CA00069003 B SFY2006-07
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-08-23 00:00:00 120003296 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-20 00:00:00 2005-12-20 00:00:00 No 2006-09-14 00:00:00 None B None 1000 1000 -350 650 0 None ZQ3D11 N CA00069020 B SFY2006-07
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2006-10-03 00:00:00 120003357 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-09 00:00:00 2006-04-09 00:00:00 No 2006-10-25 00:00:00 None B None 1000 1650 -350 1300 0 None ILCO11 N CA00077728 C SFY2006-07
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2006-10-03 00:00:00 120003358 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-09 00:00:00 2006-04-09 00:00:00 No 2006-10-25 00:00:00 None B None 1000 1650 -350 1300 0 None ILCO11 N CA00077728 C SFY2006-07
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2007-03-15 00:00:00 120003369 Closed Citation Citation A (HSC 1424) Patient Care None 2006-01-10 00:00:00 2006-01-10 00:00:00 No 2007-04-12 00:00:00 None A None 10000 10000 -3500 6500 0 None TXL911 N CA00072842 D SFY2006-07
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2006-10-05 00:00:00 120003377 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-16 00:00:00 2005-01-16 00:00:00 No 2006-10-27 00:00:00 None B None 1000 1600 -350 1250 0 None 5HB311 N CA00037590 C SFY2006-07
120000462 BETHESDA LUTHERAN COMMUNITIES-PERRIS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2006-11-07 00:00:00 120003398 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-29 00:00:00 2005-05-29 00:00:00 No 2006-12-01 00:00:00 None B None 1000 1300 -350 950 0 None B3XE11 N CA00050318 C SFY2006-07
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2006-11-08 00:00:00 120003423 Closed Citation Citation B (HSC 1424) Administration None 2005-09-02 00:00:00 2005-09-02 00:00:00 Yes 2006-12-04 00:00:00 2006-11-08 00:00:00 B B 1000 500 0 500 0 None JXKW11 N CA00060750, CA00062716 C, B SFY2006-07
120001564 DE BOER HOME #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2006-11-13 00:00:00 120003457 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-22 00:00:00 2006-06-22 00:00:00 No 2006-12-06 00:00:00 None B None 1000 1000 -350 650 0 None 7PS111 N CA00084423 A SFY2006-07
120001522 RIVER WALK CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2006-11-06 00:00:00 120003466 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-04 00:00:00 2006-08-04 00:00:00 Yes 2006-11-30 00:00:00 2006-11-06 00:00:00 B None 1000 1000 0 1000 0 None XJN911 N CA00089162 D SFY2006-07
120001549 MELENDEZ FAMILY HOME, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2006-11-07 00:00:00 120003470 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-07-01 00:00:00 2005-07-01 00:00:00 No 2006-12-01 00:00:00 None B None 500 500 -175 325 0 None 2TDX11 N CA00053819 A SFY2006-07
120001522 RIVER WALK CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2006-12-04 00:00:00 120003477 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-19 00:00:00 2006-01-19 00:00:00 Yes 2006-12-26 00:00:00 2006-12-04 00:00:00 B None 1000 1000 0 1000 0 None 49CV11 N CA00070616 A SFY2006-07
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2007-01-25 00:00:00 120003479 Closed Citation Citation A (HSC 1424) Patient Care None 2005-10-29 00:00:00 2005-10-29 00:00:00 Yes 2007-02-15 00:00:00 2007-01-26 00:00:00 A A 20000 15000 0 15000 0 None C1HF11 N CA00064871 B SFY2006-07
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2007-07-03 00:00:00 120003541 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-01 00:00:00 2006-11-01 00:00:00 No 2007-07-25 00:00:00 None A None 20000 20000 -7000 13000 0 None 1HJB11 N CA00097764 B SFY2007-08
120001564 DE BOER HOME #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2007-03-22 00:00:00 120003542 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-10-29 00:00:00 2006-10-29 00:00:00 No 2007-04-12 00:00:00 None A None 10000 10000 -3500 6500 0 None GFC211 N CA00097173, CA00097174 B, B SFY2006-07
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2007-08-03 00:00:00 120003543 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-08-04 00:00:00 2006-08-04 00:00:00 Yes 2007-08-24 00:00:00 2007-08-09 00:00:00 AA A 100000 20000 0 20000 0 None FUHI11 Y CA00089394 A SFY2007-08
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2007-12-19 00:00:00 120003544 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-05 00:00:00 2006-07-05 00:00:00 Yes 2008-01-11 00:00:00 2008-01-08 00:00:00 A A 20000 10000 0 10000 0 None LS2Z11 N CA00085606 A SFY2007-08
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2006-12-15 00:00:00 120003552 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-03 00:00:00 2006-11-03 00:00:00 No 2007-01-09 00:00:00 None B None 1000 1000 -350 650 0 None MNI811 N CA00097766 B SFY2006-07
120000884 LOYD'S LIBERTY HOMES, INC. - DAGGETT HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2007-03-08 00:00:00 120003553 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-23 00:00:00 2006-07-23 00:00:00 No 2007-04-04 00:00:00 None A None 10000 10000 -3500 6500 0 None D7F011 N CA00087682 B SFY2006-07
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2007-04-25 00:00:00 120003584 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-12 00:00:00 2005-07-12 00:00:00 No 2007-05-16 00:00:00 None B None 1000 1000 -350 650 0 None J5Y511 N CA00058474 C SFY2006-07
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2007-04-11 00:00:00 120003617 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-02-15 00:00:00 2006-02-15 00:00:00 No 2007-05-02 00:00:00 None B None 1000 1000 -350 650 0 None IVKP11 N CA00076683 C SFY2006-07
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2007-04-11 00:00:00 120003618 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-15 00:00:00 2006-02-15 00:00:00 No 2007-05-02 00:00:00 None B None 1000 1000 -350 650 0 None IVKP11 N CA00076683 C SFY2006-07
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2007-04-11 00:00:00 120003619 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-02-15 00:00:00 2006-02-15 00:00:00 Yes 2007-05-02 00:00:00 2007-04-18 00:00:00 A A 20000 10000 0 10000 0 None IVXP11 N CA00076683 C SFY2006-07
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2007-01-17 00:00:00 120003621 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-19 00:00:00 2006-12-19 00:00:00 Yes 2007-02-07 00:00:00 2007-01-17 00:00:00 B None 1000 1000 0 1000 0 None NRFE11 N CA00101983 B SFY2006-07
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2007-02-02 00:00:00 120003666 Closed Citation Citation B (HSC 1424) Administration None 2006-12-09 00:00:00 2006-12-09 00:00:00 No 2007-02-23 00:00:00 None B None 1000 1000 -350 650 0 None 029711 N CA00100966 B SFY2006-07
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2007-03-28 00:00:00 120003844 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-06 00:00:00 2006-11-06 00:00:00 No 2007-04-18 00:00:00 None B None 1000 1000 -350 650 0 None BL1L11 N CA00104533 A SFY2006-07
630003241 STEELE'S VISIONS - HATCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2007-06-21 00:00:00 120003929 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-03-26 00:00:00 2007-03-26 00:00:00 No 2007-07-12 00:00:00 None B None 1000 1000 -350 650 0 None Y9FB11 N CA00110620 C SFY2006-07
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2007-06-13 00:00:00 120003930 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-07 00:00:00 2007-01-07 00:00:00 No 2007-07-09 00:00:00 None B None 1000 1000 -350 650 0 None X6F211 N CA00103063 B SFY2006-07
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2007-07-02 00:00:00 120004010 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-01-13 00:00:00 2007-01-13 00:00:00 No 2007-07-26 00:00:00 None B None 1000 1000 -350 650 0 None FB8O11 N CA00103805 C SFY2007-08
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2007-06-12 00:00:00 120004018 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-17 00:00:00 2006-07-17 00:00:00 No 2007-07-03 00:00:00 None B None 1000 1000 -350 650 0 None T74K11 N CA00086849 B SFY2006-07
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2007-08-02 00:00:00 120004110 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-06 00:00:00 2007-04-06 00:00:00 No 2007-08-30 00:00:00 None B None 1000 1000 -350 650 0 None KZ3R11 N CA00111310 A SFY2007-08
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2008-01-29 00:00:00 120004149 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-23 00:00:00 2007-04-23 00:00:00 No 2008-02-22 00:00:00 None B None 1000 1000 -350 650 0 None 1BBN11 N CA00113129 B SFY2007-08
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2007-08-22 00:00:00 120004177 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-03 00:00:00 2007-04-03 00:00:00 No 2007-09-13 00:00:00 None B None 1000 1000 0 1000 0 None XCIN11 N CA00111117 D SFY2007-08
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2007-11-07 00:00:00 120004185 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-26 00:00:00 2007-06-26 00:00:00 Yes 2009-08-31 00:00:00 2009-08-19 00:00:00 A A 20000 13000 0 13000 0 None ZP2U11 N CA00118810 B SFY2007-08
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2007-11-07 00:00:00 120004186 Closed Citation Citation A (HSC 1424) Patient Care None 2007-07-16 00:00:00 2007-07-16 00:00:00 Yes 2009-08-26 00:00:00 2009-08-19 00:00:00 A Dismissed by Court 20000 0 0 0 0 None ZP2U11 N CA00118810 B SFY2007-08
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2007-11-07 00:00:00 120004192 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-26 00:00:00 2007-06-26 00:00:00 Yes 2007-12-14 00:00:00 2007-11-20 00:00:00 B B 1000 650 0 650 0 None ZP2U11 N CA00118810 B SFY2007-08
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2011-02-23 00:00:00 120004220 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-29 00:00:00 2007-07-29 00:00:00 No 2011-03-16 00:00:00 None B None 1000 1000 -350 650 0 None QJ5411 N CA00121754, CA00121771 B, B SFY2010-11
120000406 MERCY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2007-11-08 00:00:00 120004260 Closed Citation Citation A (HSC 1424) Patient Care None 2007-03-24 00:00:00 2007-03-24 00:00:00 No 2008-01-09 00:00:00 None A None 20000 20000 -7000 13000 0 None OXH311 N CA00110435 C SFY2007-08
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2007-10-31 00:00:00 120004268 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-05-29 00:00:00 2007-05-29 00:00:00 Yes 2007-11-26 00:00:00 2007-10-31 00:00:00 B B 1000 1000 -869 131 0 None 3HHW11 N CA00118857 A SFY2007-08
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2007-10-31 00:00:00 120004269 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-06-27 00:00:00 2007-06-27 00:00:00 Yes 2007-11-26 00:00:00 2007-10-31 00:00:00 B B 1000 1000 -869 131 0 None 3HHW11 N CA00118857 A SFY2007-08
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2007-12-11 00:00:00 120004357 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-27 00:00:00 2007-09-27 00:00:00 Yes 2008-01-08 00:00:00 2007-12-19 00:00:00 B B 1000 650 0 650 0 None R3S811 N CA00127992 B SFY2007-08
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2007-10-31 00:00:00 120004358 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-03 00:00:00 2007-02-03 00:00:00 No 2007-11-26 00:00:00 None B None 1000 1000 -350 650 0 None 6YDU11 N CA00106037 B SFY2007-08
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2007-10-31 00:00:00 120004359 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-20 00:00:00 2006-09-20 00:00:00 No 2007-11-26 00:00:00 None B None 1000 1000 -350 650 0 None PIMT11 N CA00093606 B SFY2007-08
120000893 LOYD'S LIBERTY HOMES, INC. - HALIFAX HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2007-11-21 00:00:00 120004402 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-05 00:00:00 2007-08-05 00:00:00 No 2008-02-07 00:00:00 None A None 10000 10000 -3500 6500 0 None QINT11 N CA00122312 A SFY2007-08
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2007-10-31 00:00:00 120004403 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-09-02 00:00:00 2007-09-02 00:00:00 No 2007-11-26 00:00:00 None B None 1000 1000 -350 650 0 None IQ9U11 N CA00125387 C SFY2007-08
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2008-07-02 00:00:00 120004404 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-10-01 00:00:00 2006-10-01 00:00:00 Yes 2008-07-24 00:00:00 2008-07-02 00:00:00 AA AA 100000 100000 -86841.68 13158.32 0 None ZKSJ11 Y CA00119691 D SFY2008-09
120000390 LOYD'S LIBERTY HOMES, INC. - WOODLAKE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2007-12-11 00:00:00 120004412 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-12 00:00:00 2007-03-12 00:00:00 No 2008-01-08 00:00:00 None B None 1000 1000 0 1000 0 None KT2G11 N CA00109550 B SFY2007-08
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2007-12-11 00:00:00 120004413 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-27 00:00:00 2007-09-27 00:00:00 Yes 2008-01-08 00:00:00 2007-12-19 00:00:00 B Dismissed by Court 1000 0 0 0 0 None R3S811 N CA00127992 B SFY2007-08
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2008-09-18 00:00:00 120004436 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-04 00:00:00 2006-08-04 00:00:00 Yes 2008-10-10 00:00:00 2008-10-03 00:00:00 A B 20000 5000 0 5000 0 None KN2W11 N CA00089242 C SFY2008-09
120000464 BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2007-12-11 00:00:00 120004485 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-06-04 00:00:00 2007-06-04 00:00:00 No 2008-01-09 00:00:00 None B None 1000 1000 -350 650 0 None NO8911 N CA00117642, CA00117655, CA00117666, CA00117679, CA00119335 D, D, D, D, C SFY2007-08
120000464 BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2007-12-11 00:00:00 120004486 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-04 00:00:00 2007-06-04 00:00:00 No 2008-01-09 00:00:00 None B None 1000 1000 -350 650 0 None NO8911 N CA00117642, CA00117655, CA00117666, CA00117679, CA00119335 D, D, D, D, C SFY2007-08
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2008-01-29 00:00:00 120004492 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-20 00:00:00 2007-09-20 00:00:00 No 2008-02-26 00:00:00 None B None 1000 1000 -350 650 0 None ODHC11 N CA00127011 C SFY2007-08
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2008-01-24 00:00:00 120004550 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-12 00:00:00 2007-01-12 00:00:00 Yes 2008-02-25 00:00:00 2008-02-15 00:00:00 A A 20000 10000 0 10000 0 None 9UW211 N CA00103782 B SFY2007-08
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2008-01-24 00:00:00 120004552 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-04-01 00:00:00 2007-04-01 00:00:00 No 2008-02-15 00:00:00 None B None 1000 1000 -350 650 0 None 4IYQ11 N CA00111113 C SFY2007-08
120000893 LOYD'S LIBERTY HOMES, INC. - HALIFAX HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-03-27 00:00:00 120004556 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-21 00:00:00 2007-12-21 00:00:00 No 2008-04-23 00:00:00 None B None 1000 1500 -350 1150 0 None 84B811 N CA00135765 A SFY2007-08
120001515 BETHESDA LUTHERAN COMMUNITIES-BELLEVIEW LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-08-06 00:00:00 120004557 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-05 00:00:00 2007-08-05 00:00:00 No 2008-08-27 00:00:00 None B None 1000 1000 -350 650 0 None 0DR111 N CA00122493 C SFY2008-09
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2008-03-27 00:00:00 120004568 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-30 00:00:00 2007-06-30 00:00:00 No 2008-04-18 00:00:00 None B None 1000 1000 0 1000 0 None 90QQ11 N CA00119144 C SFY2007-08
120001402 DELTA HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2008-03-27 00:00:00 120004569 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-09 00:00:00 2007-05-09 00:00:00 No 2008-04-22 00:00:00 None B None 1000 1000 -350 650 0 None V96G11 N CA00114255 C SFY2007-08
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2008-06-09 00:00:00 120004583 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-02-25 00:00:00 2006-02-25 00:00:00 No 2008-06-30 00:00:00 None B None 1000 1000 0 1000 0 None VL5911 N CA00135225 B SFY2007-08
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2008-04-02 00:00:00 120004714 Closed Citation Citation A (HSC 1424) Patient Rights None 2007-12-18 00:00:00 2007-12-18 00:00:00 Yes 2008-04-23 00:00:00 2009-07-13 00:00:00 A A 10000 9500 0 9500 0 None RQQE11 N CA00135217, CA00135224, CA00135408 B, B, B SFY2007-08
120000406 MERCY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2008-07-23 00:00:00 120004796 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-08-21 00:00:00 2007-08-21 00:00:00 No 2008-08-13 00:00:00 None B None 1000 1000 0 1000 0 None PPLJ11 N CA00124638 A SFY2008-09
120000840 WHITE LANE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-03-27 00:00:00 120004828 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-29 00:00:00 2007-04-29 00:00:00 No 2008-04-23 00:00:00 None B None 1000 1650 -350 1300 0 None 2F3Z11 N CA00113299 C SFY2007-08
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2008-08-20 00:00:00 120004849 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-11 00:00:00 2008-03-11 00:00:00 No 2008-09-11 00:00:00 None B None 1000 1000 0 1000 0 None 9C7R11 N CA00143652 C SFY2008-09
120000464 BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-07-23 00:00:00 120004975 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-11 00:00:00 2007-09-11 00:00:00 No 2008-08-21 00:00:00 None B None 1000 1300 -350 950 0 None EO2911 N CA00126145 C SFY2008-09
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2008-06-13 00:00:00 120005031 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-01 00:00:00 2007-01-01 00:00:00 No 2008-07-09 00:00:00 None B None 1000 1000 -350 650 0 None 58WC11 N CA00146840 B SFY2007-08
120000976 LOYD'S LIBERTY HOMES, INC. - CASWELL HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-06-25 00:00:00 120005120 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-18 00:00:00 2008-04-18 00:00:00 No 2008-07-22 00:00:00 None B None 1000 1000 0 1000 0 None MLP811 N CA00147513 C SFY2007-08
120000976 LOYD'S LIBERTY HOMES, INC. - CASWELL HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-06-25 00:00:00 120005121 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-04-18 00:00:00 2008-04-18 00:00:00 No 2008-07-22 00:00:00 None B None 1000 1000 0 1000 0 None MLP811 N CA00147513 C SFY2007-08
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2009-03-19 00:00:00 120005171 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-27 00:00:00 2007-09-27 00:00:00 Yes 2013-12-20 00:00:00 2009-03-19 00:00:00 B B 1000 1000 0 1000 0 None ODWV11 N CA00127769, CA00127931 A, C SFY2008-09
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2008-07-17 00:00:00 120005216 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-12-16 00:00:00 2006-12-16 00:00:00 Yes 2008-08-07 00:00:00 2009-07-13 00:00:00 AA A 100000 75000 0 75000 0 None IGLP11 Y CA00114822 B SFY2008-09
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-08-20 00:00:00 120005329 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-21 00:00:00 2008-05-21 00:00:00 No 2008-09-12 00:00:00 None B None 1000 1000 -350 650 0 None LLH611 N CA00151382 B SFY2008-09
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2008-10-28 00:00:00 120005345 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-16 00:00:00 2007-12-16 00:00:00 No 2008-11-19 00:00:00 None B None 1000 1000 -350 650 0 None 84UK11 N CA00135154 B SFY2008-09
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2008-10-20 00:00:00 120005389 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-01 00:00:00 2008-06-01 00:00:00 No 2008-11-14 00:00:00 None B None 1000 1000 -350 650 0 None BOPR11 N CA00152572 B SFY2008-09
120000656 LOYD'S LIBERTY HOMES, INC. - ALTAVILLE LANE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-10-20 00:00:00 120005390 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-21 00:00:00 2008-06-21 00:00:00 No 2008-11-12 00:00:00 None B None 1000 1000 0 1000 0 None BRNH11 N CA00154518 B SFY2008-09
120000656 LOYD'S LIBERTY HOMES, INC. - ALTAVILLE LANE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2008-10-20 00:00:00 120005391 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-06-21 00:00:00 2008-06-21 00:00:00 No 2008-11-12 00:00:00 None B None 1000 1000 -350 650 0 None BRNH11 N CA00154518 B SFY2008-09
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2009-07-07 00:00:00 120005521 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-16 00:00:00 2008-07-16 00:00:00 Yes 2009-08-03 00:00:00 2009-07-07 00:00:00 B B 1000 650 0 650 0 None NGXE11 N CA00157232 A SFY2009-10
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2009-07-07 00:00:00 120005523 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-28 00:00:00 2008-04-28 00:00:00 No 2009-07-29 00:00:00 None B None 1000 1000 -350 650 0 None GG6E11 N CA00148452 A SFY2009-10
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2010-08-18 00:00:00 120006206 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-02-14 00:00:00 2009-02-14 00:00:00 No 2010-09-10 00:00:00 None B None 1000 1000 -350 650 0 None CDYU11 N CA00177972 B SFY2010-11
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2009-10-01 00:00:00 120006208 Closed Citation Citation B (HSC 1424) Patient Rights ABUSE 2008-12-22 00:00:00 2008-12-22 00:00:00 No 2009-10-26 00:00:00 None B None 1000 3000 -1050 1950 0 None NWWT11 N CA00172800 B SFY2009-10
120001534 NEW HORIZONS - LEILA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2009-06-10 00:00:00 120006250 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-22 00:00:00 2008-12-22 00:00:00 No 2009-07-03 00:00:00 None B None 1000 1000 -350 650 0 None R1OM11 N CA00173081 C SFY2008-09
120001534 NEW HORIZONS - LEILA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2009-06-10 00:00:00 120006251 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-22 00:00:00 2008-12-22 00:00:00 No 2009-07-03 00:00:00 None B None 1000 1000 -350 650 0 None R1OM11 N CA00173081 C SFY2008-09
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2009-06-10 00:00:00 120006252 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-10-13 00:00:00 2008-10-13 00:00:00 No 2009-07-02 00:00:00 None B None 1000 1000 -350 650 0 None VLLW11 N CA00166512 B SFY2008-09
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2009-06-10 00:00:00 120006279 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-13 00:00:00 2008-10-13 00:00:00 No 2009-07-02 00:00:00 None B None 1000 1000 -350 650 0 None VLLW11 N CA00166512 B SFY2008-09
120000382 LOYD'S LIBERTY HOMES, INC. - PANORAMA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2009-09-01 00:00:00 120006332 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-26 00:00:00 2007-06-26 00:00:00 No 2009-09-24 00:00:00 None A None 10000 10000 -3500 6500 0 None WOGI11 N CA00118806 B SFY2009-10
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2009-07-21 00:00:00 120006339 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-07 00:00:00 2008-07-07 00:00:00 No 2009-08-17 00:00:00 None A None 20000 20000 -7000 13000 0 None FY0011 N CA00158676 A SFY2009-10
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2009-07-21 00:00:00 120006340 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-07-07 00:00:00 2008-07-07 00:00:00 No 2009-08-17 00:00:00 None B None 1000 1000 -350 650 0 None FY0011 N CA00158676 A SFY2009-10
120001429 BETHESDA LUTHERAN COMMUNITIES-BELMONT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2010-12-15 00:00:00 120006343 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-03 00:00:00 2008-02-03 00:00:00 No 2011-01-05 00:00:00 None B None 1000 1000 -350 650 0 None MOI511 N CA00139794 B SFY2010-11
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2011-04-13 00:00:00 120006445 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-27 00:00:00 2009-06-27 00:00:00 Yes 2011-05-04 00:00:00 2011-04-13 00:00:00 A B 10000 7200 -700 6500 0 None SNV311 N CA00193515 B SFY2010-11
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2009-08-26 00:00:00 120006448 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-04-18 00:00:00 2009-04-18 00:00:00 Yes 2009-09-21 00:00:00 2009-09-16 00:00:00 AA AA 25000 25000 0 25000 0 None YOE111 Y CA00184889 B SFY2009-10
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2009-09-23 00:00:00 120006556 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-05-29 00:00:00 2008-05-29 00:00:00 No 2009-10-19 00:00:00 None B None 1000 1000 -350 650 0 None H9H111 N CA00152653 B SFY2009-10
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2009-09-23 00:00:00 120006560 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-02 00:00:00 2008-06-02 00:00:00 No 2009-10-19 00:00:00 None B None 1000 1000 -350 650 0 None H9H111 N CA00152542 B SFY2009-10
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2010-03-02 00:00:00 120006570 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-10-19 00:00:00 2008-10-19 00:00:00 Yes 2010-09-16 00:00:00 2010-08-16 00:00:00 AA A 100000 40000 0 40000 0 None FZ5911 Y CA00166813 C SFY2009-10
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2011-02-23 00:00:00 120006612 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-05 00:00:00 2009-09-05 00:00:00 No 2011-03-16 00:00:00 None B None 1000 1000 0 1000 0 None 1GY011 N CA00201131 B SFY2010-11
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2010-01-19 00:00:00 120006727 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-12-15 00:00:00 2007-12-15 00:00:00 Yes 2010-10-01 00:00:00 2010-09-10 00:00:00 AA A 100000 35650 -650 35000 0 None UPK611 Y CA00135552 B SFY2009-10
120001435 BETHESDA LUTHERAN COMMUNITIES-MATHEW LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2010-10-13 00:00:00 120006728 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-27 00:00:00 2009-07-27 00:00:00 No 2010-11-08 00:00:00 None B None 1000 1000 -350 650 0 None VVEH11 N CA00196448, CA00197019 B, B SFY2010-11
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2010-08-18 00:00:00 120006729 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-23 00:00:00 2009-08-23 00:00:00 No 2010-09-09 00:00:00 None B None 1000 1000 -350 650 0 None N2CZ11 N CA00199684 B SFY2010-11
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2011-04-13 00:00:00 120006875 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-04 00:00:00 2008-12-04 00:00:00 Yes 2013-03-08 00:00:00 2011-04-13 00:00:00 A A 20000 20750 0 20750 0 None G1QS11 Y CA00172788, CA00265355 B, B SFY2010-11
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2010-08-11 00:00:00 120006898 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-13 00:00:00 2009-10-13 00:00:00 Yes 2010-09-07 00:00:00 2010-08-11 00:00:00 B B 1000 650 0 650 0 None VYCP11 N CA00208441 B SFY2010-11
120000903 LOYD'S LIBERTY HOMES, INC. - JOELYLE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-01-26 00:00:00 120007047 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-14 00:00:00 2008-12-14 00:00:00 No 2011-02-16 00:00:00 None B None 1000 1000 -350 650 0 None S11G11 N CA00172077 B SFY2010-11
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2010-08-11 00:00:00 120007239 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-04-09 00:00:00 2010-04-09 00:00:00 No 2010-09-07 00:00:00 None B None 1000 1000 -350 650 0 None C3T411 N CA00224990 B SFY2010-11
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2010-08-18 00:00:00 120007240 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-03-24 00:00:00 2010-03-24 00:00:00 No 2010-09-10 00:00:00 None B None 1000 1000 -350 650 0 None TIG811 N CA00223405 C SFY2010-11
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2010-08-11 00:00:00 120007242 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-03-03 00:00:00 2010-03-03 00:00:00 Yes 2010-09-07 00:00:00 2010-08-11 00:00:00 B B 1000 650 0 650 0 None 0I5X11 N CA00220788 C SFY2010-11
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2010-08-11 00:00:00 120007243 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-03 00:00:00 2010-03-03 00:00:00 Yes 2010-09-07 00:00:00 2010-08-11 00:00:00 B B 1000 650 0 650 0 None 0I5X11 N CA00220788 C SFY2010-11
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2010-12-01 00:00:00 120007282 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-10 00:00:00 2010-02-10 00:00:00 No 2010-12-22 00:00:00 None B None 1000 1000 -350 650 0 None KOXP11 N CA00217932 B SFY2010-11
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2010-07-29 00:00:00 120007380 Closed Citation Citation A (HSC 1424) Patient Care None 2009-01-19 00:00:00 2009-01-19 00:00:00 Yes 2013-03-08 00:00:00 2013-02-21 00:00:00 A A 20000 15000 0 15000 0 None 0IKT11 N CA00178330 B SFY2010-11
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2010-08-06 00:00:00 120007407 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-06-23 00:00:00 2009-06-23 00:00:00 Yes 2011-01-04 00:00:00 2010-12-20 00:00:00 AA A 100000 20000 0 20000 0 None WJXM11 Y CA00194032 B SFY2010-11
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2010-08-25 00:00:00 120007408 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-14 00:00:00 2010-02-14 00:00:00 No 2010-09-22 00:00:00 None B None 1000 1000 -350 650 0 None UCH511 N CA00218243 B SFY2010-11
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2010-09-01 00:00:00 120007409 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-18 00:00:00 2010-03-18 00:00:00 No 2010-09-23 00:00:00 None B None 1000 1000 -350 650 0 None JS9311 N CA00222143 C SFY2010-11
120001526 LINDSAY GARDENS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Bakersfield 2010-08-18 00:00:00 120007410 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-01-22 00:00:00 2010-01-22 00:00:00 No 2010-09-09 00:00:00 None B None 1000 1000 -350 650 0 None MQ8X11 N CA00215539 C SFY2010-11
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2010-12-01 00:00:00 120007411 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-07 00:00:00 2010-01-07 00:00:00 No 2010-12-22 00:00:00 None B None 1000 1000 -350 650 0 None Q48P11 N CA00213980 B SFY2010-11
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2010-12-15 00:00:00 120007459 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-06-16 00:00:00 2010-06-16 00:00:00 No 2011-01-05 00:00:00 None B None 1000 1000 -350 650 0 None N1BD11 N CA00231611 C SFY2010-11
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-04-20 00:00:00 120007496 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-18 00:00:00 2009-09-18 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None 1DP611 N CA00202735 A SFY2010-11
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-04-20 00:00:00 120007497 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-18 00:00:00 2009-09-18 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None 1DP611 N CA00202735 A SFY2010-11
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2010-09-15 00:00:00 120007523 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-15 00:00:00 2010-02-15 00:00:00 Yes 2010-10-06 00:00:00 2010-09-15 00:00:00 B B 1000 650 0 650 0 None XL1711 N CA00222393 B SFY2010-11
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2011-05-04 00:00:00 120007524 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-04-04 00:00:00 2010-04-04 00:00:00 No 2011-05-25 00:00:00 None B None 1000 1000 -350 650 0 None 7MNK11 N CA00225058 B SFY2010-11
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2011-04-27 00:00:00 120007551 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-30 00:00:00 2010-01-30 00:00:00 No 2011-05-18 00:00:00 None B None 1000 1000 -350 650 0 None 1PS711 N CA00216694 B SFY2010-11
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2010-10-04 00:00:00 120007559 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-20 00:00:00 2010-04-20 00:00:00 No 2010-10-25 00:00:00 None B None 1000 1000 -350 650 0 None N62C11 N CA00226140 B SFY2010-11
120001552 LOYD'S LIBERTY HOMES, INC. - 'A' STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-01-26 00:00:00 120007763 Closed Citation Citation A (HSC 1424) Patient Rights None 2007-10-23 00:00:00 2007-10-23 00:00:00 No 2011-02-16 00:00:00 None A None 10000 10000 -3500 6500 0 None VN2811 N CA00137214, CA00138404, CA00157991 C, B, C SFY2010-11
120001526 LINDSAY GARDENS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Bakersfield 2011-04-20 00:00:00 120007775 Closed Citation Citation A (HSC 1424) Patient Care None 2010-04-08 00:00:00 2010-04-08 00:00:00 No 2011-05-11 00:00:00 None A None 20000 20000 -7000 13000 0 None 4NEK11 N CA00224816 C SFY2010-11
120000339 LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-01-12 00:00:00 120007778 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-10-10 00:00:00 2008-10-10 00:00:00 No 2011-02-03 00:00:00 None B None 1000 1000 -350 650 0 None 07FD11 N CA00166606 C SFY2010-11
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2011-01-25 00:00:00 120007779 Closed Citation Citation A (HSC 1424) Patient Care None 2010-07-27 00:00:00 2010-07-27 00:00:00 Yes 2013-03-08 00:00:00 2011-01-25 00:00:00 A B 20000 1000 0 1000 0 None I2FK11 N CA00237202 C SFY2010-11
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2011-03-16 00:00:00 120007780 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-04-01 00:00:00 2009-04-01 00:00:00 No 2011-04-07 00:00:00 None B None 1000 1000 -350 650 0 None UUHP11 N CA00184845 B SFY2010-11
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2011-04-27 00:00:00 120007784 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-21 00:00:00 2010-10-21 00:00:00 No 2011-05-18 00:00:00 None B None 1000 1000 -350 650 0 None V81E11 N CA00246933 B SFY2010-11
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-04-20 00:00:00 120007813 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-17 00:00:00 2010-02-17 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None UTJK11 N CA00219099 A SFY2010-11
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-04-20 00:00:00 120007814 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-17 00:00:00 2010-02-17 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None UTJK11 N CA00219099 A SFY2010-11
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2011-03-16 00:00:00 120007815 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-06-10 00:00:00 2010-06-10 00:00:00 No 2011-04-07 00:00:00 None B None 1000 1000 -350 650 0 None KH7X11 N CA00232673 B SFY2010-11
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-04-20 00:00:00 120007818 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-17 00:00:00 2010-02-17 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None UTJK11 N CA00219519 A SFY2010-11
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-04-20 00:00:00 120007819 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-17 00:00:00 2010-02-17 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None UTJK11 N CA00219519 A SFY2010-11
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2011-02-23 00:00:00 120007820 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-16 00:00:00 2009-04-16 00:00:00 Yes 2011-03-16 00:00:00 2011-02-24 00:00:00 B None 1000 1000 -350 650 0 None 8GRJ11 N CA00185177, CA00185223 B, B SFY2010-11
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2011-02-23 00:00:00 120007823 Closed Citation Citation A (HSC 1424) Patient Care None 2010-02-19 00:00:00 2010-02-19 00:00:00 Yes 2013-03-08 00:00:00 2011-03-15 00:00:00 A A 20000 20000 0 20000 0 None KHZH11 N CA00219376 B SFY2010-11
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2011-03-16 00:00:00 120007824 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-04-11 00:00:00 2009-04-11 00:00:00 No 2011-04-07 00:00:00 None B None 1000 1000 -350 650 0 None B8F211 N CA00186599 B SFY2010-11
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2011-01-12 00:00:00 120007826 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-08 00:00:00 2010-03-08 00:00:00 No 2011-02-03 00:00:00 None B None 1000 1000 -350 650 0 None G1G711 N CA00219261 B SFY2010-11
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2011-03-16 00:00:00 120007827 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-11 00:00:00 2009-04-11 00:00:00 No 2011-04-07 00:00:00 None B None 1000 1000 -350 650 0 None B8F211 N CA00186599 B SFY2010-11
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2011-05-04 00:00:00 120007829 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-27 00:00:00 2008-06-27 00:00:00 Yes 2011-05-25 00:00:00 2011-05-04 00:00:00 A None 20000 20000 -7000 13000 0 None BM0T11 N CA00154566 B SFY2010-11
120000399 ADVENTIST HEALTH DELANO D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2011-05-04 00:00:00 120007847 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-11-05 00:00:00 2009-11-05 00:00:00 No 2011-05-25 00:00:00 None B None 1000 1000 -350 650 0 None N1EA11 N CA00207834 C SFY2010-11
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2011-04-13 00:00:00 120007865 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-23 00:00:00 2008-01-23 00:00:00 Yes 2011-05-04 00:00:00 2013-04-24 00:00:00 A Dismissed by Court 20000 0 0 0 0 None E56111 N CA00138659, CA00138988 B, B SFY2010-11
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2011-04-13 00:00:00 120007889 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-12-11 00:00:00 2010-12-11 00:00:00 No 2011-05-04 00:00:00 None B None 1000 1000 0 1000 0 None 8VQK11 N CA00253107 B SFY2010-11
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2011-05-04 00:00:00 120007890 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-08 00:00:00 2010-06-08 00:00:00 No 2011-05-25 00:00:00 None B None 1000 1000 0 1000 0 None ER8X11 N CA00232092 C SFY2010-11
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2013-09-16 00:00:00 120007933 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-07 00:00:00 2009-09-07 00:00:00 No 2013-10-07 00:00:00 None B None 1000 1700 0 1700 0 None DDFT11 N CA00201096 B SFY2013-14
120001511 NEW HORIZONS 'B' LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-03-07 00:00:00 120007951 Closed Citation Citation A (HSC 1424) Patient Care None 2010-11-03 00:00:00 2010-11-03 00:00:00 No 2012-03-28 00:00:00 None A None 10000 10000 -3500 6500 0 None GUVM11 N CA00248028 B SFY2011-12
120000464 BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-06-13 00:00:00 120008044 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-11 00:00:00 2008-04-11 00:00:00 No 2012-07-05 00:00:00 None B None 1000 1000 -350 650 0 None NZ1511 N CA00146612 B SFY2011-12
120000464 BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-06-13 00:00:00 120008046 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-04-11 00:00:00 2008-04-11 00:00:00 No 2012-07-05 00:00:00 None B None 1000 1000 -350 650 0 None NZ1511 N CA00146612 B SFY2011-12
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-11-20 00:00:00 120008944 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-30 00:00:00 2009-06-30 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None XCRK11 N CA00197034 B SFY2012-13
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-11-20 00:00:00 120008945 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-04 00:00:00 2009-06-04 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None XCRK11 N CA00195776 B SFY2012-13
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-11-20 00:00:00 120008946 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-04 00:00:00 2009-06-04 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None XCRK11 N CA00194533 A SFY2012-13
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-11-20 00:00:00 120008947 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-30 00:00:00 2009-06-30 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None XCRK11 N CA00197130 B SFY2012-13
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-11-20 00:00:00 120008949 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-07 00:00:00 2009-06-07 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None XCRK11 N CA00194532 A SFY2012-13
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-11-20 00:00:00 120008950 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-30 00:00:00 2009-06-30 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None XCRK11 N CA00196703 B SFY2012-13
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2012-02-21 00:00:00 120008976 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-13 00:00:00 2011-12-13 00:00:00 No 2012-03-13 00:00:00 None B None 1000 1000 -350 650 0 None XGKD11 N CA00292912 B SFY2011-12
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2013-09-16 00:00:00 120008991 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-02-05 00:00:00 2011-02-05 00:00:00 No 2013-10-07 00:00:00 None B None 1000 1000 -350 650 0 None GLXZ11 N CA00258263 B SFY2013-14
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-02-28 00:00:00 120009041 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-20 00:00:00 2010-03-20 00:00:00 No 2012-03-20 00:00:00 None B None 1000 1000 -350 650 0 None HVE611 N CA00223487 B SFY2011-12
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2013-07-18 00:00:00 120009044 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-30 00:00:00 2011-08-30 00:00:00 Yes 2013-08-08 00:00:00 2013-08-07 00:00:00 A B 20000 20000 0 20000 0 None DS0U11 N CA00283688 B SFY2013-14
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2012-11-20 00:00:00 120009060 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-30 00:00:00 2009-06-30 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None XCRK11 N CA00197130 B SFY2012-13
050000056 MAYWOOD ACRES HEALTHCARE LTC SNF Skilled Nursing Facility Ventura 2012-07-20 00:00:00 120009100 Closed Citation Citation A (HSC 1424) Patient Care None 2011-12-14 00:00:00 2011-12-14 00:00:00 Yes 2012-08-10 00:00:00 2012-07-30 00:00:00 A B 10000 9500 0 9500 0 None XZWG11 N CA00295920, CA00296015 C, B SFY2012-13
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2012-06-11 00:00:00 120009134 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-07-10 00:00:00 2011-07-10 00:00:00 No 2012-07-02 00:00:00 None B None 1000 1600 -350 1250 0 None LQAF11 N None None SFY2011-12
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2012-06-13 00:00:00 120009136 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-09-23 00:00:00 2011-09-23 00:00:00 No 2012-07-05 00:00:00 None B None 1000 1000 -350 650 0 None FKOV11 N CA00284704 C SFY2011-12
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2012-06-13 00:00:00 120009137 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-09-23 00:00:00 2011-09-23 00:00:00 No 2012-07-05 00:00:00 None B None 1000 1000 -350 650 0 None FKOV11 N CA00285056 B SFY2011-12
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2012-06-13 00:00:00 120009141 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-09-24 00:00:00 2011-09-24 00:00:00 No 2012-07-05 00:00:00 None B None 1000 1000 -350 650 0 None FKOV11 N CA00284701 C SFY2011-12
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2012-06-13 00:00:00 120009142 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-09-18 00:00:00 2011-09-18 00:00:00 No 2012-07-05 00:00:00 None B None 1000 1000 -350 650 0 None FKOV11 N CA00284535 C SFY2011-12
960001152 CAPISTRANO DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-03-16 00:00:00 120009144 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-07 00:00:00 2012-02-07 00:00:00 No 2012-04-06 00:00:00 None B None 1000 1000 -350 650 0 None QOF011 N None None SFY2011-12
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2012-10-03 00:00:00 120009285 Closed Citation Citation A (HSC 1424) Patient Care None 2010-07-18 00:00:00 2010-07-18 00:00:00 No 2012-10-24 00:00:00 None A None 20000 20000 -7000 13000 0 None 6D9K11 N CA00235923, CA00235926 C, C SFY2012-13
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2013-09-16 00:00:00 120009509 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-01-23 00:00:00 2012-01-23 00:00:00 No 2013-10-07 00:00:00 None B None 2000 2650 0 2650 0 None PKO111 N None None SFY2013-14
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2012-11-28 00:00:00 120009512 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-30 00:00:00 2010-01-30 00:00:00 Yes 2012-12-19 00:00:00 2013-02-03 00:00:00 B None 1000 1900 0 1900 0 None 06DQ11 N CA00216661 B SFY2012-13
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2012-10-03 00:00:00 120009537 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-01-22 00:00:00 2011-01-22 00:00:00 No 2012-10-24 00:00:00 None B None 1000 1000 -350 650 0 None LQRG11 N CA00256581 B SFY2012-13
630011298 STEELE'S QUALITY LIVING - VASSAR LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2013-10-23 00:00:00 120010125 Closed Citation Citation B (HSC 1424) Patient Care None 2012-08-09 00:00:00 2012-08-09 00:00:00 No 2013-11-14 00:00:00 None B None 1000 1000 -350 650 0 None WSFX11 N CA00321104 B SFY2013-14
120000662 POSITIVE DIRECTIONS, INC. #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2013-12-18 00:00:00 120010126 Closed Citation Citation A (HSC 1424) Patient Care None 2012-09-06 00:00:00 2012-09-06 00:00:00 No 2014-01-09 00:00:00 None A None 8000 8000 0 8000 0 None 0LTF11 N CA00324825 B SFY2013-14
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2013-09-16 00:00:00 120010127 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-12-12 00:00:00 2012-12-12 00:00:00 Yes 2013-10-07 00:00:00 2013-09-16 00:00:00 B None 2000 2000 0 2000 0 None W98B11 N CA00335158 B SFY2013-14
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2014-02-11 00:00:00 120010167 Closed Citation Citation A (HSC 1424) Patient Care None 2011-03-18 00:00:00 2011-03-18 00:00:00 No 2014-03-05 00:00:00 None A None 5000 5000 0 5000 0 None WZUZ11 N CA00264891 B SFY2013-14
630003241 STEELE'S VISIONS - HATCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2013-10-23 00:00:00 120010168 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-04-28 00:00:00 2012-04-28 00:00:00 No 2013-11-14 00:00:00 None B None 1000 1000 -350 650 0 None GIXF11 N CA00308658 B SFY2013-14
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2014-01-29 00:00:00 120010169 Closed Citation Citation B (HSC 1424) Patient Care None 2012-07-10 00:00:00 2012-07-10 00:00:00 Yes 2014-02-20 00:00:00 2014-01-29 00:00:00 B None 2000 2000 -700 1300 0 None 1E5911 N CA00318847 C SFY2013-14
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2013-10-23 00:00:00 120010176 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-07-26 00:00:00 2012-07-26 00:00:00 No 2013-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None 5ZQJ11 N CA00323837 B SFY2013-14
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2013-10-23 00:00:00 120010212 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-10-02 00:00:00 2013-10-02 00:00:00 Yes 2013-11-14 00:00:00 2013-11-12 00:00:00 B None 2000 2000 0 0 2000 None 8NSR11 N CA00371956, CA00372072 A, B SFY2013-14
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2014-01-16 00:00:00 120010345 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-31 00:00:00 2010-08-31 00:00:00 Yes 2014-02-07 00:00:00 2014-01-16 00:00:00 B None 1000 1000 0 1000 0 None L7EZ11 N CA00241326 B SFY2013-14
120000559 POSITIVE DIRECTIONS #6 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2014-02-24 00:00:00 120010370 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-07-23 00:00:00 2013-07-23 00:00:00 Yes 2014-03-17 00:00:00 2014-03-03 00:00:00 B B 1000 1000 0 1000 0 None JDS511 N CA00363187 B SFY2013-14
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2014-01-23 00:00:00 120010393 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-04-25 00:00:00 2012-04-25 00:00:00 No 2014-02-13 00:00:00 None B None 2000 2000 -700 1300 0 None NQ1E11 N CA00308665 B SFY2013-14
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2014-02-05 00:00:00 120010404 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-10-19 00:00:00 2011-10-19 00:00:00 No 2014-02-27 00:00:00 None B None 2000 2000 -700 1300 0 None MG1511 N CA00301662 B SFY2013-14
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-01-28 00:00:00 120010405 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-06-11 00:00:00 2013-06-11 00:00:00 No 2014-02-19 00:00:00 None B None 2000 2000 -700 1300 0 None Q4CY11 N CA00358183 B SFY2013-14
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2014-02-12 00:00:00 120010407 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-06-02 00:00:00 2012-06-02 00:00:00 Yes 2014-03-06 00:00:00 2014-02-12 00:00:00 B None 2000 2000 -700 1300 0 None 88H711 N CA00312976 B SFY2013-14
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-01-28 00:00:00 120010409 Closed Citation Citation B (HSC 1424) Patient Care None 2013-06-22 00:00:00 2013-06-22 00:00:00 No 2014-02-19 00:00:00 None B None 2000 2000 -700 1300 0 None ZC7M11 N CA00359505 B SFY2013-14
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-02-05 00:00:00 120010412 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-07-16 00:00:00 2012-07-16 00:00:00 No 2014-02-27 00:00:00 None B None 2000 2000 -700 1300 0 None SV8N11 N CA00318142 B SFY2013-14
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2014-01-29 00:00:00 120010413 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-09-18 00:00:00 2011-09-18 00:00:00 No 2014-02-20 00:00:00 None B None 2000 2000 -700 1300 0 None JEWX11 N CA00284100 C SFY2013-14
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-02-05 00:00:00 120010416 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-09-28 00:00:00 2012-09-28 00:00:00 No 2014-02-27 00:00:00 None B None 2000 2000 -700 1300 0 None QDNV11 N CA00327509 A SFY2013-14
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-02-11 00:00:00 120010422 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-05-13 00:00:00 2012-05-13 00:00:00 No 2014-03-05 00:00:00 None B None 2000 2000 -700 1300 0 None KTS911 N None None SFY2013-14
120001544 SIERRA VISTA RESIDENTIAL CARE HOME #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2014-02-06 00:00:00 120010423 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-05-13 00:00:00 2012-05-13 00:00:00 No 2014-02-28 00:00:00 None B None 1000 1000 -350 650 0 None SD3Z11 N CA00310408 B SFY2013-14
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2014-02-06 00:00:00 120010424 Closed Citation Citation B (HSC 1424) Patient Care None 2013-06-27 00:00:00 2013-06-27 00:00:00 No 2014-02-28 00:00:00 None B None 2000 2000 -700 1300 0 None U7YY11 N CA00360019 B SFY2013-14
630013665 RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT LTC SNF Skilled Nursing Facility Bakersfield 2014-02-10 00:00:00 120010430 Closed Citation Citation A (HSC 1424) Patient Care None 2013-08-12 00:00:00 2013-08-12 00:00:00 No 2014-03-04 00:00:00 None A None 20000 20000 -7000 13000 0 None H59X11 N CA00368787 B SFY2013-14
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2014-02-19 00:00:00 120010453 Closed Citation Citation A (HSC 1424) Patient Care None 2013-04-19 00:00:00 2013-04-19 00:00:00 Yes 2014-03-12 00:00:00 2014-02-19 00:00:00 A None 20000 20000 -7000 13000 0 None PPPD11 Y CA00351759 B SFY2013-14
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-04-08 00:00:00 120010455 Closed Citation Citation A (HSC 1424) Patient Care None 2012-12-08 00:00:00 2012-12-08 00:00:00 Yes 2014-04-29 00:00:00 2014-04-11 00:00:00 A None 5000 5000 -1750 3250 0 None J10F11 N CA00336600 B SFY2013-14
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2014-02-26 00:00:00 120010479 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-01-22 00:00:00 2013-01-22 00:00:00 No 2014-03-19 00:00:00 None B None 2000 2000 -700 1300 0 None 2HE211 N CA00354962 C SFY2013-14
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2014-03-26 00:00:00 120010482 Closed Citation Citation A (HSC 1424) Patient Care None 2012-09-24 00:00:00 2012-09-24 00:00:00 Yes 2014-04-17 00:00:00 2014-04-03 00:00:00 A A 10000 6500 0 6500 0 None XTRD11 N CA00327025 B SFY2013-14
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2014-02-26 00:00:00 120010486 Closed Citation Citation A (HSC 1424) Patient Rights None 2013-05-14 00:00:00 2013-05-14 00:00:00 Yes 2014-03-19 00:00:00 2014-02-26 00:00:00 A None 10000 10000 0 10000 0 None M5UD11 N CA00354441 A SFY2013-14
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-02-25 00:00:00 120010491 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-12-04 00:00:00 2013-12-04 00:00:00 Yes 2014-03-18 00:00:00 2014-02-25 00:00:00 B None 2000 2000 -700 1300 0 None 3QQT11 N CA00379540, CA00379701 B, B SFY2013-14
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2014-03-12 00:00:00 120010512 Closed Citation Citation A (HSC 1424) Patient Care None 2013-05-26 00:00:00 2013-05-26 00:00:00 Yes 2014-04-03 00:00:00 2014-04-02 00:00:00 A A 20000 15000 0 15000 0 None RZKZ11 N CA00356241 A SFY2013-14
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2014-03-06 00:00:00 120010515 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-07-02 00:00:00 2012-07-02 00:00:00 No 2014-03-27 00:00:00 None B None 2000 2000 0 2000 0 None G40C11 N CA00317596 B SFY2013-14
120000901 LOYD'S LIBERTY HOMES, INC. - COLONY OAK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2014-03-24 00:00:00 120010532 Closed Citation Citation A (HSC 1424) Patient Care None 2011-04-18 00:00:00 2011-04-18 00:00:00 No 2014-04-15 00:00:00 None A None 10000 10000 -3500 6500 0 None KSZE11 Y CA00266486, CA00266758 C, C SFY2013-14
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-03-20 00:00:00 120010542 Closed Citation Citation B (HSC 1424) Patient Care None 2012-09-22 00:00:00 2012-09-22 00:00:00 Yes 2014-04-11 00:00:00 2014-03-28 00:00:00 B None 2000 2000 0 2000 0 None RYG211 N CA00326858 A SFY2013-14
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2014-03-24 00:00:00 120010546 Closed Citation Citation A (HSC 1424) Patient Care None 2013-01-08 00:00:00 2013-01-08 00:00:00 Yes 2014-04-15 00:00:00 2014-04-10 00:00:00 A A 20000 14200 -1200 13000 0 None D1PF11 Y CA00342404 B SFY2013-14
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2014-04-01 00:00:00 120010559 Closed Citation Citation A (HSC 1424) Patient Care None 2012-08-13 00:00:00 2012-08-13 00:00:00 Yes 2014-04-22 00:00:00 2014-04-11 00:00:00 A A 10000 11450 -1450 10000 0 None 535P11 Y CA00325484 B SFY2013-14
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2014-03-26 00:00:00 120010562 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-04-10 00:00:00 2012-04-10 00:00:00 Yes 2014-04-17 00:00:00 2014-03-26 00:00:00 B None 2000 2000 0 2000 0 None OYJH11 N CA00321936 B SFY2013-14
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2014-05-08 00:00:00 120010617 Closed Citation Citation A (HSC 1424) Patient Care None 2012-08-13 00:00:00 2012-08-13 00:00:00 Yes 2014-05-30 00:00:00 2014-05-08 00:00:00 A B 20000 10000 0 10000 0 None 3XXW11 Y CA00379117 B SFY2013-14
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2014-05-06 00:00:00 120010662 Closed Citation Citation A (HSC 1424) Patient Care None 2013-11-16 00:00:00 2013-11-16 00:00:00 No 2014-05-28 00:00:00 None A None 10000 10000 -3500 6500 0 None I2VI11 N CA00377495 B SFY2013-14
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2014-05-06 00:00:00 120010681 Closed Citation Citation A (HSC 1424) Patient Rights None 2013-11-16 00:00:00 2013-11-16 00:00:00 No 2014-05-28 00:00:00 None A None 20000 20000 -7000 13000 0 None INFC11 N CA00378863 A SFY2013-14
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2014-05-06 00:00:00 120010682 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-11-16 00:00:00 2013-11-16 00:00:00 No 2014-05-28 00:00:00 None B None 2000 2000 -700 1300 0 None INFC11 N CA00378863 A SFY2013-14
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2014-08-04 00:00:00 120010847 Closed Citation Citation A (HSC 1424) Patient Care None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-08-25 00:00:00 2014-08-11 00:00:00 A A 20000 15000 0 15000 0 None YOS411 N CA00394815, CA00396406 B, B SFY2014-15
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2014-08-04 00:00:00 120010870 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-23 00:00:00 2014-02-23 00:00:00 Yes 2014-08-25 00:00:00 2014-08-11 00:00:00 A A 20000 10000 0 10000 0 None R3QR11 N CA00390374 B SFY2014-15
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2015-03-02 00:00:00 120011037 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-12 00:00:00 2014-07-12 00:00:00 No 2015-03-23 00:00:00 None A None 20000 20000 -7000 13000 0 None 5CS411 N CA00405318 B SFY2014-15
120001519 BETHESDA LUTHERAN COMMUNITIES-WESTFIELD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2014-12-22 00:00:00 120011039 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-16 00:00:00 2014-07-16 00:00:00 No 2015-01-13 00:00:00 None A None 5000 5000 -1750 3250 0 None E4YA11 N CA00405895, CA00406879 B, B SFY2014-15
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2014-10-08 00:00:00 120011044 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-14 00:00:00 2014-07-14 00:00:00 Yes 2014-10-29 00:00:00 2014-10-08 00:00:00 A B 20000 10000 0 10000 0 None 06T811 N CA00405695 B SFY2014-15
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2014-10-27 00:00:00 120011078 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-14 00:00:00 2014-09-14 00:00:00 No 2014-11-18 00:00:00 None A None 20000 20000 -7000 13000 0 None KJOG11 N CA00413458 B SFY2014-15
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2015-02-04 00:00:00 120011224 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-09-05 00:00:00 2014-09-05 00:00:00 Yes 2015-02-26 00:00:00 2015-02-04 00:00:00 A None 10000 10000 0 10000 0 None IS6W11 N CA00412107 B SFY2014-15
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2015-02-03 00:00:00 120011240 Closed Citation Citation A (HSC 1424) Patient Care None 2014-12-17 00:00:00 2014-12-17 00:00:00 Yes 2015-02-25 00:00:00 2015-02-03 00:00:00 A B 20000 17500 0 17500 0 None FIU511 N CA00423606 A SFY2014-15
120000826 LOYD'S LIBERTY HOMES, INC. - IRONWOOD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2015-02-18 00:00:00 120011271 Closed Citation Citation A (HSC 1424) Patient Care None 2015-01-18 00:00:00 2015-01-18 00:00:00 No 2015-03-11 00:00:00 None A None 5000 5000 -1750 3250 0 None W2LY11 N CA00427720 B SFY2014-15
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2015-03-18 00:00:00 120011331 Closed Citation Citation A (HSC 1424) Patient Care None 2014-11-07 00:00:00 2014-11-07 00:00:00 No 2015-04-09 00:00:00 None A None 20000 20000 0 20000 0 None QL5811 N CA00419504 C SFY2014-15
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2015-04-06 00:00:00 120011359 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-10-20 00:00:00 2014-10-20 00:00:00 Yes 2015-04-27 00:00:00 2015-04-23 00:00:00 A A 20000 10000 0 10000 0 None XCF911 N None None SFY2014-15
120000399 ADVENTIST HEALTH DELANO D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2015-05-05 00:00:00 120011410 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-07 00:00:00 2015-02-07 00:00:00 No 2015-05-27 00:00:00 None B None 2000 2000 0 2000 0 None QBHK11 N CA00430725 B SFY2014-15
120000399 ADVENTIST HEALTH DELANO D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2015-05-05 00:00:00 120011425 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-02-07 00:00:00 2015-02-07 00:00:00 No 2015-05-27 00:00:00 None B None 2000 2000 0 2000 0 None QBHK11 N CA00430725 B SFY2014-15
120001440 DINUBA HEALTHCARE LTC SNF Skilled Nursing Facility Bakersfield 2015-05-12 00:00:00 120011437 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2015-06-03 00:00:00 None B None 2000 2000 -700 1300 0 None 23VF11 N CA00431338 B SFY2014-15
120001421 GATEWAY POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2015-06-15 00:00:00 120011440 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-12-31 00:00:00 2014-12-31 00:00:00 No 2015-07-06 00:00:00 None A None 18000 18000 -6300 11700 0 None 88R711 N CA00425689 B SFY2014-15
120001421 GATEWAY POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2015-06-15 00:00:00 120011441 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-12-31 00:00:00 2014-12-31 00:00:00 No 2015-07-06 00:00:00 None B None 2000 2000 -700 1300 0 None 88R711 N CA00425689 B SFY2014-15
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2015-06-02 00:00:00 120011468 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-02-16 00:00:00 2015-02-16 00:00:00 No 2015-06-23 00:00:00 None A None 20000 20000 -7000 13000 0 None XCF913 N None None SFY2014-15
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2015-06-22 00:00:00 120011478 Closed Citation Citation A (HSC 1424) Patient Care None 2015-03-11 00:00:00 2015-03-11 00:00:00 No 2015-07-13 00:00:00 None A None 10000 10000 0 10000 0 None 0P7Y11 N CA00434858, CA00435200 B, B SFY2014-15
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2015-06-16 00:00:00 120011525 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-23 00:00:00 2015-03-23 00:00:00 No 2015-07-07 00:00:00 None B None 2000 2000 0 2000 0 None WC7D11 N None None SFY2014-15
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2015-06-23 00:00:00 120011566 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-14 00:00:00 2015-02-14 00:00:00 No 2015-07-14 00:00:00 None A None 20000 20000 0 20000 0 None PTLS11 N CA00431684 B SFY2014-15
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2015-08-03 00:00:00 120011581 Closed Citation Citation A (HSC 1424) Patient Care None 2015-04-04 00:00:00 2015-04-04 00:00:00 No 2015-08-24 00:00:00 None A None 20000 20000 -7000 13000 0 None 25RO11 N CA00443986 B SFY2015-16
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2015-08-17 00:00:00 120011608 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-06-18 00:00:00 2015-06-18 00:00:00 No 2015-09-08 00:00:00 None A None 10000 10000 -3500 6500 0 None WPH911 N CA00447466 B SFY2015-16
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2015-08-25 00:00:00 120011622 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-06-24 00:00:00 2015-06-24 00:00:00 Yes 2015-09-16 00:00:00 2015-08-25 00:00:00 A B 20000 7000 0 7000 0 None KNSN11 N CA00448272 B SFY2015-16
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2015-07-21 00:00:00 120011625 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-16 00:00:00 2015-05-16 00:00:00 No 2015-08-11 00:00:00 None B None 2000 2000 -700 1300 0 None 4CY311 N CA00445181 B SFY2015-16
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2015-09-08 00:00:00 120011661 Closed Citation Citation A (HSC 1424) Patient Care None 2015-05-28 00:00:00 2015-05-28 00:00:00 Yes 2015-09-29 00:00:00 2015-09-08 00:00:00 A A 20000 18000 0 18000 0 None FN8T11 N CA00448521 B SFY2015-16
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2015-09-14 00:00:00 120011662 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-02 00:00:00 2015-07-02 00:00:00 No 2015-10-05 00:00:00 None B None 2000 2000 0 2000 0 None O90P11 N CA00449026, CA00449026, CA00449026 B, B, B SFY2015-16
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2015-09-14 00:00:00 120011664 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-05-27 00:00:00 2015-05-27 00:00:00 No 2015-10-05 00:00:00 None A None 20000 20000 0 20000 0 None 7Z7V11 N CA00444452 B SFY2015-16
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2015-09-14 00:00:00 120011683 Closed Citation Citation A (HSC 1424) Patient Care None 2015-07-06 00:00:00 2015-07-06 00:00:00 No 2015-10-05 00:00:00 None A None 20000 20000 -7000 13000 0 None HNG611 N CA00449511 B SFY2015-16
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2015-09-15 00:00:00 120011715 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-20 00:00:00 2015-08-20 00:00:00 No 2015-10-06 00:00:00 None B None 2000 2000 -700 1300 0 None DMR411 N CA00455190 B SFY2015-16
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2015-11-02 00:00:00 120011778 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-18 00:00:00 2015-08-18 00:00:00 Yes 2015-11-24 00:00:00 2015-11-20 00:00:00 A B 20000 12000 0 12000 0 None FW0U11 N CA00455206 B SFY2015-16
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2015-11-09 00:00:00 120011779 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-05-05 00:00:00 2015-05-05 00:00:00 No 2015-12-03 00:00:00 None A None 20000 20000 -7000 13000 0 None 4O5611 N CA00442217, CA00442593 A, B SFY2015-16
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2015-11-09 00:00:00 120011780 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-05 00:00:00 2015-05-05 00:00:00 No 2015-12-03 00:00:00 None B None 2000 2000 -700 1300 0 None 4O5611 N CA00442217, CA00442593 A, B SFY2015-16
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2015-11-16 00:00:00 120011795 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-10-03 00:00:00 2015-10-03 00:00:00 No 2015-12-09 00:00:00 None B None 2000 6000 0 6000 0 None W1T511 N CA00460539, CA00461316, CA00461481 B, B, B SFY2015-16
630013665 RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT LTC SNF Skilled Nursing Facility Bakersfield 2015-12-28 00:00:00 120011861 Closed Citation Citation A (HSC 1424) Patient Care None 2015-10-12 00:00:00 2015-10-12 00:00:00 Yes 2016-01-18 00:00:00 2016-01-15 00:00:00 A A 20000 14000 0 14000 0 None FY6211 N CA00461729 B SFY2015-16
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2015-12-17 00:00:00 120011906 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-26 00:00:00 2015-10-26 00:00:00 Yes 2016-01-08 00:00:00 2015-12-28 00:00:00 B B 2000 1300 0 1300 0 None E1PW11 N None None SFY2015-16
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2015-12-18 00:00:00 120011908 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-26 00:00:00 2015-10-26 00:00:00 Yes 2016-01-11 00:00:00 2015-12-31 00:00:00 B B 2000 1300 0 1300 0 None E1PW11 N None None SFY2015-16
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2015-12-29 00:00:00 120011910 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-10-29 00:00:00 2015-10-29 00:00:00 No 2016-01-19 00:00:00 None B None 2000 2000 0 2000 0 None QE7X11 N CA00463762 B SFY2015-16
120001505 MORGAN'S TLC - LINDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2016-01-06 00:00:00 120011920 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-22 00:00:00 2015-11-22 00:00:00 No 2016-01-28 00:00:00 None B None 1000 1000 -350 650 0 None 938N11 N CA00466702 B SFY2015-16
120001505 MORGAN'S TLC - LINDLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2016-01-06 00:00:00 120011921 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-11-22 00:00:00 2015-11-22 00:00:00 No 2016-01-28 00:00:00 None B None 1000 1000 -350 650 0 None 938N11 N CA00466702 B SFY2015-16
120001495 TRANQUILITY HOMES, INC LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2016-02-29 00:00:00 120011939 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-22 00:00:00 2015-12-22 00:00:00 No 2016-03-21 00:00:00 None A None 10000 10000 -3500 6500 0 None NKD611 N CA00469693 A SFY2015-16
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2016-01-29 00:00:00 120011967 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-05 00:00:00 2015-12-05 00:00:00 No 2016-02-22 00:00:00 None B None 2000 2000 0 2000 0 None 7OHF11 N CA00468199 B SFY2015-16
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2016-01-29 00:00:00 120011977 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-12-11 00:00:00 2015-12-11 00:00:00 No 2016-02-22 00:00:00 None B None 2000 2000 0 2000 0 None 0YR211 N CA00468877 B SFY2015-16
630004101 BETHESDA LUTHERAN COMMUNITIES - WREN I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2016-02-10 00:00:00 120011978 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-20 00:00:00 2015-08-20 00:00:00 No 2016-03-03 00:00:00 None B None 2000 2000 -700 1300 0 None 737N11 N CA00455132 B SFY2015-16
120001495 TRANQUILITY HOMES, INC LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2016-02-29 00:00:00 120011996 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-24 00:00:00 2015-12-24 00:00:00 No 2016-03-21 00:00:00 None A None 10000 10000 -3500 6500 0 None Y1EA11 N CA00470191 A SFY2015-16
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2016-02-22 00:00:00 120012021 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-11 00:00:00 2015-12-11 00:00:00 No 2016-03-14 00:00:00 None A None 20000 60000 0 60000 0 None KD4O11 N CA00468784 B SFY2015-16
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2016-02-22 00:00:00 120012022 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-24 00:00:00 2015-12-24 00:00:00 No 2016-03-14 00:00:00 None B None 2000 6000 0 6000 0 None U31K11 N CA00470196 B SFY2015-16
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2016-02-29 00:00:00 120012023 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-11-28 00:00:00 2015-11-28 00:00:00 No 2016-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None JP5U11 N CA00468001 B SFY2015-16
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2016-02-29 00:00:00 120012035 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-12 00:00:00 2016-01-12 00:00:00 No 2016-03-21 00:00:00 None A None 20000 60000 -21000 39000 0 None 7J0E11 N CA00472245, CA00472245 A, A SFY2015-16
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2016-03-01 00:00:00 120012036 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-18 00:00:00 2015-12-18 00:00:00 No 2016-03-22 00:00:00 None A None 20000 20000 -7000 13000 0 None O9RB11 N CA00469778 B SFY2015-16
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2016-03-14 00:00:00 120012066 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-02-10 00:00:00 2016-02-10 00:00:00 Yes 2016-04-05 00:00:00 2016-04-01 00:00:00 B None 2000 2000 0 2000 0 None H82C11 N CA00476049, CA00476497 A, A SFY2015-16
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2016-03-16 00:00:00 120012085 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-02-26 00:00:00 2016-02-26 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 0 2000 0 None DFUG11 N CA00477955, CA00477958 B, A SFY2015-16
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2016-03-16 00:00:00 120012086 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-02-22 00:00:00 2016-02-22 00:00:00 No 2016-04-07 00:00:00 None B None 2000 2000 0 2000 0 None NM8711 N CA00477299 A SFY2015-16
630013665 RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT LTC SNF Skilled Nursing Facility Bakersfield 2016-03-21 00:00:00 120012123 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-07 00:00:00 2016-01-07 00:00:00 No 2016-04-12 00:00:00 None B None 2000 2000 0 2000 0 None HBYL11 N CA00471688 B SFY2015-16
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2016-04-18 00:00:00 120012162 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-02-16 00:00:00 2016-02-16 00:00:00 No 2016-05-09 00:00:00 None B None 2000 2000 -700 1300 0 None VJ6211 N CA00475454 B SFY2015-16
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2016-04-19 00:00:00 120012164 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-03-04 00:00:00 2016-03-04 00:00:00 No 2016-05-10 00:00:00 None B None 2000 2000 -700 1300 0 None 032T11 N CA00479742 B SFY2015-16
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-05-23 00:00:00 120012180 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-16 00:00:00 2016-02-16 00:00:00 Yes 2016-06-14 00:00:00 2016-05-23 00:00:00 A B 20000 15000 0 15000 0 None TS5C12 N None None SFY2015-16
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2016-05-09 00:00:00 120012211 Closed Citation Citation B (HSC 1424) Patient Care None 2016-03-10 00:00:00 2016-03-10 00:00:00 No 2016-05-31 00:00:00 None B None 2000 2000 0 2000 0 None 654411 N CA00479889 B SFY2015-16
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-05-06 00:00:00 120012222 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-04-02 00:00:00 2016-04-02 00:00:00 No 2016-05-27 00:00:00 None B None 2000 2000 0 2000 0 None UM9G11 N CA00484180 A SFY2015-16
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2016-06-06 00:00:00 120012235 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-07 00:00:00 2016-04-07 00:00:00 Yes 2016-06-27 00:00:00 2016-06-06 00:00:00 A None 20000 20000 -7000 13000 0 None GCFY11 N CA00483500 B SFY2015-16
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-06-06 00:00:00 120012265 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-23 00:00:00 2016-03-23 00:00:00 Yes 2016-06-27 00:00:00 2016-06-06 00:00:00 A None 20000 20000 -7000 13000 0 None I7GI11 N CA00482011 A SFY2015-16
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-06-06 00:00:00 120012266 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-03-23 00:00:00 2016-03-23 00:00:00 Yes 2016-06-27 00:00:00 2016-06-07 00:00:00 B None 2000 2000 0 2000 0 None I7GI11 N CA00482011 A SFY2015-16
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2016-06-06 00:00:00 120012293 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-22 00:00:00 2016-03-22 00:00:00 Yes 2016-06-27 00:00:00 2016-06-06 00:00:00 A A 20000 18000 0 18000 0 None K69M11 N CA00481496 A SFY2015-16
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2016-07-06 00:00:00 120012372 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-05-01 00:00:00 2016-05-01 00:00:00 No 2016-07-27 00:00:00 None B None 2000 2000 0 2000 0 None 4QWX11 N CA00486563 A SFY2016-17
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2016-07-18 00:00:00 120012379 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-24 00:00:00 2016-05-24 00:00:00 No 2016-08-08 00:00:00 None A None 20000 20000 -7000 13000 0 None T5HJ11 N CA00489707 B SFY2016-17
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2016-07-18 00:00:00 120012380 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-12 00:00:00 2016-04-12 00:00:00 No 2016-08-08 00:00:00 None A None 20000 20000 -7000 13000 0 None RM2E11 N CA00484187 B SFY2016-17
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-07-25 00:00:00 120012398 Closed Citation Citation B (HSC 1424) Patient Care None 2016-05-21 00:00:00 2016-05-21 00:00:00 No 2016-08-15 00:00:00 None B None 2000 2000 -700 1300 0 None UV4V11 N CA00489076 B SFY2016-17
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-08-15 00:00:00 120012461 Closed Citation Citation B (HSC 1424) Patient Record None 2015-12-01 00:00:00 2015-12-01 00:00:00 Yes 2016-09-06 00:00:00 2016-08-15 00:00:00 B B 2000 1000 0 1000 0 None HW9W11 N CA00488018 B SFY2016-17
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-08-15 00:00:00 120012463 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-12-01 00:00:00 2015-12-01 00:00:00 Yes 2016-09-06 00:00:00 2016-08-15 00:00:00 B B 2000 1000 0 1000 0 None HW9W11 N CA00488018 B SFY2016-17
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-08-15 00:00:00 120012465 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-27 00:00:00 2016-04-27 00:00:00 Yes 2016-09-06 00:00:00 2016-08-15 00:00:00 B B 2000 1000 0 1000 0 None HW9W11 N CA00488561 A SFY2016-17
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2016-08-08 00:00:00 120012485 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-06-15 00:00:00 2016-06-15 00:00:00 No 2016-08-29 00:00:00 None B None 2000 2000 0 2000 0 None MTG011 N CA00492006 B SFY2016-17
120000903 LOYD'S LIBERTY HOMES, INC. - JOELYLE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2016-08-23 00:00:00 120012514 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-10 00:00:00 2016-04-10 00:00:00 No 2016-09-14 00:00:00 None B None 1000 1000 -350 650 0 None 8CC211 N CA00490510 B SFY2016-17
630013665 RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT LTC SNF Skilled Nursing Facility Bakersfield 2016-08-31 00:00:00 120012527 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-01 00:00:00 2016-07-01 00:00:00 No 2016-09-22 00:00:00 None B None 2000 2000 0 2000 0 None HXUT11 N CA00494021 B SFY2016-17
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2016-09-22 00:00:00 120012551 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-01 00:00:00 2016-08-01 00:00:00 No 2016-10-13 00:00:00 None A None 20000 20000 -7000 13000 0 None CL1E11 N CA00497615 B SFY2016-17
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2016-10-11 00:00:00 120012608 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-08-31 00:00:00 2016-08-31 00:00:00 No 2016-11-01 00:00:00 None B None 2000 6000 -2100 3900 0 None TGE911 N CA00501306 B SFY2016-17
120000399 ADVENTIST HEALTH DELANO D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2016-11-01 00:00:00 120012699 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-12 00:00:00 2016-10-12 00:00:00 No 2016-11-23 00:00:00 None B None 2000 2350 0 2350 0 None 0B7411 N None None SFY2016-17
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2016-11-21 00:00:00 120012740 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-09-26 00:00:00 2016-09-26 00:00:00 Yes 2016-12-14 00:00:00 2016-12-09 00:00:00 A A 20000 20000 0 20000 0 None THX511 N CA00504460 A SFY2016-17
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2016-11-22 00:00:00 120012754 Closed Citation Citation B (HSC 1424) Problem Transfer None 2016-09-27 00:00:00 2016-09-27 00:00:00 Yes 2016-12-15 00:00:00 2016-12-07 00:00:00 B B 2000 1500 0 1500 0 None LZTA11 N CA00504709 A SFY2016-17
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2016-12-01 00:00:00 120012757 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-10-13 00:00:00 2016-10-13 00:00:00 Yes 2016-12-22 00:00:00 2016-12-22 00:00:00 B B 2000 6000 0 6000 0 None T1O911 N CA00507151 B SFY2016-17
120001037 HIGHER GROUND HOMES, INC. #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2017-01-10 00:00:00 120012857 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-12 00:00:00 2016-11-12 00:00:00 No 2017-02-01 00:00:00 None B None 1000 1000 -350 650 0 None JUGI11 N CA00510493 C SFY2016-17
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2017-03-07 00:00:00 120012980 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-15 00:00:00 2017-01-15 00:00:00 Yes 2017-03-28 00:00:00 2017-03-13 00:00:00 B B 2000 2000 0 2000 0 None M1ZO11 N CA00518534 B SFY2016-17
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2017-03-15 00:00:00 120013008 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-08 00:00:00 2017-01-08 00:00:00 Yes 2017-04-06 00:00:00 2017-03-15 00:00:00 A None 20000 20000 0 20000 0 None 1RY411 N CA00517343, CA00517433 A, A SFY2016-17
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2017-04-11 00:00:00 120013095 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-06-30 00:00:00 2016-06-30 00:00:00 No 2017-05-02 00:00:00 None B None 2000 2000 -700 1300 0 None 3NR911 N CA00522436 B SFY2016-17
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2017-07-07 00:00:00 120013119 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-02-21 00:00:00 2017-02-21 00:00:00 No 2017-07-28 00:00:00 None AA None 100000 100000 -35000 65000 0 None ENR611 Y CA00524016 A SFY2017-18
120000530 POSITIVE DIRECTIONS # 3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2017-05-10 00:00:00 120013167 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-19 00:00:00 2017-01-19 00:00:00 No 2017-06-01 00:00:00 None B None 2000 2250 -700 1550 0 None 0YN111 N CA00519150 B SFY2016-17
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2017-06-27 00:00:00 120013271 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-11 00:00:00 2017-04-11 00:00:00 Yes 2017-07-19 00:00:00 2017-07-10 00:00:00 A A 20000 18000 0 18000 0 None 474M11 N CA00530757 B SFY2016-17
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2017-07-10 00:00:00 120013313 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-15 00:00:00 2017-02-15 00:00:00 No 2017-07-31 00:00:00 None A None 20000 20000 -7000 13000 0 None DW6I11 N CA00522934, CA00522966, CA00523631 B, B, A SFY2017-18
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2017-07-10 00:00:00 120013318 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-15 00:00:00 2017-02-15 00:00:00 No 2017-07-31 00:00:00 None A None 20000 20000 -7000 13000 0 None DW6I11 N CA00522934, CA00522966, CA00523631 B, B, A SFY2017-18
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2017-07-10 00:00:00 120013319 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-15 00:00:00 2017-02-15 00:00:00 No 2017-07-31 00:00:00 None B None 2000 2000 -700 1300 0 None DW6I11 N CA00522966 B SFY2017-18
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2017-08-07 00:00:00 120013405 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-08 00:00:00 2017-06-08 00:00:00 No 2017-08-28 00:00:00 None B None 2000 2000 -700 1300 0 None THMN11 N None None SFY2017-18
120001440 DINUBA HEALTHCARE LTC SNF Skilled Nursing Facility Bakersfield 2017-11-15 00:00:00 120013600 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-12 00:00:00 2017-10-12 00:00:00 No 2017-12-08 00:00:00 None A None 20000 20000 -7000 13000 0 None MLCW11 N CA00556448 B SFY2017-18
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2017-11-16 00:00:00 120013615 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-06-03 00:00:00 2017-06-03 00:00:00 Yes 2017-12-11 00:00:00 2017-11-27 00:00:00 B B 2000 1800 0 1800 0 None Z7CH11 N CA00539141 A SFY2017-18
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2017-11-29 00:00:00 120013637 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-08-26 00:00:00 2017-08-26 00:00:00 No 2017-12-20 00:00:00 None B None 2000 6000 -2100 3900 0 None C4GH11 N CA00549988 B SFY2017-18
630013665 RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT LTC SNF Skilled Nursing Facility Bakersfield 2017-11-30 00:00:00 120013652 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-09 00:00:00 2017-10-09 00:00:00 No 2017-12-21 00:00:00 None B None 2000 2000 0 2000 0 None QHV411 N CA00557698 B SFY2017-18
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2017-12-05 00:00:00 120013657 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-09-07 00:00:00 2017-09-07 00:00:00 No 2017-12-27 00:00:00 None B None 2000 2000 0 2000 0 None M2R511 N CA00551806 B SFY2017-18
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2018-01-19 00:00:00 120013700 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-08-29 00:00:00 2017-08-29 00:00:00 Yes 2018-02-09 00:00:00 2018-01-19 00:00:00 AA A 100000 80000 0 80000 0 None I4UH11 Y CA00550513, CA00551075 B, B SFY2017-18
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2018-02-22 00:00:00 120013754 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-02 00:00:00 2017-10-02 00:00:00 No 2018-03-15 00:00:00 None B None 2000 2000 0 2000 0 None FQ3711 N None None SFY2017-18
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2018-03-22 00:00:00 120013863 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-11-14 00:00:00 2017-11-14 00:00:00 Yes 2018-04-12 00:00:00 2018-03-22 00:00:00 B B 2000 2000 0 2000 0 None MDX911 N CA00561183, CA00561846 A, A SFY2017-18
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2018-03-22 00:00:00 120013864 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-11-14 00:00:00 2017-11-14 00:00:00 Yes 2018-04-12 00:00:00 2018-03-22 00:00:00 B B 2000 6550 -550 6000 0 None MDX911 N CA00561183, CA00561846 A, A SFY2017-18
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2018-04-11 00:00:00 120013917 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-19 00:00:00 2018-03-19 00:00:00 Yes 2018-05-02 00:00:00 2018-04-11 00:00:00 B None 2000 2000 0 2000 0 None RETK11 N CA00571789 A SFY2017-18
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2018-05-09 00:00:00 120014049 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-23 00:00:00 2018-01-23 00:00:00 No 2018-05-30 00:00:00 None B None 2000 2000 0 2000 0 None 3HML11 N None None SFY2017-18
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2018-06-11 00:00:00 120014107 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-29 00:00:00 2018-03-29 00:00:00 No 2018-07-02 00:00:00 None B None 2000 2000 0 2000 0 None 3HML12 N None None SFY2017-18
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2018-07-17 00:00:00 120014233 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-04-14 00:00:00 2018-04-14 00:00:00 No 2018-08-07 00:00:00 None B None 2000 2000 -700 1300 0 None CCTO11 N CA00582806 B SFY2018-19
630013665 RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT LTC SNF Skilled Nursing Facility Bakersfield 2018-07-18 00:00:00 120014234 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-04-24 00:00:00 2018-04-24 00:00:00 No 2018-08-08 00:00:00 None B None 2000 6000 -2100 3900 0 None 2UHO11 N CA00584169, CA00586170 B, B SFY2018-19
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2018-10-16 00:00:00 120014455 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-20 00:00:00 2018-08-20 00:00:00 No 2018-11-06 00:00:00 None B None 2000 2000 0 2000 0 None WHJ811 N CA00600423, CA00600423, CA00600423, CA00600423, CA00602053, CA00602053 B, B, B, B, B, B SFY2018-19
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2018-10-22 00:00:00 120014486 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-09-05 00:00:00 2018-09-05 00:00:00 No 2018-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None H75G11 N CA00602438, CA00602438, CA00602438, CA00602438, CA00602438, CA00602647 A, A, A, A, A, B SFY2018-19
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2018-10-30 00:00:00 120014512 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-15 00:00:00 2018-06-15 00:00:00 No 2018-11-21 00:00:00 None B None 2000 2000 -700 1300 0 None EIQZ11 N CA00600215 B SFY2018-19
120001449 KAWEAH HEALTH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2018-11-19 00:00:00 120014571 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-29 00:00:00 2018-10-29 00:00:00 No 2018-12-12 00:00:00 None B None 2000 2000 0 2000 0 None UYWF11 N CA00609833 B SFY2018-19
630013665 RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT LTC SNF Skilled Nursing Facility Bakersfield 2019-01-25 00:00:00 120014697 Open Citation Citation A (HSC 1424) Patient Care None 2018-03-22 00:00:00 2018-03-22 00:00:00 Yes 2019-02-15 00:00:00 2019-02-19 00:00:00 A None 20000 20000 0 0 20000 None CI4K11 Y CA00606569 C SFY2018-19
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2019-01-18 00:00:00 120014706 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-09 00:00:00 2018-11-09 00:00:00 Yes 2019-02-08 00:00:00 2019-01-25 00:00:00 A None 20000 20000 0 20000 0 None TRZ511 N CA00612807 A SFY2018-19
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2019-02-08 00:00:00 120014723 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-14 00:00:00 2018-11-14 00:00:00 No 2019-03-01 00:00:00 None A None 20000 20000 0 20000 0 None IT1C11 N CA00612202, CA00612202, CA00612222, CA00612358 B, B, B, B SFY2018-19
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2019-03-26 00:00:00 120014729 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-09 00:00:00 2018-12-09 00:00:00 No 2019-04-16 00:00:00 None A None 20000 20000 0 20000 0 None SM2R11 N CA00615148, CA00615148, CA00615651, CA00615651 B, B, B, B SFY2018-19
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2019-02-22 00:00:00 120014774 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-04 00:00:00 2018-10-04 00:00:00 No 2019-03-15 00:00:00 None B None 2000 2000 -700 1300 0 None VS8Z11 N CA00615328 B SFY2018-19
120000559 POSITIVE DIRECTIONS #6 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2019-02-22 00:00:00 120014775 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-12 00:00:00 2018-12-12 00:00:00 No 2019-03-15 00:00:00 None B None 2000 2000 -700 1300 0 None OOEK11 N None None SFY2018-19
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2019-03-26 00:00:00 120014868 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-02-01 00:00:00 2019-02-01 00:00:00 No 2019-04-16 00:00:00 None B None 2000 2000 0 2000 0 None C0HF11 N CA00622716 A SFY2018-19
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2019-05-28 00:00:00 120015003 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-03-27 00:00:00 2019-03-27 00:00:00 Yes 2019-06-18 00:00:00 2019-08-16 00:00:00 B None 2000 2000 0 2000 0 None MQF711 N CA00630497 A SFY2018-19
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2019-06-26 00:00:00 120015117 Open Citation Citation A (HSC 1424) Patient Care None 2019-01-17 00:00:00 2019-01-17 00:00:00 Yes 2019-07-17 00:00:00 2019-07-16 00:00:00 A A 20000 20000 0 3302.74 16697.26 None 7GT811 N CA00621042 B SFY2018-19
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2019-08-14 00:00:00 120015249 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-24 00:00:00 2019-05-24 00:00:00 No 2019-09-04 00:00:00 None B None 2000 6000 -2100 3900 0 None WBGZ11 N CA00639091 B SFY2019-20
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2019-11-13 00:00:00 120015447 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-17 00:00:00 2019-09-17 00:00:00 No 2019-12-04 00:00:00 None A None 20000 20000 0 20000 0 None ZW5L11 N CA00655277, CA00655277 A, A SFY2019-20
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2019-11-13 00:00:00 120015458 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-17 00:00:00 2019-09-17 00:00:00 No 2019-12-04 00:00:00 None A None 20000 20000 0 20000 0 None ZW5L11 N CA00655277, CA00655277 A, A SFY2019-20
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2019-12-05 00:00:00 120015516 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-08-06 00:00:00 2019-08-06 00:00:00 No 2019-12-26 00:00:00 None B None 2000 2000 -700 1300 0 None 62TP11 N CA00648916, CA00648916, CA00648916 B, B, B SFY2019-20
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2019-12-05 00:00:00 120015517 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-08-06 00:00:00 2019-08-06 00:00:00 No 2019-12-26 00:00:00 None B None 2000 2000 -700 1300 0 None 62TP11 N CA00648916, CA00648916, CA00648916 B, B, B SFY2019-20
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2019-12-05 00:00:00 120015519 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-14 00:00:00 2019-09-14 00:00:00 No 2019-12-26 00:00:00 None B None 2000 2000 -700 1300 0 None OMLU11 N CA00655143 B SFY2019-20
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2019-12-31 00:00:00 120015548 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-04 00:00:00 2019-09-04 00:00:00 Yes 2020-01-21 00:00:00 2020-01-13 00:00:00 A A 20000 20000 0 20000 0 None PUYH11 N CA00653171 B SFY2019-20
120000325 VALLEY VIEW CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2020-01-06 00:00:00 120015569 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-24 00:00:00 2019-09-24 00:00:00 No 2020-01-27 00:00:00 None B None 2000 2000 0 2000 0 None YPPM11 N CA00656212, CA00656212, CA00656212 B, B, B SFY2019-20
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2020-02-21 00:00:00 120015595 Closed Citation Citation AA (HSC 1424) Patient Care None 2019-08-31 00:00:00 2019-08-31 00:00:00 Yes 2020-03-13 00:00:00 2020-03-13 00:00:00 AA AA 100000 40050 -50 40000 0 None OSBC11 Y CA00652990, CA00652990, CA00661315, CA00661315, CA00661315 B, B, B, B, B SFY2019-20
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2020-09-08 00:00:00 120015652 Closed Citation Citation A (HSC 1424) Patient Rights Abuse 2019-10-29 00:00:00 2019-10-29 00:00:00 Yes 2020-09-29 00:00:00 2020-09-28 00:00:00 A B 20000 20000 0 20000 0 None 1J2411 N CA00661145, CA00661145, CA00661489, CA00661489, CA00661489 C, C, B, B, B SFY2020-21
120000369 ROSEWOOD HEALTH FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2020-09-09 00:00:00 120015783 Closed Citation Citation A (HSC 1424) Patient Care None 2019-10-29 00:00:00 2019-10-29 00:00:00 Yes 2020-09-30 00:00:00 2020-09-30 00:00:00 A A 20000 14000 0 14000 0 None 231M11 N CA00664826, CA00664826 A, A SFY2020-21
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2020-09-09 00:00:00 120015813 Closed Citation Citation A (HSC 1424) Patient Care None 2020-02-10 00:00:00 2020-02-10 00:00:00 No 2020-09-30 00:00:00 None A None 20000 20000 -7000 13000 0 None 7Q0711 N None None SFY2020-21
120001429 BETHESDA LUTHERAN COMMUNITIES-BELMONT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2020-10-23 00:00:00 120016092 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-15 00:00:00 2020-05-15 00:00:00 No 2020-11-16 00:00:00 None B None 2000 2000 0 2000 0 None SXZE11 N CA00688822, CA00688822 B, B SFY2020-21
630013061 STEELE'S VISIONS - TERRACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2021-01-11 00:00:00 120016199 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-03-04 00:00:00 2020-03-04 00:00:00 No 2021-02-02 00:00:00 None B None 2000 2000 -700 1300 0 None 6XUU11 N CA00679678 A SFY2020-21
630013061 STEELE'S VISIONS - TERRACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2021-01-11 00:00:00 120016200 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-03-04 00:00:00 2020-03-04 00:00:00 No 2021-02-02 00:00:00 None B None 2000 2000 -700 1300 0 None 6XUU11 N CA00679678, CA00679678 A, A SFY2020-21
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2021-03-12 00:00:00 120016228 Closed Citation Citation A (HSC 1424) Patient Care None 2020-11-05 00:00:00 2020-11-05 00:00:00 No 2021-04-05 00:00:00 None A None 20000 20000 -7000 13000 0 None NB8011 N CA00712466, CA00712466, CA00714047, CA00714047, CA00714047, CA00714047, CA00719040 B, B, B, B, B, B, B SFY2020-21
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2021-03-03 00:00:00 120016289 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-25 00:00:00 2020-06-25 00:00:00 No 2021-03-24 00:00:00 None B None 2000 2000 0 2000 0 None DEP611 N CA00694019, CA00694019 A, A SFY2020-21
120001517 BETHESDA LUTHERAN COMMUNITIES-SUMMIT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2021-02-18 00:00:00 120016290 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-20 00:00:00 2020-08-20 00:00:00 No 2021-03-11 00:00:00 None B None 2000 2000 0 2000 0 None P1QT11 N CA00702178, CA00702248, CA00702248, CA00705421, CA00705421 B, B, B, B, B SFY2020-21
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2021-04-06 00:00:00 120016305 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-10 00:00:00 2021-01-10 00:00:00 No 2021-04-27 00:00:00 None A None 20000 20000 0 20000 0 None 1FS611 Y CA00721644, CA00721644 B, B SFY2020-21
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2021-03-26 00:00:00 120016315 Closed Citation Citation A (HSC 1424) Patient Care None 2020-11-05 00:00:00 2020-11-05 00:00:00 Yes 2021-04-19 00:00:00 2021-03-31 00:00:00 A B 20000 50000 0 50000 0 None O3EA11 N CA00712071 B SFY2020-21
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2021-04-07 00:00:00 120016320 Closed Citation Citation A (HSC 1424) Dietary None 2020-07-01 00:00:00 2020-07-01 00:00:00 No 2021-04-28 00:00:00 None A None 20000 20000 -7000 13000 0 None N5FE11 N CA00699266, CA00699266, CA00699960, CA00699960, CA00699960 B, B, A, A, A SFY2020-21
120001466 SIERRA VIEW MEDICAL CENTER LTC SNF Skilled Nursing Facility Bakersfield 2021-04-07 00:00:00 120016350 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-11-21 00:00:00 2019-11-21 00:00:00 No 2021-04-28 00:00:00 None B None 2000 2000 -700 1300 0 None 0I3U11 N CA00723189, CA00724065 A, B SFY2020-21
120001526 LINDSAY GARDENS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Bakersfield 2021-04-02 00:00:00 120016351 Closed Citation Citation B (HSC 1424) Patient Care Infection Control 2020-06-30 00:00:00 2020-06-30 00:00:00 No 2021-04-23 00:00:00 None B None 2000 2000 -700 1300 0 None PKIZ11 N None None SFY2020-21
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2021-04-08 00:00:00 120016364 Open Citation Citation A (HSC 1424) Patient Care None 2020-04-16 00:00:00 2020-04-16 00:00:00 Yes 2021-04-29 00:00:00 2021-04-29 00:00:00 A None 20000 20000 0 0 20000 None JD6V11 Y CA00685016, CA00685016, CA00686073, CA00686073, CA00686073 A, A, B, B, B SFY2020-21
120001402 DELTA HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2021-04-08 00:00:00 120016394 Closed Citation Citation B (HSC 1424) Other Infection Control 2020-08-07 00:00:00 2020-08-07 00:00:00 No 2021-04-29 00:00:00 None B None 2000 2000 -700 1300 0 None 556111 N None None SFY2020-21
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2021-10-15 00:00:00 120016452 Closed Citation Citation A (HSC 1424) Patient Care None 2020-06-25 00:00:00 2020-06-25 00:00:00 Yes 2021-11-05 00:00:00 2021-10-19 00:00:00 A B 20000 20000 0 20000 0 None 47SN11 N None None SFY2021-22
120001528 KELLY & SCOTT'S CARE HOME INC. #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2021-05-24 00:00:00 120016454 Closed Citation Citation A (HSC 1424) Patient Care Governing Body 2021-02-27 00:00:00 2021-02-27 00:00:00 No 2021-06-15 00:00:00 None A None 10000 10000 -3500 6500 0 None GKKP11 N CA00727257, CA00727257 B, B SFY2020-21
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2021-05-19 00:00:00 120016491 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-01-07 00:00:00 2021-01-07 00:00:00 No 2021-06-10 00:00:00 None B None 2000 2000 0 2000 0 None 4L0R11 N CA00727560, CA00727560 A, A SFY2020-21
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2021-07-23 00:00:00 120016524 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-02-12 00:00:00 2021-02-12 00:00:00 No 2021-08-13 00:00:00 None B None 2000 2000 -700 1300 0 None KW6111 N CA00725496, CA00725496 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2021-06-02 00:00:00 120016525 Closed Citation Citation B (HSC 1424) Patient Record None 2021-01-27 00:00:00 2021-01-27 00:00:00 No 2021-06-23 00:00:00 None B None 2000 3450 0 3450 0 None 090E11 N CA00720752, CA00720752, CA00720752, CA00720752 B, B, B, B SFY2020-21
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2021-06-23 00:00:00 120016526 Closed Citation Citation A (HSC 1424) Physical Environment None 2021-02-25 00:00:00 2021-02-25 00:00:00 No 2021-07-14 00:00:00 None A None 20000 20000 -7000 13000 0 None UZ9911 N CA00726924, CA00726924, CA00727054, CA00727054 B, B, B, B SFY2020-21
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2021-06-30 00:00:00 120016569 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-05-10 00:00:00 2021-05-10 00:00:00 No 2021-07-21 00:00:00 None B None 2000 2400 0 2400 0 None CL1911 N CA00736424 A SFY2020-21
120001526 LINDSAY GARDENS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Bakersfield 2021-07-16 00:00:00 120016612 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-18 00:00:00 2021-03-18 00:00:00 No 2021-08-06 00:00:00 None A None 20000 20000 0 20000 0 None 4OQ311 N None None SFY2021-22
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2021-07-16 00:00:00 120016613 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-17 00:00:00 2021-03-17 00:00:00 Yes 2021-08-06 00:00:00 2021-07-26 00:00:00 A A 20000 15000 0 15000 0 None 33GD11 N CA00730408, CA00730408 B, B SFY2021-22
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2021-08-13 00:00:00 120016749 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-05-05 00:00:00 2021-05-05 00:00:00 No 2021-09-03 00:00:00 None B None 2000 2000 -700 1300 0 None SSHD11 N CA00738920 B SFY2021-22
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2021-08-20 00:00:00 120016809 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-06-04 00:00:00 2021-06-04 00:00:00 No 2021-09-13 00:00:00 None B None 2000 2000 -700 1300 0 None 6NOL11 N None None SFY2021-22
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2021-09-03 00:00:00 120016841 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-05 00:00:00 2021-03-05 00:00:00 No 2021-09-27 00:00:00 None B None 2000 2000 -700 1700 -400 None 760011 N CA00737276, CA00738058, CA00738089, CA00738089 B, B, A, A SFY2021-22
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2021-09-03 00:00:00 120016843 Open Citation Citation B (HSC 1424) Patient Rights None 2021-03-05 00:00:00 2021-03-05 00:00:00 Yes 2021-09-27 00:00:00 2021-09-08 00:00:00 B None 2000 2000 0 0 2000 None 760011 N CA00737276, CA00737276, CA00738058, CA00738058, CA00738089, CA00738089, CA00738089 B, B, B, B, A, A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2021-09-15 00:00:00 120016847 Closed Citation Citation A (HSC 1424) Physical Environment None 2021-07-09 00:00:00 2021-07-09 00:00:00 No 2021-10-06 00:00:00 None A None 20000 21250 -7000 14250 0 None 8MOR11 N CA00740970, CA00740970, CA00740970, CA00740970, CA00740970, CA00740970, CA00740970, CA00740970, CA00741513, CA00741513, CA00741513, CA00741526, CA00741526, CA00741526, CA00742052, CA00742052, CA00743586, CA00743586 A, A, A, A, A, A, A, A, B, B, B, B, B, B, A, A, A, A SFY2021-22
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2021-10-25 00:00:00 120016850 Closed Citation Citation A (HSC 1424) Patient Care None 2021-07-13 00:00:00 2021-07-13 00:00:00 No 2021-11-16 00:00:00 None A None 20000 20000 -7000 13000 0 None FZXN11 N CA00744035, CA00744035 A, A SFY2021-22
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2021-10-25 00:00:00 120016851 Closed Citation Citation A (HSC 1424) Patient Care None 2021-07-13 00:00:00 2021-07-13 00:00:00 No 2021-11-16 00:00:00 None A None 20000 20000 -7000 13000 0 None FZXN11 N CA00744035, CA00744035, CA00744035 A, A, A SFY2021-22
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2021-10-08 00:00:00 120016906 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-13 00:00:00 2021-06-13 00:00:00 No 2021-10-29 00:00:00 None B None 2000 2000 0 2000 0 None M8FO11 N CA00740116, CA00740329 B, B SFY2021-22
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2021-10-08 00:00:00 120016907 Closed Citation Citation B (HSC 1424) Patient Record None 2021-06-13 00:00:00 2021-06-13 00:00:00 No 2021-10-29 00:00:00 None B None 2000 2000 0 2000 0 None M8FO11 N CA00740116, CA00740116, CA00740329, CA00740329 B, B, B, B SFY2021-22
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2021-10-08 00:00:00 120016909 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-06-13 00:00:00 2021-06-13 00:00:00 No 2021-10-29 00:00:00 None B None 2000 2000 0 2000 0 None M8FO11 N CA00740116, CA00740116, CA00740329, CA00740329 B, B, B, B SFY2021-22
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2021-11-05 00:00:00 120016947 Closed Citation Citation A (HSC 1424) Patient Rights Patient Abuse 2021-06-15 00:00:00 2021-06-15 00:00:00 No 2021-12-01 00:00:00 None A None 20000 20000 -7000 13000 0 None MG4Q11 N CA00740342 B SFY2021-22
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2021-10-15 00:00:00 120016964 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-07-06 00:00:00 2021-07-06 00:00:00 No 2021-11-05 00:00:00 None B None 2000 2000 0 2000 0 None MPKO11 N CA00743118, CA00743118, CA00743831 B, B, B SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2021-11-24 00:00:00 120017051 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-05 00:00:00 2021-08-05 00:00:00 No 2021-12-17 00:00:00 None B None 2000 6200 -2100 4100 0 None QRLV11 N CA00747449, CA00747449, CA00747449, CA00747449, CA00747449, CA00747449, CA00747506, CA00747506, CA00747506, CA00747506, CA00747506, CA00747832, CA00747832 A, A, A, A, A, A, A, A, A, A, A, A, A SFY2021-22
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2021-12-28 00:00:00 120017102 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-10 00:00:00 2021-09-10 00:00:00 No 2022-01-19 00:00:00 None B None 2000 2000 -700 1300 0 None TWH911 N CA00752497 B SFY2021-22
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2021-12-13 00:00:00 120017103 Closed Citation Citation A (HSC 1424) Patient Care None 2021-08-31 00:00:00 2021-08-31 00:00:00 No 2022-01-03 00:00:00 None A None 20000 20000 -7000 13000 0 None ZXM911 N CA00750801 A SFY2021-22
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2021-12-03 00:00:00 120017104 Closed Citation Citation A (HSC 1424) Patient Care None 2021-09-08 00:00:00 2021-09-08 00:00:00 Yes 2021-12-24 00:00:00 2021-12-07 00:00:00 A A 20000 13000 0 13000 0 None 7W5911 N CA00751846, CA00751846 B, B SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2021-12-28 00:00:00 120017105 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-17 00:00:00 2021-09-17 00:00:00 No 2022-01-19 00:00:00 None B None 2000 3400 0 3400 0 None DLEU11 N CA00754176 B SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2021-12-28 00:00:00 120017180 Closed Citation Citation B (HSC 1424) Dietary Dietary 2021-08-18 00:00:00 2021-08-18 00:00:00 No 2022-01-19 00:00:00 None B None 2000 2000 0 2000 0 None IWD411 N CA00751292 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2021-12-28 00:00:00 120017181 Open Citation Citation A (HSC 1424) Medication None 2021-08-18 00:00:00 2021-08-18 00:00:00 No 2022-01-19 00:00:00 None A None 20000 20000 0 0 20000 None IWD411 N CA00751290, CA00751290, CA00751290 A, A, A SFY2021-22
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2021-12-30 00:00:00 120017182 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-21 00:00:00 2021-08-21 00:00:00 No 2022-01-21 00:00:00 None B None 2000 2450 -700 1750 0 None FV7911 N CA00748002 B SFY2021-22
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-02-11 00:00:00 120017260 Closed Citation Citation A (HSC 1424) Other Abuse 2021-08-10 00:00:00 2021-08-10 00:00:00 No 2022-03-07 00:00:00 None A None 20000 20000 -7000 13000 0 None RZ7T11 N CA00752054, CA00752054 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-07 00:00:00 120017296 Open Citation Citation B (HSC 1424) Medication None 2021-11-29 00:00:00 2021-11-29 00:00:00 No 2022-03-01 00:00:00 None B None 2000 2000 0 0 2000 None CZT311 N CA00764181 B SFY2021-22
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2022-02-04 00:00:00 120017297 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-24 00:00:00 2021-11-24 00:00:00 No 2022-02-28 00:00:00 None B None 2000 2000 -700 1300 0 None 14R011 N CA00762519 B SFY2021-22
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2022-03-08 00:00:00 120017307 Open Citation Citation A (HSC 1424) Patient Care None 2021-11-03 00:00:00 2021-11-03 00:00:00 Yes 2022-03-29 00:00:00 2022-03-11 00:00:00 A None 20000 20000 0 0 20000 None EP2W11 N CA00758388 B SFY2021-22
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-03-18 00:00:00 120017357 Open Citation Citation A (HSC 1424) Patient Care None 2021-08-29 00:00:00 2021-08-29 00:00:00 Yes 2022-04-11 00:00:00 2022-04-11 00:00:00 A None 20000 20000 0 0 20000 None Y6EC11 N CA00750496 B SFY2021-22
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2022-03-11 00:00:00 120017359 Open Citation Citation A (HSC 1424) Patient Care None 2021-11-17 00:00:00 2021-11-17 00:00:00 Yes 2022-04-04 00:00:00 2022-03-15 00:00:00 A None 20000 20000 0 15328.74 4671.26 None IHGT11 N CA00760712 B SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-23 00:00:00 120017373 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-02 00:00:00 2022-02-02 00:00:00 Yes 2022-03-16 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-23 00:00:00 120017374 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-04 00:00:00 2022-02-04 00:00:00 Yes 2022-03-16 00:00:00 2022-03-17 00:00:00 B None 3000 3750 0 0 3750 None VCWU11 N CA00773858 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-24 00:00:00 120017378 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-02 00:00:00 2022-02-02 00:00:00 Yes 2022-03-17 00:00:00 2022-03-17 00:00:00 B None 3000 3750 0 0 3750 None RVLE11 N CA00773860 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-24 00:00:00 120017379 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-17 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None RVLE11 N CA00773860 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-23 00:00:00 120017380 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-16 00:00:00 2022-03-17 00:00:00 B None 3000 3550 0 0 3550 None T4WN11 N CA00773847 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-24 00:00:00 120017384 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-17 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-03-01 00:00:00 120017385 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-22 00:00:00 2022-03-17 00:00:00 B None 3000 3550 0 0 3550 None T4WN11 N CA00773847 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017386 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017387 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3000 0 0 3000 None T4WN11 N CA00773847 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-24 00:00:00 120017388 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-17 00:00:00 2022-03-17 00:00:00 B None 3000 3900 0 0 3900 None T4WN11 N CA00773847 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017389 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3900 0 0 3900 None T4WN11 N CA00773847 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-24 00:00:00 120017390 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-17 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-24 00:00:00 120017391 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-17 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-24 00:00:00 120017398 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-02 00:00:00 2022-02-02 00:00:00 Yes 2022-03-17 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None 80BE11 N CA00774099, CA00774099 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017399 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-02 00:00:00 2022-02-02 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None 80BE11 N CA00774099, CA00774099 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017401 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017402 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017403 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3750 0 0 3750 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017404 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3750 0 0 3750 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017405 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017406 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-09 00:00:00 2022-02-09 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017407 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017408 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-28 00:00:00 120017409 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-21 00:00:00 2022-03-17 00:00:00 B None 3000 3650 0 0 3650 None VCWU11 N CA00773858 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-28 00:00:00 120017410 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-21 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-28 00:00:00 120017411 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-21 00:00:00 2022-03-17 00:00:00 B None 3000 3650 0 0 3650 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-28 00:00:00 120017412 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-21 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None VCWU11 N CA00773858 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017413 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-28 00:00:00 120017414 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-21 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None VCWU11 N CA00773858 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-28 00:00:00 120017415 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-21 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017416 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-03-01 00:00:00 120017417 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-22 00:00:00 2022-03-17 00:00:00 B None 3000 3550 0 0 3550 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017418 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3000 0 0 3000 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017419 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-18 00:00:00 B None 3000 3700 0 0 3700 None VCWU11 N CA00773858, CA00773858 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017425 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-04 00:00:00 2022-02-04 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3000 0 0 3000 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017426 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3000 0 0 3000 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017427 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017428 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-04 00:00:00 2022-02-04 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3000 0 0 3000 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017429 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-04 00:00:00 2022-02-04 00:00:00 No 2022-03-18 00:00:00 None B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017430 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-02 00:00:00 2022-02-02 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017431 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017432 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-04 00:00:00 2022-02-04 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017433 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017434 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3000 0 0 3000 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017435 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017436 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017437 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-04 00:00:00 2022-02-04 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3000 0 0 3000 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017438 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-03-11 00:00:00 120017441 Closed Citation Citation A (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-04-04 00:00:00 2022-03-28 00:00:00 A A 25000 15000 0 15000 0 None 4JZX11 N CA00774374 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017442 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-03 00:00:00 2022-02-03 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017443 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-02 00:00:00 2022-02-02 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3750 0 0 3750 None VCWU11 N CA00773858 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-03-01 00:00:00 120017444 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-04 00:00:00 2022-02-04 00:00:00 Yes 2022-03-22 00:00:00 2022-03-17 00:00:00 B None 3000 3550 0 0 3550 None VCWU11 N CA00773858 A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-02-25 00:00:00 120017445 Open Citation Citation B (HSC 1424) Problem Transfer None 2022-02-07 00:00:00 2022-02-07 00:00:00 Yes 2022-03-18 00:00:00 2022-03-17 00:00:00 B None 3000 3700 0 0 3700 None T4WN11 N CA00773847, CA00773847 A, A SFY2021-22
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2022-03-15 00:00:00 120017467 Closed Citation Citation A (HSC 1424) Problem Transfer None 2022-02-08 00:00:00 2022-02-08 00:00:00 Yes 2022-04-06 00:00:00 2022-03-16 00:00:00 A A 25000 15000 0 15000 0 None QDOW11 N CA00774703 A SFY2021-22
120001522 RIVER WALK CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-04-04 00:00:00 120017486 Open Citation Citation A (HSC 1424) Patient Care None 2021-12-10 00:00:00 2021-12-10 00:00:00 Yes 2022-04-25 00:00:00 2022-04-14 00:00:00 A None 20000 20000 0 0 20000 None XG2C11 N CA00764364 B SFY2021-22
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2022-04-07 00:00:00 120017501 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-01 00:00:00 2021-12-01 00:00:00 No 2022-04-28 00:00:00 None A None 20000 24600 -7000 17600 0 None LEN111 N CA00763526, CA00763526, CA00764138, CA00764138 A, A, B, B SFY2021-22
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2022-04-07 00:00:00 120017533 Closed Citation Citation A (HSC 1424) Patient Care None 2021-11-10 00:00:00 2021-11-10 00:00:00 Yes 2022-04-28 00:00:00 2022-04-14 00:00:00 A A 20000 20750 -1750 19000 0 None 57HE11 N CA00760863, CA00762130 B, B SFY2021-22
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2022-06-03 00:00:00 120017626 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-16 00:00:00 2021-12-16 00:00:00 No 2022-06-24 00:00:00 None A None 20000 20000 0 20000 0 None 7KLE11 N CA00763582 B SFY2021-22
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-06-23 00:00:00 120017652 Open Citation Citation A (HSC 1424) Patient Care None 2022-02-02 00:00:00 2022-02-02 00:00:00 Yes 2022-07-15 00:00:00 2022-06-24 00:00:00 A None 25000 25000 0 0 25000 None PK7Q11 N CA00772623, CA00772623, CA00772717, CA00772717 B, B, B, B SFY2021-22
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-08-12 00:00:00 120017666 Closed Citation Citation A (HSC 1424) Patient Care None 2022-01-28 00:00:00 2022-01-28 00:00:00 No 2022-09-02 00:00:00 None A None 25000 25000 -8750 16250 0 None FENH11 N CA00771097, CA00771097 A, A SFY2022-23
120001472 SEQUOIA VISTA LTC SNF Skilled Nursing Facility Bakersfield 2022-07-28 00:00:00 120017720 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-03-20 00:00:00 2022-03-20 00:00:00 No 2022-08-18 00:00:00 None B None 3000 3000 0 3000 0 None 4I5111 N CA00777573 B SFY2022-23
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-09-02 00:00:00 120017740 Closed Citation Citation A (HSC 1424) Other Dietary 2021-08-10 00:00:00 2021-08-10 00:00:00 No 2022-09-26 00:00:00 None A None 20000 20000 0 20000 0 None QLFB11 N CA00747221 B SFY2022-23
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-08-26 00:00:00 120017799 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-27 00:00:00 2021-12-27 00:00:00 No 2022-09-19 00:00:00 None A None 20000 20000 -7000 13000 0 None MNDT11 N CA00767205, CA00767205 B, B SFY2022-23
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2022-09-02 00:00:00 120017878 Closed Citation Citation A (HSC 1424) Patient Care None 2022-04-22 00:00:00 2022-04-22 00:00:00 No 2022-09-26 00:00:00 None A None 25000 25000 0 25000 0 None OF7S11 N CA00781713, CA00781713, CA00781713, CA00781713, CA00781713 A, A, A, A, A SFY2022-23
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2022-10-03 00:00:00 120017943 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-21 00:00:00 2021-11-21 00:00:00 No 2022-10-24 00:00:00 None B None 2000 2000 -700 1300 0 None 8HK811 N CA00765566 B SFY2022-23
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2022-10-03 00:00:00 120017944 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-30 00:00:00 2021-11-30 00:00:00 No 2022-10-24 00:00:00 None B None 2000 2000 -700 1300 0 None 8HK811 N CA00765566 B SFY2022-23
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2022-10-07 00:00:00 120017949 Closed Citation Citation A (HSC 1424) Patient Care None 2022-04-22 00:00:00 2022-04-22 00:00:00 No 2022-10-28 00:00:00 None A None 25000 25000 -8750 16250 0 None Z9IC11 N CA00782070 B SFY2022-23
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2022-10-31 00:00:00 120018008 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-03 00:00:00 2022-07-03 00:00:00 No 2022-11-22 00:00:00 None A None 25000 25000 -8750 16250 0 None 9XUS11 N CA00791697, CA00792917 B, B SFY2022-23
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-10-17 00:00:00 120018034 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-09-22 00:00:00 2022-09-22 00:00:00 No 2022-11-07 00:00:00 None B None 3000 3000 -1050 1950 0 None DMXN11 N CA00799359 A SFY2022-23
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-10-17 00:00:00 120018041 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-05 00:00:00 2022-08-05 00:00:00 No 2022-11-07 00:00:00 None B None 3000 3000 -1050 1950 0 None C3MS11 N CA00797504, CA00797504, CA00797563, CA00797563 A, A, A, A SFY2022-23
120000695 KERN VALLEY HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2022-12-22 00:00:00 120018157 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-24 00:00:00 2022-07-24 00:00:00 No 2023-01-13 00:00:00 None A None 25000 25000 -8750 16250 0 None SQ5E11 N CA00795224 B SFY2022-23
120001522 RIVER WALK CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-02-07 00:00:00 120018175 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-17 00:00:00 2022-10-17 00:00:00 No 2023-03-01 00:00:00 None B None 3000 3000 0 3000 0 None IQU211 N CA00807529, CA00807529 B, B SFY2022-23
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2022-12-23 00:00:00 120018176 Closed Citation Citation B (HSC 1424) Patient Record None 2022-08-09 00:00:00 2022-08-09 00:00:00 No 2023-01-17 00:00:00 None B None 2000 2000 -700 1300 0 None U2RI11 N CA00797392, CA00797392 B, B SFY2022-23
120001421 GATEWAY POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2023-01-12 00:00:00 120018257 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-12 00:00:00 2022-11-12 00:00:00 No 2023-02-03 00:00:00 None B None 2000 2000 -700 1300 0 None BNHM11 N CA00810998, CA00810998, CA00810998, CA00810998, CA00811880, CA00811880 A, A, A, A, B, B SFY2022-23
120001526 LINDSAY GARDENS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Bakersfield 2023-02-06 00:00:00 120018351 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-28 00:00:00 2022-10-28 00:00:00 No 2023-02-28 00:00:00 None B None 3000 3000 -1050 1950 0 None H6VD11 N CA00809304, CA00809304 A, A SFY2022-23
120001395 BROOKDALE RIVERWALK SNF (CA) LTC SNF Skilled Nursing Facility Bakersfield 2023-04-17 00:00:00 120018448 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-26 00:00:00 2022-10-26 00:00:00 No 2023-05-08 00:00:00 None A None 30000 30000 -10500 19500 0 None LBWL11 N CA00809209 B SFY2022-23
120001442 SIERRA VALLEY REHABILITATION CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-04-26 00:00:00 120018449 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-21 00:00:00 2022-10-21 00:00:00 No 2023-05-17 00:00:00 None A None 25000 25000 -8750 16250 0 None HMMF11 N CA00808725, CA00808725 B, B SFY2022-23
630017642 KERN RIVER TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-05-04 00:00:00 120018461 Open Citation Citation B (HSC 1424) Administration None 2022-10-13 00:00:00 2022-10-13 00:00:00 Yes 2023-05-25 00:00:00 2023-05-17 00:00:00 B None 3000 3000 0 0 3000 None T3RK11 N CA00806685, CA00807358 B, B SFY2022-23
630017642 KERN RIVER TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-04-07 00:00:00 120018464 Closed Citation Citation B (HSC 1424) Administration None 2022-10-13 00:00:00 2022-10-13 00:00:00 Yes 2023-04-28 00:00:00 2023-04-28 00:00:00 B None 3000 3000 -3000 0 0 None T3RK11 N CA00806685, CA00807358 B, B SFY2022-23
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2023-05-02 00:00:00 120018502 Open Citation Citation A (HSC 1424) Patient Care None 2023-01-15 00:00:00 2023-01-15 00:00:00 No 2023-05-23 00:00:00 None A None 25000 75000 0 0 75000 None EJBT11 N CA00821698, CA00821698 B, B SFY2022-23
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-04-13 00:00:00 120018548 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-24 00:00:00 2023-01-24 00:00:00 No 2023-05-04 00:00:00 None B None 3000 3000 -1050 1950 0 None 7LBB11 N CA00821519, CA00821519 B, B SFY2022-23
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-04-12 00:00:00 120018555 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-12-04 00:00:00 2022-12-04 00:00:00 No 2023-05-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 2K0Z11 N CA00814769, CA00814769, CA00814769, CA00815127, CA00815127, CA00815190, CA00815190 A, A, A, B, B, A, A SFY2022-23
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-04-12 00:00:00 120018556 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-20 00:00:00 2022-11-20 00:00:00 No 2023-05-03 00:00:00 None B None 3000 3000 -1050 1950 0 None XX2511 N CA00813512, CA00813768 A, A SFY2022-23
630016201 BASQUE SUBACUTE LTC CLHF Congregate Living Health Facility Bakersfield 2023-04-21 00:00:00 120018612 Closed Citation Citation B (HSC 1424) Problem Transfer None 2023-03-24 00:00:00 2023-03-24 00:00:00 No 2023-05-12 00:00:00 None B None 1000 1000 -1000 0 0 None QPZX11 N None None SFY2022-23
630016201 BASQUE SUBACUTE LTC CLHF Congregate Living Health Facility Bakersfield 2023-04-27 00:00:00 120018614 Closed Citation Citation B (HSC 1424) Problem Transfer None 2023-03-14 00:00:00 2023-03-14 00:00:00 Yes 2023-05-18 00:00:00 2023-05-17 00:00:00 B None 1000 1000 -1000 0 0 None QPZX11 N None None SFY2022-23
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2023-05-24 00:00:00 120018666 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-07 00:00:00 2023-03-07 00:00:00 No 2023-06-15 00:00:00 None B None 3000 3000 -1050 1950 0 None WMDC11 N CA00831361 B SFY2022-23
630016201 BASQUE SUBACUTE LTC CLHF Congregate Living Health Facility Bakersfield 2023-05-17 00:00:00 120018690 Closed Citation Citation B (HSC 1424) Problem Transfer None 2023-03-13 00:00:00 2023-03-13 00:00:00 Yes 2023-06-08 00:00:00 2023-05-17 00:00:00 B None 1000 1000 -1000 0 0 None QPZX11 N None None SFY2022-23
630017518 MACAU SUBACUTE LTC CLHF Congregate Living Health Facility Bakersfield 2023-06-13 00:00:00 120018692 Closed Citation Citation B (HSC 1424) Administration None 2023-03-10 00:00:00 2023-03-10 00:00:00 No 2023-07-05 00:00:00 None B None 1000 1000 -1000 0 0 None 20L911 N CA00830974 B SFY2022-23
630017518 MACAU SUBACUTE LTC CLHF Congregate Living Health Facility Bakersfield 2023-05-23 00:00:00 120018693 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-03-10 00:00:00 2023-03-10 00:00:00 No 2023-06-14 00:00:00 None WF None 3000 3000 -3000 0 0 None 20L911 N CA00830974, CA00830974 B, B SFY2022-23
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2023-05-16 00:00:00 120018721 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-17 00:00:00 2023-02-17 00:00:00 No 2023-06-07 00:00:00 None B None 3000 3000 -1050 1950 0 None Y6EZ11 N CA00827600 B SFY2022-23
630017518 MACAU SUBACUTE LTC CLHF Congregate Living Health Facility Bakersfield 2023-06-06 00:00:00 120018779 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2022-06-03 00:00:00 2022-06-03 00:00:00 No 2023-06-27 00:00:00 None B None 1000 1000 -1000 0 0 None 7VJG11 N None None SFY2022-23
630016201 BASQUE SUBACUTE LTC CLHF Congregate Living Health Facility Bakersfield 2023-06-14 00:00:00 120018801 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-07-06 00:00:00 None B None 1000 1000 -1000 0 0 None W6NP11 N CA00827232, CA00827232, CA00827232 B, B, B SFY2022-23
630016201 BASQUE SUBACUTE LTC CLHF Congregate Living Health Facility Bakersfield 2023-06-14 00:00:00 120018802 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-07-06 00:00:00 None B None 1000 1000 -1000 0 0 None W6NP11 N CA00827232, CA00827232 B, B SFY2022-23
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-06-21 00:00:00 120018811 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-03 00:00:00 2023-04-03 00:00:00 No 2023-07-13 00:00:00 None B None 3000 3000 -1050 1950 0 None G8L311 N CA00834011 B SFY2022-23
120001408 TULARE HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Bakersfield 2023-06-21 00:00:00 120018834 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-25 00:00:00 2023-04-25 00:00:00 No 2023-07-13 00:00:00 None B None 3000 3000 -1050 1950 0 None GB4F11 N CA00836285, CA00836314 B, B SFY2022-23
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-07-18 00:00:00 120018882 Closed Citation Citation A (HSC 1424) Patient Care None 2023-03-09 00:00:00 2023-03-09 00:00:00 No 2023-08-08 00:00:00 None A None 25000 25000 -8750 16250 0 None 6LV111 N CA00830905, CA00830905 B, B SFY2023-24
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-07-19 00:00:00 120018886 Closed Citation Citation A (HSC 1424) Patient Care None 2023-04-03 00:00:00 2023-04-03 00:00:00 No 2023-08-09 00:00:00 None A None 25000 25000 -8750 16250 0 None 6LV111 N CA00834577 B SFY2023-24
120000826 LOYD'S LIBERTY HOMES, INC. - IRONWOOD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2023-07-11 00:00:00 120018909 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-22 00:00:00 2023-03-22 00:00:00 No 2023-08-01 00:00:00 None B None 3000 3000 -1050 1950 0 None WDD411 N CA00836879, CA00836879 B, B SFY2023-24
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-10-17 00:00:00 120018958 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-10 00:00:00 2023-04-10 00:00:00 No 2023-11-07 00:00:00 None B None 3000 3000 0 3000 0 None 0MJI11 N CA00839572 B SFY2023-24
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2023-08-15 00:00:00 120018959 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-23 00:00:00 2023-06-23 00:00:00 No 2023-09-06 00:00:00 None B None 3000 3000 0 3000 0 None N5Z011 N CA00847025 A SFY2023-24
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2023-08-29 00:00:00 120019036 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-24 00:00:00 2023-06-24 00:00:00 No 2023-09-20 00:00:00 None B None 3000 3750 0 0 3750 None XCD811 N CA00847700, CA00847701 B, B SFY2023-24
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2023-09-21 00:00:00 120019051 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-06 00:00:00 2023-07-06 00:00:00 No 2023-10-12 00:00:00 None B None 3000 4300 -1050 1950 1300 None IBFM11 N CA00848779, CA00848779 A, A SFY2023-24
120001449 KAWEAH HEALTH SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-10-03 00:00:00 120019053 Closed Citation Citation A (HSC 1424) Patient Care None 2023-04-26 00:00:00 2023-04-26 00:00:00 No 2023-10-24 00:00:00 None A None 25000 25000 -8750 16250 0 None WPOM11 N CA00839179 B SFY2023-24
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2023-09-06 00:00:00 120019075 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-08 00:00:00 2023-06-08 00:00:00 No 2023-09-27 00:00:00 None B None 3000 3000 0 3000 0 None QHYJ11 N CA00844621 B SFY2023-24
120000339 LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2023-09-19 00:00:00 120019117 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-06-13 00:00:00 2023-06-13 00:00:00 No 2023-10-10 00:00:00 None B None 3000 3000 0 3000 0 None X8UO11 N CA00845943 B SFY2023-24
120001440 DINUBA HEALTHCARE LTC SNF Skilled Nursing Facility Bakersfield 2023-10-25 00:00:00 120019134 Closed Citation Citation A (HSC 1424) Other Free of Accident Hazards/ 2023-07-04 00:00:00 2023-07-04 00:00:00 No 2023-11-16 00:00:00 None A None 25000 25000 -8750 16250 0 None RK0G11 N CA00848742, CA00848874 B, B SFY2023-24
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-11-08 00:00:00 120019150 Closed Citation Citation A (HSC 1424) Other Inappropriate Discharge 2023-07-22 00:00:00 2023-07-22 00:00:00 No 2023-12-04 00:00:00 None A None 25000 25000 -8750 16250 0 None QXI211 N CA00852144 B SFY2023-24
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2023-12-20 00:00:00 120019365 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-22 00:00:00 2023-07-22 00:00:00 No 2024-01-11 00:00:00 None A None 20000 20000 -7000 13000 0 None OGVF11 N CA00851896, CA00852696 B, B SFY2023-24
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-12-12 00:00:00 120019431 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-30 00:00:00 2023-08-30 00:00:00 No 2024-01-03 00:00:00 None B None 3000 3000 -1050 1950 0 None T2A711 N CA00861826, CA00862904, CA00862905 B, B, B SFY2023-24
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2023-12-15 00:00:00 120019437 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2023-10-09 00:00:00 2023-10-09 00:00:00 No 2024-01-08 00:00:00 None B None 3000 3000 -1050 1950 0 None XQKL11 N CA00864641 A SFY2023-24
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2024-01-16 00:00:00 120019454 Closed Citation Citation A (HSC 1424) Other Accident-Fall With Injury 2023-08-27 00:00:00 2023-08-27 00:00:00 No 2024-02-06 00:00:00 None A None 25000 25000 -8750 16250 0 None XRSO11 N CA00860098 B SFY2023-24
120000390 LOYD'S LIBERTY HOMES, INC. - WOODLAKE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2024-01-12 00:00:00 120019511 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-10 00:00:00 2023-09-10 00:00:00 No 2024-02-02 00:00:00 None B None 3000 3000 -1050 1950 0 None XPRW11 N CA00860702 A SFY2023-24
630017642 KERN RIVER TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2024-04-16 00:00:00 120019780 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abusefailtoreport/prevent 2023-09-19 00:00:00 2023-09-19 00:00:00 No 2024-05-07 00:00:00 None B None 2000 2000 -700 1300 0 None FUEH11 N CA00866219, CA00866384 A, A SFY2023-24
630017642 KERN RIVER TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2024-03-12 00:00:00 120019784 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-19 00:00:00 2023-09-19 00:00:00 No 2024-04-02 00:00:00 None B None 3000 3000 -1050 1950 0 None FUEH11 N CA00866219, CA00866384 A, A SFY2023-24
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2024-03-15 00:00:00 120019794 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-02 00:00:00 2023-11-02 00:00:00 No 2024-04-05 00:00:00 None B None 3000 3000 -1050 1950 0 None Q8YQ11 N CA00871548, CA00873414, CA00878046 B, B, B SFY2023-24
120000399 ADVENTIST HEALTH DELANO D/P SNF LTC SNF Skilled Nursing Facility Bakersfield 2024-03-15 00:00:00 120019795 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-09 00:00:00 2023-11-09 00:00:00 No 2024-04-05 00:00:00 None B None 3000 3000 -1050 1950 0 None CUXL11 N CA00869208, CA00869208, CA00880306 A, A, B SFY2023-24
630017642 KERN RIVER TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2024-03-12 00:00:00 120019809 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-25 00:00:00 2023-09-25 00:00:00 No 2024-04-02 00:00:00 None B None 3000 3000 -1050 1950 0 None FUEH11 N CA00863371, CA00863371 B, B SFY2023-24
630017642 KERN RIVER TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2024-03-12 00:00:00 120019814 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-21 00:00:00 2023-09-21 00:00:00 No 2024-04-02 00:00:00 None B None 3000 3000 -1050 1950 0 None FUEH11 N CA00863045 A SFY2023-24
120000840 WHITE LANE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2024-04-22 00:00:00 120019912 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-07 00:00:00 2023-12-07 00:00:00 No 2024-05-13 00:00:00 None B None 1000 1000 -350 650 0 None SRJ411 N CA00873904 B SFY2023-24
120000638 DELANO DISTRICT SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Bakersfield 2024-04-19 00:00:00 120020007 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-19 00:00:00 2023-11-19 00:00:00 No 2024-05-10 00:00:00 None B None 3000 3000 -1050 1950 0 None CP3911 N CA00871467 B SFY2023-24
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2024-05-22 00:00:00 120020094 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-02-17 00:00:00 2024-02-17 00:00:00 No 2024-06-13 00:00:00 None B None 2000 2000 -700 1300 0 None D21P11 N CA00885600 A SFY2023-24
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2024-05-22 00:00:00 120020174 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-02-17 00:00:00 2024-02-17 00:00:00 No 2024-06-13 00:00:00 None B None 2000 2000 -700 1300 0 None D21P11 N CA00885600 A SFY2023-24
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2024-05-22 00:00:00 120020175 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-02-17 00:00:00 2024-02-17 00:00:00 No 2024-06-13 00:00:00 None B None 2000 2000 -700 1300 0 None D21P11 N CA00885600 A SFY2023-24
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2024-05-22 00:00:00 120020176 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-02-17 00:00:00 2024-02-17 00:00:00 No 2024-06-13 00:00:00 None B None 2000 2000 -700 1300 0 None D21P11 N CA00885600 A SFY2023-24
120000684 LOYD'S LIBERTY HOMES, INC. - KROLL WAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2024-05-22 00:00:00 120020177 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-02-17 00:00:00 2024-02-17 00:00:00 No 2024-06-13 00:00:00 None B None 2000 2000 -700 1300 0 None D21P11 N CA00885600 A SFY2023-24
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2024-05-29 00:00:00 120020184 Closed Citation Citation B (HSC 1424) Other Admission, Discharge, Tra 2024-02-08 00:00:00 2024-02-08 00:00:00 No 2024-06-19 00:00:00 None B None 3000 3000 -1050 1950 0 None Z58Q11 N CA00883849 A SFY2023-24
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2024-06-05 00:00:00 120020246 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-25 00:00:00 2024-03-25 00:00:00 No 2024-06-26 00:00:00 None B None 3000 3000 -1050 1950 0 None AS9T11 N CA00888149, CA00888732 B, B SFY2023-24
120000373 ARVIN POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2024-06-27 00:00:00 120020311 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-07 00:00:00 2024-04-07 00:00:00 No 2024-07-19 00:00:00 None B None 3000 3000 0 0 3000 None Y65011 N CA00892606, CA00893504, CA00893504 B, B, B SFY2023-24
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2024-06-27 00:00:00 120020331 Open Citation Citation B (HSC 1424) Patient Care None 2023-12-24 00:00:00 2023-12-24 00:00:00 No 2024-07-19 00:00:00 None B None 3000 3000 0 0 3000 None KYO011 N CA00886507 A SFY2023-24
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 1999-08-11 00:00:00 140002391 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-07-09 00:00:00 None Yes 1999-09-07 00:00:00 1999-08-13 00:00:00 B None 600 600 -600 0 0 140010297 A99999 N None None SFY1999-00
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 1999-08-25 00:00:00 140002409 Closed Citation Citation B (HSC 1424) Patient Care None 1999-04-16 00:00:00 1999-05-18 00:00:00 No 1999-09-21 00:00:00 None B None 1000 1000 -1000 0 0 140010353 A99999 N None None SFY1999-00
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 1999-08-25 00:00:00 140002410 Closed Citation Citation B (HSC 1424) Patient Care None 1999-04-29 00:00:00 1999-05-18 00:00:00 No 1999-09-21 00:00:00 None B None 1000 1000 -1000 0 0 140010353 A99999 N None None SFY1999-00
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 1999-10-13 00:00:00 140002440 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-02 00:00:00 1999-09-03 00:00:00 No 1999-11-10 00:00:00 None B None 600 600 -600 0 0 140010601 A99999 N None None SFY1999-00
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 1999-11-22 00:00:00 140002454 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-03 00:00:00 1999-10-10 00:00:00 No 1999-12-17 00:00:00 None B None 600 1800 -1800 0 0 140010777 A99999 N None None SFY1999-00
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 1999-12-03 00:00:00 140002461 Closed Citation Citation A (HSC 1424) Patient Care None 1999-04-06 00:00:00 1999-08-01 00:00:00 No 2000-01-03 00:00:00 None A None 8000 8000 -8000 0 0 140010857 A99999 N None None SFY1999-00
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-01-27 00:00:00 140002479 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-10-25 00:00:00 None No 2000-02-22 00:00:00 None AA None 25000 25700 0 25700 0 140011196 A99999 Y None None SFY1999-00
140000769 ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS D/P SNF LTC SNF Skilled Nursing Facility East Bay 2000-02-09 00:00:00 140002484 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-20 00:00:00 None No 2000-03-03 00:00:00 None B None 750 750 -262.5 487.5 0 140011267 A99999 N None None SFY1999-00
140000564 DIAMOND RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-02-10 00:00:00 140002485 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-14 00:00:00 1999-08-18 00:00:00 Yes 2000-03-14 00:00:00 2000-02-18 00:00:00 A A 7000 7000 -5110 1890 0 140011272 A99999 N None None SFY1999-00
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-02-11 00:00:00 140002487 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-30 00:00:00 None No 2000-03-08 00:00:00 None B B 1000 1000 -900 100 0 140011320 A99999 N None None SFY1999-00
140001126 TICE VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-02-16 00:00:00 140002488 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-08 00:00:00 2000-01-11 00:00:00 No 2000-03-17 00:00:00 None B None 1000 1000 0 1000 0 140011331 A99999 N None None SFY1999-00
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-03-01 00:00:00 140002490 Closed Citation Citation B (HSC 1424) Patient Care None 1999-07-07 00:00:00 None No 2000-03-27 00:00:00 None B None 750 750 -262.5 487.5 0 140011395 A99999 N None None SFY1999-00
140000759 BAYWOOD COURT D/P SNF OF EDEN HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2000-03-02 00:00:00 140002491 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-08-18 00:00:00 None No 2000-03-29 00:00:00 None B None 800 800 0 800 0 140011409 A99999 N None None SFY1999-00
140000759 BAYWOOD COURT D/P SNF OF EDEN HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2000-03-02 00:00:00 140002493 Closed Citation Citation B (HSC 1424) Problem Transfer None 1999-12-01 00:00:00 None No 2000-03-30 00:00:00 None B None 1000 1000 0 1000 0 140011423 A99999 N None None SFY1999-00
140000564 DIAMOND RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-03-17 00:00:00 140002498 Closed Citation Citation A (HSC 1424) Patient Care None 1999-05-17 00:00:00 None Yes 2000-04-14 00:00:00 2000-03-27 00:00:00 A A 6000 6000 -4380 1620 0 140011474 A99999 N None None SFY1999-00
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-03-23 00:00:00 140002500 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-21 00:00:00 1999-12-27 00:00:00 Yes 2000-04-18 00:00:00 2000-04-11 00:00:00 A A Trebled 8000 24000 -16520 7480 0 140011496 A99999 N None None SFY1999-00
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2000-04-05 00:00:00 140002507 Closed Citation Citation A (HSC 1424) Patient Care None 1999-06-28 00:00:00 1999-10-08 00:00:00 No 2000-05-01 00:00:00 None A None 8000 24000 -24000 0 0 140011550 A99999 N None None SFY1999-00
140000009 ELM MANOR CONVALESCENT CENTER LTC SNF Skilled Nursing Facility East Bay 2000-04-05 00:00:00 140002508 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-21 00:00:00 None Yes 2000-04-28 00:00:00 2000-04-17 00:00:00 A A 7500 6000 0 6000 0 140011552 A99999 N None None SFY1999-00
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-04-05 00:00:00 140002509 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-24 00:00:00 None Yes 2000-04-28 00:00:00 2000-04-14 00:00:00 A A 8000 4000 0 4000 0 140011553 A99999 N None None SFY1999-00
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2000-04-14 00:00:00 140002511 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-01-09 00:00:00 None Yes 2000-05-09 00:00:00 2000-04-21 00:00:00 AA A 25000 14000 0 14000 0 140011598 A99999 Y None None SFY1999-00
140000507 ALTA BATES SUMMIT MEDICAL CENTER-HERRICK CAMPUS D/P SNF LTC SNF Skilled Nursing Facility East Bay 2000-05-08 00:00:00 140002516 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-10-11 00:00:00 None No 2000-05-31 00:00:00 None AA None 20000 20000 -7000 13000 0 140011679 A99999 Y None None SFY1999-00
140000051 LA CASA VIA TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-05-11 00:00:00 140002517 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-30 00:00:00 None No 2000-06-06 00:00:00 None B None 1000 1000 -350 650 0 140011702 A99999 N None None SFY1999-00
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-05-15 00:00:00 140002518 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-19 00:00:00 None No 2000-06-07 00:00:00 None B None 900 900 -315 585 0 140011709 A99999 N None None SFY1999-00
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-05-25 00:00:00 140002520 Closed Citation Citation A (HSC 1424) Patient Care None 1999-09-06 00:00:00 None No 2000-06-23 00:00:00 None A None 10000 10000 -3500 6500 0 140011746 A99999 N None None SFY1999-00
140000051 LA CASA VIA TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-05-25 00:00:00 140002521 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-23 00:00:00 2000-04-03 00:00:00 No 2000-06-23 00:00:00 None A None 10000 10000 -3500 6500 0 140011747 A99999 N None None SFY1999-00
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2000-05-31 00:00:00 140002525 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-04-13 00:00:00 None Yes 2000-06-23 00:00:00 2000-06-13 00:00:00 B B 1000 612 0 612 0 140011764 A99999 N None None SFY1999-00
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2000-05-31 00:00:00 140002527 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-13 00:00:00 None No 2000-06-27 00:00:00 None B None 1000 1000 -1000 0 0 140011771 A99999 N None None SFY1999-00
140000051 LA CASA VIA TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-06-07 00:00:00 140002528 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-21 00:00:00 None No 2000-06-30 00:00:00 None A None 10000 30000 -10500 19500 0 140011796 A99999 N None None SFY1999-00
140000130 DANVILLE POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility East Bay 2000-08-18 00:00:00 140002537 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-16 00:00:00 1999-11-17 00:00:00 Yes 2001-05-25 00:00:00 2000-08-22 00:00:00 A A 5000 5050 0 5050 0 140012062 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-08-21 00:00:00 140002538 Closed Citation Citation B (HSC 1424) Medication None 2000-03-14 00:00:00 2000-03-31 00:00:00 No 2000-09-13 00:00:00 None B None 750 750 -262.5 487.5 0 140012068 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-08-21 00:00:00 140002539 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-05-15 00:00:00 2000-05-16 00:00:00 No 2000-09-13 00:00:00 None WF None 750 750 -262.5 487.5 0 140012069 A99999 None None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-08-29 00:00:00 140002542 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-27 00:00:00 None No 2000-09-19 00:00:00 None A None 8000 8000 -2800 5200 0 140012121 A99999 N None None SFY2000-01
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-09-07 00:00:00 140002548 Closed Citation Citation A (HSC 1424) Patient Care None 2000-07-01 00:00:00 None Yes 2000-10-02 00:00:00 2000-10-02 00:00:00 A A Trebled 8000 24000 -16520 7480 0 140012175 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-09-13 00:00:00 140002550 Closed Citation Citation A (HSC 1424) Physical Environment None 2000-04-10 00:00:00 None No 2000-10-04 00:00:00 None A B 6000 3200 0 3200 0 140012215 A99999 N None None SFY2000-01
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-09-18 00:00:00 140002551 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-13 00:00:00 None No 2000-10-13 00:00:00 None B None 1000 1000 -1000 0 0 140012216 A99999 N None None SFY2000-01
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-09-15 00:00:00 140002552 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-11 00:00:00 None No 2000-10-12 00:00:00 None A None 10000 10600 -3500 7100 0 140012218 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-09-15 00:00:00 140002553 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-16 00:00:00 None No 2000-10-12 00:00:00 None A None 6000 6700 -2100 4600 0 140012220 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-09-15 00:00:00 140002554 Closed Citation Citation B (HSC 1424) Patient Record None 2000-02-03 00:00:00 None No 2000-10-12 00:00:00 None B None 1000 1000 -350 650 0 140012239 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-09-18 00:00:00 140002555 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-25 00:00:00 None No 2000-10-12 00:00:00 None B None 1000 1000 -350 650 0 140012240 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-09-18 00:00:00 140002556 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-04 00:00:00 None No 2000-10-12 00:00:00 None B None 1000 1000 -350 650 0 140012246 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-09-21 00:00:00 140002558 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-25 00:00:00 2000-03-06 00:00:00 No 2000-10-17 00:00:00 None B None 1000 1000 -350 650 0 140012258 A99999 N None None SFY2000-01
140000962 PITTSBURG SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2000-09-20 00:00:00 140002559 Closed Citation Citation B (HSC 1424) Staffing None 2000-01-28 00:00:00 None No 2000-10-13 00:00:00 None B None 750 750 -262.5 487.5 0 140012264 A99999 N None None SFY2000-01
140000962 PITTSBURG SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2000-09-20 00:00:00 140002560 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-31 00:00:00 2000-01-28 00:00:00 No 2000-10-13 00:00:00 None B None 600 600 -210 390 0 140012266 A99999 N None None SFY2000-01
140000962 PITTSBURG SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2000-09-20 00:00:00 140002561 Closed Citation Citation B (HSC 1424) Medication None 2000-01-28 00:00:00 None No 2000-10-13 00:00:00 None B None 600 600 -210 390 0 140012271 A99999 N None None SFY2000-01
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2000-09-21 00:00:00 140002562 Closed Citation Citation A (HSC 1424) Patient Care None 1999-03-17 00:00:00 2000-05-04 00:00:00 Yes 2000-10-20 00:00:00 2000-10-19 00:00:00 A A 7500 3500 0 3500 0 140012274 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-09-21 00:00:00 140002563 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-15 00:00:00 2000-01-10 00:00:00 No 2000-10-17 00:00:00 None A B 5000 3250 0 3250 0 140012276 A99999 N None None SFY2000-01
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2000-10-10 00:00:00 140002567 Closed Citation Citation A (HSC 1424) Patient Care None 1998-12-09 00:00:00 1999-11-02 00:00:00 No 2000-11-06 00:00:00 None A None 10000 10000 0 10000 0 140012360 A99999 N None None SFY2000-01
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2000-10-05 00:00:00 140002568 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-15 00:00:00 2000-05-16 00:00:00 No 2000-11-06 00:00:00 None A None 5000 5000 -1750 3250 0 140012364 A99999 N None None SFY2000-01
140000962 PITTSBURG SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2000-10-19 00:00:00 140002571 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-30 00:00:00 1999-12-24 00:00:00 No 2000-11-14 00:00:00 None A None 5000 5000 -1750 3250 0 140012441 A99999 N None None SFY2000-01
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2000-10-23 00:00:00 140002573 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-30 00:00:00 None No 2000-11-17 00:00:00 None B None 500 500 0 500 0 140012450 A99999 N None None SFY2000-01
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-01-24 00:00:00 140002586 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-26 00:00:00 None No 2001-02-20 00:00:00 None B B 1000 1000 -900 100 0 140012900 A99999 N None None SFY2000-01
140000138 CREEKSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-01-26 00:00:00 140002588 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-27 00:00:00 None Yes 2001-02-27 00:00:00 2001-02-05 00:00:00 A A 7000 7000 -5110 1890 0 140012919 A99999 N None None SFY2000-01
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-06-05 00:00:00 140002605 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-11 00:00:00 2000-12-31 00:00:00 Yes 2001-06-28 00:00:00 2001-06-22 00:00:00 A A 15000 15000 -10950 4050 0 140012976 A99999 N None None SFY2000-01
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-06-05 00:00:00 140002606 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-20 00:00:00 2001-02-12 00:00:00 Yes 2001-06-28 00:00:00 2001-06-22 00:00:00 A A 15000 15000 -10950 4050 0 140013523 A99999 N None None SFY2000-01
140000138 CREEKSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2001-06-22 00:00:00 140002607 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-21 00:00:00 None Yes 2001-07-24 00:00:00 2001-06-25 00:00:00 A A Trebled 7000 21000 -14897 6103 0 140013194 A99999 N None None SFY2000-01
140000086 PLEASANTON NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2001-08-02 00:00:00 140002608 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-17 00:00:00 None Yes 2001-08-31 00:00:00 2001-08-22 00:00:00 A B 10000 5000 0 5000 0 140013737 A99999 N None None SFY2001-02
140001277 SANTA ROSA MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2000-04-11 00:00:00 140002612 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/ABUSE 2000-03-12 00:00:00 None Yes 2000-05-02 00:00:00 2000-04-27 00:00:00 B B 1000 1000 0 1000 0 140013895 A99999 N None None SFY1999-00
140001277 SANTA ROSA MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2000-12-15 00:00:00 140002613 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-16 00:00:00 None No 2001-01-05 00:00:00 None A None 5000 5000 -1750 3250 0 140013897 A99999 N None None SFY2000-01
140001278 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2000-09-21 00:00:00 140002615 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-01-13 00:00:00 2000-01-22 00:00:00 No 2000-10-19 00:00:00 None AA None 25000 25000 -8750 16250 0 140013924 A99999 Y None None SFY2000-01
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2001-08-24 00:00:00 140002616 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-05-30 00:00:00 None Yes 2001-09-20 00:00:00 2001-08-24 00:00:00 AA A 60000 37100 0 37100 0 140013970 A99999 Y None None SFY2001-02
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-01-25 00:00:00 140002617 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-21 00:00:00 None No 2002-02-20 00:00:00 None A None 15000 15000 -5250 9750 0 140014260 A99999 N None None SFY2001-02
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-02-28 00:00:00 140002618 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-07 00:00:00 None No 2002-03-25 00:00:00 None A A 15000 9750 0 9750 0 140013487 A99999 N None None SFY2001-02
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-02-28 00:00:00 140002619 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-02 00:00:00 None No 2002-03-25 00:00:00 None A A 12500 8125 0 8125 0 140014308 A99999 N None None SFY2001-02
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-03-04 00:00:00 140002620 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-24 00:00:00 None No 2002-04-02 00:00:00 None B B 600 390 0 390 0 140014314 A99999 N None None SFY2001-02
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-03-04 00:00:00 140002621 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-15 00:00:00 None No 2002-03-25 00:00:00 None B None 750 750 -262.5 487.5 0 140014316 A99999 N None None SFY2001-02
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-03-04 00:00:00 140002622 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-01 00:00:00 None No 2002-04-02 00:00:00 None B B 1000 650 0 650 0 140014319 A99999 N None None SFY2001-02
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-06-14 00:00:00 140002623 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-04 00:00:00 2001-11-04 00:00:00 No 2002-07-10 00:00:00 None B None 600 600 -210 390 0 140014568 A99999 N None None SFY2001-02
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2002-06-17 00:00:00 140002624 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-08 00:00:00 2001-12-08 00:00:00 No 2002-07-11 00:00:00 None B None 600 600 0 600 0 140014569 A99999 N None None SFY2001-02
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-07-17 00:00:00 140002625 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-25 00:00:00 None No 2002-08-12 00:00:00 None B None 600 600 -210 390 0 140013973 A99999 N None None SFY2002-03
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2002-07-19 00:00:00 140002626 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-21 00:00:00 None No 2002-08-09 00:00:00 None A None 15000 15000 -5250 9750 0 140013996 A99999 N None None SFY2002-03
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-07-22 00:00:00 140002627 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-06 00:00:00 None Yes 2002-08-20 00:00:00 2002-07-26 00:00:00 A A 15000 3500 0 3500 0 140014669 A99999 N None None SFY2002-03
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-08-12 00:00:00 140002628 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-03 00:00:00 None No 2002-09-09 00:00:00 None B None 750 750 -262.5 487.5 0 140013437 A99999 N None None SFY2002-03
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2002-08-20 00:00:00 140002629 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-07 00:00:00 None No 2002-09-13 00:00:00 None B None 750 750 0 750 0 140014498 A99999 N None None SFY2002-03
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2002-08-22 00:00:00 140002630 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-22 00:00:00 None No 2002-09-18 00:00:00 None B None 500 500 -500 0 0 140014789 A99999 N None None SFY2002-03
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-10-04 00:00:00 140002631 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-06 00:00:00 None No 2002-11-01 00:00:00 None B None 750 750 0 750 0 140014288 A99999 N None None SFY2002-03
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-11-08 00:00:00 140002632 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-21 00:00:00 None Yes 2002-12-10 00:00:00 2002-11-19 00:00:00 B B 750 750 0 750 0 140014605 A99999 N None None SFY2002-03
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2002-11-22 00:00:00 140002633 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-27 00:00:00 None No 2002-12-23 00:00:00 None B None 700 700 0 700 0 140014001 A99999 N None None SFY2002-03
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2002-12-02 00:00:00 140002634 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-26 00:00:00 None No 2002-12-30 00:00:00 None B None 600 600 0 600 0 140015053 A99999 N None None SFY2002-03
140001291 AVONDALE VILLA POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2000-05-30 00:00:00 140002659 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-10 00:00:00 None No 2000-06-23 00:00:00 None B None 750 750 -262.5 487.5 0 140015130 A99999 N None None SFY1999-00
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2003-02-14 00:00:00 140002660 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-21 00:00:00 None Yes 2003-03-18 00:00:00 2003-02-25 00:00:00 B None 700 700 0 700 0 140015297 A99999 N None None SFY2002-03
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-03-04 00:00:00 140002661 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-30 00:00:00 None No 2003-04-01 00:00:00 None B None 1000 3000 -1050 1950 0 140015345 A99999 N None None SFY2002-03
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-03-04 00:00:00 140002662 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-31 00:00:00 None No 2003-04-01 00:00:00 None B None 500 500 -175 325 0 140015346 A99999 N None None SFY2002-03
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-03-10 00:00:00 140002663 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-27 00:00:00 None No 2003-04-08 00:00:00 None B None 700 700 -245 455 0 140015366 A99999 N None None SFY2002-03
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2003-03-20 00:00:00 140002664 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-09-12 00:00:00 None Yes 2003-04-15 00:00:00 2003-03-26 00:00:00 AA AA 75000 30000 0 30000 0 140015371 A99999 Y None None SFY2002-03
140001278 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2003-03-20 00:00:00 140002665 Closed Citation Citation A (HSC 1424) Physical Environment None 2002-12-12 00:00:00 None No 2003-04-14 00:00:00 None A None 5000 5000 -1750 3250 0 140015375 A99999 N None None SFY2002-03
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2003-03-21 00:00:00 140002666 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-20 00:00:00 None Yes 2003-04-16 00:00:00 2003-04-08 00:00:00 B None 700 1800 0 1800 0 140015394 A99999 N None None SFY2002-03
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2003-03-21 00:00:00 140002667 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-06-13 00:00:00 None No 2003-04-16 00:00:00 None B None 1000 1000 -350 650 0 140015395 A99999 N None None SFY2002-03
140000574 ALHAMBRA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-04-01 00:00:00 140002668 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-05 00:00:00 None No 2003-04-24 00:00:00 None B None 600 600 -210 390 0 140015417 A99999 N None None SFY2002-03
140000121 WILLOW PASS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-04-04 00:00:00 140002669 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-29 00:00:00 2001-05-03 00:00:00 No 2003-04-25 00:00:00 None B None 1000 1000 -350 650 0 140015425 A99999 N None None SFY2002-03
140000759 BAYWOOD COURT D/P SNF OF EDEN HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2003-04-04 00:00:00 140002670 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-28 00:00:00 None No 2003-04-29 00:00:00 None B None 500 500 -175 325 0 140015426 A99999 N None None SFY2002-03
140000023 BAYBERRY SKILLED NURSING & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-04-03 00:00:00 140002671 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-23 00:00:00 2001-02-12 00:00:00 Yes 2003-04-28 00:00:00 2003-04-03 00:00:00 A A 10000 10000 0 10000 0 140015427 A99999 N None None SFY2002-03
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2003-04-11 00:00:00 140002672 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-16 00:00:00 None No 2003-05-07 00:00:00 None B None 600 600 -210 390 0 140015435 A99999 N None None SFY2002-03
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2003-04-11 00:00:00 140002673 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-20 00:00:00 None No 2003-05-02 00:00:00 None B None 600 600 -210 390 0 140015440 A99999 N None None SFY2002-03
140000086 PLEASANTON NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2003-04-29 00:00:00 140002674 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-13 00:00:00 None No 2003-05-20 00:00:00 None A None 10000 10000 -3500 6500 0 140015496 A99999 N None None SFY2002-03
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2003-05-01 00:00:00 140002675 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-12 00:00:00 2002-12-29 00:00:00 No 2003-05-22 00:00:00 None A None 15000 15000 -5250 9750 0 140015509 A99999 N None None SFY2002-03
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2003-05-06 00:00:00 140002676 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-05 00:00:00 None Yes 2003-09-16 00:00:00 2003-05-19 00:00:00 B B 500 500 0 500 0 140015515 A99999 N None None SFY2002-03
140001126 TICE VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-05-28 00:00:00 140002677 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-28 00:00:00 None Yes 2003-06-23 00:00:00 2003-06-04 00:00:00 A A 20000 12000 0 12000 0 140015580 A99999 N None None SFY2002-03
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-06-23 00:00:00 140002678 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-28 00:00:00 None No 2003-07-22 00:00:00 None B None 500 500 -175 325 0 140015630 A99999 N None None SFY2002-03
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-06-24 00:00:00 140002679 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-24 00:00:00 None No 2003-07-21 00:00:00 None B None 1000 1000 -350 650 0 140015634 A99999 N None None SFY2002-03
140000086 PLEASANTON NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2003-07-09 00:00:00 140002680 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-25 00:00:00 None No 2003-08-01 00:00:00 None B None 1000 1000 -350 650 0 140015673 A99999 N None None SFY2003-04
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2003-07-24 00:00:00 140002681 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-09 00:00:00 None Yes 2004-01-30 00:00:00 2003-08-05 00:00:00 B B 1000 1000 0 1000 0 140015732 A99999 N None None SFY2003-04
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-08-06 00:00:00 140002682 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-04 00:00:00 2003-06-04 00:00:00 Yes 2003-08-29 00:00:00 2003-08-15 00:00:00 B B 1000 1000 0 1000 0 140015773 A99999 N None None SFY2003-04
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-08-15 00:00:00 140002683 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-06 00:00:00 None No 2003-09-08 00:00:00 None B None 600 1800 -630 1170 0 140015808 A99999 N None None SFY2003-04
140000122 THE VINEYARDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-08-25 00:00:00 140002684 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-06 00:00:00 None No 2003-09-23 00:00:00 None B None 1000 1000 -350 650 0 140015840 A99999 N None None SFY2003-04
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-09-10 00:00:00 140002685 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-30 00:00:00 None No 2003-10-09 00:00:00 None B None 600 1800 -630 1170 0 140015893 A99999 N None None SFY2003-04
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2003-09-10 00:00:00 140002686 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-21 00:00:00 None No 2003-10-09 00:00:00 None B None 600 1800 -630 1170 0 140015894 A99999 N None None SFY2003-04
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2003-10-06 00:00:00 140002687 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-12 00:00:00 None No 2003-10-31 00:00:00 None B None 900 900 0 900 0 140015982 A99999 N None None SFY2003-04
140000769 ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS D/P SNF LTC SNF Skilled Nursing Facility East Bay 2003-10-10 00:00:00 140002688 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-23 00:00:00 None No 2003-11-10 00:00:00 None B None 1000 1000 -350 650 0 140015988 A99999 N None None SFY2003-04
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-10-15 00:00:00 140002689 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-28 00:00:00 None Yes 2004-02-03 00:00:00 2003-10-20 00:00:00 B B 1000 1000 0 1000 0 140015992 A99999 N None None SFY2003-04
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2003-10-20 00:00:00 140002690 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-22 00:00:00 None No 2003-11-10 00:00:00 None B None 1000 1000 -350 650 0 140016009 A99999 N None None SFY2003-04
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2003-10-24 00:00:00 140002691 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-30 00:00:00 None Yes 2003-11-24 00:00:00 2003-10-28 00:00:00 A A 10000 3500 0 3500 0 140016016 A99999 N None None SFY2003-04
140000086 PLEASANTON NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-01-22 00:00:00 140002692 Closed Citation Citation B (HSC 1424) Administration None 2003-11-04 00:00:00 None No 2004-02-25 00:00:00 None B None 600 600 -210 390 0 140016187 A99999 N None None SFY2003-04
140000086 PLEASANTON NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-02-25 00:00:00 140002693 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-06 00:00:00 None Yes 2007-11-08 00:00:00 2004-03-08 00:00:00 B B 1000 1000 0 1000 0 140016257 A99999 N None None SFY2003-04
140001314 NEW WAY ICF/DD-H #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-08-21 00:00:00 140002698 Closed Citation Citation A (HSC 1424) Patient Care None 2001-06-03 00:00:00 2001-06-06 00:00:00 Yes 2002-01-30 00:00:00 2002-01-14 00:00:00 A B 10000 7500 0 7500 0 140016374 A99999 N None None SFY2001-02
140001314 NEW WAY ICF/DD-H #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2003-09-12 00:00:00 140002699 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-07-24 00:00:00 None No 2003-10-08 00:00:00 None B None 500 500 -175 325 0 140016385 A99999 N None None SFY2003-04
140001316 YOSEMITE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2002-03-11 00:00:00 140002700 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-01 00:00:00 2001-12-31 00:00:00 No 2002-04-10 00:00:00 None B None 500 500 -175 325 0 140016415 A99999 N None None SFY2001-02
140001316 YOSEMITE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2002-04-25 00:00:00 140002701 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-11 00:00:00 None No 2002-05-21 00:00:00 None B None 500 1500 -525 975 0 140016418 A99999 N None None SFY2001-02
140001320 GLACIER WAY HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2000-09-06 00:00:00 140002708 Closed Citation Citation AA (HSC 1424) Patient Rights None 2000-03-26 00:00:00 None Yes 2001-01-05 00:00:00 2000-12-18 00:00:00 AA A 25000 16250 0 16250 0 140016499 A99999 Y None None SFY2000-01
140001332 HAPPY VALLEY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2003-03-20 00:00:00 140002719 Closed Citation Citation B (HSC 1424) Medication None 2003-02-19 00:00:00 None No 2003-04-16 00:00:00 None B None 500 500 -175 325 0 140016727 A99999 N None None SFY2002-03
140001338 WINGS I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2000-01-14 00:00:00 140002721 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-28 00:00:00 1999-09-29 00:00:00 Yes 2000-02-04 00:00:00 2001-03-20 00:00:00 A Drop>Deficiency 6000 1000 0 1000 0 140016797 A99999 N None None SFY1999-00
140001342 HAPPY VALLEY ICF/DD-H #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-08-27 00:00:00 140002722 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-16 00:00:00 2001-05-16 00:00:00 No 2001-09-18 00:00:00 None B None 500 500 -175 325 0 140016853 A99999 N None None SFY2001-02
140001344 PUTNAM ICF LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-05-15 00:00:00 140002723 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-08 00:00:00 None Yes 2001-09-25 00:00:00 2001-05-25 00:00:00 B B 250 250 0 250 0 140016872 A99999 N None None SFY2000-01
140001344 PUTNAM ICF LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2003-12-19 00:00:00 140002724 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-21 00:00:00 2003-10-24 00:00:00 No 2004-01-14 00:00:00 None B B 700 700 0 700 0 140016886 A99999 N None None SFY2003-04
140001346 MEADOWBROOK CIRCLE ICF/DDH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-09-25 00:00:00 140002725 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-22 00:00:00 None No 2001-10-19 00:00:00 None B None 500 500 -175 325 0 140016906 A99999 N None None SFY2001-02
140001346 MEADOWBROOK CIRCLE ICF/DDH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2002-07-03 00:00:00 140002726 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-15 00:00:00 None No 2002-07-30 00:00:00 None B None 750 750 -262.5 487.5 0 140016914 A99999 N None None SFY2002-03
140001348 FRANCISCO ICF LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-05-29 00:00:00 140002727 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-06 00:00:00 None Yes 2001-09-25 00:00:00 2001-05-31 00:00:00 B B 500 500 0 500 0 140016935 A99999 N None None SFY2000-01
140001350 HAPPY VALLEY #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID East Bay 2001-01-19 00:00:00 140002728 Closed Citation Citation B (HSC 1424) Administration None 2000-04-05 00:00:00 2000-12-22 00:00:00 Yes 2001-07-09 00:00:00 2001-01-20 00:00:00 B B 800 800 0 800 0 140016953 A99999 N None None SFY2000-01
140001352 SAN JUAN ICF LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2003-09-02 00:00:00 140002729 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-12 00:00:00 None No 2003-09-26 00:00:00 None B None 800 800 -280 520 0 140016992 A99999 N None None SFY2003-04
140001352 SAN JUAN ICF LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2003-11-03 00:00:00 140002730 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-09 00:00:00 None Yes 2003-11-25 00:00:00 2003-11-14 00:00:00 B B 650 650 0 650 0 140016993 A99999 N None None SFY2003-04
140001354 PUTNAM WEST ICF LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID East Bay 2003-07-17 00:00:00 140002731 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-27 00:00:00 None No 2003-08-18 00:00:00 None B None 700 700 -245 455 0 140017024 A99999 N None None SFY2003-04
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2004-06-07 00:00:00 140002732 Closed Citation Citation A (HSC 1424) Patient Care None 2003-10-13 00:00:00 2003-11-09 00:00:00 No 2004-06-30 00:00:00 None A None 5000 5000 -1750 3250 0 140017163 A99999 N None None SFY2003-04
140000023 BAYBERRY SKILLED NURSING & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2004-06-30 00:00:00 140002733 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-21 00:00:00 None No 2004-07-29 00:00:00 None B None 1000 1000 -350 650 0 140017192 A99999 N None None SFY2003-04
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2004-08-18 00:00:00 140002734 Closed Citation Citation A (HSC 1424) Patient Care None 2003-11-16 00:00:00 None No 2004-09-14 00:00:00 None A None 5000 5000 -1750 3250 0 140017244 A99999 N None None SFY2004-05
140001126 TICE VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2004-10-27 00:00:00 140002735 Closed Citation Citation A (HSC 1424) Patient Care None 2004-02-03 00:00:00 2004-02-10 00:00:00 Yes 2004-11-23 00:00:00 2004-11-05 00:00:00 A A 10000 6000 0 6000 0 140017315 A99999 N None None SFY2004-05
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2004-12-31 00:00:00 140002736 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-10 00:00:00 2004-09-10 00:00:00 No 2005-01-26 00:00:00 None B None 1000 1000 0 1000 0 140017374 A99999 N None None SFY2004-05
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2004-12-31 00:00:00 140002737 Closed Citation Citation B (HSC 1424) Other PATIENT RIGHTS/ABUSE 2004-04-10 00:00:00 None Yes 2005-01-26 00:00:00 2005-01-20 00:00:00 B B 1000 1000 0 1000 0 140017376 A99999 N None None SFY2004-05
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2005-01-05 00:00:00 140002738 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-11 00:00:00 None No 2005-01-31 00:00:00 None B None 1000 1000 -350 650 0 140017379 A99999 N None None SFY2004-05
140000023 BAYBERRY SKILLED NURSING & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2005-01-12 00:00:00 140002739 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-23 00:00:00 None No 2005-02-08 00:00:00 None B None 1000 1000 0 1000 0 140017386 A99999 N None None SFY2004-05
140001278 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2005-02-08 00:00:00 140002741 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-05-17 00:00:00 None No 2005-03-07 00:00:00 None AA None 50000 50000 -17500 32500 0 140017415 A99999 Y None None SFY2004-05
140000055 WOODLAND NURSING INN LTC SNF Skilled Nursing Facility East Bay 2005-02-09 00:00:00 140002742 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-22 00:00:00 None No 2005-03-04 00:00:00 None B None 1000 1000 -350 650 0 140017416 A99999 N None None SFY2004-05
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2005-03-15 00:00:00 140002743 Closed Citation Citation A (HSC 1424) Patient Care None 2004-07-27 00:00:00 2004-07-27 00:00:00 Yes 2005-04-06 00:00:00 2005-03-23 00:00:00 A None 20000 20000 -20000 0 0 140017419 A99999 N None None SFY2004-05
140000023 BAYBERRY SKILLED NURSING & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2005-05-03 00:00:00 140002744 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-12-11 00:00:00 2004-12-11 00:00:00 Yes 2008-06-16 00:00:00 2008-06-23 00:00:00 AA AA 100000 35000 0 35000 0 140017421 A99999 Y None None SFY2004-05
140000023 BAYBERRY SKILLED NURSING & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2005-05-03 00:00:00 140002745 Closed Citation Citation B (HSC 1424) Administration None 2004-12-11 00:00:00 None Yes 2005-05-26 00:00:00 2005-05-06 00:00:00 B B 1000 500 0 500 0 140017422 A99999 Y None None SFY2004-05
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2005-05-11 00:00:00 140002746 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-16 00:00:00 2004-09-18 00:00:00 No 2005-06-09 00:00:00 None B None 1000 1000 0 1000 0 140017423 A99999 N None None SFY2004-05
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2005-05-11 00:00:00 140002748 Closed Citation Citation B (HSC 1424) Medication None 2004-05-24 00:00:00 None No 2005-06-09 00:00:00 None B None 1000 1000 0 1000 0 140017425 A99999 N None None SFY2004-05
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2005-07-29 00:00:00 140002749 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-11 00:00:00 2004-11-11 00:00:00 Yes 2005-08-19 00:00:00 2005-08-10 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 140017426 A99999 N CA00034570 A SFY2005-06
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2005-07-29 00:00:00 140002750 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-05-14 00:00:00 None Yes 2005-08-19 00:00:00 2005-08-04 00:00:00 A Drop>Deficiency 10000 0 0 0 0 140017427 A99999 N None None SFY2005-06
140000061 VALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2005-08-04 00:00:00 140002751 Closed Citation Citation A (HSC 1424) Patient Care None 2005-04-03 00:00:00 2005-04-03 00:00:00 Yes 2005-08-25 00:00:00 2005-08-19 00:00:00 A A 10000 10000 0 10000 0 140017428 A99999 N None None SFY2005-06
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2005-08-10 00:00:00 140002752 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-26 00:00:00 None No 2005-09-08 00:00:00 None B None 1000 1000 -350 650 0 140017429 A99999 N None None SFY2005-06
140000105 LONE TREE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2005-08-09 00:00:00 140002753 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-21 00:00:00 None No 2005-09-01 00:00:00 None B None 1000 1000 -350 650 0 140017430 A99999 N None None SFY2005-06
140000105 LONE TREE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2005-08-16 00:00:00 140002754 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-24 00:00:00 None No 2005-08-31 00:00:00 None B None 600 600 -210 390 0 140017431 A99999 N None None SFY2005-06
140000321 ALAMEDA COUNTY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility East Bay 2005-08-16 00:00:00 140002755 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-22 00:00:00 None No 2005-09-07 00:00:00 None B None 800 800 0 800 0 140017432 A99999 N None None SFY2005-06
140000136 CONCORD POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2005-09-15 00:00:00 140002756 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-29 00:00:00 None No 2005-10-11 00:00:00 None B None 1000 1000 -350 650 0 140017433 A99999 N None None SFY2005-06
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2005-09-20 00:00:00 140002757 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-05 00:00:00 None No 2005-10-17 00:00:00 None B None 1000 1000 -350 650 0 140017434 A99999 N None None SFY2005-06
140000023 BAYBERRY SKILLED NURSING & HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2005-09-26 00:00:00 140002758 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-15 00:00:00 None Yes 2005-10-21 00:00:00 2005-10-05 00:00:00 B B 1000 500 0 500 0 140017435 A99999 N None None SFY2005-06
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2005-10-20 00:00:00 140002760 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-11-22 00:00:00 2004-11-22 00:00:00 Yes 2005-11-10 00:00:00 2005-10-26 00:00:00 AA A 90000 50000 0 50000 0 140017437 A99999 Y None None SFY2005-06
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2005-10-20 00:00:00 140002761 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-18 00:00:00 2005-07-03 00:00:00 Yes 2005-11-23 00:00:00 2005-10-26 00:00:00 A B 10000 750 0 750 0 140017438 A99999 N None None SFY2005-06
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2005-11-28 00:00:00 140002762 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-01 00:00:00 None No 2005-12-22 00:00:00 None B None 800 800 -280 520 0 140017439 A99999 N None None SFY2005-06
140000759 BAYWOOD COURT D/P SNF OF EDEN HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2005-11-23 00:00:00 140002763 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-22 00:00:00 None No 2005-12-16 00:00:00 None A None 10000 10000 -3500 6500 0 140017440 A99999 N None None SFY2005-06
140000564 DIAMOND RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2006-01-23 00:00:00 140002764 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-14 00:00:00 None No 2006-02-21 00:00:00 None B None 600 600 -210 390 0 140017441 A99999 N None None SFY2005-06
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2006-02-21 00:00:00 140002765 Closed Citation Citation A (HSC 1424) Patient Care None 2005-07-12 00:00:00 2005-07-12 00:00:00 Yes 2006-03-17 00:00:00 2006-02-27 00:00:00 A None 15000 15000 -15000 0 0 140017442 A99999 N CA00063139, CA00063139, CA00063139, CA00063139 C, C, C, C SFY2005-06
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-01-05 00:00:00 150001427 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-08-11 00:00:00 1999-08-12 00:00:00 No 2000-01-27 00:00:00 None A None 10000 30000 -30000 0 0 150010612 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-01-06 00:00:00 150001428 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-30 00:00:00 None No 2000-01-28 00:00:00 None B None 1000 1000 -1000 0 0 150010613 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-01-10 00:00:00 150001429 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-05 00:00:00 1999-10-13 00:00:00 No 2000-02-11 00:00:00 None B None 1000 1000 -1000 0 0 150010623 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-01-20 00:00:00 150001431 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-30 00:00:00 None No 2000-02-17 00:00:00 None B None 800 2400 -2400 0 0 150010641 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-01-20 00:00:00 150001432 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-05 00:00:00 1999-10-13 00:00:00 No 2000-02-17 00:00:00 None B None 1000 1000 -1000 0 0 150010642 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-01-20 00:00:00 150001433 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-08-01 00:00:00 1999-12-05 00:00:00 No 2000-02-17 00:00:00 None B None 1000 3000 -3000 0 0 150010645 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-03-21 00:00:00 150001730 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-07 00:00:00 None No 2000-06-05 00:00:00 None B None 1000 1000 -1000 0 0 150012338 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-04-03 00:00:00 150001735 Closed Citation Citation AA (HSC 1424) Other PT. CARE/MEDICATIONS 1999-06-14 00:00:00 None No 2000-04-24 00:00:00 None AA None 25000 25000 -25000 0 0 150012368 A99999 Y None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-04-03 00:00:00 150001736 Closed Citation Citation B (HSC 1424) Other PATIENT RIGHTS/ADMIN 2000-02-17 00:00:00 None No 2000-04-24 00:00:00 None B None 1000 3000 -3000 0 0 150012370 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-04-19 00:00:00 150001740 Closed Citation Citation A (HSC 1424) Patient Care None 1999-07-20 00:00:00 None No 2000-06-05 00:00:00 None A None 7500 7500 -7500 0 0 150012451 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-05-18 00:00:00 150001743 Closed Citation Citation A (HSC 1424) Administration None 2000-01-22 00:00:00 2000-05-11 00:00:00 No 2000-06-12 00:00:00 None A None 10000 10000 -10000 0 0 150012599 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-05-18 00:00:00 150001745 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-01-22 00:00:00 2000-05-11 00:00:00 No 2000-06-12 00:00:00 None A None 10000 30000 -30000 0 0 150012609 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-06-02 00:00:00 150001752 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-05-07 00:00:00 2000-05-08 00:00:00 No 2000-06-23 00:00:00 None A None 7500 22500 0 22500 0 150012665 A99999 N None None SFY1999-00
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-07-05 00:00:00 150001760 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-15 00:00:00 2000-05-16 00:00:00 No 2000-07-26 00:00:00 None B None 800 2400 -840 1560 0 150012795 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-07-10 00:00:00 150001761 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-01 00:00:00 None No 2000-08-11 00:00:00 None B None 1000 3000 -1050 1950 0 150012813 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-07-14 00:00:00 150001762 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-16 00:00:00 None No 2000-08-09 00:00:00 None B None 800 2400 -840 1560 0 150012851 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-07-21 00:00:00 150001763 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-03-22 00:00:00 2000-03-23 00:00:00 No 2000-08-16 00:00:00 None A None 5000 15000 -5250 9750 0 150012864 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-09-25 00:00:00 150001782 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-21 00:00:00 None No 2000-10-19 00:00:00 None B None 600 1800 -630 1170 0 150013142 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-10-20 00:00:00 150001785 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-08-26 00:00:00 2000-08-26 00:00:00 Yes 2001-07-19 00:00:00 2000-10-24 00:00:00 A A Trebled 8500 25500 0 25500 0 150013251 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-11-30 00:00:00 150001801 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-07 00:00:00 2000-01-07 00:00:00 No 2000-12-26 00:00:00 None B None 600 1800 -630 1170 0 150013558 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-06 00:00:00 150001802 Closed Citation Citation B (HSC 1424) Other PATIENT RIGHTS/CARE 2000-08-02 00:00:00 None No 2001-01-02 00:00:00 None B None 600 1800 -630 1170 0 150013570 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-06 00:00:00 150001803 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-08 00:00:00 None No 2001-01-02 00:00:00 None B None 1000 3000 -1050 1950 0 150013570 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-06 00:00:00 150001804 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-10-14 00:00:00 None No 2001-01-02 00:00:00 None A None 5000 15000 -5250 9750 0 150013579 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-06 00:00:00 150001805 Closed Citation Citation A (HSC 1424) Other PATIENT RIGHTS/CARE 2000-01-23 00:00:00 None No 2001-01-02 00:00:00 None A None 6000 6000 -2100 3900 0 150013580 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-06 00:00:00 150001806 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-27 00:00:00 None No 2001-01-02 00:00:00 None B None 500 1500 -525 975 0 150013581 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-11 00:00:00 150001810 Closed Citation Citation B (HSC 1424) Other PATIENT RIGHTS/CARE 2000-08-06 00:00:00 None No 2001-01-08 00:00:00 None B None 600 1800 -630 1170 0 150013590 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-05 00:00:00 150001818 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-04 00:00:00 2000-12-05 00:00:00 No 2001-01-30 00:00:00 None B None 600 1800 -630 1170 0 150013762 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-19 00:00:00 150001819 Closed Citation Citation B (HSC 1424) Administration None 1999-04-17 00:00:00 2000-12-04 00:00:00 Yes 2001-11-08 00:00:00 2001-01-23 00:00:00 B Dismissed by Court 1000 0 0 0 0 150013783 A99999 N None None SFY2000-01
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2001-01-17 00:00:00 150001820 Closed Citation Citation A (HSC 1424) Patient Care None 2000-08-30 00:00:00 None No 2001-02-06 00:00:00 None A None 14000 14000 -4900 9100 0 150013821 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-25 00:00:00 150001822 Closed Citation Citation B (HSC 1424) Other PATIENT CARE/RIGHTS 2000-09-22 00:00:00 None No 2001-02-16 00:00:00 None B None 800 2400 -840 1560 0 150013867 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-25 00:00:00 150001823 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-24 00:00:00 None No 2001-02-16 00:00:00 None A None 8000 24000 -8400 15600 0 150013868 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-25 00:00:00 150001824 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-08 00:00:00 None No 2001-02-16 00:00:00 None B None 500 1500 -525 975 0 150013869 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-25 00:00:00 150001825 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-04 00:00:00 2000-08-03 00:00:00 No 2001-02-16 00:00:00 None A None 8000 24000 -8400 15600 0 150013872 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-02-22 00:00:00 150001830 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-01-17 00:00:00 2001-01-17 00:00:00 No 2001-03-15 00:00:00 None A None 5000 15000 -5250 9750 0 150014017 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-04-16 00:00:00 150001836 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-01-20 00:00:00 2001-01-20 00:00:00 Yes 2001-11-09 00:00:00 2001-04-26 00:00:00 A A 8000 24000 0 24000 0 150014167 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-04-16 00:00:00 150001837 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-14 00:00:00 None No 2001-05-11 00:00:00 None B None 500 1500 -525 975 0 150014168 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-06-13 00:00:00 150001844 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-31 00:00:00 None No 2001-07-10 00:00:00 None B None 700 2100 -735 1365 0 150014635 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-06-27 00:00:00 150001847 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-04 00:00:00 None No 2001-07-23 00:00:00 None B None 400 1200 0 1200 0 150014668 A99999 N None None SFY2000-01
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-08-14 00:00:00 150001854 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-06 00:00:00 2001-06-06 00:00:00 No 2001-09-07 00:00:00 None B None 900 2700 -945 1755 0 150014863 A99999 N None None SFY2001-02
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-08-14 00:00:00 150001855 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-17 00:00:00 2001-02-17 00:00:00 No 2001-09-07 00:00:00 None B None 800 2400 -840 1560 0 150014864 A99999 N None None SFY2001-02
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-08-23 00:00:00 150001863 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-02-10 00:00:00 2001-02-10 00:00:00 No 2001-09-18 00:00:00 None A None 10000 30000 -10500 19500 0 150015117 A99999 N None None SFY2001-02
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-10-03 00:00:00 150001864 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-03 00:00:00 2001-05-03 00:00:00 No 2001-10-29 00:00:00 None B None 1000 3000 -1050 1950 0 150014584 A99999 N None None SFY2001-02
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-09-19 00:00:00 150001867 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-20 00:00:00 None No 2000-10-11 00:00:00 None B None 900 900 -315 585 0 150015262 A99999 N None None SFY2000-01
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-23 00:00:00 150001868 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-21 00:00:00 None No 2001-02-15 00:00:00 None B None 1000 3000 -1050 1950 0 150015276 A99999 N None None SFY2000-01
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-02-21 00:00:00 150001869 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-30 00:00:00 None No 2001-03-16 00:00:00 None B None 950 950 -332.5 617.5 0 150015285 A99999 N None None SFY2000-01
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-03-05 00:00:00 150001870 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-12 00:00:00 None No 2001-03-29 00:00:00 None B None 800 2400 -840 1560 0 150015288 A99999 N None None SFY2000-01
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-05-24 00:00:00 150001871 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-26 00:00:00 None No 2001-06-18 00:00:00 None B None 450 1350 -472.5 877.5 0 150015294 A99999 N None None SFY2000-01
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-06-12 00:00:00 150001872 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-12 00:00:00 None No 2001-07-06 00:00:00 None B None 600 600 -210 390 0 150015296 A99999 N None None SFY2000-01
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2001-10-25 00:00:00 150001873 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-18 00:00:00 2001-09-18 00:00:00 No 2001-11-16 00:00:00 None B None 700 700 -245 455 0 150015328 A99999 N None None SFY2001-02
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-12-13 00:00:00 150001874 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-30 00:00:00 2001-09-30 00:00:00 No 2002-01-07 00:00:00 None B None 1950 1950 -682.5 1267.5 0 150015344 A99999 N None None SFY2001-02
150001226 NAPA STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-10-20 00:00:00 150001898 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-09-28 00:00:00 None No 2000-11-14 00:00:00 None A None 10000 30000 -10500 19500 0 150015920 A99999 N None None SFY2000-01
150001226 NAPA STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-22 00:00:00 150001899 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-16 00:00:00 None No 2001-01-18 00:00:00 None B None 650 1950 -682.5 1267.5 0 150015927 A99999 N None None SFY2000-01
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2000-05-26 00:00:00 150001935 Closed Citation Citation A (HSC 1424) Patient Care None 1999-03-16 00:00:00 1999-05-17 00:00:00 No 2000-06-19 00:00:00 None A None 10000 10000 -10000 0 0 150016109 A99999 N None None SFY1999-00
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2000-06-01 00:00:00 150001936 Closed Citation Citation A (HSC 1424) Patient Care None 1999-09-09 00:00:00 1999-09-12 00:00:00 No 2000-06-22 00:00:00 None A None 10000 10000 -10000 0 0 150016112 A99999 N None None SFY1999-00
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2000-10-30 00:00:00 150001937 Closed Citation Citation A (HSC 1424) Patient Care None 2000-08-03 00:00:00 None No 2000-11-27 00:00:00 None A None 10000 30000 -10500 19500 0 150016120 A99999 N None None SFY2000-01
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2001-06-18 00:00:00 150001938 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-31 00:00:00 None No 2001-07-13 00:00:00 None A None 20000 60000 -21000 39000 0 150016142 A99999 N None None SFY2000-01
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2001-08-14 00:00:00 150001939 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-24 00:00:00 2001-03-24 00:00:00 No 2001-09-07 00:00:00 None A None 20000 60000 -21000 39000 0 150016150 A99999 N None None SFY2001-02
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2001-11-13 00:00:00 150001940 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-22 00:00:00 2001-06-26 00:00:00 No 2001-12-06 00:00:00 None B None 550 550 -192.5 357.5 0 150016160 A99999 N None None SFY2001-02
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2001-11-13 00:00:00 150001941 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-15 00:00:00 2001-09-15 00:00:00 No 2001-12-06 00:00:00 None B None 550 550 -192.5 357.5 0 150016176 A99999 N None None SFY2001-02
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2002-03-14 00:00:00 150001942 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-08-29 00:00:00 2001-08-29 00:00:00 No 2002-04-08 00:00:00 None A None 20000 20000 -7000 13000 0 150016165 A99999 N None None SFY2001-02
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2002-04-25 00:00:00 150001943 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-12-26 00:00:00 2000-12-26 00:00:00 No 2002-05-17 00:00:00 None AA None 95000 95000 -33250 61750 0 150016134 A99999 Y None None SFY2001-02
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2002-06-21 00:00:00 150001944 Closed Citation Citation A (HSC 1424) Patient Care None 2000-11-01 00:00:00 2000-11-01 00:00:00 No 2002-07-16 00:00:00 None A None 20000 60000 -21000 39000 0 150016124 A99999 N None None SFY2001-02
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2002-07-03 00:00:00 150001945 Closed Citation Citation A (HSC 1424) Other PATIENT CARE & RIGHT 2001-12-30 00:00:00 2001-12-30 00:00:00 No 2002-07-29 00:00:00 None A None 20000 60000 -21000 39000 0 150016192 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2002-08-05 00:00:00 150001946 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-29 00:00:00 2000-09-29 00:00:00 No 2002-08-26 00:00:00 None B None 1000 1000 -350 650 0 150016263 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2002-08-05 00:00:00 150001947 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-10-15 00:00:00 2000-10-15 00:00:00 No 2002-08-26 00:00:00 None B None 1000 1000 -350 650 0 150016264 A99999 N None None SFY2002-03
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-11-12 00:00:00 150001958 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-08 00:00:00 2002-04-08 00:00:00 No 2002-12-05 00:00:00 None B None 900 2700 0 2700 0 150016397 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2002-11-12 00:00:00 150001959 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-26 00:00:00 2001-12-26 00:00:00 No 2002-12-05 00:00:00 None B None 800 800 -280 520 0 150016435 A99999 N None None SFY2002-03
150001228 DEPARTMENT OF STATE HOSPITALS - NAPA LTC SNF Skilled Nursing Facility State Facilities Section 2002-11-21 00:00:00 150001960 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-28 00:00:00 2002-05-28 00:00:00 No 2002-12-16 00:00:00 None B None 700 700 -245 455 0 150016369 A99999 N None None SFY2002-03
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-12-06 00:00:00 150001961 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-04 00:00:00 2002-05-04 00:00:00 No 2002-12-30 00:00:00 None B None 1000 1000 -350 650 0 150016552 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-01-22 00:00:00 150001962 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-21 00:00:00 2002-11-21 00:00:00 No 2003-02-13 00:00:00 None B None 1000 3000 -1050 1950 0 150016529 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-01-21 00:00:00 150001963 Closed Citation Citation AA (HSC 1424) Patient Rights None 2002-05-03 00:00:00 2002-05-03 00:00:00 No 2003-02-11 00:00:00 None AA None 25000 25000 -8750 16250 0 150016209 A99999 Y None None SFY2002-03
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-01-22 00:00:00 150001964 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-05 00:00:00 2002-05-05 00:00:00 No 2003-02-18 00:00:00 None B None 800 800 -280 520 0 150016659 A99999 N None None SFY2002-03
150001228 DEPARTMENT OF STATE HOSPITALS - NAPA LTC SNF Skilled Nursing Facility State Facilities Section 2003-02-05 00:00:00 150001965 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-30 00:00:00 2002-03-30 00:00:00 No 2003-02-28 00:00:00 None B None 1000 1000 -350 650 0 150016767 A99999 N None None SFY2002-03
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-02-13 00:00:00 150001966 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-04-19 00:00:00 2002-04-19 00:00:00 No 2003-03-11 00:00:00 None A None 8000 8000 -2800 5200 0 150016668 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-02-27 00:00:00 150001967 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-20 00:00:00 2003-02-20 00:00:00 No 2003-03-20 00:00:00 None B None 1000 1000 -350 650 0 150016818 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-03-06 00:00:00 150001968 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-24 00:00:00 2001-01-24 00:00:00 No 2003-03-27 00:00:00 None B None 1000 1000 -350 650 0 150016834 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-03-13 00:00:00 150001969 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-26 00:00:00 2002-05-26 00:00:00 No 2003-04-09 00:00:00 None B None 1000 1000 -350 650 0 150016232 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-03-19 00:00:00 150001970 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-28 00:00:00 2002-09-28 00:00:00 No 2003-04-10 00:00:00 None B None 1000 1000 -350 650 0 150016392 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-04-14 00:00:00 150001971 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-01 00:00:00 2003-03-01 00:00:00 No 2003-05-06 00:00:00 None B None 900 900 -315 585 0 150016842 A99999 N None None SFY2002-03
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-04-18 00:00:00 150001972 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-10 00:00:00 2002-09-10 00:00:00 No 2003-05-12 00:00:00 None B None 800 800 -280 520 0 150016758 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-04-18 00:00:00 150001973 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-20 00:00:00 2003-02-20 00:00:00 No 2003-05-13 00:00:00 None B None 1000 1000 -350 650 0 150016846 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-04-18 00:00:00 150001974 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-02 00:00:00 2003-01-02 00:00:00 No 2003-05-09 00:00:00 None B None 1000 1000 -350 650 0 150016693 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-04-24 00:00:00 150001975 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-20 00:00:00 2003-02-20 00:00:00 No 2003-05-15 00:00:00 None B None 900 900 -315 585 0 150016847 A99999 N None None SFY2002-03
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-04-23 00:00:00 150001976 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-17 00:00:00 2003-03-18 00:00:00 No 2003-05-14 00:00:00 None B None 900 900 -315 585 0 150016894 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-04-24 00:00:00 150001977 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-03 00:00:00 2003-01-03 00:00:00 No 2003-05-15 00:00:00 None B None 1000 1000 0 1000 0 150016931 A99999 N None None SFY2002-03
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2000-03-01 00:00:00 150002005 Closed Citation Citation B (HSC 1424) Patient Care None 1999-10-24 00:00:00 1999-10-24 00:00:00 No 2000-03-29 00:00:00 None B None 1000 1000 -1000 0 0 150017317 A99999 N None None SFY1999-00
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2001-01-12 00:00:00 150002006 Closed Citation Citation AA (HSC 1424) Other PATIENT CARE/RIGHTS 1999-05-22 00:00:00 2000-08-07 00:00:00 Yes 2001-11-14 00:00:00 2001-02-01 00:00:00 AA AA 90000 45000 0 45000 0 150017361 A99999 Y None None SFY2000-01
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2001-03-12 00:00:00 150002007 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-23 00:00:00 None No 2001-05-08 00:00:00 None B None 1000 1000 0 1000 0 150017376 A99999 N None None SFY2000-01
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2001-05-31 00:00:00 150002008 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-02 00:00:00 2000-05-02 00:00:00 Yes 2001-11-13 00:00:00 2001-06-18 00:00:00 A A 16000 8000 0 8000 0 150017410 A99999 N None None SFY2000-01
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2001-07-18 00:00:00 150002009 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-03 00:00:00 2001-05-31 00:00:00 Yes 2001-12-17 00:00:00 2001-07-31 00:00:00 B B 950 950 0 950 0 150017419 A99999 N None None SFY2001-02
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2001-08-16 00:00:00 150002010 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-15 00:00:00 2000-10-19 00:00:00 No 2001-08-07 00:00:00 None B None 1000 1000 0 1000 0 150017426 A99999 N None None SFY2001-02
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2003-05-29 00:00:00 150002011 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-31 00:00:00 2002-12-31 00:00:00 Yes 2003-06-20 00:00:00 2004-02-23 00:00:00 B B 800 400 0 400 0 150017519 A99999 N None None SFY2002-03
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2003-05-29 00:00:00 150002012 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-22 00:00:00 2002-10-22 00:00:00 Yes 2003-10-30 00:00:00 2003-10-20 00:00:00 B B 750 750 0 750 0 150017492 A99999 N None None SFY2002-03
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-07-09 00:00:00 150002017 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-17 00:00:00 2002-05-19 00:00:00 No 2003-07-30 00:00:00 None B None 800 800 -280 520 0 150015414 A99999 N None None SFY2003-04
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-06-13 00:00:00 150002018 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-30 00:00:00 2003-05-30 00:00:00 No 2003-09-08 00:00:00 None B None 600 600 -210 390 0 150017663 A99999 N None None SFY2002-03
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-08-26 00:00:00 150002019 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-15 00:00:00 2003-05-20 00:00:00 No 2003-09-17 00:00:00 None B None 1000 1000 -350 650 0 150017686 A99999 N None None SFY2003-04
150001235 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC ICF Intermediate Care Facility State Facilities Section 2003-09-11 00:00:00 150002020 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-21 00:00:00 2003-02-21 00:00:00 Yes 2003-10-03 00:00:00 2003-09-15 00:00:00 B None 1000 1000 0 1000 0 150017630 A99999 N None None SFY2003-04
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-10-07 00:00:00 150002021 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-29 00:00:00 2003-05-29 00:00:00 No 2003-11-04 00:00:00 None B None 600 600 -210 390 0 150017862 A99999 N None None SFY2003-04
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-10-10 00:00:00 150002022 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-27 00:00:00 2003-08-27 00:00:00 No 2003-11-03 00:00:00 None B None 700 2100 -735 1365 0 150017854 A99999 N None None SFY2003-04
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-11-25 00:00:00 150002023 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-28 00:00:00 2003-04-28 00:00:00 No 2003-12-18 00:00:00 None B None 600 600 -210 390 0 150017906 A99999 N None None SFY2003-04
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-12-04 00:00:00 150002024 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-10-16 00:00:00 2003-10-16 00:00:00 No 2003-12-26 00:00:00 None B None 1000 3000 -1050 1950 0 150017932 A99999 N None None SFY2003-04
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-12-23 00:00:00 150002025 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-07-21 00:00:00 2003-07-21 00:00:00 Yes 2004-01-20 00:00:00 2004-01-07 00:00:00 AA None 25000 25000 -8750 16250 0 150017778 A99999 Y None None SFY2003-04
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2003-12-23 00:00:00 150002026 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-06-03 00:00:00 2003-06-03 00:00:00 Yes 2004-01-20 00:00:00 2004-01-07 00:00:00 AA None 25000 25000 -8750 16250 0 150017685 A99999 Y None None SFY2003-04
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2004-01-06 00:00:00 150002027 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-11 00:00:00 2003-11-11 00:00:00 Yes 2004-02-03 00:00:00 2004-01-20 00:00:00 B None 1000 3000 0 3000 0 150017965 A99999 N None None SFY2003-04
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2004-02-05 00:00:00 150002028 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-13 00:00:00 2003-01-13 00:00:00 No 2004-03-03 00:00:00 None B None 700 700 -245 455 0 150016723 A99999 N None None SFY2003-04
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-02-18 00:00:00 150002029 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-21 00:00:00 2003-11-21 00:00:00 No 2004-03-12 00:00:00 None B None 500 1500 -525 975 0 150017987 A99999 N None None SFY2003-04
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2004-03-08 00:00:00 150002030 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-21 00:00:00 2004-01-21 00:00:00 No 2004-04-01 00:00:00 None B None 900 900 -315 585 0 150018063 A99999 N None None SFY2003-04
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-05-04 00:00:00 150002031 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-07-24 00:00:00 2003-07-24 00:00:00 No 2004-05-25 00:00:00 None B None 1000 3000 -1050 1950 0 150018112 A99999 N None None SFY2003-04
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-03-17 00:00:00 150002196 Closed Citation Citation AA (HSC 1424) Patient Rights None 2000-03-06 00:00:00 None No 2000-04-12 00:00:00 None AA None 25000 25000 -25000 0 0 150018975 A99999 Y None None SFY1999-00
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-06-29 00:00:00 150002197 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-16 00:00:00 2000-06-29 00:00:00 Yes 2000-07-21 00:00:00 2000-07-10 00:00:00 B None 1000 3000 0 3000 0 150018992 A99999 N None None SFY1999-00
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-30 00:00:00 150002198 Closed Citation Citation A (HSC 1424) Medication None 2000-08-14 00:00:00 None No 2001-02-26 00:00:00 None A None 8000 8000 -2800 5200 0 150019009 A99999 N None None SFY2000-01
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-30 00:00:00 150002199 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-14 00:00:00 None No 2001-02-26 00:00:00 None B None 800 800 -280 520 0 150019009 A99999 N None None SFY2000-01
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-03-01 00:00:00 150002200 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-15 00:00:00 None Yes 2001-07-26 00:00:00 2001-03-06 00:00:00 B B Trebled 1000 3000 0 3000 0 150019010 A99999 N None None SFY2000-01
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-03-01 00:00:00 150002201 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-09 00:00:00 None Yes 2001-08-07 00:00:00 2001-03-07 00:00:00 B B 800 800 0 800 0 150019010 A99999 N None None SFY2000-01
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-03-01 00:00:00 150002202 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-21 00:00:00 None No 2001-03-26 00:00:00 None B None 600 600 -210 390 0 150019011 A99999 N None None SFY2000-01
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-06-26 00:00:00 150002203 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-10 00:00:00 None No 2001-07-23 00:00:00 None B None 1000 3000 -1050 1950 0 150019020 A99999 N None None SFY2000-01
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-04-05 00:00:00 150002205 Closed Citation Citation A (HSC 1424) Patient Care None 2003-08-30 00:00:00 None No 2004-04-27 00:00:00 None A None 10000 10000 -3500 6500 0 150019288 A99999 N None None SFY2003-04
150001242 AGNEWS STATE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2000-08-16 00:00:00 150002218 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-17 00:00:00 None No 2000-09-11 00:00:00 None B None 600 600 -210 390 0 150019456 A99999 N None None SFY2000-01
150001242 AGNEWS STATE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2004-04-05 00:00:00 150002219 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-17 00:00:00 None No 2004-04-27 00:00:00 None B None 900 900 -315 585 0 150019533 A99999 N None None SFY2003-04
150001242 AGNEWS STATE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2004-04-05 00:00:00 150002220 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-07-03 00:00:00 None No 2004-04-27 00:00:00 None AA None 100000 100000 -35000 65000 0 150019534 A99999 Y None None SFY2003-04
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2004-05-04 00:00:00 150002227 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-13 00:00:00 None No 2004-05-25 00:00:00 None B None 1000 1000 -350 650 0 150020005 A99999 N None None SFY2003-04
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2004-05-04 00:00:00 150002228 Closed Citation Citation Willful Material Omission (HSC 1424(f)(1)) Administration None 2003-09-13 00:00:00 None No 2004-05-25 00:00:00 None WO None 17000 17000 -5950 11050 0 150020011 A99999 None None None SFY2003-04
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-05-26 00:00:00 150002229 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-08 00:00:00 2004-04-08 00:00:00 No 2004-06-17 00:00:00 None B None 1000 3000 -1050 1950 0 150020034 A99999 N None None SFY2003-04
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2004-06-22 00:00:00 150002230 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-07 00:00:00 2004-03-07 00:00:00 No 2004-08-18 00:00:00 None B None 800 800 -280 520 0 150020118 A99999 N None None SFY2003-04
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2004-07-06 00:00:00 150002231 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-29 00:00:00 2004-05-29 00:00:00 No 2004-07-29 00:00:00 None B None 1000 1000 -350 650 0 150020063 A99999 N None None SFY2004-05
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-08-17 00:00:00 150002232 Closed Citation Citation A (HSC 1424) Other MEDICATION 2004-01-01 00:00:00 2004-01-03 00:00:00 No 2004-09-08 00:00:00 None A None 10000 10000 -3500 6500 0 150018021 A99999 N None None SFY2004-05
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-08-26 00:00:00 150002233 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-01 00:00:00 2004-07-01 00:00:00 No 2004-09-17 00:00:00 None B None 800 800 -280 520 0 150020216 A99999 N None None SFY2004-05
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-09-29 00:00:00 150002234 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-17 00:00:00 2004-07-17 00:00:00 No 2004-10-21 00:00:00 None B None 700 700 -245 455 0 150020253 A99999 N None None SFY2004-05
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-11-01 00:00:00 150002236 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-24 00:00:00 2004-09-24 00:00:00 No 2004-11-23 00:00:00 None B None 700 700 -245 455 0 150020266 A99999 N None None SFY2004-05
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-11-04 00:00:00 150002237 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-22 00:00:00 2004-07-22 00:00:00 No 2004-12-02 00:00:00 None B None 800 2400 -840 1560 0 150020211 A99999 N None None SFY2004-05
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-11-04 00:00:00 150002238 Closed Citation Citation B (HSC 1424) Other PATIENT CARE 2004-08-11 00:00:00 2004-08-11 00:00:00 No 2004-12-02 00:00:00 None B None 800 2400 -840 1560 0 150020272 A99999 N None None SFY2004-05
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2004-11-10 00:00:00 150002239 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-12 00:00:00 2004-07-12 00:00:00 No 2004-12-13 00:00:00 None B None 1000 3000 -1050 1950 0 150020248 A99999 N None None SFY2004-05
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2004-12-08 00:00:00 150002240 Closed Citation Citation A (HSC 1424) Medication None 2004-10-14 00:00:00 2004-10-14 00:00:00 No 2005-01-03 00:00:00 None A None 16000 16000 -5600 10400 0 150020283 A99999 N None None SFY2004-05
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2004-12-29 00:00:00 150002241 Closed Citation Citation A (HSC 1424) Administration None 2004-10-22 00:00:00 2004-10-22 00:00:00 No 2005-01-20 00:00:00 None A None 20000 20000 -7000 13000 0 150020291 A99999 N None None SFY2004-05
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-01-26 00:00:00 150002242 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-01 00:00:00 2004-08-01 00:00:00 No 2005-02-16 00:00:00 None B None 700 2100 -735 1365 0 150020299 A99999 N None None SFY2004-05
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2005-02-10 00:00:00 150002243 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-18 00:00:00 2005-12-18 00:00:00 No 2005-03-04 00:00:00 None B None 1000 3000 -1050 1950 0 150020300 A99999 N None None SFY2004-05
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-02-23 00:00:00 150002244 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-10 00:00:00 2005-01-10 00:00:00 No 2005-03-16 00:00:00 None B None 500 1500 -525 975 0 150020302 A99999 N None None SFY2004-05
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-03-08 00:00:00 150002245 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-12 00:00:00 2005-01-12 00:00:00 No 2005-03-29 00:00:00 None B None 900 2700 -945 1755 0 150020303 A99999 N None None SFY2004-05
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2005-04-11 00:00:00 150002246 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-04 00:00:00 2005-02-04 00:00:00 No 2005-05-02 00:00:00 None B None 900 900 -315 585 0 150020306 A99999 N None None SFY2004-05
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2005-04-11 00:00:00 150002247 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-15 00:00:00 2005-02-15 00:00:00 No 2005-05-02 00:00:00 None B None 800 2400 -840 1560 0 150020307 A99999 N None None SFY2004-05
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-06-07 00:00:00 150002248 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-13 00:00:00 2005-03-13 00:00:00 No 2005-06-28 00:00:00 None B None 800 800 -280 520 0 150020311 A99999 N None None SFY2004-05
150001242 AGNEWS STATE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2005-06-07 00:00:00 150002249 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-07 00:00:00 2005-04-07 00:00:00 No 2005-06-28 00:00:00 None B None 800 800 -280 520 0 150020312 A99999 N None None SFY2004-05
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-06-24 00:00:00 150002250 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-02 00:00:00 2005-05-02 00:00:00 No 2005-07-18 00:00:00 None B None 700 2100 -735 1365 0 150020313 A99999 N None None SFY2004-05
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-08-16 00:00:00 150002251 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-10 00:00:00 2005-01-10 00:00:00 No 2005-09-08 00:00:00 None B None 700 700 -245 455 0 150020318 A99999 N None None SFY2005-06
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2005-08-15 00:00:00 150002252 Closed Citation Citation AA (HSC 1424) Other C,PR 2005-03-21 00:00:00 2005-03-21 00:00:00 No 2005-09-06 00:00:00 None AA None 80000 80000 -28000 52000 0 150020319 A99999 Y None None SFY2005-06
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2005-08-19 00:00:00 150002253 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-12 00:00:00 2005-01-12 00:00:00 No 2005-09-12 00:00:00 None B None 750 2250 -787.5 1462.5 0 150020320 A99999 N None None SFY2005-06
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2005-08-19 00:00:00 150002254 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-29 00:00:00 2005-06-29 00:00:00 No 2005-09-12 00:00:00 None B None 750 2250 -787.5 1462.5 0 150020321 A99999 N None None SFY2005-06
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-09-27 00:00:00 150002255 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-24 00:00:00 2005-06-24 00:00:00 No 2005-10-24 00:00:00 None B None 500 1500 -525 975 0 150020326 A99999 N None None SFY2005-06
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-11-04 00:00:00 150002256 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-04 00:00:00 2005-07-04 00:00:00 No 2005-12-01 00:00:00 None B None 1000 3000 -1050 1950 0 150020328 A99999 N None None SFY2005-06
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2005-11-15 00:00:00 150002257 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-07-12 00:00:00 2005-07-12 00:00:00 No 2005-12-08 00:00:00 None A None 18000 18000 -6300 11700 0 150020329 A99999 N None None SFY2005-06
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2005-11-15 00:00:00 150002258 Closed Citation Citation A (HSC 1424) Other C, D 2005-04-23 00:00:00 2005-04-23 00:00:00 No 2005-12-08 00:00:00 None A None 18000 18000 -6300 11700 0 150020330 A99999 N None None SFY2005-06
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2005-11-16 00:00:00 150002259 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-03 00:00:00 2005-05-03 00:00:00 No 2005-12-09 00:00:00 None B None 700 700 -245 455 0 150020331 A99999 N None None SFY2005-06
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-12-27 00:00:00 150002260 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-11 00:00:00 2005-10-11 00:00:00 No 2006-01-19 00:00:00 None B None 700 2100 -735 1365 0 150020334 A99999 N None None SFY2005-06
150001242 AGNEWS STATE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2006-03-08 00:00:00 150002881 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-17 00:00:00 2005-09-17 00:00:00 No 2006-03-29 00:00:00 None A None 18000 18000 -6300 11700 0 None YU0W11 N CA00061650 D SFY2005-06
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2006-03-22 00:00:00 150002960 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-24 00:00:00 2006-01-24 00:00:00 No 2006-04-13 00:00:00 None B None 700 700 -245 455 0 None TEHM11 N CA00070959 D SFY2005-06
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2006-05-04 00:00:00 150003005 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-27 00:00:00 2005-09-27 00:00:00 No 2006-05-25 00:00:00 None B None 800 800 -280 520 0 None 46RF11 N CA00062476 A SFY2005-06
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2007-01-26 00:00:00 150003011 Closed Citation Citation A (HSC 1424) Other pr, c 2005-11-22 00:00:00 2005-11-22 00:00:00 No 2007-02-16 00:00:00 None A None 20000 60000 -21000 39000 0 None 86VQ11 N CA00066685 C SFY2006-07
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-04-21 00:00:00 150003024 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-04 00:00:00 2006-02-04 00:00:00 No 2006-05-12 00:00:00 None B None 700 700 -245 455 0 None SUTW11 N CA00071858 D SFY2005-06
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-08-23 00:00:00 150003046 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-26 00:00:00 2005-11-26 00:00:00 No 2006-09-14 00:00:00 None B None 1000 3000 -1050 1950 0 None 3S6L11 N CA00066920 D SFY2006-07
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2006-07-12 00:00:00 150003048 Closed Citation Citation B (HSC 1424) Medication None 2006-01-25 00:00:00 2006-01-25 00:00:00 No 2006-08-02 00:00:00 None B None 1000 1000 -350 650 0 None YZSH11 N CA00070923 A SFY2006-07
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-05-11 00:00:00 150003067 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-04-18 00:00:00 2006-04-18 00:00:00 No 2006-06-02 00:00:00 None B None 700 2100 -735 1365 0 None 7XXQ11 N CA00078510 C SFY2005-06
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2006-09-20 00:00:00 150003070 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-07-08 00:00:00 2005-07-08 00:00:00 No 2006-10-12 00:00:00 None AA None 95000 95000 -33250 61750 0 None EVYZ11 Y CA00054872 D SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-05-02 00:00:00 150003074 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-06 00:00:00 2006-02-06 00:00:00 No 2006-05-23 00:00:00 None B None 1000 3000 -1050 1950 0 None D65M11 N CA00071852 D SFY2005-06
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-05-11 00:00:00 150003081 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-18 00:00:00 2006-04-18 00:00:00 No 2006-06-02 00:00:00 None B None 800 2400 -840 1560 0 None U63C11 N CA00078505 C SFY2005-06
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2006-05-18 00:00:00 150003089 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-07 00:00:00 2005-09-07 00:00:00 No 2006-06-09 00:00:00 None B None 800 800 -280 520 0 None OPS211 N CA00060748 D SFY2005-06
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2007-08-13 00:00:00 150003148 Closed Citation Citation AA (HSC 1424) Patient Rights None 2005-10-22 00:00:00 2005-10-22 00:00:00 No 2007-09-04 00:00:00 None AA None 90000 90000 -31500 58500 0 None 6VZE11 Y CA00064672 D SFY2007-08
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-06-29 00:00:00 150003171 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-26 00:00:00 2006-05-26 00:00:00 Yes 2006-07-21 00:00:00 2006-07-25 00:00:00 B None 800 800 -280 520 0 None BF0N11 N CA00082180 C SFY2005-06
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-06-13 00:00:00 150003172 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-24 00:00:00 2007-03-24 00:00:00 No 2007-07-05 00:00:00 None B None 700 2100 -735 1365 0 None 4TD711 N CA00110359 C SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-07-12 00:00:00 150003193 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-08 00:00:00 2006-05-08 00:00:00 No 2006-08-02 00:00:00 None B None 900 900 -315 585 0 None 122L11 N CA00080434 D SFY2006-07
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2006-08-16 00:00:00 150003268 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-27 00:00:00 2006-06-27 00:00:00 No 2006-09-07 00:00:00 None B None 700 2100 -735 1365 0 None YRG911 N CA00084964 C SFY2006-07
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-08-24 00:00:00 150003306 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-15 00:00:00 2006-07-15 00:00:00 No 2006-09-15 00:00:00 None B None 800 800 -280 520 0 None U98B11 N CA00087005 C SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-08-24 00:00:00 150003308 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-02 00:00:00 2006-05-02 00:00:00 No 2006-09-15 00:00:00 None B None 600 600 -210 390 0 None UUVL11 N CA00079909 C SFY2006-07
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-09-05 00:00:00 150003313 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-03 00:00:00 2006-07-03 00:00:00 No 2006-09-26 00:00:00 None B None 900 2700 -945 1755 0 None 9M8U11 N CA00085464 C SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-10-12 00:00:00 150003404 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-10 00:00:00 2006-08-10 00:00:00 No 2006-11-02 00:00:00 None B None 600 600 -210 390 0 None PLD511 N CA00089913 C SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-10-12 00:00:00 150003418 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-18 00:00:00 2006-07-18 00:00:00 No 2006-11-02 00:00:00 None B None 600 600 -210 390 0 None 3KIJ11 N CA00087409 C SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-11-17 00:00:00 150003485 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-12 00:00:00 2006-09-12 00:00:00 No 2006-12-12 00:00:00 None B None 700 700 -245 455 0 None A9U911 N CA00092870 C SFY2006-07
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-05-13 00:00:00 150003490 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-09-16 00:00:00 2006-09-16 00:00:00 No 2008-06-04 00:00:00 None AA None 25000 25000 -8750 16250 0 None W51K11 Y CA00093365 B SFY2007-08
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-10-10 00:00:00 150003538 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-04 00:00:00 2005-10-04 00:00:00 No 2007-11-02 00:00:00 None B None 800 800 -280 520 0 None TR6V11 N CA00090692, CA00161856 C, C SFY2007-08
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-02-13 00:00:00 150003557 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-27 00:00:00 2006-09-27 00:00:00 No 2007-03-06 00:00:00 None B None 800 2400 -840 1560 0 None KNPL11 N CA00094426 C SFY2006-07
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2006-12-13 00:00:00 150003558 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-04 00:00:00 2006-11-04 00:00:00 No 2007-01-05 00:00:00 None B None 800 800 -280 520 0 None QKX411 N CA00097763 C SFY2006-07
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2006-12-12 00:00:00 150003560 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-23 00:00:00 2006-04-23 00:00:00 No 2007-01-04 00:00:00 None B None 300 300 -105 195 0 None 3NF511 N CA00079423 D SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-01-10 00:00:00 150003625 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-30 00:00:00 2006-06-30 00:00:00 No 2007-01-31 00:00:00 None B None 1000 1000 -350 650 0 None UPMA11 N CA00083935 D SFY2006-07
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2007-02-20 00:00:00 150003693 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-15 00:00:00 2006-11-15 00:00:00 No 2007-03-13 00:00:00 None B None 700 700 -245 455 0 None SWYW11 N CA00098845 C SFY2006-07
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-03-08 00:00:00 150003779 Closed Citation Citation B (HSC 1424) Other pc, pr 2006-07-25 00:00:00 2006-07-25 00:00:00 No 2007-03-29 00:00:00 None B None 700 700 -245 455 0 None YXCF11 N CA00088220 C SFY2006-07
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2009-09-09 00:00:00 150003870 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-02 00:00:00 2007-03-02 00:00:00 No 2009-09-30 00:00:00 None B None 1000 1000 -350 650 0 None RRPU11 N CA00108296 D SFY2009-10
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2007-04-11 00:00:00 150003888 Closed Citation Citation B (HSC 1424) Other pc, pr 2006-12-17 00:00:00 2006-12-17 00:00:00 No 2007-05-02 00:00:00 None B None 900 2700 -945 1755 0 None 2FB811 N CA00101514 C SFY2006-07
150001228 DEPARTMENT OF STATE HOSPITALS - NAPA LTC SNF Skilled Nursing Facility State Facilities Section 2007-05-23 00:00:00 150003964 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-03-16 00:00:00 2007-03-16 00:00:00 No 2007-06-13 00:00:00 None B None 600 600 -210 390 0 None D9CL11 N CA00109788 D SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-06-05 00:00:00 150003996 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-14 00:00:00 2007-03-14 00:00:00 No 2007-06-26 00:00:00 None B None 700 700 -245 455 0 None W6RV11 N CA00109210 C SFY2006-07
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2007-06-21 00:00:00 150004024 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-26 00:00:00 2007-04-26 00:00:00 No 2007-07-13 00:00:00 None B None 600 1800 -630 1170 0 None 7RQW11 N CA00113201 C SFY2006-07
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-08-13 00:00:00 150004103 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-07-02 00:00:00 2007-07-02 00:00:00 No 2007-09-04 00:00:00 None B None 900 900 -315 585 0 None E1UP11 N CA00119362 C SFY2007-08
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-09-11 00:00:00 150004239 Closed Citation Citation B (HSC 1424) Other pr,c 2007-08-17 00:00:00 2007-08-17 00:00:00 No 2007-10-02 00:00:00 None B None 700 2100 -735 1365 0 None JUDH11 N CA00123954 C SFY2007-08
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-10-10 00:00:00 150004333 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-14 00:00:00 2007-08-14 00:00:00 No 2007-11-02 00:00:00 None B None 1000 1000 -350 650 0 None FT1Y11 N CA00123872 D SFY2007-08
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2007-10-30 00:00:00 150004381 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-05 00:00:00 2007-10-05 00:00:00 No 2007-11-21 00:00:00 None B None 600 600 -210 390 0 None 4T3J11 N CA00128735 C SFY2007-08
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2009-12-30 00:00:00 150004398 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-05-23 00:00:00 2007-05-23 00:00:00 No 2010-01-25 00:00:00 None AA None 50000 50000 -17500 32500 0 None 0Z5411 Y CA00115661 D SFY2009-10
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-10-30 00:00:00 150004409 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-12 00:00:00 2007-05-12 00:00:00 No 2007-11-21 00:00:00 None B None 1000 1000 -350 650 0 None O1NP11 N CA00114870 C SFY2007-08
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2008-04-01 00:00:00 150004422 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-23 00:00:00 2007-10-23 00:00:00 No 2008-04-25 00:00:00 None B None 1000 1000 -350 650 0 None 07ZF11 N CA00130169 C SFY2007-08
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2008-02-05 00:00:00 150004490 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-25 00:00:00 2007-10-25 00:00:00 No 2008-02-28 00:00:00 None A None 20000 20000 -7000 13000 0 None EDQH11 N CA00130522 C SFY2007-08
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2007-12-13 00:00:00 150004515 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-01 00:00:00 2007-12-01 00:00:00 No 2008-01-07 00:00:00 None B None 700 700 -245 455 0 None UGPJ11 N CA00133934 C SFY2007-08
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-12-27 00:00:00 150004532 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-23 00:00:00 2007-10-23 00:00:00 No 2008-01-18 00:00:00 None B None 500 500 -175 325 0 None PBH111 N CA00130553 D SFY2007-08
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2008-01-03 00:00:00 150004533 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-11-11 00:00:00 2007-11-11 00:00:00 No 2008-01-25 00:00:00 None B None 1000 1000 -350 650 0 None Q9JS11 N CA00132108 C SFY2007-08
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-03-06 00:00:00 150004734 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-01 00:00:00 2007-09-01 00:00:00 No 2008-03-27 00:00:00 None B None 1000 1000 -350 650 0 None 9MY411 N CA00125434 C SFY2007-08
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-04-01 00:00:00 150004834 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-08 00:00:00 2008-02-08 00:00:00 No 2008-04-22 00:00:00 None B None 1000 1000 -350 650 0 None CT7Z11 N CA00140977 D SFY2007-08
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-04-07 00:00:00 150004848 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-24 00:00:00 2007-10-24 00:00:00 No 2008-04-28 00:00:00 None B None 800 800 -280 520 0 None JUUQ11 N CA00130310 C SFY2007-08
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-04-11 00:00:00 150004879 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-30 00:00:00 2007-12-30 00:00:00 No 2008-05-02 00:00:00 None B None 900 2700 -945 1755 0 None GY7F11 N CA00136835 C SFY2007-08
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2008-04-16 00:00:00 150004906 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-22 00:00:00 2008-01-22 00:00:00 No 2008-05-07 00:00:00 None B None 700 700 -245 455 0 None PU5T11 N CA00138959 C SFY2007-08
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2008-04-16 00:00:00 150004909 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-22 00:00:00 2008-01-22 00:00:00 No 2008-05-07 00:00:00 None B None 700 700 -245 455 0 None PU5T11 N CA00138963 C SFY2007-08
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2008-05-21 00:00:00 150004926 Closed Citation Citation B (HSC 1424) Patient Care None 2006-09-18 00:00:00 2006-09-18 00:00:00 No 2008-06-16 00:00:00 None B None 900 900 -315 585 0 None GEL211 N CA00097364 C SFY2007-08
150001233 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2008-05-21 00:00:00 150004927 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-16 00:00:00 2006-08-16 00:00:00 No 2008-06-16 00:00:00 None A None 18000 18000 -6300 11700 0 None GEL211 N CA00097364 C SFY2007-08
150001241 AGNEWS STATE HOSPITAL D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-04-29 00:00:00 150004937 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-21 00:00:00 2008-02-21 00:00:00 No 2008-05-20 00:00:00 None B None 1000 1000 -350 650 0 None ZUXV11 N CA00142785 C SFY2007-08
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2008-05-27 00:00:00 150005037 Closed Citation Citation B (HSC 1424) Medication None 2008-02-08 00:00:00 2008-02-08 00:00:00 No 2008-06-17 00:00:00 None B None 800 1000 -280 720 0 None CD9I11 N CA00140385 C SFY2007-08
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2008-07-03 00:00:00 150005184 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-22 00:00:00 2008-05-22 00:00:00 No 2008-07-25 00:00:00 None B None 1000 3000 -1050 1950 0 None QMRV11 N CA00151676 C SFY2008-09
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-11-19 00:00:00 150005350 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-22 00:00:00 2008-05-22 00:00:00 No 2008-12-12 00:00:00 None B None 1000 3000 -1050 1950 0 None P5R111 N CA00151707 C SFY2008-09
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-10-02 00:00:00 150005351 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-23 00:00:00 2008-07-23 00:00:00 No 2008-10-24 00:00:00 None B None 1000 1000 -350 650 0 None 102911 N CA00158555 D SFY2008-09
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2008-11-19 00:00:00 150005515 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-30 00:00:00 2008-07-30 00:00:00 No 2008-12-12 00:00:00 None B None 1000 3000 -1050 1950 0 None C9IE11 N CA00160005 D SFY2008-09
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-11-20 00:00:00 150005614 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-02 00:00:00 2008-10-02 00:00:00 No 2008-12-15 00:00:00 None B None 1000 1000 -350 650 0 None CEF011 N CA00165601 D SFY2008-09
150001242 AGNEWS STATE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2009-02-13 00:00:00 150005853 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-01 00:00:00 2008-12-01 00:00:00 No 2009-03-09 00:00:00 None B None 1000 1000 -350 650 0 None 1LGR11 N CA00174059 C SFY2008-09
150001242 AGNEWS STATE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2009-02-13 00:00:00 150005854 Closed Citation Citation B (HSC 1424) Staffing None 2009-01-13 00:00:00 2009-01-13 00:00:00 No 2009-03-09 00:00:00 None B None 1000 1000 -350 650 0 None 1LGR11 N CA00173985 C SFY2008-09
150001242 AGNEWS STATE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2009-02-13 00:00:00 150005873 Closed Citation Citation A (HSC 1424) Patient Care None 2009-01-12 00:00:00 2009-01-12 00:00:00 No 2009-03-09 00:00:00 None A None 8000 8000 -2800 5200 0 None 1LGR11 N CA00174204 C SFY2008-09
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2010-01-05 00:00:00 150006070 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-16 00:00:00 2009-02-16 00:00:00 No 2010-01-28 00:00:00 None B None 1000 1100 -350 750 0 None PCI311 N CA00179705 D SFY2009-10
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2009-04-30 00:00:00 150006100 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-23 00:00:00 2008-10-23 00:00:00 No 2009-05-21 00:00:00 None B None 1000 3000 -1050 1950 0 None 0T0N11 N CA00169241 D SFY2008-09
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2009-04-28 00:00:00 150006101 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-26 00:00:00 2008-04-26 00:00:00 No 2009-05-19 00:00:00 None B None 1000 3000 -1050 1950 0 None R4D911 N CA00148764 C SFY2008-09
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2009-04-27 00:00:00 150006111 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-02 00:00:00 2008-12-02 00:00:00 No 2009-05-18 00:00:00 None B None 1000 1000 -350 650 0 None 3H2X11 N CA00171764 E SFY2008-09
150001214 SIERRA VISTA LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2009-04-27 00:00:00 150006118 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-28 00:00:00 2008-08-28 00:00:00 No 2009-05-18 00:00:00 None B None 1000 3000 -1050 1950 0 None 1DQ411 N CA00161856 C SFY2008-09
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2010-01-04 00:00:00 150006282 Closed Citation Citation B (HSC 1424) Patient Rights AB-Abuse/Fac Not Reported 2009-02-25 00:00:00 2009-02-25 00:00:00 No 2010-01-27 00:00:00 None B None 1000 3000 -1050 1950 0 None MNN311 N CA00185753 D SFY2009-10
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2009-11-17 00:00:00 150006679 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-16 00:00:00 2009-08-16 00:00:00 No 2009-12-10 00:00:00 None B None 1000 1000 -350 650 0 None K9NG11 N CA00200891 D SFY2009-10
150001228 DEPARTMENT OF STATE HOSPITALS - NAPA LTC SNF Skilled Nursing Facility State Facilities Section 2011-12-22 00:00:00 150006681 Closed Citation Citation AA (HSC 1424) Other Death 2009-07-29 00:00:00 2009-07-29 00:00:00 No 2012-01-17 00:00:00 None AA None 80000 80300 -28000 52300 0 None L88W11 Y CA00197219 D SFY2011-12
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2010-02-02 00:00:00 150006691 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-03 00:00:00 2009-08-03 00:00:00 No 2010-02-23 00:00:00 None B None 1000 1000 -350 650 0 None BC5311 N CA00196715 D SFY2009-10
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2010-01-12 00:00:00 150006757 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-21 00:00:00 2009-09-21 00:00:00 No 2010-02-04 00:00:00 None B None 1000 1000 -350 650 0 None 0V6F11 N CA00203660 D SFY2009-10
150001231 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2011-04-06 00:00:00 150006758 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-23 00:00:00 2009-10-23 00:00:00 Yes 2011-04-27 00:00:00 2011-04-20 00:00:00 B None 1000 1000 0 1000 0 None LBVD11 N CA00206972 D SFY2010-11
150001231 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2010-01-20 00:00:00 150006815 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-02-19 00:00:00 2009-02-19 00:00:00 No 2010-02-10 00:00:00 None B None 1000 1000 0 1000 0 None RYFY11 N CA00178994 D SFY2009-10
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2010-10-06 00:00:00 150006816 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-09-08 00:00:00 2009-09-08 00:00:00 No 2010-10-27 00:00:00 None AA None 25000 25000 -8750 16250 0 None OK5611 Y CA00201352 D SFY2010-11
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2010-01-06 00:00:00 150006817 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-11 00:00:00 2009-10-11 00:00:00 No 2010-01-29 00:00:00 None B None 1000 1000 -350 650 0 None 009J11 N CA00206988 D SFY2009-10
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2010-02-23 00:00:00 150006870 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-12-05 00:00:00 2009-12-05 00:00:00 No 2010-03-16 00:00:00 None B None 1000 1000 -350 650 0 None IEIF11 N CA00210747 D SFY2009-10
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2010-03-08 00:00:00 150006983 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-05 00:00:00 2009-07-05 00:00:00 No 2010-03-29 00:00:00 None B None 1000 1000 -350 650 0 None ZPTX11 N CA00194870 D SFY2009-10
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2010-08-25 00:00:00 150007117 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-03-30 00:00:00 2008-03-30 00:00:00 No 2010-09-16 00:00:00 None AA None 25000 25000 -8750 16250 0 None JTCE11 Y CA00145410 C SFY2010-11
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2010-07-23 00:00:00 150007149 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-16 00:00:00 2010-02-16 00:00:00 No 2010-08-16 00:00:00 None B None 1000 1000 -350 650 0 None BRIR11 N CA00218646 D SFY2010-11
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2010-05-20 00:00:00 150007152 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-21 00:00:00 2010-03-21 00:00:00 No 2010-06-11 00:00:00 None B None 1000 1000 -350 650 0 None 8SI411 N CA00223529 D SFY2009-10
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2011-02-02 00:00:00 150007257 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-08 00:00:00 2009-09-08 00:00:00 No 2011-02-24 00:00:00 None B None 1000 1000 -350 650 0 None J28011 N CA00203136 D SFY2010-11
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2011-05-25 00:00:00 150007258 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-21 00:00:00 2008-05-21 00:00:00 No 2011-06-16 00:00:00 None A None 20000 20000 -7000 13000 0 None UKY311 Y CA00151714 D SFY2010-11
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2010-11-22 00:00:00 150007312 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-04 00:00:00 2010-05-04 00:00:00 No 2010-12-15 00:00:00 None B None 1000 3000 0 3000 0 None EI4F11 N CA00227920 D SFY2010-11
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2012-03-15 00:00:00 150007383 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-14 00:00:00 2010-03-14 00:00:00 No 2012-04-05 00:00:00 None B None 750 2250 -787.5 1462.5 0 None 37CY11 Y CA00221777 D SFY2011-12
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2011-05-05 00:00:00 150007427 Closed Citation Citation B (HSC 1424) Patient Care DEATH 2010-02-02 00:00:00 2010-02-02 00:00:00 No 2011-05-26 00:00:00 None B None 1000 1000 0 1000 0 None NYJL11 N CA00218686 D SFY2010-11
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2011-04-05 00:00:00 150007628 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-22 00:00:00 2010-06-22 00:00:00 No 2011-04-26 00:00:00 None B None 1000 1000 -350 650 0 None JLQZ11 N CA00234685 D SFY2010-11
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2012-04-16 00:00:00 150007657 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-18 00:00:00 2010-08-18 00:00:00 No 2012-05-07 00:00:00 None A None 16000 16000 -5600 10400 0 None 92XB11 N CA00242527 C SFY2011-12
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2011-04-08 00:00:00 150007781 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-02 00:00:00 2010-08-02 00:00:00 No 2011-04-29 00:00:00 None B None 1000 1000 -350 650 0 None AXVX11 N CA00238251 D SFY2010-11
150001231 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2011-04-06 00:00:00 150007884 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-23 00:00:00 2009-10-23 00:00:00 Yes 2011-04-27 00:00:00 2011-04-20 00:00:00 B None 1000 1000 0 1000 0 None LBVD11 N CA00206972 D SFY2010-11
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2011-10-25 00:00:00 150008097 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-22 00:00:00 2010-07-22 00:00:00 No 2011-11-16 00:00:00 None B None 1000 1000 -350 650 0 None 4OG911 N CA00237258 D SFY2011-12
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2011-08-26 00:00:00 150008105 Closed Citation Citation A (HSC 1424) Other Neglect 2011-01-06 00:00:00 2011-01-06 00:00:00 No 2011-09-19 00:00:00 None A None 20000 20000 -7000 13000 0 None QMTL11 N CA00257238 D SFY2011-12
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2011-06-14 00:00:00 150008106 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-01 00:00:00 2011-03-01 00:00:00 No 2011-07-06 00:00:00 None B None 1000 3000 -1050 1950 0 None ROIK11 N CA00261151 C SFY2010-11
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2011-11-29 00:00:00 150008130 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-17 00:00:00 2010-07-17 00:00:00 No 2011-12-20 00:00:00 None B None 1000 1000 -350 650 0 None 2UJV11 N CA00237321 D SFY2011-12
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-04-13 00:00:00 150008152 Closed Citation Citation A (HSC 1424) Patient Care None 2010-10-16 00:00:00 2010-10-16 00:00:00 No 2012-05-04 00:00:00 None A None 10000 10000 -3500 6500 0 None YSDN11 N CA00246812 D SFY2011-12
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2011-11-04 00:00:00 150008167 Closed Citation Citation A (HSC 1424) Other Staff Death/neglect 2010-10-23 00:00:00 2010-10-23 00:00:00 No 2011-11-30 00:00:00 None A None 20000 20000 -7000 13000 0 None P3XI11 N CA00246965 B SFY2011-12
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2011-11-10 00:00:00 150008197 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-10 00:00:00 2011-01-10 00:00:00 No 2011-12-06 00:00:00 None B None 1000 1000 -350 650 0 None PJ1S11 N CA00257848 D SFY2011-12
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2012-04-16 00:00:00 150008241 Closed Citation Citation A (HSC 1424) Patient Rights None 2010-09-08 00:00:00 2010-09-08 00:00:00 No 2012-05-07 00:00:00 None A None 16000 16000 -5600 10400 0 None S8D411 N CA00245745 D SFY2011-12
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2011-11-29 00:00:00 150008366 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-09 00:00:00 2010-12-09 00:00:00 No 2011-12-20 00:00:00 None B None 1000 1000 -350 650 0 None 0G6N11 N CA00253173 D SFY2011-12
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2012-04-12 00:00:00 150008370 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-22 00:00:00 2010-09-22 00:00:00 No 2012-05-03 00:00:00 None B None 1000 1000 -350 650 0 None LJEM11 N CA00244535 D SFY2011-12
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2014-01-10 00:00:00 150008371 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-10 00:00:00 2009-09-10 00:00:00 No 2014-02-03 00:00:00 None B None 1000 1000 -350 650 0 None GSFK11 N CA00202104 D SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2012-04-06 00:00:00 150008410 Closed Citation Citation A (HSC 1424) Patient Rights None 2010-08-18 00:00:00 2010-08-18 00:00:00 No 2012-04-27 00:00:00 None A None 20000 20000 -7000 13000 0 None V80P11 N CA00238918 D SFY2011-12
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2012-04-13 00:00:00 150008411 Closed Citation Citation A (HSC 1424) Patient Care Failed to follow policy 2010-12-11 00:00:00 2010-12-11 00:00:00 No 2012-05-04 00:00:00 None A None 20000 20000 -7000 13000 0 None B7YD11 N CA00252021 C SFY2011-12
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2011-12-15 00:00:00 150008458 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-13 00:00:00 2011-07-13 00:00:00 No 2012-01-09 00:00:00 None B None 1000 1000 -350 650 0 None 90IW11 N CA00274298 D SFY2011-12
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2011-11-10 00:00:00 150008581 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-26 00:00:00 2011-02-26 00:00:00 No 2011-12-06 00:00:00 None B None 1000 1000 -350 650 0 None ZDDC11 N CA00261150 B SFY2011-12
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-06-04 00:00:00 150008629 Closed Citation Citation A (HSC 1424) Patient Rights None 2011-09-26 00:00:00 2011-09-26 00:00:00 No 2012-06-25 00:00:00 None A None 10000 10000 -3500 6500 0 None 1YFO11 N CA00285658 A SFY2011-12
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2011-11-23 00:00:00 150008658 Closed Citation Citation B (HSC 1424) Administration None 2011-05-25 00:00:00 2011-05-25 00:00:00 No 2011-12-16 00:00:00 None B None 1000 3000 -1050 1950 0 None XNFM11 N CA00272291 D SFY2011-12
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-04-10 00:00:00 150008724 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-09 00:00:00 2011-06-09 00:00:00 No 2012-05-01 00:00:00 None B None 1000 3000 -1050 1950 0 None Q2JM11 N CA00274314 D SFY2011-12
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150008849 Closed Citation Citation A (HSC 1424) Patient Care None 2011-07-25 00:00:00 2011-07-25 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None J0DT11 N CA00277548 D SFY2012-13
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-03-07 00:00:00 150008930 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-02 00:00:00 2011-10-02 00:00:00 No 2012-03-28 00:00:00 None B None 1000 1000 -350 650 0 None R5RF11 N CA00265459 D SFY2011-12
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009262 Closed Citation Citation A (HSC 1424) Patient Care None 2011-10-25 00:00:00 2011-10-25 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None HQ9111 N CA00283444 D SFY2012-13
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2013-08-29 00:00:00 150009301 Closed Citation Citation B (HSC 1424) Administration None 2012-04-26 00:00:00 2012-04-26 00:00:00 No 2013-09-20 00:00:00 None B None 1000 1000 -350 650 0 None TO0L11 N CA00308745 A SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009314 Closed Citation Citation A (HSC 1424) Patient Care None 2011-10-29 00:00:00 2011-10-29 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None CQ3J11 N CA00290249 D SFY2012-13
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-03 00:00:00 150009315 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-28 00:00:00 2012-03-28 00:00:00 No 2014-02-25 00:00:00 None B None 1000 3000 -1050 1950 0 None 0PL811 N CA00305360 B SFY2013-14
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-02-11 00:00:00 150009318 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-16 00:00:00 2012-01-16 00:00:00 No 2014-03-05 00:00:00 None B None 800 800 -280 520 0 None FRIR11 N CA00296690 D SFY2013-14
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2013-07-22 00:00:00 150009431 Closed Citation Citation A (HSC 1424) Patient Care None 2011-11-22 00:00:00 2011-11-22 00:00:00 No 2013-08-12 00:00:00 None A None 20000 20000 -7000 13000 0 None 173S11 Y CA00291840 C SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009497 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-06-13 00:00:00 2012-06-13 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None HJ6711 N CA00311982, CA00314985 C, C SFY2012-13
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009498 Closed Citation Citation AA (HSC 1424) Patient Care None 2012-05-09 00:00:00 2012-05-09 00:00:00 No 2013-01-04 00:00:00 None AA None 25000 25000 -8750 16250 0 None HJ6711 Y CA00322951 A SFY2012-13
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009501 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-05-25 00:00:00 2012-05-25 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None HJ6711 N CA00298801, CA00312003 D, A SFY2012-13
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009503 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-06-12 00:00:00 2012-06-12 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None HJ6711 N CA00314599 A SFY2012-13
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009606 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-11-11 00:00:00 2012-11-11 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None T8MH11 N CA00332704 A SFY2012-13
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-21 00:00:00 150009607 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-11-09 00:00:00 2012-11-09 00:00:00 No 2014-03-14 00:00:00 None A None 10000 10000 -3500 6500 0 None CEJL11 N CA00306099, CA00331305, CA00332710 C, C, A SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-21 00:00:00 150009611 Closed Citation Citation B (HSC 1424) Administration None 2012-05-16 00:00:00 2012-05-16 00:00:00 No 2014-03-14 00:00:00 None B None 800 800 -280 520 0 None LJWW11 N CA00310066 B SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009622 Closed Citation Citation A (HSC 1424) Other Pharmacy 2012-09-19 00:00:00 2012-09-19 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None HJ6712 N CA00327237 A SFY2012-13
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-12-12 00:00:00 150009623 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-09-20 00:00:00 2012-09-20 00:00:00 No 2013-01-04 00:00:00 None A None 10000 10000 -3500 6500 0 None HJ6712 N CA00334122 E SFY2012-13
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-02-03 00:00:00 150009702 Closed Citation Citation A (HSC 1424) Patient Rights None 2011-11-05 00:00:00 2011-11-05 00:00:00 No 2014-02-25 00:00:00 None A None 10000 10000 -3500 6500 0 None 8T7Z11 N CA00289566 C SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-11 00:00:00 150009703 Closed Citation Citation A (HSC 1424) Dietary None 2012-11-28 00:00:00 2012-11-28 00:00:00 No 2014-03-05 00:00:00 None A None 10000 10000 -3500 6500 0 None 7FQC11 N CA00334861 C SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-08 00:00:00 150009749 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-12-01 00:00:00 2012-12-01 00:00:00 No 2014-04-29 00:00:00 None A None 10000 10000 -3500 6500 0 None 0X8111 N CA00335329 A SFY2013-14
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-03-06 00:00:00 150009750 Closed Citation Citation A (HSC 1424) Patient Care None 2012-07-14 00:00:00 2012-07-14 00:00:00 No 2014-03-27 00:00:00 None A None 10000 10000 -3500 6500 0 None 85LY11 N CA00318376 B SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-02 00:00:00 150009861 Closed Citation Citation A (HSC 1424) Patient Rights None 2013-04-16 00:00:00 2013-04-16 00:00:00 No 2014-04-23 00:00:00 None A None 10000 30000 -10500 19500 0 None 1Z9R11 N CA00351241 A SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-03-14 00:00:00 150009862 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-04-24 00:00:00 2013-04-24 00:00:00 No 2014-04-07 00:00:00 None B None 1000 1000 0 1000 0 None PQMO11 N CA00352217 B SFY2013-14
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-03-14 00:00:00 150009935 Closed Citation Citation B (HSC 1424) Other Failure to report timely 2013-02-15 00:00:00 2013-02-15 00:00:00 No 2014-04-07 00:00:00 None B None 800 800 0 800 0 None ZF5311 N CA00349050 B SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-02 00:00:00 150009937 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-05-14 00:00:00 2013-05-14 00:00:00 No 2014-04-23 00:00:00 None B None 1000 1000 -350 650 0 None O4Y111 N CA00355044 A SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2013-11-06 00:00:00 150009978 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-04-10 00:00:00 2013-04-10 00:00:00 No 2013-12-02 00:00:00 None B None 2000 2000 -700 1300 0 None 3TJ011 N CA00350525 A SFY2013-14
150000229 SONOMA DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-04-10 00:00:00 150010016 Closed Citation Citation A (HSC 1424) Medication None 2013-06-01 00:00:00 2013-06-01 00:00:00 No 2014-05-01 00:00:00 None A None 10000 10000 -3500 6500 0 None 3TKR11 N CA00358901 B SFY2013-14
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2014-04-02 00:00:00 150010133 Closed Citation Citation A (HSC 1424) Patient Care None 2013-07-12 00:00:00 2013-07-12 00:00:00 No 2014-04-23 00:00:00 None A None 10000 10000 -3500 6500 0 None WZ2011 N CA00362048 B SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2013-11-06 00:00:00 150010134 Closed Citation Citation B (HSC 1424) Administration None 2013-04-11 00:00:00 2013-04-11 00:00:00 No 2013-12-02 00:00:00 None B None 1000 1000 -350 650 0 None 5OFN11 N CA00350230 B SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-03-21 00:00:00 150010135 Closed Citation Citation A (HSC 1424) Patient Rights None 2013-01-20 00:00:00 2013-01-20 00:00:00 No 2014-04-14 00:00:00 None A None 10000 30000 -10500 19500 0 None 7JRT11 N CA00341231, CA00342860, CA00346807, CA00359544, CA00362958, CA00363050 C, C, B, A, D, A SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-03-21 00:00:00 150010136 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-03-28 00:00:00 2013-03-28 00:00:00 No 2014-04-14 00:00:00 None B None 1000 1000 -350 650 0 None EVU711 N CA00349453, CA00349989, CA00351058, CA00356106, CA00359524, CA00360971 C, C, C, C, C, B SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-27 00:00:00 150010151 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-06-05 00:00:00 2013-06-05 00:00:00 No 2014-03-20 00:00:00 None B None 1000 1000 -350 650 0 None SI5G11 N CA00358226 B SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2013-12-10 00:00:00 150010161 Closed Citation Citation B (HSC 1424) Staffing None 2012-11-26 00:00:00 2012-11-26 00:00:00 No 2014-01-02 00:00:00 None B None 2000 2000 -700 1300 0 None B13011 N CA00335296 D SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2014-02-19 00:00:00 150010215 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-10-14 00:00:00 2013-10-14 00:00:00 No 2014-03-12 00:00:00 None B None 2000 2000 -700 1300 0 None CPX111 N CA00370146, CA00371334, CA00372050, CA00372069, CA00372466, CA00372614, CA00372812, CA00372892, CA00373156 D, C, C, C, C, C, B, B, B SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2014-01-24 00:00:00 150010216 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-10-09 00:00:00 2013-10-09 00:00:00 No 2014-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None F0OS11 N CA00369963, CA00370233, CA00371089, CA00371172, CA00371723, CA00372620 D, C, C, C, B, B SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2013-11-15 00:00:00 150010219 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-01-05 00:00:00 2012-01-05 00:00:00 No 2013-12-10 00:00:00 None B None 2000 6000 -2100 3900 0 None WQLS11 N CA00296507 D SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2014-01-24 00:00:00 150010220 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-10-02 00:00:00 2013-10-02 00:00:00 No 2014-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None OPR511 N CA00371103, CA00372602, CA00372896, CA00373520 C, C, B, B SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2014-06-30 00:00:00 150010253 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-10-15 00:00:00 2013-10-15 00:00:00 No 2014-07-22 00:00:00 None B None 1000 1000 -350 650 0 None JD3S11 N CA00369895, CA00370342, CA00372598, CA00373204 C, D, C, B SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2014-02-19 00:00:00 150010292 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-09-15 00:00:00 2013-09-15 00:00:00 No 2014-03-12 00:00:00 None B None 2000 2000 -700 1300 0 None WD2211 N CA00370164, CA00370588, CA00375665, CA00376020 D, D, C, B SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-27 00:00:00 150010293 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-04-18 00:00:00 2013-04-18 00:00:00 No 2014-03-20 00:00:00 None B None 1000 1000 -350 650 0 None BDSK11 N CA00351571, CA00352754, CA00353118, CA00353537 B, B, A, A SFY2013-14
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-02 00:00:00 150010294 Closed Citation Citation B (HSC 1424) Patient Care None 2013-06-27 00:00:00 2013-06-27 00:00:00 No 2014-04-23 00:00:00 None B None 1000 1000 -350 650 0 None P2JN11 N CA00360084 A SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2014-03-07 00:00:00 150010388 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-12-16 00:00:00 2013-12-16 00:00:00 No 2014-03-28 00:00:00 None B None 2000 2000 -700 1300 0 None U2WC11 N CA00380681 B SFY2013-14
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2014-03-07 00:00:00 150010402 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-12-14 00:00:00 2013-12-14 00:00:00 No 2014-03-28 00:00:00 None B None 2000 2000 -700 1300 0 None TJS611 N CA00380915, CA00381035, CA00381336, CA00381356, CA00381874, CA00382375, CA00383111, CA00383622 C, C, C, C, C, C, C, C SFY2013-14
150001231 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2014-07-03 00:00:00 150010717 Closed Citation Citation B (HSC 1424) Dietary Potential Harm 2014-03-12 00:00:00 2014-03-12 00:00:00 No 2014-07-25 00:00:00 None B None 1000 1000 -350 650 0 None 9MW611 N CA00404036 C SFY2014-15
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-10-31 00:00:00 150010888 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-05 00:00:00 2014-04-05 00:00:00 No 2014-11-24 00:00:00 None B None 1000 1000 -350 650 0 None 38A511 N CA00406612 B SFY2014-15
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2015-03-24 00:00:00 150010909 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-02-28 00:00:00 2014-02-28 00:00:00 No 2015-04-15 00:00:00 None B None 2000 2000 -700 1300 0 None FGTT11 N CA00389777 A SFY2014-15
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2015-03-24 00:00:00 150010910 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-01 00:00:00 2014-03-01 00:00:00 No 2015-04-15 00:00:00 None B None 1500 1500 -525 975 0 None CWFU11 N CA00389772 A SFY2014-15
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-11-19 00:00:00 150010923 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-06-26 00:00:00 2014-06-26 00:00:00 No 2014-12-12 00:00:00 None B None 1000 1000 -350 650 0 None EV8I11 N CA00403600, CA00408451 B, C SFY2014-15
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-10-31 00:00:00 150010924 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-07-05 00:00:00 2014-07-05 00:00:00 No 2014-11-24 00:00:00 None B None 1000 1000 -350 650 0 None JDOZ11 N CA00404525 A SFY2014-15
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-10-30 00:00:00 150010982 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-28 00:00:00 2014-04-28 00:00:00 No 2014-11-21 00:00:00 None B None 1000 1000 -350 650 0 None CZ4O11 N CA00396967 A SFY2014-15
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2015-04-14 00:00:00 150011071 Closed Citation Citation B (HSC 1424) Patient Rights Abuse Fracture 2014-01-07 00:00:00 2014-01-07 00:00:00 No 2015-05-05 00:00:00 None B None 2000 2000 -700 1300 0 None WQ7W11 N CA00383999 C SFY2014-15
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-02-25 00:00:00 150011100 Closed Citation Citation B (HSC 1424) Patient Care None 2014-08-27 00:00:00 2014-08-27 00:00:00 No 2015-03-18 00:00:00 None B None 1000 1000 -350 650 0 None 6U4V11 N CA00412109 C SFY2014-15
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2016-02-16 00:00:00 150011118 Open Citation Citation A (HSC 1424) Patient Rights Abuse 2014-05-28 00:00:00 2014-05-28 00:00:00 Yes 2016-03-08 00:00:00 2016-03-04 00:00:00 A None 20000 20950 0 0 20950 None XSX111 Y CA00400199 A SFY2015-16
150001228 DEPARTMENT OF STATE HOSPITALS - NAPA LTC SNF Skilled Nursing Facility State Facilities Section 2015-10-13 00:00:00 150011297 Closed Citation Citation B (HSC 1424) Patient Care None 2014-06-11 00:00:00 2014-06-11 00:00:00 No 2015-11-03 00:00:00 None B None 500 500 -175 325 0 None W6FQ11 N CA00415580 C SFY2015-16
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2015-06-29 00:00:00 150011322 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-08-08 00:00:00 2014-08-08 00:00:00 No 2015-07-20 00:00:00 None B None 650 650 -227.5 422.5 0 None JOYY11 N CA00418021 B SFY2014-15
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-07-16 00:00:00 150011369 Closed Citation Citation B (HSC 1424) Patient Care None 2013-09-29 00:00:00 2013-09-29 00:00:00 No 2015-08-06 00:00:00 None B None 1000 1000 -350 650 0 None N7OJ11 N CA00371568 A SFY2015-16
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2015-10-30 00:00:00 150011442 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-06-26 00:00:00 2014-06-26 00:00:00 No 2015-11-23 00:00:00 None B None 1000 1000 -350 650 0 None X1M811 N CA00439959, CA00439959 C, C SFY2015-16
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2015-10-28 00:00:00 150011631 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-06-04 00:00:00 2014-06-04 00:00:00 No 2015-11-19 00:00:00 None B None 2000 6000 -2100 3900 0 None WFW011 N CA00401400 B SFY2015-16
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-10-21 00:00:00 150011633 Closed Citation Citation B (HSC 1424) Patient Rights Neglect 2015-07-05 00:00:00 2015-07-05 00:00:00 No 2015-11-12 00:00:00 None B None 1000 3000 -1050 1950 0 None HZON11 N CA00449299 B SFY2015-16
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-07-29 00:00:00 150011638 Closed Citation Citation A (HSC 1424) Patient Care None 2014-11-10 00:00:00 2014-11-10 00:00:00 No 2015-08-19 00:00:00 None A None 10000 10000 -3500 6500 0 None VZHM11 N CA00423853, CA00429731, CA00431786, CA00433095 C, B, B, C SFY2015-16
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2015-11-02 00:00:00 150011644 Closed Citation Citation B (HSC 1424) Other Patient Rights and Abuse 2015-05-26 00:00:00 2015-05-26 00:00:00 No 2015-11-24 00:00:00 None B None 1000 1000 -350 650 0 None YN8611 N CA00444602, CA00444938 C, C SFY2015-16
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2015-10-28 00:00:00 150011646 Closed Citation Citation B (HSC 1424) Other Fac Not Self Reported 2013-05-15 00:00:00 2013-05-15 00:00:00 No 2015-11-19 00:00:00 None B None 800 800 -280 520 0 None YEMN11 N CA00355276 C SFY2015-16
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-10-29 00:00:00 150011694 Closed Citation Citation B (HSC 1424) Patient Care None 2015-02-23 00:00:00 2015-02-23 00:00:00 No 2015-11-20 00:00:00 None B None 1000 3000 -1050 1950 0 None CDCH11 N CA00433638, CA00433659 C, C SFY2015-16
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2015-11-06 00:00:00 150011758 Closed Citation Citation B (HSC 1424) Dietary None 2015-07-15 00:00:00 2015-07-15 00:00:00 No 2015-12-02 00:00:00 None B None 1000 1000 -350 650 0 None MDJC11 N CA00451088, CA00451760, CA00457775 C, B, C SFY2015-16
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2015-11-06 00:00:00 150011760 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-04-30 00:00:00 2015-04-30 00:00:00 No 2015-12-02 00:00:00 None A None 10000 10000 -3500 6500 0 None K1IJ11 N CA00441287 C SFY2015-16
630014895 VETERANS HOME OF CALIFORNIA - REDDING LTC SNF Skilled Nursing Facility State Facilities Section 2016-06-02 00:00:00 150011948 Closed Citation Citation B (HSC 1424) Other Dental Services 2015-09-24 00:00:00 2015-09-24 00:00:00 No 2016-06-23 00:00:00 None B None 2000 2000 -700 1300 0 None DEWT11 N CA00459682 C SFY2015-16
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2016-01-25 00:00:00 150011970 Closed Citation Citation B (HSC 1424) Patient Care None 2015-05-06 00:00:00 2015-05-06 00:00:00 No 2016-02-16 00:00:00 None B None 2000 2000 -700 1300 0 None J7EM11 N CA00442329 C SFY2015-16
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-06-30 00:00:00 150011986 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-12-23 00:00:00 2015-12-23 00:00:00 No 2016-07-22 00:00:00 None B None 1000 1000 -350 650 0 None Q51S11 N CA00472258 B SFY2015-16
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-03-09 00:00:00 150012012 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-07-23 00:00:00 2015-07-23 00:00:00 No 2016-03-30 00:00:00 None B None 1000 1000 -350 650 0 None 4DLH11 N CA00452799 B SFY2015-16
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2016-09-23 00:00:00 150012033 Closed Citation Citation AA (HSC 1424) Other Death 2014-07-13 00:00:00 2014-07-13 00:00:00 No 2016-10-14 00:00:00 None AA None 25000 25000 -8750 16250 0 None S9CP11 Y CA00405769 A SFY2016-17
150001231 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2016-07-11 00:00:00 150012309 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-01-22 00:00:00 2015-01-22 00:00:00 No 2016-08-01 00:00:00 None B None 2000 2000 -700 1300 0 None 5UHY11 N CA00428572 B SFY2016-17
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-07-14 00:00:00 150012333 Closed Citation Citation B (HSC 1424) Patient Care None 2016-04-18 00:00:00 2016-04-18 00:00:00 No 2016-08-04 00:00:00 None B None 1000 3000 -1050 1950 0 None 87FL11 N CA00484866 C SFY2016-17
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2016-07-01 00:00:00 150012365 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-10-15 00:00:00 2015-10-15 00:00:00 No 2016-07-25 00:00:00 None B None 1000 1000 -350 650 0 None H4F711 N CA00462801 C SFY2016-17
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2016-07-06 00:00:00 150012373 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-27 00:00:00 2015-02-27 00:00:00 No 2016-07-27 00:00:00 None B None 1000 1000 -350 650 0 None 5Y7G11 N CA00437748 C SFY2016-17
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2016-07-06 00:00:00 150012374 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-03-05 00:00:00 2015-03-05 00:00:00 No 2016-07-27 00:00:00 None B None 1000 1000 -350 650 0 None X4F911 N CA00437757 D SFY2016-17
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2016-08-18 00:00:00 150012384 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-04-02 00:00:00 2016-04-02 00:00:00 Yes 2016-09-09 00:00:00 2016-08-24 00:00:00 B B 1000 2000 0 2000 0 None 8U7P11 N CA00483020 C SFY2016-17
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-08-11 00:00:00 150012490 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-01 00:00:00 2016-01-01 00:00:00 No 2016-09-01 00:00:00 None B None 1000 3000 -1050 1950 0 None L5F311 N CA00471215 B SFY2016-17
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-08-12 00:00:00 150012491 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-23 00:00:00 2015-12-23 00:00:00 No 2016-09-02 00:00:00 None B None 1000 3000 -1050 1950 0 None 6DWC11 N CA00471637 B SFY2016-17
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-08-11 00:00:00 150012492 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-08 00:00:00 2016-01-08 00:00:00 No 2016-09-01 00:00:00 None B None 1000 3000 -1050 1950 0 None 69EJ11 N CA00472242 B SFY2016-17
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-08-12 00:00:00 150012493 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-23 00:00:00 2016-01-23 00:00:00 No 2016-09-02 00:00:00 None B None 1000 3000 -1050 1950 0 None MDN111 N CA00473928 A SFY2016-17
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-08-16 00:00:00 150012501 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-10-13 00:00:00 2015-10-13 00:00:00 No 2016-09-07 00:00:00 None A None 10000 30000 -10500 19500 0 None TS3U11 N CA00462074 B SFY2016-17
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2016-08-16 00:00:00 150012503 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-23 00:00:00 2014-05-23 00:00:00 No 2016-09-07 00:00:00 None B None 1000 1000 -350 650 0 None IIYB11 N CA00400678 A SFY2016-17
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2016-12-22 00:00:00 150012825 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-18 00:00:00 2016-01-18 00:00:00 No 2017-01-17 00:00:00 None B None 2000 6000 0 6000 0 None I0Q511 N CA00473144 B SFY2016-17
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2017-03-07 00:00:00 150012989 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-04-12 00:00:00 2016-04-12 00:00:00 No 2017-03-28 00:00:00 None B None 1000 3000 -1050 1950 0 None O9SY11 N CA00484408 C SFY2016-17
630014894 VETERANS HOME OF CALIFORNIA - FRESNO LTC SNF Skilled Nursing Facility State Facilities Section 2017-07-26 00:00:00 150013021 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-11-04 00:00:00 2016-11-04 00:00:00 No 2017-08-16 00:00:00 None B None 2000 2000 -700 1300 0 None KUHJ11 N CA00510290 B SFY2017-18
630014894 VETERANS HOME OF CALIFORNIA - FRESNO LTC SNF Skilled Nursing Facility State Facilities Section 2017-07-26 00:00:00 150013022 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-11-04 00:00:00 2016-11-04 00:00:00 No 2017-08-16 00:00:00 None B None 2000 2000 -700 1300 0 None KUHJ11 N CA00510290 B SFY2017-18
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2019-03-19 00:00:00 150013079 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-09-19 00:00:00 2015-09-19 00:00:00 No 2019-04-09 00:00:00 None A None 8000 8000 -2800 5200 0 None 1VTM11 Y CA00467101, CA00467101 B, B SFY2018-19
630014895 VETERANS HOME OF CALIFORNIA - REDDING LTC SNF Skilled Nursing Facility State Facilities Section 2017-06-22 00:00:00 150013124 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-29 00:00:00 2016-06-29 00:00:00 No 2017-07-14 00:00:00 None B None 1000 1000 -350 650 0 None GPR711 N CA00496026 C SFY2016-17
630014894 VETERANS HOME OF CALIFORNIA - FRESNO LTC SNF Skilled Nursing Facility State Facilities Section 2017-11-17 00:00:00 150013170 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-11 00:00:00 2016-10-11 00:00:00 No 2017-12-12 00:00:00 None A None 18000 18000 -6300 11700 0 None LOW511 Y CA00506968 B SFY2017-18
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2017-12-12 00:00:00 150013430 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-07-12 00:00:00 2017-07-12 00:00:00 No 2018-01-03 00:00:00 None B None 1000 1000 -350 650 0 None DY8V11 N CA00543752 B SFY2017-18
150000230 SONOMA DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2017-11-07 00:00:00 150013452 Closed Citation Citation B (HSC 1424) Other safeguarding client funds 2016-03-30 00:00:00 2016-03-30 00:00:00 No 2017-12-01 00:00:00 None B None 1000 1000 0 1000 0 None IG1G11 N CA00481634 C SFY2017-18
630014895 VETERANS HOME OF CALIFORNIA - REDDING LTC SNF Skilled Nursing Facility State Facilities Section 2017-11-21 00:00:00 150013628 Closed Citation Citation A (HSC 1424) Patient Rights None 2017-06-18 00:00:00 2017-06-18 00:00:00 No 2017-12-14 00:00:00 None A None 20000 20000 -7000 13000 0 None 2UBD11 N CA00547361 C SFY2017-18
150001231 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2017-11-22 00:00:00 150013635 Closed Citation Citation A (HSC 1424) Patient Care None 2016-09-21 00:00:00 2016-09-21 00:00:00 No 2017-12-15 00:00:00 None A None 10000 10000 0 10000 0 None 2YR011 N CA00505771 C SFY2017-18
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2019-03-19 00:00:00 150013720 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-04-26 00:00:00 2015-04-26 00:00:00 No 2019-04-09 00:00:00 None A None 10000 10000 -3500 6500 0 None F6KO11 N CA00441220 C SFY2018-19
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2018-08-16 00:00:00 150013910 Closed Citation Citation AA (HSC 1424) Other Nursing Service General 2015-12-20 00:00:00 2015-12-20 00:00:00 No 2018-09-07 00:00:00 None AA None 85000 85200 -29950 55250 0 None O1AF11 Y CA00469660 D SFY2018-19
150001245 DEPARTMENT OF STATE HOSPITALS - ATASCADERO LTC ICF Intermediate Care Facility State Facilities Section 2018-09-24 00:00:00 150014407 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-05-15 00:00:00 2018-05-15 00:00:00 No 2018-10-15 00:00:00 None B None 1000 1000 -350 650 0 None 05NE11 N CA00588150 D SFY2018-19
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2018-10-09 00:00:00 150014427 Closed Citation Citation B (HSC 1424) Medication None 2018-09-11 00:00:00 2018-09-11 00:00:00 No 2018-10-30 00:00:00 None B None 1000 1000 0 1000 0 None G6RQ11 N CA00603605 B SFY2018-19
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2019-08-22 00:00:00 150014502 Closed Citation Citation B (HSC 1424) Medication None 2018-08-13 00:00:00 2018-08-13 00:00:00 No 2019-09-12 00:00:00 None B None 800 800 0 800 0 None MK3011 N CA00601838 C SFY2019-20
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-03-07 00:00:00 170001650 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-02 00:00:00 None No 2000-03-28 00:00:00 None B None 1000 3000 -3000 0 0 170013294 A99999 N None None SFY1999-00
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-05-18 00:00:00 170001651 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-10 00:00:00 None No 2000-06-09 00:00:00 None B None 700 700 -700 0 0 None 999999 N None None SFY1999-00
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-05-18 00:00:00 170001652 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-09 00:00:00 None No 2000-06-09 00:00:00 None B None 800 800 -800 0 0 None 999999 N None None SFY1999-00
170001774 LANTERMAN DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2000-01-06 00:00:00 170001653 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-08 00:00:00 None No 2000-01-28 00:00:00 None B None 600 600 -600 0 0 170013334 A99999 N None None SFY1999-00
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-01-19 00:00:00 170001658 Closed Citation Citation A (HSC 1424) Other ABUSE 2000-12-10 00:00:00 None No 2001-02-09 00:00:00 None A None 7000 7000 -2450 4550 0 170013704 A99999 N None None SFY2000-01
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-03-27 00:00:00 170001664 Closed Citation Citation B (HSC 1424) Other ABUSE 2001-02-20 00:00:00 None No 2001-04-17 00:00:00 None B None 800 800 -280 520 0 170013953 A99999 N None None SFY2000-01
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-04-13 00:00:00 170001666 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-14 00:00:00 None No 2001-05-04 00:00:00 None B None 1000 1000 -350 650 0 170014142 A99999 N None None SFY2000-01
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-04-19 00:00:00 170001667 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-26 00:00:00 None No 2001-05-10 00:00:00 None A None 8000 8000 -2800 5200 0 170014166 A99999 N None None SFY2000-01
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-05-11 00:00:00 170001675 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-05 00:00:00 None Yes 2003-02-18 00:00:00 2001-05-12 00:00:00 B B 1000 1000 0 1000 0 170014137 A99999 N None None SFY2000-01
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-06-12 00:00:00 170001679 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-04-23 00:00:00 None No 2001-07-03 00:00:00 None A None 10000 10000 -3500 6500 0 170014362 A99999 N None None SFY2000-01
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-07-03 00:00:00 170001682 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-09 00:00:00 None No 2001-07-25 00:00:00 None B None 1000 1000 -350 650 0 170014422 A99999 N None None SFY2001-02
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-07-05 00:00:00 170001683 Closed Citation Citation B (HSC 1424) Other ABUSE 2001-06-12 00:00:00 None No 2001-08-03 00:00:00 None B None 800 800 -280 520 0 170014445 A99999 N None None SFY2001-02
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-07-31 00:00:00 170001690 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-25 00:00:00 None No 2001-08-21 00:00:00 None B None 800 2400 -840 1560 0 170014502 A99999 N None None SFY2001-02
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-08-20 00:00:00 170001691 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-26 00:00:00 None No 2001-09-13 00:00:00 None B None 500 1500 0 1500 0 170014514 A99999 N None None SFY2001-02
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-09-14 00:00:00 170001693 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-01 00:00:00 2001-07-30 00:00:00 No 2001-10-05 00:00:00 None B None 1000 1000 -350 650 0 170014630 A99999 N None None SFY2001-02
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-01-03 00:00:00 170001694 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-26 00:00:00 None No 2002-01-30 00:00:00 None B None 800 800 -280 520 0 170014862 A99999 N None None SFY2001-02
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-03-27 00:00:00 170001695 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-02-18 00:00:00 None No 2002-04-23 00:00:00 None A None 9000 27000 -9450 17550 0 170014951 A99999 N None None SFY2001-02
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-04-09 00:00:00 170001696 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-02 00:00:00 None No 2002-05-03 00:00:00 None B None 1000 3000 -1050 1950 0 170014966 A99999 N None None SFY2001-02
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-05-21 00:00:00 170001697 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-17 00:00:00 None Yes 2002-06-14 00:00:00 2002-06-04 00:00:00 B Dismissed by Court 900 0 0 0 0 170014916 A99999 N None None SFY2001-02
170001774 LANTERMAN DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2002-06-27 00:00:00 170001698 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-04 00:00:00 None No 2002-07-23 00:00:00 None B B 700 455 0 455 0 170014972 A99999 N None None SFY2001-02
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-07-10 00:00:00 170001699 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-22 00:00:00 None No 2002-08-02 00:00:00 None B None 800 800 0 800 0 170015044 A99999 N None None SFY2002-03
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-07-16 00:00:00 170001700 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-14 00:00:00 None No 2002-08-09 00:00:00 None B None 800 2400 -840 1560 0 170014952 A99999 N None None SFY2002-03
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-07-16 00:00:00 170001701 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-20 00:00:00 None No 2002-08-09 00:00:00 None B None 800 800 -280 520 0 170015015 A99999 N None None SFY2002-03
170001774 LANTERMAN DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2002-07-24 00:00:00 170001702 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-01 00:00:00 None No 2002-08-16 00:00:00 None B B 700 455 0 455 0 170014939 A99999 N None None SFY2002-03
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-07-31 00:00:00 170001703 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-01-12 00:00:00 None No 2002-08-23 00:00:00 None A None 10000 30000 0 30000 0 170014929 A99999 N None None SFY2002-03
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-08-15 00:00:00 170001704 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-03-13 00:00:00 None Yes 2003-02-18 00:00:00 2002-08-15 00:00:00 A A 10000 30000 0 30000 0 170015018 A99999 N None None SFY2002-03
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-09-09 00:00:00 170001705 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-04 00:00:00 None No 2002-10-02 00:00:00 None B None 800 2400 0 2400 0 170015119 A99999 N None None SFY2002-03
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-10-22 00:00:00 170001706 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-10 00:00:00 None No 2002-11-15 00:00:00 None B None 800 2400 0 2400 0 170015170 A99999 N None None SFY2002-03
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-10-31 00:00:00 170001708 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-05-03 00:00:00 None No 2002-11-26 00:00:00 None A None 10000 30000 -10500 19500 0 170015073 A99999 N None None SFY2002-03
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-02-04 00:00:00 170001709 Closed Citation Citation AA (HSC 1424) Patient Rights None 2002-07-30 00:00:00 None No 2003-02-25 00:00:00 None AA None 25000 25000 -8750 16250 0 170015216 A99999 Y None None SFY2002-03
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2002-02-26 00:00:00 170001732 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-19 00:00:00 None No 2002-03-21 00:00:00 None A None 17000 17000 0 17000 0 170015945 A99999 N None None SFY2001-02
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2002-05-17 00:00:00 170001733 Closed Citation Citation A (HSC 1424) Patient Care None 2002-02-21 00:00:00 2002-02-21 00:00:00 Yes 2003-12-22 00:00:00 2002-06-10 00:00:00 A A Trebled 10000 30000 0 30000 0 170015959 A99999 N None None SFY2001-02
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2002-07-26 00:00:00 170001734 Closed Citation Citation A (HSC 1424) Administration None 2002-06-18 00:00:00 None No 2002-08-26 00:00:00 None A None 7000 21000 0 21000 0 170015997 A99999 N None None SFY2002-03
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2002-08-21 00:00:00 170001735 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-04-18 00:00:00 None Yes 2002-09-16 00:00:00 2004-04-02 00:00:00 A A 16000 48000 0 48000 0 170016009 A99999 N None None SFY2002-03
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2002-11-05 00:00:00 170001736 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-22 00:00:00 None No 2002-12-05 00:00:00 None B None 650 650 0 650 0 170016072 A99999 N None None SFY2002-03
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2003-03-07 00:00:00 170001737 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-29 00:00:00 None No 2003-04-07 00:00:00 None B None 1000 3000 -1050 1950 0 170016069 A99999 N None None SFY2002-03
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-03-28 00:00:00 170001738 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-12-21 00:00:00 None No 2003-04-21 00:00:00 None A None 10000 30000 -10500 19500 0 170015460 A99999 N None None SFY2002-03
170001860 DEPARTMENT OF STATE HOSPITALS - METROPOLITAN LTC SNF Skilled Nursing Facility State Facilities Section 2001-12-28 00:00:00 170001742 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-12-21 00:00:00 2001-12-21 00:00:00 Yes 2002-05-01 00:00:00 2002-01-02 00:00:00 B B 1000 1000 0 1000 0 170016648 A99999 N None None SFY2001-02
170001860 DEPARTMENT OF STATE HOSPITALS - METROPOLITAN LTC SNF Skilled Nursing Facility State Facilities Section 2002-12-30 00:00:00 170001743 Closed Citation Citation A (HSC 1424) Patient Care None 2002-09-09 00:00:00 None No 2003-02-03 00:00:00 None A None 7500 7500 -2625 4875 0 170016650 A99999 N None None SFY2002-03
170001770 FAIRVIEW DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2003-04-24 00:00:00 170001744 Closed Citation Citation AA (HSC 1424) Physical Environment None 2002-07-05 00:00:00 None No 2003-05-19 00:00:00 None AA None 80000 80000 -28000 52000 0 170015161 A99999 Y None None SFY2002-03
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-04-30 00:00:00 170001745 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-08 00:00:00 None No 2003-05-23 00:00:00 None B None 1000 1000 -350 650 0 170015444 A99999 N None None SFY2002-03
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-05-05 00:00:00 170001746 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-13 00:00:00 None No 2003-05-27 00:00:00 None B None 1000 3000 -1050 1950 0 170015534 A99999 N None None SFY2002-03
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-05-06 00:00:00 170001747 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-08-07 00:00:00 None No 2003-05-30 00:00:00 None A None 10000 10000 -3500 6500 0 170015226 A99999 N None None SFY2002-03
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-06-04 00:00:00 170001748 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-03 00:00:00 None No 2003-06-25 00:00:00 None B None 1000 3000 -1050 1950 0 170016797 A99999 N None None SFY2002-03
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-06-12 00:00:00 170001749 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-23 00:00:00 None No 2003-07-07 00:00:00 None B None 800 2400 -840 1560 0 170016221 A99999 N None None SFY2002-03
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-06-19 00:00:00 170001750 Closed Citation Citation AA (HSC 1424) Patient Rights None 2002-08-07 00:00:00 None No 2003-07-15 00:00:00 None AA None 25000 25000 -8750 16250 0 170015242 A99999 Y None None SFY2002-03
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-07-10 00:00:00 170001751 Closed Citation Citation B (HSC 1424) Administration None 2003-03-08 00:00:00 None No 2002-08-02 00:00:00 None B None 1000 1000 0 1000 0 170016210 A99999 N None None SFY2003-04
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-07-02 00:00:00 170001752 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-27 00:00:00 None No 2003-07-29 00:00:00 None B None 1000 1000 -350 650 0 170016245 A99999 N None None SFY2003-04
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 1999-04-13 00:00:00 170001758 Closed Citation Citation AA (HSC 1424) Patient Care None 1999-03-13 00:00:00 None Yes 1999-05-04 00:00:00 1999-10-30 00:00:00 AA AA 25000 12500 0 12500 0 170016904 A99999 Y None None SFY1998-99
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2000-06-16 00:00:00 170001759 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-03-30 00:00:00 None Yes 2000-12-04 00:00:00 2000-07-07 00:00:00 AA AA 25000 12500 0 12500 0 170016923 A99999 Y None None SFY1999-00
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2000-06-16 00:00:00 170001760 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-02-11 00:00:00 None Yes 2000-12-04 00:00:00 2000-07-07 00:00:00 AA AA 25000 12500 0 12500 0 170016923 A99999 Y None None SFY1999-00
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2000-06-16 00:00:00 170001761 Closed Citation Citation A (HSC 1424) Administration None 2000-03-28 00:00:00 None Yes 2000-12-04 00:00:00 2000-07-07 00:00:00 A A 10000 5000 0 5000 0 170016923 A99999 N None None SFY1999-00
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2000-06-16 00:00:00 170001762 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-02-11 00:00:00 None Yes 2000-12-04 00:00:00 2000-07-07 00:00:00 WF A 2499 1250 0 1250 0 170016923 A99999 None None None SFY1999-00
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2000-06-16 00:00:00 170001763 Closed Citation Citation B (HSC 1424) Other UNUSUAL OCC. 2000-02-12 00:00:00 None Yes 2001-05-18 00:00:00 2000-07-07 00:00:00 B B 1000 1000 0 1000 0 170016923 A99999 Y None None SFY1999-00
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2000-06-16 00:00:00 170001764 Closed Citation Citation B (HSC 1424) Medication None 2000-05-10 00:00:00 None Yes 2000-07-17 00:00:00 2000-07-07 00:00:00 B None 1000 1000 0 1000 0 170016922 A99999 N None None SFY1999-00
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2000-07-31 00:00:00 170001765 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-21 00:00:00 None Yes 2001-05-18 00:00:00 2000-08-18 00:00:00 A A 10000 5000 0 5000 0 170016930 A99999 N None None SFY2000-01
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2001-12-18 00:00:00 170001766 Closed Citation Citation A (HSC 1424) Other ABUSE 2001-10-24 00:00:00 None Yes 2002-12-06 00:00:00 2002-11-25 00:00:00 A A 15000 7500 0 7500 0 170016956 A99999 N None None SFY2001-02
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2002-01-17 00:00:00 170001767 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-02 00:00:00 None Yes 2002-02-14 00:00:00 2002-01-17 00:00:00 A A 20000 10000 0 10000 0 170016954 A99999 N None None SFY2001-02
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2003-01-31 00:00:00 170001768 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-11-04 00:00:00 None Yes 2003-03-03 00:00:00 2004-02-19 00:00:00 AA AA 95000 48100 -600 47500 0 170016988 A99999 Y None None SFY2002-03
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2003-02-26 00:00:00 170001769 Closed Citation Citation B (HSC 1424) Other PHARMACY SERVICES 2002-12-06 00:00:00 None Yes 2003-03-24 00:00:00 2003-02-28 00:00:00 B B 800 400 0 400 0 170016995 A99999 N None None SFY2002-03
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2003-03-28 00:00:00 170001770 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-01-09 00:00:00 None Yes 2003-04-24 00:00:00 2003-11-24 00:00:00 AA AA 100000 50000 0 50000 0 170016991 A99999 Y None None SFY2002-03
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2003-04-18 00:00:00 170001771 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-03 00:00:00 None Yes 2003-05-14 00:00:00 2003-04-22 00:00:00 B B 1000 500 0 500 0 170016987 A99999 N None None SFY2002-03
170001864 VETERANS HOME OF CALIFORNIA-BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2001-03-07 00:00:00 170001772 Closed Citation Citation Retaliation/Discrimination (HSC 1432) Administration None 2000-06-21 00:00:00 2000-07-05 00:00:00 Yes 2001-09-11 00:00:00 2001-03-26 00:00:00 RD A 10000 10000 0 10000 0 170016949 A99999 None None None SFY2000-01
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-07-15 00:00:00 170001773 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-25 00:00:00 None No 2003-08-07 00:00:00 None B None 700 2100 0 2100 0 170016180 A99999 N None None SFY2003-04
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-07-23 00:00:00 170001774 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-10 00:00:00 None No 2003-08-15 00:00:00 None B None 800 800 -280 520 0 170016768 A99999 N None None SFY2003-04
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-07-30 00:00:00 170001775 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-10-06 00:00:00 None No 2003-08-20 00:00:00 None A None 9000 9000 -3150 5850 0 170015346 A99999 N None None SFY2003-04
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-07-31 00:00:00 170001776 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-15 00:00:00 None No 2003-08-25 00:00:00 None B None 1000 1000 -350 650 0 170015185 A99999 N None None SFY2003-04
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-08-05 00:00:00 170001777 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-30 00:00:00 None No 2003-08-28 00:00:00 None B None 1000 1000 -350 650 0 170016692 A99999 N None None SFY2003-04
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-08-21 00:00:00 170001778 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-30 00:00:00 None Yes 2003-09-16 00:00:00 2003-08-26 00:00:00 B B 1000 3000 0 3000 0 170017111 A99999 N None None SFY2003-04
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-08-28 00:00:00 170001779 Closed Citation Citation A (HSC 1424) Patient Care None 2002-09-29 00:00:00 None No 2003-09-23 00:00:00 None A None 9500 28500 -9975 18525 0 170015390 A99999 N None None SFY2003-04
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-10-16 00:00:00 170001780 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-06 00:00:00 None No 2003-11-10 00:00:00 None B None 1000 1000 -350 650 0 170016839 A99999 N None None SFY2003-04
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-10-21 00:00:00 170001781 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-07-27 00:00:00 None No 2003-11-12 00:00:00 None B None 1000 3000 -1050 1950 0 170017054 A99999 N None None SFY2003-04
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2004-01-07 00:00:00 170001782 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-06-22 00:00:00 None No 2004-02-02 00:00:00 None AA None 25000 25000 -8750 16250 0 170016852 A99999 Y None None SFY2003-04
170001774 LANTERMAN DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2004-01-08 00:00:00 170001783 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-24 00:00:00 None No 2004-02-03 00:00:00 None A None 19000 19000 -6650 12350 0 170017239 A99999 N None None SFY2003-04
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-03-04 00:00:00 170001784 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-16 00:00:00 None No 2004-03-29 00:00:00 None B None 1000 3000 -1050 1950 0 170017404 A99999 N None None SFY2003-04
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-04-20 00:00:00 170001785 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-02-06 00:00:00 None No 2004-05-17 00:00:00 None A None 10000 10000 -3500 6500 0 170017479 A99999 N None None SFY2003-04
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2004-04-21 00:00:00 170001786 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-05 00:00:00 None Yes 2004-05-12 00:00:00 2004-04-21 00:00:00 B None 1000 1000 -350 650 0 170017458 A99999 N None None SFY2003-04
170001876 PORTERVILLE DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2003-01-14 00:00:00 170001796 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-22 00:00:00 2002-03-22 00:00:00 No 2003-02-05 00:00:00 None A None 10000 10000 -3500 6500 0 170017745 A99999 N None None SFY2002-03
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-11-04 00:00:00 170001797 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-29 00:00:00 2002-07-29 00:00:00 No 2002-12-02 00:00:00 None B None 900 900 -315 585 0 170017836 A99999 N None None SFY2002-03
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-11-07 00:00:00 170001798 Closed Citation Citation AA (HSC 1424) Patient Rights None 2003-04-13 00:00:00 2003-04-13 00:00:00 Yes 2003-12-04 00:00:00 2003-11-24 00:00:00 AA AA 25000 25000 0 25000 0 170017969 A99999 Y None None SFY2003-04
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-03-01 00:00:00 170001827 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-12-29 00:00:00 1999-12-29 00:00:00 No 2000-03-24 00:00:00 None A None 10000 10000 -10000 0 0 170018492 A99999 N None None SFY1999-00
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-03-01 00:00:00 170001828 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-10-26 00:00:00 1999-10-27 00:00:00 No 2000-03-27 00:00:00 None A None 10000 10000 -10000 0 0 170018493 A99999 N None None SFY1999-00
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-09-20 00:00:00 170001829 Closed Citation Citation B (HSC 1424) Staffing None 2000-06-28 00:00:00 2000-06-28 00:00:00 No 2000-10-13 00:00:00 None B None 1000 1000 -350 650 0 170018529 A99999 N None None SFY2000-01
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-09-20 00:00:00 170001830 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-15 00:00:00 2000-07-15 00:00:00 No 2000-10-13 00:00:00 None B None 1000 1000 -350 650 0 170018530 A99999 N None None SFY2000-01
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-10-19 00:00:00 170001831 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-14 00:00:00 2000-08-14 00:00:00 No 2000-11-14 00:00:00 None B None 1000 1000 -350 650 0 170018548 A99999 N None None SFY2000-01
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-21 00:00:00 170001832 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-15 00:00:00 2000-08-15 00:00:00 No 2001-01-16 00:00:00 None B None 1000 1000 -350 650 0 170018552 A99999 N None None SFY2000-01
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-21 00:00:00 170001833 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-15 00:00:00 2000-04-15 00:00:00 No 2001-01-16 00:00:00 None B None 1000 1000 -350 650 0 170018559 A99999 N None None SFY2000-01
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2000-12-21 00:00:00 170001834 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-31 00:00:00 2000-08-31 00:00:00 No 2001-01-16 00:00:00 None B None 1000 1000 -350 650 0 170018535 A99999 N None None SFY2000-01
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-10-17 00:00:00 170001835 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-14 00:00:00 2001-03-14 00:00:00 No 2001-11-07 00:00:00 None B None 800 2400 -840 1560 0 170018590 A99999 N None None SFY2001-02
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-10-25 00:00:00 170001836 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-19 00:00:00 2001-02-19 00:00:00 No 2001-11-20 00:00:00 None B None 1000 1000 -350 650 0 170018624 A99999 N None None SFY2001-02
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-12-04 00:00:00 170001837 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-09 00:00:00 2001-07-09 00:00:00 No 2001-12-26 00:00:00 None B None 800 800 -280 520 0 170018600 A99999 N None None SFY2001-02
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2001-12-13 00:00:00 170001838 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-08 00:00:00 2001-03-08 00:00:00 No 2002-01-09 00:00:00 None B None 900 900 -315 585 0 170018680 A99999 N None None SFY2001-02
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-04-15 00:00:00 170001839 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-13 00:00:00 2001-03-13 00:00:00 No 2002-05-06 00:00:00 None B None 700 2100 -735 1365 0 170018589 A99999 N None None SFY2001-02
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-05-21 00:00:00 170001840 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-09-01 00:00:00 2001-09-01 00:00:00 No 2002-06-12 00:00:00 None A None 8000 8000 -2800 5200 0 170018682 A99999 N None None SFY2001-02
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-05-21 00:00:00 170001841 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-10-17 00:00:00 2001-10-17 00:00:00 No 2002-06-12 00:00:00 None A None 10000 10000 -3500 6500 0 170018664 A99999 N None None SFY2001-02
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-05-21 00:00:00 170001842 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-09-22 00:00:00 2001-09-22 00:00:00 No 2002-06-12 00:00:00 None A None 10000 10000 -3500 6500 0 170018613 A99999 N None None SFY2001-02
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-07-26 00:00:00 170001843 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-06-01 00:00:00 2001-06-01 00:00:00 No 2002-08-19 00:00:00 None A A 8000 5200 0 5200 0 170018681 A99999 N None None SFY2002-03
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2002-11-04 00:00:00 170001844 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-20 00:00:00 2001-01-20 00:00:00 No 2002-12-02 00:00:00 None B None 1000 3000 -1050 1950 0 170018571 A99999 N None None SFY2002-03
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2003-01-14 00:00:00 170001845 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-08 00:00:00 2001-01-08 00:00:00 No 2003-02-05 00:00:00 None B None 1000 3000 -1050 1950 0 170018567 A99999 N None None SFY2002-03
170001882 PARIS-LAMB HEALTH CENTER LTC SNF Skilled Nursing Facility State Facilities Section 2002-10-10 00:00:00 170001846 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-25 00:00:00 2002-02-25 00:00:00 No 2002-11-04 00:00:00 None B None 800 800 0 800 0 170019005 A99999 N None None SFY2002-03
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-05-26 00:00:00 170001847 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-23 00:00:00 2003-12-23 00:00:00 No 2004-06-21 00:00:00 None B None 1000 3000 -1050 1950 0 170019064 A99999 N None None SFY2003-04
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-06-17 00:00:00 170001848 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-24 00:00:00 None No 2004-07-09 00:00:00 None B None 1000 1000 -350 650 0 170019089 A99999 N None None SFY2003-04
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-08-20 00:00:00 170001849 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-30 00:00:00 None No 2004-09-30 00:00:00 None B None 1000 3000 -1050 1950 0 170017468 A99999 N None None SFY2004-05
170001870 VETERANS HOME OF CALIFORNIA - CHULA VISTA LTC SNF Skilled Nursing Facility State Facilities Section 2004-08-24 00:00:00 170001850 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-25 00:00:00 None Yes 2004-10-01 00:00:00 2004-09-01 00:00:00 B B 1000 500 0 500 0 170019109 A99999 N None None SFY2004-05
170001860 DEPARTMENT OF STATE HOSPITALS - METROPOLITAN LTC SNF Skilled Nursing Facility State Facilities Section 2004-08-26 00:00:00 170001851 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-29 00:00:00 None No 2004-09-17 00:00:00 None B None 1000 1000 -350 650 0 170019110 A99999 N None None SFY2004-05
170001770 FAIRVIEW DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2004-09-08 00:00:00 170001852 Closed Citation Citation B (HSC 1424) Administration None 2004-05-21 00:00:00 None No 2004-10-01 00:00:00 None B None 1000 1000 -350 650 0 170019116 A99999 N None None SFY2004-05
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2004-09-07 00:00:00 170001853 Closed Citation Citation A (HSC 1424) Patient Care None 2004-01-06 00:00:00 None Yes 2007-11-16 00:00:00 2004-09-08 00:00:00 A A 20000 20000 0 20000 0 170017424 A99999 N None None SFY2004-05
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-10-22 00:00:00 170001854 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-05-06 00:00:00 None No 2004-11-23 00:00:00 None A None 10000 10000 -3500 6500 0 170019128 A99999 N None None SFY2004-05
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2004-10-21 00:00:00 170001855 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-07-17 00:00:00 None No 2004-11-16 00:00:00 None A None 20000 20000 -7000 13000 0 170019129 A99999 N None None SFY2004-05
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-11-04 00:00:00 170001856 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-07-17 00:00:00 None Yes 2004-12-02 00:00:00 2004-11-16 00:00:00 AA AA 25000 25000 0 25000 0 170019133 A99999 Y None None SFY2004-05
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-12-01 00:00:00 170001857 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-06-05 00:00:00 None Yes 2004-12-30 00:00:00 2004-12-21 00:00:00 AA None 25000 25000 0 25000 0 170019138 A99999 Y None None SFY2004-05
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2004-12-07 00:00:00 170001858 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-29 00:00:00 None No 2004-12-30 00:00:00 None B None 1000 3000 -1050 1950 0 170019139 A99999 N CA00029179 C SFY2004-05
170001876 PORTERVILLE DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2005-02-01 00:00:00 170001859 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-04 00:00:00 None No 2005-02-23 00:00:00 None B None 500 600 -175 425 0 170019152 A99999 N None None SFY2004-05
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-02-01 00:00:00 170001860 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-01 00:00:00 None No 2005-02-23 00:00:00 None B None 800 800 -280 520 0 170019153 A99999 N None None SFY2004-05
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-02-01 00:00:00 170001861 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-03 00:00:00 None No 2005-02-23 00:00:00 None B None 800 1150 -280 870 0 170019154 A99999 N None None SFY2004-05
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-04-20 00:00:00 170001862 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-20 00:00:00 None No 2005-05-13 00:00:00 None B None 1000 3000 -1050 1950 0 170019155 A99999 N CA00035079 C SFY2004-05
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-04-21 00:00:00 170001863 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-28 00:00:00 None No 2005-05-23 00:00:00 None B None 1000 1000 -350 650 0 170019156 A99999 N None None SFY2004-05
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-05-24 00:00:00 170001865 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-07-23 00:00:00 None Yes 2005-07-12 00:00:00 2005-06-09 00:00:00 AA AA 25000 25050 -50 25000 0 170019157 A99999 Y CA00028890 C SFY2004-05
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-05-24 00:00:00 170001866 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-12-15 00:00:00 None No 2005-06-15 00:00:00 None A None 6000 18000 -6300 11700 0 170019158 A99999 N CA00035987 C SFY2004-05
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-06-01 00:00:00 170001867 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-02 00:00:00 None No 2005-06-22 00:00:00 None B None 1000 1000 -350 650 0 170019159 A99999 N None None SFY2004-05
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-06-15 00:00:00 170001868 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-08 00:00:00 None No 2005-07-27 00:00:00 None B None 1000 1000 0 1000 0 170019160 A99999 N CA00037293 C SFY2004-05
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-06-28 00:00:00 170001869 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-15 00:00:00 None No 2005-07-20 00:00:00 None B None 1000 1000 -350 650 0 170019161 A99999 N CA00040920 C SFY2004-05
170001774 LANTERMAN DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2005-06-28 00:00:00 170001870 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-03 00:00:00 None No 2005-07-20 00:00:00 None B None 1000 1000 -350 650 0 170019162 A99999 N None None SFY2004-05
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-06-28 00:00:00 170001871 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-18 00:00:00 None No 2005-07-20 00:00:00 None B None 500 500 -175 325 0 170019163 A99999 N None None SFY2004-05
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-06-28 00:00:00 170001872 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-15 00:00:00 None No 2005-07-20 00:00:00 None B None 1000 1000 -350 650 0 170019164 A99999 N CA00040912 C SFY2004-05
170001770 FAIRVIEW DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2005-07-13 00:00:00 170001873 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-22 00:00:00 None Yes 2005-08-03 00:00:00 2005-07-25 00:00:00 B None 1000 3000 -1050 1950 0 170019165 A99999 N None None SFY2005-06
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-08-04 00:00:00 170001874 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-12 00:00:00 None No 2005-08-25 00:00:00 None B None 1000 1000 -350 650 0 170019166 A99999 N None None SFY2005-06
170001876 PORTERVILLE DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2005-08-09 00:00:00 170001875 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-29 00:00:00 None No 2005-09-19 00:00:00 None B None 500 500 -175 325 0 170019167 A99999 N None None SFY2005-06
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2005-08-09 00:00:00 170001876 Closed Citation Citation B (HSC 1424) Administration None 2005-04-21 00:00:00 None No 2005-09-01 00:00:00 None B None 1000 1000 -350 650 0 170019168 A99999 N None None SFY2005-06
170001770 FAIRVIEW DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2005-09-08 00:00:00 170001877 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-24 00:00:00 2005-05-24 00:00:00 No 2005-09-29 00:00:00 None B None 1000 1000 -350 650 0 170019169 A99999 N None None SFY2005-06
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-09-26 00:00:00 170001878 Closed Citation Citation B (HSC 1424) Medication None 2005-05-31 00:00:00 None No 2005-10-18 00:00:00 None B None 1000 3000 -1050 1950 0 170019170 A99999 N None None SFY2005-06
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-09-26 00:00:00 170001879 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-12 00:00:00 None No 2005-10-18 00:00:00 None B None 1000 1000 -350 650 0 170019171 A99999 N None None SFY2005-06
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-10-04 00:00:00 170001880 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-28 00:00:00 None No 2005-10-26 00:00:00 None B None 1000 1000 -350 650 0 170019172 A99999 N None None SFY2005-06
170001876 PORTERVILLE DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2005-10-04 00:00:00 170001881 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-04-28 00:00:00 None No 2005-10-26 00:00:00 None A None 20000 20000 -7000 13000 0 170019173 A99999 N None None SFY2005-06
170001876 PORTERVILLE DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2005-10-11 00:00:00 170001882 Closed Citation Citation B (HSC 1424) Medication None 2005-08-29 00:00:00 None No 2005-11-01 00:00:00 None B None 1000 1000 -350 650 0 170019174 A99999 N None None SFY2005-06
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-10-12 00:00:00 170001883 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-29 00:00:00 None No 2005-11-02 00:00:00 None B None 1000 3000 -1050 1950 0 170019175 A99999 N CA00059315 C SFY2005-06
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-10-18 00:00:00 170001884 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-14 00:00:00 None No 2005-11-16 00:00:00 None B None 800 2650 -840 1810 0 170019176 A99999 N None None SFY2005-06
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2005-10-26 00:00:00 170001885 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-22 00:00:00 None No 2005-11-18 00:00:00 None B None 1000 1000 -350 650 0 170019177 A99999 N None None SFY2005-06
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-01-19 00:00:00 170001887 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-08 00:00:00 2005-05-08 00:00:00 No 2006-02-09 00:00:00 None B None 1000 3000 -1050 1950 0 170019178 A99999 N None None SFY2005-06
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-02-21 00:00:00 170001888 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-27 00:00:00 2005-02-27 00:00:00 No 2006-03-14 00:00:00 None B None 1000 3000 -1050 1950 0 170019179 A99999 N None None SFY2005-06
170001867 VETERANS HOME OF CALIFORNIA - BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2006-03-28 00:00:00 170002931 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-03 00:00:00 2005-10-03 00:00:00 Yes 2006-04-19 00:00:00 2006-04-19 00:00:00 B B 1000 550 -50 500 0 None AOWK11 N CA00063549 C SFY2005-06
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-03-20 00:00:00 170002944 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-05 00:00:00 2005-05-05 00:00:00 No 2006-04-11 00:00:00 None B None 800 800 -280 520 0 None Z8OI N CA00048446 C SFY2005-06
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-05-18 00:00:00 170002993 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-08 00:00:00 2005-11-08 00:00:00 No 2006-06-09 00:00:00 None B None 800 800 -280 520 0 None F99811 N CA00065918 C SFY2005-06
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2006-05-03 00:00:00 170003072 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-18 00:00:00 2005-09-18 00:00:00 No 2006-05-24 00:00:00 None B None 1000 1000 -350 650 0 None 3M2J11 N CA00061788 C SFY2005-06
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-08-08 00:00:00 170003096 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-11 00:00:00 2005-05-11 00:00:00 No 2006-09-05 00:00:00 None B None 1000 1000 -350 650 0 None NZY311 N CA00048331 C SFY2006-07
170001770 FAIRVIEW DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2006-07-13 00:00:00 170003099 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-02 00:00:00 2005-08-02 00:00:00 No 2006-08-03 00:00:00 None B None 800 850 0 850 0 None WGJ011 N CA00057426 C SFY2006-07
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-05-16 00:00:00 170003102 Closed Citation Citation B (HSC 1424) Administration None 2005-09-14 00:00:00 2005-09-14 00:00:00 No 2006-06-07 00:00:00 None B None 800 800 -280 520 0 None 63YG11 N CA00061527 C SFY2005-06
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-06-13 00:00:00 170003110 Closed Citation Citation A (HSC 1424) Patient Care None 2006-03-31 00:00:00 2006-03-31 00:00:00 No 2008-07-07 00:00:00 None A None 10000 10000 -3500 6500 0 None IN4111 N CA00077137 C SFY2007-08
170001876 PORTERVILLE DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2006-08-17 00:00:00 170003117 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-23 00:00:00 2006-01-23 00:00:00 No 2006-09-08 00:00:00 None B None 1000 1000 -350 650 0 None ATXK11 N CA00070939 C SFY2006-07
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-06-19 00:00:00 170003152 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-14 00:00:00 2005-09-14 00:00:00 No 2006-07-11 00:00:00 None B None 1000 1000 -350 650 0 None G8Y311 N CA00061528 C SFY2005-06
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2006-08-08 00:00:00 170003200 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-02 00:00:00 2006-06-02 00:00:00 No 2006-08-29 00:00:00 None B None 700 700 -245 455 0 None BVTZ N CA00078978 C SFY2006-07
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2008-04-17 00:00:00 170003335 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-14 00:00:00 2006-08-14 00:00:00 No 2008-05-08 00:00:00 None B None 800 800 -280 520 0 None M4XZ11 N CA00083014 C SFY2007-08
170001870 VETERANS HOME OF CALIFORNIA - CHULA VISTA LTC SNF Skilled Nursing Facility State Facilities Section 2006-11-17 00:00:00 170003502 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-12 00:00:00 2006-07-12 00:00:00 No 2006-12-12 00:00:00 None B None 800 1150 0 1150 0 None YBBG11 N CA00087694 C SFY2006-07
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-01-16 00:00:00 170003639 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-22 00:00:00 2005-06-22 00:00:00 No 2007-02-06 00:00:00 None B None 1000 1000 -350 650 0 None FP1511 N CA00053313 C SFY2006-07
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-07-16 00:00:00 170004097 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-21 00:00:00 2006-06-21 00:00:00 No 2007-08-06 00:00:00 None B None 1000 1000 -350 650 0 None SM7R11 N CA00084508 C SFY2007-08
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-07-16 00:00:00 170004098 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-16 00:00:00 2006-06-16 00:00:00 No 2007-08-06 00:00:00 None B None 1000 1000 -350 650 0 None RFVS11 N CA00084204 C SFY2007-08
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-07-16 00:00:00 170004100 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-11 00:00:00 2006-05-11 00:00:00 No 2007-08-06 00:00:00 None B None 1000 1000 -350 650 0 None 4GJI N CA00080788 C SFY2007-08
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2007-07-16 00:00:00 170004101 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-19 00:00:00 2006-05-19 00:00:00 No 2007-08-06 00:00:00 None B None 800 800 -280 520 0 None 4GJI11 N CA00081591 C SFY2007-08
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2008-02-19 00:00:00 170004686 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-22 00:00:00 2007-12-22 00:00:00 No 2008-03-11 00:00:00 None B None 1000 1000 0 1000 0 None SD8W11 N CA00135821 B SFY2007-08
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-04-29 00:00:00 170004958 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-02-05 00:00:00 2006-02-05 00:00:00 No 2008-05-20 00:00:00 None B None 1000 1000 -350 650 0 None DD1I11 N CA00073868 C SFY2007-08
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2008-04-29 00:00:00 170004960 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-02-05 00:00:00 2006-02-05 00:00:00 No 2008-05-20 00:00:00 None B None 1000 1000 -350 650 0 None DD1I11 N CA00073868 C SFY2007-08
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2009-04-09 00:00:00 170006056 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-21 00:00:00 2008-03-21 00:00:00 No 2009-04-30 00:00:00 None B None 1000 1000 -350 650 0 None C2CK11 N CA00144858 C SFY2008-09
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2009-04-09 00:00:00 170006057 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-16 00:00:00 2007-05-16 00:00:00 No 2009-04-30 00:00:00 None B None 1000 1000 -350 650 0 None Y66X11 N CA00115426 C SFY2008-09
170001774 LANTERMAN DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2009-05-14 00:00:00 170006184 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-30 00:00:00 2009-01-30 00:00:00 No 2009-06-05 00:00:00 None B None 1000 1000 -350 650 0 None XZOG11 N CA00176678 C SFY2008-09
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2009-05-26 00:00:00 170006214 Closed Citation Citation AA (HSC 1424) Patient Rights None 2007-06-23 00:00:00 2007-06-23 00:00:00 No 2009-06-16 00:00:00 None AA None 22500 22500 0 22500 0 None 13BC11 Y CA00118675 D SFY2008-09
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2009-08-25 00:00:00 170006485 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-09 00:00:00 2008-07-09 00:00:00 No 2009-09-16 00:00:00 None B None 1000 1000 -350 650 0 None I57X11 N CA00156452 C SFY2009-10
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2010-07-08 00:00:00 170006835 Closed Citation Citation AA (HSC 1424) Patient Rights None 2007-06-21 00:00:00 2007-06-21 00:00:00 No 2010-07-29 00:00:00 None AA None 25000 25000 -8750 16250 0 None PO2011 Y CA00118671 D SFY2010-11
170001860 DEPARTMENT OF STATE HOSPITALS - METROPOLITAN LTC SNF Skilled Nursing Facility State Facilities Section 2010-11-18 00:00:00 170006836 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-09-29 00:00:00 2007-09-29 00:00:00 Yes 2010-12-13 00:00:00 2010-12-07 00:00:00 AA AA 100000 100850 -850 100000 0 None 6DPF11 Y CA00127933 C SFY2010-11
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2011-05-19 00:00:00 170006837 Closed Citation Citation A (HSC 1424) Patient Rights None 2008-01-28 00:00:00 2008-01-28 00:00:00 No 2011-06-10 00:00:00 None A None 20000 20000 -7000 13000 0 None LPLT11 N CA00139756, CA00141729 B, C SFY2010-11
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2011-06-29 00:00:00 170006838 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-10 00:00:00 2006-09-10 00:00:00 No 2011-07-21 00:00:00 None B None 1000 1000 -1000 0 0 None FHYR11 N CA00092543 C SFY2010-11
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2012-04-19 00:00:00 170006840 Closed Citation Citation A (HSC 1424) Patient Rights None 2009-02-22 00:00:00 2009-02-22 00:00:00 No 2012-05-10 00:00:00 None A None 10000 10000 -3500 6500 0 None IOD511 N CA00178891, CA00178929, CA00179998 C, C, C SFY2011-12
170001870 VETERANS HOME OF CALIFORNIA - CHULA VISTA LTC SNF Skilled Nursing Facility State Facilities Section 2010-06-22 00:00:00 170006841 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-10-31 00:00:00 2005-10-31 00:00:00 No 2010-07-13 00:00:00 None B None 1000 1000 0 1000 0 None NBEE11 N CA00121752 C SFY2009-10
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2010-09-22 00:00:00 170007012 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-08-23 00:00:00 2009-08-23 00:00:00 No 2010-10-13 00:00:00 None AP BR None 100000 100000 -25000 75000 0 None JJH311 None CA00214103 C SFY2010-11
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2010-08-06 00:00:00 170007158 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-22 00:00:00 2008-03-22 00:00:00 No 2010-08-30 00:00:00 None B None 1000 1000 -350 650 0 None SBSW11 N CA00145109 C SFY2010-11
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2011-03-25 00:00:00 170007180 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-03-14 00:00:00 2010-03-14 00:00:00 Yes 2011-04-18 00:00:00 2011-04-04 00:00:00 AA AA 25000 16250 0 16250 0 None WB1H11 Y CA00221743 C SFY2010-11
170001870 VETERANS HOME OF CALIFORNIA - CHULA VISTA LTC SNF Skilled Nursing Facility State Facilities Section 2011-04-26 00:00:00 170007429 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2010-05-12 00:00:00 2010-05-12 00:00:00 No 2011-05-17 00:00:00 None B None 1000 1000 -350 650 0 None H9F811 N CA00234391, CA00234674 C, C SFY2010-11
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2011-12-15 00:00:00 170007480 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-01-04 00:00:00 2010-01-04 00:00:00 No 2012-01-09 00:00:00 None AA None 80000 80000 -28000 52000 0 None 43CR11 Y CA00213669 C SFY2011-12
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2010-12-13 00:00:00 170007499 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-21 00:00:00 2010-04-21 00:00:00 No 2011-01-03 00:00:00 None B None 800 800 -280 520 0 None SYX011 N CA00226447 C SFY2010-11
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2011-07-28 00:00:00 170007535 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-08-05 00:00:00 2010-08-05 00:00:00 No 2011-08-18 00:00:00 None B None 1000 1000 -350 650 0 None G43M11 N CA00238367 B SFY2011-12
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2010-11-10 00:00:00 170007579 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-15 00:00:00 2010-03-15 00:00:00 No 2010-12-09 00:00:00 None B None 800 800 0 800 0 None CLX511 N CA00221871 C SFY2010-11
170001867 VETERANS HOME OF CALIFORNIA - BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2011-08-24 00:00:00 170007620 Closed Citation Citation A (HSC 1424) Medication None 2009-12-31 00:00:00 2009-12-31 00:00:00 Yes 2011-09-14 00:00:00 2011-08-30 00:00:00 A Dismissed by Court 10000 0 0 0 0 None D28B11 N CA00213628 C SFY2011-12
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2011-11-03 00:00:00 170008109 Closed Citation Citation A (HSC 1424) Patient Rights None 2009-01-08 00:00:00 2009-01-08 00:00:00 No 2011-11-29 00:00:00 None A None 15000 15000 -5250 9750 0 None 07NZ11 N CA00174360, CA00174846 C, C SFY2011-12
170001867 VETERANS HOME OF CALIFORNIA - BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2012-07-19 00:00:00 170008822 Closed Citation Citation A (HSC 1424) Medication None 2011-06-14 00:00:00 2011-06-14 00:00:00 No 2012-08-09 00:00:00 None A None 16000 16000 -5600 10400 0 None TVXZ11 N CA00273088 D SFY2012-13
170001770 FAIRVIEW DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-04-29 00:00:00 170008980 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-28 00:00:00 2011-09-28 00:00:00 No 2014-05-20 00:00:00 None A None 20000 20000 -7000 13000 0 None I2D911 N CA00285809 C SFY2013-14
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-02 00:00:00 170009106 Closed Citation Citation B (HSC 1424) Other Nursing Services 2012-01-25 00:00:00 2012-01-25 00:00:00 No 2014-04-23 00:00:00 None B None 1000 1000 -350 650 0 None OOXQ11 N CA00297892 D SFY2013-14
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-27 00:00:00 170009179 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-15 00:00:00 2011-11-15 00:00:00 No 2014-03-20 00:00:00 None B None 1000 1000 -350 650 0 None R9F611 N CA00291174, CA00293476 D, C SFY2013-14
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-27 00:00:00 170009188 Closed Citation Citation A (HSC 1424) Patient Rights None 2010-12-11 00:00:00 2010-12-11 00:00:00 No 2014-03-20 00:00:00 None A None 10000 10000 -3500 6500 0 None K13W11 N CA00252924 C SFY2013-14
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-07 00:00:00 170009189 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-03-03 00:00:00 2012-03-03 00:00:00 No 2014-04-28 00:00:00 None A None 2000 2000 0 2000 0 None JJOE11 N CA00301989 B SFY2013-14
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2012-10-01 00:00:00 170009254 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-03-28 00:00:00 2011-03-28 00:00:00 No 2012-10-22 00:00:00 None B None 1000 1000 -350 650 0 None PFQB11 N CA00264915 D SFY2012-13
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2014-03-27 00:00:00 170009256 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-05 00:00:00 2012-01-05 00:00:00 No 2014-04-18 00:00:00 None B None 2000 2000 -700 1300 0 None 6ME311 Y CA00295139 A SFY2013-14
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-02-27 00:00:00 170009362 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-04-28 00:00:00 2012-04-28 00:00:00 No 2014-03-20 00:00:00 None B None 1000 1000 -350 650 0 None GP6O11 N CA00309848 C SFY2013-14
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-01-24 00:00:00 170009363 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-12-17 00:00:00 2011-12-17 00:00:00 No 2014-02-14 00:00:00 None B None 1000 1000 -350 650 0 None 469311 N CA00294260 C SFY2013-14
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-02 00:00:00 170009430 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-07-10 00:00:00 2012-07-10 00:00:00 No 2014-04-23 00:00:00 None B None 1000 1000 -350 650 0 None UDU011 N CA00317795 C SFY2013-14
170001876 PORTERVILLE DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-04-02 00:00:00 170009453 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Other WMFMR 2012-02-27 00:00:00 2012-02-27 00:00:00 No 2014-04-23 00:00:00 None WF None 2500 2500 -875 1625 0 None T3SV11 None CA00302932 C SFY2013-14
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-10 00:00:00 170009596 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-10-12 00:00:00 2012-10-12 00:00:00 No 2014-05-01 00:00:00 None B None 1000 1000 -350 650 0 None 8UUJ11 N CA00329459 C SFY2013-14
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-10 00:00:00 170009757 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-01-29 00:00:00 2013-01-29 00:00:00 No 2014-05-01 00:00:00 None B None 1000 1000 -350 650 0 None 0VTA11 N CA00341668 C SFY2013-14
170001867 VETERANS HOME OF CALIFORNIA - BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2014-05-07 00:00:00 170009948 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2012-01-06 07:30:00 2012-01-06 07:30:00 No 2014-05-29 00:00:00 None FTR BR None 1200 1200 -300 900 0 None WXZ511 None CA00297234 C SFY2013-14
170001870 VETERANS HOME OF CALIFORNIA - CHULA VISTA LTC SNF Skilled Nursing Facility State Facilities Section 2013-06-28 00:00:00 170009974 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-11 00:00:00 2013-04-11 00:00:00 No 2013-07-22 00:00:00 None B None 1600 1600 -560 1040 0 None Y41J11 N CA00351151 C SFY2012-13
170001870 VETERANS HOME OF CALIFORNIA - CHULA VISTA LTC SNF Skilled Nursing Facility State Facilities Section 2013-07-15 00:00:00 170009991 Closed Citation Citation B (HSC 1424) Administration None 2013-04-29 00:00:00 2013-04-29 00:00:00 No 2013-08-05 00:00:00 None B None 2000 2000 -700 1300 0 None EF9911 N CA00353025 B SFY2013-14
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-07-31 00:00:00 170010153 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-05-30 00:00:00 2014-05-30 00:00:00 No 2014-08-21 00:00:00 None A None 10000 10000 -3500 6500 0 None DS1011 N CA00357474 B SFY2014-15
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-03-26 00:00:00 170010187 Closed Citation Citation B (HSC 1424) Patient Care None 2013-01-05 00:00:00 2013-01-05 00:00:00 No 2014-04-17 00:00:00 None B None 1000 1000 -350 650 0 None FC5F11 N CA00338571, CA00338925 B, B SFY2013-14
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-09-02 00:00:00 170010230 Closed Citation Citation A (HSC 1424) Patient Care None 2013-07-18 00:00:00 2013-07-18 00:00:00 No 2016-09-26 00:00:00 None A None 10000 10000 -3500 6500 0 None Q7DL11 N CA00362883, CA00362993 B, A SFY2016-17
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-10 00:00:00 170010246 Closed Citation Citation B (HSC 1424) Administration None 2013-10-14 00:00:00 2013-10-14 00:00:00 No 2014-05-01 00:00:00 None B None 1000 1000 -350 650 0 None D1HO11 N None None SFY2013-14
170001878 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-24 00:00:00 170010248 Closed Citation Citation B (HSC 1424) Patient Care None 2013-08-21 00:00:00 2013-08-21 00:00:00 No 2014-05-15 00:00:00 None B None 1000 1000 -350 650 0 None GG1311 N CA00395676 B SFY2013-14
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-07 00:00:00 170010289 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-07-07 00:00:00 2012-07-07 00:00:00 No 2014-04-28 00:00:00 None B None 1000 1000 0 1000 0 None 0QV311 N CA00317411 C SFY2013-14
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-02 00:00:00 170010290 Closed Citation Citation B (HSC 1424) Patient Care None 2013-05-24 00:00:00 2013-05-24 00:00:00 No 2014-04-23 00:00:00 None B None 1000 1000 -350 650 0 None RTS311 N CA00312436 C SFY2013-14
170001770 FAIRVIEW DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-04-07 00:00:00 170010359 Closed Citation Citation B (HSC 1424) Patient Care None 2013-08-16 00:00:00 2013-08-16 00:00:00 No 2014-04-28 00:00:00 None B None 2000 2000 0 2000 0 None IZG711 N CA00366907 B SFY2013-14
170001773 LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-04 00:00:00 170010360 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-11-06 00:00:00 2012-11-06 00:00:00 No 2014-04-25 00:00:00 None B None 1000 1000 -350 650 0 None FC5F11 N CA00332312 A SFY2013-14
170001774 LANTERMAN DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2014-08-11 00:00:00 170010361 Closed Citation Citation A (HSC 1424) Dietary None 2011-09-25 00:00:00 2011-09-25 00:00:00 No 2014-09-02 00:00:00 None A None 16000 16000 -5600 10400 0 None CBZG11 Y CA00345915 B SFY2014-15
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-10 00:00:00 170010492 Closed Citation Citation B (HSC 1424) Patient Care None 2013-10-19 00:00:00 2013-10-19 00:00:00 No 2014-05-01 00:00:00 None B None 1000 1000 -350 650 0 None 4XUY11 N CA00374239 D SFY2013-14
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-14 00:00:00 170010493 Closed Citation Citation B (HSC 1424) Patient Care None 2013-10-12 00:00:00 2013-10-12 00:00:00 No 2014-05-05 00:00:00 None B None 1000 1000 -350 650 0 None 4XUY11 N CA00373620 C SFY2013-14
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-14 00:00:00 170010494 Closed Citation Citation B (HSC 1424) Patient Care None 2013-08-07 00:00:00 2013-08-07 00:00:00 No 2014-05-05 00:00:00 None B None 1000 1000 -350 650 0 None 4XUY11 N CA00365327, CA00368604, CA00369839 B, C, B SFY2013-14
170001867 VETERANS HOME OF CALIFORNIA - BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2014-04-21 00:00:00 170010545 Closed Citation Citation B (HSC 1424) Medication None 2013-07-17 00:00:00 2013-07-17 00:00:00 No 2014-05-12 00:00:00 None B None 2000 2000 -700 1300 0 None 522D11 N CA00365975 B SFY2013-14
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-04-14 00:00:00 170010615 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-02 00:00:00 2012-10-02 00:00:00 No 2014-05-05 00:00:00 None B None 1000 1000 -350 650 0 None DDL411 N CA00328143 C SFY2013-14
170001867 VETERANS HOME OF CALIFORNIA - BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2014-05-07 00:00:00 170010634 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2012-01-06 07:30:00 2012-01-06 07:30:00 No 2014-05-29 00:00:00 None FTR RES None 1200 1200 -300 900 0 None WXZ511 None CA00297234 C SFY2013-14
630013558 VETERANS HOME OF CALIFORNIA - WEST LOS ANGELES LTC SNF Skilled Nursing Facility State Facilities Section 2014-05-12 00:00:00 170010638 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-05 00:00:00 2014-04-05 00:00:00 No 2014-06-03 00:00:00 None B None 2000 2000 0 2000 0 None PKSQ11 N CA00394040 C SFY2013-14
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2014-12-09 00:00:00 170010955 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-08-11 00:00:00 2014-08-11 00:00:00 No 2014-12-31 00:00:00 None B None 1000 1000 -350 650 0 None OGK111 N CA00409095 C SFY2014-15
630015624 SONOMA DEVELOPMENTAL CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-02-12 00:00:00 170011244 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-12-30 00:00:00 2014-12-30 00:00:00 No 2015-03-06 00:00:00 None B None 1000 1000 -350 650 0 None SJPR11 N CA00425902 A SFY2014-15
170001876 PORTERVILLE DEVELOPMENTAL CENTER D/P SNF LTC SNF Skilled Nursing Facility State Facilities Section 2015-07-28 00:00:00 170011344 Closed Citation Citation A (HSC 1424) Patient Care None 2015-01-31 00:00:00 2015-01-31 00:00:00 No 2015-08-18 00:00:00 None A None 8000 8000 -2800 5200 0 None 9LFS11 N CA00429793 C SFY2015-16
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-08-05 00:00:00 170011345 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2015-08-26 00:00:00 None A None 10000 10000 -3500 6500 0 None VVLF11 N CA00432954 C SFY2015-16
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-12-14 00:00:00 170011482 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-04-30 00:00:00 2015-04-30 00:00:00 No 2016-01-05 00:00:00 None A None 7500 7500 -2625 4875 0 None LVFW11 N CA00441247 B SFY2015-16
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-09-30 00:00:00 170011537 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-02 00:00:00 2015-02-02 00:00:00 No 2015-10-21 00:00:00 None A None 10000 10000 -3500 6500 0 None QC0D11 N CA00432482 C SFY2015-16
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2015-11-12 00:00:00 170011538 Closed Citation Citation B (HSC 1424) Patient Care None 2014-08-23 00:00:00 2014-08-23 00:00:00 No 2015-12-07 00:00:00 None B None 750 750 -262.5 487.5 0 None PVEX11 N CA00410805 C SFY2015-16
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-09-02 00:00:00 170012215 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-02-23 00:00:00 2016-02-23 00:00:00 No 2016-09-26 00:00:00 None A None 7500 22500 -7875 14625 0 None WKOB11 N CA00477988 C SFY2016-17
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-06-03 00:00:00 170012246 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-01 00:00:00 2015-09-01 00:00:00 No 2016-06-24 00:00:00 None B None 1000 1000 -350 650 0 None CP0N11 N CA00457849, CA00458098 C, E SFY2015-16
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-06-03 00:00:00 170012247 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-31 00:00:00 2016-01-31 00:00:00 No 2016-06-24 00:00:00 None A None 8000 8000 -2800 5200 0 None ZGOD11 N CA00475503 C SFY2015-16
170001769 FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2016-06-03 00:00:00 170012305 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-01 00:00:00 2015-09-01 00:00:00 No 2016-06-24 00:00:00 None B None 1000 1000 -350 650 0 None CP0N11 N CA00457849 C SFY2015-16
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2017-03-15 00:00:00 170012827 Closed Citation Citation A (HSC 1424) Patient Care None 2015-09-22 00:00:00 2015-09-22 00:00:00 No 2017-04-06 00:00:00 None A None 15000 15000 -5250 9750 0 None DP2411 N CA00459921 C SFY2016-17
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2017-03-09 00:00:00 170012828 Closed Citation Citation B (HSC 1424) Patient Care None 2015-12-08 00:00:00 2015-12-08 00:00:00 No 2017-03-30 00:00:00 None B None 1000 1000 -350 650 0 None P7I511 N CA00469879 C SFY2016-17
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2018-04-12 00:00:00 170013962 Closed Citation Citation A (HSC 1424) Patient Rights None 2017-09-02 00:00:00 2017-09-02 00:00:00 No 2018-05-03 00:00:00 None A None 5000 5000 -1750 3250 0 None 2BYL11 N CA00554007 C SFY2017-18
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2019-03-21 00:00:00 170014815 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-11-25 00:00:00 2017-11-25 00:00:00 No 2019-04-11 00:00:00 None B None 1000 1000 -350 650 0 None EBZH11 N CA00563680, CA00563680 B, B SFY2018-19
170001867 VETERANS HOME OF CALIFORNIA - BARSTOW LTC SNF Skilled Nursing Facility State Facilities Section 2019-06-20 00:00:00 170014845 Closed Citation Citation A (HSC 1424) Patient Care None 2019-02-21 00:00:00 2019-02-21 00:00:00 No 2019-07-11 00:00:00 None A None 20000 20000 -7000 13000 0 None VI1E11 Y CA00625636, CA00626231 B, C SFY2018-19
170001877 PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP) LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2019-08-15 00:00:00 170015223 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-12-06 00:00:00 2018-12-06 00:00:00 No 2019-09-05 00:00:00 None B None 1000 1000 -350 650 0 None 1S7911 N CA00615064 C SFY2019-20
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2019-08-07 00:00:00 170015254 Closed Citation Citation B (HSC 1424) Administration None 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2019-08-28 00:00:00 None B None 2000 2000 0 2000 0 None 5GH911 N CA00579164 A SFY2019-20
170001776 CANYON SPRINGS LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID State Facilities Section 2019-07-31 00:00:00 170015256 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-12-08 00:00:00 2018-12-08 00:00:00 No 2019-08-21 00:00:00 None B None 1000 1000 0 1000 0 None PM1D11 N CA00616473 C SFY2019-20
630014895 VETERANS HOME OF CALIFORNIA - REDDING LTC SNF Skilled Nursing Facility State Facilities Section 2019-09-04 00:00:00 170015333 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-03-29 00:00:00 2019-03-29 00:00:00 No 2019-09-25 00:00:00 None B None 1000 1000 -350 650 0 None EIZ811 N CA00631439, CA00631439 C, C SFY2019-20
150001231 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2019-09-11 00:00:00 170015334 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-06-17 00:00:00 2019-06-17 00:00:00 No 2019-10-02 00:00:00 None B None 1000 1000 -350 650 0 None 8DCM11 N CA00642815 B SFY2019-20
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2019-12-06 00:00:00 170015389 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-06-22 00:00:00 2017-06-22 00:00:00 No 2019-12-27 00:00:00 None B None 1000 1000 -350 650 0 None ICDT11 N CA00542609 B SFY2019-20
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2019-11-15 00:00:00 170015540 Closed Citation Citation A (HSC 1424) Administration None 2018-04-02 00:00:00 2018-04-02 00:00:00 No 2019-12-06 00:00:00 None A None 20000 20000 -7000 13000 0 None D2GJ11 Y CA00581003 A SFY2019-20
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2020-02-13 00:00:00 170015602 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-11-23 00:00:00 2017-11-23 00:00:00 No 2020-03-05 00:00:00 None AA None 50000 50000 -17500 32500 0 None J5UH11 Y CA00562749, CA00562749 C, C SFY2019-20
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2020-01-09 00:00:00 170015669 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-08 00:00:00 2018-01-08 00:00:00 No 2020-01-30 00:00:00 None B None 1000 1000 -350 650 0 None 9CJR11 N CA00568931 B SFY2019-20
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2020-01-21 00:00:00 170015672 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-11-12 00:00:00 2019-11-12 00:00:00 No 2020-02-11 00:00:00 None B None 1000 1000 -350 650 0 None NMP911 N CA00663470 B SFY2019-20
630014894 VETERANS HOME OF CALIFORNIA - FRESNO LTC SNF Skilled Nursing Facility State Facilities Section 2021-07-23 00:00:00 170016410 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-26 00:00:00 2020-08-26 00:00:00 No 2021-08-13 00:00:00 None B None 700 700 0 700 0 None Z6YG11 N CA00703707 C SFY2021-22
630014895 VETERANS HOME OF CALIFORNIA - REDDING LTC SNF Skilled Nursing Facility State Facilities Section 2021-12-28 00:00:00 170016433 Closed Citation Citation AA (HSC 1424) Patient Care None 2019-12-31 00:00:00 2019-12-31 00:00:00 No 2022-01-19 00:00:00 None AA None 80000 80000 0 80000 0 None RXJ611 Y CA00669854, CA00669854 C, C SFY2021-22
630014894 VETERANS HOME OF CALIFORNIA - FRESNO LTC SNF Skilled Nursing Facility State Facilities Section 2021-06-21 00:00:00 170016545 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-02 00:00:00 2020-02-02 00:00:00 No 2021-07-12 00:00:00 None B None 700 700 0 700 0 None XBWF11 N CA00675100 C SFY2020-21
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2021-11-04 00:00:00 170017035 Closed Citation Citation B (HSC 1424) Administration None 2021-10-19 00:00:00 2021-10-19 00:00:00 No 2021-11-30 00:00:00 None B None 2000 2000 -700 1300 0 None B9WU11 N CA00756899 C SFY2021-22
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2023-02-21 00:00:00 170018282 Closed Citation Citation B (HSC 1424) Other Infection Control 2022-12-29 00:00:00 2022-12-29 00:00:00 No 2023-03-14 00:00:00 None B None 2000 2000 0 2000 0 None NQY211 N CA00816968 C SFY2022-23
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2023-03-06 00:00:00 170018405 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-05-30 00:00:00 2022-05-30 00:00:00 No 2023-03-27 00:00:00 None B None 2000 2000 -700 1300 0 None RHSN11 N CA00787301 C SFY2022-23
630004081 DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2023-07-06 00:00:00 170018425 Open Citation Citation A (HSC 1424) Administration None 2022-11-16 00:00:00 2022-11-16 00:00:00 No 2023-07-27 00:00:00 None A None 20000 20000 -7000 13000 0 None EZDK11 N CA00813177, CA00813177, CA00832375 C, C, C SFY2023-24
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2023-05-04 00:00:00 170018657 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-04-04 00:00:00 2020-04-04 00:00:00 No 2023-05-25 00:00:00 None B None 2000 2000 -700 1300 0 None 000C11 N CA00683957 B SFY2022-23
150001231 VETERANS HOME OF CALIFORNIA - YOUNTVILLE LTC SNF Skilled Nursing Facility State Facilities Section 2023-09-08 00:00:00 170018928 Open Citation Citation A (HSC 1424) Patient Care None 2022-05-09 00:00:00 2022-05-09 00:00:00 Yes 2023-09-29 00:00:00 2023-09-23 00:00:00 A None 20000 20000 0 20000 0 None 35B311 Y CA00787661, CA00794418, CA00794418, CA00794418 C, B, B, B SFY2023-24
150001227 DEPARTMENT OF STATE HOSPITALS - NAPA LTC ICF Intermediate Care Facility State Facilities Section 2024-06-07 00:00:00 170019327 Closed Citation Citation B (HSC 1424) Administration None 2023-09-18 00:00:00 2023-09-18 00:00:00 No 2024-06-28 00:00:00 None B None 3000 3000 -1050 1950 0 None HRNQ11 N CA00861245 C SFY2023-24
170001857 DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF LTC ICF Intermediate Care Facility State Facilities Section 2024-03-12 00:00:00 170019414 Open Citation Citation AA (HSC 1424) Patient Care None 2022-10-03 00:00:00 2022-10-03 00:00:00 No 2024-04-02 00:00:00 None AA None 100000 100000 0 65000 35000 None U4RG11 Y CA00806233 C SFY2023-24
170001870 VETERANS HOME OF CALIFORNIA - CHULA VISTA LTC SNF Skilled Nursing Facility State Facilities Section 2024-05-17 00:00:00 170020121 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-25 00:00:00 2022-08-25 00:00:00 No 2024-06-10 00:00:00 None B None 3000 3000 -1050 1950 0 None BGIZ11 N CA00851398 C SFY2023-24
170001870 VETERANS HOME OF CALIFORNIA - CHULA VISTA LTC SNF Skilled Nursing Facility State Facilities Section 2024-06-27 00:00:00 170020122 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-05 00:00:00 2023-06-05 00:00:00 No 2024-07-19 00:00:00 None B None 3000 3000 -1050 1950 0 None 69OG11 N CA00881925 C SFY2023-24
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 1999-12-21 00:00:00 220001030 Closed Citation Citation B (HSC 1424) Patient Care None 1999-06-18 00:00:00 None Yes 2001-09-06 00:00:00 2001-09-30 00:00:00 B Drop>Deficiency 900 700 -700 0 0 220006766 A99999 N None None SFY1999-00
220000678 PENINSULA MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-01-03 00:00:00 220001032 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-09 00:00:00 None Yes 2000-01-24 00:00:00 2000-01-21 00:00:00 A A 10000 5000 0 5000 0 220006818 A99999 N None None SFY1999-00
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2000-02-22 00:00:00 220001033 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-19 00:00:00 None Yes 2001-07-09 00:00:00 2001-07-01 00:00:00 B Dismissed by Court 700 0 0 0 0 220006894 A99999 N None None SFY1999-00
220000041 BROOKSIDE SKILLED NURSING HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2000-02-28 00:00:00 220001034 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-07 00:00:00 None No 2000-03-20 00:00:00 None B None 900 900 0 900 0 220006897 A99999 N None None SFY1999-00
220000041 BROOKSIDE SKILLED NURSING HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2000-02-28 00:00:00 220001035 Closed Citation Citation B (HSC 1424) Patient Care None 1998-08-01 00:00:00 None No 2000-03-20 00:00:00 None B None 700 700 -700 0 0 220006898 A99999 N None None SFY1999-00
220000045 CARLMONT GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2000-03-16 00:00:00 220001036 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-26 00:00:00 None Yes 2000-04-06 00:00:00 2000-04-18 00:00:00 A A 7000 7100 -7100 0 0 220006884 A99999 N None None SFY1999-00
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2000-03-20 00:00:00 220001037 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-13 00:00:00 None No 2000-04-10 00:00:00 None A B 10000 30600 -21267.6 9332.4 0 220006850 A99999 N None None SFY1999-00
220000303 ST. MARY'S MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-03-28 00:00:00 220001038 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-14 00:00:00 None No 2000-04-18 00:00:00 None B None 600 600 0 600 0 220006923 A99999 N None None SFY1999-00
220000303 ST. MARY'S MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-03-29 00:00:00 220001040 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-21 00:00:00 None No 2000-04-19 00:00:00 None B None 600 600 0 600 0 220006923 A99999 N None None SFY1999-00
220000197 CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-04-18 00:00:00 220001041 Closed Citation Citation B (HSC 1424) Patient Care None 1999-01-05 00:00:00 None Yes 2000-05-09 00:00:00 2000-04-27 00:00:00 B None 1000 1000 0 1000 0 220006924 A99999 N None None SFY1999-00
220000045 CARLMONT GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2000-05-19 00:00:00 220001043 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-02 00:00:00 None No 2000-06-09 00:00:00 None B None 1000 1000 -350 650 0 220006957 A99999 N None None SFY1999-00
220000061 PENINSULA POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2000-05-19 00:00:00 220001044 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-04 00:00:00 None No 2000-06-12 00:00:00 None A None 10000 10900 0 10900 0 220006889 A99999 N None None SFY1999-00
220000085 THE SEQUOIAS LTC SNF Skilled Nursing Facility San Francisco 2000-05-22 00:00:00 220001045 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-13 00:00:00 None No 2000-06-12 00:00:00 None B None 1000 1000 0 1000 0 220006985 A99999 N None None SFY1999-00
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-06-01 00:00:00 220001046 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-12 00:00:00 None No 2000-06-22 00:00:00 None B None 900 900 -315 585 0 220006972 A99999 N None None SFY1999-00
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-06-01 00:00:00 220001047 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-12 00:00:00 None No 2000-06-22 00:00:00 None B None 900 900 -315 585 0 220006972 A99999 N None None SFY1999-00
220000933 JAMES COURT MANOR INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2000-06-13 00:00:00 220001048 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-04-27 00:00:00 None No 2000-07-05 00:00:00 None B None 1000 1000 -350 650 0 220006974 A99999 N None None SFY1999-00
220000197 CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-21 00:00:00 220001050 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-05-03 00:00:00 None No 2000-08-11 00:00:00 None AA None 25000 25000 -8750 16250 0 220006986 A99999 Y None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001051 Closed Citation Citation A (HSC 1424) Physical Environment None 2000-06-13 00:00:00 None Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007015 A99999 Y None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001052 Closed Citation Citation B (HSC 1424) Staffing None 2000-06-12 00:00:00 2000-06-14 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 B B 1000 18200 0 18200 0 220007016 A99999 Y None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001053 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-13 00:00:00 2000-06-15 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007017 A99999 N None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001054 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-06-14 00:00:00 2000-06-15 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 AA AA 25000 25000 0 25000 0 220007018 A99999 Y None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001055 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-14 00:00:00 2000-06-15 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007020 A99999 N None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001056 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-14 00:00:00 2000-06-15 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007021 A99999 N None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001057 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-06-13 00:00:00 2000-06-14 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 AA AA 25000 25000 0 25000 0 220007023 A99999 Y None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001058 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-14 00:00:00 2000-06-15 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007024 A99999 N None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001059 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-13 00:00:00 2000-06-14 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007025 A99999 N None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001060 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-14 00:00:00 2000-06-15 00:00:00 Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007026 A99999 N None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001061 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-14 00:00:00 None Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007027 A99999 N None None SFY2000-01
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-07-28 00:00:00 220001062 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-14 00:00:00 None Yes 2000-08-18 00:00:00 2000-08-15 00:00:00 A A 10000 10000 0 10000 0 220007028 A99999 N None None SFY2000-01
220000089 GOLDEN PAVILION HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2000-11-15 00:00:00 220001063 Closed Citation Citation A (HSC 1424) Patient Care None 1999-01-16 00:00:00 None Yes 2001-06-27 00:00:00 2000-11-30 00:00:00 A A 8000 8000 0 8000 0 220007097 A99999 N None None SFY2000-01
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2000-10-26 00:00:00 220001064 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-01 00:00:00 None Yes 2000-11-16 00:00:00 2001-03-19 00:00:00 B Drop>Deficiency 800 0 0 0 0 220007209 A99999 N None None SFY2000-01
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2000-10-26 00:00:00 220001065 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-11-19 00:00:00 None Yes 2001-03-29 00:00:00 2001-03-21 00:00:00 B Drop>Deficiency 800 0 0 0 0 220007211 A99999 N None None SFY2000-01
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2000-10-26 00:00:00 220001066 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-21 00:00:00 None Yes 2001-03-28 00:00:00 2001-07-10 00:00:00 A A 10000 7000 0 7000 0 220007210 A99999 N None None SFY2000-01
220000349 AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-10-31 00:00:00 220001067 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-09 00:00:00 None No 2000-11-22 00:00:00 None B None 800 850 -280 570 0 220007216 A99999 N None None SFY2000-01
220000349 AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-10-31 00:00:00 220001068 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-14 00:00:00 None No 2000-11-22 00:00:00 None B None 800 850 -280 570 0 220007223 A99999 N None None SFY2000-01
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2000-11-01 00:00:00 220001069 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-04 00:00:00 None Yes 2000-11-27 00:00:00 2000-11-13 00:00:00 B B 1000 1000 0 1000 0 220007224 A99999 N None None SFY2000-01
220000045 CARLMONT GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2000-11-16 00:00:00 220001070 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-31 00:00:00 None Yes 2001-06-21 00:00:00 2000-11-28 00:00:00 B B 1000 3400 -3400 0 0 220007232 A99999 N None None SFY2000-01
220000045 CARLMONT GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2000-11-16 00:00:00 220001071 Closed Citation Citation B (HSC 1424) Dietary None 2000-05-31 00:00:00 None Yes 2000-12-07 00:00:00 2000-11-28 00:00:00 B None 500 900 -900 0 0 220007236 A99999 N None None SFY2000-01
220000045 CARLMONT GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2000-11-16 00:00:00 220001072 Closed Citation Citation B (HSC 1424) Administration None 2000-08-07 00:00:00 None No 2000-12-07 00:00:00 None B None 600 1000 -1000 0 0 220007238 A99999 N None None SFY2000-01
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2000-11-17 00:00:00 220001073 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-12 00:00:00 1999-10-12 00:00:00 Yes 2000-12-08 00:00:00 2000-12-08 00:00:00 A Dismissed by Court 9000 0 0 0 0 220007240 A99999 N None None SFY2000-01
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2000-11-27 00:00:00 220001074 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-18 00:00:00 None No 2000-12-18 00:00:00 None B None 600 600 0 600 0 220007130 A99999 N None None SFY2000-01
220000846 MILLS-PENINSULA EXTENDED CARE LTC SNF Skilled Nursing Facility San Francisco 2000-12-26 00:00:00 220001075 Closed Citation Citation AA (HSC 1424) Patient Care None 1998-11-19 00:00:00 1998-11-30 00:00:00 Yes 2001-01-16 00:00:00 2001-01-12 00:00:00 AA B 25000 1350 -350 1000 0 220007305 A99999 Y None None SFY2000-01
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2000-06-05 00:00:00 220001118 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-14 00:00:00 None Yes 2000-06-30 00:00:00 2000-06-14 00:00:00 A Drop>Deficiency 8000 0 0 0 0 220007516 A99999 N None None SFY1999-00
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-04-06 00:00:00 220001152 Closed Citation Citation B (HSC 1424) Administration None 1999-11-29 00:00:00 None Yes 2000-09-15 00:00:00 2000-04-12 00:00:00 B B 1000 1000 0 1000 0 220007861 A99999 N None None SFY1999-00
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2000-09-11 00:00:00 220001208 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-14 00:00:00 2000-09-11 00:00:00 Yes 2000-10-10 00:00:00 2000-10-02 00:00:00 A A 9000 2000 0 2000 0 220008114 A99999 N None None SFY2000-01
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2000-12-15 00:00:00 220001209 Closed Citation Citation B (HSC 1424) Medication None 2000-11-09 00:00:00 None Yes 2001-01-18 00:00:00 2000-12-28 00:00:00 B None 800 800 0 800 0 220008118 A99999 N None None SFY2000-01
220001030 THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING LTC SNF Skilled Nursing Facility San Jose 2000-09-12 00:00:00 220001261 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-21 00:00:00 None No 2000-10-03 00:00:00 None A B 9000 3000 0 3000 0 220008620 A99999 N None None SFY2000-01
220001039 SUNNY VIEW MANOR LTC SNF Skilled Nursing Facility San Jose 2000-12-01 00:00:00 220001273 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-20 00:00:00 None No 2001-01-23 00:00:00 None A None 6000 6000 0 6000 0 220008817 A99999 N None None SFY2000-01
220001041 SUNNYVALE POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2000-08-21 00:00:00 220001289 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-06 00:00:00 None No 2000-09-13 00:00:00 None B None 800 800 0 800 0 220008927 A99999 N None None SFY2000-01
220001076 SUNNYVALE GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2000-09-06 00:00:00 220001471 Closed Citation Citation B (HSC 1424) Medication None 2000-02-23 00:00:00 None No 2000-10-02 00:00:00 None B None 600 600 -210 390 0 220009984 A99999 N None None SFY2000-01
220001079 HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO LTC SNF Skilled Nursing Facility San Jose 2000-06-27 00:00:00 220001472 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-12 00:00:00 None Yes 2000-07-21 00:00:00 2000-07-18 00:00:00 B B 600 0 0 0 0 220010027 A99999 N None None SFY1999-00
220001079 HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO LTC SNF Skilled Nursing Facility San Jose 2000-06-27 00:00:00 220001473 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-13 00:00:00 None Yes 2000-07-21 00:00:00 2000-07-18 00:00:00 B B 600 300 0 300 0 220010027 A99999 N None None SFY1999-00
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2001-01-16 00:00:00 220001475 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-08 00:00:00 None No 2001-02-08 00:00:00 None B None 900 900 -315 585 0 220010110 A99999 N None None SFY2000-01
220000349 AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2001-02-02 00:00:00 220001476 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-31 00:00:00 None No 2001-02-27 00:00:00 None B None 1000 1000 0 1000 0 220010087 A99999 N None None SFY2000-01
220000349 AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2001-02-02 00:00:00 220001477 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-30 00:00:00 None Yes 2001-02-27 00:00:00 2001-02-12 00:00:00 B B 800 800 0 800 0 220010087 A99999 N None None SFY2000-01
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2001-02-02 00:00:00 220001478 Closed Citation Citation B (HSC 1424) Problem Transfer None 2000-09-14 00:00:00 2000-11-30 00:00:00 No 2001-02-27 00:00:00 None B None 1000 1000 -350 650 0 220010097 A99999 N None None SFY2000-01
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2001-02-05 00:00:00 220001479 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-02-24 00:00:00 2000-02-24 00:00:00 Yes 2001-10-19 00:00:00 2001-09-10 00:00:00 A A 15000 0 0 0 0 220010135 A99999 N None None SFY2000-01
220000061 PENINSULA POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2001-02-02 00:00:00 220001480 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-23 00:00:00 None Yes 2001-02-23 00:00:00 2001-08-30 00:00:00 B B 1000 450 -150 300 0 220010136 A99999 N None None SFY2000-01
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2001-02-05 00:00:00 220001481 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-22 00:00:00 None No 2001-02-28 00:00:00 None B None 1000 1000 -350 650 0 220010137 A99999 N None None SFY2000-01
220001119 TRI-AEGIS RESIDENTIAL SVCS INC/VANDERBILT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2001-01-25 00:00:00 220001485 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-10 00:00:00 None No 2001-02-26 00:00:00 None B None 600 600 0 600 0 220010273 A99999 N None None SFY2000-01
220001039 SUNNY VIEW MANOR LTC SNF Skilled Nursing Facility San Jose 2001-03-09 00:00:00 220001486 Closed Citation Citation A (HSC 1424) Patient Care None 2000-08-30 00:00:00 None Yes 2001-04-03 00:00:00 2001-03-12 00:00:00 A None 15000 15000 0 15000 0 220010277 A99999 N None None SFY2000-01
220001039 SUNNY VIEW MANOR LTC SNF Skilled Nursing Facility San Jose 2001-03-09 00:00:00 220001487 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-22 00:00:00 None No 2001-04-03 00:00:00 None B None 800 800 -280 520 0 220010278 A99999 N None None SFY2000-01
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2001-06-04 00:00:00 220001488 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-19 00:00:00 None Yes 2001-06-25 00:00:00 2001-10-12 00:00:00 B B 1000 500 0 500 0 220010408 A99999 N None None SFY2000-01
220000061 PENINSULA POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2001-06-13 00:00:00 220001489 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-17 00:00:00 None Yes 2001-11-05 00:00:00 2001-06-23 00:00:00 B B 1000 1000 0 1000 0 220010452 A99999 N None None SFY2000-01
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2001-06-22 00:00:00 220001490 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-18 00:00:00 2000-11-21 00:00:00 No 2001-07-16 00:00:00 None B None 1000 1000 -350 650 0 220010130 A99999 N None None SFY2000-01
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2001-10-01 00:00:00 220001491 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-13 00:00:00 None Yes 2001-10-22 00:00:00 2001-10-10 00:00:00 B B 1000 1500 0 1500 0 220010658 A99999 N None None SFY2001-02
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2001-11-16 00:00:00 220001492 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-08 00:00:00 None Yes 2001-12-07 00:00:00 2001-12-19 00:00:00 A A 20000 11245 0 11245 0 220010685 A99999 N None None SFY2001-02
220000080 S F COMMUNITY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2001-11-16 00:00:00 220001493 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-10 00:00:00 2000-05-30 00:00:00 No 2001-12-11 00:00:00 None B None 1000 1000 -350 650 0 220010516 A99999 N None None SFY2001-02
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2001-11-16 00:00:00 220001494 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-17 00:00:00 None No 2001-12-11 00:00:00 None A None 20000 20000 -7000 13000 0 220010754 A99999 N None None SFY2001-02
220000197 CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2001-12-03 00:00:00 220001495 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-12-26 00:00:00 None Yes 2001-12-24 00:00:00 2001-12-14 00:00:00 AA A 80000 50000 0 50000 0 220010576 A99999 Y None None SFY2001-02
220000089 GOLDEN PAVILION HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2001-12-19 00:00:00 220001496 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-02-19 00:00:00 None Yes 2002-01-11 00:00:00 2002-01-11 00:00:00 AA AA 90000 15800 -800 15000 0 220010178 A99999 Y None None SFY2001-02
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-01-25 00:00:00 220001497 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-06 00:00:00 None No 2002-02-19 00:00:00 None B B 700 700 -630 70 0 220010301 A99999 N None None SFY2001-02
220000089 GOLDEN PAVILION HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2002-01-16 00:00:00 220001498 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-06-20 00:00:00 None Yes 2002-05-24 00:00:00 2002-02-07 00:00:00 B B 1000 1000 0 1000 0 220010532 A99999 N None None SFY2001-02
220000089 GOLDEN PAVILION HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2002-01-16 00:00:00 220001499 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-16 00:00:00 None Yes 2002-05-24 00:00:00 2002-02-07 00:00:00 B B 1000 1000 0 1000 0 220010293 A99999 N None None SFY2001-02
220000049 UNIVERSITY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2002-02-26 00:00:00 220001500 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-20 00:00:00 None No 2002-05-31 00:00:00 None A None 6000 6500 -6500 0 0 220010521 A99999 N None None SFY2001-02
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-02-27 00:00:00 220001501 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-04 00:00:00 None No 2002-03-20 00:00:00 None B B 800 520 0 520 0 220010933 A99999 N None None SFY2001-02
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-03-05 00:00:00 220001502 Closed Citation Citation A (HSC 1424) Patient Care None 2001-09-14 00:00:00 None No 2002-03-26 00:00:00 None A A 18000 11850 0 11850 0 220010701 A99999 N None None SFY2001-02
220001138 BRIARWOOD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2000-01-07 00:00:00 220001507 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-01-03 00:00:00 None No 2000-02-02 00:00:00 None B None 1000 3000 0 3000 0 220010986 A99999 N None None SFY1999-00
220001138 BRIARWOOD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2000-09-28 00:00:00 220001508 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-16 00:00:00 None No 2000-10-23 00:00:00 None B None 600 600 0 600 0 220010989 A99999 N None None SFY2000-01
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-03-11 00:00:00 220001509 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-16 00:00:00 None Yes 2002-10-07 00:00:00 2002-03-13 00:00:00 B B 1000 1000 0 1000 0 220011015 A99999 N None None SFY2001-02
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2002-03-27 00:00:00 220001510 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-20 00:00:00 None No 2002-04-18 00:00:00 None B None 1000 1000 -350 650 0 220011046 A99999 N None None SFY2001-02
220000084 SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2002-05-07 00:00:00 220001511 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-10 00:00:00 None No 2002-06-04 00:00:00 None B None 1000 1900 -350 1550 0 220010882 A99999 N None None SFY2001-02
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-05-07 00:00:00 220001512 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-01 00:00:00 None Yes 2002-05-29 00:00:00 2002-05-24 00:00:00 A B 16000 5089 0 5089 0 220011108 A99999 N None None SFY2001-02
220000071 MILLBRAE SERRA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2002-05-16 00:00:00 220001513 Closed Citation Citation A (HSC 1424) Patient Care None 2001-03-12 00:00:00 2001-03-12 00:00:00 Yes 2002-06-12 00:00:00 2002-06-03 00:00:00 A B 12000 12000 0 12000 0 220010418 A99999 N None None SFY2001-02
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2002-05-22 00:00:00 220001514 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-23 00:00:00 None No 2002-06-13 00:00:00 None B None 900 900 0 900 0 220011153 A99999 N None None SFY2001-02
220000064 HILLSDALE MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2002-06-05 00:00:00 220001515 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-15 00:00:00 None No 2002-06-26 00:00:00 None A None 18000 18000 0 18000 0 220010724 A99999 N None None SFY2001-02
220000049 UNIVERSITY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2002-06-07 00:00:00 220001516 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-05-23 00:00:00 None No 2002-07-03 00:00:00 None A None 16000 17400 -17400 0 0 220010610 A99999 N None None SFY2001-02
220000046 CENTRAL GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-06-06 00:00:00 220001517 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-14 00:00:00 None No 2002-07-05 00:00:00 None B None 1000 1550 -350 1200 0 220010854 A99999 N None None SFY2001-02
220000042 BURLINGAME SKILLED NURSING D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2002-07-02 00:00:00 220001518 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-20 00:00:00 2002-01-20 00:00:00 Yes 2002-07-23 00:00:00 2002-07-22 00:00:00 A A 20000 20300 -20300 0 0 220010868 A99999 N None None SFY2002-03
220000020 LAWTON SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2002-07-02 00:00:00 220001519 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-06 00:00:00 None Yes 2002-07-24 00:00:00 2002-07-22 00:00:00 A A 20000 6361 0 6361 0 220010741 A99999 N None None SFY2002-03
220000090 GOLDEN HEIGHTS HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2002-07-12 00:00:00 220001520 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-30 00:00:00 2001-01-17 00:00:00 Yes 2002-08-02 00:00:00 2002-07-17 00:00:00 B B 800 800 0 800 0 220010592 A99999 N None None SFY2002-03
220000056 HAYES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2002-07-12 00:00:00 220001521 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-15 00:00:00 None Yes 2002-08-02 00:00:00 2002-07-30 00:00:00 A A 18000 0 0 0 0 220011062 A99999 N None None SFY2002-03
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2002-07-18 00:00:00 220001522 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-14 00:00:00 None No 2002-08-08 00:00:00 None B None 1000 1000 -350 650 0 220011030 A99999 N None None SFY2002-03
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2002-08-01 00:00:00 220001523 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-08 00:00:00 2001-10-08 00:00:00 Yes 2002-08-22 00:00:00 2002-08-08 00:00:00 B B 800 400 0 400 0 220010837 A99999 N None None SFY2002-03
220000041 BROOKSIDE SKILLED NURSING HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2002-07-31 00:00:00 220001524 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-09 00:00:00 None No 2002-08-21 00:00:00 None B None 800 800 -280 520 0 220010916 A99999 N None None SFY2002-03
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2002-08-26 00:00:00 220001525 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-15 00:00:00 None No 2002-09-19 00:00:00 None B None 1000 1000 -350 650 0 220010929 A99999 N None None SFY2002-03
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2002-08-28 00:00:00 220001526 Closed Citation Citation A (HSC 1424) Patient Care None 2002-02-20 00:00:00 None Yes 2002-09-19 00:00:00 2002-09-13 00:00:00 A A 20000 5200 -200 5000 0 220011357 A99999 N None None SFY2002-03
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2002-08-28 00:00:00 220001527 Closed Citation Citation A (HSC 1424) Physical Environment None 2002-02-20 00:00:00 None Yes 2002-09-19 00:00:00 2002-09-13 00:00:00 A A 20000 5200 -200 5000 0 220011357 A99999 N None None SFY2002-03
220000045 CARLMONT GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2002-09-18 00:00:00 220001528 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-05 00:00:00 None No 2002-10-09 00:00:00 None B None 800 800 -800 0 0 220011054 A99999 N None None SFY2002-03
220000049 UNIVERSITY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2002-09-30 00:00:00 220001529 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-19 00:00:00 None No 2002-10-21 00:00:00 None B None 1000 1000 -1000 0 0 220010522 A99999 N None None SFY2002-03
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-10-02 00:00:00 220001530 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-20 00:00:00 None Yes 2003-02-27 00:00:00 2002-10-16 00:00:00 B Dismissed by Court 1000 0 0 0 0 220011411 A99999 N None None SFY2002-03
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-10-02 00:00:00 220001531 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-29 00:00:00 None Yes 2003-02-27 00:00:00 2002-10-16 00:00:00 B B 1000 1000 0 1000 0 220011411 A99999 Y None None SFY2002-03
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-10-02 00:00:00 220001532 Closed Citation Citation B (HSC 1424) Staffing None 2002-01-01 00:00:00 None Yes 2003-02-27 00:00:00 2003-02-13 00:00:00 B Drop>Deficiency 1000 318 0 318 0 220010858 A99999 N None None SFY2002-03
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-10-03 00:00:00 220001533 Closed Citation Citation A (HSC 1424) Patient Care None 2000-07-29 00:00:00 None Yes 2002-10-25 00:00:00 2002-10-18 00:00:00 A A 20000 6361 0 6361 0 220011425 A99999 N None None SFY2002-03
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2002-10-17 00:00:00 220001534 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-06 00:00:00 None No 2002-11-07 00:00:00 None B None 1000 1050 -350 700 0 220010503 A99999 N None None SFY2002-03
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-12-18 00:00:00 220001536 Closed Citation Citation A (HSC 1424) Staffing None 2001-10-01 00:00:00 None Yes 2003-01-10 00:00:00 2002-12-30 00:00:00 A Drop>Deficiency 15000 4921 0 4921 0 220011531 A99999 N None None SFY2002-03
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2002-12-18 00:00:00 220001537 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-01 00:00:00 None Yes 2003-01-10 00:00:00 2002-12-30 00:00:00 A A 20000 6511 0 6511 0 220011532 A99999 N None None SFY2002-03
220000205 CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2003-01-15 00:00:00 220001538 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-15 00:00:00 None Yes 2003-02-10 00:00:00 2003-06-13 00:00:00 A None 20000 20000 0 20000 0 220011576 A99999 N None None SFY2002-03
220000020 LAWTON SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2003-04-24 00:00:00 220001539 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-04 00:00:00 None Yes 2003-09-15 00:00:00 2003-05-12 00:00:00 B B 1000 1200 -200 1000 0 220010489 A99999 N None None SFY2002-03
220001063 WEBSTER HOUSE LTC SNF Skilled Nursing Facility San Jose 2003-05-15 00:00:00 220001540 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-11 00:00:00 None Yes 2003-06-19 00:00:00 2003-05-19 00:00:00 B None 800 800 0 800 0 220011132 A99999 N None None SFY2002-03
220000888 SAN FRANCISCO GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2003-05-29 00:00:00 220001541 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-01 00:00:00 None No 2003-06-23 00:00:00 None B None 1000 1000 -350 650 0 220011742 A99999 N None None SFY2002-03
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2004-09-09 00:00:00 220001542 Closed Citation Citation A (HSC 1424) Patient Care None 2003-05-08 00:00:00 None Yes 2004-09-27 00:00:00 2004-09-21 00:00:00 A A 20000 21050 0 21050 0 220011803 A99999 N None None SFY2004-05
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2004-09-02 00:00:00 220001543 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-25 00:00:00 2002-01-25 00:00:00 Yes 2004-10-01 00:00:00 2004-09-02 00:00:00 B B 1000 500 0 500 0 220010877 A99999 N None None SFY2004-05
220000349 AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2004-12-28 00:00:00 220001544 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-01 00:00:00 2004-10-01 00:00:00 No 2005-01-24 00:00:00 None B None 1000 1150 -350 800 0 220012655 A99999 N None None SFY2004-05
220000349 AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2004-12-28 00:00:00 220001545 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-14 00:00:00 None No 2005-01-24 00:00:00 None B None 1000 1150 -350 800 0 220012655 A99999 N None None SFY2004-05
220000076 PACIFICA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2004-12-28 00:00:00 220001546 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-28 00:00:00 None No 2005-01-24 00:00:00 None B None 1000 1000 -350 650 0 220012466 A99999 N CA00029317 B SFY2004-05
220000048 SAN FRANCISCO POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2004-12-29 00:00:00 220001547 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-02 00:00:00 None No 2005-01-24 00:00:00 None B None 1000 1000 -350 650 0 220012688 A99999 N None None SFY2004-05
220000197 CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2005-02-23 00:00:00 220001549 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-04 00:00:00 None No 2005-03-16 00:00:00 None B None 1000 1000 0 1000 0 220012573 A99999 N None None SFY2004-05
220000871 LOYD'S LIBERTY HOMES, INC. - MCGARVEY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2005-02-17 00:00:00 220001550 Closed Citation Citation A (HSC 1424) Patient Care None 2004-05-05 00:00:00 2004-05-05 00:00:00 Yes 2005-03-11 00:00:00 2007-01-12 00:00:00 A A 10000 8450 -1950 6500 0 220012737 A99999 N None None SFY2004-05
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2005-03-11 00:00:00 220001551 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-01 00:00:00 None Yes 2005-04-04 00:00:00 2005-03-11 00:00:00 B B 1000 500 0 500 0 220012420 A99999 N None None SFY2004-05
220000888 SAN FRANCISCO GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2005-03-29 00:00:00 220001552 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-08-31 00:00:00 2004-08-31 00:00:00 Yes 2005-04-22 00:00:00 2010-09-23 00:00:00 B Dismissed by Court 1000 0 0 0 0 220012523 A99999 N CA00031065 B SFY2004-05
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2005-04-19 00:00:00 220001553 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-11-22 00:00:00 None No 2005-05-12 00:00:00 None B None 1000 1000 0 1000 0 220012641 A99999 N None None SFY2004-05
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2005-06-24 00:00:00 220001554 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-01-26 00:00:00 None Yes 2005-07-18 00:00:00 2005-06-24 00:00:00 B Drop>Deficiency 1000 300 -300 0 0 220012742 A99999 N None None SFY2004-05
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2005-06-28 00:00:00 220001555 Closed Citation Citation B (HSC 1424) Administration None 2005-03-03 00:00:00 2005-03-03 00:00:00 Yes 2005-07-20 00:00:00 2005-06-28 00:00:00 B B 1000 500 0 500 0 220012743 A99999 N None None SFY2004-05
220000077 PACIFIC HEIGHTS TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2005-12-07 00:00:00 220001556 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-25 00:00:00 None No 2005-12-29 00:00:00 None B None 1000 1000 0 1000 0 220011788 A99999 N None None SFY2005-06
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2006-04-28 00:00:00 220003068 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-22 00:00:00 2005-04-22 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -350 650 0 None 8WIN11 N CA00045571 C SFY2005-06
220000235 SHARON HEIGHTS CARE & REHAB LTC SNF Skilled Nursing Facility San Francisco 2006-05-10 00:00:00 220003094 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-10-04 00:00:00 2005-10-04 00:00:00 No 2006-06-01 00:00:00 None B None 1000 1000 -350 650 0 None BVMJ11 N CA00062922 B SFY2005-06
220000888 SAN FRANCISCO GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2006-06-23 00:00:00 220003174 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-21 00:00:00 2004-09-21 00:00:00 No 2006-07-18 00:00:00 None B None 1000 1000 0 1000 0 None RVJV11 N CA00032120 B SFY2005-06
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2006-08-21 00:00:00 220003299 Closed Citation Citation A (HSC 1424) Medication None 2005-06-10 00:00:00 2005-06-10 00:00:00 Yes 2006-09-12 00:00:00 2006-08-21 00:00:00 A Dismissed by Court 20000 0 0 0 0 None Y5EB11 N CA00051963, CA00051963, CA00056211 B, B, C SFY2006-07
220000071 MILLBRAE SERRA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2006-09-14 00:00:00 220003338 Closed Citation Citation A (HSC 1424) Patient Care None 2003-05-20 00:00:00 2003-05-20 00:00:00 Yes 2006-10-05 00:00:00 2006-09-20 00:00:00 A B 18000 1000 0 1000 0 None EU9S11 N CA00006600 B SFY2006-07
220001051 CEDAR CREST NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2006-09-26 00:00:00 220003367 Closed Citation Citation B (HSC 1424) Problem Transfer None 2006-08-08 00:00:00 2006-08-08 00:00:00 Yes 2014-05-30 00:00:00 2006-10-06 00:00:00 B B 1000 750 0 750 0 None X48J11 N CA00092066 B SFY2006-07
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2006-09-29 00:00:00 220003378 Closed Citation Citation A (HSC 1424) Patient Care None 2006-05-21 00:00:00 2006-05-21 00:00:00 No 2006-10-23 00:00:00 None A None 20000 20000 -7000 13000 0 None WHU811 N CA00081889 A SFY2006-07
220000060 THE AVENUES TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2006-10-12 00:00:00 220003394 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-08-02 00:00:00 2005-08-02 00:00:00 No 2006-11-02 00:00:00 None B None 1000 1000 -350 650 0 None ZN3U11 N CA00058752 A SFY2006-07
220000076 PACIFICA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2006-10-06 00:00:00 220003401 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-11 00:00:00 2004-08-11 00:00:00 No 2006-10-30 00:00:00 None B None 1000 1000 -350 650 0 None Y9ZU11 N CA00029899 A SFY2006-07
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2006-10-11 00:00:00 220003406 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-16 00:00:00 2006-05-16 00:00:00 No 2006-11-01 00:00:00 None B None 1000 1000 -350 650 0 None B8J911 N CA00081058 A SFY2006-07
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2006-10-20 00:00:00 220003436 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-18 00:00:00 2005-10-18 00:00:00 No 2006-11-13 00:00:00 None B None 1000 1000 -350 650 0 None CWLM11 N CA00064092 A SFY2006-07
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2006-12-06 00:00:00 220003547 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-08-08 00:00:00 2006-08-08 00:00:00 Yes 2007-01-02 00:00:00 2006-12-15 00:00:00 A None 10000 10000 -10000 0 0 None W8MH11 N CA00089483 A SFY2006-07
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2006-12-27 00:00:00 220003599 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-11 00:00:00 2006-10-11 00:00:00 No 2007-01-18 00:00:00 None B None 1000 1000 -350 650 0 None GIUV11 N CA00083501, CA00083501, CA00083501, CA00088168, CA00088168, CA00088168, CA00088168 B, B, B, B, B, B, B SFY2006-07
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-01-09 00:00:00 220003622 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-01-24 00:00:00 2006-01-24 00:00:00 No 2007-01-30 00:00:00 None B None 1000 1000 0 1000 0 None 6ISL11 N CA00074966 C SFY2006-07
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-01-09 00:00:00 220003623 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-01-24 00:00:00 2006-01-24 00:00:00 No 2007-02-02 00:00:00 None B None 1000 1000 0 1000 0 None 6ISL11 N CA00074966 C SFY2006-07
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-01-08 00:00:00 220003624 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-21 00:00:00 2006-05-21 00:00:00 No 2007-01-29 00:00:00 None B None 1000 1000 -350 650 0 None JLU611 N CA00098176, CA00101762 B, B SFY2006-07
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-01-22 00:00:00 220003650 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-12-04 00:00:00 2006-12-04 00:00:00 Yes 2011-08-04 00:00:00 2011-07-22 00:00:00 A A 20000 13200 -200 13000 0 None SD7B11 N CA00100410, CA00101019 B, A SFY2006-07
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-02-07 00:00:00 220003696 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-11 00:00:00 2005-10-11 00:00:00 No 2007-02-28 00:00:00 None B None 1000 1000 0 1000 0 None JUY611 N CA00063555, CA00063896 B, B SFY2006-07
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2007-02-21 00:00:00 220003713 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-18 00:00:00 2006-05-18 00:00:00 Yes 2007-03-14 00:00:00 2007-03-09 00:00:00 B Drop>Deficiency 1000 0 0 0 0 None FMWK11 N CA00082375, CA00096443 C, B SFY2006-07
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2007-02-21 00:00:00 220003715 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-20 00:00:00 2006-05-20 00:00:00 Yes 2007-03-14 00:00:00 2007-03-09 00:00:00 B B 1000 500 0 500 0 None FMWK11 N CA00085470, CA00096548 C, B SFY2006-07
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2007-03-13 00:00:00 220003716 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-10-30 00:00:00 2006-10-30 00:00:00 Yes 2008-04-14 00:00:00 2008-04-01 00:00:00 AA B 100000 1000 0 1000 0 None UE3V11 Y CA00097436 B SFY2006-07
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2007-02-21 00:00:00 220003734 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-02 00:00:00 2007-01-02 00:00:00 Yes 2007-03-14 00:00:00 2007-03-13 00:00:00 B None 1000 3000 0 3000 0 None IDUT11 N CA00102779 B SFY2006-07
220001076 SUNNYVALE GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-02-28 00:00:00 220003748 Closed Citation Citation B (HSC 1424) Patient Care Physical Environment 2006-03-19 00:00:00 2006-03-19 00:00:00 No 2007-03-21 00:00:00 None B None 1000 1000 -350 650 0 None 91SV11 N CA00076016, CA00077227, CA00077227, CA00077859 B, A, A, B SFY2006-07
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2007-03-09 00:00:00 220003765 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-11-17 00:00:00 2006-11-17 00:00:00 No 2007-03-30 00:00:00 None B None 1000 1000 -350 650 0 None M5QR11 N CA00100637, CA00101314, CA00101917 B, B, B SFY2006-07
220000061 PENINSULA POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2007-03-19 00:00:00 220003795 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-10 00:00:00 2004-11-10 00:00:00 No 2007-04-09 00:00:00 None B None 1000 1000 -350 650 0 None XSE711 N CA00034386 A SFY2006-07
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-03-15 00:00:00 220003812 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-02-02 00:00:00 2007-02-02 00:00:00 No 2007-04-05 00:00:00 None B None 1000 1000 -350 650 0 None 9W4M11 N CA00105770 B SFY2006-07
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-03-28 00:00:00 220003813 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-01-31 00:00:00 2007-01-31 00:00:00 No 2007-04-18 00:00:00 None B None 1000 3000 0 3000 0 None 9W4M11 N CA00105921 B SFY2006-07
220000076 PACIFICA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-03-19 00:00:00 220003819 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-10 00:00:00 2001-08-10 00:00:00 No 2007-04-11 00:00:00 None B None 1000 1000 -350 650 0 None BE5211 N None None SFY2006-07
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-03-16 00:00:00 220003829 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-15 00:00:00 2006-10-15 00:00:00 No 2007-04-06 00:00:00 None B None 1000 1000 -350 650 0 None Q3IK11 N CA00096536 B SFY2006-07
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-03-21 00:00:00 220003838 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-21 00:00:00 2007-02-21 00:00:00 No 2007-04-11 00:00:00 None B None 1000 1000 0 1000 0 None 2B5N11 N CA00107247, CA00107669 B, B SFY2006-07
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2007-04-03 00:00:00 220003849 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-02-06 00:00:00 2007-02-06 00:00:00 Yes 2007-04-24 00:00:00 2007-04-09 00:00:00 AA A 100000 7500 0 7500 0 None QUQK11 Y CA00105740 A SFY2006-07
220000084 SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2007-04-30 00:00:00 220003928 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-04 00:00:00 2004-10-04 00:00:00 Yes 2007-05-21 00:00:00 2007-05-10 00:00:00 B B 1000 500 0 500 0 None ITKP11 N CA00032719 C SFY2006-07
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2007-05-09 00:00:00 220003936 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-07 00:00:00 2007-03-07 00:00:00 Yes 2007-05-30 00:00:00 2007-05-24 00:00:00 B B 1000 500 0 500 0 None V2Y911 N CA00108494 B SFY2006-07
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2007-05-09 00:00:00 220003942 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-25 00:00:00 2007-02-25 00:00:00 Yes 2007-05-30 00:00:00 2007-05-24 00:00:00 B B 1000 500 0 500 0 None F6J611 N CA00108093 B SFY2006-07
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2007-05-09 00:00:00 220003947 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-02-25 00:00:00 2007-02-25 00:00:00 Yes 2007-05-31 00:00:00 2007-05-24 00:00:00 B None 1000 1000 0 1000 0 None F6J611 N CA00108093 B SFY2006-07
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2007-05-10 00:00:00 220003951 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-14 00:00:00 2007-03-14 00:00:00 Yes 2007-06-01 00:00:00 2007-05-10 00:00:00 B B 1000 500 0 500 0 None L0N211 N CA00109422 B SFY2006-07
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-06-12 00:00:00 220004016 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-03 00:00:00 2006-11-03 00:00:00 Yes 2007-07-03 00:00:00 2007-06-22 00:00:00 B B 1000 1000 0 1000 0 None 5D8J11 N CA00097883 B SFY2006-07
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-07-24 00:00:00 220004120 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-03-27 00:00:00 2007-03-27 00:00:00 Yes 2007-08-14 00:00:00 2007-07-24 00:00:00 B B 1000 1000 0 1000 0 None MCYH11 N CA00110461, CA00110461 A, A SFY2007-08
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2007-07-31 00:00:00 220004135 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-01 00:00:00 2007-02-01 00:00:00 Yes 2007-08-21 00:00:00 2007-07-31 00:00:00 B B 1000 500 0 500 0 None ENRS11 Y CA00106379 B SFY2007-08
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-08-02 00:00:00 220004154 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-08 00:00:00 2007-04-08 00:00:00 No 2007-08-23 00:00:00 None B None 1000 1000 0 1000 0 None LMPH11 N CA00111483 A SFY2007-08
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-08-02 00:00:00 220004157 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-03-05 00:00:00 2007-03-05 00:00:00 No 2007-08-23 00:00:00 None B None 1000 1000 0 1000 0 None UVG011 N CA00111354 A SFY2007-08
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2007-08-15 00:00:00 220004188 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-24 00:00:00 2007-03-24 00:00:00 No 2007-09-06 00:00:00 None B None 1000 1000 0 1000 0 None SRN211 N CA00110238, CA00113166, CA00113440 B, B, B SFY2007-08
220000083 SAN MATEO CONVALESCENT HOSPITAL, INC. LTC SNF Skilled Nursing Facility San Francisco 2007-08-22 00:00:00 220004200 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-19 00:00:00 2007-02-19 00:00:00 No 2007-09-13 00:00:00 None B None 1000 1400 0 1400 0 None JPEI11 N CA00113256 B SFY2007-08
220000071 MILLBRAE SERRA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2007-08-28 00:00:00 220004219 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-15 00:00:00 2007-03-15 00:00:00 No 2007-09-19 00:00:00 None B None 1000 1000 -350 650 0 None NXLO11 N CA00109395 B SFY2007-08
220001020 IDYLWOOD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2007-08-30 00:00:00 220004224 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-16 00:00:00 2007-07-16 00:00:00 Yes 2007-09-21 00:00:00 2007-09-07 00:00:00 B B 1000 500 0 500 0 None 1UB311 N CA00120619 B SFY2007-08
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2007-09-05 00:00:00 220004227 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-28 00:00:00 2007-05-28 00:00:00 Yes 2007-09-26 00:00:00 2007-09-05 00:00:00 A A 20000 10000 0 10000 0 None P0OK11 N CA00116128 B SFY2007-08
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2007-12-10 00:00:00 220004493 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-10 00:00:00 2007-06-10 00:00:00 Yes 2008-08-29 00:00:00 2008-08-29 00:00:00 A A 20000 10000 0 10000 0 None G09G11 N CA00117127 B SFY2007-08
220000061 PENINSULA POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2007-12-07 00:00:00 220004504 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-11-07 00:00:00 2007-11-07 00:00:00 Yes 2008-01-08 00:00:00 2007-12-10 00:00:00 B None 1000 1000 -350 650 0 None 0J1H11 N CA00134009 A SFY2007-08
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2007-12-17 00:00:00 220004524 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-05-23 00:00:00 2007-05-23 00:00:00 Yes 2008-01-09 00:00:00 2007-12-17 00:00:00 B B 1000 1000 0 1000 0 None L9WD11 N CA00115662 A SFY2007-08
220000061 PENINSULA POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2007-12-18 00:00:00 220004527 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-07 00:00:00 2007-05-07 00:00:00 No 2008-01-10 00:00:00 None A None 20000 20000 -7000 13000 0 None YJ2Z11 N CA00117751 C SFY2007-08
220001041 SUNNYVALE POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2008-01-08 00:00:00 220004566 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-26 00:00:00 2007-07-26 00:00:00 Yes 2008-01-30 00:00:00 2013-11-06 00:00:00 B B 1000 1000 0 1000 0 None P99F11 N CA00121565 B SFY2007-08
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2008-01-15 00:00:00 220004584 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-06 00:00:00 2007-06-06 00:00:00 Yes 2011-06-29 00:00:00 2011-06-14 00:00:00 A A 20000 10000 0 10000 0 None UE7011 N CA00121359 A SFY2007-08
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2008-01-25 00:00:00 220004613 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-04 00:00:00 2007-08-04 00:00:00 No 2008-02-19 00:00:00 None B None 1000 1000 0 1000 0 None WT6Q11 N CA00122496 C SFY2007-08
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2008-01-29 00:00:00 220004620 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-11-08 00:00:00 2007-11-08 00:00:00 No 2008-02-21 00:00:00 None B None 1000 1000 0 1000 0 None W4XB11 N CA00131713 C SFY2007-08
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2008-01-31 00:00:00 220004632 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-27 00:00:00 2007-11-27 00:00:00 No 2008-02-25 00:00:00 None B B 1000 1000 -869 131 0 None E8TX11 N CA00133367 B SFY2007-08
220000090 GOLDEN HEIGHTS HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2008-03-04 00:00:00 220004736 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-12 00:00:00 2008-01-12 00:00:00 Yes 2008-03-25 00:00:00 2008-03-10 00:00:00 B B 1000 1000 0 1000 0 None JS2R11 N CA00137637 B SFY2007-08
220000089 GOLDEN PAVILION HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2008-03-05 00:00:00 220004743 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-12-25 00:00:00 2007-12-25 00:00:00 Yes 2008-03-26 00:00:00 2008-03-07 00:00:00 B B 1000 875 -250 625 0 None YG1011 N CA00136018 B SFY2007-08
220001162 SUSAN MANOR ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2008-03-06 00:00:00 220004756 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-09-20 00:00:00 2007-09-20 00:00:00 No 2008-03-27 00:00:00 None B None 1000 1000 -350 650 0 None 8NBY11 N CA00127038 A SFY2007-08
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2008-04-02 00:00:00 220004838 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-17 00:00:00 2006-12-17 00:00:00 Yes 2008-04-23 00:00:00 2008-04-21 00:00:00 A A 20000 20900 -900 20000 0 None CKNN11 N CA00103569 A SFY2007-08
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-04-08 00:00:00 220004868 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-01-24 00:00:00 2008-01-24 00:00:00 Yes 2008-04-29 00:00:00 2008-04-08 00:00:00 B B 1000 1000 0 1000 0 None 7FL111 N CA00138180 B SFY2007-08
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2008-04-11 00:00:00 220004907 Closed Citation Citation A (HSC 1424) Administration None 2007-10-26 00:00:00 2007-10-26 00:00:00 Yes 2012-07-09 00:00:00 2012-03-12 00:00:00 A A 20000 5000 0 5000 0 None C4RR11 N CA00130414 B SFY2007-08
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2008-04-21 00:00:00 220004949 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-26 00:00:00 2008-01-26 00:00:00 No 2008-05-12 00:00:00 None B None 1000 1000 0 1000 0 None 8XZF11 N CA00142953 B SFY2007-08
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2008-05-01 00:00:00 220004974 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-04 00:00:00 2008-03-04 00:00:00 Yes 2008-05-22 00:00:00 2008-05-01 00:00:00 B B 1000 500 0 500 0 None HQ6111 N CA00142766 C SFY2007-08
220001192 CORINTHIAN CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-05-02 00:00:00 220004982 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-10 00:00:00 2007-04-10 00:00:00 No 2008-05-23 00:00:00 None B None 1000 1000 0 1000 0 None HMNR11 N CA00111735 B SFY2007-08
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2008-05-12 00:00:00 220005030 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-11-24 00:00:00 2007-11-24 00:00:00 Yes 2010-10-06 00:00:00 2010-09-15 00:00:00 AA AA 100000 20350 -350 20000 0 None HPF411 Y CA00133222 B SFY2007-08
220000046 CENTRAL GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2008-05-15 00:00:00 220005049 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-05 00:00:00 2007-10-05 00:00:00 No 2008-06-06 00:00:00 None B None 1000 1000 -350 650 0 None X1H211 N CA00128380 A SFY2007-08
220000090 GOLDEN HEIGHTS HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2008-05-16 00:00:00 220005052 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-26 00:00:00 2008-03-26 00:00:00 Yes 2013-12-20 00:00:00 2008-05-20 00:00:00 B B 1000 1000 0 1000 0 None FWEI11 N CA00145837 B SFY2007-08
220001043 CASA OLGA INTERMEDIATE HEALTH CARE FACILITY LTC ICF Intermediate Care Facility San Francisco 2008-05-21 00:00:00 220005060 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-19 00:00:00 2008-03-19 00:00:00 No 2008-06-12 00:00:00 None B None 1000 1000 0 1000 0 None RXF611 N CA00144324 A SFY2007-08
220000888 SAN FRANCISCO GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2008-05-22 00:00:00 220005065 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-10 00:00:00 2008-01-10 00:00:00 No 2008-06-13 00:00:00 None B None 1000 1000 -350 650 0 None 1P0L11 N CA00137430 B SFY2007-08
220001127 SEACLIFF ICF/DD-H, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2008-06-05 00:00:00 220005107 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-01 00:00:00 2008-05-01 00:00:00 No 2008-06-26 00:00:00 None B None 1000 1000 -350 650 0 None 13NJ11 N CA00148743 B SFY2007-08
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-06-18 00:00:00 220005152 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-15 00:00:00 2008-05-15 00:00:00 Yes 2008-07-11 00:00:00 2008-06-20 00:00:00 A B 20000 50000 0 50000 0 None 6NP711 N CA00150793 B SFY2007-08
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2008-07-03 00:00:00 220005210 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-02-14 00:00:00 2008-02-14 00:00:00 No 2008-07-28 00:00:00 None B None 1000 1000 -350 650 0 None S4UO11 N CA00139835 C SFY2008-09
220001043 CASA OLGA INTERMEDIATE HEALTH CARE FACILITY LTC ICF Intermediate Care Facility San Francisco 2008-07-22 00:00:00 220005251 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-02-29 00:00:00 2008-02-29 00:00:00 No 2008-08-12 00:00:00 None B None 1000 1000 0 1000 0 None Y68311 N CA00147241 B SFY2008-09
220000847 ANA'S ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2008-07-23 00:00:00 220005253 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-30 00:00:00 2008-03-30 00:00:00 No 2008-08-14 00:00:00 None B None 1000 1350 0 1350 0 None PJ7E11 N CA00145359, CA00148690 B, B SFY2008-09
220000020 LAWTON SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2008-07-31 00:00:00 220005283 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-04-10 00:00:00 2008-04-10 00:00:00 No 2008-08-21 00:00:00 None B None 1000 1000 -350 650 0 None VEDG11 N CA00146483 B SFY2008-09
220000046 CENTRAL GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2008-08-13 00:00:00 220005315 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-23 00:00:00 2008-03-23 00:00:00 No 2008-09-04 00:00:00 None B None 1000 1000 0 1000 0 None SJ4011 N CA00152791 C SFY2008-09
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2008-08-29 00:00:00 220005376 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-11 00:00:00 2008-06-11 00:00:00 Yes 2008-09-22 00:00:00 2008-08-29 00:00:00 A None 20000 20000 -7000 13000 0 None E5VJ11 N CA00153558 B SFY2008-09
220000020 LAWTON SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2008-10-29 00:00:00 220005561 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-12 00:00:00 2008-07-12 00:00:00 No 2008-11-25 00:00:00 None B None 1000 1000 -350 650 0 None 5INS11 N CA00156876, CA00157318 B, C SFY2008-09
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2008-10-31 00:00:00 220005565 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-29 00:00:00 2008-07-29 00:00:00 Yes 2008-11-24 00:00:00 2008-11-18 00:00:00 B None 1000 1000 -1000 0 0 None N3ZF11 N CA00158559 B SFY2008-09
220000058 HERITAGE ON THE MARINA LTC SNF Skilled Nursing Facility San Francisco 2008-10-31 00:00:00 220005566 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-06-20 00:00:00 2008-06-20 00:00:00 No 2008-11-24 00:00:00 None B None 1000 1000 -350 650 0 None D6GJ11 N CA00158305 B SFY2008-09
630006021 VI AT PALO ALTO LTC SNF Skilled Nursing Facility San Jose 2008-11-04 00:00:00 220005568 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-03 00:00:00 2008-03-03 00:00:00 No 2008-11-26 00:00:00 None A None 15000 15000 -5250 9750 0 None L18K11 N CA00145795 C SFY2008-09
220000968 DAKOTA ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2008-11-07 00:00:00 220005592 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-15 00:00:00 2008-10-15 00:00:00 No 2008-12-03 00:00:00 None B None 1000 1000 -350 650 0 None SFSG11 N CA00166911 C SFY2008-09
220000971 SAN FRANCISCO TOWERS LTC SNF Skilled Nursing Facility San Francisco 2008-11-14 00:00:00 220005596 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-18 00:00:00 2008-07-18 00:00:00 No 2008-12-09 00:00:00 None B None 1000 1000 -350 650 0 None U6Q911 N CA00160589 C SFY2008-09
220001076 SUNNYVALE GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2008-11-26 00:00:00 220005623 Closed Citation Citation A (HSC 1424) Patient Care None 2008-04-13 00:00:00 2008-04-13 00:00:00 Yes 2008-12-19 00:00:00 2008-12-08 00:00:00 A A 14000 9000 0 9000 0 None UUPC11 N CA00147151 C SFY2008-09
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2008-11-26 00:00:00 220005638 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-07 00:00:00 2008-06-07 00:00:00 Yes 2012-07-09 00:00:00 2012-02-15 00:00:00 A Dismissed by Court 20000 0 0 0 0 None 4G5K11 N CA00153509 B SFY2008-09
630006441 JTM HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2008-12-01 00:00:00 220005640 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-29 00:00:00 2008-05-29 00:00:00 No 2008-12-22 00:00:00 None B None 1000 1000 -350 650 0 None U3RI11 N CA00152452 B SFY2008-09
220001192 CORINTHIAN CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Jose 2008-12-12 00:00:00 220005689 Closed Citation Citation B (HSC 1424) Administration None 2008-12-05 00:00:00 2008-12-05 00:00:00 No 2009-01-05 00:00:00 None B None 1000 1000 0 1000 0 None RCR311 N CA00171238 D SFY2008-09
220001030 THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING LTC SNF Skilled Nursing Facility San Jose 2009-01-14 00:00:00 220005792 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-08-25 00:00:00 2008-08-25 00:00:00 Yes 2009-02-04 00:00:00 2009-01-23 00:00:00 B B 1000 650 0 650 0 None 9R1111 N CA00161732 B SFY2008-09
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2009-01-20 00:00:00 220005793 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-04-26 00:00:00 2008-04-26 00:00:00 No 2009-02-10 00:00:00 None B None 1000 1000 -350 650 0 None C6S711 N CA00148541 B SFY2008-09
220001117 DE LA CRUZ HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2009-01-21 00:00:00 220005812 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-20 00:00:00 2008-09-20 00:00:00 No 2009-02-11 00:00:00 None B None 700 700 0 700 0 None M8ER11 N CA00163046 B SFY2008-09
220001117 DE LA CRUZ HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2009-01-21 00:00:00 220005813 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-20 00:00:00 2008-02-20 00:00:00 No 2009-02-11 00:00:00 None B None 700 700 0 700 0 None WGMY11 N CA00172183 C SFY2008-09
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2009-02-10 00:00:00 220005821 Closed Citation Citation A (HSC 1424) Patient Care None 2008-02-16 00:00:00 2008-02-16 00:00:00 No 2009-03-05 00:00:00 None A None 20000 20000 0 20000 0 None Q0UG11 N CA00141477 A SFY2008-09
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2009-02-10 00:00:00 220005872 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-01-18 00:00:00 2009-01-18 00:00:00 No 2009-03-05 00:00:00 None B None 800 800 0 800 0 None E8E911 N CA00175157 C SFY2008-09
220000083 SAN MATEO CONVALESCENT HOSPITAL, INC. LTC SNF Skilled Nursing Facility San Francisco 2009-03-19 00:00:00 220005990 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-07 00:00:00 2008-10-07 00:00:00 No 2009-04-10 00:00:00 None B None 1000 1550 -350 1200 0 None P5YH11 N CA00165844 A SFY2008-09
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-04-22 00:00:00 220006113 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-11-04 00:00:00 2008-11-04 00:00:00 Yes 2009-05-13 00:00:00 2009-05-07 00:00:00 B None 1000 1000 0 1000 0 None XJRU11 N CA00169685 C SFY2008-09
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-04-22 00:00:00 220006115 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-12-17 00:00:00 2008-12-17 00:00:00 Yes 2009-05-15 00:00:00 2009-05-07 00:00:00 B None 1000 1000 0 1000 0 None WQJQ11 N CA00173217 C SFY2008-09
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-04-22 00:00:00 220006116 Closed Citation Citation B (HSC 1424) Problem Transfer None 2009-01-05 00:00:00 2009-01-05 00:00:00 Yes 2009-05-13 00:00:00 2009-05-07 00:00:00 B None 1000 1000 0 1000 0 None D18R11 N CA00173793 A SFY2008-09
220000058 HERITAGE ON THE MARINA LTC SNF Skilled Nursing Facility San Francisco 2009-06-16 00:00:00 220006290 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-10 00:00:00 2008-09-10 00:00:00 No 2009-07-08 00:00:00 None A None 20000 20000 -7000 13000 0 None X9LP11 N CA00167302 C SFY2008-09
220000077 PACIFIC HEIGHTS TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2009-07-16 00:00:00 220006377 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-15 00:00:00 2009-03-15 00:00:00 Yes 2009-08-10 00:00:00 2009-07-16 00:00:00 B B 750 487.5 0 487.5 0 None PXKK11 N CA00188411 C SFY2009-10
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2009-07-20 00:00:00 220006383 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-14 00:00:00 2009-05-14 00:00:00 Yes 2009-08-12 00:00:00 2009-07-20 00:00:00 B Drop>Deficiency 1000 0 0 0 0 None 6M9011 N CA00187267 C SFY2009-10
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2009-07-22 00:00:00 220006401 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-20 00:00:00 2009-01-20 00:00:00 No 2009-08-14 00:00:00 None B None 1000 1000 0 1000 0 None FWH911 N CA00175464 C SFY2009-10
220001024 MISSION SKILLED NURSING & SUBACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-28 00:00:00 220006402 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-23 00:00:00 2008-09-23 00:00:00 Yes 2011-08-03 00:00:00 2011-07-13 00:00:00 A A 20000 8000 0 8000 0 None F27I11 N CA00165686 C SFY2009-10
220001024 MISSION SKILLED NURSING & SUBACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2009-07-28 00:00:00 220006418 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-04 00:00:00 2009-03-04 00:00:00 Yes 2009-08-20 00:00:00 2009-07-29 00:00:00 B B 1000 1000 0 1000 0 None EJ1U11 N CA00178767 C SFY2009-10
220000041 BROOKSIDE SKILLED NURSING HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2009-07-30 00:00:00 220006429 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-13 00:00:00 2009-03-13 00:00:00 No 2009-08-20 00:00:00 None B None 1000 1000 -350 650 0 None RWIL11 N CA00181607 C SFY2009-10
220001076 SUNNYVALE GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2009-08-07 00:00:00 220006442 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-24 00:00:00 2008-01-24 00:00:00 Yes 2009-09-01 00:00:00 2009-08-10 00:00:00 B B 1000 500 0 500 0 None R8HK11 N CA00139647, CA00140543, CA00140716 C, B, B SFY2009-10
220000527 SOUTH GRANT ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2009-08-24 00:00:00 220006480 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-18 00:00:00 2009-07-18 00:00:00 No 2009-09-15 00:00:00 None B None 700 700 -245 455 0 None T6KZ11 N CA00196570 C SFY2009-10
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2009-08-26 00:00:00 220006496 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-09 00:00:00 2009-06-09 00:00:00 No 2009-09-17 00:00:00 None B None 1000 1000 0 1000 0 None OF1C11 N CA00191274 C SFY2009-10
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2009-09-02 00:00:00 220006516 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-08-04 00:00:00 2009-08-04 00:00:00 Yes 2009-09-29 00:00:00 2009-09-09 00:00:00 B None 700 700 -245 455 0 None KCGC11 N CA00198286 C SFY2009-10
220000094 VICTORIAN POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2009-09-10 00:00:00 220006544 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-16 00:00:00 2009-02-16 00:00:00 No 2009-10-01 00:00:00 None B None 1000 1000 -350 650 0 None L70V11 N CA00178098 B SFY2009-10
220001048 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT LTC SNF Skilled Nursing Facility San Jose 2009-09-24 00:00:00 220006578 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-17 00:00:00 2008-11-17 00:00:00 Yes 2009-10-16 00:00:00 2009-10-09 00:00:00 B B 1000 500 0 500 0 None 12XV11 N CA00174874 C SFY2009-10
220000076 PACIFICA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2009-10-15 00:00:00 220006622 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-18 00:00:00 2009-08-18 00:00:00 No 2009-11-06 00:00:00 None B None 1000 1000 -350 650 0 None C4IE11 N CA00199631 C SFY2009-10
220000094 VICTORIAN POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2009-10-23 00:00:00 220006649 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-31 00:00:00 2009-07-31 00:00:00 No 2009-11-17 00:00:00 None B None 1000 1000 -350 650 0 None LP5G11 N CA00195715 C SFY2009-10
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2009-12-11 00:00:00 220006767 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-26 00:00:00 2009-07-26 00:00:00 Yes 2010-01-11 00:00:00 2009-12-21 00:00:00 B B 1000 650 0 650 0 None KXRV11 N CA00199912 C SFY2009-10
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2010-02-03 00:00:00 220006958 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-19 00:00:00 2009-03-19 00:00:00 No 2010-03-02 00:00:00 None B None 1000 1000 0 1000 0 None I2M311 N CA00182079 C SFY2009-10
220001041 SUNNYVALE POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2010-03-18 00:00:00 220007059 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-14 00:00:00 2008-09-14 00:00:00 Yes 2010-04-21 00:00:00 2010-03-29 00:00:00 B B 1000 1000 0 1000 0 None FSN911 N CA00163602 B SFY2009-10
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2010-04-22 00:00:00 220007113 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-27 00:00:00 2010-01-27 00:00:00 Yes 2010-05-17 00:00:00 2010-04-28 00:00:00 B None 1000 1000 0 1000 0 None W7IX11 N CA00215571 C SFY2009-10
220001032 THE TERRACES AT LOS ALTOS HEALTH FACILITY LTC SNF Skilled Nursing Facility San Jose 2010-05-26 00:00:00 220007186 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-12-07 00:00:00 2009-12-07 00:00:00 Yes 2010-10-04 00:00:00 2010-09-14 00:00:00 AA AA 100000 25000 0 25000 0 None UERE11 Y CA00210952 C SFY2009-10
220001141 ADAMS ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2010-05-20 00:00:00 220007226 Closed Citation Citation A (HSC 1424) Patient Care None 2010-02-11 00:00:00 2010-02-11 00:00:00 Yes 2010-06-11 00:00:00 2010-05-27 00:00:00 A A 10000 5250 0 5250 0 None C3HC11 N CA00218333 C SFY2009-10
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2010-06-09 00:00:00 220007280 Closed Citation Citation B (HSC 1424) Problem Transfer None 2009-11-30 00:00:00 2009-11-30 00:00:00 Yes 2010-06-30 00:00:00 2010-06-09 00:00:00 B None 1000 3000 0 3000 0 None NXW011 N CA00209649 C SFY2009-10
220000089 GOLDEN PAVILION HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2010-06-08 00:00:00 220007286 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-08 00:00:00 2010-04-08 00:00:00 No 2010-06-29 00:00:00 None B None 1000 1000 -350 650 0 None SYJ711 N CA00226255 C SFY2009-10
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2010-06-16 00:00:00 220007304 Closed Citation Citation B (HSC 1424) Medication None 2010-01-24 00:00:00 2010-01-24 00:00:00 No 2010-07-08 00:00:00 None B None 1000 1000 -350 650 0 None XKR611 N CA00216094 C SFY2009-10
220000205 CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2010-07-27 00:00:00 220007420 Closed Citation Citation A (HSC 1424) Medication None 2009-05-12 00:00:00 2009-05-12 00:00:00 No 2010-08-17 00:00:00 None A None 20000 20000 0 20000 0 None KZHD11 N CA00188184 C SFY2010-11
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2010-07-28 00:00:00 220007430 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-10 00:00:00 2009-03-10 00:00:00 Yes 2010-08-18 00:00:00 2010-07-28 00:00:00 A A 20000 9050 -50 9000 0 None 1BB811 N CA00180835 C SFY2010-11
220001048 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT LTC SNF Skilled Nursing Facility San Jose 2010-09-14 00:00:00 220007533 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-14 00:00:00 2009-06-14 00:00:00 Yes 2011-08-01 00:00:00 2011-06-30 00:00:00 A A 20000 20000 0 20000 0 None 217V11 N CA00193227 C SFY2010-11
220000041 BROOKSIDE SKILLED NURSING HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2010-09-14 00:00:00 220007536 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-14 00:00:00 2010-05-14 00:00:00 No 2010-10-05 00:00:00 None B None 1000 1000 -350 650 0 None 669X11 N CA00230907 C SFY2010-11
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2010-10-14 00:00:00 220007556 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-27 00:00:00 2010-01-27 00:00:00 No 2010-11-05 00:00:00 None B None 1000 1000 -350 650 0 None UZZJ11 N CA00215613, CA00216033 C, C SFY2010-11
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2011-05-20 00:00:00 220007557 Closed Citation Citation A (HSC 1424) Physical Environment None 2010-08-04 00:00:00 2010-08-04 00:00:00 Yes 2014-05-12 00:00:00 2011-05-20 00:00:00 A B 20000 2000 0 2000 0 None SZE611 N CA00236724 C SFY2010-11
220000048 SAN FRANCISCO POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2010-09-14 00:00:00 220007568 Closed Citation Citation AA (HSC 1424) Immediate Jeopardy None 2010-03-22 00:00:00 2010-03-22 00:00:00 Yes 2010-10-05 00:00:00 2010-10-01 00:00:00 AA AA 100000 25000 -25000 0 0 None G7M511 Y CA00222459 A SFY2010-11
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2010-10-19 00:00:00 220007617 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-18 00:00:00 2010-01-18 00:00:00 Yes 2010-11-09 00:00:00 2010-10-19 00:00:00 B Drop>Deficiency 1000 0 0 0 0 None 56KN11 N CA00215076 C SFY2010-11
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2011-01-18 00:00:00 220007785 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-25 00:00:00 2010-01-25 00:00:00 Yes 2011-02-08 00:00:00 2011-01-18 00:00:00 B B 1000 500 0 500 0 None BXY911 N CA00218817 C SFY2010-11
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2010-12-24 00:00:00 220007795 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-16 00:00:00 2010-09-16 00:00:00 No 2011-01-14 00:00:00 None B None 1000 1000 0 1000 0 None 3B9D11 N CA00242213 C SFY2010-11
220000077 PACIFIC HEIGHTS TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2011-01-25 00:00:00 220007866 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-04 00:00:00 2010-11-04 00:00:00 Yes 2011-02-15 00:00:00 2011-02-04 00:00:00 B B 700 455 0 455 0 None R0UI11 N CA00248209 B SFY2010-11
220000061 PENINSULA POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2011-01-28 00:00:00 220007868 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-01 00:00:00 2010-09-01 00:00:00 Yes 2011-02-18 00:00:00 2011-02-01 00:00:00 B B 1000 650 0 650 0 None KS0911 N CA00241516 C SFY2010-11
220000053 DEVONSHIRE OAKS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2011-02-02 00:00:00 220007888 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-20 00:00:00 2010-02-20 00:00:00 Yes 2011-02-24 00:00:00 2011-02-03 00:00:00 B B 1000 650 0 650 0 None 9L3L11 N CA00219119 C SFY2010-11
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2011-02-01 00:00:00 220007895 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-19 00:00:00 2010-11-19 00:00:00 No 2011-02-23 00:00:00 None B None 1000 1000 -350 650 0 None ZU2Z11 N CA00250285 C SFY2010-11
220000090 GOLDEN HEIGHTS HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2011-02-10 00:00:00 220007929 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-12 00:00:00 2010-08-12 00:00:00 Yes 2014-06-09 00:00:00 2011-02-10 00:00:00 B B 1000 1000 0 1000 0 None CQHL11 N CA00237297 B SFY2010-11
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2011-02-16 00:00:00 220007936 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-29 00:00:00 2010-12-29 00:00:00 No 2011-03-10 00:00:00 None B None 1000 1000 -350 650 0 None H3W711 N CA00253995 C SFY2010-11
220000048 SAN FRANCISCO POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2011-02-28 00:00:00 220007947 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-09 00:00:00 2010-06-09 00:00:00 No 2011-03-21 00:00:00 None B None 1000 1000 -350 650 0 None 0F2G11 N CA00231927 C SFY2010-11
220000041 BROOKSIDE SKILLED NURSING HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2011-02-24 00:00:00 220007962 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-12-07 00:00:00 2010-12-07 00:00:00 No 2011-03-17 00:00:00 None B None 1000 1000 -350 650 0 None WX0P11 N CA00251827 B SFY2010-11
220000041 BROOKSIDE SKILLED NURSING HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2011-03-22 00:00:00 220008025 Closed Citation Citation A (HSC 1424) Patient Rights None 2010-04-18 00:00:00 2010-04-18 00:00:00 No 2011-04-13 00:00:00 None A None 20000 21700 -7000 14700 0 None 4VV311 N CA00225764 C SFY2010-11
220001054 GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2011-08-18 00:00:00 220008461 Closed Citation Citation B (HSC 1424) Problem Transfer None 2011-06-21 00:00:00 2011-06-21 00:00:00 Yes 2011-09-08 00:00:00 2011-08-18 00:00:00 B None 1000 1000 0 1000 0 None GFFD11 N CA00275614, CA00275661 C, C SFY2011-12
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2011-08-24 00:00:00 220008503 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-12-10 00:00:00 2010-12-10 00:00:00 Yes 2011-09-14 00:00:00 2011-08-24 00:00:00 B B 1000 500 0 500 0 None VSDB11 N CA00253732 C SFY2011-12
220000888 SAN FRANCISCO GENERAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2011-09-29 00:00:00 220008599 Closed Citation Citation A (HSC 1424) Patient Care None 2011-04-01 00:00:00 2011-04-01 00:00:00 No 2011-10-20 00:00:00 None A None 10000 10000 -3500 6500 0 None NSU311 N CA00264075 C SFY2011-12
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2011-10-04 00:00:00 220008613 Closed Citation Citation B (HSC 1424) Medication None 2011-02-08 00:00:00 2011-02-08 00:00:00 No 2011-10-25 00:00:00 None B None 1000 1000 -350 650 0 None HFQC11 N CA00260312 B SFY2011-12
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2011-11-01 00:00:00 220008683 Closed Citation Citation A (HSC 1424) Patient Care None 2010-12-24 00:00:00 2010-12-24 00:00:00 Yes 2011-11-23 00:00:00 2011-11-04 00:00:00 A None 20000 20000 0 20000 0 None RRQB11 N CA00253367 B SFY2011-12
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2011-12-01 00:00:00 220008761 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-17 00:00:00 2010-11-17 00:00:00 No 2011-12-22 00:00:00 None B None 1000 1000 0 1000 0 None KFHS11 N CA00249461 C SFY2011-12
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2012-01-12 00:00:00 220008904 Closed Citation Citation AA (HSC 1424) Patient Care None 2011-06-24 00:00:00 2011-06-24 00:00:00 Yes 2012-02-03 00:00:00 2012-01-12 00:00:00 AA AA 100000 35000 0 35000 0 None S8SJ11 Y CA00274771 B SFY2011-12
220000955 STEPHANIE HOME, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2012-05-15 00:00:00 220009302 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-19 00:00:00 2010-07-19 00:00:00 No 2012-06-06 00:00:00 None B None 1000 1000 -350 650 0 None DWW311 N CA00238742 C SFY2011-12
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2012-06-20 00:00:00 220009366 Open Citation Citation B (HSC 1424) Physical Environment None 2011-08-07 00:00:00 2011-08-07 00:00:00 Yes 2012-07-12 00:00:00 2012-06-20 00:00:00 B None 1000 1000 0 0 1000 None 195H11 N CA00278878 C SFY2011-12
220001046 PALO ALTO SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2012-08-01 00:00:00 220009413 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-14 00:00:00 2011-05-14 00:00:00 Yes 2012-08-22 00:00:00 2012-08-06 00:00:00 B B 2000 1500 0 1500 0 None VM3911 N CA00270653 C SFY2012-13
220001048 CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT LTC SNF Skilled Nursing Facility San Jose 2012-09-25 00:00:00 220009515 Closed Citation Citation A (HSC 1424) Medication None 2010-12-29 00:00:00 2010-12-29 00:00:00 Yes 2012-10-16 00:00:00 2012-10-09 00:00:00 A B 20000 10000 0 10000 0 None ITJW11 N CA00254241 B SFY2012-13
220001016 MOUNTAIN VIEW HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2013-04-23 00:00:00 220009846 Closed Citation Citation B (HSC 1424) Medication None 2012-03-15 00:00:00 2012-03-15 00:00:00 No 2013-05-14 00:00:00 None B None 2000 2000 0 2000 0 None PLEY11 N CA00343415 C SFY2012-13
220000197 CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2013-08-01 00:00:00 220010042 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-15 00:00:00 2012-02-15 00:00:00 No 2013-08-22 00:00:00 None B None 2000 3450 0 3450 0 None X7DV11 N CA00309448 B SFY2013-14
220000084 SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2013-09-17 00:00:00 220010147 Closed Citation Citation A (HSC 1424) Patient Care None 2012-03-22 00:00:00 2012-03-22 00:00:00 No 2013-10-08 00:00:00 None A None 20000 20000 -7000 13000 0 None ULUI11 N CA00304072, CA00304949, CA00307084, CA00312538 B, C, C, C SFY2013-14
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2013-10-18 00:00:00 220010218 Closed Citation Citation A (HSC 1424) Patient Care None 2013-06-12 00:00:00 2013-06-12 00:00:00 Yes 2013-11-08 00:00:00 2013-10-18 00:00:00 A A 20000 14000 0 14000 0 None Z0JD11 N CA00335256 C SFY2013-14
220000046 CENTRAL GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2014-08-13 00:00:00 220010921 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-04-03 00:00:00 2013-04-03 00:00:00 No 2014-09-04 00:00:00 None B None 2000 2000 0 2000 0 None BJO811 N CA00375436 C SFY2014-15
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2014-08-29 00:00:00 220010970 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-11-19 00:00:00 2013-11-19 00:00:00 No 2014-09-22 00:00:00 None B None 2000 2000 0 2000 0 None QH8L11 N CA00378084 C SFY2014-15
220000038 VISTA TERRACE OF BELMONT LTC SNF Skilled Nursing Facility San Francisco 2014-11-14 00:00:00 220011126 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-01 00:00:00 2014-07-01 00:00:00 No 2014-12-09 00:00:00 None A None 20000 20000 -7000 13000 0 None CT0B11 N CA00404129 C SFY2014-15
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2015-03-04 00:00:00 220011305 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-11-28 00:00:00 2014-11-28 00:00:00 Yes 2015-03-25 00:00:00 2015-03-09 00:00:00 AA AA 100000 25000 0 25000 0 None TXLD11 Y CA00420906 C SFY2014-15
220000085 THE SEQUOIAS LTC SNF Skilled Nursing Facility San Francisco 2015-03-11 00:00:00 220011317 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-24 00:00:00 2014-02-24 00:00:00 Yes 2015-04-02 00:00:00 2015-03-18 00:00:00 A A 20000 13300 -300 13000 0 None BUND12 N CA00389176 A SFY2014-15
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2015-07-08 00:00:00 220011607 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-12 00:00:00 2015-04-12 00:00:00 No 2015-07-29 00:00:00 None B None 2000 2000 -700 1300 0 None N2LS11 N CA00439123 C SFY2015-16
220000046 CENTRAL GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2015-09-10 00:00:00 220011716 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-18 00:00:00 2015-04-18 00:00:00 No 2015-10-01 00:00:00 None B None 2000 2000 -700 1300 0 None M4GZ11 N CA00439559 C SFY2015-16
220000053 DEVONSHIRE OAKS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2016-03-29 00:00:00 220012152 Closed Citation Citation B (HSC 1424) Patient Record None 2016-02-01 00:00:00 2016-02-01 00:00:00 No 2016-04-20 00:00:00 None B None 2000 2000 0 2000 0 None 6SE011 N CA00470610 C SFY2015-16
220000020 LAWTON SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2016-06-08 00:00:00 220012308 Closed Citation Citation B (HSC 1424) Problem Transfer None 2016-03-18 00:00:00 2016-03-18 00:00:00 No 2016-06-29 00:00:00 None B None 2000 2000 -700 1300 0 None JLNQ11 N CA00480760, CA00481112 C, C SFY2015-16
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2016-07-15 00:00:00 220012393 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-01-26 00:00:00 2016-01-26 00:00:00 No 2016-08-05 00:00:00 None B None 1000 1000 -350 650 0 None H7LN11 N None None SFY2016-17
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2016-07-15 00:00:00 220012396 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-04-14 00:00:00 2016-04-14 00:00:00 No 2016-08-05 00:00:00 None B None 2000 2000 -700 1300 0 None VTZT11 N CA00484400, CA00484411, CA00484457, CA00484648 C, C, C, C SFY2016-17
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2016-12-23 00:00:00 220012588 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-11-26 00:00:00 2014-11-26 00:00:00 Yes 2017-01-18 00:00:00 2017-01-13 00:00:00 AA A 100000 100000 0 100000 0 None M7GR11 Y CA00424710, CA00428248 C, C SFY2016-17
220001020 IDYLWOOD CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2016-11-23 00:00:00 220012750 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-23 00:00:00 2016-06-23 00:00:00 Yes 2016-12-16 00:00:00 2016-12-07 00:00:00 B B 1000 650 0 650 0 None FR8511 N None None SFY2016-17
220000077 PACIFIC HEIGHTS TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2016-12-06 00:00:00 220012792 Closed Citation Citation B (HSC 1424) Patient Care None 2016-01-29 00:00:00 2016-01-29 00:00:00 No 2016-12-28 00:00:00 None B None 2000 2000 -700 1300 0 None GVHU11 N CA00474425 C SFY2016-17
220000416 AHMC SETON MEDICAL CENTER LTC SNF Skilled Nursing Facility San Francisco 2017-03-09 00:00:00 220013024 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-01-03 00:00:00 2017-01-03 00:00:00 No 2017-03-30 00:00:00 None B None 2000 8400 0 8400 0 None HVLZ11 N CA00518875, CA00520663 A, A SFY2016-17
220000041 BROOKSIDE SKILLED NURSING HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2017-03-09 00:00:00 220013025 Closed Citation Citation B (HSC 1424) Problem Transfer None 2016-05-11 00:00:00 2016-05-11 00:00:00 Yes 2017-03-30 00:00:00 2017-03-13 00:00:00 B B 2000 2000 0 2000 0 None 699N11 N CA00516138 C SFY2016-17
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2018-02-07 00:00:00 220013796 Closed Citation Citation B (HSC 1424) Problem Transfer None 2016-10-27 00:00:00 2016-10-27 00:00:00 No 2018-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None 0UWJ11 N CA00511870 C SFY2017-18
220000086 SHEFFIELD CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2018-02-08 00:00:00 220013798 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-10-18 00:00:00 2017-10-18 00:00:00 No 2018-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None 2JQI11 N CA00562151 C SFY2017-18
220001155 4JS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2018-05-16 00:00:00 220014052 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-04-30 00:00:00 2018-04-30 00:00:00 No 2018-06-06 00:00:00 None B None 1000 1000 -350 650 0 None C58X11 N CA00584630 B SFY2017-18
220000804 SHANNON ICF/DDH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2018-07-26 00:00:00 220014101 Closed Citation Citation A (HSC 1424) Patient Care None 2015-07-23 00:00:00 2015-07-23 00:00:00 No 2018-08-16 00:00:00 None A None 20000 20900 -7000 13900 0 None DHBL11 Y CA00450150 C SFY2018-19
220000242 CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2018-06-27 00:00:00 220014192 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-09-07 00:00:00 2017-09-07 00:00:00 Yes 2018-07-19 00:00:00 2018-07-03 00:00:00 B B 2000 1600 0 1600 0 None G0ER11 N CA00571131 C SFY2017-18
220000242 CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2018-06-27 00:00:00 220014194 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-09-07 00:00:00 2017-09-07 00:00:00 Yes 2018-07-19 00:00:00 2018-07-03 00:00:00 B B 2000 1600 0 1600 0 None G0ER11 N CA00571131 C SFY2017-18
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2018-09-26 00:00:00 220014436 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-06 00:00:00 2017-01-06 00:00:00 No 2018-10-17 00:00:00 None B None 2000 2000 -700 1300 0 None RJCQ11 N CA00517454 B SFY2018-19
220000058 HERITAGE ON THE MARINA LTC SNF Skilled Nursing Facility San Francisco 2019-05-21 00:00:00 220014440 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-24 00:00:00 2018-03-24 00:00:00 No 2019-06-11 00:00:00 None B None 2000 2000 -700 1300 0 None 0XSC11 Y CA00580230 C SFY2018-19
630011677 SHOREVIEW ICF-DDH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2018-11-08 00:00:00 220014572 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-06-04 00:00:00 2018-06-04 00:00:00 No 2018-12-04 00:00:00 None A None 20000 20000 -7000 13000 0 None D1IH11 N CA00589991 A SFY2018-19
220000039 SAN FRANCISCO HEALTH CARE LTC SNF Skilled Nursing Facility San Francisco 2019-03-14 00:00:00 220014880 Closed Citation Citation B (HSC 1424) Medication None 2018-10-07 00:00:00 2018-10-07 00:00:00 Yes 2019-04-04 00:00:00 2019-03-28 00:00:00 B B 2000 2250 0 2250 0 None CLU311 N CA00608528, CA00608528, CA00610468, CA00610468, CA00610468, CA00610498, CA00610498, CA00610498 A, A, B, B, B, B, B, B SFY2018-19
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-03-14 00:00:00 220014881 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-31 00:00:00 2018-10-31 00:00:00 No 2019-04-04 00:00:00 None A None 20000 20000 -7000 13000 0 None 6DMU11 N CA00610399 A SFY2018-19
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2019-04-09 00:00:00 220014948 Open Citation Citation B (HSC 1424) Problem Transfer None 2018-11-30 00:00:00 2018-11-30 00:00:00 Yes 2019-04-30 00:00:00 2019-04-26 00:00:00 B None 2000 2000 0 0 2000 None ZXKQ11 N CA00613501, CA00613501 C, C SFY2018-19
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-05-21 00:00:00 220015094 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-26 00:00:00 2018-03-26 00:00:00 No 2019-06-11 00:00:00 None A None 20000 20000 -7000 13000 0 None I5KT11 N CA00580970 B SFY2018-19
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2019-09-27 00:00:00 220015419 Open Citation Citation AA (HSC 1424) Patient Care None 2019-01-01 00:00:00 2019-01-01 00:00:00 Yes 2019-10-18 00:00:00 2019-10-01 00:00:00 AA AA 100000 100000 0 0 100000 None MT2Z11 Y CA00618234, CA00618234, CA00618552, CA00618552, CA00618552 B, B, B, B, B SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015572 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015574 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015575 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015576 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015577 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015578 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015579 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015580 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015583 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015584 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015585 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015586 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015587 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015588 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015589 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015590 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015591 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015592 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-06 00:00:00 220015593 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8EBF11 N CA00623517 C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-17 00:00:00 220015594 Closed Citation Citation A (HSC 1424) Patient Rights None 2019-01-08 00:00:00 2019-01-08 00:00:00 No 2020-01-07 00:00:00 None A None 20000 20000 -7000 13000 0 None 8EBF11 N CA00621433, CA00621775, CA00638524 B, B, C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-17 00:00:00 220015618 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-02-13 00:00:00 2018-02-13 00:00:00 No 2020-01-07 00:00:00 None A None 20000 20000 -7000 13000 0 None 8EBF11 N CA00621433, CA00621433, CA00621775, CA00621775, CA00638524, CA00638524, CA00638524 B, B, B, B, C, C, C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-17 00:00:00 220015619 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-01-17 00:00:00 2018-01-17 00:00:00 No 2020-01-07 00:00:00 None A None 20000 20000 -7000 13000 0 None 8EBF11 N CA00621433, CA00621775, CA00638524 B, B, C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-17 00:00:00 220015620 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-08-30 00:00:00 2018-08-30 00:00:00 No 2020-01-07 00:00:00 None A None 20000 20000 -7000 13000 0 None 8EBF11 N CA00621433, CA00621433, CA00621775, CA00621775, CA00638524, CA00638524, CA00638524 B, B, B, B, C, C, C SFY2019-20
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2019-12-17 00:00:00 220015621 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-12-25 00:00:00 2018-12-25 00:00:00 No 2020-01-07 00:00:00 None A None 20000 20000 -7000 13000 0 None 8EBF11 N CA00621433, CA00621775, CA00638524 B, B, C SFY2019-20
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2020-02-10 00:00:00 220015732 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-16 00:00:00 2018-12-16 00:00:00 Yes 2020-03-02 00:00:00 2020-02-11 00:00:00 A B 20000 12000 0 12000 0 None 0C2V11 N CA00616191, CA00616499 B, B SFY2019-20
220000090 GOLDEN HEIGHTS HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2020-03-20 00:00:00 220015819 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-07 00:00:00 2019-07-07 00:00:00 Yes 2020-04-13 00:00:00 2020-03-27 00:00:00 B B 2000 6550 0 6550 0 None V0HU11 N CA00665157 B SFY2019-20
220000060 THE AVENUES TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2020-06-16 00:00:00 220015901 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-23 00:00:00 2019-01-23 00:00:00 No 2020-07-07 00:00:00 None B None 2000 2000 -700 1300 0 None 4D4U11 N CA00626520, CA00626520, CA00626520 C, C, C SFY2019-20
220001162 SUSAN MANOR ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2020-11-24 00:00:00 220016165 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-20 00:00:00 2016-12-20 00:00:00 No 2020-12-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 75XF11 Y CA00515616 B SFY2020-21
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2021-12-03 00:00:00 220017136 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-03-01 00:00:00 2016-03-01 00:00:00 No 2021-12-27 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None 5X5311 None CA00655494, CA00655494 C, C SFY2021-22
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2022-01-07 00:00:00 220017257 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-11-02 00:00:00 2021-11-02 00:00:00 No 2022-01-31 00:00:00 None B None 2000 2000 -700 1300 0 None KQJZ11 N CA00759948, CA00759948, CA00760039 C, C, C SFY2021-22
220001162 SUSAN MANOR ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2022-01-20 00:00:00 220017276 Closed Citation Citation B (HSC 1424) Administration None 2019-11-29 00:00:00 2019-11-29 00:00:00 No 2022-02-10 00:00:00 None B None 2000 2000 -700 1300 0 None U8Q211 N CA00767171 B SFY2021-22
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2022-08-25 00:00:00 220017929 Open Citation Citation B (HSC 1424) Patient Record None 2022-08-10 00:00:00 2022-08-10 00:00:00 No 2022-09-16 00:00:00 None B None 2000 2000 0 2000 0 None XB9G11 N CA00778375, CA00778375, CA00781166, CA00781166, CA00781166, CA00781166 B, B, B, B, B, B SFY2022-23
220000218 SAN MATEO MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2022-08-25 00:00:00 220017930 Open Citation Citation B (HSC 1424) Patient Record None 2022-08-10 00:00:00 2022-08-10 00:00:00 No 2022-09-16 00:00:00 None B None 2000 2000 0 2000 0 None XB9G11 N None None SFY2022-23
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2022-08-29 00:00:00 220017940 Open Citation Citation B (HSC 1424) Patient Care None 2022-02-18 00:00:00 2022-02-18 00:00:00 Yes 2022-09-20 00:00:00 2022-09-09 00:00:00 B None 2000 2000 0 0 2000 None V71M11 N CA00774239 C SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018216 Open Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None Q1VH11 Y CA00797118 B SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018217 Open Citation Citation B (HSC 1424) Patient Care None 2022-12-02 00:00:00 2022-12-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None KJPY11 Y CA00806430 A SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018218 Open Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None GMKE11 Y CA00806432 A SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018220 Open Citation Citation B (HSC 1424) Patient Care None 2022-09-02 00:00:00 2022-09-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None N5B811 Y CA00804188 B SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018221 Open Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None 0S6Y11 Y CA00806424 A SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018223 Open Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None I5CR11 Y CA00797115 B SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018224 Open Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None BQ8411 Y CA00795848 B SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018225 Open Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None E1PO11 Y CA00806421 A SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018226 Open Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None WDYE11 Y CA00795631 B SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018227 Open Citation Citation B (HSC 1424) Patient Care None 2022-09-22 00:00:00 2022-09-22 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None 92O411 Y CA00806444 A SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018228 Open Citation Citation B (HSC 1424) Patient Care None 2022-08-02 00:00:00 2022-08-02 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None VH7611 Y CA00794745 B SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2022-12-20 00:00:00 220018229 Open Citation Citation B (HSC 1424) Patient Care None 2022-09-22 00:00:00 2022-09-22 00:00:00 Yes 2023-01-11 00:00:00 2022-12-30 00:00:00 B None 3000 3000 0 3000 0 None 4YR711 Y CA00806441 A SFY2022-23
220000082 CITY VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2022-12-28 00:00:00 220018263 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-26 00:00:00 2022-04-26 00:00:00 No 2023-01-20 00:00:00 None B None 3000 3000 0 3000 0 None P0IO11 N CA00766658 C SFY2022-23
220000089 GOLDEN PAVILION HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2023-03-24 00:00:00 220018560 Open Citation Citation B (HSC 1424) Patient Care None 2022-09-27 00:00:00 2022-09-27 00:00:00 No 2023-04-17 00:00:00 None B None 3000 3000 0 3000 0 None X8XG11 N CA00804168, CA00804168 D, D SFY2022-23
220000077 PACIFIC HEIGHTS TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2023-03-24 00:00:00 220018561 Open Citation Citation B (HSC 1424) Patient Care None 2022-07-20 00:00:00 2022-07-20 00:00:00 No 2023-04-17 00:00:00 None B None 3000 3000 -1050 1950 0 None 8SX211 N CA00794537, CA00794537, CA00795473, CA00795473 B, B, B, B SFY2022-23
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2023-12-05 00:00:00 220019772 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2020-06-24 00:00:00 2020-06-24 00:00:00 No 2024-04-10 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None ZV8J11 None CA00702794 D SFY2023-24
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2023-12-05 00:00:00 220019984 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2016-02-01 00:00:00 2016-02-01 00:00:00 No 2024-05-22 00:00:00 None AP BR None 175000 175000 -43750 131250 0 None 8FZ111 None CA00698368 D SFY2023-24
220000512 LAGUNA HONDA HOSPITAL & REHABILITATION CTR LTC SNF Skilled Nursing Facility San Francisco 2023-12-05 00:00:00 220020025 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2020-01-25 00:00:00 2020-01-25 00:00:00 No 2024-05-22 00:00:00 None AP BR None 30000 30000 -7500 22500 0 None DX3611 None CA00712755 D SFY2023-24
230000280 OAK PARK NURSING HOME LTC SNF Skilled Nursing Facility Chico 2000-01-10 00:00:00 230000873 Closed Citation Citation A (HSC 1424) Patient Care None 1999-06-04 00:00:00 None No 2000-02-01 00:00:00 None A None 9500 9500 -3325 6175 0 230006191 A99999 N None None SFY1999-00
230000034 PARADISE POST ACUTE LTC SNF Skilled Nursing Facility Chico 2000-02-10 00:00:00 230000874 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-18 00:00:00 None Yes 2000-07-10 00:00:00 2000-07-05 00:00:00 A A 8500 3500 0 3500 0 230006246 A99999 N None None SFY1999-00
230000280 OAK PARK NURSING HOME LTC SNF Skilled Nursing Facility Chico 2000-02-10 00:00:00 230000875 Closed Citation Citation B (HSC 1424) Medication None 1999-08-31 00:00:00 None No 2000-03-06 00:00:00 None B None 800 800 -280 520 0 230006247 A99999 N None None SFY1999-00
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2000-02-08 00:00:00 230000876 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-27 00:00:00 None Yes 2000-03-07 00:00:00 2000-02-16 00:00:00 B Drop>Deficiency 750 750 0 750 0 230006248 A99999 N None None SFY1999-00
230000280 OAK PARK NURSING HOME LTC SNF Skilled Nursing Facility Chico 2000-02-10 00:00:00 230000877 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-23 00:00:00 None No 2000-03-06 00:00:00 None B None 1000 1000 -350 650 0 230006249 A99999 N None None SFY1999-00
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2000-03-24 00:00:00 230000878 Closed Citation Citation B (HSC 1424) Patient Record None 1999-05-13 00:00:00 None No 2000-04-17 00:00:00 None B None 800 800 0 800 0 230006274 A99999 N None None SFY1999-00
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2000-03-24 00:00:00 230000879 Closed Citation Citation B (HSC 1424) Medication None 1999-09-10 00:00:00 None No 2000-04-17 00:00:00 None B None 950 950 0 950 0 230006277 A99999 N None None SFY1999-00
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2000-02-14 00:00:00 230000880 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-03 00:00:00 None No 2000-03-09 00:00:00 None B None 800 800 -280 520 0 230006278 A99999 N None None SFY1999-00
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2000-02-17 00:00:00 230000881 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-21 00:00:00 None Yes 2000-07-19 00:00:00 2000-02-18 00:00:00 B B 900 1650 0 1650 0 230006279 A99999 N None None SFY1999-00
230000330 EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2000-03-15 00:00:00 230000882 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-11 00:00:00 None No 2000-04-10 00:00:00 None B None 850 850 -297.5 552.5 0 230006310 A99999 N None None SFY1999-00
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2000-03-16 00:00:00 230000883 Closed Citation Citation B (HSC 1424) Patient Care None 1999-03-24 00:00:00 None Yes 2000-08-28 00:00:00 2000-03-16 00:00:00 B B 950 950 0 950 0 230006319 A99999 N None None SFY1999-00
230000034 PARADISE POST ACUTE LTC SNF Skilled Nursing Facility Chico 2000-05-04 00:00:00 230000884 Closed Citation Citation A (HSC 1424) Patient Care None 1994-01-12 00:00:00 None Yes 2000-05-26 00:00:00 2000-05-11 00:00:00 A B 10000 3500 0 3500 0 230006342 A99999 N None None SFY1999-00
230000034 PARADISE POST ACUTE LTC SNF Skilled Nursing Facility Chico 2000-04-05 00:00:00 230000885 Closed Citation Citation A (HSC 1424) Patient Care None 1996-02-05 00:00:00 None Yes 2000-04-27 00:00:00 2000-04-18 00:00:00 A B 8000 3500 0 3500 0 230006343 A99999 N None None SFY1999-00
230000034 PARADISE POST ACUTE LTC SNF Skilled Nursing Facility Chico 2000-04-05 00:00:00 230000886 Closed Citation Citation B (HSC 1424) Patient Care None 1996-05-15 00:00:00 None No 2000-04-27 00:00:00 None B None 700 700 -700 0 0 230006344 A99999 N None None SFY1999-00
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2000-04-13 00:00:00 230000887 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-28 00:00:00 None Yes 2000-05-08 00:00:00 2000-04-13 00:00:00 B None 800 800 0 800 0 230006349 A99999 N None None SFY1999-00
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2000-04-11 00:00:00 230000888 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-09 00:00:00 None Yes 2000-08-28 00:00:00 2000-04-11 00:00:00 B B 650 650 0 650 0 230006371 A99999 N None None SFY1999-00
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2000-04-17 00:00:00 230000889 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-12 00:00:00 None No 2000-05-09 00:00:00 None A None 7000 7000 0 7000 0 230006374 A99999 N None None SFY1999-00
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2000-04-20 00:00:00 230000890 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-06 00:00:00 None Yes 2000-05-12 00:00:00 2000-05-05 00:00:00 A A 9000 7500 0 7500 0 230006383 A99999 N None None SFY1999-00
230000051 ORCHARD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-04-19 00:00:00 230000891 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-03-09 00:00:00 None No 2000-05-10 00:00:00 None B None 800 800 -280 520 0 230006384 A99999 N None None SFY1999-00
230000051 ORCHARD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-04-19 00:00:00 230000892 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-03-09 00:00:00 None No 2000-05-12 00:00:00 None B None 800 800 -280 520 0 230006384 A99999 N None None SFY1999-00
230000109 MERAKEY - OLD LANTERN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-04-25 00:00:00 230000893 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-04 00:00:00 None No 2000-05-19 00:00:00 None A None 6500 6500 -2275 4225 0 230006391 A99999 N None None SFY1999-00
230000605 RCCA - WHITE OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-05-02 00:00:00 230000894 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-02 00:00:00 None Yes 2000-09-01 00:00:00 2000-08-25 00:00:00 B B 950 600 0 600 0 230006401 A99999 N None None SFY1999-00
230000605 RCCA - WHITE OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-05-02 00:00:00 230000895 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-09 00:00:00 None Yes 2000-09-01 00:00:00 2000-08-25 00:00:00 B B 950 600 0 600 0 230006401 A99999 N None None SFY1999-00
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2000-05-15 00:00:00 230000896 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-02-10 00:00:00 None Yes 2000-06-09 00:00:00 2000-05-15 00:00:00 A A 9500 9500 -7125 2375 0 230006414 A99999 N None None SFY1999-00
230000719 NVDS, INC - WALKER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-05-17 00:00:00 230000897 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-20 00:00:00 None No 2000-06-09 00:00:00 None B None 800 800 -280 520 0 230006424 A99999 N None None SFY1999-00
230000427 THE ALPINE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-05-31 00:00:00 230000898 Closed Citation Citation B (HSC 1424) Administration None 2000-01-01 00:00:00 None Yes 2000-08-24 00:00:00 2000-08-15 00:00:00 B B 800 800 0 800 0 230006425 A99999 N None None SFY1999-00
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2000-05-30 00:00:00 230000899 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-05-14 00:00:00 None No 2000-06-21 00:00:00 None B None 850 850 -297.5 552.5 0 230006427 A99999 N None None SFY1999-00
230000478 ENLOE MEDICAL CENTER - COHASSET D/P SNF LTC SNF Skilled Nursing Facility Chico 2000-06-01 00:00:00 230000900 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-19 00:00:00 None No 2000-06-23 00:00:00 None A None 9800 9800 -3430 6370 0 230006435 A99999 N None None SFY1999-00
230000561 RCCA - VIA VISTA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-06-13 00:00:00 230000901 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-13 00:00:00 None Yes 2000-07-06 00:00:00 2000-10-20 00:00:00 B B 900 620 0 620 0 230006452 A99999 N None None SFY1999-00
230000051 ORCHARD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-07-06 00:00:00 230000902 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-06-23 00:00:00 None No 2000-08-07 00:00:00 None A None 6000 6000 -2100 3900 0 230006462 A99999 N None None SFY2000-01
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2000-07-06 00:00:00 230000903 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-19 00:00:00 None No 2000-07-31 00:00:00 None B None 750 850 0 850 0 230006470 A99999 N None None SFY2000-01
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2000-07-18 00:00:00 230000904 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-02 00:00:00 None Yes 2000-08-14 00:00:00 2000-07-24 00:00:00 A A 2500 2500 -1875 625 0 230006485 A99999 N None None SFY2000-01
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2000-07-19 00:00:00 230000905 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-14 00:00:00 None Yes 2000-08-21 00:00:00 2000-07-19 00:00:00 A A 6000 6000 -4500 1500 0 230006487 A99999 N None None SFY2000-01
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2000-07-31 00:00:00 230000906 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-04 00:00:00 None No 2000-08-24 00:00:00 None B None 750 750 -262.5 487.5 0 230006498 A99999 N None None SFY2000-01
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2000-08-31 00:00:00 230000907 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-08 00:00:00 None No 2000-09-25 00:00:00 None B None 750 750 0 750 0 230006552 A99999 N None None SFY2000-01
230000613 TRAILVIEW HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-09-12 00:00:00 230000908 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-29 00:00:00 None Yes 2000-10-05 00:00:00 2000-09-13 00:00:00 B None 900 900 0 900 0 230006564 A99999 N None None SFY2000-01
230000247 CRESTWOOD WELLNESS AND RECOVERY CENTER LTC SNF Skilled Nursing Facility Chico 2000-10-03 00:00:00 230000910 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-08 00:00:00 None No 2000-11-06 00:00:00 None B Drop>Deficiency 950 950 0 950 0 230006598 A99999 N None None SFY2000-01
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2000-10-03 00:00:00 230000911 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-04 00:00:00 None Yes 2000-10-27 00:00:00 2000-10-03 00:00:00 A A 8000 8000 -6000 2000 0 230006599 A99999 N None None SFY2000-01
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2000-10-16 00:00:00 230000912 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-14 00:00:00 None No 2000-11-07 00:00:00 None B None 750 750 -262.5 487.5 0 230006601 A99999 N None None SFY2000-01
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2000-10-12 00:00:00 230000913 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-22 00:00:00 None No 2000-11-06 00:00:00 None B None 750 750 -262.5 487.5 0 230006624 A99999 N None None SFY2000-01
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2000-10-25 00:00:00 230000914 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-13 00:00:00 None No 2000-11-15 00:00:00 None B None 600 600 -210 390 0 230006636 A99999 N None None SFY2000-01
230000686 NVDS - SHOWBOAT LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2000-11-08 00:00:00 230000915 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-10 00:00:00 None No 2000-12-05 00:00:00 None B None 500 500 -175 325 0 230006657 A99999 N None None SFY2000-01
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2000-11-14 00:00:00 230000916 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-07 00:00:00 None No 2000-12-08 00:00:00 None A None 8000 8000 -2800 5200 0 230006661 A99999 N None None SFY2000-01
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2000-11-14 00:00:00 230000917 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-22 00:00:00 None No 2000-12-08 00:00:00 None B None 950 950 -332.5 617.5 0 230006664 A99999 N None None SFY2000-01
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2001-01-26 00:00:00 230000919 Closed Citation Citation B (HSC 1424) Staffing None 2000-12-30 00:00:00 None Yes 2001-02-28 00:00:00 2001-06-12 00:00:00 B B 950 1150 -760 390 0 230006890 A99999 N None None SFY2000-01
230000557 THE ALPINE HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2001-02-01 00:00:00 230000920 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-12 00:00:00 None No 2001-02-27 00:00:00 None B None 800 800 -280 520 0 230006903 A99999 N None None SFY2000-01
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2001-02-01 00:00:00 230000921 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-27 00:00:00 None Yes 2001-02-27 00:00:00 2001-02-01 00:00:00 B None 800 800 0 800 0 230006906 A99999 N None None SFY2000-01
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2001-02-27 00:00:00 230000923 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-10 00:00:00 None No 2001-03-21 00:00:00 None B None 980 980 -343 637 0 230006941 A99999 N None None SFY2000-01
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2001-02-26 00:00:00 230000924 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-31 00:00:00 None No 2001-03-26 00:00:00 None B None 850 850 -297.5 552.5 0 230006943 A99999 N None None SFY2000-01
230000578 GRANNY'S HOUSE - PLUMAS AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2001-02-28 00:00:00 230000925 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-15 00:00:00 None No 2001-03-21 00:00:00 None B None 750 750 -262.5 487.5 0 230006959 A99999 N None None SFY2000-01
230000699 GRANNY'S HOUSE - 12TH STREET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2001-03-13 00:00:00 230000927 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-15 00:00:00 None No 2001-04-16 00:00:00 None B None 450 1350 -472.5 877.5 0 230006974 A99999 N None None SFY2000-01
230000561 RCCA - VIA VISTA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2001-03-14 00:00:00 230000928 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-27 00:00:00 None No 2001-04-09 00:00:00 None B None 1000 1000 0 1000 0 230006975 A99999 N None None SFY2000-01
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2001-03-15 00:00:00 230000929 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-01 00:00:00 None Yes 2001-04-09 00:00:00 2001-03-29 00:00:00 B B 1000 1000 -800 200 0 230006808 A99999 N None None SFY2000-01
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2001-03-20 00:00:00 230000930 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-04-29 00:00:00 None Yes 2001-04-13 00:00:00 2001-03-29 00:00:00 AA AA 50000 50000 -7050.75 42949.25 0 230006721 A99999 Y None None SFY2000-01
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2001-03-23 00:00:00 230000931 Closed Citation Citation B (HSC 1424) Medication None 2001-01-01 00:00:00 None Yes 2001-04-16 00:00:00 2001-03-30 00:00:00 B B 950 600 0 600 0 230006895 A99999 N None None SFY2000-01
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2001-03-30 00:00:00 230000932 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-20 00:00:00 None Yes 2001-04-23 00:00:00 2001-04-03 00:00:00 B B 900 575 0 575 0 230007007 A99999 N None None SFY2000-01
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2001-04-13 00:00:00 230000933 Closed Citation Citation B (HSC 1424) Staffing None 2001-01-16 00:00:00 None No 2001-05-09 00:00:00 None B None 1000 1000 -350 650 0 230007043 A99999 N None None SFY2000-01
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2001-04-16 00:00:00 230000934 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-15 00:00:00 None Yes 2001-05-07 00:00:00 2001-04-24 00:00:00 B B 900 900 -720 180 0 230006921 A99999 N None None SFY2000-01
230000026 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Chico 2001-04-23 00:00:00 230000935 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-11 00:00:00 None Yes 2001-09-06 00:00:00 2001-04-30 00:00:00 B Drop>Deficiency 900 0 0 0 0 230007063 A99999 N None None SFY2000-01
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2001-04-24 00:00:00 230000936 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-20 00:00:00 None Yes 2001-05-11 00:00:00 2001-05-07 00:00:00 B B 750 750 -600 150 0 230007035 A99999 N None None SFY2000-01
230000597 MERAKEY - HERBSCENTA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2001-05-03 00:00:00 230000937 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-18 00:00:00 None Yes 2001-08-31 00:00:00 2001-05-03 00:00:00 B B 700 700 0 700 0 230006885 A99999 N None None SFY2000-01
230000026 BEVERLY MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Chico 2001-05-07 00:00:00 230000938 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-31 00:00:00 None Yes 2001-05-29 00:00:00 2001-05-09 00:00:00 B B 750 418 0 418 0 230007117 A99999 N None None SFY2000-01
230000247 CRESTWOOD WELLNESS AND RECOVERY CENTER LTC SNF Skilled Nursing Facility Chico 2001-05-08 00:00:00 230000939 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-18 00:00:00 None Yes 2001-06-01 00:00:00 2001-05-07 00:00:00 B B 800 400 0 400 0 230006954 A99999 N None None SFY2000-01
230000363 THE ELGIN HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2001-05-09 00:00:00 230000940 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-22 00:00:00 None No 2001-06-04 00:00:00 None B None 700 700 -245 455 0 230007012 A99999 N None None SFY2000-01
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2001-06-07 00:00:00 230000942 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-28 00:00:00 None No 2001-07-02 00:00:00 None B None 700 700 -245 455 0 230007178 A99999 N None None SFY2000-01
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2001-06-07 00:00:00 230000943 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-26 00:00:00 None No 2001-06-29 00:00:00 None B None 950 950 0 950 0 230007036 A99999 N None None SFY2000-01
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2001-05-31 00:00:00 230000944 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-17 00:00:00 None No 2001-06-25 00:00:00 None B None 750 750 -262.5 487.5 0 230006832 A99999 N None None SFY2000-01
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2001-06-06 00:00:00 230000945 Closed Citation Citation A (HSC 1424) Medication None 2000-06-30 00:00:00 None Yes 2001-07-02 00:00:00 2001-06-21 00:00:00 A A 5000 5000 -3750 1250 0 230007201 A99999 N None None SFY2000-01
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2001-07-24 00:00:00 230000947 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-06 00:00:00 None Yes 2001-08-17 00:00:00 2001-08-01 00:00:00 B B 800 450 0 450 0 230006844 A99999 N None None SFY2001-02
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2001-07-24 00:00:00 230000948 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-18 00:00:00 None Yes 2001-08-17 00:00:00 2001-08-01 00:00:00 B B 800 450 0 450 0 230006844 A99999 N None None SFY2001-02
230000330 EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2001-08-15 00:00:00 230000949 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-12 00:00:00 None No 2001-09-11 00:00:00 None B None 750 750 0 750 0 230007365 A99999 N None None SFY2001-02
230000153 BANNER LASSEN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2001-08-15 00:00:00 230000950 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-04 00:00:00 None No 2001-09-11 00:00:00 None B None 900 900 -315 585 0 230007163 A99999 N None None SFY2001-02
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2001-08-20 00:00:00 230000951 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-28 00:00:00 None No 2001-09-12 00:00:00 None B None 950 950 -332.5 617.5 0 230007374 A99999 N None None SFY2001-02
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2001-09-27 00:00:00 230000952 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-16 00:00:00 None No 2001-10-24 00:00:00 None B None 950 950 -332.5 617.5 0 230007090 A99999 N None None SFY2001-02
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2001-10-02 00:00:00 230000953 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-30 00:00:00 None Yes 2001-10-24 00:00:00 2001-10-16 00:00:00 B B 800 700 0 700 0 230007422 A99999 N None None SFY2001-02
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2001-10-11 00:00:00 230000954 Closed Citation Citation B (HSC 1424) Medication None 2001-06-07 00:00:00 None No 2001-11-05 00:00:00 None B None 1700 1700 -595 1105 0 230007361 A99999 N None None SFY2001-02
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2001-10-24 00:00:00 230000955 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-11 00:00:00 None No 2001-11-16 00:00:00 None B None 1000 1150 0 1150 0 230007530 A99999 N None None SFY2001-02
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2001-10-24 00:00:00 230000956 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-01-02 00:00:00 None Yes 2001-11-19 00:00:00 2001-11-08 00:00:00 AA A 80000 16000 0 16000 0 230006951 A99999 Y None None SFY2001-02
230000605 RCCA - WHITE OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2001-10-30 00:00:00 230000957 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-21 00:00:00 None Yes 2001-11-27 00:00:00 2001-10-30 00:00:00 B B 1000 1000 0 1000 0 230007492 A99999 N None None SFY2001-02
230000109 MERAKEY - OLD LANTERN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2001-11-07 00:00:00 230000958 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-08 00:00:00 None No 2001-12-05 00:00:00 None B None 900 900 -315 585 0 230007441 A99999 N None None SFY2001-02
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2001-11-15 00:00:00 230000959 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-15 00:00:00 None No 2001-12-14 00:00:00 None B None 700 700 0 700 0 230007243 A99999 N None None SFY2001-02
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2002-01-14 00:00:00 230000960 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-29 00:00:00 None No 2002-02-08 00:00:00 None B None 800 800 -280 520 0 230007652 A99999 N None None SFY2001-02
230000504 VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-01-14 00:00:00 230000961 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-05 00:00:00 None Yes 2002-02-13 00:00:00 2002-01-24 00:00:00 B B 800 490 0 490 0 230007528 A99999 N None None SFY2001-02
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2002-01-14 00:00:00 230000962 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-07 00:00:00 None No 2002-02-06 00:00:00 None B None 1000 1000 -350 650 0 230007613 A99999 N None None SFY2001-02
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2002-01-17 00:00:00 230000964 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-10 00:00:00 None Yes 2002-02-08 00:00:00 2002-01-18 00:00:00 A A 18000 15300 0 15300 0 230007655 A99999 N None None SFY2001-02
230000468 MERAKEY - VALENTINE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-02-01 00:00:00 230000965 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-25 00:00:00 None No 2002-03-01 00:00:00 None B None 600 600 -210 390 0 230007573 A99999 N None None SFY2001-02
230000049 HOME HEALTH SERVICES LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-02-15 00:00:00 230000966 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-09 00:00:00 None No 2002-03-11 00:00:00 None B None 600 600 -210 390 0 230007796 A99999 N None None SFY2001-02
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2002-02-14 00:00:00 230000967 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-08 00:00:00 None No 2002-03-12 00:00:00 None B None 700 700 -245 455 0 230007176 A99999 N None None SFY2001-02
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2002-02-26 00:00:00 230000968 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-25 00:00:00 None Yes 2002-06-24 00:00:00 2002-02-26 00:00:00 B B 700 800 0 800 0 230007597 A99999 N None None SFY2001-02
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2002-02-26 00:00:00 230000969 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-06 00:00:00 None No 2002-03-21 00:00:00 None B None 600 700 -210 490 0 230007598 A99999 N None None SFY2001-02
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2002-02-27 00:00:00 230000970 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-24 00:00:00 None No 2002-03-21 00:00:00 None B None 700 700 -245 455 0 230007711 A99999 N None None SFY2001-02
230000588 GRANNY'S HOUSE - HILDALE AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-02-26 00:00:00 230000971 Closed Citation Citation B (HSC 1424) Dietary None 2002-11-16 00:00:00 None No 2002-03-29 00:00:00 None B None 800 800 -280 520 0 230007751 A99999 N None None SFY2001-02
230000588 GRANNY'S HOUSE - HILDALE AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-02-26 00:00:00 230000972 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-01-16 00:00:00 None No 2002-03-29 00:00:00 None B None 800 800 -280 520 0 230007855 A99999 N None None SFY2001-02
230000588 GRANNY'S HOUSE - HILDALE AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-02-26 00:00:00 230000973 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-01-16 00:00:00 None No 2002-03-29 00:00:00 None B None 800 800 -280 520 0 230007856 A99999 N None None SFY2001-02
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2002-03-12 00:00:00 230000974 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-03 00:00:00 None Yes 2002-04-08 00:00:00 2002-03-28 00:00:00 A B 16000 9116 0 9116 0 230007476 A99999 N None None SFY2001-02
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2002-03-12 00:00:00 230000975 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-15 00:00:00 None Yes 2002-08-26 00:00:00 2002-08-13 00:00:00 A B 16000 1000 0 1000 0 230007635 A99999 N None None SFY2001-02
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2002-03-27 00:00:00 230000977 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-21 00:00:00 None Yes 2002-04-18 00:00:00 2002-04-02 00:00:00 A A 18000 15300 0 15300 0 230007774 A99999 N None None SFY2001-02
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2002-03-28 00:00:00 230000978 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-07 00:00:00 None Yes 2002-04-23 00:00:00 2002-04-04 00:00:00 A A 18000 25000 0 25000 0 230007715 A99999 N None None SFY2001-02
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2002-03-28 00:00:00 230000979 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-26 00:00:00 None Yes 2002-04-23 00:00:00 2002-04-04 00:00:00 A Dismissed by Court 20000 0 0 0 0 230007715 A99999 N None None SFY2001-02
230000588 GRANNY'S HOUSE - HILDALE AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-04-19 00:00:00 230000980 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-03-01 00:00:00 None No 2002-05-30 00:00:00 None B None 800 800 -280 520 0 230007979 A99999 N None None SFY2001-02
230000027 SHASTA VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2002-04-26 00:00:00 230000981 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-09 00:00:00 None Yes 2002-08-23 00:00:00 2002-04-26 00:00:00 B B 700 700 0 700 0 230007246 A99999 N None None SFY2001-02
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2002-05-14 00:00:00 230000982 Closed Citation Citation AA (HSC 1424) Medication None 2002-01-05 00:00:00 None Yes 2002-06-10 00:00:00 2002-05-17 00:00:00 AA AA 80000 25000 0 25000 0 230007742 A99999 Y None None SFY2001-02
230000047 DENTON RESIDENTIAL FACILITY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-05-22 00:00:00 230000983 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-04-01 00:00:00 None No 2002-06-14 00:00:00 None B None 500 500 -175 325 0 230008112 A99999 N None None SFY2001-02
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-06-11 00:00:00 230000984 Closed Citation Citation A (HSC 1424) Patient Care None 2001-12-18 00:00:00 None Yes 2002-07-05 00:00:00 2002-06-17 00:00:00 A A 14000 3000 0 3000 0 230007712 A99999 N None None SFY2001-02
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-06-11 00:00:00 230000985 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-31 00:00:00 None No 2002-07-09 00:00:00 None B None 800 800 -280 520 0 230007895 A99999 N None None SFY2001-02
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2002-06-07 00:00:00 230000986 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-19 00:00:00 None No 2002-07-01 00:00:00 None B None 700 700 -245 455 0 230006722 A99999 N None None SFY2001-02
230000392 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-06-13 00:00:00 230000987 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-22 00:00:00 None No 2002-07-08 00:00:00 None B None 800 800 -280 520 0 230008147 A99999 N None None SFY2001-02
230000719 NVDS, INC - WALKER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-06-21 00:00:00 230000988 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-06-11 00:00:00 None No 2002-07-16 00:00:00 None B None 500 500 -175 325 0 230008190 A99999 N None None SFY2001-02
230000497 MERAKEY - HARPOLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-06-26 00:00:00 230000989 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-12-20 00:00:00 None No 2002-07-19 00:00:00 None A None 2000 2000 -700 1300 0 230007682 A99999 N None None SFY2001-02
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-06-26 00:00:00 230000990 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-08 00:00:00 None No 2002-07-22 00:00:00 None B None 800 800 -280 520 0 230008104 A99999 N None None SFY2001-02
230000153 BANNER LASSEN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-08-14 00:00:00 230000991 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-30 00:00:00 None No 2002-09-17 00:00:00 None B None 800 800 -280 520 0 230008164 A99999 N None None SFY2002-03
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-08-21 00:00:00 230000992 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-18 00:00:00 2002-07-18 00:00:00 Yes 2002-09-12 00:00:00 2002-08-21 00:00:00 B B 1000 1000 0 1000 0 230009207 A99999 N None None SFY2002-03
230000144 SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-08-21 00:00:00 230000993 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-20 00:00:00 None No 2002-09-16 00:00:00 None B None 1000 1000 -350 650 0 230008323 A99999 N None None SFY2002-03
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2002-08-29 00:00:00 230000994 Closed Citation Citation A (HSC 1424) Patient Care None 2001-02-17 00:00:00 None Yes 2002-09-27 00:00:00 2002-09-06 00:00:00 A A 8000 4591 0 4591 0 230007080 A99999 N None None SFY2002-03
230000330 EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2002-08-29 00:00:00 230000995 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-14 00:00:00 None No 2002-09-26 00:00:00 None B None 1000 1000 -350 650 0 230008308 A99999 N None None SFY2002-03
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2002-09-18 00:00:00 230000997 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-02 00:00:00 2002-08-02 00:00:00 Yes 2003-04-03 00:00:00 2002-10-03 00:00:00 B B 800 446 0 446 0 230008371 A99999 N None None SFY2002-03
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2002-10-09 00:00:00 230000998 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-07 00:00:00 2002-08-07 00:00:00 No 2002-11-05 00:00:00 None B None 1000 3000 -1050 1950 0 230008534 A99999 N None None SFY2002-03
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2002-10-21 00:00:00 230000999 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-19 00:00:00 2002-07-19 00:00:00 No 2002-11-19 00:00:00 None A None 6000 6000 -2100 3900 0 230008312 A99999 N None None SFY2002-03
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2002-10-29 00:00:00 230001000 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-22 00:00:00 2002-08-22 00:00:00 No 2003-03-28 00:00:00 None B B 1000 1000 0 1000 0 230008439 A99999 N None None SFY2002-03
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2002-10-31 00:00:00 230001001 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-18 00:00:00 2001-10-18 00:00:00 No 2003-04-01 00:00:00 None B B 1000 1000 0 1000 0 230007578 A99999 N None None SFY2002-03
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2002-11-25 00:00:00 230001002 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-26 00:00:00 2001-11-26 00:00:00 No 2002-12-18 00:00:00 None B None 1000 1000 -350 650 0 230008658 A99999 N None None SFY2002-03
230000783 GRANNY'S HOUSE - BOYER ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-12-20 00:00:00 230001005 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-06 00:00:00 2002-09-06 00:00:00 No 2003-01-10 00:00:00 None B None 800 800 -280 520 0 230008697 A99999 N None None SFY2002-03
230000578 GRANNY'S HOUSE - PLUMAS AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-12-20 00:00:00 230001006 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-16 00:00:00 2002-09-16 00:00:00 No 2003-01-17 00:00:00 None B None 1000 1000 -350 650 0 230008698 A99999 N None None SFY2002-03
230000783 GRANNY'S HOUSE - BOYER ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-12-20 00:00:00 230001007 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-28 00:00:00 2002-09-28 00:00:00 No 2003-01-17 00:00:00 None B None 1000 1000 -350 650 0 230008761 A99999 N None None SFY2002-03
230000763 NVDS, INC - VALENTINE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-12-19 00:00:00 230001008 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-23 00:00:00 2002-10-23 00:00:00 No 2003-01-23 00:00:00 None B None 700 700 -245 455 0 230008762 A99999 N None None SFY2002-03
230000783 GRANNY'S HOUSE - BOYER ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-12-20 00:00:00 230001009 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-13 00:00:00 2002-09-13 00:00:00 No 2003-01-14 00:00:00 None B None 1000 1000 -350 650 0 230008763 A99999 N None None SFY2002-03
230000578 GRANNY'S HOUSE - PLUMAS AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-12-20 00:00:00 230001010 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-18 00:00:00 2002-09-18 00:00:00 Yes 2003-04-04 00:00:00 2003-01-08 00:00:00 B B 1000 1000 0 1000 0 230008766 A99999 N None None SFY2002-03
230000783 GRANNY'S HOUSE - BOYER ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-12-20 00:00:00 230001011 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-10 00:00:00 2002-10-10 00:00:00 No 2003-01-17 00:00:00 None B None 1000 1250 -350 900 0 230008767 A99999 N None None SFY2002-03
230000783 GRANNY'S HOUSE - BOYER ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2002-12-20 00:00:00 230001012 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-28 00:00:00 2002-10-28 00:00:00 No 2003-01-16 00:00:00 None B None 1000 1100 -350 750 0 230008767 A99999 N None None SFY2002-03
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2002-12-30 00:00:00 230001013 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-03-22 00:00:00 2002-03-22 00:00:00 Yes 2003-01-27 00:00:00 2003-01-07 00:00:00 AA A 100000 20000 0 20000 0 230008774 A99999 Y None None SFY2002-03
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2002-12-30 00:00:00 230001014 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-19 00:00:00 2002-03-19 00:00:00 Yes 2003-01-27 00:00:00 2003-01-07 00:00:00 A B 18000 900 0 900 0 230008774 A99999 N None None SFY2002-03
230000247 CRESTWOOD WELLNESS AND RECOVERY CENTER LTC SNF Skilled Nursing Facility Chico 2003-01-21 00:00:00 230001015 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-01 00:00:00 2002-01-01 00:00:00 Yes 2003-02-11 00:00:00 2003-01-22 00:00:00 A B 12000 4500 0 4500 0 230008846 A99999 N None None SFY2002-03
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2003-02-06 00:00:00 230001016 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-09 00:00:00 2002-10-09 00:00:00 No 2003-03-07 00:00:00 None B None 800 1150 0 1150 0 230008583 A99999 N None None SFY2002-03
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2003-02-04 00:00:00 230001017 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-23 00:00:00 2002-05-23 00:00:00 No 2003-03-04 00:00:00 None B None 1000 1000 -350 650 0 230008552 A99999 N None None SFY2002-03
230000783 GRANNY'S HOUSE - BOYER ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-02-13 00:00:00 230001018 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-27 00:00:00 2002-10-27 00:00:00 No 2003-03-20 00:00:00 None B None 1000 1000 -350 650 0 230008593 A99999 N None None SFY2002-03
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2003-03-12 00:00:00 230001019 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-09 00:00:00 2003-01-09 00:00:00 No 2003-04-04 00:00:00 None B None 1000 1000 -350 650 0 230008834 A99999 N None None SFY2002-03
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2003-03-26 00:00:00 230001020 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-28 00:00:00 2002-12-28 00:00:00 Yes 2003-04-21 00:00:00 2003-03-26 00:00:00 B None 800 800 0 800 0 230009060 A99999 N None None SFY2002-03
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2003-03-26 00:00:00 230001021 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-28 00:00:00 2002-12-28 00:00:00 Yes 2003-04-21 00:00:00 2003-03-26 00:00:00 B None 800 800 0 800 0 230009060 A99999 N None None SFY2002-03
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2003-04-02 00:00:00 230001022 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-29 00:00:00 2002-12-29 00:00:00 No 2003-04-28 00:00:00 None B None 1000 1000 -350 650 0 230009077 A99999 N None None SFY2002-03
230000242 MERCY MEDICAL CENTER MT. SHASTA D/P SNF LTC SNF Skilled Nursing Facility Chico 2003-04-09 00:00:00 230001023 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-15 00:00:00 2002-05-15 00:00:00 No 2003-05-02 00:00:00 None B None 800 800 -280 520 0 230009135 A99999 N None None SFY2002-03
230000242 MERCY MEDICAL CENTER MT. SHASTA D/P SNF LTC SNF Skilled Nursing Facility Chico 2003-04-09 00:00:00 230001024 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-17 00:00:00 2002-10-17 00:00:00 No 2003-05-02 00:00:00 None B None 1000 1000 -350 650 0 230009135 A99999 N None None SFY2002-03
230000282 SPRING HILL MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Chico 2003-04-23 00:00:00 230001025 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-20 00:00:00 2002-04-20 00:00:00 Yes 2003-05-20 00:00:00 2003-04-23 00:00:00 B None 850 850 0 850 0 230008853 A99999 N None None SFY2002-03
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2003-05-05 00:00:00 230001026 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-28 00:00:00 2002-07-28 00:00:00 No 2003-06-03 00:00:00 None B None 1000 1000 -350 650 0 230008343 A99999 N None None SFY2002-03
230000242 MERCY MEDICAL CENTER MT. SHASTA D/P SNF LTC SNF Skilled Nursing Facility Chico 2003-05-21 00:00:00 230001027 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-08 00:00:00 2003-03-08 00:00:00 No 2003-06-17 00:00:00 None B None 1000 1000 -350 650 0 230009041 A99999 N None None SFY2002-03
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2003-05-27 00:00:00 230001028 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-22 00:00:00 2002-10-22 00:00:00 Yes 2003-06-27 00:00:00 2003-06-03 00:00:00 A A 20000 11477 0 11477 0 230008587 A99999 N None None SFY2002-03
230000560 RCCA - AUGUSTA LANE #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-07-02 00:00:00 230001029 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-15 00:00:00 2003-02-15 00:00:00 No 2003-07-28 00:00:00 None B None 1000 1000 -350 650 0 230009270 A99999 N None None SFY2003-04
230000560 RCCA - AUGUSTA LANE #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-07-02 00:00:00 230001030 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-19 00:00:00 2003-03-19 00:00:00 No 2003-07-28 00:00:00 None B None 1000 1000 -350 650 0 230009270 A99999 N None None SFY2003-04
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2003-07-14 00:00:00 230001031 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-22 00:00:00 2003-04-22 00:00:00 No 2003-08-07 00:00:00 None B None 800 800 -280 520 0 230009234 A99999 N None None SFY2003-04
230000616 OSTERMAN'S FACILITY #2, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-07-14 00:00:00 230001032 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-30 00:00:00 2003-04-30 00:00:00 No 2003-08-07 00:00:00 None B None 1000 1000 -350 650 0 230009397 A99999 N None None SFY2003-04
230000616 OSTERMAN'S FACILITY #2, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-07-14 00:00:00 230001033 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-02 00:00:00 2003-05-02 00:00:00 No 2003-08-07 00:00:00 None B None 1000 1000 -350 650 0 230009397 A99999 N None None SFY2003-04
230000616 OSTERMAN'S FACILITY #2, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-07-14 00:00:00 230001034 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-01 00:00:00 2003-05-01 00:00:00 No 2003-08-07 00:00:00 None B None 1000 1000 -350 650 0 230009397 A99999 N None None SFY2003-04
230000616 OSTERMAN'S FACILITY #2, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-07-14 00:00:00 230001035 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-26 00:00:00 2002-11-26 00:00:00 No 2003-08-07 00:00:00 None B None 1000 1000 -350 650 0 230009397 A99999 N None None SFY2003-04
230000616 OSTERMAN'S FACILITY #2, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-07-14 00:00:00 230001036 Closed Citation Citation B (HSC 1424) Administration None 2003-04-07 00:00:00 2003-04-07 00:00:00 No 2003-08-07 00:00:00 None B None 1000 1000 -350 650 0 230009397 A99999 N None None SFY2003-04
230000467 NVDS INC - CHRISTIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-08-12 00:00:00 230001037 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-10 00:00:00 2003-05-10 00:00:00 No 2003-09-10 00:00:00 None B None 1000 1000 -350 650 0 230009360 A99999 N None None SFY2003-04
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2003-07-17 00:00:00 230001038 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-25 00:00:00 2003-03-25 00:00:00 No 2003-08-13 00:00:00 None B None 1000 1000 -350 650 0 230009184 A99999 N None None SFY2003-04
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2003-07-17 00:00:00 230001039 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-26 00:00:00 2003-03-26 00:00:00 No 2003-08-13 00:00:00 None B None 1000 1000 -350 650 0 230009172 A99999 N None None SFY2003-04
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2003-07-17 00:00:00 230001040 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-11 00:00:00 2003-04-11 00:00:00 No 2003-08-13 00:00:00 None B None 1000 1000 -350 650 0 230009172 A99999 Y None None SFY2003-04
230000763 NVDS, INC - VALENTINE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-08-12 00:00:00 230001041 Closed Citation Citation B (HSC 1424) Administration None 2003-05-22 00:00:00 2003-05-22 00:00:00 No 2003-09-10 00:00:00 None B None 1000 1000 -350 650 0 230009500 A99999 N None None SFY2003-04
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2003-09-24 00:00:00 230001042 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-20 00:00:00 2003-02-20 00:00:00 Yes 2003-12-29 00:00:00 2003-09-30 00:00:00 B B 1000 1000 0 1000 0 230009285 A99999 N None None SFY2003-04
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2003-08-19 00:00:00 230001043 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-17 00:00:00 2003-05-17 00:00:00 No 2003-09-11 00:00:00 None B None 1000 1000 -350 650 0 230009320 A99999 N None None SFY2003-04
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2003-08-27 00:00:00 230001044 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-08 00:00:00 2003-03-08 00:00:00 Yes 2003-09-23 00:00:00 2003-08-29 00:00:00 B B 1000 574 0 574 0 230009564 A99999 N None None SFY2003-04
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2003-08-27 00:00:00 230001045 Closed Citation Citation B (HSC 1424) Other ABUSE 2003-05-17 00:00:00 2003-05-17 00:00:00 No 2003-09-18 00:00:00 None B B 1000 574 0 574 0 230009564 A99999 N None None SFY2003-04
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2003-08-21 00:00:00 230001046 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-21 00:00:00 2001-12-21 00:00:00 Yes 2003-09-16 00:00:00 2003-08-29 00:00:00 B B 1000 574 0 574 0 230008131 A99999 N None None SFY2003-04
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2003-08-21 00:00:00 230001047 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-08 00:00:00 2002-01-08 00:00:00 Yes 2003-09-16 00:00:00 2003-08-29 00:00:00 B B 1000 574 0 574 0 230008131 A99999 N None None SFY2003-04
230000497 MERAKEY - HARPOLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-08-27 00:00:00 230001048 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-12 00:00:00 2002-05-12 00:00:00 No 2003-09-26 00:00:00 None B None 1000 1000 -350 650 0 230009287 A99999 N None None SFY2003-04
230000497 MERAKEY - HARPOLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-08-27 00:00:00 230001049 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-03 00:00:00 2002-06-03 00:00:00 No 2003-09-26 00:00:00 None B None 1000 1000 -350 650 0 230009287 A99999 N None None SFY2003-04
230000497 MERAKEY - HARPOLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-08-27 00:00:00 230001050 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-19 00:00:00 2002-07-19 00:00:00 No 2003-09-26 00:00:00 None B None 1000 1000 -350 650 0 230009287 A99999 N None None SFY2003-04
230000497 MERAKEY - HARPOLE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-08-27 00:00:00 230001051 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-05 00:00:00 2002-05-05 00:00:00 No 2003-09-26 00:00:00 None B None 1000 1000 -350 650 0 230009287 A99999 N None None SFY2003-04
230000783 GRANNY'S HOUSE - BOYER ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-09-03 00:00:00 230001052 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-07-09 00:00:00 2003-07-09 00:00:00 No 2003-09-26 00:00:00 None B None 800 800 -280 520 0 230009465 A99999 N None None SFY2003-04
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2003-09-10 00:00:00 230001053 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-07 00:00:00 2003-08-07 00:00:00 No 2003-10-08 00:00:00 None B None 800 800 -280 520 0 230009594 A99999 N None None SFY2003-04
230000606 RCCA - RIVER OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2003-09-11 00:00:00 230001054 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-11 00:00:00 2003-04-11 00:00:00 No 2003-10-07 00:00:00 None B None 1000 1000 -350 650 0 230009680 A99999 N None None SFY2003-04
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2003-09-11 00:00:00 230001055 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-09 00:00:00 2003-07-09 00:00:00 No 2003-10-07 00:00:00 None B None 1000 1000 -350 650 0 230009681 A99999 N None None SFY2003-04
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2003-12-09 00:00:00 230001056 Closed Citation Citation A (HSC 1424) Medication None 2002-10-06 00:00:00 2002-10-06 00:00:00 No 2004-01-06 00:00:00 None A None 8000 8000 -2800 5200 0 230009705 A99999 N None None SFY2003-04
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2003-09-24 00:00:00 230001057 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-04 00:00:00 2003-08-04 00:00:00 Yes 2003-10-24 00:00:00 2003-10-02 00:00:00 B B 1000 500 0 500 0 230009644 A99999 N None None SFY2003-04
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2003-09-25 00:00:00 230001058 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-07-21 00:00:00 2003-07-21 00:00:00 No 2003-10-24 00:00:00 None B B 800 446 0 446 0 230009539 A99999 N None None SFY2003-04
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2003-09-25 00:00:00 230001059 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-19 00:00:00 2003-06-19 00:00:00 No 2003-10-23 00:00:00 None B None 1000 1000 -350 650 0 230009731 A99999 N None None SFY2003-04
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2003-10-08 00:00:00 230001060 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-07-18 00:00:00 2003-07-18 00:00:00 Yes 2003-11-03 00:00:00 2003-10-14 00:00:00 B B 1000 750 0 750 0 230009489 A99999 N None None SFY2003-04
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2003-12-16 00:00:00 230001062 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-28 00:00:00 2003-10-28 00:00:00 No 2004-01-09 00:00:00 None B None 800 800 -280 520 0 230009974 A99999 N None None SFY2003-04
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2003-12-11 00:00:00 230001063 Closed Citation Citation B (HSC 1424) Patient Record None 2003-10-13 00:00:00 2003-10-13 00:00:00 No 2004-01-09 00:00:00 None B None 800 800 -280 520 0 230009825 A99999 N None None SFY2003-04
230000427 THE ALPINE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-02-03 00:00:00 230001064 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-07 00:00:00 2003-12-07 00:00:00 No 2004-03-05 00:00:00 None B None 700 700 -245 455 0 230010159 A99999 N None None SFY2003-04
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-02-11 00:00:00 230001065 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-21 00:00:00 2003-10-21 00:00:00 No 2004-03-09 00:00:00 None B None 1000 1000 -350 650 0 230009983 A99999 N None None SFY2003-04
230000763 NVDS, INC - VALENTINE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-02-18 00:00:00 230001066 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-12 00:00:00 2003-11-12 00:00:00 No 2004-03-15 00:00:00 None B None 1000 1000 -350 650 0 230010224 A99999 N None None SFY2003-04
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-02-27 00:00:00 230001068 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-23 00:00:00 2003-06-23 00:00:00 No 2004-03-19 00:00:00 None B None 800 800 -280 520 0 230009914 A99999 N None None SFY2003-04
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2004-03-02 00:00:00 230001069 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-28 00:00:00 2003-09-28 00:00:00 No 2004-03-23 00:00:00 None B None 800 800 -280 520 0 230009763 A99999 N None None SFY2003-04
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2004-03-18 00:00:00 230001070 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-30 00:00:00 2004-01-30 00:00:00 No 2004-04-16 00:00:00 None B None 500 500 -175 325 0 230010210 A99999 N None None SFY2003-04
230000605 RCCA - WHITE OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-03-17 00:00:00 230001071 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-31 00:00:00 2004-01-31 00:00:00 No 2004-04-13 00:00:00 None B None 1000 1000 0 1000 0 230010359 A99999 N None None SFY2003-04
230000737 ARVALO HOME - SHADOWRUN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-03-30 00:00:00 230001073 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-30 00:00:00 2003-12-30 00:00:00 No 2004-04-26 00:00:00 None B None 800 800 -280 520 0 230010317 A99999 N None None SFY2003-04
230000719 NVDS, INC - WALKER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-03-30 00:00:00 230001074 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-23 00:00:00 2003-12-23 00:00:00 No 2004-04-26 00:00:00 None B None 1000 1000 -350 650 0 230010389 A99999 N None None SFY2003-04
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-05-03 00:00:00 230001075 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-02-10 00:00:00 2004-02-10 00:00:00 No 2004-06-01 00:00:00 None B None 1000 1000 -350 650 0 230010347 A99999 N None None SFY2003-04
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2004-05-04 00:00:00 230001076 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-18 00:00:00 2003-10-18 00:00:00 No 2004-06-01 00:00:00 None B None 500 500 -175 325 0 230009945 A99999 N None None SFY2003-04
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-06-04 00:00:00 230001077 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-15 00:00:00 2004-03-15 00:00:00 No 2004-06-25 00:00:00 None B None 1000 1000 -350 650 0 230010652 A99999 N None None SFY2003-04
230000560 RCCA - AUGUSTA LANE #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-06-09 00:00:00 230001078 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-24 00:00:00 2004-04-24 00:00:00 No 2004-06-30 00:00:00 None B None 1000 1000 0 1000 0 230010675 A99999 N None None SFY2003-04
230000737 ARVALO HOME - SHADOWRUN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-06-30 00:00:00 230001079 Closed Citation Citation B (HSC 1424) Staffing None 2003-06-05 00:00:00 2003-06-05 00:00:00 No 2004-07-30 00:00:00 None B None 1000 1000 0 1000 0 230010585 A99999 N None None SFY2003-04
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-07-13 00:00:00 230001080 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-21 00:00:00 2004-03-21 00:00:00 Yes 2004-08-03 00:00:00 2004-07-21 00:00:00 B B 500 250 0 250 0 230010494 A99999 N None None SFY2004-05
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2004-07-13 00:00:00 230001081 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-16 00:00:00 2003-09-16 00:00:00 No 2004-08-10 00:00:00 None B None 800 800 -280 520 0 230009730 A99999 N None None SFY2004-05
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2004-07-16 00:00:00 230001082 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-22 00:00:00 2004-01-22 00:00:00 No 2004-08-12 00:00:00 None B None 1000 1000 -350 650 0 230010736 A99999 N None None SFY2004-05
230000327 GRIDLEY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2004-07-13 00:00:00 230001083 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-10 00:00:00 2004-02-10 00:00:00 No 2004-08-06 00:00:00 None B None 500 500 -175 325 0 230010257 A99999 N None None SFY2004-05
230000247 CRESTWOOD WELLNESS AND RECOVERY CENTER LTC SNF Skilled Nursing Facility Chico 2004-07-21 00:00:00 230001084 Closed Citation Citation B (HSC 1424) Medication None 2001-06-01 00:00:00 2001-06-01 00:00:00 Yes 2004-08-26 00:00:00 2004-07-21 00:00:00 B B 1000 500 0 500 0 230009249 A99999 N None None SFY2004-05
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2004-07-21 00:00:00 230001085 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-06-17 00:00:00 2004-06-17 00:00:00 No 2004-08-24 00:00:00 None B None 500 500 -175 325 0 230010765 A99999 N None None SFY2004-05
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2004-07-21 00:00:00 230001086 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-06-27 00:00:00 2004-06-27 00:00:00 No 2004-08-24 00:00:00 None B None 500 500 -175 325 0 230010766 A99999 N None None SFY2004-05
230000699 GRANNY'S HOUSE - 12TH STREET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-07-23 00:00:00 230001087 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-13 00:00:00 2004-03-13 00:00:00 No 2004-08-23 00:00:00 None B None 1000 1000 -350 650 0 230010454 A99999 N None None SFY2004-05
230000699 GRANNY'S HOUSE - 12TH STREET LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-07-23 00:00:00 230001088 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-17 00:00:00 2004-03-17 00:00:00 No 2004-08-23 00:00:00 None B None 1000 1000 -350 650 0 230010453 A99999 N None None SFY2004-05
230000763 NVDS, INC - VALENTINE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-08-12 00:00:00 230001089 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-01 00:00:00 2004-01-01 00:00:00 No 2004-09-07 00:00:00 None B None 1000 1100 -350 750 0 230010874 A99999 N None None SFY2004-05
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-08-13 00:00:00 230001090 Closed Citation Citation B (HSC 1424) Staffing None 2003-12-31 00:00:00 2003-12-31 00:00:00 No 2004-09-03 00:00:00 None B None 1000 1000 -350 650 0 230010163 A99999 N None None SFY2004-05
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-08-13 00:00:00 230001091 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-15 00:00:00 2004-01-15 00:00:00 No 2004-09-03 00:00:00 None B None 1000 1000 -350 650 0 230010148 A99999 N None None SFY2004-05
230000370 THE FOUNTAINS LTC SNF Skilled Nursing Facility Chico 2004-08-09 00:00:00 230001092 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-18 00:00:00 2004-03-18 00:00:00 No 2004-09-02 00:00:00 None B None 800 800 -280 520 0 230010755 A99999 N None None SFY2004-05
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-08-10 00:00:00 230001093 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-14 00:00:00 2004-07-14 00:00:00 No 2004-09-03 00:00:00 None B None 1000 1000 0 1000 0 230010798 A99999 N None None SFY2004-05
230000769 TLC SERVICES LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-08-25 00:00:00 230001094 Closed Citation Citation B (HSC 1424) Staffing None 2004-07-23 00:00:00 2004-07-23 00:00:00 No 2004-09-27 00:00:00 None B None 1000 1000 0 1000 0 230010828 A99999 N None None SFY2004-05
230000563 RCCA AUGUSTA LANE #1 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-08-25 00:00:00 230001095 Closed Citation Citation B (HSC 1424) Staffing None 2003-09-01 00:00:00 2003-09-01 00:00:00 No 2004-09-27 00:00:00 None B None 1000 1000 -350 650 0 230010827 A99999 N None None SFY2004-05
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2004-08-19 00:00:00 230001097 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-06 00:00:00 2004-05-06 00:00:00 Yes 2004-09-24 00:00:00 2004-08-24 00:00:00 B B 1000 500 0 500 0 230010633 A99999 N None None SFY2004-05
230000606 RCCA - RIVER OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-08-25 00:00:00 230001098 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-23 00:00:00 2004-05-23 00:00:00 No 2004-09-27 00:00:00 None B None 1000 1000 -350 650 0 230010931 A99999 N None None SFY2004-05
230000606 RCCA - RIVER OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-08-25 00:00:00 230001099 Closed Citation Citation B (HSC 1424) Medication None 2004-05-17 00:00:00 2004-05-17 00:00:00 No 2004-09-27 00:00:00 None B None 1000 1000 -350 650 0 230010930 A99999 N None None SFY2004-05
230000560 RCCA - AUGUSTA LANE #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-09-21 00:00:00 230001100 Closed Citation Citation B (HSC 1424) Staffing None 2004-05-01 00:00:00 2004-05-01 00:00:00 No 2004-10-18 00:00:00 None B None 1000 1000 -350 650 0 230010797 A99999 N None None SFY2004-05
230000558 RESIDENTIAL MANAGEMENT SERVICES LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-09-24 00:00:00 230001101 Closed Citation Citation B (HSC 1424) Staffing None 2004-06-24 00:00:00 2004-06-24 00:00:00 No 2004-10-25 00:00:00 None B None 1000 1300 -350 950 0 230010757 A99999 N None None SFY2004-05
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2004-12-21 00:00:00 230001102 Closed Citation Citation B (HSC 1424) Staffing None 2004-09-01 00:00:00 2004-09-01 00:00:00 No 2004-02-24 00:00:00 None B None 1000 1000 0 1000 0 230011194 A99999 N None None SFY2004-05
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2004-12-14 00:00:00 230001103 Closed Citation Citation B (HSC 1424) Staffing None 2004-09-09 00:00:00 2004-09-09 00:00:00 No 2005-01-06 00:00:00 None B None 1000 1000 -350 650 0 230011116 A99999 N None None SFY2004-05
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2004-12-14 00:00:00 230001104 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-15 00:00:00 2004-04-15 00:00:00 No 2005-01-06 00:00:00 None B None 1000 1000 -350 650 0 230010543 A99999 N None None SFY2004-05
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2004-12-14 00:00:00 230001105 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-04 00:00:00 2004-05-04 00:00:00 No 2005-01-06 00:00:00 None B None 1000 1000 -350 650 0 230011025 A99999 N None None SFY2004-05
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2004-12-14 00:00:00 230001106 Closed Citation Citation B (HSC 1424) Staffing None 2004-09-24 00:00:00 2004-09-24 00:00:00 No 2005-01-06 00:00:00 None B None 1000 1000 -350 650 0 230011211 A99999 N None None SFY2004-05
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2004-12-10 00:00:00 230001107 Closed Citation Citation B (HSC 1424) Staffing None 2004-10-11 00:00:00 2004-10-11 00:00:00 No 2005-01-05 00:00:00 None B None 900 900 -315 585 0 230011261 A99999 N None None SFY2004-05
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2004-12-17 00:00:00 230001108 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-06-21 00:00:00 2004-06-21 00:00:00 No 2005-01-18 00:00:00 None B None 1000 1000 -350 650 0 230010762 A99999 N None None SFY2004-05
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2004-12-28 00:00:00 230001109 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-07 00:00:00 2004-04-07 00:00:00 No 2005-01-28 00:00:00 None B None 1000 1000 -350 650 0 230010501 A99999 N None None SFY2004-05
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2004-12-14 00:00:00 230001110 Closed Citation Citation B (HSC 1424) Patient Record None 2004-09-26 00:00:00 2004-09-26 00:00:00 No 2005-01-06 00:00:00 None B None 1000 1000 -350 650 0 230011203 A99999 N None None SFY2004-05
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2004-12-14 00:00:00 230001111 Closed Citation Citation B (HSC 1424) Staffing None 2004-10-16 00:00:00 2004-10-16 00:00:00 No 2005-01-06 00:00:00 None B None 1000 1000 -350 650 0 230011280 A99999 N None None SFY2004-05
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2004-12-20 00:00:00 230001112 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-08 00:00:00 2004-09-08 00:00:00 Yes 2005-01-21 00:00:00 2004-12-23 00:00:00 B B 1000 450 0 450 0 230011128 A99999 N None None SFY2004-05
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2005-01-20 00:00:00 230001113 Closed Citation Citation B (HSC 1424) Staffing None 2004-08-08 00:00:00 2004-08-08 00:00:00 No 2005-02-10 00:00:00 None B None 1000 1000 -350 650 0 230011083 A99999 N None None SFY2004-05
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2005-01-20 00:00:00 230001114 Closed Citation Citation B (HSC 1424) Staffing None 2004-08-09 00:00:00 2004-08-09 00:00:00 No 2005-02-17 00:00:00 None B None 1000 1000 -350 650 0 230011084 A99999 N None None SFY2004-05
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2004-12-22 00:00:00 230001115 Closed Citation Citation B (HSC 1424) Staffing None 2004-11-16 00:00:00 2004-11-16 00:00:00 No 2005-01-24 00:00:00 None B None 1000 1000 -350 650 0 230011393 A99999 N None None SFY2004-05
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2004-12-22 00:00:00 230001116 Closed Citation Citation B (HSC 1424) Staffing None 2004-11-01 00:00:00 2004-11-01 00:00:00 No 2005-01-24 00:00:00 None B None 950 950 -332.5 617.5 0 230011394 A99999 N None None SFY2004-05
230000247 CRESTWOOD WELLNESS AND RECOVERY CENTER LTC SNF Skilled Nursing Facility Chico 2004-12-22 00:00:00 230001117 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-21 00:00:00 2004-05-21 00:00:00 Yes 2005-01-24 00:00:00 2004-12-23 00:00:00 B B 1000 400 0 400 0 230011182 A99999 N None None SFY2004-05
230000780 MERAKEY - WILVERN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2004-12-28 00:00:00 230001118 Closed Citation Citation B (HSC 1424) Staffing None 2003-11-06 00:00:00 2003-11-06 00:00:00 No 2005-01-27 00:00:00 None B None 1000 1000 -350 650 0 230011108 A99999 N None None SFY2004-05
230000605 RCCA - WHITE OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2005-01-26 00:00:00 230001119 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-11 00:00:00 2004-07-11 00:00:00 No 2005-02-18 00:00:00 None B None 1000 3000 0 3000 0 230010803 A99999 N None None SFY2004-05
230000109 MERAKEY - OLD LANTERN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2005-02-01 00:00:00 230001120 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-17 00:00:00 2004-12-17 00:00:00 No 2005-03-08 00:00:00 None B None 800 800 -280 520 0 230011428 A99999 N None None SFY2004-05
230000558 RESIDENTIAL MANAGEMENT SERVICES LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2005-02-01 00:00:00 230001121 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-05 00:00:00 2004-11-05 00:00:00 No 2005-03-01 00:00:00 None B None 1000 1000 0 1000 0 230011323 A99999 N None None SFY2004-05
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2005-01-28 00:00:00 230001122 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-16 00:00:00 2004-09-16 00:00:00 No 2005-02-23 00:00:00 None B None 1000 1000 -350 650 0 230011175 A99999 N None None SFY2004-05
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2005-02-09 00:00:00 230001123 Closed Citation Citation A (HSC 1424) Medication None 2004-08-30 00:00:00 2004-08-30 00:00:00 Yes 2005-03-08 00:00:00 2005-03-02 00:00:00 A None 14000 14000 0 14000 0 230011176 A99999 N None None SFY2004-05
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2005-02-16 00:00:00 230001124 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-27 00:00:00 2004-08-27 00:00:00 No 2005-03-15 00:00:00 None B None 1000 1000 -350 650 0 230011264 A99999 N None None SFY2004-05
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2005-02-24 00:00:00 230001125 Closed Citation Citation B (HSC 1424) Staffing None 2004-10-02 00:00:00 2004-10-02 00:00:00 Yes 2005-03-21 00:00:00 2005-03-11 00:00:00 B B 1000 500 0 500 0 230011251 A99999 N None None SFY2004-05
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2005-02-22 00:00:00 230001126 Closed Citation Citation B (HSC 1424) Patient Care None 2004-06-18 00:00:00 2004-06-18 00:00:00 Yes 2005-03-15 00:00:00 2005-03-07 00:00:00 B B 1000 600 0 600 0 230010949 A99999 N None None SFY2004-05
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2005-02-22 00:00:00 230001127 Closed Citation Citation B (HSC 1424) Staffing None 2004-06-17 00:00:00 2004-06-17 00:00:00 Yes 2005-03-17 00:00:00 2005-03-07 00:00:00 B B 1000 500 0 500 0 230010949 A99999 N None None SFY2004-05
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2005-03-01 00:00:00 230001128 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-27 00:00:00 2004-10-27 00:00:00 No 2005-03-25 00:00:00 None B None 1000 2750 -350 2400 0 230011253 A99999 N None None SFY2004-05
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2005-03-10 00:00:00 230001129 Closed Citation Citation A (HSC 1424) Patient Care None 2004-07-31 00:00:00 2004-07-31 00:00:00 Yes 2005-04-06 00:00:00 2005-03-10 00:00:00 A A 16000 12000 0 12000 0 230011590 A99999 N None None SFY2004-05
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2005-03-24 00:00:00 230001130 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-22 00:00:00 2005-01-22 00:00:00 No 2005-04-18 00:00:00 None B None 1000 3000 -1050 1950 0 230011546 A99999 N None None SFY2004-05
230000763 NVDS, INC - VALENTINE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2005-04-14 00:00:00 230001131 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-07 00:00:00 2005-01-07 00:00:00 No 2005-05-11 00:00:00 None B None 1000 1000 -350 650 0 230011598 A99999 N None None SFY2004-05
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2005-04-14 00:00:00 230001132 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-04 00:00:00 2005-01-04 00:00:00 No 2005-05-06 00:00:00 None B None 1000 1000 -350 650 0 230011477 A99999 N None None SFY2004-05
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2005-04-14 00:00:00 230001133 Closed Citation Citation B (HSC 1424) Staffing None 2004-10-17 00:00:00 2004-10-17 00:00:00 No 2005-05-09 00:00:00 None B None 1000 1000 -350 650 0 230011541 A99999 N None None SFY2004-05
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2005-04-14 00:00:00 230001134 Closed Citation Citation B (HSC 1424) Staffing None 2004-09-16 00:00:00 2004-09-16 00:00:00 No 2005-05-09 00:00:00 None B None 1000 1000 -350 650 0 230011542 A99999 N None None SFY2004-05
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2005-04-14 00:00:00 230001135 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-23 00:00:00 2005-02-23 00:00:00 No 2005-05-09 00:00:00 None B None 1000 1000 -350 650 0 230011543 A99999 N None None SFY2004-05
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2005-04-20 00:00:00 230001136 Closed Citation Citation B (HSC 1424) Other ABUSE 2004-12-17 00:00:00 2004-12-17 00:00:00 No 2005-05-13 00:00:00 None B None 1000 1000 -350 650 0 230011518 A99999 N None None SFY2004-05
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2005-05-18 00:00:00 230001137 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-22 00:00:00 2005-03-22 00:00:00 No 2005-06-13 00:00:00 None B None 800 900 -280 620 0 230011607 A99999 N None None SFY2004-05
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2005-05-20 00:00:00 230001138 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-27 00:00:00 2005-02-27 00:00:00 No 2005-06-17 00:00:00 None B None 1000 1000 -350 650 0 230011608 A99999 N None None SFY2004-05
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2005-06-01 00:00:00 230001139 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-25 00:00:00 2005-03-25 00:00:00 No 2005-07-01 00:00:00 None B None 700 700 -245 455 0 230011609 A99999 N None None SFY2004-05
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2005-06-29 00:00:00 230001140 Closed Citation Citation B (HSC 1424) Staffing None 2004-12-01 00:00:00 2004-12-01 00:00:00 No 2005-07-29 00:00:00 None B None 1000 1000 -350 650 0 230011612 A99999 N None None SFY2004-05
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2005-06-29 00:00:00 230001141 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-14 00:00:00 2004-11-14 00:00:00 No 2005-07-29 00:00:00 None B None 500 500 -175 325 0 230011390 A99999 N None None SFY2004-05
230000763 NVDS, INC - VALENTINE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2005-06-29 00:00:00 230001142 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-16 00:00:00 2005-04-16 00:00:00 No 2005-08-01 00:00:00 None B None 1000 1000 -350 650 0 230011614 A99999 N None None SFY2004-05
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2005-08-30 00:00:00 230001143 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-16 00:00:00 2005-01-16 00:00:00 No 2005-09-21 00:00:00 None B None 800 800 -280 520 0 230011539 A99999 N None None SFY2005-06
230000037 FEATHER RIVER CARE CENTER LTC SNF Skilled Nursing Facility Chico 2005-08-10 00:00:00 230001144 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-19 00:00:00 2005-04-19 00:00:00 No 2005-08-31 00:00:00 None B None 600 600 -210 390 0 230011618 A99999 N None None SFY2005-06
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2005-08-10 00:00:00 230001145 Closed Citation Citation B (HSC 1424) Other VERBAL/PHYSICAL ABUS 2005-06-22 00:00:00 2005-06-22 00:00:00 No 2005-08-31 00:00:00 None B None 1000 3000 -1050 1950 0 230011619 A99999 N None None SFY2005-06
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2005-08-11 00:00:00 230001146 Closed Citation Citation B (HSC 1424) Other ABUSE 2005-02-23 00:00:00 2005-02-23 00:00:00 No 2005-09-01 00:00:00 None B None 500 500 -175 325 0 230011620 A99999 N None None SFY2005-06
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2005-08-11 00:00:00 230001147 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-08 00:00:00 2005-05-08 00:00:00 No 2005-09-01 00:00:00 None B None 1000 1000 -350 650 0 230011621 A99999 N None None SFY2005-06
230000504 VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF LTC SNF Skilled Nursing Facility Chico 2005-08-24 00:00:00 230001148 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-30 00:00:00 2005-06-30 00:00:00 No 2005-09-15 00:00:00 None B None 750 750 -262.5 487.5 0 230011622 A99999 N None None SFY2005-06
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2005-08-12 00:00:00 230001149 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-01 00:00:00 2005-08-01 00:00:00 No 2005-09-02 00:00:00 None B None 1000 1000 0 1000 0 230011623 A99999 N None None SFY2005-06
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2005-09-20 00:00:00 230001150 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-11 00:00:00 2005-02-11 00:00:00 No 2005-10-12 00:00:00 None B None 800 800 0 800 0 230011629 A99999 N None None SFY2005-06
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2005-09-22 00:00:00 230001151 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-04 00:00:00 2005-05-04 00:00:00 No 2005-10-14 00:00:00 None B None 1000 1000 -350 650 0 230011630 A99999 N None None SFY2005-06
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2005-09-22 00:00:00 230001152 Closed Citation Citation B (HSC 1424) Other ABUSE 2005-07-27 00:00:00 2005-07-27 00:00:00 No 2005-10-14 00:00:00 None B None 1000 3000 -1050 1950 0 230011631 A99999 N None None SFY2005-06
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2005-12-05 00:00:00 230001153 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-30 00:00:00 2005-05-30 00:00:00 No 2005-12-27 00:00:00 None B None 1000 1000 0 1000 0 230011632 A99999 N None None SFY2005-06
230000504 VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF LTC SNF Skilled Nursing Facility Chico 2005-12-08 00:00:00 230001154 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-20 00:00:00 2005-02-20 00:00:00 No 2005-12-30 00:00:00 None B None 750 750 -262.5 487.5 0 230011633 A99999 N None None SFY2005-06
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2005-12-07 00:00:00 230001155 Closed Citation Citation B (HSC 1424) Other VERBAL ABUSE 2005-09-21 00:00:00 2005-09-21 00:00:00 No 2005-12-29 00:00:00 None B None 700 700 -245 455 0 230011634 A99999 N None None SFY2005-06
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2005-12-14 00:00:00 230001156 Closed Citation Citation A (HSC 1424) Medication None 2005-07-21 00:00:00 2005-07-21 00:00:00 No 2006-01-17 00:00:00 None A None 15000 15000 -5250 9750 0 230011635 A99999 N None None SFY2005-06
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-01-09 00:00:00 230001157 Closed Citation Citation B (HSC 1424) Other ABUSE 2005-04-17 00:00:00 2005-04-17 00:00:00 No 2006-02-07 00:00:00 None B None 1000 1000 -350 650 0 230011636 A99999 N None None SFY2005-06
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2005-12-28 00:00:00 230001158 Closed Citation Citation B (HSC 1424) Administration None 2005-08-07 00:00:00 2005-08-07 00:00:00 No 2006-01-23 00:00:00 None B None 750 750 -262.5 487.5 0 230011637 A99999 N None None SFY2005-06
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2005-12-28 00:00:00 230001159 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-05 00:00:00 2005-10-05 00:00:00 No 2006-01-23 00:00:00 None B None 1000 1000 -350 650 0 230011638 A99999 N None None SFY2005-06
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-01-12 00:00:00 230001160 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-29 00:00:00 2005-09-29 00:00:00 No 2006-02-03 00:00:00 None B None 1000 1000 -350 650 0 230011639 A99999 N None None SFY2005-06
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-01-26 00:00:00 230001161 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-04 00:00:00 2004-10-04 00:00:00 No 2006-02-23 00:00:00 None B None 500 500 -175 325 0 230011642 A99999 N None None SFY2005-06
230000034 PARADISE POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-01-12 00:00:00 230001162 Closed Citation Citation B (HSC 1424) Medication None 2005-08-31 00:00:00 None No 2006-02-07 00:00:00 None B None 1000 1000 -350 650 0 230011643 A99999 N None None SFY2005-06
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-01-17 00:00:00 230001163 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-21 00:00:00 None No 2006-02-21 00:00:00 None B None 1000 1000 -350 650 0 230011644 A99999 N None None SFY2005-06
230000247 CRESTWOOD WELLNESS AND RECOVERY CENTER LTC SNF Skilled Nursing Facility Chico 2006-02-02 00:00:00 230001164 Closed Citation Citation B (HSC 1424) Other HEALTH & SAFETY 2005-09-02 00:00:00 None Yes 2006-03-01 00:00:00 2006-02-02 00:00:00 B B 1000 500 0 500 0 230011650 A99999 N None None SFY2005-06
230000247 CRESTWOOD WELLNESS AND RECOVERY CENTER LTC SNF Skilled Nursing Facility Chico 2006-02-02 00:00:00 230001165 Closed Citation Citation B (HSC 1424) Other 483.13(C) 2005-09-02 00:00:00 None Yes 2006-03-01 00:00:00 2006-02-02 00:00:00 B B 1000 650 0 650 0 230011651 A99999 N None None SFY2005-06
230000247 CRESTWOOD WELLNESS AND RECOVERY CENTER LTC SNF Skilled Nursing Facility Chico 2006-02-02 00:00:00 230001166 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-17 00:00:00 None Yes 2006-03-01 00:00:00 2006-02-02 00:00:00 B B 750 450 0 450 0 230011652 A99999 N None None SFY2005-06
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2006-04-06 00:00:00 230001167 Closed Citation Citation B (HSC 1424) Other ABUSE 2004-12-28 00:00:00 2004-12-28 00:00:00 No 2006-04-27 00:00:00 None B None 1000 1000 -350 650 0 230011659 A99999 N CA00036847 C SFY2005-06
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2006-04-06 00:00:00 230002896 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-27 00:00:00 2005-09-27 00:00:00 No 2006-04-27 00:00:00 None B None 300 300 -105 195 0 None OEAT11 N CA00040142 B SFY2005-06
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2006-04-06 00:00:00 230002997 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-17 00:00:00 2005-12-17 00:00:00 Yes 2006-04-27 00:00:00 2006-04-13 00:00:00 B B 750 525 0 525 0 None K95M11 N CA00068436 A SFY2005-06
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2006-04-06 00:00:00 230002998 Closed Citation Citation B (HSC 1424) Other Abuse 2004-12-28 00:00:00 2004-12-28 00:00:00 No 2006-04-27 00:00:00 None B None 1000 1000 -350 650 0 None KZMK11 N CA00036847 C SFY2005-06
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2006-04-06 00:00:00 230003002 Closed Citation Citation B (HSC 1424) Other Abuse 2005-08-10 00:00:00 2005-08-10 00:00:00 Yes 2006-04-27 00:00:00 2006-04-25 00:00:00 B B 750 375 0 375 0 None 9QFG11 N CA00058228 B SFY2005-06
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2006-04-06 00:00:00 230003012 Closed Citation Citation B (HSC 1424) Medication None 2005-11-15 00:00:00 2005-11-15 00:00:00 No 2006-04-27 00:00:00 None B None 1000 1000 -350 650 0 None LVD011 N CA00066420 B SFY2005-06
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2006-04-06 00:00:00 230003013 Closed Citation Citation B (HSC 1424) Other Abuse 2005-11-15 00:00:00 2005-11-15 00:00:00 No 2006-04-27 00:00:00 None B None 1000 1000 -350 650 0 None LVD011 N CA00066420 B SFY2005-06
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003014 Closed Citation Citation B (HSC 1424) Staffing None 2005-06-01 00:00:00 2005-06-01 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -1000 0 0 None R2J611 N CA00052998 C SFY2005-06
230000633 MERAKEY - TOM POLK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2006-04-13 00:00:00 230003017 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-14 00:00:00 2006-02-14 00:00:00 No 2006-05-04 00:00:00 None B None 750 750 0 750 0 None SJKD11 N None None SFY2005-06
230000680 MERAKEY - OAK MESA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2006-05-09 00:00:00 230003034 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-23 00:00:00 2005-10-23 00:00:00 Yes 2006-05-31 00:00:00 2006-05-09 00:00:00 B B 750 375 0 375 0 None XSTU11 N CA00064569 B SFY2005-06
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003035 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-28 00:00:00 2005-08-28 00:00:00 Yes 2006-05-19 00:00:00 2006-05-02 00:00:00 B B 1000 600 0 600 0 None 94JW11 N CA00063624 B SFY2005-06
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003036 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-21 00:00:00 2006-02-21 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -1000 0 0 None 005R11 N CA00073186 B SFY2005-06
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003037 Closed Citation Citation A (HSC 1424) Patient Care None 2006-03-06 00:00:00 2006-03-06 00:00:00 No 2006-05-19 00:00:00 None A None 12000 12000 -12000 0 0 None I3KA11 N CA00074581 B SFY2005-06
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003040 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-13 00:00:00 2006-01-13 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -1000 0 0 None P0TT11 N CA00070055 A SFY2005-06
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003043 Closed Citation Citation B (HSC 1424) Staffing None 2005-05-09 00:00:00 2005-05-09 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -1000 0 0 None KKBI11 N CA00048328 C SFY2005-06
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003044 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-01 00:00:00 2005-06-01 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -1000 0 0 None AJU811 N CA00068950 B SFY2005-06
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003047 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-06 00:00:00 2006-03-06 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -1000 0 0 None RX8G11 N CA00074557 B SFY2005-06
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2006-05-10 00:00:00 230003049 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-24 00:00:00 2004-12-24 00:00:00 Yes 2006-06-01 00:00:00 2006-05-12 00:00:00 B B 1000 500 0 500 0 None BTVB11 N CA00036204 C SFY2005-06
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2006-04-28 00:00:00 230003050 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-22 00:00:00 2005-12-22 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -1000 0 0 None LJL811 N CA00071949 B SFY2005-06
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2006-05-10 00:00:00 230003055 Closed Citation Citation B (HSC 1424) Other Abuse 2005-12-11 00:00:00 2005-12-11 00:00:00 No 2006-06-01 00:00:00 None B None 1000 1000 -350 650 0 None 3EGQ11 N CA00068788 B SFY2005-06
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2006-05-10 00:00:00 230003056 Closed Citation Citation B (HSC 1424) Other Abuse Reporting 2005-12-11 00:00:00 2005-12-11 00:00:00 No 2006-06-01 00:00:00 None B None 1000 1000 -350 650 0 None 3EGQ11 N CA00068788 B SFY2005-06
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2006-06-13 00:00:00 230003064 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-09 00:00:00 2006-02-09 00:00:00 No 2006-07-05 00:00:00 None B None 1000 1000 -350 650 0 None MECY11 N CA00072597 B SFY2005-06
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-05-19 00:00:00 230003108 Closed Citation Citation A (HSC 1424) Patient Care None 2005-01-20 00:00:00 2005-01-20 00:00:00 Yes 2006-06-12 00:00:00 2006-05-24 00:00:00 A A 5000 2600 -100 2500 0 None 3H7R11 N CA00040748 C SFY2005-06
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-05-19 00:00:00 230003109 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-10 00:00:00 2005-03-10 00:00:00 Yes 2006-06-12 00:00:00 2006-05-24 00:00:00 B B 300 250 -100 150 0 None 3H7R11 N CA00040748 C SFY2005-06
230000034 PARADISE POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-06-22 00:00:00 230003136 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-28 00:00:00 2005-08-28 00:00:00 No 2006-07-14 00:00:00 None B None 700 700 -245 455 0 None RTH511 N CA00059524 A SFY2005-06
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2006-06-12 00:00:00 230003137 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-24 00:00:00 2006-03-24 00:00:00 Yes 2006-07-03 00:00:00 2006-06-15 00:00:00 B B 1000 500 0 500 0 None DJ2511 N CA00076443 B SFY2005-06
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-06-07 00:00:00 230003138 Closed Citation Citation B (HSC 1424) Staffing None 2006-05-08 00:00:00 2006-05-08 00:00:00 Yes 2006-06-28 00:00:00 2006-06-15 00:00:00 B B 1000 650 0 650 0 None 56OE11 N CA00078992 B SFY2005-06
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-06-21 00:00:00 230003162 Closed Citation Citation B (HSC 1424) Medication None 2005-01-17 00:00:00 2005-01-17 00:00:00 Yes 2006-07-13 00:00:00 2006-06-21 00:00:00 B None 800 800 0 800 0 None 42IH11 N CA00038993 C SFY2005-06
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-08-09 00:00:00 230003163 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-06-23 00:00:00 2005-06-23 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1000 -350 650 0 None N8GG11 N CA00063367 B SFY2006-07
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-08-09 00:00:00 230003164 Closed Citation Citation B (HSC 1424) Other Abuse 2005-06-23 00:00:00 2005-06-23 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1000 0 1000 0 None N8GG11 N CA00063367 B SFY2006-07
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-08-09 00:00:00 230003166 Closed Citation Citation B (HSC 1424) Staffing None 2005-12-17 00:00:00 2005-12-17 00:00:00 No 2006-08-30 00:00:00 None B None 800 800 -280 520 0 None G37011 N CA00076106 B SFY2006-07
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2006-07-12 00:00:00 230003192 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-03 00:00:00 2006-06-03 00:00:00 No 2006-08-02 00:00:00 None B None 250 250 -87.5 162.5 0 None 9S4B11 N CA00082737 A SFY2006-07
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2006-07-18 00:00:00 230003201 Closed Citation Citation AA (HSC 1424) Staffing None 2006-04-12 00:00:00 2006-04-12 00:00:00 Yes 2006-08-08 00:00:00 2006-07-18 00:00:00 AA AA 100000 75000 0 75000 0 None MDP611 Y CA00077852 A SFY2006-07
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-08-17 00:00:00 230003258 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-03 00:00:00 2006-05-03 00:00:00 Yes 2006-09-08 00:00:00 2006-08-24 00:00:00 B B 1000 2250 0 2250 0 None PV9Q11 N CA00079957 B SFY2006-07
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-08-17 00:00:00 230003281 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-09-07 00:00:00 2005-09-07 00:00:00 Yes 2006-09-12 00:00:00 2006-08-24 00:00:00 A A 5000 3250 0 3250 0 None B2WI11 N CA00060739, CA00061053, CA00066535, CA00066570, CA00067112, CA00067550, CA00067744, CA00068860, CA00069653 B, B, B, B, B, B, B, B, B SFY2006-07
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2006-08-31 00:00:00 230003311 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-04 00:00:00 2004-07-04 00:00:00 No 2006-09-22 00:00:00 None B None 1000 1000 -350 650 0 None IT2N11 N CA00048083 A SFY2006-07
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2006-09-14 00:00:00 230003337 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-06 00:00:00 2006-05-06 00:00:00 Yes 2006-10-05 00:00:00 2006-09-20 00:00:00 B B 1000 1650 0 1650 0 None YNF411 N CA00080156 A SFY2006-07
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2006-09-19 00:00:00 230003344 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-04 00:00:00 2006-06-04 00:00:00 No 2006-10-11 00:00:00 None B None 1000 1000 -350 650 0 None DIW311 N CA00081990 B SFY2006-07
230000463 FEATHER RIVER HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2006-09-28 00:00:00 230003345 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-01 00:00:00 2005-08-01 00:00:00 No 2006-10-20 00:00:00 None B None 1000 1000 0 1000 0 None CUZU11 N CA00064007 B SFY2006-07
230000463 FEATHER RIVER HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2006-09-28 00:00:00 230003346 Closed Citation Citation B (HSC 1424) Medication None 2005-07-26 00:00:00 2005-07-26 00:00:00 No 2006-10-20 00:00:00 None B None 1000 1000 0 1000 0 None CUZU11 N CA00064007 B SFY2006-07
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-09-19 00:00:00 230003348 Closed Citation Citation B (HSC 1424) Other None 2006-06-24 00:00:00 2006-06-24 00:00:00 No 2006-10-11 00:00:00 None B None 1000 1000 -350 650 0 None 6R9711 N CA00084579 A SFY2006-07
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2006-10-04 00:00:00 230003352 Closed Citation Citation B (HSC 1424) Other None 2005-10-29 00:00:00 2005-10-29 00:00:00 No 2006-10-26 00:00:00 None B None 500 650 0 650 0 None 6DON11 N CA00065014 B SFY2006-07
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2007-02-15 00:00:00 230003676 Closed Citation Citation A (HSC 1424) Patient Care None 2006-01-16 00:00:00 2006-01-16 00:00:00 No 2007-03-08 00:00:00 None A None 25000 25000 -8750 16250 0 None T85P11 N CA00070750 B SFY2006-07
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2007-02-15 00:00:00 230003682 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-11 00:00:00 2005-08-11 00:00:00 No 2007-03-08 00:00:00 None A None 25000 25000 -8750 16250 0 None T85P11 N CA00071507 B SFY2006-07
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2007-02-08 00:00:00 230003685 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-09 00:00:00 2005-10-09 00:00:00 Yes 2007-03-05 00:00:00 2007-02-15 00:00:00 B B 1000 550 0 550 0 None P1W611 N CA00063957 B SFY2006-07
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2007-02-08 00:00:00 230003687 Closed Citation Citation B (HSC 1424) Staffing None 2006-09-16 00:00:00 2006-09-16 00:00:00 Yes 2007-03-01 00:00:00 2007-02-15 00:00:00 B B 1000 550 0 550 0 None PLDU11 N CA00094580 B SFY2006-07
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2007-03-13 00:00:00 230003689 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-04-09 00:00:00 2006-04-09 00:00:00 No 2007-04-03 00:00:00 None B None 1000 1000 -350 650 0 None XZGC11 N CA00077659 B SFY2006-07
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-06 00:00:00 230003690 Closed Citation Citation B (HSC 1424) Other Abuse 2006-01-26 00:00:00 2006-01-26 00:00:00 No 2007-03-27 00:00:00 None B None 1000 3000 -1050 1950 0 None 2ZUB11 N CA00071482 B SFY2006-07
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2007-03-13 00:00:00 230003691 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-04-09 00:00:00 2006-04-09 00:00:00 No 2007-04-03 00:00:00 None B None 1000 3000 -1050 1950 0 None XZGC11 N CA00077659 B SFY2006-07
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-03-02 00:00:00 230003700 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-10 00:00:00 2006-06-10 00:00:00 No 2007-03-23 00:00:00 None B None 1000 1000 0 1000 0 None G4RN11 N CA00083840 B SFY2006-07
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-07 00:00:00 230003704 Closed Citation Citation B (HSC 1424) Other failure to report 2006-07-15 00:00:00 2006-07-15 00:00:00 No 2007-03-28 00:00:00 None B None 1000 1000 -350 650 0 None YIUC11 N CA00087629 B SFY2006-07
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-07 00:00:00 230003705 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-06 00:00:00 2006-08-06 00:00:00 No 2007-03-28 00:00:00 None B None 1000 1000 -350 650 0 None 8XSZ11 N CA00089446, CA00089446 B, B SFY2006-07
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-03-14 00:00:00 230003706 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-10 00:00:00 2005-10-10 00:00:00 No 2007-04-09 00:00:00 None B None 1000 1000 0 1000 0 None G3DJ11 N CA00063663 B SFY2006-07
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-03-29 00:00:00 230003707 Closed Citation Citation B (HSC 1424) Other Abuse Reporting 2006-10-14 00:00:00 2006-10-14 00:00:00 No 2007-04-19 00:00:00 None B None 1000 1000 0 1000 0 None TZR411 N CA00097185 B SFY2006-07
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-07 00:00:00 230003749 Closed Citation Citation B (HSC 1424) Staffing None 2006-08-15 00:00:00 2006-08-15 00:00:00 No 2007-03-28 00:00:00 None B None 1000 1000 -350 650 0 None YL2811 N CA00090238 B SFY2006-07
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-03-12 00:00:00 230003750 Closed Citation Citation B (HSC 1424) Other implementation of P&P 2006-04-21 00:00:00 2006-04-21 00:00:00 No 2007-04-03 00:00:00 None B None 1000 1000 -350 650 0 None YYXJ11 N CA00081826 A SFY2006-07
230000282 SPRING HILL MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Chico 2007-03-07 00:00:00 230003751 Closed Citation Citation B (HSC 1424) Other Abuse 2006-07-28 00:00:00 2006-07-28 00:00:00 Yes 2013-10-07 00:00:00 2007-03-07 00:00:00 B B 900 900 0 900 0 None 92V511 N CA00088685 B SFY2006-07
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-07 00:00:00 230003752 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-15 00:00:00 2006-07-15 00:00:00 No 2007-03-28 00:00:00 None B None 1000 1000 -350 650 0 None YIUC11 N CA00087629 B SFY2006-07
230000027 SHASTA VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-03-23 00:00:00 230003753 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-19 00:00:00 2006-06-19 00:00:00 Yes 2007-04-13 00:00:00 2007-03-23 00:00:00 B B 1000 500 0 500 0 None 2ESJ11 N CA00084139 B SFY2006-07
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-03-07 00:00:00 230003754 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-06 00:00:00 2006-12-06 00:00:00 Yes 2007-03-28 00:00:00 2007-03-07 00:00:00 B B 1000 500 0 500 0 None 2O2L11 N CA00100585 B SFY2006-07
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2007-03-27 00:00:00 230003755 Closed Citation Citation B (HSC 1424) Other abuse 2006-04-19 00:00:00 2006-04-19 00:00:00 Yes 2007-04-20 00:00:00 2007-04-03 00:00:00 B B 1000 750 0 750 0 None SO2311 N CA00078987 B SFY2006-07
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2007-06-06 00:00:00 230003756 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-27 00:00:00 2006-11-27 00:00:00 No 2007-06-27 00:00:00 None B None 1000 3000 -1050 1950 0 None R4EY11 N CA00099956 B SFY2006-07
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2007-06-06 00:00:00 230003759 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-17 00:00:00 2006-11-17 00:00:00 No 2007-06-27 00:00:00 None B None 1000 1000 -350 650 0 None R4EY11 N CA00099310 B SFY2006-07
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-29 00:00:00 230003797 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-23 00:00:00 2006-07-23 00:00:00 No 2007-04-23 00:00:00 None B None 1000 1000 -350 650 0 None 73I811 N CA00103588 A SFY2006-07
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-03-29 00:00:00 230003805 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-17 00:00:00 2006-06-17 00:00:00 No 2007-04-19 00:00:00 None B None 1000 1000 0 1000 0 None GVLC11 N CA00086882 B SFY2006-07
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2007-06-06 00:00:00 230003807 Closed Citation Citation B (HSC 1424) Administration None 2006-12-03 00:00:00 2006-12-03 00:00:00 No 2007-06-27 00:00:00 None B None 1000 1000 -350 650 0 None 0NX611 N CA00100591 B SFY2006-07
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2007-06-06 00:00:00 230003808 Closed Citation Citation B (HSC 1424) Administration None 2006-12-08 00:00:00 2006-12-08 00:00:00 No 2007-06-27 00:00:00 None B None 1000 1000 -350 650 0 None 0NX611 N CA00101033 B SFY2006-07
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2007-09-20 00:00:00 230003809 Closed Citation Citation B (HSC 1424) Staffing None 2006-10-26 00:00:00 2006-10-26 00:00:00 Yes 2007-10-12 00:00:00 2007-09-27 00:00:00 B B 750 375 0 375 0 None XLC411 N CA00096735 B SFY2007-08
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-03-20 00:00:00 230003815 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-23 00:00:00 2006-02-23 00:00:00 No 2007-04-11 00:00:00 None B None 1000 1000 0 1000 0 None 7IFQ11 N CA00078451 B SFY2006-07
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-27 00:00:00 230003818 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-17 00:00:00 2007-01-17 00:00:00 No 2007-04-23 00:00:00 None B None 1000 1000 0 1000 0 None 1QFC11 N CA00104194 B SFY2006-07
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-03-20 00:00:00 230003822 Closed Citation Citation B (HSC 1424) Medication None 2006-04-10 00:00:00 2006-04-10 00:00:00 No 2007-04-11 00:00:00 None B None 1000 1000 -350 650 0 None JJ0I11 N CA00074180 B SFY2006-07
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-26 00:00:00 230003826 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-07 00:00:00 2007-01-07 00:00:00 No 2007-04-19 00:00:00 None B None 1000 1000 -350 650 0 None D5IT11 N CA00103228 A SFY2006-07
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-03-26 00:00:00 230003827 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-31 00:00:00 2006-05-31 00:00:00 No 2007-04-19 00:00:00 None B None 1000 1000 -350 650 0 None SBH011 N CA00082844 B SFY2006-07
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2007-03-29 00:00:00 230003839 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-12 00:00:00 2005-12-12 00:00:00 Yes 2007-04-20 00:00:00 2007-04-02 00:00:00 B B 800 500 0 500 0 None V42C11 N CA00067844 B SFY2006-07
230000621 ARVALO HOME - RIVERPARK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-03-30 00:00:00 230003840 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-24 00:00:00 2006-12-24 00:00:00 No 2007-04-26 00:00:00 None B None 750 750 -262.5 487.5 0 None XWOG11 N CA00104926 A SFY2006-07
230000613 TRAILVIEW HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-03-30 00:00:00 230003841 Closed Citation Citation B (HSC 1424) Other Governing Body 2006-12-28 00:00:00 2006-12-28 00:00:00 No 2007-04-20 00:00:00 None B None 750 750 -262.5 487.5 0 None M4EN11 N CA00102293 A SFY2006-07
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2007-04-03 00:00:00 230003848 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-15 00:00:00 2006-07-15 00:00:00 No 2007-04-26 00:00:00 None B None 800 800 -280 520 0 None CAZJ11 N CA00099036 B SFY2006-07
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-04-04 00:00:00 230003852 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-12 00:00:00 2006-05-12 00:00:00 No 2007-04-26 00:00:00 None B None 1000 1000 -350 650 0 None 7VD911 N CA00081228, CA00088051 B, B SFY2006-07
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-04-04 00:00:00 230003855 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-01 00:00:00 2006-12-01 00:00:00 No 2007-04-25 00:00:00 None B None 1000 1000 0 1000 0 None JWL211 N CA00100213 B SFY2006-07
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-04-04 00:00:00 230003856 Closed Citation Citation B (HSC 1424) Other report incidents 24 hrs 2007-03-10 00:00:00 2007-03-10 00:00:00 No 2007-04-30 00:00:00 None B None 1000 1000 0 1000 0 None MSEQ11 N CA00108874 B SFY2006-07
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2007-04-05 00:00:00 230003857 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-28 00:00:00 2007-02-28 00:00:00 No 2007-05-03 00:00:00 None B None 800 800 -280 520 0 None 1KOY11 N CA00108121 B SFY2006-07
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-04-04 00:00:00 230003862 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-27 00:00:00 2006-08-27 00:00:00 No 2007-04-26 00:00:00 None B None 1000 1000 -350 650 0 None 7VD911 N CA00091387 B SFY2006-07
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-04-11 00:00:00 230003882 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-30 00:00:00 2006-05-30 00:00:00 No 2007-05-04 00:00:00 None B None 1000 1000 0 1000 0 None MOE211 N CA00096028 B SFY2006-07
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-04-12 00:00:00 230003887 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-16 00:00:00 2007-02-16 00:00:00 No 2007-05-03 00:00:00 None B None 1000 1000 -350 650 0 None MS1G11 N CA00107022 A SFY2006-07
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2007-05-14 00:00:00 230003944 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-26 00:00:00 2007-03-26 00:00:00 No 2007-06-12 00:00:00 None B None 1000 1000 -350 650 0 None 2N8R11 N CA00110491 B SFY2006-07
230000034 PARADISE POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-05-16 00:00:00 230003945 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-30 00:00:00 2006-08-30 00:00:00 No 2007-06-06 00:00:00 None B None 1000 1000 -350 650 0 None USGJ11 N CA00092071 B SFY2006-07
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-05-14 00:00:00 230003946 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-22 00:00:00 2006-10-22 00:00:00 Yes 2007-06-05 00:00:00 2007-05-16 00:00:00 B B 1000 500 0 500 0 None 7SBP11 N CA00096470 B SFY2006-07
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-05-16 00:00:00 230003953 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-19 00:00:00 2006-11-19 00:00:00 No 2007-06-11 00:00:00 None B None 1000 1000 -350 650 0 None 25O911 N CA00099800 B SFY2006-07
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-05-16 00:00:00 230003956 Closed Citation Citation B (HSC 1424) Medication None 2006-06-08 00:00:00 2006-06-08 00:00:00 No 2007-06-06 00:00:00 None B None 750 750 -262.5 487.5 0 None V3E611 N CA00083096 B SFY2006-07
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-05-23 00:00:00 230003967 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-08-02 00:00:00 2006-08-02 00:00:00 No 2007-06-15 00:00:00 None B None 1000 1000 0 1000 0 None H69911 N CA00090297 B SFY2006-07
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-06-13 00:00:00 230003983 Closed Citation Citation B (HSC 1424) Other abuse not rpt within 24hr 2006-10-13 00:00:00 2006-10-13 00:00:00 Yes 2007-07-04 00:00:00 2007-06-13 00:00:00 B B 750 375 0 375 0 None QNZQ11 N CA00095857 B SFY2006-07
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-06-13 00:00:00 230003984 Closed Citation Citation B (HSC 1424) Other abuse not rpt within 24hr 2006-12-23 00:00:00 2006-12-23 00:00:00 Yes 2007-07-04 00:00:00 2007-06-13 00:00:00 B B 750 375 0 375 0 None QNZQ11 N CA00102183 B SFY2006-07
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-06-13 00:00:00 230003985 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-28 00:00:00 2006-12-28 00:00:00 Yes 2007-07-04 00:00:00 2007-06-13 00:00:00 B B 500 250 0 250 0 None QNZQ11 N CA00102713 B SFY2006-07
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-06-13 00:00:00 230003986 Closed Citation Citation B (HSC 1424) Other abuse not rpt within 24hr 2006-10-15 00:00:00 2006-10-15 00:00:00 Yes 2007-07-04 00:00:00 2007-06-13 00:00:00 B B 750 375 0 375 0 None QNZQ11 N CA00095981 B SFY2006-07
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-06-13 00:00:00 230003987 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-15 00:00:00 2006-10-15 00:00:00 Yes 2007-07-04 00:00:00 2007-06-13 00:00:00 B B 750 375 0 375 0 None QNZQ11 N CA00095981 B SFY2006-07
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-06-06 00:00:00 230004000 Closed Citation Citation B (HSC 1424) Administration None 2007-02-05 00:00:00 2007-02-05 00:00:00 Yes 2007-06-27 00:00:00 2007-06-07 00:00:00 B B 750 600 0 600 0 None 8O1S11 N CA00105642 A SFY2006-07
230000144 SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2007-06-06 00:00:00 230004001 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-10 00:00:00 2006-11-10 00:00:00 No 2007-06-27 00:00:00 None B None 500 500 0 500 0 None OJ2V11 N CA00098492, CA00098494 B, B SFY2006-07
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2007-06-08 00:00:00 230004003 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-15 00:00:00 2007-04-15 00:00:00 No 2007-07-02 00:00:00 None B None 1000 1000 0 1000 0 None U62111 N CA00112169 B SFY2006-07
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2007-06-08 00:00:00 230004008 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-28 00:00:00 2007-02-28 00:00:00 Yes 2007-06-29 00:00:00 2007-07-06 00:00:00 B B 1000 2400 0 2400 0 None P6E611 N CA00108137 B SFY2006-07
230000504 VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF LTC SNF Skilled Nursing Facility Chico 2007-06-27 00:00:00 230004038 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-02-12 00:00:00 2006-02-12 00:00:00 No 2007-07-19 00:00:00 None B None 1000 3000 -1050 1950 0 None JIQF11 N CA00088228, CA00091508, CA00091897 B, B, B SFY2006-07
230000504 VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF LTC SNF Skilled Nursing Facility Chico 2007-06-27 00:00:00 230004039 Closed Citation Citation B (HSC 1424) Administration None 2006-02-13 00:00:00 2006-02-13 00:00:00 No 2007-07-19 00:00:00 None B None 1000 1000 -350 650 0 None JIQF11 N CA00088228 B SFY2006-07
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-07-03 00:00:00 230004045 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-13 00:00:00 2007-04-13 00:00:00 No 2007-07-25 00:00:00 None B None 1000 1000 -350 650 0 None BQE011 N CA00112471 B SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-07-03 00:00:00 230004046 Closed Citation Citation B (HSC 1424) Administration None 2007-04-13 00:00:00 2007-04-13 00:00:00 No 2007-07-25 00:00:00 None B None 1000 1000 -350 650 0 None BQE011 N CA00112471 B SFY2007-08
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2007-07-05 00:00:00 230004051 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-10 00:00:00 2005-12-10 00:00:00 Yes 2007-07-27 00:00:00 2007-07-11 00:00:00 B B 1000 700 0 700 0 None 2N7Y11 N CA00067741 B SFY2007-08
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2007-07-05 00:00:00 230004052 Closed Citation Citation B (HSC 1424) Administration None 2007-04-08 00:00:00 2007-04-08 00:00:00 No 2007-07-26 00:00:00 None B None 750 750 -262.5 487.5 0 None B62P11 N CA00111697 B SFY2007-08
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2007-07-05 00:00:00 230004053 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-08 00:00:00 2007-04-08 00:00:00 No 2007-07-26 00:00:00 None B None 750 750 -262.5 487.5 0 None B62P11 N CA00111697 B SFY2007-08
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2007-07-03 00:00:00 230004054 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-19 00:00:00 2006-12-19 00:00:00 Yes 2007-07-27 00:00:00 2007-07-11 00:00:00 B B 1000 700 0 700 0 None MQMK11 N CA00101697, CA00102316 A, B SFY2007-08
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-07-11 00:00:00 230004069 Closed Citation Citation B (HSC 1424) Staffing None 2006-06-02 00:00:00 2006-06-02 00:00:00 Yes 2007-08-01 00:00:00 2007-07-25 00:00:00 B B 1000 500 0 500 0 None 868U11 N CA00083061, CA00083061, CA00083776, CA00087458, CA00089993 B, B, B, B, B SFY2007-08
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2007-07-11 00:00:00 230004074 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-08 00:00:00 2006-03-08 00:00:00 No 2007-08-01 00:00:00 None B None 1000 1000 -350 650 0 None 7JL211 N CA00082022 B SFY2007-08
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2007-07-17 00:00:00 230004076 Closed Citation Citation B (HSC 1424) Administration None 2006-06-06 00:00:00 2006-06-06 00:00:00 Yes 2007-08-07 00:00:00 2007-07-18 00:00:00 B B 750 450 0 450 0 None ZV2H11 N CA00082868 B SFY2007-08
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2007-07-18 00:00:00 230004077 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-19 00:00:00 2006-12-19 00:00:00 No 2007-08-08 00:00:00 None B None 1000 1000 -350 650 0 None G0CE11 N CA00101413 B SFY2007-08
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2007-07-18 00:00:00 230004078 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-06 00:00:00 2006-12-06 00:00:00 No 2007-08-08 00:00:00 None B None 1000 1000 -350 650 0 None G0CE11 N CA00101413 B SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-08-22 00:00:00 230004181 Closed Citation Citation B (HSC 1424) Administration None 2007-01-03 00:00:00 2007-01-03 00:00:00 No 2007-09-13 00:00:00 None B None 1000 1000 -350 650 0 None 2ML911 N CA00103223, CA00103223 B, B SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-08-22 00:00:00 230004182 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-03 00:00:00 2007-01-03 00:00:00 No 2007-09-13 00:00:00 None B None 1000 1000 -350 650 0 None 2ML911 N CA00103223 B SFY2007-08
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2007-09-19 00:00:00 230004248 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-14 00:00:00 2006-02-14 00:00:00 No 2007-10-11 00:00:00 None B None 1000 1000 -350 650 0 None FXF711 N CA00072747 B SFY2007-08
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-09-20 00:00:00 230004249 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-26 00:00:00 2006-09-26 00:00:00 No 2007-10-12 00:00:00 None B None 1000 1000 -350 650 0 None Y6QZ11 N CA00094175 B SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-09-25 00:00:00 230004250 Closed Citation Citation B (HSC 1424) Staffing None 2007-02-01 00:00:00 2007-02-01 00:00:00 No 2007-10-17 00:00:00 None B None 750 750 -262.5 487.5 0 None NH4G11 N CA00109241 B SFY2007-08
230000588 GRANNY'S HOUSE - HILDALE AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-09-25 00:00:00 230004253 Closed Citation Citation B (HSC 1424) Medication None 2007-08-10 00:00:00 2007-08-10 00:00:00 No 2007-10-17 00:00:00 None B None 800 800 -280 520 0 None DOHH11 N CA00120530 C SFY2007-08
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2007-09-20 00:00:00 230004265 Closed Citation Citation B (HSC 1424) Staffing None 2006-10-26 00:00:00 2006-10-26 00:00:00 Yes 2007-10-12 00:00:00 2007-09-27 00:00:00 B B 750 375 0 375 0 None XLC411 N CA00096735 B SFY2007-08
230000778 MERAKEY - KELSEY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-09-25 00:00:00 230004266 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-09 00:00:00 2007-05-09 00:00:00 No 2007-10-17 00:00:00 None B None 1000 1000 -350 650 0 None L12P11 N CA00120518 B SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-10-10 00:00:00 230004319 Closed Citation Citation A (HSC 1424) Medication None 2006-11-14 00:00:00 2006-11-14 00:00:00 No 2007-10-31 00:00:00 None A None 10000 10000 -3500 6500 0 None NKIY11 N CA00098774, CA00098778, CA00098781 B, B, B SFY2007-08
230000597 MERAKEY - HERBSCENTA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-10-18 00:00:00 230004328 Closed Citation Citation B (HSC 1424) Administration None 2006-05-18 00:00:00 2006-05-18 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 -350 650 0 None FVVK11 N CA00105397 B SFY2007-08
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004330 Closed Citation Citation B (HSC 1424) Staffing None 2006-05-28 00:00:00 2006-05-28 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 -350 650 0 None ZMX211 N CA00082515, CA00090462, CA00092789, CA00093387 B, B, B, B SFY2007-08
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004331 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-18 00:00:00 2006-05-18 00:00:00 No 2007-11-19 00:00:00 None B None 800 800 -280 520 0 None ZMX211 N CA00082858 B SFY2007-08
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004332 Closed Citation Citation B (HSC 1424) Other physical abuse 2007-06-04 00:00:00 2007-06-04 00:00:00 No 2007-11-08 00:00:00 None B None 1000 3000 -1050 1950 0 None HU3511 N CA00116734 C SFY2007-08
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004334 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-04 00:00:00 2006-12-04 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 -350 650 0 None QPSX11 N CA00101038 B SFY2007-08
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004340 Closed Citation Citation B (HSC 1424) Other abuse reporting 2007-08-07 00:00:00 2007-08-07 00:00:00 No 2007-11-08 00:00:00 None B None 1000 3000 -1050 1950 0 None U3E211 N CA00123122, CA00123466 B, B SFY2007-08
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004341 Closed Citation Citation B (HSC 1424) Other misappropriation property 2007-08-07 00:00:00 2007-08-07 00:00:00 No 2007-11-08 00:00:00 None B None 800 800 -280 520 0 None U3E211 N CA00123122, CA00123466 B, B SFY2007-08
230000597 MERAKEY - HERBSCENTA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-10-18 00:00:00 230004349 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-22 00:00:00 2007-06-22 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 -350 650 0 None RW4D11 N CA00113072 C SFY2007-08
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004354 Closed Citation Citation B (HSC 1424) Other failure to report 2007-05-12 00:00:00 2007-05-12 00:00:00 No 2007-11-08 00:00:00 None B None 800 800 -280 520 0 None TLY911 N CA00114772 B SFY2007-08
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004356 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-04 00:00:00 2007-07-04 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 0 1000 0 None NKHR11 N CA00121055 C SFY2007-08
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2007-10-18 00:00:00 230004360 Closed Citation Citation B (HSC 1424) Administration None 2007-07-04 00:00:00 2007-07-04 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 0 1000 0 None NKHR11 N CA00121055 C SFY2007-08
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2007-10-19 00:00:00 230004361 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-15 00:00:00 2007-05-15 00:00:00 No 2007-11-20 00:00:00 None B None 1000 1000 -350 650 0 None 0B4Z11 N CA00114980 B SFY2007-08
230000761 GRANNY'S HOUSE - MAGNOLIA ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-10-23 00:00:00 230004362 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-10 00:00:00 2007-05-10 00:00:00 No 2007-11-14 00:00:00 None B None 750 800 -262.5 537.5 0 None PX9V11 N None None SFY2007-08
230000468 MERAKEY - VALENTINE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-10-18 00:00:00 230004363 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-21 00:00:00 2007-08-21 00:00:00 No 2007-11-08 00:00:00 None B None 1000 1000 0 1000 0 None OFN911 N CA00124364, CA00124594 B, B SFY2007-08
230000761 GRANNY'S HOUSE - MAGNOLIA ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-10-23 00:00:00 230004365 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-09 00:00:00 2007-05-09 00:00:00 No 2007-11-28 00:00:00 None B None 750 750 -262.5 487.5 0 None PX9V11 N CA00115091 B SFY2007-08
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-10-23 00:00:00 230004366 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-05-20 00:00:00 2007-05-20 00:00:00 No 2007-11-19 00:00:00 None B B Trebled 1000 3000 -2606 394 0 None PJTB11 N CA00116059 B SFY2007-08
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-10-19 00:00:00 230004375 Closed Citation Citation B (HSC 1424) Staffing None 2007-04-24 00:00:00 2007-04-24 00:00:00 Yes 2007-11-09 00:00:00 2007-10-30 00:00:00 B B 800 400 0 400 0 None GGQ111 N CA00106869 B SFY2007-08
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-10-19 00:00:00 230004376 Closed Citation Citation B (HSC 1424) Medication None 2007-01-23 00:00:00 2007-01-23 00:00:00 No 2007-11-09 00:00:00 None B None 1000 1000 -350 650 0 None GGQ111 N CA00106869 B SFY2007-08
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-11-30 00:00:00 230004454 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-27 00:00:00 2007-08-27 00:00:00 No 2007-12-21 00:00:00 None B B 1000 1000 -869 131 0 None CTZQ11 N CA00124896 B SFY2007-08
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2007-11-30 00:00:00 230004455 Closed Citation Citation B (HSC 1424) Medication None 2007-10-19 00:00:00 2007-10-19 00:00:00 No 2007-12-21 00:00:00 None B None 1000 1000 -350 650 0 None ON7111 N CA00129906 C SFY2007-08
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2007-11-29 00:00:00 230004456 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-29 00:00:00 2007-01-29 00:00:00 No 2007-12-20 00:00:00 None B None 1000 1000 0 1000 0 None C2BT11 N CA00103592, CA00106075 B, B SFY2007-08
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2007-11-29 00:00:00 230004462 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-30 00:00:00 2007-03-30 00:00:00 No 2007-12-20 00:00:00 None B None 1000 1000 0 1000 0 None 60FB11 N CA00111268, CA00111271 B, B SFY2007-08
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2007-11-29 00:00:00 230004463 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-05 00:00:00 2007-01-05 00:00:00 Yes 2007-12-20 00:00:00 2007-11-29 00:00:00 B B 750 750 -619 131 0 None QMHG11 Y CA00116052 B SFY2007-08
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-11-30 00:00:00 230004464 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-01 00:00:00 2007-06-01 00:00:00 No 2007-12-21 00:00:00 None B B Trebled 1000 3000 -2606 394 0 None BCDU11 N CA00116466, CA00116506, CA00117123 C, C, C SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-12-04 00:00:00 230004465 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-29 00:00:00 2007-10-29 00:00:00 No 2007-12-26 00:00:00 None B None 1000 1000 -350 650 0 None DEKP11 N CA00130641 C SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2007-12-04 00:00:00 230004466 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-24 00:00:00 2007-10-24 00:00:00 No 2007-12-26 00:00:00 None B None 1000 3000 -1050 1950 0 None DEKP11 N CA00130266 C SFY2007-08
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2007-12-04 00:00:00 230004471 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-23 00:00:00 2007-08-23 00:00:00 No 2007-12-26 00:00:00 None B None 1000 1000 0 1000 0 None 7EJH11 N CA00124692 C SFY2007-08
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-12-05 00:00:00 230004473 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-17 00:00:00 2007-08-17 00:00:00 Yes 2007-12-27 00:00:00 2007-12-10 00:00:00 B B 750 500 0 500 0 None FLRL11 N CA00123851 A SFY2007-08
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-12-05 00:00:00 230004474 Closed Citation Citation B (HSC 1424) Administration None 2007-11-01 00:00:00 2007-11-01 00:00:00 Yes 2007-12-27 00:00:00 2007-12-10 00:00:00 B B 750 500 0 500 0 None 8YLD11 N CA00130616 C SFY2007-08
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2007-12-05 00:00:00 230004476 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-08 00:00:00 2007-11-08 00:00:00 No 2007-12-27 00:00:00 None B None 1000 1000 -350 650 0 None VMP811 N CA00131772 B SFY2007-08
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-12-11 00:00:00 230004489 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-19 00:00:00 2007-04-19 00:00:00 No 2008-01-03 00:00:00 None B None 1000 1000 0 1000 0 None VEZ911 N CA00112068 B SFY2007-08
230000633 MERAKEY - TOM POLK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-12-18 00:00:00 230004500 Closed Citation Citation B (HSC 1424) Administration None 2007-01-28 00:00:00 2007-01-28 00:00:00 No 2008-01-10 00:00:00 None B None 1000 1000 -350 650 0 None QV7811 N CA00105263 B SFY2007-08
230000633 MERAKEY - TOM POLK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2007-12-18 00:00:00 230004501 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-27 00:00:00 2007-01-27 00:00:00 No 2008-01-10 00:00:00 None B None 1000 3000 -1050 1950 0 None QV7811 N CA00105263 B SFY2007-08
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2007-12-21 00:00:00 230004517 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-29 00:00:00 2007-09-29 00:00:00 No 2008-01-15 00:00:00 None B None 1000 1000 -350 650 0 None J07411 N CA00128027 C SFY2007-08
230000392 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-01-15 00:00:00 230004538 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-13 00:00:00 2007-10-13 00:00:00 Yes 2008-02-06 00:00:00 2008-01-15 00:00:00 B B 1000 500 0 500 0 None F5IF11 N CA00129548 B SFY2007-08
230000392 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-01-15 00:00:00 230004539 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-13 00:00:00 2007-10-13 00:00:00 Yes 2008-02-06 00:00:00 2008-01-15 00:00:00 B B 1000 500 0 500 0 None F5IF11 N CA00129548 B SFY2007-08
230000392 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-01-15 00:00:00 230004540 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-12 00:00:00 2007-10-12 00:00:00 Yes 2008-02-06 00:00:00 2008-01-15 00:00:00 B B 1000 500 0 500 0 None F5IF11 N CA00129410 B SFY2007-08
230000392 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-01-15 00:00:00 230004541 Closed Citation Citation B (HSC 1424) Administration None 2007-06-16 00:00:00 2007-06-16 00:00:00 Yes 2008-02-06 00:00:00 2008-01-15 00:00:00 B B 500 250 0 250 0 None 7O5611 N CA00117986 C SFY2007-08
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-01-02 00:00:00 230004542 Closed Citation Citation B (HSC 1424) Staffing None 2007-12-08 00:00:00 2007-12-08 00:00:00 No 2008-01-24 00:00:00 None B None 750 750 0 750 0 None JUFB11 N CA00134487 B SFY2007-08
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2008-01-03 00:00:00 230004543 Closed Citation Citation B (HSC 1424) Medication None 2007-06-07 00:00:00 2007-06-07 00:00:00 No 2008-01-25 00:00:00 None B None 900 900 -315 585 0 None GJGK11 N CA00117089 B SFY2007-08
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-01-03 00:00:00 230004544 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-02 00:00:00 2007-07-02 00:00:00 No 2008-01-25 00:00:00 None B None 1000 1000 -350 650 0 None U1OJ11 N CA00119395 C SFY2007-08
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2008-01-17 00:00:00 230004546 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-09 00:00:00 2006-12-09 00:00:00 No 2008-02-08 00:00:00 None B None 1000 1000 -350 650 0 None S8KK11 N CA00102705 B SFY2007-08
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-01-17 00:00:00 230004576 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-08 00:00:00 2007-12-08 00:00:00 No 2008-02-08 00:00:00 None B None 1000 3000 0 3000 0 None F4ZO11 N CA00134514, CA00134572, CA00134990, CA00135026 C, B, C, C SFY2007-08
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2008-01-17 00:00:00 230004577 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-19 00:00:00 2007-12-19 00:00:00 No 2008-02-08 00:00:00 None B None 1000 3000 -1050 1950 0 None 37DX11 N CA00135685, CA00135702, CA00136597, CA00136602 B, B, B, B SFY2007-08
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-01-18 00:00:00 230004578 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-12 00:00:00 2007-10-12 00:00:00 No 2008-02-11 00:00:00 None B None 1000 1000 -350 650 0 None MRB711 N CA00129227 B SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2008-01-17 00:00:00 230004585 Closed Citation Citation B (HSC 1424) Medication None 2007-09-15 00:00:00 2007-09-15 00:00:00 No 2008-02-08 00:00:00 None B None 1000 1000 -350 650 0 None M0L611 N CA00127074 A SFY2007-08
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-01-30 00:00:00 230004598 Closed Citation Citation B (HSC 1424) Staffing None 2007-06-09 00:00:00 2007-06-09 00:00:00 No 2008-02-22 00:00:00 None B None 750 750 -262.5 487.5 0 None 4ZP111 N CA00118939 B SFY2007-08
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-01-30 00:00:00 230004599 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-29 00:00:00 2007-06-29 00:00:00 No 2008-02-22 00:00:00 None B None 1000 1000 -350 650 0 None 4ZP111 N CA00118939 B SFY2007-08
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-01-30 00:00:00 230004600 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-31 00:00:00 2007-12-31 00:00:00 Yes 2008-02-22 00:00:00 2008-02-01 00:00:00 B B 1000 500 0 500 0 None PL4C11 N CA00136736 B SFY2007-08
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-02-01 00:00:00 230004601 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-05 00:00:00 2007-07-05 00:00:00 No 2008-02-26 00:00:00 None B None 1000 1000 -350 650 0 None S7FN11 N CA00118477, CA00118477 C, C SFY2007-08
230000682 MERAKEY - ARCH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-01-31 00:00:00 230004625 Closed Citation Citation B (HSC 1424) Medication None 2007-04-22 00:00:00 2007-04-22 00:00:00 No 2008-02-25 00:00:00 None B None 1000 1000 -350 650 0 None KVUZ11 N CA00112875 C SFY2007-08
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-01-31 00:00:00 230004634 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-04 00:00:00 2007-12-04 00:00:00 No 2008-02-25 00:00:00 None B None 1000 1000 0 1000 0 None I1B211 N CA00134059 B SFY2007-08
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2008-02-01 00:00:00 230004636 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-17 00:00:00 2007-06-17 00:00:00 No 2008-02-26 00:00:00 None B None 1000 1000 0 1000 0 None 42QR11 N CA00118444, CA00118448 C, C SFY2007-08
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2008-02-05 00:00:00 230004648 Closed Citation Citation B (HSC 1424) Staffing None 2008-01-01 00:00:00 2008-01-01 00:00:00 No 2008-02-28 00:00:00 None B None 750 750 -262.5 487.5 0 None QT4J11 N CA00137862 B SFY2007-08
230000392 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-02-07 00:00:00 230004665 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-02 00:00:00 2007-11-02 00:00:00 No 2008-03-03 00:00:00 None B None 1000 1000 0 1000 0 None ZWKU11 N CA00131447 C SFY2007-08
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-02-21 00:00:00 230004700 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-12-07 00:00:00 2007-12-07 00:00:00 Yes 2008-03-13 00:00:00 2008-02-26 00:00:00 AA AA 100000 65000 0 65000 0 None QL2H11 Y CA00134448 C SFY2007-08
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2008-02-27 00:00:00 230004705 Closed Citation Citation A (HSC 1424) Other ACCIDENT 2007-05-21 00:00:00 2007-05-21 00:00:00 Yes 2008-03-19 00:00:00 2008-02-28 00:00:00 A A 20000 20000 0 20000 0 None L4LZ11 Y CA00115350 B SFY2007-08
230000560 RCCA - AUGUSTA LANE #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-03-06 00:00:00 230004737 Closed Citation Citation B (HSC 1424) Medication None 2007-11-13 00:00:00 2007-11-13 00:00:00 Yes 2008-03-27 00:00:00 2008-03-07 00:00:00 B B 750 375 0 375 0 None G8NH11 N CA00133281 B SFY2007-08
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2008-03-06 00:00:00 230004746 Closed Citation Citation B (HSC 1424) Administration None 2007-06-26 00:00:00 2007-06-26 00:00:00 Yes 2008-03-27 00:00:00 2008-03-06 00:00:00 B B 1000 500 0 500 0 None TKT511 N CA00118602 A SFY2007-08
230000283 ALMOND VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-03-07 00:00:00 230004747 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-19 00:00:00 2008-01-19 00:00:00 No 2008-03-28 00:00:00 None B None 800 800 -280 520 0 None 0QHP11 N CA00138479 C SFY2007-08
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-03-07 00:00:00 230004750 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-06 00:00:00 2007-12-06 00:00:00 Yes 2008-03-28 00:00:00 2008-03-10 00:00:00 B B 1000 500 0 500 0 None 13DJ11 N CA00134306, CA00134311 B, B SFY2007-08
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2008-03-14 00:00:00 230004752 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-03 00:00:00 2007-10-03 00:00:00 Yes 2008-04-07 00:00:00 2008-03-27 00:00:00 B B 1000 500 0 500 0 None EOQR11 N CA00128668 C SFY2007-08
230000621 ARVALO HOME - RIVERPARK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-03-13 00:00:00 230004778 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-15 00:00:00 2008-01-15 00:00:00 No 2008-04-04 00:00:00 None B None 1000 1000 0 1000 0 None RFY911 N CA00138198, CA00138200 B, B SFY2007-08
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2008-03-13 00:00:00 230004779 Closed Citation Citation B (HSC 1424) Staffing None 2007-11-16 00:00:00 2007-11-16 00:00:00 Yes 2008-04-04 00:00:00 2008-03-19 00:00:00 B B 1000 500 0 500 0 None LII111 N CA00131947 C SFY2007-08
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2008-03-13 00:00:00 230004780 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-18 00:00:00 2007-12-18 00:00:00 No 2008-04-04 00:00:00 None B None 1000 1000 -350 650 0 None 9L3911 N CA00135422 C SFY2007-08
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2008-03-18 00:00:00 230004787 Closed Citation Citation B (HSC 1424) Other abuse 2007-11-21 00:00:00 2007-11-21 00:00:00 No 2008-04-09 00:00:00 None B None 1000 1000 -350 650 0 None 9B3511 N CA00133155 C SFY2007-08
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2008-03-18 00:00:00 230004789 Closed Citation Citation B (HSC 1424) Other ABUSE 2007-11-25 00:00:00 2007-11-25 00:00:00 No 2008-04-09 00:00:00 None B None 1000 1000 -350 650 0 None 9B3511 N CA00132974 A SFY2007-08
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2008-04-02 00:00:00 230004800 Closed Citation Citation B (HSC 1424) Medication None 2007-06-27 00:00:00 2007-06-27 00:00:00 Yes 2008-04-23 00:00:00 2008-04-02 00:00:00 B B 1000 500 0 500 0 None 4BEV11 N CA00117465 B SFY2007-08
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-04-02 00:00:00 230004824 Closed Citation Citation B (HSC 1424) Other failure to report 2007-10-30 00:00:00 2007-10-30 00:00:00 No 2008-04-23 00:00:00 None B None 750 750 0 750 0 None MBDS11 N CA00131102 C SFY2007-08
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-04-02 00:00:00 230004826 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-30 00:00:00 2007-10-30 00:00:00 No 2008-04-23 00:00:00 None B None 750 750 0 750 0 None MBDS11 N CA00131102 C SFY2007-08
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-04-02 00:00:00 230004827 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-06 00:00:00 2007-11-06 00:00:00 No 2008-04-23 00:00:00 None B None 750 750 0 750 0 None MBDS11 N CA00131600 B SFY2007-08
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2008-04-11 00:00:00 230004858 Closed Citation Citation B (HSC 1424) Staffing None 2008-03-01 00:00:00 2008-03-01 00:00:00 Yes 2008-05-02 00:00:00 2008-04-28 00:00:00 B B 1000 500 0 500 0 None F48S11 N CA00143693 C SFY2007-08
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-04-16 00:00:00 230004923 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-17 00:00:00 2008-03-17 00:00:00 No 2008-05-07 00:00:00 None B None 1000 1000 -350 650 0 None ZPUT11 N CA00144608 B SFY2007-08
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-04-17 00:00:00 230004925 Closed Citation Citation B (HSC 1424) Other failure to report 2008-02-10 00:00:00 2008-02-10 00:00:00 No 2008-05-08 00:00:00 None B None 750 750 0 750 0 None V2XF11 N CA00141216, CA00142400 B, B SFY2007-08
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2008-04-23 00:00:00 230004928 Closed Citation Citation A (HSC 1424) Other ACCIDENTS 2008-01-25 00:00:00 2008-01-25 00:00:00 No 2008-05-14 00:00:00 None A None 10000 10000 -3500 6500 0 None 8QQ211 N CA00139044 B SFY2007-08
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-04-24 00:00:00 230004932 Closed Citation Citation B (HSC 1424) Staffing None 2007-06-29 00:00:00 2007-06-29 00:00:00 No 2008-05-15 00:00:00 None B None 500 500 -175 325 0 None QQXL11 N CA00118958 C SFY2007-08
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-04-24 00:00:00 230004950 Closed Citation Citation A (HSC 1424) Patient Care None 2007-07-01 00:00:00 2007-07-01 00:00:00 No 2008-05-15 00:00:00 None A None 10000 10000 -3500 6500 0 None QQXL11 N CA00118958 C SFY2007-08
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-04-25 00:00:00 230004952 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-03 00:00:00 2008-04-03 00:00:00 No 2008-05-16 00:00:00 None B None 1000 1000 0 1000 0 None UXIO11 N CA00145890 B SFY2007-08
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2008-05-09 00:00:00 230004989 Closed Citation Citation B (HSC 1424) Other failure to report 2008-02-19 00:00:00 2008-02-19 00:00:00 No 2008-06-02 00:00:00 None B None 1000 1000 0 1000 0 None F3D411 N CA00142337 A SFY2007-08
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-05-09 00:00:00 230004990 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-07 00:00:00 2008-04-07 00:00:00 No 2008-06-02 00:00:00 None B None 1000 1000 -350 650 0 None MC6O11 N CA00146217 C SFY2007-08
230000370 THE FOUNTAINS LTC SNF Skilled Nursing Facility Chico 2008-05-13 00:00:00 230005002 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-16 00:00:00 2008-04-16 00:00:00 No 2008-06-04 00:00:00 None B None 1000 1000 -350 650 0 None QE6Z11 N CA00147215 B SFY2007-08
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2008-05-13 00:00:00 230005003 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-17 00:00:00 2008-03-17 00:00:00 No 2008-06-04 00:00:00 None B None 1000 1000 -350 650 0 None CP2U11 N CA00144298 C SFY2007-08
230000737 ARVALO HOME - SHADOWRUN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-05-23 00:00:00 230005054 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-12-18 00:00:00 2007-12-18 00:00:00 No 2008-06-16 00:00:00 None B None 1000 1000 -350 650 0 None SB0R11 N CA00137864 B SFY2007-08
230000370 THE FOUNTAINS LTC SNF Skilled Nursing Facility Chico 2008-05-29 00:00:00 230005082 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-21 00:00:00 2008-02-21 00:00:00 No 2008-06-20 00:00:00 None B None 1000 1000 -350 650 0 None OQJ011 N CA00144044 C SFY2007-08
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2008-05-29 00:00:00 230005083 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-19 00:00:00 2008-04-19 00:00:00 No 2008-06-19 00:00:00 None B None 1000 1000 0 1000 0 None F93H11 N CA00147312 C SFY2007-08
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2008-05-29 00:00:00 230005084 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-20 00:00:00 2008-04-20 00:00:00 No 2008-06-19 00:00:00 None B None 1000 1000 0 1000 0 None F93H11 N CA00147491 C SFY2007-08
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2008-06-05 00:00:00 230005098 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-12 00:00:00 2007-08-12 00:00:00 Yes 2010-05-12 00:00:00 2008-06-05 00:00:00 A A 10000 10000 0 10000 0 None F5XJ11 Y CA00123727 B SFY2007-08
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2008-06-13 00:00:00 230005131 Closed Citation Citation B (HSC 1424) Staffing None 2008-01-31 00:00:00 2008-01-31 00:00:00 No 2008-07-07 00:00:00 None B None 750 750 0 750 0 None HI8111 N CA00142075 C SFY2007-08
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2008-06-13 00:00:00 230005132 Closed Citation Citation B (HSC 1424) Medication None 2007-12-01 00:00:00 2007-12-01 00:00:00 No 2008-07-07 00:00:00 None B None 1000 1000 0 1000 0 None HI8111 N CA00142075 C SFY2007-08
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2008-06-13 00:00:00 230005133 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-07 00:00:00 2008-01-07 00:00:00 Yes 2008-07-07 00:00:00 2008-06-20 00:00:00 B B 750 375 0 375 0 None HI8111 N CA00136407 B SFY2007-08
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-06-13 00:00:00 230005134 Closed Citation Citation B (HSC 1424) Other REPORTING 2008-05-30 00:00:00 2008-05-30 00:00:00 Yes 2008-07-07 00:00:00 2008-06-19 00:00:00 B B 1000 2000 0 2000 0 None 2POQ11 N CA00152481 C SFY2007-08
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2008-06-13 00:00:00 230005135 Closed Citation Citation B (HSC 1424) Staffing None 2008-05-18 00:00:00 2008-05-18 00:00:00 No 2008-07-07 00:00:00 None B None 1000 1000 0 1000 0 None 5DJM11 N CA00152461 C SFY2007-08
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-07-03 00:00:00 230005154 Closed Citation Citation B (HSC 1424) Other FAILURE TO REPORT 2008-05-08 00:00:00 2008-05-08 00:00:00 Yes 2008-07-25 00:00:00 2008-07-25 00:00:00 B Dismissed by Court 800 0 0 0 0 None NSXF11 N CA00150053 B SFY2008-09
230000716 OSTERMAN'S FACILITY #4, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-06-27 00:00:00 230005179 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-29 00:00:00 2008-05-29 00:00:00 No 2008-07-21 00:00:00 None B None 500 500 -175 325 0 None DJAS11 N CA00153152 C SFY2007-08
230000613 TRAILVIEW HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-07-01 00:00:00 230005185 Closed Citation Citation B (HSC 1424) Other Abuse & Reporting 2007-11-30 00:00:00 2007-11-30 00:00:00 No 2008-07-23 00:00:00 None B None 750 750 -262.5 487.5 0 None 0U6H11 N CA00138025 B SFY2008-09
230000761 GRANNY'S HOUSE - MAGNOLIA ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-07-01 00:00:00 230005189 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-12 00:00:00 2008-05-12 00:00:00 Yes 2008-07-23 00:00:00 2008-07-14 00:00:00 B B 1000 500 0 500 0 None VRK911 N CA00150013 A SFY2008-09
230000613 TRAILVIEW HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-07-01 00:00:00 230005190 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-11-30 00:00:00 2007-11-30 00:00:00 No 2008-07-23 00:00:00 None B None 750 750 -262.5 487.5 0 None 0U6H11 N CA00138025 B SFY2008-09
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-07-02 00:00:00 230005191 Closed Citation Citation B (HSC 1424) Medication None 2008-04-30 00:00:00 2008-04-30 00:00:00 No 2008-07-24 00:00:00 None B None 1000 1000 0 1000 0 None DKTZ11 N CA00148596 A SFY2008-09
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-07-02 00:00:00 230005192 Closed Citation Citation B (HSC 1424) Other FAILURE TO REPORT 2008-05-20 00:00:00 2008-05-20 00:00:00 No 2008-07-24 00:00:00 None B None 750 750 0 750 0 None DKTZ11 N CA00151687 C SFY2008-09
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-07-02 00:00:00 230005193 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-01 00:00:00 2008-04-01 00:00:00 No 2008-07-24 00:00:00 None B None 600 600 0 600 0 None UF4K11 N CA00152621 B SFY2008-09
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2008-07-02 00:00:00 230005195 Closed Citation Citation B (HSC 1424) Other ABUSE 2008-05-15 00:00:00 2008-05-15 00:00:00 No 2008-07-24 00:00:00 None B None 1000 1000 -350 650 0 None LCZV11 N CA00150621 A SFY2008-09
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-07-24 00:00:00 230005250 Closed Citation Citation B (HSC 1424) Other Failure to report 2008-06-15 00:00:00 2008-06-15 00:00:00 No 2008-08-14 00:00:00 None B None 1000 1000 -350 650 0 None OZIB11 N CA00154141 C SFY2008-09
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-08-06 00:00:00 230005263 Closed Citation Citation B (HSC 1424) Staffing None 2006-11-04 00:00:00 2006-11-04 00:00:00 No 2008-08-27 00:00:00 None B None 750 750 0 750 0 None VINL11 N CA00152157 C SFY2008-09
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-08-07 00:00:00 230005301 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-06 00:00:00 2008-07-06 00:00:00 Yes 2008-08-28 00:00:00 2008-08-13 00:00:00 B B 1000 650 0 650 0 None KFQ911 N CA00156153 C SFY2008-09
230000227 SENECA DISTRICT HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-08-12 00:00:00 230005307 Closed Citation Citation B (HSC 1424) Other ACCIDENTS 2008-07-13 00:00:00 2008-07-13 00:00:00 No 2008-09-03 00:00:00 None B None 800 800 0 800 0 None N0R111 N CA00156805 C SFY2008-09
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-08-19 00:00:00 230005321 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-08 00:00:00 2008-07-08 00:00:00 No 2008-09-10 00:00:00 None B None 1000 1000 0 1000 0 None B3J711 N CA00156289 C SFY2008-09
230000027 SHASTA VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-08-14 00:00:00 230005322 Closed Citation Citation B (HSC 1424) Staffing None 2008-06-17 00:00:00 2008-06-17 00:00:00 No 2008-09-05 00:00:00 None B None 800 800 -280 520 0 None MC5F11 N None None SFY2008-09
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2008-08-14 00:00:00 230005324 Closed Citation Citation B (HSC 1424) Other ACCIDENTS 2008-07-14 00:00:00 2008-07-14 00:00:00 No 2008-09-05 00:00:00 None B None 1000 1000 -350 650 0 None G6Y511 N CA00157128 B SFY2008-09
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-08-20 00:00:00 230005341 Closed Citation Citation B (HSC 1424) Staffing None 2008-07-02 00:00:00 2008-07-02 00:00:00 Yes 2008-09-11 00:00:00 2008-08-25 00:00:00 B B 500 250 0 250 0 None OD8J11 N None None SFY2008-09
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-04 00:00:00 230005378 Closed Citation Citation A (HSC 1424) Medication None 2008-05-08 00:00:00 2008-05-08 00:00:00 No 2008-09-25 00:00:00 None A None 10000 10000 0 10000 0 None X64511 N CA00152685 C SFY2008-09
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2008-09-05 00:00:00 230005380 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-24 00:00:00 2008-07-24 00:00:00 No 2008-09-26 00:00:00 None B None 1000 3000 -1050 1950 0 None G93L11 N CA00158141 C SFY2008-09
230000578 GRANNY'S HOUSE - PLUMAS AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-09-09 00:00:00 230005381 Closed Citation Citation B (HSC 1424) Staffing None 2008-06-30 00:00:00 2008-06-30 00:00:00 No 2008-09-30 00:00:00 None B None 750 750 -262.5 487.5 0 None JWSP11 N CA00156965 A SFY2008-09
230000588 GRANNY'S HOUSE - HILDALE AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-09-09 00:00:00 230005400 Closed Citation Citation B (HSC 1424) Staffing None 2008-06-30 00:00:00 2008-06-30 00:00:00 No 2008-09-30 00:00:00 None B None 750 750 -262.5 487.5 0 None UX3Y11 N CA00156788 A SFY2008-09
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-09-12 00:00:00 230005407 Closed Citation Citation B (HSC 1424) Other REPORTING 2008-07-16 00:00:00 2008-07-16 00:00:00 Yes 2008-10-03 00:00:00 2008-09-24 00:00:00 B B 500 250 0 250 0 None E96W11 N CA00157442 C SFY2008-09
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-09-12 00:00:00 230005408 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-16 00:00:00 2008-07-16 00:00:00 Yes 2008-10-03 00:00:00 2008-09-24 00:00:00 B B Trebled 1000 1500 0 1500 0 None E96W11 N CA00157442 C SFY2008-09
230000424 COLUSA MEDICAL CENTER - SNF LTC SNF Skilled Nursing Facility Chico 2008-09-19 00:00:00 230005414 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-12 00:00:00 2008-05-12 00:00:00 No 2008-10-10 00:00:00 None B None 1000 1000 -350 650 0 None DGUH11 N CA00150000 C SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-19 00:00:00 230005421 Closed Citation Citation A (HSC 1424) Medication None 2007-11-07 00:00:00 2007-11-07 00:00:00 No 2008-10-10 00:00:00 None A None 5000 5000 -1750 3250 0 None HEC511 N None None SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-19 00:00:00 230005423 Closed Citation Citation A (HSC 1424) Medication None 2007-10-01 00:00:00 2007-10-01 00:00:00 No 2008-10-10 00:00:00 None A None 5000 5000 -1750 3250 0 None T8CT11 N CA00132777 C SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-19 00:00:00 230005428 Closed Citation Citation A (HSC 1424) Medication None 2007-11-19 00:00:00 2007-11-19 00:00:00 No 2008-10-10 00:00:00 None A None 5000 5000 -1750 3250 0 None T8CT11 N CA00132777 C SFY2008-09
230000403 OROVILLE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-09-22 00:00:00 230005436 Closed Citation Citation B (HSC 1424) Administration None 2008-06-27 00:00:00 2008-06-27 00:00:00 No 2008-10-14 00:00:00 None B None 500 500 0 500 0 None Z3RZ11 N CA00158723 C SFY2008-09
230000403 OROVILLE HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-09-22 00:00:00 230005438 Closed Citation Citation B (HSC 1424) Patient Care None 2008-06-27 00:00:00 2008-06-27 00:00:00 No 2008-10-14 00:00:00 None B None 1000 1000 0 1000 0 None Z3RZ11 N CA00158723 C SFY2008-09
230000737 ARVALO HOME - SHADOWRUN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-09-23 00:00:00 230005439 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-17 00:00:00 2008-05-17 00:00:00 No 2008-10-15 00:00:00 None B None 1000 1000 0 1000 0 None 0EFI11 N CA00151877 A SFY2008-09
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-19 00:00:00 230005440 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-10 00:00:00 2008-09-10 00:00:00 Yes 2008-10-10 00:00:00 2008-10-06 00:00:00 B None 800 800 -280 520 0 None 817I11 N CA00163239 B SFY2008-09
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-18 00:00:00 230005443 Closed Citation Citation B (HSC 1424) Other Reporting 2007-10-25 00:00:00 2007-10-25 00:00:00 No 2008-10-09 00:00:00 None B None 500 500 -175 325 0 None OHJ911 N CA00161926 C SFY2008-09
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-18 00:00:00 230005444 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-31 00:00:00 2008-08-31 00:00:00 No 2008-10-09 00:00:00 None B None 1000 1000 -350 650 0 None OHJ911 N CA00161926 C SFY2008-09
230000737 ARVALO HOME - SHADOWRUN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-09-23 00:00:00 230005447 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-17 00:00:00 2008-05-17 00:00:00 No 2008-10-15 00:00:00 None B None 750 750 0 750 0 None 0EFI11 N CA00151877 A SFY2008-09
230000597 MERAKEY - HERBSCENTA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-09-23 00:00:00 230005452 Closed Citation Citation A (HSC 1424) Patient Rights None 2008-03-18 00:00:00 2008-03-18 00:00:00 Yes 2008-10-15 00:00:00 2008-09-23 00:00:00 A None 10000 10000 0 10000 0 None KP0P11 N CA00145643 C SFY2008-09
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-24 00:00:00 230005453 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-10 00:00:00 2007-06-10 00:00:00 Yes 2008-10-16 00:00:00 2008-09-26 00:00:00 B B 1000 500 0 500 0 None 70LN11 N CA00118164 B SFY2008-09
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-09-30 00:00:00 230005454 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-03 00:00:00 2008-05-03 00:00:00 No 2008-10-22 00:00:00 None B None 1000 1000 -350 650 0 None IH2211 N CA00149098 B SFY2008-09
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2008-09-30 00:00:00 230005455 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-09 00:00:00 2008-07-09 00:00:00 No 2008-10-22 00:00:00 None B None 1000 1000 -350 650 0 None ED2Q11 N CA00156368 C SFY2008-09
230000680 MERAKEY - OAK MESA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-09-26 00:00:00 230005460 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-08-15 00:00:00 2008-08-15 00:00:00 No 2008-10-20 00:00:00 None B None 1000 1000 -350 650 0 None M4RW11 N CA00162294 C SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-09-29 00:00:00 230005478 Closed Citation Citation B (HSC 1424) Staffing None 2008-09-01 00:00:00 2008-09-01 00:00:00 No 2008-10-21 00:00:00 None B None 500 500 -175 325 0 None CEYP11 N None None SFY2008-09
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2008-10-07 00:00:00 230005485 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-24 00:00:00 2008-05-24 00:00:00 No 2008-10-29 00:00:00 None B None 750 750 0 750 0 None U2ZC11 N CA00151733 B SFY2008-09
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2008-10-07 00:00:00 230005486 Closed Citation Citation B (HSC 1424) Other VERBAL ABUSE 2008-05-24 00:00:00 2008-05-24 00:00:00 No 2008-10-29 00:00:00 None B None 750 750 0 750 0 None U2ZC11 N CA00151733 B SFY2008-09
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-10-07 00:00:00 230005489 Closed Citation Citation B (HSC 1424) Administration None 2008-08-01 00:00:00 2008-08-01 00:00:00 No 2008-10-29 00:00:00 None B None 1000 1000 -350 650 0 None YHBR11 N CA00159351 C SFY2008-09
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-10-20 00:00:00 230005534 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-01 00:00:00 2008-10-01 00:00:00 Yes 2008-11-10 00:00:00 2008-10-28 00:00:00 B B 1000 500 0 500 0 None 5VYM11 N CA00165147 C SFY2008-09
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-10-24 00:00:00 230005543 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-09 00:00:00 2008-10-09 00:00:00 Yes 2008-11-17 00:00:00 2008-10-29 00:00:00 B B 850 425 0 425 0 None 0CFF11 N CA00165991 C SFY2008-09
230000283 ALMOND VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-10-31 00:00:00 230005552 Closed Citation Citation B (HSC 1424) Problem Transfer None 2008-08-22 00:00:00 2008-08-22 00:00:00 No 2008-11-24 00:00:00 None B None 500 500 -175 325 0 None US9511 N CA00164113 B SFY2008-09
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-11-06 00:00:00 230005583 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-24 00:00:00 2008-09-24 00:00:00 Yes 2008-12-02 00:00:00 2008-11-13 00:00:00 B B 600 300 0 300 0 None H8VS11 N CA00164681 C SFY2008-09
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-11-12 00:00:00 230005586 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-04 00:00:00 2008-10-04 00:00:00 Yes 2008-12-05 00:00:00 2008-11-12 00:00:00 B B 750 375 0 375 0 None 7EW511 N CA00165743 C SFY2008-09
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-11-19 00:00:00 230005622 Closed Citation Citation B (HSC 1424) Other failed to report in 24hrs 2008-11-01 00:00:00 2008-11-01 00:00:00 Yes 2008-12-16 00:00:00 2008-11-21 00:00:00 B B Trebled 750 1125 0 1125 0 None HSU011 N CA00168436 B SFY2008-09
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2008-11-19 00:00:00 230005626 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-01 00:00:00 2008-11-01 00:00:00 Yes 2008-12-16 00:00:00 2008-11-21 00:00:00 B B Trebled 1000 1500 0 1500 0 None HSU011 N CA00168436 B SFY2008-09
230000682 MERAKEY - ARCH LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2008-11-20 00:00:00 230005629 Closed Citation Citation B (HSC 1424) Other neglect 2008-10-11 00:00:00 2008-10-11 00:00:00 No 2008-12-16 00:00:00 None B None 1000 1000 0 1000 0 None M9LZ11 N CA00166262 C SFY2008-09
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-12-11 00:00:00 230005676 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-25 00:00:00 2008-10-25 00:00:00 No 2009-01-06 00:00:00 None B None 1000 1000 0 1000 0 None DQRZ11 N CA00167505 C SFY2008-09
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-12-11 00:00:00 230005678 Closed Citation Citation B (HSC 1424) Other FAILED TO REPORT 24 HRS 2008-10-23 00:00:00 2008-10-23 00:00:00 No 2009-01-06 00:00:00 None B None 800 800 0 800 0 None YC8D11 N CA00167525 C SFY2008-09
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2008-12-11 00:00:00 230005681 Closed Citation Citation B (HSC 1424) Other report in 24 hr period 2008-09-05 00:00:00 2008-09-05 00:00:00 No 2009-01-06 00:00:00 None B None 1000 3000 0 3000 0 None 7E8S11 N CA00164117 C SFY2008-09
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2008-12-16 00:00:00 230005682 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-27 00:00:00 2008-10-27 00:00:00 Yes 2009-01-07 00:00:00 2008-12-16 00:00:00 B B 750 375 0 375 0 None HX1T11 N CA00167659 C SFY2008-09
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2008-12-30 00:00:00 230005702 Closed Citation Citation B (HSC 1424) Staffing None 2008-11-04 00:00:00 2008-11-04 00:00:00 Yes 2009-01-27 00:00:00 2009-01-22 00:00:00 B None 800 800 0 800 0 None 65IB11 N CA00169492 C SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-12-30 00:00:00 230005723 Closed Citation Citation B (HSC 1424) Other FTR WITHIN 24 HOURS 2008-11-27 00:00:00 2008-11-27 00:00:00 No 2009-01-26 00:00:00 None B None 750 2250 -787.5 1462.5 0 None DENI11 N CA00171011 B SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2008-12-30 00:00:00 230005729 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-11 00:00:00 2008-12-11 00:00:00 No 2009-01-26 00:00:00 None B None 800 800 -280 520 0 None RRQG11 N CA00171942 C SFY2008-09
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2008-12-29 00:00:00 230005731 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-09 00:00:00 2008-11-09 00:00:00 Yes 2009-01-23 00:00:00 2008-12-31 00:00:00 B B 1000 500 0 500 0 None 7G0111 N CA00168917 C SFY2008-09
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2008-12-30 00:00:00 230005735 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-07 00:00:00 2008-12-07 00:00:00 No 2009-01-21 00:00:00 None B None 800 800 0 800 0 None FKEO11 N CA00171457, CA00171755 C, B SFY2008-09
230000504 VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-01-02 00:00:00 230005750 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2008-11-29 00:00:00 2008-11-29 00:00:00 No 2009-01-23 00:00:00 None B None 750 750 -262.5 487.5 0 None 4F6611 N CA00170982 B SFY2008-09
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-01-06 00:00:00 230005751 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2008-08-13 00:00:00 2008-08-13 00:00:00 No 2009-01-27 00:00:00 None B None 800 800 -280 520 0 None LD5X11 N CA00165102 C SFY2008-09
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-01-06 00:00:00 230005752 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-08-13 00:00:00 2008-08-13 00:00:00 No 2009-02-13 00:00:00 None B None 1000 1000 -350 650 0 None LD5X11 N CA00165102 C SFY2008-09
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2009-01-22 00:00:00 230005803 Closed Citation Citation B (HSC 1424) Other Fire Safety 2008-12-08 00:00:00 2008-12-08 00:00:00 Yes 2009-02-12 00:00:00 2009-02-05 00:00:00 B B 1000 650 0 650 0 None F29D11 N CA00171557 B SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-01-22 00:00:00 230005804 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-06 00:00:00 2009-01-06 00:00:00 No 2009-02-16 00:00:00 None B None 1000 1000 -350 650 0 None VB2411 N CA00173992, CA00174036 C, C SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-01-22 00:00:00 230005806 Closed Citation Citation B (HSC 1424) Staffing None 2008-12-25 00:00:00 2008-12-25 00:00:00 No 2009-02-16 00:00:00 None B None 1000 3000 -1050 1950 0 None 0UTX11 N CA00174149 B SFY2008-09
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-01-22 00:00:00 230005807 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-23 00:00:00 2008-12-23 00:00:00 Yes 2009-02-17 00:00:00 2009-01-28 00:00:00 B None 1000 1000 0 1000 0 None 2L4K11 N CA00173358 C SFY2008-09
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-01-22 00:00:00 230005810 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-29 00:00:00 2008-12-29 00:00:00 Yes 2009-02-17 00:00:00 2009-01-29 00:00:00 B None 1000 3000 0 3000 0 None DWPR11 N CA00173349 C SFY2008-09
230000737 ARVALO HOME - SHADOWRUN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2009-01-29 00:00:00 230005830 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-07-27 00:00:00 2008-07-27 00:00:00 Yes 2009-02-25 00:00:00 2009-02-18 00:00:00 AA AA 25000 12000 0 12000 0 None M10211 Y CA00158267, CA00158891, CA00159501 B, C, C SFY2008-09
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-01-30 00:00:00 230005832 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-17 00:00:00 2008-12-17 00:00:00 Yes 2009-02-25 00:00:00 2009-02-06 00:00:00 B B 1000 650 0 650 0 None Z2WY11 N CA00172547 B SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-01-29 00:00:00 230005835 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-21 00:00:00 2008-12-21 00:00:00 No 2009-02-25 00:00:00 None B None 1000 1000 -350 650 0 None 2BQB11 N CA00172840 A SFY2008-09
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2009-02-04 00:00:00 230005836 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-12 00:00:00 2008-12-12 00:00:00 No 2009-02-27 00:00:00 None B None 1000 1000 -350 650 0 None TYZP11 N CA00172354 C SFY2008-09
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2009-02-04 00:00:00 230005838 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-12 00:00:00 2008-12-12 00:00:00 No 2009-02-27 00:00:00 None B None 750 750 -262.5 487.5 0 None TYZP11 N CA00172354 C SFY2008-09
230000557 THE ALPINE HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2009-02-11 00:00:00 230005856 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-02 00:00:00 2008-12-02 00:00:00 No 2009-03-06 00:00:00 None B None 1000 1000 -350 650 0 None Z73R11 N CA00170910 A SFY2008-09
230000613 TRAILVIEW HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2009-03-11 00:00:00 230005922 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-16 00:00:00 2009-01-16 00:00:00 No 2009-04-02 00:00:00 None B None 1000 1000 -350 650 0 None HCQ011 N CA00175214 C SFY2008-09
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2009-03-12 00:00:00 230005954 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-13 00:00:00 2009-02-13 00:00:00 No 2009-04-14 00:00:00 None B None 1000 3000 0 3000 0 None K2Q011 N CA00177808 C SFY2008-09
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2009-03-13 00:00:00 230005958 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-06 00:00:00 2009-01-06 00:00:00 Yes 2009-04-07 00:00:00 2009-03-19 00:00:00 B B 750 562.5 0 562.5 0 None 750611 N CA00174048, CA00174498 C, C SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-03-16 00:00:00 230005960 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours. 2009-02-07 00:00:00 2009-02-07 00:00:00 No 2009-04-14 00:00:00 None B None 750 2250 -787.5 1462.5 0 None 44P511 N CA00177581 B SFY2008-09
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2009-03-17 00:00:00 230005979 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2009-02-28 00:00:00 2009-02-28 00:00:00 Yes 2009-04-20 00:00:00 2009-03-23 00:00:00 B B 500 300 0 300 0 None 6QME11 N CA00179749 D SFY2008-09
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-04-02 00:00:00 230006013 Closed Citation Citation B (HSC 1424) Other Safeguard patients monies 2009-01-13 00:00:00 2009-01-13 00:00:00 No 2009-04-27 00:00:00 None B None 750 750 -262.5 487.5 0 None 0XW211 N CA00179240 C SFY2008-09
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2009-04-03 00:00:00 230006039 Closed Citation Citation B (HSC 1424) Other DIGNITY 2009-02-17 00:00:00 2009-02-17 00:00:00 No 2009-04-24 00:00:00 None B None 1000 3000 -1050 1950 0 None 25Q111 N CA00181222 C SFY2008-09
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-04-10 00:00:00 230006075 Closed Citation Citation A (HSC 1424) Other care plan & accidents 2009-02-28 00:00:00 2009-02-28 00:00:00 Yes 2009-05-01 00:00:00 2009-04-10 00:00:00 A None 2000 2000 0 2000 0 None 594T11 N CA00179526 C SFY2008-09
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-04-10 00:00:00 230006080 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-24 00:00:00 2009-03-24 00:00:00 Yes 2009-05-01 00:00:00 2009-04-10 00:00:00 B None 1000 1000 0 1000 0 None GQTB11 N CA00182776 C SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-04-17 00:00:00 230006085 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-02 00:00:00 2009-03-02 00:00:00 No 2009-05-11 00:00:00 None B None 1000 1000 -350 650 0 None 870611 N CA00180322 C SFY2008-09
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2009-04-15 00:00:00 230006087 Closed Citation Citation B (HSC 1424) Administration None 2009-03-08 00:00:00 2009-03-08 00:00:00 No 2009-05-11 00:00:00 None B None 750 750 -262.5 487.5 0 None U2OW11 N CA00180558 B SFY2008-09
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-04-17 00:00:00 230006089 Closed Citation Citation A (HSC 1424) Other Required Services 2008-12-24 00:00:00 2008-12-24 00:00:00 No 2009-05-12 00:00:00 None A None 15000 15000 -5250 9750 0 None RIRY11 N CA00175567 C SFY2008-09
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-04-20 00:00:00 230006095 Closed Citation Citation B (HSC 1424) Other Failed to report 2009-03-31 00:00:00 2009-03-31 00:00:00 No 2009-05-18 00:00:00 None B None 750 750 -262.5 487.5 0 None 2IYN11 N CA00183858 B SFY2008-09
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-04-20 00:00:00 230006102 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-31 00:00:00 2009-03-31 00:00:00 No 2009-05-18 00:00:00 None B None 750 750 -262.5 487.5 0 None 2IYN11 N CA00183858 B SFY2008-09
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-04-22 00:00:00 230006112 Closed Citation Citation A (HSC 1424) Patient Care None 2008-10-31 00:00:00 2008-10-31 00:00:00 Yes 2012-05-30 00:00:00 2012-05-04 00:00:00 A A 10000 10000 0 10000 0 None 65UW11 N CA00172194 C SFY2008-09
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-05-13 00:00:00 230006175 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-03-21 00:00:00 2009-03-21 00:00:00 No 2009-06-04 00:00:00 None B None 1000 1000 -350 650 0 None B71511 N CA00182353 C SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-05-15 00:00:00 230006176 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-28 00:00:00 2009-03-28 00:00:00 No 2009-06-08 00:00:00 None B None 1000 3000 0 3000 0 None 2C1311 N CA00183722 B SFY2008-09
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-05-15 00:00:00 230006179 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-30 00:00:00 2009-03-30 00:00:00 No 2009-06-08 00:00:00 None B None 1000 3000 0 3000 0 None OCQ011 N CA00183444 C SFY2008-09
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2009-05-15 00:00:00 230006188 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-26 00:00:00 2009-02-26 00:00:00 No 2009-06-24 00:00:00 None B None 1000 3000 0 3000 0 None IDQW11 N CA00179333 D SFY2008-09
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2009-05-15 00:00:00 230006190 Closed Citation Citation B (HSC 1424) Staffing None 2009-02-16 00:00:00 2009-02-16 00:00:00 No 2009-06-24 00:00:00 None B None 700 700 0 700 0 None IDQW11 N CA00179333 D SFY2008-09
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2009-05-20 00:00:00 230006197 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-08 00:00:00 2009-04-08 00:00:00 Yes 2009-07-02 00:00:00 2009-06-09 00:00:00 B B 800 600 0 600 0 None EHHG11 N CA00184295 B SFY2008-09
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-05-28 00:00:00 230006217 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-19 00:00:00 2009-02-19 00:00:00 Yes 2009-07-02 00:00:00 2009-06-01 00:00:00 B B 1000 1950 0 1950 0 None VXLB11 N CA00178521 B SFY2008-09
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-05-28 00:00:00 230006218 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-30 00:00:00 2009-03-30 00:00:00 Yes 2009-07-02 00:00:00 2009-06-01 00:00:00 B B 1000 1950 0 1950 0 None SWQC11 N CA00183695 C SFY2008-09
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-06-04 00:00:00 230006241 Closed Citation Citation B (HSC 1424) Other Nursing 2009-04-21 00:00:00 2009-04-21 00:00:00 No 2009-06-29 00:00:00 None B None 1000 1000 0 1000 0 None LVYF11 N CA00185720 C SFY2008-09
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-06-15 00:00:00 230006274 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2009-05-15 00:00:00 2009-05-15 00:00:00 Yes 2009-07-06 00:00:00 2009-06-19 00:00:00 B B 1000 650 0 650 0 None CSUF11 N CA00188735 C SFY2008-09
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-06-22 00:00:00 230006305 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-29 00:00:00 2009-05-29 00:00:00 No 2009-07-13 00:00:00 None B None 1000 3000 -1050 1950 0 None 6JHQ11 N CA00190536 C SFY2008-09
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-06-30 00:00:00 230006306 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-06 00:00:00 2009-06-06 00:00:00 No 2009-07-30 00:00:00 None B None 800 2400 -840 1560 0 None 2VXS11 N CA00191065 C SFY2008-09
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2009-06-26 00:00:00 230006312 Closed Citation Citation B (HSC 1424) Administration None 2009-05-19 00:00:00 2009-05-19 00:00:00 Yes 2009-07-17 00:00:00 2009-07-07 00:00:00 B B 1000 650 0 650 0 None Y2YI11 N CA00190363 D SFY2008-09
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2009-06-26 00:00:00 230006317 Closed Citation Citation B (HSC 1424) Administration None 2009-05-19 00:00:00 2009-05-19 00:00:00 Yes 2009-07-17 00:00:00 2009-07-07 00:00:00 B B 1000 750 0 750 0 None Y2YI11 N CA00190363 D SFY2008-09
230000370 THE FOUNTAINS LTC SNF Skilled Nursing Facility Chico 2009-06-26 00:00:00 230006321 Closed Citation Citation B (HSC 1424) Other Health & Safety 2009-06-06 00:00:00 2009-06-06 00:00:00 No 2009-07-17 00:00:00 None B None 500 500 -175 325 0 None TB7711 N CA00191365 D SFY2008-09
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2009-07-03 00:00:00 230006337 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-11 00:00:00 2009-06-11 00:00:00 No 2009-07-24 00:00:00 None B None 1000 1000 -350 650 0 None ROTR11 N CA00191617 C SFY2009-10
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-07-06 00:00:00 230006348 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-31 00:00:00 2009-01-31 00:00:00 No 2009-07-27 00:00:00 None B None 1000 1000 -350 650 0 None 7KNZ11 N CA00184692 C SFY2009-10
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-07-06 00:00:00 230006356 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-10 00:00:00 2009-04-10 00:00:00 No 2009-07-27 00:00:00 None B None 750 750 -262.5 487.5 0 None 7KNZ11 N CA00184692 C SFY2009-10
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-07-06 00:00:00 230006357 Closed Citation Citation B (HSC 1424) Other FTR with in 24 hours 2008-12-15 00:00:00 2008-12-15 00:00:00 No 2009-07-27 00:00:00 None B None 750 750 -262.5 487.5 0 None 7KNZ11 N CA00184692 C SFY2009-10
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-07-08 00:00:00 230006370 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2009-04-02 00:00:00 2009-04-02 00:00:00 No 2009-07-29 00:00:00 None B None 750 750 -262.5 487.5 0 None J9EU11 N CA00183533 C SFY2009-10
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-07-08 00:00:00 230006371 Closed Citation Citation B (HSC 1424) Other Patient Care 2009-04-02 00:00:00 2009-04-02 00:00:00 No 2009-07-29 00:00:00 None B None 1000 1000 -350 650 0 None J9EU11 N CA00183533 C SFY2009-10
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-07-10 00:00:00 230006373 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-07 00:00:00 2009-06-07 00:00:00 No 2009-08-10 00:00:00 None B None 1000 3000 -1050 1950 0 None L7Z511 N CA00191236 B SFY2009-10
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-07-21 00:00:00 230006403 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-13 00:00:00 2009-06-13 00:00:00 No 2009-08-14 00:00:00 None B None 1000 1000 -350 650 0 None 5GYV11 N CA00191911 C SFY2009-10
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2009-07-23 00:00:00 230006411 Closed Citation Citation B (HSC 1424) Other Physical Environment 2009-04-14 00:00:00 2009-04-14 00:00:00 No 2009-08-24 00:00:00 None B None 1000 1000 -350 650 0 None Z05E11 N CA00184930 A SFY2009-10
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-07-23 00:00:00 230006412 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-21 00:00:00 2009-03-21 00:00:00 Yes 2009-08-13 00:00:00 2009-07-29 00:00:00 B None 1000 3000 0 3000 0 None JVRL11 N CA00182434 B SFY2009-10
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-08-12 00:00:00 230006450 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-16 00:00:00 2009-06-16 00:00:00 No 2009-09-08 00:00:00 None B None 1000 1000 -350 650 0 None 0PC511 N CA00191951 B SFY2009-10
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-08-14 00:00:00 230006452 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-24 00:00:00 2009-07-24 00:00:00 No 2009-09-11 00:00:00 None B None 1000 1000 -350 650 0 None UQ0E11 N CA00196338 C SFY2009-10
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2009-08-19 00:00:00 230006456 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2009-04-01 00:00:00 2009-04-01 00:00:00 Yes 2009-09-22 00:00:00 2009-09-14 00:00:00 B None 750 750 0 750 0 None 9EDZ11 N CA00183918 C SFY2009-10
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2009-08-19 00:00:00 230006457 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-06 00:00:00 2009-04-06 00:00:00 Yes 2009-09-10 00:00:00 2009-09-14 00:00:00 B None 1000 1000 0 1000 0 None 9EDZ11 N CA00183918 C SFY2009-10
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-08-19 00:00:00 230006462 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2009-05-05 00:00:00 2009-05-05 00:00:00 Yes 2009-09-21 00:00:00 2009-09-03 00:00:00 B B 500 325 0 325 0 None 1Q9R11 N CA00187551 C SFY2009-10
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-08-19 00:00:00 230006463 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-05 00:00:00 2009-05-05 00:00:00 Yes 2009-09-10 00:00:00 2009-09-03 00:00:00 B B 1000 650 0 650 0 None 1Q9R11 N CA00187551 C SFY2009-10
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2009-08-20 00:00:00 230006473 Closed Citation Citation B (HSC 1424) Staffing None 2009-05-16 00:00:00 2009-05-16 00:00:00 Yes 2009-09-11 00:00:00 2009-09-02 00:00:00 B B 500 325 0 325 0 None M6G611 N CA00190267 C SFY2009-10
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-08-24 00:00:00 230006489 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-15 00:00:00 2009-08-15 00:00:00 No 2009-09-15 00:00:00 None B None 1000 3000 0 3000 0 None TCR611 N CA00198685 C SFY2009-10
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2009-09-09 00:00:00 230006521 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-02 00:00:00 2009-08-02 00:00:00 No 2009-10-02 00:00:00 None B None 1000 1000 -350 650 0 None O7YG11 N CA00197170 C SFY2009-10
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-09-08 00:00:00 230006538 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-05 00:00:00 2009-06-05 00:00:00 No 2009-10-02 00:00:00 None B None 500 500 -175 325 0 None ND6811 N CA00190655 A SFY2009-10
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-09-09 00:00:00 230006539 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-26 00:00:00 2009-07-26 00:00:00 No 2009-10-01 00:00:00 None B None 1000 1000 0 1000 0 None DKP211 Y CA00196738 C SFY2009-10
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2009-09-10 00:00:00 230006542 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-20 00:00:00 2009-07-20 00:00:00 No 2009-10-01 00:00:00 None B None 1000 1000 0 1000 0 None ILHJ11 N CA00195699 C SFY2009-10
230000227 SENECA DISTRICT HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-09-17 00:00:00 230006546 Closed Citation Citation B (HSC 1424) Other Flr to rprt/24 2009-08-11 00:00:00 2009-08-11 00:00:00 No 2009-10-08 00:00:00 None B None 500 500 0 500 0 None VH4711 N CA00198766 C SFY2009-10
230000227 SENECA DISTRICT HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-09-17 00:00:00 230006547 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-11 00:00:00 2009-08-11 00:00:00 No 2009-10-08 00:00:00 None B None 1000 1000 0 1000 0 None VH4711 N CA00198766 C SFY2009-10
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-09-22 00:00:00 230006553 Closed Citation Citation B (HSC 1424) Other Health & Safety 1418 2009-07-31 00:00:00 2009-07-31 00:00:00 No 2009-10-14 00:00:00 None B None 700 2100 -735 1365 0 None H08H11 N CA00200111 C SFY2009-10
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-09-22 00:00:00 230006554 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-31 00:00:00 2009-07-31 00:00:00 No 2009-10-14 00:00:00 None B None 1000 1000 -350 650 0 None H08H11 N CA00200111 C SFY2009-10
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-09-29 00:00:00 230006586 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-01 00:00:00 2009-09-01 00:00:00 No 2009-10-21 00:00:00 None B None 1000 1000 -350 650 0 None ZM3N11 N CA00200706, CA00200938 C, C SFY2009-10
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-10-01 00:00:00 230006587 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-30 00:00:00 2009-08-30 00:00:00 No 2009-10-23 00:00:00 None B None 800 800 -280 520 0 None H24011 N CA00200282 C SFY2009-10
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-10-06 00:00:00 230006590 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-15 00:00:00 2009-09-15 00:00:00 No 2009-10-28 00:00:00 None B None 1000 3000 -1050 1950 0 None 3CCX11 N CA00201939 A SFY2009-10
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2009-10-14 00:00:00 230006606 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-04 00:00:00 2009-09-04 00:00:00 No 2009-11-04 00:00:00 None B None 1000 1000 -350 650 0 None MB5O11 N CA00201683 B SFY2009-10
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2009-10-14 00:00:00 230006607 Closed Citation Citation B (HSC 1424) Other HSC 2009-09-04 00:00:00 2009-09-04 00:00:00 No 2009-11-04 00:00:00 None B None 700 700 -245 455 0 None MB5O11 N CA00201683 B SFY2009-10
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2009-10-15 00:00:00 230006610 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-29 00:00:00 2009-08-29 00:00:00 No 2009-11-05 00:00:00 None B None 1000 3000 -1050 1950 0 None N86411 N CA00200271 C SFY2009-10
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2009-10-15 00:00:00 230006619 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-31 00:00:00 2009-05-31 00:00:00 No 2009-11-05 00:00:00 None B None 1000 1000 -350 650 0 None WDZK11 N CA00194743 C SFY2009-10
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2009-10-21 00:00:00 230006640 Closed Citation Citation B (HSC 1424) Other HSC 2009-09-27 00:00:00 2009-09-27 00:00:00 No 2009-11-12 00:00:00 None B None 800 800 -280 520 0 None RHT911 N CA00203634 C SFY2009-10
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-10-28 00:00:00 230006659 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-01 00:00:00 2009-09-01 00:00:00 Yes 2009-11-19 00:00:00 2009-11-16 00:00:00 B B 1000 650 0 650 0 None 5R5F11 N CA00200699 B SFY2009-10
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2009-10-28 00:00:00 230006660 Closed Citation Citation B (HSC 1424) Staffing None 2009-09-12 00:00:00 2009-09-12 00:00:00 No 2009-11-19 00:00:00 None B None 750 750 -262.5 487.5 0 None TTO611 N None None SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2009-10-30 00:00:00 230006669 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-10-13 00:00:00 2009-10-13 00:00:00 No 2009-11-23 00:00:00 None B None 500 1500 -525 975 0 None 0DHI11 N CA00205333 B SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2009-10-30 00:00:00 230006670 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-15 00:00:00 2009-10-15 00:00:00 No 2009-11-23 00:00:00 None B None 1000 1000 -350 650 0 None 0DHI11 N CA00205333 B SFY2009-10
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-12-08 00:00:00 230006745 Closed Citation Citation B (HSC 1424) Administration None 2009-10-24 00:00:00 2009-10-24 00:00:00 Yes 2009-12-30 00:00:00 2010-01-11 00:00:00 B B 1000 650 0 650 0 None XZ6W11 N CA00206397 C SFY2009-10
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-12-08 00:00:00 230006748 Closed Citation Citation B (HSC 1424) Administration None 2009-09-17 00:00:00 2009-09-17 00:00:00 No 2009-12-30 00:00:00 None B None 1000 3000 -1050 1950 0 None 5GE211 N CA00202951, CA00203549 D, C SFY2009-10
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-12-08 00:00:00 230006749 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-17 00:00:00 2009-09-17 00:00:00 No 2009-12-30 00:00:00 None B None 1000 1000 -350 650 0 None 5GE211 N CA00202951, CA00203549 D, C SFY2009-10
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2009-12-21 00:00:00 230006768 Closed Citation Citation B (HSC 1424) Other Health & Safety Code 2009-11-08 00:00:00 2009-11-08 00:00:00 No 2010-01-12 00:00:00 None B None 700 2100 -735 1365 0 None 0K5811 N CA00207962 C SFY2009-10
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2009-12-16 00:00:00 230006776 Closed Citation Citation B (HSC 1424) Other Health & Safety Code 2009-10-22 00:00:00 2009-10-22 00:00:00 No 2010-01-12 00:00:00 None B None 300 300 0 300 0 None WK6T11 N CA00209496 C SFY2009-10
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2009-12-22 00:00:00 230006824 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-20 00:00:00 2009-05-20 00:00:00 No 2010-01-14 00:00:00 None B None 1000 1000 0 1000 0 None NSJJ11 N CA00205600 D SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2009-12-22 00:00:00 230006829 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-11-26 00:00:00 2009-11-26 00:00:00 No 2010-01-14 00:00:00 None B None 1000 3000 0 3000 0 None XAYF11 N CA00209668 C SFY2009-10
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2009-12-29 00:00:00 230006846 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-21 00:00:00 2009-10-21 00:00:00 No 2010-01-22 00:00:00 None B None 1000 1000 -350 650 0 None 93WZ11 N CA00205914 C SFY2009-10
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-01-08 00:00:00 230006882 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-17 00:00:00 2009-10-17 00:00:00 No 2010-02-09 00:00:00 None B None 1000 1000 -350 650 0 None REK111 N CA00205901 A SFY2009-10
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-01-08 00:00:00 230006884 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-01 00:00:00 2009-12-01 00:00:00 No 2010-02-09 00:00:00 None B None 1000 1000 -350 650 0 None TYGV11 N CA00210128 C SFY2009-10
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-01-14 00:00:00 230006897 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-29 00:00:00 2009-11-29 00:00:00 No 2010-02-08 00:00:00 None B None 1000 3000 -1050 1950 0 None FGS811 N CA00209688 C SFY2009-10
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2010-01-21 00:00:00 230006926 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-01-05 00:00:00 2010-01-05 00:00:00 No 2010-02-11 00:00:00 None B None 1000 3000 0 3000 0 None 511E11 N CA00213738 C SFY2009-10
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2010-02-03 00:00:00 230006942 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-12-08 00:00:00 2009-12-08 00:00:00 No 2010-02-24 00:00:00 None B None 1000 1000 -350 650 0 None 9TLU11 N CA00210849, CA00210965, CA00211044 C, C, C SFY2009-10
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2010-02-04 00:00:00 230006950 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2009-11-26 00:00:00 2009-11-26 00:00:00 No 2010-02-25 00:00:00 None B None 1000 1000 -350 650 0 None 72PU11 N CA00209745 C SFY2009-10
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2010-02-04 00:00:00 230006952 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-03-24 00:00:00 2009-03-24 00:00:00 No 2010-02-25 00:00:00 None AA None 50000 50000 -17500 32500 0 None YBV411 Y CA00182739, CA00183154, CA00183466 C, C, C SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-02-04 00:00:00 230006964 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-01-04 00:00:00 2010-01-04 00:00:00 Yes 2010-02-25 00:00:00 2010-02-08 00:00:00 B B 1000 1600 0 1600 0 None 35EE11 N CA00213840 C SFY2009-10
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2010-02-10 00:00:00 230006970 Closed Citation Citation B (HSC 1424) Other Health & Safety 2009-10-24 00:00:00 2009-10-24 00:00:00 No 2010-03-03 00:00:00 None B None 700 700 -245 455 0 None FGSE11 N CA00206550 C SFY2009-10
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2010-02-10 00:00:00 230006979 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-24 00:00:00 2009-10-24 00:00:00 No 2010-03-03 00:00:00 None B None 1000 3000 -1050 1950 0 None FGSE11 N CA00206550 C SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-02-11 00:00:00 230006986 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-24 00:00:00 2010-01-24 00:00:00 Yes 2010-03-04 00:00:00 2010-02-16 00:00:00 B B 1000 1600 0 1600 0 None GY1I11 N CA00216400 C SFY2009-10
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2010-06-22 00:00:00 230007016 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-16 00:00:00 2009-12-16 00:00:00 Yes 2010-07-13 00:00:00 2010-07-12 00:00:00 A A 15000 5000 0 5000 0 None OEUD11 N CA00212107 C SFY2009-10
230000578 GRANNY'S HOUSE - PLUMAS AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2010-03-11 00:00:00 230007034 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-12-24 00:00:00 2009-12-24 00:00:00 No 2010-04-02 00:00:00 None B None 1000 1000 -350 650 0 None 6ZCH11 N CA00212915 C SFY2009-10
230000578 GRANNY'S HOUSE - PLUMAS AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2010-03-11 00:00:00 230007035 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-24 00:00:00 2009-12-24 00:00:00 Yes 2010-04-02 00:00:00 2010-03-23 00:00:00 B B 1000 650 0 650 0 None 6ZCH11 N CA00212915 C SFY2009-10
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2010-03-25 00:00:00 230007056 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-12-15 00:00:00 2009-12-15 00:00:00 No 2010-04-16 00:00:00 None B None 1000 1000 0 1000 0 None O7ES11 N CA00211754 C SFY2009-10
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2010-04-02 00:00:00 230007084 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours abuse 2010-01-06 00:00:00 2010-01-06 00:00:00 No 2010-04-27 00:00:00 None B None 700 2100 -735 1365 0 None U7RO11 N CA00215046, CA00215283 C, C SFY2009-10
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2010-04-02 00:00:00 230007085 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-01-06 00:00:00 2010-01-06 00:00:00 No 2010-04-27 00:00:00 None B None 1000 1000 -350 650 0 None U7RO11 N CA00215046, CA00215283 C, C SFY2009-10
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2010-04-06 00:00:00 230007098 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-04 00:00:00 2010-01-04 00:00:00 No 2010-04-27 00:00:00 None B None 1000 1000 -350 650 0 None V81X11 N CA00213768 C SFY2009-10
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2010-04-21 00:00:00 230007125 Closed Citation Citation B (HSC 1424) Other Health and Safety 2010-03-08 00:00:00 2010-03-08 00:00:00 No 2010-05-12 00:00:00 None B None 800 800 0 800 0 None 914311 N CA00221314 C SFY2009-10
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2010-04-20 00:00:00 230007138 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-11-30 00:00:00 2009-11-30 00:00:00 Yes 2010-05-11 00:00:00 2010-05-03 00:00:00 B B 1000 650 0 650 0 None T1RZ11 N CA00209946 C SFY2009-10
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2010-04-21 00:00:00 230007139 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-08 00:00:00 2010-03-08 00:00:00 No 2010-05-12 00:00:00 None B None 1000 1000 0 1000 0 None 914311 N CA00221154 C SFY2009-10
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2010-04-20 00:00:00 230007141 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-07 00:00:00 2009-12-07 00:00:00 No 2010-05-11 00:00:00 None B None 1000 1000 0 1000 0 None YHWR11 N CA00210586 C SFY2009-10
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2010-04-20 00:00:00 230007142 Closed Citation Citation B (HSC 1424) Other FTR W/IN 24 hours 2009-12-05 00:00:00 2009-12-05 00:00:00 No 2010-05-11 00:00:00 None B None 1000 1000 0 1000 0 None S3W411 N CA00210492 C SFY2009-10
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2010-04-20 00:00:00 230007144 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-02 00:00:00 2009-12-02 00:00:00 Yes 2010-05-11 00:00:00 2010-05-03 00:00:00 B None 1000 1000 0 1000 0 None 5VNL11 N CA00210385 C SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-04-28 00:00:00 230007172 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-03-09 00:00:00 2010-03-09 00:00:00 Yes 2010-05-19 00:00:00 2010-05-11 00:00:00 B B 1000 900 0 900 0 None 1ZFW11 N CA00220950 C SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-05-10 00:00:00 230007193 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-07 00:00:00 2010-04-07 00:00:00 Yes 2010-06-01 00:00:00 2010-05-17 00:00:00 B B 1000 900 0 900 0 None OMMR11 N CA00224732 C SFY2009-10
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2010-05-13 00:00:00 230007194 Closed Citation Citation B (HSC 1424) Medication None 2010-02-02 00:00:00 2010-02-02 00:00:00 No 2010-06-04 00:00:00 None B None 1000 1000 -350 650 0 None VVR511 N CA00218133 B SFY2009-10
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2010-05-20 00:00:00 230007201 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-01 00:00:00 2010-04-01 00:00:00 No 2010-06-11 00:00:00 None B None 1000 1000 -350 650 0 None EMZ811 N CA00223978 C SFY2009-10
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-05-14 00:00:00 230007205 Closed Citation Citation B (HSC 1424) Administration None 2010-02-06 00:00:00 2010-02-06 00:00:00 No 2010-06-07 00:00:00 None B None 1000 3000 -1050 1950 0 None RYN611 N CA00218092 C SFY2009-10
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-05-19 00:00:00 230007222 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-01 00:00:00 2010-04-01 00:00:00 Yes 2010-06-10 00:00:00 2010-06-01 00:00:00 B None 1000 1000 0 1000 0 None HSP211 N CA00224069 C SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-06-01 00:00:00 230007250 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-18 00:00:00 2010-02-18 00:00:00 Yes 2010-06-22 00:00:00 2010-06-14 00:00:00 B B 1000 900 0 900 0 None O48C11 N CA00218849 C SFY2009-10
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-06-01 00:00:00 230007253 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-18 00:00:00 2010-02-18 00:00:00 Yes 2010-06-22 00:00:00 2010-06-14 00:00:00 B B Trebled 1000 2700 0 2700 0 None O48C11 N CA00218845 C SFY2009-10
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2010-06-03 00:00:00 230007274 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-19 00:00:00 2010-04-19 00:00:00 No 2010-06-24 00:00:00 None B None 1000 1000 0 1000 0 None 3XWC11 N CA00225990 C SFY2009-10
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2010-06-14 00:00:00 230007305 Closed Citation Citation B (HSC 1424) Other Health and Safety 2010-03-11 00:00:00 2010-03-11 00:00:00 Yes 2010-07-05 00:00:00 2010-06-14 00:00:00 B B Trebled 1000 1950 0 1950 0 None H6RH11 N CA00224679 C SFY2009-10
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-07-02 00:00:00 230007333 Closed Citation Citation B (HSC 1424) Administration None 2010-04-27 00:00:00 2010-04-27 00:00:00 No 2010-07-23 00:00:00 None B None 750 750 -262.5 487.5 0 None HVGG11 N CA00227421 C SFY2010-11
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-07-02 00:00:00 230007334 Closed Citation Citation B (HSC 1424) Medication None 2010-03-22 00:00:00 2010-03-22 00:00:00 No 2010-07-23 00:00:00 None B None 1000 1000 -350 650 0 None HVGG11 N CA00223272 C SFY2010-11
230000282 SPRING HILL MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Chico 2010-07-01 00:00:00 230007340 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2010-05-14 00:00:00 2010-05-14 00:00:00 Yes 2014-03-12 00:00:00 2010-07-13 00:00:00 B B 1000 1000 0 1000 0 None UZDN11 N CA00229115 C SFY2010-11
230000282 SPRING HILL MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Chico 2010-07-01 00:00:00 230007342 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-13 00:00:00 2010-05-13 00:00:00 Yes 2014-03-12 00:00:00 2010-07-09 00:00:00 B B 1000 1000 0 1000 0 None UZDN11 N CA00229115 C SFY2010-11
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2010-07-06 00:00:00 230007344 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-05 00:00:00 2009-10-05 00:00:00 No 2010-07-27 00:00:00 None A None 10000 10000 -3500 6500 0 None F5S911 Y CA00207991 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2010-07-13 00:00:00 230007365 Closed Citation Citation B (HSC 1424) Other FTR WITHIN 24 HOURS 2009-11-14 00:00:00 2009-11-14 00:00:00 No 2010-08-03 00:00:00 None B None 1000 1000 -350 650 0 None Y3Z611 N CA00208996 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2010-07-13 00:00:00 230007366 Closed Citation Citation B (HSC 1424) Other FTR WITHIN 24 HOURS 2009-11-17 00:00:00 2009-11-17 00:00:00 No 2010-08-03 00:00:00 None B None 1000 1000 -350 650 0 None Y3Z611 N CA00209157 C SFY2010-11
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2010-07-14 00:00:00 230007367 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-17 00:00:00 2010-03-17 00:00:00 No 2010-08-06 00:00:00 None B None 1000 1000 -350 650 0 None FT0G11 N CA00222318 C SFY2010-11
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2010-07-14 00:00:00 230007368 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-17 00:00:00 2010-03-17 00:00:00 No 2010-08-06 00:00:00 None B None 1000 1000 -350 650 0 None FT0G11 N CA00222799 C SFY2010-11
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2010-07-14 00:00:00 230007369 Closed Citation Citation B (HSC 1424) Other PATIENT ABUSE 2010-03-17 00:00:00 2010-03-17 00:00:00 No 2010-08-06 00:00:00 None B None 1000 1000 -350 650 0 None FT0G11 N CA00222799 C SFY2010-11
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-07-28 00:00:00 230007424 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-08 00:00:00 2010-04-08 00:00:00 No 2010-08-20 00:00:00 None B None 1000 3000 -1050 1950 0 None VURO11 N CA00225045, CA00225046 C, C SFY2010-11
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2010-08-02 00:00:00 230007425 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-20 00:00:00 2010-05-20 00:00:00 No 2010-08-23 00:00:00 None B None 1000 1200 0 1200 0 None FO6311 N CA00229704, CA00229707 C, C SFY2010-11
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-10 00:00:00 230007482 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-05-12 04:00:00 2010-05-12 04:00:00 No 2011-03-04 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None Q6BC11 None CA00231100 C SFY2010-11
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2010-08-11 00:00:00 230007483 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-23 00:00:00 2010-07-23 00:00:00 No 2010-09-01 00:00:00 None B None 1000 1000 -350 650 0 None HDS911 N CA00236783 B SFY2010-11
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2010-08-25 00:00:00 230007490 Closed Citation Citation B (HSC 1424) Staffing None 2010-05-22 00:00:00 2010-05-22 00:00:00 No 2010-09-20 00:00:00 None B None 1000 1000 -350 650 0 None RROG11 N CA00231113 C SFY2010-11
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-08-31 00:00:00 230007511 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-07 00:00:00 2010-07-07 00:00:00 Yes 2010-09-22 00:00:00 2010-09-13 00:00:00 B B 1000 1950 0 1950 0 None JI0H11 N CA00237463 B SFY2010-11
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-08-31 00:00:00 230007514 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-22 00:00:00 2010-06-22 00:00:00 Yes 2010-09-24 00:00:00 2010-09-03 00:00:00 B B 1000 1600 0 1600 0 None B9H311 N CA00233299 B SFY2010-11
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-08-31 00:00:00 230007526 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-24 00:00:00 2010-07-24 00:00:00 Yes 2010-09-24 00:00:00 2010-09-03 00:00:00 B B 1000 1600 0 1600 0 None 1UY511 N CA00236762 B SFY2010-11
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-09-08 00:00:00 230007552 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-02 00:00:00 2010-06-02 00:00:00 No 2010-09-29 00:00:00 None B None 1000 1000 -350 650 0 None LHLS11 N CA00231294 C SFY2010-11
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2010-09-14 00:00:00 230007566 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-03-06 00:00:00 2010-03-06 00:00:00 No 2010-10-05 00:00:00 None B None 1000 1000 -350 650 0 None 8DLE11 N CA00223755 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2010-09-14 00:00:00 230007567 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-02-01 00:00:00 2010-02-01 00:00:00 No 2010-10-05 00:00:00 None B None 1000 1000 -350 650 0 None Z1ZE11 N CA00238418 B SFY2010-11
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2010-10-19 00:00:00 230007631 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-08-02 00:00:00 2010-08-02 00:00:00 No 2010-11-09 00:00:00 None B None 1000 1000 -350 650 0 None YER411 N CA00237938 B SFY2010-11
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2010-10-21 00:00:00 230007632 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-13 00:00:00 2010-06-13 00:00:00 No 2010-11-15 00:00:00 None B None 1000 1000 0 1000 0 None XQV411 N CA00233100 B SFY2010-11
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-10-21 00:00:00 230007646 Closed Citation Citation B (HSC 1424) Administration None 2010-06-11 00:00:00 2010-06-11 00:00:00 No 2010-11-12 00:00:00 None B None 750 750 -262.5 487.5 0 None I0PK11 N CA00233093 B SFY2010-11
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-10-21 00:00:00 230007648 Closed Citation Citation B (HSC 1424) Staffing None 2010-06-11 00:00:00 2010-06-11 00:00:00 No 2010-11-12 00:00:00 None B None 750 750 -262.5 487.5 0 None I0PK11 N CA00233093 B SFY2010-11
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-10-21 00:00:00 230007649 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-11 00:00:00 2010-06-11 00:00:00 Yes 2010-11-12 00:00:00 2010-10-29 00:00:00 B B 1000 650 0 650 0 None I0PK11 N CA00233093 B SFY2010-11
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2010-10-21 00:00:00 230007651 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-02 00:00:00 2010-07-02 00:00:00 No 2010-11-12 00:00:00 None B None 1000 1000 -350 650 0 None ZUYG11 N CA00234919 B SFY2010-11
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2010-10-28 00:00:00 230007676 Closed Citation Citation B (HSC 1424) Administration None 2010-08-21 00:00:00 2010-08-21 00:00:00 No 2010-11-19 00:00:00 None B None 750 750 0 750 0 None JHKE11 N CA00240196 B SFY2010-11
230000424 COLUSA MEDICAL CENTER - SNF LTC SNF Skilled Nursing Facility Chico 2010-11-04 00:00:00 230007689 Closed Citation Citation B (HSC 1424) Administration None 2010-08-13 00:00:00 2010-08-13 00:00:00 No 2010-11-30 00:00:00 None B None 500 500 0 500 0 None NMDT11 N CA00241813 B SFY2010-11
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2010-11-04 00:00:00 230007694 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-08 00:00:00 2010-08-08 00:00:00 No 2010-11-30 00:00:00 None B None 1000 1000 -350 650 0 None W15K11 N CA00238966 B SFY2010-11
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2010-11-04 00:00:00 230007695 Closed Citation Citation B (HSC 1424) Other Health and Safety 2010-08-08 00:00:00 2010-08-08 00:00:00 No 2010-11-30 00:00:00 None B None 1000 1000 -350 650 0 None W15K11 N CA00238966 B SFY2010-11
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-11-09 00:00:00 230007702 Closed Citation Citation A (HSC 1424) Patient Care None 2010-04-06 00:00:00 2010-04-06 00:00:00 Yes 2010-12-03 00:00:00 2010-11-18 00:00:00 A A 20000 10000 0 10000 0 None KLE111 N CA00226466 C SFY2010-11
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2010-11-18 00:00:00 230007715 Closed Citation Citation A (HSC 1424) Medication None 2010-05-28 00:00:00 2010-05-28 00:00:00 Yes 2010-12-13 00:00:00 2010-11-18 00:00:00 A None 10000 10000 -3500 6500 0 None DRTE11 N CA00230906 C SFY2010-11
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2010-11-22 00:00:00 230007723 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-10 00:00:00 2010-09-10 00:00:00 No 2010-12-15 00:00:00 None B None 1000 1000 0 1000 0 None ESB111 N CA00242319 B SFY2010-11
230000606 RCCA - RIVER OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2010-11-22 00:00:00 230007726 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-10 00:00:00 2010-10-10 00:00:00 Yes 2010-12-15 00:00:00 2010-11-23 00:00:00 B B 500 250 0 250 0 None W3H611 N CA00245699 B SFY2010-11
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2010-12-02 00:00:00 230007737 Closed Citation Citation B (HSC 1424) Administration None 2010-09-20 00:00:00 2010-09-20 00:00:00 No 2010-12-23 00:00:00 None B None 500 500 0 500 0 None SLF111 N CA00243647 B SFY2010-11
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2010-12-02 00:00:00 230007740 Closed Citation Citation B (HSC 1424) Administration None 2010-09-30 00:00:00 2010-09-30 00:00:00 No 2010-12-23 00:00:00 None B None 300 900 0 900 0 None 8XWK11 N CA00245283 B SFY2010-11
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2010-12-09 00:00:00 230007759 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-26 00:00:00 2010-10-26 00:00:00 No 2010-12-30 00:00:00 None B None 800 800 -280 520 0 None TL4K11 N CA00247357 B SFY2010-11
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2010-12-10 00:00:00 230007764 Closed Citation Citation B (HSC 1424) Administration None 2010-04-07 00:00:00 2010-04-07 00:00:00 No 2010-12-31 00:00:00 None B None 500 500 -175 325 0 None M9B011 N CA00231107 A SFY2010-11
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2010-12-28 00:00:00 230007796 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-11 00:00:00 2010-11-11 00:00:00 No 2011-01-19 00:00:00 None B None 1000 1050 0 1050 0 None VLGB11 N CA00249236 B SFY2010-11
230000028 RED BLUFF HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Chico 2011-01-26 00:00:00 230007798 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2010-01-11 00:00:00 2010-01-11 00:00:00 Yes 2013-03-08 00:00:00 2013-02-25 00:00:00 AP BR None 100000 100000 0 0 100000 None VBZR11 None CA00217508 C SFY2010-11
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2011-01-05 00:00:00 230007808 Closed Citation Citation B (HSC 1424) Other Health and Safety 2010-09-17 00:00:00 2010-09-17 00:00:00 Yes 2011-01-27 00:00:00 2011-01-10 00:00:00 B B 500 500 0 500 0 None KUS411 N CA00248128 B SFY2010-11
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2011-01-05 00:00:00 230007809 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-17 00:00:00 2010-09-17 00:00:00 Yes 2014-05-02 00:00:00 2011-01-10 00:00:00 B B 800 800 0 800 0 None KUS411 N CA00248128 B SFY2010-11
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2011-01-05 00:00:00 230007810 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-25 00:00:00 2010-11-25 00:00:00 Yes 2011-01-27 00:00:00 2011-01-05 00:00:00 B B 1000 1000 0 1000 0 None G5Z211 N CA00250547, CA00250586 B, B SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007875 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-08 00:00:00 2010-01-08 00:00:00 Yes 2011-03-09 00:00:00 2011-03-29 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007876 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-02-10 00:00:00 2010-02-10 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007877 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-08 00:00:00 2010-01-08 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007878 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-25 00:00:00 2010-01-25 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007879 Closed Citation Citation B (HSC 1424) Problem Transfer None 2011-01-25 00:00:00 2011-01-25 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007880 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-27 00:00:00 2010-01-27 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007882 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-27 00:00:00 2010-01-27 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007883 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-02-01 00:00:00 2010-02-01 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007898 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-02-01 00:00:00 2010-02-01 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007901 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-02-01 00:00:00 2010-02-01 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007904 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-02-03 00:00:00 2010-02-03 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007905 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-02-03 00:00:00 2010-02-03 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007906 Closed Citation Citation B (HSC 1424) Staffing None 2010-02-05 00:00:00 2010-02-05 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007907 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-01-08 00:00:00 2010-01-08 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-02-15 00:00:00 230007909 Closed Citation Citation B (HSC 1424) Problem Transfer None 2010-02-15 00:00:00 2010-02-15 00:00:00 Yes 2011-03-09 00:00:00 2011-03-09 00:00:00 B B 1000 650 0 650 0 None XKV411 N CA00218833 C SFY2010-11
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2011-03-08 00:00:00 230007997 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-10 00:00:00 2010-11-10 00:00:00 No 2011-03-29 00:00:00 None B None 1000 3000 -1050 1950 0 None XZ6F11 N CA00248915 B SFY2010-11
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-03-09 00:00:00 230008000 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-11 00:00:00 2010-02-11 00:00:00 No 2011-03-30 00:00:00 None B None 1000 1000 -350 650 0 None NG6N11 N CA00217884 C SFY2010-11
230000780 MERAKEY - WILVERN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2011-03-22 00:00:00 230008041 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-27 00:00:00 2010-09-27 00:00:00 No 2011-04-13 00:00:00 None B None 1000 1000 -350 650 0 None 8CWH11 N CA00244635 B SFY2010-11
230000719 NVDS, INC - WALKER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2011-03-22 00:00:00 230008049 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-08 00:00:00 2010-12-08 00:00:00 No 2011-04-13 00:00:00 None B None 500 500 -175 325 0 None D24L11 N CA00251765 B SFY2010-11
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2011-03-28 00:00:00 230008065 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-30 00:00:00 2010-12-30 00:00:00 Yes 2011-04-19 00:00:00 2011-03-30 00:00:00 B B 1000 1600 0 1600 0 None 7N3P11 N CA00254053 B SFY2010-11
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-04-08 00:00:00 230008098 Closed Citation Citation B (HSC 1424) Medication None 2011-02-04 00:00:00 2011-02-04 00:00:00 No 2011-04-29 00:00:00 None B None 1000 1000 -350 650 0 None QEQO11 N CA00261392 B SFY2010-11
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-04-08 00:00:00 230008099 Closed Citation Citation B (HSC 1424) Administration None 2010-11-06 00:00:00 2010-11-06 00:00:00 No 2011-04-29 00:00:00 None B None 1000 1000 -350 650 0 None W4QP11 N CA00250479 B SFY2010-11
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-04-08 00:00:00 230008100 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-16 00:00:00 2010-11-16 00:00:00 No 2011-04-29 00:00:00 None B None 1000 1000 -350 650 0 None W4QP11 N CA00250479 B SFY2010-11
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-04-08 00:00:00 230008101 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-02 00:00:00 2010-12-02 00:00:00 No 2011-04-29 00:00:00 None B None 1000 1000 -350 650 0 None W4QP11 N CA00251182 B SFY2010-11
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2011-04-07 00:00:00 230008120 Closed Citation Citation B (HSC 1424) Other FTR 2011-02-25 00:00:00 2011-02-25 00:00:00 No 2011-04-28 00:00:00 None B None 800 800 0 800 0 None 09IO11 N CA00261005 B SFY2010-11
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2011-04-07 00:00:00 230008121 Closed Citation Citation B (HSC 1424) Other FTR Timely 2011-01-06 00:00:00 2011-01-06 00:00:00 No 2011-04-28 00:00:00 None B None 500 850 0 850 0 None Q61D11 N CA00258123 B SFY2010-11
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2011-04-07 00:00:00 230008122 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-01-06 00:00:00 2011-01-06 00:00:00 No 2011-04-28 00:00:00 None B None 800 1150 0 1150 0 None Q61D11 N CA00258123 B SFY2010-11
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2011-04-13 00:00:00 230008128 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2010-11-11 00:00:00 2010-11-11 00:00:00 Yes 2014-05-05 00:00:00 2014-04-16 00:00:00 B Drop>Deficiency 1000 0 0 0 0 None 2BH211 N CA00249631 B SFY2010-11
230000546 CALIFORNIA PARK REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Chico 2011-04-13 00:00:00 230008129 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-11 00:00:00 2010-11-11 00:00:00 Yes 2014-05-05 00:00:00 2014-04-16 00:00:00 B B 1000 1000 0 1000 0 None 2BH211 N CA00249631 B SFY2010-11
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-04-12 00:00:00 230008132 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-07 00:00:00 2010-11-07 00:00:00 No 2011-05-03 00:00:00 None B None 1000 1000 -350 650 0 None GWYU11 N CA00248735 B SFY2010-11
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2011-04-20 00:00:00 230008162 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-08-14 00:00:00 2010-08-14 00:00:00 No 2011-05-11 00:00:00 None B None 1000 3000 -1050 1950 0 None UE4Y11 N CA00239437 B SFY2010-11
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-04-19 00:00:00 230008163 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-26 00:00:00 2011-02-26 00:00:00 No 2011-05-10 00:00:00 None B None 1000 1000 0 1000 0 None PGE411 N CA00260624 B SFY2010-11
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2011-04-20 00:00:00 230008164 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-03 00:00:00 2011-02-03 00:00:00 No 2011-05-11 00:00:00 None B None 1000 3000 -1050 1950 0 None DZVG11 N CA00257905 B SFY2010-11
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2011-04-20 00:00:00 230008166 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-08 00:00:00 2010-07-08 00:00:00 No 2011-05-11 00:00:00 None B None 1000 1000 -350 650 0 None 0P3S11 N CA00235157 B SFY2010-11
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2011-04-21 00:00:00 230008170 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-13 00:00:00 2010-04-13 00:00:00 No 2011-05-12 00:00:00 None B None 1000 1000 -350 650 0 None P6DM12 N CA00234285 B SFY2010-11
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-04-26 00:00:00 230008191 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-15 00:00:00 2009-02-15 00:00:00 Yes 2011-05-17 00:00:00 2011-04-29 00:00:00 B B 1000 650 0 650 0 None 4Q7J11 N CA00236038 B SFY2010-11
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-04-26 00:00:00 230008193 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-02 00:00:00 2010-09-02 00:00:00 Yes 2011-05-17 00:00:00 2011-04-29 00:00:00 B B 1000 650 0 650 0 None 50WN11 N CA00246080 C SFY2010-11
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2011-05-25 00:00:00 230008269 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-16 00:00:00 2010-07-16 00:00:00 No 2011-06-16 00:00:00 None B None 1000 1000 0 1000 0 None FC4311 N CA00237101 C SFY2010-11
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2011-06-14 00:00:00 230008300 Closed Citation Citation B (HSC 1424) Other Failure to Report 2011-04-22 00:00:00 2011-04-22 00:00:00 No 2011-07-06 00:00:00 None B None 1000 1000 0 1000 0 None Z7RK11 N CA00267340 B SFY2010-11
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-06-14 00:00:00 230008301 Closed Citation Citation B (HSC 1424) Administration None 2011-01-28 00:00:00 2011-01-28 00:00:00 No 2011-07-06 00:00:00 None B None 1000 3000 -1050 1950 0 None H8LW11 N CA00260442 B SFY2010-11
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-06-14 00:00:00 230008302 Closed Citation Citation B (HSC 1424) Medication None 2011-02-23 00:00:00 2011-02-23 00:00:00 No 2011-07-06 00:00:00 None B None 1000 1000 -350 650 0 None H8LW11 N CA00260442, CA00260463 B, B SFY2010-11
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-06-29 00:00:00 230008331 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-13 00:00:00 2011-05-13 00:00:00 No 2011-07-21 00:00:00 None B None 1000 1000 -350 650 0 None 3VOK11 N CA00269325 B SFY2010-11
230000560 RCCA - AUGUSTA LANE #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2011-07-07 00:00:00 230008334 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-22 00:00:00 2011-05-22 00:00:00 Yes 2011-07-28 00:00:00 2011-07-19 00:00:00 B B 1000 500 0 500 0 None H3EO11 N CA00270189 B SFY2011-12
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2011-06-30 00:00:00 230008336 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-21 00:00:00 2011-04-21 00:00:00 No 2011-07-22 00:00:00 None B None 1000 1000 -350 650 0 None KOD011 N CA00267142 B SFY2010-11
230000560 RCCA - AUGUSTA LANE #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2011-07-07 00:00:00 230008341 Closed Citation Citation B (HSC 1424) Administration None 2011-05-26 00:00:00 2011-05-26 00:00:00 Yes 2011-07-28 00:00:00 2011-07-19 00:00:00 B B 1000 500 0 500 0 None H3EO11 N CA00270189 B SFY2011-12
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2011-07-06 00:00:00 230008352 Closed Citation Citation B (HSC 1424) Other Reporting 2011-05-09 00:00:00 2011-05-09 00:00:00 No 2011-07-27 00:00:00 None B None 500 500 -175 325 0 None I8Z311 N CA00269051 B SFY2011-12
230000621 ARVALO HOME - RIVERPARK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2011-07-07 00:00:00 230008353 Closed Citation Citation B (HSC 1424) Other Health and Safety 2011-04-09 00:00:00 2011-04-09 00:00:00 No 2011-07-28 00:00:00 None B None 1000 1000 -350 650 0 None 7RZI11 N CA00265410 B SFY2011-12
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2011-08-11 00:00:00 230008441 Closed Citation Citation B (HSC 1424) Other Health & Safety 2010-12-15 00:00:00 2010-12-15 00:00:00 No 2011-09-01 00:00:00 None B None 800 800 0 800 0 None ZG5I11 N CA00257935 B SFY2011-12
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2011-08-30 00:00:00 230008450 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-07-11 10:00:00 2011-07-11 10:00:00 No 2011-09-21 00:00:00 None FTR RES None 400 400 -100 300 0 None Q5ZI11 None CA00276366 E SFY2011-12
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-08-23 00:00:00 230008497 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-15 00:00:00 2011-06-15 00:00:00 No 2011-09-13 00:00:00 None B None 1000 1000 -350 650 0 None 134711 N CA00273380 B SFY2011-12
230000392 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF LTC SNF Skilled Nursing Facility Chico 2011-08-24 00:00:00 230008498 Closed Citation Citation B (HSC 1424) Other ftr within 24 hrs 2011-01-01 00:00:00 2011-01-01 00:00:00 No 2011-09-14 00:00:00 None B None 500 500 -175 325 0 None LL2P11 N CA00274647 B SFY2011-12
230000616 OSTERMAN'S FACILITY #2, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2011-08-24 00:00:00 230008504 Closed Citation Citation B (HSC 1424) Administration None 2011-06-11 00:00:00 2011-06-11 00:00:00 No 2011-09-14 00:00:00 None B None 500 500 -175 325 0 None 054R11 N CA00274667 B SFY2011-12
230000760 MERAKEY - CIRRUS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2011-09-01 00:00:00 230008507 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-04-14 00:00:00 2011-04-14 00:00:00 No 2011-09-23 00:00:00 None B None 500 500 -175 325 0 None JSX311 N CA00266209 B SFY2011-12
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2011-09-02 00:00:00 230008508 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-24 00:00:00 2011-02-24 00:00:00 No 2011-09-26 00:00:00 None B None 1000 3000 -1050 1950 0 None DJ7O11 N CA00260510 B SFY2011-12
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2011-09-02 00:00:00 230008510 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-06-01 00:00:00 2011-06-01 00:00:00 No 2011-09-26 00:00:00 None B None 1000 1000 -350 650 0 None 41NX11 N CA00271582 B SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-09-06 00:00:00 230008533 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-02-23 00:00:00 2011-02-23 00:00:00 No 2011-09-28 00:00:00 None B None 1000 1150 -350 800 0 None 4BDE11 N CA00263530 B SFY2011-12
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-09-15 00:00:00 230008554 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-22 00:00:00 2011-05-22 00:00:00 No 2011-10-06 00:00:00 None B None 1000 1000 -350 650 0 None GNGK11 N CA00270116, CA00271273 B, B SFY2011-12
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2011-09-21 00:00:00 230008564 Closed Citation Citation AA (HSC 1424) Patient Care None 2011-02-08 00:00:00 2011-02-08 00:00:00 Yes 2011-10-12 00:00:00 2011-10-04 00:00:00 AA AA 75000 65000 0 65000 0 None 0NIH11 Y CA00258504 B SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-09-20 00:00:00 230008569 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-08-18 00:00:00 2011-08-18 00:00:00 No 2011-10-11 00:00:00 None B None 1000 1000 -350 650 0 None BJHQ11 N CA00280151 B SFY2011-12
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-09-20 00:00:00 230008571 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-21 00:00:00 2010-10-21 00:00:00 No 2011-10-11 00:00:00 None B None 1000 3000 -1050 1950 0 None 1R6H11 N CA00248750 B SFY2011-12
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2011-09-22 00:00:00 230008579 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-16 00:00:00 2011-07-16 00:00:00 No 2011-10-13 00:00:00 None B None 1000 1000 -350 650 0 None LSBY11 N CA00276765 B SFY2011-12
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2011-09-22 00:00:00 230008580 Closed Citation Citation B (HSC 1424) Other failure to report 2011-07-16 00:00:00 2011-07-16 00:00:00 No 2011-10-13 00:00:00 None B None 1000 1000 -350 650 0 None LSBY11 N CA00276765 B SFY2011-12
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-10-10 00:00:00 230008606 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-26 00:00:00 2011-08-26 00:00:00 Yes 2011-10-31 00:00:00 2011-10-24 00:00:00 B B 1000 650 0 650 0 None F6S711 N CA00281348 A SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2011-10-10 00:00:00 230008616 Closed Citation Citation B (HSC 1424) Patient Record None 2011-06-20 00:00:00 2011-06-20 00:00:00 No 2011-10-31 00:00:00 None B None 750 750 -262.5 487.5 0 None 3XOQ11 N CA00274711 B SFY2011-12
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-10-14 00:00:00 230008635 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-08 00:00:00 2011-09-08 00:00:00 No 2011-11-04 00:00:00 None B None 1000 1000 -350 650 0 None 69S911 N CA00282818 B SFY2011-12
230000144 SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2011-10-12 00:00:00 230008638 Closed Citation Citation B (HSC 1424) Other Policies/Procedures 2011-09-02 00:00:00 2011-09-02 00:00:00 No 2011-11-02 00:00:00 None B None 1000 1000 0 1000 0 None EKZK11 N CA00284199 B SFY2011-12
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2011-10-20 00:00:00 230008640 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-08 00:00:00 2011-08-08 00:00:00 No 2011-11-10 00:00:00 None B None 1000 1000 -350 650 0 None 99IH11 N CA00281363 B SFY2011-12
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2011-10-18 00:00:00 230008641 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2011-07-09 00:00:00 2011-07-09 00:00:00 No 2011-11-08 00:00:00 None B None 750 750 -262.5 487.5 0 None VI1A11 N CA00276374 B SFY2011-12
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-11-07 00:00:00 230008693 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-05 00:00:00 2011-01-05 00:00:00 Yes 2011-12-01 00:00:00 2011-11-10 00:00:00 B B 1000 650 0 650 0 None WCWB11 N CA00278690 B SFY2011-12
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2011-11-29 00:00:00 230008701 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-04 00:00:00 2011-10-04 00:00:00 Yes 2011-12-20 00:00:00 2011-11-29 00:00:00 B B 1000 650 0 650 0 None FPOH11 N CA00285697 A SFY2011-12
230000035 QUINCY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2011-12-21 00:00:00 230008702 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-06 00:00:00 2011-10-06 00:00:00 Yes 2012-01-13 00:00:00 2012-01-11 00:00:00 B B 800 400 0 400 0 None GJ5C11 N CA00286060 B SFY2011-12
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2011-11-30 00:00:00 230008704 Closed Citation Citation B (HSC 1424) Other Health & Safety 2011-09-19 00:00:00 2011-09-19 00:00:00 No 2011-12-21 00:00:00 None B None 100 100 0 100 0 None PVGH11 N CA00284921 B SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-11-20 00:00:00 230008706 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-17 00:00:00 2011-08-17 00:00:00 No 2012-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None Y0YI11 N CA00279441, CA00281149 B, B SFY2012-13
230000780 MERAKEY - WILVERN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2011-11-21 00:00:00 230008707 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-08-27 00:00:00 2011-08-27 00:00:00 Yes 2011-12-14 00:00:00 2011-11-21 00:00:00 B B 1000 650 0 650 0 None 5ROW11 N CA00281744 B SFY2011-12
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2012-06-19 00:00:00 230008708 Closed Citation Citation A (HSC 1424) Patient Care None 2011-03-06 00:00:00 2011-03-06 00:00:00 No 2012-07-11 00:00:00 None A None 20000 20000 -7000 13000 0 None F0NN11 N CA00262413 B SFY2011-12
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-03-28 00:00:00 230008710 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-04 00:00:00 2011-04-04 00:00:00 No 2012-04-18 00:00:00 None B None 1000 1000 0 1000 0 None 93NO11 N CA00264778, CA00264921 B, B SFY2011-12
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2011-12-21 00:00:00 230008749 Closed Citation Citation B (HSC 1424) Other failure to report 2011-10-31 00:00:00 2011-10-31 00:00:00 No 2012-01-13 00:00:00 None B None 300 900 0 900 0 None 9EJG11 N CA00286700 B SFY2011-12
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2011-11-30 00:00:00 230008750 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-02 00:00:00 2011-11-02 00:00:00 No 2011-12-21 00:00:00 None B None 1000 1000 0 1000 0 None H1J211 N CA00288792 B SFY2011-12
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2011-12-06 00:00:00 230008785 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-07 00:00:00 2011-08-07 00:00:00 No 2011-12-28 00:00:00 None B None 1000 1000 0 1000 0 None EX7F11 N CA00279283 B SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-03-27 00:00:00 230008810 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-05 00:00:00 2011-12-05 00:00:00 No 2012-04-17 00:00:00 None B None 1500 1500 -525 975 0 None E7T211 N CA00291862 B SFY2011-12
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2012-10-23 00:00:00 230008862 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-12-01 00:00:00 2011-12-01 00:00:00 No 2012-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None H7LI11 N CA00292969 B SFY2012-13
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2012-04-19 00:00:00 230008886 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-20 00:00:00 2011-08-20 00:00:00 Yes 2012-05-10 00:00:00 2012-04-23 00:00:00 B B 1000 650 0 650 0 None 24ZF11 N CA00294488 B SFY2011-12
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-01-20 00:00:00 230008912 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-17 00:00:00 2011-11-17 00:00:00 No 2012-02-10 00:00:00 None B None 500 500 -175 325 0 None 2DL611 N CA00290232 B SFY2011-12
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-05-17 00:00:00 230008963 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-12-18 00:00:00 2011-12-18 00:00:00 No 2012-06-08 00:00:00 None B None 1000 1000 -350 650 0 None NBTM11 N CA00293491 B SFY2011-12
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2012-02-08 00:00:00 230008965 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2011-10-07 00:00:00 2011-10-07 00:00:00 No 2012-03-01 00:00:00 None B None 1000 1000 0 1000 0 None 1LZQ11 N CA00286760 B SFY2011-12
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2012-02-08 00:00:00 230008970 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-07 00:00:00 2011-10-07 00:00:00 No 2012-03-01 00:00:00 None B None 1000 1000 0 1000 0 None 1LZQ11 N CA00286760 B SFY2011-12
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2012-02-14 00:00:00 230008979 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2012-01-08 00:00:00 2012-01-08 00:00:00 No 2012-03-07 00:00:00 None B None 500 500 -175 325 0 None NZIP11 N CA00295548 B SFY2011-12
230000351 COPPER RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2012-03-16 00:00:00 230008989 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-17 00:00:00 2012-01-17 00:00:00 Yes 2012-04-06 00:00:00 2012-04-06 00:00:00 B B 1000 650 0 650 0 None O8BN11 N CA00297517 A SFY2011-12
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2012-05-17 00:00:00 230008993 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-12-11 00:00:00 2011-12-11 00:00:00 No 2014-06-20 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None EKOL11 None CA00292648, CA00292959 B, B SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-04-25 00:00:00 230009003 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-02-03 00:00:00 2012-02-03 00:00:00 No 2012-05-16 00:00:00 None B None 2000 2000 -700 1300 0 None T2OF11 N CA00298797 A SFY2011-12
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2012-05-24 00:00:00 230009004 Closed Citation Citation B (HSC 1424) Other Health & Safety 2011-12-09 00:00:00 2011-12-09 00:00:00 Yes 2012-06-15 00:00:00 2012-06-01 00:00:00 B B 1000 500 0 500 0 None VBCI11 N CA00293258 B SFY2011-12
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2012-02-24 00:00:00 230009006 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-29 00:00:00 2011-11-29 00:00:00 No 2012-03-16 00:00:00 None B None 1000 1000 -350 650 0 None 39X811 N CA00291314 B SFY2011-12
230000626 OSTERMAN'S FACILITY #1, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2012-03-01 00:00:00 230009020 Closed Citation Citation B (HSC 1424) Other Health & Safety 2012-01-27 00:00:00 2012-01-27 00:00:00 No 2012-03-22 00:00:00 None B None 500 500 -175 325 0 None GMNC11 N CA00297711 B SFY2011-12
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2012-04-04 00:00:00 230009021 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-13 00:00:00 2011-12-13 00:00:00 No 2012-04-25 00:00:00 None B None 1000 1000 0 1000 0 None 4W3Q11 N CA00292764 B SFY2011-12
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-02-24 00:00:00 230009034 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-12 00:00:00 2011-09-12 00:00:00 No 2012-03-16 00:00:00 None B None 1000 1350 0 1350 0 None IOV311 N CA00283204 B SFY2011-12
230000761 GRANNY'S HOUSE - MAGNOLIA ROAD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2012-04-19 00:00:00 230009038 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-13 00:00:00 2012-01-13 00:00:00 No 2012-05-10 00:00:00 None B None 1000 1000 -350 650 0 None YJ3Z11 N CA00296495 B SFY2011-12
230000626 OSTERMAN'S FACILITY #1, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2012-03-01 00:00:00 230009058 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-01-27 00:00:00 2012-01-27 00:00:00 No 2012-03-22 00:00:00 None B None 500 500 -175 325 0 None GMNC11 N None None SFY2011-12
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2012-03-02 00:00:00 230009063 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-26 00:00:00 2011-10-26 00:00:00 No 2012-03-23 00:00:00 None B None 1000 1000 -350 650 0 None 6CHI11 N CA00288063 B SFY2011-12
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2012-05-24 00:00:00 230009071 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-09 00:00:00 2011-12-09 00:00:00 Yes 2012-06-15 00:00:00 2012-06-01 00:00:00 B B 1000 500 0 500 0 None VBCI11 N CA00293258 B SFY2011-12
230000680 MERAKEY - OAK MESA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2012-05-21 00:00:00 230009088 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-02-21 00:00:00 2012-02-21 00:00:00 No 2012-06-12 00:00:00 None B None 1000 1000 -350 650 0 None PIM311 N CA00300468 B SFY2011-12
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2012-03-14 00:00:00 230009110 Closed Citation Citation B (HSC 1424) Other FTR within 24 hours 2011-11-19 00:00:00 2011-11-19 00:00:00 No 2012-04-04 00:00:00 None B None 1000 1000 -350 650 0 None JI7G11 N CA00290547 B SFY2011-12
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2012-03-14 00:00:00 230009112 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-19 00:00:00 2011-11-19 00:00:00 No 2012-04-04 00:00:00 None B None 500 500 -175 325 0 None JI7G11 N CA00290547 B SFY2011-12
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2012-03-15 00:00:00 230009116 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-14 00:00:00 2011-08-14 00:00:00 No 2012-04-05 00:00:00 None B None 500 500 -175 325 0 None Z6QJ11 N CA00280009 B SFY2011-12
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2012-10-23 00:00:00 230009130 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-12-01 00:00:00 2011-12-01 00:00:00 No 2012-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None H7LI11 N CA00292157 B SFY2012-13
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2012-10-23 00:00:00 230009131 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-23 00:00:00 2011-11-23 00:00:00 No 2012-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None H7LI11 N CA00292157 B SFY2012-13
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2012-10-23 00:00:00 230009132 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-28 00:00:00 2011-11-28 00:00:00 No 2012-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None H7LI11 N CA00292157 B SFY2012-13
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2012-04-25 00:00:00 230009133 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-12 00:00:00 2011-02-12 00:00:00 No 2012-05-16 00:00:00 None B None 2000 2000 0 2000 0 None ERRL11 N CA00299258 B SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-03-27 00:00:00 230009174 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-05 00:00:00 2011-11-05 00:00:00 No 2012-04-17 00:00:00 None B None 1000 3000 -1050 1950 0 None OYYB11 N CA00288999 B SFY2011-12
230000144 SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2012-04-05 00:00:00 230009200 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-21 00:00:00 2011-10-21 00:00:00 No 2012-04-26 00:00:00 None B None 1000 1000 0 1000 0 None 4IVI11 N CA00287298, CA00287471 B, B SFY2011-12
230000389 MODOC MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Chico 2012-04-04 00:00:00 230009201 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-12-25 00:00:00 2011-12-25 00:00:00 No 2012-04-25 00:00:00 None B None 1000 1000 0 1000 0 None Z9D411 N CA00298582 B SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-04-10 00:00:00 230009206 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-12 00:00:00 2012-02-12 00:00:00 No 2012-05-01 00:00:00 None B B 1000 650 0 650 0 None O6L311 N CA00299597 A SFY2011-12
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2014-01-17 00:00:00 230009209 Closed Citation Citation A (HSC 1424) Patient Care None 2012-02-07 00:00:00 2012-02-07 00:00:00 No 2014-02-10 00:00:00 None A None 10000 10000 0 10000 0 None KCBM11 N CA00300862 B SFY2013-14
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-06-07 00:00:00 230009230 Closed Citation Citation B (HSC 1424) Problem Transfer None 2012-04-12 00:00:00 2012-04-12 00:00:00 No 2012-06-28 00:00:00 None B None 1000 1000 -350 650 0 None ZBRU11 N CA00306574 A SFY2011-12
230000606 RCCA - RIVER OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2012-05-23 00:00:00 230009233 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-03-10 00:00:00 2012-03-10 00:00:00 No 2012-06-14 00:00:00 None B None 1000 1000 -350 650 0 None 0XZG11 N CA00302831 B SFY2011-12
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-05-24 00:00:00 230009241 Closed Citation Citation B (HSC 1424) Administration None 2011-05-28 00:00:00 2011-05-28 00:00:00 No 2012-06-15 00:00:00 None B None 1000 3050 -1050 2000 0 None ZDTM11 N CA00305396 B SFY2011-12
230000578 GRANNY'S HOUSE - PLUMAS AVENUE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2012-08-16 00:00:00 230009246 Closed Citation Citation B (HSC 1424) Other Developmental Prog. Serv. 2012-03-08 00:00:00 2012-03-08 00:00:00 No 2012-09-07 00:00:00 None B None 1000 1000 -350 650 0 None 671U11 N CA00303500 B SFY2012-13
230000633 MERAKEY - TOM POLK LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2012-05-16 00:00:00 230009247 Closed Citation Citation A (HSC 1424) Medication None 2010-05-24 00:00:00 2010-05-24 00:00:00 Yes 2012-06-07 00:00:00 2012-09-17 00:00:00 A None 5000 5050 0 5050 0 None 8DYS11 N CA00229979, CA00230307, CA00245803 C, C, B SFY2011-12
230000173 PINE VIEW CENTER LTC SNF Skilled Nursing Facility Chico 2012-06-07 00:00:00 230009248 Closed Citation Citation B (HSC 1424) Other Unnecessary Meds 2012-03-11 00:00:00 2012-03-11 00:00:00 No 2012-06-28 00:00:00 None B None 1000 1000 -350 650 0 None ENCO11 N CA00302798 B SFY2011-12
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-02-20 00:00:00 230009272 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-09 00:00:00 2011-11-09 00:00:00 No 2014-03-13 00:00:00 None B None 2000 2000 -700 1300 0 None UEHJ11 N CA00289507 B SFY2013-14
230000504 VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF LTC SNF Skilled Nursing Facility Chico 2012-05-17 00:00:00 230009273 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-22 00:00:00 2012-03-22 00:00:00 No 2012-06-08 00:00:00 None B None 2000 2000 0 2000 0 None GBXP11 N CA00304439 B SFY2011-12
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-11-20 00:00:00 230009274 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-12 00:00:00 2012-04-12 00:00:00 No 2012-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None D84K11 N CA00306804 B SFY2012-13
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-11-20 00:00:00 230009275 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-04-22 00:00:00 2012-04-22 00:00:00 No 2012-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None D84K11 N CA00307861 B SFY2012-13
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-05-24 00:00:00 230009276 Closed Citation Citation B (HSC 1424) Administration None 2012-03-16 00:00:00 2012-03-16 00:00:00 No 2012-06-15 00:00:00 None B None 1000 1050 0 1050 0 None ZDTM11 N CA00306410 B SFY2011-12
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-02-13 00:00:00 230009299 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-10 00:00:00 2012-03-10 00:00:00 No 2014-03-07 00:00:00 None B None 2000 2000 0 2000 0 None P6GM11 N CA00302717 B SFY2013-14
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2012-05-16 00:00:00 230009304 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-15 00:00:00 2011-11-15 00:00:00 No 2012-06-07 00:00:00 None B None 1000 1000 -350 650 0 None Y95G11 N CA00290080 B SFY2011-12
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2012-10-15 00:00:00 230009305 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-09 00:00:00 2012-03-09 00:00:00 No 2012-11-05 00:00:00 None B None 1000 1000 0 1000 0 None 5E7011 N CA00303278 B SFY2012-13
230000468 MERAKEY - VALENTINE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2012-05-24 00:00:00 230009307 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-01-09 00:00:00 2012-01-09 00:00:00 No 2012-06-15 00:00:00 None B None 1000 1000 -350 650 0 None FFM211 N CA00295605 B SFY2011-12
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2012-07-06 00:00:00 230009326 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-04-28 00:00:00 2012-04-28 00:00:00 No 2012-07-27 00:00:00 None B None 500 500 0 500 0 None U6OD11 N CA00308696 B SFY2012-13
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2014-02-19 00:00:00 230009327 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-05-08 00:00:00 2012-05-08 00:00:00 No 2014-03-12 00:00:00 None B None 2000 2000 0 2000 0 None ZIZL11 N CA00309783, CA00310353 B, B SFY2013-14
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-02-20 00:00:00 230009329 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-11 00:00:00 2011-11-11 00:00:00 No 2014-03-13 00:00:00 None B None 2000 2000 -700 1300 0 None UEHJ11 N CA00289507 B SFY2013-14
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2013-04-17 00:00:00 230009330 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-16 00:00:00 2011-11-16 00:00:00 No 2013-05-08 00:00:00 None B None 2000 2000 0 2000 0 None 79NU11 N CA00290173 B SFY2012-13
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-11-20 00:00:00 230009340 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-04-25 00:00:00 2012-04-25 00:00:00 No 2012-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None K4KN11 N CA00309178 B SFY2012-13
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2012-07-06 00:00:00 230009369 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-03-17 00:00:00 2012-03-17 00:00:00 No 2012-07-27 00:00:00 None B None 500 500 0 500 0 None F5KB11 N CA00303424 B SFY2012-13
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2012-10-16 00:00:00 230009377 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-21 00:00:00 2012-04-21 00:00:00 No 2012-11-06 00:00:00 None B None 1000 1000 -350 650 0 None 2J5211 N CA00307847, CA00307855 B, B SFY2012-13
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-07-05 00:00:00 230009382 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-03-21 00:00:00 2012-03-21 00:00:00 No 2012-07-26 00:00:00 None B None 2000 2000 0 2000 0 None B88711 N CA00304033, CA00304038 B, B SFY2012-13
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2013-12-13 00:00:00 230009387 Closed Citation Citation B (HSC 1424) Problem Transfer None 2012-03-30 00:00:00 2012-03-30 00:00:00 No 2014-01-07 00:00:00 None B None 1000 1000 0 1000 0 None IXOQ11 N CA00313528 A SFY2013-14
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-11-20 00:00:00 230009391 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-14 00:00:00 2011-09-14 00:00:00 No 2012-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None F6JK11 Y CA00288081 B SFY2012-13
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2013-04-08 00:00:00 230009415 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-13 00:00:00 2011-05-13 00:00:00 No 2013-04-29 00:00:00 None B None 2000 2000 -700 1300 0 None RGUM11 N CA00306901 B SFY2012-13
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2013-04-17 00:00:00 230009421 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-19 00:00:00 2011-11-19 00:00:00 No 2013-05-08 00:00:00 None B None 2000 2000 0 2000 0 None 79NU11 N CA00290173 B SFY2012-13
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-09-11 00:00:00 230009426 Closed Citation Citation B (HSC 1424) Other FTR within 24 hrs. 2012-07-07 00:00:00 2012-07-07 00:00:00 No 2012-10-02 00:00:00 None B None 300 300 -105 195 0 None Q26N11 N CA00317059 C SFY2012-13
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2014-03-05 00:00:00 230009465 Closed Citation Citation AA (HSC 1424) Medication None 2012-03-09 00:00:00 2012-03-09 00:00:00 No 2014-03-26 00:00:00 None AA None 50000 50000 -17500 32500 0 None ILGC11 Y CA00311703 B SFY2013-14
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-01-24 00:00:00 230009466 Open Citation Citation B (HSC 1424) Patient Care None 2011-12-06 00:00:00 2011-12-06 00:00:00 Yes 2014-02-14 00:00:00 2014-02-11 00:00:00 B None 2000 2000 0 0 2000 None WWV811 N CA00306877 B SFY2013-14
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2012-10-23 00:00:00 230009521 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-06 00:00:00 2012-06-06 00:00:00 No 2012-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None 4QUO11 N CA00314162, CA00317481 D, B SFY2012-13
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2013-05-07 00:00:00 230009534 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-07-30 00:00:00 2012-07-30 00:00:00 No 2013-05-29 00:00:00 None B None 1000 1000 0 1000 0 None M2QC11 N CA00319832 B SFY2012-13
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2013-04-26 00:00:00 230009575 Closed Citation Citation B (HSC 1424) Patient Care None 2012-08-08 00:00:00 2012-08-08 00:00:00 No 2013-05-17 00:00:00 None B None 2000 2000 -700 1300 0 None LU3011 N CA00321349 B SFY2012-13
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-02-13 00:00:00 230009581 Closed Citation Citation A (HSC 1424) Patient Care None 2012-10-30 00:00:00 2012-10-30 00:00:00 Yes 2014-03-07 00:00:00 2014-08-01 00:00:00 A None 10000 10000 0 10000 0 None P6GM11 N CA00331431 A SFY2013-14
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-11-20 00:00:00 230009587 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-01-21 00:00:00 2012-01-21 00:00:00 No 2012-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None JVBH11 N CA00300805, CA00301974 A, B SFY2012-13
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2013-04-29 00:00:00 230009590 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-26 00:00:00 2012-10-26 00:00:00 Yes 2013-05-20 00:00:00 2013-04-29 00:00:00 B None 1000 1000 0 1000 0 None JB9P11 N CA00331247 B SFY2012-13
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2012-11-20 00:00:00 230009595 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-04-25 00:00:00 2012-04-25 00:00:00 No 2012-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None K4KN11 N CA00309178 B SFY2012-13
230000605 RCCA - WHITE OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2014-03-21 00:00:00 230009597 Closed Citation Citation B (HSC 1424) Staffing None 2012-08-08 00:00:00 2012-08-08 00:00:00 No 2014-04-14 00:00:00 None B None 1000 2100 0 2100 0 None 9D2211 N CA00322199 D SFY2013-14
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-03-28 00:00:00 230009692 Closed Citation Citation B (HSC 1424) Patient Care None 2012-12-30 00:00:00 2012-12-30 00:00:00 No 2014-04-21 00:00:00 None B None 2000 2000 -700 1300 0 None WWW911 N CA00338033 B SFY2013-14
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2013-12-17 00:00:00 230009704 Closed Citation Citation B (HSC 1424) Other Neglect 2013-01-04 00:00:00 2013-01-04 00:00:00 No 2014-01-08 00:00:00 None B None 2000 2000 0 2000 0 None YLG311 N CA00339332 B SFY2013-14
230000024 REDDING POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-01-16 00:00:00 230009706 Closed Citation Citation A (HSC 1424) Medication None 2012-09-18 00:00:00 2012-09-18 00:00:00 No 2014-02-07 00:00:00 None A None 10000 10000 -3500 6500 0 None I4SO11 N CA00326573 B SFY2013-14
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2013-02-20 00:00:00 230009708 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-09 00:00:00 2011-09-09 00:00:00 Yes 2013-03-13 00:00:00 2013-03-15 00:00:00 A A 10000 8000 -8000 0 0 None N2HZ11 N CA00282927 B SFY2012-13
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-01-31 00:00:00 230009805 Closed Citation Citation B (HSC 1424) Patient Care None 2013-03-08 00:00:00 2013-03-08 00:00:00 No 2014-02-24 00:00:00 None B None 2000 2000 0 2000 0 None WWV812 N CA00306877 B SFY2013-14
230000327 GRIDLEY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-01-24 00:00:00 230009977 Closed Citation Citation B (HSC 1424) Administration None 2013-06-21 00:00:00 2013-06-21 00:00:00 No 2014-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None KM4S11 N CA00358220 B SFY2013-14
230000144 SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2013-07-09 00:00:00 230010002 Closed Citation Citation B (HSC 1424) Patient Rights Abuse 2012-07-19 00:00:00 2012-07-19 00:00:00 No 2013-07-30 00:00:00 None B None 2000 2000 0 2000 0 None CI2111 N CA00318845 D SFY2013-14
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-02-13 00:00:00 230010058 Closed Citation Citation B (HSC 1424) Patient Care None 2012-11-06 00:00:00 2012-11-06 00:00:00 No 2014-03-07 00:00:00 None B None 2000 2000 0 2000 0 None P6GM11 N CA00332303 C SFY2013-14
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-02-13 00:00:00 230010059 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-27 00:00:00 2012-02-27 00:00:00 No 2014-03-07 00:00:00 None B None 2000 2000 0 2000 0 None OCKX11 N CA00323980 B SFY2013-14
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-01-28 00:00:00 230010118 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-06-05 00:00:00 2013-06-05 00:00:00 No 2014-02-19 00:00:00 None B None 2000 2000 0 2000 0 None WGNQ11 N CA00357614 B SFY2013-14
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-03-14 00:00:00 230010144 Closed Citation Citation B (HSC 1424) Patient Care None 2012-11-09 00:00:00 2012-11-09 00:00:00 No 2014-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None PLMT11 N CA00342556 B SFY2013-14
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2015-03-19 00:00:00 230010145 Closed Citation Citation A (HSC 1424) Patient Care None 2013-02-02 00:00:00 2013-02-02 00:00:00 No 2015-04-10 00:00:00 None A None 10000 10000 0 10000 0 None PLMT11 N CA00342556 B SFY2014-15
230000563 RCCA AUGUSTA LANE #1 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2014-04-11 00:00:00 230010231 Closed Citation Citation B (HSC 1424) Patient Care None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-05-02 00:00:00 None B None 1000 1000 -350 650 0 None XIWF11 N CA00371666 C SFY2013-14
230000197 TRINITY HOSPITAL SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Chico 2014-02-20 00:00:00 230010245 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-10-07 00:00:00 2013-10-07 00:00:00 No 2014-03-13 00:00:00 None B None 2000 2000 0 2000 0 None FRLZ11 N CA00372557 B SFY2013-14
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2016-04-22 00:00:00 230010255 Closed Citation Citation A (HSC 1424) Patient Care None 2013-04-19 00:00:00 2013-04-19 00:00:00 Yes 2016-05-13 00:00:00 2016-05-09 00:00:00 A A 10000 7500 0 7500 0 None VLRQ11 N CA00352043 B SFY2015-16
230000560 RCCA - AUGUSTA LANE #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2014-01-14 00:00:00 230010284 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-03-06 00:00:00 2013-03-06 00:00:00 No 2014-02-05 00:00:00 None B None 1000 1000 -350 650 0 None 0B4611 N CA00346208 B SFY2013-14
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2014-03-05 00:00:00 230010288 Closed Citation Citation B (HSC 1424) Patient Care None 2013-11-12 00:00:00 2013-11-12 00:00:00 No 2014-03-26 00:00:00 None B None 2000 2000 -700 1300 0 None ZKE611 N CA00376899 B SFY2013-14
230000606 RCCA - RIVER OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2014-02-28 00:00:00 230010318 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-09-14 00:00:00 2013-09-14 00:00:00 No 2014-03-21 00:00:00 None B None 1000 1000 -350 650 0 None DP2I11 N CA00372149 B SFY2013-14
230000606 RCCA - RIVER OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2014-02-28 00:00:00 230010319 Closed Citation Citation B (HSC 1424) Other Abuse Reporting 2013-09-14 00:00:00 2013-09-14 00:00:00 No 2014-03-21 00:00:00 None B None 1000 1000 -350 650 0 None DP2I11 N CA00372149 B SFY2013-14
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-03-14 00:00:00 230010343 Closed Citation Citation B (HSC 1424) Other H&SC 1418.91(a) 2013-12-01 00:00:00 2013-12-01 00:00:00 No 2014-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None NXXJ11 N CA00379854 B SFY2013-14
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-02-13 00:00:00 230010390 Closed Citation Citation A (HSC 1424) Patient Care None 2012-10-09 00:00:00 2012-10-09 00:00:00 Yes 2014-03-07 00:00:00 2014-08-01 00:00:00 A None 10000 10000 0 10000 0 None P6GM11 N CA00333241 B SFY2013-14
230000760 MERAKEY - CIRRUS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2014-02-20 00:00:00 230010420 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-18 00:00:00 2013-04-18 00:00:00 No 2014-03-13 00:00:00 None B None 1000 1000 -350 650 0 None 1R6611 N CA00351955 A SFY2013-14
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-02-07 00:00:00 230010434 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-11 00:00:00 2012-01-11 00:00:00 No 2014-03-03 00:00:00 None B None 2000 2400 0 2400 0 None WWV811 N CA00306877 B SFY2013-14
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-02-07 00:00:00 230010435 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-06 00:00:00 2011-12-06 00:00:00 No 2014-03-03 00:00:00 None B None 2000 2400 0 2400 0 None WWV811 N CA00306877 B SFY2013-14
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-03-14 00:00:00 230010538 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-12 00:00:00 2013-04-12 00:00:00 No 2014-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None PLMT11 N CA00350793, CA00351301 C, B SFY2013-14
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2014-03-14 00:00:00 230010540 Closed Citation Citation B (HSC 1424) Patient Care None 2013-07-19 00:00:00 2013-07-19 00:00:00 No 2014-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None PLMT11 N CA00363480 B SFY2013-14
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2015-06-15 00:00:00 230010658 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-02-03 00:00:00 2014-02-03 00:00:00 No 2015-07-06 00:00:00 None B None 2000 2000 -700 1300 0 None 1PXY11 N CA00390842 B SFY2014-15
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2015-06-15 00:00:00 230010660 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-11 00:00:00 2014-03-11 00:00:00 No 2015-07-06 00:00:00 None A None 10000 10000 -3500 6500 0 None 1PXY11 Y CA00390842 B SFY2014-15
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2014-11-17 00:00:00 230010990 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-05-13 00:00:00 2014-05-13 00:00:00 No 2014-12-10 00:00:00 None B None 1000 1100 0 1100 0 None W6F511 N CA00405407 B SFY2014-15
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2015-03-20 00:00:00 230011082 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-11 00:00:00 2014-03-11 00:00:00 Yes 2015-04-13 00:00:00 2015-04-14 00:00:00 A A 10000 6500 0 6500 0 None UH4S11 N CA00391168 B SFY2014-15
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2015-03-13 00:00:00 230011084 Closed Citation Citation A (HSC 1424) Patient Care None 2013-12-20 00:00:00 2013-12-20 00:00:00 Yes 2015-04-06 00:00:00 2015-03-19 00:00:00 A A 20000 13000 0 13000 0 None UH4S11 N CA00390167 A SFY2014-15
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2015-01-14 00:00:00 230011172 Closed Citation Citation B (HSC 1424) Patient Care None 2013-09-15 00:00:00 2013-09-15 00:00:00 Yes 2015-02-05 00:00:00 2015-01-21 00:00:00 B B 2000 1800 0 1800 0 None EB8W11 N CA00371580 B SFY2014-15
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2015-01-07 00:00:00 230011185 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-10-11 00:00:00 2012-10-11 00:00:00 No 2015-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None 4U3C11 N CA00330152 B SFY2014-15
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2015-01-07 00:00:00 230011190 Closed Citation Citation A (HSC 1424) Patient Care None 2012-10-11 00:00:00 2012-10-11 00:00:00 No 2015-01-29 00:00:00 None A None 10000 10000 -3500 6500 0 None 4U3C11 N CA00330152 B SFY2014-15
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2015-01-07 00:00:00 230011191 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-11 00:00:00 2012-10-11 00:00:00 No 2015-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None 4U3C11 N CA00330152 B SFY2014-15
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2015-01-20 00:00:00 230011204 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-10-01 00:00:00 2013-10-01 00:00:00 No 2015-02-10 00:00:00 None B None 2000 3100 -700 2400 0 None K5EC11 N CA00371727 B SFY2014-15
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2015-03-19 00:00:00 230011220 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-29 00:00:00 2014-04-29 00:00:00 No 2015-04-10 00:00:00 None B None 2000 2000 0 2000 0 None N0GI11 N CA00396903, CA00397188 A, B SFY2014-15
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2015-03-19 00:00:00 230011221 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-29 00:00:00 2014-04-29 00:00:00 No 2015-04-10 00:00:00 None B None 2000 2000 0 2000 0 None N0GI11 N CA00396903, CA00397188 A, B SFY2014-15
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2015-01-14 00:00:00 230011222 Closed Citation Citation B (HSC 1424) Other Failure to Report to CDPH 2014-12-05 00:00:00 2014-12-05 00:00:00 No 2015-02-05 00:00:00 None B None 2000 6000 0 6000 0 None P9EH11 N CA00424898 D SFY2014-15
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2015-03-19 00:00:00 230011339 Closed Citation Citation A (HSC 1424) Patient Care None 2012-11-14 00:00:00 2012-11-14 00:00:00 No 2015-04-10 00:00:00 None A None 10000 10000 0 10000 0 None PLMT11 N CA00342556 B SFY2014-15
230000221 OROVILLE HOSPITAL POST-ACUTE CENTER LTC SNF Skilled Nursing Facility Chico 2015-04-16 00:00:00 230011355 Closed Citation Citation B (HSC 1424) Patient Care None 2013-01-13 00:00:00 2013-01-13 00:00:00 No 2015-05-07 00:00:00 None B None 2000 2000 -700 1300 0 None LK6Y11 Y CA00371559 B SFY2014-15
230000041 GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Chico 2015-05-29 00:00:00 230011477 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-04-09 00:00:00 2015-04-09 00:00:00 No 2015-06-19 00:00:00 None B None 2000 6000 0 6000 0 None CYA511 N CA00438365, CA00438375, CA00438561, CA00438569 A, A, B, B SFY2014-15
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2015-08-07 00:00:00 230011643 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-07-20 00:00:00 2014-07-20 00:00:00 No 2015-08-28 00:00:00 None B None 2000 2000 -700 1300 0 None VIR811 N CA00406902 B SFY2015-16
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2016-04-01 00:00:00 230012151 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-11-06 00:00:00 2015-11-06 00:00:00 No 2016-04-22 00:00:00 None B None 2000 2000 -700 1300 0 None 6UUW11 N CA00464968 B SFY2015-16
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2016-05-31 00:00:00 230012276 Closed Citation Citation B (HSC 1424) Patient Record None 2015-03-25 00:00:00 2015-03-25 00:00:00 No 2016-06-21 00:00:00 None B None 2000 2000 -700 1300 0 None 4B3J11 N CA00438030 C SFY2015-16
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2016-09-23 00:00:00 230012578 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-04-13 00:00:00 2016-04-13 00:00:00 No 2016-10-14 00:00:00 None B None 2000 2000 0 2000 0 None EQSS11 N CA00484468 B SFY2016-17
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2016-12-09 00:00:00 230012752 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-11-04 00:00:00 2016-11-04 00:00:00 No 2017-01-02 00:00:00 None B None 2000 2000 0 2000 0 None 4NO011 N CA00509933 B SFY2016-17
230000144 SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2017-02-13 00:00:00 230012762 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-11-09 00:00:00 2016-11-09 00:00:00 No 2017-03-07 00:00:00 None B None 2000 2000 0 2000 0 None P9HN11 N CA00503904 B SFY2016-17
230000144 SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2017-02-13 00:00:00 230012763 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-27 00:00:00 2016-10-27 00:00:00 No 2017-03-07 00:00:00 None B None 2000 2000 0 2000 0 None P9HN11 Y CA00508618 B SFY2016-17
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2017-01-04 00:00:00 230012786 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-09-27 00:00:00 2016-09-27 00:00:00 No 2017-01-26 00:00:00 None B None 2000 2000 -700 1300 0 None 5X4F11 N CA00506274 B SFY2016-17
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2017-12-13 00:00:00 230013688 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-03-24 00:00:00 2017-03-24 00:00:00 Yes 2018-01-04 00:00:00 2017-12-27 00:00:00 B B 2000 1700 0 1700 0 None LB3111 N CA00544596 B SFY2017-18
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2018-01-08 00:00:00 230013714 Closed Citation Citation B (HSC 1424) Patient Care None 2015-09-29 00:00:00 2015-09-29 00:00:00 No 2018-01-29 00:00:00 None B None 1000 1000 -350 650 0 None LYPO11 N CA00466312 B SFY2017-18
230000760 MERAKEY - CIRRUS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2018-03-22 00:00:00 230013875 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-09-24 00:00:00 2017-09-24 00:00:00 No 2018-04-12 00:00:00 None B None 2000 2000 0 2000 0 None 4EBU11 N CA00554381 B SFY2017-18
230000719 NVDS, INC - WALKER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Chico 2018-08-31 00:00:00 230014332 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-03-18 00:00:00 2018-03-18 00:00:00 No 2018-09-24 00:00:00 None B None 2000 2000 0 2000 0 None 4FE511 N CA00579432 B SFY2018-19
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2018-10-22 00:00:00 230014450 Closed Citation Citation A (HSC 1424) Patient Care None 2018-07-15 00:00:00 2018-07-15 00:00:00 No 2018-11-13 00:00:00 None A None 10000 10000 -3500 6500 0 None VZGV11 Y CA00595805 B SFY2018-19
230000334 TAHOE FOREST HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2020-06-10 00:00:00 230015893 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-04-20 00:00:00 2020-04-20 00:00:00 No 2020-07-01 00:00:00 None B None 2000 8400 0 8400 0 None JYVL11 N CA00685724, CA00685738, CA00689305 A, A, B SFY2019-20
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2021-09-10 00:00:00 230016703 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-02-25 00:00:00 2021-02-25 00:00:00 Yes 2021-10-01 00:00:00 2021-09-10 00:00:00 AA AA 25000 17750 0 17750 0 None NVM911 Y CA00726950, CA00726950 A, A SFY2021-22
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2022-11-01 00:00:00 230018079 Open Citation Citation A (HSC 1424) Patient Care None 2022-08-21 00:00:00 2022-08-21 00:00:00 Yes 2022-11-23 00:00:00 2022-11-16 00:00:00 A None 25000 25000 0 0 25000 None 990P11 Y CA00799338, CA00800177, CA00800177, CA00800177, CA00800177, CA00800177 A, B, B, B, B, B SFY2022-23
230000370 THE FOUNTAINS LTC SNF Skilled Nursing Facility Chico 2022-08-23 00:00:00 230018550 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-01-03 00:00:00 2017-01-03 00:00:00 No 2023-05-03 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None TK3B11 None CA00518187 D SFY2022-23
230000563 RCCA AUGUSTA LANE #1 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2023-06-21 00:00:00 230018868 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-21 00:00:00 2023-04-21 00:00:00 No 2023-07-13 00:00:00 None B None 2000 2000 0 2000 0 None V7Y311 N CA00837339, CA00838041 A, B SFY2022-23
230000563 RCCA AUGUSTA LANE #1 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2023-06-21 00:00:00 230018869 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-05-23 00:00:00 2023-05-23 00:00:00 No 2023-07-13 00:00:00 None B None 2000 2000 0 2000 0 None V7Y311 N CA00837339, CA00837339, CA00838041, CA00838041 A, A, B, B SFY2022-23
230000605 RCCA - WHITE OAKS LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2023-09-18 00:00:00 230019152 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-31 00:00:00 2023-08-31 00:00:00 No 2023-10-09 00:00:00 None B None 2000 2000 0 2000 0 None EQC011 N CA00858522, CA00858529, CA00859269 A, A, B SFY2023-24
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2024-01-24 00:00:00 230019616 Open Citation Citation A (HSC 1424) Patient Care None 2023-10-25 00:00:00 2023-10-25 00:00:00 Yes 2024-02-14 00:00:00 2024-02-09 00:00:00 A None 25000 25000 0 0 25000 None LLIJ11 N CA00867308 B SFY2023-24
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2024-04-04 00:00:00 230019866 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-07 00:00:00 2024-02-07 00:00:00 No 2024-04-25 00:00:00 None B None 2000 2000 0 0 2000 None NFLD11 N CA00888245 A SFY2023-24
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2024-04-23 00:00:00 230019944 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-13 00:00:00 2024-03-13 00:00:00 No 2024-05-14 00:00:00 None B None 2000 2000 -700 1300 0 None N00D11 N CA00889780 B SFY2023-24
230000027 SHASTA VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2024-05-29 00:00:00 230020205 Open Citation Citation B (HSC 1424) Medication None 2024-03-13 00:00:00 2024-03-13 00:00:00 No 2024-06-19 00:00:00 None B None 2000 2000 0 0 2000 None 9RN411 N CA00889668 A SFY2023-24
230000187 MAYERS MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Chico 2024-06-18 00:00:00 230020206 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-08 00:00:00 2024-04-08 00:00:00 No 2024-07-10 00:00:00 None B None 2000 2000 -700 1300 0 None 0T7J11 N None None SFY2023-24
230000621 ARVALO HOME - RIVERPARK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Chico 2024-05-29 00:00:00 230020236 Closed Citation Citation B (HSC 1424) Other Client Protections 2022-10-19 00:00:00 2022-10-19 00:00:00 No 2024-06-19 00:00:00 None B None 2000 2000 -700 1300 0 None EI8V11 N None None SFY2023-24
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 1999-12-10 00:00:00 240001475 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-08 00:00:00 None No 2000-01-03 00:00:00 None A None 5000 5000 -5000 0 0 240011608 A99999 N None None SFY1999-00
240000612 LOGAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2000-01-03 00:00:00 240001477 Closed Citation Citation B (HSC 1424) Staffing None 1999-12-28 00:00:00 None No 2000-01-25 00:00:00 None B None 1000 1000 -350 650 0 240011684 A99999 N None None SFY1999-00
240001460 WALNUT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2000-01-11 00:00:00 240001478 Closed Citation Citation A (HSC 1424) Other POLICY AND PROCEDURE 1999-12-12 00:00:00 None Yes 2000-02-02 00:00:00 2000-01-21 00:00:00 A B 10000 6000 0 6000 0 240011713 A99999 Y None None SFY1999-00
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2000-01-19 00:00:00 240001479 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-01-15 00:00:00 None Yes 2000-09-01 00:00:00 2000-01-20 00:00:00 A A 10000 10000 0 10000 0 240011732 A99999 N None None SFY1999-00
240001081 HERITAGE PARK NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-03-28 00:00:00 240001480 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-16 00:00:00 None Yes 2001-06-04 00:00:00 2001-05-22 00:00:00 A A 10000 7650 -150 7500 0 240011926 A99999 N None None SFY1999-00
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-03-31 00:00:00 240001482 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-23 00:00:00 None No 2000-04-21 00:00:00 None B None 1000 1000 -350 650 0 240011942 A99999 N None None SFY1999-00
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2000-04-11 00:00:00 240001484 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-02-06 00:00:00 None Yes 2000-08-11 00:00:00 2000-04-19 00:00:00 B B 1000 1050 0 1050 0 240011967 A99999 N None None SFY1999-00
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2000-04-20 00:00:00 240001485 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-05 00:00:00 None Yes 2000-05-11 00:00:00 2000-05-09 00:00:00 A A 8500 6000 0 6000 0 240011994 A99999 N None None SFY1999-00
240001081 HERITAGE PARK NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-04-26 00:00:00 240001486 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-10 00:00:00 None Yes 2000-05-17 00:00:00 2000-05-16 00:00:00 A A 5000 5050 0 5050 0 240012009 A99999 N None None SFY1999-00
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2000-05-08 00:00:00 240001487 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-04-15 00:00:00 None Yes 2000-05-30 00:00:00 2001-03-05 00:00:00 A A 10000 6500 0 6500 0 240012050 A99999 N None None SFY1999-00
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2000-05-10 00:00:00 240001488 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-25 00:00:00 None Yes 2001-06-27 00:00:00 2001-06-25 00:00:00 A Drop>Deficiency 10000 5000 0 5000 0 240012050 A99999 N None None SFY1999-00
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2000-05-10 00:00:00 240001489 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-27 00:00:00 None Yes 2000-06-01 00:00:00 2001-03-26 00:00:00 A B 10000 5000 0 5000 0 240012061 A99999 N None None SFY1999-00
240000107 TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2000-05-19 00:00:00 240001490 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-18 00:00:00 None Yes 2000-06-22 00:00:00 2000-06-01 00:00:00 B None 1000 1000 0 1000 0 240012092 A99999 N None None SFY1999-00
240000904 HILLSIDE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2000-05-23 00:00:00 240001491 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-05-09 00:00:00 None No 2000-06-19 00:00:00 None A None 3000 3000 -1050 1950 0 240012102 A99999 N None None SFY1999-00
240001081 HERITAGE PARK NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-05-26 00:00:00 240001492 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-15 00:00:00 None No 2000-07-05 00:00:00 None B None 750 750 -262.5 487.5 0 240012107 A99999 N None None SFY1999-00
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2000-07-10 00:00:00 240001499 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-11 00:00:00 2000-03-11 00:00:00 Yes 2001-09-05 00:00:00 2000-05-16 00:00:00 A A 5000 5100 0 5100 0 240012189 A99999 N None None SFY2000-01
240000146 BIG PINE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-07-20 00:00:00 240001501 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-11 00:00:00 None Yes 2000-12-05 00:00:00 2000-07-26 00:00:00 B B 500 500 0 500 0 240012211 A99999 N None None SFY2000-01
240000146 BIG PINE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-07-20 00:00:00 240001502 Closed Citation Citation Willful Material Omission (HSC 1424(f)(1)) Other WILLFUL MATERIAL OMI 2000-07-17 00:00:00 None Yes 2000-08-10 00:00:00 2001-01-02 00:00:00 WO WMO>$1000 5000 5000 -5000 0 0 240012211 A99999 None None None SFY2000-01
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2000-07-20 00:00:00 240001503 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-15 00:00:00 None Yes 2000-08-18 00:00:00 2000-08-07 00:00:00 A A 3000 3000 0 3000 0 240012213 A99999 N None None SFY2000-01
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-07-26 00:00:00 240001504 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-12 00:00:00 None No 2000-08-22 00:00:00 None B None 1000 1000 -350 650 0 240012232 A99999 N None None SFY2000-01
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2000-08-01 00:00:00 240001506 Closed Citation Citation A (HSC 1424) Patient Care None 2000-07-01 00:00:00 None Yes 2000-08-25 00:00:00 2000-08-21 00:00:00 A B 10000 11000 0 11000 0 240012247 A99999 N None None SFY2000-01
240001335 FOURTEENTH STREET DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2000-08-15 00:00:00 240001507 Closed Citation Citation A (HSC 1424) Administration None 2000-02-23 00:00:00 None No 2000-09-12 00:00:00 None A None 5000 5000 -1750 3250 0 240012282 A99999 N None None SFY2000-01
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-08-22 00:00:00 240001509 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-20 00:00:00 None Yes 2001-01-18 00:00:00 2000-08-24 00:00:00 B B 650 650 0 650 0 240012312 A99999 N None None SFY2000-01
240000065 HERITAGE GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-08-29 00:00:00 240001510 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-05 00:00:00 None Yes 2000-09-20 00:00:00 2000-09-06 00:00:00 A B 7000 7500 0 7500 0 240012331 A99999 N None None SFY2000-01
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2000-09-19 00:00:00 240001581 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-08 00:00:00 2000-08-08 00:00:00 No 2000-10-10 00:00:00 None B None 500 500 -175 325 0 240012734 A99999 N None None SFY2000-01
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2000-09-18 00:00:00 240001582 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-02 00:00:00 2000-07-02 00:00:00 No 2000-10-09 00:00:00 None B None 1000 1000 0 1000 0 240012737 A99999 N None None SFY2000-01
240001297 ALTA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2000-09-22 00:00:00 240001583 Closed Citation Citation A (HSC 1424) Patient Care None 2000-08-15 00:00:00 2000-08-15 00:00:00 No 2000-10-13 00:00:00 None A None 9000 9000 -3150 5850 0 240012741 A99999 N None None SFY2000-01
240000135 OLIVE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2000-11-03 00:00:00 240001654 Closed Citation Citation B (HSC 1424) Other TRAINING 2000-08-16 00:00:00 2000-08-16 00:00:00 No 2000-11-24 00:00:00 None B None 1000 1000 -350 650 0 240013384 A99999 N None None SFY2000-01
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-11-15 00:00:00 240001655 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Medication None 1999-09-16 00:00:00 1999-09-16 00:00:00 Yes 2001-07-19 00:00:00 2001-07-09 00:00:00 WF B 5000 1000 0 1000 0 240013420 A99999 None None None SFY2000-01
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2000-11-15 00:00:00 240001656 Closed Citation Citation A (HSC 1424) Staffing NURSE SERVICES 1999-09-16 00:00:00 1999-09-16 00:00:00 Yes 2001-07-19 00:00:00 2001-07-09 00:00:00 A A 5000 5000 0 5000 0 240013420 A99999 N None None SFY2000-01
240001538 NEXT GUEST HOME LTC CLHF Congregate Living Health Facility San Bernardino 2000-11-30 00:00:00 240001657 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-18 00:00:00 2000-07-18 00:00:00 No 2000-12-21 00:00:00 None B None 1000 1000 -350 650 0 240013483 A99999 N None None SFY2000-01
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-02-06 00:00:00 240001659 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-02 00:00:00 None Yes 2001-03-12 00:00:00 2001-02-06 00:00:00 A A 10000 10000 -10000 0 0 240013887 A99999 N None None SFY2000-01
240001741 BEECHWOOD DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2001-02-08 00:00:00 240001660 Closed Citation Citation B (HSC 1424) Administration None 2000-09-14 00:00:00 None Yes 2002-11-12 00:00:00 2001-02-23 00:00:00 B B 1000 1000 0 1000 0 240013894 A99999 N None None SFY2000-01
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-02-15 00:00:00 240001661 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-06 00:00:00 None Yes 2001-06-22 00:00:00 2001-06-18 00:00:00 A B 10000 7750 0 7750 0 240013914 A99999 N None None SFY2000-01
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-02-15 00:00:00 240001662 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-20 00:00:00 None Yes 2002-03-19 00:00:00 2002-03-19 00:00:00 A B 10000 5000 0 5000 0 240013915 A99999 N None None SFY2000-01
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-03-27 00:00:00 240001663 Closed Citation Citation A (HSC 1424) Patient Care None 2000-12-31 00:00:00 None Yes 2001-04-17 00:00:00 2001-04-13 00:00:00 A A 15000 15000 -15000 0 0 240013877 A99999 N None None SFY2000-01
240000035 CASA MARIA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-04-05 00:00:00 240001665 Closed Citation Citation B (HSC 1424) Administration None 2001-03-29 00:00:00 2001-03-29 00:00:00 Yes 2001-04-26 00:00:00 2001-04-11 00:00:00 B None 1000 1000 0 1000 0 240014008 A99999 N None None SFY2000-01
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-04-24 00:00:00 240001668 Closed Citation Citation B (HSC 1424) Administration None 2001-03-22 00:00:00 None No 2001-06-14 00:00:00 None B None 1000 1000 -1000 0 0 240014176 A99999 N None None SFY2000-01
240001417 CHESTNUT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2001-04-23 00:00:00 240001669 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-14 00:00:00 2001-01-14 00:00:00 Yes 2001-05-14 00:00:00 2002-05-08 00:00:00 A B 5000 4000 0 4000 0 240013810 A99999 N None None SFY2000-01
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-04-24 00:00:00 240001670 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-03-28 00:00:00 None No 2001-06-14 00:00:00 None B None 1000 1000 -1000 0 0 240014032 A99999 N None None SFY2000-01
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-04-24 00:00:00 240001671 Closed Citation Citation B (HSC 1424) Administration None 2001-02-08 00:00:00 None No 2001-06-14 00:00:00 None B None 1000 1000 -1000 0 0 240014032 A99999 N None None SFY2000-01
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-04-24 00:00:00 240001672 Closed Citation Citation B (HSC 1424) Administration None 2001-02-08 00:00:00 None No 2001-06-14 00:00:00 None B None 1000 1000 -1000 0 0 240014031 A99999 N None None SFY2000-01
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-04-25 00:00:00 240001673 Closed Citation Citation A (HSC 1424) Physical Environment None 2001-03-14 00:00:00 2001-03-14 00:00:00 No 2001-05-16 00:00:00 None A None 18000 18000 -18000 0 0 240014031 A99999 N None None SFY2000-01
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2001-05-09 00:00:00 240001674 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-27 00:00:00 2001-01-27 00:00:00 Yes 2001-05-30 00:00:00 2001-05-17 00:00:00 B B 900 900 0 900 0 240014175 A99999 N None None SFY2000-01
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-06-11 00:00:00 240001678 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-02 00:00:00 2001-04-02 00:00:00 No 2001-07-02 00:00:00 None B None 1000 1000 -350 650 0 240014370 A99999 N None None SFY2000-01
240000035 CASA MARIA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-06-18 00:00:00 240001680 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-26 00:00:00 2001-04-26 00:00:00 No 2001-07-09 00:00:00 None B None 400 400 -140 260 0 240014389 A99999 N None None SFY2000-01
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-06-26 00:00:00 240001681 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-10 00:00:00 None No 2001-07-31 00:00:00 None B None 1000 1000 -1000 0 0 240014276 A99999 N None None SFY2000-01
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-07-11 00:00:00 240001684 Closed Citation Citation B (HSC 1424) Medication None 2001-06-24 00:00:00 2001-06-24 00:00:00 No 2001-08-02 00:00:00 None B None 1000 1000 -350 650 0 240014540 A99999 N None None SFY2001-02
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-07-17 00:00:00 240001685 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-03 00:00:00 2001-07-03 00:00:00 No 2001-08-07 00:00:00 None B None 1000 1000 -350 650 0 240014576 A99999 N None None SFY2001-02
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2001-07-24 00:00:00 240001686 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-07-19 00:00:00 2001-07-19 00:00:00 No 2001-08-14 00:00:00 None B None 1000 1000 -350 650 0 240014564 A99999 N None None SFY2001-02
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2001-07-24 00:00:00 240001687 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-07-19 00:00:00 2001-07-19 00:00:00 No 2001-08-16 00:00:00 None B None 1000 1000 -350 650 0 240014565 A99999 N None None SFY2001-02
240001297 ALTA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2001-07-26 00:00:00 240001688 Closed Citation Citation B (HSC 1424) Administration None 2001-02-02 00:00:00 2001-02-02 00:00:00 No 2001-08-21 00:00:00 None B None 1000 1000 -350 650 0 240014480 A99999 N None None SFY2001-02
240001335 FOURTEENTH STREET DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2001-07-26 00:00:00 240001689 Closed Citation Citation B (HSC 1424) Administration None 2001-03-02 00:00:00 None No 2001-08-21 00:00:00 None B None 2000 2000 -700 1300 0 240014631 A99999 N None None SFY2001-02
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2001-09-06 00:00:00 240001692 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-07-17 00:00:00 2001-07-17 00:00:00 No 2001-09-27 00:00:00 None B None 1000 1000 -350 650 0 240014610 A99999 N None None SFY2001-02
240000063 GRAND TERRACE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-09-17 00:00:00 240001693 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-13 00:00:00 None No 2001-10-09 00:00:00 None B None 1000 1000 -350 650 0 240014599 A99999 N None None SFY2001-02
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-09-14 00:00:00 240001694 Closed Citation Citation B (HSC 1424) Dietary None 2001-08-28 00:00:00 None No 2001-10-05 00:00:00 None B None 1000 1100 -350 750 0 240014756 A99999 N None None SFY2001-02
240000063 GRAND TERRACE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-09-17 00:00:00 240001695 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-13 00:00:00 None No 2001-10-09 00:00:00 None A A 10000 10000 -7500 2500 0 240014599 A99999 N None None SFY2001-02
240001460 WALNUT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2001-09-21 00:00:00 240001696 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-07-26 00:00:00 2001-07-26 00:00:00 No 2001-10-12 00:00:00 None B None 900 900 -315 585 0 240014710 A99999 N None None SFY2001-02
240000093 COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO LTC SNF Skilled Nursing Facility San Bernardino 2001-10-16 00:00:00 240001697 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-03 00:00:00 2001-07-03 00:00:00 No 2001-11-06 00:00:00 None B None 1000 1000 -350 650 0 240014566 A99999 N None None SFY2001-02
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-10-18 00:00:00 240001698 Closed Citation Citation B (HSC 1424) Problem Transfer None 2001-09-17 00:00:00 2001-09-17 00:00:00 No 2001-11-08 00:00:00 None B None 500 500 -175 325 0 240014934 A99999 N None None SFY2001-02
240000991 MOUNTAINS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2001-10-17 00:00:00 240001699 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-26 00:00:00 None Yes 2001-11-09 00:00:00 2001-11-08 00:00:00 B None 400 400 0 400 0 240014940 A99999 N None None SFY2001-02
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-11-16 00:00:00 240001700 Closed Citation Citation B (HSC 1424) Medication None 2001-09-20 00:00:00 2001-09-20 00:00:00 No 2001-12-14 00:00:00 None B None 1000 1000 -350 650 0 240014851 A99999 N None None SFY2001-02
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-10-29 00:00:00 240001701 Closed Citation Citation A (HSC 1424) Patient Care None 2001-09-25 00:00:00 2001-09-25 00:00:00 No 2001-11-29 00:00:00 None A None 20000 20000 -7000 13000 0 240014923 A99999 N None None SFY2001-02
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-10-29 00:00:00 240001702 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-23 00:00:00 2001-08-23 00:00:00 No 2001-11-19 00:00:00 None A None 20000 20000 -7000 13000 0 240014757 A99999 N None None SFY2001-02
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2001-12-18 00:00:00 240001705 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-17 00:00:00 2001-08-17 00:00:00 Yes 2002-01-08 00:00:00 2001-12-28 00:00:00 A B 18000 1000 0 1000 0 240014858 A99999 N None None SFY2001-02
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2002-02-01 00:00:00 240001707 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-10-03 00:00:00 None Yes 2002-03-06 00:00:00 2002-02-06 00:00:00 B B 500 500 0 500 0 240015015 A99999 N None None SFY2001-02
240001162 MONTE VISTA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2002-03-05 00:00:00 240001709 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-05 00:00:00 None No 2002-04-05 00:00:00 None B None 500 500 0 500 0 240014831 A99999 N None None SFY2001-02
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2002-03-22 00:00:00 240001710 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-24 00:00:00 2001-10-24 00:00:00 Yes 2002-04-12 00:00:00 2002-03-22 00:00:00 A None 8000 8000 -8000 0 0 240015490 A99999 N None None SFY2001-02
240000156 WATERMAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2002-03-27 00:00:00 240001711 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-19 00:00:00 2001-10-19 00:00:00 Yes 2002-04-17 00:00:00 2002-04-16 00:00:00 A B 8000 4000 0 4000 0 240014975 A99999 N None None SFY2001-02
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2002-03-27 00:00:00 240001712 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-11 00:00:00 2001-11-11 00:00:00 Yes 2002-04-22 00:00:00 2002-04-16 00:00:00 B B 700 500 0 500 0 240015091 A99999 N None None SFY2001-02
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2002-03-27 00:00:00 240001713 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-01 00:00:00 2001-11-01 00:00:00 Yes 2002-04-22 00:00:00 2002-04-16 00:00:00 A B 10000 6500 0 6500 0 240015113 A99999 N None None SFY2001-02
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2002-03-28 00:00:00 240001714 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-03-14 00:00:00 2002-03-14 00:00:00 Yes 2002-04-23 00:00:00 2002-04-02 00:00:00 B B 1000 500 0 500 0 240015481 A99999 N None None SFY2001-02
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2002-03-29 00:00:00 240001715 Closed Citation Citation AA (HSC 1424) Patient Care None 2001-07-11 00:00:00 2001-07-11 00:00:00 Yes 2002-05-01 00:00:00 2002-04-12 00:00:00 AA AA 50000 15000 0 15000 0 240014605 A99999 Y None None SFY2001-02
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-04-03 00:00:00 240001716 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-18 00:00:00 2002-01-18 00:00:00 No 2002-04-24 00:00:00 None B None 700 2100 0 2100 0 240015308 A99999 N None None SFY2001-02
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-04-17 00:00:00 240001717 Closed Citation Citation B (HSC 1424) Administration None 2002-01-24 00:00:00 None No 2002-05-17 00:00:00 None B None 650 5900 0 5900 0 240015599 A99999 N None None SFY2001-02
240000093 COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO LTC SNF Skilled Nursing Facility San Bernardino 2002-04-23 00:00:00 240001718 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-04 00:00:00 None No 2002-05-14 00:00:00 None B None 1000 3150 -1050 2100 0 240015607 A99999 N None None SFY2001-02
240000979 BEAR VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2002-04-30 00:00:00 240001719 Closed Citation Citation A (HSC 1424) Other PT CARE & PHYS ENVIR 2001-11-25 00:00:00 None No 2002-05-29 00:00:00 None A None 7000 7000 -2450 4550 0 240015645 A99999 N None None SFY2001-02
240000085 MONTCLAIR MANOR CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-05-03 00:00:00 240001720 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-07 00:00:00 None No 2002-05-24 00:00:00 None B None 1000 1000 -350 650 0 240015019 A99999 N None None SFY2001-02
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2002-05-22 00:00:00 240001722 Closed Citation Citation A (HSC 1424) Other PAT CARE & PAT RIGHT 2001-10-20 00:00:00 2001-10-20 00:00:00 Yes 2002-06-12 00:00:00 2002-05-31 00:00:00 A B 5000 5000 0 5000 0 240015667 A99999 N None None SFY2001-02
240000810 GARDENA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2002-06-25 00:00:00 240001723 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-28 00:00:00 None Yes 2002-07-16 00:00:00 2002-07-01 00:00:00 B Drop>Deficiency 1000 650 0 650 0 240015896 A99999 N None None SFY2001-02
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-07-25 00:00:00 240001724 Closed Citation Citation B (HSC 1424) Staffing None 2002-05-16 00:00:00 2002-05-16 00:00:00 No 2002-08-15 00:00:00 None B None 500 12100 -175 11925 0 240015999 A99999 N None None SFY2002-03
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-07-18 00:00:00 240001725 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-22 00:00:00 2002-04-22 00:00:00 Yes 2002-08-08 00:00:00 2002-07-29 00:00:00 B B 1000 1000 0 1000 0 240015674 A99999 N None None SFY2002-03
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-07-24 00:00:00 240001726 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-24 00:00:00 None No 2002-08-14 00:00:00 None B None 1000 1000 -350 650 0 240016032 A99999 N None None SFY2002-03
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-07-24 00:00:00 240001727 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-24 00:00:00 None No 2002-08-14 00:00:00 None B None 600 600 -210 390 0 240016032 A99999 N None None SFY2002-03
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-07-24 00:00:00 240001728 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-24 00:00:00 None No 2002-08-14 00:00:00 None B None 800 800 -280 520 0 240016032 A99999 N None None SFY2002-03
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-07-24 00:00:00 240001729 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-24 00:00:00 2002-06-24 00:00:00 No 2002-08-14 00:00:00 None B None 1000 1000 -350 650 0 240016032 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2002-09-18 00:00:00 240001732 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-18 00:00:00 2002-05-18 00:00:00 No 2002-10-09 00:00:00 None B None 1000 1000 -350 650 0 240016448 A99999 N None None SFY2002-03
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2002-09-24 00:00:00 240001733 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-13 00:00:00 2002-09-13 00:00:00 Yes 2002-10-15 00:00:00 2002-09-27 00:00:00 B B 1000 1000 0 1000 0 240016493 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2002-10-02 00:00:00 240001734 Closed Citation Citation B (HSC 1424) Other PT. CARE & PT. RIGHT 2002-06-26 00:00:00 2002-06-26 00:00:00 No 2002-10-29 00:00:00 None B None 1000 3000 -1050 1950 0 240016559 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2002-10-09 00:00:00 240001735 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-31 00:00:00 2002-05-31 00:00:00 No 2002-10-30 00:00:00 None B None 1000 3050 -1050 2000 0 240016601 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2002-11-05 00:00:00 240001737 Closed Citation Citation A (HSC 1424) Patient Care None 2002-06-22 00:00:00 2002-06-22 00:00:00 Yes 2002-12-05 00:00:00 2002-11-24 00:00:00 A A 15000 8607 0 8607 0 240015959 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2002-11-05 00:00:00 240001738 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-01 00:00:00 2002-07-01 00:00:00 No 2002-12-05 00:00:00 None B None 1000 3000 -1050 1950 0 240015958 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2002-11-05 00:00:00 240001739 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-15 00:00:00 2002-07-15 00:00:00 No 2002-12-05 00:00:00 None B None 1000 3000 -1050 1950 0 240016048 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2002-11-07 00:00:00 240001740 Closed Citation Citation A (HSC 1424) Patient Care None 2002-08-06 00:00:00 2002-08-06 00:00:00 Yes 2002-12-09 00:00:00 2002-11-21 00:00:00 A A Trebled 18000 30987 0 30987 0 240016814 A99999 N None None SFY2002-03
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2002-11-19 00:00:00 240001741 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-15 00:00:00 2001-10-15 00:00:00 Yes 2002-12-17 00:00:00 2002-11-27 00:00:00 A A 12000 8000 0 8000 0 240015659 A99999 N None None SFY2002-03
240001007 VILLA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2002-11-20 00:00:00 240001742 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-02 00:00:00 2002-06-02 00:00:00 Yes 2002-12-18 00:00:00 2002-11-26 00:00:00 B None 800 800 0 800 0 240015819 A99999 N None None SFY2002-03
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2002-11-26 00:00:00 240001743 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-24 00:00:00 None No 2002-12-26 00:00:00 None B None 1000 1400 -350 1050 0 240016558 A99999 N None None SFY2002-03
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-01-07 00:00:00 240001744 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-28 00:00:00 None No 2003-01-29 00:00:00 None B None 800 800 -280 520 0 240015850 A99999 N None None SFY2002-03
240000617 KENDALL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-01-09 00:00:00 240001745 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-06 00:00:00 None No 2003-01-31 00:00:00 None B None 1000 1000 -350 650 0 240017131 A99999 N None None SFY2002-03
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2003-01-22 00:00:00 240001746 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-09 00:00:00 None No 2003-02-13 00:00:00 None A None 10000 10000 -3500 6500 0 240015453 A99999 N None None SFY2002-03
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2003-01-30 00:00:00 240001748 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-07 00:00:00 2002-06-07 00:00:00 Yes 2003-12-12 00:00:00 2003-02-13 00:00:00 B B 1000 600 0 600 0 240017069 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2003-02-06 00:00:00 240001749 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-13 00:00:00 2002-07-13 00:00:00 Yes 2003-03-05 00:00:00 2003-02-18 00:00:00 A A 18000 10329 0 10329 0 240016049 A99999 N None None SFY2002-03
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2003-02-06 00:00:00 240001750 Closed Citation Citation B (HSC 1424) Patient Care PT CARE/RIGHTS,MEDIC 2002-08-18 00:00:00 2002-08-18 00:00:00 No 2003-02-27 00:00:00 None B None 1000 3000 -1050 1950 0 240016310 A99999 N None None SFY2002-03
240000075 LINDA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-02-13 00:00:00 240001751 Closed Citation Citation A (HSC 1424) Patient Care None 2002-05-23 00:00:00 None Yes 2003-03-11 00:00:00 2003-02-19 00:00:00 A A 15000 5000 0 5000 0 240015834 A99999 N None None SFY2002-03
240001297 ALTA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-03-11 00:00:00 240001753 Closed Citation Citation B (HSC 1424) Administration None 2002-08-13 00:00:00 2002-08-13 00:00:00 No 2003-04-01 00:00:00 None B None 600 600 -600 0 0 240016017 A99999 N None None SFY2002-03
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-03-12 00:00:00 240001755 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-12 00:00:00 1999-10-12 00:00:00 No 2003-04-02 00:00:00 None B None 1000 1000 -350 650 0 240017392 A99999 N None None SFY2002-03
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-03-12 00:00:00 240001756 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-19 00:00:00 2002-10-19 00:00:00 No 2003-04-02 00:00:00 None A None 10000 10000 -3500 6500 0 240016762 A99999 N None None SFY2002-03
240001335 FOURTEENTH STREET DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-03-20 00:00:00 240001757 Closed Citation Citation B (HSC 1424) Administration None 2002-07-17 00:00:00 2002-07-17 00:00:00 No 2003-04-14 00:00:00 None B None 600 600 -600 0 0 240016088 A99999 N None None SFY2002-03
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-04-03 00:00:00 240001759 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-05 00:00:00 2002-11-05 00:00:00 Yes 2003-04-24 00:00:00 2007-04-02 00:00:00 A A 15000 10000 0 10000 0 240016918 A99999 N None None SFY2002-03
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-04-17 00:00:00 240001760 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Administration None 1999-06-29 00:00:00 1999-06-29 00:00:00 Yes 2003-05-21 00:00:00 2003-04-18 00:00:00 WF B 5000 3000 0 3000 0 240017809 A99999 None None None SFY2002-03
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-04-17 00:00:00 240001761 Closed Citation Citation A (HSC 1424) Medication None 1999-06-29 00:00:00 1999-06-29 00:00:00 Yes 2003-05-21 00:00:00 2003-04-18 00:00:00 A B 5000 3000 0 3000 0 240017809 A99999 N None None SFY2002-03
240000413 RENEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-04-29 00:00:00 240001763 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-16 00:00:00 None No 2003-05-23 00:00:00 None B None 350 350 -122.5 227.5 0 240016439 A99999 N None None SFY2002-03
240001249 HOLLY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-05-02 00:00:00 240001764 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-07-14 00:00:00 2002-07-14 00:00:00 Yes 2003-05-23 00:00:00 2003-05-02 00:00:00 A Dismissed by Court 10000 0 0 0 0 240016027 A99999 N None None SFY2002-03
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-05-06 00:00:00 240001765 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-18 00:00:00 2002-08-18 00:00:00 No 2003-05-27 00:00:00 None B None 1000 1000 -350 650 0 240016252 A99999 N None None SFY2002-03
240001249 HOLLY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-05-06 00:00:00 240001766 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-20 00:00:00 2002-11-20 00:00:00 Yes 2003-05-27 00:00:00 2003-05-07 00:00:00 B None 500 500 -500 0 0 240017077 A99999 N None None SFY2002-03
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2003-05-08 00:00:00 240001767 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-22 00:00:00 None Yes 2003-06-03 00:00:00 2003-05-29 00:00:00 B B 800 400 0 400 0 240016420 A99999 N None None SFY2002-03
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2003-07-16 00:00:00 240001769 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-02 00:00:00 2002-10-02 00:00:00 Yes 2003-08-12 00:00:00 2003-07-17 00:00:00 B B 850 425 0 425 0 240016713 A99999 N None None SFY2003-04
240000093 COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO LTC SNF Skilled Nursing Facility San Bernardino 2003-07-09 00:00:00 240001770 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-01 00:00:00 None No 2003-07-30 00:00:00 None B None 500 500 -175 325 0 240017765 A99999 N None None SFY2003-04
240000285 LAUREL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2003-07-10 00:00:00 240001771 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-05 00:00:00 None No 2003-08-12 00:00:00 None B None 1000 1000 -350 650 0 240017150 A99999 N None None SFY2003-04
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2003-07-24 00:00:00 240001772 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-22 00:00:00 2003-03-22 00:00:00 Yes 2003-08-14 00:00:00 2003-08-01 00:00:00 B B 1000 500 0 500 0 240017762 A99999 N None None SFY2003-04
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2003-08-18 00:00:00 240001775 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-23 00:00:00 2002-12-23 00:00:00 Yes 2003-09-08 00:00:00 2003-09-09 00:00:00 B B 1000 500 0 500 0 240017182 A99999 N None None SFY2003-04
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2003-08-28 00:00:00 240001776 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-24 00:00:00 2002-12-24 00:00:00 No 2003-09-18 00:00:00 None B None 1000 1000 -350 650 0 240017163 A99999 N None None SFY2003-04
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2003-09-11 00:00:00 240001777 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-16 00:00:00 None No 2003-10-02 00:00:00 None B None 600 600 -210 390 0 240018343 A99999 N None None SFY2003-04
240001092 MAVIS DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-09-18 00:00:00 240001778 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-03 00:00:00 2003-02-03 00:00:00 No 2003-10-09 00:00:00 None B None 1000 1000 -350 650 0 240017754 A99999 N None None SFY2003-04
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2003-10-03 00:00:00 240001780 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-11 00:00:00 None Yes 2003-10-30 00:00:00 2003-10-08 00:00:00 B B 750 300 0 300 0 240017639 A99999 N None None SFY2003-04
240001828 COUNTRY MAUREEN'S HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-10-09 00:00:00 240001781 Closed Citation Citation B (HSC 1424) Administration None 2000-12-16 00:00:00 None No 2003-11-04 00:00:00 None B None 300 300 -105 195 0 240017642 A99999 N None None SFY2003-04
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2003-10-01 00:00:00 240001782 Closed Citation Citation B (HSC 1424) Staffing None 2003-04-29 00:00:00 None Yes 2003-10-27 00:00:00 2003-10-10 00:00:00 B None 900 900 0 900 0 240017925 A99999 N None None SFY2003-04
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2003-10-20 00:00:00 240001783 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-07 00:00:00 None No 2003-11-10 00:00:00 None B None 350 350 -122.5 227.5 0 240018697 A99999 N None None SFY2003-04
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2003-11-24 00:00:00 240001784 Closed Citation Citation A (HSC 1424) Patient Care None 2002-11-26 00:00:00 2002-11-26 00:00:00 Yes 2003-02-25 00:00:00 2003-02-03 00:00:00 A A 10000 6000 0 6000 0 240017032 A99999 N None None SFY2003-04
240001102 SOUTHERN INYO HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2003-12-19 00:00:00 240001785 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-04 00:00:00 None No 2004-01-13 00:00:00 None A None 10000 10000 -3500 6500 0 240018940 A99999 N None None SFY2003-04
240001087 PALOMAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2003-12-30 00:00:00 240001786 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-29 00:00:00 None No 2004-01-22 00:00:00 None B None 350 350 -122.5 227.5 0 240016964 A99999 N None None SFY2003-04
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-01-20 00:00:00 240001787 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-11-07 00:00:00 None No 2004-02-10 00:00:00 None B None 450 1350 -472.5 877.5 0 240018829 A99999 N None None SFY2003-04
240000969 VAN BUREN HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-01-27 00:00:00 240001789 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-27 00:00:00 2003-08-27 00:00:00 Yes 2014-01-14 00:00:00 2004-01-27 00:00:00 B B 700 700 0 700 0 240018482 A99999 N None None SFY2003-04
240000032 BROOKSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-01-29 00:00:00 240001790 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-28 00:00:00 None No 2004-02-23 00:00:00 None B None 1000 1000 0 1000 0 240018002 A99999 N None None SFY2003-04
240000035 CASA MARIA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-02-03 00:00:00 240001791 Closed Citation Citation A (HSC 1424) Patient Care None 2002-12-06 00:00:00 None No 2004-02-26 00:00:00 None A None 9000 9000 -7650 1350 0 240017095 A99999 N None None SFY2003-04
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-02-24 00:00:00 240001792 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-27 00:00:00 None No 2004-03-16 00:00:00 None B None 800 800 -280 520 0 240018237 A99999 N None None SFY2003-04
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-02-19 00:00:00 240001793 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-19 00:00:00 None No 2004-03-11 00:00:00 None A None 5000 5000 -1750 3250 0 240018635 A99999 N None None SFY2003-04
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-02-24 00:00:00 240001794 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-20 00:00:00 None No 2004-03-16 00:00:00 None B None 800 800 -280 520 0 240018139 A99999 N None None SFY2003-04
240000122 ROBINSON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-02-25 00:00:00 240001795 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-25 00:00:00 2003-03-25 00:00:00 Yes 2004-03-17 00:00:00 2004-04-08 00:00:00 B None 900 900 0 900 0 240017748 A99999 N None None SFY2003-04
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-03-17 00:00:00 240001796 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-04 00:00:00 None Yes 2004-04-08 00:00:00 2004-03-23 00:00:00 A None 20000 20000 -20000 0 0 240018197 A99999 N None None SFY2003-04
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-03-19 00:00:00 240001797 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-09-28 00:00:00 None No 2004-04-12 00:00:00 None B None 300 300 -105 195 0 240018720 A99999 N None None SFY2003-04
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-03-25 00:00:00 240001798 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-11 00:00:00 2003-10-11 00:00:00 No 2004-04-15 00:00:00 None B None 500 500 0 500 0 240018700 A99999 N None None SFY2003-04
240001697 CHRISTOPHER RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-03-25 00:00:00 240001799 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2003-08-10 00:00:00 2003-08-10 00:00:00 No 2004-04-15 00:00:00 None B None 1000 1000 -350 650 0 240018625 A99999 N None None SFY2003-04
240001697 CHRISTOPHER RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-03-25 00:00:00 240001801 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-10 00:00:00 2003-08-10 00:00:00 No 2004-04-15 00:00:00 None B None 1000 1000 -350 650 0 240018625 A99999 N None None SFY2003-04
240000071 INLAND CHRISTIAN HOME LTC SNF Skilled Nursing Facility San Bernardino 2004-03-30 00:00:00 240001802 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-04 00:00:00 None Yes 2004-04-20 00:00:00 2004-04-20 00:00:00 A B 5000 5000 0 5000 0 240018581 A99999 N None None SFY2003-04
240000126 JANE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-04-29 00:00:00 240001803 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-04 00:00:00 2002-11-04 00:00:00 No 2004-05-20 00:00:00 None B None 400 400 0 400 0 240016849 A99999 N None None SFY2003-04
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2004-04-29 00:00:00 240001804 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-05 00:00:00 2003-01-05 00:00:00 Yes 2004-05-20 00:00:00 2004-05-17 00:00:00 A A 10000 7000 0 7000 0 240017650 A99999 N None None SFY2003-04
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-05-04 00:00:00 240001805 Closed Citation Citation B (HSC 1424) Administration None 2004-01-25 00:00:00 2004-01-25 00:00:00 No 2004-05-25 00:00:00 None B None 750 2250 -787.5 1462.5 0 240019401 A99999 N None None SFY2003-04
240000285 LAUREL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2004-05-28 00:00:00 240001806 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-19 00:00:00 2003-09-19 00:00:00 Yes 2004-06-18 00:00:00 2004-06-09 00:00:00 B None 1000 1000 -1000 0 0 240018686 A99999 N None None SFY2003-04
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2004-06-01 00:00:00 240001807 Closed Citation Citation A (HSC 1424) Patient Rights None 2003-04-27 00:00:00 2003-04-27 00:00:00 Yes 2004-06-22 00:00:00 2004-06-14 00:00:00 A B 10000 10000 0 10000 0 240017904 A99999 N None None SFY2003-04
240001089 COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2004-07-20 00:00:00 240001809 Closed Citation Citation AA (HSC 1424) Patient Care None 2003-05-24 00:00:00 2003-05-24 00:00:00 No 2004-08-10 00:00:00 None AA None 50000 50000 -17500 32500 0 240018591 A99999 Y None None SFY2004-05
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-07-22 00:00:00 240001810 Closed Citation Citation A (HSC 1424) Patient Care None 2003-12-08 00:00:00 None No 2004-08-12 00:00:00 None A None 15000 15000 -5250 9750 0 240019398 A99999 N None None SFY2004-05
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2004-07-22 00:00:00 240001811 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-21 00:00:00 2003-06-21 00:00:00 Yes 2004-08-12 00:00:00 2004-08-10 00:00:00 A None 10000 10000 0 10000 0 240018257 A99999 N None None SFY2004-05
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-08-05 00:00:00 240001813 Closed Citation Citation A (HSC 1424) Patient Care None 2003-12-18 00:00:00 2003-12-18 00:00:00 No 2004-08-26 00:00:00 None A None 10000 10000 -3500 6500 0 240019615 A99999 N None None SFY2004-05
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-08-18 00:00:00 240001814 Closed Citation Citation A (HSC 1424) Patient Care None 2004-01-23 00:00:00 None No 2004-09-09 00:00:00 None A None 14000 14000 -4900 9100 0 240019139 A99999 N None None SFY2004-05
240000035 CASA MARIA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-08-18 00:00:00 240001815 Closed Citation Citation B (HSC 1424) Staffing None 2004-02-01 00:00:00 None No 2004-09-09 00:00:00 None B None 1000 1350 0 1350 0 240019334 A99999 N None None SFY2004-05
240000035 CASA MARIA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-08-19 00:00:00 240001817 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-30 00:00:00 None No 2004-09-10 00:00:00 None A None 10000 10000 0 10000 0 240018692 A99999 N None None SFY2004-05
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-09-02 00:00:00 240001818 Closed Citation Citation A (HSC 1424) Patient Care None 2004-06-02 00:00:00 None No 2004-09-24 00:00:00 None A None 15000 15000 -5250 9750 0 240019693 A99999 N None None SFY2004-05
240000127 CIRCLEBROOK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-08-24 00:00:00 240001819 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-08 00:00:00 None Yes 2004-09-15 00:00:00 2004-10-19 00:00:00 B None 500 500 0 500 0 240018077 A99999 N None None SFY2004-05
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-08-24 00:00:00 240001820 Closed Citation Citation B (HSC 1424) Staffing None 2004-02-21 00:00:00 None No 2004-09-15 00:00:00 None B None 1000 1700 -350 1350 0 240019698 A99999 N None None SFY2004-05
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2004-09-02 00:00:00 240001821 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-22 00:00:00 None No 2004-09-24 00:00:00 None B None 500 500 0 500 0 240019734 A99999 N None None SFY2004-05
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-09-08 00:00:00 240001822 Closed Citation Citation A (HSC 1424) Patient Care None 2003-11-19 00:00:00 2003-11-19 00:00:00 Yes 2004-09-29 00:00:00 2004-09-27 00:00:00 A A 10000 6000 0 6000 0 240019328 A99999 N None None SFY2004-05
240000075 LINDA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-09-09 00:00:00 240001823 Closed Citation Citation A (HSC 1424) Patient Care None 2003-10-22 00:00:00 2003-10-22 00:00:00 Yes 2004-09-30 00:00:00 2004-09-27 00:00:00 A A 15000 15000 0 15000 0 240019006 A99999 N None None SFY2004-05
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-09-09 00:00:00 240001824 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-18 00:00:00 None No 2004-09-30 00:00:00 None B None 950 950 -332.5 617.5 0 240019746 A99999 N None None SFY2004-05
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-10-12 00:00:00 240001825 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-23 00:00:00 2003-09-23 00:00:00 Yes 2004-11-02 00:00:00 2004-10-22 00:00:00 A None 10000 10000 -10000 0 0 240018908 A99999 N None None SFY2004-05
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2004-11-09 00:00:00 240001826 Closed Citation Citation A (HSC 1424) Patient Care None 2004-02-04 00:00:00 2004-02-04 00:00:00 Yes 2011-04-18 00:00:00 2004-11-22 00:00:00 A A 15000 15000 0 15000 0 240019800 A99999 N None None SFY2004-05
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2004-10-18 00:00:00 240001827 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-26 00:00:00 None No 2004-11-08 00:00:00 None B None 800 800 -280 520 0 240019814 A99999 N None None SFY2004-05
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2004-10-18 00:00:00 240001828 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-18 00:00:00 None No 2004-11-08 00:00:00 None B None 1000 1000 -350 650 0 240019815 A99999 N None None SFY2004-05
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2004-10-26 00:00:00 240001829 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-30 00:00:00 2004-03-30 00:00:00 Yes 2004-11-16 00:00:00 2004-11-11 00:00:00 B B 750 375 0 375 0 240019837 A99999 N None None SFY2004-05
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-11-02 00:00:00 240001830 Closed Citation Citation B (HSC 1424) Staffing None 2004-07-25 00:00:00 2004-07-25 00:00:00 No 2004-11-23 00:00:00 None B None 1000 22050 0 22050 0 240019848 A99999 N CA00029410 D SFY2004-05
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2004-11-03 00:00:00 240001831 Closed Citation Citation B (HSC 1424) Administration None 2002-08-22 00:00:00 None No 2004-11-29 00:00:00 None B None 300 300 -105 195 0 240018082 A99999 N None None SFY2004-05
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-11-18 00:00:00 240001832 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-07 00:00:00 None Yes 2004-12-13 00:00:00 2004-12-03 00:00:00 A A 20000 12350 -350 12000 0 240019872 A99999 N None None SFY2004-05
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2004-11-18 00:00:00 240001833 Closed Citation Citation B (HSC 1424) Staffing None 2004-04-08 00:00:00 None Yes 2004-12-13 00:00:00 2004-12-03 00:00:00 B B 300 180 0 180 0 240019876 A99999 N None None SFY2004-05
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2004-11-24 00:00:00 240001834 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-08 00:00:00 None Yes 2005-01-27 00:00:00 2004-12-01 00:00:00 B B 1000 500 0 500 0 240019878 A99999 N None None SFY2004-05
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2004-12-13 00:00:00 240001835 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-06 00:00:00 2004-10-06 00:00:00 Yes 2005-01-03 00:00:00 2005-01-03 00:00:00 B B 700 455 0 455 0 240019911 A99999 N CA00032721 B SFY2004-05
240001828 COUNTRY MAUREEN'S HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-12-20 00:00:00 240001836 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-19 00:00:00 2004-09-19 00:00:00 Yes 2005-01-10 00:00:00 2004-12-31 00:00:00 B None 400 400 -400 0 0 240019919 A99999 N CA00031956 C SFY2004-05
240000617 KENDALL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-12-28 00:00:00 240001837 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-29 00:00:00 None No 2005-01-31 00:00:00 None B None 850 850 -297.5 552.5 0 240019934 A99999 N None None SFY2004-05
240000071 INLAND CHRISTIAN HOME LTC SNF Skilled Nursing Facility San Bernardino 2004-12-30 00:00:00 240001838 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-01-07 00:00:00 2004-01-07 00:00:00 Yes 2005-01-21 00:00:00 2005-01-20 00:00:00 AA B 50000 10000 0 10000 0 240019936 A99999 Y CA00021164 C SFY2004-05
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-01-06 00:00:00 240001839 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-09 00:00:00 2004-08-09 00:00:00 No 2005-01-28 00:00:00 None B None 300 500 -105 395 0 240019953 A99999 N CA00029875 C SFY2004-05
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-01-07 00:00:00 240001840 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-12 00:00:00 2004-03-12 00:00:00 No 2005-01-31 00:00:00 None B None 800 1050 0 1050 0 240019954 A99999 N CA00020360 C SFY2004-05
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-01-14 00:00:00 240001841 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-14 00:00:00 None No 2005-02-11 00:00:00 None B None 500 1500 -525 975 0 240019960 A99999 N CA00024598 B SFY2004-05
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-01-18 00:00:00 240001842 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-01 00:00:00 None Yes 2005-02-11 00:00:00 2005-01-28 00:00:00 A A 10000 6000 0 6000 0 240019966 A99999 N None None SFY2004-05
240000841 CLOCK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2005-01-27 00:00:00 240001843 Closed Citation Citation B (HSC 1424) Other TRAINING 2004-07-10 00:00:00 2004-07-10 00:00:00 Yes 2013-08-22 00:00:00 2005-02-08 00:00:00 B B 900 900 0 900 0 240019969 A99999 N None None SFY2004-05
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-01-20 00:00:00 240001844 Closed Citation Citation A (HSC 1424) Patient Care None 2004-05-30 00:00:00 None Yes 2005-02-22 00:00:00 2005-02-09 00:00:00 A B 20000 10000 0 10000 0 240019970 A99999 Y None None SFY2004-05
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-02-07 00:00:00 240001845 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-04-30 00:00:00 2004-04-30 00:00:00 Yes 2005-03-01 00:00:00 2005-03-02 00:00:00 AA A 50000 30000 0 30000 0 240019983 A99999 Y CA00023380 B SFY2004-05
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-02-08 00:00:00 240001846 Closed Citation Citation B (HSC 1424) Administration None 2004-05-24 00:00:00 2004-05-24 00:00:00 No 2005-03-02 00:00:00 None B None 500 1200 -175 1025 0 240019984 A99999 N CA00025802 C SFY2004-05
240000096 PLYMOUTH VILLAGE LTC SNF Skilled Nursing Facility San Bernardino 2005-03-15 00:00:00 240001847 Closed Citation Citation B (HSC 1424) Administration None 2004-06-20 00:00:00 2004-06-20 00:00:00 No 2005-04-06 00:00:00 None B None 500 500 -175 325 0 240019986 A99999 N CA00027453 B SFY2004-05
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-02-15 00:00:00 240001848 Closed Citation Citation B (HSC 1424) Staffing None 2004-10-10 00:00:00 None Yes 2005-04-05 00:00:00 2004-02-24 00:00:00 B B 1000 500 0 500 0 240019987 A99999 N None None SFY2004-05
240000876 LANFAIR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2005-03-10 00:00:00 240001849 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-12 00:00:00 2004-09-12 00:00:00 No 2005-04-01 00:00:00 None B None 750 750 -262.5 487.5 0 240019992 A99999 N CA00031561 B SFY2004-05
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2005-03-16 00:00:00 240001850 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-27 00:00:00 2004-08-27 00:00:00 Yes 2005-04-18 00:00:00 2005-04-04 00:00:00 B B 850 425 0 425 0 240019993 A99999 N None None SFY2004-05
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-03-16 00:00:00 240001851 Closed Citation Citation B (HSC 1424) Staffing None 2005-01-26 00:00:00 2005-01-26 00:00:00 Yes 2005-04-07 00:00:00 2005-04-04 00:00:00 B None 1000 1000 -350 650 0 240019998 A99999 N CA00037205 C SFY2004-05
240000150 REDLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-03-29 00:00:00 240001852 Closed Citation Citation A (HSC 1424) Patient Care None 2004-08-10 00:00:00 2004-08-10 00:00:00 Yes 2005-04-20 00:00:00 2005-04-01 00:00:00 A B 3000 3000 0 3000 0 240019999 A99999 N CA00030469 B SFY2004-05
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-04-07 00:00:00 240001853 Closed Citation Citation B (HSC 1424) Medication None 2004-06-23 00:00:00 2004-06-23 00:00:00 Yes 2005-04-28 00:00:00 2005-04-26 00:00:00 B B 1000 1450 -950 500 0 240020004 A99999 N None None SFY2004-05
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-04-07 00:00:00 240001854 Closed Citation Citation B (HSC 1424) Administration None 2004-06-23 00:00:00 None Yes 2005-04-28 00:00:00 2005-04-26 00:00:00 B Dismissed by Court 1000 0 0 0 0 240020005 A99999 N None None SFY2004-05
240001682 MESA TERRACE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2005-05-10 00:00:00 240001855 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-14 00:00:00 2004-09-14 00:00:00 No 2005-06-01 00:00:00 None B None 1000 1000 -350 650 0 240020006 A99999 N CA00037638, CA00037992 A, C SFY2004-05
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-07-26 00:00:00 240001856 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-23 00:00:00 2005-02-23 00:00:00 No 2005-08-16 00:00:00 None B None 500 500 -175 325 0 240020009 A99999 N CA00040012 C SFY2005-06
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-05-16 00:00:00 240001857 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-02 00:00:00 2004-10-02 00:00:00 No 2005-06-07 00:00:00 None B None 1000 1000 -350 650 0 240020003 A99999 N CA00032648 C SFY2004-05
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-05-31 00:00:00 240001858 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-09 00:00:00 None Yes 2005-06-24 00:00:00 2005-06-17 00:00:00 B B 1000 500 0 500 0 240020010 A99999 N None None SFY2004-05
240001460 WALNUT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2005-05-31 00:00:00 240001859 Closed Citation Citation B (HSC 1424) Medication None 2003-10-29 00:00:00 2003-10-29 00:00:00 No 2005-06-21 00:00:00 None B None 900 900 -315 585 0 240020011 A99999 N CA00029846 C SFY2004-05
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-07-27 00:00:00 240001860 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-13 00:00:00 2005-03-13 00:00:00 No 2005-08-17 00:00:00 None B None 1000 4600 -350 4250 0 240020014 A99999 N CA00040734 D SFY2005-06
240001092 MAVIS DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2005-08-23 00:00:00 240001861 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-02 00:00:00 2005-01-02 00:00:00 No 2005-09-14 00:00:00 None B None 1000 1000 -350 650 0 240020015 A99999 N None None SFY2005-06
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2005-09-07 00:00:00 240001862 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-12 00:00:00 2005-01-12 00:00:00 No 2005-09-28 00:00:00 None B None 1000 1000 -350 650 0 240020016 A99999 N None None SFY2005-06
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2005-09-21 00:00:00 240001863 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-03-25 00:00:00 None Yes 2005-12-15 00:00:00 2005-10-06 00:00:00 B B 300 150 0 150 0 240020017 A99999 N CA00044339 B SFY2005-06
240000969 VAN BUREN HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2005-10-28 00:00:00 240001864 Closed Citation Citation B (HSC 1424) Staffing None 2005-02-12 00:00:00 2005-02-12 00:00:00 No 2005-11-21 00:00:00 None B None 1000 1000 0 1000 0 240020020 A99999 N CA00039288 B SFY2005-06
240000075 LINDA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2005-11-17 00:00:00 240001865 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-26 00:00:00 2004-07-26 00:00:00 No 2005-12-12 00:00:00 None B None 1000 1000 -350 650 0 240020021 A99999 N CA00029460 C SFY2005-06
240001417 CHESTNUT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-01-27 00:00:00 240001866 Closed Citation Citation A (HSC 1424) Medication None 2004-03-31 00:00:00 2004-03-31 00:00:00 Yes 2006-02-21 00:00:00 2006-02-17 00:00:00 A A 10000 1500 0 1500 0 240020022 A99999 N CA00021450 C SFY2005-06
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2006-01-27 00:00:00 240001867 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-21 00:00:00 2005-10-21 00:00:00 No 2006-02-21 00:00:00 None B None 300 400 -105 295 0 240020023 A99999 N CA00064311 C SFY2005-06
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2006-03-23 00:00:00 240002943 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-07 00:00:00 2005-06-07 00:00:00 Yes 2006-04-14 00:00:00 2006-03-27 00:00:00 B B 1000 500 0 500 0 None 420S11 N CA00051531 C SFY2005-06
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-03-17 00:00:00 240002945 Closed Citation Citation A (HSC 1424) Patient Care None 2005-03-22 00:00:00 2005-03-22 00:00:00 Yes 2006-04-10 00:00:00 2006-03-27 00:00:00 A A 17000 11050 0 11050 0 None 67F911 N CA00043352 C SFY2005-06
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-04-04 00:00:00 240002964 Closed Citation Citation A (HSC 1424) Patient Care None 2004-12-08 00:00:00 2004-12-08 00:00:00 Yes 2006-04-25 00:00:00 2006-04-04 00:00:00 A A 18000 11950 -250 11700 0 None GRLO11 N None None SFY2005-06
240001743 CHRISTOPHER RANCH II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-04-17 00:00:00 240002966 Closed Citation Citation B (HSC 1424) Other Abuse/Fac. Self Reported 2005-07-15 00:00:00 2005-07-15 00:00:00 No 2006-05-08 00:00:00 None B None 500 500 -175 325 0 None YWVW11 N CA00055755 B SFY2005-06
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-03-23 00:00:00 240002970 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-29 00:00:00 2005-10-29 00:00:00 No 2006-04-14 00:00:00 None B None 1000 3000 -1050 1950 0 None FMZE11 N CA00065019 C SFY2005-06
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-03-23 00:00:00 240002979 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-07 00:00:00 2005-06-07 00:00:00 No 2006-04-14 00:00:00 None B None 800 800 -280 520 0 None K43L11 N CA00051624 C SFY2005-06
240000979 BEAR VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2006-04-20 00:00:00 240002992 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-05 00:00:00 2005-02-05 00:00:00 No 2006-05-11 00:00:00 None B None 1000 1000 -350 650 0 None XNVM11 N CA00038896 C SFY2005-06
240001460 WALNUT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-05-03 00:00:00 240003059 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-30 00:00:00 2005-03-30 00:00:00 No 2006-05-24 00:00:00 None B None 700 700 -245 455 0 None QSGI11 N CA00042631 C SFY2005-06
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-05-09 00:00:00 240003082 Closed Citation Citation B (HSC 1424) Dietary None 2005-11-03 00:00:00 2005-11-03 00:00:00 No 2006-05-31 00:00:00 None B None 1000 1000 -350 650 0 None K5T111 N CA00061187 C SFY2005-06
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-05-09 00:00:00 240003083 Closed Citation Citation B (HSC 1424) Administration None 2005-11-17 00:00:00 2005-11-17 00:00:00 No 2006-05-31 00:00:00 None B None 1000 1900 -350 1550 0 None BJVN11 N CA00056257 C SFY2005-06
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-05-08 00:00:00 240003084 Closed Citation Citation A (HSC 1424) Patient Care None 2004-02-29 00:00:00 2004-02-29 00:00:00 Yes 2006-05-30 00:00:00 2006-05-23 00:00:00 A None 15000 15550 -15550 0 0 None S4D511 N CA00019129 D SFY2005-06
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2006-05-08 00:00:00 240003085 Closed Citation Citation B (HSC 1424) Other AB-Abuse 2005-12-16 00:00:00 2005-12-16 00:00:00 No 2006-05-30 00:00:00 None B None 1000 1000 -350 650 0 None 87Q911 N CA00068271 B SFY2005-06
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2006-05-08 00:00:00 240003086 Closed Citation Citation B (HSC 1424) Other AB-Abuse 2005-11-16 00:00:00 2005-11-16 00:00:00 No 2006-05-30 00:00:00 None B None 1000 1000 -350 650 0 None CK8211 N CA00065795 C SFY2005-06
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-05-08 00:00:00 240003087 Closed Citation Citation B (HSC 1424) Other AB-Abuse 2006-02-02 00:00:00 2006-02-02 00:00:00 No 2006-05-30 00:00:00 None B None 1000 1150 -350 800 0 None FO8M11 N CA00071606 C SFY2005-06
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-05-17 00:00:00 240003104 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-13 00:00:00 2006-02-13 00:00:00 No 2006-06-08 00:00:00 None B None 700 700 -245 455 0 None YPX611 N CA00073532 B SFY2005-06
240000107 TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2006-05-22 00:00:00 240003112 Closed Citation Citation A (HSC 1424) Patient Care None 2005-03-25 00:00:00 2005-03-25 00:00:00 Yes 2011-05-17 00:00:00 2011-02-17 00:00:00 A A 20000 10400 -400 10000 0 None B5GM11 N CA00042032 C SFY2005-06
240001856 GIBBS DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-05-31 00:00:00 240003131 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-28 00:00:00 2005-03-28 00:00:00 No 2006-06-21 00:00:00 None B None 900 900 0 900 0 None Q1BO11 N CA00043416 C SFY2005-06
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-06-01 00:00:00 240003134 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-06-22 00:00:00 2005-06-22 00:00:00 Yes 2010-09-28 00:00:00 2010-09-20 00:00:00 AA AA 65000 65000 0 65000 0 None C74G11 Y CA00070511 C SFY2005-06
240000127 CIRCLEBROOK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-06-06 00:00:00 240003145 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-08-23 00:00:00 2004-08-23 00:00:00 Yes 2008-04-14 00:00:00 2008-04-16 00:00:00 AA A 25000 12250 -250 12000 0 None WTV811 Y CA00030473 B SFY2005-06
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-06-16 00:00:00 240003170 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2005-03-04 00:00:00 2005-03-04 00:00:00 No 2006-07-10 00:00:00 None B None 500 650 0 650 0 None SO4H11 N CA00065421 C SFY2005-06
240000126 JANE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-07-10 00:00:00 240003197 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-06-17 00:00:00 2005-06-17 00:00:00 Yes 2006-07-31 00:00:00 2006-07-14 00:00:00 A B 10000 2500 0 2500 0 None RFCV11 N CA00052377 C SFY2006-07
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2006-08-03 00:00:00 240003217 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-10-04 00:00:00 2004-10-04 00:00:00 Yes 2006-08-24 00:00:00 2006-08-04 00:00:00 B None 1000 1000 0 1000 0 None DNXE11 N CA00033229 B SFY2006-07
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-08-03 00:00:00 240003218 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-20 00:00:00 2005-08-20 00:00:00 Yes 2006-08-24 00:00:00 2006-08-11 00:00:00 A None 15000 15000 -15000 0 0 None C40Y11 N None None SFY2006-07
240000065 HERITAGE GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-08-03 00:00:00 240003219 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-17 00:00:00 2003-01-17 00:00:00 No 2006-08-24 00:00:00 None A None 15000 15000 -5250 9750 0 None KXL011 N CA00033441 C SFY2006-07
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-08-03 00:00:00 240003220 Closed Citation Citation A (HSC 1424) Patient Care None 2004-09-01 00:00:00 2004-09-01 00:00:00 Yes 2006-08-24 00:00:00 2006-08-24 00:00:00 A B 10000 7500 0 7500 0 None IHRH11 N CA00037892 C SFY2006-07
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2006-07-28 00:00:00 240003241 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-28 00:00:00 2005-10-28 00:00:00 No 2006-08-18 00:00:00 None B None 1000 1000 -350 650 0 None TWWD11 N CA00065734 C SFY2006-07
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-10-04 00:00:00 240003252 Closed Citation Citation B (HSC 1424) Other AB-ABUSE/FACILITY 2006-05-11 00:00:00 2006-05-11 00:00:00 Yes 2006-10-26 00:00:00 2006-10-10 00:00:00 B B 1000 500 0 500 0 None WI0N11 N CA00080717 B SFY2006-07
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-09-01 00:00:00 240003317 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-27 00:00:00 2005-09-27 00:00:00 Yes 2006-09-25 00:00:00 2006-09-01 00:00:00 A A 20000 12000 0 12000 0 None OSRI11 N CA00065389 C SFY2006-07
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-09-21 00:00:00 240003349 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-05 00:00:00 2003-09-05 00:00:00 Yes 2006-10-13 00:00:00 2006-09-22 00:00:00 A None 20000 20000 -20000 0 0 None CGCN11 N CA00033334 C SFY2006-07
240000085 MONTCLAIR MANOR CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-09-21 00:00:00 240003351 Closed Citation Citation A (HSC 1424) Patient Care None 2004-05-27 00:00:00 2004-05-27 00:00:00 Yes 2006-10-13 00:00:00 2006-09-21 00:00:00 A A 20000 20000 0 20000 0 None 4FX911 N CA00025363, CA00056482 B, C SFY2006-07
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-09-22 00:00:00 240003353 Closed Citation Citation A (HSC 1424) Patient Care None 2004-11-17 00:00:00 2004-11-17 00:00:00 Yes 2006-10-16 00:00:00 2006-09-22 00:00:00 A None 20000 20300 -20300 0 0 None CVKR11 N CA00034967 C SFY2006-07
240000118 BERYL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-09-22 00:00:00 240003355 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-11 00:00:00 2005-06-11 00:00:00 No 2006-10-16 00:00:00 None A None 8000 8000 -2800 5200 0 None XG2Z11 N CA00051349 B SFY2006-07
240001246 ALTA LOMA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-09-22 00:00:00 240003356 Closed Citation Citation A (HSC 1424) Patient Care None 2005-01-16 00:00:00 2005-01-16 00:00:00 Yes 2011-06-28 00:00:00 2011-06-17 00:00:00 A B 8000 8000 0 8000 0 None VOJ311 N CA00037641 C SFY2006-07
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2006-09-27 00:00:00 240003362 Closed Citation Citation A (HSC 1424) Other AB-ABUSE 2005-10-17 00:00:00 2005-10-17 00:00:00 Yes 2006-10-19 00:00:00 2006-09-28 00:00:00 A A 20000 20000 0 20000 0 None Q7DB11 N CA00063923 C SFY2006-07
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2006-09-27 00:00:00 240003363 Closed Citation Citation A (HSC 1424) Other Abuse/Facility Not Report 2005-06-14 00:00:00 2005-06-14 00:00:00 Yes 2006-10-19 00:00:00 2006-10-19 00:00:00 A B 20000 1000 0 1000 0 None WMPT11 N CA00054343 C SFY2006-07
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-09-28 00:00:00 240003364 Closed Citation Citation B (HSC 1424) Other AB-ABUSE 2005-08-20 00:00:00 2005-08-20 00:00:00 Yes 2006-10-20 00:00:00 2006-10-10 00:00:00 B B 1000 500 0 500 0 None DDM011 N CA00059006 C SFY2006-07
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-09-28 00:00:00 240003365 Closed Citation Citation A (HSC 1424) Patient Care None 2005-10-22 00:00:00 2005-10-22 00:00:00 Yes 2006-10-20 00:00:00 2006-10-10 00:00:00 A B 20000 5000 0 5000 0 None 41DI11 N CA00064575 C SFY2006-07
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-09-28 00:00:00 240003366 Closed Citation Citation A (HSC 1424) Patient Care None 2005-10-22 00:00:00 2005-10-22 00:00:00 Yes 2006-10-20 00:00:00 2006-10-10 00:00:00 A B 20000 5000 0 5000 0 None WD2K11 N CA00064575 C SFY2006-07
240000107 TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2006-10-10 00:00:00 240003411 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-09 00:00:00 2005-09-09 00:00:00 No 2006-10-31 00:00:00 None B None 950 950 0 950 0 None WN1Q11 N CA00060735 B SFY2006-07
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2006-10-31 00:00:00 240003422 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-16 00:00:00 2006-05-16 00:00:00 Yes 2006-11-22 00:00:00 2006-11-02 00:00:00 B B 900 450 0 450 0 None XWJX11 N CA00078980 C SFY2006-07
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2006-10-19 00:00:00 240003425 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-17 00:00:00 2006-08-17 00:00:00 No 2006-11-09 00:00:00 None B None 600 600 -210 390 0 None 3SE111 N CA00082149 C SFY2006-07
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2006-10-19 00:00:00 240003435 Closed Citation Citation B (HSC 1424) Other AB-Abuse 2006-02-08 00:00:00 2006-02-08 00:00:00 No 2006-11-09 00:00:00 None B None 500 500 -175 325 0 None OGG111 N CA00075185 B SFY2006-07
240001007 VILLA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-10-20 00:00:00 240003437 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-06 00:00:00 2005-06-06 00:00:00 No 2006-11-13 00:00:00 None B None 850 850 0 850 0 None 6QYE11 N CA00062894 C SFY2006-07
240000876 LANFAIR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-11-16 00:00:00 240003494 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-17 00:00:00 2006-02-17 00:00:00 No 2006-12-11 00:00:00 None B None 800 800 -280 520 0 None 6JGN11 N CA00056013 B SFY2006-07
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2006-11-21 00:00:00 240003507 Closed Citation Citation A (HSC 1424) Patient Care None 2005-04-21 00:00:00 2005-04-21 00:00:00 Yes 2006-12-14 00:00:00 2006-11-21 00:00:00 A A 17000 2350 -350 2000 0 None CDIE11 N CA00046984 C SFY2006-07
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2006-11-21 00:00:00 240003509 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-18 00:00:00 2006-01-18 00:00:00 Yes 2006-12-14 00:00:00 2006-11-21 00:00:00 B B 1000 500 0 500 0 None W6FC11 N CA00070841 B SFY2006-07
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-11-30 00:00:00 240003533 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-09 00:00:00 2006-02-09 00:00:00 No 2006-12-21 00:00:00 None B None 950 950 -332.5 617.5 0 None 19DU11 N CA00076480 C SFY2006-07
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-12-04 00:00:00 240003540 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-15 00:00:00 2005-06-15 00:00:00 Yes 2006-12-26 00:00:00 2006-12-06 00:00:00 B B 1000 600 0 600 0 None WYCE11 N CA00053230 C SFY2006-07
240001842 JASPER DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2007-01-24 00:00:00 240003659 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-10 00:00:00 2006-05-10 00:00:00 No 2007-02-15 00:00:00 None B None 1000 1000 0 1000 0 None S2HD11 N CA00080490 C SFY2006-07
240000965 VIVIENDA HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2007-02-21 00:00:00 240003717 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-12-17 00:00:00 2005-12-17 00:00:00 Yes 2010-09-17 00:00:00 2010-01-12 00:00:00 AA AA 25000 25000 0 25000 0 None VC3F11 Y CA00068212 C SFY2006-07
240000965 VIVIENDA HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2007-02-21 00:00:00 240003733 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-28 00:00:00 2005-08-28 00:00:00 Yes 2012-09-14 00:00:00 2007-03-15 00:00:00 A A 5000 5050 -50 5000 0 None YCHP11 N CA00059899 C SFY2006-07
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-03-07 00:00:00 240003761 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-06-24 00:00:00 2006-06-24 00:00:00 No 2007-03-23 00:00:00 None B None 1000 1000 -350 650 0 None D39311 N CA00084573 B SFY2006-07
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-03-02 00:00:00 240003762 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-15 00:00:00 2005-11-15 00:00:00 Yes 2007-03-23 00:00:00 2007-03-02 00:00:00 B None 1000 1050 0 1050 0 None E9M511 N CA00068330 C SFY2006-07
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-03-02 00:00:00 240003763 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-28 00:00:00 2005-09-28 00:00:00 Yes 2007-03-23 00:00:00 2007-04-07 00:00:00 A None 10000 10100 -10100 0 0 None CP9011 N CA00069329 C SFY2006-07
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-03-07 00:00:00 240003770 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-02-28 00:00:00 2006-02-28 00:00:00 Yes 2007-03-28 00:00:00 2007-03-14 00:00:00 B None 1000 1000 -1000 0 0 None 0DXO11 N CA00073643 B SFY2006-07
240000156 WATERMAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2007-03-15 00:00:00 240003800 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-26 00:00:00 2006-05-26 00:00:00 Yes 2014-04-09 00:00:00 2007-03-22 00:00:00 B B 1000 1000 0 1000 0 None KORC11 N CA00084743 B SFY2006-07
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-03-16 00:00:00 240003810 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-16 00:00:00 2006-08-16 00:00:00 No 2007-04-06 00:00:00 None B None 750 850 0 850 0 None 4PEP11 N CA00090356 B SFY2006-07
240000090 ONTARIO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-03-19 00:00:00 240003811 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-04 00:00:00 2006-11-04 00:00:00 No 2007-04-09 00:00:00 None A None 16000 16000 -5600 10400 0 None E6EF11 N CA00097890 C SFY2006-07
240000093 COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO LTC SNF Skilled Nursing Facility San Bernardino 2007-04-10 00:00:00 240003879 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-31 00:00:00 2006-05-31 00:00:00 No 2007-05-01 00:00:00 None B None 1000 1050 0 1050 0 None 7XHK11 N CA00082373 B SFY2006-07
240001244 GENOA DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2007-08-22 00:00:00 240004207 Closed Citation Citation AA (HSC 1424) Patient Rights None 2006-07-19 00:00:00 2006-07-19 00:00:00 Yes 2007-09-13 00:00:00 2007-08-22 00:00:00 AA AA 25000 25000 0 25000 0 None K28211 Y CA00089708 C SFY2007-08
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-09-14 00:00:00 240004275 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-11 00:00:00 2007-03-11 00:00:00 Yes 2007-10-05 00:00:00 2007-09-18 00:00:00 B B 1000 500 0 500 0 None 6DUV11 N CA00109114 B SFY2007-08
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-10-11 00:00:00 240004343 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-02-24 00:00:00 2007-02-24 00:00:00 Yes 2010-09-13 00:00:00 2010-08-26 00:00:00 AA AA 100000 65000 0 65000 0 None PD4M11 Y CA00107421, CA00107476, CA00107656 C, C, C SFY2007-08
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2007-10-18 00:00:00 240004367 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-15 00:00:00 2006-07-15 00:00:00 Yes 2007-11-08 00:00:00 2007-11-07 00:00:00 A A 17000 10250 -50 10200 0 None Y9C011 N CA00093389 C SFY2007-08
240000065 HERITAGE GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-10-18 00:00:00 240004371 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-26 00:00:00 2006-11-26 00:00:00 No 2007-11-08 00:00:00 None B None 500 500 -175 325 0 None E90O11 N CA00107615 C SFY2007-08
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2007-10-23 00:00:00 240004378 Open Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2005-06-03 00:00:00 2005-06-03 00:00:00 Yes 2014-09-16 00:00:00 2014-01-16 00:00:00 B B 1000 1000 0 0 1000 None MTBV11 N CA00086377 C SFY2007-08
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2007-10-24 00:00:00 240004394 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-04-18 00:00:00 2007-04-18 00:00:00 Yes 2007-11-15 00:00:00 2010-09-01 00:00:00 AA A 100000 65000 0 65000 0 None 7ODV11 Y CA00112528 C SFY2007-08
240001446 GLENDA SHAKLEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2007-11-02 00:00:00 240004420 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-03 00:00:00 2006-08-03 00:00:00 No 2007-11-28 00:00:00 None B None 950 1000 0 1000 0 None TT1S11 N CA00089056 C SFY2007-08
240001446 GLENDA SHAKLEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2007-11-27 00:00:00 240004467 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-18 00:00:00 2006-07-18 00:00:00 No 2007-12-18 00:00:00 None B None 1000 1000 -350 650 0 None BHLR11 N None None SFY2007-08
240000876 LANFAIR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2007-11-27 00:00:00 240004468 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-06 00:00:00 2007-01-06 00:00:00 No 2007-12-18 00:00:00 None B None 1000 1000 -350 650 0 None IO2W11 N CA00103124 C SFY2007-08
240000065 HERITAGE GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2007-11-30 00:00:00 240004469 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-31 00:00:00 2007-03-31 00:00:00 No 2007-12-21 00:00:00 None B None 500 650 -175 475 0 None TXUD11 N CA00110904 A SFY2007-08
240001697 CHRISTOPHER RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2008-01-02 00:00:00 240004551 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-27 00:00:00 2007-01-27 00:00:00 No 2008-01-24 00:00:00 None A None 10000 10050 -3500 6550 0 None COIL11 N CA00109239 C SFY2007-08
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2008-01-29 00:00:00 240004618 Closed Citation Citation A (HSC 1424) Patient Care None 2005-06-07 00:00:00 2005-06-07 00:00:00 Yes 2008-02-21 00:00:00 2008-02-08 00:00:00 A A 20000 20000 0 20000 0 None 3G0311 N CA00054126 C SFY2007-08
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-01-30 00:00:00 240004619 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-11 00:00:00 2007-04-11 00:00:00 No 2008-02-22 00:00:00 None B None 1000 1250 0 1250 0 None 8E0R11 N CA00111872 C SFY2007-08
240000065 HERITAGE GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-01-29 00:00:00 240004623 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-30 00:00:00 2007-05-30 00:00:00 No 2008-02-21 00:00:00 None B None 1000 1050 0 1050 0 None 8OGX11 N CA00116772 C SFY2007-08
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-02-27 00:00:00 240004715 Closed Citation Citation A (HSC 1424) Patient Care None 2006-04-17 00:00:00 2006-04-17 00:00:00 Yes 2008-03-19 00:00:00 2008-03-10 00:00:00 A A 18500 12025 0 12025 0 None S0ZP11 N CA00081741 C SFY2007-08
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-02-29 00:00:00 240004716 Closed Citation Citation B (HSC 1424) Medication None 2006-09-30 00:00:00 2006-09-30 00:00:00 No 2008-03-21 00:00:00 None B None 950 950 -332.5 617.5 0 None HH8U11 N CA00098610 C SFY2007-08
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-02-29 00:00:00 240004718 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-10 00:00:00 2006-10-10 00:00:00 No 2008-03-21 00:00:00 None B None 1000 1000 -350 650 0 None HH8U11 N CA00098610 C SFY2007-08
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2008-03-04 00:00:00 240004731 Closed Citation Citation B (HSC 1424) Administration None 2007-09-12 00:00:00 2007-09-12 00:00:00 No 2008-03-25 00:00:00 None B None 1000 1400 -350 1050 0 None EQY411 N CA00125457 B SFY2007-08
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-03-05 00:00:00 240004735 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-28 00:00:00 2007-07-28 00:00:00 No 2008-03-26 00:00:00 None B None 1000 1000 0 1000 0 None 4NRK11 N CA00121859 B SFY2007-08
240001087 PALOMAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2008-03-10 00:00:00 240004771 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-17 00:00:00 2007-09-17 00:00:00 Yes 2008-04-01 00:00:00 2008-03-10 00:00:00 B B 1000 1000 0 1000 0 None F6XL11 N CA00126847 B SFY2007-08
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2008-04-02 00:00:00 240004846 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-05-21 00:00:00 2007-05-21 00:00:00 No 2008-04-23 00:00:00 None B None 1000 1950 -350 1600 0 None 5H8D11 N CA00115420, CA00115574 C, C SFY2007-08
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-04-29 00:00:00 240004962 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-12 00:00:00 2006-07-12 00:00:00 No 2008-05-22 00:00:00 None A None 19500 19500 -6825 12675 0 None BTM011 N CA00088531 C SFY2007-08
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2008-04-29 00:00:00 240004965 Closed Citation Citation B (HSC 1424) Administration None 2007-06-07 00:00:00 2007-06-07 00:00:00 No 2008-05-20 00:00:00 None B None 1000 1050 0 1050 0 None 879411 N CA00116656 C SFY2007-08
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2008-04-29 00:00:00 240004966 Closed Citation Citation B (HSC 1424) Administration None 2007-06-07 00:00:00 2007-06-07 00:00:00 No 2008-05-20 00:00:00 None B None 1000 1050 0 1050 0 None 879411 N CA00116656 C SFY2007-08
240000107 TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2008-05-05 00:00:00 240004996 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-07-20 00:00:00 2005-07-20 00:00:00 Yes 2010-09-16 00:00:00 2010-08-30 00:00:00 AA A 85000 30000 0 30000 0 None F5YY11 Y CA00056942 C SFY2007-08
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-05-09 00:00:00 240005006 Closed Citation Citation A (HSC 1424) Medication None 2007-04-02 00:00:00 2007-04-02 00:00:00 No 2008-06-02 00:00:00 None A None 19000 19000 -6650 12350 0 None X2RN11 N CA00111111 A SFY2007-08
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-06-25 00:00:00 240005123 Closed Citation Citation A (HSC 1424) Patient Care None 2007-02-06 00:00:00 2007-02-06 00:00:00 No 2008-07-17 00:00:00 None A None 10000 10000 0 10000 0 None ZJD211 N CA00106001 C SFY2007-08
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2008-07-08 00:00:00 240005215 Closed Citation Citation B (HSC 1424) Medication None 2007-12-12 00:00:00 2007-12-12 00:00:00 No 2008-07-29 00:00:00 None B None 1000 1000 -350 650 0 None R19I11 N CA00134958, CA00135125 C, C SFY2008-09
240000840 LINCOLN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2008-07-15 00:00:00 240005234 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-20 00:00:00 2007-08-20 00:00:00 No 2008-08-05 00:00:00 None B None 1000 1400 0 1400 0 None IFJU11 N CA00124092 C SFY2008-09
240001751 VICTORIA DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2008-07-24 00:00:00 240005248 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-28 00:00:00 2007-10-28 00:00:00 No 2008-08-14 00:00:00 None B None 800 800 -280 520 0 None JNIP11 N CA00130510, CA00130580 C, B SFY2008-09
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-07-24 00:00:00 240005254 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-20 00:00:00 2008-03-20 00:00:00 No 2008-08-14 00:00:00 None A None 16000 16000 -5600 10400 0 None O1DG11 N CA00144580 C SFY2008-09
240000107 TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2008-07-30 00:00:00 240005269 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-07-29 00:00:00 2005-07-29 00:00:00 Yes 2008-08-20 00:00:00 2010-08-30 00:00:00 AA A 85000 30000 0 30000 0 None S4Q411 Y CA00057799 C SFY2008-09
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2008-08-29 00:00:00 240005368 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-17 00:00:00 2006-03-17 00:00:00 Yes 2008-09-22 00:00:00 2008-09-02 00:00:00 B None 900 2700 -945 1755 0 None 18J811 N CA00076164 B SFY2008-09
240001673 SHEPHERD DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2008-09-03 00:00:00 240005370 Closed Citation Citation B (HSC 1424) Medication None 2007-01-08 00:00:00 2007-01-08 00:00:00 No 2008-09-24 00:00:00 None B None 900 900 -315 585 0 None 94H711 N CA00103512 B SFY2008-09
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2008-09-03 00:00:00 240005374 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-27 00:00:00 2007-09-27 00:00:00 No 2008-09-24 00:00:00 None B None 1000 1000 0 1000 0 None R19I11 N CA00133815 C SFY2008-09
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-11-12 00:00:00 240005593 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-24 00:00:00 2008-07-24 00:00:00 No 2008-12-05 00:00:00 None A None 14000 14000 -4900 9100 0 None HK4B11 N CA00158172 C SFY2008-09
240000840 LINCOLN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2008-11-25 00:00:00 240005642 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-26 00:00:00 2007-03-26 00:00:00 No 2008-12-18 00:00:00 None B None 1000 1000 0 1000 0 None 0V5E11 N CA00110454 C SFY2008-09
240001844 TURQUOISE DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2008-12-01 00:00:00 240005649 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-06-18 00:00:00 2008-06-18 00:00:00 No 2008-12-22 00:00:00 None B None 250 250 0 250 0 None MFIU11 N CA00148845 C SFY2008-09
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2008-12-02 00:00:00 240005662 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-08-19 00:00:00 2008-08-19 00:00:00 Yes 2008-12-23 00:00:00 2008-12-18 00:00:00 B B 850 575 -100 475 0 None YOQ111 N CA00160772 C SFY2008-09
240000032 BROOKSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-12-31 00:00:00 240005713 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-15 00:00:00 2006-12-15 00:00:00 No 2009-01-23 00:00:00 None A None 5000 5000 -1750 3250 0 None XZV811 N CA00102939 C SFY2008-09
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2008-12-31 00:00:00 240005717 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-13 00:00:00 2007-08-13 00:00:00 No 2009-01-23 00:00:00 None B None 1000 1000 0 1000 0 None 6MC611 N CA00123465 A SFY2008-09
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2009-01-30 00:00:00 240005831 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-25 00:00:00 2008-04-25 00:00:00 No 2009-02-24 00:00:00 None B None 900 900 -315 585 0 None BYE711 N CA00146052 C SFY2008-09
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-02-19 00:00:00 240005886 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-11 00:00:00 2006-01-11 00:00:00 No 2009-03-12 00:00:00 None B None 1000 1000 0 1000 0 None TF0T11 N CA00079789 C SFY2008-09
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-02-23 00:00:00 240005895 Closed Citation Citation B (HSC 1424) Administration None 2007-07-15 00:00:00 2007-07-15 00:00:00 No 2009-03-16 00:00:00 None B None 1000 1000 -350 650 0 None 4FPE11 N CA00120551 B SFY2008-09
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2009-02-24 00:00:00 240005897 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-11-07 00:00:00 2007-11-07 00:00:00 Yes 2009-03-17 00:00:00 2009-02-27 00:00:00 B B 1000 1000 0 1000 0 None 91E511 N CA00131661 E SFY2008-09
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2009-03-09 00:00:00 240005942 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-03 00:00:00 2007-08-03 00:00:00 No 2009-03-30 00:00:00 None B None 1000 1000 -350 650 0 None 81OF11 N CA00124908 B SFY2008-09
240001089 COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2009-03-11 00:00:00 240005946 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-12 00:00:00 2006-11-12 00:00:00 No 2009-04-02 00:00:00 None B None 1000 1000 -350 650 0 None S5JK11 N CA00099949 C SFY2008-09
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2009-03-11 00:00:00 240005947 Closed Citation Citation B (HSC 1424) Medication None 2006-10-03 00:00:00 2006-10-03 00:00:00 No 2009-04-02 00:00:00 None B None 1000 1000 -350 650 0 None C52G11 N CA00096164 C SFY2008-09
240001519 WEINGART HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2009-03-19 00:00:00 240005974 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-15 00:00:00 2007-01-15 00:00:00 No 2009-04-10 00:00:00 None B None 600 600 0 600 0 None GVZL11 N CA00103943 B SFY2008-09
630003741 ISHER CARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2009-03-23 00:00:00 240005994 Closed Citation Citation A (HSC 1424) Patient Care None 2008-02-06 00:00:00 2008-02-06 00:00:00 No 2009-04-14 00:00:00 None A None 6000 6000 -2100 3900 0 None 0Z2W11 N CA00140375 C SFY2008-09
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2009-03-24 00:00:00 240006004 Closed Citation Citation B (HSC 1424) Administration None 2006-06-12 00:00:00 2006-06-12 00:00:00 No 2009-04-15 00:00:00 None B None 1000 1000 -350 650 0 None HRH811 N CA00092958 B SFY2008-09
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2009-03-24 00:00:00 240006006 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-22 00:00:00 2007-10-22 00:00:00 Yes 2009-04-15 00:00:00 2009-03-30 00:00:00 B B 1000 500 0 500 0 None LJ3211 N CA00130625 E SFY2008-09
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-04-08 00:00:00 240006061 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-26 00:00:00 2007-12-26 00:00:00 No 2009-04-29 00:00:00 None B None 1000 1000 -350 650 0 None 9BTV11 N None None SFY2008-09
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-04-08 00:00:00 240006062 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-05 00:00:00 2008-01-05 00:00:00 No 2009-04-29 00:00:00 None B None 1000 1000 -350 650 0 None 9KMF11 N CA00137233 C SFY2008-09
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2009-04-16 00:00:00 240006106 Closed Citation Citation B (HSC 1424) Patient Care None 2009-03-03 00:00:00 2009-03-03 00:00:00 No 2009-05-07 00:00:00 None B None 1000 1000 -350 650 0 None JUCE11 N CA00178916 C SFY2008-09
240000156 WATERMAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-05-06 00:00:00 240006163 Closed Citation Citation A (HSC 1424) Patient Care None 2007-12-15 00:00:00 2007-12-15 00:00:00 Yes 2012-01-18 00:00:00 2012-01-04 00:00:00 A Dismissed by Court 18000 0 0 0 0 None EM6H11 N CA00135286 C SFY2008-09
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2009-05-11 00:00:00 240006168 Closed Citation Citation A (HSC 1424) Patient Care None 2007-07-11 00:00:00 2007-07-11 00:00:00 Yes 2009-06-02 00:00:00 2009-05-18 00:00:00 A None 20000 20000 0 20000 0 None SPV711 N CA00120533 B SFY2008-09
240000156 WATERMAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-06-10 00:00:00 240006272 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-21 00:00:00 2006-08-21 00:00:00 No 2009-07-01 00:00:00 None B None 1000 1000 -350 650 0 None V08E11 N CA00092629 C SFY2008-09
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-06-19 00:00:00 240006301 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-11-18 00:00:00 2008-11-18 00:00:00 No 2009-07-10 00:00:00 None B None 750 750 -262.5 487.5 0 None FE4W11 N CA00169394 B SFY2008-09
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-07-01 00:00:00 240006346 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-01 00:00:00 2008-04-01 00:00:00 Yes 2009-07-22 00:00:00 2009-07-21 00:00:00 B B 1000 1000 0 1000 0 None 8TG811 N CA00145794 C SFY2009-10
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2009-07-23 00:00:00 240006414 Closed Citation Citation B (HSC 1424) Staffing None 2008-11-15 00:00:00 2008-11-15 00:00:00 No 2009-08-13 00:00:00 None B None 1000 1000 0 1000 0 None CQHC11 N CA00170493 C SFY2009-10
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2009-08-11 00:00:00 240006458 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-06-11 00:00:00 2009-06-11 00:00:00 Yes 2009-09-01 00:00:00 2010-08-29 00:00:00 AA A 90000 25000 0 25000 0 None MV8T11 Y CA00191568 E SFY2009-10
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-08-13 00:00:00 240006464 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-15 00:00:00 2009-05-15 00:00:00 No 2009-09-03 00:00:00 None B None 900 900 -315 585 0 None 4NCE11 N CA00189186 C SFY2009-10
240000136 SYCAMORE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2009-08-13 00:00:00 240006466 Closed Citation Citation B (HSC 1424) Medication None 2007-03-01 00:00:00 2007-03-01 00:00:00 Yes 2009-09-03 00:00:00 2009-08-13 00:00:00 B B 500 250 0 250 0 None D9D011 N CA00107575, CA00108061 C, C SFY2009-10
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-08-20 00:00:00 240006483 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-20 00:00:00 2007-10-20 00:00:00 Yes 2009-09-11 00:00:00 2009-09-01 00:00:00 A B 10000 6000 0 6000 0 None BTIZ11 N CA00130752 C SFY2009-10
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-09-17 00:00:00 240006548 Closed Citation Citation A (HSC 1424) Patient Care None 2007-02-05 00:00:00 2007-02-05 00:00:00 Yes 2009-10-08 00:00:00 2009-09-24 00:00:00 A A 17500 10500 0 10500 0 None 3RLK11 Y CA00107574 C SFY2009-10
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-09-17 00:00:00 240006557 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-11 00:00:00 2009-06-11 00:00:00 No 2009-10-08 00:00:00 None B None 700 700 -245 455 0 None EF0T11 N CA00191867 C SFY2009-10
240000150 REDLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2009-10-08 00:00:00 240006608 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-06 00:00:00 2009-01-06 00:00:00 No 2009-10-30 00:00:00 None B None 1000 1000 -350 650 0 None 3EGJ11 N CA00176938 C SFY2009-10
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2009-10-23 00:00:00 240006651 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-09 00:00:00 2007-10-09 00:00:00 Yes 2009-11-16 00:00:00 2009-11-04 00:00:00 A A 16500 16500 0 16500 0 None 1ZUT11 N CA00153652 C SFY2009-10
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2009-10-23 00:00:00 240006652 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-17 00:00:00 2007-10-17 00:00:00 Yes 2009-11-16 00:00:00 2009-11-03 00:00:00 A None 18000 18000 0 18000 0 None 1ZUT11 N CA00153652 C SFY2009-10
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2009-11-05 00:00:00 240006677 Closed Citation Citation B (HSC 1424) Medication None 2008-05-08 00:00:00 2008-05-08 00:00:00 No 2009-12-01 00:00:00 None B None 700 700 -245 455 0 None WSZL11 N CA00154325 C SFY2009-10
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2009-11-10 00:00:00 240006690 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-19 00:00:00 2006-12-19 00:00:00 No 2009-12-04 00:00:00 None A None 16000 16000 -5600 10400 0 None 4SW711 N CA00101966 C SFY2009-10
240000097 ARROWHEAD SPRINGS HEALTHCARE LTC SNF Skilled Nursing Facility San Bernardino 2009-12-16 00:00:00 240006777 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-21 00:00:00 2007-09-21 00:00:00 No 2010-01-08 00:00:00 None B None 1000 1000 -350 650 0 None ZLUY11 N CA00127210 B SFY2009-10
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-12-30 00:00:00 240006842 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-11 00:00:00 2007-06-11 00:00:00 Yes 2010-01-25 00:00:00 2010-01-20 00:00:00 B B 1000 650 0 650 0 None KIEN11 N CA00117246 C SFY2009-10
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2009-12-30 00:00:00 240006843 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-19 00:00:00 2007-09-19 00:00:00 No 2010-01-25 00:00:00 None B None 1000 1000 -350 650 0 None 43R311 N CA00127569 H SFY2009-10
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2010-02-11 00:00:00 240006862 Closed Citation Citation AA (HSC 1424) Medication None 2008-08-15 00:00:00 2008-08-15 00:00:00 No 2010-03-04 00:00:00 None AA None 90000 90000 -31500 58500 0 None ANL411 Y CA00162118, CA00163605 H, C SFY2009-10
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2009-12-31 00:00:00 240006866 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-06 00:00:00 2008-08-06 00:00:00 Yes 2014-04-10 00:00:00 2010-01-11 00:00:00 B B 700 700 0 700 0 None XEXV11 Y CA00161203 C SFY2009-10
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2009-12-31 00:00:00 240006867 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-31 00:00:00 2009-05-31 00:00:00 Yes 2010-01-26 00:00:00 2010-01-11 00:00:00 B B 700 455 0 455 0 None MVT311 N CA00190300 C SFY2009-10
240000097 ARROWHEAD SPRINGS HEALTHCARE LTC SNF Skilled Nursing Facility San Bernardino 2010-01-05 00:00:00 240006876 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-04 00:00:00 2007-08-04 00:00:00 No 2010-01-28 00:00:00 None B None 1000 1000 0 1000 0 None WQKK11 N CA00122613 B SFY2009-10
240001111 ROSEWOOD HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-01-15 00:00:00 240006915 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-07 00:00:00 2008-01-07 00:00:00 Yes 2012-09-05 00:00:00 2012-08-15 00:00:00 A B 8000 15000 0 15000 0 None 4L2N11 N CA00137501 C SFY2009-10
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2010-02-05 00:00:00 240006974 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-14 00:00:00 2009-07-14 00:00:00 No 2010-02-26 00:00:00 None B None 1000 1000 0 1000 0 None 6VBJ11 N CA00197442 C SFY2009-10
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2010-02-22 00:00:00 240007006 Closed Citation Citation A (HSC 1424) Patient Care None 2009-09-23 00:00:00 2009-09-23 00:00:00 No 2010-03-15 00:00:00 None A None 15000 15000 -5250 9750 0 None 7D7G11 N CA00202971 C SFY2009-10
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2010-02-22 00:00:00 240007007 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-02-16 00:00:00 2009-02-16 00:00:00 No 2010-03-15 00:00:00 None B None 1000 1000 -350 650 0 None 7RJ111 N CA00178218 B SFY2009-10
240000855 PALMYRA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-02-22 00:00:00 240007008 Closed Citation Citation B (HSC 1424) Administration None 2005-06-10 00:00:00 2005-06-10 00:00:00 Yes 2010-03-15 00:00:00 2010-03-11 00:00:00 B B 1000 500 0 500 0 None 1QJ011 N CA00051649 C SFY2009-10
240000409 COLTON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-02-23 00:00:00 240007009 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-11 00:00:00 2005-10-11 00:00:00 No 2010-03-16 00:00:00 None B None 1000 1000 -350 650 0 None S86M11 N CA00063467 C SFY2009-10
240000121 NEWBURY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-02-23 00:00:00 240007010 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-08 00:00:00 2005-11-08 00:00:00 No 2010-03-16 00:00:00 None B None 1000 1000 0 1000 0 None FXBP11 N CA00065453 A SFY2009-10
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2010-03-04 00:00:00 240007017 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-01-07 00:00:00 2008-01-07 00:00:00 Yes 2010-03-25 00:00:00 2010-03-04 00:00:00 AA A 100000 25000 0 25000 0 None KIIK11 Y CA00138930, CA00164518 C, C SFY2009-10
240001550 BETHESDA LUTHERAN COMMUNITIES - FALLING LEAF LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-03-08 00:00:00 240007027 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-01-23 00:00:00 2008-01-23 00:00:00 No 2010-03-29 00:00:00 None B None 450 450 -157.5 292.5 0 None JWBY11 N CA00138849 C SFY2009-10
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2010-03-22 00:00:00 240007062 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-15 00:00:00 2007-07-15 00:00:00 No 2010-04-13 00:00:00 None B None 1000 1000 -350 650 0 None Y50K11 N CA00120372 C SFY2009-10
240001462 CLIFFORD SHAKLEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-03-03 00:00:00 240007063 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-10-02 00:00:00 2008-10-02 00:00:00 Yes 2011-03-24 00:00:00 2011-03-03 00:00:00 B None 1000 1000 0 1000 0 None OC9L11 N CA00167356 B SFY2010-11
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2010-03-22 00:00:00 240007064 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-20 00:00:00 2007-06-20 00:00:00 No 2010-04-13 00:00:00 None B None 1000 1000 -350 650 0 None RDE111 N CA00113636 C SFY2009-10
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-03-29 00:00:00 240007067 Closed Citation Citation B (HSC 1424) Medication None 2009-03-09 00:00:00 2009-03-09 00:00:00 No 2011-04-20 00:00:00 None B None 1000 1000 -350 650 0 None QD7D11 N CA00181863 C SFY2010-11
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2010-04-01 00:00:00 240007090 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-15 00:00:00 2006-09-15 00:00:00 No 2010-04-22 00:00:00 None B None 1000 1000 -350 650 0 None HRH811 N CA00093345 B SFY2009-10
240000107 TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2010-04-02 00:00:00 240007091 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-15 00:00:00 2006-12-15 00:00:00 Yes 2010-04-23 00:00:00 2010-04-23 00:00:00 B B 1000 200 0 200 0 None P4MC11 Y CA00102581 C SFY2009-10
240001007 VILLA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-02-17 00:00:00 240007092 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-21 00:00:00 2008-06-21 00:00:00 Yes 2011-03-11 00:00:00 2011-02-17 00:00:00 B B 1000 500 0 500 0 None LHXY11 N CA00155064 C SFY2010-11
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2010-04-01 00:00:00 240007093 Closed Citation Citation B (HSC 1424) Administration None 2006-05-17 00:00:00 2006-05-17 00:00:00 No 2010-04-22 00:00:00 None B None 900 900 -315 585 0 None TIUR11 N CA00081143 B SFY2009-10
240000747 LANCASTER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-02-14 00:00:00 240007094 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-16 00:00:00 2006-02-16 00:00:00 No 2011-03-08 00:00:00 None B None 1000 1000 -350 650 0 None 23XV11 N CA00073201 B SFY2010-11
240000413 RENEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-04-01 00:00:00 240007095 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-01 00:00:00 2007-01-01 00:00:00 No 2010-04-22 00:00:00 None B None 1000 1000 -350 650 0 None YMXV11 N CA00102841 B SFY2009-10
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2010-04-01 00:00:00 240007096 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-22 00:00:00 2006-08-22 00:00:00 No 2010-04-22 00:00:00 None B None 1000 1000 -350 650 0 None ZLI211 N CA00090844 C SFY2009-10
240000413 RENEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-04-02 00:00:00 240007097 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-01-13 00:00:00 2007-01-13 00:00:00 No 2010-04-23 00:00:00 None B None 1000 1000 -350 650 0 None YMXV11 N CA00103804, CA00104070, CA00104439 B, B, B SFY2009-10
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2010-04-22 00:00:00 240007147 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-16 00:00:00 2008-04-16 00:00:00 No 2010-05-13 00:00:00 None B None 1000 1000 -350 650 0 None O96F11 N CA00147254 B SFY2009-10
240000965 VIVIENDA HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-07-08 00:00:00 240007360 Closed Citation Citation A (HSC 1424) Patient Rights None 2008-08-01 00:00:00 2008-08-01 00:00:00 Yes 2012-09-14 00:00:00 2013-01-30 00:00:00 A A 8000 8000 0 8000 0 None 9CX511 Y CA00159136 C SFY2010-11
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2010-08-26 00:00:00 240007518 Closed Citation Citation A (HSC 1424) Patient Care None 2008-09-07 00:00:00 2008-09-07 00:00:00 Yes 2010-09-17 00:00:00 2010-08-31 00:00:00 A None 10000 10000 -10000 0 0 None KG3511 Y CA00165552 C SFY2010-11
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2010-08-27 00:00:00 240007529 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-01 00:00:00 2009-06-01 00:00:00 No 2010-09-20 00:00:00 None A None 20000 20000 -7000 13000 0 None OEX011 N CA00190580 C SFY2010-11
240000096 PLYMOUTH VILLAGE LTC SNF Skilled Nursing Facility San Bernardino 2010-09-08 00:00:00 240007547 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-21 00:00:00 2008-02-21 00:00:00 No 2010-09-29 00:00:00 None B None 1000 1000 0 1000 0 None MLY811 N CA00141481 B SFY2010-11
240001856 GIBBS DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-09-09 00:00:00 240007558 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-01-10 00:00:00 2009-01-10 00:00:00 No 2010-09-30 00:00:00 None B None 1000 1000 0 1000 0 None 46OV11 N CA00174476 B SFY2010-11
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2010-09-14 00:00:00 240007573 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-12 00:00:00 2010-01-12 00:00:00 No 2010-10-05 00:00:00 None B None 1000 1000 -350 650 0 None Y7N011 N CA00215145 C SFY2010-11
240000090 ONTARIO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2010-10-08 00:00:00 240007616 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-23 00:00:00 2008-04-23 00:00:00 No 2010-10-29 00:00:00 None B None 500 500 -175 325 0 None VDTQ11 N CA00148315 C SFY2010-11
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2010-10-14 00:00:00 240007623 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-03 00:00:00 2007-02-03 00:00:00 Yes 2010-11-04 00:00:00 2010-10-14 00:00:00 B B 1000 650 0 650 0 None U1L611 N CA00105808 A SFY2010-11
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2010-10-12 00:00:00 240007625 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-24 00:00:00 2009-06-24 00:00:00 Yes 2010-11-02 00:00:00 2010-10-13 00:00:00 B B 1000 650 0 650 0 None I30B11 N CA00193103 C SFY2010-11
240000854 SEVENTEENTH STREET HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2010-10-15 00:00:00 240007642 Open Citation Citation AA (HSC 1424) Patient Care None 2009-07-26 00:00:00 2009-07-26 00:00:00 Yes 2010-11-05 00:00:00 2012-10-15 00:00:00 AA AA 25000 25000 0 0 25000 None S5T711 Y CA00196392 A SFY2010-11
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2010-10-20 00:00:00 240007650 Closed Citation Citation B (HSC 1424) Staffing None 2007-02-05 00:00:00 2007-02-05 00:00:00 No 2010-11-10 00:00:00 None B None 500 500 -175 325 0 None KLC211 N CA00172572 C SFY2010-11
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2010-10-22 00:00:00 240007659 Closed Citation Citation B (HSC 1424) Other Fiduciary Abuse 2009-07-14 00:00:00 2009-07-14 00:00:00 Yes 2010-11-15 00:00:00 2010-10-22 00:00:00 B None 1000 1000 0 1000 0 None S0ER11 N CA00193884 B SFY2010-11
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-02-24 00:00:00 240007671 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-01 00:00:00 2007-08-01 00:00:00 No 2011-03-17 00:00:00 None B None 1000 1000 0 1000 0 None ZX6E11 N CA00122380 B SFY2010-11
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-02-02 00:00:00 240007891 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-18 00:00:00 2008-03-18 00:00:00 No 2011-02-24 00:00:00 None A None 8000 8000 -2800 5200 0 None WWRM11 N CA00144312 C SFY2010-11
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-02-02 00:00:00 240007893 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-15 00:00:00 2009-03-15 00:00:00 Yes 2011-02-24 00:00:00 2011-02-03 00:00:00 A None 10000 10000 -10000 0 0 None KIG611 N CA00181236, CA00189850 C, C SFY2010-11
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2011-02-09 00:00:00 240007921 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-31 00:00:00 2010-05-31 00:00:00 Yes 2011-03-03 00:00:00 2011-02-09 00:00:00 A A 20000 20000 0 20000 0 None BRJY11 N CA00210721 C SFY2010-11
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-02-25 00:00:00 240007938 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-08 00:00:00 2008-05-08 00:00:00 No 2011-03-18 00:00:00 None B None 1000 1000 -350 650 0 None HKVG11 N CA00149702 C SFY2010-11
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-02-25 00:00:00 240007939 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-08-16 00:00:00 2010-08-16 00:00:00 No 2011-03-18 00:00:00 None B None 1000 1000 -350 650 0 None FTBI11 N CA00240876 C SFY2010-11
240000107 TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2011-07-19 00:00:00 240007967 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-17 00:00:00 2006-12-17 00:00:00 Yes 2011-08-09 00:00:00 2011-07-19 00:00:00 A A 20000 10000 0 10000 0 None 5PL011 Y CA00101672 B SFY2011-12
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2011-03-08 00:00:00 240007975 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2009-03-01 00:00:00 2009-03-01 00:00:00 Yes 2011-03-29 00:00:00 2011-03-08 00:00:00 B B 1000 650 0 650 0 None 08M911 N CA00221796 B SFY2010-11
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-03-07 00:00:00 240007976 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-14 00:00:00 2010-04-14 00:00:00 No 2011-03-28 00:00:00 None B None 1000 1000 -350 650 0 None 3IVJ11 N CA00225621 B SFY2010-11
240001842 JASPER DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-03-02 00:00:00 240007977 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-10 00:00:00 2010-11-10 00:00:00 No 2011-03-23 00:00:00 None B None 1000 1000 -350 650 0 None 6ND311 N CA00249371 B SFY2010-11
240001753 CASA #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-03-02 00:00:00 240007978 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-11 00:00:00 2010-10-11 00:00:00 No 2011-03-23 00:00:00 None B None 1000 1000 0 1000 0 None M0EE11 N CA00246047 C SFY2010-11
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-03-09 00:00:00 240008020 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-27 00:00:00 2009-07-27 00:00:00 No 2011-03-30 00:00:00 None B None 1000 1000 0 1000 0 None 98PK11 N CA00196942 C SFY2010-11
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-03-10 00:00:00 240008024 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-05-13 00:00:00 2010-05-13 00:00:00 No 2011-04-01 00:00:00 None B None 1000 1000 0 1000 0 None X7NV11 N CA00229264 C SFY2010-11
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-04-13 00:00:00 240008131 Closed Citation Citation A (HSC 1424) Patient Care None 2005-11-01 00:00:00 2005-11-01 00:00:00 No 2011-05-04 00:00:00 None A None 2000 2000 0 2000 0 None 3RQ611 Y CA00064407, CA00188742 C, C SFY2010-11
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-04-14 00:00:00 240008133 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-01 00:00:00 2010-01-01 00:00:00 No 2011-05-05 00:00:00 None B None 1000 1000 -350 650 0 None IXZC11 N CA00214747 C SFY2010-11
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-04-15 00:00:00 240008134 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-24 00:00:00 2010-10-24 00:00:00 No 2011-05-06 00:00:00 None B None 1000 1000 -350 650 0 None UVH311 N CA00250831 C SFY2010-11
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-04-14 00:00:00 240008142 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-01-01 00:00:00 2010-01-01 00:00:00 No 2011-05-05 00:00:00 None B None 1000 1000 -350 650 0 None IXZC11 N CA00214747 C SFY2010-11
240000145 VILLA MESA CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-04-15 00:00:00 240008154 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-16 00:00:00 2009-07-16 00:00:00 Yes 2011-05-06 00:00:00 2011-04-22 00:00:00 B B 1000 500 0 500 0 None 9CRD11 N CA00195273 C SFY2010-11
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-04-19 00:00:00 240008168 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-11 00:00:00 2008-07-11 00:00:00 No 2011-05-10 00:00:00 None A None 10000 10000 0 10000 0 None JKIL11 N CA00156811 C SFY2010-11
240001882 WALKER HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-04-26 00:00:00 240008182 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-16 00:00:00 2008-04-16 00:00:00 Yes 2011-05-17 00:00:00 2011-04-26 00:00:00 B B 1000 650 0 650 0 None 418O11 N CA00147184 A SFY2010-11
240001089 COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2011-05-06 00:00:00 240008216 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-02-02 00:00:00 2008-02-02 00:00:00 No 2011-05-27 00:00:00 None AA None 80000 80000 -28000 52000 0 None H3J911 Y CA00143412 C SFY2010-11
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-05-06 00:00:00 240008220 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-15 00:00:00 2010-04-15 00:00:00 No 2011-05-27 00:00:00 None B None 1000 1000 0 1000 0 None GQ6P12 N CA00226050 B SFY2010-11
240000287 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR LTC SNF Skilled Nursing Facility San Bernardino 2011-05-11 00:00:00 240008228 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-07 00:00:00 2008-03-07 00:00:00 Yes 2011-06-02 00:00:00 2011-05-13 00:00:00 A A 9000 9000 0 9000 0 None WG4911 N CA00143405 B SFY2010-11
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-05-19 00:00:00 240008257 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-09 00:00:00 2007-06-09 00:00:00 Yes 2011-06-10 00:00:00 2011-05-26 00:00:00 B None 1000 1000 0 1000 0 None WWRM11 N CA00117339 C SFY2010-11
240001102 SOUTHERN INYO HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2011-05-20 00:00:00 240008258 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-03 00:00:00 2008-11-03 00:00:00 No 2011-06-13 00:00:00 None B None 1000 1000 0 1000 0 None KH1111 N CA00168713 B SFY2010-11
240000969 VAN BUREN HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-06-08 00:00:00 240008295 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-29 00:00:00 2009-09-29 00:00:00 Yes 2011-06-29 00:00:00 2011-06-22 00:00:00 B B 1000 500 0 500 0 None CPNZ11 N CA00203523 C SFY2010-11
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-06-21 00:00:00 240008319 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-01 00:00:00 2008-02-01 00:00:00 No 2011-07-13 00:00:00 None B None 1000 1000 -350 650 0 None 6LCY11 N CA00177753 C SFY2010-11
240001089 COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2011-06-21 00:00:00 240008320 Closed Citation Citation A (HSC 1424) Patient Care None 2006-12-18 00:00:00 2006-12-18 00:00:00 No 2011-07-13 00:00:00 None A None 20000 20000 -7000 13000 0 None Z5O111 Y CA00101640, CA00107824 A, C SFY2010-11
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2011-06-23 00:00:00 240008324 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-28 00:00:00 2009-09-28 00:00:00 No 2011-07-15 00:00:00 None B None 1000 1000 -350 650 0 None USPI11 N CA00203450 C SFY2010-11
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-06-27 00:00:00 240008335 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-02 00:00:00 2008-08-02 00:00:00 No 2011-07-19 00:00:00 None B None 1000 1000 0 1000 0 None 8RQE11 N CA00161739 B SFY2010-11
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-07-11 00:00:00 240008367 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-15 00:00:00 2007-09-15 00:00:00 No 2011-08-01 00:00:00 None B None 1000 1000 -350 650 0 None 43R311 N CA00126714 C SFY2011-12
240001241 HERMOSA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-07-13 00:00:00 240008368 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-11 00:00:00 2010-10-11 00:00:00 Yes 2011-08-03 00:00:00 2011-07-13 00:00:00 B B 1000 500 0 500 0 None RJA311 N CA00246280 C SFY2011-12
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2011-07-19 00:00:00 240008390 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-31 00:00:00 2007-10-31 00:00:00 No 2011-08-09 00:00:00 None B None 1000 1000 -350 650 0 None MGHX11 N CA00131282 B SFY2011-12
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-07-21 00:00:00 240008395 Closed Citation Citation A (HSC 1424) Patient Care None 2009-07-13 00:00:00 2009-07-13 00:00:00 Yes 2011-08-11 00:00:00 2011-08-01 00:00:00 A A 10000 6500 0 6500 0 None RHTE11 N CA00219203 C SFY2011-12
240001089 COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2011-08-12 00:00:00 240008459 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-11 00:00:00 2010-12-11 00:00:00 No 2011-09-02 00:00:00 None B None 1000 1000 -350 650 0 None 606S11 N CA00252421 E SFY2011-12
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-08-16 00:00:00 240008469 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-31 00:00:00 2011-01-31 00:00:00 No 2011-09-06 00:00:00 None B None 1000 1000 0 1000 0 None N81D11 N CA00258196 C SFY2011-12
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-08-22 00:00:00 240008470 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-19 00:00:00 2010-10-19 00:00:00 No 2011-09-12 00:00:00 None B None 1000 1000 -350 650 0 None ZR5311 N CA00244959 C SFY2011-12
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-08-22 00:00:00 240008471 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-24 00:00:00 2011-01-24 00:00:00 No 2011-09-12 00:00:00 None B None 1000 1000 -350 650 0 None SHE811 N CA00256896 C SFY2011-12
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-09-08 00:00:00 240008472 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-14 00:00:00 2011-02-14 00:00:00 No 2011-09-30 00:00:00 None B None 1000 1000 0 1000 0 None J5TF11 N CA00261537 C SFY2011-12
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2011-09-08 00:00:00 240008474 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-21 00:00:00 2011-03-21 00:00:00 Yes 2011-09-30 00:00:00 2011-09-14 00:00:00 B B 1000 1000 0 1000 0 None 51FV11 N CA00263550 C SFY2011-12
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-08-31 00:00:00 240008513 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-11 00:00:00 2010-02-11 00:00:00 Yes 2011-09-22 00:00:00 2011-09-12 00:00:00 B B 1000 650 0 650 0 None YGZX11 N CA00243098 C SFY2011-12
240000063 GRAND TERRACE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-08-30 00:00:00 240008514 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-21 00:00:00 2010-07-21 00:00:00 No 2011-09-21 00:00:00 None B None 1000 1000 -350 650 0 None 967411 N CA00236538 B SFY2011-12
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2011-09-01 00:00:00 240008523 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-28 00:00:00 2009-02-28 00:00:00 Yes 2011-09-23 00:00:00 2011-09-21 00:00:00 B None 1000 1000 0 1000 0 None B3WS11 N CA00179716 C SFY2011-12
240000071 INLAND CHRISTIAN HOME LTC SNF Skilled Nursing Facility San Bernardino 2011-09-07 00:00:00 240008541 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-03 00:00:00 2009-11-03 00:00:00 No 2011-09-29 00:00:00 None B None 1000 1000 -350 650 0 None VV0W11 N CA00209704 B SFY2011-12
240001087 PALOMAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-09-12 00:00:00 240008545 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-04-07 00:00:00 2009-04-07 00:00:00 Yes 2011-10-04 00:00:00 2011-09-12 00:00:00 B B 1000 500 0 500 0 None NH9411 N CA00184471 C SFY2011-12
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-09-12 00:00:00 240008546 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-27 00:00:00 2008-03-27 00:00:00 No 2011-10-04 00:00:00 None A None 15000 15000 -5250 9750 0 None 31LL11 N CA00145662 C SFY2011-12
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-09-12 00:00:00 240008551 Closed Citation Citation A (HSC 1424) Patient Care None 2009-08-14 00:00:00 2009-08-14 00:00:00 No 2011-10-04 00:00:00 None A None 20000 20000 -7000 13000 0 None K9RR11 N CA00198876 C SFY2011-12
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-09-13 00:00:00 240008558 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-18 00:00:00 2009-02-18 00:00:00 No 2011-10-05 00:00:00 None B None 1000 1000 0 1000 0 None TPXK11 N CA00195568 B SFY2011-12
240000150 REDLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-09-16 00:00:00 240008566 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-17 00:00:00 2010-04-17 00:00:00 No 2011-10-07 00:00:00 None B None 1000 1000 -350 650 0 None SBM611 N CA00234293 C SFY2011-12
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-09-16 00:00:00 240008568 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-13 00:00:00 2009-06-13 00:00:00 No 2011-10-07 00:00:00 None B None 1000 3000 -1050 1950 0 None 5DG711 N CA00192005 A SFY2011-12
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-09-29 00:00:00 240008591 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-06 00:00:00 2010-10-06 00:00:00 No 2011-10-20 00:00:00 None B None 1000 1000 -350 650 0 None 1E5Y11 N CA00240732 C SFY2011-12
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-10-05 00:00:00 240008608 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-27 00:00:00 2009-05-27 00:00:00 Yes 2011-10-26 00:00:00 2011-10-28 00:00:00 B None 1000 1000 -883.6 116.4 0 None 0W4911 N CA00189969 E SFY2011-12
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2011-10-14 00:00:00 240008631 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-04 00:00:00 2008-04-04 00:00:00 No 2011-11-04 00:00:00 None B None 1000 1000 0 1000 0 None 4B1K11 N CA00149137 C SFY2011-12
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-10-31 00:00:00 240008680 Closed Citation Citation A (HSC 1424) Patient Care None 2009-03-31 00:00:00 2009-03-31 00:00:00 Yes 2011-11-22 00:00:00 2011-11-07 00:00:00 A B 20000 15000 0 15000 0 None PKLS11 N CA00188378 C SFY2011-12
240000411 LARAMIE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-11-03 00:00:00 240008697 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-21 00:00:00 2009-02-21 00:00:00 No 2011-11-29 00:00:00 None B None 1000 1000 -350 650 0 None DCOG11 N CA00178818, CA00179897 B, B SFY2011-12
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-11-03 00:00:00 240008699 Closed Citation Citation B (HSC 1424) Medication None 2011-05-03 00:00:00 2011-05-03 00:00:00 Yes 2011-11-29 00:00:00 2011-11-21 00:00:00 B B 1000 1000 0 1000 0 None TQGY11 N CA00268129 C SFY2011-12
240001882 WALKER HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-11-10 00:00:00 240008729 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-02 00:00:00 2010-12-02 00:00:00 Yes 2011-12-06 00:00:00 2011-11-10 00:00:00 B B 1000 650 0 650 0 None V8VY11 N CA00251569 C SFY2011-12
240000979 BEAR VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2011-12-09 00:00:00 240008796 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-02-25 00:00:00 2011-02-25 00:00:00 No 2012-01-03 00:00:00 None B None 1000 1000 -350 650 0 None 4S6L11 N CA00260415 B SFY2011-12
240000127 CIRCLEBROOK LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-12-12 00:00:00 240008800 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-11 00:00:00 2010-10-11 00:00:00 No 2012-01-04 00:00:00 None B None 1000 1000 0 1000 0 None 9DQJ11 N CA00245907 B SFY2011-12
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2011-12-22 00:00:00 240008840 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-22 00:00:00 2009-02-22 00:00:00 No 2012-01-17 00:00:00 None B None 1000 1000 -350 650 0 None 7P8C11 Y CA00178772 C SFY2011-12
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-01-04 00:00:00 240008877 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-23 00:00:00 2008-01-23 00:00:00 No 2012-01-26 00:00:00 None A None 20000 20000 -7000 13000 0 None 7TT111 N CA00154084 B SFY2011-12
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-01-12 00:00:00 240008902 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-30 00:00:00 2011-07-30 00:00:00 No 2012-02-03 00:00:00 None B None 1000 1000 0 1000 0 None 401N11 N CA00277978 B SFY2011-12
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-01-12 00:00:00 240008903 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-17 00:00:00 2010-08-17 00:00:00 No 2012-02-03 00:00:00 None B None 1000 1000 -350 650 0 None OE9Y11 N CA00239988 B SFY2011-12
240000413 RENEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-01-17 00:00:00 240008913 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-10-01 00:00:00 2010-10-01 00:00:00 No 2012-02-07 00:00:00 None B None 1000 1000 -350 650 0 None MKMG11 N CA00248012 C SFY2011-12
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2012-01-17 00:00:00 240008914 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-10 00:00:00 2010-07-10 00:00:00 No 2012-02-07 00:00:00 None B None 1000 1000 -350 650 0 None 7ZX711 N CA00236043 C SFY2011-12
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-01-17 00:00:00 240008915 Closed Citation Citation A (HSC 1424) Patient Care None 2011-01-29 00:00:00 2011-01-29 00:00:00 Yes 2012-02-07 00:00:00 2012-01-31 00:00:00 A A 20000 15250 0 15250 0 None 77F311 N CA00259141 H SFY2011-12
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-01-18 00:00:00 240008918 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-15 00:00:00 2009-10-15 00:00:00 No 2012-02-08 00:00:00 None B None 1000 1000 0 1000 0 None LDE211 N CA00206290 E SFY2011-12
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-01-18 00:00:00 240008919 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-31 00:00:00 2010-05-31 00:00:00 No 2012-02-08 00:00:00 None B None 1000 1000 0 1000 0 None 0KX811 N CA00231051 D SFY2011-12
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-01-18 00:00:00 240008920 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-23 00:00:00 2010-09-23 00:00:00 No 2012-02-08 00:00:00 None B None 1000 1000 -350 650 0 None BPWU11 N CA00245126 B SFY2011-12
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-02-15 00:00:00 240009002 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-05-30 00:00:00 2011-05-30 00:00:00 No 2012-03-08 00:00:00 None B None 1000 1000 0 1000 0 None 6N0P11 N CA00272748 C SFY2011-12
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-02-21 00:00:00 240009030 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-26 00:00:00 2011-06-26 00:00:00 No 2012-03-13 00:00:00 None B None 1000 1000 0 1000 0 None PCYD11 N CA00277694 C SFY2011-12
240001111 ROSEWOOD HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-02-22 00:00:00 240009031 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-25 00:00:00 2011-02-25 00:00:00 Yes 2012-03-14 00:00:00 2012-03-07 00:00:00 B B 1000 500 0 500 0 None TB3P11 N CA00261891 B SFY2011-12
240001896 CASA #4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-02-22 00:00:00 240009033 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-04-09 00:00:00 2011-04-09 00:00:00 No 2012-03-14 00:00:00 None B None 1000 1000 -350 650 0 None VP7I11 N CA00266589 E SFY2011-12
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-02-23 00:00:00 240009036 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-02-08 00:00:00 2011-02-08 00:00:00 Yes 2012-03-15 00:00:00 2012-03-08 00:00:00 B None 1000 1000 0 1000 0 None 0RL911 N CA00259104 B SFY2011-12
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-02-27 00:00:00 240009037 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-04 00:00:00 2010-05-04 00:00:00 Yes 2012-03-19 00:00:00 2012-03-12 00:00:00 B B 1000 650 0 650 0 None YLVN11 N CA00231736 C SFY2011-12
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-03-09 00:00:00 240009054 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-01 00:00:00 2007-06-01 00:00:00 No 2012-03-30 00:00:00 None B None 1000 1000 0 1000 0 None Z31911 N CA00140104 C SFY2011-12
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-03-05 00:00:00 240009055 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-16 00:00:00 2010-07-16 00:00:00 No 2012-03-26 00:00:00 None B None 1000 1000 -350 650 0 None KDZ411 N CA00237905 B SFY2011-12
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2012-03-12 00:00:00 240009101 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-29 00:00:00 2010-03-29 00:00:00 No 2012-04-02 00:00:00 None B None 1000 1000 -350 650 0 None 2VJ511 N CA00224683 B SFY2011-12
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2012-03-23 00:00:00 240009177 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-04 00:00:00 2010-11-04 00:00:00 No 2012-04-13 00:00:00 None B None 1000 1000 -350 650 0 None 4ICJ11 N CA00248892 C SFY2011-12
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-04-12 00:00:00 240009227 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-12 00:00:00 2010-12-12 00:00:00 No 2012-05-03 00:00:00 None B None 1000 1000 0 1000 0 None DKBW11 N CA00252271 B SFY2011-12
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2012-04-19 00:00:00 240009228 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-08 00:00:00 2010-06-08 00:00:00 Yes 2012-05-10 00:00:00 2012-04-24 00:00:00 B B 1000 1000 -1000 0 0 None NC6U11 N CA00233389 E SFY2011-12
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-05-04 00:00:00 240009279 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-01-08 00:00:00 2011-01-08 00:00:00 No 2012-05-25 00:00:00 None B None 1000 1000 0 1000 0 None TKIP11 N CA00255112 C SFY2011-12
240000855 PALMYRA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-05-08 00:00:00 240009282 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-12 00:00:00 2010-08-12 00:00:00 Yes 2012-05-30 00:00:00 2012-05-21 00:00:00 B B 1000 500 0 500 0 None ERCU11 N CA00239390, CA00242600 H, C SFY2011-12
240000841 CLOCK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-05-09 00:00:00 240009284 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-03-16 00:00:00 2011-03-16 00:00:00 No 2012-05-31 00:00:00 None B None 1000 1000 -350 650 0 None O5PE11 N CA00262657 B SFY2011-12
240001831 COLE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-05-11 00:00:00 240009286 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-07 00:00:00 2012-04-07 00:00:00 No 2012-06-04 00:00:00 None B None 1000 1000 0 1000 0 None NZBV11 N CA00307538 C SFY2011-12
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-05-15 00:00:00 240009306 Closed Citation Citation B (HSC 1424) Patient Care None 2010-01-14 00:00:00 2010-01-14 00:00:00 No 2012-06-06 00:00:00 None B None 1000 1000 -350 650 0 None YZGC11 N CA00260144 C SFY2011-12
240000156 WATERMAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-05-23 00:00:00 240009308 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-06-07 00:00:00 2011-06-07 00:00:00 Yes 2012-06-14 00:00:00 2012-06-12 00:00:00 B Drop>Deficiency 1000 700 0 700 0 None 3GYU11 N CA00274243 B SFY2011-12
240000097 ARROWHEAD SPRINGS HEALTHCARE LTC SNF Skilled Nursing Facility San Bernardino 2012-05-18 00:00:00 240009312 Closed Citation Citation A (HSC 1424) Patient Care None 2007-07-28 00:00:00 2007-07-28 00:00:00 Yes 2012-06-11 00:00:00 2012-06-01 00:00:00 A A 20000 12000 0 12000 0 None RH0J11 N CA00122611 H SFY2011-12
240000905 TERRACE VIEW HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-05-21 00:00:00 240009319 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-28 00:00:00 2008-03-28 00:00:00 No 2012-06-12 00:00:00 None B None 1000 1000 -350 650 0 None 7TW311 N CA00145275 B SFY2011-12
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2012-07-05 00:00:00 240009385 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-02 00:00:00 2011-09-02 00:00:00 No 2012-07-26 00:00:00 None B None 1000 1000 0 1000 0 None L4YO11 N CA00282355 C SFY2012-13
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-07-05 00:00:00 240009386 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-12 00:00:00 2011-09-12 00:00:00 No 2012-07-26 00:00:00 None B None 1000 1000 -350 650 0 None 0V3O11 N CA00285563 C SFY2012-13
240001511 ITUMA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-07-27 00:00:00 240009411 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-02-24 00:00:00 2012-02-24 00:00:00 Yes 2012-08-17 00:00:00 2012-08-14 00:00:00 B None 1000 1000 0 1000 0 None GFMK11 N CA00302246 H SFY2012-13
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-09-20 00:00:00 240009505 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-16 00:00:00 2011-04-16 00:00:00 No 2012-10-11 00:00:00 None B None 1000 1000 -350 650 0 None SZRT11 N CA00271164 C SFY2012-13
240001749 LADENEY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2012-10-16 00:00:00 240009549 Closed Citation Citation B (HSC 1424) Patient Care None 2012-06-22 00:00:00 2012-06-22 00:00:00 No 2012-11-06 00:00:00 None B None 1000 1000 -350 650 0 None XKRY11 N CA00318836 H SFY2012-13
240000093 COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO LTC SNF Skilled Nursing Facility San Bernardino 2012-10-18 00:00:00 240009556 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-07 00:00:00 2011-12-07 00:00:00 No 2012-11-08 00:00:00 None B None 2000 2000 -700 1300 0 None PKUL11 N CA00292450 H SFY2012-13
240001081 HERITAGE PARK NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2012-10-18 00:00:00 240009558 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-31 00:00:00 2012-03-31 00:00:00 No 2012-11-08 00:00:00 None B None 2000 2000 0 2000 0 None T0UH11 N CA00305473 C SFY2012-13
240000156 WATERMAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-10-25 00:00:00 240009563 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-29 00:00:00 2011-12-29 00:00:00 Yes 2012-11-16 00:00:00 2012-11-13 00:00:00 B B 2000 1000 0 1000 0 None PEEV11 N CA00294965 C SFY2012-13
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2012-10-24 00:00:00 240009569 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-10 00:00:00 2007-07-10 00:00:00 No 2012-11-15 00:00:00 None B None 1000 1000 -350 650 0 None 73QL11 N CA00120004 H SFY2012-13
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-11-28 00:00:00 240009615 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-18 00:00:00 2010-11-18 00:00:00 Yes 2012-12-19 00:00:00 2012-11-28 00:00:00 B None 1000 1050 -50 1000 0 None 0T4B11 N CA00250819 C SFY2012-13
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2013-05-15 00:00:00 240009891 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-10 00:00:00 2011-10-10 00:00:00 No 2013-06-06 00:00:00 None B None 2000 2000 -700 1300 0 None K6MT11 N CA00286646 C SFY2012-13
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2014-02-05 00:00:00 240010442 Closed Citation Citation A (HSC 1424) Patient Care None 2011-10-09 00:00:00 2011-10-09 00:00:00 No 2014-02-27 00:00:00 None A None 18000 18000 -6300 11700 0 None 65KZ11 N CA00286608 H SFY2013-14
240000585 YORK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2014-03-07 00:00:00 240010521 Closed Citation Citation AA (HSC 1424) Patient Care None 2012-10-29 00:00:00 2012-10-29 00:00:00 Yes 2014-03-28 00:00:00 2014-03-24 00:00:00 AA A 15000 12500 0 12500 0 None WXT711 Y CA00336834 E SFY2013-14
240000747 LANCASTER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2014-03-07 00:00:00 240010526 Closed Citation Citation A (HSC 1424) Patient Care None 2013-03-16 00:00:00 2013-03-16 00:00:00 No 2014-03-28 00:00:00 None A None 8000 8000 -2800 5200 0 None EFB211 Y CA00348338 B SFY2013-14
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2014-03-25 00:00:00 240010561 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-06-20 00:00:00 2013-06-20 00:00:00 No 2014-04-16 00:00:00 None B None 1500 1500 -525 975 0 None 1FY611 N CA00359468 B SFY2013-14
240001552 BETHESDA LUTHERAN COMMUNITIES - BOCHEE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2014-04-24 00:00:00 240010602 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-29 00:00:00 2009-12-29 00:00:00 No 2014-05-15 00:00:00 None B None 1000 1000 -350 650 0 None SV0611 N CA00215193, CA00215319 C, C SFY2013-14
240000096 PLYMOUTH VILLAGE LTC SNF Skilled Nursing Facility San Bernardino 2014-07-09 00:00:00 240010850 Closed Citation Citation A (HSC 1424) Patient Care None 2013-09-08 00:00:00 2013-09-08 00:00:00 No 2014-07-30 00:00:00 None A None 15000 15000 0 15000 0 None 0XWN11 N CA00369869, CA00370071 B, B SFY2014-15
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2014-08-04 00:00:00 240010904 Closed Citation Citation B (HSC 1424) Patient Care None 2014-03-25 00:00:00 2014-03-25 00:00:00 Yes 2014-08-25 00:00:00 2014-08-14 00:00:00 B B 1500 1500 0 1500 0 None L9TE11 N CA00392778 B SFY2014-15
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2015-01-09 00:00:00 240011213 Closed Citation Citation B (HSC 1424) Patient Care None 2014-08-05 00:00:00 2014-08-05 00:00:00 No 2015-02-02 00:00:00 None B None 1500 1500 -525 975 0 None 9J0311 N CA00410873 B SFY2014-15
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2015-08-13 00:00:00 240011653 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-10-31 00:00:00 2014-10-31 00:00:00 No 2015-09-03 00:00:00 None B None 1000 1000 -350 650 0 None H7MU11 N CA00419020 B SFY2015-16
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2015-08-21 00:00:00 240011656 Closed Citation Citation B (HSC 1424) Patient Care None 2014-06-30 00:00:00 2014-06-30 00:00:00 No 2015-09-14 00:00:00 None B None 2000 2000 -700 1300 0 None 3R6011 N CA00407184 B SFY2015-16
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2015-11-24 00:00:00 240011786 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-09-29 00:00:00 2014-09-29 00:00:00 No 2015-12-17 00:00:00 None B None 1000 1000 -350 650 0 None JZCE11 N CA00415188 A SFY2015-16
240000018 ONTARIO GROVE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility San Bernardino 2016-01-22 00:00:00 240011979 Closed Citation Citation B (HSC 1424) Patient Care None 2015-06-23 00:00:00 2015-06-23 00:00:00 No 2016-02-12 00:00:00 None B None 2000 2000 -700 1300 0 None 6EZV11 N None None SFY2015-16
240000096 PLYMOUTH VILLAGE LTC SNF Skilled Nursing Facility San Bernardino 2016-02-24 00:00:00 240012034 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-09-15 00:00:00 2014-09-15 00:00:00 No 2016-03-16 00:00:00 None B None 2000 2000 0 2000 0 None V6LZ11 N CA00413798 B SFY2015-16
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-04-01 00:00:00 240012156 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-02-07 00:00:00 2015-02-07 00:00:00 No 2016-04-22 00:00:00 None B None 1400 1400 -490 910 0 None GSC511 N CA00430870 B SFY2015-16
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-04-01 00:00:00 240012158 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-03-02 00:00:00 2015-03-02 00:00:00 Yes 2016-04-22 00:00:00 2016-04-25 00:00:00 B B 1100 770 0 770 0 None XN1C11 N CA00434188 A SFY2015-16
240001446 GLENDA SHAKLEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2016-04-06 00:00:00 240012165 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-16 00:00:00 2014-04-16 00:00:00 No 2016-04-27 00:00:00 None B None 1600 1600 0 1600 0 None WZ6G11 N None None SFY2015-16
240000925 HI-DESERT MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2016-04-06 00:00:00 240012166 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-07-16 00:00:00 2015-07-16 00:00:00 No 2016-04-27 00:00:00 None B None 1500 1500 0 1500 0 None 6SOL11 N None None SFY2015-16
240000136 SYCAMORE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2016-04-07 00:00:00 240012170 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-03-17 00:00:00 2013-03-17 00:00:00 Yes 2016-04-28 00:00:00 2016-04-08 00:00:00 B B 1500 1000 0 1000 0 None 3RZH11 N CA00348051 E SFY2015-16
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-04-14 00:00:00 240012184 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-08-14 00:00:00 2014-08-14 00:00:00 No 2016-05-05 00:00:00 None B None 1600 1600 -560 1040 0 None GSC511 N CA00409690 B SFY2015-16
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2016-04-20 00:00:00 240012199 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-08-12 00:00:00 2014-08-12 00:00:00 No 2016-05-11 00:00:00 None B None 1400 1400 0 1400 0 None 7TTH11 N CA00411354 B SFY2015-16
240000365 KNOLLS WEST POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2016-04-20 00:00:00 240012201 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-10-28 00:00:00 2015-10-28 00:00:00 No 2016-05-11 00:00:00 None B None 1000 1000 -350 650 0 None YSQ511 N CA00463781 B SFY2015-16
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-05-02 00:00:00 240012221 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-12-23 00:00:00 2014-12-23 00:00:00 No 2016-05-23 00:00:00 None B None 1800 1800 0 1800 0 None FNEC11 N CA00425053 B SFY2015-16
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-05-18 00:00:00 240012268 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-10-23 00:00:00 2014-10-23 00:00:00 No 2016-06-09 00:00:00 None B None 1000 1000 -350 650 0 None B10711 N CA00418385 B SFY2015-16
240000853 RAINBOW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2016-05-23 00:00:00 240012273 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-11 00:00:00 2015-07-11 00:00:00 No 2016-06-14 00:00:00 None B None 1500 1500 0 1500 0 None T8IW11 N CA00450808 E SFY2015-16
240000365 KNOLLS WEST POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2016-05-26 00:00:00 240012285 Closed Citation Citation B (HSC 1424) Medication None 2016-04-15 00:00:00 2016-04-15 00:00:00 No 2016-06-17 00:00:00 None B None 2000 2000 -700 1300 0 None 5V0F11 N None None SFY2015-16
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-06-15 00:00:00 240012330 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-02 00:00:00 2014-08-02 00:00:00 No 2016-07-07 00:00:00 None A None 17000 17000 -5950 11050 0 None KKKY11 N CA00408651 B SFY2015-16
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-07-19 00:00:00 240012399 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-06 00:00:00 2015-04-06 00:00:00 No 2016-08-09 00:00:00 None B None 2000 2000 -700 1300 0 None ZFNM11 N CA00438095 A SFY2016-17
240001000 LILLIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2016-06-30 00:00:00 240012416 Closed Citation Citation B (HSC 1424) Patient Care None 2016-02-04 00:00:00 2016-02-04 00:00:00 No 2016-07-22 00:00:00 None B None 1500 1500 0 1500 0 None 0OMR11 N CA00475774 B SFY2015-16
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-08-01 00:00:00 240012418 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-04 00:00:00 2015-10-04 00:00:00 Yes 2016-08-22 00:00:00 2016-08-01 00:00:00 B B 10000 10000 0 10000 0 None 1SD911 N None None SFY2016-17
240000150 REDLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-07-22 00:00:00 240012429 Closed Citation Citation A (HSC 1424) Patient Care None 2015-11-05 00:00:00 2015-11-05 00:00:00 No 2016-08-12 00:00:00 None A None 10000 10000 -3500 6500 0 None SXJH11 N None None SFY2016-17
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-08-15 00:00:00 240012509 Closed Citation Citation B (HSC 1424) Patient Care None 2016-05-16 00:00:00 2016-05-16 00:00:00 No 2016-09-06 00:00:00 None B None 1500 1500 0 1500 0 None MALF11 N None None SFY2016-17
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-08-16 00:00:00 240012512 Closed Citation Citation AA (HSC 1424) Patient Care None 2015-12-09 00:00:00 2015-12-09 00:00:00 No 2016-09-07 00:00:00 None AA None 75000 75000 -26250 48750 0 None 87TP11 Y None None SFY2016-17
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2016-08-18 00:00:00 240012516 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-11-24 00:00:00 2015-11-24 00:00:00 No 2016-09-09 00:00:00 None A None 10000 10000 -3500 6500 0 None Y46V11 N CA00464407 A SFY2016-17
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2016-09-01 00:00:00 240012552 Closed Citation Citation A (HSC 1424) Patient Care None 2016-06-15 00:00:00 2016-06-15 00:00:00 No 2016-09-23 00:00:00 None A None 10000 10000 -3500 6500 0 None XBDF11 N None None SFY2016-17
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2016-09-01 00:00:00 240012554 Closed Citation Citation A (HSC 1424) Patient Care None 2016-06-15 00:00:00 2016-06-15 00:00:00 No 2016-09-23 00:00:00 None A None 10000 10000 -3500 6500 0 None XBDF11 N None None SFY2016-17
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-09-01 00:00:00 240012556 Closed Citation Citation A (HSC 1424) Medication None 2016-03-09 00:00:00 2016-03-09 00:00:00 No 2016-09-23 00:00:00 None A None 15000 15000 -5250 9750 0 None YPY011 N None None SFY2016-17
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2016-09-06 00:00:00 240012559 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-06-15 00:00:00 2016-06-15 00:00:00 No 2016-09-27 00:00:00 None B None 1500 1500 -525 975 0 None XBDF11 N None None SFY2016-17
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-09-08 00:00:00 240012565 Closed Citation Citation A (HSC 1424) Patient Care None 2013-02-21 00:00:00 2013-02-21 00:00:00 No 2016-09-29 00:00:00 None A None 20000 20000 -7000 13000 0 None Z5N011 N CA00344608 A SFY2016-17
240000096 PLYMOUTH VILLAGE LTC SNF Skilled Nursing Facility San Bernardino 2016-09-19 00:00:00 240012584 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-09-07 00:00:00 2015-09-07 00:00:00 No 2016-10-10 00:00:00 None B None 2000 2000 0 2000 0 None 1MWE11 N CA00457565 A SFY2016-17
240001155 FIFTEENTH STREET HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2016-09-22 00:00:00 240012589 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-02-10 00:00:00 2016-02-10 00:00:00 No 2016-10-13 00:00:00 None A None 7000 7000 -2450 4550 0 None D2KT11 N CA00476665 B SFY2016-17
240001155 FIFTEENTH STREET HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2016-09-22 00:00:00 240012591 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-03-23 00:00:00 2016-03-23 00:00:00 No 2016-10-13 00:00:00 None A None 7000 7000 -2450 4550 0 None 0ZF611 N CA00481645 E SFY2016-17
240000097 ARROWHEAD SPRINGS HEALTHCARE LTC SNF Skilled Nursing Facility San Bernardino 2016-09-26 00:00:00 240012597 Closed Citation Citation B (HSC 1424) Patient Care None 2016-03-05 00:00:00 2016-03-05 00:00:00 Yes 2016-10-17 00:00:00 2016-10-13 00:00:00 B B 2000 1000 0 1000 0 None 6GRL11 N CA00484551, CA00484551, CA00484551 A, A, A SFY2016-17
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-10-05 00:00:00 240012618 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-10-13 00:00:00 2015-10-13 00:00:00 No 2016-10-26 00:00:00 None B None 2000 2000 0 2000 0 None 1SD911 N None None SFY2016-17
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-10-10 00:00:00 240012634 Closed Citation Citation B (HSC 1424) Patient Care None 2016-05-19 00:00:00 2016-05-19 00:00:00 No 2016-10-31 00:00:00 None B None 2000 2000 -700 1300 0 None BG1211 N CA00489326 B SFY2016-17
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-10-18 00:00:00 240012656 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-24 00:00:00 2016-05-24 00:00:00 Yes 2016-11-08 00:00:00 2016-11-08 00:00:00 A B 10000 15000 0 15000 0 None MALF11 N None None SFY2016-17
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-10-20 00:00:00 240012666 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-01-06 00:00:00 2016-01-06 00:00:00 No 2016-11-10 00:00:00 None A None 10000 10000 -3500 6500 0 None HT7412 N None None SFY2016-17
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2016-10-31 00:00:00 240012702 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-14 00:00:00 2016-04-14 00:00:00 No 2016-11-22 00:00:00 None A None 10000 10000 0 10000 0 None OIVZ11 N CA00484050 A SFY2016-17
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-11-09 00:00:00 240012736 Closed Citation Citation B (HSC 1424) Patient Care None 2015-12-28 00:00:00 2015-12-28 00:00:00 No 2016-12-05 00:00:00 None B None 2000 2000 -700 1300 0 None CJ3L11 N CA00471041 A SFY2016-17
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-11-10 00:00:00 240012742 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-09-30 00:00:00 2016-09-30 00:00:00 No 2016-12-06 00:00:00 None B None 2000 2000 0 2000 0 None 3JLG11 N None None SFY2016-17
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2016-11-30 00:00:00 240012766 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-09-22 00:00:00 2016-09-22 00:00:00 No 2016-12-21 00:00:00 None B None 2000 2000 0 2000 0 None CQRD11 N CA00505035 B SFY2016-17
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-12-09 00:00:00 240012808 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-15 00:00:00 2016-10-15 00:00:00 Yes 2017-01-03 00:00:00 2016-12-29 00:00:00 A A 20000 13000 0 13000 0 None 7TID11 Y CA00507532 B SFY2016-17
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-12-27 00:00:00 240012845 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-29 00:00:00 2014-07-29 00:00:00 No 2017-01-19 00:00:00 None A None 5000 5000 -1750 3250 0 None 7C6L11 N CA00407517 B SFY2016-17
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2016-12-27 00:00:00 240012846 Closed Citation Citation A (HSC 1424) Patient Care None 2015-11-27 00:00:00 2015-11-27 00:00:00 No 2017-01-19 00:00:00 None A None 20000 20000 -7000 13000 0 None MMGO11 N CA00471550, CA00471550 A, A SFY2016-17
240000013 RANCHO MESA CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2017-01-27 00:00:00 240012912 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-24 00:00:00 2016-11-24 00:00:00 Yes 2017-02-17 00:00:00 2017-01-27 00:00:00 A B 7500 6000 0 6000 0 None I99611 N CA00512311, CA00516154 B, A SFY2016-17
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2017-03-16 00:00:00 240013056 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-23 00:00:00 2016-07-23 00:00:00 No 2017-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None BNTN11 N CA00496997 A SFY2016-17
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2017-04-26 00:00:00 240013150 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-24 00:00:00 2017-01-24 00:00:00 No 2017-05-17 00:00:00 None A None 15000 15000 0 15000 0 None CBC811 N None None SFY2016-17
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2017-05-02 00:00:00 240013163 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-18 00:00:00 2017-03-18 00:00:00 No 2017-05-23 00:00:00 None B None 1000 1000 -350 650 0 None UQP511 N CA00525797 B SFY2016-17
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2017-05-03 00:00:00 240013175 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-02-15 00:00:00 2017-02-15 00:00:00 No 2017-05-24 00:00:00 None B None 500 500 -175 325 0 None F78I11 N CA00523274 B SFY2016-17
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2017-06-15 00:00:00 240013280 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-11 00:00:00 2016-11-11 00:00:00 No 2017-07-07 00:00:00 None A None 10000 10000 -3500 6500 0 None 9C7O11 N CA00510652 A SFY2016-17
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2017-06-26 00:00:00 240013314 Closed Citation Citation B (HSC 1424) Physical Environment None 2017-05-23 00:00:00 2017-05-23 00:00:00 No 2017-07-18 00:00:00 None B None 2000 2000 -700 1300 0 None NSB611 N CA00536615 A SFY2016-17
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2017-07-13 00:00:00 240013328 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-06 00:00:00 2017-06-06 00:00:00 No 2017-08-03 00:00:00 None B None 1000 1000 0 1000 0 None 7W2K11 N CA00537357 C SFY2017-18
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2017-07-19 00:00:00 240013350 Closed Citation Citation A (HSC 1424) Medication None 2017-05-27 00:00:00 2017-05-27 00:00:00 No 2017-08-09 00:00:00 None A None 3000 3050 0 3050 0 None YFWW11 N CA00537599 B SFY2017-18
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2017-07-24 00:00:00 240013356 Closed Citation Citation A (HSC 1424) Medication None 2017-05-11 00:00:00 2017-05-11 00:00:00 No 2017-08-14 00:00:00 None A None 5000 5000 0 5000 0 None DMFH11 N CA00535758 B SFY2017-18
240000018 ONTARIO GROVE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility San Bernardino 2017-08-11 00:00:00 240013414 Closed Citation Citation B (HSC 1424) Medication None 2017-06-24 00:00:00 2017-06-24 00:00:00 No 2017-09-01 00:00:00 None B None 2000 2000 0 2000 0 None JYRD11 N CA00540544, CA00541562 B, B SFY2017-18
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2017-10-10 00:00:00 240013536 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-20 00:00:00 2017-06-20 00:00:00 No 2017-10-31 00:00:00 None B None 2000 2000 -700 1300 0 None O6BW11 N CA00541152 A SFY2017-18
240000365 KNOLLS WEST POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2017-11-22 00:00:00 240013646 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-29 00:00:00 2017-09-29 00:00:00 No 2017-12-15 00:00:00 None A None 10000 10000 -3500 6500 0 None LJ4R11 N CA00555065 A SFY2017-18
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2017-12-07 00:00:00 240013671 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-08 00:00:00 2017-10-08 00:00:00 No 2017-12-29 00:00:00 None A None 10000 10000 -3500 6500 0 None 64U711 N CA00556559 A SFY2017-18
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2018-02-08 00:00:00 240013794 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-12-07 00:00:00 2017-12-07 00:00:00 No 2018-03-01 00:00:00 None B None 1000 1000 0 1000 0 None 0J0211 N None None SFY2017-18
240000018 ONTARIO GROVE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility San Bernardino 2018-01-08 00:00:00 240013795 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-31 00:00:00 2017-10-31 00:00:00 No 2018-01-29 00:00:00 None A None 15000 15000 -5250 9750 0 None FRUE11 N CA00559231 A SFY2017-18
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-02-23 00:00:00 240013837 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-03 00:00:00 2017-10-03 00:00:00 Yes 2018-03-16 00:00:00 2018-03-09 00:00:00 A None 5000 5000 0 5000 0 None 1KTO11 N CA00560149 B SFY2017-18
240001519 WEINGART HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2018-05-11 00:00:00 240014064 Closed Citation Citation A (HSC 1424) Patient Rights None 2017-12-13 00:00:00 2017-12-13 00:00:00 No 2018-06-01 00:00:00 None A None 2000 2000 -700 1300 0 None 63CL11 N CA00564840, CA00564840, CA00564840 A, A, A SFY2017-18
240000018 ONTARIO GROVE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility San Bernardino 2018-05-17 00:00:00 240014075 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-13 00:00:00 2017-07-13 00:00:00 Yes 2018-06-08 00:00:00 2018-05-30 00:00:00 A A 20000 16100 0 16100 0 None SKDV11 Y CA00567253, CA00567253 A, A SFY2017-18
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-06-28 00:00:00 240014190 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-05-02 00:00:00 2018-05-02 00:00:00 No 2018-07-20 00:00:00 None B None 1000 1000 -350 650 0 None LK4211 N None None SFY2017-18
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2018-07-02 00:00:00 240014210 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-04-07 00:00:00 2018-04-07 00:00:00 No 2018-07-24 00:00:00 None A None 5000 5000 -1750 3250 0 None YTFI11 N CA00582114, CA00582114 A, A SFY2018-19
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-07-03 00:00:00 240014213 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-03 00:00:00 2018-05-03 00:00:00 No 2018-07-25 00:00:00 None A None 5000 5000 -1750 3250 0 None LK4211 N None None SFY2018-19
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-07-20 00:00:00 240014262 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-06-04 00:00:00 2018-06-04 00:00:00 No 2018-08-10 00:00:00 None B None 1500 1500 0 1500 0 None RF2R11 N None None SFY2018-19
240001089 COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2018-07-26 00:00:00 240014270 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-16 00:00:00 2018-04-16 00:00:00 No 2018-08-16 00:00:00 None A None 5000 5000 -1750 3250 0 None O2M111 N CA00583231 A SFY2018-19
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-08-01 00:00:00 240014293 Closed Citation Citation A (HSC 1424) Patient Rights None 2018-05-05 00:00:00 2018-05-05 00:00:00 No 2018-08-22 00:00:00 None A None 10000 10000 0 10000 0 None CRN411 N CA00585877 B SFY2018-19
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-08-16 00:00:00 240014338 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-29 00:00:00 2018-05-29 00:00:00 No 2018-09-07 00:00:00 None B None 2000 2000 -700 1300 0 None R6U411 N CA00589033 A SFY2018-19
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-08-16 00:00:00 240014339 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-12 00:00:00 2017-12-12 00:00:00 No 2018-09-07 00:00:00 None A None 15000 15000 0 15000 0 None YR8P11 Y CA00579710 B SFY2018-19
240000979 BEAR VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2018-09-06 00:00:00 240014382 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-02 00:00:00 2018-04-02 00:00:00 No 2018-09-27 00:00:00 None B None 2000 2000 0 2000 0 None VWXW11 N CA00583213 A SFY2018-19
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-09-21 00:00:00 240014403 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-01 00:00:00 2018-05-01 00:00:00 No 2018-10-12 00:00:00 None A None 20000 20000 -7000 13000 0 None T7X111 Y CA00585851 A SFY2018-19
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-10 00:00:00 240014468 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-27 00:00:00 2018-02-27 00:00:00 No 2018-10-31 00:00:00 None A None 15000 15000 0 15000 0 None SMNU11 Y CA00576878, CA00576878, CA00576878 B, B, B SFY2018-19
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-22 00:00:00 240014474 Closed Citation Citation B (HSC 1424) Problem Transfer Post Ombudsman Info. 2018-02-11 00:00:00 2018-02-11 00:00:00 No 2018-11-13 00:00:00 None B None 100 100 -35 65 0 None SQ1G11 N CA00595746 A SFY2018-19
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-22 00:00:00 240014477 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-03-01 00:00:00 2018-03-01 00:00:00 No 2018-11-13 00:00:00 None B None 100 100 -35 65 0 None SQ1G11 N CA00595746, CA00595746 A, A SFY2018-19
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-22 00:00:00 240014489 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-06-01 00:00:00 2018-06-01 00:00:00 No 2018-11-13 00:00:00 None B None 100 100 -35 65 0 None SQ1G11 N CA00595746 A SFY2018-19
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-22 00:00:00 240014490 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-04-30 23:59:00 2018-04-30 23:59:00 No 2018-11-13 00:00:00 None B None 100 100 -35 65 0 None SQ1G11 N CA00595746 A SFY2018-19
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-22 00:00:00 240014491 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-07-01 00:00:00 2018-07-01 00:00:00 No 2018-11-13 00:00:00 None B None 100 100 -35 65 0 None SQ1G11 N CA00595746, CA00595746 A, A SFY2018-19
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-22 00:00:00 240014494 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-01-01 00:00:00 2018-01-01 00:00:00 No 2018-11-13 00:00:00 None B None 100 100 -35 65 0 None SQ1G11 N CA00595746 A SFY2018-19
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-22 00:00:00 240014495 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-05-01 00:00:00 2018-05-01 00:00:00 No 2018-11-13 00:00:00 None B None 100 100 -35 65 0 None SQ1G11 N CA00595746 A SFY2018-19
630014639 FARMER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2018-11-21 00:00:00 240014593 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-12 00:00:00 2018-10-12 00:00:00 No 2018-12-14 00:00:00 None B None 1000 1000 0 1000 0 None 25CR11 N None None SFY2018-19
240001868 CASA #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2018-11-20 00:00:00 240014596 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-10-01 00:00:00 2018-10-01 00:00:00 No 2018-12-13 00:00:00 None AA None 25000 25000 0 25000 0 None GEBL11 Y CA00555247, CA00555247 E, E SFY2018-19
240001856 GIBBS DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2018-11-28 00:00:00 240014609 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-04-19 00:00:00 2018-04-19 00:00:00 No 2018-12-19 00:00:00 None AA None 25000 25000 -8750 16250 0 None WL6311 Y CA00583910, CA00584210 B, A SFY2018-19
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-12-28 00:00:00 240014652 Closed Citation Citation AA (HSC 1424) Medication None 2018-04-01 00:00:00 2018-04-01 00:00:00 No 2019-01-18 00:00:00 None AA None 30000 30000 -10500 19500 0 None G2YP11 Y CA00583222 A SFY2018-19
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-01-02 00:00:00 240014696 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-27 00:00:00 2018-08-27 00:00:00 No 2019-01-23 00:00:00 None A None 15000 15000 -5250 9750 0 None AWDF11 N CA00601546, CA00601546 A, A SFY2018-19
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2019-01-14 00:00:00 240014715 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-08 00:00:00 2018-11-08 00:00:00 No 2019-02-04 00:00:00 None B None 800 800 0 800 0 None 8RST11 N None None SFY2018-19
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2019-01-14 00:00:00 240014720 Closed Citation Citation B (HSC 1424) Other Dietary 2018-11-26 00:00:00 2018-11-26 00:00:00 No 2019-02-04 00:00:00 None B None 800 800 0 800 0 None 8RST11 N None None SFY2018-19
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2019-01-14 00:00:00 240014721 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-28 00:00:00 2018-11-28 00:00:00 No 2019-02-04 00:00:00 None B None 1000 1000 0 1000 0 None 8RST11 N None None SFY2018-19
240000065 HERITAGE GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-01-15 00:00:00 240014725 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-11-27 00:00:00 2018-11-27 00:00:00 No 2019-02-05 00:00:00 None B None 1000 1000 -350 650 0 None IU5T11 N None None SFY2018-19
240000099 SIERRA VISTA LTC SNF Skilled Nursing Facility San Bernardino 2019-02-08 00:00:00 240014810 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-12-17 00:00:00 2018-12-17 00:00:00 No 2019-03-01 00:00:00 None B None 1500 1500 0 1500 0 None TGUZ11 N CA00616285 A SFY2018-19
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-02-25 00:00:00 240014831 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-25 00:00:00 2019-01-25 00:00:00 No 2019-03-18 00:00:00 None B None 1000 1000 -350 650 0 None GJ4O11 N None None SFY2018-19
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-02-25 00:00:00 240014833 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-01-11 00:00:00 2019-01-11 00:00:00 No 2019-03-18 00:00:00 None B None 500 500 -175 325 0 None GJ4O11 N None None SFY2018-19
240000285 LAUREL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2019-05-01 00:00:00 240015011 Closed Citation Citation B (HSC 1424) Physical Environment None 2019-03-18 00:00:00 2019-03-18 00:00:00 No 2019-05-22 00:00:00 None B None 500 500 -175 325 0 None YZF911 N None None SFY2018-19
240000285 LAUREL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2019-05-01 00:00:00 240015012 Closed Citation Citation B (HSC 1424) Medication None 2019-03-20 00:00:00 2019-03-20 00:00:00 No 2019-05-22 00:00:00 None B None 500 500 -175 325 0 None YZF911 N None None SFY2018-19
240000285 LAUREL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2019-05-01 00:00:00 240015014 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-20 00:00:00 2019-03-20 00:00:00 No 2019-05-22 00:00:00 None B None 1000 1000 -350 650 0 None YZF911 N None None SFY2018-19
240000090 ONTARIO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-05-10 00:00:00 240015054 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-27 00:00:00 2019-03-27 00:00:00 No 2019-05-31 00:00:00 None B None 100 100 0 100 0 None WMD311 N None None SFY2018-19
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2019-05-23 00:00:00 240015096 Closed Citation Citation B (HSC 1424) Physical Environment None 2019-04-02 00:00:00 2019-04-02 00:00:00 No 2019-06-13 00:00:00 None B None 1000 1000 0 1000 0 None 207B11 N None None SFY2018-19
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2019-07-05 00:00:00 240015218 Closed Citation Citation A (HSC 1424) Patient Care None 2019-04-10 00:00:00 2019-04-10 00:00:00 No 2019-07-26 00:00:00 None A None 2500 2500 0 2500 0 None 9YBX11 N CA00633015 A SFY2019-20
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2019-09-09 00:00:00 240015371 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-09-30 00:00:00 2018-09-30 00:00:00 No 2019-09-30 00:00:00 None B None 2000 2000 0 2000 0 None FV3W11 N CA00605932 A SFY2019-20
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-11-13 00:00:00 240015439 Open Citation Citation B (HSC 1424) Patient Care None 2019-08-08 00:00:00 2019-08-08 00:00:00 Yes 2019-12-04 00:00:00 2019-12-12 00:00:00 B B 2000 1500 0 0 1500 None IZTI11 N None None SFY2019-20
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-11-13 00:00:00 240015459 Closed Citation Citation B (HSC 1424) Other Fail to report Ombudsman 2019-06-08 00:00:00 2019-06-08 00:00:00 No 2019-12-04 00:00:00 None B None 200 200 0 200 0 None IZTI11 N None None SFY2019-20
240000065 HERITAGE GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2020-01-09 00:00:00 240015671 Closed Citation Citation B (HSC 1424) Medication None 2019-11-22 00:00:00 2019-11-22 00:00:00 No 2020-01-30 00:00:00 None B None 1200 1200 -420 780 0 None CHNI11 N None None SFY2019-20
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2020-02-14 00:00:00 240015742 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-08-27 00:00:00 2019-08-27 00:00:00 No 2020-03-09 00:00:00 None B None 2000 2000 0 2000 0 None GH2611 N CA00652424 A SFY2019-20
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2020-02-19 00:00:00 240015754 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-10-23 00:00:00 2019-10-23 00:00:00 No 2020-03-11 00:00:00 None B None 500 500 -175 325 0 None 9FL011 N CA00661363, CA00661453 B, B SFY2019-20
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2020-02-24 00:00:00 240015756 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-17 00:00:00 2018-01-17 00:00:00 No 2020-03-16 00:00:00 None B None 1000 1000 0 1000 0 None 78MC11 N CA00629005 B SFY2019-20
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2020-06-15 00:00:00 240015899 Closed Citation Citation A (HSC 1424) Other Abuse/Facility not self 2019-12-11 00:00:00 2019-12-11 00:00:00 No 2020-07-06 00:00:00 None A None 10000 10000 0 10000 0 None IPQS11 N CA00667155 B SFY2019-20
240000097 ARROWHEAD SPRINGS HEALTHCARE LTC SNF Skilled Nursing Facility San Bernardino 2020-08-27 00:00:00 240015997 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-08-04 00:00:00 2020-08-04 00:00:00 No 2020-09-18 00:00:00 None B None 2000 2000 -700 1300 0 None 3OHN11 N CA00694217 A SFY2020-21
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2022-04-05 00:00:00 240017545 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-06-26 00:00:00 2021-06-26 00:00:00 Yes 2022-04-26 00:00:00 2022-04-11 00:00:00 AA AA 25000 21500 -1000 20500 0 None 93U211 Y CA00742547, CA00742547 A, A SFY2021-22
630016719 ERIN HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2022-06-23 00:00:00 240017715 Closed Citation Citation AA (HSC 1424) Patient Rights None 2021-08-21 00:00:00 2021-08-21 00:00:00 No 2022-07-15 00:00:00 None AA None 25000 25000 -8750 16250 0 None D9FP11 Y CA00749464, CA00749464 A, A SFY2021-22
240000285 LAUREL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2022-09-09 00:00:00 240017971 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-24 00:00:00 2022-06-24 00:00:00 No 2022-09-30 00:00:00 None B None 1000 1000 -350 650 0 None 2PPO11 N CA00790837 A SFY2022-23
240001089 COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2022-10-06 00:00:00 240018033 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-09 00:00:00 2022-08-09 00:00:00 No 2022-10-27 00:00:00 None B None 150 150 0 150 0 None V3NK11 N CA00798123 A SFY2022-23
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2022-10-11 00:00:00 240018072 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-09-20 00:00:00 2022-09-20 00:00:00 No 2022-11-01 00:00:00 None B None 2500 3250 -875 2375 0 None 2EIT11 N CA00797896, CA00797896 A, A SFY2022-23
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2022-10-24 00:00:00 240018113 Closed Citation Citation B (HSC 1424) Patient Care None 2022-10-10 00:00:00 2022-10-10 00:00:00 No 2022-11-15 00:00:00 None B None 2000 3100 0 3100 0 None GJSG11 N CA00804266, CA00804266 A, A SFY2022-23
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2022-11-10 00:00:00 240018116 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-10-03 00:00:00 2022-10-03 00:00:00 No 2022-12-05 00:00:00 None B None 150 150 0 150 0 None JFGR11 N CA00806017 A SFY2022-23
240000365 KNOLLS WEST POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2023-01-26 00:00:00 240018318 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-13 00:00:00 2022-12-13 00:00:00 No 2023-02-16 00:00:00 None B None 150 150 0 150 0 None GFZ311 N None None SFY2022-23
240000979 BEAR VALLEY COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility San Bernardino 2023-03-28 00:00:00 240018535 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-11 00:00:00 2022-12-11 00:00:00 No 2023-04-19 00:00:00 None B None 150 150 0 150 0 None A6MM11 N CA00821637 B SFY2022-23
240000143 SHANDIN HILLS BEHAVIOR THERAPY CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-05-18 00:00:00 240018752 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-02-06 00:00:00 2023-02-06 00:00:00 No 2023-06-09 00:00:00 None B None 150 150 0 150 0 None 47LB11 N CA00825728 A SFY2022-23
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-05-24 00:00:00 240018781 Closed Citation Citation B (HSC 1424) Patient Record None 2023-04-06 00:00:00 2023-04-06 00:00:00 Yes 2023-06-15 00:00:00 2023-06-14 00:00:00 B B 150 400 -400 0 0 None YCHD11 N None None SFY2022-23
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-05-24 00:00:00 240018786 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-04 00:00:00 2023-04-04 00:00:00 Yes 2023-06-15 00:00:00 2023-06-14 00:00:00 B B 150 700 -400 300 0 None YCHD11 N None None SFY2022-23
240000156 WATERMAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2023-06-20 00:00:00 240018881 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-06-05 00:00:00 2023-06-05 00:00:00 Yes 2023-07-12 00:00:00 2023-06-30 00:00:00 B B 1500 1050 -50 1000 0 None T34H11 N None None SFY2022-23
240000059 DEL ROSA VILLA LTC SNF Skilled Nursing Facility San Bernardino 2023-07-24 00:00:00 240018988 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-06-19 00:00:00 2023-06-19 00:00:00 No 2023-08-14 00:00:00 None B None 1500 1500 0 1500 0 None 5IC511 N CA00844081, CA00844081 B, B SFY2023-24
240000365 KNOLLS WEST POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2023-08-02 00:00:00 240019019 Open Citation Citation A (HSC 1424) Patient Care None 2023-04-20 00:00:00 2023-04-20 00:00:00 No 2023-08-23 00:00:00 None A None 3500 10500 0 0 10500 None SECB11 N CA00837667 B SFY2023-24
240000020 HIGHLAND CARE CENTER OF REDLANDS LTC SNF Skilled Nursing Facility San Bernardino 2023-08-15 00:00:00 240019059 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-26 00:00:00 2023-07-26 00:00:00 Yes 2023-09-06 00:00:00 2023-08-18 00:00:00 A None 50000 50000 0 0 50000 None TYV711 Y CA00850319, CA00850319 A, A SFY2023-24
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-08-18 00:00:00 240019065 Open Citation Citation B (HSC 1424) Patient Care None 2023-04-10 00:00:00 2023-04-10 00:00:00 Yes 2023-09-11 00:00:00 2023-09-08 00:00:00 B None 1000 1050 0 0 1050 None YCHD11 N None None SFY2023-24
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-09-21 00:00:00 240019181 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-11 00:00:00 2023-08-11 00:00:00 No 2023-10-12 00:00:00 None B None 1000 1000 0 1000 0 None 8XQ511 N CA00854130, CA00854130 B, B SFY2023-24
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-10-12 00:00:00 240019254 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-01 00:00:00 2023-08-01 00:00:00 Yes 2023-11-02 00:00:00 2023-10-13 00:00:00 A None 5000 5000 0 0 5000 None PMDC11 N CA00854235 B SFY2023-24
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2023-10-19 00:00:00 240019272 Closed Citation Citation A (HSC 1424) Patient Care None 2023-04-13 00:00:00 2023-04-13 00:00:00 No 2023-11-09 00:00:00 None A None 5000 5000 0 5000 0 None RJOR11 N CA00843464 B SFY2023-24
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2023-11-20 00:00:00 240019385 Open Citation Citation B (HSC 1424) Patient Care None 2023-10-03 00:00:00 2023-10-03 00:00:00 No 2023-12-13 00:00:00 None B None 3000 3000 0 3000 0 None WD6Y11 N CA00862527, CA00863706, CA00863706, CA00863706 B, A, A, A SFY2023-24
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2023-12-11 00:00:00 240019452 Open Citation Citation A (HSC 1424) Patient Care None 2023-10-27 00:00:00 2023-10-27 00:00:00 Yes 2024-01-02 00:00:00 2023-12-27 00:00:00 A None 25000 25000 0 0 25000 None II4611 Y CA00867749, CA00867749 A, A SFY2023-24
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2024-04-09 00:00:00 240019976 Open Citation Citation A (HSC 1424) Patient Care None 2024-03-10 00:00:00 2024-03-10 00:00:00 No 2024-04-30 00:00:00 None A None 3500 3500 0 3500 0 None G77Q11 N CA00888720 A SFY2023-24
250000064 DEVONSHIRE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 1998-05-27 00:00:00 250001423 Closed Citation Citation A (HSC 1424) Patient Rights None 1998-02-25 00:00:00 None Yes 1998-06-17 00:00:00 2000-09-29 00:00:00 A B 6000 5000 -1568 3432 0 250010281 A99999 N None None SFY1997-98
250000113 COLLEGE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2000-01-04 00:00:00 250001470 Closed Citation Citation A (HSC 1424) Administration None 1999-12-17 00:00:00 None Yes 2000-07-12 00:00:00 2000-06-27 00:00:00 A B 10000 5000 0 5000 0 250011491 A99999 N None None SFY1999-00
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2000-01-04 00:00:00 250001471 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-07 00:00:00 None No 2000-01-27 00:00:00 None A None 10000 10000 -3500 6500 0 250011500 A99999 N None None SFY1999-00
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2000-02-08 00:00:00 250001472 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-11 00:00:00 None No 2000-02-29 00:00:00 None B None 1000 1000 -350 650 0 250011618 A99999 N None None SFY1999-00
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2000-02-09 00:00:00 250001473 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-11 00:00:00 None Yes 2000-03-08 00:00:00 2000-02-25 00:00:00 A A 10000 8025 -1650 6375 0 250011621 A99999 N None None SFY1999-00
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2000-02-09 00:00:00 250001474 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-26 00:00:00 None Yes 2000-03-08 00:00:00 2000-02-25 00:00:00 A A 10000 8025 -1650 6375 0 250011621 A99999 N None None SFY1999-00
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2000-02-09 00:00:00 250001475 Closed Citation Citation A (HSC 1424) Patient Care None 1999-09-09 00:00:00 None Yes 2000-03-08 00:00:00 2000-02-25 00:00:00 A B 10000 8150 -1650 6500 0 250011630 A99999 N None None SFY1999-00
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2000-02-09 00:00:00 250001476 Closed Citation Citation B (HSC 1424) Patient Record None 1999-09-29 00:00:00 None Yes 2000-03-08 00:00:00 2000-02-29 00:00:00 B B 1000 2150 -1650 500 0 250011621 A99999 N None None SFY1999-00
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2000-02-22 00:00:00 250001477 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-21 00:00:00 None No 2000-03-17 00:00:00 None A None 10000 10200 -3500 6700 0 250011667 A99999 N None None SFY1999-00
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2000-03-09 00:00:00 250001479 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-18 00:00:00 None No 2000-03-30 00:00:00 None A None 10000 10000 -3500 6500 0 250011674 A99999 N None None SFY1999-00
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2000-03-27 00:00:00 250001480 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-06 00:00:00 None Yes 2000-09-14 00:00:00 2000-04-13 00:00:00 A A 8000 8000 0 8000 0 250011734 A99999 N None None SFY1999-00
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2000-06-15 00:00:00 250001482 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-04-02 00:00:00 None Yes 2000-07-10 00:00:00 2001-03-23 00:00:00 A B 10000 5750 0 5750 0 250011878 A99999 N None None SFY1999-00
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2000-08-16 00:00:00 250001483 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-14 00:00:00 None No 2000-09-08 00:00:00 None A None 10000 10000 -3500 6500 0 250012008 A99999 N None None SFY2000-01
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2000-10-24 00:00:00 250001484 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-10 00:00:00 None No 2000-11-14 00:00:00 None A None 10000 10000 -3500 6500 0 250012180 A99999 N None None SFY2000-01
250000619 SUNDANCE CREEK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2000-10-24 00:00:00 250001485 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-23 00:00:00 None Yes 2000-11-15 00:00:00 2000-11-13 00:00:00 B None 1000 1000 0 1000 0 250012181 A99999 N None None SFY2000-01
250000260 THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA LTC SNF Skilled Nursing Facility Riverside 2000-11-06 00:00:00 250001486 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-10 00:00:00 None No 2000-12-04 00:00:00 None B None 1000 1000 -350 650 0 250012197 A99999 N None None SFY2000-01
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2000-11-06 00:00:00 250001487 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-08 00:00:00 None No 2000-12-06 00:00:00 None B None 1000 1000 0 1000 0 250012203 A99999 N None None SFY2000-01
250000036 VALENCIA GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2000-12-20 00:00:00 250001488 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-06 00:00:00 None Yes 2001-05-18 00:00:00 2001-05-14 00:00:00 A A 10000 5500 0 5500 0 250012263 A99999 N None None SFY2000-01
250000113 COLLEGE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2001-01-11 00:00:00 250001489 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-15 00:00:00 None Yes 2001-02-05 00:00:00 2001-02-02 00:00:00 B None 1000 1000 0 1000 0 250012311 A99999 N None None SFY2000-01
250000043 COMMUNITY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2001-02-26 00:00:00 250001490 Closed Citation Citation A (HSC 1424) Medication None 2000-09-23 00:00:00 None Yes 2002-05-23 00:00:00 2002-05-23 00:00:00 A B 10000 10000 0 10000 0 250012473 A99999 N None None SFY2000-01
250000260 THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA LTC SNF Skilled Nursing Facility Riverside 2001-05-24 00:00:00 250001491 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-25 00:00:00 None No 2001-06-15 00:00:00 None B None 1000 1000 -350 650 0 250012552 A99999 N None None SFY2000-01
250001465 GORHAM HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2001-06-19 00:00:00 250001492 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-03 00:00:00 None Yes 2002-05-24 00:00:00 2002-05-03 00:00:00 A B 7000 5000 0 5000 0 250012789 A99999 N None None SFY2000-01
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2001-09-20 00:00:00 250001493 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-14 00:00:00 None No 2001-10-15 00:00:00 None B Drop>Deficiency 1000 500 0 500 0 250012983 A99999 N None None SFY2001-02
250001390 MANCHESTER DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2001-10-01 00:00:00 250001494 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-12 00:00:00 None No 2001-10-23 00:00:00 None B None 1000 1000 -350 650 0 250012994 A99999 N None None SFY2001-02
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2001-10-09 00:00:00 250001495 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-04 00:00:00 None Yes 2001-10-31 00:00:00 2001-10-30 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 250012899 A99999 N None None SFY2001-02
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2002-03-22 00:00:00 250001496 Closed Citation Citation A (HSC 1424) Physical Environment None 2001-11-28 00:00:00 None Yes 2002-04-12 00:00:00 2002-04-12 00:00:00 A B 20000 12500 0 12500 0 250013305 A99999 N None None SFY2001-02
250000299 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2002-05-02 00:00:00 250001497 Closed Citation Citation A (HSC 1424) Patient Care None 2002-01-27 00:00:00 None Yes 2002-05-23 00:00:00 2002-05-09 00:00:00 A A 18000 10481 0 10481 0 250013432 A99999 N None None SFY2001-02
250001405 HUCKABEE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2002-05-02 00:00:00 250001498 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-03-14 00:00:00 None Yes 2002-05-23 00:00:00 2002-05-06 00:00:00 A B 8000 5100 -100 5000 0 250013573 A99999 N None None SFY2001-02
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2002-05-23 00:00:00 250001499 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-27 00:00:00 None No 2002-06-17 00:00:00 None B None 1000 1000 -350 650 0 250013707 A99999 N None None SFY2001-02
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2002-05-29 00:00:00 250001500 Closed Citation Citation A (HSC 1424) Patient Rights None 2002-03-27 00:00:00 None No 2002-06-19 00:00:00 None A None 15000 15000 -5250 9750 0 250013613 A99999 N None None SFY2001-02
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2002-05-29 00:00:00 250001501 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-02 00:00:00 None No 2002-06-19 00:00:00 None A None 18000 18000 -6300 11700 0 250013654 A99999 N None None SFY2001-02
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2002-06-04 00:00:00 250001502 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-03 00:00:00 None No 2002-06-27 00:00:00 None B None 1000 1000 -350 650 0 250013647 A99999 N None None SFY2001-02
250001382 DESERT MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2002-10-01 00:00:00 250001503 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-26 00:00:00 None Yes 2002-10-28 00:00:00 2002-10-08 00:00:00 B Drop>Deficiency 600 600 0 600 0 250014313 A99999 N None None SFY2002-03
250000061 DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2002-11-14 00:00:00 250001504 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-21 00:00:00 None Yes 2002-12-11 00:00:00 2002-11-22 00:00:00 B None 800 800 0 800 0 250014031 A99999 N None None SFY2002-03
250000694 JOEL'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2002-11-14 00:00:00 250001505 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-06 00:00:00 None No 2002-12-18 00:00:00 None B None 500 500 -175 325 0 250013841 A99999 N None None SFY2002-03
250000064 DEVONSHIRE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2002-12-13 00:00:00 250001506 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-02 00:00:00 None No 2003-01-16 00:00:00 None B None 750 750 0 750 0 250014103 A99999 N None None SFY2002-03
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-01-30 00:00:00 250001507 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-25 00:00:00 None No 2003-03-03 00:00:00 None B None 1000 1000 -350 650 0 250014606 A99999 N None None SFY2002-03
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-04-25 00:00:00 250001509 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-19 00:00:00 None Yes 2003-05-19 00:00:00 2003-04-25 00:00:00 B None 500 500 0 500 0 250014927 A99999 N None None SFY2002-03
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2003-05-02 00:00:00 250001510 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-15 00:00:00 None Yes 2003-11-12 00:00:00 2003-05-15 00:00:00 B B 1000 3000 0 3000 0 250015022 A99999 N None None SFY2002-03
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2003-06-12 00:00:00 250001511 Closed Citation Citation B (HSC 1424) Medication None 2003-02-10 00:00:00 None No 2003-07-07 00:00:00 None B None 500 500 -175 325 0 250015258 A99999 N None None SFY2002-03
250000299 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2003-10-23 00:00:00 250001512 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-08 00:00:00 None No 2003-11-19 00:00:00 None B B 1000 557 0 557 0 250015706 A99999 N None None SFY2003-04
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2003-11-06 00:00:00 250001513 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-13 00:00:00 None No 2003-12-02 00:00:00 None B None 500 500 -175 325 0 250015825 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001514 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 2003-09-26 00:00:00 Yes 2006-06-29 00:00:00 2006-06-14 00:00:00 B B 500 250 0 250 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001515 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-07-28 00:00:00 2006-07-14 00:00:00 B B 500 250 0 250 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001516 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-11 00:00:00 2006-07-26 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001517 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-11 00:00:00 2006-07-26 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001518 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-15 00:00:00 2006-07-27 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001519 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-07-28 00:00:00 2006-07-14 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001520 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-15 00:00:00 2006-07-27 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001521 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-15 00:00:00 2006-07-27 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001522 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-15 00:00:00 2006-07-27 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001523 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-15 00:00:00 2006-07-27 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001524 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-15 00:00:00 2006-07-27 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001525 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-15 00:00:00 2006-07-27 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001526 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-09-06 00:00:00 2006-08-18 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001527 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2005-02-28 00:00:00 2005-02-24 00:00:00 B B 500 500 0 500 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001528 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-06-12 00:00:00 2006-06-14 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001529 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-07-21 00:00:00 2006-06-30 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001530 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-07-20 00:00:00 2006-06-30 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001531 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-07-20 00:00:00 2006-06-30 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001532 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-08-01 00:00:00 2006-07-14 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001533 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-07-28 00:00:00 2006-07-14 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001534 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-09-06 00:00:00 2006-08-18 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001535 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-09-06 00:00:00 2006-08-18 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2003-11-14 00:00:00 250001536 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-09-26 00:00:00 None Yes 2006-09-06 00:00:00 2006-08-18 00:00:00 B B 500 225 0 225 0 250015800 A99999 N None None SFY2003-04
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2004-01-23 00:00:00 250001537 Closed Citation Citation A (HSC 1424) Patient Care None 2003-09-29 00:00:00 2003-09-29 00:00:00 Yes 2007-05-09 00:00:00 2007-04-09 00:00:00 A A 10000 4000 0 4000 0 250015794 A99999 N None None SFY2003-04
250000622 GARRISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2004-04-15 00:00:00 250001538 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-09 00:00:00 None No 2004-05-06 00:00:00 None B None 500 500 -175 325 0 250016133 A99999 N None None SFY2003-04
250000869 MARIAN JAMES TRANSITIONAL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2004-05-12 00:00:00 250001539 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-10 00:00:00 None No 2004-06-03 00:00:00 None B None 500 500 -175 325 0 250016325 A99999 N None None SFY2003-04
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2004-06-30 00:00:00 250001540 Closed Citation Citation A (HSC 1424) Patient Care None 2003-11-03 00:00:00 None Yes 2008-06-05 00:00:00 2008-08-19 00:00:00 A A 12000 3000 0 3000 0 250016003 A99999 N None None SFY2003-04
250000761 HORSESHOE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2004-06-30 00:00:00 250001541 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-06 00:00:00 None No 2004-07-22 00:00:00 None B None 500 500 -175 325 0 250016405 A99999 N None None SFY2003-04
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2004-07-08 00:00:00 250001542 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-22 00:00:00 None No 2004-07-29 00:00:00 None B None 1000 1000 -350 650 0 250016422 A99999 N None None SFY2004-05
250001435 CHAPALA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2004-07-28 00:00:00 250001543 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-04-24 00:00:00 None No 2004-08-18 00:00:00 None A None 7500 7500 -2625 4875 0 250016469 A99999 N None None SFY2004-05
250000119 EVERGREEN ESTATES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2004-10-27 00:00:00 250001547 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-31 00:00:00 None No 2004-11-18 00:00:00 None B None 1000 1000 -350 650 0 250016628 A99999 N None None SFY2004-05
250000622 GARRISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-03-10 00:00:00 250001548 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-06 00:00:00 None No 2005-04-04 00:00:00 None B None 1000 3000 -1050 1950 0 250016822 A99999 N None None SFY2004-05
250000116 VILLA WOODS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-03-24 00:00:00 250001549 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-09-24 00:00:00 None Yes 2005-04-19 00:00:00 2005-03-24 00:00:00 A A 5000 5000 0 5000 0 250016823 A99999 N None None SFY2004-05
250000114 DERBY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-03-25 00:00:00 250001550 Open Citation Citation A (HSC 1424) Patient Rights None 2004-09-24 00:00:00 None Yes 2005-04-21 00:00:00 2005-03-25 00:00:00 A A 5000 5000 0 0 5000 250016824 A99999 N None None SFY2004-05
250000116 VILLA WOODS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-03-24 00:00:00 250001551 Closed Citation Citation B (HSC 1424) Administration None 2004-09-24 00:00:00 2004-09-24 00:00:00 Yes 2005-04-15 00:00:00 2005-03-24 00:00:00 B B 500 500 0 500 0 250016825 A99999 N None None SFY2004-05
250001468 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SUNSHINE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-05-05 00:00:00 250001552 Closed Citation Citation A (HSC 1424) Patient Care None 2004-05-05 00:00:00 None No 2005-05-27 00:00:00 None A None 10000 10000 -3500 6500 0 250016826 A99999 N None None SFY2004-05
250001468 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SUNSHINE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-05-05 00:00:00 250001553 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-05-05 00:00:00 None No 2005-05-27 00:00:00 None AA None 25000 25000 -8750 16250 0 250016827 A99999 Y None None SFY2004-05
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2005-06-03 00:00:00 250001554 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-18 00:00:00 2004-02-18 00:00:00 Yes 2005-06-24 00:00:00 2005-06-09 00:00:00 B B 1000 500 0 500 0 250016828 A99999 N None None SFY2004-05
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2005-05-19 00:00:00 250001555 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-15 00:00:00 None No 2005-06-14 00:00:00 None B None 500 500 -175 325 0 250016829 A99999 N None None SFY2004-05
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2005-05-25 00:00:00 250001556 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-12-08 00:00:00 None No 2005-06-21 00:00:00 None B None 1000 1000 -350 650 0 250016830 A99999 N None None SFY2004-05
250000117 DEL PARK MANOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-07-27 00:00:00 250001557 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-15 00:00:00 None No 2005-08-17 00:00:00 None B None 1000 1150 -350 800 0 250016831 A99999 N None None SFY2005-06
250001769 ROGER RESIDENCE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-08-03 00:00:00 250001558 Closed Citation Citation B (HSC 1424) Administration None 2005-05-15 00:00:00 None No 2005-08-24 00:00:00 None B None 500 600 -175 425 0 250016832 A99999 N None None SFY2005-06
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2005-08-11 00:00:00 250001559 Closed Citation Citation A (HSC 1424) Patient Care None 2005-03-15 00:00:00 None No 2005-09-01 00:00:00 None A None 5000 5000 -1750 3250 0 250016833 A99999 N None None SFY2005-06
250000043 COMMUNITY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2005-08-18 00:00:00 250001560 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-21 00:00:00 2005-01-21 00:00:00 Yes 2005-09-09 00:00:00 2005-08-29 00:00:00 B B 500 250 0 250 0 250016834 A99999 N None None SFY2005-06
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2005-08-24 00:00:00 250001561 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-21 00:00:00 None No 2005-09-16 00:00:00 None B None 500 500 -175 325 0 250016835 A99999 N None None SFY2005-06
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2005-09-02 00:00:00 250001562 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-16 00:00:00 None No 2005-09-30 00:00:00 None B None 1000 3000 -1050 1950 0 250016836 A99999 N None None SFY2005-06
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2005-09-22 00:00:00 250001563 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-07 00:00:00 2005-05-07 00:00:00 No 2005-10-14 00:00:00 None B None 750 750 -262.5 487.5 0 250016837 A99999 N None None SFY2005-06
250000619 SUNDANCE CREEK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2005-09-28 00:00:00 250001564 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-17 00:00:00 None No 2005-10-20 00:00:00 None B None 1000 1000 -350 650 0 250016838 A99999 N None None SFY2005-06
250001183 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MIRAMAR HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-11-15 00:00:00 250001565 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-28 00:00:00 2005-08-28 00:00:00 No 2005-12-08 00:00:00 None B None 1000 1000 -350 650 0 250016839 A99999 N None None SFY2005-06
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2005-11-15 00:00:00 250001566 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-10-16 00:00:00 2005-10-16 00:00:00 Yes 2005-12-08 00:00:00 2005-11-18 00:00:00 A A 20000 6667 0 6667 0 250016840 A99999 N None None SFY2005-06
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2006-02-03 00:00:00 250001567 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-30 00:00:00 2005-08-30 00:00:00 Yes 2006-03-16 00:00:00 2006-02-23 00:00:00 A None 10000 10000 0 10000 0 250016841 A99999 N None None SFY2005-06
250000592 NEW IDEALS/OTIS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2005-12-21 00:00:00 250001568 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2005-09-02 00:00:00 None No 2006-01-13 00:00:00 None B None 500 500 -175 325 0 250016842 A99999 N None None SFY2005-06
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2006-02-03 00:00:00 250001569 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-03 00:00:00 2005-10-03 00:00:00 Yes 2006-02-28 00:00:00 2006-02-21 00:00:00 B B 500 500 -435 65 0 250016843 A99999 N None None SFY2005-06
250000622 GARRISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2006-03-30 00:00:00 250002926 Closed Citation Citation A (HSC 1424) Patient Rights None 2004-11-08 00:00:00 2004-11-08 00:00:00 Yes 2006-04-21 00:00:00 2006-04-12 00:00:00 A A 10000 10000 0 10000 0 None FC6U11 N CA00038120 C SFY2005-06
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2006-03-30 00:00:00 250002974 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-03 00:00:00 2005-09-03 00:00:00 No 2006-04-21 00:00:00 None A None 15000 15000 -5250 9750 0 None DK1811 N CA00060423 C SFY2005-06
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2006-05-22 00:00:00 250003073 Closed Citation Citation A (HSC 1424) Patient Care None 2005-03-10 00:00:00 2005-03-10 00:00:00 Yes 2011-03-30 00:00:00 2006-05-31 00:00:00 A A 20000 20450 -20450 0 0 None 9I9H11 N CA00073896 C SFY2005-06
250000619 SUNDANCE CREEK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2006-06-09 00:00:00 250003101 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-11-03 00:00:00 2005-11-03 00:00:00 Yes 2006-06-30 00:00:00 2006-06-26 00:00:00 A A 6000 3150 0 3150 0 None 71RR11 N CA00065065 C SFY2005-06
250000079 CENTINELA GRAND, INC. LTC SNF Skilled Nursing Facility Riverside 2006-05-31 00:00:00 250003129 Closed Citation Citation A (HSC 1424) Patient Care None 2005-08-28 00:00:00 2005-08-28 00:00:00 No 2006-06-21 00:00:00 None A None 10000 10000 -3500 6500 0 None KBZJ11 N CA00060180 C SFY2005-06
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2006-06-14 00:00:00 250003132 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-09 00:00:00 2005-12-09 00:00:00 No 2006-07-06 00:00:00 None B None 1000 1000 -350 650 0 None 6KPM11 N CA00069010 B SFY2005-06
250000033 CALIFORNIA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2007-01-19 00:00:00 250003157 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-08 00:00:00 2005-06-08 00:00:00 No 2007-02-09 00:00:00 None B None 1000 1000 -350 650 0 None IHX811 N CA00055220 C SFY2006-07
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2006-09-25 00:00:00 250003260 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-14 00:00:00 2006-07-14 00:00:00 No 2006-10-17 00:00:00 None B None 1000 3000 -1050 1950 0 None 3H0611 N CA00086871 B SFY2006-07
250000113 COLLEGE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2006-10-26 00:00:00 250003368 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-12 00:00:00 2005-10-12 00:00:00 No 2006-11-17 00:00:00 None B None 1000 1000 0 1000 0 None O73211 N CA00064090 C SFY2006-07
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2006-10-25 00:00:00 250003395 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-30 00:00:00 2005-07-30 00:00:00 No 2006-11-16 00:00:00 None B None 1000 1000 -350 650 0 None OKTQ11 N CA00056919 C SFY2006-07
250000553 CONNER RESIDENCE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2006-11-13 00:00:00 250003405 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-21 00:00:00 2005-11-21 00:00:00 No 2006-12-06 00:00:00 None B None 1000 1000 -350 650 0 None G7CF11 N CA00066605 C SFY2006-07
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2006-11-17 00:00:00 250003409 Closed Citation Citation B (HSC 1424) Staffing None 2005-12-02 00:00:00 2005-12-02 00:00:00 No 2006-12-12 00:00:00 None B None 1000 1000 -350 650 0 None 6HFE11 N CA00063954 C SFY2006-07
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2006-11-02 00:00:00 250003432 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-29 00:00:00 2005-11-29 00:00:00 No 2006-11-28 00:00:00 None B None 1000 1000 -350 650 0 None 50TN11 N CA00067017 C SFY2006-07
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2007-03-13 00:00:00 250003654 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-01-06 00:00:00 2006-01-06 00:00:00 No 2007-04-03 00:00:00 None AA None 75000 75000 -75000 0 0 None W3ZX11 Y CA00077183 C SFY2006-07
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2007-03-13 00:00:00 250003781 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-01-06 00:00:00 2006-01-06 00:00:00 Yes 2007-04-25 00:00:00 2007-03-23 00:00:00 AA A 75000 45000 0 45000 0 None W3ZX11 Y CA00077183, CA00077183, CA00077183 C, C, C SFY2006-07
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2007-08-23 00:00:00 250004187 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-28 00:00:00 2006-11-28 00:00:00 Yes 2012-01-26 00:00:00 2012-01-12 00:00:00 A B 12000 10500 0 10500 0 None KZ0311 N CA00100111 B SFY2007-08
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2007-09-13 00:00:00 250004270 Closed Citation Citation A (HSC 1424) Patient Care None 2007-05-03 00:00:00 2007-05-03 00:00:00 No 2007-10-04 00:00:00 None A A 15000 15000 -13029 1971 0 None O7UL11 N CA00113952 C SFY2007-08
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2007-10-04 00:00:00 250004308 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-25 00:00:00 2006-07-25 00:00:00 Yes 2012-02-24 00:00:00 2012-01-11 00:00:00 A A 20000 20000 0 20000 0 None 38KV11 N CA00093474 C SFY2007-08
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2007-10-16 00:00:00 250004337 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-08-30 00:00:00 2006-08-30 00:00:00 Yes 2007-11-06 00:00:00 2007-10-19 00:00:00 B B 1000 1050 -50 1000 0 None RCDF11 N CA00091815 B SFY2007-08
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2007-10-19 00:00:00 250004347 Closed Citation Citation A (HSC 1424) Patient Care None 2006-05-16 00:00:00 2006-05-16 00:00:00 No 2007-11-09 00:00:00 None A None 20000 20000 -7000 13000 0 None 3LCH11 N CA00082680 C SFY2007-08
250000770 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-BAIN HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2007-11-02 00:00:00 250004377 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-11-28 00:00:00 2006-11-28 00:00:00 Yes 2007-11-28 00:00:00 2007-11-07 00:00:00 A A 10000 0 0 0 0 None FD1V11 N CA00099896 B SFY2007-08
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2007-10-25 00:00:00 250004397 Closed Citation Citation A (HSC 1424) Patient Care None 2006-05-08 00:00:00 2006-05-08 00:00:00 Yes 2007-11-16 00:00:00 2007-11-13 00:00:00 A A 15000 9750 0 9750 0 None 7LQ511 N CA00080252, CA00080339 C, C SFY2007-08
250000036 VALENCIA GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2007-12-20 00:00:00 250004519 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-05-23 00:00:00 2006-05-23 00:00:00 No 2008-01-14 00:00:00 None B None 1000 1000 -350 650 0 None W3TI11 N CA00081621 B SFY2007-08
250000619 SUNDANCE CREEK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2008-02-14 00:00:00 250004591 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-16 00:00:00 2006-08-16 00:00:00 No 2008-03-07 00:00:00 None B None 1000 1000 -350 650 0 None HO1V11 N CA00090368 C SFY2007-08
250000299 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2008-02-05 00:00:00 250004638 Closed Citation Citation A (HSC 1424) Medication None 2007-05-28 00:00:00 2007-05-28 00:00:00 Yes 2012-01-18 00:00:00 2012-01-06 00:00:00 A A 20000 12850 -350 12500 0 None 5DPQ11 N CA00119660 C SFY2007-08
250000299 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2008-02-05 00:00:00 250004642 Closed Citation Citation A (HSC 1424) Patient Care None 2006-07-04 00:00:00 2006-07-04 00:00:00 Yes 2012-01-18 00:00:00 2012-01-06 00:00:00 A B 15000 9750 0 9750 0 None Z5T011 N CA00092708 C SFY2007-08
250001655 VILLA VADNAIS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-02-29 00:00:00 250004719 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-17 00:00:00 2005-08-17 00:00:00 No 2008-03-21 00:00:00 None B None 1000 1000 -350 650 0 None UDGE11 N CA00069896 C SFY2007-08
250001655 VILLA VADNAIS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-02-29 00:00:00 250004720 Closed Citation Citation Willful Material Omission (HSC 1424(f)(1)) Patient Record None 2005-08-17 00:00:00 2005-08-17 00:00:00 No 2008-03-21 00:00:00 None WO None 1000 1000 -350 650 0 None UDGE11 None CA00069896 C SFY2007-08
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2008-03-28 00:00:00 250004761 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2005-09-02 00:00:00 2005-09-02 00:00:00 No 2008-05-16 00:00:00 None WF None 2000 2000 -700 1300 0 None 1Q0F11 None CA00092876 C SFY2007-08
250001441 JUAN BAUTISTA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-03-07 00:00:00 250004765 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-11 00:00:00 2007-12-11 00:00:00 No 2008-03-28 00:00:00 None B None 1000 1000 -350 650 0 None 1MQI11 N CA00134614 B SFY2007-08
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2008-03-20 00:00:00 250004782 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-06 00:00:00 2007-10-06 00:00:00 No 2008-04-11 00:00:00 None A None 10000 10000 -3500 6500 0 None UEZK11 N CA00128753 B SFY2007-08
250000260 THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA LTC SNF Skilled Nursing Facility Riverside 2008-03-21 00:00:00 250004805 Closed Citation Citation AA (HSC 1424) Patient Care None 2006-06-29 00:00:00 2006-06-29 00:00:00 Yes 2008-04-14 00:00:00 2008-04-09 00:00:00 AA None 100000 101700 0 101700 0 None VNTV11 Y CA00092190 C SFY2007-08
250001560 BETTY & MARTIN RUSSELL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-04-23 00:00:00 250004942 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-02 00:00:00 2006-11-02 00:00:00 No 2008-05-14 00:00:00 None B None 1000 1000 -350 650 0 None Q95C11 N CA00097696 C SFY2007-08
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2008-05-15 00:00:00 250004976 Closed Citation Citation B (HSC 1424) Medication None 2007-05-23 00:00:00 2007-05-23 00:00:00 Yes 2008-06-13 00:00:00 2008-05-28 00:00:00 B B 1000 650 -100 550 0 None FY3311 N CA00121383 C SFY2007-08
630007351 WYNN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-05-15 00:00:00 250005040 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-10-13 00:00:00 2007-10-13 00:00:00 Yes 2008-06-10 00:00:00 2008-05-20 00:00:00 B None 1000 1000 -350 650 0 None V6R111 N CA00131250 C SFY2007-08
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2008-06-10 00:00:00 250005110 Closed Citation Citation A (HSC 1424) Patient Care None 2008-05-02 00:00:00 2008-05-02 00:00:00 Yes 2008-07-07 00:00:00 2008-06-30 00:00:00 A A 20000 20000 0 20000 0 None PELZ11 N CA00149152 C SFY2007-08
250001233 VERBENA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-06-27 00:00:00 250005178 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-23 00:00:00 2008-03-23 00:00:00 Yes 2008-07-24 00:00:00 2008-07-14 00:00:00 B B 1000 500 0 500 0 None BPZ611 N CA00144792, CA00144930 B, B SFY2007-08
250000770 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-BAIN HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-07-11 00:00:00 250005217 Closed Citation Citation B (HSC 1424) Medication None 2008-05-21 00:00:00 2008-05-21 00:00:00 Yes 2008-08-01 00:00:00 2008-07-23 00:00:00 B None 1000 1200 -350 850 0 None B5YC11 N CA00152022 C SFY2008-09
250000985 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-07-17 00:00:00 250005235 Closed Citation Citation A (HSC 1424) Patient Rights None 2008-05-23 00:00:00 2008-05-23 00:00:00 Yes 2012-01-18 00:00:00 2012-01-09 00:00:00 A A 10000 5000 0 5000 0 None Z35R11 N CA00151501 C SFY2008-09
250000154 VISTA PACIFICA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Riverside 2008-07-31 00:00:00 250005255 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-22 00:00:00 2007-12-22 00:00:00 No 2008-08-27 00:00:00 None B None 1000 1000 0 1000 0 None 8RTT11 N CA00135772, CA00137420 C, C SFY2008-09
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2008-07-31 00:00:00 250005270 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2007-07-30 00:00:00 2007-07-30 00:00:00 Yes 2008-08-27 00:00:00 2008-08-08 00:00:00 B B 1000 1000 0 1000 0 None 8DLC11 N CA00122387 B SFY2008-09
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2008-08-20 00:00:00 250005326 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-09-14 00:00:00 2007-09-14 00:00:00 Yes 2008-09-11 00:00:00 2008-08-20 00:00:00 AA AA 100000 15000 0 15000 0 None JY2Q11 Y CA00137056, CA00147450 C, C SFY2008-09
250000154 VISTA PACIFICA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Riverside 2008-08-28 00:00:00 250005327 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-17 00:00:00 2007-10-17 00:00:00 No 2008-09-22 00:00:00 None B None 1000 1000 -350 650 0 None 43F911 N CA00129614 C SFY2008-09
250001796 DAVIS HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-08-28 00:00:00 250005343 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2007-03-26 00:00:00 2007-03-26 00:00:00 Yes 2008-09-19 00:00:00 2008-09-08 00:00:00 B B 1000 500 0 500 0 None 3CWS11 N CA00128131 C SFY2008-09
250000270 MISSION CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2008-09-10 00:00:00 250005361 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-03 00:00:00 2007-03-03 00:00:00 Yes 2008-10-01 00:00:00 2008-09-19 00:00:00 B B 1000 500 0 500 0 None C5QC11 N CA00108126 C SFY2008-09
630007321 JACK SURNOW HOUSE LTC CLHF Congregate Living Health Facility Riverside 2008-09-03 00:00:00 250005382 Closed Citation Citation B (HSC 1424) Other AB-Abuse 2007-09-17 00:00:00 2007-09-17 00:00:00 Yes 2008-09-24 00:00:00 2008-09-11 00:00:00 B B 1000 500 0 500 0 None DKOK11 N CA00126832 C SFY2008-09
250001363 HEMET VALLEY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Riverside 2008-12-04 00:00:00 250005627 Closed Citation Citation A (HSC 1424) Patient Care None 2008-04-28 00:00:00 2008-04-28 00:00:00 No 2008-12-30 00:00:00 None A None 5000 5000 -1750 3250 0 None 7ZTE11 N CA00148121 C SFY2008-09
250000051 EXTENDED CARE HOSPITAL OF RIVERSIDE LTC SNF Skilled Nursing Facility Riverside 2008-12-04 00:00:00 250005671 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-25 00:00:00 2008-01-25 00:00:00 Yes 2008-12-26 00:00:00 2008-12-15 00:00:00 B B 1000 500 0 500 0 None QRZE11 N CA00138896 B SFY2008-09
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2009-01-13 00:00:00 250005778 Closed Citation Citation B (HSC 1424) Other Abuse/facility 2007-06-07 00:00:00 2007-06-07 00:00:00 Yes 2009-02-03 00:00:00 2009-01-20 00:00:00 B None 1000 1000 -350 650 0 None SHQ211 N CA00116897 B SFY2008-09
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2009-02-10 00:00:00 250005787 Closed Citation Citation A (HSC 1424) Physical Environment None 2008-06-14 00:00:00 2008-06-14 00:00:00 No 2009-03-05 00:00:00 None A None 5000 5000 -1750 3250 0 None QB2G11 N CA00153736 C SFY2008-09
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2010-03-30 00:00:00 250007087 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-30 00:00:00 2008-09-30 00:00:00 No 2010-04-21 00:00:00 None B None 500 500 0 500 0 None 22X811 N CA00165061 B SFY2009-10
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2010-03-30 00:00:00 250007088 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-30 00:00:00 2008-09-30 00:00:00 No 2010-04-21 00:00:00 None B None 500 500 0 500 0 None 22X811 N CA00165061 B SFY2009-10
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2010-03-30 00:00:00 250007089 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-30 00:00:00 2008-09-30 00:00:00 No 2010-04-21 00:00:00 None B None 500 500 0 500 0 None 22X811 N CA00165061 B SFY2009-10
250000553 CONNER RESIDENCE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2011-04-28 00:00:00 250008208 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-02 00:00:00 2009-07-02 00:00:00 No 2011-05-19 00:00:00 None B None 200 200 0 200 0 None N7RU11 N CA00193979 C SFY2010-11
250001400 REINDEER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2011-04-29 00:00:00 250008209 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-30 00:00:00 2008-07-30 00:00:00 No 2011-05-20 00:00:00 None B None 200 200 0 200 0 None DTLW11 N CA00158747 B SFY2010-11
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2011-06-24 00:00:00 250008226 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-06-24 00:00:00 2010-06-24 00:00:00 Yes 2011-07-18 00:00:00 2011-07-08 00:00:00 B None 1000 1000 -350 650 0 None S1VD11 N CA00234071 B SFY2010-11
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2011-06-03 00:00:00 250008259 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-10 00:00:00 2008-03-10 00:00:00 Yes 2011-06-24 00:00:00 2011-06-03 00:00:00 B None 1000 1000 0 1000 0 None UQ1M11 N CA00143280 C SFY2010-11
250000902 THE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2011-06-03 00:00:00 250008273 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-15 00:00:00 2010-10-15 00:00:00 No 2011-06-24 00:00:00 None B None 500 500 -175 325 0 None WVLN11 N CA00246625 C SFY2010-11
250000154 VISTA PACIFICA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Riverside 2011-06-20 00:00:00 250008314 Closed Citation Citation A (HSC 1424) Patient Care None 2010-02-21 00:00:00 2010-02-21 00:00:00 Yes 2011-07-12 00:00:00 2011-07-07 00:00:00 A A 15000 15000 0 15000 0 None 9FFZ11 N None None SFY2010-11
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2011-06-29 00:00:00 250008337 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-05-21 00:00:00 2008-05-21 00:00:00 No 2011-07-21 00:00:00 None B None 1000 1000 -1000 0 0 None 2PHL11 N CA00150225 C SFY2010-11
250000079 CENTINELA GRAND, INC. LTC SNF Skilled Nursing Facility Riverside 2011-06-29 00:00:00 250008342 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported AB-abuse/facility not rep 2009-10-09 00:00:00 2009-10-09 00:00:00 No 2011-07-21 00:00:00 None B None 1000 1000 -350 650 0 None 9E4F11 N CA00205390 C SFY2010-11
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2011-07-08 00:00:00 250008348 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-07-01 00:00:00 2009-07-01 00:00:00 No 2011-07-29 00:00:00 None B None 1000 1000 -350 650 0 None 6TP311 N CA00211012 C SFY2011-12
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2011-10-25 00:00:00 250008650 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-10 00:00:00 2010-02-10 00:00:00 No 2011-11-16 00:00:00 None B None 1000 1000 -1000 0 0 None KDHY11 N CA00274279 C SFY2011-12
250001571 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SHEILA MARIE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2011-11-10 00:00:00 250008694 Closed Citation Citation A (HSC 1424) Patient Rights None 2008-06-28 00:00:00 2008-06-28 00:00:00 Yes 2011-12-06 00:00:00 2011-11-18 00:00:00 A A 10000 6000 0 6000 0 None KHVC11 N CA00155282 B SFY2011-12
250000098 MENIFEE LAKES POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2011-11-10 00:00:00 250008716 Closed Citation Citation B (HSC 1424) Patient Care None 2006-08-09 00:00:00 2006-08-09 00:00:00 Yes 2011-12-06 00:00:00 2011-12-02 00:00:00 B None 1000 1000 0 1000 0 None M69311 N CA00092654 C SFY2011-12
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2011-11-16 00:00:00 250008748 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-11-26 00:00:00 2008-11-26 00:00:00 No 2011-12-09 00:00:00 None B None 1000 1000 -350 650 0 None 417Q11 N CA00170495, CA00170654 B, B SFY2011-12
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2011-12-06 00:00:00 250008772 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-11-18 00:00:00 2010-11-18 00:00:00 No 2011-12-28 00:00:00 None B None 1000 1000 -1000 0 0 None UVKC11 N CA00253109 C SFY2011-12
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2012-01-18 00:00:00 250008778 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-08-21 00:00:00 2008-08-21 00:00:00 No 2012-02-08 00:00:00 None B None 1000 1000 -350 650 0 None 7MT911 N CA00161127 C SFY2011-12
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2011-12-06 00:00:00 250008779 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-11-18 00:00:00 2010-11-18 00:00:00 No 2011-12-28 00:00:00 None B None 1000 1000 -1000 0 0 None UVKC11 N CA00253109 C SFY2011-12
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2012-01-04 00:00:00 250008864 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-07-17 00:00:00 2010-07-17 00:00:00 No 2012-01-26 00:00:00 None B None 1000 1000 0 1000 0 None 9DEY11 N CA00236072 B SFY2011-12
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2012-02-23 00:00:00 250009024 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-08-09 00:00:00 2010-08-09 00:00:00 No 2012-03-15 00:00:00 None B None 1000 1000 -350 650 0 None D58R11 N CA00238773 B SFY2011-12
250000021 RIVERSIDE BEHAVIORAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2012-03-14 00:00:00 250009109 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-29 00:00:00 2010-03-29 00:00:00 Yes 2012-04-04 00:00:00 2012-04-06 00:00:00 A B 10000 10000 0 10000 0 None H63A11 N CA00223941 A SFY2011-12
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2012-03-29 00:00:00 250009184 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-05-01 00:00:00 2006-05-01 00:00:00 No 2012-04-19 00:00:00 None B None 500 500 -175 325 0 None W3ZX11 N CA00079502 B SFY2011-12
250001635 THE JOHN FURBEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2012-03-29 00:00:00 250009186 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-31 00:00:00 2010-10-31 00:00:00 No 2012-04-19 00:00:00 None B None 1000 1000 -350 650 0 None C34I11 N CA00248315 C SFY2011-12
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2012-06-14 00:00:00 250009351 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-24 00:00:00 2010-03-24 00:00:00 No 2012-07-06 00:00:00 None B None 1000 1000 -350 650 0 None TVPO11 N CA00224874 C SFY2011-12
250000857 DESERT REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Riverside 2012-11-19 00:00:00 250009425 Closed Citation Citation B (HSC 1424) Patient Care None 2011-08-26 00:00:00 2011-08-26 00:00:00 No 2012-12-12 00:00:00 None B None 1000 1000 0 1000 0 None 19FI11 N CA00281664 C SFY2012-13
250000270 MISSION CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2012-10-04 00:00:00 250009539 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-11-03 00:00:00 2009-11-03 00:00:00 No 2012-10-25 00:00:00 None B None 1000 1000 0 1000 0 None 39U311 N CA00207062 C SFY2012-13
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2012-11-14 00:00:00 250009585 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-09-24 00:00:00 2009-09-24 00:00:00 Yes 2012-12-07 00:00:00 2012-11-14 00:00:00 B B 1000 1000 0 1000 0 None 8XZI11 N CA00202739 B SFY2012-13
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2012-11-14 00:00:00 250009586 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-08-12 00:00:00 2011-08-12 00:00:00 No 2012-12-07 00:00:00 None B None 1000 1000 -350 650 0 None LVKN11 N CA00279284 C SFY2012-13
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2012-11-16 00:00:00 250009589 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported B - ABUSE 2008-06-30 00:00:00 2008-06-30 00:00:00 No 2012-12-11 00:00:00 None B None 1000 1350 0 1350 0 None 4KDK11 N CA00155169, CA00155243 C, B SFY2012-13
250001663 BENTLEY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2012-11-20 00:00:00 250009594 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-09-17 00:00:00 2008-09-17 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 0 1000 0 None 2IHE11 N CA00164077 B SFY2012-13
630007351 WYNN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2012-11-20 00:00:00 250009603 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-10-19 00:00:00 2007-10-19 00:00:00 No 2012-12-13 00:00:00 None B None 1000 1000 -350 650 0 None QTLF11 N CA00142539 C SFY2012-13
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2012-12-06 00:00:00 250009639 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-12-04 00:00:00 2011-12-04 00:00:00 No 2012-12-28 00:00:00 None B None 1000 1000 -350 650 0 None J29N11 N CA00291817 C SFY2012-13
250000985 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2012-12-06 00:00:00 250009660 Closed Citation Citation A (HSC 1424) Medication None 2007-06-19 00:00:00 2007-06-19 00:00:00 No 2012-12-28 00:00:00 None A None 10000 10000 -3500 6500 0 None LRVM11 N CA00118070, CA00118198, CA00118198, CA00119486 B, B, B, C SFY2012-13
250000598 COVEY QUAIL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2012-12-12 00:00:00 250009661 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-07-16 00:00:00 2008-07-16 00:00:00 No 2013-01-04 00:00:00 None B None 1000 1000 -350 650 0 None VIR011 N CA00157238, CA00158073 C, C SFY2012-13
250000036 VALENCIA GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2012-12-06 00:00:00 250009662 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-13 00:00:00 2007-09-13 00:00:00 No 2012-12-28 00:00:00 None B None 500 500 0 500 0 None PQ6H11 N CA00126165 B SFY2012-13
250000596 FOXDALE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2012-12-12 00:00:00 250009664 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-09 00:00:00 2007-10-09 00:00:00 No 2013-01-04 00:00:00 None B None 1000 1000 -350 650 0 None Z9YG11 N CA00130971 C SFY2012-13
250001440 ORMISTA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-02-13 00:00:00 250009725 Closed Citation Citation A (HSC 1424) Physical Environment Patient Care 2012-04-16 00:00:00 2012-04-16 00:00:00 Yes 2013-03-07 00:00:00 2013-03-12 00:00:00 A Dismissed by Court 10000 0 0 0 0 None OQLY11 N CA00306912 C SFY2012-13
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2013-03-07 00:00:00 250009731 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-07-11 00:00:00 2009-07-11 00:00:00 No 2013-03-28 00:00:00 None B None 200 200 -70 130 0 None 6DO311 N CA00194735 C SFY2012-13
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2013-05-07 00:00:00 250009834 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-01-06 00:00:00 2012-01-06 00:00:00 No 2013-05-29 00:00:00 None B None 1000 1000 -350 650 0 None JVNY11 N CA00295099, CA00309399 C, C SFY2012-13
250001723 MOUNTAIN SHADOWS SPECIAL KIDS HOMES - MAGGIE MARSH HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-05-16 00:00:00 250009902 Closed Citation Citation A (HSC 1424) Patient Rights None 2008-12-04 00:00:00 2008-12-04 00:00:00 No 2013-06-07 00:00:00 None A None 5000 5000 0 5000 0 None 1X3O11 N CA00171262 C SFY2012-13
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2013-07-30 00:00:00 250009918 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-12-20 00:00:00 2010-12-20 00:00:00 No 2013-08-20 00:00:00 None B None 1000 1000 -350 650 0 None TRC311 N CA00250618, CA00252591, CA00254871 C, C, C SFY2013-14
250000079 CENTINELA GRAND, INC. LTC SNF Skilled Nursing Facility Riverside 2013-07-25 00:00:00 250010018 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-11-23 12:00:00 2012-11-23 12:00:00 No 2013-08-15 00:00:00 None B None 1000 1000 -350 650 0 None KQ1M11 N CA00334584 B SFY2013-14
250000141 RAMONA REHABILITATION AND POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2013-07-25 00:00:00 250010019 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-12-07 00:00:00 2012-12-07 00:00:00 No 2013-08-15 00:00:00 None B None 1000 1000 -350 650 0 None 778Q11 N CA00336736 C SFY2013-14
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2013-07-30 00:00:00 250010020 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-05-15 00:00:00 2012-05-15 00:00:00 No 2013-08-20 00:00:00 None B None 1000 1000 0 1000 0 None 6HFR11 N CA00310832 A SFY2013-14
250000116 VILLA WOODS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-07-30 00:00:00 250010026 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-03-25 00:00:00 2012-03-25 00:00:00 No 2013-08-20 00:00:00 None B None 200 200 0 200 0 None PSMK11 N CA00305696 C SFY2013-14
630012886 MESA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-08-19 00:00:00 250010035 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-05-11 00:00:00 2012-05-11 00:00:00 No 2013-09-10 00:00:00 None B None 200 200 0 200 0 None XX7Q11 N CA00310634 C SFY2013-14
250000850 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-GLEN HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-08-15 00:00:00 250010053 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-26 00:00:00 2010-11-26 00:00:00 No 2013-09-06 00:00:00 None B None 1000 1000 -350 650 0 None OZNI11 N CA00250477 C SFY2013-14
250000036 VALENCIA GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2013-08-15 00:00:00 250010061 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-15 00:00:00 2009-07-15 00:00:00 No 2013-09-06 00:00:00 None B None 500 500 -175 325 0 None 90K911 N CA00195310 C SFY2013-14
250000260 THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA LTC SNF Skilled Nursing Facility Riverside 2013-09-04 00:00:00 250010072 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-11 00:00:00 2008-09-11 00:00:00 No 2013-09-25 00:00:00 None B None 1000 1000 -350 650 0 None YP6811 N CA00163854 C SFY2013-14
250000260 THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA LTC SNF Skilled Nursing Facility Riverside 2013-09-04 00:00:00 250010083 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-11 00:00:00 2008-09-11 00:00:00 No 2013-09-25 00:00:00 None B None 1000 1000 -350 650 0 None YP6811 N CA00163854 C SFY2013-14
250000260 THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA LTC SNF Skilled Nursing Facility Riverside 2013-09-04 00:00:00 250010087 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-09-10 00:00:00 2008-09-10 00:00:00 No 2013-09-25 00:00:00 None B None 1000 1000 -350 650 0 None YP6811 N CA00163854 C SFY2013-14
250001525 HACIENDA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-09-09 00:00:00 250010109 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-04-15 00:00:00 2013-04-15 00:00:00 Yes 2013-09-30 00:00:00 2013-09-11 00:00:00 B None 1000 1000 0 1000 0 None JR6Q11 N CA00354310, CA00354310, CA00355028 B, B, B SFY2013-14
250001525 HACIENDA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-09-09 00:00:00 250010114 Closed Citation Citation B (HSC 1424) Other Abuse 2013-04-15 00:00:00 2013-04-15 00:00:00 Yes 2013-09-30 00:00:00 2013-09-11 00:00:00 B None 1000 1000 0 1000 0 None JR6Q11 N CA00355028 B SFY2013-14
250001233 VERBENA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-09-09 00:00:00 250010129 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-07-21 00:00:00 2012-07-21 00:00:00 Yes 2013-09-30 00:00:00 2013-09-18 00:00:00 B None 1000 1200 0 1200 0 None XOW411 N CA00332010, CA00365504 B, B SFY2013-14
250001233 VERBENA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-09-09 00:00:00 250010131 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-07-21 00:00:00 2012-07-21 00:00:00 Yes 2013-09-30 00:00:00 2013-09-18 00:00:00 B None 1000 1350 0 1350 0 None XOW411 N None None SFY2013-14
250000622 GARRISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-10-24 00:00:00 250010202 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-01-04 00:00:00 2013-01-04 00:00:00 No 2013-11-15 00:00:00 None B None 1000 1000 -350 650 0 None Q3DT11 N CA00338445 B SFY2013-14
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2013-10-14 00:00:00 250010203 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-07-20 00:00:00 2012-07-20 00:00:00 No 2013-11-04 00:00:00 None FTR BR None 4700 4700 -1175 3525 0 None L4DK11 None CA00325409 D SFY2013-14
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2013-10-15 00:00:00 250010204 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-06 00:00:00 2010-11-06 00:00:00 No 2013-11-05 00:00:00 None B None 1000 1000 -350 650 0 None JRV011 N CA00249345 C SFY2013-14
250000673 RIVERSIDE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2013-11-14 00:00:00 250010258 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-16 00:00:00 2008-07-16 00:00:00 No 2013-12-09 00:00:00 None A None 5000 5400 -1750 3650 0 None TPEP11 N CA00157348 C SFY2013-14
250000592 NEW IDEALS/OTIS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2013-12-09 00:00:00 250010298 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-05-23 00:00:00 2013-05-23 00:00:00 No 2013-12-31 00:00:00 None B None 1000 1000 -350 650 0 None GQWX11 N CA00355791, CA00355875 C, C SFY2013-14
250001635 THE JOHN FURBEE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-01-16 00:00:00 250010379 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-25 00:00:00 2010-03-25 00:00:00 No 2014-02-07 00:00:00 None B None 1000 1000 -350 650 0 None YJK011 N CA00223169 C SFY2013-14
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2014-01-23 00:00:00 250010389 Open Citation Citation B (HSC 1424) Other Abuse 2013-09-18 00:00:00 2013-09-18 00:00:00 Yes 2014-02-13 00:00:00 2014-02-12 00:00:00 B B 2000 2000 0 0 2000 None QJFZ11 N CA00370520 B SFY2013-14
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2014-01-30 00:00:00 250010391 Closed Citation Citation B (HSC 1424) Other Facility Not Reported 2010-08-06 00:00:00 2010-08-06 00:00:00 No 2014-02-21 00:00:00 None B None 750 750 0 750 0 None SHYY11 N CA00239137, CA00240982 C, C SFY2013-14
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2014-01-24 00:00:00 250010394 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-15 00:00:00 2011-05-15 00:00:00 Yes 2014-02-14 00:00:00 2014-02-13 00:00:00 B None 1000 1000 0 1000 0 None 90DJ11 N CA00269901 B SFY2013-14
250000830 WILLIAM DEMAREST CANYON COUNTRY CLUB HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-01-30 00:00:00 250010395 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-16 00:00:00 2010-05-16 00:00:00 No 2014-02-21 00:00:00 None B None 1000 1000 -350 650 0 None QPX411 N CA00229079 A SFY2013-14
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2014-01-30 00:00:00 250010410 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-05-15 00:00:00 2011-05-15 00:00:00 No 2014-02-21 00:00:00 None B None 1000 1000 -350 650 0 None 90DJ11 N CA00269901 B SFY2013-14
250001332 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-JUNIPER HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-02-04 00:00:00 250010418 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-23 00:00:00 2011-10-23 00:00:00 No 2014-02-26 00:00:00 None B None 1000 1000 -350 650 0 None XZPU11 N CA00287485 B SFY2013-14
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2014-02-06 00:00:00 250010421 Closed Citation Citation B (HSC 1424) Other Abuse 2013-12-28 00:00:00 2013-12-28 00:00:00 No 2014-02-28 00:00:00 None B None 1000 1000 0 1000 0 None CIFE11 N CA00381828 C SFY2013-14
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2014-02-12 00:00:00 250010457 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-11 00:00:00 2010-11-11 00:00:00 No 2014-03-06 00:00:00 None B None 1000 1000 -350 650 0 None H79L11 N CA00248932 C SFY2013-14
250000857 DESERT REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Riverside 2014-02-13 00:00:00 250010458 Closed Citation Citation A (HSC 1424) Patient Care None 2011-06-14 00:00:00 2011-06-14 00:00:00 No 2014-03-07 00:00:00 None A None 17000 17000 -5950 11050 0 None 43DA11 N CA00278645 C SFY2013-14
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-02-20 00:00:00 250010470 Closed Citation Citation A (HSC 1424) Patient Care None 2013-08-30 00:00:00 2013-08-30 00:00:00 Yes 2014-03-13 00:00:00 2014-02-24 00:00:00 A A 10000 6500 0 6500 0 None 8O2D11 N CA00368127 C SFY2013-14
250000141 RAMONA REHABILITATION AND POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2014-02-21 00:00:00 250010485 Closed Citation Citation A (HSC 1424) Dietary None 2009-03-18 00:00:00 2009-03-18 00:00:00 No 2014-03-14 00:00:00 None A None 10000 10000 -3500 6500 0 None FY2311 N CA00182057 B SFY2013-14
250000051 EXTENDED CARE HOSPITAL OF RIVERSIDE LTC SNF Skilled Nursing Facility Riverside 2014-02-27 00:00:00 250010489 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-08-18 00:00:00 2010-08-18 00:00:00 No 2014-03-20 00:00:00 None B None 1000 1000 -350 650 0 None 2Q8Q11 N CA00239964 C SFY2013-14
250000154 VISTA PACIFICA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Riverside 2014-02-28 00:00:00 250010505 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-09-27 00:00:00 2011-09-27 00:00:00 No 2014-03-21 00:00:00 None B None 1000 1000 -350 650 0 None N8HS11 N CA00285159 C SFY2013-14
250000154 VISTA PACIFICA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Riverside 2014-02-28 00:00:00 250010506 Closed Citation Citation B (HSC 1424) Other Abuse 2011-09-27 00:00:00 2011-09-27 00:00:00 No 2014-03-21 00:00:00 None B None 1000 1000 -350 650 0 None N8HS11 N CA00285159 C SFY2013-14
250000039 PREMIER CARE CENTER FOR PALM SPRINGS LTC SNF Skilled Nursing Facility Riverside 2014-03-06 00:00:00 250010514 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-08-20 00:00:00 2013-08-20 00:00:00 No 2014-03-27 00:00:00 None B None 1000 1000 -350 650 0 None C5J111 N CA00366597 B SFY2013-14
250000033 CALIFORNIA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2014-03-06 00:00:00 250010518 Closed Citation Citation B (HSC 1424) Other Abuse 2013-07-19 00:00:00 2013-07-19 00:00:00 No 2014-03-27 00:00:00 None B None 2000 2000 -700 1300 0 None PTL811 N CA00362594, CA00363378 C, C SFY2013-14
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-03-14 00:00:00 250010528 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-30 00:00:00 2012-10-30 00:00:00 Yes 2014-04-07 00:00:00 2014-03-24 00:00:00 B B 2000 1500 0 1500 0 None CH9P11 N CA00331433 B SFY2013-14
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2014-03-18 00:00:00 250010547 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-03-23 00:00:00 2013-03-23 00:00:00 No 2014-04-09 00:00:00 None B None 2000 2000 -700 1300 0 None 7XVE11 N CA00348921 B SFY2013-14
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2014-03-20 00:00:00 250010560 Closed Citation Citation B (HSC 1424) Other Failure to report 2012-03-27 00:00:00 2012-03-27 00:00:00 No 2014-04-11 00:00:00 None B None 1000 1350 -350 1000 0 None HP0311 N CA00304693 C SFY2013-14
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-03-27 00:00:00 250010574 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-29 00:00:00 2012-02-29 00:00:00 No 2014-04-18 00:00:00 None B None 2000 2000 -700 1300 0 None T0JZ11 Y CA00301469 C SFY2013-14
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-03-27 00:00:00 250010576 Closed Citation Citation B (HSC 1424) Medication None 2010-08-23 00:00:00 2010-08-23 00:00:00 No 2014-04-18 00:00:00 None B None 1000 1000 -350 650 0 None OP8111 N CA00240521, CA00241043, CA00241265 C, C, C SFY2013-14
250000835 NEW IDEALS/NOGAL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-04-04 00:00:00 250010592 Closed Citation Citation B (HSC 1424) Other Abuse 2012-04-30 00:00:00 2012-04-30 00:00:00 No 2014-04-25 00:00:00 None B None 1000 1000 -350 650 0 None KRMG11 N CA00309034 C SFY2013-14
250000835 NEW IDEALS/NOGAL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-04-04 00:00:00 250010594 Closed Citation Citation B (HSC 1424) Other Failure To Report 2012-04-30 00:00:00 2012-04-30 00:00:00 No 2014-04-25 00:00:00 None B None 1000 1000 -350 650 0 None KRMG11 N CA00309034 C SFY2013-14
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2014-04-10 00:00:00 250010604 Closed Citation Citation A (HSC 1424) Patient Rights None 2010-09-26 00:00:00 2010-09-26 00:00:00 Yes 2014-05-01 00:00:00 2014-04-21 00:00:00 A A 10000 3500 0 3500 0 None KVTY11 Y CA00244130 C SFY2013-14
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2014-04-10 00:00:00 250010605 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-28 00:00:00 2010-05-28 00:00:00 Yes 2014-05-01 00:00:00 2014-04-10 00:00:00 A None 10000 10000 -3500 6500 0 None VB4V11 Y CA00230822, CA00242035 C, C SFY2013-14
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2014-04-10 00:00:00 250010606 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-25 00:00:00 2011-04-25 00:00:00 No 2014-05-01 00:00:00 None B None 1000 1000 -350 650 0 None TYCS11 N CA00267202 C SFY2013-14
250001435 CHAPALA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-04-11 00:00:00 250010607 Open Citation Citation AA (HSC 1424) Other Abuse 2012-11-24 00:00:00 2012-11-24 00:00:00 Yes 2014-05-02 00:00:00 2014-04-28 00:00:00 AA None 25000 25000 0 0 25000 None J7GB11 Y CA00333986 C SFY2013-14
250000673 RIVERSIDE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2014-04-10 00:00:00 250010610 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-04-17 00:00:00 2013-04-17 00:00:00 No 2014-05-01 00:00:00 None B None 2000 2000 -700 1300 0 None L4MQ11 N CA00351944 B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010667 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None L0KJ11 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010668 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010669 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010670 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010671 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010672 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010673 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 1500 1500 -525 975 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010674 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010675 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010676 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010678 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010683 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010684 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010685 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010686 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010687 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010688 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010690 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-13 00:00:00 250010692 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None U4F111 N CA00371712, CA00371842, CA00372726 C, B, B SFY2013-14
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-05-01 00:00:00 250010693 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-07-18 00:00:00 2012-07-18 00:00:00 No 2014-05-22 00:00:00 None FTR RES None 5400 5400 -1350 4050 0 None L4DK11 None CA00325409 D SFY2013-14
250000592 NEW IDEALS/OTIS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-06-12 00:00:00 250010752 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-10-08 00:00:00 2013-10-08 00:00:00 No 2014-07-03 00:00:00 None B None 1000 1000 -350 650 0 None 1WKQ11 N CA00372503, CA00372791 B, B SFY2013-14
250000732 DELPHINIUM HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-06-19 00:00:00 250010820 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-10-22 00:00:00 2013-10-22 00:00:00 No 2014-07-11 00:00:00 None B None 1000 1000 -350 650 0 None YAM311 N CA00373051 C SFY2013-14
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2014-07-09 00:00:00 250010857 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-05-05 00:00:00 2014-05-05 00:00:00 No 2014-07-30 00:00:00 None FTR BR None 1800 1800 -450 1350 0 None MM3411 None CA00398568 C SFY2014-15
250000033 CALIFORNIA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2014-07-10 00:00:00 250010858 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-07-22 00:00:00 2013-07-22 00:00:00 No 2014-07-31 00:00:00 None B None 1000 1000 -350 650 0 None P8E211 N CA00363102 C SFY2014-15
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2014-07-09 00:00:00 250010861 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-05-05 00:00:00 2014-05-05 00:00:00 No 2014-07-30 00:00:00 None FTR RES None 2700 2700 -675 2025 0 None MM3411 None CA00398568 C SFY2014-15
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-07-24 00:00:00 250010881 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-19 00:00:00 2012-01-19 00:00:00 No 2014-08-14 00:00:00 None B None 2000 2000 -700 1300 0 None DQIE11 N None None SFY2014-15
250000553 CONNER RESIDENCE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2014-07-30 00:00:00 250010882 Closed Citation Citation B (HSC 1424) Other Abuse 2012-02-22 00:00:00 2012-02-22 00:00:00 No 2014-08-20 00:00:00 None B None 1000 1000 -350 650 0 None GPU711 N CA00300703, CA00301690, CA00301844 C, C, C SFY2014-15
250000061 DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2014-09-25 00:00:00 250011022 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2014-10-16 00:00:00 None B None 2000 2000 -700 1300 0 None QHGJ11 N CA00399309 C SFY2014-15
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2014-12-03 00:00:00 250011146 Closed Citation Citation B (HSC 1424) Patient Care None 2013-10-27 00:00:00 2013-10-27 00:00:00 No 2014-12-24 00:00:00 None B None 1000 1000 -350 650 0 None FIQR11 N CA00380758 C SFY2014-15
250001615 MOUNTAIN SHADOWS SPECIAL KIDS HOMES - CAMI HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2015-01-22 00:00:00 250011210 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-12-27 00:00:00 2013-12-27 00:00:00 No 2015-02-12 00:00:00 None B None 1000 1000 -350 650 0 None 021I11 N CA00381968 C SFY2014-15
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2015-03-05 00:00:00 250011288 Closed Citation Citation A (HSC 1424) Patient Care None 2014-05-24 00:00:00 2014-05-24 00:00:00 No 2015-03-26 00:00:00 None A None 20000 20000 0 20000 0 None 8L2I11 N CA00399835 B SFY2014-15
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2015-06-08 00:00:00 250011479 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-06-13 00:00:00 2014-06-13 00:00:00 No 2015-06-29 00:00:00 None B None 2000 6000 -2100 3900 0 None PHV211 N CA00402124 B SFY2014-15
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2015-06-08 00:00:00 250011495 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-06-13 00:00:00 2014-06-13 00:00:00 No 2015-06-29 00:00:00 None B None 2000 6000 -2100 3900 0 None PHV211 N CA00402124 B SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011511 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011512 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011513 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011514 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011515 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011516 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011529 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011534 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011536 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011541 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011547 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011550 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011551 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 1500 1500 -525 975 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011556 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011557 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011558 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2015-06-24 00:00:00 250011569 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-01-30 00:00:00 2014-01-30 00:00:00 No 2015-07-15 00:00:00 None B None 2000 2000 -700 1300 0 None EWEZ11 N CA00385881 C SFY2014-15
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2015-06-30 00:00:00 250011575 Closed Citation Citation B (HSC 1424) Other Financial Abuse 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2015-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None EJU611 N CA00371859 C SFY2014-15
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2015-07-14 00:00:00 250011604 Closed Citation Citation B (HSC 1424) Patient Care None 2013-11-12 00:00:00 2013-11-12 00:00:00 No 2015-08-04 00:00:00 None B None 2000 2000 -700 1300 0 None UGEG11 N CA00381927, CA00386749 B, C SFY2015-16
250000061 DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2015-08-27 00:00:00 250011684 Closed Citation Citation B (HSC 1424) Other Abuse 2014-12-05 00:00:00 2014-12-05 00:00:00 No 2015-09-18 00:00:00 None B None 2000 2000 0 2000 0 None EZUJ11 N CA00422528 B SFY2015-16
250001663 BENTLEY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2015-08-28 00:00:00 250011693 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-10-22 00:00:00 2014-10-22 00:00:00 No 2015-09-21 00:00:00 None B None 1000 1000 0 1000 0 None ZLGU11 N CA00417830 B SFY2015-16
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2015-09-03 00:00:00 250011699 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-27 00:00:00 2015-05-27 00:00:00 No 2015-09-25 00:00:00 None B None 2000 2000 -700 1300 0 None 4GMW11 N CA00444374 B SFY2015-16
250000072 PALM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2015-09-03 00:00:00 250011700 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-19 00:00:00 2015-08-19 00:00:00 No 2015-09-25 00:00:00 None B None 2000 2000 -700 1300 0 None KGNU11 N CA00443880 B SFY2015-16
250000072 PALM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2015-09-10 00:00:00 250011707 Closed Citation Citation A (HSC 1424) Other Accidents 2014-01-18 00:00:00 2014-01-18 00:00:00 Yes 2015-10-01 00:00:00 2015-10-09 00:00:00 A B 10000 10000 0 10000 0 None EEJQ11 N CA00384508 C SFY2015-16
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2015-09-16 00:00:00 250011714 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-05-21 00:00:00 2014-05-21 00:00:00 No 2015-10-07 00:00:00 None B None 1000 1000 -350 650 0 None 2LVN11 N CA00389504 C SFY2015-16
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2015-09-24 00:00:00 250011722 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-01-30 00:00:00 2014-01-30 00:00:00 No 2015-10-15 00:00:00 None B None 2000 2000 -700 1300 0 None EWEZ11 N CA00385881 C SFY2015-16
250000021 RIVERSIDE BEHAVIORAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2015-09-23 00:00:00 250011724 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-09-19 00:00:00 2014-09-19 00:00:00 No 2015-10-14 00:00:00 None B None 2000 2000 -700 1300 0 None RKQN11 Y CA00414090, CA00414983 C, B SFY2015-16
250000021 RIVERSIDE BEHAVIORAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2015-09-23 00:00:00 250011725 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-13 00:00:00 2015-04-13 00:00:00 No 2015-10-14 00:00:00 None B None 2000 2000 -700 1300 0 None MIU111 N CA00439043 B SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-01-06 00:00:00 250011835 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-03 00:00:00 2015-04-03 00:00:00 No 2016-01-28 00:00:00 None B None 2000 2000 -700 1300 0 None 3YTK11 N CA00437663, CA00458277, CA00467160, CA00467162 C, C, C, C SFY2015-16
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2015-11-24 00:00:00 250011865 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-14 00:00:00 2015-09-14 00:00:00 No 2015-12-17 00:00:00 None B None 1500 1500 -525 975 0 None Y7DP11 N CA00457985 B SFY2015-16
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2016-01-19 00:00:00 250011909 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-12 00:00:00 2015-08-12 00:00:00 No 2016-02-09 00:00:00 None B None 2000 2000 -700 1300 0 None C6UM11 N CA00455025 B SFY2015-16
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2016-01-07 00:00:00 250011919 Closed Citation Citation B (HSC 1424) Patient Care None 2015-02-08 00:00:00 2015-02-08 00:00:00 No 2016-01-29 00:00:00 None B None 2000 2000 0 2000 0 None YSTT11 N CA00431059, CA00431587 B, B SFY2015-16
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2016-01-07 00:00:00 250011934 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-03-12 00:00:00 2015-03-12 00:00:00 No 2016-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None Q8M811 N CA00434848 B SFY2015-16
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2016-01-07 00:00:00 250011940 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-03-12 00:00:00 2015-03-12 00:00:00 No 2016-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None Q8M811 N CA00434848, CA00434848 B, B SFY2015-16
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2016-01-07 00:00:00 250011941 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-03-12 00:00:00 2015-03-12 00:00:00 No 2016-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None Q8M811 N CA00434848, CA00434848 B, B SFY2015-16
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2016-01-07 00:00:00 250011942 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-03-12 00:00:00 2015-03-12 00:00:00 No 2016-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None Q8M811 N CA00434848, CA00434848 B, B SFY2015-16
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2016-01-07 00:00:00 250011943 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-03-12 00:00:00 2015-03-12 00:00:00 No 2016-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None Q8M811 N None None SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-01-20 00:00:00 250011968 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-09 00:00:00 2015-09-09 00:00:00 Yes 2016-02-10 00:00:00 2016-02-05 00:00:00 B Drop>Deficiency 2000 500 0 500 0 None IIQW11 N CA00457763 B SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-01-20 00:00:00 250011969 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-01 00:00:00 2014-07-01 00:00:00 Yes 2016-02-10 00:00:00 2016-02-10 00:00:00 B B 2000 1250 0 1250 0 None SR9211 N CA00431076 B SFY2015-16
250000673 RIVERSIDE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2016-01-27 00:00:00 250011983 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-02-22 00:00:00 2014-02-22 00:00:00 No 2016-02-18 00:00:00 None B None 2000 2000 -700 1300 0 None D0VL11 N CA00390444 C SFY2015-16
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-02-24 00:00:00 250012038 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-16 00:00:00 2015-02-16 00:00:00 No 2016-03-16 00:00:00 None B None 2000 2000 -700 1300 0 None 35CW11 N CA00431562 B SFY2015-16
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-03-09 00:00:00 250012056 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-11-01 00:00:00 2015-11-01 00:00:00 No 2016-03-30 00:00:00 None B None 1000 1000 -350 650 0 None GOKV11 N CA00464339 B SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-04-07 00:00:00 250012161 Closed Citation Citation B (HSC 1424) Other Free of Accident Hazards 2015-09-06 00:00:00 2015-09-06 00:00:00 Yes 2016-04-28 00:00:00 2016-04-18 00:00:00 B B 1000 1000 0 1000 0 None WK1211 N CA00458277, CA00459935 C, C SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-04-19 00:00:00 250012202 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-12-07 00:00:00 2015-12-07 00:00:00 Yes 2016-05-10 00:00:00 2016-04-19 00:00:00 B B 1000 1000 0 1000 0 None OHLX11 N CA00469110 B SFY2015-16
250000043 COMMUNITY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2016-05-09 00:00:00 250012229 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-06-10 00:00:00 2015-06-10 00:00:00 No 2016-05-31 00:00:00 None B None 2000 2000 -700 1300 0 None KB3B11 N CA00447392 B SFY2015-16
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-10-27 00:00:00 250012258 Closed Citation Citation A (HSC 1424) Patient Care None 2015-09-14 00:00:00 2015-09-14 00:00:00 Yes 2016-11-18 00:00:00 2016-11-10 00:00:00 A A 10000 8000 0 8000 0 None MZXH11 N CA00462997 C SFY2016-17
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-07-20 00:00:00 250012389 Closed Citation Citation B (HSC 1424) Patient Care None 2016-02-10 00:00:00 2016-02-10 00:00:00 No 2016-08-10 00:00:00 None B None 2000 2000 -700 1300 0 None RZUZ11 N CA00475682, CA00475751 B, B SFY2016-17
250001233 VERBENA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2016-10-21 00:00:00 250012607 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-01-16 00:00:00 2015-01-16 00:00:00 No 2016-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None 19I611 N CA00427627 C SFY2016-17
250000869 MARIAN JAMES TRANSITIONAL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2016-10-20 00:00:00 250012647 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-12-01 00:00:00 2014-12-01 00:00:00 No 2016-11-10 00:00:00 None B None 2000 2000 -700 1300 0 None 5RJO11 N CA00422052 C SFY2016-17
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2016-10-31 00:00:00 250012685 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-17 00:00:00 2016-01-17 00:00:00 No 2016-11-22 00:00:00 None B None 2000 2000 -700 1300 0 None KYXF11 N CA00478394 B SFY2016-17
250000021 RIVERSIDE BEHAVIORAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2016-11-10 00:00:00 250012712 Closed Citation Citation B (HSC 1424) Patient Care None 2015-01-05 00:00:00 2015-01-05 00:00:00 No 2016-12-06 00:00:00 None B None 2000 2000 -700 1300 0 None YV3M11 N CA00425691 B SFY2016-17
250000072 PALM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2016-11-08 00:00:00 250012713 Closed Citation Citation B (HSC 1424) Other Environ./Infection Cont. 2014-09-15 00:00:00 2014-09-15 00:00:00 No 2016-12-02 00:00:00 None B None 2000 2000 -700 1300 0 None 94WQ11 N CA00436375 B SFY2016-17
250000043 COMMUNITY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2016-11-10 00:00:00 250012716 Closed Citation Citation B (HSC 1424) Patient Care None 2016-05-22 00:00:00 2016-05-22 00:00:00 No 2016-12-06 00:00:00 None B None 2000 2000 -700 1300 0 None 4ECX11 N CA00494578 B SFY2016-17
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2016-12-08 00:00:00 250012794 Closed Citation Citation B (HSC 1424) Patient Care None 2016-11-02 00:00:00 2016-11-02 00:00:00 No 2016-12-30 00:00:00 None B None 2000 3300 0 3300 0 None CAT611 N None None SFY2016-17
250001700 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-LAUREL PARK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2016-12-21 00:00:00 250012810 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-07-19 00:00:00 2015-07-19 00:00:00 No 2017-01-13 00:00:00 None B None 2000 2000 -700 1300 0 None HUC111 N CA00452589 B SFY2016-17
250001700 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-LAUREL PARK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2016-12-21 00:00:00 250012811 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-06-29 00:00:00 2015-06-29 00:00:00 No 2017-01-13 00:00:00 None B None 1000 1000 -350 650 0 None HUC111 N CA00452589 B SFY2016-17
250000019 COMMUNITY CARE ON PALM LTC SNF Skilled Nursing Facility Riverside 2017-01-05 00:00:00 250012847 Closed Citation Citation B (HSC 1424) Patient Care None 2014-12-31 00:00:00 2014-12-31 00:00:00 No 2017-01-27 00:00:00 None B None 2000 2000 -700 1300 0 None F6MZ11 N CA00424940 C SFY2016-17
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2017-02-15 00:00:00 250012937 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-01-05 00:00:00 2016-01-05 00:00:00 No 2017-03-09 00:00:00 None B None 2000 2000 -700 1300 0 None 3HRD11 N CA00489467 B SFY2016-17
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-02-09 00:00:00 250012948 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-19 00:00:00 2015-10-19 00:00:00 No 2017-03-03 00:00:00 None B None 2000 2350 -700 1650 0 None 4MGS11 N CA00463217 C SFY2016-17
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2017-02-15 00:00:00 250012952 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-05-21 00:00:00 2016-05-21 00:00:00 No 2017-03-09 00:00:00 None B None 2000 2000 -700 1300 0 None 2Z6C11 N CA00489668 B SFY2016-17
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-02-23 00:00:00 250012953 Closed Citation Citation B (HSC 1424) Patient Care None 2015-03-20 00:00:00 2015-03-20 00:00:00 No 2017-03-16 00:00:00 None B None 2000 2000 -700 1300 0 None CQMM11 N CA00436968 C SFY2016-17
250000619 SUNDANCE CREEK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-03-01 00:00:00 250012954 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-28 00:00:00 2015-11-28 00:00:00 No 2017-03-22 00:00:00 None B None 2000 2000 -700 1300 0 None P4RB11 N CA00466981 C SFY2016-17
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2017-02-22 00:00:00 250012961 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-25 00:00:00 2016-05-25 00:00:00 No 2017-03-15 00:00:00 None A None 10000 10000 -3500 6500 0 None USM711 N CA00489430 B SFY2016-17
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2017-03-02 00:00:00 250012963 Closed Citation Citation A (HSC 1424) Patient Care None 2016-09-27 00:00:00 2016-09-27 00:00:00 No 2017-03-23 00:00:00 None A None 20000 20000 0 20000 0 None UKM711 N CA00504853 B SFY2016-17
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2017-03-10 00:00:00 250012976 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-03-05 00:00:00 2016-03-05 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 -700 1300 0 None 92QW11 Y CA00481928 A SFY2016-17
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2017-03-09 00:00:00 250013005 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-11 00:00:00 2016-08-11 00:00:00 No 2017-03-30 00:00:00 None A None 20000 20000 0 20000 0 None 2Z6C11 N CA00498745, CA00498791 B, B SFY2016-17
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-03-07 00:00:00 250013007 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-10 00:00:00 2017-01-10 00:00:00 No 2017-03-28 00:00:00 None B None 2000 2000 -700 1300 0 None D5VF11 N None None SFY2016-17
250000061 DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2017-06-20 00:00:00 250013252 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-03-16 00:00:00 2016-03-16 00:00:00 No 2017-07-12 00:00:00 None B None 2000 2000 -700 1300 0 None V7YE11 N CA00479002 B SFY2016-17
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2017-06-14 00:00:00 250013266 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-10-07 00:00:00 2014-10-07 00:00:00 No 2017-07-06 00:00:00 None B None 2000 2000 0 2000 0 None OKDW11 N CA00458571 B SFY2016-17
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2017-06-14 00:00:00 250013268 Closed Citation Citation B (HSC 1424) Other Free from Abuse/Involunta 2014-10-07 00:00:00 2014-10-07 00:00:00 No 2017-07-06 00:00:00 None B None 2000 2000 0 2000 0 None OKDW11 N CA00458571 B SFY2016-17
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2017-06-19 00:00:00 250013292 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-28 00:00:00 2017-02-28 00:00:00 Yes 2017-07-11 00:00:00 2017-06-26 00:00:00 B B 2000 1500 0 1500 0 None UL1311 N CA00524663 B SFY2016-17
250000283 SAN JACINTO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-06-21 00:00:00 250013294 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-21 00:00:00 2017-02-21 00:00:00 No 2017-07-13 00:00:00 None B None 200 200 -70 130 0 None HDMO11 N CA00531716 B SFY2016-17
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-06-21 00:00:00 250013296 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-14 00:00:00 2016-10-14 00:00:00 No 2017-07-13 00:00:00 None B None 2000 2000 -700 1300 0 None X0JR11 N CA00526606 B SFY2016-17
250001382 DESERT MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2017-07-18 00:00:00 250013310 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-12-19 00:00:00 2015-12-19 00:00:00 No 2017-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None FY5S11 N CA00483247 B SFY2017-18
250001382 DESERT MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2017-07-18 00:00:00 250013311 Closed Citation Citation B (HSC 1424) Other Abuse 2015-12-19 00:00:00 2015-12-19 00:00:00 No 2017-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None FY5S11 N CA00483247 B SFY2017-18
250000119 EVERGREEN ESTATES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2017-08-29 00:00:00 250013426 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-19 00:00:00 2015-06-19 00:00:00 Yes 2017-09-20 00:00:00 2017-09-05 00:00:00 A A 10000 6500 0 6500 0 None 8MWN11 N CA00447367 A SFY2017-18
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2017-08-29 00:00:00 250013436 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2017-05-22 00:00:00 2017-05-22 00:00:00 No 2017-09-20 00:00:00 None B None 2000 2150 -700 1450 0 None JRGJ11 N CA00536081, CA00536151 B, B SFY2017-18
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2017-09-01 00:00:00 250013441 Closed Citation Citation B (HSC 1424) Patient Care None 2016-05-02 00:00:00 2016-05-02 00:00:00 No 2017-09-25 00:00:00 None B None 2000 2000 -700 1300 0 None BVFO11 N CA00486536 C SFY2017-18
250000021 RIVERSIDE BEHAVIORAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2017-09-07 00:00:00 250013468 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-08 00:00:00 2017-05-08 00:00:00 No 2017-09-28 00:00:00 None B None 2000 2000 0 2000 0 None IE9J11 N CA00534557 A SFY2017-18
250000072 PALM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2017-09-14 00:00:00 250013495 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-06-08 00:00:00 2017-06-08 00:00:00 Yes 2017-10-05 00:00:00 2017-09-28 00:00:00 B B 2000 1600 0 1600 0 None D41W11 N CA00538868, CA00544011 B, C SFY2017-18
250001233 VERBENA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2017-10-05 00:00:00 250013497 Closed Citation Citation B (HSC 1424) Other Quality of Care; Falls 2017-03-07 00:00:00 2017-03-07 00:00:00 No 2017-10-26 00:00:00 None B None 2000 2000 0 2000 0 None JBHC11 N CA00524456, CA00525811 C, B SFY2017-18
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2017-09-21 00:00:00 250013499 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-27 00:00:00 2017-03-27 00:00:00 No 2017-10-12 00:00:00 None B None 2000 2000 0 2000 0 None ZK9P11 N CA00536219 B SFY2017-18
250000869 MARIAN JAMES TRANSITIONAL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2017-10-05 00:00:00 250013509 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-05-02 00:00:00 2016-05-02 00:00:00 No 2017-10-26 00:00:00 None B None 2000 2000 -700 1300 0 None 1EX411 N CA00486980 B SFY2017-18
250000869 MARIAN JAMES TRANSITIONAL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2017-10-05 00:00:00 250013510 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-05-02 00:00:00 2016-05-02 00:00:00 No 2017-10-26 00:00:00 None B None 2000 2000 -700 1300 0 None 1EX411 N CA00486980 B SFY2017-18
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2017-10-03 00:00:00 250013521 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-09 00:00:00 2017-05-09 00:00:00 No 2017-10-24 00:00:00 None B None 2000 2000 0 2000 0 None S1QE11 N CA00535817 B SFY2017-18
250000553 CONNER RESIDENCE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2017-10-19 00:00:00 250013542 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-13 00:00:00 2015-08-13 00:00:00 Yes 2017-11-09 00:00:00 2017-10-24 00:00:00 B B 2000 1600 0 1600 0 None 50N911 N CA00439919, CA00453742 B, C SFY2017-18
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2017-11-01 00:00:00 250013563 Closed Citation Citation AA (HSC 1424) Patient Care None 2016-12-15 00:00:00 2016-12-15 00:00:00 No 2017-11-27 00:00:00 None AA None 25000 25000 0 25000 0 None DF9O11 Y CA00515005, CA00531502 B, C SFY2017-18
250000619 SUNDANCE CREEK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-11-14 00:00:00 250013612 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-12 00:00:00 2016-12-12 00:00:00 No 2017-12-07 00:00:00 None B None 2000 2000 0 2000 0 None QG3211 N CA00513944 B SFY2017-18
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-11-29 00:00:00 250013627 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-25 00:00:00 2017-05-25 00:00:00 No 2017-12-20 00:00:00 None B None 2000 2000 -700 1300 0 None WECU11 N CA00555005, CA00555005 B, B SFY2017-18
250001210 FLEMING-HEIMARK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2017-12-21 00:00:00 250013670 Closed Citation Citation B (HSC 1424) Medication None 2015-08-04 00:00:00 2015-08-04 00:00:00 No 2018-01-12 00:00:00 None B None 2000 2000 -700 1300 0 None ZDK911 N CA00453435 C SFY2017-18
630012729 JACKIE LEE AND JIM HOUSTON HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2017-12-21 00:00:00 250013676 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-10 00:00:00 2017-03-10 00:00:00 No 2018-01-12 00:00:00 None B None 2000 2000 -700 1300 0 None 09JH11 N CA00526377 B SFY2017-18
250000079 CENTINELA GRAND, INC. LTC SNF Skilled Nursing Facility Riverside 2017-12-13 00:00:00 250013679 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-08-30 00:00:00 2017-08-30 00:00:00 No 2018-01-04 00:00:00 None B None 2000 2000 -700 1300 0 None 6M7Q11 N CA00553494 B SFY2017-18
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2017-12-21 00:00:00 250013697 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-07 00:00:00 2017-10-07 00:00:00 No 2018-01-16 00:00:00 None B None 2000 2000 0 2000 0 None IB4O11 N CA00556207 A SFY2017-18
250000119 EVERGREEN ESTATES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-01-04 00:00:00 250013701 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-10-13 00:00:00 2015-10-13 00:00:00 Yes 2018-01-26 00:00:00 2018-01-08 00:00:00 B B 2000 1100 0 1100 0 None VEPY11 N CA00461526 B SFY2017-18
250000043 COMMUNITY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-01-25 00:00:00 250013732 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-05-29 00:00:00 2016-05-29 00:00:00 No 2018-02-15 00:00:00 None B None 2000 2000 -700 1300 0 None LWBU11 N CA00490152 B SFY2017-18
250000119 EVERGREEN ESTATES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-01-25 00:00:00 250013748 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-15 00:00:00 2015-05-15 00:00:00 Yes 2018-02-15 00:00:00 2018-02-08 00:00:00 B B 2000 1100 0 1100 0 None 8MWN11 N CA00449851, CA00449851, CA00449855 B, B, B SFY2017-18
250000119 EVERGREEN ESTATES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-01-25 00:00:00 250013752 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-15 00:00:00 2015-05-15 00:00:00 Yes 2018-02-15 00:00:00 2018-02-08 00:00:00 B B 2000 1100 0 1100 0 None 8MWN11 N CA00449851 B SFY2017-18
250001233 VERBENA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-02-16 00:00:00 250013773 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-15 00:00:00 2015-11-15 00:00:00 No 2018-03-09 00:00:00 None B None 2000 2000 -700 1300 0 None GD6P11 N CA00465819, CA00467092, CA00471181, CA00473330 C, C, C, C SFY2017-18
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2018-02-09 00:00:00 250013778 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-09-11 00:00:00 2017-09-11 00:00:00 No 2018-03-02 00:00:00 None B None 2000 2000 0 2000 0 None 5MH111 N CA00554921 B SFY2017-18
250001675 THE HELENE KALFUSS HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-02-23 00:00:00 250013790 Closed Citation Citation B (HSC 1424) Patient Care None 2016-05-31 00:00:00 2016-05-31 00:00:00 No 2018-03-16 00:00:00 None B None 2000 2000 -700 1300 0 None NX8I11 N CA00490043 C SFY2017-18
250000039 PREMIER CARE CENTER FOR PALM SPRINGS LTC SNF Skilled Nursing Facility Riverside 2018-02-08 00:00:00 250013791 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-07-20 00:00:00 2017-07-20 00:00:00 No 2018-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None EX6Z11 N CA00544981 B SFY2017-18
630011652 MARION ASHLEY HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-02-23 00:00:00 250013793 Closed Citation Citation B (HSC 1424) Patient Care None 2016-08-29 00:00:00 2016-08-29 00:00:00 No 2018-03-16 00:00:00 None B None 2000 2000 -700 1300 0 None 415E11 N CA00501620, CA00501950 B, B SFY2017-18
250000113 COLLEGE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-03-02 00:00:00 250013810 Closed Citation Citation B (HSC 1424) Medication None 2015-02-08 00:00:00 2015-02-08 00:00:00 No 2018-03-23 00:00:00 None B None 1000 1000 -350 650 0 None ZSPF11 N CA00430620 B SFY2017-18
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-02-28 00:00:00 250013853 Closed Citation Citation B (HSC 1424) Other Unusual Occurence/Not Rep 2017-10-28 00:00:00 2017-10-28 00:00:00 No 2018-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None 2JX911 Y CA00557509 B SFY2017-18
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-02-28 00:00:00 250013855 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-08-29 00:00:00 2017-08-29 00:00:00 No 2018-03-21 00:00:00 None B None 2000 6000 -2100 3900 0 None R3Z111 N CA00557844, CA00557862 A, A SFY2017-18
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-03-13 00:00:00 250013865 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-10 00:00:00 2017-06-10 00:00:00 No 2018-04-03 00:00:00 None A None 15000 15000 -5250 9750 0 None XDT911 Y CA00539681, CA00539687 B, B SFY2017-18
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2018-03-14 00:00:00 250013895 Closed Citation Citation B (HSC 1424) Other Accidents 2017-11-12 00:00:00 2017-11-12 00:00:00 No 2018-04-04 00:00:00 None B None 2000 2000 -700 1300 0 None EQDS11 N CA00560469 B SFY2017-18
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-04-12 00:00:00 250013946 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-10 00:00:00 2017-10-10 00:00:00 Yes 2018-05-03 00:00:00 2018-05-02 00:00:00 A A 15000 10000 0 10000 0 None R3Z111 Y None None SFY2017-18
250001560 BETTY & MARTIN RUSSELL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-04-17 00:00:00 250013979 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2017-05-17 00:00:00 2017-05-17 00:00:00 No 2018-05-08 00:00:00 None B None 1000 1000 -350 650 0 None JRDP11 N CA00536052 B SFY2017-18
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2018-05-11 00:00:00 250013993 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-12-18 00:00:00 2017-12-18 00:00:00 No 2018-06-04 00:00:00 None B None 2000 2000 0 2000 0 None 3H3Z11 N CA00565398 A SFY2017-18
250000155 VISTA PACIFICA CENTER LTC SNF Skilled Nursing Facility Riverside 2018-04-25 00:00:00 250013997 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-16 00:00:00 2017-05-16 00:00:00 No 2018-05-16 00:00:00 None B None 2000 2000 -700 1300 0 None 2M8911 N CA00536463, CA00538505 B, B SFY2017-18
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2018-05-11 00:00:00 250014011 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-12-29 00:00:00 2017-12-29 00:00:00 No 2018-06-01 00:00:00 None B None 2000 2000 0 2000 0 None 3H3Z11 N CA00566952, CA00567260 A, B SFY2017-18
250001769 ROGER RESIDENCE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-04-26 00:00:00 250014013 Closed Citation Citation B (HSC 1424) Medication None 2017-04-04 00:00:00 2017-04-04 00:00:00 No 2018-05-17 00:00:00 None B None 1000 1000 0 1000 0 None ZKOU11 N CA00529518 C SFY2017-18
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-05-22 00:00:00 250014026 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-24 00:00:00 2018-01-24 00:00:00 No 2018-06-12 00:00:00 None B None 2000 2000 0 2000 0 None VQ5P11 N CA00571362 B SFY2017-18
630007321 JACK SURNOW HOUSE LTC CLHF Congregate Living Health Facility Riverside 2018-06-07 00:00:00 250014091 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-05 00:00:00 2017-06-05 00:00:00 No 2018-06-28 00:00:00 None B None 1000 1000 -350 650 0 None K2LO11 N CA00538216 B SFY2017-18
250000857 DESERT REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Riverside 2018-06-07 00:00:00 250014098 Closed Citation Citation B (HSC 1424) Other Failure to Notify Ombudsm 2018-05-14 00:00:00 2018-05-14 00:00:00 No 2018-06-28 00:00:00 None B None 100 100 0 100 0 None 085W11 N CA00585164 B SFY2017-18
250000153 VILLA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-06-21 00:00:00 250014104 Closed Citation Citation B (HSC 1424) Other Unusual Occurrence 2018-02-26 00:00:00 2018-02-26 00:00:00 No 2018-07-13 00:00:00 None B None 2000 2200 -700 1500 0 None R7GU11 Y CA00576242 A SFY2017-18
250000098 MENIFEE LAKES POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-06-29 00:00:00 250014125 Closed Citation Citation A (HSC 1424) Medication None 2018-03-26 00:00:00 2018-03-26 00:00:00 Yes 2018-07-23 00:00:00 2018-07-05 00:00:00 A A 10000 4500 0 4500 0 None DPWB11 N CA00579963, CA00580002 B, B SFY2017-18
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2018-07-09 00:00:00 250014128 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-06-12 00:00:00 2017-06-12 00:00:00 Yes 2018-07-30 00:00:00 2018-08-01 00:00:00 AA AA 50000 35000 0 35000 0 None RK0M11 Y CA00539683, CA00539683, CA00541846, CA00541846, CA00543171, CA00543171, CA00543171 B, B, B, B, B, B, B SFY2018-19
250001382 DESERT MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-06-21 00:00:00 250014147 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-28 00:00:00 2018-01-28 00:00:00 No 2018-07-13 00:00:00 None B None 2000 2000 -700 1300 0 None 8L3O11 N CA00571446 B SFY2017-18
250000850 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-GLEN HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-07-12 00:00:00 250014152 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-01 00:00:00 2016-08-01 00:00:00 Yes 2018-08-02 00:00:00 2018-08-01 00:00:00 A B 10000 5000 0 5000 0 None BEYD11 Y CA00497371, CA00497406 B, B SFY2018-19
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-07-10 00:00:00 250014163 Closed Citation Citation B (HSC 1424) Other Fail to Notify Ombudsman 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2018-07-31 00:00:00 None B None 2000 2000 -700 1300 0 None 82IU11 N CA00586534 B SFY2018-19
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-08-16 00:00:00 250014187 Closed Citation Citation B (HSC 1424) Other Accidents 2018-05-15 00:00:00 2018-05-15 00:00:00 No 2018-09-07 00:00:00 None B None 2000 2000 0 2000 0 None 5GC811 N None None SFY2018-19
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-08-17 00:00:00 250014196 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-27 00:00:00 2018-01-27 00:00:00 Yes 2018-09-10 00:00:00 2018-09-07 00:00:00 B B 2000 1600 0 1600 0 None 66ZQ11 N CA00571238 A SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2018-07-09 00:00:00 250014218 Closed Citation Citation B (HSC 1424) Other Fail Report Unusual Occ. 2018-05-05 00:00:00 2018-05-05 00:00:00 Yes 2018-07-30 00:00:00 2018-08-01 00:00:00 B B 2000 0 0 0 0 None PTDQ11 N CA00585931, CA00585931, CA00585931, CA00585931 A, A, A, A SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2018-07-09 00:00:00 250014219 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-04-07 00:00:00 2018-04-07 00:00:00 Yes 2018-07-30 00:00:00 2018-08-01 00:00:00 B B 2000 2000 0 2000 0 None PTDQ11 N CA00585931, CA00585931, CA00585931, CA00585931 A, A, A, A SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2018-08-03 00:00:00 250014226 Open Citation Citation B (HSC 1424) Other Admit/Transfer/Discharge 2017-11-02 00:00:00 2017-11-02 00:00:00 Yes 2018-08-24 00:00:00 2018-08-27 00:00:00 B None 2000 1850 0 0 1850 None A3AT11 N CA00578977 B SFY2018-19
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2018-08-14 00:00:00 250014269 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-03 00:00:00 2016-02-03 00:00:00 No 2018-09-05 00:00:00 None A None 10000 10000 -3500 6500 0 None OMVU11 Y CA00475608 B SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2018-08-22 00:00:00 250014273 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification Falsification of Records 2018-05-29 00:00:00 2018-05-29 00:00:00 Yes 2018-09-13 00:00:00 2018-09-14 00:00:00 WF None 2500 2500 0 2500 0 None 3H3Z12 N None None SFY2018-19
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-08-06 00:00:00 250014275 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-02-10 00:00:00 2018-02-10 00:00:00 No 2018-08-27 00:00:00 None B None 2000 2000 0 2000 0 None YY7N11 N CA00573592 B SFY2018-19
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2018-08-07 00:00:00 250014296 Closed Citation Citation B (HSC 1424) Other Inappropriate Discharge 2018-05-04 00:00:00 2018-05-04 00:00:00 No 2018-08-28 00:00:00 None B None 2000 2000 -700 1300 0 None P6I611 N CA00592981 B SFY2018-19
250001675 THE HELENE KALFUSS HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-08-15 00:00:00 250014297 Closed Citation Citation B (HSC 1424) Patient Care None 2018-06-03 00:00:00 2018-06-03 00:00:00 No 2018-09-06 00:00:00 None B None 1000 3000 -1050 1950 0 None DGO611 N CA00589449 B SFY2018-19
250000039 PREMIER CARE CENTER FOR PALM SPRINGS LTC SNF Skilled Nursing Facility Riverside 2018-09-20 00:00:00 250014312 Closed Citation Citation B (HSC 1424) Other Failure to Notify Ombudsm 2018-03-28 00:00:00 2018-03-28 00:00:00 No 2018-10-11 00:00:00 None B None 500 500 -175 325 0 None 7S0J11 N None None SFY2018-19
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-09-17 00:00:00 250014329 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-19 00:00:00 2017-07-19 00:00:00 No 2018-10-08 00:00:00 None A None 10000 10000 0 10000 0 None UTTE11 Y CA00544932 B SFY2018-19
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-08-29 00:00:00 250014345 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-11-17 00:00:00 2017-11-17 00:00:00 No 2018-09-20 00:00:00 None B None 2000 2000 -700 1300 0 None TNSX11 N CA00577642, CA00581091 C, B SFY2018-19
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-08-29 00:00:00 250014346 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-12-18 00:00:00 2017-12-18 00:00:00 No 2018-09-20 00:00:00 None B None 2000 2000 -700 1300 0 None TNSX11 N CA00577642, CA00581091 C, B SFY2018-19
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-08-29 00:00:00 250014347 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-11-22 00:00:00 2017-11-22 00:00:00 No 2018-09-20 00:00:00 None B None 2000 2000 -700 1300 0 None TNSX11 N None None SFY2018-19
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-08-29 00:00:00 250014348 Closed Citation Citation B (HSC 1424) Problem Transfer None 2017-12-06 00:00:00 2017-12-06 00:00:00 No 2018-09-20 00:00:00 None B None 2000 2000 -700 1300 0 None TNSX11 N CA00577642, CA00581091 C, B SFY2018-19
250000115 OLYMPIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-08-30 00:00:00 250014349 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-05 00:00:00 2018-06-05 00:00:00 No 2018-09-21 00:00:00 None B None 1000 1000 -350 650 0 None XU5111 N CA00589687, CA00589829 B, B SFY2018-19
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2018-10-02 00:00:00 250014361 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-08 00:00:00 2018-06-08 00:00:00 Yes 2018-10-23 00:00:00 2018-09-24 00:00:00 B None 2000 2000 -700 1300 0 None PB9711 N CA00547748 B SFY2018-19
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2018-09-19 00:00:00 250014362 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-20 00:00:00 2017-09-20 00:00:00 Yes 2018-10-10 00:00:00 2018-09-24 00:00:00 A B 10000 10000 0 10000 0 None 5DDJ11 N CA00553994 C SFY2018-19
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2018-09-17 00:00:00 250014377 Closed Citation Citation B (HSC 1424) Other Unusual Occurrence 2018-06-30 00:00:00 2018-06-30 00:00:00 No 2018-10-08 00:00:00 None B None 2000 2000 0 2000 0 None UGNJ11 N CA00593893, CA00594618 B, B SFY2018-19
250000039 PREMIER CARE CENTER FOR PALM SPRINGS LTC SNF Skilled Nursing Facility Riverside 2018-10-04 00:00:00 250014378 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-05-25 00:00:00 2018-05-25 00:00:00 No 2018-10-25 00:00:00 None B None 2000 6000 -2100 3900 0 None LECD11 N CA00593933 B SFY2018-19
250000902 THE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-10-31 00:00:00 250014379 Closed Citation Citation B (HSC 1424) Other Notice of Tx to Ombudsman 2018-05-24 00:00:00 2018-05-24 00:00:00 No 2018-11-26 00:00:00 None B None 1000 1000 0 1000 0 None GUK811 N None None SFY2018-19
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2018-09-20 00:00:00 250014398 Closed Citation Citation B (HSC 1424) Other Not. Disc./Trans. to Ombd 2018-04-20 00:00:00 2018-04-20 00:00:00 No 2018-10-11 00:00:00 None B None 200 200 -70 130 0 None L65V11 N CA00597336 B SFY2018-19
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-10-02 00:00:00 250014428 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-11 00:00:00 2018-08-11 00:00:00 No 2018-10-23 00:00:00 None B None 2000 6000 -2100 3900 0 None SHVW11 N CA00600354 B SFY2018-19
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-10-02 00:00:00 250014429 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-28 00:00:00 2018-06-28 00:00:00 No 2018-10-23 00:00:00 None B None 2000 2000 -700 1300 0 None WR0811 N CA00593336, CA00593430 B, B SFY2018-19
250001632 CARRICK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2018-10-31 00:00:00 250014471 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-16 00:00:00 2018-08-16 00:00:00 No 2018-11-26 00:00:00 None A None 10000 10000 -3500 6500 0 None 318J11 N CA00599284, CA00600708 B, B SFY2018-19
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-19 00:00:00 250014519 Closed Citation Citation B (HSC 1424) Other Notice to Ombudsman 2018-07-28 00:00:00 2018-07-28 00:00:00 No 2018-12-12 00:00:00 None B None 200 200 0 200 0 None YIDG11 N CA00599394 B SFY2018-19
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-12-17 00:00:00 250014521 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-05-27 00:00:00 2018-05-27 00:00:00 No 2019-01-08 00:00:00 None B None 2000 2000 -700 1300 0 None KSU411 N CA00588791 B SFY2018-19
250000039 PREMIER CARE CENTER FOR PALM SPRINGS LTC SNF Skilled Nursing Facility Riverside 2018-11-14 00:00:00 250014548 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-24 00:00:00 2018-06-24 00:00:00 No 2018-12-07 00:00:00 None B None 2000 6000 -2100 3900 0 None TK3G11 N CA00592559 B SFY2018-19
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-28 00:00:00 250014556 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-06-28 00:00:00 2018-06-28 00:00:00 Yes 2018-12-19 00:00:00 2018-12-24 00:00:00 B None 200 200 0 200 0 None 80PE11 N CA00594639 B SFY2018-19
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-28 00:00:00 250014557 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-07-10 00:00:00 2018-07-10 00:00:00 Yes 2018-12-19 00:00:00 2018-12-24 00:00:00 B None 200 200 0 200 0 None 80PE11 N CA00594639 B SFY2018-19
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-28 00:00:00 250014558 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-07-09 00:00:00 2018-07-09 00:00:00 Yes 2018-12-19 00:00:00 2018-12-24 00:00:00 B None 200 200 0 200 0 None 80PE11 N CA00594639 B SFY2018-19
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-28 00:00:00 250014559 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-07-13 00:00:00 2018-07-13 00:00:00 Yes 2018-12-19 00:00:00 2018-12-24 00:00:00 B None 200 200 0 200 0 None 80PE11 N CA00594639 B SFY2018-19
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-28 00:00:00 250014560 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-07-16 00:00:00 2018-07-16 00:00:00 Yes 2018-12-19 00:00:00 2018-12-24 00:00:00 B None 200 200 0 200 0 None 80PE11 N CA00594639 B SFY2018-19
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-28 00:00:00 250014561 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-07-17 00:00:00 2018-07-17 00:00:00 Yes 2018-12-19 00:00:00 2018-12-24 00:00:00 B None 200 200 0 200 0 None 80PE11 N CA00594639 B SFY2018-19
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-28 00:00:00 250014562 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-07-13 00:00:00 2018-07-13 00:00:00 Yes 2018-12-19 00:00:00 2018-12-24 00:00:00 B None 200 200 0 200 0 None 80PE11 N CA00594639 B SFY2018-19
250000043 COMMUNITY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-20 00:00:00 250014565 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-08-23 00:00:00 2018-08-23 00:00:00 No 2018-12-13 00:00:00 None B None 200 200 0 200 0 None RZ0F11 N CA00601007, CA00601007 B, B SFY2018-19
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-11-20 00:00:00 250014566 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-09-16 00:00:00 2018-09-16 00:00:00 No 2018-12-13 00:00:00 None B None 500 500 0 500 0 None GOCQ11 N CA00604214, CA00604364 B, B SFY2018-19
250000039 PREMIER CARE CENTER FOR PALM SPRINGS LTC SNF Skilled Nursing Facility Riverside 2018-11-14 00:00:00 250014569 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-24 00:00:00 2018-06-24 00:00:00 No 2018-12-07 00:00:00 None B None 2000 6000 -2100 3900 0 None X1Z511 N CA00592552 B SFY2018-19
250000902 THE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2018-12-05 00:00:00 250014586 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-28 00:00:00 2018-09-28 00:00:00 No 2018-12-27 00:00:00 None B None 2000 2000 -700 1300 0 None 1VEW12 N None None SFY2018-19
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-12-06 00:00:00 250014587 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-09-24 00:00:00 2018-09-24 00:00:00 No 2018-12-28 00:00:00 None B None 200 200 -70 130 0 None 1A7O11 N CA00605645 B SFY2018-19
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-12-06 00:00:00 250014588 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-09-24 00:00:00 2018-09-24 00:00:00 No 2018-12-28 00:00:00 None B None 200 200 -70 130 0 None 1A7O11 N CA00605645, CA00605645 B, B SFY2018-19
250000051 EXTENDED CARE HOSPITAL OF RIVERSIDE LTC SNF Skilled Nursing Facility Riverside 2018-12-13 00:00:00 250014599 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-09-01 00:00:00 2018-09-01 00:00:00 No 2019-01-04 00:00:00 None B None 2000 2000 0 2000 0 None 3Q8611 N CA00602403 B SFY2018-19
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-01-23 00:00:00 250014613 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-03-06 00:00:00 2018-03-06 00:00:00 No 2019-02-13 00:00:00 None B None 200 200 -70 130 0 None A2QK11 N CA00601885 B SFY2018-19
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-12-20 00:00:00 250014615 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-24 00:00:00 2018-08-24 00:00:00 No 2019-01-11 00:00:00 None B None 2000 2000 0 2000 0 None Q6MB11 N CA00586935, CA00588169 B, B SFY2018-19
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-12-26 00:00:00 250014630 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-07 00:00:00 2018-07-07 00:00:00 No 2019-01-16 00:00:00 None B None 200 200 -70 130 0 None FYP311 N None None SFY2018-19
250000072 PALM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-01-23 00:00:00 250014684 Closed Citation Citation B (HSC 1424) Other OMBUDSMAN NOTIFICATION 2018-09-28 00:00:00 2018-09-28 00:00:00 No 2019-02-13 00:00:00 None B None 200 200 0 200 0 None MINR11 N CA00606024 B SFY2018-19
250000033 CALIFORNIA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2019-01-23 00:00:00 250014685 Closed Citation Citation B (HSC 1424) Other OMBUDSMAN NOTIFICATION 2018-10-23 00:00:00 2018-10-23 00:00:00 No 2019-02-13 00:00:00 None B None 200 200 -70 130 0 None JLCD11 N CA00609754 B SFY2018-19
250000033 CALIFORNIA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2019-01-23 00:00:00 250014686 Closed Citation Citation B (HSC 1424) Other Ombudsman Notifcation 2018-10-29 00:00:00 2018-10-29 00:00:00 No 2019-02-13 00:00:00 None B None 200 200 -70 130 0 None JLCD11 N CA00609754 B SFY2018-19
250000033 CALIFORNIA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2019-01-23 00:00:00 250014687 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-10-24 00:00:00 2018-10-24 00:00:00 No 2019-02-13 00:00:00 None B None 200 200 -70 130 0 None JLCD11 N CA00609754 B SFY2018-19
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-04-17 00:00:00 250014707 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-06-20 00:00:00 2018-06-20 00:00:00 No 2019-05-08 00:00:00 None B None 200 200 -70 130 0 None 00IJ11 N None None SFY2018-19
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-01-25 00:00:00 250014708 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-29 00:00:00 2018-10-29 00:00:00 No 2019-02-15 00:00:00 None B None 2000 2000 -700 1300 0 None UMUD11 N CA00600824 B SFY2018-19
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2019-02-20 00:00:00 250014709 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-02 00:00:00 2018-07-02 00:00:00 No 2019-03-13 00:00:00 None B None 2000 2000 -700 1300 0 None 3VFY11 N CA00596024 B SFY2018-19
250000098 MENIFEE LAKES POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-01-23 00:00:00 250014710 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-23 00:00:00 2018-09-23 00:00:00 No 2019-02-13 00:00:00 None A None 15000 15000 -5250 9750 0 None V7YY11 N CA00605651, CA00605671 B, B SFY2018-19
250000079 CENTINELA GRAND, INC. LTC SNF Skilled Nursing Facility Riverside 2019-01-31 00:00:00 250014750 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-11-13 00:00:00 2018-11-13 00:00:00 No 2019-02-21 00:00:00 None B None 2000 2000 -700 1300 0 None FU4H11 N CA00612855 B SFY2018-19
250000902 THE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-02-06 00:00:00 250014751 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-01 00:00:00 2018-10-01 00:00:00 Yes 2019-02-27 00:00:00 2019-02-25 00:00:00 A B 5000 5000 0 5000 0 None 1VEW12 Y None None SFY2018-19
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2019-02-06 00:00:00 250014757 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-06-25 00:00:00 2018-06-25 00:00:00 No 2019-02-27 00:00:00 None B None 200 200 -70 130 0 None 312H11 N None None SFY2018-19
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2019-02-06 00:00:00 250014758 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-08-22 00:00:00 2018-08-22 00:00:00 No 2019-02-27 00:00:00 None B None 200 200 -70 130 0 None 312H11 N None None SFY2018-19
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-04-15 00:00:00 250014783 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-04-06 00:00:00 2018-04-06 00:00:00 No 2019-05-06 00:00:00 None B None 200 200 -70 130 0 None B8UC11 N None None SFY2018-19
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2019-03-27 00:00:00 250014792 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-19 00:00:00 2018-10-19 00:00:00 No 2019-04-17 00:00:00 None B None 2000 2000 -700 1300 0 None 2BRC11 N CA00608608 B SFY2018-19
250000762 KEVIN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2019-03-08 00:00:00 250014853 Closed Citation Citation B (HSC 1424) Other DPS Health, Hyg, Grooming 2018-08-28 00:00:00 2018-08-28 00:00:00 No 2019-03-29 00:00:00 None B None 1000 1000 -350 650 0 None RHPF11 N CA00611580 B SFY2018-19
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-03-20 00:00:00 250014869 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-21 00:00:00 2018-10-21 00:00:00 No 2019-04-10 00:00:00 None B None 2000 6000 0 6000 0 None IIG111 N CA00612872, CA00612872 B, B SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2019-04-18 00:00:00 250014888 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-05-24 00:00:00 2018-05-24 00:00:00 No 2019-05-09 00:00:00 None B None 200 200 -70 130 0 None OC6811 N None None SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2019-04-18 00:00:00 250014889 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-06-08 00:00:00 2018-06-08 00:00:00 No 2019-05-09 00:00:00 None B None 200 200 -70 130 0 None OC6811 N None None SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2019-04-18 00:00:00 250014890 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-06-30 00:00:00 2018-06-30 00:00:00 No 2019-05-09 00:00:00 None B None 200 200 -70 130 0 None OC6811 N None None SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2019-04-18 00:00:00 250014891 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-06-28 00:00:00 2018-06-28 00:00:00 No 2019-05-09 00:00:00 None B None 200 200 -70 130 0 None OC6811 N None None SFY2018-19
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-04-16 00:00:00 250014909 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2018-08-21 00:00:00 2018-08-21 00:00:00 No 2019-05-07 00:00:00 None WF None 2500 2500 -875 1625 0 None 00IJ11 None CA00600945 A SFY2018-19
250000299 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2019-04-18 00:00:00 250014942 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-09-02 00:00:00 2018-09-02 00:00:00 No 2019-05-09 00:00:00 None B None 2000 2000 -700 1300 0 None ZH8M11 N CA00603364 B SFY2018-19
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-04-24 00:00:00 250014958 Closed Citation Citation B (HSC 1424) Other FTR Suspicion Crime 2019-01-21 00:00:00 2019-01-21 00:00:00 No 2019-05-15 00:00:00 None B None 2000 2000 0 2000 0 None WL7W11 N CA00622685 B SFY2018-19
630007351 WYNN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2019-05-07 00:00:00 250014968 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-12-17 00:00:00 2018-12-17 00:00:00 No 2019-05-28 00:00:00 None AA None 25000 25000 -8750 16250 0 None KB3I11 Y CA00616284 B SFY2018-19
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-06-14 00:00:00 250014973 Closed Citation Citation B (HSC 1424) Medication None 2019-03-14 00:00:00 2019-03-14 00:00:00 No 2019-07-05 00:00:00 None B None 2000 2000 -700 1300 0 None QINN11 N None None SFY2018-19
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2019-05-21 00:00:00 250014974 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-16 00:00:00 2018-10-16 00:00:00 No 2019-06-11 00:00:00 None B None 1000 1000 -350 650 0 None Z1WJ11 N None None SFY2018-19
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2019-05-21 00:00:00 250014975 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-05-10 00:00:00 2018-05-10 00:00:00 No 2019-06-11 00:00:00 None B None 1000 1000 -350 650 0 None Z1WJ11 N None None SFY2018-19
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-05-22 00:00:00 250014976 Closed Citation Citation B (HSC 1424) Other Ombudsman Notification 2018-11-29 00:00:00 2018-11-29 00:00:00 No 2019-06-12 00:00:00 None B None 200 200 -70 130 0 None 6WN811 N CA00614094 B SFY2018-19
250000021 RIVERSIDE BEHAVIORAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-05-09 00:00:00 250014977 Closed Citation Citation B (HSC 1424) Other Death 2018-07-31 00:00:00 2018-07-31 00:00:00 Yes 2019-05-30 00:00:00 2019-05-13 00:00:00 B Drop>Deficiency 2000 2000 0 2000 0 None JQKU11 Y CA00597680 A SFY2018-19
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2019-07-03 00:00:00 250015008 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-11 00:00:00 2018-08-11 00:00:00 No 2019-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None N49811 N CA00616478 A SFY2019-20
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2019-07-03 00:00:00 250015009 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-25 00:00:00 2018-08-25 00:00:00 No 2019-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None N49811 N CA00616478 A SFY2019-20
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2019-07-03 00:00:00 250015010 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-09-09 00:00:00 2018-09-09 00:00:00 No 2019-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None N49811 N CA00616478 A SFY2019-20
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2019-07-24 00:00:00 250015059 Closed Citation Citation A (HSC 1424) Patient Care None 2019-03-04 00:00:00 2019-03-04 00:00:00 No 2019-08-14 00:00:00 None A None 20000 20000 -7000 13000 0 None 0VSB11 N CA00627286, CA00627339 C, B SFY2019-20
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2019-07-03 00:00:00 250015071 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-18 00:00:00 2018-12-18 00:00:00 No 2019-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None N49811 N CA00616478 A SFY2019-20
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2019-06-20 00:00:00 250015078 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-11 00:00:00 2019-02-11 00:00:00 No 2019-07-11 00:00:00 None B None 2000 2000 0 2000 0 None TXUP11 N None None SFY2018-19
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2019-06-26 00:00:00 250015079 Closed Citation Citation B (HSC 1424) Other Accidents and Supervision 2019-02-10 00:00:00 2019-02-10 00:00:00 No 2019-07-17 00:00:00 None B None 2000 2000 0 2000 0 None TXUP11 N None None SFY2018-19
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2019-07-10 00:00:00 250015123 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-01-27 00:00:00 2019-01-27 00:00:00 No 2019-07-31 00:00:00 None B None 2000 2000 0 2000 0 None YYB611 N CA00622188 B SFY2019-20
250000079 CENTINELA GRAND, INC. LTC SNF Skilled Nursing Facility Riverside 2019-06-19 00:00:00 250015134 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-07 00:00:00 2019-02-07 00:00:00 No 2019-07-10 00:00:00 None B None 2000 2000 -700 1300 0 None 5IO211 N CA00624760 B SFY2018-19
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-06-21 00:00:00 250015170 Closed Citation Citation B (HSC 1424) Administration None 2019-03-31 00:00:00 2019-03-31 00:00:00 No 2019-07-12 00:00:00 None B None 2000 2000 -700 1300 0 None LO7Q11 N CA00632514 B SFY2018-19
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-07-25 00:00:00 250015185 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-05-11 00:00:00 2019-05-11 00:00:00 No 2019-08-15 00:00:00 None B None 2000 6000 -2100 3900 0 None V9TI11 N CA00637811 B SFY2019-20
250000985 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2019-07-18 00:00:00 250015211 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-19 00:00:00 2018-12-19 00:00:00 No 2019-08-08 00:00:00 None B None 1000 1000 -350 650 0 None 7YM611 N CA00618093 A SFY2019-20
250000985 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2019-07-18 00:00:00 250015212 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-19 00:00:00 2018-12-19 00:00:00 No 2019-08-08 00:00:00 None B None 1000 1000 -350 650 0 None 7YM611 N CA00618093 A SFY2019-20
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2019-07-11 00:00:00 250015213 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-23 00:00:00 2017-11-23 00:00:00 No 2019-08-01 00:00:00 None B None 2000 2700 0 2700 0 None QMKX11 N None None SFY2019-20
250000064 DEVONSHIRE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-08-23 00:00:00 250015230 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-03-11 00:00:00 2019-03-11 00:00:00 No 2019-09-13 00:00:00 None B None 2000 2000 -700 1300 0 None 7WBU11 N CA00628233 B SFY2019-20
250000043 COMMUNITY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2019-08-08 00:00:00 250015262 Closed Citation Citation B (HSC 1424) Other Fail To Notify Ombudsman 2019-05-03 00:00:00 2019-05-03 00:00:00 No 2019-08-29 00:00:00 None B None 200 200 0 200 0 None RSJ311 N CA00637228 B SFY2019-20
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-08-22 00:00:00 250015277 Closed Citation Citation A (HSC 1424) Patient Care None 2019-03-29 00:00:00 2019-03-29 00:00:00 No 2019-09-12 00:00:00 None A None 15000 15000 -5250 9750 0 None 36LU11 N CA00631795 B SFY2019-20
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-10-14 00:00:00 250015283 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-03 00:00:00 2019-06-03 00:00:00 No 2019-11-04 00:00:00 None B None 2000 2000 -700 1300 0 None DSCZ11 N CA00641863, CA00643059 C, C SFY2019-20
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-10-14 00:00:00 250015284 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-05 00:00:00 2019-06-05 00:00:00 No 2019-11-04 00:00:00 None B None 2000 2000 -700 1300 0 None DHDF11 N CA00641220 C SFY2019-20
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-10-23 00:00:00 250015286 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-22 00:00:00 2019-06-22 00:00:00 No 2019-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None YQ9R11 N CA00643084, CA00643084 B, B SFY2019-20
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-09-23 00:00:00 250015309 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-03-15 00:00:00 2019-03-15 00:00:00 No 2019-10-14 00:00:00 None B None 2000 2000 -700 1300 0 None 2CY211 N CA00628993 B SFY2019-20
630014953 ADVENTIST HEALTH FACILITY LTC CLHF Congregate Living Health Facility Riverside 2019-10-01 00:00:00 250015327 Closed Citation Citation B (HSC 1424) Other Fail to Notify Ombudsman 2019-05-31 00:00:00 2019-05-31 00:00:00 No 2019-10-22 00:00:00 None B None 200 200 0 200 0 None TFV611 N CA00642151 B SFY2019-20
630014953 ADVENTIST HEALTH FACILITY LTC CLHF Congregate Living Health Facility Riverside 2019-10-01 00:00:00 250015328 Closed Citation Citation B (HSC 1424) Other Fail to Notify Ombudsman 2019-06-03 00:00:00 2019-06-03 00:00:00 No 2019-10-22 00:00:00 None B None 200 200 0 200 0 None TFV611 N CA00642151 B SFY2019-20
630014953 ADVENTIST HEALTH FACILITY LTC CLHF Congregate Living Health Facility Riverside 2019-10-01 00:00:00 250015329 Closed Citation Citation B (HSC 1424) Other Fail to Notify Ombudsman 2019-06-04 00:00:00 2019-06-04 00:00:00 No 2019-10-22 00:00:00 None B None 200 200 0 200 0 None TFV611 N CA00642151 B SFY2019-20
630014953 ADVENTIST HEALTH FACILITY LTC CLHF Congregate Living Health Facility Riverside 2019-10-01 00:00:00 250015330 Closed Citation Citation B (HSC 1424) Other Fail to Notify Ombudsman 2019-06-04 00:00:00 2019-06-04 00:00:00 No 2019-10-22 00:00:00 None B None 200 200 0 200 0 None TFV611 N CA00642151 B SFY2019-20
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2019-09-25 00:00:00 250015378 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-02 00:00:00 2018-04-02 00:00:00 Yes 2019-10-16 00:00:00 2019-10-02 00:00:00 A A 15000 5000 0 5000 0 None 2BUI11 Y CA00633654 B SFY2019-20
250000141 RAMONA REHABILITATION AND POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-10-02 00:00:00 250015380 Closed Citation Citation B (HSC 1424) Other Notification to Ombudsman 2019-04-17 00:00:00 2019-04-17 00:00:00 No 2019-10-23 00:00:00 None B None 200 200 -70 130 0 None VNW611 N None None SFY2019-20
250000619 SUNDANCE CREEK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-10-24 00:00:00 250015404 Closed Citation Citation B (HSC 1424) Other Refusal to Re-admit 2019-06-21 00:00:00 2019-06-21 00:00:00 No 2019-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None 140O11 N CA00643342, CA00643342 B, B SFY2019-20
250000021 RIVERSIDE BEHAVIORAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-11-21 00:00:00 250015407 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-21 00:00:00 2019-06-21 00:00:00 No 2019-12-12 00:00:00 None B None 2000 2000 -700 1300 0 None KYZ611 N CA00646249 B SFY2019-20
250000051 EXTENDED CARE HOSPITAL OF RIVERSIDE LTC SNF Skilled Nursing Facility Riverside 2019-10-16 00:00:00 250015413 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-22 00:00:00 2019-06-22 00:00:00 No 2019-11-06 00:00:00 None B None 2000 2000 -700 1300 0 None W8OQ11 N CA00643950 B SFY2019-20
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2019-11-01 00:00:00 250015438 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-08-26 00:00:00 2019-08-26 00:00:00 Yes 2019-11-22 00:00:00 2019-11-01 00:00:00 B None 2000 2000 0 0 2000 None 9IFS11 N CA00652411 A SFY2019-20
240000700 ASISTENCIA VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-11-13 00:00:00 250015460 Closed Citation Citation B (HSC 1424) Other Fail to report Ombudsman 2019-05-19 00:00:00 2019-05-19 00:00:00 No 2019-12-04 00:00:00 None B None 200 200 -70 130 0 None IZTI11 N None None SFY2019-20
250000141 RAMONA REHABILITATION AND POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2020-08-03 00:00:00 250015506 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-18 00:00:00 2019-07-18 00:00:00 No 2020-08-24 00:00:00 None B None 2000 2000 -700 1300 0 None DPN911 N None None SFY2020-21
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2020-02-19 00:00:00 250015507 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-08-18 00:00:00 2019-08-18 00:00:00 No 2020-03-11 00:00:00 None B None 500 1500 0 1500 0 None J52Y11 N CA00651379 B SFY2019-20
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2020-03-04 00:00:00 250015555 Open Citation Citation A (HSC 1424) Patient Care None 2019-08-30 00:00:00 2019-08-30 00:00:00 Yes 2020-03-25 00:00:00 2020-03-26 00:00:00 A None 10000 10000 0 0 10000 None AKB111 N CA00653052 B SFY2019-20
250000098 MENIFEE LAKES POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2020-01-29 00:00:00 250015558 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-07-11 00:00:00 2019-07-11 00:00:00 No 2020-02-19 00:00:00 None B None 2000 2000 0 2000 0 None CJRO11 N CA00654151 B SFY2019-20
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2020-03-04 00:00:00 250015566 Closed Citation Citation B (HSC 1424) Other Fail to notify Ombudsman 2019-09-23 00:00:00 2019-09-23 00:00:00 No 2020-03-25 00:00:00 None B None 200 200 -70 130 0 None C1PG11 N None None SFY2019-20
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2020-07-14 00:00:00 250015567 Closed Citation Citation B (HSC 1424) Other Fail to notify Ombudsman 2019-09-28 00:00:00 2019-09-28 00:00:00 No 2020-08-04 00:00:00 None B None 200 200 -70 130 0 None C1PG11 N None None SFY2020-21
250000045 CORONA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2020-03-04 00:00:00 250015568 Closed Citation Citation B (HSC 1424) Other Fail to notify Ombudsman 2019-10-04 00:00:00 2019-10-04 00:00:00 No 2020-03-25 00:00:00 None B None 200 200 -70 130 0 None C1PG11 N None None SFY2019-20
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2020-03-12 00:00:00 250015604 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-01-07 00:00:00 2019-01-07 00:00:00 No 2020-04-02 00:00:00 None B None 2000 2000 -700 1300 0 None R4ML11 N None None SFY2019-20
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2021-02-17 00:00:00 250015608 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-14 00:00:00 2019-09-14 00:00:00 No 2021-03-10 00:00:00 None B None 2000 2000 0 2000 0 None P8NX11 N CA00654837, CA00654837 B, B SFY2020-21
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2020-01-15 00:00:00 250015644 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-15 00:00:00 2019-08-15 00:00:00 No 2020-02-05 00:00:00 None B None 2000 2000 -700 1300 0 None 24NJ11 N CA00651156 B SFY2019-20
250000299 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2021-02-11 00:00:00 250015706 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-09 00:00:00 2019-09-09 00:00:00 No 2021-03-05 00:00:00 None B None 2000 2000 -700 1300 0 None OB1J11 N CA00653707 B SFY2020-21
630017935 THE SPRINGS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2020-02-07 00:00:00 250015718 Closed Citation Citation A (HSC 1424) Medication None 2019-11-16 00:00:00 2019-11-16 00:00:00 Yes 2020-02-28 00:00:00 2020-03-02 00:00:00 A A 10000 7000 0 7000 0 None DBM011 Y CA00664722 B SFY2019-20
250000299 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2022-06-29 00:00:00 250015801 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-12-14 00:00:00 2019-12-14 00:00:00 No 2022-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None IQ1011 N CA00667604, CA00668421 B, B SFY2021-22
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2020-10-06 00:00:00 250016071 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-16 00:00:00 2019-09-16 00:00:00 No 2020-10-27 00:00:00 None B None 2000 2000 0 2000 0 None VKS911 N CA00655276 B SFY2020-21
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2021-07-12 00:00:00 250016084 Closed Citation Citation B (HSC 1424) Other FTR Daily Covid-19 Survey 2020-07-02 00:00:00 2020-07-02 00:00:00 No 2021-08-02 00:00:00 None B None 200 200 -70 130 0 None 3WDT11 N None None SFY2021-22
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2021-08-02 00:00:00 250016085 Closed Citation Citation B (HSC 1424) Other FTR Daily Covid-19 Survey 2020-07-19 00:00:00 2020-07-19 00:00:00 No 2021-08-23 00:00:00 None B None 200 200 0 200 0 None ZE4M11 N None None SFY2021-22
250000592 NEW IDEALS/OTIS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2020-12-21 00:00:00 250016188 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-07 00:00:00 2020-07-07 00:00:00 No 2021-01-13 00:00:00 None B None 1000 1000 -350 650 0 None XDG711 N CA00696024 B SFY2020-21
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2022-07-05 00:00:00 250016302 Closed Citation Citation A (HSC 1424) Patient Care None 2019-07-15 00:00:00 2019-07-15 00:00:00 No 2022-07-26 00:00:00 None A None 10000 10000 0 10000 0 None YKMV11 N None None SFY2022-23
250001661 THE DOLORES & BOB HOPE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2021-03-23 00:00:00 250016337 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-06-26 00:00:00 2020-06-26 00:00:00 No 2021-04-14 00:00:00 None B None 1000 1000 0 1000 0 None Q79N11 N None None SFY2020-21
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2021-05-25 00:00:00 250016370 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-15 00:00:00 2020-02-15 00:00:00 No 2021-06-16 00:00:00 None B None 2000 2000 -700 1300 0 None 17KG11 N CA00677370, CA00677998 B, B SFY2020-21
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2021-08-23 00:00:00 250016371 Closed Citation Citation A (HSC 1424) Patient Care None 2020-06-30 00:00:00 2020-06-30 00:00:00 Yes 2021-09-14 00:00:00 2021-08-30 00:00:00 A A 10000 7000 0 7000 0 None D7SS11 Y CA00695862 B SFY2021-22
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2022-11-10 00:00:00 250016376 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-11-28 00:00:00 2020-11-28 00:00:00 No 2022-12-05 00:00:00 None B None 2000 2000 -700 1300 0 None EM0K11 N CA00714518 B SFY2022-23
250000021 RIVERSIDE BEHAVIORAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2022-08-22 00:00:00 250016398 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-05-16 00:00:00 2020-05-16 00:00:00 No 2022-09-13 00:00:00 None B None 2000 6000 -2100 3900 0 None J67411 N CA00689693, CA00689693 B, B SFY2022-23
250000141 RAMONA REHABILITATION AND POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2022-08-22 00:00:00 250016407 Closed Citation Citation A (HSC 1424) Patient Care None 2019-10-21 00:00:00 2019-10-21 00:00:00 No 2022-09-13 00:00:00 None A None 20000 20000 -7000 13000 0 None 11Z611 Y CA00660618 B SFY2022-23
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2021-09-17 00:00:00 250016518 Closed Citation Citation A (HSC 1424) Patient Care None 2020-08-02 00:00:00 2020-08-02 00:00:00 No 2021-10-08 00:00:00 None A None 10000 10000 -3500 6500 0 None 44WB11 N CA00699927 B SFY2021-22
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2022-05-31 00:00:00 250016626 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-18 00:00:00 2020-08-18 00:00:00 No 2022-06-21 00:00:00 None B None 1000 1000 -350 650 0 None E9IX11 N CA00701736 B SFY2021-22
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2024-03-14 00:00:00 250016800 Open Citation Citation A (HSC 1424) Patient Care QUALITY OF CARE 2020-10-13 00:00:00 2020-10-13 00:00:00 No 2024-04-05 00:00:00 None A None 15000 15000 0 0 15000 None 8WX011 Y CA00711726 B SFY2023-24
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2022-09-06 00:00:00 250017130 Closed Citation Citation B (HSC 1424) Other Post Ombudsman Info 2020-08-08 00:00:00 2020-08-08 00:00:00 No 2022-09-27 00:00:00 None B None 200 200 0 200 0 None 5FAM11 N CA00711127 B SFY2022-23
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2022-09-06 00:00:00 250017131 Closed Citation Citation B (HSC 1424) Other Post Ombudsman Info 2020-10-16 00:00:00 2020-10-16 00:00:00 No 2022-09-27 00:00:00 None B None 200 200 0 200 0 None 5FAM11 N CA00711127 B SFY2022-23
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2022-09-06 00:00:00 250017132 Closed Citation Citation B (HSC 1424) Other Post Ombudsman Info 2020-10-28 00:00:00 2020-10-28 00:00:00 No 2022-09-27 00:00:00 None B None 200 200 0 200 0 None 5FAM11 N CA00711127 B SFY2022-23
630007351 WYNN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2022-07-21 00:00:00 250017562 Closed Citation Citation B (HSC 1424) Other Protection Client Rights 2020-09-20 00:00:00 2020-09-20 00:00:00 No 2022-08-11 00:00:00 None B None 1000 1000 -350 650 0 None MBHV11 N CA00705740 B SFY2022-23
250000078 MEADOWBROOK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2022-10-27 00:00:00 250018098 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported failure to report 2022-06-22 00:00:00 2022-06-22 00:00:00 No 2022-11-18 00:00:00 None B None 500 500 0 0 500 None OLUI11 N CA00798140 A SFY2022-23
630017845 PAPILLON DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2022-11-10 00:00:00 250018146 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-05 00:00:00 2022-08-05 00:00:00 No 2022-12-05 00:00:00 None B None 1000 1000 -350 650 0 None 27DB11 N CA00796902, CA00796902 B, B SFY2022-23
630019882 VISTA DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2023-02-07 00:00:00 250018313 Closed Citation Citation A (HSC 1424) Other Abuse 2022-09-30 00:00:00 2022-09-30 00:00:00 No 2023-03-01 00:00:00 None A None 10000 10000 -3500 6500 0 None 2M8111 N CA00811297, CA00813153 B, B SFY2022-23
630019882 VISTA DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2023-02-07 00:00:00 250018314 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-09 00:00:00 2022-11-09 00:00:00 No 2023-03-01 00:00:00 None B None 1000 1000 -350 650 0 None 2M8111 N CA00811297, CA00813153 B, B SFY2022-23
250001382 DESERT MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2023-02-15 00:00:00 250018339 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-09 00:00:00 2022-11-09 00:00:00 No 2023-03-09 00:00:00 None B None 2000 2000 -700 1300 0 None ML1C11 N CA00807447, CA00809509 B, B SFY2022-23
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2023-02-16 00:00:00 250018340 Closed Citation Citation AA (HSC 1424) Patient Care None 2022-09-29 00:00:00 2022-09-29 00:00:00 Yes 2023-03-10 00:00:00 2023-02-27 00:00:00 AA AA 50000 45000 0 45000 0 None 05FE11 Y CA00807683 B SFY2022-23
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2023-02-23 00:00:00 250018365 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-26 00:00:00 2022-11-26 00:00:00 No 2023-03-16 00:00:00 None B None 2000 2000 -700 1300 0 None 4AU711 N CA00813552, CA00813615, CA00813690 A, A, A SFY2022-23
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2023-04-06 00:00:00 250018504 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2022-11-23 00:00:00 2022-11-23 00:00:00 No 2023-04-27 00:00:00 None B None 200 200 -70 130 0 None DPRX11 N CA00815481 B SFY2022-23
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2023-05-09 00:00:00 250018603 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-12-15 00:00:00 2022-12-15 00:00:00 No 2023-05-31 00:00:00 None B None 2000 2000 0 2000 0 None S3NC11 N CA00818569, CA00818569, CA00818569 B, B, B SFY2022-23
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2023-05-11 00:00:00 250018646 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-16 00:00:00 2022-12-16 00:00:00 No 2023-06-02 00:00:00 None B None 3000 3000 -1050 1950 0 None EDXM11 N CA00816935, CA00816935, CA00816935, CA00816935, CA00816935 A, A, A, A, A SFY2022-23
250000019 COMMUNITY CARE ON PALM LTC SNF Skilled Nursing Facility Riverside 2023-05-16 00:00:00 250018648 Closed Citation Citation B (HSC 1424) Other Failure to Report 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-06-07 00:00:00 None B None 2000 2050 -700 1350 0 None NHU511 N CA00827031, CA00827031 A, A SFY2022-23
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2023-05-25 00:00:00 250018711 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-23 00:00:00 2023-02-23 00:00:00 No 2023-06-16 00:00:00 None B None 2000 2000 0 2000 0 None D2OQ11 N CA00828767, CA00828767 B, B SFY2022-23
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2023-05-11 00:00:00 250018716 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-16 00:00:00 2022-12-16 00:00:00 No 2023-06-02 00:00:00 None B None 3000 3000 -1050 1950 0 None EDXM11 N CA00816935 A SFY2022-23
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2023-05-11 00:00:00 250018717 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-16 00:00:00 2022-12-16 00:00:00 No 2023-06-02 00:00:00 None B None 3000 3000 -1050 1950 0 None EDXM11 N CA00816935 A SFY2022-23
250001183 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MIRAMAR HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2023-05-25 00:00:00 250018719 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-31 00:00:00 2023-01-31 00:00:00 No 2023-06-16 00:00:00 None B None 1000 1000 -350 650 0 None GUIG11 N CA00826883, CA00827367 B, B SFY2022-23
250000078 MEADOWBROOK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2023-06-28 00:00:00 250018845 Open Citation Citation B (HSC 1424) Patient Care Nursing Services 2023-05-09 00:00:00 2023-05-09 00:00:00 No 2023-07-20 00:00:00 None B None 3000 3000 0 0 3000 None AI8711 N CA00837889, CA00838280, CA00840406, CA00840510 B, B, B, B SFY2022-23
250000078 MEADOWBROOK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2023-06-28 00:00:00 250018846 Open Citation Citation B (HSC 1424) Patient Care None 2023-05-09 00:00:00 2023-05-09 00:00:00 No 2023-07-20 00:00:00 None B None 3000 3000 0 0 3000 None AI8711 N CA00837889, CA00837889, CA00838280, CA00838280, CA00840406, CA00840510, CA00840510 B, B, B, B, B, B, B SFY2022-23
250000036 VALENCIA GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2023-06-28 00:00:00 250018865 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-30 00:00:00 2023-03-30 00:00:00 No 2023-07-20 00:00:00 None B None 2000 2000 -700 1300 0 None CRFK11 N CA00834272, CA00834574, CA00838801 A, B, B SFY2022-23
250000078 MEADOWBROOK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2023-06-28 00:00:00 250018897 Open Citation Citation B (HSC 1424) Patient Care None 2023-05-09 00:00:00 2023-05-09 00:00:00 No 2023-07-20 00:00:00 None B None 3000 3000 0 0 3000 None AI8711 N CA00837889, CA00838280, CA00840406, CA00840510 B, B, B, B SFY2022-23
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2023-10-11 00:00:00 250019148 Open Citation Citation B (HSC 1424) Patient Care None 2023-05-23 00:00:00 2023-05-23 00:00:00 No 2023-11-01 00:00:00 None B None 3000 3000 -1050 1950 0 None OT2611 N CA00841881 A SFY2023-24
250001034 FRIEDMAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2023-10-19 00:00:00 250019183 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-24 00:00:00 2023-07-24 00:00:00 No 2023-11-09 00:00:00 None B None 1000 1000 -350 650 0 None NB1811 N CA00853990, CA00854111, CA00854688 B, B, B SFY2023-24
250001034 FRIEDMAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2023-10-19 00:00:00 250019184 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-24 00:00:00 2023-07-24 00:00:00 No 2023-11-09 00:00:00 None B None 1000 1000 -350 650 0 None NB1811 N CA00853990, CA00854111, CA00854688 B, B, B SFY2023-24
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2023-11-02 00:00:00 250019320 Open Citation Citation B (HSC 1424) Other Behavioral Health 2023-08-30 00:00:00 2023-08-30 00:00:00 No 2023-11-28 00:00:00 None B None 1500 1500 0 1500 0 None 9IYJ11 N CA00855998, CA00855998, CA00856428, CA00858323, CA00858323, CA00858323, CA00858340, CA00858899, CA00860236 A, A, B, A, A, A, B, B, B SFY2023-24
630017935 THE SPRINGS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2023-12-20 00:00:00 250019485 Open Citation Citation AA (HSC 1424) Patient Care None 2023-08-26 00:00:00 2023-08-26 00:00:00 Yes 2024-01-11 00:00:00 2024-01-03 00:00:00 AA None 50000 50000 0 0 50000 None KN1C11 Y CA00862609 B SFY2023-24
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2023-12-28 00:00:00 250019514 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-13 00:00:00 2023-10-13 00:00:00 No 2024-01-18 00:00:00 None B None 2000 2000 -700 1300 0 None ZG6K11 N CA00864392 B SFY2023-24
250000019 COMMUNITY CARE ON PALM LTC SNF Skilled Nursing Facility Riverside 2024-02-01 00:00:00 250019581 Closed Citation Citation B (HSC 1424) Patient Care Nursing Services 2023-11-16 00:00:00 2023-11-16 00:00:00 No 2024-02-22 00:00:00 None B None 3000 3000 -1050 1950 0 None EHDC11 N CA00872277 B SFY2023-24
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2024-02-08 00:00:00 250019697 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-03 00:00:00 2023-11-03 00:00:00 No 2024-03-01 00:00:00 None B None 3000 3000 -1050 1950 0 None H1ZL11 N CA00870397 B SFY2023-24
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2024-02-09 00:00:00 250019701 Open Citation Citation A (HSC 1424) Patient Care None 2023-10-02 00:00:00 2023-10-02 00:00:00 No 2024-03-04 00:00:00 None A None 60000 60000 0 0 60000 None DXUS11 Y CA00870327 B SFY2023-24
250000019 COMMUNITY CARE ON PALM LTC SNF Skilled Nursing Facility Riverside 2024-03-14 00:00:00 250019753 Closed Citation Citation B (HSC 1424) Other omb not notified of trans 2023-12-11 00:00:00 2023-12-11 00:00:00 No 2024-04-05 00:00:00 None B None 200 200 0 200 0 None G9ZC11 N CA00882717 A SFY2023-24
250000110 PALM GROVE HEALTHCARE LTC SNF Skilled Nursing Facility Riverside 2024-02-29 00:00:00 250019774 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-02 00:00:00 2023-12-02 00:00:00 No 2024-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None UMF011 N CA00875102, CA00875102, CA00875102 B, B, B SFY2023-24
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2024-03-28 00:00:00 250019823 Closed Citation Citation B (HSC 1424) Other FTR-Ombudsman 2024-01-02 00:00:00 2024-01-02 00:00:00 No 2024-04-19 00:00:00 None B None 2000 2000 -700 1300 0 None EAPN11 N CA00877632 B SFY2023-24
250001276 CORONA REGIONAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility Riverside 2024-03-21 00:00:00 250019824 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-15 00:00:00 2023-10-15 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 0 3000 0 None 6ZPQ11 N CA00881838, CA00881838 B, B SFY2023-24
250001290 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MAVERICK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2024-04-26 00:00:00 250019932 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-15 00:00:00 2024-01-15 00:00:00 No 2024-05-17 00:00:00 None B None 1000 1000 -350 650 0 None J22211 N CA00884264, CA00884872 B, B SFY2023-24
250001290 MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MAVERICK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2024-04-26 00:00:00 250019933 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-17 00:00:00 2024-01-17 00:00:00 No 2024-05-17 00:00:00 None B None 1000 1000 -350 650 0 None BSUV11 N CA00884273, CA00884273, CA00884861, CA00884861 B, B, B, B SFY2023-24
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2024-04-18 00:00:00 250020028 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-23 00:00:00 2024-01-23 00:00:00 No 2024-05-09 00:00:00 None B None 3000 3000 0 3000 0 None XP5911 N CA00881135 B SFY2023-24
250000299 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2024-04-26 00:00:00 250020040 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-03 00:00:00 2024-02-03 00:00:00 No 2024-05-17 00:00:00 None B None 3000 3000 -1050 1950 0 None 13QD11 N CA00884813 A SFY2023-24
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2024-04-25 00:00:00 250020049 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2023-11-15 00:00:00 2023-11-15 00:00:00 No 2024-05-16 00:00:00 None B None 200 200 -70 130 0 None 235511 N CA00882994 B SFY2023-24
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2024-04-25 00:00:00 250020050 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-01-08 00:00:00 2024-01-08 00:00:00 No 2024-05-16 00:00:00 None B None 200 200 -70 130 0 None 235511 N CA00882994 B SFY2023-24
250000091 RIVERWALK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2024-04-25 00:00:00 250020051 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-02-05 00:00:00 2024-02-05 00:00:00 No 2024-05-16 00:00:00 None B None 200 200 -70 130 0 None 235511 N CA00882994 B SFY2023-24
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2024-05-28 00:00:00 250020129 Closed Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-03-29 00:00:00 2024-03-29 00:00:00 No 2024-06-18 00:00:00 None B None 200 200 0 200 0 None FLFZ11 N CA00894396 B SFY2023-24
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2024-05-28 00:00:00 250020130 Closed Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-03-22 00:00:00 2024-03-22 00:00:00 No 2024-06-18 00:00:00 None B None 200 200 0 200 0 None FLFZ11 N CA00894396 B SFY2023-24
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2024-05-28 00:00:00 250020131 Closed Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-04-12 00:00:00 2024-04-12 00:00:00 No 2024-06-18 00:00:00 None B None 200 200 0 200 0 None FLFZ11 N CA00894396 B SFY2023-24
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2024-05-23 00:00:00 250020142 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-03-11 00:00:00 2024-03-11 00:00:00 No 2024-06-14 00:00:00 None B None 200 200 -70 130 0 None DVEY11 N CA00889778 A SFY2023-24
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2024-05-23 00:00:00 250020143 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-03-13 00:00:00 2024-03-13 00:00:00 No 2024-06-14 00:00:00 None B None 200 200 -70 130 0 None DVEY11 N CA00889778 A SFY2023-24
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2024-05-23 00:00:00 250020144 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-03-11 00:00:00 2024-03-11 00:00:00 No 2024-06-14 00:00:00 None B None 200 200 -70 130 0 None DVEY11 N CA00889778 A SFY2023-24
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2024-05-23 00:00:00 250020145 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-03-08 00:00:00 2024-03-08 00:00:00 No 2024-06-14 00:00:00 None B None 200 200 -70 130 0 None DVEY11 N CA00889778 A SFY2023-24
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2024-05-23 00:00:00 250020146 Open Citation Citation B (HSC 1424) Other FTR Ombudsman 2024-02-22 00:00:00 2024-02-22 00:00:00 No 2024-06-14 00:00:00 None B None 200 200 -70 130 0 None DVEY11 N CA00889778 A SFY2023-24
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2024-06-06 00:00:00 250020193 Closed Citation Citation A (HSC 1424) Other Accidents 2024-04-03 00:00:00 2024-04-03 00:00:00 No 2024-06-27 00:00:00 None A None 15000 15000 -5250 9750 0 None IXO311 N CA00895218 B SFY2023-24
250000015 ARLINGTON GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2024-05-24 00:00:00 250020200 Open Citation Citation A (HSC 1424) Problem Transfer None 2024-03-25 00:00:00 2024-03-25 00:00:00 No 2024-06-17 00:00:00 None A None 25000 25000 -8750 16250 0 None DJ6711 N CA00889843, CA00891762 B, B SFY2023-24
250001502 HEMET VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2024-05-31 00:00:00 250020242 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-14 00:00:00 2023-12-14 00:00:00 No 2024-06-21 00:00:00 None B None 3000 3000 0 3000 0 None CJI511 N CA00890168, CA00890168, CA00890736 B, B, B SFY2023-24
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 1999-07-02 00:00:00 910001234 Closed Citation Citation B (HSC 1424) Patient Care None 1999-04-21 00:00:00 1999-07-02 00:00:00 Yes 1999-07-23 00:00:00 2000-01-27 00:00:00 B None 1000 1000 -342 658 0 910004878 A99999 N None None SFY1999-00
910000086 TORRANCE CARE CENTER EAST LTC SNF Skilled Nursing Facility LA Region 3 1999-12-17 00:00:00 910001260 Closed Citation Citation B (HSC 1424) Patient Care None 1999-09-17 00:00:00 1999-12-17 00:00:00 No 2000-01-07 00:00:00 None B None 1000 1000 -1000 0 0 910004985 A99999 N None None SFY1999-00
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2000-01-28 00:00:00 910001264 Closed Citation Citation A (HSC 1424) Patient Care None 1999-09-14 00:00:00 2000-01-28 00:00:00 Yes 2000-03-09 00:00:00 2000-02-22 00:00:00 A None 10000 10000 -10000 0 0 910005110 A99999 N None None SFY1999-00
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-02-09 00:00:00 910001265 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 1999-10-15 00:00:00 2000-02-09 00:00:00 Yes 2000-03-02 00:00:00 2000-02-10 00:00:00 B None 600 600 0 600 0 910005135 A99999 N None None SFY1999-00
910000070 SANTA MONICA PAVILION LTC SNF Skilled Nursing Facility LA Region 2 2000-02-14 00:00:00 910001266 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-04 00:00:00 2000-02-14 00:00:00 No 2000-03-07 00:00:00 None B Drop>Deficiency 1000 500 0 500 0 910005137 A99999 N None None SFY1999-00
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2000-02-14 00:00:00 910001267 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-13 00:00:00 2000-02-14 00:00:00 No 2000-03-07 00:00:00 None B None 800 800 0 800 0 910005143 A99999 N None None SFY1999-00
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-02-14 00:00:00 910001268 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-14 00:00:00 2000-02-14 00:00:00 Yes 2000-03-07 00:00:00 2000-03-01 00:00:00 A A 4000 3000 0 3000 0 910005125 A99999 N None None SFY1999-00
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-03-27 00:00:00 910001269 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-03-13 00:00:00 2000-03-27 00:00:00 Yes 2000-04-17 00:00:00 2000-03-30 00:00:00 B None 1000 3000 0 3000 0 910005184 A99999 N None None SFY1999-00
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-04-05 00:00:00 910001270 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-01-18 00:00:00 2000-04-05 00:00:00 No 2000-04-26 00:00:00 None B None 1000 3000 -1050 1950 0 910005210 A99999 N None None SFY1999-00
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-05-12 00:00:00 910001271 Closed Citation Citation B (HSC 1424) Other UNIFORM PLUMBING COD 2000-03-20 00:00:00 2000-05-12 00:00:00 No 2000-06-05 00:00:00 None B None 1000 1000 -350 650 0 910005264 A99999 N None None SFY1999-00
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-05-16 00:00:00 910001272 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-12 00:00:00 2000-05-16 00:00:00 No 2000-06-06 00:00:00 None B None 600 600 -210 390 0 910005267 A99999 N None None SFY1999-00
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-05-26 00:00:00 910001273 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-12-23 00:00:00 2000-05-26 00:00:00 Yes 2000-06-16 00:00:00 2000-06-07 00:00:00 B B 900 450 0 450 0 910005276 A99999 N None None SFY1999-00
910000035 LOTUS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-06-19 00:00:00 910001276 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-02 00:00:00 2000-06-19 00:00:00 Yes 2000-07-10 00:00:00 2000-07-02 00:00:00 B B 900 900 0 900 0 910005299 A99999 N None None SFY1999-00
910000031 CRESCENT BAY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-07-07 00:00:00 910001277 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-06-22 00:00:00 2000-07-07 00:00:00 No 2000-07-28 00:00:00 None B None 900 1000 -315 685 0 910005316 A99999 N None None SFY2000-01
910000091 TORRANCE CARE CENTER WEST, INC. LTC SNF Skilled Nursing Facility LA Region 3 2000-07-20 00:00:00 910001279 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-12 00:00:00 2000-07-20 00:00:00 No 2000-08-10 00:00:00 None B None 800 800 -280 520 0 910005343 A99999 N None None SFY2000-01
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-07-31 00:00:00 910001280 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-03 00:00:00 2000-07-31 00:00:00 No 2000-08-21 00:00:00 None B None 1000 1000 -350 650 0 910005352 A99999 N None None SFY2000-01
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2000-08-08 00:00:00 910001281 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-13 00:00:00 2000-08-08 00:00:00 No 2000-08-29 00:00:00 None B None 1000 1000 -350 650 0 910005371 A99999 N None None SFY2000-01
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-08-23 00:00:00 910001282 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-18 00:00:00 2000-08-23 00:00:00 No 2000-09-14 00:00:00 None B None 1000 3000 -1050 1950 0 910005403 A99999 N None None SFY2000-01
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-08-25 00:00:00 910001283 Closed Citation Citation A (HSC 1424) Other ABUSE 2000-07-13 00:00:00 2000-08-25 00:00:00 Yes 2001-06-05 00:00:00 2001-05-21 00:00:00 A A 10000 7500 0 7500 0 910005406 A99999 N None None SFY2000-01
910000073 BRENTWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-09-25 00:00:00 910001284 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-18 00:00:00 2000-09-25 00:00:00 No 2000-10-17 00:00:00 None B None 800 800 -280 520 0 910005453 A99999 N None None SFY2000-01
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-09-26 00:00:00 910001285 Closed Citation Citation A (HSC 1424) Other ABUSE 2000-06-06 00:00:00 2000-09-26 00:00:00 Yes 2000-10-18 00:00:00 2000-10-06 00:00:00 A B 10000 5000 0 5000 0 910005454 A99999 N None None SFY2000-01
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2000-11-07 00:00:00 910001286 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-18 00:00:00 2000-11-07 00:00:00 Yes 2001-05-10 00:00:00 2000-11-14 00:00:00 B B 1000 1000 0 1000 0 910005536 A99999 N None None SFY2000-01
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-11-17 00:00:00 910001287 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-30 00:00:00 2000-11-17 00:00:00 No 2000-12-08 00:00:00 None B None 800 800 -280 520 0 910005551 A99999 N None None SFY2000-01
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2000-11-29 00:00:00 910001288 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-03 00:00:00 2000-11-29 00:00:00 Yes 2001-05-10 00:00:00 2000-12-08 00:00:00 B B Trebled 1000 3000 0 3000 0 910005560 A99999 N None None SFY2000-01
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2001-01-11 00:00:00 910001289 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-13 00:00:00 2001-01-11 00:00:00 No 2001-02-02 00:00:00 None B None 500 500 0 500 0 910005619 A99999 N None None SFY2000-01
910000046 HARBOR POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-02-07 00:00:00 910001290 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-04 00:00:00 2001-02-07 00:00:00 Yes 2001-06-05 00:00:00 2001-02-26 00:00:00 B B 1000 1000 0 1000 0 910005655 A99999 N None None SFY2000-01
910000320 GUARDIAN REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-08-21 00:00:00 910001330 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-15 00:00:00 2000-06-20 00:00:00 Yes 2000-09-26 00:00:00 2000-08-29 00:00:00 B None 1000 1000 0 1000 0 910005894 A99999 N None None SFY2000-01
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2000-04-17 00:00:00 910001350 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-17 00:00:00 None No 2000-05-08 00:00:00 None B None 1000 1000 -350 650 0 910006021 A99999 N None None SFY1999-00
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2000-12-21 00:00:00 910001379 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-06 00:00:00 None Yes 2001-01-11 00:00:00 2000-12-26 00:00:00 B B 800 0 0 0 0 910006290 A99999 N None None SFY2000-01
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2000-12-21 00:00:00 910001380 Closed Citation Citation B (HSC 1424) Administration None 2000-12-06 00:00:00 None Yes 2001-01-11 00:00:00 2000-12-26 00:00:00 B B 800 1000 0 1000 0 910006291 A99999 N None None SFY2000-01
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-03-30 00:00:00 910001384 Closed Citation Citation A (HSC 1424) Other ABUSE 1999-10-15 00:00:00 None Yes 2000-04-20 00:00:00 2000-05-12 00:00:00 A Dismissed by Court 8000 0 0 0 0 910006359 A99999 N None None SFY1999-00
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2000-07-17 00:00:00 910001396 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-23 00:00:00 2000-06-27 00:00:00 Yes 2001-06-06 00:00:00 2000-08-01 00:00:00 B B 1000 1000 0 1000 0 910006465 A99999 N None None SFY2000-01
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2000-09-29 00:00:00 910001397 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-04 00:00:00 None Yes 2001-06-06 00:00:00 2000-10-02 00:00:00 B Dismissed by Court 1000 0 0 0 0 910006469 A99999 N None None SFY2000-01
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-12-29 00:00:00 910001443 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-22 00:00:00 None No 2001-01-19 00:00:00 None B None 1000 1000 -350 650 0 910006581 A99999 N None None SFY2000-01
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2001-02-23 00:00:00 910001444 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-18 00:00:00 2001-02-23 00:00:00 No 2001-03-16 00:00:00 None B None 800 850 -280 570 0 910006591 A99999 N None None SFY2000-01
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-03-02 00:00:00 910001445 Closed Citation Citation B (HSC 1424) Staffing None 2001-01-19 00:00:00 None Yes 2001-03-23 00:00:00 2001-03-09 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 910006592 A99999 N None None SFY2000-01
910000086 TORRANCE CARE CENTER EAST LTC SNF Skilled Nursing Facility LA Region 3 2001-03-02 00:00:00 910001446 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-09 00:00:00 None No 2001-04-26 00:00:00 None B None 700 700 -245 455 0 910006593 A99999 N None None SFY2000-01
910000031 CRESCENT BAY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2001-03-05 00:00:00 910001447 Closed Citation Citation B (HSC 1424) Other RBEHAVIOR & FPRACTIC 2001-02-11 00:00:00 None Yes 2001-04-06 00:00:00 2001-03-12 00:00:00 B None 700 700 0 700 0 910006594 A99999 N None None SFY2000-01
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-04-11 00:00:00 910001449 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-10 00:00:00 None No 2001-06-18 00:00:00 None B None 1000 1000 -350 650 0 910006631 A99999 N None None SFY2000-01
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-04-11 00:00:00 910001450 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-11 00:00:00 None No 2001-06-18 00:00:00 None B None 800 800 -280 520 0 910006631 A99999 N None None SFY2000-01
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2001-05-11 00:00:00 910001451 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-21 00:00:00 2001-05-11 00:00:00 Yes 2001-07-31 00:00:00 2001-05-16 00:00:00 B B 1000 1000 0 1000 0 910006680 A99999 N None None SFY2000-01
910000031 CRESCENT BAY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2001-06-01 00:00:00 910001452 Closed Citation Citation B (HSC 1424) Patient Care None 1999-06-25 00:00:00 1999-06-25 00:00:00 Yes 2001-08-20 00:00:00 2001-06-18 00:00:00 B None 1000 1000 0 1000 0 910006743 A99999 N None None SFY2000-01
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2001-07-05 00:00:00 910001453 Closed Citation Citation B (HSC 1424) Other ALLEGED ABUSE 2001-05-14 00:00:00 2001-07-05 00:00:00 No 2001-09-27 00:00:00 None B None 500 500 -175 325 0 910006789 A99999 N None None SFY2001-02
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2001-07-20 00:00:00 910001454 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-04 00:00:00 2001-07-20 00:00:00 No 2001-09-28 00:00:00 None B None 900 900 -315 585 0 910006807 A99999 N None None SFY2001-02
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2001-07-25 00:00:00 910001455 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-13 00:00:00 2001-07-25 00:00:00 No 2001-09-19 00:00:00 None B None 600 600 -210 390 0 910006813 A99999 N None None SFY2001-02
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2001-08-13 00:00:00 910001456 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-07-19 00:00:00 None No 2001-09-04 00:00:00 None B None 1000 1000 -350 650 0 910006808 A99999 N None None SFY2001-02
910000033 DEL AMO GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-11-05 00:00:00 910001457 Closed Citation Citation B (HSC 1424) Other ABUSE NEGLECT 2001-08-13 00:00:00 2001-11-05 00:00:00 No 2001-11-29 00:00:00 None B None 800 800 0 800 0 910006900 A99999 N None None SFY2001-02
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-11-21 00:00:00 910001458 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-22 00:00:00 2001-11-21 00:00:00 Yes 2001-12-12 00:00:00 2001-12-05 00:00:00 B None 800 800 0 800 0 910006949 A99999 N None None SFY2001-02
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-12-18 00:00:00 910001459 Closed Citation Citation B (HSC 1424) Other ABUSE 2001-11-07 00:00:00 None No 2002-01-18 00:00:00 None B None 1000 1000 -350 650 0 910007023 A99999 N None None SFY2001-02
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2002-02-07 00:00:00 910001460 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-03 00:00:00 2002-01-03 00:00:00 No 2002-03-04 00:00:00 None B None 1000 1000 -350 650 0 910007087 A99999 N None None SFY2001-02
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2002-02-26 00:00:00 910001461 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-18 00:00:00 None No 2002-05-01 00:00:00 None B None 500 500 -175 325 0 910007065 A99999 N None None SFY2001-02
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-02-28 00:00:00 910001462 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-21 00:00:00 2002-02-28 00:00:00 No 2002-04-23 00:00:00 None B None 1000 1000 -350 650 0 910007003 A99999 N None None SFY2001-02
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2002-02-28 00:00:00 910001463 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-20 00:00:00 2002-02-28 00:00:00 Yes 2002-06-19 00:00:00 2002-03-11 00:00:00 B B 800 800 0 800 0 910006987 A99999 N None None SFY2001-02
910000038 FIRESIDE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-02-28 00:00:00 910001464 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-04 00:00:00 2002-02-28 00:00:00 No 2002-04-09 00:00:00 None B None 1000 1000 -350 650 0 910006956 A99999 N None None SFY2001-02
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2002-04-11 00:00:00 910001465 Closed Citation Citation B (HSC 1424) Other ABUSE 2001-10-22 00:00:00 2002-04-11 00:00:00 No 2002-05-02 00:00:00 None B None 800 800 -280 520 0 910006955 A99999 N None None SFY2001-02
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-04-17 00:00:00 910001466 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-02-09 00:00:00 2002-02-09 00:00:00 Yes 2002-05-17 00:00:00 2002-04-29 00:00:00 B B 1000 1000 0 1000 0 910007157 A99999 N None None SFY2001-02
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-04-30 00:00:00 910001467 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-17 00:00:00 None No 2002-06-20 00:00:00 None B None 1000 1000 -350 650 0 910007185 A99999 N None None SFY2001-02
910000048 HERITAGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-06-11 00:00:00 910001468 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-04 00:00:00 2002-06-11 00:00:00 No 2002-07-16 00:00:00 None B None 950 950 -332.5 617.5 0 910007046 A99999 N None None SFY2001-02
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2002-05-14 00:00:00 910001470 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-26 00:00:00 2002-04-28 00:00:00 Yes 2002-09-05 00:00:00 2002-08-29 00:00:00 B B 1000 1000 0 1000 0 910007208 A99999 N None None SFY2001-02
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-05-21 00:00:00 910001473 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-04 00:00:00 None Yes 2002-09-04 00:00:00 2002-05-28 00:00:00 B B 700 700 0 700 0 910007217 A99999 N None None SFY2001-02
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2002-06-04 00:00:00 910001474 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-04 00:00:00 2002-06-04 00:00:00 No 2002-07-12 00:00:00 None B None 1000 1000 -350 650 0 910006967 A99999 N None None SFY2001-02
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2002-06-04 00:00:00 910001475 Closed Citation Citation B (HSC 1424) Other INFECTION CONTROL P/ 2002-05-17 00:00:00 2002-05-17 00:00:00 No 2002-07-02 00:00:00 None B None 350 350 -122.5 227.5 0 910007219 A99999 N None None SFY2001-02
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2002-07-11 00:00:00 910001476 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-25 00:00:00 None No 2002-08-01 00:00:00 None B None 1000 1000 -350 650 0 910007279 A99999 N None None SFY2002-03
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2002-07-17 00:00:00 910001477 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-20 00:00:00 2002-06-27 00:00:00 No 2002-09-03 00:00:00 None B None 1000 1050 0 1050 0 910007285 A99999 N None None SFY2002-03
910000091 TORRANCE CARE CENTER WEST, INC. LTC SNF Skilled Nursing Facility LA Region 3 2002-07-22 00:00:00 910001478 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-06-19 00:00:00 2002-07-23 00:00:00 No 2002-08-22 00:00:00 None B None 700 700 -245 455 0 910007287 A99999 N None None SFY2002-03
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2002-08-21 00:00:00 910001480 Closed Citation Citation B (HSC 1424) Administration None 2002-06-04 00:00:00 None No 2002-11-04 00:00:00 None B None 1000 1000 0 1000 0 910007279 A99999 N None None SFY2002-03
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-08-29 00:00:00 910001481 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-17 00:00:00 2002-08-29 00:00:00 No 2002-10-02 00:00:00 None B None 700 700 -245 455 0 910007216 A99999 N None None SFY2002-03
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2002-09-18 00:00:00 910001482 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-26 00:00:00 2002-09-18 00:00:00 No 2002-10-18 00:00:00 None B None 800 800 -280 520 0 910007290 A99999 N None None SFY2002-03
910000320 GUARDIAN REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2002-09-24 00:00:00 910001483 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-30 00:00:00 2002-07-30 00:00:00 No 2002-10-25 00:00:00 None B None 1000 1000 -350 650 0 910007384 A99999 N None None SFY2002-03
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-12-06 00:00:00 910001484 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-11 00:00:00 2002-12-06 00:00:00 Yes 2003-01-02 00:00:00 2002-12-11 00:00:00 B Drop>Deficiency 700 0 0 0 0 910007456 A99999 N None None SFY2002-03
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2002-12-06 00:00:00 910001485 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-05 00:00:00 2002-12-06 00:00:00 No 2003-01-03 00:00:00 None B None 800 800 -280 520 0 910007444 A99999 N None None SFY2002-03
910000057 LOS PALOS POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-12-19 00:00:00 910001486 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-15 00:00:00 2002-06-14 00:00:00 No 2003-01-13 00:00:00 None B None 900 900 -315 585 0 910007214 A99999 N None None SFY2002-03
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2002-12-20 00:00:00 910001487 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-25 00:00:00 2002-12-20 00:00:00 Yes 2003-02-10 00:00:00 2002-12-31 00:00:00 B None 650 650 0 650 0 910007447 A99999 N None None SFY2002-03
910000061 MEADOWBROOK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-01-16 00:00:00 910001488 Closed Citation Citation B (HSC 1424) Other T-22 POLICY/PROCEDUR 2002-12-09 00:00:00 2002-12-09 00:00:00 No 2003-02-25 00:00:00 None B None 1000 1000 -350 650 0 910007520 A99999 N None None SFY2002-03
910000061 MEADOWBROOK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-01-16 00:00:00 910001489 Closed Citation Citation B (HSC 1424) Other T-22 POLICY/PROCEDUR 2003-12-09 00:00:00 2003-12-09 00:00:00 No 2003-02-25 00:00:00 None B None 1000 1000 0 1000 0 910007520 A99999 N None None SFY2002-03
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-01-23 00:00:00 910001490 Closed Citation Citation B (HSC 1424) Medication None 2002-12-04 00:00:00 None No 2003-02-14 00:00:00 None B None 1000 1000 -350 650 0 910007566 A99999 N None None SFY2002-03
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-01-23 00:00:00 910001491 Closed Citation Citation B (HSC 1424) Staffing None 2002-12-04 00:00:00 None No 2003-02-14 00:00:00 None B None 1000 1000 -350 650 0 910007566 A99999 N None None SFY2002-03
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2003-02-27 00:00:00 910001492 Closed Citation Citation A (HSC 1424) Patient Care None 2003-02-06 00:00:00 None Yes 2003-03-20 00:00:00 2003-03-10 00:00:00 A A 12000 4000 0 4000 0 910007601 A99999 N None None SFY2002-03
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2003-03-03 00:00:00 910001493 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-03 00:00:00 2003-01-06 00:00:00 No 2003-04-02 00:00:00 None B None 850 850 -297.5 552.5 0 910007559 A99999 N None None SFY2002-03
910000055 LOMITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-03-12 00:00:00 910001494 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-21 00:00:00 2003-01-24 00:00:00 Yes 2003-06-09 00:00:00 2003-05-23 00:00:00 A A 8000 8000 0 8000 0 910007623 A99999 N None None SFY2002-03
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-04-07 00:00:00 910001495 Closed Citation Citation B (HSC 1424) Other CARE PLAN 2003-03-28 00:00:00 None No 2003-04-28 00:00:00 None B None 1000 1000 0 1000 0 910007691 A99999 N None None SFY2002-03
910000316 WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2003-05-16 00:00:00 910001496 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-07 00:00:00 2003-05-16 00:00:00 No 2003-06-09 00:00:00 None B None 1000 1000 -350 650 0 910007736 A99999 N None None SFY2002-03
910000048 HERITAGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-05-19 00:00:00 910001497 Closed Citation Citation B (HSC 1424) Administration None 2003-03-22 00:00:00 None No 2003-06-23 00:00:00 None B B 800 459 0 459 0 910007702 A99999 N None None SFY2002-03
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2003-06-09 00:00:00 910001498 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-07 00:00:00 None Yes 2003-07-21 00:00:00 2003-06-27 00:00:00 B B 950 500 0 500 0 910007643 A99999 N None None SFY2002-03
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-06-18 00:00:00 910001499 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-04 00:00:00 None Yes 2003-07-28 00:00:00 2003-07-11 00:00:00 B B 1000 574 0 574 0 910007787 A99999 N None None SFY2002-03
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-06-18 00:00:00 910001500 Closed Citation Citation B (HSC 1424) Administration None 2003-05-04 00:00:00 None Yes 2003-07-28 00:00:00 2003-07-11 00:00:00 B B 1000 574 0 574 0 910007787 A99999 N None None SFY2002-03
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-06-20 00:00:00 910001501 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-04 00:00:00 None Yes 2003-07-28 00:00:00 2003-07-11 00:00:00 B B 1000 574 0 574 0 910007788 A99999 N None None SFY2002-03
910000318 PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2003-07-14 00:00:00 910001502 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Other WMF 2003-06-27 00:00:00 None No 2003-09-17 00:00:00 None WF None 2000 2000 -700 1300 0 910007816 A99999 None None None SFY2003-04
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-07-30 00:00:00 910001503 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-01 00:00:00 None No 2003-09-08 00:00:00 None B B 850 488 0 488 0 910007761 A99999 N None None SFY2003-04
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-07-30 00:00:00 910001504 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-07 00:00:00 None No 2003-09-09 00:00:00 None B None 850 850 -297.5 552.5 0 910007710 A99999 N None None SFY2003-04
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-08-11 00:00:00 910001505 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-23 00:00:00 None No 2003-09-08 00:00:00 None B None 900 900 -315 585 0 910007828 A99999 N None None SFY2003-04
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-08-13 00:00:00 910001506 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-23 00:00:00 None No 2003-09-04 00:00:00 None B None 1000 3000 0 3000 0 910007762 A99999 N None None SFY2003-04
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-08-13 00:00:00 910001507 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-23 00:00:00 None No 2003-09-04 00:00:00 None B None 1000 1000 0 1000 0 910007762 A99999 N None None SFY2003-04
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2003-09-15 00:00:00 910001509 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-19 00:00:00 None No 2003-10-21 00:00:00 None B None 950 2850 -997.5 1852.5 0 910007907 A99999 N None None SFY2003-04
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2004-04-09 00:00:00 910001510 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-16 00:00:00 None No 2004-05-10 00:00:00 None B None 1000 1000 -350 650 0 910008183 A99999 N None None SFY2003-04
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2004-05-19 00:00:00 910001511 Closed Citation Citation B (HSC 1424) Other MISUSE/FUNDS/PROPERT 2004-05-13 00:00:00 None Yes 2004-06-10 00:00:00 2004-06-24 00:00:00 B None 1000 1000 0 1000 0 910008211 A99999 N None None SFY2003-04
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2004-06-04 00:00:00 910001514 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-18 00:00:00 None No 2004-07-06 00:00:00 None B None 1000 1000 -350 650 0 910008223 A99999 N None None SFY2003-04
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2004-06-09 00:00:00 910001515 Closed Citation Citation B (HSC 1424) Patient Record None 2004-04-05 00:00:00 2004-04-05 00:00:00 No 2004-07-02 00:00:00 None B None 1000 1000 -350 650 0 910008230 A99999 N None None SFY2003-04
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2004-07-21 00:00:00 910001516 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-25 00:00:00 None No 2004-08-11 00:00:00 None B None 1000 1000 0 1000 0 910008213 A99999 N None None SFY2004-05
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-05-27 00:00:00 910001517 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-01 00:00:00 None No 2005-08-26 00:00:00 None B None 900 900 0 900 0 910008493 A99999 N None None SFY2004-05
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-05-31 00:00:00 910001518 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-11 00:00:00 None No 2005-06-21 00:00:00 None B None 900 900 -315 585 0 910008494 A99999 N None None SFY2004-05
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2005-06-23 00:00:00 910001519 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-06-06 00:00:00 2005-06-06 00:00:00 Yes 2005-07-15 00:00:00 2005-07-05 00:00:00 B None 1000 1000 0 1000 0 910008504 A99999 N None None SFY2004-05
910000064 PACIFIC POST - ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2005-06-24 00:00:00 910001520 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-06-08 00:00:00 2005-06-08 00:00:00 Yes 2005-07-18 00:00:00 2005-06-30 00:00:00 B None 1000 1000 0 1000 0 910008499 A99999 N None None SFY2004-05
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-07-06 00:00:00 910001521 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-07 00:00:00 None No 2005-07-27 00:00:00 None B None 800 800 -280 520 0 910008506 A99999 N None None SFY2005-06
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2005-10-21 00:00:00 910001522 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2004-01-25 00:00:00 2004-01-25 00:00:00 No 2005-11-14 00:00:00 None B None 1000 10650 0 10650 0 910008570 A99999 N None None SFY2005-06
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2005-10-21 00:00:00 910001523 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-10 00:00:00 2004-08-10 00:00:00 No 2005-11-14 00:00:00 None B None 1000 10650 0 10650 0 910008570 A99999 N None None SFY2005-06
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2005-10-21 00:00:00 910001524 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2004-08-10 00:00:00 2004-08-10 00:00:00 No 2005-11-14 00:00:00 None B None 1000 10650 0 10650 0 910008572 A99999 N None None SFY2005-06
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2005-10-21 00:00:00 910001525 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-08-10 00:00:00 2004-08-10 00:00:00 No 2005-11-14 00:00:00 None B None 1000 10650 0 10650 0 910008572 A99999 N None None SFY2005-06
910000324 KENNEDY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2005-10-31 00:00:00 910001526 Closed Citation Citation B (HSC 1424) Medication None 2004-12-14 00:00:00 2004-12-14 00:00:00 No 2005-11-22 00:00:00 None B None 1000 1000 -350 650 0 910008578 A99999 N None None SFY2005-06
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2005-11-10 00:00:00 910001527 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-15 00:00:00 2005-06-15 00:00:00 No 2005-12-06 00:00:00 None B None 1000 1000 -350 650 0 910008582 A99999 N None None SFY2005-06
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2005-11-10 00:00:00 910001528 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-06 00:00:00 2005-06-06 00:00:00 No 2005-12-06 00:00:00 None B None 1000 1000 -350 650 0 910008584 A99999 N None None SFY2005-06
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-12-08 00:00:00 910001530 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-27 00:00:00 None No 2006-01-09 00:00:00 None B None 1000 1000 -350 650 0 910008588 A99999 N None None SFY2005-06
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-12-22 00:00:00 910001531 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-08 00:00:00 None Yes 2006-03-23 00:00:00 2006-01-03 00:00:00 B B 1000 500 0 500 0 910008575 A99999 N None None SFY2005-06
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-01-11 00:00:00 910001532 Closed Citation Citation A (HSC 1424) Medication None 2006-01-11 00:00:00 None Yes 2006-02-02 00:00:00 2006-01-30 00:00:00 A A 9000 3500 0 3500 0 910008596 A99999 N None None SFY2005-06
910000038 FIRESIDE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-02-06 00:00:00 910001533 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Care None 2006-01-16 00:00:00 2006-01-16 00:00:00 No 2006-03-01 00:00:00 None WF None 2500 2500 0 2500 0 910008605 A99999 None None None SFY2005-06
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2006-05-31 00:00:00 910003125 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-15 00:00:00 2006-01-15 00:00:00 No 2006-06-21 00:00:00 None B None 1000 1000 0 1000 0 None SQ2I11 N None None SFY2005-06
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-07-12 00:00:00 910003204 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-09 00:00:00 2006-04-09 00:00:00 No 2006-08-02 00:00:00 None B None 1000 1000 -1000 0 0 None HRBI11 N CA00078535 A SFY2006-07
910000082 ST. ERNE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-07-12 00:00:00 910003205 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-04-09 00:00:00 2006-04-09 00:00:00 No 2006-08-02 00:00:00 None B None 1000 1000 -1000 0 0 None HRBI11 N CA00078535 A SFY2006-07
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2006-07-13 00:00:00 910003207 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-01-31 00:00:00 2006-01-31 00:00:00 No 2006-08-03 00:00:00 None B None 1000 1000 -350 650 0 None QGGX11 N None None SFY2006-07
910000086 TORRANCE CARE CENTER EAST LTC SNF Skilled Nursing Facility LA Region 3 2006-08-15 00:00:00 910003279 Closed Citation Citation A (HSC 1424) Medication None 2006-01-20 00:00:00 2006-01-20 00:00:00 No 2006-09-06 00:00:00 None A None 7500 7500 -2625 4875 0 None 9GSK11 N CA00071134 C SFY2006-07
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2007-07-31 00:00:00 910003350 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-13 00:00:00 2005-09-13 00:00:00 Yes 2007-08-21 00:00:00 2007-08-21 00:00:00 B B 1000 500 0 500 0 None X14211 N CA00062332, CA00062515 C, C SFY2007-08
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2006-10-05 00:00:00 910003402 Closed Citation Citation B (HSC 1424) Dietary None 2006-09-01 00:00:00 2006-09-01 00:00:00 No 2006-10-27 00:00:00 None B None 1000 1000 0 1000 0 None LZTP21 N None None SFY2006-07
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2006-12-06 00:00:00 910003496 Closed Citation Citation B (HSC 1424) Administration None 2006-10-10 00:00:00 2006-10-10 00:00:00 No 2006-12-28 00:00:00 None B None 500 500 0 500 0 None JQ8D11 N CA00083182 D SFY2006-07
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2008-01-14 00:00:00 910003667 Closed Citation Citation A (HSC 1424) Patient Care None 2006-02-23 00:00:00 2006-02-23 00:00:00 No 2008-02-05 00:00:00 None A None 10000 10000 -3500 6500 0 None 8GQY11 Y CA00074043 C SFY2007-08
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2007-06-08 00:00:00 910003680 Closed Citation Citation A (HSC 1424) Patient Care None 2006-10-18 00:00:00 2006-10-18 00:00:00 No 2007-06-29 00:00:00 None A None 7000 7000 0 7000 0 None L3V811 N CA00084006 B SFY2006-07
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2007-02-23 00:00:00 910003744 Closed Citation Citation B (HSC 1424) Patient Care None 2006-04-29 00:00:00 2006-04-29 00:00:00 No 2007-03-16 00:00:00 None B None 1000 1000 -350 650 0 None 8CK512 N CA00079735 B SFY2006-07
910000031 CRESCENT BAY CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2007-03-16 00:00:00 910003820 Closed Citation Citation B (HSC 1424) Administration None 2007-03-12 00:00:00 2007-03-12 00:00:00 No 2007-04-06 00:00:00 None B None 1000 1000 -1000 0 0 None 999999 N None None SFY2006-07
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2007-03-16 00:00:00 910003821 Closed Citation Citation B (HSC 1424) Administration None 2007-03-12 00:00:00 2007-03-12 00:00:00 No 2007-04-06 00:00:00 None B None 1000 1000 -1000 0 0 None 999999 N None None SFY2006-07
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2007-03-16 00:00:00 910003823 Closed Citation Citation B (HSC 1424) Administration None 2007-03-13 00:00:00 2007-03-13 00:00:00 No 2007-04-06 00:00:00 None B None 1000 1000 -1000 0 0 None 999999 N None None SFY2006-07
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-03-16 00:00:00 910003824 Closed Citation Citation B (HSC 1424) Administration None 2007-03-13 00:00:00 2007-03-13 00:00:00 No 2007-04-06 00:00:00 None B None 1000 1000 -1000 0 0 None 999999 N None None SFY2006-07
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2007-03-16 00:00:00 910003825 Closed Citation Citation B (HSC 1424) Administration None 2007-03-12 00:00:00 2007-03-12 00:00:00 No 2007-04-06 00:00:00 None B None 1000 1000 -1000 0 0 None 999999 N None None SFY2006-07
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2007-04-25 00:00:00 910003919 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-30 00:00:00 2007-03-30 00:00:00 No 2007-05-16 00:00:00 None B None 1000 1000 0 1000 0 None VNUH11 N CA00110844, CA00110867 B, B SFY2006-07
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-08-01 00:00:00 910004150 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-19 00:00:00 2007-06-19 00:00:00 No 2007-08-22 00:00:00 None B None 1000 1000 0 1000 0 None ULXE11 N CA00118431 C SFY2007-08
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2007-09-21 00:00:00 910004289 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-11 00:00:00 2007-08-11 00:00:00 No 2007-10-15 00:00:00 None B None 1000 1000 -350 650 0 None WBMS11 N None None SFY2007-08
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-12-11 00:00:00 910004514 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-03-01 00:00:00 2007-03-01 00:00:00 No 2008-01-03 00:00:00 None B None 1000 1000 0 1000 0 None ZK1311 N CA00108078 B SFY2007-08
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-02-05 00:00:00 910004607 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-07 00:00:00 2007-06-07 00:00:00 Yes 2008-02-28 00:00:00 2008-02-26 00:00:00 B B 1000 500 0 500 0 None F15M11 N CA00137021, CA00137196 B, B SFY2007-08
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2008-02-20 00:00:00 910004688 Closed Citation Citation B (HSC 1424) Problem Transfer None 2007-12-06 00:00:00 2007-12-06 00:00:00 No 2008-03-12 00:00:00 None B None 1000 1300 0 1300 0 None U1PJ11 N CA00134282 B SFY2007-08
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2008-03-05 00:00:00 910004744 Closed Citation Citation B (HSC 1424) Administration None 2007-08-13 00:00:00 2007-08-13 00:00:00 No 2008-03-26 00:00:00 None B None 1000 5900 0 5900 0 None 803411 N CA00122200 B SFY2007-08
910000318 PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2008-03-19 00:00:00 910004803 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-21 00:00:00 2007-10-21 00:00:00 No 2008-04-10 00:00:00 None B None 1000 1100 0 1100 0 None E3ER11 N CA00130129 C SFY2007-08
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2008-07-01 00:00:00 910005200 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-17 00:00:00 2007-12-17 00:00:00 No 2008-07-23 00:00:00 None B None 1000 1000 0 1000 0 None TIOE11 N CA00135146 B SFY2008-09
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2008-07-01 00:00:00 910005203 Closed Citation Citation B (HSC 1424) Administration None 2007-12-17 00:00:00 2007-12-17 00:00:00 No 2008-07-23 00:00:00 None B None 1000 1000 0 1000 0 None TIOE11 N CA00135146 B SFY2008-09
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2008-07-31 00:00:00 910005273 Closed Citation Citation B (HSC 1424) Patient Record None 2008-07-14 00:00:00 2008-07-14 00:00:00 Yes 2008-08-21 00:00:00 2008-08-08 00:00:00 B B 1000 550 -50 500 0 None 6IR212 N None None SFY2008-09
910000324 KENNEDY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-09-17 00:00:00 910005431 Closed Citation Citation A (HSC 1424) Other Abuse Sexual 2007-05-31 00:00:00 2007-05-31 00:00:00 Yes 2008-10-21 00:00:00 2008-07-22 00:00:00 A Dismissed by Court 19000 0 0 0 0 None YLRU11 N CA00116200, CA00116917 B, B SFY2008-09
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2008-09-18 00:00:00 910005437 Closed Citation Citation B (HSC 1424) Patient Record None 2008-08-11 00:00:00 2008-08-11 00:00:00 No 2008-10-09 00:00:00 None B None 1000 1000 0 1000 0 None 06X611 N None None SFY2008-09
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2009-04-14 00:00:00 910005490 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-08 00:00:00 2007-09-08 00:00:00 Yes 2009-05-05 00:00:00 2009-04-21 00:00:00 A A 10000 3000 0 3000 0 None KZ8211 N CA00126111 C SFY2008-09
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-11-18 00:00:00 910005620 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-18 00:00:00 2008-11-18 00:00:00 Yes 2008-12-11 00:00:00 2008-11-28 00:00:00 B B 1000 1000 0 1000 0 None OT4811 N CA00134541 C SFY2008-09
910000074 SANTA MONICA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-12-05 00:00:00 910005639 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-03 00:00:00 2008-07-03 00:00:00 No 2008-12-29 00:00:00 None B None 1000 1000 0 1000 0 None YBZU11 N CA00115685 B SFY2008-09
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2009-03-11 00:00:00 910005948 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-02 00:00:00 2007-08-02 00:00:00 Yes 2009-04-02 00:00:00 2009-03-19 00:00:00 B B 1000 500 0 500 0 None BDUH11 N CA00124535 C SFY2008-09
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2009-03-13 00:00:00 910005955 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-27 00:00:00 2009-02-27 00:00:00 Yes 2009-04-21 00:00:00 2009-03-19 00:00:00 B None 1000 1000 0 1000 0 None 8UJ511 N CA00135844 C SFY2008-09
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2009-03-12 00:00:00 910005959 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-19 00:00:00 2009-02-19 00:00:00 Yes 2009-04-03 00:00:00 2009-03-19 00:00:00 B B 1000 725 -150 575 0 None BDUH11 N CA00124535 C SFY2008-09
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2009-04-17 00:00:00 910006107 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-19 00:00:00 2007-03-19 00:00:00 No 2009-05-08 00:00:00 None B None 1000 1000 0 1000 0 None DM8C11 N CA00109922 B SFY2008-09
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2009-07-28 00:00:00 910006173 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-09-08 00:00:00 2008-09-08 00:00:00 Yes 2010-10-22 00:00:00 2010-08-31 00:00:00 AA AA 100000 100000 0 100000 0 None 93J911 Y CA00163886, CA00170718 C, C SFY2009-10
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2009-06-11 00:00:00 910006273 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-26 00:00:00 2005-09-26 00:00:00 Yes 2009-07-02 00:00:00 2009-06-16 00:00:00 A A 10000 10200 0 10200 0 None NYUX11 N CA00063181 D SFY2008-09
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2009-06-11 00:00:00 910006275 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-26 00:00:00 2005-09-26 00:00:00 Yes 2009-07-02 00:00:00 2009-06-12 00:00:00 B B 1000 650 0 650 0 None NYUX11 N CA00063181 D SFY2008-09
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2009-06-24 00:00:00 910006315 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-04 00:00:00 2009-06-04 00:00:00 Yes 2009-07-15 00:00:00 2009-06-26 00:00:00 B B 1000 650 0 650 0 None M8VH11 N CA00189258 C SFY2008-09
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2009-06-25 00:00:00 910006316 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-09-29 00:00:00 2008-09-29 00:00:00 No 2009-07-16 00:00:00 None B None 1000 1000 0 1000 0 None W0SM11 N CA00181768 C SFY2008-09
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2009-06-25 00:00:00 910006318 Closed Citation Citation B (HSC 1424) Administration None 2009-05-07 00:00:00 2009-05-07 00:00:00 No 2009-07-16 00:00:00 None B None 950 950 0 950 0 None W0SM11 N CA00181768 C SFY2008-09
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2009-07-23 00:00:00 910006404 Closed Citation Citation A (HSC 1424) Medication None 2009-01-13 00:00:00 2009-01-13 00:00:00 Yes 2012-03-27 00:00:00 2012-03-26 00:00:00 A B 10000 10000 0 10000 0 None W0SM11 N CA00181768 C SFY2009-10
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2009-08-12 00:00:00 910006435 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-06 00:00:00 2009-04-06 00:00:00 Yes 2009-09-02 00:00:00 2009-09-01 00:00:00 A B 20000 13000 0 13000 0 None FR1L11 N CA00189911 C SFY2009-10
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2009-08-12 00:00:00 910006436 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-24 00:00:00 2009-05-24 00:00:00 Yes 2009-09-02 00:00:00 2009-09-01 00:00:00 A B 20000 20000 0 20000 0 None FR1L11 N CA00189911 C SFY2009-10
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2009-11-04 00:00:00 910006637 Open Citation Citation A (HSC 1424) Patient Care None 2009-07-20 00:00:00 2009-07-20 00:00:00 Yes 2009-11-30 00:00:00 2009-11-18 00:00:00 A None 19500 19500 0 0 19500 None 5MTF11 N CA00195743 C SFY2009-10
910000033 DEL AMO GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-11-05 00:00:00 910006661 Closed Citation Citation A (HSC 1424) Medication None 2009-08-30 00:00:00 2009-08-30 00:00:00 Yes 2009-12-01 00:00:00 2009-11-12 00:00:00 A B 19000 6000 0 6000 0 None RHY711 N CA00200928 C SFY2009-10
910000019 NEW VISTA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-12-23 00:00:00 910006664 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-10 00:00:00 2008-07-10 00:00:00 No 2010-01-14 00:00:00 None A None 17000 17000 0 17000 0 None YJID11 N CA00159496 C SFY2009-10
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-11-25 00:00:00 910006732 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-01-07 00:00:00 2009-01-07 00:00:00 No 2009-12-18 00:00:00 None B None 1000 3000 -1050 1950 0 None 6VOB11 N CA00177459 C SFY2009-10
910000061 MEADOWBROOK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-12-28 00:00:00 910006747 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-03-19 00:00:00 2008-03-19 00:00:00 Yes 2010-01-21 00:00:00 2011-01-07 00:00:00 AA A 100000 85000 0 85000 0 None 13PS11 Y CA00144470, CA00144546 B, B SFY2009-10
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2010-01-05 00:00:00 910006868 Closed Citation Citation A (HSC 1424) Physical Environment None 2009-12-17 00:00:00 2009-12-17 00:00:00 No 2010-01-28 00:00:00 None A None 10000 10000 0 10000 0 None EDC221 N None None SFY2009-10
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-03-03 00:00:00 910006951 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-17 00:00:00 2009-12-17 00:00:00 Yes 2013-01-10 00:00:00 2012-12-20 00:00:00 A A 20000 20000 -20000 0 0 None 8SNN11 N None None SFY2009-10
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2010-02-08 00:00:00 910006953 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Administration None 2009-12-16 00:00:00 2009-12-16 00:00:00 Yes 2010-03-01 00:00:00 2010-02-12 00:00:00 WF None 2000 2000 0 2000 0 None 4L2F12 None None None SFY2009-10
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2010-02-08 00:00:00 910006978 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-09-03 00:00:00 2009-09-03 00:00:00 Yes 2010-03-01 00:00:00 2010-02-12 00:00:00 B B 1000 650 0 650 0 None 4L2F11 N None None SFY2009-10
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2010-03-15 00:00:00 910007045 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-15 00:00:00 2010-02-15 00:00:00 Yes 2010-04-06 00:00:00 2010-03-22 00:00:00 B B 1000 650 0 650 0 None 16ZS11 N None None SFY2009-10
910000013 BERKLEY WEST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-03-26 00:00:00 910007083 Closed Citation Citation B (HSC 1424) Dietary None 2009-11-05 00:00:00 2009-11-05 00:00:00 Yes 2010-04-19 00:00:00 2010-06-09 00:00:00 B None 1000 1000 0 1000 0 None IDMY11 N CA00216264 B SFY2009-10
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2013-02-25 00:00:00 910007214 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-06 00:00:00 2009-05-06 00:00:00 No 2013-03-18 00:00:00 None A None 10000 10000 -3500 6500 0 None CB2W11 N None None SFY2012-13
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-10-03 00:00:00 910007237 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-30 00:00:00 2009-10-30 00:00:00 Yes 2013-10-24 00:00:00 2013-10-10 00:00:00 A None 20000 20000 -7000 13000 0 None HFIB11 N CA00206906, CA00209940, CA00210360 H, B, B SFY2013-14
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-10-03 00:00:00 910007238 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-30 00:00:00 2009-10-30 00:00:00 Yes 2013-10-24 00:00:00 2013-10-10 00:00:00 B None 2000 2000 -700 1300 0 None HFIB11 N CA00206906, CA00209940, CA00210360 H, B, B SFY2013-14
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2010-05-27 00:00:00 910007252 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-11 00:00:00 2009-06-11 00:00:00 No 2010-06-18 00:00:00 None A None 12000 12000 -4200 7800 0 None 23VJ11 N CA00191613 B SFY2009-10
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2010-09-21 00:00:00 910007458 Closed Citation Citation B (HSC 1424) Patient Care None 2006-10-18 00:00:00 2006-10-18 00:00:00 No 2010-10-12 00:00:00 None B None 1000 1000 -350 650 0 None Y6QS11 N CA00168160 C SFY2010-11
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2011-01-10 00:00:00 910007605 Closed Citation Citation AA (HSC 1424) Dietary None 2009-04-06 00:00:00 2009-04-06 00:00:00 Yes 2011-02-01 00:00:00 2011-01-18 00:00:00 AA AA 100000 32500 0 32500 0 None XSLD11 Y CA00185685 B SFY2010-11
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2010-10-29 00:00:00 910007607 Closed Citation Citation B (HSC 1424) Patient Care None 2005-02-28 00:00:00 2005-02-28 00:00:00 No 2010-11-22 00:00:00 None B None 1000 1000 0 1000 0 None 774211 N CA00040571 B SFY2010-11
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2012-05-16 00:00:00 910007644 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2010-06-23 00:00:00 2010-06-23 00:00:00 Yes 2012-06-07 00:00:00 2012-05-23 00:00:00 WF None 2000 2000 0 2000 0 None JNM011 None None None SFY2011-12
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2012-05-16 00:00:00 910007645 Open Citation Citation B (HSC 1424) Patient Care None 2010-06-23 00:00:00 2010-06-23 00:00:00 Yes 2012-06-07 00:00:00 2012-05-22 00:00:00 B None 1800 1800 0 0 1800 None JNM011 N None None SFY2011-12
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2010-12-10 00:00:00 910007762 Closed Citation Citation A (HSC 1424) Patient Care None 2008-04-23 00:00:00 2008-04-23 00:00:00 Yes 2013-04-22 00:00:00 2013-04-15 00:00:00 A A 6000 6000 -5301.59 698.41 0 None YG9511 N CA00148143 C SFY2010-11
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2010-12-10 00:00:00 910007767 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-08-24 00:00:00 2010-08-24 00:00:00 No 2010-12-31 00:00:00 None B None 900 900 0 900 0 None WZB711 N None None SFY2010-11
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2012-02-15 00:00:00 910007783 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2010-10-01 00:00:00 2010-10-01 00:00:00 Yes 2012-03-08 00:00:00 2012-02-28 00:00:00 WF None 1000 1000 0 0 1000 None XF4N11 None CA00245833 C SFY2011-12
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2010-12-21 00:00:00 910007787 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-23 00:00:00 2009-12-23 00:00:00 Yes 2011-01-11 00:00:00 2010-12-28 00:00:00 B None 1000 1000 0 1000 0 None 2MSM11 N CA00212732 B SFY2010-11
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2011-01-21 00:00:00 910007859 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-01-19 00:00:00 2010-01-19 00:00:00 No 2011-02-11 00:00:00 None B None 1000 1000 0 1000 0 None GXUG11 N CA00213451 C SFY2010-11
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2011-04-06 00:00:00 910008117 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-04-05 00:00:00 2011-04-05 00:00:00 No 2011-04-27 00:00:00 None B None 1000 1000 -350 650 0 None PVKV11 N CA00264639, CA00265351 B, B SFY2010-11
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2011-05-09 00:00:00 910008225 Closed Citation Citation B (HSC 1424) Administration None 2009-09-14 00:00:00 2009-09-14 00:00:00 No 2011-05-31 00:00:00 None B None 1000 1000 -350 650 0 None JE5511 N None None SFY2010-11
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2011-07-27 00:00:00 910008420 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-07-01 00:00:00 2011-07-01 00:00:00 No 2011-08-17 00:00:00 None B None 1000 10050 0 10050 0 None Q2HZ11 N CA00274186 C SFY2011-12
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2011-09-08 00:00:00 910008549 Closed Citation Citation B (HSC 1424) Administration None 2008-09-02 00:00:00 2008-09-02 00:00:00 Yes 2011-09-30 00:00:00 2011-09-14 00:00:00 B B 1000 650 0 650 0 None B9DK11 N None None SFY2011-12
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-05-02 00:00:00 910008601 Closed Citation Citation A (HSC 1424) Patient Care None 2010-10-29 00:00:00 2010-10-29 00:00:00 No 2012-05-23 00:00:00 None A None 20000 20000 -7000 13000 0 None 7F1011 N CA00250303 C SFY2011-12
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-05-09 00:00:00 910008602 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-29 00:00:00 2010-10-29 00:00:00 No 2012-05-31 00:00:00 None B None 2000 2000 -700 1300 0 None 7F1011 N CA00250303 C SFY2011-12
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2011-10-07 00:00:00 910008607 Closed Citation Citation A (HSC 1424) Medication None 2008-07-15 00:00:00 2008-07-15 00:00:00 Yes 2011-10-28 00:00:00 2012-12-24 00:00:00 A A 19500 19500 -17230.15 2269.85 0 None G8CX11 N CA00202732, CA00203627 C, C SFY2011-12
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2011-10-07 00:00:00 910008621 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-07-29 00:00:00 2009-07-29 00:00:00 Yes 2011-10-28 00:00:00 2011-10-12 00:00:00 B B 950 617.5 0 617.5 0 None G8CX11 N CA00203627 C SFY2011-12
910000324 KENNEDY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-05-16 00:00:00 910008788 Closed Citation Citation A (HSC 1424) Patient Care None 2011-07-24 00:00:00 2011-07-24 00:00:00 Yes 2013-06-07 00:00:00 2013-05-20 00:00:00 A A 20000 12000 0 12000 0 None HE1F11 N CA00277040, CA00277044, CA00277203 C, H, C SFY2012-13
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-12-27 00:00:00 910008825 Closed Citation Citation A (HSC 1424) Patient Care None 2010-04-25 00:00:00 2010-04-25 00:00:00 No 2012-01-19 00:00:00 None A None 15000 15000 -5250 9750 0 None 18DV11 N CA00234808 C SFY2011-12
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-12-23 00:00:00 910008847 Closed Citation Citation B (HSC 1424) Administration None 2011-10-16 00:00:00 2011-10-16 00:00:00 No 2012-01-18 00:00:00 None B None 500 650 0 650 0 None 8VZW11 N None None SFY2011-12
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2012-01-11 00:00:00 910008898 Closed Citation Citation B (HSC 1424) Medication None 2011-12-09 00:00:00 2011-12-09 00:00:00 Yes 2012-02-02 00:00:00 2012-01-26 00:00:00 B None 1000 1000 0 1000 0 None X25Z11 N CA00291528 C SFY2011-12
910000035 LOTUS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-01-27 00:00:00 910008955 Open Citation Citation B (HSC 1424) Patient Care None 2010-10-02 00:00:00 2010-10-02 00:00:00 Yes 2012-02-17 00:00:00 2012-02-15 00:00:00 B None 2000 2000 0 0 2000 None 2GYZ11 N CA00245942, CA00245942 C, C SFY2011-12
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-02-08 00:00:00 910008985 Closed Citation Citation B (HSC 1424) Administration None 2009-10-02 00:00:00 2009-10-02 00:00:00 No 2012-03-01 00:00:00 None B None 1800 1800 -630 1170 0 None BOLN11 N None None SFY2011-12
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2012-02-15 00:00:00 910009007 Open Citation Citation B (HSC 1424) Medication None 2010-10-04 00:00:00 2010-10-04 00:00:00 Yes 2012-03-08 00:00:00 2012-02-28 00:00:00 B None 2000 2000 0 0 2000 None XF4N11 N CA00245833 C SFY2011-12
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2012-02-14 00:00:00 910009008 Open Citation Citation B (HSC 1424) Medication None 2010-10-04 00:00:00 2010-10-04 00:00:00 Yes 2012-03-07 00:00:00 2012-02-28 00:00:00 B None 2000 2000 0 0 2000 None XF4N11 N CA00245833 C SFY2011-12
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-02-28 00:00:00 910009048 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-02-15 00:00:00 2012-02-15 00:00:00 Yes 2012-03-20 00:00:00 2012-03-13 00:00:00 B None 500 500 0 500 0 None MWYJ11 N CA00299824 B SFY2011-12
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-03-08 00:00:00 910009049 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-02-15 00:00:00 2012-02-15 00:00:00 Yes 2012-03-29 00:00:00 2012-04-04 00:00:00 B None 500 500 0 500 0 None MWYJ11 N CA00299824 B SFY2011-12
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2012-03-21 00:00:00 910009168 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-29 00:00:00 2008-06-29 00:00:00 No 2012-04-11 00:00:00 None A None 19500 19500 -6825 12675 0 None ZCBV11 N CA00160036 C SFY2011-12
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-03-29 00:00:00 910009194 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-12-08 00:00:00 2011-12-08 00:00:00 No 2012-04-19 00:00:00 None B None 1800 1800 0 1800 0 None 9CI011 N None None SFY2011-12
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-03-29 00:00:00 910009196 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-06 00:00:00 2009-05-06 00:00:00 Yes 2012-04-19 00:00:00 2012-04-18 00:00:00 A A 20000 10000 0 10000 0 None JIJL11 N CA00188990 B SFY2011-12
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2012-04-27 00:00:00 910009207 Closed Citation Citation A (HSC 1424) Patient Care None 2008-12-16 00:00:00 2008-12-16 00:00:00 Yes 2012-05-18 00:00:00 2012-05-04 00:00:00 A A 19000 11000 0 11000 0 None H7FJ11 N CA00172563, CA00172563 C, C SFY2011-12
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-05-23 00:00:00 910009321 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-13 00:00:00 2009-07-13 00:00:00 No 2012-06-14 00:00:00 None B None 2000 2000 0 2000 0 None 6LQ911 N CA00195447 C SFY2011-12
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2012-07-10 00:00:00 910009344 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-28 00:00:00 2009-12-28 00:00:00 Yes 2012-07-31 00:00:00 2012-07-10 00:00:00 A A 20000 10000 0 10000 0 None PD1S11 N CA00213238 C SFY2012-13
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2012-07-11 00:00:00 910009388 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-02 00:00:00 2010-03-02 00:00:00 No 2012-08-01 00:00:00 None A None 12000 12000 0 12000 0 None DAAS11 N None None SFY2012-13
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-11-13 00:00:00 910009559 Closed Citation Citation B (HSC 1424) Patient Care None 2012-06-14 00:00:00 2012-06-14 00:00:00 No 2012-12-06 00:00:00 None B None 1500 1500 -525 975 0 None E7CT11 N CA00314603 B SFY2012-13
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2013-01-07 00:00:00 910009565 Closed Citation Citation A (HSC 1424) Patient Care None 2009-08-08 00:00:00 2009-08-08 00:00:00 Yes 2013-01-29 00:00:00 2013-01-22 00:00:00 A A 20000 13000 0 13000 0 None XDBK11 N CA00198078 C SFY2012-13
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2012-11-06 00:00:00 910009583 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-10-26 00:00:00 2012-10-26 00:00:00 No 2012-11-30 00:00:00 None B None 1500 3650 0 3650 0 None 6YVZ11 N None None SFY2012-13
910000074 SANTA MONICA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-02-14 00:00:00 910009748 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-01-17 00:00:00 2013-01-17 00:00:00 No 2013-03-08 00:00:00 None B None 1000 6250 0 6250 0 None RX6L11 N CA00339821 C SFY2012-13
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2013-03-14 00:00:00 910009764 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-01 00:00:00 2009-02-01 00:00:00 Yes 2013-04-05 00:00:00 2013-04-04 00:00:00 A None 20000 20000 -17671.95 2328.05 0 None UIAP11 N CA00177905 C SFY2012-13
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-03-07 00:00:00 910009779 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2012-12-15 00:00:00 2012-12-15 00:00:00 No 2013-03-28 00:00:00 None WF None 2000 2000 -700 1300 0 None TRWS11 None None None SFY2012-13
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-03-29 00:00:00 910009808 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-14 00:00:00 2010-03-14 00:00:00 No 2013-04-22 00:00:00 None B None 1500 1500 0 1500 0 None 0NT911 N CA00229827 C SFY2012-13
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-03-29 00:00:00 910009809 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-03-14 00:00:00 2010-03-14 00:00:00 No 2013-04-22 00:00:00 None B None 1500 1500 0 1500 0 None 0NT911 N CA00229827 C SFY2012-13
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-04-19 00:00:00 910009825 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-11 00:00:00 2010-01-11 00:00:00 No 2013-05-10 00:00:00 None A None 15000 15000 -5250 9750 0 None 913811 N CA00214573 C SFY2012-13
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-05-14 00:00:00 910009863 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-31 00:00:00 2009-10-31 00:00:00 No 2013-06-05 00:00:00 None A None 19000 19000 -6650 12350 0 None DE6F11 N CA00223795 C SFY2012-13
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-05-01 00:00:00 910009864 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-18 00:00:00 2010-08-18 00:00:00 No 2013-05-22 00:00:00 None B None 2000 2000 -700 1300 0 None 4DG011 N CA00239822 B SFY2012-13
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-05-15 00:00:00 910009897 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-03 00:00:00 2009-06-03 00:00:00 No 2013-06-06 00:00:00 None B None 2000 2000 -700 1300 0 None GIYX11 N CA00190225, CA00190530, CA00190530 C, C, C SFY2012-13
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-05-15 00:00:00 910009904 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-21 00:00:00 2009-08-21 00:00:00 No 2013-06-06 00:00:00 None B None 2000 2000 -700 1300 0 None HFZR11 N CA00201790 C SFY2012-13
910000035 LOTUS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-06-18 00:00:00 910009911 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-09 00:00:00 2010-08-09 00:00:00 Yes 2013-07-10 00:00:00 2013-06-19 00:00:00 A None 20000 20000 -7000 13000 0 None 56UC11 N None None SFY2012-13
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2013-06-19 00:00:00 910009957 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-24 00:00:00 2009-01-24 00:00:00 No 2013-07-11 00:00:00 None B None 2000 6000 -2100 3900 0 None VFQH11 N CA00175957 C SFY2012-13
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2013-06-20 00:00:00 910009958 Closed Citation Citation B (HSC 1424) Patient Care None 2012-05-28 00:00:00 2012-05-28 00:00:00 No 2013-07-12 00:00:00 None B None 2000 2000 -700 1300 0 None SC1P11 N CA00312446 C SFY2012-13
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2013-06-25 00:00:00 910009971 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-23 00:00:00 2010-02-23 00:00:00 No 2013-07-17 00:00:00 None B None 2000 2000 0 2000 0 None EDJ611 N CA00235062 C SFY2012-13
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-06-26 00:00:00 910009972 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-20 00:00:00 2010-10-20 00:00:00 No 2013-07-18 00:00:00 None B None 2000 2000 -700 1300 0 None PW1H11 N CA00246759 C SFY2012-13
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2013-06-27 00:00:00 910009979 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2013-02-20 00:00:00 2013-02-20 00:00:00 No 2013-07-19 00:00:00 None WF None 2000 2000 0 2000 0 None VK1C11 None None None SFY2012-13
910000086 TORRANCE CARE CENTER EAST LTC SNF Skilled Nursing Facility LA Region 3 2013-07-02 00:00:00 910009990 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-09-28 00:00:00 2010-09-28 00:00:00 No 2013-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None J8EK11 N CA00244857 B SFY2013-14
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-07-05 00:00:00 910009997 Closed Citation Citation B (HSC 1424) Patient Care None 2013-05-04 00:00:00 2013-05-04 00:00:00 No 2013-07-26 00:00:00 None B None 2000 2000 -700 1300 0 None Q2VU11 N CA00353521 C SFY2013-14
970000133 GRAND PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2013-08-01 00:00:00 910010049 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-18 00:00:00 2010-04-18 00:00:00 No 2013-08-22 00:00:00 None B None 2000 2000 -700 1300 0 None SGY811 N CA00225841 B SFY2013-14
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2013-08-15 00:00:00 910010093 Closed Citation Citation A (HSC 1424) Patient Care None 2013-01-12 00:00:00 2013-01-12 00:00:00 No 2013-09-06 00:00:00 None A None 14000 14000 0 14000 0 None PNWZ11 N CA00340679 B SFY2013-14
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2013-08-16 00:00:00 910010098 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-03 00:00:00 2012-10-03 00:00:00 Yes 2013-09-09 00:00:00 2013-08-21 00:00:00 B None 2000 2000 -1767.2 232.8 0 None 8J6U11 N CA00328765 C SFY2013-14
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-08-20 00:00:00 910010099 Closed Citation Citation A (HSC 1424) Patient Care None 2011-03-26 00:00:00 2011-03-26 00:00:00 No 2013-09-11 00:00:00 None A None 16000 16000 -5600 10400 0 None P9JD11 N CA00266041 C SFY2013-14
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2013-08-22 00:00:00 910010100 Open Citation Citation B (HSC 1424) Patient Care None 2010-08-28 00:00:00 2010-08-28 00:00:00 Yes 2013-09-13 00:00:00 2013-08-23 00:00:00 B None 2000 2000 0 0 2000 None HGUQ11 N CA00240977, CA00244215 B, B SFY2013-14
910000318 PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2013-08-16 00:00:00 910010101 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-18 00:00:00 2009-06-18 00:00:00 No 2013-09-09 00:00:00 None B None 1800 1800 0 1800 0 None FOEO11 N CA00193044 H SFY2013-14
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2013-08-19 00:00:00 910010102 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Medication None 2013-04-12 00:00:00 2013-04-12 00:00:00 No 2013-09-10 00:00:00 None WF None 2000 2000 -700 1300 0 None PCXH11 None None None SFY2013-14
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-09-06 00:00:00 910010128 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-30 00:00:00 2011-01-30 00:00:00 No 2013-09-27 00:00:00 None B None 1500 1500 -525 975 0 None SKYJ11 N CA00257463 C SFY2013-14
910000057 LOS PALOS POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-09-13 00:00:00 910010141 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-11 00:00:00 2009-06-11 00:00:00 No 2013-10-04 00:00:00 None B None 2000 2000 -700 1300 0 None 9TC311 N CA00191789 C SFY2013-14
970000147 WESTLAKE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2013-09-16 00:00:00 910010148 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-16 00:00:00 2013-04-16 00:00:00 No 2013-10-07 00:00:00 None B None 2000 2000 0 2000 0 None 4YIE11 N CA00349289 B SFY2013-14
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2013-11-13 00:00:00 910010192 Closed Citation Citation A (HSC 1424) Patient Care None 2013-06-20 00:00:00 2013-06-20 00:00:00 No 2013-12-06 00:00:00 None A None 20000 20000 0 20000 0 None RZ7513 N CA00359517, CA00359517 B, B SFY2013-14
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2013-10-17 00:00:00 910010197 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-09 00:00:00 2011-11-09 00:00:00 No 2013-11-07 00:00:00 None B None 2000 2000 -700 1300 0 None H03H11 N CA00293420 C SFY2013-14
970000017 SUNNYVIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-10-21 00:00:00 910010201 Closed Citation Citation A (HSC 1424) Patient Care None 2013-05-26 00:00:00 2013-05-26 00:00:00 Yes 2013-11-12 00:00:00 2013-10-24 00:00:00 A A 16000 10400 0 10400 0 None 4PX711 N CA00356275 C SFY2013-14
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-10-17 00:00:00 910010214 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-09-24 00:00:00 2013-09-24 00:00:00 No 2013-11-07 00:00:00 None B None 2000 2000 -700 1300 0 None B4OD11 N CA00371707 A SFY2013-14
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-11-07 00:00:00 910010242 Closed Citation Citation A (HSC 1424) Medication None 2012-08-30 00:00:00 2012-08-30 00:00:00 Yes 2013-12-03 00:00:00 2013-11-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None 1Z1T11 N CA00328062 C SFY2013-14
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-11-26 00:00:00 910010259 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-01 00:00:00 2013-04-01 00:00:00 No 2013-12-19 00:00:00 None B None 2000 2000 -700 1300 0 None MYZN11 N CA00350025, CA00350025 B, B SFY2013-14
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-11-26 00:00:00 910010261 Closed Citation Citation A (HSC 1424) Patient Care None 2013-04-01 00:00:00 2013-04-01 00:00:00 No 2013-12-19 00:00:00 None A None 20000 20000 -7000 13000 0 None MYZN11 N CA00350025 B SFY2013-14
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2013-12-10 00:00:00 910010265 Closed Citation Citation A (HSC 1424) Patient Care None 2012-04-17 00:00:00 2012-04-17 00:00:00 No 2014-01-01 00:00:00 None A None 20000 20000 -7000 13000 0 None 8TO011 N CA00307372 B SFY2013-14
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2014-01-14 00:00:00 910010325 Closed Citation Citation A (HSC 1424) Patient Care None 2011-12-01 00:00:00 2011-12-01 00:00:00 No 2014-02-05 00:00:00 None A None 20000 20000 0 20000 0 None WYJH11 N CA00291586 C SFY2013-14
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-02-06 00:00:00 910010414 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-30 00:00:00 2011-08-30 00:00:00 Yes 2014-02-28 00:00:00 2014-02-24 00:00:00 A A 15000 8000 0 8000 0 None KYRO11 N CA00282582 B SFY2013-14
910000091 TORRANCE CARE CENTER WEST, INC. LTC SNF Skilled Nursing Facility LA Region 3 2014-02-07 00:00:00 910010439 Closed Citation Citation A (HSC 1424) Patient Care None 2010-10-19 00:00:00 2010-10-19 00:00:00 Yes 2014-03-03 00:00:00 2014-02-07 00:00:00 A None 20000 20000 0 20000 0 None F5T511 N CA00247532 C SFY2013-14
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2014-02-06 00:00:00 910010440 Closed Citation Citation B (HSC 1424) Patient Care None 2013-01-21 00:00:00 2013-01-21 00:00:00 No 2014-02-28 00:00:00 None B None 2000 2000 -700 1300 0 None QMZ511 N CA00343150 B SFY2013-14
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-02-13 00:00:00 910010467 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-26 00:00:00 2010-02-26 00:00:00 No 2014-03-07 00:00:00 None B None 2000 2000 -700 1300 0 None SKKI11 N CA00219856 C SFY2013-14
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2014-02-14 00:00:00 910010472 Open Citation Citation B (HSC 1424) Problem Transfer None 2010-08-03 00:00:00 2010-08-03 00:00:00 Yes 2014-03-10 00:00:00 2014-02-21 00:00:00 B None 2000 2000 0 0 2000 None S5TL11 N CA00235133 B SFY2013-14
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2014-03-21 00:00:00 910010483 Closed Citation Citation A (HSC 1424) Patient Care None 2012-02-11 00:00:00 2012-02-11 00:00:00 No 2014-04-14 00:00:00 None A None 5000 5000 0 5000 0 None WC6611 Y CA00299796 B SFY2013-14
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-02-20 00:00:00 910010487 Open Citation Citation B (HSC 1424) Patient Rights None 2012-05-03 00:00:00 2012-05-03 00:00:00 Yes 2014-03-13 00:00:00 2014-04-01 00:00:00 B None 2000 2000 0 0 2000 None 3GGY11 N CA00315862, CA00317194 B, C SFY2013-14
910000060 MARYCREST MANOR LTC SNF Skilled Nursing Facility LA Region 3 2014-03-04 00:00:00 910010490 Closed Citation Citation A (HSC 1424) Medication None 2011-03-12 00:00:00 2011-03-12 00:00:00 No 2014-03-25 00:00:00 None A None 20000 20000 -7000 13000 0 None VD5S11 Y CA00262355 B SFY2013-14
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-02-27 00:00:00 910010499 Closed Citation Citation B (HSC 1424) Patient Care None 2013-10-23 00:00:00 2013-10-23 00:00:00 No 2014-03-20 00:00:00 None B None 2000 2000 -700 1300 0 None EKX611 N None None SFY2013-14
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-03-22 00:00:00 910010563 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-01-16 00:00:00 2014-01-16 00:00:00 No 2014-04-14 00:00:00 None B None 2000 2000 -700 1300 0 None H93E11 N None None SFY2013-14
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2014-04-22 00:00:00 910010581 Closed Citation Citation A (HSC 1424) Medication None 2011-08-15 00:00:00 2011-08-15 00:00:00 No 2014-05-13 00:00:00 None A None 20000 20000 -7000 13000 0 None 4YPI11 Y CA00279654 C SFY2013-14
910000046 HARBOR POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-04-04 00:00:00 910010582 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-07 00:00:00 2011-09-07 00:00:00 No 2014-04-25 00:00:00 None B None 2000 2000 -700 1300 0 None 5Q0F11 N CA00282479 C SFY2013-14
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2014-04-17 00:00:00 910010591 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-04-22 00:00:00 2013-04-22 00:00:00 No 2014-05-08 00:00:00 None B None 2000 2000 -700 1300 0 None E19311 N None None SFY2013-14
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-04-21 00:00:00 910010651 Closed Citation Citation B (HSC 1424) Patient Care None 2014-01-10 00:00:00 2014-01-10 00:00:00 No 2014-05-12 00:00:00 None B None 2000 2000 0 2000 0 None TGIC11 N None None SFY2013-14
910000086 TORRANCE CARE CENTER EAST LTC SNF Skilled Nursing Facility LA Region 3 2014-04-25 00:00:00 910010666 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-11-20 00:00:00 2013-11-20 00:00:00 No 2014-05-16 00:00:00 None B None 2000 2000 -700 1300 0 None CZ6711 N CA00377866 B SFY2013-14
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-05-14 00:00:00 910010700 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-22 00:00:00 2010-11-22 00:00:00 No 2014-06-05 00:00:00 None B None 1000 1050 0 1050 0 None RNUF11 N CA00250504 C SFY2013-14
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-05-14 00:00:00 910010701 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-11-22 00:00:00 2010-11-22 00:00:00 No 2014-06-05 00:00:00 None B None 1000 1050 0 1050 0 None RNUF11 N CA00250504 C SFY2013-14
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2014-05-13 00:00:00 910010728 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-11-19 00:00:00 2012-11-19 00:00:00 No 2014-06-04 00:00:00 None B None 2000 2000 0 2000 0 None ZZMG11 N CA00334174 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010754 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010757 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010759 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010760 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010761 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010762 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-11 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010763 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010764 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010765 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010766 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010767 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010768 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010769 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010770 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010771 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010772 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010773 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010774 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010775 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010776 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010777 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010779 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010780 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010781 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010782 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010783 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010784 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010785 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010786 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010787 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010788 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010789 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010790 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010791 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010792 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010793 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010794 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010795 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010796 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010797 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010798 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010799 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010800 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010801 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010802 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010803 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010804 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010805 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010806 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010807 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010808 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010809 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010810 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010811 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010812 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010813 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010814 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010815 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N None None SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010816 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010823 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010824 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010825 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-01 00:00:00 2014-04-01 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010826 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010828 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B None 2000 2000 -2000 0 0 None ZWAE11 N None None SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010829 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010830 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010831 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010832 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-11 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N None None SFY2013-14
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-06-19 00:00:00 910010833 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-04-10 00:00:00 2014-04-10 00:00:00 Yes 2014-07-11 00:00:00 2014-07-14 00:00:00 B B 2000 1000 0 1000 0 None ZWAE11 N CA00394123 B SFY2013-14
910000057 LOS PALOS POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-08-08 00:00:00 910010894 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-28 00:00:00 2014-02-28 00:00:00 Yes 2014-08-29 00:00:00 2014-08-08 00:00:00 A A 17000 12000 0 12000 0 None CV5W11 N CA00392543, CA00392543 B, B SFY2014-15
910000041 IMPERIAL CREST HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-10-15 00:00:00 910011064 Closed Citation Citation A (HSC 1424) Patient Care None 2013-08-05 00:00:00 2013-08-05 00:00:00 Yes 2014-11-05 00:00:00 2014-10-24 00:00:00 A A 10000 2000 0 2000 0 None UR9311 N CA00366148 B SFY2014-15
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2014-12-23 00:00:00 910011180 Closed Citation Citation A (HSC 1424) Patient Care None 2012-02-05 00:00:00 2012-02-05 00:00:00 No 2015-01-15 00:00:00 None A None 10000 10000 -3500 6500 0 None GY1811 Y CA00299074 C SFY2014-15
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2014-12-24 00:00:00 910011182 Closed Citation Citation A (HSC 1424) Patient Rights None 2012-09-26 00:00:00 2012-09-26 00:00:00 Yes 2015-01-16 00:00:00 2014-12-30 00:00:00 A A 10000 5000 0 5000 0 None E5DY11 N CA00327344 B SFY2014-15
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2014-12-31 00:00:00 910011207 Closed Citation Citation A (HSC 1424) Administration None 2014-01-10 00:00:00 2014-01-10 00:00:00 Yes 2015-01-23 00:00:00 2015-01-23 00:00:00 A None 10000 10000 -8835.98 1164.02 0 None CEZQ11 N CA00383588 B SFY2014-15
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2015-02-26 00:00:00 910011225 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-29 00:00:00 2010-01-29 00:00:00 Yes 2015-03-19 00:00:00 2015-03-19 00:00:00 A None 18000 18000 -15904.76 2095.24 0 None 7U9311 Y CA00297696 A SFY2014-15
910000316 WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2015-02-26 00:00:00 910011245 Closed Citation Citation AA (HSC 1424) Patient Care None 2012-01-15 00:00:00 2012-01-15 00:00:00 Yes 2015-03-19 00:00:00 2015-03-19 00:00:00 AA None 80000 80000 -70687.78 9312.22 0 None VYC711 Y CA00296533, CA00296596, CA00299711 H, C, C SFY2014-15
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-02-05 00:00:00 910011246 Closed Citation Citation A (HSC 1424) Patient Care None 2013-01-15 00:00:00 2013-01-15 00:00:00 No 2015-02-27 00:00:00 None A None 20000 20000 -7000 13000 0 None P9JD11 N CA00340811 B SFY2014-15
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-02-18 00:00:00 910011274 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-09 00:00:00 2011-10-09 00:00:00 No 2015-03-11 00:00:00 None B None 2000 2000 -700 1300 0 None TPDP11 N CA00286323, CA00286611 C, C SFY2014-15
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2015-05-06 00:00:00 910011287 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-06 00:00:00 2014-06-06 00:00:00 No 2015-05-28 00:00:00 None A None 15000 15000 0 15000 0 None SS9Y11 N CA00396266 C SFY2014-15
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2015-03-18 00:00:00 910011310 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-25 00:00:00 2014-03-25 00:00:00 No 2015-04-09 00:00:00 None A None 10000 10000 0 10000 0 None I17611 N None None SFY2014-15
910000076 SUNSET PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2015-05-26 00:00:00 910011439 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-01-04 00:00:00 2014-01-04 00:00:00 No 2015-06-16 00:00:00 None B None 1800 1800 -630 1170 0 None I8Y411 N CA00384147 B SFY2014-15
910000041 IMPERIAL CREST HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-05-26 00:00:00 910011505 Closed Citation Citation B (HSC 1424) Administration None 2012-12-10 00:00:00 2012-12-10 00:00:00 No 2015-06-16 00:00:00 None B None 2000 2000 0 2000 0 None 992V11 N CA00336192 B SFY2014-15
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2015-07-21 00:00:00 910011598 Closed Citation Citation A (HSC 1424) Patient Care None 2015-01-09 00:00:00 2015-01-09 00:00:00 No 2015-08-11 00:00:00 None A None 14000 14000 -4900 9100 0 None L0HS11 N CA00426987 C SFY2015-16
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-07-07 00:00:00 910011600 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-03 00:00:00 2015-02-03 00:00:00 No 2015-07-28 00:00:00 None B None 1400 1450 -490 960 0 None PNDP11 N CA00412815, CA00412863 B, B SFY2015-16
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2015-07-22 00:00:00 910011627 Closed Citation Citation B (HSC 1424) Patient Care None 2011-06-17 00:00:00 2011-06-17 00:00:00 No 2015-08-12 00:00:00 None B None 1000 1000 -350 650 0 None 3ZRC11 N CA00273495 C SFY2015-16
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2015-11-04 00:00:00 910011657 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-10-03 00:00:00 2014-10-03 00:00:00 No 2015-11-30 00:00:00 None B None 1800 1800 -1800 0 0 None TQJY11 N CA00415776 B SFY2015-16
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-08-31 00:00:00 910011665 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-05-29 00:00:00 2011-05-29 00:00:00 No 2015-09-22 00:00:00 None B None 1000 1000 -350 650 0 None DFLE11 N CA00275357 C SFY2015-16
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-11-17 00:00:00 910011677 Closed Citation Citation AA (HSC 1424) Patient Care None 2013-09-27 00:00:00 2013-09-27 00:00:00 Yes 2015-12-10 00:00:00 2015-12-07 00:00:00 AA A 100000 70000 0 70000 0 None 9LQB11 Y CA00372825, CA00372825 B, B SFY2015-16
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-10-16 00:00:00 910011687 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-14 00:00:00 2015-05-14 00:00:00 No 2015-11-06 00:00:00 None B None 1800 1800 -1800 0 0 None NWZY11 N None None SFY2015-16
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-10-29 00:00:00 910011802 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-14 00:00:00 2015-05-14 00:00:00 No 2015-11-20 00:00:00 None B None 1800 1800 -630 1170 0 None NWZY11 N None None SFY2015-16
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2015-10-30 00:00:00 910011809 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-07-05 00:00:00 2015-07-05 00:00:00 No 2015-11-23 00:00:00 None B None 1800 1800 -630 1170 0 None IIHQ11 N CA00449801 B SFY2015-16
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2015-11-04 00:00:00 910011828 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-25 00:00:00 2014-03-25 00:00:00 No 2015-11-30 00:00:00 None B None 1800 1800 -1800 0 0 None CV2J11 N CA00395508 A SFY2015-16
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-12-24 00:00:00 910011918 Closed Citation Citation B (HSC 1424) Physical Environment None 2015-09-14 00:00:00 2015-09-14 00:00:00 No 2016-01-15 00:00:00 None B None 1000 1000 -350 650 0 None BNOW11 N CA00457986 A SFY2015-16
910000073 BRENTWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-12-24 00:00:00 910011924 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-09-17 00:00:00 2015-09-17 00:00:00 No 2016-01-15 00:00:00 None B None 2000 2000 -700 1300 0 None LMKQ11 N CA00459346 A SFY2015-16
910000033 DEL AMO GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-17 00:00:00 910011975 Closed Citation Citation AA (HSC 1424) Patient Care None 2015-07-30 00:00:00 2015-07-30 00:00:00 No 2016-06-08 00:00:00 None AA None 100000 100000 -35000 65000 0 None CYGM11 Y CA00452888, CA00453655 C, B SFY2015-16
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-03-23 00:00:00 910012133 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-11-23 00:00:00 2015-11-23 00:00:00 No 2016-04-14 00:00:00 None B None 2000 2000 -700 1300 0 None WJP511 N CA00469313 A SFY2015-16
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-03-23 00:00:00 910012139 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-11-23 00:00:00 2015-11-23 00:00:00 No 2016-04-14 00:00:00 None B None 2000 2000 -700 1300 0 None WJP511 N CA00469313 A SFY2015-16
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-03-23 00:00:00 910012143 Closed Citation Citation B (HSC 1424) Physical Environment None 2015-12-23 00:00:00 2015-12-23 00:00:00 No 2016-04-14 00:00:00 None B None 2000 2000 -700 1300 0 None WJP511 N CA00469313 A SFY2015-16
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2016-04-19 00:00:00 910012200 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-11 00:00:00 2015-08-11 00:00:00 Yes 2016-05-10 00:00:00 2016-04-20 00:00:00 A A 20000 15000 0 15000 0 None K7YD11 N CA00454583 B SFY2015-16
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2016-05-31 00:00:00 910012281 Closed Citation Citation B (HSC 1424) Patient Care None 2011-07-12 00:00:00 2011-07-12 00:00:00 No 2016-06-21 00:00:00 None B None 2000 2000 0 2000 0 None 24RM11 N CA00276126 C SFY2015-16
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2016-06-10 00:00:00 910012297 Closed Citation Citation A (HSC 1424) Patient Care None 2011-12-02 00:00:00 2011-12-02 00:00:00 Yes 2016-07-01 00:00:00 2016-07-07 00:00:00 A None 20000 20000 -20000 0 0 None 6D7M11 N CA00289999 C SFY2015-16
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-06-10 00:00:00 910012300 Closed Citation Citation A (HSC 1424) Patient Care None 2010-12-16 00:00:00 2010-12-16 00:00:00 No 2016-07-01 00:00:00 None A None 20000 20000 -7000 13000 0 None POFQ11 N CA00254166 C SFY2015-16
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2016-06-21 00:00:00 910012317 Open Citation Citation A (HSC 1424) Patient Care None 2011-05-25 00:00:00 2011-05-25 00:00:00 Yes 2016-07-13 00:00:00 2016-07-07 00:00:00 A None 20000 20000 0 0 20000 None F83R11 N CA00271237 C SFY2015-16
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-06-16 00:00:00 910012328 Closed Citation Citation A (HSC 1424) Patient Rights None 2011-03-05 00:00:00 2011-03-05 00:00:00 No 2016-07-08 00:00:00 None A None 20000 20000 -7000 13000 0 None J0TU11 N CA00261532 C SFY2015-16
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-06-28 00:00:00 910012351 Closed Citation Citation A (HSC 1424) Patient Care None 2012-03-25 00:00:00 2012-03-25 00:00:00 No 2016-07-20 00:00:00 None A None 20000 20000 -7000 13000 0 None K3UV11 N CA00304892 B SFY2015-16
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-07-18 00:00:00 910012387 Closed Citation Citation A (HSC 1424) Patient Care None 2013-08-15 00:00:00 2013-08-15 00:00:00 No 2016-08-08 00:00:00 None A None 20000 20000 -20000 0 0 None L1IW11 N CA00366526 C SFY2016-17
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-08-24 00:00:00 910012533 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-07-07 00:00:00 2016-07-07 00:00:00 No 2016-09-15 00:00:00 None A None 10000 10000 -3500 6500 0 None UL2911 N CA00495055 A SFY2016-17
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-08-24 00:00:00 910012535 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-07-07 00:00:00 2016-07-07 00:00:00 No 2016-09-15 00:00:00 None B None 1500 1500 -525 975 0 None UL2911 N CA00495055 A SFY2016-17
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-08-24 00:00:00 910012536 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-07 00:00:00 2016-07-07 00:00:00 No 2016-09-15 00:00:00 None B None 1500 1550 -525 1025 0 None UL2911 N CA00495055, CA00495055, CA00495055, CA00496000, CA00496000, CA00496000 A, A, A, A, A, A SFY2016-17
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-09-12 00:00:00 910012564 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-01 00:00:00 2016-07-01 00:00:00 No 2016-10-03 00:00:00 None B None 2000 2000 -700 1300 0 None DY7S11 N None None SFY2016-17
910000033 DEL AMO GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-10-03 00:00:00 910012603 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-14 00:00:00 2016-02-14 00:00:00 No 2016-10-24 00:00:00 None A None 20000 20000 -7000 13000 0 None HQCC11 N CA00476173, CA00478794 A, B SFY2016-17
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2016-10-06 00:00:00 910012623 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-15 00:00:00 2016-08-15 00:00:00 No 2016-10-27 00:00:00 None B None 2000 2000 0 2000 0 None DXK811 N None None SFY2016-17
910000041 IMPERIAL CREST HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-10-06 00:00:00 910012633 Closed Citation Citation B (HSC 1424) Patient Care None 2016-08-16 00:00:00 2016-08-16 00:00:00 No 2016-10-27 00:00:00 None B None 2000 2000 0 2000 0 None W3M811 N None None SFY2016-17
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-11-10 00:00:00 910012746 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-23 00:00:00 2016-09-23 00:00:00 No 2016-12-06 00:00:00 None B None 1500 1500 0 1500 0 None BBGT11 N None None SFY2016-17
910000041 IMPERIAL CREST HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-12-27 00:00:00 910012838 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-09-29 00:00:00 2016-09-29 00:00:00 No 2017-01-19 00:00:00 None A None 15000 15000 0 15000 0 None KIKJ11 N CA00505287, CA00511405 A, B SFY2016-17
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2017-01-27 00:00:00 910012871 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-28 00:00:00 2016-10-28 00:00:00 Yes 2017-02-17 00:00:00 2017-01-27 00:00:00 A A 20000 13000 0 13000 0 None DHEN11 N CA00508616, CA00508616, CA00508796 B, B, B SFY2016-17
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-05-03 00:00:00 910013153 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-07 00:00:00 2017-03-07 00:00:00 No 2017-05-24 00:00:00 None A None 20000 20000 -7000 13000 0 None UZ4U11 N CA00525562 A SFY2016-17
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-07-11 00:00:00 910013235 Closed Citation Citation AA (HSC 1424) Patient Record None 2017-02-16 00:00:00 2017-02-16 00:00:00 Yes 2017-08-01 00:00:00 2017-08-01 00:00:00 AA AA 100000 55000 0 55000 0 None 1GGU11 Y CA00523673 A SFY2017-18
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2017-06-08 00:00:00 910013242 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-29 00:00:00 2016-11-29 00:00:00 No 2017-06-29 00:00:00 None A None 20000 20000 -7000 13000 0 None W7WI11 N CA00512903, CA00512903 B, B SFY2016-17
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2017-06-08 00:00:00 910013254 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-12 00:00:00 2016-12-12 00:00:00 No 2017-06-29 00:00:00 None A None 20000 20000 -7000 13000 0 None W7WI11 N CA00512904 B SFY2016-17
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-07-11 00:00:00 910013260 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Care None 2017-02-16 00:00:00 2017-02-16 00:00:00 No 2017-08-01 00:00:00 None WF None 2000 2000 -700 1300 0 None 1GGU11 None CA00523673 A SFY2017-18
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2017-06-19 00:00:00 910013283 Open Citation Citation A (HSC 1424) Patient Care None 2017-02-09 00:00:00 2017-02-09 00:00:00 Yes 2017-07-11 00:00:00 2017-08-02 00:00:00 A A 15000 10000 0 10000 0 None 5E0Y11 N CA00521594, CA00521594 A, A SFY2016-17
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2017-06-19 00:00:00 910013284 Open Citation Citation A (HSC 1424) Patient Care None 2017-02-06 00:00:00 2017-02-06 00:00:00 Yes 2017-07-11 00:00:00 2017-08-02 00:00:00 A A 15000 10000 0 10000 0 None VMQK11 N CA00521588, CA00521588 A, A SFY2016-17
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-08-02 00:00:00 910013370 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-16 00:00:00 2016-08-16 00:00:00 Yes 2017-08-23 00:00:00 2017-08-09 00:00:00 A B 16000 14000 0 14000 0 None YSBE11 N CA00500179 B SFY2017-18
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-08-02 00:00:00 910013371 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-08 00:00:00 2017-02-08 00:00:00 Yes 2017-08-23 00:00:00 2017-08-09 00:00:00 B None 1000 1000 0 0 1000 None P8CI11 N CA00524125 B SFY2017-18
910000075 OCEAN PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2017-10-19 00:00:00 910013404 Closed Citation Citation A (HSC 1424) Patient Care None 2017-05-26 00:00:00 2017-05-26 00:00:00 Yes 2017-11-09 00:00:00 2017-10-19 00:00:00 A B 20000 20000 0 20000 0 None R4P411 N CA00538447 A SFY2017-18
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2017-08-02 00:00:00 910013406 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-13 00:00:00 2017-03-13 00:00:00 No 2017-08-23 00:00:00 None A None 20000 60000 -21000 39000 0 None FKFQ11 N CA00526542, CA00526542 A, A SFY2017-18
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-09-14 00:00:00 910013451 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-01 00:00:00 2017-06-01 00:00:00 No 2017-10-05 00:00:00 None A None 20000 20000 -7000 13000 0 None 5B1I11 N CA00536206 A SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2017-09-28 00:00:00 910013520 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-17 00:00:00 2017-08-17 00:00:00 Yes 2017-10-19 00:00:00 2017-10-06 00:00:00 B None 2000 2000 0 2000 0 None ULTT11 N CA00547963, CA00548219, CA00549076, CA00550174 B, B, A, B SFY2017-18
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2017-09-29 00:00:00 910013523 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-01 00:00:00 2017-06-01 00:00:00 No 2017-10-20 00:00:00 None B None 2000 2000 0 2000 0 None 2DPB11 N CA00537509 A SFY2017-18
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2017-10-25 00:00:00 910013537 Closed Citation Citation A (HSC 1424) Other Abuse 2017-06-26 00:00:00 2017-06-26 00:00:00 Yes 2017-11-16 00:00:00 2017-11-09 00:00:00 A A 20000 15000 0 15000 0 None TKZ611 N CA00541506 A SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2017-10-20 00:00:00 910013558 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-08-17 00:00:00 2017-08-17 00:00:00 Yes 2017-11-13 00:00:00 2017-11-06 00:00:00 B None 2000 2000 0 2000 0 None ULTT11 N CA00548219, CA00549076 B, A SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2017-10-20 00:00:00 910013559 Closed Citation Citation B (HSC 1424) Administration None 2017-08-19 00:00:00 2017-08-19 00:00:00 Yes 2017-11-13 00:00:00 2017-11-06 00:00:00 B None 2000 2000 0 2000 0 None ULTT11 N CA00548219, CA00549076 B, A SFY2017-18
970000147 WESTLAKE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-10-25 00:00:00 910013561 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-08 00:00:00 2017-07-08 00:00:00 No 2017-11-16 00:00:00 None A None 15000 15000 -5250 9750 0 None MPHQ11 N CA00543261 B SFY2017-18
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-10-27 00:00:00 910013568 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-01 00:00:00 2017-09-01 00:00:00 Yes 2017-11-20 00:00:00 2017-11-16 00:00:00 A A 20000 12000 0 12000 0 None 98ND11 N None None SFY2017-18
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-10-27 00:00:00 910013575 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-01 00:00:00 2017-09-01 00:00:00 No 2017-11-20 00:00:00 None B None 2000 2000 -700 1300 0 None 98ND11 N None None SFY2017-18
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-10-27 00:00:00 910013580 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-08 00:00:00 2017-09-08 00:00:00 No 2017-11-20 00:00:00 None B None 2000 2000 -700 1300 0 None 98ND11 N None None SFY2017-18
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-10-27 00:00:00 910013582 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-08 00:00:00 2017-09-08 00:00:00 No 2017-11-20 00:00:00 None B None 2000 2000 -700 1300 0 None 98ND11 N None None SFY2017-18
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-10-27 00:00:00 910013586 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-26 00:00:00 2017-07-26 00:00:00 No 2017-11-20 00:00:00 None B None 2000 2000 -700 1300 0 None 98ND11 N None None SFY2017-18
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-11-17 00:00:00 910013593 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-29 00:00:00 2017-07-29 00:00:00 No 2017-12-12 00:00:00 None B None 1000 1000 -350 650 0 None DM7X11 N CA00546803 B SFY2017-18
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-11-09 00:00:00 910013602 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-14 00:00:00 2017-08-14 00:00:00 Yes 2017-12-05 00:00:00 2017-11-14 00:00:00 A A 10000 19500 0 19500 0 None X15311 N CA00544387 B SFY2017-18
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-11-09 00:00:00 910013608 Closed Citation Citation AA (HSC 1424) Patient Care None 2016-07-04 00:00:00 2016-07-04 00:00:00 No 2017-12-05 00:00:00 None AA None 100000 100000 -35000 65000 0 None QOBE11 Y CA00516625 B SFY2017-18
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-11-22 00:00:00 910013610 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-03-17 00:00:00 2017-03-17 00:00:00 Yes 2017-12-15 00:00:00 2017-12-07 00:00:00 AA A 100000 19900 0 19900 0 None 56PU11 Y CA00537461, CA00537461, CA00537461 A, A, A SFY2017-18
910000048 HERITAGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-11-13 00:00:00 910013611 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-14 00:00:00 2017-07-14 00:00:00 Yes 2017-12-06 00:00:00 2017-11-22 00:00:00 A B 16000 16000 0 16000 0 None C6QE11 N CA00544503 B SFY2017-18
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-15 00:00:00 910013617 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-29 00:00:00 2017-04-29 00:00:00 No 2017-12-08 00:00:00 None A None 15000 15000 -5250 9750 0 None ZVCR11 N CA00544321 B SFY2017-18
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-11-17 00:00:00 910013624 Closed Citation Citation B (HSC 1424) Other Fiduciary Abuse 2017-06-16 00:00:00 2017-06-16 00:00:00 No 2017-12-12 00:00:00 None B None 2000 2000 -700 1300 0 None E95Y11 N CA00543812 B SFY2017-18
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2017-12-20 00:00:00 910013684 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-21 00:00:00 2017-08-21 00:00:00 No 2018-01-11 00:00:00 None A None 20000 20000 -7000 13000 0 None A8UX11 N CA00549987 A SFY2017-18
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2017-12-18 00:00:00 910013685 Open Citation Citation A (HSC 1424) Patient Care None 2017-07-28 00:00:00 2017-07-28 00:00:00 Yes 2018-01-09 00:00:00 2018-01-02 00:00:00 A None 20000 20000 0 0 20000 None U12G11 N CA00549866, CA00549866 B, B SFY2017-18
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2017-12-29 00:00:00 910013702 Open Citation Citation A (HSC 1424) Patient Care None 2017-07-11 00:00:00 2017-07-11 00:00:00 No 2018-01-19 00:00:00 None A None 15000 15000 0 0 15000 None 9KQT11 N CA00543929, CA00543929 B, B SFY2017-18
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-01-05 00:00:00 910013713 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-17 00:00:00 2017-11-17 00:00:00 Yes 2018-01-26 00:00:00 2018-01-29 00:00:00 B None 2000 2000 -700 1300 0 None I8V111 N None None SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-01-11 00:00:00 910013730 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-12-21 00:00:00 2017-12-21 00:00:00 Yes 2018-02-01 00:00:00 2018-02-01 00:00:00 B None 2000 2000 0 2000 0 None QB7R11 N CA00567158 A SFY2017-18
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2018-01-25 00:00:00 910013765 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-18 00:00:00 2017-11-18 00:00:00 No 2018-02-15 00:00:00 None B None 2000 2000 0 2000 0 None I55T11 N None None SFY2017-18
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-02-06 00:00:00 910013774 Closed Citation Citation A (HSC 1424) Patient Care None 2013-10-25 00:00:00 2013-10-25 00:00:00 No 2018-02-27 00:00:00 None A None 20000 20000 -7000 13000 0 None NPCO11 N CA00375229 E SFY2017-18
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-02-06 00:00:00 910013782 Open Citation Citation B (HSC 1424) Patient Care None 2017-10-22 00:00:00 2017-10-22 00:00:00 Yes 2018-02-28 00:00:00 2018-02-13 00:00:00 B None 2000 2000 0 0 2000 None 70Q811 N None None SFY2017-18
970000121 ALDEN TERRACE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2018-02-08 00:00:00 910013786 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-22 00:00:00 2017-12-22 00:00:00 Yes 2018-03-01 00:00:00 2018-02-09 00:00:00 A B 18000 11700 0 11700 0 None Q23J11 N None None SFY2017-18
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-02-16 00:00:00 910013814 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-02 00:00:00 2017-08-02 00:00:00 No 2018-03-09 00:00:00 None A None 20000 20000 -7000 13000 0 None N9VP11 N CA00557911 B SFY2017-18
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-02-23 00:00:00 910013815 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-01 00:00:00 2017-11-01 00:00:00 No 2018-03-16 00:00:00 None B None 2000 2000 0 2000 0 None IOCU11 N CA00559043 B SFY2017-18
910000055 LOMITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-02-28 00:00:00 910013816 Open Citation Citation A (HSC 1424) Patient Care None 2017-10-27 00:00:00 2017-10-27 00:00:00 Yes 2018-03-21 00:00:00 2018-03-15 00:00:00 A None 16000 16000 0 0 16000 None CDFD11 N CA00559414, CA00559414 B, B SFY2017-18
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-02-16 00:00:00 910013818 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-28 00:00:00 2017-10-28 00:00:00 Yes 2018-03-12 00:00:00 2018-02-22 00:00:00 A A 20000 11750 0 11750 0 None I55O11 N CA00558051 A SFY2017-18
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-02-16 00:00:00 910013820 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-12 00:00:00 2017-09-12 00:00:00 No 2018-03-09 00:00:00 None B None 2000 2000 -700 1300 0 None 52O911 N CA00557824 A SFY2017-18
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2018-02-27 00:00:00 910013845 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-11 00:00:00 2011-08-11 00:00:00 Yes 2018-03-20 00:00:00 2018-03-20 00:00:00 A A 20000 10000 0 10000 0 None 6D7M11 N CA00289999 C SFY2017-18
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2018-03-02 00:00:00 910013857 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-01 00:00:00 2017-11-01 00:00:00 Yes 2018-03-23 00:00:00 2018-03-06 00:00:00 A B 16000 6000 0 6000 0 None 0KTF11 N CA00559771, CA00559771, CA00559771 B, B, B SFY2017-18
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2018-03-02 00:00:00 910013859 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-08 00:00:00 2017-11-08 00:00:00 No 2018-03-23 00:00:00 None B None 2000 2000 -700 1300 0 None 7L6W11 N CA00559934, CA00559934 B, B SFY2017-18
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2018-03-02 00:00:00 910013871 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-08 00:00:00 2018-01-08 00:00:00 No 2018-03-23 00:00:00 None B None 2000 2000 0 2000 0 None 0JLU11 N None None SFY2017-18
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2018-03-02 00:00:00 910013872 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-08 00:00:00 2018-01-08 00:00:00 No 2018-03-23 00:00:00 None B None 2000 2000 0 2000 0 None 0JLU11 N None None SFY2017-18
910000073 BRENTWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-03-02 00:00:00 910013876 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-01-10 00:00:00 2018-01-10 00:00:00 No 2018-03-23 00:00:00 None B None 2000 2150 -700 1450 0 None 4OYJ11 N None None SFY2017-18
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2018-03-02 00:00:00 910013877 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-08 00:00:00 2018-01-08 00:00:00 No 2018-03-23 00:00:00 None B None 2000 2000 0 2000 0 None 0JLU11 N None None SFY2017-18
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2018-03-08 00:00:00 910013878 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-29 00:00:00 2016-08-29 00:00:00 Yes 2018-03-29 00:00:00 2018-03-15 00:00:00 A A 16000 13600 0 13600 0 None 5NTW11 N CA00501079 B SFY2017-18
940000010 BEL VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-03-09 00:00:00 910013879 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-22 00:00:00 2017-08-22 00:00:00 Yes 2018-03-30 00:00:00 2018-03-27 00:00:00 A B 20000 2000 0 2000 0 None 585311 N CA00551097 B SFY2017-18
910000041 IMPERIAL CREST HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-03-09 00:00:00 910013880 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-10 00:00:00 2017-11-10 00:00:00 No 2018-03-30 00:00:00 None A None 20000 20000 -7000 13000 0 None KL0C11 N CA00560606 B SFY2017-18
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-03-16 00:00:00 910013898 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-17 00:00:00 2017-10-17 00:00:00 No 2018-04-06 00:00:00 None A None 20000 60000 -21000 39000 0 None DVMO11 N CA00557517, CA00557517 B, B SFY2017-18
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-03-13 00:00:00 910013903 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-10 00:00:00 2017-12-10 00:00:00 Yes 2018-04-03 00:00:00 2018-03-26 00:00:00 A A 20000 20000 0 20000 0 None H52W11 N CA00567902 B SFY2017-18
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-03-22 00:00:00 910013920 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-20 00:00:00 2017-11-20 00:00:00 No 2018-04-12 00:00:00 None A None 20000 60000 -21000 39000 0 None T4V011 N CA00562279, CA00562279, CA00562279, CA00562439, CA00562439, CA00571120, CA00571120, CA00571120 A, A, A, B, B, B, B, B SFY2017-18
940000117 SOCAL POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2018-03-28 00:00:00 910013924 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-09 00:00:00 2017-11-09 00:00:00 No 2018-04-18 00:00:00 None A None 20000 20000 -7000 13000 0 None T8SU11 N CA00560624, CA00560624 A, A SFY2017-18
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2018-03-27 00:00:00 910013927 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-14 00:00:00 2016-03-14 00:00:00 No 2018-04-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 0YCV11 N CA00480833 B SFY2017-18
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2018-03-29 00:00:00 910013942 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-30 00:00:00 2017-11-30 00:00:00 No 2018-04-19 00:00:00 None A None 20000 20000 -7000 13000 0 None F9YS11 Y CA00535163, CA00562890 B, A SFY2017-18
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-04-02 00:00:00 910013948 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-18 00:00:00 2017-10-18 00:00:00 No 2018-04-23 00:00:00 None A None 16000 16000 -5600 10400 0 None DVVS11 N CA00556655 A SFY2017-18
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-04-19 00:00:00 910013970 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-19 00:00:00 2017-12-19 00:00:00 No 2018-05-10 00:00:00 None B None 2000 2000 -700 1300 0 None KV6F11 N CA00565967 B SFY2017-18
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-19 00:00:00 910013971 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-18 00:00:00 2016-10-18 00:00:00 No 2018-05-10 00:00:00 None B None 2000 2000 0 2000 0 None 7C1T11 N CA00508011, CA00508011, CA00508011 B, B, B SFY2017-18
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2018-04-27 00:00:00 910013987 Open Citation Citation A (HSC 1424) Patient Care None 2017-05-13 00:00:00 2017-05-13 00:00:00 Yes 2018-05-18 00:00:00 2018-05-01 00:00:00 A None 20000 20000 0 0 20000 None VYSS11 Y CA00536047, CA00536047, CA00536593, CA00536593 B, B, B, B SFY2017-18
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-19 00:00:00 910014008 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-29 00:00:00 2017-03-29 00:00:00 Yes 2018-05-10 00:00:00 2018-04-25 00:00:00 B None 2000 2000 -2000 0 0 None VYOV11 N CA00528781, CA00528781 B, B SFY2017-18
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-04-19 00:00:00 910014009 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-11 00:00:00 2018-03-11 00:00:00 No 2018-05-10 00:00:00 None B None 2000 2000 -700 1300 0 None 7WI611 N None None SFY2017-18
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-26 00:00:00 910014027 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-25 00:00:00 2018-04-25 00:00:00 No 2018-05-17 00:00:00 None B None 2000 2000 0 2000 0 None EC5U11 Y CA00503934, CA00503934 B, B SFY2017-18
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-26 00:00:00 910014030 Closed Citation Citation B (HSC 1424) Patient Care None 2016-12-26 00:00:00 2016-12-26 00:00:00 Yes 2018-05-17 00:00:00 2018-05-22 00:00:00 B None 2000 2000 -2000 0 0 None 1P4N11 N None None SFY2017-18
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2018-05-11 00:00:00 910014060 Open Citation Citation A (HSC 1424) Patient Care None 2014-05-30 00:00:00 2014-05-30 00:00:00 Yes 2018-06-04 00:00:00 2018-05-25 00:00:00 A None 20000 20000 0 0 20000 None LQ8V11 N CA00400672 C SFY2017-18
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2018-05-11 00:00:00 910014061 Closed Citation Citation B (HSC 1424) Patient Care None 2015-11-29 00:00:00 2015-11-29 00:00:00 No 2018-06-04 00:00:00 None B None 2000 2000 0 2000 0 None YZ1J11 N CA00467114 B SFY2017-18
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2018-05-18 00:00:00 910014078 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-31 00:00:00 2018-01-31 00:00:00 No 2018-06-08 00:00:00 None B None 2000 2000 0 2000 0 None 8D0C11 N CA00571815, CA00571815, CA00571829, CA00571829 A, A, A, A SFY2017-18
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-05-18 00:00:00 910014080 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-14 00:00:00 2018-01-14 00:00:00 Yes 2018-06-11 00:00:00 2018-05-30 00:00:00 A B 20000 8000 0 8000 0 None RUB311 Y CA00569930, CA00569930, CA00569930, CA00569930 A, A, A, A SFY2017-18
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-05-22 00:00:00 910014093 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-20 00:00:00 2018-01-20 00:00:00 No 2018-06-13 00:00:00 None A None 16000 16000 0 16000 0 None 8ACN11 N CA00570211, CA00570211, CA00570211, CA00570211, CA00570580, CA00570580, CA00570580 B, B, B, B, B, B, B SFY2017-18
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-06-06 00:00:00 910014094 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-01-26 00:00:00 2018-01-26 00:00:00 Yes 2018-06-27 00:00:00 2018-06-13 00:00:00 AA A 75000 30000 0 30000 0 None PD1T11 Y CA00572439, CA00574716, CA00574716 B, A, A SFY2017-18
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-05-30 00:00:00 910014116 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-22 00:00:00 2018-03-22 00:00:00 No 2018-06-20 00:00:00 None B None 2000 2000 -700 1300 0 None QHBR11 N None None SFY2017-18
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2018-06-01 00:00:00 910014120 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-01-26 00:00:00 2018-01-26 00:00:00 No 2018-06-22 00:00:00 None B None 2000 2000 0 2000 0 None QZX911 N CA00572498 A SFY2017-18
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-06-14 00:00:00 910014137 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-09 00:00:00 2018-02-09 00:00:00 Yes 2018-07-06 00:00:00 2018-07-03 00:00:00 A A 17000 9500 0 9500 0 None MBOQ11 N CA00573858, CA00573858 A, A SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-06-15 00:00:00 910014164 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-01 00:00:00 2018-04-01 00:00:00 Yes 2018-07-09 00:00:00 2018-06-22 00:00:00 B None 2000 2000 0 2000 0 None TYZC11 N CA00583908 B SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-06-15 00:00:00 910014165 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-02 00:00:00 2018-05-02 00:00:00 Yes 2018-07-09 00:00:00 2018-06-28 00:00:00 B None 2000 2000 0 2000 0 None TYZC11 N CA00583908 B SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-06-15 00:00:00 910014166 Closed Citation Citation B (HSC 1424) Medication None 2018-01-12 00:00:00 2018-01-12 00:00:00 Yes 2018-07-09 00:00:00 2018-06-28 00:00:00 B None 2000 2000 0 2000 0 None TYZC11 N CA00583908 B SFY2017-18
910000005 CENTINELA SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2018-06-21 00:00:00 910014171 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-14 00:00:00 2018-01-14 00:00:00 Yes 2018-07-13 00:00:00 2018-06-26 00:00:00 A B 20000 10000 0 10000 0 None 2OSG11 Y CA00574783 B SFY2017-18
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-06-22 00:00:00 910014180 Closed Citation Citation B (HSC 1424) Patient Care None 2018-06-04 00:00:00 2018-06-04 00:00:00 No 2018-07-16 00:00:00 None B None 2000 2000 -700 1300 0 None U93311 N CA00574533 B SFY2017-18
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2018-06-22 00:00:00 910014186 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-05-04 00:00:00 2018-05-04 00:00:00 No 2018-07-16 00:00:00 None B None 2000 2000 -700 1300 0 None GVCF11 N None None SFY2017-18
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2018-07-12 00:00:00 910014237 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-03-27 00:00:00 2018-03-27 00:00:00 No 2018-08-02 00:00:00 None B None 2000 2000 -700 1300 0 None C3JT11 N CA00578823 B SFY2018-19
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-07-20 00:00:00 910014245 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-26 00:00:00 2018-03-26 00:00:00 No 2018-08-10 00:00:00 None B None 2000 2000 -700 1300 0 None DRLN11 N CA00580455 A SFY2018-19
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2018-07-23 00:00:00 910014268 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-26 00:00:00 2018-03-26 00:00:00 No 2018-08-13 00:00:00 None B None 2000 2000 -700 1300 0 None GV6H11 N CA00580177 B SFY2018-19
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-07-26 00:00:00 910014274 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-03 00:00:00 2018-03-03 00:00:00 No 2018-08-16 00:00:00 None B None 2000 2000 -700 1300 0 None JC8Y11 N CA00580229, CA00580229 B, B SFY2018-19
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2018-07-26 00:00:00 910014276 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-26 00:00:00 2018-03-26 00:00:00 No 2018-08-16 00:00:00 None A None 19000 19000 -6650 12350 0 None FK7O11 N CA00580077, CA00580077 B, B SFY2018-19
910000057 LOS PALOS POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-07-31 00:00:00 910014305 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-02 00:00:00 2018-04-02 00:00:00 No 2018-08-21 00:00:00 None A None 16000 16000 -5600 10400 0 None IZ5M11 N CA00581870, CA00581870 B, B SFY2018-19
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-08-01 00:00:00 910014307 Open Citation Citation B (HSC 1424) Patient Care None 2018-05-22 00:00:00 2018-05-22 00:00:00 Yes 2018-08-22 00:00:00 2018-08-17 00:00:00 B None 2000 2000 0 0 2000 None 3KWR11 N CA00588449, CA00588449 B, B SFY2018-19
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-08-17 00:00:00 910014330 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-04 00:00:00 2018-03-04 00:00:00 Yes 2018-09-10 00:00:00 2018-09-18 00:00:00 A B 20000 10000 0 10000 0 None NF3511 Y CA00578999, CA00578999, CA00578999, CA00580053, CA00580053 A, A, A, B, B SFY2018-19
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-22 00:00:00 910014352 Open Citation Citation B (HSC 1424) Patient Care None 2018-03-25 00:00:00 2018-03-25 00:00:00 Yes 2018-09-13 00:00:00 2018-09-13 00:00:00 B None 2000 2000 0 0 2000 None BZKX11 N None None SFY2018-19
910000048 HERITAGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-23 00:00:00 910014360 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-16 00:00:00 2018-04-16 00:00:00 No 2018-09-14 00:00:00 None B None 2000 2000 -700 1300 0 None 5KVM11 N CA00584222 A SFY2018-19
910000024 CLEAR VIEW CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-24 00:00:00 910014364 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-30 00:00:00 2018-04-30 00:00:00 No 2018-09-17 00:00:00 None B None 2000 2000 -700 1300 0 None XY4S11 N None None SFY2018-19
940000101 LONG BEACH POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-24 00:00:00 910014367 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-07-24 00:00:00 2018-07-24 00:00:00 No 2018-09-17 00:00:00 None B None 2000 2000 0 2000 0 None 9WNH11 N CA00584830, CA00584830, CA00584830, CA00584830 B, B, B, B SFY2018-19
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-09-06 00:00:00 910014386 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-18 00:00:00 2018-04-18 00:00:00 No 2018-09-27 00:00:00 None B None 2000 2000 -700 1300 0 None O01P11 N CA00583542, CA00586665, CA00586665 B, A, A SFY2018-19
910000320 GUARDIAN REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2018-09-27 00:00:00 910014396 Closed Citation Citation A (HSC 1424) Patient Care None 2015-05-09 00:00:00 2015-05-09 00:00:00 Yes 2018-10-18 00:00:00 2018-09-30 00:00:00 A None 20000 20000 0 20000 0 None 9KJP11 N CA00442805 B SFY2018-19
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-09-18 00:00:00 910014411 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-19 00:00:00 2018-07-19 00:00:00 No 2018-10-09 00:00:00 None B None 2000 2000 -700 1300 0 None KTUI11 N CA00595535, CA00595535, CA00595535 B, B, B SFY2018-19
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-09-21 00:00:00 910014419 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-14 00:00:00 2018-05-14 00:00:00 No 2018-10-12 00:00:00 None A None 15000 45000 -15750 29250 0 None RZX611 N CA00587126 A SFY2018-19
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-09-19 00:00:00 910014421 Open Citation Citation A (HSC 1424) Patient Care None 2016-12-23 00:00:00 2016-12-23 00:00:00 Yes 2018-10-10 00:00:00 2018-10-01 00:00:00 A None 20000 20000 0 0 20000 None N2E611 N CA00515795, CA00515795 B, B SFY2018-19
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2018-09-21 00:00:00 910014426 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-13 00:00:00 2018-03-13 00:00:00 No 2018-10-12 00:00:00 None B None 2000 2000 -700 1300 0 None 8D5G11 N CA00580421, CA00580655 B, B SFY2018-19
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2018-09-22 00:00:00 910014430 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-08 00:00:00 2018-08-08 00:00:00 No 2018-10-12 00:00:00 None B None 2000 2000 0 2000 0 None VM0Y11 N None None SFY2018-19
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-09-28 00:00:00 910014432 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-03 00:00:00 2018-07-03 00:00:00 No 2018-10-19 00:00:00 None B None 2000 2000 -700 1300 0 None CF9X11 N CA00594451 B SFY2018-19
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2018-09-28 00:00:00 910014446 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-15 00:00:00 2016-03-15 00:00:00 Yes 2018-10-19 00:00:00 2018-10-17 00:00:00 A A 20000 10000 0 10000 0 None WGV811 N CA00581558 B SFY2018-19
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2018-09-28 00:00:00 910014447 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-14 00:00:00 2015-12-14 00:00:00 Yes 2018-10-19 00:00:00 2018-10-17 00:00:00 A A 20000 10000 0 10000 0 None WGV811 Y CA00581558 B SFY2018-19
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2018-09-28 00:00:00 910014449 Closed Citation Citation B (HSC 1424) Patient Care None 2016-04-16 00:00:00 2016-04-16 00:00:00 No 2018-10-19 00:00:00 None B None 2000 2000 -700 1300 0 None WGV811 N CA00581558 B SFY2018-19
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-10-09 00:00:00 910014467 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-29 00:00:00 2018-07-29 00:00:00 No 2018-10-30 00:00:00 None B None 2000 2000 -700 1300 0 None C9P111 N CA00597624, CA00597624 B, B SFY2018-19
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-10-26 00:00:00 910014516 Closed Citation Citation A (HSC 1424) Patient Care None 2018-06-26 00:00:00 2018-06-26 00:00:00 Yes 2018-11-19 00:00:00 2018-11-13 00:00:00 A B 20000 10000 0 10000 0 None MFY511 N CA00597231, CA00597231, CA00597231 B, B, B SFY2018-19
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-11-02 00:00:00 910014547 Closed Citation Citation A (HSC 1424) Patient Care None 2018-07-29 00:00:00 2018-07-29 00:00:00 Yes 2018-11-28 00:00:00 2018-11-26 00:00:00 A A 16000 11500 0 11500 0 None 1NYT11 N CA00598075, CA00598075, CA00598311, CA00598311 A, A, B, B SFY2018-19
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2018-11-02 00:00:00 910014550 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-08 00:00:00 2018-08-08 00:00:00 Yes 2018-11-28 00:00:00 2018-11-21 00:00:00 A A 20000 11000 0 11000 0 None RR3T11 N CA00599071, CA00599071, CA00599071 B, B, B SFY2018-19
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-11-21 00:00:00 910014589 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-05 00:00:00 2018-08-05 00:00:00 No 2018-12-14 00:00:00 None A None 15000 45000 -15750 29250 0 None FH3911 N CA00600920, CA00600920, CA00600920, CA00600920 B, B, B, B SFY2018-19
910000046 HARBOR POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-11-30 00:00:00 910014610 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-08 00:00:00 2018-03-08 00:00:00 Yes 2018-12-21 00:00:00 2018-12-03 00:00:00 A B 20000 10000 0 10000 0 None RKF111 N CA00577587 B SFY2018-19
910000033 DEL AMO GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-12-14 00:00:00 910014640 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-09-15 00:00:00 2018-09-15 00:00:00 No 2019-01-07 00:00:00 None AA None 100000 100000 -35000 65000 0 None SR9P11 N CA00604134, CA00604134, CA00604134, CA00604365, CA00604365 A, A, A, A, A SFY2018-19
910000033 DEL AMO GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-12-14 00:00:00 910014648 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2018-09-15 00:00:00 2018-09-15 00:00:00 No 2019-01-07 00:00:00 None WF None 2000 2000 -700 1300 0 None SR9P11 None CA00604134, CA00604134, CA00604134, CA00604134, CA00604365, CA00604365, CA00604365 A, A, A, A, A, A, A SFY2018-19
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-12-13 00:00:00 910014650 Closed Citation Citation A (HSC 1424) Medication None 2018-10-23 00:00:00 2018-10-23 00:00:00 No 2019-01-04 00:00:00 None A None 12000 12000 -4200 7800 0 None 566Z11 N None None SFY2018-19
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-12-19 00:00:00 910014671 Closed Citation Citation B (HSC 1424) Medication None 2018-10-27 00:00:00 2018-10-27 00:00:00 No 2019-01-10 00:00:00 None B None 2000 2000 -700 1300 0 None 71E611 N CA00609451, CA00609636, CA00609929, CA00609941, CA00610039, CA00610271 B, A, A, A, B, B SFY2018-19
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-12-19 00:00:00 910014673 Closed Citation Citation B (HSC 1424) Medication None 2018-11-02 00:00:00 2018-11-02 00:00:00 No 2019-01-10 00:00:00 None B None 2000 2000 -700 1300 0 None 71E611 N CA00609451, CA00609929, CA00610039, CA00610271 B, A, B, B SFY2018-19
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-12-19 00:00:00 910014674 Closed Citation Citation B (HSC 1424) Medication None 2018-11-01 00:00:00 2018-11-01 00:00:00 No 2019-01-10 00:00:00 None B None 2000 2000 -700 1300 0 None EMLS11 N CA00610686, CA00610705 A, A SFY2018-19
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2018-12-21 00:00:00 910014679 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-31 00:00:00 2018-10-31 00:00:00 No 2019-01-14 00:00:00 None B None 2000 2000 -700 1300 0 None 3UU411 N CA00608180, CA00608180, CA00608180 B, B, B SFY2018-19
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-01-04 00:00:00 910014699 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-16 00:00:00 2018-10-16 00:00:00 No 2019-01-25 00:00:00 None B None 2000 2000 0 2000 0 None KRST11 N CA00608434, CA00608434, CA00608465, CA00608465, CA00608644 A, A, A, A, B SFY2018-19
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-01-18 00:00:00 910014726 Closed Citation Citation A (HSC 1424) Patient Care None 2018-07-18 00:00:00 2018-07-18 00:00:00 Yes 2019-02-11 00:00:00 2019-02-08 00:00:00 A B 15000 9000 0 9000 0 None EDKC11 Y CA00592067, CA00601133 B, A SFY2018-19
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-01-19 00:00:00 910014754 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-10 00:00:00 2018-10-10 00:00:00 Yes 2019-02-11 00:00:00 2019-01-30 00:00:00 B B 1500 1100 0 1100 0 None G1UY11 N CA00609085, CA00609085, CA00609085 B, B, B SFY2018-19
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2019-01-25 00:00:00 910014761 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-01 00:00:00 2016-05-01 00:00:00 No 2019-02-15 00:00:00 None A None 15000 15000 -5250 9750 0 None W9YL11 N CA00486545 A SFY2018-19
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2019-02-14 00:00:00 910014817 Open Citation Citation A (HSC 1424) Patient Record None 2018-05-11 00:00:00 2018-05-11 00:00:00 No 2019-03-07 00:00:00 None A None 20000 20000 0 0 20000 None VVKS11 N CA00586965 B SFY2018-19
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-15 00:00:00 910014824 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-16 00:00:00 2018-01-16 00:00:00 No 2019-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None 47FJ11 N CA00612772, CA00612773 B, B SFY2018-19
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-02-22 00:00:00 910014827 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-19 00:00:00 2018-08-19 00:00:00 Yes 2019-03-15 00:00:00 2019-03-15 00:00:00 A A 20000 30000 0 30000 0 None ZX6D11 Y CA00605791, CA00605791 B, B SFY2018-19
910000060 MARYCREST MANOR LTC SNF Skilled Nursing Facility LA Region 3 2019-02-27 00:00:00 910014836 Open Citation Citation A (HSC 1424) Patient Care None 2018-09-07 00:00:00 2018-09-07 00:00:00 Yes 2019-03-20 00:00:00 2019-06-05 00:00:00 A A 16000 10750 -350 16000 -5600 None BOXR11 N CA00603150, CA00603150 A, A SFY2018-19
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-03-29 00:00:00 910014846 Closed Citation Citation B (HSC 1424) Patient Care None 2014-08-13 00:00:00 2014-08-13 00:00:00 No 2019-04-19 00:00:00 None B None 2000 2000 0 2000 0 None B4PZ11 N CA00420815, CA00420815, CA00421924, CA00421924, CA00421924 C, C, B, B, B SFY2018-19
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-03-01 00:00:00 910014851 Closed Citation Citation B (HSC 1424) Medication None 2019-01-09 00:00:00 2019-01-09 00:00:00 No 2019-03-22 00:00:00 None B None 2000 2000 0 2000 0 None 5GMZ12 N CA00611757 B SFY2018-19
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-03-14 00:00:00 910014854 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-07 00:00:00 2018-12-07 00:00:00 Yes 2019-04-04 00:00:00 2019-03-19 00:00:00 A B 16000 5000 0 5000 0 None OQJ511 N CA00615926, CA00616577 B, B SFY2018-19
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-03-05 00:00:00 910014855 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-03 00:00:00 2018-09-03 00:00:00 No 2019-03-26 00:00:00 None B None 2000 2000 0 2000 0 None Y4V311 N CA00606259 B SFY2018-19
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-03-14 00:00:00 910014882 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-13 00:00:00 2018-12-13 00:00:00 No 2019-04-04 00:00:00 None B None 2000 2000 -700 1300 0 None UPI911 N None None SFY2018-19
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-03-14 00:00:00 910014883 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-17 00:00:00 2018-12-17 00:00:00 No 2019-04-04 00:00:00 None B None 2000 2000 0 2000 0 None U9J911 N CA00616615 A SFY2018-19
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-04-02 00:00:00 910014898 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-05 00:00:00 2018-09-05 00:00:00 Yes 2019-04-23 00:00:00 2019-04-23 00:00:00 B B 2000 1600 -100 1500 0 None R50L11 N CA00602832, CA00602832 B, B SFY2018-19
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2019-03-21 00:00:00 910014906 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-19 00:00:00 2018-10-19 00:00:00 Yes 2019-04-11 00:00:00 2019-04-02 00:00:00 A A 20000 43000 0 43000 0 None PE1511 Y CA00608808, CA00612911 A, B SFY2018-19
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2019-03-27 00:00:00 910014921 Closed Citation Citation B (HSC 1424) Medication None 2019-02-08 00:00:00 2019-02-08 00:00:00 No 2019-04-17 00:00:00 None B None 2000 2000 -700 1300 0 None 7L5111 N None None SFY2018-19
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2019-03-27 00:00:00 910014922 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-01-12 00:00:00 2019-01-12 00:00:00 No 2019-04-17 00:00:00 None B None 2000 2000 -700 1300 0 None 7L5111 N None None SFY2018-19
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2019-04-15 00:00:00 910014940 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2019-05-06 00:00:00 None B None 2000 2000 0 2000 0 None EMN011 N CA00578683 A SFY2018-19
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-04-18 00:00:00 910014957 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-12 00:00:00 2019-01-12 00:00:00 No 2019-05-09 00:00:00 None B None 2000 2000 0 2000 0 None 2ICT11 N CA00620730, CA00621323 B, B SFY2018-19
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-05-10 00:00:00 910015001 Open Citation Citation A (HSC 1424) Patient Care None 2019-02-18 00:00:00 2019-02-18 00:00:00 Yes 2019-05-31 00:00:00 2019-05-21 00:00:00 A B 20000 20000 0 4767.88 15232.12 None ZZYT11 N CA00625150 A SFY2018-19
940000062 ALAMITOS BELMONT HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility LA Region 3 2019-05-03 00:00:00 910015035 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-01 00:00:00 2018-02-01 00:00:00 Yes 2019-05-24 00:00:00 2019-05-10 00:00:00 A A 20000 13500 0 13500 0 None NOBZ11 N CA00615161, CA00615161 B, B SFY2018-19
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-05-09 00:00:00 910015050 Closed Citation Citation B (HSC 1424) Medication None 2019-03-19 00:00:00 2019-03-19 00:00:00 No 2019-05-30 00:00:00 None B None 2000 2000 -700 1300 0 None 0LP011 N None None SFY2018-19
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-05-09 00:00:00 910015052 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-19 00:00:00 2019-03-19 00:00:00 No 2019-05-30 00:00:00 None B None 2000 2000 -700 1300 0 None 0LP011 N None None SFY2018-19
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-05-10 00:00:00 910015063 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-30 00:00:00 2018-08-30 00:00:00 No 2019-05-31 00:00:00 None B None 2000 2100 0 2100 0 None 3L5411 N CA00628383 B SFY2018-19
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2019-05-15 00:00:00 910015069 Closed Citation Citation A (HSC 1424) Patient Care None 2019-01-25 00:00:00 2019-01-25 00:00:00 No 2019-06-05 00:00:00 None A None 20000 20000 0 20000 0 None AYEK11 N CA00624506, CA00624506 B, B SFY2018-19
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-05-16 00:00:00 910015077 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-14 00:00:00 2019-02-14 00:00:00 No 2019-06-06 00:00:00 None B None 2000 6000 -2100 3900 0 None 04OT11 N CA00625145 B SFY2018-19
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2019-06-18 00:00:00 910015087 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-26 00:00:00 2017-06-26 00:00:00 No 2019-07-09 00:00:00 None B None 2000 2000 -700 1300 0 None ZH0U11 N CA00541433 B SFY2018-19
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2019-05-30 00:00:00 910015118 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-22 00:00:00 2019-02-22 00:00:00 No 2019-06-20 00:00:00 None B None 2000 2000 -700 1300 0 None 72V111 N CA00627070 A SFY2018-19
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-06-07 00:00:00 910015129 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-08 00:00:00 2019-03-08 00:00:00 No 2019-06-28 00:00:00 None B None 2000 2000 0 2000 0 None HTRC11 N None None SFY2018-19
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-06-07 00:00:00 910015130 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-17 00:00:00 2019-04-17 00:00:00 No 2019-06-28 00:00:00 None B None 2000 2000 0 2000 0 None HTRC11 N None None SFY2018-19
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-06-13 00:00:00 910015140 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-08 00:00:00 2019-03-08 00:00:00 No 2019-07-04 00:00:00 None B None 2000 6000 -2100 3900 0 None 2DFM11 N CA00628676, CA00628676 A, A SFY2018-19
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2019-06-13 00:00:00 910015155 Closed Citation Citation A (HSC 1424) Patient Care None 2019-04-27 00:00:00 2019-04-27 00:00:00 No 2019-07-04 00:00:00 None A None 16000 16000 -5600 10400 0 None 95J111 N CA00628861 A SFY2018-19
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2019-06-13 00:00:00 910015158 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-27 00:00:00 2019-04-27 00:00:00 No 2019-07-04 00:00:00 None B None 1000 1000 -350 650 0 None 95J111 N CA00628861 A SFY2018-19
970000052 ST. ANDREWS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2019-06-14 00:00:00 910015161 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-08-31 00:00:00 2018-08-31 00:00:00 No 2019-07-05 00:00:00 None B None 2000 2000 -700 1300 0 None MYW111 N None None SFY2018-19
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-06-14 00:00:00 910015162 Open Citation Citation A (HSC 1424) Patient Care None 2018-11-20 00:00:00 2018-11-20 00:00:00 Yes 2019-07-05 00:00:00 2019-07-02 00:00:00 A None 20000 20000 0 0 20000 None NFXP11 N CA00620556 A SFY2018-19
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-06-14 00:00:00 910015163 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-12 00:00:00 2018-12-12 00:00:00 No 2019-07-05 00:00:00 None A None 20000 20000 -7000 13000 0 None 8BTJ11 Y CA00629057, CA00629057, CA00629057 B, B, B SFY2018-19
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2019-06-21 00:00:00 910015175 Closed Citation Citation A (HSC 1424) Patient Care None 2019-03-05 00:00:00 2019-03-05 00:00:00 Yes 2019-07-12 00:00:00 2019-07-16 00:00:00 A B 20000 16500 0 16500 0 None 0F5411 N CA00630495 B SFY2018-19
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-06-21 00:00:00 910015180 Closed Citation Citation A (HSC 1424) Patient Care None 2019-03-27 00:00:00 2019-03-27 00:00:00 No 2019-07-12 00:00:00 None A None 20000 60000 0 60000 0 None GMDL11 N None None SFY2018-19
940000101 LONG BEACH POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-06-21 00:00:00 910015181 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-10-15 00:00:00 2013-10-15 00:00:00 No 2019-07-12 00:00:00 None B None 2000 2000 -700 1300 0 None PYJ611 N CA00375159 C SFY2018-19
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-07-03 00:00:00 910015182 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-23 00:00:00 2019-05-23 00:00:00 No 2019-07-24 00:00:00 None B None 2000 2000 0 2000 0 None 6O8X11 N CA00639074 A SFY2019-20
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2019-06-27 00:00:00 910015204 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-20 00:00:00 2018-12-20 00:00:00 Yes 2019-07-18 00:00:00 2019-07-02 00:00:00 A A 20000 14000 0 14000 0 None GY0U11 N None None SFY2018-19
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2019-06-27 00:00:00 910015205 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-25 00:00:00 2019-03-25 00:00:00 No 2019-07-18 00:00:00 None B None 2000 6000 -2100 3900 0 None 0UUL11 N CA00630956, CA00630956 B, B SFY2018-19
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-06-28 00:00:00 910015209 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-30 00:00:00 2019-03-30 00:00:00 No 2019-07-19 00:00:00 None B None 2000 2000 0 2000 0 None NP6211 N CA00631117, CA00631117, CA00631117, CA00632717, CA00632717 B, B, B, B, B SFY2018-19
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2019-07-10 00:00:00 910015217 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-17 00:00:00 2018-10-17 00:00:00 No 2019-07-31 00:00:00 None A None 20000 20000 -7000 13000 0 None 7PBE11 N None None SFY2019-20
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-07-05 00:00:00 910015219 Closed Citation Citation B (HSC 1424) Physical Environment None 2019-04-05 00:00:00 2019-04-05 00:00:00 No 2019-07-26 00:00:00 None B None 2000 2000 -700 1300 0 None J8DF11 N CA00632035 A SFY2019-20
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-07-12 00:00:00 910015229 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-04-26 00:00:00 2019-04-26 00:00:00 No 2019-08-02 00:00:00 None B None 2000 2000 0 2000 0 None EDI711 N CA00635309 A SFY2019-20
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-07-18 00:00:00 910015235 Closed Citation Citation A (HSC 1424) Patient Care None 2019-04-11 00:00:00 2019-04-11 00:00:00 No 2019-08-08 00:00:00 None A None 20000 20000 -7000 13000 0 None F7D011 N CA00634410 B SFY2019-20
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-07-25 00:00:00 910015240 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-04-26 00:00:00 2019-04-26 00:00:00 No 2019-08-15 00:00:00 None B None 2000 2000 -700 1300 0 None 63KX11 N CA00635838 B SFY2019-20
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2019-08-08 00:00:00 910015287 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-29 00:00:00 2019-06-29 00:00:00 No 2019-08-29 00:00:00 None B None 2000 2000 0 2000 0 None LLGW11 N None None SFY2019-20
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-08-14 00:00:00 910015290 Closed Citation Citation A (HSC 1424) Patient Care None 2019-05-16 00:00:00 2019-05-16 00:00:00 No 2019-09-04 00:00:00 None A None 20000 20000 -7000 13000 0 None X01X11 N CA00638126 A SFY2019-20
930000436 PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-08-16 00:00:00 910015317 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-27 00:00:00 2019-06-27 00:00:00 No 2019-09-06 00:00:00 None B None 2000 2000 0 2000 0 None JOPE11 N None None SFY2019-20
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2019-08-15 00:00:00 910015318 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-17 00:00:00 2019-05-17 00:00:00 No 2019-09-05 00:00:00 None B None 2000 2000 0 2000 0 None MJEE11 N CA00638383, CA00638657 A, B SFY2019-20
970000017 SUNNYVIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-08-23 00:00:00 910015324 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-17 00:00:00 2019-05-17 00:00:00 No 2019-09-13 00:00:00 None B None 2000 2000 -700 1300 0 None 987H11 N CA00640495, CA00640495, CA00641560, CA00641560 B, B, B, B SFY2019-20
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2019-08-30 00:00:00 910015326 Closed Citation Citation A (HSC 1424) Patient Care None 2019-05-31 00:00:00 2019-05-31 00:00:00 No 2019-09-20 00:00:00 None A None 16000 16000 -5600 10400 0 None RKXQ11 N CA00640154, CA00640154, CA00640154, CA00640154 B, B, B, B SFY2019-20
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-08-22 00:00:00 910015340 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-30 00:00:00 2019-05-30 00:00:00 No 2019-09-12 00:00:00 None B None 2000 2000 0 2000 0 None JKZE11 N CA00639842 B SFY2019-20
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-09-06 00:00:00 910015365 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-02-22 00:00:00 2019-02-22 00:00:00 No 2019-09-27 00:00:00 None B None 2000 2000 0 2000 0 None MQS811 N CA00641274, CA00641274 B, B SFY2019-20
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-09-05 00:00:00 910015370 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-11 00:00:00 2019-06-11 00:00:00 No 2019-09-26 00:00:00 None B None 2000 2000 -700 1300 0 None CR8C11 N CA00640932, CA00640932, CA00640932 A, A, A SFY2019-20
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2019-09-13 00:00:00 910015383 Closed Citation Citation A (HSC 1424) Patient Care None 2019-04-09 00:00:00 2019-04-09 00:00:00 Yes 2019-10-04 00:00:00 2019-10-03 00:00:00 A A 20000 15000 0 15000 0 None O6IF11 N CA00635698 B SFY2019-20
970000017 SUNNYVIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-09-12 00:00:00 910015384 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-28 00:00:00 2019-05-28 00:00:00 No 2019-10-03 00:00:00 None B None 2000 2200 -700 1500 0 None 563X11 N CA00641635, CA00641635, CA00641635 B, B, B SFY2019-20
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-09-20 00:00:00 910015402 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-02 00:00:00 2019-05-02 00:00:00 No 2019-10-11 00:00:00 None B None 2000 2100 -700 1400 0 None 63W111 N CA00643017, CA00643017 A, A SFY2019-20
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2019-09-20 00:00:00 910015405 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-08-09 00:00:00 2019-08-09 00:00:00 No 2019-10-11 00:00:00 None B None 1500 1500 -525 975 0 None M7NQ11 N None None SFY2019-20
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-09-27 00:00:00 910015416 Open Citation Citation A (HSC 1424) Patient Care None 2019-07-03 00:00:00 2019-07-03 00:00:00 Yes 2019-10-18 00:00:00 2019-10-10 00:00:00 A None 20000 60000 0 0 60000 None AYG511 N CA00644543 B SFY2019-20
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-09-27 00:00:00 910015417 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2019-07-17 00:00:00 2019-07-17 00:00:00 No 2019-10-18 00:00:00 None WF None 2000 2000 0 2000 0 None AYG511 None None None SFY2019-20
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-03 00:00:00 910015430 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-03-28 00:00:00 2019-03-28 00:00:00 No 2019-10-24 00:00:00 None B None 2000 2000 -700 1300 0 None BV6E11 N CA00630883 A SFY2019-20
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-04 00:00:00 910015435 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-21 00:00:00 2019-06-21 00:00:00 Yes 2019-10-25 00:00:00 2019-11-01 00:00:00 A A 20000 16500 0 16500 0 None MUDQ11 N CA00642979, CA00645330 B, B SFY2019-20
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-10-09 00:00:00 910015445 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-24 00:00:00 2019-08-24 00:00:00 No 2019-10-30 00:00:00 None B None 2000 2000 0 2000 0 None BH9T11 N None None SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-10 00:00:00 910015450 Closed Citation Citation A (HSC 1424) Patient Rights None 2019-06-24 00:00:00 2019-06-24 00:00:00 Yes 2019-10-31 00:00:00 2019-10-31 00:00:00 A A 20000 10250 0 10250 0 None V8M411 N CA00645756, CA00645756 A, A SFY2019-20
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2019-10-16 00:00:00 910015461 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-05 00:00:00 2019-04-05 00:00:00 No 2019-11-06 00:00:00 None B None 2000 2000 0 2000 0 None 23R511 N CA00632595, CA00632595, CA00632595, CA00632595 A, A, A, A SFY2019-20
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-17 00:00:00 910015465 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-21 00:00:00 2019-07-21 00:00:00 No 2019-11-07 00:00:00 None B None 2000 2000 0 2000 0 None H4UF11 N CA00647116, CA00647116 B, B SFY2019-20
910000041 IMPERIAL CREST HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-23 00:00:00 910015471 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-25 00:00:00 2019-07-25 00:00:00 No 2019-11-13 00:00:00 None B None 2000 2000 0 2000 0 None 715L11 N CA00647599 A SFY2019-20
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2019-10-23 00:00:00 910015473 Open Citation Citation AA (HSC 1424) Patient Care None 2019-07-17 00:00:00 2019-07-17 00:00:00 Yes 2019-11-13 00:00:00 2019-11-01 00:00:00 AA A 100000 20000 0 0 20000 None 256D11 Y CA00646560, CA00646945, CA00646945, CA00648213, CA00648213 B, A, A, A, A SFY2019-20
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-24 00:00:00 910015476 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-29 00:00:00 2019-05-29 00:00:00 No 2019-11-14 00:00:00 None B None 2000 6000 -2100 3900 0 None B04611 N CA00639851 B SFY2019-20
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-24 00:00:00 910015479 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-10 00:00:00 2019-06-10 00:00:00 No 2019-11-14 00:00:00 None A None 20000 20000 -7000 13000 0 None Y9NC11 N CA00648151, CA00648151, CA00648151 A, A, A SFY2019-20
910000055 LOMITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-24 00:00:00 910015480 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-14 00:00:00 2019-09-14 00:00:00 No 2019-11-14 00:00:00 None B None 1500 1500 0 1500 0 None EHBB11 N None None SFY2019-20
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-25 00:00:00 910015484 Closed Citation Citation A (HSC 1424) Patient Care None 2019-07-26 00:00:00 2019-07-26 00:00:00 Yes 2019-11-15 00:00:00 2019-11-01 00:00:00 A A 20000 16500 0 16500 0 None 7PZI11 N CA00648232, CA00650524, CA00650524 A, B, B SFY2019-20
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-30 00:00:00 910015486 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-29 00:00:00 2019-05-29 00:00:00 No 2019-11-20 00:00:00 None B None 1000 1000 -350 650 0 None 3POG11 N CA00639602 B SFY2019-20
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-25 00:00:00 910015487 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2019-07-26 00:00:00 2019-07-26 00:00:00 Yes 2019-11-15 00:00:00 2019-11-01 00:00:00 WF WMF>$1000 2000 1750 0 1750 0 None 7PZI11 None CA00648232, CA00648232, CA00650524, CA00650524, CA00650524 A, A, B, B, B SFY2019-20
910000054 LITTLE SISTERS OF THE POOR LTC SNF Skilled Nursing Facility LA Region 3 2019-10-30 00:00:00 910015498 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-12 00:00:00 2018-12-12 00:00:00 No 2019-11-20 00:00:00 None A None 20000 20000 -7000 13000 0 None GVLQ11 N CA00648666, CA00648666, CA00648666, CA00648666, CA00648666 B, B, B, B, B SFY2019-20
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2019-10-31 00:00:00 910015504 Closed Citation Citation B (HSC 1424) Patient Care None 2014-03-24 00:00:00 2014-03-24 00:00:00 No 2019-11-22 00:00:00 None B None 2000 2000 0 2000 0 None BB3I11 N CA00393250 E SFY2019-20
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2019-11-05 00:00:00 910015512 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-21 00:00:00 2019-09-21 00:00:00 No 2019-11-26 00:00:00 None B None 2000 2000 0 2000 0 None VON711 N None None SFY2019-20
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2019-11-05 00:00:00 910015514 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-30 00:00:00 2019-04-30 00:00:00 No 2019-11-27 00:00:00 None B None 2000 2000 0 2000 0 None VON711 N None None SFY2019-20
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2019-11-07 00:00:00 910015521 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-12-21 00:00:00 2018-12-21 00:00:00 No 2019-11-28 00:00:00 None B None 2000 2000 -700 1300 0 None 9H6911 N CA00617169, CA00617169 B, B SFY2019-20
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-11-08 00:00:00 910015524 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-01 00:00:00 2018-05-01 00:00:00 Yes 2019-11-29 00:00:00 2019-12-03 00:00:00 B B 2000 1700 0 1700 0 None 8W9711 N CA00585196, CA00585196 B, B SFY2019-20
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2019-11-08 00:00:00 910015525 Closed Citation Citation A (HSC 1424) Patient Care None 2019-05-14 00:00:00 2019-05-14 00:00:00 Yes 2019-11-29 00:00:00 2019-11-15 00:00:00 A B 20000 15000 0 15000 0 None C8JQ11 N CA00650595, CA00650595, CA00650595 A, A, A SFY2019-20
970000017 SUNNYVIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-11-08 00:00:00 910015526 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-02 00:00:00 2019-09-02 00:00:00 Yes 2019-12-04 00:00:00 2019-11-27 00:00:00 A A 20000 13000 0 13000 0 None WK1E11 Y CA00653053, CA00653053, CA00653053, CA00653053 A, A, A, A SFY2019-20
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2019-11-14 00:00:00 910015535 Closed Citation Citation A (HSC 1424) Patient Care None 2019-08-08 00:00:00 2019-08-08 00:00:00 Yes 2019-12-05 00:00:00 2019-12-15 00:00:00 A A 20000 12000 0 12000 0 None BMSM11 N CA00650645, CA00651001, CA00651001 A, B, B SFY2019-20
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2019-11-15 00:00:00 910015539 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-05 00:00:00 2019-08-05 00:00:00 No 2019-12-06 00:00:00 None B None 2000 2000 -700 1300 0 None OKEU11 N CA00651050, CA00651050 A, A SFY2019-20
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2019-11-27 00:00:00 910015553 Open Citation Citation B (HSC 1424) Patient Care None 2019-08-17 00:00:00 2019-08-17 00:00:00 Yes 2019-12-18 00:00:00 2019-12-03 00:00:00 B None 2000 2000 0 0 2000 None 06LD11 N CA00652677 A SFY2019-20
930001463 TORRANCE MEMORIAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2019-11-27 00:00:00 910015561 Closed Citation Citation B (HSC 1424) Other Posting of Rating 2019-10-19 00:00:00 2019-10-19 00:00:00 No 2019-12-18 00:00:00 None B None 1000 1000 0 1000 0 None N02W11 N None None SFY2019-20
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-06 00:00:00 910015596 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-29 00:00:00 2019-07-29 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 0 2000 0 None U0VX11 N CA00648454 A SFY2019-20
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-06 00:00:00 910015597 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-15 00:00:00 2019-07-15 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2000 0 2000 0 None 2TQW11 N CA00646060 B SFY2019-20
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-06 00:00:00 910015599 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-06 00:00:00 2019-09-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2300 -700 1600 0 None VEOP11 N CA00655226, CA00655226 A, A SFY2019-20
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-06 00:00:00 910015600 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-09 00:00:00 2019-09-09 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2300 -700 1600 0 None VEOP11 N CA00654289 A SFY2019-20
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-06 00:00:00 910015601 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-06 00:00:00 2019-09-06 00:00:00 No 2019-12-27 00:00:00 None B None 2000 2300 -700 1600 0 None VEOP11 N CA00656051, CA00656051 A, A SFY2019-20
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-19 00:00:00 910015622 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-16 00:00:00 2019-10-16 00:00:00 No 2020-01-09 00:00:00 None B None 2000 2000 -700 1300 0 None I1D611 N CA00659922 B SFY2019-20
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-20 00:00:00 910015626 Closed Citation Citation A (HSC 1424) Patient Care None 2019-10-11 00:00:00 2019-10-11 00:00:00 No 2020-01-10 00:00:00 None A None 20000 20000 -7000 13000 0 None 14ME11 N CA00417072, CA00417116, CA00417273 B, B, B SFY2019-20
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-26 00:00:00 910015636 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-04 00:00:00 2019-08-04 00:00:00 No 2020-01-16 00:00:00 None B None 2000 2000 0 2000 0 None FBKD11 N CA00649377 B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-27 00:00:00 910015637 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-28 00:00:00 2019-09-28 00:00:00 No 2020-01-17 00:00:00 None A None 20000 20100 0 20100 0 None KS2P11 N CA00657162 A SFY2019-20
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-26 00:00:00 910015638 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-28 00:00:00 2019-09-28 00:00:00 Yes 2020-01-16 00:00:00 2019-12-31 00:00:00 A B 20000 15000 0 15000 0 None 00RN11 N CA00658017 B SFY2019-20
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-12-27 00:00:00 910015640 Closed Citation Citation A (HSC 1424) Patient Care None 2019-05-13 00:00:00 2019-05-13 00:00:00 No 2020-01-17 00:00:00 None A None 20000 20000 0 20000 0 None ZXC011 N CA00635391 B SFY2019-20
910000055 LOMITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-01-03 00:00:00 910015661 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-13 00:00:00 2019-03-13 00:00:00 No 2020-01-24 00:00:00 None B None 2000 2000 -700 1300 0 None CQK111 N CA00659344 A SFY2019-20
910000055 LOMITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-01-03 00:00:00 910015665 Closed Citation Citation A (HSC 1424) Patient Care None 2019-03-13 00:00:00 2019-03-13 00:00:00 No 2020-01-24 00:00:00 None A None 20000 20000 -7000 13000 0 None CQK111 N CA00659344, CA00659344, CA00659344, CA00659344 A, A, A, A SFY2019-20
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-01-09 00:00:00 910015673 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-07 00:00:00 2019-09-07 00:00:00 No 2020-01-30 00:00:00 None A None 20000 20000 -7000 13000 0 None 14F511 N CA00653789, CA00653789, CA00658612, CA00658612, CA00658612 B, B, B, B, B SFY2019-20
940000098 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-01-10 00:00:00 910015675 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-11 00:00:00 2019-10-11 00:00:00 No 2020-01-31 00:00:00 None B None 2000 2000 -700 1300 0 None 1EIV11 N CA00657559, CA00657559 B, B SFY2019-20
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-01-10 00:00:00 910015678 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-26 00:00:00 2019-11-26 00:00:00 No 2020-01-31 00:00:00 None B None 2000 2000 -700 1300 0 None 4C4B11 N CA00663897, CA00663897 B, B SFY2019-20
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2020-01-16 00:00:00 910015693 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-26 00:00:00 2019-08-26 00:00:00 Yes 2020-02-06 00:00:00 2020-01-31 00:00:00 B B 2000 2000 0 2000 0 None BLVD11 N CA00652332, CA00652603, CA00654310 A, B, B SFY2019-20
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-01-23 00:00:00 910015701 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-21 00:00:00 2019-10-21 00:00:00 No 2020-02-13 00:00:00 None B None 2000 6000 -2100 3900 0 None XYKB11 N CA00661260 A SFY2019-20
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2020-01-24 00:00:00 910015702 Open Citation Citation B (HSC 1424) Patient Care None 2019-05-17 00:00:00 2019-05-17 00:00:00 Yes 2020-02-14 00:00:00 2020-02-07 00:00:00 B None 2000 6000 0 0 6000 None 0E0G11 N CA00652673 A SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-01-31 00:00:00 910015703 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-06 00:00:00 2019-11-06 00:00:00 Yes 2020-02-21 00:00:00 2020-01-31 00:00:00 B B 2000 1500 0 1500 0 None OFP011 N CA00662590, CA00662590 A, A SFY2019-20
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2020-01-22 00:00:00 910015704 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-30 00:00:00 2019-06-30 00:00:00 No 2020-02-12 00:00:00 None A None 20000 60000 -21000 39000 0 None MKWT11 N CA00660611, CA00660611 B, B SFY2019-20
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-01-31 00:00:00 910015721 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-29 00:00:00 2019-06-29 00:00:00 No 2020-02-21 00:00:00 None A None 20000 60000 -21000 39000 0 None XVS711 N CA00653637, CA00653637, CA00653637, CA00653637 B, B, B, B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-01-31 00:00:00 910015723 Closed Citation Citation A (HSC 1424) Patient Care None 2019-07-10 00:00:00 2019-07-10 00:00:00 Yes 2020-02-21 00:00:00 2020-01-31 00:00:00 A A 20000 12000 0 12000 0 None AGLZ11 Y CA00653455, CA00653455, CA00653455, CA00653455 B, B, B, B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-01-31 00:00:00 910015724 Closed Citation Citation Willful Material Omission (HSC 1424(f)(1)) Willful Material Omission None 2019-11-06 00:00:00 2019-11-06 00:00:00 No 2020-02-21 00:00:00 None WO None 6000 6000 0 6000 0 None OFP011 None CA00662590, CA00662590 A, A SFY2019-20
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-02-07 00:00:00 910015727 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-12-26 00:00:00 2019-12-26 00:00:00 No 2020-03-02 00:00:00 None B None 1000 1000 0 1000 0 None I83H11 N None None SFY2019-20
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-02-07 00:00:00 910015729 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-09 00:00:00 2019-09-09 00:00:00 No 2020-03-02 00:00:00 None B None 1000 1000 0 1000 0 None I83H11 N None None SFY2019-20
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-02-12 00:00:00 910015736 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-02 00:00:00 2019-07-02 00:00:00 Yes 2020-03-04 00:00:00 2020-02-28 00:00:00 B None 2000 2000 0 2000 0 None 25QK11 N CA00656217, CA00656217 B, B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-02-12 00:00:00 910015737 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-17 00:00:00 2019-09-17 00:00:00 Yes 2020-03-04 00:00:00 2020-03-02 00:00:00 A B 20000 20000 0 20000 0 None ZVHI11 N CA00655067 B SFY2019-20
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-02-14 00:00:00 910015738 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-30 23:59:00 2019-11-30 23:59:00 No 2020-03-06 00:00:00 None B None 2000 2250 -700 1550 0 None ILXZ11 N CA00666225 B SFY2019-20
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-02-14 00:00:00 910015741 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-12 00:00:00 2020-02-12 00:00:00 No 2020-03-06 00:00:00 None B None 2000 6000 -2100 3900 0 None WPZJ11 N CA00666982 A SFY2019-20
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2020-02-14 00:00:00 910015747 Closed Citation Citation B (HSC 1424) Patient Care None 2018-06-19 00:00:00 2018-06-19 00:00:00 No 2020-03-06 00:00:00 None B None 2000 6000 0 6000 0 None 4RER11 N CA00627768 B SFY2019-20
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-02-26 00:00:00 910015767 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-30 00:00:00 2019-10-30 00:00:00 No 2020-03-18 00:00:00 None B None 2000 2000 -700 1300 0 None X7Z411 N CA00661421 B SFY2019-20
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-02-28 00:00:00 910015773 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-28 00:00:00 2019-11-28 00:00:00 Yes 2020-03-20 00:00:00 2020-03-16 00:00:00 A A 20000 15150 -150 15000 0 None HSXE11 N CA00665657, CA00665657 B, B SFY2019-20
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-03-05 00:00:00 910015785 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-12 00:00:00 2019-11-12 00:00:00 No 2020-03-26 00:00:00 None A None 20000 20000 -7000 13000 0 None ITQS11 N CA00665420, CA00665420, CA00665420, CA00666483, CA00666483, CA00668898 A, A, A, A, A, B SFY2019-20
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-03-06 00:00:00 910015787 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-08 00:00:00 2019-11-08 00:00:00 No 2020-03-27 00:00:00 None B None 2000 2000 -700 1300 0 None QD2R11 N CA00662889, CA00662889, CA00662889 A, A, A SFY2019-20
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-03-06 00:00:00 910015788 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-05 00:00:00 2019-11-05 00:00:00 No 2020-03-27 00:00:00 None B None 2000 6000 -2100 3900 0 None BUDG11 N CA00663629, CA00663629 B, B SFY2019-20
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-03-06 00:00:00 910015790 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-11 00:00:00 2019-12-11 00:00:00 No 2020-03-27 00:00:00 None B None 2000 2200 -700 1500 0 None X0XV11 N CA00667093 A SFY2019-20
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-03-12 00:00:00 910015805 Open Citation Citation A (HSC 1424) Patient Care None 2020-01-23 00:00:00 2020-01-23 00:00:00 Yes 2020-04-02 00:00:00 2020-04-01 00:00:00 A None 10000 10000 0 0 10000 None 8HJY11 N None None SFY2019-20
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2020-03-13 00:00:00 910015806 Closed Citation Citation A (HSC 1424) Patient Care None 2019-12-03 00:00:00 2019-12-03 00:00:00 No 2020-04-03 00:00:00 None A None 20000 20000 -7000 13000 0 None N1RE11 Y CA00665443, CA00665443, CA00667555, CA00667555, CA00667555, CA00667555 A, A, B, B, B, B SFY2019-20
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2020-03-14 00:00:00 910015807 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-19 00:00:00 2019-12-19 00:00:00 No 2020-04-03 00:00:00 None B None 2000 2050 -700 1350 0 None QFCV11 N CA00668061, CA00668061 A, A SFY2019-20
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-03-13 00:00:00 910015810 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-29 00:00:00 2019-11-29 00:00:00 No 2020-04-03 00:00:00 None A None 20000 20000 -7000 13000 0 None 855W11 N CA00665511, CA00665513, CA00668392, CA00670420 B, B, A, B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-03-20 00:00:00 910015820 Open Citation Citation A (HSC 1424) Patient Care None 2019-12-21 00:00:00 2019-12-21 00:00:00 Yes 2020-04-13 00:00:00 2020-04-10 00:00:00 A B 20000 20000 0 5019.76 14980.24 None XSQ511 N CA00668644 A SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-03-20 00:00:00 910015821 Closed Citation Citation A (HSC 1424) Patient Care None 2019-12-21 00:00:00 2019-12-21 00:00:00 Yes 2020-04-10 00:00:00 2020-04-17 00:00:00 A A 20000 12000 0 12000 0 None XSQ511 N CA00668644, CA00668644 A, A SFY2019-20
940000091 PARAMOUNT CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-03-25 00:00:00 910015825 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-09 00:00:00 2020-02-09 00:00:00 No 2020-04-16 00:00:00 None B None 2000 2000 0 2000 0 None KK1111 N None None SFY2019-20
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-03-27 00:00:00 910015830 Open Citation Citation B (HSC 1424) Other Infection Control 2020-01-09 00:00:00 2020-01-09 00:00:00 Yes 2020-04-20 00:00:00 2020-04-13 00:00:00 B None 2000 2300 0 0 2300 None CY1I11 N CA00670812, CA00670844 A, A SFY2019-20
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2020-03-27 00:00:00 910015831 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-25 00:00:00 2019-09-25 00:00:00 Yes 2020-04-17 00:00:00 2020-04-01 00:00:00 A A 20000 14000 0 14000 0 None ILXG11 N CA00656919 A SFY2019-20
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-04-02 00:00:00 910015832 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-11 00:00:00 2019-11-11 00:00:00 Yes 2020-04-23 00:00:00 2020-04-03 00:00:00 A A 20000 15000 0 15000 0 None CMN511 N CA00664374 B SFY2019-20
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-04-03 00:00:00 910015833 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-14 00:00:00 2020-02-14 00:00:00 No 2020-04-24 00:00:00 None B None 2000 2300 0 2300 0 None GHDW11 N CA00676256 A SFY2019-20
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2020-04-03 00:00:00 910015834 Closed Citation Citation A (HSC 1424) Patient Care None 2019-10-08 00:00:00 2019-10-08 00:00:00 No 2020-04-24 00:00:00 None A None 20000 20200 0 20200 0 None IL4211 N CA00659657 B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-04-03 00:00:00 910015838 Closed Citation Citation A (HSC 1424) Patient Care None 2019-12-31 00:00:00 2019-12-31 00:00:00 Yes 2020-04-24 00:00:00 2020-04-17 00:00:00 A A 10000 8000 0 8000 0 None TJSF11 N CA00670238 A SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-04-03 00:00:00 910015840 Closed Citation Citation B (HSC 1424) Patient Care None 2020-01-01 00:00:00 2020-01-01 00:00:00 No 2020-04-24 00:00:00 None B None 2000 2000 0 2000 0 None TJSF11 N CA00670238, CA00670238 A, A SFY2019-20
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2020-04-09 00:00:00 910015841 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-20 00:00:00 2020-02-20 00:00:00 No 2020-04-30 00:00:00 None B None 2000 2000 -700 1300 0 None MMTC11 N CA00677308 A SFY2019-20
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-04-09 00:00:00 910015842 Open Citation Citation B (HSC 1424) Patient Care None 2020-02-27 00:00:00 2020-02-27 00:00:00 Yes 2020-04-30 00:00:00 2020-04-20 00:00:00 B None 2000 2000 0 0 2000 None ZPJO11 N CA00678267 A SFY2019-20
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-04-09 00:00:00 910015843 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-19 00:00:00 2019-11-19 00:00:00 No 2020-04-30 00:00:00 None B None 2000 6000 0 6000 0 None RV2D11 N CA00663875 B SFY2019-20
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-04-09 00:00:00 910015845 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-07 00:00:00 2019-11-07 00:00:00 Yes 2020-04-30 00:00:00 2020-04-13 00:00:00 A A 20000 16000 0 16000 0 None Q4M811 N CA00663720, CA00663720, CA00663832 B, B, B SFY2019-20
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-04-10 00:00:00 910015846 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-06 00:00:00 2020-02-06 00:00:00 No 2020-05-01 00:00:00 None B None 2000 2000 -700 1300 0 None F4J711 N None None SFY2019-20
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2020-04-16 00:00:00 910015850 Closed Citation Citation B (HSC 1424) Patient Care None 2020-01-15 00:00:00 2020-01-15 00:00:00 No 2020-05-07 00:00:00 None B None 2000 2000 -700 1300 0 None VWZD11 N CA00672050, CA00674368, CA00674708 B, B, A SFY2019-20
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-04-20 00:00:00 910015852 Closed Citation Citation A (HSC 1424) Patient Care None 2019-05-04 00:00:00 2019-05-04 00:00:00 No 2020-05-11 00:00:00 None A None 20000 20000 -7000 13000 0 None XIGU11 N CA00664445, CA00664445 B, B SFY2019-20
940000072 MARLORA POST ACUTE REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-04-24 00:00:00 910015859 Closed Citation Citation A (HSC 1424) Patient Care None 2020-01-16 00:00:00 2020-01-16 00:00:00 Yes 2020-05-15 00:00:00 2020-05-04 00:00:00 A A 20000 10150 -150 10000 0 None RV8311 N CA00665153 B SFY2019-20
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-04-27 00:00:00 910015860 Closed Citation Citation A (HSC 1424) Patient Care None 2020-03-03 00:00:00 2020-03-03 00:00:00 Yes 2020-05-18 00:00:00 2020-05-04 00:00:00 A A 20000 8500 0 8500 0 None 3O4F11 N None None SFY2019-20
910000046 HARBOR POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-01 00:00:00 910015867 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-08 00:00:00 2019-12-08 00:00:00 No 2020-05-22 00:00:00 None B None 2000 2000 -700 1300 0 None J0LF11 N None None SFY2019-20
910000046 HARBOR POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-01 00:00:00 910015868 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-08 00:00:00 2019-12-08 00:00:00 No 2020-05-22 00:00:00 None B None 2000 2000 -700 1300 0 None J0LF11 N CA00674903, CA00675073 A, B SFY2019-20
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-01 00:00:00 910015869 Closed Citation Citation A (HSC 1424) Patient Care None 2020-02-01 00:00:00 2020-02-01 00:00:00 No 2020-05-22 00:00:00 None A None 20000 20000 -7000 13000 0 None G9RF11 N None None SFY2019-20
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-01 00:00:00 910015870 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-01 00:00:00 2020-02-01 00:00:00 No 2020-05-22 00:00:00 None B None 2000 2000 0 2000 0 None G9RF11 N CA00678488, CA00678488, CA00678488, CA00678488, CA00678496 B, B, B, B, B SFY2019-20
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-01 00:00:00 910015871 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-05 00:00:00 2020-02-05 00:00:00 Yes 2020-05-22 00:00:00 2020-05-14 00:00:00 B B 2000 2150 -550 1600 0 None Z8K211 N CA00674320 B SFY2019-20
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2020-05-07 00:00:00 910015873 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-03 00:00:00 2019-12-03 00:00:00 No 2020-05-28 00:00:00 None B None 2000 6000 -2100 3900 0 None 9HQZ11 N CA00663530 B SFY2019-20
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-07 00:00:00 910015874 Closed Citation Citation A (HSC 1424) Patient Care None 2020-03-18 00:00:00 2020-03-18 00:00:00 No 2020-05-28 00:00:00 None A None 20000 20000 -7000 13000 0 None SJNB11 N CA00681352 A SFY2019-20
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-07 00:00:00 910015875 Closed Citation Citation B (HSC 1424) Patient Care None 2020-03-18 00:00:00 2020-03-18 00:00:00 No 2020-05-28 00:00:00 None B None 2000 2000 -700 1300 0 None SJNB11 N CA00681352, CA00681352 A, A SFY2019-20
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-05-08 00:00:00 910015876 Closed Citation Citation A (HSC 1424) Patient Care None 2019-04-01 00:00:00 2019-04-01 00:00:00 Yes 2020-05-29 00:00:00 2020-05-15 00:00:00 A A 20000 20150 -150 20000 0 None T53P11 N CA00678255, CA00678255, CA00678255 A, A, A SFY2019-20
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-05-08 00:00:00 910015877 Open Citation Citation B (HSC 1424) Patient Care None 2019-04-01 00:00:00 2019-04-01 00:00:00 Yes 2020-05-29 00:00:00 2020-05-15 00:00:00 B None 2000 2000 0 0 2000 None T53P11 N CA00678255, CA00678255, CA00678255, CA00678255 A, A, A, A SFY2019-20
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-11 00:00:00 910015878 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-11 00:00:00 2020-02-11 00:00:00 No 2020-06-01 00:00:00 None B None 2000 6050 0 6050 0 None K6PW11 N CA00675342, CA00676493, CA00676493 A, B, B SFY2019-20
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-15 00:00:00 910015882 Open Citation Citation B (HSC 1424) Patient Care None 2019-12-15 00:00:00 2019-12-15 00:00:00 Yes 2020-06-05 00:00:00 2020-05-21 00:00:00 B None 2000 6000 0 0 6000 None PQ4411 N CA00667890, CA00667986 B, B SFY2019-20
940000062 ALAMITOS BELMONT HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility LA Region 3 2020-05-15 00:00:00 910015883 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-18 00:00:00 2019-06-18 00:00:00 No 2020-06-05 00:00:00 None B None 2000 2000 -700 1300 0 None RJC811 N CA00642768 A SFY2019-20
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-05-21 00:00:00 910015885 Closed Citation Citation B (HSC 1424) Patient Care None 2019-12-21 00:00:00 2019-12-21 00:00:00 No 2020-06-12 00:00:00 None B None 1800 1800 -630 1170 0 None M3GW11 N CA00668838 B SFY2019-20
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-05-21 00:00:00 910015886 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-03 00:00:00 2019-10-03 00:00:00 No 2020-06-12 00:00:00 None B None 2000 2000 -700 1300 0 None LH3011 N CA00659151 A SFY2019-20
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-06-05 00:00:00 910015891 Open Citation Citation B (HSC 1424) Patient Care None 2020-03-10 00:00:00 2020-03-10 00:00:00 Yes 2020-06-26 00:00:00 2020-06-15 00:00:00 B None 2000 6000 0 0 6000 None BT7E11 N CA00679728, CA00679728, CA00679728 A, A, A SFY2019-20
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-06-05 00:00:00 910015892 Closed Citation Citation B (HSC 1424) Patient Care None 2020-03-06 00:00:00 2020-03-06 00:00:00 No 2020-06-26 00:00:00 None B None 2000 2000 -700 1300 0 None LFKE11 N CA00679440 A SFY2019-20
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-06-09 00:00:00 910015894 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2020-03-19 00:00:00 2020-03-19 00:00:00 Yes 2020-06-30 00:00:00 2020-06-24 00:00:00 WF WMF First 2000 0 0 0 0 None DPUS11 None None None SFY2019-20
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-06-10 00:00:00 910015895 Closed Citation Citation A (HSC 1424) Patient Care None 2020-03-19 00:00:00 2020-03-19 00:00:00 Yes 2020-07-01 00:00:00 2020-06-24 00:00:00 A A 20000 15000 0 15000 0 None DPUS11 Y CA00680655, CA00680655, CA00680890, CA00680890 B, B, A, A SFY2019-20
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-06-11 00:00:00 910015898 Closed Citation Citation A (HSC 1424) Patient Care None 2020-03-19 00:00:00 2020-03-19 00:00:00 Yes 2020-07-02 00:00:00 2020-06-24 00:00:00 A B 20000 8000 0 8000 0 None DPUS11 Y CA00680655, CA00680655, CA00680890, CA00680890 B, B, A, A SFY2019-20
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-06-12 00:00:00 910015900 Closed Citation Citation B (HSC 1424) Patient Care None 2020-03-02 00:00:00 2020-03-02 00:00:00 No 2020-07-03 00:00:00 None B None 2000 2000 -700 1300 0 None CUYB11 N CA00679986, CA00679986, CA00680560, CA00680560 A, A, B, B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-06-19 00:00:00 910015907 Open Citation Citation A (HSC 1424) Patient Care None 2020-02-23 00:00:00 2020-02-23 00:00:00 Yes 2020-07-10 00:00:00 2020-07-10 00:00:00 A A 20000 12450 0 0 12450 None EWG011 N CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614 A, A, A, A, A, B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-06-19 00:00:00 910015908 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-23 00:00:00 2020-02-23 00:00:00 Yes 2020-07-10 00:00:00 2020-07-14 00:00:00 B B 2000 1500 0 1500 0 None EWG011 N CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614 A, A, A, A, A, A, B, B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-06-19 00:00:00 910015909 Open Citation Citation A (HSC 1424) Patient Care None 2020-02-23 00:00:00 2020-02-23 00:00:00 Yes 2020-07-10 00:00:00 2020-07-10 00:00:00 A A 20000 30750 0 0 30750 None EWG011 N CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614 A, A, A, A, A, A, B, B SFY2019-20
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-06-19 00:00:00 910015910 Open Citation Citation A (HSC 1424) Patient Care None 2019-11-16 00:00:00 2019-11-16 00:00:00 Yes 2020-07-10 00:00:00 2020-07-10 00:00:00 A A 20000 36000 0 0 36000 None EWG011 N CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614 A, A, A, A, A, A, B, B SFY2019-20
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-07-17 00:00:00 910015940 Open Citation Citation B (HSC 1424) Patient Rights None 2020-04-09 00:00:00 2020-04-09 00:00:00 Yes 2020-08-07 00:00:00 2020-07-22 00:00:00 B None 2000 2000 0 0 2000 None G5DX11 N CA00684398 A SFY2020-21
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-07-23 00:00:00 910015947 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-04 00:00:00 2019-11-04 00:00:00 No 2020-08-13 00:00:00 None A None 16000 16000 -5600 10400 0 None 1YWG11 N CA00662622, CA00662622 B, B SFY2020-21
940000073 HUNTINGTON PARK NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-07-23 00:00:00 910015948 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-12-20 00:00:00 2019-12-20 00:00:00 No 2020-08-13 00:00:00 None B None 2000 2000 -700 1300 0 None 1ZWO11 N CA00668696 A SFY2020-21
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-07-24 00:00:00 910015949 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-11 00:00:00 2020-05-11 00:00:00 No 2020-08-14 00:00:00 None B None 2000 2000 -700 1300 0 None 3CKM11 N CA00688203 B SFY2020-21
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-08-04 00:00:00 910015951 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-07 00:00:00 2020-02-07 00:00:00 Yes 2020-08-25 00:00:00 2020-08-17 00:00:00 B B 2000 2400 -400 2000 0 None BPAK11 N CA00675457, CA00675457, CA00677340, CA00677340, CA00677340, CA00677340 B, B, A, A, A, A SFY2020-21
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-07-27 00:00:00 910015952 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-21 00:00:00 2019-11-21 00:00:00 Yes 2020-08-17 00:00:00 2020-08-03 00:00:00 A B 20000 17500 0 17500 0 None KRRK11 N None None SFY2020-21
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-08-04 00:00:00 910015965 Closed Citation Citation B (HSC 1424) Patient Care None 2020-04-20 00:00:00 2020-04-20 00:00:00 Yes 2020-08-25 00:00:00 2020-08-14 00:00:00 B B 2000 1800 0 1800 0 None FSU811 N CA00688273 B SFY2020-21
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-08-13 00:00:00 910015974 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-01 00:00:00 2020-05-01 00:00:00 Yes 2020-09-03 00:00:00 2020-09-02 00:00:00 A A 20000 40000 0 40000 0 None RVP511 N CA00690959, CA00690959, CA00690959, CA00690959, CA00690959 A, A, A, A, A SFY2020-21
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-08-14 00:00:00 910015978 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-06 00:00:00 2020-05-06 00:00:00 No 2020-09-04 00:00:00 None B None 2000 2000 -700 1300 0 None BGLJ11 N CA00689237, CA00689237, CA00689273, CA00689273 A, A, A, A SFY2020-21
910000055 LOMITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-08-14 00:00:00 910015980 Closed Citation Citation AA (HSC 1424) Patient Care None 2020-02-13 00:00:00 2020-02-13 00:00:00 Yes 2020-09-04 00:00:00 2020-09-03 00:00:00 AA A 100000 40000 0 40000 0 None I59Q11 Y CA00680615, CA00680615, CA00680615 A, A, A SFY2020-21
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-08-21 00:00:00 910015991 Closed Citation Citation B (HSC 1424) Patient Care None 2020-03-30 00:00:00 2020-03-30 00:00:00 No 2020-09-14 00:00:00 None B None 2000 2000 0 2000 0 None X66B11 N CA00683676, CA00683676 A, A SFY2020-21
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2020-08-21 00:00:00 910015993 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2019-12-10 00:00:00 2019-12-10 00:00:00 No 2020-09-14 00:00:00 None WF None 2500 2500 -875 1625 0 None IW2911 None CA00686230, CA00686230 A, A SFY2020-21
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-09-03 00:00:00 910016018 Open Citation Citation B (HSC 1424) Patient Care None 2019-09-11 00:00:00 2019-09-11 00:00:00 Yes 2020-09-25 00:00:00 2020-09-15 00:00:00 B None 2000 2000 0 0 2000 None P36711 N CA00654579 A SFY2020-21
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-09-09 00:00:00 910016028 Closed Citation Citation B (HSC 1424) Patient Care None 2020-03-13 00:00:00 2020-03-13 00:00:00 No 2020-09-30 00:00:00 None B None 2000 2000 0 2000 0 None 1D2T11 N CA00682083 B SFY2020-21
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2020-09-11 00:00:00 910016032 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-21 00:00:00 2020-06-21 00:00:00 No 2020-10-02 00:00:00 None B None 2000 2000 0 2000 0 None V19811 N CA00693565, CA00693565, CA00693733 A, A, A SFY2020-21
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-09-23 00:00:00 910016045 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-22 00:00:00 2020-05-22 00:00:00 Yes 2020-10-14 00:00:00 2020-09-29 00:00:00 A A 20000 45000 0 45000 0 None KRPX11 N CA00690520, CA00690520 B, B SFY2020-21
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-09-24 00:00:00 910016046 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-29 00:00:00 2019-11-29 00:00:00 No 2020-10-15 00:00:00 None B None 2000 2000 0 2000 0 None H7I611 N CA00665630 B SFY2020-21
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2020-09-23 00:00:00 910016047 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-30 00:00:00 2019-10-30 00:00:00 No 2020-10-14 00:00:00 None B None 2000 2000 -700 1300 0 None HNOP11 N CA00660208, CA00660208 B, B SFY2020-21
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-09-24 00:00:00 910016056 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-28 00:00:00 2019-11-28 00:00:00 Yes 2020-10-15 00:00:00 2020-10-07 00:00:00 A A 20000 15000 0 15000 0 None B4JN11 N CA00665578 B SFY2020-21
910000054 LITTLE SISTERS OF THE POOR LTC SNF Skilled Nursing Facility LA Region 3 2020-09-24 00:00:00 910016058 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-24 00:00:00 2018-11-24 00:00:00 No 2020-10-15 00:00:00 None B None 2000 2000 -700 1300 0 None RU9W11 N CA00680591, CA00680591, CA00680591, CA00680591 B, B, B, B SFY2020-21
970000017 SUNNYVIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-09-25 00:00:00 910016062 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-13 00:00:00 2019-11-13 00:00:00 No 2020-10-16 00:00:00 None B None 2000 2000 -700 1300 0 None 7LHS11 N CA00694556, CA00694556 A, A SFY2020-21
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-09-25 00:00:00 910016063 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-16 00:00:00 2019-02-16 00:00:00 No 2020-10-16 00:00:00 None B None 2000 2000 0 2000 0 None F6PC11 N CA00625390 B SFY2020-21
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2020-09-28 00:00:00 910016065 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-19 00:00:00 2019-06-19 00:00:00 Yes 2020-10-19 00:00:00 2020-10-16 00:00:00 A B 20000 17500 0 17500 0 None YZIC11 Y CA00693508, CA00693508, CA00696234, CA00696234 B, B, A, A SFY2020-21
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-09-28 00:00:00 910016066 Closed Citation Citation A (HSC 1424) Patient Care None 2020-02-03 00:00:00 2020-02-03 00:00:00 Yes 2020-10-19 00:00:00 2020-10-06 00:00:00 A A 20000 15000 0 15000 0 None 5KRQ11 Y CA00694624, CA00694624, CA00694624, CA00694624, CA00694624 A, A, A, A, A SFY2020-21
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-10-02 00:00:00 910016077 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-10 00:00:00 2020-05-10 00:00:00 Yes 2020-10-23 00:00:00 2020-10-05 00:00:00 A B 20000 20000 0 20000 0 None IXQI11 N CA00688725, CA00688725 B, B SFY2020-21
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-10-09 00:00:00 910016083 Closed Citation Citation B (HSC 1424) Patient Care None 2015-02-09 00:00:00 2015-02-09 00:00:00 No 2020-10-30 00:00:00 None B None 2000 2000 0 2000 0 None GE2911 N CA00428784 B SFY2020-21
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2020-10-16 00:00:00 910016100 Open Citation Citation B (HSC 1424) Patient Care None 2020-08-27 00:00:00 2020-08-27 00:00:00 Yes 2020-11-06 00:00:00 2020-11-06 00:00:00 B None 2000 2250 0 0 2250 None T6FB11 N CA00702320 A SFY2020-21
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2020-10-16 00:00:00 910016103 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-25 00:00:00 2019-06-25 00:00:00 Yes 2020-11-06 00:00:00 2020-11-06 00:00:00 A B 20000 15250 -250 15000 0 None T6FB11 Y CA00702320 A SFY2020-21
940000010 BEL VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-10-22 00:00:00 910016110 Closed Citation Citation B (HSC 1424) Patient Care None 2016-05-16 00:00:00 2016-05-16 00:00:00 No 2020-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None WTCV11 N CA00692522 A SFY2020-21
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2020-10-22 00:00:00 910016111 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-27 00:00:00 2019-03-27 00:00:00 No 2020-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None HY7L11 N CA00630688 A SFY2020-21
910000091 TORRANCE CARE CENTER WEST, INC. LTC SNF Skilled Nursing Facility LA Region 3 2020-10-22 00:00:00 910016112 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-24 00:00:00 2020-07-24 00:00:00 No 2020-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None NDCH11 N CA00698799, CA00698799, CA00698799 A, A, A SFY2020-21
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-10-23 00:00:00 910016113 Closed Citation Citation A (HSC 1424) Patient Care None 2019-08-20 00:00:00 2019-08-20 00:00:00 No 2020-11-16 00:00:00 None A None 20000 20000 -7000 13000 0 None KYF111 N CA00654306, CA00654783, CA00654894, CA00654898 B, A, A, B SFY2020-21
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-10-23 00:00:00 910016114 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-20 00:00:00 2019-08-20 00:00:00 No 2020-11-16 00:00:00 None B None 2000 2000 -700 1300 0 None KYF111 N CA00654306, CA00654306, CA00654783, CA00654783, CA00654894, CA00654894, CA00654898, CA00654898 B, B, A, A, A, A, B, B SFY2020-21
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-10-29 00:00:00 910016119 Closed Citation Citation A (HSC 1424) Patient Care None 2020-07-26 00:00:00 2020-07-26 00:00:00 No 2020-11-20 00:00:00 None A None 20000 20000 -7000 13000 0 None T2KB11 N CA00699236, CA00699236, CA00699236 B, B, B SFY2020-21
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-10-30 00:00:00 910016120 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-01 00:00:00 2020-09-01 00:00:00 No 2020-11-23 00:00:00 None B None 2000 2000 -700 1300 0 None NTUC11 N CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184 B, B, B, B, B, B, B SFY2020-21
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-10-29 00:00:00 910016121 Open Citation Citation B (HSC 1424) Patient Rights None 2020-08-03 00:00:00 2020-08-03 00:00:00 No 2020-11-20 00:00:00 None B None 2000 2000 0 0 2000 None 7Y0711 N CA00699657, CA00699659, CA00699932 B, B, B SFY2020-21
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-10-30 00:00:00 910016122 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-22 00:00:00 2020-08-22 00:00:00 No 2020-11-23 00:00:00 None B None 2000 2000 -700 1300 0 None NTUC11 N CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184 B, B, B, B, B, B, B, B SFY2020-21
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-11-03 00:00:00 910016134 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-11 00:00:00 2020-06-11 00:00:00 No 2020-11-25 00:00:00 None B None 2000 2000 -700 1300 0 None 8I7V11 N CA00692277, CA00692277 B, B SFY2020-21
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-11-04 00:00:00 910016137 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-26 00:00:00 2020-05-26 00:00:00 No 2020-11-30 00:00:00 None B None 2000 6000 -2100 3900 0 None IFXB11 N CA00690453 B SFY2020-21
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-11-12 00:00:00 910016149 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-22 00:00:00 2020-08-22 00:00:00 No 2020-12-07 00:00:00 None B None 2000 2000 -700 1300 0 None CTIQ11 N CA00701214, CA00701214 B, B SFY2020-21
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2020-11-12 00:00:00 910016150 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-26 00:00:00 2019-07-26 00:00:00 No 2020-12-07 00:00:00 None B None 2000 2000 -700 1300 0 None IDCI11 N CA00648008 A SFY2020-21
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-11-18 00:00:00 910016151 Closed Citation Citation A (HSC 1424) Patient Care None 2020-02-22 00:00:00 2020-02-22 00:00:00 No 2020-12-11 00:00:00 None A None 20000 20000 -7000 13000 0 None BJ2S11 N CA00677690 A SFY2020-21
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-11-18 00:00:00 910016160 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-24 00:00:00 2020-08-24 00:00:00 No 2020-12-11 00:00:00 None B None 2000 2000 0 2000 0 None 42W211 N CA00702887 B SFY2020-21
910000060 MARYCREST MANOR LTC SNF Skilled Nursing Facility LA Region 3 2020-11-19 00:00:00 910016161 Closed Citation Citation A (HSC 1424) Patient Care None 2020-03-08 00:00:00 2020-03-08 00:00:00 No 2020-12-14 00:00:00 None A None 20000 20050 -7000 13050 0 None S0N711 N CA00680018 B SFY2020-21
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2020-12-02 00:00:00 910016176 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-08 00:00:00 2018-04-08 00:00:00 No 2020-12-23 00:00:00 None B None 2000 2000 -700 1300 0 None V3UX11 N CA00581890 B SFY2020-21
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-12-03 00:00:00 910016177 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-06 00:00:00 2020-10-06 00:00:00 No 2020-12-24 00:00:00 None B None 2000 2000 -700 1300 0 None 9LWX11 N CA00707182, CA00707182 B, B SFY2020-21
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2020-12-04 00:00:00 910016184 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-09-23 00:00:00 2020-09-23 00:00:00 No 2020-12-28 00:00:00 None B None 2000 2300 0 2300 0 None PI1T11 N CA00707798 A SFY2020-21
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-12-04 00:00:00 910016185 Closed Citation Citation A (HSC 1424) Patient Care None 2020-09-10 00:00:00 2020-09-10 00:00:00 No 2020-12-28 00:00:00 None A None 20000 20000 0 20000 0 None L3I311 Y CA00704763, CA00704763 A, A SFY2020-21
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-12-11 00:00:00 910016193 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-30 00:00:00 2020-06-30 00:00:00 No 2021-01-05 00:00:00 None B None 2000 2000 0 2000 0 None 0NCS11 N CA00705109, CA00705109 A, A SFY2020-21
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-12-11 00:00:00 910016194 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2020-06-30 00:00:00 2020-06-30 00:00:00 No 2021-01-05 00:00:00 None WF None 2000 2000 0 2000 0 None 0NCS11 None CA00705109, CA00705109, CA00705109 A, A, A SFY2020-21
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2020-12-16 00:00:00 910016196 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-13 00:00:00 2020-07-13 00:00:00 No 2021-01-08 00:00:00 None B None 2000 2000 -700 1300 0 None M9SS11 N CA00709215, CA00709215, CA00709215 B, B, B SFY2020-21
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-12-16 00:00:00 910016197 Open Citation Citation B (HSC 1424) Patient Care None 2019-09-16 00:00:00 2019-09-16 00:00:00 Yes 2021-01-08 00:00:00 2021-01-07 00:00:00 B None 2000 2100 0 0 2100 None DRXI11 N CA00654995, CA00654995 A, A SFY2020-21
940000069 BROOKFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-12-24 00:00:00 910016214 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-09-23 00:00:00 2020-09-23 00:00:00 No 2021-01-19 00:00:00 None B None 2000 2000 0 2000 0 None BEWE11 N CA00706557 B SFY2020-21
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-12-24 00:00:00 910016217 Closed Citation Citation A (HSC 1424) Patient Care None 2020-09-24 00:00:00 2020-09-24 00:00:00 No 2021-01-19 00:00:00 None A None 20000 20000 -7000 13000 0 None 9RDC11 N CA00706712 B SFY2020-21
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-12-31 00:00:00 910016222 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-09 00:00:00 2020-06-09 00:00:00 No 2021-01-25 00:00:00 None B None 2000 2000 0 2000 0 None BFU111 N CA00707893, CA00707893 B, B SFY2020-21
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-01-08 00:00:00 910016231 Closed Citation Citation AA (HSC 1424) Patient Care None 2020-09-01 00:00:00 2020-09-01 00:00:00 Yes 2021-02-01 00:00:00 2021-01-15 00:00:00 AA AA 100000 70750 -750 70000 0 None F04E11 Y CA00711980, CA00711980 A, A SFY2020-21
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-01-07 00:00:00 910016232 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-07-06 00:00:00 2020-07-06 00:00:00 No 2021-01-29 00:00:00 None B None 2000 2000 -700 1300 0 None WRW411 N CA00695788, CA00695788 B, B SFY2020-21
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2021-01-13 00:00:00 910016238 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-22 00:00:00 2020-10-22 00:00:00 No 2021-02-04 00:00:00 None B None 2000 2000 0 2000 0 None SQCO11 N CA00709714 B SFY2020-21
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-01-14 00:00:00 910016241 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-01 00:00:00 2020-09-01 00:00:00 Yes 2021-02-05 00:00:00 2021-01-15 00:00:00 B B 2000 2250 -450 1800 0 None F04E11 Y CA00711980, CA00711980 A, A SFY2020-21
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2021-01-21 00:00:00 910016247 Closed Citation Citation A (HSC 1424) Patient Care None 2020-07-28 00:00:00 2020-07-28 00:00:00 No 2021-02-11 00:00:00 None A None 20000 60000 -21000 39000 0 None CGN911 N CA00699255, CA00699255 A, A SFY2020-21
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2021-01-27 00:00:00 910016253 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-21 00:00:00 2020-10-21 00:00:00 No 2021-02-18 00:00:00 None B None 2000 2000 0 2000 0 None T0OJ11 N None None SFY2020-21
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-02-04 00:00:00 910016265 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-09 00:00:00 2020-11-09 00:00:00 No 2021-02-26 00:00:00 None B None 2000 2000 -700 1300 0 None QT4X11 N CA00712165, CA00712165 B, B SFY2020-21
910000046 HARBOR POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-02-11 00:00:00 910016279 Closed Citation Citation A (HSC 1424) Patient Care None 2020-01-10 00:00:00 2020-01-10 00:00:00 Yes 2021-03-05 00:00:00 2021-02-12 00:00:00 A B 20000 20000 0 20000 0 None 1RH811 Y CA00705431, CA00705431, CA00705431 B, B, B SFY2020-21
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-02-12 00:00:00 910016283 Closed Citation Citation A (HSC 1424) Patient Care None 2020-11-22 00:00:00 2020-11-22 00:00:00 No 2021-03-08 00:00:00 None A A 20000 15000 0 15000 0 None EGVZ11 N CA00713691, CA00713691, CA00713691, CA00714547 A, A, A, A SFY2020-21
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-02-26 00:00:00 910016312 Closed Citation Citation A (HSC 1424) Patient Care None 2020-12-23 00:00:00 2020-12-23 00:00:00 Yes 2021-03-19 00:00:00 2021-03-12 00:00:00 A B 12000 12100 -100 12000 0 None D9I811 Y None None SFY2020-21
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-03-05 00:00:00 910016326 Closed Citation Citation A (HSC 1424) Patient Care None 2020-12-09 00:00:00 2020-12-09 00:00:00 No 2021-03-26 00:00:00 None A None 20000 20000 -7000 13000 0 None 6KVO11 Y CA00715583, CA00715583, CA00715588, CA00715597, CA00715694, CA00715716, CA00716027, CA00716027, CA00716071 B, B, B, B, B, B, B, B, A SFY2020-21
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-03-05 00:00:00 910016327 Closed Citation Citation AA (HSC 1424) Patient Care None 2020-12-09 00:00:00 2020-12-09 00:00:00 Yes 2021-03-26 00:00:00 2021-03-26 00:00:00 AA A 100000 30000 0 30000 0 None 6KVO11 Y CA00715583, CA00715583, CA00715588, CA00715597, CA00715694, CA00715716, CA00716027, CA00716027, CA00716071 B, B, B, B, B, B, B, B, A SFY2020-21
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2021-03-05 00:00:00 910016329 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-31 00:00:00 2020-12-31 00:00:00 No 2021-03-26 00:00:00 None B None 2000 2000 -700 1300 0 None TXFB11 N CA00719297 A SFY2020-21
910000091 TORRANCE CARE CENTER WEST, INC. LTC SNF Skilled Nursing Facility LA Region 3 2021-03-12 00:00:00 910016340 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-14 00:00:00 2021-01-14 00:00:00 No 2021-04-05 00:00:00 None B None 2000 2000 -700 1300 0 None G7LZ11 N CA00721592 A SFY2020-21
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-03-18 00:00:00 910016341 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-01 00:00:00 2020-09-01 00:00:00 No 2021-04-09 00:00:00 None B None 2000 2000 0 2000 0 None RR9711 N CA00707125 B SFY2020-21
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-03-17 00:00:00 910016359 Closed Citation Citation B (HSC 1424) Other Infection Control 2020-12-28 00:00:00 2020-12-28 00:00:00 No 2021-04-08 00:00:00 None B None 2000 2000 0 2000 0 None 9DQP11 N CA00719341 A SFY2020-21
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-03-17 00:00:00 910016363 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-11 00:00:00 2020-12-11 00:00:00 No 2021-04-08 00:00:00 None B None 2000 2000 0 2000 0 None 0M0L11 N CA00716544 A SFY2020-21
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-03-24 00:00:00 910016373 Closed Citation Citation A (HSC 1424) Patient Care None 2020-10-28 00:00:00 2020-10-28 00:00:00 No 2021-04-15 00:00:00 None A None 20000 20000 -7000 13000 0 None LSQC11 N CA00711135 B SFY2020-21
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-03-25 00:00:00 910016374 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-26 00:00:00 2020-10-26 00:00:00 No 2021-04-16 00:00:00 None B None 2000 6500 0 6500 0 None DWIE11 N CA00711101 A SFY2020-21
940000010 BEL VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-03-24 00:00:00 910016377 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-27 00:00:00 2019-09-27 00:00:00 No 2021-04-15 00:00:00 None A None 20000 20000 -7000 13000 0 None RYDD11 N CA00656945 B SFY2020-21
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-03-25 00:00:00 910016383 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-20 00:00:00 2019-06-20 00:00:00 No 2021-04-16 00:00:00 None B None 2000 2000 -700 1300 0 None L5S511 N CA00642863 B SFY2020-21
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-03-25 00:00:00 910016384 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-06 00:00:00 2021-02-06 00:00:00 No 2021-04-16 00:00:00 None B None 2000 6000 -2100 3900 0 None L2O711 N CA00725312 A SFY2020-21
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-03-25 00:00:00 910016385 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-24 00:00:00 2021-01-24 00:00:00 No 2021-04-16 00:00:00 None B None 2000 2000 -700 1300 0 None 3UJ311 N CA00723465, CA00723465 B, B SFY2020-21
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-04-01 00:00:00 910016392 Open Citation Citation A (HSC 1424) Patient Care None 2020-12-30 00:00:00 2020-12-30 00:00:00 Yes 2021-04-22 00:00:00 2021-04-16 00:00:00 A None 20000 20000 0 0 20000 None 6EHU11 N CA00719216, CA00719216 B, B SFY2020-21
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2021-04-02 00:00:00 910016396 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-07 00:00:00 2019-09-07 00:00:00 No 2021-04-23 00:00:00 None B None 2000 2000 0 2000 0 None KIG511 N CA00653734 B SFY2020-21
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2021-04-16 00:00:00 910016423 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-27 00:00:00 2021-02-27 00:00:00 No 2021-05-07 00:00:00 None B None 2000 2000 -700 1300 0 None 773411 N CA00727240 A SFY2020-21
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-04-16 00:00:00 910016424 Closed Citation Citation A (HSC 1424) Patient Care None 2020-10-31 00:00:00 2020-10-31 00:00:00 Yes 2021-05-07 00:00:00 2021-04-23 00:00:00 A A 20000 13000 0 13000 0 None 4G0Q11 N CA00711326 B SFY2020-21
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2021-04-23 00:00:00 910016437 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-20 00:00:00 2021-02-20 00:00:00 No 2021-05-14 00:00:00 None B None 2000 6000 0 6000 0 None UXL811 N CA00726980, CA00726980, CA00727071, CA00727071, CA00727230, CA00727230, CA00727608, CA00727608, CA00727902, CA00727902, CA00727922, CA00727922 B, B, B, B, B, B, A, A, B, B, B, B SFY2020-21
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-04-23 00:00:00 910016438 Closed Citation Citation A (HSC 1424) Patient Care None 2020-10-03 00:00:00 2020-10-03 00:00:00 No 2021-05-14 00:00:00 None A None 20000 20000 -7000 13000 0 None 4BP311 N CA00708278 B SFY2020-21
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-04-23 00:00:00 910016439 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-28 00:00:00 2021-01-28 00:00:00 No 2021-05-14 00:00:00 None A None 20000 20000 -7000 13000 0 None 9OOY11 N CA00723212 B SFY2020-21
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-04-26 00:00:00 910016440 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-04 00:00:00 2021-01-04 00:00:00 No 2021-05-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 9OOY11 Y CA00723212, CA00723212 B, B SFY2020-21
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-04-30 00:00:00 910016456 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-01-25 00:00:00 2021-01-25 00:00:00 Yes 2021-05-21 00:00:00 2021-05-17 00:00:00 AA A 100000 75000 0 75000 0 None 54DN11 Y CA00722186, CA00722186, CA00722479, CA00722479, CA00722479, CA00722479 A, A, B, B, B, B SFY2020-21
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-04-30 00:00:00 910016457 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-02 00:00:00 2021-01-02 00:00:00 No 2021-05-21 00:00:00 None A None 20000 20000 0 20000 0 None E2IR11 Y CA00723608, CA00723608 B, B SFY2020-21
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-04-30 00:00:00 910016458 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-21 00:00:00 2020-12-21 00:00:00 No 2021-05-21 00:00:00 None B None 2000 2000 0 2000 0 None E2IR11 Y CA00723608, CA00723608, CA00723608 B, B, B SFY2020-21
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-05-05 00:00:00 910016473 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-24 00:00:00 2020-12-24 00:00:00 Yes 2021-05-26 00:00:00 2021-05-10 00:00:00 B B 2000 1800 0 1800 0 None D3PG11 N CA00718697 A SFY2020-21
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-05-06 00:00:00 910016479 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-07 00:00:00 2021-01-07 00:00:00 No 2021-05-27 00:00:00 None A None 20000 60000 -21000 39000 0 None 71SJ11 Y CA00722151, CA00722151 A, A SFY2020-21
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-05-13 00:00:00 910016496 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-25 00:00:00 2021-01-25 00:00:00 Yes 2021-06-04 00:00:00 2021-05-20 00:00:00 A A 20000 15000 0 15000 0 None 54DN11 Y CA00722186, CA00722186, CA00722186, CA00722479, CA00722479, CA00722479, CA00722479, CA00722479 A, A, A, B, B, B, B, B SFY2020-21
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2021-05-13 00:00:00 910016498 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-06 00:00:00 2021-03-06 00:00:00 Yes 2021-06-04 00:00:00 2021-06-03 00:00:00 A A 20000 14450 -450 14000 0 None OJ2711 N CA00729119, CA00729119, CA00729140, CA00729140 A, A, A, A SFY2020-21
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-05-13 00:00:00 910016499 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-10 00:00:00 2021-03-10 00:00:00 No 2021-06-04 00:00:00 None A None 20000 60000 -21000 39000 0 None TSVH11 N CA00728749, CA00728749 B, B SFY2020-21
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-05-14 00:00:00 910016501 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-12 00:00:00 2021-02-12 00:00:00 No 2021-06-07 00:00:00 None B None 2000 2000 -700 1300 0 None UJQ811 N CA00726834, CA00726834 B, B SFY2020-21
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2021-05-18 00:00:00 910016511 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-23 00:00:00 2021-03-23 00:00:00 No 2021-06-09 00:00:00 None B None 2000 6000 -2100 3900 0 None 9U8D11 N CA00729612, CA00729612 B, B SFY2020-21
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2021-05-19 00:00:00 910016519 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-19 00:00:00 2021-03-19 00:00:00 No 2021-06-10 00:00:00 None B None 2000 6000 -2100 3900 0 None 9U8D11 N CA00729612, CA00729612, CA00729612, CA00729991, CA00730124 B, B, B, A, A SFY2020-21
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2021-05-19 00:00:00 910016520 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-04 00:00:00 2017-12-04 00:00:00 No 2021-06-10 00:00:00 None B None 2000 2000 -700 1300 0 None HMIN11 N CA00563729 A SFY2020-21
940000024 NORWALK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2021-05-20 00:00:00 910016528 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-20 00:00:00 2021-03-20 00:00:00 No 2021-06-11 00:00:00 None A None 20000 20000 0 20000 0 None 1INL11 N CA00729943, CA00730109, CA00730109, CA00730109 B, A, A, A SFY2020-21
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2021-05-20 00:00:00 910016530 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-21 00:00:00 2021-03-21 00:00:00 No 2021-06-11 00:00:00 None B None 2000 2000 -700 1300 0 None 9U8D11 N CA00730124, CA00730124 A, A SFY2020-21
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-05-26 00:00:00 910016542 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-28 00:00:00 2021-03-28 00:00:00 Yes 2021-06-17 00:00:00 2021-05-28 00:00:00 A A 20000 17000 0 17000 0 None YKFG11 N CA00730949 B SFY2020-21
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-05-27 00:00:00 910016546 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-13 00:00:00 2021-01-13 00:00:00 No 2021-06-18 00:00:00 None A None 20000 20000 -7000 13000 0 None O4MF11 N CA00727078, CA00727078 B, B SFY2020-21
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-06-04 00:00:00 910016566 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-05-14 00:00:00 2018-05-14 00:00:00 No 2021-06-25 00:00:00 None B None 2000 2000 -700 1300 0 None 164411 N CA00586927 B SFY2020-21
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-06-04 00:00:00 910016567 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-27 00:00:00 2020-12-27 00:00:00 No 2021-06-25 00:00:00 None B None 2000 6450 -2100 4350 0 None 4XU911 N CA00720125, CA00720125 B, B SFY2020-21
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-06-04 00:00:00 910016568 Closed Citation Citation A (HSC 1424) Patient Care None 2020-12-30 00:00:00 2020-12-30 00:00:00 Yes 2021-06-25 00:00:00 2021-06-11 00:00:00 A A 20000 10450 -450 10000 0 None GW4U11 N CA00720002, CA00720002, CA00720002 A, A, A SFY2020-21
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-06-08 00:00:00 910016570 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-06 00:00:00 2021-04-06 00:00:00 No 2021-06-29 00:00:00 None B None 2000 2000 0 2000 0 None NW4N11 N None None SFY2020-21
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-06-07 00:00:00 910016572 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-15 00:00:00 2021-04-15 00:00:00 No 2021-06-28 00:00:00 None A None 20000 20000 -7000 13000 0 None 7Z5P11 N CA00732563 B SFY2020-21
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-06-17 00:00:00 910016617 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-25 00:00:00 2021-03-25 00:00:00 No 2021-07-08 00:00:00 None A None 20000 20000 -7000 13000 0 None D6JQ11 N CA00730628, CA00730693 A, A SFY2020-21
940000016 BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-06-25 00:00:00 910016648 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-04 00:00:00 2021-04-04 00:00:00 No 2021-07-16 00:00:00 None A None 10000 10000 0 10000 0 None SQY411 N CA00731409, CA00731409, CA00731409 B, B, B SFY2020-21
940000016 BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-06-25 00:00:00 910016649 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-04 00:00:00 2021-04-04 00:00:00 No 2021-07-16 00:00:00 None A None 10000 10000 0 10000 0 None SQY411 N CA00731409, CA00731409, CA00731409 B, B, B SFY2020-21
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-06-25 00:00:00 910016652 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-10 00:00:00 2021-05-10 00:00:00 No 2021-07-16 00:00:00 None B None 2000 2000 0 2000 0 None 70TL21 N None None SFY2020-21
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-07-09 00:00:00 910016708 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-29 00:00:00 2018-04-29 00:00:00 No 2021-07-30 00:00:00 None B None 2000 2000 -700 1300 0 None VNR911 N CA00585367 B SFY2021-22
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-07-14 00:00:00 910016716 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-01 00:00:00 2019-09-01 00:00:00 No 2021-08-04 00:00:00 None B None 2000 2000 -700 1300 0 None 6VM911 N CA00652931, CA00652931 A, A SFY2021-22
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-07-16 00:00:00 910016730 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-25 00:00:00 2021-05-25 00:00:00 No 2021-08-06 00:00:00 None B None 2000 2000 -700 1300 0 None 457711 N None None SFY2021-22
910000055 LOMITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-07-16 00:00:00 910016731 Closed Citation Citation A (HSC 1424) Patient Care None 2020-11-14 00:00:00 2020-11-14 00:00:00 No 2021-08-06 00:00:00 None A None 15000 15000 -5250 9750 0 None F00511 N CA00734032 B SFY2021-22
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-07-23 00:00:00 910016757 Open Citation Citation A (HSC 1424) Patient Care None 2021-05-23 00:00:00 2021-05-23 00:00:00 Yes 2021-08-13 00:00:00 2021-08-11 00:00:00 A A 20000 18000 0 3000 15000 None L9Z511 N CA00738205, CA00738205 A, A SFY2021-22
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-07-23 00:00:00 910016758 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-19 00:00:00 2021-04-19 00:00:00 Yes 2021-08-13 00:00:00 2021-08-09 00:00:00 A A 10000 8650 -1150 7500 0 None D13S11 N CA00733495, CA00733495 B, B SFY2021-22
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2021-07-23 00:00:00 910016759 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-10 00:00:00 2021-03-10 00:00:00 No 2021-08-13 00:00:00 None B None 2000 2000 -700 1300 0 None 6RE111 N CA00734179 B SFY2021-22
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-07-28 00:00:00 910016767 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-23 00:00:00 2021-01-23 00:00:00 Yes 2021-08-18 00:00:00 2021-08-05 00:00:00 A A 18000 16000 0 16000 0 None ZSTS11 N CA00722963, CA00722963 B, B SFY2021-22
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-07-28 00:00:00 910016771 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-05 00:00:00 2021-05-05 00:00:00 Yes 2021-08-18 00:00:00 2021-08-16 00:00:00 A A 20000 15000 0 15000 0 None Y0CZ11 N CA00734490, CA00734490, CA00734490, CA00734490 B, B, B, B SFY2021-22
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-07-28 00:00:00 910016772 Closed Citation Citation A (HSC 1424) Patient Care None 2020-07-07 00:00:00 2020-07-07 00:00:00 Yes 2021-08-18 00:00:00 2021-08-05 00:00:00 A A 20000 15000 0 15000 0 None 9W6J11 N CA00696348 B SFY2021-22
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-07-28 00:00:00 910016773 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-05 00:00:00 2021-05-05 00:00:00 No 2021-08-18 00:00:00 None B None 2000 2000 0 2000 0 None Y0CZ11 N CA00734490, CA00734490, CA00734490, CA00734490 B, B, B, B SFY2021-22
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-07-29 00:00:00 910016777 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-01 00:00:00 2021-06-01 00:00:00 No 2021-08-19 00:00:00 None B None 2000 2000 -700 1300 0 None TTD811 N CA00739674 A SFY2021-22
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-08-13 00:00:00 910016819 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-18 00:00:00 2021-06-18 00:00:00 No 2021-09-03 00:00:00 None B None 2000 2000 -700 1300 0 None B0SI11 N CA00740890 A SFY2021-22
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2021-08-19 00:00:00 910016830 Closed Citation Citation A (HSC 1424) Patient Care None 2020-08-30 00:00:00 2020-08-30 00:00:00 No 2021-09-10 00:00:00 None A None 20000 20000 -7000 13000 0 None 1E4B11 N CA00739100, CA00739100, CA00739100 A, A, A SFY2021-22
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-08-26 00:00:00 910016832 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-20 00:00:00 2021-07-20 00:00:00 No 2021-09-17 00:00:00 None B None 2000 2000 -700 1300 0 None 9KF011 N None None SFY2021-22
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2021-08-30 00:00:00 910016866 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-02 00:00:00 2021-08-02 00:00:00 No 2021-09-21 00:00:00 None B None 2000 2000 0 2000 0 None GSLP11 N CA00746549, CA00746549 A, A SFY2021-22
940000072 MARLORA POST ACUTE REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-09-03 00:00:00 910016871 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-09-22 00:00:00 2018-09-22 00:00:00 No 2021-09-27 00:00:00 None B None 2000 2000 -700 1300 0 None DT2T11 N CA00605358, CA00605358 B, B SFY2021-22
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-09-01 00:00:00 910016884 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-16 00:00:00 2021-01-16 00:00:00 No 2021-09-23 00:00:00 None A None 15000 15000 -5250 9750 0 None HS5O11 N CA00732263, CA00732263, CA00732263 B, B, B SFY2021-22
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2021-09-07 00:00:00 910016896 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-06-17 00:00:00 2021-06-17 00:00:00 No 2021-09-28 00:00:00 None B None 2000 2000 -700 1300 0 None QX4311 N CA00742591, CA00742591 A, A SFY2021-22
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2021-09-08 00:00:00 910016902 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-17 00:00:00 2021-06-17 00:00:00 No 2021-09-29 00:00:00 None B None 2000 6000 0 6000 0 None QX4311 N CA00742591, CA00742591, CA00742591 A, A, A SFY2021-22
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2021-09-10 00:00:00 910016915 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-11 00:00:00 2021-06-11 00:00:00 Yes 2021-10-01 00:00:00 2021-09-14 00:00:00 A A 20000 14500 0 14500 0 None BW2F11 N CA00740312, CA00740312 A, A SFY2021-22
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-09-14 00:00:00 910016921 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-15 00:00:00 2021-06-15 00:00:00 No 2021-10-05 00:00:00 None B None 2000 2000 0 2000 0 None 1EZL11 N CA00740651, CA00740651, CA00740651, CA00740651, CA00741110 B, B, B, B, B SFY2021-22
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-09-14 00:00:00 910016923 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-15 00:00:00 2021-06-15 00:00:00 No 2021-10-05 00:00:00 None A None 20000 20000 -7000 13000 0 None 1EZL11 N CA00740651, CA00740651, CA00740651, CA00740651, CA00740651, CA00741110, CA00741110 B, B, B, B, B, B, B SFY2021-22
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-09-16 00:00:00 910016930 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-09 00:00:00 2021-06-09 00:00:00 Yes 2021-10-07 00:00:00 2021-10-06 00:00:00 A A 15000 12000 0 12000 0 None 9X4W11 N CA00740837, CA00740837, CA00741241, CA00741241, CA00741344 B, B, B, B, B SFY2021-22
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-09-22 00:00:00 910016949 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-19 00:00:00 2021-06-19 00:00:00 No 2021-10-13 00:00:00 None A None 16000 16000 -5600 10400 0 None L6V811 N CA00741501, CA00741501 B, B SFY2021-22
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-09-29 00:00:00 910016967 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-06-10 00:00:00 2021-06-10 00:00:00 Yes 2021-10-20 00:00:00 2021-10-06 00:00:00 AA A 100000 90000 0 90000 0 None 7I9K11 Y CA00743409, CA00743409 A, A SFY2021-22
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-10-08 00:00:00 910016997 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-18 00:00:00 2021-06-18 00:00:00 No 2021-10-29 00:00:00 None B None 2000 2000 0 2000 0 None JS8011 N CA00737001 B SFY2021-22
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-10-08 00:00:00 910016998 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-18 00:00:00 2021-06-18 00:00:00 No 2021-10-29 00:00:00 None B None 2000 2000 0 2000 0 None JS8011 N CA00737001, CA00737001 B, B SFY2021-22
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-10-08 00:00:00 910016999 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-14 00:00:00 2021-08-14 00:00:00 No 2021-10-29 00:00:00 None B None 2000 2000 0 2000 0 None 48PO11 N CA00743348, CA00743348 B, B SFY2021-22
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-10-08 00:00:00 910017000 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-29 00:00:00 2021-07-29 00:00:00 No 2021-10-29 00:00:00 None B None 2000 2000 -700 1300 0 None 31NT11 N None None SFY2021-22
970000052 ST. ANDREWS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2021-10-18 00:00:00 910017022 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-08-18 00:00:00 2021-08-18 00:00:00 Yes 2021-11-08 00:00:00 2021-11-01 00:00:00 AA AA 100000 100000 0 100000 0 None 62HS11 Y CA00749038 A SFY2021-22
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-10-26 00:00:00 910017044 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-23 00:00:00 2021-08-23 00:00:00 No 2021-11-17 00:00:00 None B None 2000 2000 0 2000 0 None FCQ111 N CA00750019, CA00750019 A, A SFY2021-22
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-10-28 00:00:00 910017048 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-10 00:00:00 2021-08-10 00:00:00 No 2021-11-19 00:00:00 None B None 2000 2000 -700 1300 0 None JOOY11 N CA00747741, CA00747741 A, A SFY2021-22
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2021-10-29 00:00:00 910017057 Closed Citation Citation A (HSC 1424) Patient Care None 2020-10-17 00:00:00 2020-10-17 00:00:00 Yes 2021-11-22 00:00:00 2021-11-18 00:00:00 A A 12000 12000 0 12000 0 None YXVN11 N CA00709893 A SFY2021-22
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-11-10 00:00:00 910017081 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-25 00:00:00 2021-09-25 00:00:00 No 2021-12-06 00:00:00 None B None 2000 2000 0 2000 0 None 4JB911 N CA00754612, CA00754612 A, A SFY2021-22
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2021-11-17 00:00:00 910017107 Open Citation Citation B (HSC 1424) Other Dietary 2021-10-13 00:00:00 2021-10-13 00:00:00 Yes 2021-12-10 00:00:00 2021-12-13 00:00:00 B None 2000 2000 0 0 2000 None 3E9511 N None None SFY2021-22
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-11-18 00:00:00 910017108 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-16 00:00:00 2021-08-16 00:00:00 No 2021-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None 06VS11 N CA00749011 B SFY2021-22
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2021-12-03 00:00:00 910017149 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-11 00:00:00 2021-05-11 00:00:00 Yes 2021-12-24 00:00:00 2021-12-13 00:00:00 A A 16000 11200 0 11200 0 None 4I5B11 N CA00736545 B SFY2021-22
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-12-03 00:00:00 910017150 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-15 00:00:00 2021-10-15 00:00:00 No 2021-12-24 00:00:00 None B None 2000 6000 -2100 3900 0 None 6JTL11 N CA00756647 A SFY2021-22
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-03 00:00:00 910017151 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-13 00:00:00 2021-10-13 00:00:00 No 2021-12-24 00:00:00 None B None 2000 6000 0 6000 0 None YTQ311 N None None SFY2021-22
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-03 00:00:00 910017152 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-10-13 00:00:00 2021-10-13 00:00:00 Yes 2021-12-24 00:00:00 2021-12-13 00:00:00 AA A 100000 100650 -650 100000 0 None YTQ311 N None None SFY2021-22
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-09 00:00:00 910017175 Closed Citation Citation A (HSC 1424) Patient Care None 2020-10-07 00:00:00 2020-10-07 00:00:00 No 2021-12-30 00:00:00 None A None 16000 16000 -5600 10400 0 None W4V611 N CA00708310 B SFY2021-22
940000073 HUNTINGTON PARK NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-10 00:00:00 910017179 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-14 00:00:00 2018-04-14 00:00:00 No 2021-12-31 00:00:00 None B None 2000 2000 -700 1300 0 None WFPM11 N CA00582832, CA00582832, CA00582832, CA00582832 B, B, B, B SFY2021-22
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-13 00:00:00 910017186 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-21 00:00:00 2021-10-21 00:00:00 No 2022-01-03 00:00:00 None B None 2000 2000 -700 1300 0 None W31N11 N CA00757730 A SFY2021-22
910000024 CLEAR VIEW CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-13 00:00:00 910017187 Closed Citation Citation B (HSC 1424) Administration None 2021-08-27 00:00:00 2021-08-27 00:00:00 No 2022-01-03 00:00:00 None B None 2000 2000 -700 1300 0 None A6UV11 N None None SFY2021-22
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-21 00:00:00 910017202 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-13 00:00:00 2021-10-13 00:00:00 No 2022-01-11 00:00:00 None B None 2000 6000 0 6000 0 None YTQ311 N None None SFY2021-22
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-17 00:00:00 910017207 Closed Citation Citation A (HSC 1424) Patient Care None 2021-09-14 00:00:00 2021-09-14 00:00:00 Yes 2022-01-07 00:00:00 2021-12-28 00:00:00 A B 20000 20000 0 20000 0 None 79F911 Y CA00753888 A SFY2021-22
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-12-20 00:00:00 910017209 Closed Citation Citation A (HSC 1424) Patient Care None 2021-07-18 00:00:00 2021-07-18 00:00:00 Yes 2022-01-10 00:00:00 2021-12-28 00:00:00 A A 20000 20300 -300 20000 0 None 1VEG11 N CA00745886, CA00745886 A, A SFY2021-22
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-21 00:00:00 910017214 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-04 00:00:00 2021-02-04 00:00:00 No 2022-01-11 00:00:00 None B None 2000 2000 -700 1300 0 None DJCD11 N CA00753926, CA00755120 B, B SFY2021-22
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-29 00:00:00 910017234 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-05 00:00:00 2021-11-05 00:00:00 No 2022-01-20 00:00:00 None B None 2000 2000 0 2000 0 None TLIY11 N CA00758483 B SFY2021-22
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-30 00:00:00 910017240 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-25 00:00:00 2021-08-25 00:00:00 No 2022-01-21 00:00:00 None B None 2000 2000 0 2000 0 None VQWQ11 N CA00749916, CA00749916 A, A SFY2021-22
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-30 00:00:00 910017241 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse/Self Reported 2021-10-13 00:00:00 2021-10-13 00:00:00 No 2022-01-21 00:00:00 None B None 2000 2000 0 2000 0 None 2C8711 N CA00756889 B SFY2021-22
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-30 00:00:00 910017242 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-05 00:00:00 2021-05-05 00:00:00 Yes 2022-01-21 00:00:00 2022-01-05 00:00:00 A B 20000 20000 0 20000 0 None 5AZW11 N CA00735487, CA00735487 A, A SFY2021-22
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-01-07 00:00:00 910017254 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-10 00:00:00 2021-08-10 00:00:00 No 2022-01-31 00:00:00 None B None 2000 2000 -700 1300 0 None NCEH11 N CA00749245 A SFY2021-22
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-01-07 00:00:00 910017255 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-11 00:00:00 2021-10-11 00:00:00 No 2022-01-31 00:00:00 None B None 2000 2000 0 2000 0 None WF3W11 N CA00756612, CA00756612 B, B SFY2021-22
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-01-13 00:00:00 910017267 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-17 00:00:00 2021-09-17 00:00:00 No 2022-02-04 00:00:00 None B None 2000 2000 -700 1300 0 None DJ4T11 N CA00753422, CA00753438 B, B SFY2021-22
940000016 BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-01-20 00:00:00 910017278 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-12-08 00:00:00 2021-12-08 00:00:00 No 2022-02-10 00:00:00 None B None 2000 2000 -700 1300 0 None FGL911 N CA00763706 A SFY2021-22
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-01-20 00:00:00 910017281 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-06 00:00:00 2021-07-06 00:00:00 No 2022-02-10 00:00:00 None B None 2000 2000 -700 1300 0 None UKU911 N CA00745212 A SFY2021-22
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-01-20 00:00:00 910017282 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-08 00:00:00 2021-10-08 00:00:00 No 2022-02-10 00:00:00 None B None 2000 2000 0 2000 0 None 7FSI11 N CA00756809 B SFY2021-22
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2022-02-03 00:00:00 910017313 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-16 00:00:00 2021-12-16 00:00:00 No 2022-02-25 00:00:00 None B None 2000 2000 -700 1300 0 None B02P11 N CA00764819 A SFY2021-22
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-03 00:00:00 910017314 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-10-03 00:00:00 2021-10-03 00:00:00 No 2022-02-25 00:00:00 None B None 2000 2000 0 2000 0 None SOJK11 N CA00758955 C SFY2021-22
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-03 00:00:00 910017318 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-17 00:00:00 2021-12-17 00:00:00 Yes 2022-02-25 00:00:00 2022-02-23 00:00:00 B B 2000 1600 0 1600 0 None NSXE11 N None None SFY2021-22
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-04 00:00:00 910017326 Closed Citation Citation A (HSC 1424) Patient Care None 2021-02-24 00:00:00 2021-02-24 00:00:00 No 2022-02-28 00:00:00 None A None 20000 20000 0 20000 0 None 2BNL11 N CA00758656, CA00758656 B, B SFY2021-22
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2022-02-08 00:00:00 910017327 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-23 00:00:00 2021-12-23 00:00:00 No 2022-03-02 00:00:00 None B None 2000 2000 0 2000 0 None 6N6H11 N CA00765708 A SFY2021-22
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-07 00:00:00 910017328 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-13 00:00:00 2021-12-13 00:00:00 No 2022-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None LWI911 N None None SFY2021-22
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-02-08 00:00:00 910017329 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-07 00:00:00 2021-11-07 00:00:00 No 2022-03-02 00:00:00 None B None 2000 4800 -700 4100 0 None NZG011 N CA00761706 A SFY2021-22
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-07 00:00:00 910017333 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-28 00:00:00 2021-11-28 00:00:00 No 2022-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None LWI911 N None None SFY2021-22
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-07 00:00:00 910017334 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-12-14 00:00:00 2021-12-14 00:00:00 No 2022-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None LWI911 N None None SFY2021-22
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2022-02-09 00:00:00 910017340 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-23 00:00:00 2021-09-23 00:00:00 No 2022-03-03 00:00:00 None B None 2000 2000 -700 1300 0 None IQOZ11 N CA00765332 B SFY2021-22
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-17 00:00:00 910017367 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-23 00:00:00 2021-12-23 00:00:00 No 2022-03-11 00:00:00 None B None 2000 2000 -700 1300 0 None HJUM11 N CA00764385, CA00764385, CA00764385 B, B, B SFY2021-22
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2022-02-24 00:00:00 910017440 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-18 00:00:00 2021-12-18 00:00:00 No 2022-03-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 9U0G11 N None None SFY2021-22
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-03-01 00:00:00 910017452 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-30 00:00:00 2021-12-30 00:00:00 No 2022-03-22 00:00:00 None B None 1500 1600 -525 1075 0 None 8BYJ11 N None None SFY2021-22
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-03-03 00:00:00 910017463 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-19 00:00:00 2022-01-19 00:00:00 No 2022-03-24 00:00:00 None B None 3000 3000 -1050 1950 0 None TDVP11 N None None SFY2021-22
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-03-03 00:00:00 910017465 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-30 00:00:00 2021-12-30 00:00:00 No 2022-03-24 00:00:00 None B None 2000 2000 0 2000 0 None M2LQ11 N CA00766823 B SFY2021-22
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-03-14 00:00:00 910017493 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-27 00:00:00 2022-01-27 00:00:00 No 2022-04-05 00:00:00 None B None 3000 9000 -3150 5850 0 None W4RO11 N CA00770468, CA00770898 B, B SFY2021-22
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-03-17 00:00:00 910017505 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-16 00:00:00 2022-02-16 00:00:00 No 2022-04-08 00:00:00 None B None 2000 2000 -700 1300 0 None ODP811 N CA00765523 B SFY2021-22
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2022-03-17 00:00:00 910017510 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-26 00:00:00 2022-01-26 00:00:00 No 2022-04-08 00:00:00 None B None 3000 3000 -1050 1950 0 None 7TR111 N CA00769895 B SFY2021-22
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2022-03-23 00:00:00 910017523 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-09 00:00:00 2022-02-09 00:00:00 No 2022-04-14 00:00:00 None B None 2000 2000 -700 1300 0 None IG1Q11 N None None SFY2021-22
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-04-01 00:00:00 910017538 Closed Citation Citation A (HSC 1424) Patient Care None 2022-02-09 00:00:00 2022-02-09 00:00:00 No 2022-04-22 00:00:00 None A None 20000 20000 0 20000 0 None EMHR11 N CA00772944, CA00772944 A, A SFY2021-22
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-04-01 00:00:00 910017540 Open Citation Citation A (HSC 1424) Patient Care None 2021-12-27 00:00:00 2021-12-27 00:00:00 Yes 2022-04-22 00:00:00 2022-04-19 00:00:00 A None 20000 60000 0 0 60000 None 2BNL11 N None None SFY2021-22
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-04-06 00:00:00 910017553 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-29 00:00:00 2022-01-29 00:00:00 No 2022-04-27 00:00:00 None B None 3000 3000 0 3000 0 None FG7S11 N None None SFY2021-22
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-04-15 00:00:00 910017578 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-12-09 00:00:00 2021-12-09 00:00:00 No 2022-05-06 00:00:00 None B None 2000 2000 -700 1300 0 None 0JXD11 N CA00764350 B SFY2021-22
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-04-28 00:00:00 910017604 Closed Citation Citation A (HSC 1424) Patient Care None 2021-11-28 00:00:00 2021-11-28 00:00:00 No 2022-05-19 00:00:00 None A None 20000 20000 -7000 13000 0 None TPML11 N CA00763222, CA00763222 B, B SFY2021-22
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-04-29 00:00:00 910017608 Closed Citation Citation A (HSC 1424) Patient Care None 2020-10-14 00:00:00 2020-10-14 00:00:00 No 2022-05-20 00:00:00 None A None 20000 20000 -7000 13000 0 None J19Y11 N CA00711465 B SFY2021-22
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-05-12 00:00:00 910017638 Open Citation Citation B (HSC 1424) Patient Care None 2022-03-27 00:00:00 2022-03-27 00:00:00 Yes 2022-06-03 00:00:00 2022-05-18 00:00:00 B B 3000 7000 0 9000 -2000 None CDJ711 N CA00778358 B SFY2021-22
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2022-05-20 00:00:00 910017653 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-04-04 00:00:00 2022-04-04 00:00:00 No 2022-06-13 00:00:00 None B None 2000 6000 0 6000 0 None VVXL11 N None None SFY2021-22
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-05-26 00:00:00 910017672 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-14 00:00:00 2022-04-14 00:00:00 No 2022-06-17 00:00:00 None B None 3000 3000 -1050 1950 0 None QD3T11 N CA00781168 A SFY2021-22
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2022-06-03 00:00:00 910017684 Closed Citation Citation A (HSC 1424) Patient Care None 2022-03-04 00:00:00 2022-03-04 00:00:00 No 2022-06-24 00:00:00 None A None 20000 20000 -7000 13000 0 None ODWN11 N CA00776260, CA00776260, CA00776260 A, A, A SFY2021-22
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2022-06-03 00:00:00 910017685 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-03-04 00:00:00 2022-03-04 00:00:00 No 2022-06-24 00:00:00 None B None 3000 3000 -1050 1950 0 None ODWN11 N CA00776260 A SFY2021-22
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2022-06-02 00:00:00 910017688 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-25 00:00:00 2022-04-25 00:00:00 No 2022-06-23 00:00:00 None B None 3000 3000 0 3000 0 None PNSV11 N CA00782255, CA00782255 A, A SFY2021-22
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-06-22 00:00:00 910017717 Closed Citation Citation B (HSC 1424) Patient Care None 2022-05-06 00:00:00 2022-05-06 00:00:00 Yes 2022-07-14 00:00:00 2022-07-14 00:00:00 B Drop>Deficiency 1500 4500 -4500 0 0 None 2GNO11 N None None SFY2021-22
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-06-22 00:00:00 910017724 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-28 00:00:00 2021-01-28 00:00:00 Yes 2022-07-14 00:00:00 2022-07-14 00:00:00 B B 2000 1700 0 1700 0 None 2GNO11 N None None SFY2021-22
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-06-22 00:00:00 910017726 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-14 00:00:00 2022-02-14 00:00:00 Yes 2022-07-14 00:00:00 2022-07-14 00:00:00 B B 1500 3825 0 3825 0 None 2GNO11 N None None SFY2021-22
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-06-24 00:00:00 910017739 Closed Citation Citation B (HSC 1424) Patient Care None 2022-05-07 00:00:00 2022-05-07 00:00:00 No 2022-07-18 00:00:00 None B None 3000 3000 -1050 1950 0 None NCH011 N CA00783962, CA00783962, CA00783962, CA00783962, CA00784090, CA00784090 A, A, A, A, B, B SFY2021-22
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-06-24 00:00:00 910017742 Closed Citation Citation A (HSC 1424) Patient Care None 2022-02-23 00:00:00 2022-02-23 00:00:00 No 2022-07-18 00:00:00 None A None 25000 25000 -8750 16250 0 None R2BE11 N CA00780669, CA00780669, CA00780669 A, A, A SFY2021-22
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-06-28 00:00:00 910017743 Closed Citation Citation A (HSC 1424) Patient Care None 2022-04-03 00:00:00 2022-04-03 00:00:00 Yes 2022-07-20 00:00:00 2022-07-13 00:00:00 A A 25000 18000 0 18000 0 None 9BPQ11 N CA00779152, CA00779580 A, A SFY2021-22
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-06-29 00:00:00 910017746 Closed Citation Citation B (HSC 1424) Patient Care None 2022-05-09 00:00:00 2022-05-09 00:00:00 No 2022-07-21 00:00:00 None B None 3000 3000 -1050 1950 0 None WTUS11 N CA00784074 A SFY2021-22
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-07-01 00:00:00 910017760 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-03-08 00:00:00 2022-03-08 00:00:00 No 2022-07-25 00:00:00 None B None 2000 2000 -700 1300 0 None Q0NP11 N CA00777189 B SFY2022-23
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-07-08 00:00:00 910017766 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-13 00:00:00 2021-10-13 00:00:00 No 2022-07-29 00:00:00 None B None 1000 1000 -350 650 0 None 0PN111 Y CA00757593 A SFY2022-23
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-07-08 00:00:00 910017767 Closed Citation Citation A (HSC 1424) Patient Care None 2022-01-01 00:00:00 2022-01-01 00:00:00 No 2022-07-29 00:00:00 None A None 25000 25000 -8750 16250 0 None 2UCY11 N CA00773609 B SFY2022-23
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-07-13 00:00:00 910017782 Closed Citation Citation A (HSC 1424) Patient Care None 2022-01-17 00:00:00 2022-01-17 00:00:00 Yes 2022-08-03 00:00:00 2022-07-26 00:00:00 A A 25000 17500 0 17500 0 None RMT311 N CA00769429 B SFY2022-23
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-07-13 00:00:00 910017783 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-20 00:00:00 2021-04-20 00:00:00 No 2022-08-03 00:00:00 None B None 2000 6000 -2100 3900 0 None SCEI11 N CA00734735 B SFY2022-23
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-07-19 00:00:00 910017793 Open Citation Citation B (HSC 1424) Patient Care None 2022-04-29 00:00:00 2022-04-29 00:00:00 No 2022-08-09 00:00:00 None B None 3000 3000 0 0 3000 None RIHP11 N CA00783028, CA00783635, CA00786257 A, A, A SFY2022-23
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-07-19 00:00:00 910017797 Open Citation Citation B (HSC 1424) Patient Care None 2022-06-15 00:00:00 2022-06-15 00:00:00 No 2022-08-09 00:00:00 None B None 3000 3000 0 1950 1050 None 8WM111 N CA00789207, CA00789207 A, A SFY2022-23
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-07-21 00:00:00 910017810 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-05-04 00:00:00 2022-05-04 00:00:00 No 2022-08-11 00:00:00 None B None 3000 3000 0 3000 0 None HFZ911 N CA00783790 B SFY2022-23
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-07-21 00:00:00 910017811 Open Citation Citation B (HSC 1424) Patient Care None 2022-06-15 00:00:00 2022-06-15 00:00:00 No 2022-08-11 00:00:00 None B None 3000 3000 0 0 3000 None 8WM111 N None None SFY2022-23
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-07-22 00:00:00 910017813 Open Citation Citation B (HSC 1424) Patient Care None 2022-06-15 00:00:00 2022-06-15 00:00:00 No 2022-08-12 00:00:00 None B None 3000 3000 0 0 3000 None 8WM111 N CA00789207 A SFY2022-23
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-08-02 00:00:00 910017869 Closed Citation Citation A (HSC 1424) Patient Care None 2022-02-27 00:00:00 2022-02-27 00:00:00 No 2022-08-23 00:00:00 None A None 25000 25000 -8750 16250 0 None YWGV11 N CA00774970, CA00774970 B, B SFY2022-23
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-08-04 00:00:00 910017875 Closed Citation Citation A (HSC 1424) Patient Care None 2022-04-14 00:00:00 2022-04-14 00:00:00 No 2022-08-25 00:00:00 None A None 25000 25000 0 25000 0 None CU4Q11 N CA00781011 B SFY2022-23
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2022-08-12 00:00:00 910017895 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-13 00:00:00 2022-04-13 00:00:00 No 2022-09-02 00:00:00 None B None 3000 3000 -1050 1950 0 None B38O11 N CA00787799, CA00787799 A, A SFY2022-23
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-08-25 00:00:00 910017933 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-05 00:00:00 2022-06-05 00:00:00 No 2022-09-16 00:00:00 None B None 3000 3000 -1050 1950 0 None NGX811 N CA00788768, CA00788768 A, A SFY2022-23
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-09-01 00:00:00 910017953 Closed Citation Citation A (HSC 1424) Patient Care None 2022-05-04 00:00:00 2022-05-04 00:00:00 No 2022-09-23 00:00:00 None A None 25000 25000 -8750 16250 0 None U8CD11 N CA00786990, CA00786990, CA00787680, CA00787680 A, A, B, B SFY2022-23
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-09-02 00:00:00 910017961 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-20 00:00:00 2021-04-20 00:00:00 No 2022-09-26 00:00:00 None B None 2000 2000 0 2000 0 None 41T811 N CA00744413 A SFY2022-23
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-09-02 00:00:00 910017963 Closed Citation Citation B (HSC 1424) Patient Care None 2022-07-13 00:00:00 2022-07-13 00:00:00 No 2022-09-26 00:00:00 None B None 3000 3000 -1050 1950 0 None 1J7E11 N CA00792229 A SFY2022-23
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-09-07 00:00:00 910017969 Closed Citation Citation B (HSC 1424) Patient Care None 2022-07-13 00:00:00 2022-07-13 00:00:00 No 2022-09-28 00:00:00 None B None 3000 3000 0 3000 0 None 1J7E11 N CA00792229 A SFY2022-23
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-09-15 00:00:00 910017998 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-15 00:00:00 2022-06-15 00:00:00 No 2022-10-06 00:00:00 None A None 20000 60000 -21000 39000 0 None HE9211 N None None SFY2022-23
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-09-29 00:00:00 910018027 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-08-19 00:00:00 2022-08-19 00:00:00 No 2022-10-20 00:00:00 None B None 3000 3000 -1050 1950 0 None 8YM611 N CA00797082 A SFY2022-23
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-09-29 00:00:00 910018029 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-12 00:00:00 2022-08-12 00:00:00 No 2022-10-20 00:00:00 None B None 3000 3000 0 3000 0 None ML2011 N None None SFY2022-23
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-09-30 00:00:00 910018038 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-17 00:00:00 2022-06-17 00:00:00 No 2022-10-21 00:00:00 None B None 3000 3000 -1050 1950 0 None NMLG11 N CA00789786 A SFY2022-23
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-10-07 00:00:00 910018065 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-23 00:00:00 2022-07-23 00:00:00 No 2022-10-28 00:00:00 None A None 25000 25000 -8750 16250 0 None X2VL11 N CA00795827 B SFY2022-23
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-10-07 00:00:00 910018069 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-06-09 00:00:00 2022-06-09 00:00:00 No 2022-10-28 00:00:00 None B None 3000 3000 0 3000 0 None 0TMY11 N None None SFY2022-23
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-10-12 00:00:00 910018078 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-12 00:00:00 2022-07-12 00:00:00 No 2022-11-02 00:00:00 None A None 25000 25000 0 25000 0 None X5QM11 N CA00796753, CA00796753, CA00796753 B, B, B SFY2022-23
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2022-10-12 00:00:00 910018081 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-03-01 00:00:00 2022-03-01 00:00:00 No 2022-11-02 00:00:00 None B None 3000 3000 -1050 1950 0 None Y70E11 N CA00779679, CA00779679 A, A SFY2022-23
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-10-14 00:00:00 910018084 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-23 00:00:00 2022-06-23 00:00:00 No 2022-11-04 00:00:00 None A None 10000 10000 -3500 6500 0 None JCHN11 N CA00790725, CA00790725 B, B SFY2022-23
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-10-19 00:00:00 910018099 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-28 00:00:00 2022-08-28 00:00:00 No 2022-11-09 00:00:00 None B None 3000 3000 0 3000 0 None G37511 N CA00800562, CA00800665 A, A SFY2022-23
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2022-10-21 00:00:00 910018110 Open Citation Citation A (HSC 1424) Patient Care None 2021-12-17 00:00:00 2021-12-17 00:00:00 Yes 2022-11-14 00:00:00 2022-11-04 00:00:00 A None 20000 20000 0 0 20000 None PCTR11 N CA00796927, CA00796927, CA00796927 B, B, B SFY2022-23
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-11-02 00:00:00 910018132 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-14 00:00:00 2022-09-14 00:00:00 No 2022-11-28 00:00:00 None B None 2000 2000 -700 1300 0 None GBO111 N CA00803302, CA00803302 A, A SFY2022-23
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-11-03 00:00:00 910018133 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-07-06 00:00:00 2022-07-06 00:00:00 No 2022-11-28 00:00:00 None B None 3000 9000 -3150 5850 0 None DX6311 N CA00789816, CA00792582 B, B SFY2022-23
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-11-03 00:00:00 910018138 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-19 00:00:00 2022-09-19 00:00:00 No 2022-11-29 00:00:00 None B None 3000 3000 -1050 1950 0 None 0KK711 N CA00803495, CA00803495 A, A SFY2022-23
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-11-14 00:00:00 910018153 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-09-11 00:00:00 2022-09-11 00:00:00 No 2022-12-07 00:00:00 None B None 3000 3000 -1050 1950 0 None M5RV11 N CA00802704 A SFY2022-23
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-11-21 00:00:00 910018167 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-08 00:00:00 2022-10-08 00:00:00 No 2022-12-13 00:00:00 None A None 15000 15000 -5250 9750 0 None VHQW11 N CA00806821, CA00806821 A, A SFY2022-23
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-11-22 00:00:00 910018173 Open Citation Citation A (HSC 1424) Patient Care None 2022-08-24 00:00:00 2022-08-24 00:00:00 Yes 2022-12-14 00:00:00 2022-12-14 00:00:00 A None 25000 25000 0 0 25000 None HUSX11 N CA00799975 B SFY2022-23
940000101 LONG BEACH POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-11-23 00:00:00 910018180 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-10 00:00:00 2022-10-10 00:00:00 No 2022-12-16 00:00:00 None B None 2000 2000 -700 1300 0 None MPRF11 N None None SFY2022-23
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-11-23 00:00:00 910018183 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-31 00:00:00 2022-08-31 00:00:00 No 2022-12-16 00:00:00 None B None 3000 9550 0 9550 0 None BZUH11 N CA00801465 B SFY2022-23
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-11-30 00:00:00 910018193 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-10 00:00:00 2022-10-10 00:00:00 No 2022-12-21 00:00:00 None A None 25000 25000 -8750 16250 0 None XM9I11 N CA00807044, CA00807044 A, A SFY2022-23
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-12-09 00:00:00 910018234 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-01 00:00:00 2022-11-01 00:00:00 No 2022-12-30 00:00:00 None B None 3000 9050 0 9050 0 None NGYH11 N CA00807973 B SFY2022-23
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-12-09 00:00:00 910018235 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-01 00:00:00 2022-11-01 00:00:00 No 2022-12-30 00:00:00 None B None 3000 9050 0 9050 0 None NGYH11 N CA00807973 B SFY2022-23
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2022-12-13 00:00:00 910018240 Open Citation Citation A (HSC 1424) Patient Care None 2022-10-07 00:00:00 2022-10-07 00:00:00 Yes 2023-01-04 00:00:00 2022-12-14 00:00:00 A None 20000 20000 0 0 20000 None POKV11 N None None SFY2022-23
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-12-14 00:00:00 910018242 Open Citation Citation A (HSC 1424) Patient Care None 2022-09-28 00:00:00 2022-09-28 00:00:00 No 2023-01-04 00:00:00 None A None 25000 25000 0 0 25000 None DC6611 N CA00805418, CA00805483, CA00805483 B, B, B SFY2022-23
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-12-14 00:00:00 910018245 Open Citation Citation B (HSC 1424) Physical Environment None 2022-10-18 00:00:00 2022-10-18 00:00:00 Yes 2023-01-05 00:00:00 2022-12-28 00:00:00 B None 3000 3000 0 0 3000 None QU1P11 N CA00808785 A SFY2022-23
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-12-16 00:00:00 910018249 Closed Citation Citation A (HSC 1424) Patient Care None 2022-05-17 00:00:00 2022-05-17 00:00:00 No 2023-01-09 00:00:00 None A None 25000 25000 -8750 16250 0 None SIIR11 N CA00789822 B SFY2022-23
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2022-12-27 00:00:00 910018260 Closed Citation Citation B (HSC 1424) Medication None 2021-05-14 00:00:00 2021-05-14 00:00:00 No 2023-01-19 00:00:00 None B None 1500 5450 -1575 3875 0 None GJZV11 N CA00737673, CA00737673 A, A SFY2022-23
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-12-28 00:00:00 910018264 Open Citation Citation A (HSC 1424) Patient Care None 2022-03-14 00:00:00 2022-03-14 00:00:00 Yes 2023-01-20 00:00:00 2023-01-10 00:00:00 A None 25000 25000 0 0 25000 None Q0W911 N CA00777053 A SFY2022-23
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-12-29 00:00:00 910018271 Open Citation Citation A (HSC 1424) Patient Care None 2022-10-08 00:00:00 2022-10-08 00:00:00 Yes 2023-01-23 00:00:00 2023-01-20 00:00:00 A None 25000 25000 0 0 25000 None JWY711 N CA00809171, CA00809171 A, A SFY2022-23
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-01-12 00:00:00 910018300 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-05-09 00:00:00 2022-05-09 00:00:00 No 2023-02-03 00:00:00 None B None 1500 4500 -1575 2925 0 None JH1E11 N CA00809816, CA00809816, CA00809816, CA00809816, CA00809816, CA00809816, CA00809816 B, B, B, B, B, B, B SFY2022-23
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-01-12 00:00:00 910018308 Open Citation Citation A (HSC 1424) Patient Care None 2022-11-09 00:00:00 2022-11-09 00:00:00 Yes 2023-02-03 00:00:00 2023-01-17 00:00:00 A None 20000 20000 0 0 20000 None R24011 N CA00811382, CA00811382, CA00811713, CA00811713 A, A, A, A SFY2022-23
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-01-13 00:00:00 910018311 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-03 00:00:00 2019-10-03 00:00:00 No 2023-02-06 00:00:00 None B None 1500 1500 -525 975 0 None YT0W11 N CA00658059 B SFY2022-23
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-01-18 00:00:00 910018322 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-15 00:00:00 2022-11-15 00:00:00 No 2023-02-08 00:00:00 None B None 3000 3000 -1050 1950 0 None BW6011 N CA00812193 A SFY2022-23
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-01-20 00:00:00 910018342 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-10-27 00:00:00 2022-10-27 00:00:00 No 2023-02-10 00:00:00 None B None 3000 3050 -1050 2000 0 None VL5E11 N CA00810375, CA00810375 B, B SFY2022-23
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2023-02-02 00:00:00 910018375 Closed Citation Citation A (HSC 1424) Patient Care None 2022-11-28 00:00:00 2022-11-28 00:00:00 No 2023-02-24 00:00:00 None A None 20000 20000 -7000 13000 0 None O95W11 Y CA00814321 A SFY2022-23
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-02-03 00:00:00 910018376 Open Citation Citation B (HSC 1424) Other Infection Control 2022-12-26 00:00:00 2022-12-26 00:00:00 No 2023-02-27 00:00:00 None B None 3000 3000 -1050 1950 0 None 3D7611 N CA00818100 B SFY2022-23
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-02-03 00:00:00 910018378 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-10 00:00:00 2022-11-10 00:00:00 No 2023-02-27 00:00:00 None B None 3000 3000 -1050 1950 0 None V4M311 N CA00811212, CA00811212, CA00811212, CA00819055 A, A, A, H SFY2022-23
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2023-02-07 00:00:00 910018383 Open Citation Citation AA (HSC 1424) Patient Care None 2022-08-20 00:00:00 2022-08-20 00:00:00 Yes 2023-03-01 00:00:00 2023-02-15 00:00:00 AA None 100000 100000 0 0 100000 None L1FV11 Y CA00814110, CA00814110, CA00814110 A, A, A SFY2022-23
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-02-08 00:00:00 910018387 Open Citation Citation AA (HSC 1424) Patient Care None 2022-11-09 00:00:00 2022-11-09 00:00:00 No 2023-03-02 00:00:00 None AA None 100000 100000 -35000 65000 0 None T45511 N CA00813080, CA00813080 B, B SFY2022-23
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-02-09 00:00:00 910018396 Open Citation Citation A (HSC 1424) Patient Care None 2022-12-13 00:00:00 2022-12-13 00:00:00 Yes 2023-03-03 00:00:00 2023-02-14 00:00:00 A None 25000 25000 0 0 25000 None E4K811 N CA00817269, CA00817269 B, B SFY2022-23
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-02-10 00:00:00 910018402 Closed Citation Citation B (HSC 1424) Patient Care None 2020-03-23 00:00:00 2020-03-23 00:00:00 No 2023-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None BQ7311 Y None None SFY2022-23
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-02-14 00:00:00 910018407 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-02 00:00:00 2021-12-02 00:00:00 No 2023-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None SBJB11 N CA00820087 B SFY2022-23
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-02-16 00:00:00 910018408 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-23 00:00:00 2023-01-23 00:00:00 No 2023-03-10 00:00:00 None B None 3000 3000 -1050 1950 0 None Y9PN11 N CA00822200, CA00822200, CA00822200 A, A, A SFY2022-23
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-02-17 00:00:00 910018422 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-30 00:00:00 2022-12-30 00:00:00 No 2023-03-13 00:00:00 None A None 25000 25000 0 25000 0 None NPYM11 N CA00818903 A SFY2022-23
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-02-23 00:00:00 910018436 Closed Citation Citation A (HSC 1424) Patient Care None 2023-01-09 00:00:00 2023-01-09 00:00:00 No 2023-03-16 00:00:00 None A None 25000 25000 0 25000 0 None 3LRI11 N None None SFY2022-23
970000017 SUNNYVIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-02 00:00:00 910018465 Open Citation Citation B (HSC 1424) Refusal to Readmit None 2023-01-06 00:00:00 2023-01-06 00:00:00 Yes 2023-03-23 00:00:00 2023-03-20 00:00:00 B B 3000 2000 0 0 2000 None F78B11 N CA00820723, CA00820723 A, A SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-03-09 00:00:00 910018492 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-19 00:00:00 2023-01-19 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None MH4H11 N CA00821974, CA00822617 A, B SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-03-09 00:00:00 910018493 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-19 00:00:00 2023-01-19 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None MH4H11 N CA00821974, CA00821974, CA00822617, CA00822617 A, A, B, B SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-03-09 00:00:00 910018494 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-19 00:00:00 2023-01-19 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None MH4H11 N None None SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-03-09 00:00:00 910018495 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-19 00:00:00 2023-01-19 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None MH4H11 N CA00821974, CA00821974, CA00822617, CA00822617 A, A, B, B SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-03-09 00:00:00 910018496 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-19 00:00:00 2023-01-19 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None MH4H11 N CA00821974, CA00821974, CA00822617, CA00822617 A, A, B, B SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-03-09 00:00:00 910018497 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-19 00:00:00 2023-01-19 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None MH4H11 N CA00821974, CA00821974, CA00822617, CA00822617 A, A, B, B SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-03-09 00:00:00 910018498 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-14 00:00:00 2023-01-14 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None MH4H11 N CA00821974, CA00821974, CA00822617, CA00822617 A, A, B, B SFY2022-23
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2023-03-10 00:00:00 910018509 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-12 00:00:00 2022-12-12 00:00:00 No 2023-04-03 00:00:00 None B None 3000 3000 -1050 1950 0 None C21F11 N CA00816515 A SFY2022-23
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-03-16 00:00:00 910018520 Open Citation Citation A (HSC 1424) Patient Rights Abused/FAC.NotSelf Report 2022-12-19 00:00:00 2022-12-19 00:00:00 No 2023-04-07 00:00:00 None A None 25000 25000 0 0 25000 None 6WT011 N CA00817321, CA00817321 A, A SFY2022-23
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-16 00:00:00 910018521 Closed Citation Citation B (HSC 1424) Medication None 2023-01-25 00:00:00 2023-01-25 00:00:00 No 2023-04-07 00:00:00 None B None 3000 3000 0 3000 0 None 0HCZ11 N None None SFY2022-23
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-16 00:00:00 910018523 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-01-09 00:00:00 2023-01-09 00:00:00 No 2023-04-07 00:00:00 None WF None 25000 25900 0 25000 900 None 0HCZ11 None None None SFY2022-23
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-17 00:00:00 910018527 Closed Citation Citation A (HSC 1424) Patient Rights Abuse/Facility Not Self R 2022-12-01 00:00:00 2022-12-01 00:00:00 No 2023-04-10 00:00:00 None A None 25000 25000 -8750 16250 0 None HTCK11 N CA00814814 B SFY2022-23
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-17 00:00:00 910018528 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-12-01 00:00:00 2022-12-01 00:00:00 No 2023-04-10 00:00:00 None B None 3000 3000 -1050 1950 0 None HTCK11 N CA00814814, CA00814814 B, B SFY2022-23
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2023-03-17 00:00:00 910018529 Closed Citation Citation A (HSC 1424) Patient Care None 2023-01-17 00:00:00 2023-01-17 00:00:00 No 2023-04-10 00:00:00 None A None 25000 25000 -8750 16250 0 None KUSZ11 N CA00822028, CA00822028, CA00823116 B, B, B SFY2022-23
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2023-03-17 00:00:00 910018530 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-24 00:00:00 2023-01-24 00:00:00 No 2023-04-10 00:00:00 None B None 2000 2000 0 2000 0 None YC6F11 N CA00823839, CA00823839, CA00823839, CA00823839 A, A, A, A SFY2022-23
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-17 00:00:00 910018531 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-24 00:00:00 2022-10-24 00:00:00 No 2023-04-10 00:00:00 None A None 25000 25150 0 25150 0 None FSRH11 N CA00808744 B SFY2022-23
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-22 00:00:00 910018554 Open Citation Citation A (HSC 1424) Patient Care None 2023-02-09 00:00:00 2023-02-09 00:00:00 Yes 2023-04-13 00:00:00 2023-04-13 00:00:00 A None 25000 25150 0 0 25150 None 64QL11 N None None SFY2022-23
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-23 00:00:00 910018563 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-13 00:00:00 2022-10-13 00:00:00 No 2023-04-14 00:00:00 None A None 25000 25450 -8750 16700 0 None PYK111 N CA00807586, CA00823190, CA00823190 B, B, B SFY2022-23
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2023-03-23 00:00:00 910018565 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-04-14 00:00:00 None B None 3000 3050 0 3050 0 None OV9R11 N CA00821814 A SFY2022-23
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2023-03-23 00:00:00 910018566 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-04-14 00:00:00 None B None 3000 3200 0 3200 0 None OV9R11 N CA00821814, CA00821814 A, A SFY2022-23
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-03-24 00:00:00 910018568 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-26 00:00:00 2022-12-26 00:00:00 No 2023-04-17 00:00:00 None A None 25000 25000 -8750 16250 0 None Q9Z511 N CA00819510, CA00819510, CA00819510 B, B, B SFY2022-23
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-24 00:00:00 910018569 Closed Citation Citation A (HSC 1424) Patient Record None 2023-02-09 00:00:00 2023-02-09 00:00:00 No 2023-04-17 00:00:00 None A None 25000 25050 0 25050 0 None 64QL11 N None None SFY2022-23
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-03-24 00:00:00 910018573 Closed Citation Citation A (HSC 1424) Patient Care None 2022-09-06 00:00:00 2022-09-06 00:00:00 No 2023-04-17 00:00:00 None A None 25000 25000 -8750 16250 0 None 1N1M11 N CA00801868 B SFY2022-23
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2023-03-24 00:00:00 910018574 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-11 00:00:00 2022-10-11 00:00:00 No 2023-04-17 00:00:00 None B None 3000 3000 0 0 3000 None 4G6M11 N CA00807429 A SFY2022-23
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-03-30 00:00:00 910018599 Open Citation Citation A (HSC 1424) Patient Care None 2023-01-20 00:00:00 2023-01-20 00:00:00 No 2023-04-21 00:00:00 None A None 60000 60000 -21000 39000 0 None 0E1K11 Y CA00822353, CA00822353, CA00822449, CA00822449 A, A, A, A SFY2022-23
940000010 BEL VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-04-05 00:00:00 910018608 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-01 00:00:00 2023-02-01 00:00:00 No 2023-04-26 00:00:00 None B None 3000 3000 -1050 1950 0 None JUZM11 N CA00822481, CA00822481, CA00822481, CA00822481, CA00822481, CA00822481 B, B, B, B, B, B SFY2022-23
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-04-06 00:00:00 910018615 Closed Citation Citation B (HSC 1424) Other Refusal to readmit 2023-02-09 00:00:00 2023-02-09 00:00:00 No 2023-04-27 00:00:00 None B None 3000 3050 -1050 2000 0 None 0JZD11 N CA00826550 A SFY2022-23
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-04-13 00:00:00 910018632 Open Citation Citation A (HSC 1424) Patient Care None 2022-12-29 00:00:00 2022-12-29 00:00:00 Yes 2023-05-04 00:00:00 2023-04-21 00:00:00 A None 25000 25000 0 0 25000 None XMHD11 N CA00818980, CA00818980, CA00820095 B, B, B SFY2022-23
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-05-02 00:00:00 910018650 Open Citation Citation A (HSC 1424) Patient Care None 2023-03-10 00:00:00 2023-03-10 00:00:00 Yes 2023-05-23 00:00:00 2023-05-12 00:00:00 A None 25000 25000 0 0 25000 None M85611 N CA00830550 B SFY2022-23
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-04-20 00:00:00 910018656 Closed Citation Citation A (HSC 1424) Patient Care None 2023-03-04 00:00:00 2023-03-04 00:00:00 No 2023-05-11 00:00:00 None A None 25000 25000 0 25000 0 None GIH211 N CA00829860 A SFY2022-23
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-04-20 00:00:00 910018660 Closed Citation Citation A (HSC 1424) Patient Rights None 2021-03-28 00:00:00 2021-03-28 00:00:00 No 2023-05-11 00:00:00 None A None 20000 20000 0 20000 0 None MH2611 N CA00735001 B SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-04-21 00:00:00 910018661 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-15 00:00:00 2022-11-15 00:00:00 Yes 2023-05-12 00:00:00 2023-05-09 00:00:00 B B 3000 2100 0 2100 0 None XNN311 N CA00827002, CA00827002 B, B SFY2022-23
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-04-21 00:00:00 910018662 Open Citation Citation A (HSC 1424) Patient Care None 2022-11-15 00:00:00 2022-11-15 00:00:00 Yes 2023-05-12 00:00:00 2023-05-09 00:00:00 A None 25000 25000 0 0 25000 None XNN311 N CA00827002, CA00827002, CA00827002 B, B, B SFY2022-23
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-04-21 00:00:00 910018663 Closed Citation Citation A (HSC 1424) Patient Care None 2023-02-15 00:00:00 2023-02-15 00:00:00 No 2023-05-12 00:00:00 None A None 60000 60000 -21000 39000 0 None YV2I11 Y CA00827373, CA00827373, CA00827373, CA00827373, CA00827373, CA00827373, CA00827373 B, B, B, B, B, B, B SFY2022-23
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-04-28 00:00:00 910018685 Open Citation Citation A (HSC 1424) Patient Care None 2022-10-22 00:00:00 2022-10-22 00:00:00 Yes 2023-05-19 00:00:00 2023-05-16 00:00:00 A None 25000 75000 0 0 75000 None JM1J11 N CA00808569 B SFY2022-23
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-04-25 00:00:00 910018686 Closed Citation Citation B (HSC 1424) Other Dietary 2023-03-14 00:00:00 2023-03-14 00:00:00 No 2023-05-16 00:00:00 None B None 3000 9000 0 9000 0 None N68Q11 N None None SFY2022-23
910000035 LOTUS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-04-25 00:00:00 910018688 Open Citation Citation B (HSC 1424) Patient Care None 2023-03-18 00:00:00 2023-03-18 00:00:00 No 2023-05-16 00:00:00 None B None 3000 3000 0 0 3000 None OTNV11 N CA00831967 A SFY2022-23
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2023-05-02 00:00:00 910018712 Closed Citation Citation A (HSC 1424) Patient Care None 2023-03-18 00:00:00 2023-03-18 00:00:00 No 2023-05-23 00:00:00 None A None 25000 25000 -8750 16250 0 None V4J611 N CA00832068 B SFY2022-23
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-03 00:00:00 910018715 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-03-13 00:00:00 2023-03-13 00:00:00 No 2023-05-24 00:00:00 None B None 3000 3000 -1050 1950 0 None X6HO11 N CA00832423 A SFY2022-23
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-05-04 00:00:00 910018722 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-03-09 00:00:00 2023-03-09 00:00:00 No 2023-05-25 00:00:00 None B None 3000 3000 0 3000 0 None F1K211 N CA00834888 A SFY2022-23
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-09 00:00:00 910018735 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-02-23 00:00:00 2023-02-23 00:00:00 No 2023-05-31 00:00:00 None B None 3000 3000 -1050 1950 0 None V79111 N CA00828904 B SFY2022-23
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-10 00:00:00 910018737 Open Citation Citation A (HSC 1424) Other QualityOfCare/NursingSvcs 2023-03-19 00:00:00 2023-03-19 00:00:00 No 2023-06-01 00:00:00 None A None 20000 20000 0 20000 0 None 1UEP11 N CA00829728, CA00829728, CA00832391 B, B, B SFY2022-23
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-05-10 00:00:00 910018738 Open Citation Citation AA (HSC 1424) Patient Care None 2023-03-19 00:00:00 2023-03-19 00:00:00 Yes 2023-06-01 00:00:00 2023-06-01 00:00:00 AA None 115000 115000 0 0 115000 None 3D8T11 Y CA00831998 A SFY2022-23
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-05-10 00:00:00 910018739 Open Citation Citation A (HSC 1424) Patient Care None 2023-03-19 00:00:00 2023-03-19 00:00:00 Yes 2023-06-01 00:00:00 2023-06-01 00:00:00 A None 25000 25000 0 0 25000 None 3D8T11 Y CA00831998, CA00831998 A, A SFY2022-23
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-10 00:00:00 910018740 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-02 00:00:00 2023-03-02 00:00:00 No 2023-06-01 00:00:00 None B None 3000 3000 0 0 3000 None LQSM11 N CA00829401, CA00829401 B, B SFY2022-23
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2023-05-10 00:00:00 910018741 Closed Citation Citation A (HSC 1424) Patient Care None 2023-02-18 00:00:00 2023-02-18 00:00:00 No 2023-06-01 00:00:00 None A None 25000 25000 -8750 16250 0 None SWL711 N CA00826231 B SFY2022-23
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-10 00:00:00 910018742 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-16 00:00:00 2023-03-16 00:00:00 No 2023-06-01 00:00:00 None B None 3000 9000 0 9000 0 None YZPM11 N CA00832583 A SFY2022-23
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-05-11 00:00:00 910018746 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-31 00:00:00 2023-03-31 00:00:00 No 2023-06-02 00:00:00 None B None 3000 3000 0 3000 0 None 6YEQ11 N CA00833964 A SFY2022-23
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2023-05-17 00:00:00 910018761 Open Citation Citation A (HSC 1424) Patient Care None 2023-03-11 00:00:00 2023-03-11 00:00:00 No 2023-06-08 00:00:00 None A None 25000 25000 0 16250 8750 None E8EB11 N CA00831160 B SFY2022-23
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-19 00:00:00 910018774 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-21 00:00:00 2023-02-21 00:00:00 No 2023-06-12 00:00:00 None B None 3000 3000 -1050 1950 0 None JUSI11 N CA00831834, CA00831834, CA00831834, CA00831970, CA00831970, CA00831970, CA00831981, CA00831981, CA00831981 A, A, A, B, B, B, B, B, B SFY2022-23
910000057 LOS PALOS POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-19 00:00:00 910018776 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-08 00:00:00 2023-01-08 00:00:00 No 2023-06-12 00:00:00 None B None 3000 3000 0 3000 0 None 49CW11 N CA00830819, CA00830819 A, A SFY2022-23
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2023-05-24 00:00:00 910018791 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-11 00:00:00 2023-03-11 00:00:00 No 2023-06-15 00:00:00 None B None 3000 3000 0 3000 0 None R3CZ11 N CA00831584 B SFY2022-23
940000024 NORWALK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-05-24 00:00:00 910018792 Closed Citation Citation B (HSC 1424) Other Refusal to Readmit 2023-04-14 00:00:00 2023-04-14 00:00:00 No 2023-06-15 00:00:00 None B None 3000 3000 0 3000 0 None 7LCA11 N CA00836144 A SFY2022-23
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2023-05-24 00:00:00 910018793 Open Citation Citation B (HSC 1424) Patient Care None 2023-03-11 00:00:00 2023-03-11 00:00:00 No 2023-06-15 00:00:00 None B None 3000 3000 0 0 3000 None TQKV11 N CA00834197, CA00834197, CA00834197, CA00834352, CA00834352, CA00834352, CA00834460, CA00834460, CA00834460, CA00837123 B, B, B, B, B, B, A, A, A, A SFY2022-23
940000079 PICO RIVERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-25 00:00:00 910018797 Open Citation Citation A (HSC 1424) Patient Care None 2022-09-25 00:00:00 2022-09-25 00:00:00 Yes 2023-06-16 00:00:00 2023-06-07 00:00:00 A None 25000 25000 0 0 25000 None PX7V11 N CA00804922 B SFY2022-23
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-05-25 00:00:00 910018800 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-18 00:00:00 2023-01-18 00:00:00 No 2023-06-16 00:00:00 None B None 3000 3000 -1050 1950 0 None 4WIS11 N CA00819077 B SFY2022-23
940000093 ARTESIA CHRISTIAN HOME INC. LTC SNF Skilled Nursing Facility LA Region 3 2023-05-26 00:00:00 910018803 Open Citation Citation B (HSC 1424) Patient Care None 2023-01-04 00:00:00 2023-01-04 00:00:00 No 2023-06-19 00:00:00 None B None 3000 3000 0 3000 0 None 87BZ11 N CA00767734 B SFY2022-23
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-05-26 00:00:00 910018807 Closed Citation Citation AA (HSC 1424) Patient Care None 2023-03-26 00:00:00 2023-03-26 00:00:00 No 2023-06-19 00:00:00 None AA None 120000 120000 -42000 78000 0 None XQT511 Y CA00834850 B SFY2022-23
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2023-06-01 00:00:00 910018818 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-05 00:00:00 2023-04-05 00:00:00 No 2023-06-22 00:00:00 None B None 3000 3000 0 3000 0 None Y1TI11 N CA00835827, CA00835827 B, B SFY2022-23
970000054 WESTERN CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-06-05 00:00:00 910018828 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-04 00:00:00 2023-04-04 00:00:00 No 2023-06-26 00:00:00 None B None 3000 3000 -1050 1950 0 None 7WUP11 N CA00837055, CA00837055 A, A SFY2022-23
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-06-09 00:00:00 910018838 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-10 00:00:00 2023-03-10 00:00:00 No 2023-06-30 00:00:00 None B None 3000 3000 0 3000 0 None QA2E11 N CA00830617, CA00830617, CA00830617, CA00830617, CA00831620 B, B, B, B, A SFY2022-23
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-06-09 00:00:00 910018839 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-28 00:00:00 2023-03-28 00:00:00 No 2023-06-30 00:00:00 None B None 3000 3000 -1050 1950 0 None CG3U11 N CA00833490, CA00833490 A, A SFY2022-23
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-06-14 00:00:00 910018853 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-10-10 00:00:00 2022-10-10 00:00:00 No 2023-07-06 00:00:00 None B None 3000 3000 0 3000 0 None XX7V11 N CA00832217 A SFY2022-23
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-06-15 00:00:00 910018864 Closed Citation Citation A (HSC 1424) Medication None 2022-09-07 00:00:00 2022-09-07 00:00:00 No 2023-07-07 00:00:00 None A None 25000 25000 -8750 16250 0 None Z72311 N CA00832210, CA00832210, CA00832210, CA00832210 A, A, A, A SFY2022-23
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-06-22 00:00:00 910018889 Open Citation Citation B (HSC 1424) Patient Rights None 2023-05-02 00:00:00 2023-05-02 00:00:00 No 2023-07-14 00:00:00 None B None 3000 3000 0 0 3000 None 6FSU11 N CA00839451 A SFY2022-23
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-06-23 00:00:00 910018892 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-29 00:00:00 2022-12-29 00:00:00 No 2023-07-17 00:00:00 None A None 25000 25000 -8750 16250 0 None 7VT811 N CA00838441 B SFY2022-23
940000024 NORWALK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-06-23 00:00:00 910018894 Open Citation Citation A (HSC 1424) Patient Care None 2023-03-21 00:00:00 2023-03-21 00:00:00 Yes 2023-07-17 00:00:00 2023-07-17 00:00:00 A None 25000 25000 0 0 25000 None B3EQ11 N CA00839440, CA00839440, CA00839440 B, B, B SFY2022-23
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2023-06-23 00:00:00 910018895 Open Citation Citation A (HSC 1424) Patient Care None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-07-17 00:00:00 None A None 25000 25000 0 0 25000 None IOMZ11 N CA00839530 A SFY2022-23
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-06-28 00:00:00 910018906 Open Citation Citation A (HSC 1424) Patient Care None 2023-04-27 00:00:00 2023-04-27 00:00:00 Yes 2023-07-20 00:00:00 2023-07-21 00:00:00 A None 25000 25150 0 0 25150 None 2G3111 N CA00840325 A SFY2022-23
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2023-06-30 00:00:00 910018917 Closed Citation Citation A (HSC 1424) Patient Rights Abuse/Facility not report 2023-04-21 00:00:00 2023-04-21 00:00:00 No 2023-07-24 00:00:00 None A None 15000 15000 -5250 9750 0 None VN8511 N CA00837583 B SFY2022-23
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-06-30 00:00:00 910018918 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-05-12 00:00:00 2023-05-12 00:00:00 No 2023-07-24 00:00:00 None B None 3000 3000 0 3000 0 None GPRU11 N CA00840753 A SFY2022-23
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-06-30 00:00:00 910018920 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-04-12 00:00:00 2023-04-12 00:00:00 No 2023-07-24 00:00:00 None WF None 3500 3500 -1225 2275 0 None 88L611 N CA00836095, CA00836095, CA00836095, CA00836095, CA00836095, CA00836095, CA00836095 B, B, B, B, B, B, B SFY2022-23
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-05 00:00:00 910018925 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-07 00:00:00 2022-10-07 00:00:00 No 2023-07-26 00:00:00 None A None 25000 25000 -8750 16250 0 None K9W511 N CA00808776 B SFY2023-24
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-06 00:00:00 910018931 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-05-04 00:00:00 2023-05-04 00:00:00 No 2023-07-27 00:00:00 None B None 3000 9000 -3150 5850 0 None V8G211 N CA00839165, CA00839165, CA00839165, CA00839733, CA00839733, CA00839733 A, A, A, B, B, B SFY2023-24
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-11 00:00:00 910018942 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-22 00:00:00 2022-10-22 00:00:00 No 2023-08-01 00:00:00 None B None 3000 3000 -1050 1950 0 None UZST11 N CA00808476 B SFY2023-24
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-18 00:00:00 910018947 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-22 00:00:00 2022-10-22 00:00:00 No 2023-08-08 00:00:00 None A None 25000 25000 -8750 16250 0 None UZST11 N CA00808476 B SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-18 00:00:00 910018970 Closed Citation Citation A (HSC 1424) Patient Care None 2023-06-05 00:00:00 2023-06-05 00:00:00 No 2023-08-08 00:00:00 None A None 25000 25000 0 25000 0 None VBX111 N CA00844216 B SFY2023-24
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-19 00:00:00 910018973 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-05 00:00:00 2023-05-05 00:00:00 No 2023-08-09 00:00:00 None B None 3000 9000 -3150 5850 0 None M4BY11 N CA00842994 A SFY2023-24
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-20 00:00:00 910018983 Open Citation Citation A (HSC 1424) Medication None 2023-05-31 00:00:00 2023-05-31 00:00:00 No 2023-08-10 00:00:00 None A None 25000 25000 0 0 25000 None KWUV11 N CA00843474 A SFY2023-24
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2023-07-25 00:00:00 910018995 Closed Citation Citation A (HSC 1424) Patient Care None 2023-06-15 00:00:00 2023-06-15 00:00:00 No 2023-08-15 00:00:00 None A None 25000 25000 -8750 16250 0 None 74ZM11 N CA00845913 B SFY2023-24
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-26 00:00:00 910018999 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-09 00:00:00 2023-06-09 00:00:00 No 2023-08-16 00:00:00 None B None 3000 3000 -1050 1950 0 None MBNS11 N CA00843569, CA00845793, CA00847048 B, A, B SFY2023-24
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-26 00:00:00 910019003 Closed Citation Citation A (HSC 1424) Patient Care None 2023-06-06 00:00:00 2023-06-06 00:00:00 No 2023-08-16 00:00:00 None A None 25000 25000 -8750 16250 0 None STVO11 N CA00844640 B SFY2023-24
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-26 00:00:00 910019004 Closed Citation Citation B (HSC 1424) Other Infection Control 2023-05-25 00:00:00 2023-05-25 00:00:00 No 2023-08-16 00:00:00 None B None 3000 3000 -1050 1950 0 None W8DY11 N CA00844776 B SFY2023-24
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2023-08-01 00:00:00 910019017 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-05 00:00:00 2023-07-05 00:00:00 No 2023-08-22 00:00:00 None B None 3000 3000 0 3000 0 None ZTS311 N CA00847588, CA00847588 B, B SFY2023-24
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2023-08-11 00:00:00 910019055 Open Citation Citation A (HSC 1424) Medication None 2023-06-11 00:00:00 2023-06-11 00:00:00 No 2023-09-01 00:00:00 None A None 25000 25000 -8750 16250 0 None 21OK11 N CA00846653, CA00846653 A, A SFY2023-24
940000048 COTTAGE CREST POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-08-11 00:00:00 910019057 Closed Citation Citation B (HSC 1424) Medication None 2023-06-22 00:00:00 2023-06-22 00:00:00 No 2023-09-01 00:00:00 None B None 3000 3000 0 3000 0 None S6KN11 N None None SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-08-16 00:00:00 910019064 Open Citation Citation B (HSC 1424) Patient Care None 2023-06-27 00:00:00 2023-06-27 00:00:00 No 2023-09-07 00:00:00 None B None 3000 3050 -1050 1950 50 None 60JU11 N CA00847668 A SFY2023-24
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2023-08-17 00:00:00 910019071 Closed Citation Citation B (HSC 1424) Other Dietary 2023-06-21 00:00:00 2023-06-21 00:00:00 No 2023-09-08 00:00:00 None B None 3000 3000 -1050 1950 0 None JLIU11 N CA00846525 A SFY2023-24
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-08-23 00:00:00 910019090 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-17 00:00:00 2023-06-17 00:00:00 No 2023-09-14 00:00:00 None B None 3000 3000 0 0 3000 None 315N11 N CA00851672 A SFY2023-24
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2023-08-23 00:00:00 910019092 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-26 00:00:00 2023-07-26 00:00:00 No 2023-09-14 00:00:00 None B None 3000 3000 -1050 1950 0 None GJMT11 N None None SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-08-24 00:00:00 910019093 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-02 00:00:00 2023-07-02 00:00:00 No 2023-09-15 00:00:00 None A None 25000 25050 -8750 16250 50 None EEOI11 N CA00848516 B SFY2023-24
910000025 CLEAR VIEW SANITARIUM LTC SNF Skilled Nursing Facility LA Region 3 2023-08-24 00:00:00 910019094 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-10 00:00:00 2023-07-10 00:00:00 No 2023-09-15 00:00:00 None B None 3000 3000 -1050 1950 0 None LLWO11 N None None SFY2023-24
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-08-25 00:00:00 910019097 Open Citation Citation A (HSC 1424) Patient Care None 2022-08-27 00:00:00 2022-08-27 00:00:00 Yes 2023-09-18 00:00:00 2023-10-13 00:00:00 A None 25000 25000 0 0 25000 None 6CCA11 N CA00848269, CA00848269, CA00848269 B, B, B SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-08-29 00:00:00 910019106 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-12 00:00:00 2023-06-12 00:00:00 No 2023-09-20 00:00:00 None B None 3000 9000 -3150 5850 0 None 1VF711 N CA00851069, CA00851069, CA00851069, CA00851069, CA00851069 A, A, A, A, A SFY2023-24
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-08-29 00:00:00 910019109 Open Citation Citation AA (HSC 1424) Patient Care None 2023-07-13 00:00:00 2023-07-13 00:00:00 Yes 2023-09-20 00:00:00 2023-09-05 00:00:00 AA None 120000 120000 0 0 120000 None EK7111 Y CA00850765, CA00850765, CA00851127, CA00851127, CA00851127, CA00851127 A, A, A, A, A, A SFY2023-24
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-08-31 00:00:00 910019116 Closed Citation Citation A (HSC 1424) Other Abuse/Facility not report 2023-06-17 00:00:00 2023-06-17 00:00:00 No 2023-09-22 00:00:00 None A None 25000 25000 0 25000 0 None 315N11 N CA00851199, CA00851672, CA00851672 A, A, A SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-01 00:00:00 910019126 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-20 00:00:00 2023-07-20 00:00:00 No 2023-09-25 00:00:00 None B None 3000 3000 -1050 1950 0 None 1VF711 N None None SFY2023-24
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-06 00:00:00 910019133 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-24 00:00:00 2023-07-24 00:00:00 No 2023-09-27 00:00:00 None B None 3000 3000 0 0 3000 None DH7F11 N CA00852139 B SFY2023-24
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2023-09-07 00:00:00 910019137 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-07-26 00:00:00 2023-07-26 00:00:00 No 2023-09-28 00:00:00 None B None 3000 3000 0 3000 0 None 9MCM11 N CA00852665 A SFY2023-24
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2023-09-07 00:00:00 910019138 Open Citation Citation B (HSC 1424) Other Failure to Readmit 2023-06-20 00:00:00 2023-06-20 00:00:00 No 2023-09-28 00:00:00 None B None 3000 3000 -1050 1950 0 None Z1Y611 N CA00852821, CA00852821 A, A SFY2023-24
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-08 00:00:00 910019140 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-07-21 00:00:00 2023-07-21 00:00:00 No 2023-09-29 00:00:00 None WF None 3500 3500 -1225 2275 0 None K3X211 None CA00850781 B SFY2023-24
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-09-08 00:00:00 910019142 Closed Citation Citation A (HSC 1424) Patient Care None 2023-06-06 00:00:00 2023-06-06 00:00:00 No 2023-09-29 00:00:00 None A None 25000 25000 0 25000 0 None B6KK11 N CA00849839, CA00849839, CA00849839 B, B, B SFY2023-24
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2023-09-08 00:00:00 910019143 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-22 00:00:00 2023-07-22 00:00:00 Yes 2023-09-29 00:00:00 2023-09-27 00:00:00 A None 25000 25000 0 0 25000 None G6QD11 N CA00851955, CA00851955 B, B SFY2023-24
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-09-11 00:00:00 910019147 Open Citation Citation AA (HSC 1424) Patient Care None 2023-08-06 00:00:00 2023-08-06 00:00:00 Yes 2023-10-02 00:00:00 2023-09-18 00:00:00 AA None 100000 100000 0 0 100000 None V7GB11 Y CA00854608, CA00854608 A, A SFY2023-24
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-12 00:00:00 910019155 Open Citation Citation B (HSC 1424) Patient Care None 2023-08-02 00:00:00 2023-08-02 00:00:00 No 2023-10-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 8SX811 N CA00854064 A SFY2023-24
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-09-14 00:00:00 910019162 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-09 00:00:00 2023-07-09 00:00:00 No 2023-10-05 00:00:00 None B None 3000 3000 0 3000 0 None 78JP11 N CA00852982, CA00852982, CA00852982, CA00852982, CA00852982, CA00852985, CA00852985, CA00852985, CA00852985, CA00852985 A, A, A, A, A, B, B, B, B, B SFY2023-24
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-14 00:00:00 910019163 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-13 00:00:00 2023-06-13 00:00:00 No 2023-10-05 00:00:00 None B None 3000 3000 -1050 1950 0 None 37MH11 N CA00856389 A SFY2023-24
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-09-14 00:00:00 910019166 Closed Citation Citation B (HSC 1424) Patient Record None 2023-08-26 00:00:00 2023-08-26 00:00:00 No 2023-10-05 00:00:00 None B None 3000 3000 0 3000 0 None I0LE11 N CA00857926 A SFY2023-24
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2023-09-15 00:00:00 910019168 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-21 00:00:00 2023-07-21 00:00:00 No 2023-10-06 00:00:00 None B None 3000 3000 0 3000 0 None KMBL11 N CA00852005 B SFY2023-24
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-09-15 00:00:00 910019169 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-18 00:00:00 2023-07-18 00:00:00 No 2023-10-06 00:00:00 None A None 25000 25000 0 25000 0 None H4JQ11 Y CA00851037, CA00851037, CA00851037 B, B, B SFY2023-24
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-18 00:00:00 910019170 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-06-10 00:00:00 2022-06-10 00:00:00 No 2023-10-09 00:00:00 None B None 3000 3000 -1050 1950 0 None L66V11 N CA00853779 A SFY2023-24
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-19 00:00:00 910019177 Closed Citation Citation A (HSC 1424) Patient Care None 2023-07-25 00:00:00 2023-07-25 00:00:00 No 2023-10-10 00:00:00 None A None 25000 25000 0 25000 0 None 5L9I11 N CA00852720 B SFY2023-24
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-09-19 00:00:00 910019178 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-08-02 00:00:00 2023-08-02 00:00:00 No 2023-10-10 00:00:00 None B None 3000 3000 -1050 1950 0 None BI0C11 N CA00854598 A SFY2023-24
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-09-19 00:00:00 910019179 Open Citation Citation B (HSC 1424) Patient Care None 2023-08-14 00:00:00 2023-08-14 00:00:00 No 2023-10-10 00:00:00 None B None 3000 3150 0 0 3150 None BI0C11 N CA00855705 A SFY2023-24
970000017 SUNNYVIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-20 00:00:00 910019182 Open Citation Citation A (HSC 1424) Patient Care None 2023-04-22 00:00:00 2023-04-22 00:00:00 Yes 2023-10-11 00:00:00 2023-09-25 00:00:00 A None 25000 25000 0 0 25000 None 7K5O11 N CA00852584, CA00852584, CA00852584 A, A, A SFY2023-24
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-22 00:00:00 910019193 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-31 00:00:00 2023-07-31 00:00:00 No 2023-10-13 00:00:00 None B None 3000 3100 0 3100 0 None 2JKB11 N CA00853198, CA00853979 B, B SFY2023-24
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-09-22 00:00:00 910019195 Open Citation Citation A (HSC 1424) Patient Care None 2023-05-16 00:00:00 2023-05-16 00:00:00 No 2023-10-13 00:00:00 None A None 25000 25000 0 0 25000 None UDYJ11 N CA00852627 B SFY2023-24
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-27 00:00:00 910019208 Open Citation Citation B (HSC 1424) Medication None 2023-06-23 00:00:00 2023-06-23 00:00:00 No 2023-10-18 00:00:00 None B None 3000 3150 -1050 1950 150 None 7T0311 N CA00854928 B SFY2023-24
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2023-09-28 00:00:00 910019211 Closed Citation Citation A (HSC 1424) Patient Care None 2023-08-05 00:00:00 2023-08-05 00:00:00 No 2023-10-19 00:00:00 None A None 25000 25000 -8750 16250 0 None DPO311 N CA00854701, CA00854701, CA00854701 A, A, A SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-05 00:00:00 910019230 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-17 00:00:00 2023-08-17 00:00:00 No 2023-10-26 00:00:00 None B None 3000 3000 0 3000 0 None G4W611 N CA00856596 A SFY2023-24
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-05 00:00:00 910019231 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-06-23 00:00:00 2023-06-23 00:00:00 No 2023-10-26 00:00:00 None WF None 3500 3500 -1225 2275 0 None 7T0311 None CA00854928 B SFY2023-24
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-06 00:00:00 910019234 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-26 00:00:00 2023-07-26 00:00:00 No 2023-10-27 00:00:00 None B None 3000 3000 -1050 1950 0 None OEQ711 N CA00857195, CA00857195 B, B SFY2023-24
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-10-06 00:00:00 910019241 Open Citation Citation B (HSC 1424) Patient Rights None 2023-08-19 00:00:00 2023-08-19 00:00:00 No 2023-10-27 00:00:00 None B None 3000 3000 0 0 3000 None IM9P11 N CA00857173, CA00857173 A, A SFY2023-24
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-10-10 00:00:00 910019248 Open Citation Citation AA (HSC 1424) Patient Care None 2023-08-26 00:00:00 2023-08-26 00:00:00 Yes 2023-10-31 00:00:00 2023-10-11 00:00:00 AA None 120000 120000 0 0 120000 None I0LE11 Y None None SFY2023-24
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-10-11 00:00:00 910019253 Closed Citation Citation A (HSC 1424) Patient Care None 2021-11-05 00:00:00 2021-11-05 00:00:00 No 2023-11-01 00:00:00 None A None 20000 20000 -7000 13000 0 None JG5E11 N CA00855504 B SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-18 00:00:00 910019269 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-27 00:00:00 2023-08-27 00:00:00 No 2023-11-08 00:00:00 None B None 3000 3000 -1050 1950 0 None OYQY11 N CA00859040, CA00859040 B, B SFY2023-24
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-18 00:00:00 910019273 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-04 00:00:00 2023-09-04 00:00:00 Yes 2023-11-08 00:00:00 2023-10-25 00:00:00 B B 3000 7200 0 7200 0 None QWV111 N CA00859116 B SFY2023-24
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-20 00:00:00 910019287 Open Citation Citation A (HSC 1424) Patient Care None 2023-09-05 00:00:00 2023-09-05 00:00:00 No 2023-11-13 00:00:00 None A None 20000 20000 0 0 20000 None S2Y711 N CA00858704, CA00858704, CA00858704, CA00858704, CA00859161, CA00859161, CA00859161, CA00859161 B, B, B, B, B, B, B, B SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-20 00:00:00 910019288 Closed Citation Citation A (HSC 1424) Patient Care None 2023-08-28 00:00:00 2023-08-28 00:00:00 No 2023-11-13 00:00:00 None A None 25000 25000 -8750 16250 0 None HH6B11 N CA00858245, CA00858245, CA00858245 B, B, B SFY2023-24
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-20 00:00:00 910019291 Closed Citation Citation A (HSC 1424) Other Abuse/Facility Not Report 2023-08-23 00:00:00 2023-08-23 00:00:00 No 2023-11-13 00:00:00 None A None 25000 75000 -26250 48750 0 None RI8011 N CA00857514, CA00857514 A, A SFY2023-24
940000024 NORWALK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-10-27 00:00:00 910019314 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-12 00:00:00 2023-09-12 00:00:00 No 2023-11-20 00:00:00 None B None 3000 3000 0 3000 0 None X8EL11 N CA00860609 B SFY2023-24
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-10-30 00:00:00 910019318 Closed Citation Citation B (HSC 1424) Other Failure to report unusual 2023-09-08 00:00:00 2023-09-08 00:00:00 No 2023-11-21 00:00:00 None B None 3000 3000 0 3000 0 None 0FUC11 N None None SFY2023-24
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-10-31 00:00:00 910019323 Open Citation Citation B (HSC 1424) Other Failure to Report 2023-09-04 00:00:00 2023-09-04 00:00:00 No 2023-11-22 00:00:00 None B None 3000 3000 -1050 1950 0 None CDJV11 N CA00860474 A SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-02 00:00:00 910019335 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-08 00:00:00 2023-09-08 00:00:00 No 2023-11-28 00:00:00 None B None 3000 3000 -1050 1950 0 None JUO711 N CA00859814, CA00859814 B, B SFY2023-24
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-03 00:00:00 910019341 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-30 00:00:00 2023-09-30 00:00:00 No 2023-11-29 00:00:00 None B None 3000 3000 -1050 1950 0 None SK5311 N None None SFY2023-24
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2023-11-06 00:00:00 910019344 Open Citation Citation B (HSC 1424) Other Policy & Procedure: Repor 2023-09-18 00:00:00 2023-09-18 00:00:00 No 2023-11-30 00:00:00 None B None 3000 3000 0 3000 0 None DH0411 N CA00861892 B SFY2023-24
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-11-08 00:00:00 910019345 Closed Citation Citation A (HSC 1424) Patient Care None 2023-09-11 00:00:00 2023-09-11 00:00:00 No 2023-12-04 00:00:00 None A None 25000 25000 0 25000 0 None 8BI011 N CA00864395, CA00864395, CA00864395, CA00864395 A, A, A, A SFY2023-24
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2023-11-08 00:00:00 910019347 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-09-26 00:00:00 2023-09-26 00:00:00 No 2023-12-04 00:00:00 None B None 3000 3000 -1050 1950 0 None CDMQ11 N CA00862295, CA00862295, CA00862755 A, A, B SFY2023-24
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-08 00:00:00 910019349 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-18 00:00:00 2023-09-18 00:00:00 No 2023-12-04 00:00:00 None B None 3000 3000 -1050 1950 0 None 10KD11 N CA00862812, CA00863494 B, B SFY2023-24
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-08 00:00:00 910019350 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-21 00:00:00 2023-08-21 00:00:00 No 2023-12-04 00:00:00 None B None 3000 3000 0 3000 0 None 67VN11 N CA00860621, CA00860621, CA00860621, CA00860621 B, B, B, B SFY2023-24
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-08 00:00:00 910019352 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-03 00:00:00 2023-10-03 00:00:00 No 2023-12-04 00:00:00 None B None 3000 3000 -1050 1950 0 None L55Y11 N CA00865328, CA00865328 A, A SFY2023-24
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2023-11-09 00:00:00 910019355 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-27 00:00:00 2023-09-27 00:00:00 No 2023-12-05 00:00:00 None B None 3000 3000 0 3000 0 None CS4L11 N CA00862917, CA00862917, CA00863155, CA00863155 A, A, A, A SFY2023-24
940000069 BROOKFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-15 00:00:00 910019367 Closed Citation Citation A (HSC 1424) Patient Care None 2023-07-30 00:00:00 2023-07-30 00:00:00 No 2023-12-08 00:00:00 None A None 20000 20000 -7000 13000 0 None UGE111 N None None SFY2023-24
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-15 00:00:00 910019371 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-15 00:00:00 2023-05-15 00:00:00 No 2023-12-08 00:00:00 None B None 3000 3000 0 3000 0 None JH7K11 N CA00862083, CA00862083, CA00862339, CA00862339 B, B, B, B SFY2023-24
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2023-11-16 00:00:00 910019375 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-07 00:00:00 2023-08-07 00:00:00 Yes 2023-12-11 00:00:00 2023-12-01 00:00:00 A None 25000 25000 0 0 25000 None 14FB11 N CA00863687, CA00863687, CA00863687 A, A, A SFY2023-24
940000048 COTTAGE CREST POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-11-16 00:00:00 910019377 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-18 00:00:00 2023-09-18 00:00:00 No 2023-12-11 00:00:00 None B None 3000 3000 -1050 1950 0 None YBE211 N CA00863609, CA00863609 A, A SFY2023-24
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-17 00:00:00 910019382 Closed Citation Citation A (HSC 1424) Patient Care None 2023-09-21 00:00:00 2023-09-21 00:00:00 No 2023-12-12 00:00:00 None A None 25000 25000 -8750 16250 0 None N0T411 N CA00863649, CA00863649, CA00863649, CA00863649, CA00863649 A, A, A, A, A SFY2023-24
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2023-11-17 00:00:00 910019383 Open Citation Citation B (HSC 1424) Patient Rights None 2023-10-03 00:00:00 2023-10-03 00:00:00 No 2023-12-12 00:00:00 None B None 3000 3000 0 0 3000 None 4KO111 N CA00863843 B SFY2023-24
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-11-22 00:00:00 910019401 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-07 00:00:00 2023-10-07 00:00:00 No 2023-12-15 00:00:00 None B None 3000 3000 0 3000 0 None I64711 N CA00864823 A SFY2023-24
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-28 00:00:00 910019409 Closed Citation Citation B (HSC 1424) Other Failure to report COVID o 2023-10-10 00:00:00 2023-10-10 00:00:00 No 2023-12-19 00:00:00 None B None 3000 3000 -1050 1950 0 None 3SYT11 N CA00866394, CA00867268 B, B SFY2023-24
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-28 00:00:00 910019411 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-05 00:00:00 2023-10-05 00:00:00 No 2023-12-19 00:00:00 None B None 3000 3000 -1050 1950 0 None KXMP11 N CA00864312, CA00865347, CA00865347 B, B, B SFY2023-24
940000024 NORWALK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-11-28 00:00:00 910019412 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-12 00:00:00 2023-07-12 00:00:00 No 2023-12-19 00:00:00 None B None 3000 3000 0 0 3000 None MUUJ11 N CA00866252 B SFY2023-24
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-11-30 00:00:00 910019419 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-12-21 00:00:00 None B None 3000 3000 0 3000 0 None 3CJY11 N CA00824923 B SFY2023-24
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-12-01 00:00:00 910019432 Open Citation Citation B (HSC 1424) Other ABUSE SELF REPORTED 2023-10-09 00:00:00 2023-10-09 00:00:00 No 2023-12-22 00:00:00 None B None 3000 3000 0 3000 0 None 0YS111 N CA00864800 B SFY2023-24
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-12-06 00:00:00 910019447 Open Citation Citation A (HSC 1424) Medication None 2023-10-27 00:00:00 2023-10-27 00:00:00 No 2023-12-28 00:00:00 None A None 25000 75000 0 75000 0 None OR4011 N CA00867514, CA00867514 A, A SFY2023-24
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-06 00:00:00 910019449 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-27 00:00:00 2023-10-27 00:00:00 No 2023-12-28 00:00:00 None B None 3000 9000 -3150 5850 0 None DMO911 N CA00867699 A SFY2023-24
910000048 HERITAGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-07 00:00:00 910019450 Open Citation Citation B (HSC 1424) Other Unusual Occurrence not re 2023-06-12 00:00:00 2023-06-12 00:00:00 Yes 2023-12-29 00:00:00 2023-12-21 00:00:00 B None 3000 3000 0 0 3000 None BW5O11 N CA00866778 A SFY2023-24
910000048 HERITAGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-08 00:00:00 910019456 Open Citation Citation A (HSC 1424) Patient Care None 2023-06-13 00:00:00 2023-06-13 00:00:00 Yes 2024-01-01 00:00:00 2023-12-22 00:00:00 A None 25000 25000 0 0 25000 None BW5O11 N CA00866778, CA00866778 A, A SFY2023-24
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-12-08 00:00:00 910019458 Open Citation Citation A (HSC 1424) Patient Care None 2023-10-14 00:00:00 2023-10-14 00:00:00 Yes 2024-01-02 00:00:00 2023-12-19 00:00:00 A None 25000 25000 0 0 25000 None 1UTW11 N CA00865885, CA00865885 B, B SFY2023-24
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2023-12-12 00:00:00 910019471 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-07 00:00:00 2023-11-07 00:00:00 No 2024-01-03 00:00:00 None B None 3000 3000 -1050 1950 0 None P2D711 N CA00868097 B SFY2023-24
940000016 BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-15 00:00:00 910019501 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-11-01 00:00:00 2023-11-01 00:00:00 No 2024-01-08 00:00:00 None B None 3000 3000 -1050 1950 0 None ZJTQ11 N CA00868116, CA00868138 A, A SFY2023-24
940000073 HUNTINGTON PARK NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-18 00:00:00 910019509 Open Citation Citation A (HSC 1424) Patient Care None 2023-09-01 00:00:00 2023-09-01 00:00:00 Yes 2024-01-10 00:00:00 2023-12-21 00:00:00 A None 25000 25250 0 0 25250 None BC4T11 N CA00867020, CA00867020 B, B SFY2023-24
910000048 HERITAGE REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-20 00:00:00 910019520 Open Citation Citation B (HSC 1424) Problem Transfer None 2023-11-02 00:00:00 2023-11-02 00:00:00 No 2024-01-11 00:00:00 None B None 3000 3000 -1050 1950 0 None CHS711 N CA00868302 A SFY2023-24
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-21 00:00:00 910019524 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-06 00:00:00 2023-11-06 00:00:00 No 2024-01-12 00:00:00 None B None 3000 3000 0 3000 0 None D0FM11 N CA00868790 B SFY2023-24
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2023-12-27 00:00:00 910019536 Open Citation Citation B (HSC 1424) Other Infection Control 2023-10-24 00:00:00 2023-10-24 00:00:00 No 2024-01-17 00:00:00 None B None 3000 3000 -1050 1950 0 None VW0I11 N CA00866634, CA00867959, CA00867959, CA00867959, CA00867959, CA00868410, CA00868410 B, B, B, B, B, A, A SFY2023-24
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-28 00:00:00 910019542 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-27 00:00:00 2023-11-27 00:00:00 No 2024-01-18 00:00:00 None B None 3000 3000 -1050 1950 0 None 77QB11 N CA00871351 B SFY2023-24
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-28 00:00:00 910019543 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-07 00:00:00 2023-11-07 00:00:00 No 2024-01-18 00:00:00 None B None 3000 3000 -1050 1950 0 None HTJO11 N CA00868920 B SFY2023-24
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2023-12-28 00:00:00 910019544 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-16 00:00:00 2023-11-16 00:00:00 No 2024-01-18 00:00:00 None B None 3000 3000 0 3000 0 None 96AY11 N CA00871259 B SFY2023-24
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-29 00:00:00 910019545 Open Citation Citation A (HSC 1424) Patient Care None 2023-10-18 00:00:00 2023-10-18 00:00:00 No 2024-01-19 00:00:00 None A None 25000 25000 -8750 16250 0 None NHL911 N CA00866358, CA00866358, CA00866358 B, B, B SFY2023-24
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-12-29 00:00:00 910019551 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-20 00:00:00 2023-11-20 00:00:00 No 2024-01-19 00:00:00 None B None 3000 9000 -3150 5850 0 None 2IQW11 N CA00870933, CA00874500 B, B SFY2023-24
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-12-29 00:00:00 910019552 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-20 00:00:00 2023-11-20 00:00:00 No 2024-01-19 00:00:00 None B None 3000 9000 -3150 5850 0 None 2IQW11 N CA00870933, CA00874500 B, B SFY2023-24
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-01-02 00:00:00 910019555 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-20 00:00:00 2023-11-20 00:00:00 No 2024-01-23 00:00:00 None A None 20000 20000 -7000 13000 0 None 2IQW11 N None None SFY2023-24
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-01-02 00:00:00 910019557 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-08 00:00:00 2023-11-08 00:00:00 No 2024-01-24 00:00:00 None A None 20000 20000 -7000 13000 0 None OZJ511 N None None SFY2023-24
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-01-03 00:00:00 910019565 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-13 00:00:00 2023-11-13 00:00:00 No 2024-01-24 00:00:00 None A None 20000 20300 -7000 13300 0 None 0I8111 N None None SFY2023-24
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-01-10 00:00:00 910019580 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-10 00:00:00 2023-12-10 00:00:00 No 2024-01-31 00:00:00 None B None 3000 9000 -3150 5850 0 None WDF511 N CA00874225, CA00876820 B, B SFY2023-24
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2024-01-10 00:00:00 910019582 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-02 00:00:00 2023-11-02 00:00:00 No 2024-01-31 00:00:00 None B None 3000 3000 -1050 1950 0 None DGSW11 N CA00871276, CA00871402, CA00871402, CA00871402, CA00871402 B, B, B, B, B SFY2023-24
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-01-10 00:00:00 910019586 Open Citation Citation B (HSC 1424) Patient Care None 2023-12-06 00:00:00 2023-12-06 00:00:00 No 2024-01-31 00:00:00 None B None 3000 3000 0 0 3000 None ZZ1411 N CA00874722 B SFY2023-24
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2024-01-11 00:00:00 910019591 Closed Citation Citation B (HSC 1424) Other Infection Control 2023-12-05 00:00:00 2023-12-05 00:00:00 No 2024-02-01 00:00:00 None B None 3000 3000 -1050 1950 0 None V9K411 N CA00873150 B SFY2023-24
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-01-12 00:00:00 910019598 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-15 00:00:00 2023-11-15 00:00:00 No 2024-02-05 00:00:00 None A None 25000 25000 -8750 16250 0 None 5IHF11 N CA00870702, CA00870702 B, B SFY2023-24
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2024-01-16 00:00:00 910019604 Closed Citation Citation B (HSC 1424) Patient Care None 2023-12-01 00:00:00 2023-12-01 00:00:00 No 2024-02-06 00:00:00 None B None 3000 3000 -1050 1950 0 None UZKL11 N CA00872610, CA00872610, CA00873493, CA00873493 B, B, B, B SFY2023-24
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-01-17 00:00:00 910019611 Open Citation Citation B (HSC 1424) Other NO REPORT RES ELOPEMENT 2023-11-26 00:00:00 2023-11-26 00:00:00 No 2024-02-07 00:00:00 None B None 3000 3000 0 0 3000 None 9UUY11 N CA00872336, CA00872336, CA00872336, CA00872336 A, A, A, A SFY2023-24
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-01-25 00:00:00 910019639 Closed Citation Citation B (HSC 1424) Other Infection Control 2023-12-12 00:00:00 2023-12-12 00:00:00 No 2024-02-15 00:00:00 None B None 3000 3000 0 3000 0 None T5VB11 N CA00877923 A SFY2023-24
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2024-01-26 00:00:00 910019659 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-11 00:00:00 2023-12-11 00:00:00 No 2024-02-16 00:00:00 None B None 3000 3000 -1050 1950 0 None 981811 N CA00874242, CA00874443, CA00874443 A, B, B SFY2023-24
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-01-30 00:00:00 910019668 Closed Citation Citation B (HSC 1424) Other Failure to Report OB 2024-01-08 00:00:00 2024-01-08 00:00:00 No 2024-02-20 00:00:00 None B None 3000 3000 -1050 1950 0 None D68311 N CA00877704 B SFY2023-24
930000436 PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-01 00:00:00 910019673 Open Citation Citation B (HSC 1424) Patient Rights None 2023-12-11 00:00:00 2023-12-11 00:00:00 No 2024-02-22 00:00:00 None B None 3000 3000 0 3000 0 None 4KK311 N None None SFY2023-24
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-02-02 00:00:00 910019683 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-10 00:00:00 2023-12-10 00:00:00 No 2024-02-23 00:00:00 None B None 3000 3000 0 3000 0 None 2LWN11 N CA00874101, CA00874101, CA00874101, CA00874101 B, B, B, B SFY2023-24
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2024-02-02 00:00:00 910019686 Closed Citation Citation B (HSC 1424) Other Unusual Occurences 2023-12-13 00:00:00 2023-12-13 00:00:00 No 2024-02-23 00:00:00 None B None 3000 3000 -1050 1950 0 None INU611 N CA00878830, CA00878830 A, A SFY2023-24
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-06 00:00:00 910019700 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-12 00:00:00 2023-12-12 00:00:00 No 2024-02-27 00:00:00 None A None 20000 20000 -7000 13000 0 None T5VB11 N CA00877019, CA00877019 B, B SFY2023-24
940000016 BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-09 00:00:00 910019718 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-22 00:00:00 2023-11-22 00:00:00 Yes 2024-03-01 00:00:00 2024-02-09 00:00:00 A None 25000 25000 0 0 25000 None 9JSB11 N CA00873857, CA00873857 A, A SFY2023-24
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-16 00:00:00 910019756 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-12 00:00:00 2023-12-12 00:00:00 No 2024-03-08 00:00:00 None A None 25000 25000 0 0 25000 None VLS111 N CA00874938, CA00874938 B, B SFY2023-24
970000052 ST. ANDREWS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2024-02-16 00:00:00 910019757 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-23 00:00:00 2023-12-23 00:00:00 No 2024-03-08 00:00:00 None B None 3000 3000 -1050 1950 0 None P0J011 N CA00876397, CA00876397 B, B SFY2023-24
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-21 00:00:00 910019765 Open Citation Citation B (HSC 1424) Other Infection Control/UOR fac 2024-01-07 00:00:00 2024-01-07 00:00:00 No 2024-03-13 00:00:00 None B None 3000 3000 0 1950 1050 None 5UPC11 N CA00878634 B SFY2023-24
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2024-02-21 00:00:00 910019766 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-02 00:00:00 2024-01-02 00:00:00 No 2024-03-13 00:00:00 None B None 3000 3000 -1050 1950 0 None 5RVH11 N CA00877959, CA00878140 B, B SFY2023-24
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-22 00:00:00 910019773 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-22 00:00:00 2023-12-22 00:00:00 No 2024-03-14 00:00:00 None B None 3000 3000 -1050 1950 0 None MOKP11 N CA00876393, CA00876393, CA00876393, CA00876393, CA00876393 B, B, B, B, B SFY2023-24
940000079 PICO RIVERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-23 00:00:00 910019775 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-08 00:00:00 2023-11-08 00:00:00 No 2024-03-15 00:00:00 None A None 25000 25000 0 0 25000 None 4HLR11 Y None None SFY2023-24
910000275 GARDENA CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-26 00:00:00 910019781 Closed Citation Citation B (HSC 1424) Other Infection Control 2024-01-19 00:00:00 2024-01-19 00:00:00 No 2024-03-18 00:00:00 None B None 3000 3000 -1050 1950 0 None PIXV11 N CA00880849 B SFY2023-24
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-27 00:00:00 910019787 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-09 00:00:00 2024-01-09 00:00:00 No 2024-03-19 00:00:00 None B None 3000 9000 -3150 5850 0 None 98BF11 N CA00878887, CA00878887 B, B SFY2023-24
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-27 00:00:00 910019788 Closed Citation Citation A (HSC 1424) Patient Care None 2024-01-11 00:00:00 2024-01-11 00:00:00 No 2024-03-19 00:00:00 None A None 25000 25000 -8750 16250 0 None 98BF11 N CA00879216 B SFY2023-24
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-27 00:00:00 910019789 Open Citation Citation B (HSC 1424) Patient Care None 2024-01-09 00:00:00 2024-01-09 00:00:00 No 2024-03-19 00:00:00 None B None 3000 3000 -1050 1950 0 None 3HSP11 N CA00877285, CA00877285, CA00877285, CA00877285, CA00877285, CA00877285, CA00877285 B, B, B, B, B, B, B SFY2023-24
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2024-02-27 00:00:00 910019791 Open Citation Citation B (HSC 1424) Patient Record None 2024-01-25 00:00:00 2024-01-25 00:00:00 Yes 2024-03-19 00:00:00 2024-03-18 00:00:00 B None 3000 9100 0 0 9100 None CEXJ11 N CA00881778 A SFY2023-24
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-27 00:00:00 910019793 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-24 00:00:00 2024-01-24 00:00:00 No 2024-03-19 00:00:00 None B None 3000 3000 -1050 1950 0 None O5HE11 N CA00881433 B SFY2023-24
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-02-28 00:00:00 910019798 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-06 00:00:00 2024-01-06 00:00:00 No 2024-03-20 00:00:00 None B None 3000 3000 -1050 1950 0 None 3NEP11 N CA00878606 B SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-02-28 00:00:00 910019799 Closed Citation Citation A (HSC 1424) Patient Care None 2023-09-12 00:00:00 2023-09-12 00:00:00 No 2024-03-20 00:00:00 None A None 25000 25000 -8750 16250 0 None TCO611 N CA00878656 B SFY2023-24
940000062 ALAMITOS BELMONT HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility LA Region 3 2024-02-29 00:00:00 910019803 Closed Citation Citation A (HSC 1424) Medication None 2023-12-25 00:00:00 2023-12-25 00:00:00 No 2024-03-21 00:00:00 None A None 25000 25000 -8750 16250 0 None XR7611 N CA00877090, CA00877090 B, B SFY2023-24
940000048 COTTAGE CREST POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-02-29 00:00:00 910019804 Open Citation Citation AA (HSC 1424) Other Death/Dialysis 2024-01-06 00:00:00 2024-01-06 00:00:00 No 2024-03-21 00:00:00 None AA None 120000 120000 -42000 78000 0 None JLNB11 Y CA00880223, CA00880223, CA00880223 A, A, A SFY2023-24
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-03-01 00:00:00 910019808 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-10 00:00:00 2024-01-10 00:00:00 No 2024-03-22 00:00:00 None B None 3000 3000 -1050 1950 0 None 2VTP11 N None None SFY2023-24
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-03-06 00:00:00 910019830 Closed Citation Citation A (HSC 1424) Other Accidents and Supervision 2024-01-07 00:00:00 2024-01-07 00:00:00 No 2024-03-27 00:00:00 None A None 20000 20000 -7000 13000 0 None 3NEP11 N CA00878788, CA00878788 B, B SFY2023-24
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2024-03-08 00:00:00 910019845 Closed Citation Citation B (HSC 1424) Other Accident/Hazards/supervis 2024-01-29 00:00:00 2024-01-29 00:00:00 No 2024-03-29 00:00:00 None B None 3000 9000 0 9000 0 None 7V5411 N CA00881790, CA00881790 A, A SFY2023-24
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-03-14 00:00:00 910019871 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-18 00:00:00 2024-01-18 00:00:00 No 2024-04-05 00:00:00 None B None 3000 3000 -1050 1950 0 None K0LE11 N CA00880517, CA00880517 B, B SFY2023-24
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-03-19 00:00:00 910019882 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-03 00:00:00 2024-02-03 00:00:00 No 2024-04-10 00:00:00 None B None 3000 3000 0 3000 0 None NSEB11 N CA00883357 B SFY2023-24
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-03-19 00:00:00 910019884 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-03 00:00:00 2024-02-03 00:00:00 No 2024-04-10 00:00:00 None B None 3000 3000 0 3000 0 None EUXK11 N None None SFY2023-24
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-03-21 00:00:00 910019894 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 16P111 N CA00881906, CA00884118, CA00884118 B, B, B SFY2023-24
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2024-03-22 00:00:00 910019900 Open Citation Citation A (HSC 1424) Other Accidents 2023-12-01 00:00:00 2023-12-01 00:00:00 No 2024-04-15 00:00:00 None A None 20000 20000 0 0 20000 None 7VDZ11 N CA00880525, CA00880525, CA00880928, CA00880928 B, B, B, B SFY2023-24
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2024-03-22 00:00:00 910019901 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-23 00:00:00 2024-02-23 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None JX5N11 N CA00886546, CA00886546 B, B SFY2023-24
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-03-27 00:00:00 910019922 Closed Citation Citation A (HSC 1424) Medication None 2024-01-17 00:00:00 2024-01-17 00:00:00 No 2024-04-18 00:00:00 None A None 25000 25000 -8750 16250 0 None ZLPQ11 N CA00881243 B SFY2023-24
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-03-27 00:00:00 910019923 Closed Citation Citation B (HSC 1424) Medication None 2024-02-06 00:00:00 2024-02-06 00:00:00 No 2024-04-18 00:00:00 None B None 3000 3000 -1050 1950 0 None ZLPQ11 N CA00881243, CA00881243, CA00881243, CA00881243, CA00881243 B, B, B, B, B SFY2023-24
930000904 MEMORIAL HOSPITAL OF GARDENA D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2024-03-27 00:00:00 910019924 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-09 00:00:00 2024-02-09 00:00:00 No 2024-04-18 00:00:00 None B None 3000 3000 -1050 1950 0 None 602Q11 N None None SFY2023-24
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-03 00:00:00 910019943 Closed Citation Citation A (HSC 1424) Patient Care None 2024-01-18 00:00:00 2024-01-18 00:00:00 No 2024-04-24 00:00:00 None A None 25000 25000 -8750 16250 0 None EEET11 N None None SFY2023-24
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-03 00:00:00 910019947 Open Citation Citation B (HSC 1424) Other Admission, Transfer, Disc 2024-02-18 00:00:00 2024-02-18 00:00:00 No 2024-04-24 00:00:00 None B None 3000 3000 -1050 1950 0 None 5IKU11 N CA00886217, CA00886217, CA00886217, CA00886217 A, A, A, A SFY2023-24
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2024-04-04 00:00:00 910019958 Open Citation Citation A (HSC 1424) Patient Care None 2022-10-27 00:00:00 2022-10-27 00:00:00 No 2024-04-25 00:00:00 None A None 25000 25000 0 16250 8750 None MC6511 N None None SFY2023-24
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-04 00:00:00 910019960 Open Citation Citation A (HSC 1424) Patient Care None 2023-09-28 00:00:00 2023-09-28 00:00:00 Yes 2024-04-25 00:00:00 2024-04-17 00:00:00 A None 25000 25000 0 0 25000 None YTGW11 N None None SFY2023-24
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-04 00:00:00 910019961 Open Citation Citation A (HSC 1424) Other Resident Elopement 2024-02-09 00:00:00 2024-02-09 00:00:00 No 2024-04-25 00:00:00 None A None 25000 25000 -8750 16250 0 None ZUNH11 N CA00884604, CA00884604, CA00884604 A, A, A SFY2023-24
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-05 00:00:00 910019969 Open Citation Citation A (HSC 1424) Patient Care None 2024-02-10 00:00:00 2024-02-10 00:00:00 Yes 2024-04-26 00:00:00 2024-04-22 00:00:00 A None 25000 25050 0 0 25050 None 3OOZ11 N CA00884586, CA00884586, CA00884586, CA00884586, CA00884586, CA00884586, CA00884586 A, A, A, A, A, A, A SFY2023-24
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-05 00:00:00 910019970 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-27 00:00:00 2024-02-27 00:00:00 No 2024-04-26 00:00:00 None B None 3000 3000 -1050 1950 0 None X6W711 N CA00887300 B SFY2023-24
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-05 00:00:00 910019971 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-20 00:00:00 2024-02-20 00:00:00 No 2024-04-26 00:00:00 None B None 3000 3000 0 3000 0 None 8BBG11 N CA00885631 B SFY2023-24
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-05 00:00:00 910019972 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-07 00:00:00 2024-02-07 00:00:00 No 2024-04-26 00:00:00 None B None 3000 3000 -1050 1950 0 None GOZS11 N CA00883975, CA00883975, CA00883975 B, B, B SFY2023-24
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2024-04-11 00:00:00 910019991 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-13 00:00:00 2024-03-13 00:00:00 No 2024-05-02 00:00:00 None B None 3000 3000 0 3000 0 None 6Z4A11 N CA00889692 B SFY2023-24
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2024-04-12 00:00:00 910020001 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-14 00:00:00 2024-02-14 00:00:00 No 2024-05-03 00:00:00 None B None 3000 9000 -3150 5850 0 None DDZM11 N CA00889610, CA00889610, CA00889610 A, A, A SFY2023-24
940000091 PARAMOUNT CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-04-12 00:00:00 910020002 Open Citation Citation A (HSC 1424) Patient Care None 2024-02-08 00:00:00 2024-02-08 00:00:00 No 2024-05-03 00:00:00 None A None 25000 25000 -8750 16250 0 None 1LNL11 N CA00886014, CA00886014 B, B SFY2023-24
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2024-04-12 00:00:00 910020003 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-14 00:00:00 2024-02-14 00:00:00 No 2024-05-03 00:00:00 None B None 3000 3000 0 0 3000 None DDZM11 N CA00889610, CA00889610, CA00889610, CA00889610 A, A, A, A SFY2023-24
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-17 00:00:00 910020026 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-02 00:00:00 2024-03-02 00:00:00 No 2024-05-08 00:00:00 None B None 3000 3000 -1050 1950 0 None MIYT11 N CA00890788 B SFY2023-24
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-17 00:00:00 910020027 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-17 00:00:00 2024-02-17 00:00:00 No 2024-05-08 00:00:00 None B None 3000 3000 -1050 1950 0 None 7N6X11 N CA00885720, CA00885720 B, B SFY2023-24
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-19 00:00:00 910020043 Closed Citation Citation A (HSC 1424) Patient Care None 2024-02-15 00:00:00 2024-02-15 00:00:00 No 2024-05-10 00:00:00 None A None 25000 25000 -8750 16250 0 None 9BRC11 N None None SFY2023-24
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-19 00:00:00 910020044 Closed Citation Citation B (HSC 1424) Other Accidents 2024-02-23 00:00:00 2024-02-23 00:00:00 No 2024-05-10 00:00:00 None B None 3000 3000 -1050 1950 0 None 6CBD11 N CA00886550 B SFY2023-24
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-04-19 00:00:00 910020046 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-09 00:00:00 2024-02-09 00:00:00 No 2024-05-10 00:00:00 None B None 3000 3000 0 3000 0 None 9NPI11 N CA00885894, CA00885894, CA00885894, CA00885894 B, B, B, B SFY2023-24
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-25 00:00:00 910020065 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-14 00:00:00 2024-03-14 00:00:00 No 2024-05-16 00:00:00 None B None 3000 3000 0 1800 1200 None X87G11 N CA00889940 B SFY2023-24
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-01 00:00:00 910020090 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-04 00:00:00 2024-03-04 00:00:00 No 2024-05-22 00:00:00 None B None 3000 3000 -1050 1950 0 None 3JPO11 N CA00888387, CA00888387, CA00888387 B, B, B SFY2023-24
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-02 00:00:00 910020103 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-11 00:00:00 2024-03-11 00:00:00 No 2024-05-23 00:00:00 None B None 3000 3000 -1050 1950 0 None DC6311 N CA00889451, CA00889955 B, B SFY2023-24
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-02 00:00:00 910020110 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-26 00:00:00 2024-03-26 00:00:00 No 2024-05-23 00:00:00 None B None 3000 3000 -1050 1950 0 None EVE011 N CA00887508, CA00887508, CA00887508, CA00887717, CA00887717 B, B, B, B, B SFY2023-24
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-02 00:00:00 910020111 Open Citation Citation B (HSC 1424) Other Accidents 2024-03-26 00:00:00 2024-03-26 00:00:00 No 2024-05-23 00:00:00 None B None 3000 3000 -1050 1950 0 None EVE011 N CA00887508, CA00887508, CA00887508, CA00887556, CA00887717, CA00887717 B, B, B, B, B, B SFY2023-24
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2024-05-03 00:00:00 910020116 Open Citation Citation A (HSC 1424) Patient Care None 2024-03-04 00:00:00 2024-03-04 00:00:00 No 2024-05-24 00:00:00 None A None 25000 25000 -8750 16250 0 None 6PGP11 N CA00888743, CA00888743, CA00888743 B, B, B SFY2023-24
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-08 00:00:00 910020139 Open Citation Citation A (HSC 1424) Physical Environment None 2024-03-10 00:00:00 2024-03-10 00:00:00 No 2024-05-30 00:00:00 None A None 25000 25000 0 0 25000 None MNFA11 N CA00889306, CA00889306, CA00889306, CA00889306 B, B, B, B SFY2023-24
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-05-09 00:00:00 910020149 Closed Citation Citation B (HSC 1424) Other Failure to Report 2024-03-18 00:00:00 2024-03-18 00:00:00 No 2024-05-31 00:00:00 None B None 3000 3000 -1050 1950 0 None 1YJ611 N None None SFY2023-24
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2024-05-09 00:00:00 910020150 Closed Citation Citation A (HSC 1424) Patient Care None 2024-03-19 00:00:00 2024-03-19 00:00:00 No 2024-05-31 00:00:00 None A None 25000 25000 -8750 16250 0 None ITRS11 N CA00890916, CA00890916, CA00890916, CA00891191 B, B, B, B SFY2023-24
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2024-05-09 00:00:00 910020153 Open Citation Citation A (HSC 1424) Patient Care None 2024-03-20 00:00:00 2024-03-20 00:00:00 Yes 2024-05-31 00:00:00 2024-05-15 00:00:00 A None 25000 25000 0 0 25000 None IIDG11 Y CA00891019, CA00891019, CA00891019 A, A, A SFY2023-24
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-05-09 00:00:00 910020154 Closed Citation Citation A (HSC 1424) Patient Care None 2024-03-19 00:00:00 2024-03-19 00:00:00 No 2024-05-31 00:00:00 None A None 25000 25000 -8750 16250 0 None 1YJ611 N None None SFY2023-24
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-05-09 00:00:00 910020158 Closed Citation Citation A (HSC 1424) Patient Record None 2024-03-19 00:00:00 2024-03-19 00:00:00 No 2024-05-31 00:00:00 None A None 25000 25100 -8750 16350 0 None 1YJ611 N None None SFY2023-24
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-10 00:00:00 910020162 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-01 00:00:00 2024-04-01 00:00:00 No 2024-06-03 00:00:00 None B None 3000 3000 0 3000 0 None HV9D11 N CA00892510 B SFY2023-24
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-05-10 00:00:00 910020166 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-14 00:00:00 2024-03-14 00:00:00 No 2024-06-03 00:00:00 None B None 3000 3000 -1050 1950 0 None OQM911 N CA00889767, CA00889767, CA00889767 B, B, B SFY2023-24
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2024-05-10 00:00:00 910020173 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-13 00:00:00 2024-03-13 00:00:00 No 2024-06-03 00:00:00 None B None 3000 3000 0 0 3000 None X5LD11 N CA00889723, CA00889723 A, A SFY2023-24
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-13 00:00:00 910020178 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-16 00:00:00 2024-03-16 00:00:00 No 2024-06-04 00:00:00 None B None 3000 3000 0 3000 0 None 6PTH11 N CA00890569, CA00890569, CA00890700 B, B, B SFY2023-24
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2024-05-15 00:00:00 910020188 Closed Citation Citation B (HSC 1424) Medication None 2024-04-18 00:00:00 2024-04-18 00:00:00 No 2024-06-06 00:00:00 None B None 3000 3000 -1050 1950 0 None 18A511 N None None SFY2023-24
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-15 00:00:00 910020190 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-12 00:00:00 2024-03-12 00:00:00 No 2024-06-06 00:00:00 None B None 3000 3000 -1050 1950 0 None OP7G11 N CA00891145, CA00891145, CA00891145, CA00891145, CA00891187, CA00891187, CA00891221 A, A, A, A, B, B, B SFY2023-24
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2024-05-16 00:00:00 910020195 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-24 00:00:00 2024-04-24 00:00:00 No 2024-06-07 00:00:00 None B None 3000 3050 -1050 1950 50 None 9VJ611 N CA00896088, CA00896088 A, A SFY2023-24
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2024-05-21 00:00:00 910020208 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-16 00:00:00 2024-04-16 00:00:00 No 2024-06-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 18A511 N None None SFY2023-24
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2024-05-21 00:00:00 910020210 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-16 00:00:00 2024-04-16 00:00:00 No 2024-06-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 18A511 N CA00895749, CA00895760, CA00895760, CA00895760, CA00895766, CA00895771, CA00895773, CA00895985 B, B, B, B, B, B, A, B SFY2023-24
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2024-05-21 00:00:00 910020211 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-16 00:00:00 2024-04-16 00:00:00 No 2024-06-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 18A511 N CA00895760, CA00895760, CA00895773 B, B, A SFY2023-24
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-22 00:00:00 910020222 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-02 00:00:00 2024-03-02 00:00:00 No 2024-06-13 00:00:00 None B None 3000 3000 -1050 1950 0 None 9RPW11 N CA00894653 A SFY2023-24
940000073 HUNTINGTON PARK NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-05-23 00:00:00 910020230 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-12 00:00:00 2023-07-12 00:00:00 Yes 2024-06-14 00:00:00 2024-06-03 00:00:00 B None 3000 3000 0 0 3000 None UJS711 N CA00893034, CA00893034, CA00893034, CA00893034, CA00893034, CA00893034, CA00893034 A, A, A, A, A, A, A SFY2023-24
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-05-23 00:00:00 910020231 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-19 00:00:00 2024-04-19 00:00:00 No 2024-06-14 00:00:00 None B None 3000 3000 0 3000 0 None QJ8T11 N CA00896286 A SFY2023-24
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-05-24 00:00:00 910020232 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2024-04-01 00:00:00 2024-04-01 00:00:00 No 2024-06-17 00:00:00 None WF None 10000 10000 -3500 6500 0 None U3HG11 None None None SFY2023-24
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2024-05-29 00:00:00 910020245 Open Citation Citation A (HSC 1424) Patient Rights None 2024-04-24 00:00:00 2024-04-24 00:00:00 Yes 2024-06-19 00:00:00 2024-06-04 00:00:00 A None 20000 20000 0 0 20000 None 9VJ611 N CA00896088, CA00896088 A, A SFY2023-24
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2024-05-31 00:00:00 910020253 Open Citation Citation A (HSC 1424) Patient Care None 2022-04-21 00:00:00 2022-04-21 00:00:00 No 2024-06-21 00:00:00 None A None 25000 25000 -8750 16250 0 None 18A511 N None None SFY2023-24
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-05 00:00:00 910020270 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-08 00:00:00 2023-12-08 00:00:00 No 2024-06-26 00:00:00 None B None 3000 3000 -1050 1950 0 None GEZ411 N CA00894854, CA00894854, CA00894854 A, A, A SFY2023-24
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-05 00:00:00 910020272 Open Citation Citation A (HSC 1424) Patient Care None 2024-04-13 00:00:00 2024-04-13 00:00:00 Yes 2024-06-26 00:00:00 2024-06-20 00:00:00 A None 25000 25000 0 0 25000 None GEZ411 N CA00894854, CA00894854, CA00894854 A, A, A SFY2023-24
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-06-06 00:00:00 910020282 Open Citation Citation B (HSC 1424) Medication None 2024-03-28 00:00:00 2024-03-28 00:00:00 No 2024-06-27 00:00:00 None B None 3000 3000 -1050 1950 0 None SPLL11 N CA00894695, CA00894695 B, B SFY2023-24
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-11 00:00:00 910020300 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-23 00:00:00 2024-04-23 00:00:00 No 2024-07-02 00:00:00 None B None 3000 3000 -1050 1950 0 None 8GG911 N CA00899394, CA00899394, CA00899394, CA00899394, CA00899394, CA00900547 B, B, B, B, B, B SFY2023-24
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-12 00:00:00 910020310 Open Citation Citation A (HSC 1424) Patient Care None 2024-04-14 00:00:00 2024-04-14 00:00:00 No 2024-07-03 00:00:00 None A None 25000 25000 0 0 25000 None 4VO311 N CA00894929 B SFY2023-24
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-13 00:00:00 910020320 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-13 00:00:00 2024-04-13 00:00:00 No 2024-07-05 00:00:00 None B None 3000 9000 -3150 5850 0 None 5BB111 N CA00895987 B SFY2023-24
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-14 00:00:00 910020322 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-14 00:00:00 2024-03-14 00:00:00 No 2024-07-08 00:00:00 None B None 3000 3000 -1050 1950 0 None J0O211 N CA00898765, CA00898765, CA00898765, CA00898765, CA00898765, CA00898765 A, A, A, A, A, A SFY2023-24
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-14 00:00:00 910020325 Closed Citation Citation A (HSC 1424) Patient Care None 2024-04-11 00:00:00 2024-04-11 00:00:00 No 2024-07-08 00:00:00 None A None 25000 25000 -8750 16250 0 None 0SNB11 N CA00894864, CA00894864 B, B SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-14 00:00:00 910020328 Open Citation Citation A (HSC 1424) Patient Care None 2024-04-19 00:00:00 2024-04-19 00:00:00 No 2024-07-08 00:00:00 None A None 25000 25000 0 0 25000 None 64T311 N CA00896122, CA00896122, CA00896122 A, A, A SFY2023-24
910000033 DEL AMO GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-18 00:00:00 910020334 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-15 00:00:00 2024-04-15 00:00:00 No 2024-07-10 00:00:00 None B None 3000 3000 -1050 1950 0 None ERZF11 N CA00895975, CA00895975 B, B SFY2023-24
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-06-20 00:00:00 910020342 Open Citation Citation A (HSC 1424) Patient Care None 2024-02-15 00:00:00 2024-02-15 00:00:00 No 2024-07-12 00:00:00 None A None 25000 25000 0 0 25000 None U1T011 Y None None SFY2023-24
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2024-06-21 00:00:00 910020345 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-27 00:00:00 2024-04-27 00:00:00 No 2024-07-15 00:00:00 None B None 3000 3000 -1050 1950 0 None J0F011 N None None SFY2023-24
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2024-06-27 00:00:00 910020366 Open Citation Citation B (HSC 1424) Patient Care None 2024-05-15 00:00:00 2024-05-15 00:00:00 No 2024-07-19 00:00:00 None B None 3000 3000 0 0 3000 None 5QZ811 N CA00900220, CA00900220, CA00900220 B, B, B SFY2023-24
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-28 00:00:00 910020367 Open Citation Citation B (HSC 1424) Patient Care None 2024-05-14 00:00:00 2024-05-14 00:00:00 No 2024-07-22 00:00:00 None B None 3000 3000 0 0 3000 None NOSI11 N None None SFY2023-24
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-28 00:00:00 910020370 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-21 00:00:00 2024-04-21 00:00:00 No 2024-07-22 00:00:00 None B None 3000 3000 0 0 3000 None NOSI11 N None None SFY2023-24
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-06-28 00:00:00 910020371 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-05-08 00:00:00 2024-05-08 00:00:00 No 2024-07-22 00:00:00 None B None 3000 9000 -3150 5850 0 None 7MV311 N CA00898926 B SFY2023-24
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-01-05 00:00:00 920001059 Closed Citation Citation B (HSC 1424) Administration None 1999-11-22 00:00:00 1999-11-22 00:00:00 Yes 2001-05-30 00:00:00 2000-01-19 00:00:00 B B 1000 1000 0 1000 0 920005469 A99999 N None None SFY1999-00
920000049 BERKLEY POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-01-31 00:00:00 920001060 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-10 00:00:00 2000-01-31 00:00:00 Yes 2001-05-28 00:00:00 2000-02-10 00:00:00 B B 600 500 0 500 0 920005493 A99999 N None None SFY1999-00
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2000-02-04 00:00:00 920001061 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-27 00:00:00 2000-01-27 00:00:00 No 2000-03-01 00:00:00 None B None 800 800 -280 520 0 920005500 A99999 N None None SFY1999-00
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-02-10 00:00:00 920001063 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-02 00:00:00 2000-02-02 00:00:00 No 2000-03-03 00:00:00 None B None 600 600 0 600 0 920005508 A99999 N None None SFY1999-00
920000003 THE GROVE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-02-11 00:00:00 920001064 Closed Citation Citation A (HSC 1424) Other RETALIATION 1999-11-17 00:00:00 1999-11-17 00:00:00 Yes 2001-07-11 00:00:00 2000-05-17 00:00:00 A Dismissed by Court 7000 0 0 0 0 920005505 A99999 N None None SFY1999-00
920000049 BERKLEY POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-02-25 00:00:00 920001065 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-02-22 00:00:00 2000-02-22 00:00:00 No 2000-03-24 00:00:00 None B None 400 400 0 400 0 920005519 A99999 N None None SFY1999-00
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-29 00:00:00 920001066 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-02-23 00:00:00 2000-02-23 00:00:00 No 2000-03-21 00:00:00 None B None 500 500 0 500 0 920005524 A99999 N None None SFY1999-00
920000010 GOOD SHEPHERD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-03-16 00:00:00 920001067 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-20 00:00:00 2000-01-20 00:00:00 Yes 2001-05-29 00:00:00 2000-04-04 00:00:00 B B 700 700 0 700 0 920005540 A99999 N None None SFY1999-00
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-03-30 00:00:00 920001068 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-28 00:00:00 2000-03-28 00:00:00 No 2000-04-20 00:00:00 None B None 800 800 -280 520 0 920005548 A99999 Y None None SFY1999-00
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2000-03-30 00:00:00 920001070 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-28 00:00:00 1999-12-28 00:00:00 Yes 2001-05-11 00:00:00 2000-04-07 00:00:00 B B 600 600 -540 60 0 920005551 A99999 N None None SFY1999-00
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-03-30 00:00:00 920001071 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-29 00:00:00 2000-01-29 00:00:00 Yes 2000-04-28 00:00:00 2000-04-10 00:00:00 B None 800 800 0 800 0 920005552 A99999 N None None SFY1999-00
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-03-31 00:00:00 920001072 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-03-23 00:00:00 2000-03-23 00:00:00 No 2000-04-21 00:00:00 None B None 600 600 0 600 0 920005545 A99999 N None None SFY1999-00
920000086 GRANADA HILLS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-04-26 00:00:00 920001073 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-05 00:00:00 2000-04-11 00:00:00 No 2000-05-17 00:00:00 None B None 700 700 -245 455 0 920005572 A99999 N None None SFY1999-00
920000010 GOOD SHEPHERD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-04-28 00:00:00 920001074 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-20 00:00:00 2000-02-20 00:00:00 Yes 2001-05-29 00:00:00 2000-05-12 00:00:00 B B 700 700 0 700 0 920005576 A99999 N None None SFY1999-00
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-04-28 00:00:00 920001075 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-13 00:00:00 2000-04-13 00:00:00 No 2000-05-19 00:00:00 None B None 800 800 -280 520 0 920005578 A99999 N None None SFY1999-00
920000026 HIGH VALLEY LODGE LTC SNF Skilled Nursing Facility LA Region 2 2000-05-05 00:00:00 920001076 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-11 00:00:00 2000-02-11 00:00:00 Yes 2001-05-11 00:00:00 2000-05-11 00:00:00 B B 800 800 0 800 0 920005586 A99999 N None None SFY1999-00
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-05-23 00:00:00 920001077 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-05-09 00:00:00 2000-05-09 00:00:00 No 2000-06-14 00:00:00 None B None 400 400 -140 260 0 920005601 A99999 N None None SFY1999-00
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2000-05-19 00:00:00 920001078 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-03-30 00:00:00 2000-03-30 00:00:00 No 2000-06-09 00:00:00 None WF None 1000 1000 -350 650 0 920005602 A99999 None None None SFY1999-00
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-05-26 00:00:00 920001079 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-07 00:00:00 2000-02-07 00:00:00 No 2000-06-16 00:00:00 None A None 10000 10000 0 10000 0 920005617 A99999 N None None SFY1999-00
920000077 ALAMEDA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-06-30 00:00:00 920001080 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-06-26 00:00:00 2000-06-30 00:00:00 No 2000-07-24 00:00:00 None B None 400 400 0 400 0 920005652 A99999 N None None SFY1999-00
920000077 ALAMEDA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-06-30 00:00:00 920001081 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-06-23 00:00:00 2000-06-23 00:00:00 No 2000-07-24 00:00:00 None WF None 1000 1000 0 1000 0 920005652 A99999 None None None SFY1999-00
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-07-13 00:00:00 920001082 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-02 00:00:00 2000-07-02 00:00:00 No 2000-08-03 00:00:00 None B None 600 600 0 600 0 920005674 A99999 N None None SFY2000-01
920000003 THE GROVE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-07-13 00:00:00 920001083 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-07-10 00:00:00 2000-07-13 00:00:00 No 2000-08-03 00:00:00 None B None 500 500 -175 325 0 920005675 A99999 N None None SFY2000-01
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-07-23 00:00:00 920001085 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-06-26 00:00:00 2020-06-26 00:00:00 No 2020-08-13 00:00:00 None B None 2000 2000 -700 1300 0 920005726 PBO821 N CA00694381 A SFY2020-21
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-08-23 00:00:00 920001086 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-08-14 00:00:00 2000-08-14 00:00:00 Yes 2000-09-20 00:00:00 2000-08-28 00:00:00 WF None 1000 1000 -342 658 0 920005726 A99999 None None None SFY2000-01
920000087 MAGNOLIA GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-10-06 00:00:00 920001087 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-28 00:00:00 2000-09-28 00:00:00 Yes 2000-11-07 00:00:00 2000-10-23 00:00:00 B Drop>Deficiency 700 0 0 0 0 920005827 A99999 N None None SFY2000-01
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2000-10-11 00:00:00 920001088 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-06 00:00:00 2000-10-06 00:00:00 Yes 2001-05-18 00:00:00 2000-10-18 00:00:00 B B 500 500 0 500 0 920005830 A99999 N None None SFY2000-01
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-10-27 00:00:00 920001090 Closed Citation Citation B (HSC 1424) Medication None 2000-10-12 00:00:00 2000-10-12 00:00:00 No 2000-11-20 00:00:00 None B None 800 800 -280 520 0 920005839 A99999 N None None SFY2000-01
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-10-27 00:00:00 920001091 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-10-12 00:00:00 2000-10-12 00:00:00 No 2000-11-20 00:00:00 None WF None 1000 1000 -350 650 0 920005840 A99999 None None None SFY2000-01
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-10-27 00:00:00 920001092 Closed Citation Citation B (HSC 1424) Medication None 2000-10-12 00:00:00 2000-10-12 00:00:00 No 2000-11-20 00:00:00 None B None 900 900 -315 585 0 920005841 A99999 N None None SFY2000-01
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2000-11-03 00:00:00 920001093 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-10-30 00:00:00 2000-10-30 00:00:00 No 2000-11-29 00:00:00 None B None 1000 1000 -350 650 0 920005849 A99999 N None None SFY2000-01
920000006 FORESTER HAVEN LTC SNF Skilled Nursing Facility LA Region 2 2000-11-07 00:00:00 920001094 Closed Citation Citation Retaliation/Discrimination (HSC 1432) Patient Rights None 2000-10-25 00:00:00 2000-10-25 00:00:00 Yes 2001-05-10 00:00:00 2000-11-15 00:00:00 RD R/D=<$1000 700 700 0 700 0 920005852 A99999 None None None SFY2000-01
920000033 ROCKHAVEN SANITARIUM LTC SNF Skilled Nursing Facility LA Region 1 2000-11-07 00:00:00 920001095 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-12 00:00:00 1999-12-12 00:00:00 No 2000-11-28 00:00:00 None B None 800 800 -280 520 0 920005855 A99999 N None None SFY2000-01
920000073 VINELAND POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-12-14 00:00:00 920001096 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-03 00:00:00 2000-07-03 00:00:00 No 2001-01-08 00:00:00 None B None 800 2400 0 2400 0 920005894 A99999 N None None SFY2000-01
920000073 VINELAND POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-12-14 00:00:00 920001097 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-12-09 00:00:00 2000-12-09 00:00:00 No 2001-01-08 00:00:00 None B None 900 900 0 900 0 920005895 A99999 N None None SFY2000-01
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-12-19 00:00:00 920001098 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-15 00:00:00 2000-12-19 00:00:00 Yes 2001-02-02 00:00:00 2001-01-08 00:00:00 B Drop>Deficiency 1000 1050 0 1050 0 920005897 A99999 N None None SFY2000-01
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-01-12 00:00:00 920001099 Closed Citation Citation A (HSC 1424) Patient Care None 2000-09-25 00:00:00 2000-09-25 00:00:00 Yes 2001-05-11 00:00:00 2001-05-15 00:00:00 A B 7500 5000 0 5000 0 920005915 A99999 N None None SFY2000-01
920000030 THE HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-01-24 00:00:00 920001101 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-29 00:00:00 2000-12-29 00:00:00 No 2001-02-15 00:00:00 None B None 700 700 -245 455 0 920005927 A99999 N None None SFY2000-01
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-01-31 00:00:00 920001103 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-01 00:00:00 2000-10-01 00:00:00 Yes 2001-02-23 00:00:00 2001-02-13 00:00:00 A A 20000 15000 0 15000 0 920005933 A99999 N None None SFY2000-01
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-02-26 00:00:00 920001122 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-10 00:00:00 2001-02-10 00:00:00 No 2001-03-26 00:00:00 None B None 1000 1000 0 1000 0 920006044 A99999 N None None SFY2000-01
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-03-22 00:00:00 920001123 Closed Citation Citation B (HSC 1424) Patient Care None 1998-04-28 00:00:00 None No 2001-05-03 00:00:00 None B Drop>Deficiency 1000 1150 -550 600 0 920006069 A99999 N None None SFY2000-01
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-04-13 00:00:00 920001124 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-04-05 00:00:00 2001-04-05 00:00:00 No 2001-05-15 00:00:00 None B None 1000 1000 0 1000 0 920006081 A99999 N None None SFY2000-01
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-06-01 00:00:00 920001125 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-16 00:00:00 None No 2001-06-29 00:00:00 None B None 700 700 -245 455 0 920006170 A99999 N None None SFY2000-01
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-06-13 00:00:00 920001126 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-25 00:00:00 None Yes 2001-10-04 00:00:00 2001-06-20 00:00:00 B B 1000 1000 0 1000 0 920006120 A99999 N None None SFY2000-01
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-06-19 00:00:00 920001128 Closed Citation Citation B (HSC 1424) Patient Care None 2001-01-07 00:00:00 2001-01-07 00:00:00 No 2001-07-24 00:00:00 None B None 800 800 -280 520 0 920006193 A99999 N None None SFY2000-01
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2001-07-16 00:00:00 920001129 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-26 00:00:00 2001-06-26 00:00:00 Yes 2001-08-09 00:00:00 2001-07-20 00:00:00 B Drop>Deficiency 800 0 0 0 0 920006223 A99999 N None None SFY2001-02
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-07-17 00:00:00 920001130 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-24 00:00:00 2001-06-24 00:00:00 No 2001-08-23 00:00:00 None B None 800 800 0 800 0 920006225 A99999 N None None SFY2001-02
920000010 GOOD SHEPHERD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-08-14 00:00:00 920001131 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-05 00:00:00 2001-07-11 00:00:00 No 2001-09-27 00:00:00 None B None 800 800 -280 520 0 920006207 A99999 N None None SFY2001-02
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-09-18 00:00:00 920001132 Closed Citation Citation B (HSC 1424) Administration None 2001-08-15 00:00:00 2001-08-15 00:00:00 Yes 2001-10-22 00:00:00 2001-09-25 00:00:00 B B 800 600 0 600 0 920006069 A99999 N None None SFY2001-02
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-11-30 00:00:00 920001133 Closed Citation Citation B (HSC 1424) Medication None 2001-11-15 00:00:00 2001-11-15 00:00:00 No 2002-01-10 00:00:00 None B None 500 500 -175 325 0 920006367 A99999 N None None SFY2001-02
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-12-12 00:00:00 920001134 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-03 00:00:00 2001-12-12 00:00:00 No 2002-01-04 00:00:00 None B None 1000 1000 -350 650 0 920006348 A99999 N None None SFY2001-02
920000026 HIGH VALLEY LODGE LTC SNF Skilled Nursing Facility LA Region 2 2002-01-29 00:00:00 920001135 Closed Citation Citation B (HSC 1424) Administration None 2002-01-05 00:00:00 2002-01-05 00:00:00 No 2002-02-26 00:00:00 None B None 1000 1000 -350 650 0 920006415 A99999 N None None SFY2001-02
920000026 HIGH VALLEY LODGE LTC SNF Skilled Nursing Facility LA Region 2 2002-01-29 00:00:00 920001139 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-01-19 00:00:00 2002-01-19 00:00:00 No 2002-02-26 00:00:00 None B None 500 500 -175 325 0 920006416 A99999 N None None SFY2001-02
920000083 CANYON OAKS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-02-07 00:00:00 920001140 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-02-02 00:00:00 2002-02-02 00:00:00 No 2002-03-12 00:00:00 None B None 400 400 0 400 0 920006427 A99999 N None None SFY2001-02
920000073 VINELAND POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2002-02-08 00:00:00 920001141 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-29 00:00:00 2002-01-08 00:00:00 No 2002-03-12 00:00:00 None B None 1000 1000 -350 650 0 920006429 A99999 N None None SFY2001-02
920000073 VINELAND POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2002-02-08 00:00:00 920001142 Closed Citation Citation B (HSC 1424) Medication None 2002-01-29 00:00:00 2002-02-08 00:00:00 No 2002-03-06 00:00:00 None B None 400 400 -140 260 0 920006430 A99999 N None None SFY2001-02
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-02-22 00:00:00 920001143 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-14 00:00:00 2002-02-14 00:00:00 Yes 2002-03-21 00:00:00 2002-03-06 00:00:00 B B 1000 400 0 400 0 920006444 A99999 N None None SFY2001-02
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2002-03-20 00:00:00 920001144 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-11 00:00:00 2002-03-11 00:00:00 Yes 2002-06-28 00:00:00 2002-03-27 00:00:00 B B 800 800 0 800 0 920006484 A99999 N None None SFY2001-02
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2002-03-29 00:00:00 920001145 Closed Citation Citation B (HSC 1424) Medication None 2002-03-19 00:00:00 2002-03-19 00:00:00 No 2002-04-25 00:00:00 None B None 1000 1000 -350 650 0 920006492 A99999 N None None SFY2001-02
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-03-29 00:00:00 920001146 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-20 00:00:00 2002-03-20 00:00:00 No 2002-05-02 00:00:00 None B None 500 500 -175 325 0 920006494 A99999 N None None SFY2001-02
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2002-03-29 00:00:00 920001148 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-03-11 00:00:00 2002-03-11 00:00:00 No 2002-04-25 00:00:00 None B None 1000 1000 -350 650 0 920006496 A99999 N None None SFY2001-02
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-04-09 00:00:00 920001149 Closed Citation Citation B (HSC 1424) Other ABUSE 2002-01-20 00:00:00 2002-04-09 00:00:00 No 2002-06-03 00:00:00 None B None 800 800 0 800 0 920006410 A99999 N None None SFY2001-02
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-04-11 00:00:00 920001150 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-09 00:00:00 2002-04-11 00:00:00 No 2002-05-09 00:00:00 None B None 1000 1000 -350 650 0 920006503 A99999 N None None SFY2001-02
920000010 GOOD SHEPHERD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-04-30 00:00:00 920001151 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-11 00:00:00 2002-04-30 00:00:00 Yes 2002-06-03 00:00:00 2002-05-13 00:00:00 B None 1000 1000 0 1000 0 920006540 A99999 N None None SFY2001-02
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-06-05 00:00:00 920001152 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-16 00:00:00 2002-06-05 00:00:00 No 2002-07-02 00:00:00 None B None 400 400 -140 260 0 920006483 A99999 N None None SFY2001-02
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-06-14 00:00:00 920001153 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-26 00:00:00 2002-06-14 00:00:00 No 2002-07-17 00:00:00 None B None 900 900 -315 585 0 920006502 A99999 N None None SFY2001-02
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-06-14 00:00:00 920001154 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-20 00:00:00 2002-06-14 00:00:00 Yes 2002-07-12 00:00:00 2002-07-02 00:00:00 B B 900 675 0 675 0 920006588 A99999 N None None SFY2001-02
920000077 ALAMEDA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-07-02 00:00:00 920001155 Closed Citation Citation B (HSC 1424) Physical Environment None 2002-06-19 00:00:00 2002-07-02 00:00:00 No 2002-08-06 00:00:00 None B None 700 700 -245 455 0 920006627 A99999 N None None SFY2002-03
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-07-23 00:00:00 920001157 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-07 00:00:00 2002-03-07 00:00:00 Yes 2002-08-13 00:00:00 2002-08-02 00:00:00 B Drop>Deficiency 800 800 0 800 0 920006652 A99999 N None None SFY2002-03
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-08-07 00:00:00 920001158 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-20 00:00:00 2002-07-20 00:00:00 No 2002-09-03 00:00:00 None B None 800 800 0 800 0 920006674 A99999 N None None SFY2002-03
920000073 VINELAND POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2002-09-03 00:00:00 920001159 Closed Citation Citation A (HSC 1424) Patient Care None 2002-04-25 00:00:00 2002-09-03 00:00:00 Yes 2003-03-07 00:00:00 2003-03-17 00:00:00 A A 5000 5000 0 5000 0 920006723 A99999 N None None SFY2002-03
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-09-16 00:00:00 920001160 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-28 00:00:00 2002-09-16 00:00:00 No 2002-10-16 00:00:00 None B None 900 2700 -945 1755 0 920006717 A99999 N None None SFY2002-03
920000086 GRANADA HILLS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2002-09-19 00:00:00 920001161 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-11 00:00:00 2002-09-19 00:00:00 No 2002-10-21 00:00:00 None B None 1000 1000 -350 650 0 920006756 A99999 N None None SFY2002-03
920000086 GRANADA HILLS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2002-09-19 00:00:00 920001162 Closed Citation Citation B (HSC 1424) Administration None 2002-09-05 00:00:00 2002-09-05 00:00:00 No 2002-10-21 00:00:00 None B None 1000 1000 -350 650 0 920006757 A99999 N None None SFY2002-03
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2002-09-20 00:00:00 920001163 Closed Citation Citation B (HSC 1424) Patient Care None 2002-08-26 00:00:00 2002-09-20 00:00:00 No 2002-11-18 00:00:00 None B None 1000 1000 0 1000 0 920006743 A99999 N None None SFY2002-03
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-09-26 00:00:00 920001164 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-11 00:00:00 None Yes 2002-12-10 00:00:00 2002-11-21 00:00:00 B Dismissed by Court 1000 0 0 0 0 920006698 A99999 N None None SFY2002-03
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-10-09 00:00:00 920001165 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-22 00:00:00 2002-10-09 00:00:00 No 2002-11-12 00:00:00 None B None 750 750 0 750 0 920006650 A99999 N None None SFY2002-03
920000083 CANYON OAKS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-10-29 00:00:00 920001166 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-05 00:00:00 2002-10-05 00:00:00 No 2003-01-08 00:00:00 None B None 900 900 0 900 0 920006821 A99999 N None None SFY2002-03
920000087 MAGNOLIA GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2002-11-14 00:00:00 920001167 Closed Citation Citation A (HSC 1424) Patient Care None 2002-05-15 00:00:00 2002-05-15 00:00:00 Yes 2002-12-13 00:00:00 2002-11-25 00:00:00 A B 8000 10000 0 10000 0 920006843 A99999 N None None SFY2002-03
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2002-12-04 00:00:00 920001168 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-13 00:00:00 None No 2003-01-06 00:00:00 None B None 800 800 -280 520 0 920006759 A99999 N None None SFY2002-03
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-12-09 00:00:00 920001169 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-08 00:00:00 2002-12-09 00:00:00 Yes 2003-01-06 00:00:00 2002-12-24 00:00:00 B None 800 800 0 800 0 920006892 A99999 N None None SFY2002-03
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2002-12-11 00:00:00 920001170 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-13 00:00:00 2002-11-13 00:00:00 No 2003-01-08 00:00:00 None B None 1000 1000 -350 650 0 920006895 A99999 N None None SFY2002-03
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2002-12-12 00:00:00 920001171 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-22 00:00:00 2002-12-12 00:00:00 No 2003-01-08 00:00:00 None B None 800 800 -280 520 0 920006880 A99999 N None None SFY2002-03
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-12-20 00:00:00 920001172 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-23 00:00:00 2002-12-20 00:00:00 No 2003-01-22 00:00:00 None B None 600 600 -210 390 0 920006744 A99999 N None None SFY2002-03
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2003-01-09 00:00:00 920001173 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-05 00:00:00 None No 2003-02-10 00:00:00 None B None 1000 3000 -1050 1950 0 920006926 A99999 N None None SFY2002-03
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2003-02-19 00:00:00 920001174 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-01-24 00:00:00 None No 2003-03-19 00:00:00 None B None 1000 1000 -350 650 0 920006963 A99999 N None None SFY2002-03
920000010 GOOD SHEPHERD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-02-26 00:00:00 920001175 Closed Citation Citation AA (HSC 1424) Patient Care None 2002-12-20 00:00:00 2003-02-26 00:00:00 Yes 2003-03-24 00:00:00 2003-03-17 00:00:00 AA A 100000 50000 0 50000 0 920006991 A99999 Y None None SFY2002-03
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2003-02-27 00:00:00 920001176 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-28 00:00:00 2003-01-28 00:00:00 No 2003-04-02 00:00:00 None B None 950 950 -332.5 617.5 0 920006980 A99999 N None None SFY2002-03
920000054 PANORAMA GARDENS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-03-06 00:00:00 920001177 Closed Citation Citation A (HSC 1424) Medication None 2002-12-13 00:00:00 2002-12-13 00:00:00 Yes 2003-06-05 00:00:00 2003-06-05 00:00:00 A A 17000 17000 0 17000 0 920007011 A99999 N None None SFY2002-03
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-03-12 00:00:00 920001178 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-20 00:00:00 2003-02-21 00:00:00 Yes 2003-08-20 00:00:00 2003-08-14 00:00:00 B B 1000 1500 0 1500 0 920007006 A99999 N None None SFY2002-03
920000059 LAKE BALBOA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-03-19 00:00:00 920001179 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-03 00:00:00 2003-03-03 00:00:00 Yes 2003-06-09 00:00:00 2003-04-03 00:00:00 B B 1000 6300 0 6300 0 920007042 A99999 N None None SFY2002-03
920000059 LAKE BALBOA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-06-09 00:00:00 920001180 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2003-04-23 00:00:00 None No 2003-07-11 00:00:00 None WF None 2000 2000 0 2000 0 920007093 A99999 None None None SFY2002-03
920000089 THE REHABILITATION CENTER OF NORTH HILLS LTC SNF Skilled Nursing Facility LA Region 2 2003-06-09 00:00:00 920001181 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-28 00:00:00 None Yes 2003-09-26 00:00:00 2003-09-18 00:00:00 B Drop>Deficiency 1000 650 0 650 0 920007099 A99999 N None None SFY2002-03
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-06-23 00:00:00 920001182 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-21 00:00:00 None Yes 2003-07-21 00:00:00 2003-06-27 00:00:00 B B 1000 600 0 600 0 920007096 A99999 N None None SFY2002-03
920000049 BERKLEY POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2003-08-07 00:00:00 920001183 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-09 00:00:00 None Yes 2003-09-12 00:00:00 2003-08-20 00:00:00 B B 850 850 0 850 0 920007161 A99999 N None None SFY2003-04
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-09-08 00:00:00 920001184 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-24 00:00:00 2003-09-05 00:00:00 Yes 2004-01-16 00:00:00 2003-09-19 00:00:00 B B 400 400 0 400 0 920007316 A99999 N None None SFY2003-04
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-09-15 00:00:00 920001185 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-26 00:00:00 2003-09-15 00:00:00 No 2003-10-06 00:00:00 None B None 1000 1000 -350 650 0 920007331 A99999 N None None SFY2003-04
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-09-19 00:00:00 920001186 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-13 00:00:00 2003-06-13 00:00:00 Yes 2003-10-17 00:00:00 2003-10-06 00:00:00 B None 1000 1000 0 1000 0 920007340 A99999 N None None SFY2003-04
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-09-25 00:00:00 920001187 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-19 00:00:00 2003-12-19 00:00:00 No 2003-10-22 00:00:00 None B None 1000 1000 -350 650 0 920007351 A99999 N None None SFY2003-04
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-09-25 00:00:00 920001188 Closed Citation Citation B (HSC 1424) Administration None 2003-02-23 00:00:00 2003-02-23 00:00:00 No 2003-10-22 00:00:00 None B None 1000 1000 0 1000 0 920007352 A99999 N None None SFY2003-04
920000073 VINELAND POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2003-09-25 00:00:00 920001189 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-30 00:00:00 2003-08-30 00:00:00 Yes 2004-01-20 00:00:00 2003-12-31 00:00:00 B B 1000 250 0 250 0 920007354 A99999 N None None SFY2003-04
920000083 CANYON OAKS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-10-21 00:00:00 920001190 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-17 00:00:00 2003-08-17 00:00:00 Yes 2004-03-26 00:00:00 2004-03-09 00:00:00 B B 1000 0 0 0 0 920007396 A99999 N None None SFY2003-04
920000059 LAKE BALBOA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-10-21 00:00:00 920001191 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-17 00:00:00 2003-06-17 00:00:00 No 2003-11-12 00:00:00 None B None 1000 1000 0 1000 0 920007381 A99999 N None None SFY2003-04
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-11-12 00:00:00 920001192 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-22 00:00:00 2003-10-22 00:00:00 No 2003-12-10 00:00:00 None B None 900 900 -315 585 0 920007425 A99999 N None None SFY2003-04
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-11-17 00:00:00 920001193 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-06 00:00:00 2003-03-06 00:00:00 Yes 2004-03-11 00:00:00 2004-03-01 00:00:00 B B 800 800 0 800 0 920007427 A99999 N None None SFY2003-04
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2003-11-26 00:00:00 920001194 Closed Citation Citation B (HSC 1424) Other C - PR 2003-11-07 00:00:00 2003-11-26 00:00:00 Yes 2003-12-19 00:00:00 2003-12-04 00:00:00 B None 1000 1000 0 1000 0 920007445 A99999 N None None SFY2003-04
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2003-11-26 00:00:00 920001195 Closed Citation Citation B (HSC 1424) Administration None 2003-11-07 00:00:00 2003-11-26 00:00:00 Yes 2003-12-24 00:00:00 2003-12-04 00:00:00 B None 600 600 0 600 0 920007445 A99999 N None None SFY2003-04
920000010 GOOD SHEPHERD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-12-12 00:00:00 920001196 Closed Citation Citation B (HSC 1424) Medication None 2003-09-27 00:00:00 2003-09-27 00:00:00 No 2004-01-14 00:00:00 None B None 1000 1000 -350 650 0 920007466 A99999 N None None SFY2003-04
920000082 WEST HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-12-22 00:00:00 920001197 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-02 00:00:00 2003-10-22 00:00:00 No 2004-01-20 00:00:00 None B B 1000 557 0 557 0 920007470 A99999 N None None SFY2003-04
920000059 LAKE BALBOA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2004-01-08 00:00:00 920001198 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-27 00:00:00 2003-11-27 00:00:00 No 2004-02-09 00:00:00 None B None 800 800 0 800 0 920007503 A99999 N None None SFY2003-04
920000026 HIGH VALLEY LODGE LTC SNF Skilled Nursing Facility LA Region 2 2004-03-04 00:00:00 920001199 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-05 00:00:00 2004-02-05 00:00:00 No 2004-03-25 00:00:00 None B None 1000 1000 -350 650 0 920007600 A99999 N None None SFY2003-04
920000269 VILLA SCALABRINI SPECIAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 2 2004-03-25 00:00:00 920001200 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-25 00:00:00 2004-01-25 00:00:00 No 2004-04-22 00:00:00 None B None 1000 1000 -350 650 0 920007641 A99999 N None None SFY2003-04
920000049 BERKLEY POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2004-04-14 00:00:00 920001201 Closed Citation Citation B (HSC 1424) Medication None 2003-12-27 00:00:00 2003-12-27 00:00:00 Yes 2004-05-11 00:00:00 2004-04-26 00:00:00 B None 800 800 0 800 0 920007664 A99999 N None None SFY2003-04
920000076 VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC. LTC SNF Skilled Nursing Facility LA Region 2 2004-04-28 00:00:00 920001202 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-21 00:00:00 2004-03-21 00:00:00 Yes 2004-05-28 00:00:00 2004-05-12 00:00:00 B B 800 400 0 400 0 920007635 A99999 N None None SFY2003-04
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2004-05-13 00:00:00 920001203 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-26 00:00:00 2004-04-26 00:00:00 No 2004-06-15 00:00:00 None B None 800 800 -280 520 0 920007673 A99999 N None None SFY2003-04
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2004-05-28 00:00:00 920001204 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-17 00:00:00 2004-04-17 00:00:00 Yes 2004-06-24 00:00:00 2004-06-04 00:00:00 B None 1000 1000 0 1000 0 920007717 A99999 N None None SFY2003-04
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2004-06-10 00:00:00 920001205 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-16 00:00:00 2004-02-16 00:00:00 No 2004-07-12 00:00:00 None B None 800 800 -280 520 0 920007598 A99999 N None None SFY2003-04
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2004-08-20 00:00:00 920001206 Closed Citation Citation B (HSC 1424) Patient Care None 2004-08-03 00:00:00 2004-08-03 00:00:00 Yes 2004-09-20 00:00:00 2004-08-31 00:00:00 B B 1000 500 0 500 0 920007816 A99999 N None None SFY2004-05
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2004-10-20 00:00:00 920001207 Closed Citation Citation A (HSC 1424) Patient Care None 2004-05-03 00:00:00 2004-05-03 00:00:00 No 2004-11-17 00:00:00 None A None 20000 20000 0 20000 0 920007902 A99999 N None None SFY2004-05
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2004-11-23 00:00:00 920001208 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-06 00:00:00 2004-09-06 00:00:00 Yes 2004-12-16 00:00:00 2004-11-29 00:00:00 B B 1000 500 0 500 0 920007952 A99999 N None None SFY2004-05
920000087 MAGNOLIA GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2004-12-21 00:00:00 920001209 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-10 00:00:00 2004-11-10 00:00:00 Yes 2005-01-18 00:00:00 2004-12-23 00:00:00 B B 1000 500 0 500 0 920007937 A99999 N None None SFY2004-05
920000028 MONTROSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2004-12-27 00:00:00 920001210 Closed Citation Citation A (HSC 1424) Patient Care None 2004-03-02 00:00:00 2004-07-16 00:00:00 Yes 2005-01-18 00:00:00 2004-12-30 00:00:00 A B 17000 17000 0 17000 0 920007985 A99999 N None None SFY2004-05
920000069 THE CARE CENTER ON HAZELTINE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2005-01-13 00:00:00 920001211 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-30 00:00:00 2004-11-30 00:00:00 No 2005-02-11 00:00:00 None B None 800 800 -280 520 0 920007958 A99999 N None None SFY2004-05
920000059 LAKE BALBOA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2005-01-13 00:00:00 920001212 Closed Citation Citation B (HSC 1424) Patient Care None 2004-11-02 00:00:00 2004-11-02 00:00:00 No 2005-02-14 00:00:00 None B None 1000 3000 -1050 1950 0 920007934 A99999 N None None SFY2004-05
920000066 SHERMAN OAKS HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2005-07-12 00:00:00 920001213 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-05 00:00:00 2005-06-05 00:00:00 Yes 2005-08-08 00:00:00 2005-07-27 00:00:00 B None 1000 1000 0 1000 0 920008171 A99999 N None None SFY2005-06
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2005-09-09 00:00:00 920001214 Closed Citation Citation B (HSC 1424) Other ABUSE 2005-06-12 00:00:00 2005-06-12 00:00:00 No 2005-09-30 00:00:00 None B None 600 600 -210 390 0 920008186 A99999 N None None SFY2005-06
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-03-02 00:00:00 920002888 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-15 00:00:00 2005-11-15 00:00:00 Yes 2006-03-23 00:00:00 2006-03-10 00:00:00 B None 1000 1000 0 1000 0 None 43EA11 N CA00070741 B SFY2005-06
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-03-02 00:00:00 920002889 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-16 00:00:00 2005-11-16 00:00:00 Yes 2006-03-23 00:00:00 2006-03-10 00:00:00 B None 1000 1000 0 1000 0 None 43EA11 N CA00070741 B SFY2005-06
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-03-02 00:00:00 920002890 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-14 00:00:00 2005-11-14 00:00:00 Yes 2006-03-28 00:00:00 2006-03-10 00:00:00 B None 1000 1000 0 1000 0 None 43EA11 N CA00070741 B SFY2005-06
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-03-02 00:00:00 920002891 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-14 00:00:00 2005-11-14 00:00:00 Yes 2006-03-28 00:00:00 2006-03-10 00:00:00 B None 1000 1000 0 1000 0 None 43EA11 N CA00070741 B SFY2005-06
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-03-02 00:00:00 920002892 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-16 00:00:00 2005-11-16 00:00:00 Yes 2006-03-28 00:00:00 2006-03-10 00:00:00 B None 1000 1000 0 1000 0 None 43EA11 N CA00070741 B SFY2005-06
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-03-02 00:00:00 920002893 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-14 00:00:00 2005-11-14 00:00:00 Yes 2006-03-28 00:00:00 2006-03-10 00:00:00 B None 1000 1000 0 1000 0 None 43EA11 N CA00070741 B SFY2005-06
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-03-02 00:00:00 920002894 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-14 00:00:00 2005-11-14 00:00:00 Yes 2006-03-28 00:00:00 2006-03-10 00:00:00 B None 1000 1000 0 1000 0 None 43EA11 N CA00070741 B SFY2005-06
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-05-25 00:00:00 920003123 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-06 00:00:00 2006-05-06 00:00:00 Yes 2006-06-22 00:00:00 2006-06-08 00:00:00 B None 900 900 0 900 0 None 8DSN11 N CA00080132 A SFY2005-06
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-06-22 00:00:00 920003175 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-02 00:00:00 2006-06-02 00:00:00 Yes 2006-07-26 00:00:00 2006-06-29 00:00:00 B B 1000 530 0 530 0 None L6U311 N CA00082537 A SFY2005-06
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-08-07 00:00:00 920003261 Closed Citation Citation A (HSC 1424) Physical Environment None 2006-05-03 00:00:00 2006-05-03 00:00:00 No 2006-08-28 00:00:00 None A None 20000 20000 -7000 13000 0 None M5ZC11 N CA00080043 B SFY2006-07
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-08-21 00:00:00 920003297 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-28 00:00:00 2006-07-28 00:00:00 No 2006-09-12 00:00:00 None B None 1000 1000 -350 650 0 None C4F511 N None None SFY2006-07
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2006-08-21 00:00:00 920003300 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-02 00:00:00 2006-08-02 00:00:00 No 2006-09-12 00:00:00 None B None 1000 1000 -350 650 0 None Q8YI11 N None None SFY2006-07
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2006-08-21 00:00:00 920003301 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-01 00:00:00 2005-04-01 00:00:00 Yes 2006-09-12 00:00:00 2006-09-19 00:00:00 B B 1000 500 0 500 0 None GRVT11 N CA00085615 A SFY2006-07
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2006-08-21 00:00:00 920003302 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-01 00:00:00 2006-03-01 00:00:00 Yes 2006-09-12 00:00:00 2006-09-12 00:00:00 B B 1000 500 0 500 0 None UHNP1 N CA00088807 A SFY2006-07
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2006-08-21 00:00:00 920003303 Closed Citation Citation B (HSC 1424) Administration None 2006-03-01 00:00:00 2006-03-01 00:00:00 Yes 2006-09-12 00:00:00 2006-09-11 00:00:00 B B 1000 500 0 500 0 None UHNP1 N CA00088807 A SFY2006-07
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2006-08-25 00:00:00 920003309 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-15 00:00:00 2006-06-15 00:00:00 No 2006-09-18 00:00:00 None B None 1000 1000 -350 650 0 None DUS511 N CA00071331, CA00071331 B, B SFY2006-07
920000054 PANORAMA GARDENS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-11-22 00:00:00 920003519 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-13 00:00:00 2006-10-13 00:00:00 No 2007-01-04 00:00:00 None B None 900 900 0 900 0 None SJYH11 N CA00095884 A SFY2006-07
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2006-12-08 00:00:00 920003565 Closed Citation Citation B (HSC 1424) Other ABUSE-RESIDENT BEHAVIOR 2006-11-05 00:00:00 2006-11-05 00:00:00 No 2007-01-09 00:00:00 None B None 800 800 -280 520 0 None OVU011 N CA00098015, CA00098015 A, A SFY2006-07
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-02-05 00:00:00 920003581 Closed Citation Citation A (HSC 1424) Medication None 2006-07-04 00:00:00 2006-07-04 00:00:00 Yes 2007-02-26 00:00:00 2007-02-20 00:00:00 A None 20000 20000 0 20000 0 None DJ5W11 N CA00087354 B SFY2006-07
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-03-16 00:00:00 920003804 Closed Citation Citation B (HSC 1424) Patient Rights PR 2007-01-21 00:00:00 2007-01-21 00:00:00 No 2007-04-06 00:00:00 None B None 1000 1000 0 1000 0 None 8FXP11 N CA00104790 A SFY2006-07
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-03-16 00:00:00 920003806 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-06 00:00:00 2006-12-06 00:00:00 Yes 2013-10-01 00:00:00 2007-04-09 00:00:00 B B 1000 1000 0 1000 0 None G3OQ11 N CA00101451 A SFY2006-07
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-04-23 00:00:00 920003917 Closed Citation Citation B (HSC 1424) Patient Care None 2007-01-12 00:00:00 2007-01-12 00:00:00 Yes 2007-05-21 00:00:00 2007-05-08 00:00:00 B B 1000 750 0 750 0 None PBXW11 N CA00104923 B SFY2006-07
920000003 THE GROVE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-04-25 00:00:00 920003920 Closed Citation Citation B (HSC 1424) Medication None 2006-12-09 00:00:00 2006-12-09 00:00:00 No 2007-05-16 00:00:00 None B None 1000 1000 -350 650 0 None 8O5611 N None None SFY2006-07
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-05-04 00:00:00 920003941 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-22 00:00:00 2007-04-22 00:00:00 Yes 2007-05-25 00:00:00 2007-05-30 00:00:00 B B 1000 600 0 600 0 None PKEX11 N CA00112751 A SFY2006-07
920000066 SHERMAN OAKS HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-05-15 00:00:00 920003961 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-04 00:00:00 2007-04-04 00:00:00 Yes 2007-06-05 00:00:00 2007-05-30 00:00:00 B None 1000 1000 0 1000 0 None I4S911 N CA00105982 A SFY2006-07
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2007-06-25 00:00:00 920004049 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-21 00:00:00 2007-05-21 00:00:00 No 2007-07-16 00:00:00 None B None 1000 1000 0 1000 0 None VM1I11 N CA00115409 A SFY2006-07
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-07-09 00:00:00 920004079 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-18 00:00:00 2007-06-18 00:00:00 No 2007-07-30 00:00:00 None B None 800 800 0 800 0 None Z1FW11 N CA00117958 A SFY2007-08
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2007-07-09 00:00:00 920004080 Closed Citation Citation Retaliation/Discrimination (HSC 1432) Administration Retaliation 2007-06-12 00:00:00 2007-06-12 00:00:00 No 2007-07-30 00:00:00 None RD None 1000 1000 -350 650 0 None JXEQ11 None CA00116726 B SFY2007-08
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2007-07-09 00:00:00 920004081 Closed Citation Citation Retaliation/Discrimination (HSC 1432) Administration Retaliation 2007-06-12 00:00:00 2007-06-12 00:00:00 No 2007-07-30 00:00:00 None RD None 1000 1000 -350 650 0 None JXEQ11 None CA00116726 B SFY2007-08
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-07-25 00:00:00 920004127 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-07 00:00:00 2007-06-07 00:00:00 No 2007-08-15 00:00:00 None B None 1000 1000 -350 650 0 None HMFE11 N CA00118441, CA00118441, CA00118441 C, C, C SFY2007-08
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2007-08-09 00:00:00 920004170 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-02 00:00:00 2007-06-02 00:00:00 No 2007-08-30 00:00:00 None B None 1000 1000 -350 650 0 None 340511 N CA00116722 A SFY2007-08
920000069 THE CARE CENTER ON HAZELTINE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2007-08-09 00:00:00 920004171 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-06 00:00:00 2007-07-06 00:00:00 No 2007-08-30 00:00:00 None B None 800 800 0 800 0 None FIHM11 N CA00119643 A SFY2007-08
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2007-09-10 00:00:00 920004267 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-08-30 00:00:00 2007-08-30 00:00:00 No 2007-10-01 00:00:00 None B None 1000 1000 -350 650 0 None N9L311 N None None SFY2007-08
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2007-10-18 00:00:00 920004382 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-09-09 00:00:00 2007-09-09 00:00:00 Yes 2013-11-05 00:00:00 2007-10-31 00:00:00 B B 800 800 0 800 0 None XJ422 N CA00128447 A SFY2007-08
920000050 CALIFORNIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-11-14 00:00:00 920004444 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-12 00:00:00 2007-05-12 00:00:00 Yes 2007-12-07 00:00:00 2007-11-30 00:00:00 B B 1000 400 0 400 0 None DDFN11 N CA00117750 B SFY2007-08
920000050 CALIFORNIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-11-14 00:00:00 920004445 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-16 00:00:00 2007-05-16 00:00:00 Yes 2007-12-07 00:00:00 2007-11-18 00:00:00 B B 1000 600 0 600 0 None DDFN11 N CA00117750 B SFY2007-08
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2007-12-07 00:00:00 920004508 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-03 00:00:00 2007-10-03 00:00:00 No 2007-12-31 00:00:00 None B None 1000 1000 -350 650 0 None 3IP511 N CA00130833 A SFY2007-08
920000090 CASITAS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2007-12-19 00:00:00 920004530 Closed Citation Citation B (HSC 1424) Medication None 2007-07-20 00:00:00 2007-07-20 00:00:00 No 2008-01-11 00:00:00 None B None 1000 1000 0 1000 0 None M7OT11 N CA00124554 C SFY2007-08
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-02-13 00:00:00 920004586 Closed Citation Citation A (HSC 1424) Patient Care None 2007-11-27 00:00:00 2007-11-27 00:00:00 No 2008-03-06 00:00:00 None A None 20000 20000 -7000 13000 0 None QLRT11 N CA00132620 C SFY2007-08
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2008-02-13 00:00:00 920004587 Closed Citation Citation A (HSC 1424) Patient Care None 2007-07-12 00:00:00 2007-07-12 00:00:00 Yes 2008-03-06 00:00:00 2008-03-03 00:00:00 A A 20000 5000 0 5000 0 None 7ZNI11 N CA00120983 B SFY2007-08
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2008-02-13 00:00:00 920004589 Closed Citation Citation A (HSC 1424) Medication None 2007-12-29 00:00:00 2007-12-29 00:00:00 No 2008-03-06 00:00:00 None A None 20000 20000 -7000 13000 0 None QXTF11 N CA00136313 C SFY2007-08
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-02-14 00:00:00 920004695 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2008-01-16 00:00:00 2008-01-16 00:00:00 No 2008-03-07 00:00:00 None WF None 1000 1000 -350 650 0 None MOX811 None CA00138065 B SFY2007-08
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2008-02-19 00:00:00 920004702 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-31 00:00:00 2007-12-31 00:00:00 Yes 2008-03-11 00:00:00 2008-03-03 00:00:00 B B 1000 500 0 500 0 None 5X5W11 N CA00139060 B SFY2007-08
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-03-13 00:00:00 920004788 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-26 00:00:00 2008-02-26 00:00:00 No 2008-04-04 00:00:00 None B None 900 900 -315 585 0 None 4UVK11 N CA00142048 A SFY2007-08
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2008-03-13 00:00:00 920004790 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-06 00:00:00 2007-12-06 00:00:00 Yes 2008-04-04 00:00:00 2008-04-04 00:00:00 B B 1000 500 0 500 0 None Q4FH11 N CA00139235 D SFY2007-08
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-04-02 00:00:00 920004821 Closed Citation Citation A (HSC 1424) Patient Care None 2008-02-21 00:00:00 2008-02-21 00:00:00 Yes 2008-04-23 00:00:00 2008-04-02 00:00:00 A B 15000 5000 0 5000 0 None L0MI11 N CA00141583 A SFY2007-08
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2008-07-31 00:00:00 920005287 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-02 00:00:00 2008-07-02 00:00:00 No 2008-08-21 00:00:00 None B None 1000 1000 -350 650 0 None 7WJN11 N None None SFY2008-09
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-10-31 00:00:00 920005571 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-19 00:00:00 2008-09-19 00:00:00 No 2008-11-24 00:00:00 None B None 800 800 -280 520 0 None GSMZ11 N CA00164382 A SFY2008-09
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-11-19 00:00:00 920005630 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-11-17 00:00:00 2008-11-17 00:00:00 No 2008-12-12 00:00:00 None B None 600 1600 -210 1390 0 None 0QRJ11 N CA00165941 C SFY2008-09
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-11-19 00:00:00 920005631 Closed Citation Citation B (HSC 1424) Dietary None 2008-10-20 00:00:00 2008-10-20 00:00:00 No 2008-12-12 00:00:00 None B None 1000 1000 0 1000 0 None XYI511 N CA00165805 B SFY2008-09
920000005 COUNTRY MANOR HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2008-11-21 00:00:00 920005636 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-26 00:00:00 2008-10-26 00:00:00 No 2008-12-16 00:00:00 None B None 1000 1000 -350 650 0 None QDMV11 N CA00167516 A SFY2008-09
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2008-12-19 00:00:00 920005712 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-06 00:00:00 2008-11-06 00:00:00 Yes 2009-01-12 00:00:00 2008-12-26 00:00:00 B None 1000 3000 -1050 1950 0 None UHHB11 N CA00169567 C SFY2008-09
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-12-22 00:00:00 920005719 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-06 00:00:00 2008-03-06 00:00:00 Yes 2009-01-13 00:00:00 2009-01-02 00:00:00 B B 1000 500 0 500 0 None XQZ311 N CA00162621 C SFY2008-09
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-12-22 00:00:00 920005720 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-06 00:00:00 2008-03-06 00:00:00 Yes 2009-01-13 00:00:00 2009-01-02 00:00:00 B B 1000 500 0 500 0 None XQZ311 N CA00162621 C SFY2008-09
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-12-22 00:00:00 920005722 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-06 00:00:00 2008-03-06 00:00:00 Yes 2009-01-13 00:00:00 2009-01-02 00:00:00 B B 1000 500 0 500 0 None XQZ311 N CA00162621 C SFY2008-09
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2009-02-04 00:00:00 920005857 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-01-21 00:00:00 2009-01-21 00:00:00 No 2009-02-27 00:00:00 None B None 1000 1000 -350 650 0 None 69K411 N None None SFY2008-09
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-02-19 00:00:00 920005887 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-31 00:00:00 2008-12-31 00:00:00 Yes 2009-03-12 00:00:00 2009-02-23 00:00:00 B B 1000 530 0 530 0 None 9MQM11 N CA00175258 B SFY2008-09
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2009-03-04 00:00:00 920005928 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-14 00:00:00 2009-01-14 00:00:00 No 2009-03-25 00:00:00 None B None 1000 1000 0 1000 0 None MCG511 N CA00174770, CA00174778 B, B SFY2008-09
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-03-04 00:00:00 920005930 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-08 00:00:00 2009-01-08 00:00:00 Yes 2009-03-25 00:00:00 2009-03-12 00:00:00 B B 1000 650 0 650 0 None LNB811 N CA00174327 C SFY2008-09
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2009-03-04 00:00:00 920005931 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-14 00:00:00 2009-01-14 00:00:00 No 2009-03-25 00:00:00 None B None 1000 1000 -350 650 0 None 3GP711 N CA00175147 A SFY2008-09
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-03-05 00:00:00 920005935 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-22 00:00:00 2009-01-22 00:00:00 No 2009-03-26 00:00:00 None B None 1000 1000 -350 650 0 None 3EWO11 N CA00175467 A SFY2008-09
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-03-12 00:00:00 920005964 Closed Citation Citation B (HSC 1424) Administration None 2009-02-11 00:00:00 2009-02-11 00:00:00 No 2009-04-03 00:00:00 None B None 1000 1000 -350 650 0 None 4CNW11 N CA00179625 A SFY2008-09
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-03-13 00:00:00 920005972 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Administration None 2009-02-01 00:00:00 2009-02-01 00:00:00 No 2009-04-06 00:00:00 None WF WMF<$1000 1000 650 0 650 0 None WC8O11 None CA00177099 B SFY2008-09
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-03-13 00:00:00 920005973 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-23 00:00:00 2009-01-23 00:00:00 No 2009-04-06 00:00:00 None B B 1000 650 0 650 0 None WC8O11 N CA00177099 B SFY2008-09
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-04-06 00:00:00 920006048 Open Citation Citation B (HSC 1424) Patient Care None 2009-01-09 00:00:00 2009-01-09 00:00:00 Yes 2009-04-27 00:00:00 2009-04-17 00:00:00 B None 1000 1000 0 0 1000 None 249611 N CA00174782 D SFY2008-09
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-04-07 00:00:00 920006058 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-10 00:00:00 2009-01-10 00:00:00 No 2009-04-28 00:00:00 None B None 1000 1000 0 1000 0 None WXP511 N CA00175497 B SFY2008-09
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-09-15 00:00:00 920006157 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-29 00:00:00 2008-11-29 00:00:00 Yes 2012-08-31 00:00:00 2009-09-29 00:00:00 A A 12000 0 0 0 0 None JB3B11 N CA00171642 B SFY2009-10
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-09-15 00:00:00 920006158 Closed Citation Citation A (HSC 1424) Patient Care None 2008-11-29 00:00:00 2008-11-29 00:00:00 Yes 2011-10-18 00:00:00 2011-09-27 00:00:00 A A 12000 12000 0 12000 0 None JB3B11 N CA00171642 B SFY2009-10
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-06-11 00:00:00 920006159 Closed Citation Citation AA (HSC 1424) Patient Care None 2009-02-28 00:00:00 2009-02-28 00:00:00 Yes 2009-07-02 00:00:00 2009-06-30 00:00:00 AA AA 100000 45000 0 45000 0 None 4CNW11 Y CA00179625 A SFY2008-09
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-05-29 00:00:00 920006227 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-18 00:00:00 2009-02-18 00:00:00 No 2009-06-19 00:00:00 None A None 12000 12000 -4200 7800 0 None KXME11 N CA00178372 B SFY2008-09
920000312 TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY LTC SNF Skilled Nursing Facility LA Region 2 2009-09-09 00:00:00 920006447 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-17 00:00:00 2006-11-17 00:00:00 Yes 2012-07-18 00:00:00 2012-06-27 00:00:00 A B 15000 9750 0 9750 0 None Y4K611 N CA00183796 D SFY2009-10
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2009-08-14 00:00:00 920006467 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-20 00:00:00 2009-05-20 00:00:00 Yes 2009-09-04 00:00:00 2009-08-18 00:00:00 A None 15000 15000 0 15000 0 None RU0B11 N CA00190240 C SFY2009-10
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-09-04 00:00:00 920006537 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-06 00:00:00 2009-06-06 00:00:00 Yes 2009-09-28 00:00:00 2009-09-10 00:00:00 B Drop>Deficiency 600 600 0 600 0 None BCT211 N CA00198098 A SFY2009-10
920000089 THE REHABILITATION CENTER OF NORTH HILLS LTC SNF Skilled Nursing Facility LA Region 2 2009-09-30 00:00:00 920006576 Closed Citation Citation A (HSC 1424) Patient Care None 2009-08-03 00:00:00 2009-08-03 00:00:00 Yes 2009-10-22 00:00:00 2009-10-19 00:00:00 A A 16000 16000 0 16000 0 None ZH6D11 N CA00197413 B SFY2009-10
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2009-12-31 00:00:00 920006779 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-15 00:00:00 2009-10-15 00:00:00 Yes 2010-01-26 00:00:00 2010-01-19 00:00:00 A Dismissed by Court 10000 0 0 0 0 None 5VXI11 N None None SFY2009-10
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2009-12-31 00:00:00 920006781 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-15 00:00:00 2009-10-15 00:00:00 Yes 2010-01-26 00:00:00 2010-01-19 00:00:00 A Dismissed by Court 10000 0 0 0 0 None 5VXI11 N None None SFY2009-10
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-01-12 00:00:00 920006864 Closed Citation Citation A (HSC 1424) Administration None 2009-07-31 00:00:00 2009-07-31 00:00:00 Yes 2012-07-18 00:00:00 2012-06-27 00:00:00 A A 12000 7000 0 7000 0 None OORO11 N CA00197737 B SFY2009-10
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2010-01-14 00:00:00 920006890 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-19 00:00:00 2009-10-19 00:00:00 Yes 2010-02-09 00:00:00 2010-01-29 00:00:00 A A 15000 15000 0 15000 0 None PMZU11 N CA00206051 B SFY2009-10
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2010-02-02 00:00:00 920006896 Closed Citation Citation A (HSC 1424) Patient Care None 2008-06-01 00:00:00 2008-06-01 00:00:00 Yes 2013-01-15 00:00:00 2012-12-24 00:00:00 A A 20000 20000 0 20000 0 None ON7011 N CA00155616 C SFY2009-10
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-01-08 00:00:00 920006899 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-05 00:00:00 2009-02-05 00:00:00 Yes 2010-02-02 00:00:00 2010-01-14 00:00:00 B B 1000 650 0 650 0 None 54JJ11 N CA00175542 C SFY2009-10
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-01-12 00:00:00 920006907 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-09 00:00:00 2009-12-09 00:00:00 Yes 2010-02-04 00:00:00 2010-01-20 00:00:00 B B 1000 650 0 650 0 None R1LC11 N CA00211721 A SFY2009-10
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-01-12 00:00:00 920006908 Closed Citation Citation B (HSC 1424) Other Unusual Occurrences 2009-12-09 00:00:00 2009-12-09 00:00:00 Yes 2010-02-04 00:00:00 2010-01-20 00:00:00 B Dismissed by Court 1000 0 0 0 0 None R1LC11 N CA00211721 A SFY2009-10
920000003 THE GROVE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-02-02 00:00:00 920006955 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2009-12-03 00:00:00 2009-12-03 00:00:00 No 2010-02-23 00:00:00 None WF None 800 800 -280 520 0 None 85PU11 None CA00210233 B SFY2009-10
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-03-25 00:00:00 920007075 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2010-01-10 00:00:00 2010-01-10 00:00:00 Yes 2010-04-16 00:00:00 2010-04-01 00:00:00 WF None 1000 1000 -350 650 0 None S22H11 None None None SFY2009-10
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-03-25 00:00:00 920007079 Closed Citation Citation B (HSC 1424) Administration None 2010-02-26 00:00:00 2010-02-26 00:00:00 Yes 2010-04-16 00:00:00 2010-04-01 00:00:00 B None 800 800 0 800 0 None 3LK311 N CA00219720 B SFY2009-10
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-04-07 00:00:00 920007105 Closed Citation Citation B (HSC 1424) Other ABUSE 2010-01-01 00:00:00 2010-01-01 00:00:00 Yes 2010-04-28 00:00:00 2010-04-14 00:00:00 B None 1000 1000 0 1000 0 None HDMT11 N CA00213920 A SFY2009-10
920000082 WEST HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-04-16 00:00:00 920007127 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-06 00:00:00 2009-12-06 00:00:00 Yes 2010-05-07 00:00:00 2010-05-21 00:00:00 A B 10000 7000 0 7000 0 None LV8P11 N CA00210552, CA00211192 B, B SFY2009-10
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-04-16 00:00:00 920007128 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-04 00:00:00 2009-12-04 00:00:00 Yes 2010-05-07 00:00:00 2010-05-20 00:00:00 A A 16000 10400 0 10400 0 None FNTM11 N CA00214827 B SFY2009-10
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2010-06-09 00:00:00 920007278 Closed Citation Citation B (HSC 1424) Administration None 2009-08-08 00:00:00 2009-08-08 00:00:00 Yes 2014-04-15 00:00:00 2010-07-26 00:00:00 B B 1000 1000 0 1000 0 None 156G11 N CA00227005 B SFY2009-10
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-06-29 00:00:00 920007336 Closed Citation Citation A (HSC 1424) Medication None 2010-05-07 00:00:00 2010-05-07 00:00:00 Yes 2010-07-20 00:00:00 2010-07-22 00:00:00 A A 20000 10000 0 10000 0 None GCN511 N CA00229017 B SFY2009-10
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2010-07-08 00:00:00 920007361 Closed Citation Citation B (HSC 1424) Patient Care None 2010-06-06 00:00:00 2010-06-06 00:00:00 No 2010-07-29 00:00:00 None B None 800 850 -280 570 0 None VPD311 N CA00228372, CA00231471, CA00231488 B, B, B SFY2010-11
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-08-04 00:00:00 920007461 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-24 00:00:00 2009-08-24 00:00:00 No 2010-08-25 00:00:00 None B None 800 800 0 800 0 None N1YO11 N CA00199727 B SFY2010-11
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-11-23 00:00:00 920007691 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-03 00:00:00 2010-08-03 00:00:00 Yes 2010-12-16 00:00:00 2010-12-07 00:00:00 A B 10000 10000 0 10000 0 None KOKK11 N CA00238183 B SFY2010-11
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-11-23 00:00:00 920007692 Closed Citation Citation A (HSC 1424) Patient Care None 2010-07-24 00:00:00 2010-07-24 00:00:00 Yes 2010-12-16 00:00:00 2010-12-07 00:00:00 A B 10000 10000 0 10000 0 None KOKK11 N CA00238414 B SFY2010-11
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-04-12 00:00:00 920007870 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-29 00:00:00 2010-01-29 00:00:00 No 2013-05-03 00:00:00 None A None 20000 20000 -7000 13000 0 None N8UW11 N CA00221968 B SFY2012-13
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-03-04 00:00:00 920007955 Closed Citation Citation B (HSC 1424) Dietary None 2011-01-13 00:00:00 2011-01-13 00:00:00 No 2011-03-25 00:00:00 None B None 1000 1000 -350 650 0 None J4GK11 N CA00255558 A SFY2010-11
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-05-17 00:00:00 920008221 Closed Citation Citation B (HSC 1424) Patient Care None 2010-10-02 00:00:00 2010-10-02 00:00:00 Yes 2011-06-08 00:00:00 2011-06-08 00:00:00 B B 1000 800 0 800 0 None 0V9J11 N CA00256431 B SFY2010-11
920000062 EISENBERG VILLAGE LTC SNF Skilled Nursing Facility LA Region 2 2011-06-10 00:00:00 920008298 Closed Citation Citation B (HSC 1424) Administration None 2011-05-16 00:00:00 2011-05-16 00:00:00 No 2011-07-01 00:00:00 None B None 500 500 0 500 0 None 5XV611 N None None SFY2010-11
920000312 TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY LTC SNF Skilled Nursing Facility LA Region 2 2011-07-20 00:00:00 920008394 Closed Citation Citation B (HSC 1424) Administration None 2011-07-09 00:00:00 2011-07-09 00:00:00 No 2011-08-10 00:00:00 None B None 500 500 0 500 0 None 98GX11 N None None SFY2011-12
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-12-21 00:00:00 920008483 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-09-06 00:00:00 2010-09-06 00:00:00 Yes 2012-01-13 00:00:00 2011-12-30 00:00:00 AA A 75000 40000 0 40000 0 None FI4Z11 Y CA00246399 B SFY2011-12
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-09-07 00:00:00 920008499 Closed Citation Citation A (HSC 1424) Patient Care None 2011-07-17 00:00:00 2011-07-17 00:00:00 No 2011-09-29 00:00:00 None A None 7500 7500 -2625 4875 0 None 1QF011 N CA00276212 B SFY2011-12
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2011-08-25 00:00:00 920008502 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-24 00:00:00 2011-02-24 00:00:00 Yes 2011-09-16 00:00:00 2011-09-01 00:00:00 B B 1000 1000 0 1000 0 None Z0HX11 N CA00261368 B SFY2011-12
920000059 LAKE BALBOA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-10-06 00:00:00 920008605 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-21 00:00:00 2011-01-21 00:00:00 No 2011-10-27 00:00:00 None B None 750 750 0 750 0 None YYZ611 N CA00266915 B SFY2011-12
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-06-18 00:00:00 920008624 Closed Citation Citation A (HSC 1424) Patient Care None 2010-12-27 00:00:00 2010-12-27 00:00:00 Yes 2013-07-10 00:00:00 2013-06-27 00:00:00 A B 18000 15000 0 15000 0 None OFFW11 N CA00254197 B SFY2012-13
920000032 LAKEVIEW TERRACE SPECIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-10-13 00:00:00 920008642 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-18 00:00:00 2011-04-18 00:00:00 Yes 2011-11-03 00:00:00 2011-10-24 00:00:00 B None 1000 1000 0 1000 0 None SM2E11 N CA00266485 B SFY2011-12
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-10-20 00:00:00 920008647 Closed Citation Citation B (HSC 1424) Problem Transfer None 2011-04-28 00:00:00 2011-04-28 00:00:00 No 2011-11-10 00:00:00 None B None 1000 1750 0 1750 0 None BNHT11 N CA00267662 B SFY2011-12
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2011-11-10 00:00:00 920008737 Open Citation Citation B (HSC 1424) Medication None 2011-01-28 00:00:00 2011-01-28 00:00:00 Yes 2011-12-06 00:00:00 2011-11-14 00:00:00 B None 750 750 0 0 750 None KMMZ11 N CA00261987 B SFY2011-12
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-12-27 00:00:00 920008857 Closed Citation Citation B (HSC 1424) Other Misappropriation of funds 2011-02-26 00:00:00 2011-02-26 00:00:00 No 2012-01-19 00:00:00 None B None 1000 1000 0 1000 0 None 4VMB11 N CA00269041 B SFY2011-12
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-01-12 00:00:00 920008894 Closed Citation Citation B (HSC 1424) Physical Environment None 2010-10-12 00:00:00 2010-10-12 00:00:00 Yes 2012-02-03 00:00:00 2012-01-26 00:00:00 B B 500 500 0 500 0 None 0RNT11 N CA00271463 B SFY2011-12
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-01-12 00:00:00 920008895 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-06-23 00:00:00 2011-06-23 00:00:00 Yes 2012-02-03 00:00:00 2012-01-26 00:00:00 B B 500 500 0 500 0 None OVV911 N CA00273219 A SFY2011-12
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-02-01 00:00:00 920008940 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-14 00:00:00 2011-05-14 00:00:00 No 2012-02-23 00:00:00 None B None 900 900 0 900 0 None GRWP11 N CA00269449 B SFY2011-12
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-02-29 00:00:00 920008996 Closed Citation Citation A (HSC 1424) Patient Care None 2011-06-16 00:00:00 2011-06-16 00:00:00 No 2012-03-21 00:00:00 None A None 15000 15000 -5250 9750 0 None LOI511 N CA00278295 B SFY2011-12
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-06-01 00:00:00 920009039 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-14 00:00:00 2010-05-14 00:00:00 Yes 2012-06-22 00:00:00 2012-06-11 00:00:00 A A 20000 13000 0 13000 0 None 8NY511 Y CA00254976 B SFY2011-12
920000032 LAKEVIEW TERRACE SPECIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-10-17 00:00:00 920009102 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-11 00:00:00 2011-10-11 00:00:00 No 2013-11-07 00:00:00 None B None 2000 2000 0 2000 0 None GZCQ11 N CA00279277, CA00290303 B, C SFY2013-14
920000003 THE GROVE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-03-15 00:00:00 920009103 Closed Citation Citation B (HSC 1424) Patient Care None 2011-10-12 00:00:00 2011-10-12 00:00:00 No 2012-04-05 00:00:00 None B None 1800 1800 -630 1170 0 None MZXP11 N None None SFY2011-12
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2012-03-16 00:00:00 920009122 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-01-11 00:00:00 2012-01-11 00:00:00 No 2012-04-06 00:00:00 None B None 500 500 0 500 0 None 05ET11 N None None SFY2011-12
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-04-03 00:00:00 920009123 Closed Citation Citation A (HSC 1424) Patient Care None 2011-07-01 00:00:00 2011-07-01 00:00:00 No 2012-04-24 00:00:00 None A None 19000 19000 -6650 12350 0 None D6R911 N CA00275489 B SFY2011-12
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-04-11 00:00:00 920009222 Closed Citation Citation B (HSC 1424) Patient Record None 2012-03-05 00:00:00 2012-03-05 00:00:00 No 2012-05-02 00:00:00 None B None 750 750 0 750 0 None ERVG11 N CA00273021 B SFY2011-12
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-08-10 00:00:00 920009224 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-10 00:00:00 2010-08-10 00:00:00 No 2012-08-31 00:00:00 None A None 19000 19000 -6650 12350 0 None NZUM11 N CA00238817 B SFY2012-13
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-09-19 00:00:00 920009239 Closed Citation Citation A (HSC 1424) Medication None 2010-07-20 00:00:00 2010-07-20 00:00:00 No 2012-10-10 00:00:00 None A None 20000 20050 -7000 13050 0 None OE3411 N CA00237803, CA00237803 B, B SFY2012-13
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-10-03 00:00:00 920009538 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-08-24 00:00:00 2012-08-24 00:00:00 No 2012-10-24 00:00:00 None B None 2000 2350 0 2350 0 None FPSO11 N CA00323206 B SFY2012-13
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-12-10 00:00:00 920009667 Closed Citation Citation B (HSC 1424) Patient Care None 2012-01-20 00:00:00 2012-01-20 00:00:00 No 2013-01-02 00:00:00 None B None 2000 2050 -700 1350 0 None QLS611 N CA00296935, CA00297521 C, C SFY2012-13
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2012-12-11 00:00:00 920009668 Open Citation Citation B (HSC 1424) Physical Environment None 2012-10-18 00:00:00 2012-10-18 00:00:00 Yes 2013-01-03 00:00:00 2012-12-14 00:00:00 B None 700 750 0 0 750 None CCI511 N None None SFY2012-13
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-03-11 00:00:00 920009694 Closed Citation Citation A (HSC 1424) Patient Care None 2011-02-04 00:00:00 2011-02-04 00:00:00 Yes 2013-04-02 00:00:00 2013-03-18 00:00:00 A A 19000 12350 0 12350 0 None 54O711 Y CA00280263 B SFY2012-13
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2013-02-04 00:00:00 920009726 Closed Citation Citation B (HSC 1424) Physical Environment Physical Environment 2012-03-03 00:00:00 2012-03-03 00:00:00 No 2013-02-26 00:00:00 None B None 700 700 -245 455 0 None ZQIJ11 N None None SFY2012-13
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2013-02-14 00:00:00 920009740 Closed Citation Citation B (HSC 1424) Patient Care Accidents 2012-10-15 00:00:00 2012-10-15 00:00:00 No 2013-03-08 00:00:00 None B None 2000 2000 0 2000 0 None R9U411 N CA00329617 B SFY2012-13
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2013-02-21 00:00:00 920009752 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-12 00:00:00 2010-12-12 00:00:00 No 2013-03-14 00:00:00 None B None 1500 1500 -525 975 0 None 74RX11 N CA00343542 B SFY2012-13
920000312 TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY LTC SNF Skilled Nursing Facility LA Region 2 2013-07-18 00:00:00 920009791 Closed Citation Citation A (HSC 1424) Patient Care None 2012-11-22 00:00:00 2012-11-22 00:00:00 Yes 2013-08-08 00:00:00 2013-07-25 00:00:00 A A Trebled 20000 60000 0 60000 0 None UVBN11 Y CA00334539, CA00335353 B, B SFY2013-14
920000312 TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY LTC SNF Skilled Nursing Facility LA Region 2 2013-05-14 00:00:00 920009807 Closed Citation Citation A (HSC 1424) Patient Care None 2012-04-20 00:00:00 2012-04-20 00:00:00 Yes 2013-06-05 00:00:00 2013-05-23 00:00:00 A A 20000 20000 0 20000 0 None NF5Q11 Y CA00306119 B SFY2012-13
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-11-13 00:00:00 920009827 Closed Citation Citation A (HSC 1424) Patient Care None 2010-07-31 00:00:00 2010-07-31 00:00:00 Yes 2013-12-06 00:00:00 2013-12-04 00:00:00 A A 15000 7500 0 7500 0 None LOBQ11 N CA00237805 B SFY2013-14
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-01-21 00:00:00 920009923 Open Citation Citation A (HSC 1424) Patient Care None 2011-03-05 00:00:00 2011-03-05 00:00:00 Yes 2014-02-11 00:00:00 2014-01-27 00:00:00 A A 7000 3500 0 0 3500 None A11R11 N CA00273033 B SFY2013-14
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2013-09-26 00:00:00 920010030 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-08 00:00:00 2011-09-08 00:00:00 No 2013-10-17 00:00:00 None A None 15000 15000 -5250 9750 0 None 8SYX11 N CA00296541 B SFY2013-14
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2013-10-02 00:00:00 920010177 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-16 00:00:00 2011-04-16 00:00:00 No 2013-10-23 00:00:00 None B None 1200 1200 -420 780 0 None NTP511 N CA00266658, CA00267632 B, B SFY2013-14
970000085 GLENDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-10-10 00:00:00 920010179 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-18 00:00:00 2011-09-18 00:00:00 No 2013-10-31 00:00:00 None B None 1800 1800 -630 1170 0 None ZU3L11 N CA00284077 B SFY2013-14
920000057 VALLEY PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-10-17 00:00:00 920010199 Closed Citation Citation B (HSC 1424) Administration None 2013-02-03 00:00:00 2013-02-03 00:00:00 No 2013-11-07 00:00:00 None B None 500 500 0 500 0 None 2ONZ11 N None None SFY2013-14
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-03-02 00:00:00 920010224 Open Citation Citation A (HSC 1424) Patient Care None 2011-08-15 00:00:00 2011-08-15 00:00:00 Yes 2017-03-23 00:00:00 2017-03-02 00:00:00 A None 20000 20000 0 0 20000 None KQ3I11 N CA00281111 B SFY2016-17
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-02-10 00:00:00 920010260 Closed Citation Citation A (HSC 1424) Patient Care None 2013-04-15 00:00:00 2013-04-15 00:00:00 Yes 2014-03-04 00:00:00 2014-02-18 00:00:00 A A 15000 7000 0 7000 0 None FP9711 N None None SFY2013-14
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-01-29 00:00:00 920010415 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-13 00:00:00 2011-11-13 00:00:00 No 2014-02-20 00:00:00 None B None 1500 1500 -525 975 0 None 5JLN11 N CA00290349 B SFY2013-14
920000083 CANYON OAKS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-02-11 00:00:00 920010441 Open Citation Citation A (HSC 1424) Patient Care None 2012-11-20 00:00:00 2012-11-20 00:00:00 Yes 2014-03-05 00:00:00 2014-02-26 00:00:00 A None 17500 17500 0 0 17500 None V0PF11 N CA00336450, CA00340197 B, B SFY2013-14
920000029 OAKPARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-02-12 00:00:00 920010469 Closed Citation Citation B (HSC 1424) Physical Environment None 2014-01-24 00:00:00 2014-01-24 00:00:00 No 2014-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None I7HC11 N CA00385052 A SFY2013-14
920000292 ARARAT NURSING FACILITY LTC SNF Skilled Nursing Facility LA Region 2 2014-02-13 00:00:00 920010473 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-30 00:00:00 2012-10-30 00:00:00 No 2014-03-07 00:00:00 None B None 1000 1000 0 1000 0 None YDYK11 N CA00332395 B SFY2013-14
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2014-05-22 00:00:00 920010739 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-01-26 00:00:00 2013-01-26 00:00:00 No 2014-06-13 00:00:00 None B None 2000 2000 0 2000 0 None 2IOY11 N CA00341181 A SFY2013-14
920000086 GRANADA HILLS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2014-06-24 00:00:00 920010778 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-01-28 00:00:00 2013-01-28 00:00:00 No 2014-07-16 00:00:00 None B None 2000 2000 -700 1300 0 None R1BH11 N None None SFY2013-14
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-06-18 00:00:00 920010821 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-06 00:00:00 2012-03-06 00:00:00 No 2014-07-10 00:00:00 None B None 2000 2000 0 2000 0 None 1YY811 N CA00303005 B SFY2013-14
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-09-23 00:00:00 920010859 Closed Citation Citation AA (HSC 1424) Patient Care None 2013-01-28 00:00:00 2013-01-28 00:00:00 Yes 2014-10-14 00:00:00 2014-09-29 00:00:00 AA AA 75000 75000 0 75000 0 None CW3N11 Y CA00362971, CA00370141 B, B SFY2014-15
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-08-15 00:00:00 920010936 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-19 00:00:00 2011-10-19 00:00:00 No 2014-09-08 00:00:00 None B None 1000 1000 0 1000 0 None TMQZ11 N CA00287036 A SFY2014-15
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-12-29 00:00:00 920011080 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-06-18 00:00:00 2014-06-18 00:00:00 No 2015-01-19 00:00:00 None AA None 75000 75000 -26250 48750 0 None YU7X11 Y CA00403130 B SFY2014-15
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2014-11-10 00:00:00 920011102 Closed Citation Citation B (HSC 1424) Physical Environment None 2014-03-11 00:00:00 2014-03-11 00:00:00 No 2014-12-04 00:00:00 None B None 2000 2000 0 2000 0 None 0V2811 N CA00390706 B SFY2014-15
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2014-11-10 00:00:00 920011103 Closed Citation Citation B (HSC 1424) Dietary None 2014-03-11 00:00:00 2014-03-11 00:00:00 No 2014-12-04 00:00:00 None B None 2000 2000 0 2000 0 None 0V2811 N CA00390706 B SFY2014-15
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2014-12-24 00:00:00 920011177 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-09-16 00:00:00 2012-09-16 00:00:00 No 2015-01-16 00:00:00 None B None 1000 1300 -350 950 0 None YXP111 N CA00327550 B SFY2014-15
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-12-17 00:00:00 920011186 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-11-06 00:00:00 2014-11-06 00:00:00 No 2015-01-08 00:00:00 None B None 1500 1500 -525 975 0 None OVZY11 N None None SFY2014-15
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-01-13 00:00:00 920011215 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Medication None 2014-08-05 00:00:00 2014-08-05 00:00:00 Yes 2015-02-04 00:00:00 2015-01-20 00:00:00 WF WMF>$1000 2000 1500 0 1500 0 None OUWC11 None CA00411117 B SFY2014-15
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-02-05 00:00:00 920011265 Closed Citation Citation A (HSC 1424) Patient Care None 2014-11-15 00:00:00 2014-11-15 00:00:00 No 2015-02-27 00:00:00 None A None 5000 5000 -1750 3250 0 None BS4U11 N CA00421023 B SFY2014-15
920000087 MAGNOLIA GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2015-04-09 00:00:00 920011270 Closed Citation Citation AA (HSC 1424) Patient Care None 2012-01-21 00:00:00 2012-01-21 00:00:00 Yes 2015-04-30 00:00:00 2015-04-16 00:00:00 AA A 60000 12400 0 12400 0 None X5RS11 Y CA00304071 B SFY2014-15
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-03-18 00:00:00 920011285 Closed Citation Citation A (HSC 1424) Patient Care None 2012-11-29 00:00:00 2012-11-29 00:00:00 No 2015-04-09 00:00:00 None A None 15000 15000 -5250 9750 0 None 6SLP11 N CA00335660 B SFY2014-15
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-08-25 00:00:00 920011508 Closed Citation Citation A (HSC 1424) Patient Care None 2012-05-23 00:00:00 2012-05-23 00:00:00 Yes 2015-09-16 00:00:00 2015-08-25 00:00:00 A B 20000 15000 0 15000 0 None I2I911 Y CA00321696 B SFY2015-16
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-10-21 00:00:00 920011517 Open Citation Citation A (HSC 1424) Patient Care None 2014-02-12 00:00:00 2014-02-12 00:00:00 No 2016-11-14 00:00:00 None A None 20000 20000 0 0 20000 None WS6F11 N CA00390420 C SFY2016-17
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2015-07-28 00:00:00 920011523 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-07 00:00:00 2014-07-07 00:00:00 No 2015-08-18 00:00:00 None A None 20000 20000 0 20000 0 None K5KD11 N CA00405668 A SFY2015-16
920000029 OAKPARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-09-16 00:00:00 920011543 Closed Citation Citation AA (HSC 1424) Patient Care None 2013-01-16 00:00:00 2013-01-16 00:00:00 No 2015-10-07 00:00:00 None AA None 75000 75000 -26250 48750 0 None WFEC11 Y CA00344878, CA00344878 B, B SFY2015-16
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-08-05 00:00:00 920011654 Closed Citation Citation A (HSC 1424) Patient Care None 2013-02-11 00:00:00 2013-02-11 00:00:00 Yes 2015-08-26 00:00:00 2015-08-05 00:00:00 A A 20000 8500 0 8500 0 None EQ8F11 N CA00348306, CA00348306 C, C SFY2015-16
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-08-19 00:00:00 920011675 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-02 00:00:00 2015-06-02 00:00:00 No 2015-09-10 00:00:00 None A None 20000 20000 0 20000 0 None I09Z11 N CA00444164, CA00444322 A, B SFY2015-16
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2015-09-08 00:00:00 920011703 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-06 00:00:00 2011-11-06 00:00:00 No 2015-09-29 00:00:00 None B None 2000 2000 -700 1300 0 None IO2L11 N CA00289968 B SFY2015-16
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-09-16 00:00:00 920011720 Closed Citation Citation B (HSC 1424) Physical Environment None 2015-08-13 00:00:00 2015-08-13 00:00:00 No 2015-10-07 00:00:00 None B None 2000 2000 -700 1300 0 None 7SZE11 N CA00454463 A SFY2015-16
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-09-25 00:00:00 920011721 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-13 00:00:00 2015-08-13 00:00:00 No 2015-10-16 00:00:00 None A None 20000 20000 0 20000 0 None MRQO11 N CA00453806, CA00454176, CA00454176 E, B, B SFY2015-16
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-12-01 00:00:00 920011776 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-09-08 00:00:00 2014-09-08 00:00:00 Yes 2015-12-22 00:00:00 2015-12-08 00:00:00 AA A 100000 50000 0 50000 0 None B6O611 Y CA00452371, CA00452371, CA00452371, CA00452371 B, B, B, B SFY2015-16
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-10-13 00:00:00 920011782 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-09-04 00:00:00 2015-09-04 00:00:00 No 2015-11-03 00:00:00 None B None 2000 11750 -700 11050 0 None SRZF11 N CA00457138 B SFY2015-16
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-10-16 00:00:00 920011785 Closed Citation Citation B (HSC 1424) Patient Care None 2015-07-07 00:00:00 2015-07-07 00:00:00 No 2015-11-06 00:00:00 None B None 2000 6000 0 6000 0 None 3ND711 N CA00449815, CA00449822 B, B SFY2015-16
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2016-08-02 00:00:00 920011797 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-10-02 00:00:00 2014-10-02 00:00:00 Yes 2016-08-23 00:00:00 2016-08-05 00:00:00 AA A 75000 40000 0 40000 0 None WU6I11 Y CA00415541 A SFY2016-17
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-11-16 00:00:00 920011814 Closed Citation Citation A (HSC 1424) Patient Care None 2015-07-25 00:00:00 2015-07-25 00:00:00 No 2015-12-09 00:00:00 None A None 20000 20050 -7000 13050 0 None 4IKB11 N CA00455182 B SFY2015-16
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-02-29 00:00:00 920011832 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-08-24 00:00:00 2014-08-24 00:00:00 Yes 2016-03-21 00:00:00 2016-03-21 00:00:00 AA A 100000 75000 0 75000 0 None 52BA11 Y CA00412160, CA00412160, CA00412160 B, B, B SFY2015-16
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-10-04 00:00:00 920011836 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-24 00:00:00 2014-08-24 00:00:00 No 2016-10-25 00:00:00 None A None 20000 20000 -7000 13000 0 None 9TXR11 Y CA00420797 A SFY2016-17
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2015-11-12 00:00:00 920011837 Closed Citation Citation B (HSC 1424) Medication None 2015-07-03 00:00:00 2015-07-03 00:00:00 No 2015-12-07 00:00:00 None B None 2000 2000 -700 1300 0 None BGZF11 N CA00450948 B SFY2015-16
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-12-14 00:00:00 920011838 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2014-08-24 00:00:00 2014-08-24 00:00:00 Yes 2016-01-06 00:00:00 2015-12-28 00:00:00 WF WMF>$1000 10000 10000 0 10000 0 None 52BA11 None CA00412160, CA00412160, CA00412160 B, B, B SFY2015-16
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-07-15 00:00:00 920011839 Closed Citation Citation AA (HSC 1424) Patient Care None 2013-02-23 00:00:00 2013-02-23 00:00:00 Yes 2016-08-05 00:00:00 2016-08-01 00:00:00 AA AA 75000 43750 0 43750 0 None FNKM11 Y CA00344709, CA00344709 A, A SFY2016-17
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-12-22 00:00:00 920011898 Closed Citation Citation A (HSC 1424) Patient Care None 2015-07-29 00:00:00 2015-07-29 00:00:00 Yes 2016-01-13 00:00:00 2015-12-28 00:00:00 A A 10000 10000 0 10000 0 None JHC511 N CA00452579, CA00452579 B, B SFY2015-16
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-12-31 00:00:00 920011926 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-14 00:00:00 2015-08-14 00:00:00 No 2016-01-21 00:00:00 None B None 2000 2000 -700 1300 0 None DNJT11 N CA00393136 C SFY2015-16
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-12-31 00:00:00 920011927 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-15 00:00:00 2015-08-15 00:00:00 No 2016-01-21 00:00:00 None B None 2000 2000 -700 1300 0 None DNJT11 N CA00393577 C SFY2015-16
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-01-29 00:00:00 920011984 Open Citation Citation A (HSC 1424) Patient Care None 2015-07-25 00:00:00 2015-07-25 00:00:00 Yes 2016-02-22 00:00:00 2016-02-22 00:00:00 A None 20000 20000 0 5000 15000 None E38S11 N CA00469846 B SFY2015-16
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-01-29 00:00:00 920011985 Open Citation Citation A (HSC 1424) Patient Care None 2015-07-25 00:00:00 2015-07-25 00:00:00 Yes 2016-02-22 00:00:00 2016-02-22 00:00:00 A None 20000 20000 0 5000 15000 None E38S11 N CA00469846 B SFY2015-16
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2016-05-06 00:00:00 920012006 Open Citation Citation A (HSC 1424) Patient Care None 2010-01-11 00:00:00 2010-01-11 00:00:00 Yes 2016-05-27 00:00:00 2016-05-25 00:00:00 A None 20000 20000 0 0 20000 None 2UI511 N CA00259372, CA00259372 B, B SFY2015-16
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-04-20 00:00:00 920012029 Closed Citation Citation A (HSC 1424) Patient Care None 2012-04-18 00:00:00 2012-04-18 00:00:00 Yes 2016-05-11 00:00:00 2016-05-11 00:00:00 A A 20000 15000 0 15000 0 None 0DJO11 N CA00307311 B SFY2015-16
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2016-04-21 00:00:00 920012129 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-05-10 00:00:00 2013-05-10 00:00:00 No 2016-05-12 00:00:00 None B None 2000 2000 -700 1300 0 None VLTT11 N CA00354779 A SFY2015-16
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2016-07-15 00:00:00 920012159 Closed Citation Citation AA (HSC 1424) Patient Care None 2013-09-22 00:00:00 2013-09-22 00:00:00 No 2016-08-05 00:00:00 None AA None 75000 75000 -26250 48750 0 None R08311 Y CA00375819 C SFY2016-17
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-04-14 00:00:00 920012181 Closed Citation Citation B (HSC 1424) Patient Care None 2015-06-27 00:00:00 2015-06-27 00:00:00 Yes 2016-05-05 00:00:00 2016-04-15 00:00:00 B B 2000 1000 0 1000 0 None 8RGX11 N CA00473441 B SFY2015-16
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-04-14 00:00:00 920012182 Closed Citation Citation B (HSC 1424) Patient Care None 2015-06-29 00:00:00 2015-06-29 00:00:00 Yes 2016-05-05 00:00:00 2016-04-15 00:00:00 B B 2000 1000 0 1000 0 None 8RGX11 N CA00473441 B SFY2015-16
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-05-04 00:00:00 920012214 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-02-20 00:00:00 2014-02-20 00:00:00 No 2016-05-25 00:00:00 None B None 2000 2050 0 2050 0 None UDDK11 N CA00390090 A SFY2015-16
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2016-05-02 00:00:00 920012216 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-20 00:00:00 2016-01-20 00:00:00 Yes 2016-05-23 00:00:00 2016-05-12 00:00:00 A B 20000 11000 0 11000 0 None TP4J11 N CA00473424 B SFY2015-16
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-05-13 00:00:00 920012243 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-23 00:00:00 2015-12-23 00:00:00 No 2016-06-06 00:00:00 None A None 15000 15000 -5250 9750 0 None 4ZSQ11 N CA00470068 B SFY2015-16
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2016-05-12 00:00:00 920012244 Closed Citation Citation A (HSC 1424) Patient Care None 2015-10-03 00:00:00 2015-10-03 00:00:00 No 2016-06-03 00:00:00 None A None 15000 15000 -5250 9750 0 None Q6QD11 N CA00465107 B SFY2015-16
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-05-12 00:00:00 920012245 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-25 00:00:00 2016-01-25 00:00:00 Yes 2016-06-03 00:00:00 2016-05-20 00:00:00 A A 15000 10000 0 10000 0 None SNDR11 N CA00474067 B SFY2015-16
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-02-08 00:00:00 920012307 Closed Citation Citation AA (HSC 1424) Patient Care None 2011-03-04 00:00:00 2011-03-04 00:00:00 Yes 2017-03-02 00:00:00 2017-02-15 00:00:00 AA A 100000 70000 0 70000 0 None IVLG11 Y CA00259236 C SFY2016-17
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-06-14 00:00:00 920012323 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-25 00:00:00 2016-02-25 00:00:00 Yes 2016-07-06 00:00:00 2016-06-20 00:00:00 A B 10000 7500 0 7500 0 None 8UCX11 N CA00478170 B SFY2015-16
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2016-06-14 00:00:00 920012324 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-04-19 00:00:00 2016-04-19 00:00:00 No 2016-07-06 00:00:00 None B None 2000 2000 -700 1300 0 None 5PHO11 N CA00485008 B SFY2015-16
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-07-29 00:00:00 920012329 Open Citation Citation A (HSC 1424) Patient Care None 2012-01-06 00:00:00 2012-01-06 00:00:00 No 2016-08-19 00:00:00 None A None 20000 20000 0 0 20000 None SE2Q11 N CA00295281 B SFY2016-17
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2016-07-15 00:00:00 920012335 Open Citation Citation A (HSC 1424) Patient Care None 2016-02-21 00:00:00 2016-02-21 00:00:00 Yes 2016-08-05 00:00:00 2016-08-03 00:00:00 A None 20000 20100 0 0 20100 None 3P4011 N CA00478456, CA00478456 B, B SFY2016-17
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-06-29 00:00:00 920012339 Closed Citation Citation B (HSC 1424) Physical Environment None 2014-06-18 00:00:00 2014-06-18 00:00:00 No 2016-07-21 00:00:00 None B None 2000 2000 -700 1300 0 None MVFV11 N CA00397453 C SFY2015-16
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-08-03 00:00:00 920012446 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-05-26 00:00:00 2015-05-26 00:00:00 No 2016-08-24 00:00:00 None A None 20000 20000 -7000 13000 0 None 8L4D11 N CA00444312 A SFY2016-17
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-09-01 00:00:00 920012496 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-07 00:00:00 2015-12-07 00:00:00 Yes 2016-09-23 00:00:00 2016-09-26 00:00:00 A A 20000 20000 0 20000 0 None 2Y3I11 N CA00470570 B SFY2016-17
920000030 THE HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-08-23 00:00:00 920012530 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-10-12 00:00:00 2015-10-12 00:00:00 No 2016-09-14 00:00:00 None B None 2000 2000 -700 1300 0 None H7JF11 N CA00473943 B SFY2016-17
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2017-01-27 00:00:00 920012545 Closed Citation Citation A (HSC 1424) Patient Care None 2015-03-09 00:00:00 2015-03-09 00:00:00 No 2017-02-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 33XF11 N CA00434513 B SFY2016-17
920000076 VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC. LTC SNF Skilled Nursing Facility LA Region 2 2016-10-28 00:00:00 920012557 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-23 00:00:00 2015-12-23 00:00:00 No 2016-11-21 00:00:00 None A None 20000 20000 -7000 13000 0 None C3F611 N CA00470120 B SFY2016-17
920000076 VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC. LTC SNF Skilled Nursing Facility LA Region 2 2016-11-10 00:00:00 920012571 Closed Citation Citation A (HSC 1424) Patient Care None 2015-07-28 00:00:00 2015-07-28 00:00:00 No 2016-12-06 00:00:00 None A None 20000 20000 -7000 13000 0 None BD6E11 N CA00452698, CA00454958 B, B SFY2016-17
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-10-14 00:00:00 920012638 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-27 00:00:00 2016-01-27 00:00:00 Yes 2016-11-04 00:00:00 2016-11-02 00:00:00 A A 15000 9000 0 9000 0 None IW0P11 N CA00474589 B SFY2016-17
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2017-01-09 00:00:00 920012653 Closed Citation Citation AA (HSC 1424) Patient Care None 2013-03-22 00:00:00 2013-03-22 00:00:00 Yes 2017-01-31 00:00:00 2017-02-02 00:00:00 AA AA 80000 50000 0 50000 0 None GNL611 Y CA00348202, CA00348202 B, B SFY2016-17
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-10-27 00:00:00 920012654 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-29 00:00:00 2016-02-29 00:00:00 No 2016-11-18 00:00:00 None A None 20000 20000 -7000 13000 0 None OD9211 N CA00478973 B SFY2016-17
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2016-10-27 00:00:00 920012672 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-06-22 00:00:00 2016-06-22 00:00:00 Yes 2016-11-18 00:00:00 2016-11-10 00:00:00 A B 10000 8000 0 8000 0 None SRLQ11 N CA00492870 B SFY2016-17
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-01-18 00:00:00 920012679 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-08-10 00:00:00 2014-08-10 00:00:00 Yes 2017-02-08 00:00:00 2017-02-03 00:00:00 A A 20000 18750 0 18750 0 None ODDW11 N CA00409183 A SFY2016-17
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-10-28 00:00:00 920012680 Closed Citation Citation A (HSC 1424) Patient Care None 2016-06-21 00:00:00 2016-06-21 00:00:00 Yes 2016-11-21 00:00:00 2016-11-02 00:00:00 A B 15000 15000 0 15000 0 None GGSG11 N CA00492912 B SFY2016-17
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2016-11-01 00:00:00 920012714 Closed Citation Citation B (HSC 1424) Administration None 2016-03-11 00:00:00 2016-03-11 00:00:00 No 2016-11-23 00:00:00 None B None 2000 2000 0 2000 0 None NDIN11 N CA00492032 B SFY2016-17
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2016-11-21 00:00:00 920012727 Open Citation Citation A (HSC 1424) Patient Care None 2015-12-30 00:00:00 2015-12-30 00:00:00 Yes 2016-12-14 00:00:00 2016-11-28 00:00:00 A None 15000 15000 0 0 15000 None GX5V11 N CA00494704 B SFY2016-17
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-12-01 00:00:00 920012729 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-06 00:00:00 2016-05-06 00:00:00 No 2016-12-22 00:00:00 None A None 20000 20000 -7000 13000 0 None 9J6111 N CA00493074 B SFY2016-17
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-12-14 00:00:00 920012749 Closed Citation Citation A (HSC 1424) Patient Care None 2015-10-04 00:00:00 2015-10-04 00:00:00 No 2017-01-06 00:00:00 None A None 15000 15000 -5250 9750 0 None 24Z411 N CA00502813, CA00502923, CA00503312, CA00505363, CA00505918 C, B, C, B, A SFY2016-17
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-12-06 00:00:00 920012785 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-06-15 00:00:00 2015-06-15 00:00:00 No 2016-12-28 00:00:00 None B None 1000 1000 -350 650 0 None LOTA11 N CA00447356 C SFY2016-17
920000077 ALAMEDA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-01-09 00:00:00 920012812 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-05-06 00:00:00 2016-05-06 00:00:00 Yes 2017-01-31 00:00:00 2017-01-11 00:00:00 A A 10000 6750 0 6750 0 None HSWW11 N CA00487216 C SFY2016-17
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-12-23 00:00:00 920012817 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-13 00:00:00 2016-10-13 00:00:00 No 2017-01-18 00:00:00 None A None 20000 20000 -7000 13000 0 None 24Z411 N None None SFY2016-17
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2016-12-21 00:00:00 920012826 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-12-13 00:00:00 2015-12-13 00:00:00 No 2017-01-13 00:00:00 None B None 2000 2000 0 2000 0 None 38PH11 N CA00469186 B SFY2016-17
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-12-23 00:00:00 920012834 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-12-09 00:00:00 2016-12-09 00:00:00 No 2017-01-18 00:00:00 None B None 2000 2000 -700 1300 0 None RGV311 N CA00513721 A SFY2016-17
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2016-12-22 00:00:00 920012839 Closed Citation Citation B (HSC 1424) Administration None 2015-10-15 00:00:00 2015-10-15 00:00:00 No 2017-01-13 00:00:00 None B None 2000 2000 0 2000 0 None GNL611 N CA00348202, CA00348202 B, B SFY2016-17
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-01-04 00:00:00 920012843 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-24 00:00:00 2016-07-24 00:00:00 Yes 2017-01-26 00:00:00 2017-01-24 00:00:00 A A 15000 36000 0 36000 0 None WCF911 N CA00496651 B SFY2016-17
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2016-12-28 00:00:00 920012844 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-08-18 00:00:00 2016-08-18 00:00:00 No 2017-01-20 00:00:00 None B None 1000 1000 -350 650 0 None F2LX11 N CA00499860 B SFY2016-17
970000099 SOLHEIM SENIOR COMMUNITY LTC SNF Skilled Nursing Facility LA Region 1 2017-01-09 00:00:00 920012856 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-18 00:00:00 2016-05-18 00:00:00 No 2017-01-31 00:00:00 None A None 10000 10000 0 10000 0 None YP7Z11 N CA00489193 B SFY2016-17
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2017-01-09 00:00:00 920012874 Closed Citation Citation A (HSC 1424) Patient Care None 2016-09-13 00:00:00 2016-09-13 00:00:00 No 2017-01-31 00:00:00 None A None 15000 15000 0 15000 0 None 7JR111 N CA00503111 A SFY2016-17
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-02-13 00:00:00 920012883 Closed Citation Citation A (HSC 1424) Patient Care None 2015-09-26 00:00:00 2015-09-26 00:00:00 Yes 2017-03-07 00:00:00 2017-02-13 00:00:00 A B 20000 16000 0 16000 0 None GGOY11 N CA00460361, CA00508093 B, B SFY2016-17
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2017-01-25 00:00:00 920012888 Open Citation Citation A (HSC 1424) Patient Care None 2016-11-17 00:00:00 2016-11-17 00:00:00 No 2017-02-15 00:00:00 None A None 10000 30000 0 0 30000 None 57R511 N CA00511585 A SFY2016-17
920000057 VALLEY PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-02-02 00:00:00 920012900 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-09 00:00:00 2016-12-09 00:00:00 No 2017-02-24 00:00:00 None A None 20000 20000 -7000 13000 0 None G5G411 N None None SFY2016-17
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2017-01-31 00:00:00 920012916 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-11-28 00:00:00 2016-11-28 00:00:00 No 2017-02-22 00:00:00 None B None 2000 4350 0 4350 0 None 44WY11 N CA00512158, CA00515016 B, B SFY2016-17
970000085 GLENDALE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-03-24 00:00:00 920012969 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-13 00:00:00 2016-11-13 00:00:00 No 2017-04-17 00:00:00 None A None 18000 18000 -6300 11700 0 None 06WL11 N None None SFY2016-17
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2017-02-14 00:00:00 920012970 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-05-01 00:00:00 2016-05-01 00:00:00 No 2017-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None KBMB11 N CA00486740 C SFY2016-17
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2017-03-14 00:00:00 920012982 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-07 00:00:00 2016-12-07 00:00:00 Yes 2017-04-05 00:00:00 2017-04-05 00:00:00 A B 20000 20000 0 20000 0 None 1JXC11 N CA00514253 B SFY2016-17
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-03-10 00:00:00 920013029 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-19 00:00:00 2016-08-19 00:00:00 No 2017-04-03 00:00:00 None A None 20000 20000 0 20000 0 None HD1R11 N CA00501197, CA00501197 B, B SFY2016-17
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-05-05 00:00:00 920013064 Open Citation Citation A (HSC 1424) Patient Care None 2011-09-22 00:00:00 2011-09-22 00:00:00 No 2017-05-26 00:00:00 None A None 20000 20000 0 0 20000 None I55D11 Y CA00285086, CA00285086 B, B SFY2016-17
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2017-04-12 00:00:00 920013109 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-04 00:00:00 2016-11-04 00:00:00 No 2017-05-03 00:00:00 None A None 15000 45000 -15750 29250 0 None 4FGV11 N None None SFY2016-17
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2017-04-12 00:00:00 920013110 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-01 00:00:00 2016-08-01 00:00:00 No 2017-05-03 00:00:00 None A None 10000 30000 -10500 19500 0 None 4FGV11 N None None SFY2016-17
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2017-04-10 00:00:00 920013111 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-01-22 00:00:00 2017-01-22 00:00:00 No 2017-05-01 00:00:00 None B None 2000 2000 -700 1300 0 None 8C4111 N CA00519464 A SFY2016-17
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-04-10 00:00:00 920013112 Closed Citation Citation B (HSC 1424) Patient Care None 2016-12-10 00:00:00 2016-12-10 00:00:00 No 2017-05-01 00:00:00 None B None 2000 2000 0 2000 0 None EU2811 N CA00514154 A SFY2016-17
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-04-10 00:00:00 920013113 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-10-11 00:00:00 2016-10-11 00:00:00 No 2017-05-01 00:00:00 None B None 2000 2000 0 2000 0 None EU2811 N CA00514154 A SFY2016-17
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-04-21 00:00:00 920013122 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-09 00:00:00 2017-01-09 00:00:00 No 2017-05-12 00:00:00 None B None 2000 2000 0 0 2000 None QBO211 N None None SFY2016-17
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2017-04-24 00:00:00 920013129 Open Citation Citation A (HSC 1424) Patient Care None 2017-01-07 00:00:00 2017-01-07 00:00:00 Yes 2017-05-15 00:00:00 2017-04-27 00:00:00 A None 20000 20000 0 0 20000 None NV0W11 N CA00517253 A SFY2016-17
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-04-21 00:00:00 920013149 Open Citation Citation B (HSC 1424) Patient Care None 2017-02-22 00:00:00 2017-02-22 00:00:00 No 2017-05-12 00:00:00 None B None 2000 2000 0 0 2000 None QBO211 N None None SFY2016-17
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-04-21 00:00:00 920013151 Open Citation Citation B (HSC 1424) Patient Care None 2017-02-28 00:00:00 2017-02-28 00:00:00 No 2017-05-12 00:00:00 None B None 2000 2000 0 0 2000 None QBO211 N None None SFY2016-17
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-04-26 00:00:00 920013154 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-23 00:00:00 2017-01-23 00:00:00 No 2017-05-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 90S611 N CA00519046 A SFY2016-17
970000029 KINGSLEY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-05-10 00:00:00 920013186 Closed Citation Citation A (HSC 1424) Patient Care None 2012-05-18 00:00:00 2012-05-18 00:00:00 No 2017-06-01 00:00:00 None A None 20000 20000 -7000 13000 0 None BCW011 N CA00311759 C SFY2016-17
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-09-14 00:00:00 920013201 Open Citation Citation AA (HSC 1424) Patient Care None 2015-09-06 00:00:00 2015-09-06 00:00:00 Yes 2017-10-05 00:00:00 2017-09-25 00:00:00 AA None 100000 100000 0 0 100000 None KBI011 Y CA00465036, CA00465036 A, A SFY2017-18
920000062 EISENBERG VILLAGE LTC SNF Skilled Nursing Facility LA Region 2 2017-05-16 00:00:00 920013202 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-02 00:00:00 2016-11-02 00:00:00 No 2017-06-07 00:00:00 None A B 10000 2000 0 2000 0 None Y8WT11 N CA00509795 B SFY2016-17
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-05-17 00:00:00 920013204 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-11 00:00:00 2015-09-11 00:00:00 No 2017-06-08 00:00:00 None B None 1000 1000 0 1000 0 None ED7211 N CA00457574, CA00458157 B, B SFY2016-17
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2017-07-21 00:00:00 920013217 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-19 00:00:00 2017-04-19 00:00:00 Yes 2017-08-11 00:00:00 2017-08-03 00:00:00 A A 20000 51000 0 51000 0 None 4FGV12 N None None SFY2017-18
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-06-07 00:00:00 920013218 Open Citation Citation A (HSC 1424) Patient Care None 2017-04-19 00:00:00 2017-04-19 00:00:00 Yes 2017-06-28 00:00:00 2017-06-16 00:00:00 A None 15000 15050 0 0 15050 None QBO212 N None None SFY2016-17
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-06-07 00:00:00 920013219 Open Citation Citation A (HSC 1424) Patient Care None 2017-04-26 00:00:00 2017-04-26 00:00:00 Yes 2017-06-28 00:00:00 2017-06-16 00:00:00 A None 15000 45050 0 0 45050 None QBO211 N None None SFY2016-17
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-05-24 00:00:00 920013220 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-20 00:00:00 2017-02-20 00:00:00 No 2017-06-15 00:00:00 None B None 2000 2000 -700 1300 0 None ZZI111 N CA00523454 A SFY2016-17
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2017-06-07 00:00:00 920013221 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-04 00:00:00 2017-04-04 00:00:00 Yes 2017-06-28 00:00:00 2017-07-17 00:00:00 A B 20000 20000 0 20000 0 None C6KO11 N None None SFY2016-17
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-05-24 00:00:00 920013224 Closed Citation Citation B (HSC 1424) Patient Record None 2016-10-28 00:00:00 2016-10-28 00:00:00 No 2017-06-15 00:00:00 None B None 2000 2000 0 2000 0 None 3ULR11 N CA00333657 C SFY2016-17
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-06-13 00:00:00 920013278 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-04-20 00:00:00 2017-04-20 00:00:00 No 2017-07-05 00:00:00 None B None 2000 2000 -700 1300 0 None SXWH11 N CA00531997 B SFY2016-17
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-06-23 00:00:00 920013281 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-24 00:00:00 2016-11-24 00:00:00 Yes 2017-07-17 00:00:00 2017-07-06 00:00:00 A A 15000 10000 0 10000 0 None B1UY11 N CA00512126 B SFY2016-17
970000089 COLLEGE VISTA POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2017-07-07 00:00:00 920013323 Closed Citation Citation A (HSC 1424) Patient Care None 2017-05-20 00:00:00 2017-05-20 00:00:00 No 2017-07-28 00:00:00 None A None 18000 18000 -6300 11700 0 None FKWD11 N None None SFY2017-18
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-07-08 00:00:00 920013324 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-21 00:00:00 2016-07-21 00:00:00 No 2017-07-28 00:00:00 None A None 20000 60000 0 60000 0 None MTWY11 N CA00496815 B SFY2017-18
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-07-14 00:00:00 920013336 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-05 00:00:00 2017-01-05 00:00:00 No 2017-08-04 00:00:00 None A None 18000 18000 -6300 11700 0 None BOD711 N CA00517195 B SFY2017-18
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-07-14 00:00:00 920013337 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-21 00:00:00 2016-10-21 00:00:00 No 2017-08-04 00:00:00 None B None 2000 2000 -700 1300 0 None GEJG11 N CA00513985 B SFY2017-18
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-07-12 00:00:00 920013340 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-23 00:00:00 2017-05-23 00:00:00 No 2017-08-02 00:00:00 None B None 2000 2000 -700 1300 0 None 3QJ011 N None None SFY2017-18
920000054 PANORAMA GARDENS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-07-24 00:00:00 920013357 Closed Citation Citation A (HSC 1424) Patient Care None 2016-06-13 00:00:00 2016-06-13 00:00:00 Yes 2017-08-14 00:00:00 2017-08-14 00:00:00 A B 10000 10000 0 10000 0 None CPDH11 N CA00492605 B SFY2017-18
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-07-20 00:00:00 920013362 Closed Citation Citation B (HSC 1424) Patient Care None 2017-02-06 00:00:00 2017-02-06 00:00:00 No 2017-08-10 00:00:00 None B None 2000 2000 -700 1300 0 None 8SNY11 N CA00519475 B SFY2017-18
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-08-08 00:00:00 920013418 Open Citation Citation B (HSC 1424) Patient Rights None 2017-06-16 00:00:00 2017-06-16 00:00:00 Yes 2017-08-29 00:00:00 2017-08-28 00:00:00 B None 2000 7200 0 0 7200 None RW6F11 N CA00540150, CA00546155, CA00546191 A, B, B SFY2017-18
920000082 WEST HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-09-06 00:00:00 920013473 Closed Citation Citation B (HSC 1424) Physical Environment None 2017-07-19 00:00:00 2017-07-19 00:00:00 No 2017-09-27 00:00:00 None B None 2000 2000 -700 1300 0 None WPYZ11 N None None SFY2017-18
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-09-07 00:00:00 920013479 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Care None 2017-08-09 00:00:00 2017-08-09 00:00:00 No 2017-09-28 00:00:00 None WF None 2000 2000 -700 1300 0 None 8SNY11 None CA00519475 B SFY2017-18
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2017-09-18 00:00:00 920013484 Closed Citation Citation B (HSC 1424) Dietary None 2017-08-21 00:00:00 2017-08-21 00:00:00 No 2017-10-09 00:00:00 None B None 2000 2000 -700 1300 0 None WPGE11 N None None SFY2017-18
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2017-09-10 00:00:00 920013485 Closed Citation Citation B (HSC 1424) Dietary None 2017-07-24 00:00:00 2017-07-24 00:00:00 No 2017-09-29 00:00:00 None B None 2000 2000 0 2000 0 None BFR311 N None None SFY2017-18
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2017-09-10 00:00:00 920013486 Closed Citation Citation B (HSC 1424) Physical Environment None 2017-07-25 00:00:00 2017-07-25 00:00:00 No 2017-09-29 00:00:00 None B None 2000 2000 0 2000 0 None BFR311 N None None SFY2017-18
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-09-22 00:00:00 920013487 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-13 00:00:00 2017-04-13 00:00:00 Yes 2017-10-13 00:00:00 2017-10-02 00:00:00 A A 20000 16500 0 16500 0 None M7OJ11 N CA00533063 A SFY2017-18
920000310 THE GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-09-29 00:00:00 920013490 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-24 00:00:00 2017-08-24 00:00:00 No 2017-10-20 00:00:00 None A None 15000 15000 -5250 9750 0 None OJBN11 N None None SFY2017-18
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-09-22 00:00:00 920013516 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-07-25 00:00:00 2017-07-25 00:00:00 No 2017-10-13 00:00:00 None B None 2000 2000 0 2000 0 None GDN111 N CA00547161 B SFY2017-18
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-09-29 00:00:00 920013525 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-13 00:00:00 2017-06-13 00:00:00 No 2017-10-20 00:00:00 None B None 2000 2000 -700 1300 0 None R2UT11 N CA00539185 A SFY2017-18
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2017-11-02 00:00:00 920013590 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-23 00:00:00 2017-09-23 00:00:00 No 2017-11-28 00:00:00 None A None 15000 15000 -5250 9750 0 None CYWN11 N None None SFY2017-18
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-03 00:00:00 920013596 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-30 00:00:00 2017-07-30 00:00:00 Yes 2017-11-29 00:00:00 2017-11-09 00:00:00 A B 20000 20000 0 20000 0 None WM2W11 N None None SFY2017-18
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-09 00:00:00 920013605 Closed Citation Citation B (HSC 1424) Patient Care None 2014-10-07 00:00:00 2014-10-07 00:00:00 No 2017-12-05 00:00:00 None B None 2000 2000 -700 1300 0 None W8ZQ11 N CA00421186 B SFY2017-18
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-17 00:00:00 920013626 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-25 00:00:00 2017-09-25 00:00:00 No 2017-12-12 00:00:00 None A None 20000 20000 0 20000 0 None GDN112 N None None SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-21 00:00:00 920013629 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-12 00:00:00 2017-10-12 00:00:00 No 2017-12-14 00:00:00 None A None 18000 54000 -18900 35100 0 None 6IC011 N None None SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-21 00:00:00 920013630 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-14 00:00:00 2017-03-14 00:00:00 No 2017-12-14 00:00:00 None A None 18000 18000 0 18000 0 None 6IC011 N None None SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-21 00:00:00 920013634 Closed Citation Citation B (HSC 1424) Dietary None 2017-10-03 00:00:00 2017-10-03 00:00:00 No 2017-12-14 00:00:00 None B None 2000 2000 -700 1300 0 None 6IC011 N None None SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-21 00:00:00 920013638 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-03 00:00:00 2017-10-03 00:00:00 No 2017-12-14 00:00:00 None B None 2000 2000 -700 1300 0 None 6IC011 N None None SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-21 00:00:00 920013639 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-03 00:00:00 2017-10-03 00:00:00 No 2017-12-14 00:00:00 None B None 2000 3450 0 3450 0 None 6IC011 N None None SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-21 00:00:00 920013640 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-03 00:00:00 2017-10-03 00:00:00 No 2017-12-14 00:00:00 None B None 2000 2000 -700 1300 0 None 6IC011 N None None SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-21 00:00:00 920013641 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-03 00:00:00 2017-10-03 00:00:00 No 2017-12-14 00:00:00 None B None 2000 3450 -700 1300 1450 None 6IC011 N None None SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-11-21 00:00:00 920013642 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-10-03 00:00:00 2017-10-03 00:00:00 No 2017-12-14 00:00:00 None B None 2000 2000 -700 1300 0 None 6IC011 N None None SFY2017-18
920000026 HIGH VALLEY LODGE LTC SNF Skilled Nursing Facility LA Region 2 2018-01-11 00:00:00 920013729 Closed Citation Citation B (HSC 1424) Physical Environment None 2017-01-28 00:00:00 2017-01-28 00:00:00 No 2018-02-01 00:00:00 None B None 2000 2000 -700 1300 0 None V83X21 N None None SFY2017-18
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-01-19 00:00:00 920013753 Closed Citation Citation B (HSC 1424) Administration None 2017-11-10 00:00:00 2017-11-10 00:00:00 No 2018-02-09 00:00:00 None B None 2000 2000 -700 1300 0 None 3O6W11 N CA00560365 B SFY2017-18
970000029 KINGSLEY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-01-22 00:00:00 920013755 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-06-18 00:00:00 2014-06-18 00:00:00 No 2018-02-12 00:00:00 None B None 2000 2000 -700 1300 0 None 94MU11 N CA00403074 B SFY2017-18
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-01-24 00:00:00 920013756 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-23 00:00:00 2017-09-23 00:00:00 No 2018-02-14 00:00:00 None A None 10000 10000 -3500 6500 0 None E3MF11 N CA00554415, CA00554692 B, B SFY2017-18
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-01-26 00:00:00 920013768 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-11-20 00:00:00 2017-11-20 00:00:00 No 2018-02-16 00:00:00 None B None 2000 2000 -700 1300 0 None B8HJ11 N CA00561845 A SFY2017-18
920000057 VALLEY PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-02-01 00:00:00 920013780 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-01 00:00:00 2017-10-01 00:00:00 No 2018-02-22 00:00:00 None B None 2000 2000 -700 1300 0 None QOQ111 N CA00555634, CA00557245 B, B SFY2017-18
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-02-07 00:00:00 920013788 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-08-14 00:00:00 2017-08-14 00:00:00 No 2018-02-28 00:00:00 None B None 2000 2000 -700 1300 0 None K1TY11 N CA00548956 B SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-02-07 00:00:00 920013789 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-01 00:00:00 2016-02-01 00:00:00 No 2018-03-01 00:00:00 None A None 15000 15000 -5250 9750 0 None OHID11 N CA00472005, CA00472005 B, B SFY2017-18
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-02-12 00:00:00 920013804 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-21 00:00:00 2017-12-21 00:00:00 Yes 2018-03-05 00:00:00 2018-02-26 00:00:00 A B 18000 2000 0 2000 0 None X27C11 N None None SFY2017-18
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-02-12 00:00:00 920013805 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-05 00:00:00 2017-10-05 00:00:00 Yes 2018-03-05 00:00:00 2018-02-26 00:00:00 A B 16000 2000 0 2000 0 None X27C11 N None None SFY2017-18
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-02-13 00:00:00 920013811 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-08-05 00:00:00 2016-08-05 00:00:00 No 2018-03-07 00:00:00 None B None 2000 2000 -700 1300 0 None E08W21 N None None SFY2017-18
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-02-26 00:00:00 920013829 Open Citation Citation A (HSC 1424) Patient Care None 2018-01-02 00:00:00 2018-01-02 00:00:00 Yes 2018-03-19 00:00:00 2018-03-14 00:00:00 A None 18000 18000 0 0 18000 None RJ0V11 N CA00567476 B SFY2017-18
930000744 MOTION PICTURE & TELEVISION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2018-02-26 00:00:00 920013851 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-04-14 00:00:00 2017-04-14 00:00:00 No 2018-03-19 00:00:00 None B None 2000 2000 0 2000 0 None VNCW11 N CA00552070, CA00552070, CA00552070 B, B, B SFY2017-18
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2018-03-28 00:00:00 920013933 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-10 00:00:00 2018-02-10 00:00:00 Yes 2018-04-18 00:00:00 2018-04-18 00:00:00 A B 18000 15000 0 15000 0 None A31Z11 N None None SFY2017-18
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2018-03-28 00:00:00 920013934 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-11 00:00:00 2018-02-11 00:00:00 No 2018-04-18 00:00:00 None A None 20000 20000 -7000 13000 0 None A31Z11 N None None SFY2017-18
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2018-03-28 00:00:00 920013935 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-11 00:00:00 2018-02-11 00:00:00 No 2018-04-18 00:00:00 None A None 18000 18000 -6300 11700 0 None A31Z11 N None None SFY2017-18
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-04-06 00:00:00 920013960 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-25 00:00:00 2018-01-25 00:00:00 No 2018-04-27 00:00:00 None A None 20000 20000 0 20000 0 None XGNM11 N None None SFY2017-18
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-04-06 00:00:00 920013961 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-08 00:00:00 2018-02-08 00:00:00 No 2018-04-27 00:00:00 None A None 15000 15000 0 15000 0 None XGNM11 N CA00574122, CA00574122 B, B SFY2017-18
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-04-06 00:00:00 920013967 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-19 00:00:00 2017-11-19 00:00:00 No 2018-04-27 00:00:00 None A None 20000 20000 0 20000 0 None H8O411 N CA00564164 B SFY2017-18
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-04-06 00:00:00 920013968 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-19 00:00:00 2017-11-19 00:00:00 No 2018-04-27 00:00:00 None A None 20000 20000 0 20000 0 None H8O411 N CA00564164 B SFY2017-18
920000030 THE HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-04-12 00:00:00 920013995 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-13 00:00:00 2017-11-13 00:00:00 Yes 2018-05-03 00:00:00 2018-04-26 00:00:00 B None 2000 2000 -700 1300 0 None JR6011 N None None SFY2017-18
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2018-04-18 00:00:00 920014006 Open Citation Citation B (HSC 1424) Patient Care None 2017-12-16 00:00:00 2017-12-16 00:00:00 Yes 2018-05-09 00:00:00 2018-04-26 00:00:00 B None 2000 2000 0 0 2000 None T7IB11 N CA00565880 B SFY2017-18
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-05-09 00:00:00 920014036 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-09 00:00:00 2018-01-09 00:00:00 Yes 2018-05-30 00:00:00 2018-05-21 00:00:00 A A 20000 13000 0 13000 0 None CZ0E11 Y CA00568730 B SFY2017-18
920000083 CANYON OAKS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-05-08 00:00:00 920014051 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-27 00:00:00 2018-03-27 00:00:00 Yes 2018-05-29 00:00:00 2018-05-25 00:00:00 A B 16000 12000 0 12000 0 None RXQ711 N None None SFY2017-18
920000292 ARARAT NURSING FACILITY LTC SNF Skilled Nursing Facility LA Region 2 2018-05-23 00:00:00 920014096 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-04 00:00:00 2018-02-04 00:00:00 Yes 2018-06-13 00:00:00 2018-06-18 00:00:00 A A 20000 10000 0 10000 0 None O6EI11 N None None SFY2017-18
920000292 ARARAT NURSING FACILITY LTC SNF Skilled Nursing Facility LA Region 2 2018-05-23 00:00:00 920014097 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-30 00:00:00 2017-12-30 00:00:00 No 2018-06-13 00:00:00 None A None 20000 20000 -7000 13000 0 None O6EI11 N None None SFY2017-18
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-06-12 00:00:00 920014145 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-06 00:00:00 2018-03-06 00:00:00 No 2018-07-03 00:00:00 None B None 2000 2000 0 2000 0 None B5TW11 N CA00574938 B SFY2017-18
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-06-12 00:00:00 920014146 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2018-03-06 00:00:00 2018-03-06 00:00:00 No 2018-07-03 00:00:00 None WF None 2000 2000 0 2000 0 None B5TW11 None CA00574938, CA00574938 B, B SFY2017-18
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-06-15 00:00:00 920014149 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-13 00:00:00 2018-01-13 00:00:00 No 2018-07-09 00:00:00 None A None 17000 17000 -5950 11050 0 None PB6S11 N CA00572684 B SFY2017-18
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2018-06-25 00:00:00 920014159 Open Citation Citation B (HSC 1424) Patient Care None 2018-03-06 00:00:00 2018-03-06 00:00:00 No 2018-07-17 00:00:00 None B None 1800 1800 -630 1170 0 None J56C11 N CA00576669 B SFY2017-18
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-07-03 00:00:00 920014211 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-07 00:00:00 2017-07-07 00:00:00 Yes 2018-07-25 00:00:00 2018-07-13 00:00:00 A B 20000 17000 0 17000 0 None DJWY11 Y CA00576926, CA00576926 B, B SFY2018-19
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-07-06 00:00:00 920014223 Open Citation Citation B (HSC 1424) Patient Rights None 2018-03-16 00:00:00 2018-03-16 00:00:00 Yes 2018-07-27 00:00:00 2018-07-20 00:00:00 B None 2000 2000 0 0 2000 None YS2X11 N CA00578817 A SFY2018-19
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-07-06 00:00:00 920014224 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-04-28 00:00:00 2014-04-28 00:00:00 No 2018-07-27 00:00:00 None B None 2000 2000 -700 1300 0 None 4QF011 N CA00393186 C SFY2018-19
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-07-20 00:00:00 920014255 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-14 00:00:00 2017-10-14 00:00:00 No 2018-08-10 00:00:00 None A None 20000 20000 -7000 13000 0 None ZX6I11 N CA00555967 B SFY2018-19
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-07-20 00:00:00 920014258 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-26 00:00:00 2018-03-26 00:00:00 No 2018-08-10 00:00:00 None B None 2000 2000 -700 1300 0 None EAGY11 N CA00580337, CA00580337 A, A SFY2018-19
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-07-27 00:00:00 920014284 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-15 00:00:00 2017-03-15 00:00:00 No 2018-08-17 00:00:00 None B None 2000 2000 0 2000 0 None T4TJ11 N CA00581504, CA00581504, CA00581504 B, B, B SFY2018-19
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2018-07-26 00:00:00 920014287 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-27 23:59:00 2018-03-27 23:59:00 No 2018-08-16 00:00:00 None B None 2000 2000 0 2000 0 None EGX011 N CA00580850 B SFY2018-19
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-07-27 00:00:00 920014290 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-05 00:00:00 2017-12-05 00:00:00 No 2018-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 70P811 N CA00564039, CA00564039 B, B SFY2018-19
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-07-27 00:00:00 920014291 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-24 00:00:00 2018-04-24 00:00:00 Yes 2018-08-17 00:00:00 2018-08-10 00:00:00 A A 20000 15000 0 15000 0 None CDKR11 N CA00581886, CA00581886, CA00585441 B, B, B SFY2018-19
910000073 BRENTWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-08-03 00:00:00 920014316 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-03-28 00:00:00 2018-03-28 00:00:00 No 2018-08-24 00:00:00 None B None 2000 2000 -700 1300 0 None SIXL11 N CA00582038, CA00582805 B, B SFY2018-19
970000133 GRAND PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2018-08-13 00:00:00 920014327 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-01 00:00:00 2018-05-01 00:00:00 Yes 2018-09-04 00:00:00 2018-08-24 00:00:00 A A 20000 15100 -100 15000 0 None 4DIM11 N CA00581264, CA00581264 B, B SFY2018-19
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-08-23 00:00:00 920014359 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-04-25 00:00:00 2018-04-25 00:00:00 No 2018-09-14 00:00:00 None B None 2000 2000 0 2000 0 None Z9WI11 N CA00584057, CA00584057 A, A SFY2018-19
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-08-25 00:00:00 920014365 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-04-25 00:00:00 2018-04-25 00:00:00 Yes 2018-09-17 00:00:00 2018-09-14 00:00:00 AA AA 100000 55000 0 55000 0 None XYU511 Y CA00584869, CA00584869, CA00584869, CA00584869 A, A, A, A SFY2018-19
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-08-29 00:00:00 920014372 Open Citation Citation B (HSC 1424) Patient Care None 2018-03-14 00:00:00 2018-03-14 00:00:00 Yes 2018-09-20 00:00:00 2018-09-07 00:00:00 B None 2000 2000 0 0 2000 None TOB911 N CA00592065 B SFY2018-19
920000062 EISENBERG VILLAGE LTC SNF Skilled Nursing Facility LA Region 2 2018-08-31 00:00:00 920014374 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-09 00:00:00 2015-02-09 00:00:00 Yes 2018-09-24 00:00:00 2018-09-17 00:00:00 A B 20000 5000 0 5000 0 None 3DCB11 Y CA00431649 C SFY2018-19
920000057 VALLEY PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-09-06 00:00:00 920014393 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-02-14 00:00:00 2018-02-14 00:00:00 No 2018-09-27 00:00:00 None B None 2000 2000 -700 1300 0 None Z9R211 N CA00586071 A SFY2018-19
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-09-14 00:00:00 920014414 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-19 00:00:00 2017-06-19 00:00:00 No 2018-10-05 00:00:00 None B None 2000 2000 -700 1300 0 None 4BPP11 N CA00540548 B SFY2018-19
920000076 VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC. LTC SNF Skilled Nursing Facility LA Region 2 2018-09-21 00:00:00 920014423 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-19 00:00:00 2018-01-19 00:00:00 Yes 2018-10-12 00:00:00 2019-01-10 00:00:00 A A 18000 11700 0 11700 0 None KKNW11 N CA00570287 B SFY2018-19
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-09-24 00:00:00 920014431 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-24 00:00:00 2018-05-24 00:00:00 No 2018-10-15 00:00:00 None B None 1800 1800 -630 1170 0 None H9W411 N CA00588053, CA00588053, CA00589078, CA00589078 B, B, B, B SFY2018-19
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2018-09-27 00:00:00 920014441 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-14 00:00:00 2018-04-14 00:00:00 Yes 2018-10-18 00:00:00 2018-10-03 00:00:00 A A 18000 8500 0 8500 0 None P9KW11 N CA00588960 B SFY2018-19
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2018-10-10 00:00:00 920014481 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-21 00:00:00 2018-08-21 00:00:00 No 2018-10-31 00:00:00 None B None 2000 2000 -700 1300 0 None FTBG11 N None None SFY2018-19
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2018-10-12 00:00:00 920014493 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-06 00:00:00 2018-03-06 00:00:00 No 2018-11-02 00:00:00 None B None 1800 1800 -630 1170 0 None FTBG11 N CA00599405 B SFY2018-19
630016910 THE ELLISON JOHN TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-10-19 00:00:00 920014503 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-15 00:00:00 2018-05-15 00:00:00 Yes 2018-11-09 00:00:00 2018-10-24 00:00:00 A B 20000 25000 0 25000 0 None 7O4P11 N None None SFY2018-19
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-10-19 00:00:00 920014510 Closed Citation Citation A (HSC 1424) Patient Rights None 2017-08-22 00:00:00 2017-08-22 00:00:00 Yes 2018-11-09 00:00:00 2018-11-08 00:00:00 A A 15000 30000 0 30000 0 None S2U311 N CA00549358, CA00549358, CA00549411, CA00549411 B, B, B, B SFY2018-19
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-10-26 00:00:00 920014530 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-07 00:00:00 2017-07-07 00:00:00 No 2018-11-19 00:00:00 None B None 2000 2150 -700 1450 0 None HT5311 N CA00577350, CA00577350 B, B SFY2018-19
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-10-25 00:00:00 920014531 Closed Citation Citation B (HSC 1424) Other Dietary Services 2018-09-04 00:00:00 2018-09-04 00:00:00 No 2018-11-16 00:00:00 None B None 2000 2000 0 2000 0 None I83W11 N CA00602402, CA00602402 A, A SFY2018-19
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-11-17 00:00:00 920014580 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-09-10 00:00:00 2018-09-10 00:00:00 No 2018-12-11 00:00:00 None B None 2000 6000 0 6000 0 None 985N11 N None None SFY2018-19
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-11-17 00:00:00 920014591 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-10 00:00:00 2018-09-10 00:00:00 No 2018-12-11 00:00:00 None B None 2000 2000 0 2000 0 None 985N11 N None None SFY2018-19
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-11-26 00:00:00 920014607 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-29 00:00:00 2018-08-29 00:00:00 No 2018-12-17 00:00:00 None B None 2000 2000 0 2000 0 None VY1711 N CA00602008, CA00602008 B, B SFY2018-19
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-12-07 00:00:00 920014641 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-02 00:00:00 2018-11-02 00:00:00 No 2018-12-31 00:00:00 None B None 2000 2000 -700 1300 0 None ZS1G11 Y None None SFY2018-19
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-12-14 00:00:00 920014659 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-12 00:00:00 2018-09-12 00:00:00 No 2019-01-07 00:00:00 None A None 20000 60000 0 60000 0 None FM8Y11 N CA00604539, CA00604539, CA00604607, CA00604607 B, B, B, B SFY2018-19
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-01-07 00:00:00 920014703 Open Citation Citation B (HSC 1424) Patient Care None 2018-08-14 00:00:00 2018-08-14 00:00:00 Yes 2019-01-28 00:00:00 2019-01-11 00:00:00 B None 2000 2000 0 0 2000 None X5MC11 Y CA00600211 B SFY2018-19
970000062 GARDEN CREST REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-01-16 00:00:00 920014704 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-21 00:00:00 2018-04-21 00:00:00 No 2019-02-06 00:00:00 None A None 20000 20000 -7000 13000 0 None 2TZR11 Y CA00599105 B SFY2018-19
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-01-10 00:00:00 920014716 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-29 00:00:00 2018-09-29 00:00:00 Yes 2019-01-31 00:00:00 2019-01-10 00:00:00 A A 20000 33032.94 0 33032.94 0 None OF4M11 Y CA00607209 B SFY2018-19
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2019-01-11 00:00:00 920014719 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-03 00:00:00 2018-10-03 00:00:00 No 2019-02-01 00:00:00 None B None 2000 2000 -700 1300 0 None 7KNT11 N CA00606465, CA00608318 B, B SFY2018-19
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-02-22 00:00:00 920014785 Open Citation Citation A (HSC 1424) Patient Care None 2018-06-02 00:00:00 2018-06-02 00:00:00 No 2019-03-15 00:00:00 None A None 20000 60000 0 0 60000 None VM0011 N CA00589467, CA00589467 B, B SFY2018-19
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2019-02-08 00:00:00 920014811 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-26 00:00:00 2018-10-26 00:00:00 No 2019-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None 4JW011 N CA00609758, CA00612215, CA00612215 B, B, B SFY2018-19
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-02-13 00:00:00 920014814 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-11 00:00:00 2018-11-11 00:00:00 No 2019-03-06 00:00:00 None B None 2000 2000 0 2000 0 None YBST11 N CA00612384, CA00612384, CA00612384 B, B, B SFY2018-19
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-02-14 00:00:00 920014820 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-10 00:00:00 2018-12-10 00:00:00 No 2019-03-07 00:00:00 None B None 2000 2000 -700 1300 0 None USG811 N None None SFY2018-19
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-03-21 00:00:00 920014904 Open Citation Citation B (HSC 1424) Patient Rights None 2018-10-26 00:00:00 2018-10-26 00:00:00 Yes 2019-04-11 00:00:00 2019-03-22 00:00:00 B None 2000 6000 0 0 6000 None JBZE11 N CA00617485, CA00617485 B, B SFY2018-19
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-04-03 00:00:00 920014930 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-13 00:00:00 2018-12-13 00:00:00 No 2019-04-24 00:00:00 None B None 2000 2000 -700 1300 0 None 62LM11 N CA00618528, CA00618528 B, B SFY2018-19
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-04-05 00:00:00 920014938 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-28 00:00:00 2018-07-28 00:00:00 No 2019-04-26 00:00:00 None B None 2000 2000 0 2000 0 None VE6611 N CA00597941 B SFY2018-19
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2019-04-12 00:00:00 920014954 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-01 00:00:00 2018-06-01 00:00:00 No 2019-05-03 00:00:00 None B None 2000 2000 -700 1300 0 None UT2T11 N None None SFY2018-19
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2019-04-12 00:00:00 920014955 Closed Citation Citation B (HSC 1424) Medication None 2019-01-11 00:00:00 2019-01-11 00:00:00 No 2019-05-03 00:00:00 None B None 2000 2000 -700 1300 0 None UT2T11 N CA00623327, CA00623327, CA00623327 B, B, B SFY2018-19
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-04-22 00:00:00 920014970 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-08 00:00:00 2017-05-08 00:00:00 No 2019-05-13 00:00:00 None B None 2000 2000 -700 1300 0 None HIMH11 N CA00536461, CA00536461 B, B SFY2018-19
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-04-25 00:00:00 920014997 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-01-21 00:00:00 2019-01-21 00:00:00 No 2019-05-16 00:00:00 None B None 2000 2000 0 2000 0 None VBJS11 N None None SFY2018-19
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-03 00:00:00 920015007 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-29 00:00:00 2018-12-29 00:00:00 Yes 2019-05-24 00:00:00 2019-05-08 00:00:00 A B 20000 15000 0 15000 0 None CT6F11 Y CA00621971 A SFY2018-19
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-03 00:00:00 920015033 Closed Citation Citation A (HSC 1424) Patient Care None 2019-01-29 00:00:00 2019-01-29 00:00:00 No 2019-05-24 00:00:00 None A None 20000 20000 -7000 13000 0 None WUFO11 Y CA00623235, CA00623235 A, A SFY2018-19
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-03 00:00:00 920015034 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2019-05-24 00:00:00 None B None 2000 2000 -700 1300 0 None TBZY11 N CA00625056, CA00625056, CA00625056 B, B, B SFY2018-19
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2019-05-08 00:00:00 920015051 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-20 00:00:00 2018-08-20 00:00:00 No 2019-05-29 00:00:00 None A None 20000 20000 0 20000 0 None F1QJ11 N CA00623407, CA00623407 B, B SFY2018-19
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-09 00:00:00 920015055 Open Citation Citation B (HSC 1424) Patient Care None 2019-03-21 00:00:00 2019-03-21 00:00:00 Yes 2019-05-30 00:00:00 2019-05-22 00:00:00 B None 2000 2000 0 0 2000 None FLGI11 N CA00630622 B SFY2018-19
920000089 THE REHABILITATION CENTER OF NORTH HILLS LTC SNF Skilled Nursing Facility LA Region 2 2019-05-09 00:00:00 920015056 Open Citation Citation B (HSC 1424) Patient Care None 2017-04-03 00:00:00 2017-04-03 00:00:00 No 2019-05-30 00:00:00 None B None 2000 2000 -700 1300 0 None 1O4511 N CA00618843, CA00618843, CA00618843 A, A, A SFY2018-19
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2019-05-10 00:00:00 920015058 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-04 00:00:00 2018-10-04 00:00:00 Yes 2019-05-31 00:00:00 2019-05-31 00:00:00 A A 20000 15000 0 15000 0 None XHQN11 Y CA00615641 B SFY2018-19
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-10 00:00:00 920015064 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-09-09 00:00:00 2017-09-09 00:00:00 No 2019-05-31 00:00:00 None B None 2000 2000 -700 1300 0 None 35FC11 N CA00552254 B SFY2018-19
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-10 00:00:00 920015066 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-22 00:00:00 2018-12-22 00:00:00 Yes 2019-05-31 00:00:00 2019-09-11 00:00:00 A B 20000 40000 0 40000 0 None 7QQ111 Y CA00623707, CA00624608 B, A SFY2018-19
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2019-05-16 00:00:00 920015080 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-04-05 00:00:00 2019-04-05 00:00:00 No 2019-06-06 00:00:00 None B None 2000 2000 -700 1300 0 None 96UH11 N None None SFY2018-19
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2019-07-03 00:00:00 920015081 Closed Citation Citation A (HSC 1424) Patient Care None 2013-01-11 00:00:00 2013-01-11 00:00:00 Yes 2019-07-24 00:00:00 2019-07-15 00:00:00 A B 20000 10000 0 10000 0 None CZ5F11 N CA00339735 B SFY2019-20
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2019-05-16 00:00:00 920015083 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-04-09 00:00:00 2019-04-09 00:00:00 No 2019-06-06 00:00:00 None B None 2000 2000 -700 1300 0 None 96UH11 N None None SFY2018-19
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-17 00:00:00 920015091 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-21 00:00:00 2019-02-21 00:00:00 No 2019-06-07 00:00:00 None B None 2000 2000 0 2000 0 None UK1W11 N CA00622729 B SFY2018-19
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2019-05-23 00:00:00 920015102 Closed Citation Citation B (HSC 1424) Patient Care None 2019-04-15 00:00:00 2019-04-15 00:00:00 No 2019-06-13 00:00:00 None B None 2000 2000 -700 1300 0 None L2XR11 N None None SFY2018-19
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-22 00:00:00 920015104 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2019-02-17 00:00:00 2019-02-17 00:00:00 No 2019-06-12 00:00:00 None WF None 2000 2000 -700 1300 0 None SIK711 None CA00625740, CA00625740 B, B SFY2018-19
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-06-01 00:00:00 920015121 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-13 00:00:00 2018-12-13 00:00:00 Yes 2019-06-21 00:00:00 2019-06-19 00:00:00 A A 20000 13500 0 13500 0 None RGNM11 N CA00619470 B SFY2018-19
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2019-06-10 00:00:00 920015139 Closed Citation Citation B (HSC 1424) Patient Care None 2018-06-01 00:00:00 2018-06-01 00:00:00 No 2019-07-01 00:00:00 None B None 2000 2000 0 2000 0 None GG8F11 N CA00629234 B SFY2018-19
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2019-06-13 00:00:00 920015160 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-29 00:00:00 2016-06-29 00:00:00 No 2019-07-04 00:00:00 None B None 2000 2000 -700 1300 0 None RSDW11 N CA00621098, CA00621098 B, B SFY2018-19
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2019-06-19 00:00:00 920015166 Open Citation Citation B (HSC 1424) Patient Care None 2019-03-19 00:00:00 2019-03-19 00:00:00 Yes 2019-07-10 00:00:00 2019-07-10 00:00:00 B None 2000 2000 0 0 2000 None 9ZU011 N CA00636671 B SFY2018-19
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-06-27 00:00:00 920015179 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-05-14 00:00:00 2019-05-14 00:00:00 Yes 2019-07-19 00:00:00 2019-06-28 00:00:00 B B 2000 1600 0 1600 0 None VZ8911 N CA00632596, CA00632596, CA00632596, CA00632596 B, B, B, B SFY2018-19
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-07-25 00:00:00 920015246 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-15 00:00:00 2019-05-15 00:00:00 Yes 2019-08-15 00:00:00 2019-08-08 00:00:00 B B 2000 1400 0 1400 0 None 2WPU11 N CA00638197 B SFY2019-20
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2019-07-29 00:00:00 920015250 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-05-07 00:00:00 2019-05-07 00:00:00 No 2019-08-19 00:00:00 None B None 2000 2000 -700 1300 0 None C1WT11 N CA00637488 B SFY2019-20
920000073 VINELAND POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-08-14 00:00:00 920015312 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-27 00:00:00 2019-03-27 00:00:00 No 2019-09-04 00:00:00 None B None 2000 2000 -700 1300 0 None 8LHB11 N None None SFY2019-20
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-08-15 00:00:00 920015316 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-20 00:00:00 2019-06-20 00:00:00 No 2019-09-05 00:00:00 None B None 2000 2000 0 2000 0 None B8R211 N None None SFY2019-20
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-08-15 00:00:00 920015319 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-03-18 00:00:00 2019-03-18 00:00:00 No 2019-09-05 00:00:00 None B None 2000 2000 -700 1300 0 None O3C411 N CA00629247 B SFY2019-20
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-08-23 00:00:00 920015352 Closed Citation Citation B (HSC 1424) Medication None 2019-07-09 00:00:00 2019-07-09 00:00:00 No 2019-09-13 00:00:00 None B None 2000 2000 -700 1300 0 None Z74611 N None None SFY2019-20
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-08-23 00:00:00 920015353 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-05-05 00:00:00 2019-05-05 00:00:00 No 2019-09-13 00:00:00 None B None 2000 2000 -700 1300 0 None Z74611 N CA00645737 B SFY2019-20
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-09-05 00:00:00 920015373 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-08 00:00:00 2019-06-08 00:00:00 Yes 2019-09-26 00:00:00 2019-09-12 00:00:00 B None 2000 2000 0 0 2000 None BE3X11 N CA00641213 B SFY2019-20
930000611 PACIFICA HOSPITAL OF THE VALLEY D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2019-09-06 00:00:00 920015376 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-07-14 00:00:00 2019-07-14 00:00:00 No 2019-09-27 00:00:00 None B None 2000 2000 -700 1300 0 None MNW611 N CA00642505 B SFY2019-20
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-09-11 00:00:00 920015387 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-27 00:00:00 2019-06-27 00:00:00 No 2019-10-02 00:00:00 None A None 15000 15000 -5250 9750 0 None 494Q11 N CA00644443 B SFY2019-20
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-09-18 00:00:00 920015395 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2019-08-01 00:00:00 2019-08-01 00:00:00 No 2019-10-09 00:00:00 None WF None 2000 2000 -700 1300 0 None FIIC11 None None None SFY2019-20
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2019-09-19 00:00:00 920015401 Closed Citation Citation A (HSC 1424) Patient Care None 2019-01-29 00:00:00 2019-01-29 00:00:00 No 2019-10-10 00:00:00 None A None 20000 20000 -7000 13000 0 None N3QM11 Y CA00634365, CA00634365, CA00634365 A, A, A SFY2019-20
920000030 THE HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-09-24 00:00:00 920015408 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-06-01 00:00:00 2019-06-01 00:00:00 No 2019-10-15 00:00:00 None B None 2000 2000 -700 1300 0 None 44JS11 N CA00645526 A SFY2019-20
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2019-09-27 00:00:00 920015424 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-07-01 00:00:00 2019-07-01 00:00:00 No 2019-10-18 00:00:00 None B None 1500 1600 0 1600 0 None J1KJ11 N CA00644533 B SFY2019-20
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2019-10-04 00:00:00 920015428 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-18 00:00:00 2018-10-18 00:00:00 Yes 2019-10-25 00:00:00 2019-10-25 00:00:00 A B 20000 10000 0 10000 0 None 9RKR11 N CA00607057, CA00607057 B, B SFY2019-20
910000019 NEW VISTA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-10-17 00:00:00 920015464 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-20 00:00:00 2019-07-20 00:00:00 Yes 2019-11-07 00:00:00 2019-11-01 00:00:00 B Drop>Deficiency 2000 2000 0 2000 0 None TGXS11 Y CA00646893, CA00646893 A, A SFY2019-20
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2019-10-30 00:00:00 920015500 Closed Citation Citation A (HSC 1424) Patient Care None 2019-07-24 00:00:00 2019-07-24 00:00:00 Yes 2019-11-20 00:00:00 2019-11-14 00:00:00 A B 20000 10000 0 10000 0 None E6KT11 Y CA00640448 B SFY2019-20
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-11-06 00:00:00 920015502 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-31 00:00:00 2017-10-31 00:00:00 No 2019-11-27 00:00:00 None B None 2000 2000 0 2000 0 None S7LD11 N CA00559392 B SFY2019-20
910000076 SUNSET PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2019-10-31 00:00:00 920015503 Closed Citation Citation B (HSC 1424) Patient Care None 2013-12-30 00:00:00 2013-12-30 00:00:00 No 2019-11-21 00:00:00 None B None 2000 2000 0 2000 0 None M8NS11 N CA00384155, CA00384155 B, B SFY2019-20
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2019-11-07 00:00:00 920015515 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-26 00:00:00 2019-08-26 00:00:00 No 2019-11-28 00:00:00 None B None 2000 2000 -700 1300 0 None 8MNW11 N CA00650560, CA00650560 B, B SFY2019-20
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-11-21 00:00:00 920015534 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-25 00:00:00 2019-08-25 00:00:00 No 2019-12-12 00:00:00 None B None 2000 2000 0 2000 0 None VZRZ11 N CA00652238, CA00652238, CA00652349, CA00652349 B, B, B, B SFY2019-20
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-11-25 00:00:00 920015536 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-03-26 00:00:00 2019-03-26 00:00:00 No 2019-12-16 00:00:00 None B None 1000 1000 -350 650 0 None KR8F11 N CA00653057, CA00653057 A, A SFY2019-20
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2019-11-15 00:00:00 920015537 Closed Citation Citation A (HSC 1424) Patient Care None 2019-08-12 00:00:00 2019-08-12 00:00:00 Yes 2019-12-06 00:00:00 2019-11-22 00:00:00 A A 20000 13500 0 13500 0 None U5XK11 N CA00651003, CA00651003 B, B SFY2019-20
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-12-04 00:00:00 920015542 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-03 00:00:00 2019-09-03 00:00:00 No 2019-12-25 00:00:00 None B None 2000 2000 -700 1300 0 None 6UQ511 N CA00653583 A SFY2019-20
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-11-21 00:00:00 920015549 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-18 00:00:00 2019-08-18 00:00:00 No 2019-12-12 00:00:00 None B None 1000 1000 -350 650 0 None O4WR11 N CA00651751, CA00651940 B, B SFY2019-20
970000147 WESTLAKE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2019-12-05 00:00:00 920015582 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-04 00:00:00 2019-09-04 00:00:00 No 2019-12-26 00:00:00 None A None 20000 20000 -7000 13000 0 None 0MSK11 Y CA00653368, CA00653654 B, B SFY2019-20
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-12-12 00:00:00 920015606 Closed Citation Citation B (HSC 1424) Administration None 2019-12-05 00:00:00 2019-12-05 00:00:00 No 2020-01-02 00:00:00 None B None 2000 2000 -700 1300 0 None BUQL11 N CA00654904 B SFY2019-20
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2019-12-13 00:00:00 920015612 Closed Citation Citation B (HSC 1424) Medication None 2018-12-27 00:00:00 2018-12-27 00:00:00 No 2020-01-03 00:00:00 None B None 2000 2000 -700 1300 0 None EP3K11 N None None SFY2019-20
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2019-12-18 00:00:00 920015615 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-24 00:00:00 2018-10-24 00:00:00 No 2020-01-08 00:00:00 None B None 1000 1000 -350 650 0 None QPEE11 N CA00609388 B SFY2019-20
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-12-24 00:00:00 920015635 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-29 00:00:00 2019-09-29 00:00:00 No 2020-01-14 00:00:00 None B None 1000 1000 -350 650 0 None 0VS111 N CA00657273 B SFY2019-20
920000005 COUNTRY MANOR HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2019-12-28 00:00:00 920015639 Closed Citation Citation A (HSC 1424) Patient Care None 2019-08-20 00:00:00 2019-08-20 00:00:00 Yes 2020-01-17 00:00:00 2020-01-13 00:00:00 A B 15000 1500 0 1500 0 None E1W511 N CA00651472 B SFY2019-20
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-12-27 00:00:00 920015642 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-29 00:00:00 2018-07-29 00:00:00 No 2020-01-17 00:00:00 None B None 2000 2000 -700 1300 0 None X8WF11 N CA00598171 B SFY2019-20
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-01-02 00:00:00 920015643 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-23 00:00:00 2019-08-23 00:00:00 No 2020-01-23 00:00:00 None B None 2000 2000 -700 1300 0 None OKOB11 N CA00651918 B SFY2019-20
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-01-02 00:00:00 920015648 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-18 00:00:00 2019-05-18 00:00:00 No 2020-01-23 00:00:00 None B None 2000 2000 -700 1300 0 None 35OM11 N CA00639817 B SFY2019-20
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-12-31 00:00:00 920015649 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-10-02 00:00:00 2019-10-02 00:00:00 No 2020-01-21 00:00:00 None B None 2000 2000 -700 1300 0 None 0VD211 N CA00658805, CA00658805 B, B SFY2019-20
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2020-01-30 00:00:00 920015707 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-04 00:00:00 2019-11-04 00:00:00 Yes 2020-02-20 00:00:00 2020-02-10 00:00:00 A A 20000 11500 0 11500 0 None UKJZ11 Y CA00662458 B SFY2019-20
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2020-02-19 00:00:00 920015753 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-15 00:00:00 2019-06-15 00:00:00 No 2020-03-11 00:00:00 None B None 2000 2000 0 2000 0 None MU7H11 N None None SFY2019-20
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-02-20 00:00:00 920015757 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-11 00:00:00 2019-09-11 00:00:00 No 2020-03-12 00:00:00 None B None 2000 2000 -700 1300 0 None LQ6W11 N CA00654424 B SFY2019-20
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-02-26 00:00:00 920015766 Closed Citation Citation B (HSC 1424) Patient Care None 2014-04-07 00:00:00 2014-04-07 00:00:00 No 2020-03-18 00:00:00 None B None 2000 2000 -700 1300 0 None 9ZB611 N CA00405079, CA00405079 B, B SFY2019-20
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-03-04 00:00:00 920015778 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-28 00:00:00 2019-11-28 00:00:00 Yes 2020-03-25 00:00:00 2020-03-25 00:00:00 A B 20000 12450 -450 12000 0 None CPN711 N CA00666460, CA00666460 B, B SFY2019-20
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2020-03-05 00:00:00 920015781 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-01-06 00:00:00 2020-01-06 00:00:00 No 2020-03-26 00:00:00 None B None 2000 2000 -700 1300 0 None GWIJ11 N CA00670464, CA00670464, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921 A, A, B, B, B, B, B, B, B SFY2019-20
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2020-03-05 00:00:00 920015782 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-01-06 00:00:00 2020-01-06 00:00:00 No 2020-03-26 00:00:00 None B None 2000 2000 -700 1300 0 None GWIJ11 N CA00670464, CA00670464, CA00670464, CA00670464, CA00670464, CA00670464, CA00670464, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921 A, A, A, A, A, A, A, B, B, B, B, B, B, B SFY2019-20
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2020-03-06 00:00:00 920015786 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-07-27 00:00:00 2019-07-27 00:00:00 No 2020-03-27 00:00:00 None B None 2000 2000 0 2000 0 None LLQ511 N CA00666456, CA00666456, CA00666844, CA00666844 B, B, B, B SFY2019-20
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-03-19 00:00:00 920015815 Open Citation Citation A (HSC 1424) Patient Care None 2019-03-28 00:00:00 2019-03-28 00:00:00 Yes 2020-04-09 00:00:00 2020-03-27 00:00:00 A None 20000 20000 0 0 20000 None 5P2511 N CA00630789, CA00630789 A, A SFY2019-20
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2020-04-06 00:00:00 920015826 Closed Citation Citation B (HSC 1424) Patient Record None 2020-02-20 00:00:00 2020-02-20 00:00:00 No 2020-04-27 00:00:00 None B None 2000 2000 0 2000 0 None G5LP11 N None None SFY2019-20
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2020-04-06 00:00:00 920015827 Closed Citation Citation B (HSC 1424) Medication None 2020-02-20 00:00:00 2020-02-20 00:00:00 No 2020-04-27 00:00:00 None B None 2000 2000 0 2000 0 None G5LP11 N None None SFY2019-20
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2020-04-06 00:00:00 920015828 Closed Citation Citation B (HSC 1424) Medication None 2020-02-20 00:00:00 2020-02-20 00:00:00 No 2020-04-27 00:00:00 None B None 2000 2000 0 2000 0 None G5LP11 N None None SFY2019-20
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2020-04-06 00:00:00 920015829 Closed Citation Citation B (HSC 1424) Medication None 2020-02-20 00:00:00 2020-02-20 00:00:00 No 2020-04-27 00:00:00 None B None 2000 2000 0 2000 0 None G5LP11 N None None SFY2019-20
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-04-03 00:00:00 920015837 Closed Citation Citation B (HSC 1424) Medication None 2019-12-08 00:00:00 2019-12-08 00:00:00 No 2020-04-24 00:00:00 None B None 2000 2100 0 2100 0 None 1P9711 N CA00670836 B SFY2019-20
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2020-04-15 00:00:00 920015847 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-31 00:00:00 2019-08-31 00:00:00 No 2020-05-06 00:00:00 None B None 2000 2000 -700 1300 0 None EHPJ11 N CA00653007 B SFY2019-20
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-04-17 00:00:00 920015856 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-01-08 00:00:00 2020-01-08 00:00:00 No 2020-05-08 00:00:00 None B None 1500 1500 0 1500 0 None C87G11 N CA00672560, CA00672560, CA00672560, CA00672560 A, A, A, A SFY2019-20
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-04-30 00:00:00 920015863 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2020-03-03 00:00:00 2020-03-03 00:00:00 No 2020-05-21 00:00:00 None WF None 2000 2000 -700 1300 0 None RK4Q11 None CA00646847, CA00646847, CA00676288, CA00676288 A, A, B, B SFY2019-20
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-04-30 00:00:00 920015864 Closed Citation Citation A (HSC 1424) Medication None 2020-04-30 00:00:00 2020-04-30 00:00:00 Yes 2020-05-21 00:00:00 2020-05-13 00:00:00 A A 20000 14050 -50 14000 0 None RK4Q11 N None None SFY2019-20
910000038 FIRESIDE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-04-30 00:00:00 920015865 Closed Citation Citation A (HSC 1424) Patient Care None 2019-10-14 00:00:00 2019-10-14 00:00:00 No 2020-05-21 00:00:00 None A None 15000 15200 -5250 9950 0 None GXPP11 Y CA00673974, CA00673974 A, A SFY2019-20
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2020-05-15 00:00:00 920015880 Closed Citation Citation A (HSC 1424) Patient Care None 2020-02-14 00:00:00 2020-02-14 00:00:00 Yes 2020-06-05 00:00:00 2020-05-18 00:00:00 A B 20000 20000 0 20000 0 None UJ3J11 Y CA00676608 B SFY2019-20
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-05-18 00:00:00 920015884 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-15 00:00:00 2020-02-15 00:00:00 No 2020-06-08 00:00:00 None B None 2000 2000 0 2000 0 None U8O511 N CA00676946 B SFY2019-20
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-06-23 00:00:00 920015896 Closed Citation Citation A (HSC 1424) Patient Care None 2019-12-25 00:00:00 2019-12-25 00:00:00 Yes 2020-07-14 00:00:00 2020-07-13 00:00:00 A A 20000 15350 0 15350 0 None XB7P11 Y CA00683301, CA00683301 A, A SFY2019-20
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-06-18 00:00:00 920015905 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2020-05-27 00:00:00 2020-06-18 00:00:00 No 2020-07-09 00:00:00 None B None 2000 3100 -700 2400 0 None 5QSI11 N CA00690243 A SFY2019-20
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-07-07 00:00:00 920015921 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-14 00:00:00 2019-10-14 00:00:00 No 2020-07-28 00:00:00 None B None 2000 2000 -700 1300 0 None HDUY11 N CA00660093 B SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-07-09 00:00:00 920015922 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-02-07 00:00:00 2020-02-07 00:00:00 Yes 2020-07-30 00:00:00 2020-07-17 00:00:00 B B 2000 1500 0 1500 0 None LF9311 N CA00684318, CA00684318, CA00686692, CA00686692, CA00686692 A, A, A, A, A SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-07-09 00:00:00 920015923 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-04-07 00:00:00 2020-04-07 00:00:00 Yes 2020-07-30 00:00:00 2020-07-17 00:00:00 B B 2000 1950 -450 1500 0 None LF9311 N CA00684318, CA00684318, CA00686692, CA00686692, CA00686692 A, A, A, A, A SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-07-09 00:00:00 920015924 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-04-01 00:00:00 2020-04-01 00:00:00 Yes 2020-07-30 00:00:00 2020-07-17 00:00:00 B B 2000 1500 0 1500 0 None LF9311 N CA00684318, CA00684318, CA00686692, CA00686692, CA00686692 A, A, A, A, A SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-07-09 00:00:00 920015925 Closed Citation Citation A (HSC 1424) Problem Transfer None 2019-07-15 00:00:00 2019-07-15 00:00:00 Yes 2020-07-30 00:00:00 2020-07-17 00:00:00 A A 20000 14000 0 14000 0 None LF9311 N CA00684318, CA00684318, CA00686692, CA00686692, CA00686692 A, A, A, A, A SFY2020-21
920000064 WEST VALLEY SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-07-21 00:00:00 920015941 Open Citation Citation B (HSC 1424) Patient Care None 2020-06-09 00:00:00 2020-06-09 00:00:00 Yes 2020-08-11 00:00:00 2020-08-11 00:00:00 B None 1500 1500 0 0 1500 None STYP11 N CA00691708, CA00691708, CA00691709, CA00691709, CA00691709 A, A, A, A, A SFY2020-21
910000324 KENNEDY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-07-22 00:00:00 920015942 Closed Citation Citation A (HSC 1424) Patient Care None 2019-02-23 00:00:00 2019-02-23 00:00:00 Yes 2020-08-12 00:00:00 2020-08-11 00:00:00 A B 20000 14400 -400 14000 0 None UP6Q11 Y CA00678600 B SFY2020-21
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-08-13 00:00:00 920015973 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-07-23 00:00:00 2020-07-23 00:00:00 No 2020-09-03 00:00:00 None B None 2000 2500 0 2500 0 None JHSJ21 N CA00697974 A SFY2020-21
920000054 PANORAMA GARDENS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-08-20 00:00:00 920015984 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-07-10 00:00:00 2020-07-10 00:00:00 No 2020-09-11 00:00:00 None B None 1500 1500 -525 975 0 None KBEZ11 N CA00690376 B SFY2020-21
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2020-08-20 00:00:00 920015985 Open Citation Citation B (HSC 1424) Patient Rights None 2020-05-25 00:00:00 2020-05-25 00:00:00 Yes 2020-09-11 00:00:00 2020-08-25 00:00:00 B None 1500 3000 0 0 3000 None R3DW11 N CA00689979 A SFY2020-21
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2020-08-27 00:00:00 920015999 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-26 00:00:00 2020-05-26 00:00:00 No 2020-09-18 00:00:00 None A None 20000 20000 -7000 13000 0 None UC6111 Y CA00690619, CA00690619 A, A SFY2020-21
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-08-31 00:00:00 920016002 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-30 00:00:00 2020-05-30 00:00:00 Yes 2020-09-22 00:00:00 2020-09-21 00:00:00 A B 20000 2000 0 2000 0 None HIS111 Y CA00691108 B SFY2020-21
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2020-09-03 00:00:00 920016020 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-16 00:00:00 2020-07-16 00:00:00 No 2020-09-25 00:00:00 None B None 2000 2000 -700 1300 0 None OQT811 N CA00697030, CA00697030 A, A SFY2020-21
910000074 SANTA MONICA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-09-10 00:00:00 920016025 Closed Citation Citation A (HSC 1424) Patient Care None 2019-10-17 00:00:00 2019-10-17 00:00:00 Yes 2020-10-01 00:00:00 2020-09-22 00:00:00 A A 20000 13000 0 13000 0 None SPMB11 N CA00659851 B SFY2020-21
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2020-09-11 00:00:00 920016031 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-06-18 00:00:00 2020-06-18 00:00:00 No 2020-10-02 00:00:00 None B None 2000 2000 0 2000 0 None EOB211 N CA00693167, CA00693167 A, A SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2020-10-13 00:00:00 920016087 Closed Citation Citation A (HSC 1424) Problem Transfer None 2019-11-14 00:00:00 2019-11-14 00:00:00 Yes 2020-11-03 00:00:00 2020-10-21 00:00:00 A A 20000 14600 -600 14000 0 None SE4211 Y CA00694456, CA00694456, CA00694456 A, A, A SFY2020-21
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2020-10-16 00:00:00 920016102 Open Citation Citation B (HSC 1424) Patient Care infection control 2020-05-21 00:00:00 2020-05-21 00:00:00 Yes 2020-11-06 00:00:00 2020-10-19 00:00:00 B None 2000 2200 0 0 2200 None L6ME11 N None None SFY2020-21
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2020-10-21 00:00:00 920016109 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-08-14 00:00:00 2020-08-14 00:00:00 Yes 2020-11-12 00:00:00 2020-10-30 00:00:00 B None 2000 2000 0 0 2000 None 45EL11 N CA00699564 B SFY2020-21
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-11-06 00:00:00 920016142 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-07 00:00:00 2020-06-07 00:00:00 No 2020-12-02 00:00:00 None B None 2000 2300 -700 1600 0 None RFVZ11 Y CA00691552, CA00691552, CA00691552 B, B, B SFY2020-21
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2020-11-13 00:00:00 920016148 Closed Citation Citation A (HSC 1424) Patient Care None 2020-07-02 00:00:00 2020-07-02 00:00:00 Yes 2020-12-08 00:00:00 2020-12-07 00:00:00 A A 20000 14000 0 14000 0 None BI6X11 N CA00695531 B SFY2020-21
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-11-18 00:00:00 920016158 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-19 00:00:00 2020-05-19 00:00:00 Yes 2020-12-11 00:00:00 2020-11-30 00:00:00 A B 20000 10300 -300 10000 0 None 94JS11 Y CA00701917, CA00701917 B, B SFY2020-21
970000029 KINGSLEY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-11-25 00:00:00 920016166 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-15 00:00:00 2020-10-15 00:00:00 No 2020-12-18 00:00:00 None B None 2000 2000 -700 1300 0 None KJKY11 N CA00709009 A SFY2020-21
970000029 KINGSLEY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-11-25 00:00:00 920016167 Closed Citation Citation B (HSC 1424) Dietary None 2020-10-15 00:00:00 2020-10-15 00:00:00 No 2020-12-18 00:00:00 None B None 2000 2000 -700 1300 0 None KJKY11 N CA00709009 A SFY2020-21
970000029 KINGSLEY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-11-25 00:00:00 920016168 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-10-15 00:00:00 2020-10-15 00:00:00 No 2020-12-18 00:00:00 None B None 2000 2000 -700 1300 0 None KJKY11 N CA00709009, CA00709009, CA00709009 A, A, A SFY2020-21
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-12-10 00:00:00 920016190 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-10-01 00:00:00 2020-10-01 00:00:00 No 2021-01-04 00:00:00 None B None 2000 2000 0 2000 0 None PR7411 N CA00707709, CA00707709, CA00707709, CA00708659, CA00708659 A, A, A, B, B SFY2020-21
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-12-24 00:00:00 920016215 Closed Citation Citation B (HSC 1424) Medication None 2020-11-27 00:00:00 2020-11-27 00:00:00 No 2021-01-19 00:00:00 None B None 2000 2000 0 2000 0 None J1LF11 N CA00707093 A SFY2020-21
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-12-24 00:00:00 920016216 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2020-11-27 00:00:00 2020-11-27 00:00:00 No 2021-01-19 00:00:00 None WF None 2000 2000 -700 1300 0 None J1LF11 None CA00707093 A SFY2020-21
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-12-28 00:00:00 920016218 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-10-03 00:00:00 2020-10-03 00:00:00 No 2021-01-20 00:00:00 None B None 2000 2000 -700 1300 0 None HSWN11 N CA00707455 A SFY2020-21
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-12-28 00:00:00 920016219 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2020-10-03 00:00:00 2020-10-03 00:00:00 No 2021-01-20 00:00:00 None WF None 2000 2450 -700 1750 0 None HSWN11 None CA00707455 A SFY2020-21
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-12-28 00:00:00 920016220 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-20 00:00:00 2020-11-20 00:00:00 No 2021-01-20 00:00:00 None B None 2000 2000 0 2000 0 None 2SHQ11 N CA00712814 A SFY2020-21
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-01-05 00:00:00 920016226 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-10 00:00:00 2020-11-10 00:00:00 No 2021-01-27 00:00:00 None B None 2000 2050 0 2050 0 None 55QC11 N CA00710223 B SFY2020-21
910000075 OCEAN PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2021-01-08 00:00:00 920016235 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-12 00:00:00 2020-11-12 00:00:00 No 2021-02-01 00:00:00 None B None 2000 2000 0 2000 0 None 5K0511 N CA00713836 A SFY2020-21
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2021-01-15 00:00:00 920016240 Closed Citation Citation A (HSC 1424) Patient Care None 2020-07-01 00:00:00 2020-07-01 00:00:00 No 2021-02-08 00:00:00 None A None 20000 20000 -7000 13000 0 None M1OU11 Y CA00694516 B SFY2020-21
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-01-27 00:00:00 920016251 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-02 00:00:00 2020-11-02 00:00:00 No 2021-02-18 00:00:00 None B None 2000 2000 -700 1300 0 None WQUV11 N CA00711234, CA00711306 B, B SFY2020-21
920000082 WEST HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-01-28 00:00:00 920016252 Closed Citation Citation A (HSC 1424) Patient Care None 2020-09-05 00:00:00 2020-09-05 00:00:00 Yes 2021-02-19 00:00:00 2021-01-28 00:00:00 A A 15000 10500 0 10500 0 None EHV011 Y CA00704552 A SFY2020-21
920000050 CALIFORNIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-01-29 00:00:00 920016254 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-12-03 00:00:00 2020-12-03 00:00:00 No 2021-02-22 00:00:00 None B None 2000 2000 -700 1300 0 None Q74B11 N CA00715110 A SFY2020-21
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2021-02-05 00:00:00 920016256 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-19 00:00:00 2020-12-19 00:00:00 No 2021-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None L4E211 N CA00717210, CA00717210 A, A SFY2020-21
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2021-02-04 00:00:00 920016260 Open Citation Citation A (HSC 1424) Patient Care None 2020-05-08 00:00:00 2020-05-08 00:00:00 Yes 2021-02-26 00:00:00 2021-02-12 00:00:00 A None 20000 20000 0 0 20000 None 6E4Z11 N CA00711676, CA00711676, CA00711676 B, B, B SFY2020-21
910000316 WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2021-02-05 00:00:00 920016262 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-08 00:00:00 2020-12-08 00:00:00 No 2021-03-01 00:00:00 None B None 2000 2000 -700 1300 0 None 1VL411 N CA00715712, CA00715712 A, A SFY2020-21
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-02-19 00:00:00 920016294 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-18 00:00:00 2020-12-18 00:00:00 No 2021-03-12 00:00:00 None B None 2000 2000 -700 1300 0 None M9LH11 N CA00717396, CA00717396 B, B SFY2020-21
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2021-02-24 00:00:00 920016304 Closed Citation Citation A (HSC 1424) Patient Care None 2020-10-27 00:00:00 2020-10-27 00:00:00 Yes 2021-03-17 00:00:00 2021-03-15 00:00:00 A A 20000 12000 0 12000 0 None ZQ3X11 N CA00710647, CA00710739 B, B SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-03-04 00:00:00 920016323 Closed Citation Citation B (HSC 1424) Administration None 2021-01-07 00:00:00 2021-01-07 00:00:00 No 2021-03-25 00:00:00 None B None 2000 2000 -700 1300 0 None L4YF11 N CA00719647, CA00719647 B, B SFY2020-21
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-03-10 00:00:00 920016336 Closed Citation Citation B (HSC 1424) Other Infection Control 2020-11-21 00:00:00 2020-11-21 00:00:00 No 2021-04-01 00:00:00 None B None 2000 2000 -700 1300 0 None 91B411 N None None SFY2020-21
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-03-12 00:00:00 920016344 Closed Citation Citation B (HSC 1424) Other Transfer-Discharge 2020-12-21 00:00:00 2020-12-21 00:00:00 No 2021-04-05 00:00:00 None B None 2000 2000 0 2000 0 None Y0YW11 N CA00717908 A SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-03-16 00:00:00 920016352 Closed Citation Citation B (HSC 1424) Administration None 2021-02-17 00:00:00 2021-02-17 00:00:00 No 2021-04-07 00:00:00 None B None 2000 2000 -700 1300 0 None 6VB111 N CA00724700, CA00724700, CA00725419, CA00725419, CA00725419 B, B, B, B, B SFY2020-21
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-03-19 00:00:00 920016360 Closed Citation Citation B (HSC 1424) Other Readmission 2020-12-21 00:00:00 2020-12-21 00:00:00 No 2021-04-12 00:00:00 None B None 2000 2000 -700 1300 0 None 0KVY11 N CA00717928, CA00717928 A, A SFY2020-21
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-03-30 00:00:00 920016389 Closed Citation Citation B (HSC 1424) Written Notification Remedy None 2021-01-02 00:00:00 2021-01-02 00:00:00 No 2021-04-21 00:00:00 None B None 2000 2000 -700 1300 0 None 953811 N CA00720490 B SFY2020-21
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2021-04-09 00:00:00 920016411 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-08 00:00:00 2021-01-08 00:00:00 Yes 2021-04-30 00:00:00 2021-04-27 00:00:00 A A 20000 14000 0 14000 0 None 89J811 Y CA00720776, CA00720776, CA00720776 B, B, B SFY2020-21
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-04-14 00:00:00 920016414 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-01 00:00:00 2021-03-01 00:00:00 No 2021-05-05 00:00:00 None B None 2000 2100 -700 1400 0 None 2QTX11 N CA00727757, CA00727796 B, B SFY2020-21
920000069 THE CARE CENTER ON HAZELTINE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-04-28 00:00:00 920016446 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-29 00:00:00 2021-01-29 00:00:00 No 2021-05-19 00:00:00 None B None 2000 2000 -700 1300 0 None FL6B11 Y CA00723634, CA00723634, CA00723781, CA00723781 A, A, A, A SFY2020-21
920000087 MAGNOLIA GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-05-06 00:00:00 920016480 Closed Citation Citation B (HSC 1424) Medication None 2021-02-17 00:00:00 2021-02-17 00:00:00 No 2021-05-27 00:00:00 None B None 2000 2000 -700 1300 0 None 8NBE11 N CA00726089, CA00726196 B, B SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-05-06 00:00:00 920016481 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-30 00:00:00 2020-11-30 00:00:00 Yes 2021-05-27 00:00:00 2021-05-24 00:00:00 B B 2000 1500 0 1500 0 None 7CI211 N CA00717600 B SFY2020-21
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-05-12 00:00:00 920016486 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-25 00:00:00 2021-02-25 00:00:00 No 2021-06-03 00:00:00 None B None 2000 2000 -700 1300 0 None 3ORX11 N CA00728327, CA00729399, CA00729570 B, A, A SFY2020-21
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-05-12 00:00:00 920016487 Closed Citation Citation A (HSC 1424) Patient Care None 2021-02-05 00:00:00 2021-02-05 00:00:00 No 2021-06-03 00:00:00 None A None 15000 15000 -5250 9750 0 None 3ORX11 N CA00728327, CA00729399, CA00729570 B, A, A SFY2020-21
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-05-12 00:00:00 920016488 Closed Citation Citation A (HSC 1424) Patient Care None 2021-02-10 00:00:00 2021-02-10 00:00:00 No 2021-06-03 00:00:00 None A None 15000 15000 -5250 9750 0 None 97IU11 N CA00725171, CA00726048, CA00726048 A, B, B SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-05-12 00:00:00 920016489 Closed Citation Citation A (HSC 1424) Patient Care None 2020-12-18 00:00:00 2020-12-18 00:00:00 Yes 2021-06-03 00:00:00 2021-05-28 00:00:00 A A 20000 14000 0 14000 0 None 7CI211 Y CA00717600 B SFY2020-21
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2021-05-18 00:00:00 920016505 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-03-22 00:00:00 2021-03-22 00:00:00 No 2021-06-09 00:00:00 None B None 1500 1500 -525 975 0 None 7F4M11 N None None SFY2020-21
920000064 WEST VALLEY SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-05-18 00:00:00 920016506 Open Citation Citation A (HSC 1424) Patient Care None 2020-08-13 00:00:00 2020-08-13 00:00:00 Yes 2021-06-09 00:00:00 2021-05-21 00:00:00 A A 20000 20000 0 17504.4 2495.6 None GBTP11 N CA00731747, CA00731747, CA00731747, CA00731747, CA00732073, CA00732073, CA00732073 B, B, B, B, B, B, B SFY2020-21
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2021-05-19 00:00:00 920016507 Open Citation Citation A (HSC 1424) Patient Care None 2021-02-18 00:00:00 2021-02-18 00:00:00 No 2021-06-10 00:00:00 None A None 15000 15450 0 15000 450 None UVR511 N CA00726007, CA00726007, CA00726007, CA00726007 B, B, B, B SFY2020-21
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-05-21 00:00:00 920016536 Closed Citation Citation A (HSC 1424) Patient Care None 2020-11-01 00:00:00 2020-11-01 00:00:00 Yes 2021-06-14 00:00:00 2021-06-09 00:00:00 A A 20000 16300 -300 16000 0 None 6RTH11 N CA00711178 B SFY2020-21
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-05-27 00:00:00 920016547 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-08 00:00:00 2021-04-08 00:00:00 Yes 2021-06-18 00:00:00 2021-06-18 00:00:00 B B 2000 1800 0 1800 0 None 0Q3I11 N None None SFY2020-21
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-05-27 00:00:00 920016548 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-08 00:00:00 2021-04-08 00:00:00 Yes 2021-06-18 00:00:00 2021-06-18 00:00:00 B B 2000 1800 0 1800 0 None 0Q3I11 N None None SFY2020-21
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-06-04 00:00:00 920016560 Open Citation Citation A (HSC 1424) Patient Care None 2021-03-04 00:00:00 2021-03-04 00:00:00 Yes 2021-06-25 00:00:00 2021-06-16 00:00:00 A A 20000 15000 0 0 15000 None PMOT11 N CA00728686, CA00729577 A, A SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-06-10 00:00:00 920016575 Open Citation Citation A (HSC 1424) Patient Care None 2020-12-03 00:00:00 2020-12-03 00:00:00 Yes 2021-07-01 00:00:00 2021-06-28 00:00:00 A None 20000 20000 0 0 20000 None EPDC11 N CA00733940, CA00733940, CA00733940, CA00733940 A, A, A, A SFY2020-21
970000133 GRAND PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-06-11 00:00:00 920016592 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-04 00:00:00 2021-03-04 00:00:00 No 2021-07-02 00:00:00 None B None 2000 2050 -700 1350 0 None ZYFW11 N CA00728224, CA00728224 B, B SFY2020-21
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-06-16 00:00:00 920016608 Open Citation Citation A (HSC 1424) Patient Care None 2021-03-13 00:00:00 2021-03-13 00:00:00 Yes 2021-07-07 00:00:00 2021-06-29 00:00:00 A None 20000 20000 0 0 20000 None BUV511 N CA00729603 A SFY2020-21
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-06-16 00:00:00 920016610 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2020-05-01 00:00:00 2020-05-01 00:00:00 No 2021-07-07 00:00:00 None WF None 2000 2000 -700 1300 0 None VUZC11 None CA00732592 B SFY2020-21
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-06-17 00:00:00 920016611 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-22 00:00:00 2020-12-22 00:00:00 No 2021-07-08 00:00:00 None B None 2000 2000 -700 1300 0 None N63S11 N CA00730654 B SFY2020-21
920000064 WEST VALLEY SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-06-24 00:00:00 920016633 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-08 00:00:00 2021-01-08 00:00:00 Yes 2021-07-15 00:00:00 2021-07-01 00:00:00 A A 20000 20000 0 20000 0 None W80X11 Y CA00723655 A SFY2020-21
970000029 KINGSLEY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-06-25 00:00:00 920016634 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-28 00:00:00 2017-04-28 00:00:00 No 2021-07-16 00:00:00 None A None 20000 20000 -7000 13000 0 None OP8811 N None None SFY2020-21
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2021-06-25 00:00:00 920016635 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-22 00:00:00 2021-03-22 00:00:00 Yes 2021-07-16 00:00:00 2021-07-15 00:00:00 A None 20000 20000 0 20000 0 None 9HJO11 N CA00731056 B SFY2020-21
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-02 00:00:00 920016680 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-05-17 00:00:00 2021-05-17 00:00:00 Yes 2021-07-23 00:00:00 2021-07-12 00:00:00 B B 2000 1600 0 1600 0 None IUWE11 N None None SFY2021-22
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-07-02 00:00:00 920016684 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-05-12 00:00:00 2021-05-12 00:00:00 No 2021-07-23 00:00:00 None B None 2000 2000 -700 1300 0 None 4Q4C11 N CA00736158 A SFY2021-22
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-07-02 00:00:00 920016685 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-05-12 00:00:00 2021-05-12 00:00:00 No 2021-07-23 00:00:00 None B None 2000 2000 -700 1300 0 None 4Q4C11 N CA00736158 A SFY2021-22
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-07-02 00:00:00 920016688 Open Citation Citation A (HSC 1424) Patient Care None 2017-06-19 00:00:00 2017-06-19 00:00:00 Yes 2021-07-23 00:00:00 2021-07-12 00:00:00 A None 20000 20000 0 0 20000 None RLMB11 N CA00539525 B SFY2021-22
920000077 ALAMEDA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-02 00:00:00 920016689 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-04 00:00:00 2020-09-04 00:00:00 No 2021-07-23 00:00:00 None B None 2000 2000 -700 1300 0 None U9ZZ11 N CA00704252 A SFY2021-22
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2021-07-08 00:00:00 920016691 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-10 00:00:00 2021-04-10 00:00:00 No 2021-07-29 00:00:00 None A None 20000 20550 0 20550 0 None 9DHV11 N None None SFY2021-22
920000064 WEST VALLEY SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-07 00:00:00 920016695 Open Citation Citation B (HSC 1424) Patient Care None 2021-03-13 00:00:00 2021-03-13 00:00:00 Yes 2021-07-28 00:00:00 2021-07-16 00:00:00 B B 2000 1400 0 0 1400 None TTIC11 N CA00734855 B SFY2021-22
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-07 00:00:00 920016696 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-05-19 00:00:00 2021-05-19 00:00:00 No 2021-07-28 00:00:00 None B None 2000 2000 0 2000 0 None R15O11 N CA00737225 A SFY2021-22
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2021-07-08 00:00:00 920016702 Closed Citation Citation B (HSC 1424) Medication None 2021-05-25 00:00:00 2021-05-25 00:00:00 No 2021-07-29 00:00:00 None B None 2000 2000 -700 1300 0 None 5BKQ11 N None None SFY2021-22
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-16 00:00:00 920016710 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-21 00:00:00 2021-04-21 00:00:00 No 2021-08-06 00:00:00 None A None 20000 20000 -7000 13000 0 None NBYP11 N CA00733800 B SFY2021-22
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-13 00:00:00 920016712 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-04-17 00:00:00 2021-04-17 00:00:00 No 2021-08-03 00:00:00 None B None 2000 2000 -700 1300 0 None DWX811 N CA00734219 B SFY2021-22
970000029 KINGSLEY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-22 00:00:00 920016748 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-21 00:00:00 2021-04-21 00:00:00 No 2021-08-12 00:00:00 None A None 20000 20000 0 20000 0 None T72811 N CA00734174 A SFY2021-22
630016910 THE ELLISON JOHN TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-22 00:00:00 920016751 Closed Citation Citation B (HSC 1424) Patient Care None 2020-04-09 00:00:00 2020-04-09 00:00:00 No 2021-08-12 00:00:00 None B None 2000 2000 -700 1300 0 None TSGN11 N CA00734503 A SFY2021-22
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2021-07-29 00:00:00 920016754 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-01 00:00:00 2021-04-01 00:00:00 No 2021-08-19 00:00:00 None B None 2000 2000 -700 1300 0 None 484311 N CA00735695, CA00735695 B, B SFY2021-22
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2021-07-23 00:00:00 920016755 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-19 00:00:00 2017-08-19 00:00:00 Yes 2021-08-13 00:00:00 2021-08-13 00:00:00 A A 20000 14700 -700 14000 0 None K08K11 N CA00549038 A SFY2021-22
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-29 00:00:00 920016768 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-13 00:00:00 2021-01-13 00:00:00 No 2021-08-19 00:00:00 None A None 20000 20000 0 20000 0 None 1GZT11 N CA00721233, CA00721233 B, B SFY2021-22
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-30 00:00:00 920016769 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-14 00:00:00 2021-05-14 00:00:00 No 2021-08-20 00:00:00 None B None 2000 2000 0 2000 0 None 1K1R11 N CA00737928 B SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-07-30 00:00:00 920016774 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-25 00:00:00 2021-04-25 00:00:00 No 2021-08-20 00:00:00 None B None 2000 2000 -700 1300 0 None X6Q111 N CA00735439 B SFY2021-22
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-12 00:00:00 920016803 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-28 00:00:00 2021-04-28 00:00:00 No 2021-09-02 00:00:00 None A None 20000 20000 0 20000 0 None FFDY11 N CA00736824, CA00736824 B, B SFY2021-22
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-13 00:00:00 920016808 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-06-28 00:00:00 2021-06-28 00:00:00 No 2021-09-03 00:00:00 None B None 2000 2000 0 2000 0 None 394V11 N CA00741974 A SFY2021-22
920000089 THE REHABILITATION CENTER OF NORTH HILLS LTC SNF Skilled Nursing Facility LA Region 2 2021-08-13 00:00:00 920016820 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-22 00:00:00 2021-05-22 00:00:00 No 2021-09-03 00:00:00 None B None 2000 2000 0 2000 0 None 9OVI11 N CA00738044 B SFY2021-22
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-18 00:00:00 920016827 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-24 00:00:00 2021-06-24 00:00:00 Yes 2021-09-09 00:00:00 2021-09-07 00:00:00 B B 2000 1800 0 1800 0 None FIVH11 N CA00741594 A SFY2021-22
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-08-26 00:00:00 920016842 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-19 00:00:00 2021-06-19 00:00:00 Yes 2021-09-17 00:00:00 2021-09-16 00:00:00 A A 20000 41150 -150 41000 0 None 9FTH11 N CA00742819 B SFY2021-22
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-26 00:00:00 920016846 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-05-27 00:00:00 2021-05-27 00:00:00 Yes 2021-09-17 00:00:00 2021-09-16 00:00:00 AA A 100000 20050 -50 20000 0 None X13111 Y CA00738375 A SFY2021-22
920000086 GRANADA HILLS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-08-27 00:00:00 920016853 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-06-09 00:00:00 2021-06-09 00:00:00 Yes 2021-09-20 00:00:00 2021-09-14 00:00:00 B B 2000 1800 0 1800 0 None DNN111 N CA00739803 A SFY2021-22
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-08-26 00:00:00 920016854 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-02 00:00:00 2021-06-02 00:00:00 No 2021-09-17 00:00:00 None B None 2000 2000 -700 1300 0 None RJ2F11 N CA00738881, CA00738881 B, B SFY2021-22
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-27 00:00:00 920016858 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-06-30 00:00:00 2021-06-30 00:00:00 No 2021-09-20 00:00:00 None B None 2000 2000 0 2000 0 None 8GT811 N None None SFY2021-22
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-27 00:00:00 920016859 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-25 00:00:00 2019-06-25 00:00:00 No 2021-09-20 00:00:00 None B None 2000 2000 0 2000 0 None 8GT811 Y None None SFY2021-22
920000011 GOLDEN LEGACY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-27 00:00:00 920016860 Closed Citation Citation B (HSC 1424) Patient Care None 2019-06-25 00:00:00 2019-06-25 00:00:00 No 2021-09-20 00:00:00 None B None 2000 2000 0 2000 0 None 8GT811 N None None SFY2021-22
910000318 PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2021-08-30 00:00:00 920016865 Closed Citation Citation B (HSC 1424) Medication None 2021-05-02 00:00:00 2021-05-02 00:00:00 No 2021-09-21 00:00:00 None B None 2000 2000 -700 1300 0 None EDB311 N None None SFY2021-22
910000318 PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2021-08-30 00:00:00 920016868 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-02 00:00:00 2021-05-02 00:00:00 No 2021-09-21 00:00:00 None B None 2000 2000 0 2000 0 None EDB311 N None None SFY2021-22
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-09-03 00:00:00 920016881 Open Citation Citation A (HSC 1424) Patient Care None 2021-02-17 00:00:00 2021-02-17 00:00:00 Yes 2021-09-27 00:00:00 2021-09-14 00:00:00 A None 20000 20000 -7000 13000 0 None ONFF11 N CA00742436 A SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-09-02 00:00:00 920016886 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-06-29 00:00:00 2021-06-29 00:00:00 No 2021-09-24 00:00:00 None B None 2000 2000 -700 1300 0 None GUJQ11 N CA00740291 A SFY2021-22
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-03 00:00:00 920016887 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-08 00:00:00 2021-06-08 00:00:00 No 2021-09-27 00:00:00 None B None 2000 2000 -700 1300 0 None ZL5Y11 N CA00739406 A SFY2021-22
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2021-09-10 00:00:00 920016903 Open Citation Citation B (HSC 1424) Patient Care None 2021-04-19 00:00:00 2021-04-19 00:00:00 Yes 2021-10-01 00:00:00 2021-09-17 00:00:00 B None 2000 2000 0 0 2000 None 4YHP11 N None None SFY2021-22
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-10 00:00:00 920016908 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-15 00:00:00 2021-06-15 00:00:00 No 2021-10-01 00:00:00 None B None 2000 2000 -700 1300 0 None KSUI11 N CA00740479 B SFY2021-22
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-17 00:00:00 920016929 Closed Citation Citation A (HSC 1424) Patient Care None 2021-07-20 00:00:00 2021-07-20 00:00:00 Yes 2021-10-08 00:00:00 2021-10-06 00:00:00 A A 20000 14000 0 14000 0 None ZES511 N None None SFY2021-22
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-17 00:00:00 920016932 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-05 00:00:00 2021-08-05 00:00:00 No 2021-10-08 00:00:00 None B None 2000 2000 -700 1300 0 None 1CB011 N CA00746910 B SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-09-17 00:00:00 920016938 Closed Citation Citation A (HSC 1424) Patient Care None 2021-09-17 00:00:00 2021-09-17 00:00:00 No 2021-10-08 00:00:00 None A A 20000 15000 0 15000 0 None 3YMK11 N CA00747736 B SFY2021-22
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-17 00:00:00 920016939 Closed Citation Citation A (HSC 1424) Patient Care None 2021-08-10 00:00:00 2021-08-10 00:00:00 Yes 2021-10-08 00:00:00 2021-09-22 00:00:00 A A 15000 10500 0 10500 0 None 5SNW11 N CA00741440, CA00741949 B, B SFY2021-22
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-24 00:00:00 920016941 Closed Citation Citation A (HSC 1424) Patient Care None 2020-12-15 00:00:00 2020-12-15 00:00:00 No 2021-10-15 00:00:00 None A None 20000 20000 0 20000 0 None 3USY11 N CA00735603 B SFY2021-22
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-09-22 00:00:00 920016946 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-06-24 00:00:00 2021-06-24 00:00:00 No 2021-10-13 00:00:00 None B None 2000 2000 -700 1300 0 None U6NA11 N CA00741369 A SFY2021-22
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-23 00:00:00 920016953 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-21 00:00:00 2021-04-21 00:00:00 No 2021-10-14 00:00:00 None B None 2000 2000 -700 1300 0 None 6JTK11 N CA00734244 B SFY2021-22
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-10-07 00:00:00 920016992 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-12-23 00:00:00 2020-12-23 00:00:00 No 2021-10-28 00:00:00 None B None 2000 2000 -700 1300 0 None CLLS11 N CA00743454, CA00744281 A, A SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-10-12 00:00:00 920017004 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-06-01 00:00:00 2021-06-01 00:00:00 No 2021-11-02 00:00:00 None B None 2000 2000 -700 1300 0 None 8BCL21 N CA00749802 B SFY2021-22
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2021-10-26 00:00:00 920017039 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-08-02 00:00:00 2021-08-02 00:00:00 No 2021-11-17 00:00:00 None B None 2000 2000 -700 1300 0 None VYVN11 N CA00746718 A SFY2021-22
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2021-10-26 00:00:00 920017042 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-04 00:00:00 2021-08-04 00:00:00 No 2021-11-17 00:00:00 None B None 2000 2000 -700 1300 0 None VYVN11 N CA00746718 A SFY2021-22
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2021-11-04 00:00:00 920017065 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-06 00:00:00 2021-04-06 00:00:00 No 2021-11-30 00:00:00 None B None 2000 6000 0 6000 0 None 2P0I11 N None None SFY2021-22
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-11-15 00:00:00 920017075 Closed Citation Citation A (HSC 1424) Patient Care None 2021-07-22 00:00:00 2021-07-22 00:00:00 No 2021-12-08 00:00:00 None A None 20000 20000 -7000 13000 0 None LF9T11 N CA00749019 B SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-11-09 00:00:00 920017085 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-10-30 00:00:00 2018-10-30 00:00:00 No 2021-12-03 00:00:00 None B None 2000 2000 0 2000 0 None RG0R21 N CA00751478 B SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-11-09 00:00:00 920017086 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-10-30 00:00:00 2018-10-30 00:00:00 No 2021-12-03 00:00:00 None B None 2000 2000 0 2000 0 None RG0R21 N CA00751478 B SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-11-09 00:00:00 920017087 Closed Citation Citation B (HSC 1424) Physical Environment None 2018-10-30 00:00:00 2018-10-30 00:00:00 No 2021-12-03 00:00:00 None B None 2000 2000 0 2000 0 None RG0R21 N CA00751478 B SFY2021-22
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-11-09 00:00:00 920017088 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-16 00:00:00 2021-08-16 00:00:00 No 2021-12-03 00:00:00 None B None 2000 2000 -700 1300 0 None 32EG11 N CA00749593, CA00750786 B, B SFY2021-22
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-11-17 00:00:00 920017097 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-03 00:00:00 2021-05-03 00:00:00 No 2021-12-10 00:00:00 None A None 20000 60000 0 60000 0 None 6BTI11 N CA00735351 B SFY2021-22
920000082 WEST HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-11-23 00:00:00 920017100 Open Citation Citation A (HSC 1424) Patient Care None 2021-06-20 00:00:00 2021-06-20 00:00:00 Yes 2021-12-16 00:00:00 2021-11-29 00:00:00 A None 20000 60000 0 0 60000 None 4Q2S11 N CA00741391, CA00741693 B, B SFY2021-22
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-11-18 00:00:00 920017101 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-30 00:00:00 2021-08-30 00:00:00 No 2021-12-13 00:00:00 None B None 2000 2000 -700 1300 0 None 022511 N CA00750919, CA00751001 A, A SFY2021-22
920000292 ARARAT NURSING FACILITY LTC SNF Skilled Nursing Facility LA Region 2 2021-11-23 00:00:00 920017127 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-25 00:00:00 2021-07-25 00:00:00 No 2021-12-16 00:00:00 None B None 2000 2000 -700 1300 0 None KPOP11 N CA00745511 B SFY2021-22
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-12-02 00:00:00 920017139 Open Citation Citation B (HSC 1424) Physical Environment None 2021-11-10 00:00:00 2021-11-10 00:00:00 No 2021-12-23 00:00:00 None B None 2000 3050 -700 1300 1050 None NGDB21 N None None SFY2021-22
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-01 00:00:00 920017142 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-10-15 00:00:00 2021-10-15 00:00:00 No 2021-12-22 00:00:00 None B None 1500 1500 0 1500 0 None 8NQ511 N CA00751768 B SFY2021-22
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-02 00:00:00 920017143 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-20 00:00:00 2020-07-20 00:00:00 No 2021-12-23 00:00:00 None B None 2000 2000 -700 1300 0 None ITEQ11 N CA00751706 B SFY2021-22
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-12-02 00:00:00 920017146 Closed Citation Citation A (HSC 1424) Patient Care None 2021-10-16 00:00:00 2021-10-16 00:00:00 No 2021-12-23 00:00:00 None A None 20000 20000 0 20000 0 None R0KO11 N None None SFY2021-22
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-07 00:00:00 920017160 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-11-29 00:00:00 2021-11-29 00:00:00 No 2021-12-28 00:00:00 None B None 2000 2000 -700 1300 0 None 16IO11 N CA00755908 B SFY2021-22
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-12-08 00:00:00 920017165 Closed Citation Citation A (HSC 1424) Patient Care None 2021-08-09 00:00:00 2021-08-09 00:00:00 Yes 2021-12-29 00:00:00 2021-12-15 00:00:00 A B 20000 30000 0 30000 0 None HOMH11 N CA00747951 B SFY2021-22
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-16 00:00:00 920017169 Closed Citation Citation A (HSC 1424) Patient Care None 2021-09-04 00:00:00 2021-09-04 00:00:00 Yes 2022-01-06 00:00:00 2022-01-03 00:00:00 A A 20000 14000 0 14000 0 None 4I2F11 N None None SFY2021-22
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-12-15 00:00:00 920017190 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-07-06 00:00:00 2021-07-06 00:00:00 No 2022-01-05 00:00:00 None B None 2000 2000 -700 1300 0 None 1M7T11 N CA00753261, CA00753261 B, B SFY2021-22
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-12-16 00:00:00 920017196 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-22 00:00:00 2021-09-22 00:00:00 No 2022-01-06 00:00:00 None B None 2000 2000 -700 1300 0 None XSQL11 N CA00755757, CA00755757, CA00755757 A, A, A SFY2021-22
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-16 00:00:00 920017197 Closed Citation Citation B (HSC 1424) Administration None 2021-09-22 00:00:00 2021-09-22 00:00:00 No 2022-01-06 00:00:00 None B None 2000 2000 0 2000 0 None H3MB11 N CA00753289, CA00753289, CA00753289, CA00753289, CA00753289 B, B, B, B, B SFY2021-22
920000074 PROVIDENCE ST. ELIZABETH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-17 00:00:00 920017203 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2021-09-03 00:00:00 2021-09-03 00:00:00 No 2022-01-07 00:00:00 None WF None 2000 2000 0 2000 0 None T3QZ11 None CA00753895 B SFY2021-22
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-21 00:00:00 920017211 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-25 00:00:00 2021-10-25 00:00:00 No 2022-01-11 00:00:00 None B None 2000 2350 0 2350 0 None J33X11 N CA00759012 A SFY2021-22
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-21 00:00:00 920017212 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-25 00:00:00 2021-10-25 00:00:00 No 2022-01-11 00:00:00 None B None 2000 2350 0 2350 0 None J33X11 N CA00759012 A SFY2021-22
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-12-23 00:00:00 920017215 Closed Citation Citation B (HSC 1424) Patient Rights Posting 2021-11-06 00:00:00 2021-11-06 00:00:00 No 2022-01-13 00:00:00 None B None 2000 2000 -700 1300 0 None NGDB11 N None None SFY2021-22
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-12-23 00:00:00 920017216 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-07 00:00:00 2021-11-07 00:00:00 No 2022-01-13 00:00:00 None B None 2000 2000 -700 1300 0 None NGDB11 N None None SFY2021-22
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-22 00:00:00 920017217 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-03 00:00:00 2021-11-03 00:00:00 No 2022-01-12 00:00:00 None B None 2000 2000 0 2000 0 None 6TMY11 N None None SFY2021-22
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-23 00:00:00 920017220 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-22 00:00:00 2019-06-22 00:00:00 No 2022-01-13 00:00:00 None B None 2000 2000 -700 1300 0 None WT4K11 N CA00643277, CA00643277 B, B SFY2021-22
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-12-23 00:00:00 920017221 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-01 00:00:00 2021-11-01 00:00:00 No 2022-01-13 00:00:00 None B None 2000 2000 -700 1300 0 None NGDB11 N None None SFY2021-22
920000049 BERKLEY POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-12-30 00:00:00 920017237 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-01 00:00:00 2021-09-01 00:00:00 No 2022-01-21 00:00:00 None B None 2000 2000 -700 1300 0 None 0STA11 N CA00755916, CA00755916, CA00755916, CA00756741, CA00756741, CA00756741, CA00756741, CA00756741 B, B, B, B, B, B, B, B SFY2021-22
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-01-05 00:00:00 920017249 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-18 00:00:00 2021-11-18 00:00:00 No 2022-01-27 00:00:00 None B None 2000 2000 -700 1300 0 None B3Q011 N CA00761496 B SFY2021-22
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2022-01-13 00:00:00 920017264 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-10-15 00:00:00 2021-10-15 00:00:00 No 2022-02-04 00:00:00 None B None 2000 2000 0 2000 0 None QIRE11 N CA00757215, CA00757215, CA00757215 B, B, B SFY2021-22
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-01-14 00:00:00 920017265 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-04 00:00:00 2021-11-04 00:00:00 No 2022-02-07 00:00:00 None B None 2000 2000 0 2000 0 None OTR111 N CA00759994 B SFY2021-22
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-01-20 00:00:00 920017279 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-01 00:00:00 2021-11-01 00:00:00 Yes 2022-02-10 00:00:00 2022-02-07 00:00:00 B B 2000 4500 0 4500 0 None K77I11 N CA00759744, CA00759744, CA00759744 B, B, B SFY2021-22
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-01-28 00:00:00 920017288 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-05 00:00:00 2021-11-05 00:00:00 No 2022-02-18 00:00:00 None B None 2000 2000 0 2000 0 None PYFE11 N None None SFY2021-22
910000089 VISTA DEL SOL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-01-28 00:00:00 920017290 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-17 00:00:00 2021-11-17 00:00:00 No 2022-02-18 00:00:00 None B None 2000 2000 -700 1300 0 None 81OL11 N CA00760381 B SFY2021-22
910000038 FIRESIDE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-01-27 00:00:00 920017291 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-03 00:00:00 2021-11-03 00:00:00 No 2022-02-17 00:00:00 None B None 2000 2200 0 2200 0 None 1GCU11 N None None SFY2021-22
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-01-28 00:00:00 920017293 Closed Citation Citation A (HSC 1424) Patient Care None 2021-07-05 00:00:00 2021-07-05 00:00:00 Yes 2022-02-18 00:00:00 2022-02-17 00:00:00 A A 20000 60100 -60100 0 0 None W12611 N CA00742796 B SFY2021-22
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-01-28 00:00:00 920017299 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-05 00:00:00 2021-11-05 00:00:00 No 2022-02-18 00:00:00 None B None 2000 2000 0 2000 0 None T5BL11 N CA00760763 B SFY2021-22
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-01-28 00:00:00 920017300 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-11-05 00:00:00 2021-11-05 00:00:00 No 2022-02-18 00:00:00 None B None 2000 2000 0 2000 0 None T5BL11 N CA00760763 B SFY2021-22
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-01-28 00:00:00 920017301 Closed Citation Citation A (HSC 1424) Patient Rights Abuse 2021-07-05 00:00:00 2021-07-05 00:00:00 Yes 2022-02-18 00:00:00 2022-02-18 00:00:00 A A 20000 20000 0 20000 0 None W12611 N CA00742796, CA00742796 B, B SFY2021-22
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-02-04 00:00:00 920017319 Open Citation Citation A (HSC 1424) Patient Care None 2021-08-26 00:00:00 2021-08-26 00:00:00 Yes 2022-02-28 00:00:00 2022-02-14 00:00:00 A None 20000 60000 0 0 60000 None P71C11 N CA00750271 B SFY2021-22
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-02-04 00:00:00 920017324 Open Citation Citation A (HSC 1424) Patient Care None 2021-12-02 00:00:00 2021-12-02 00:00:00 Yes 2022-02-28 00:00:00 2022-02-28 00:00:00 A None 20000 60000 0 0 60000 None 2WW711 N CA00763390, CA00763390 A, A SFY2021-22
920000003 THE GROVE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-02-16 00:00:00 920017350 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-10 00:00:00 2022-01-10 00:00:00 No 2022-03-10 00:00:00 None B None 3000 3000 0 3000 0 None 75B711 N CA00768330 B SFY2021-22
920000050 CALIFORNIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-02-24 00:00:00 920017351 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-07 00:00:00 2021-10-07 00:00:00 No 2022-03-17 00:00:00 None B None 2000 2000 -700 1300 0 None UROE11 N CA00756930, CA00756988 B, B SFY2021-22
930000681 PROVIDENCE HOLY CROSS MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2022-02-16 00:00:00 920017353 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-12-14 00:00:00 2021-12-14 00:00:00 No 2022-03-10 00:00:00 None B None 2000 2400 0 2400 0 None DM2K11 N CA00764658 A SFY2021-22
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2022-02-18 00:00:00 920017370 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-30 00:00:00 2021-11-30 00:00:00 No 2022-03-14 00:00:00 None B None 2000 2000 -700 1300 0 None ONYK11 N None None SFY2021-22
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-02-24 00:00:00 920017422 Open Citation Citation A (HSC 1424) Patient Care None 2021-08-23 00:00:00 2021-08-23 00:00:00 Yes 2022-03-17 00:00:00 2022-03-14 00:00:00 A A 20000 15000 0 20000 -5000 None EZTJ11 N CA00759381 B SFY2021-22
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-02-24 00:00:00 920017423 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-13 00:00:00 2021-12-13 00:00:00 Yes 2022-03-17 00:00:00 2022-03-01 00:00:00 A None 20000 20000 0 20000 0 None BDM511 N CA00764677, CA00764677 A, A SFY2021-22
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-02-25 00:00:00 920017447 Closed Citation Citation B (HSC 1424) Staffing None 2022-01-11 00:00:00 2022-01-11 00:00:00 No 2022-03-18 00:00:00 None B None 2000 2000 0 2000 0 None D3V011 N None None SFY2021-22
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-02 00:00:00 920017457 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-11 00:00:00 2021-12-11 00:00:00 No 2022-03-23 00:00:00 None A None 20000 20000 -7000 13000 0 None BFKL11 N CA00764613 B SFY2021-22
970000147 WESTLAKE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-03-09 00:00:00 920017479 Closed Citation Citation B (HSC 1424) Administration None 2022-02-24 00:00:00 2022-02-24 00:00:00 Yes 2022-03-30 00:00:00 2022-03-17 00:00:00 B B 3000 2800 0 2800 0 None HTVF11 N CA00774671 B SFY2021-22
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-03-17 00:00:00 920017498 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-07-21 00:00:00 2021-07-21 00:00:00 No 2022-04-08 00:00:00 None B None 2000 2000 -700 1300 0 None DO9O11 N CA00766363, CA00766363 A, A SFY2021-22
910000089 VISTA DEL SOL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-18 00:00:00 920017513 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-11-08 00:00:00 2021-11-08 00:00:00 No 2022-04-11 00:00:00 None B None 2000 2000 0 2000 0 None MZOB11 N None None SFY2021-22
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-23 00:00:00 920017519 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-12-17 00:00:00 2021-12-17 00:00:00 No 2022-04-14 00:00:00 None B None 2000 2000 -700 1300 0 None 20YR11 N CA00766280 A SFY2021-22
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-24 00:00:00 920017520 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-02-15 00:00:00 2022-02-15 00:00:00 No 2022-04-15 00:00:00 None B None 2000 2000 0 2000 0 None 0UX311 N CA00772283 B SFY2021-22
910000038 FIRESIDE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-25 00:00:00 920017530 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-12-13 00:00:00 2021-12-13 00:00:00 No 2022-04-18 00:00:00 None B None 2000 2000 0 2000 0 None YCEC11 N None None SFY2021-22
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-30 00:00:00 920017534 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-01-18 00:00:00 2022-01-18 00:00:00 No 2022-04-21 00:00:00 None B None 2000 2000 0 2000 0 None GJII11 N CA00768209 B SFY2021-22
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-04 00:00:00 920017542 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-02-22 00:00:00 2022-02-22 00:00:00 No 2022-04-25 00:00:00 None B None 3000 3000 0 3000 0 None CG0T11 N CA00772309, CA00772309 B, B SFY2021-22
920000089 THE REHABILITATION CENTER OF NORTH HILLS LTC SNF Skilled Nursing Facility LA Region 2 2022-04-05 00:00:00 920017544 Closed Citation Citation B (HSC 1424) Medication None 2022-02-05 00:00:00 2022-02-05 00:00:00 No 2022-04-26 00:00:00 None B None 3000 3000 -1050 1950 0 None 19PL11 N None None SFY2021-22
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-04-06 00:00:00 920017549 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-02-17 00:00:00 2022-02-17 00:00:00 No 2022-04-27 00:00:00 None B None 3000 3000 -1050 1950 0 None MP1K11 N CA00772504, CA00775183, CA00776182 B, B, B SFY2021-22
920000057 VALLEY PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-06 00:00:00 920017550 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-02-18 00:00:00 2022-02-18 00:00:00 No 2022-04-27 00:00:00 None B None 3000 3000 0 3000 0 None OWUP11 N CA00772494 B SFY2021-22
920000090 CASITAS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-07 00:00:00 920017554 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-02-22 00:00:00 2022-02-22 00:00:00 No 2022-04-28 00:00:00 None B None 3000 3000 0 3000 0 None GVCR11 N CA00772513 B SFY2021-22
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-07 00:00:00 920017556 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-02-26 00:00:00 2022-02-26 00:00:00 No 2022-04-28 00:00:00 None B None 3000 3000 -1050 1950 0 None V7PL11 N None None SFY2021-22
970000133 GRAND PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-04-15 00:00:00 920017572 Closed Citation Citation A (HSC 1424) Patient Care None 2021-11-01 00:00:00 2021-11-01 00:00:00 No 2022-05-06 00:00:00 None A None 20000 20000 -7000 13000 0 None NF6P11 N CA00759314 B SFY2021-22
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-15 00:00:00 920017576 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-11 00:00:00 2021-04-11 00:00:00 Yes 2022-05-06 00:00:00 2022-05-03 00:00:00 A A 15000 11500 0 11500 0 None DCMU11 N CA00774468 B SFY2021-22
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-15 00:00:00 920017579 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-15 00:00:00 2021-12-15 00:00:00 Yes 2022-05-06 00:00:00 2022-05-03 00:00:00 A A 15000 10000 0 10000 0 None DCMU11 N None None SFY2021-22
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-20 00:00:00 920017582 Open Citation Citation A (HSC 1424) Patient Care None 2022-03-12 00:00:00 2022-03-12 00:00:00 Yes 2022-05-11 00:00:00 2022-04-21 00:00:00 A None 25000 25000 0 0 25000 None 3SYU11 N CA00776681, CA00778115 A, A SFY2021-22
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-22 00:00:00 920017584 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-02-24 00:00:00 2022-02-24 00:00:00 No 2022-05-13 00:00:00 None B None 2000 2000 0 2000 0 None 79C511 N CA00774841 B SFY2021-22
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-21 00:00:00 920017588 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-02-26 00:00:00 2022-02-26 00:00:00 No 2022-05-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 3Z6J11 Y CA00775565 A SFY2021-22
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2022-04-22 00:00:00 920017591 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-01-26 00:00:00 2022-01-26 00:00:00 No 2022-05-13 00:00:00 None B None 2000 2000 0 2000 0 None M88011 N None None SFY2021-22
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-26 00:00:00 920017594 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-03-02 00:00:00 2022-03-02 00:00:00 No 2022-05-17 00:00:00 None B None 3000 3000 -1050 1950 0 None YI2J11 N CA00775085 B SFY2021-22
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-04-27 00:00:00 920017602 Open Citation Citation B (HSC 1424) Patient Care None 2022-03-09 00:00:00 2022-03-09 00:00:00 No 2022-05-18 00:00:00 None B None 3000 3100 0 3000 100 None V18D11 N None None SFY2021-22
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-04-27 00:00:00 920017603 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-09 00:00:00 2022-03-09 00:00:00 No 2022-05-18 00:00:00 None B None 3000 3100 0 3100 0 None V18D11 N None None SFY2021-22
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-04-29 00:00:00 920017606 Open Citation Citation A (HSC 1424) Patient Care None 2022-01-20 00:00:00 2022-01-20 00:00:00 No 2022-05-20 00:00:00 None A None 25000 75000 0 0 75000 None XERD11 Y CA00771544, CA00771544, CA00771544, CA00771544 B, B, B, B SFY2021-22
920000058 VALLEY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-05-03 00:00:00 920017613 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-03-24 00:00:00 2022-03-24 00:00:00 No 2022-05-24 00:00:00 None B None 3000 3000 -1050 1950 0 None EF1811 N CA00778135 A SFY2021-22
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-05-04 00:00:00 920017614 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-03-18 00:00:00 2022-03-18 00:00:00 No 2022-05-25 00:00:00 None B None 3000 3000 -1050 1950 0 None JK7911 N CA00777101, CA00777101 A, A SFY2021-22
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-05-05 00:00:00 920017622 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-04 00:00:00 2022-04-04 00:00:00 No 2022-05-26 00:00:00 None B None 3000 3000 -1050 1950 0 None QZDY11 N None None SFY2021-22
910000326 WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-05-05 00:00:00 920017624 Closed Citation Citation A (HSC 1424) Patient Care None 2022-02-09 00:00:00 2022-02-09 00:00:00 No 2022-05-26 00:00:00 None A None 25000 75000 -26250 48750 0 None VBE411 Y CA00772695, CA00772695, CA00772695 B, B, B SFY2021-22
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-05-12 00:00:00 920017630 Open Citation Citation A (HSC 1424) Patient Care None 2021-11-13 00:00:00 2021-11-13 00:00:00 Yes 2022-06-03 00:00:00 2022-06-03 00:00:00 A None 20000 60000 0 0 60000 None B03J11 N CA00762293 B SFY2021-22
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-05-13 00:00:00 920017636 Closed Citation Citation B (HSC 1424) Problem Transfer None 2021-12-10 00:00:00 2021-12-10 00:00:00 No 2022-06-06 00:00:00 None B None 2000 2000 -700 1300 0 None JE1W11 N CA00775122 A SFY2021-22
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-05-18 00:00:00 920017645 Open Citation Citation AA (HSC 1424) Patient Care None 2022-02-26 00:00:00 2022-02-26 00:00:00 Yes 2022-06-09 00:00:00 2022-06-02 00:00:00 AA None 100000 100000 0 0 100000 None 3Z6J11 Y CA00775565 A SFY2021-22
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-05-19 00:00:00 920017651 Open Citation Citation AA (HSC 1424) Patient Care None 2021-10-21 00:00:00 2021-10-21 00:00:00 Yes 2022-06-10 00:00:00 2022-06-08 00:00:00 AA None 100000 100000 0 0 100000 None L2QK11 Y CA00756616 A SFY2021-22
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-05-25 00:00:00 920017664 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-05 00:00:00 2021-11-05 00:00:00 No 2022-06-16 00:00:00 None B None 2000 2000 -700 1300 0 None 1VG511 N CA00777456, CA00777456, CA00777456 B, B, B SFY2021-22
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-05-25 00:00:00 920017665 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-05 00:00:00 2021-11-05 00:00:00 No 2022-06-16 00:00:00 None B None 2000 2000 -700 1300 0 None 1VG511 N CA00777456, CA00777456, CA00777456 B, B, B SFY2021-22
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-05-26 00:00:00 920017668 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-03-02 00:00:00 2022-03-02 00:00:00 Yes 2022-06-17 00:00:00 2022-06-09 00:00:00 B B 3000 2400 0 2400 0 None 1MLB11 N CA00775130, CA00775350 A, A SFY2021-22
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-05-26 00:00:00 920017669 Closed Citation Citation A (HSC 1424) Patient Care None 2021-12-10 00:00:00 2021-12-10 00:00:00 Yes 2022-06-17 00:00:00 2022-06-16 00:00:00 A B 20000 12000 0 12000 0 None UVTC11 N CA00764890, CA00764890 A, A SFY2021-22
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-05-27 00:00:00 920017674 Closed Citation Citation B (HSC 1424) Physical Environment None 2014-01-01 00:00:00 2014-01-01 00:00:00 No 2022-06-20 00:00:00 None B None 2000 2000 0 2000 0 None K5SU21 N CA00779491 B SFY2021-22
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2022-05-27 00:00:00 920017675 Open Citation Citation A (HSC 1424) Patient Care None 2022-02-24 00:00:00 2022-02-24 00:00:00 Yes 2022-06-20 00:00:00 2022-06-17 00:00:00 A None 15000 15000 0 0 15000 None 1DK011 N CA00775038 A SFY2021-22
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-06-01 00:00:00 920017682 Open Citation Citation AA (HSC 1424) Patient Care None 2022-01-09 00:00:00 2022-01-09 00:00:00 Yes 2022-06-22 00:00:00 2022-06-08 00:00:00 AA None 120000 120000 0 0 120000 None BC4O11 Y CA00775821, CA00775821, CA00775821, CA00775821 B, B, B, B SFY2021-22
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-06-03 00:00:00 920017691 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-02-19 00:00:00 2022-02-19 00:00:00 No 2022-06-24 00:00:00 None B None 2000 2000 -700 1300 0 None RWY611 N None None SFY2021-22
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-06-10 00:00:00 920017701 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-02-13 00:00:00 2022-02-13 00:00:00 No 2022-07-01 00:00:00 None B None 3000 3000 0 3000 0 None F63211 N CA00782191 A SFY2021-22
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-06-10 00:00:00 920017703 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-13 00:00:00 2022-02-13 00:00:00 No 2022-07-01 00:00:00 None B None 3000 3000 0 3000 0 None F63211 N CA00782191 A SFY2021-22
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-06-16 00:00:00 920017711 Closed Citation Citation A (HSC 1424) Patient Care None 2022-03-21 00:00:00 2022-03-21 00:00:00 Yes 2022-07-08 00:00:00 2022-07-01 00:00:00 A B 25000 15750 -750 15000 0 None TEQM11 N CA00777682, CA00777682 B, B SFY2021-22
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-06-23 00:00:00 920017727 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-29 00:00:00 2022-04-29 00:00:00 No 2022-07-15 00:00:00 None B None 3000 3000 -1050 1950 0 None ECKH11 N CA00778612, CA00778612, CA00778612 B, B, B SFY2021-22
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-06-23 00:00:00 920017728 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-20 00:00:00 2022-03-20 00:00:00 No 2022-07-15 00:00:00 None B None 3000 3000 -1050 1950 0 None ECKH11 N CA00778612, CA00778612, CA00778612 B, B, B SFY2021-22
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-06-23 00:00:00 920017731 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-26 00:00:00 2021-11-26 00:00:00 No 2022-07-15 00:00:00 None B None 2000 2000 0 2000 0 None D6BB11 N CA00763271, CA00763271 B, B SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2022-07-01 00:00:00 920017749 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-07 00:00:00 2022-03-07 00:00:00 No 2022-07-25 00:00:00 None B None 3000 3000 0 3000 0 None H6WP11 N CA00776053 B SFY2022-23
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-07-01 00:00:00 920017750 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-04-17 00:00:00 2022-04-17 00:00:00 No 2022-07-25 00:00:00 None B None 3000 3000 0 3000 0 None 5NP711 N CA00781762, CA00781762, CA00783535, CA00783535, CA00783535, CA00783535 A, A, A, A, A, A SFY2022-23
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2022-06-30 00:00:00 920017755 Open Citation Citation A (HSC 1424) Patient Care None 2022-05-07 00:00:00 2022-05-07 00:00:00 Yes 2022-07-22 00:00:00 2022-07-13 00:00:00 A None 25000 75000 0 0 75000 None OITF11 N CA00784196, CA00784196, CA00784196 B, B, B SFY2021-22
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-07-08 00:00:00 920017765 Closed Citation Citation A (HSC 1424) Patient Care None 2022-01-29 00:00:00 2022-01-29 00:00:00 No 2022-07-29 00:00:00 None A None 25000 25000 -8750 16250 0 None V87G11 N CA00771252 B SFY2022-23
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-07-13 00:00:00 920017768 Open Citation Citation B (HSC 1424) Patient Care None 2022-04-22 00:00:00 2022-04-22 00:00:00 No 2022-08-03 00:00:00 None B None 3000 3000 0 0 3000 None HCTI11 N CA00782354, CA00782354, CA00782354, CA00782354, CA00782354, CA00782354 B, B, B, B, B, B SFY2022-23
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-07-15 00:00:00 920017775 Closed Citation Citation A (HSC 1424) Patient Care None 2022-01-29 00:00:00 2022-01-29 00:00:00 No 2022-08-05 00:00:00 None A None 25000 25000 -8750 16250 0 None W6CW11 N CA00771270, CA00771270 A, A SFY2022-23
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2022-07-14 00:00:00 920017784 Closed Citation Citation B (HSC 1424) Physical Environment Altercation of building 2022-06-22 00:00:00 2022-06-22 00:00:00 No 2022-08-04 00:00:00 None B None 2000 2000 0 2000 0 None MHG711 N CA00788750, CA00788750 A, A SFY2022-23
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-07-14 00:00:00 920017786 Closed Citation Citation A (HSC 1424) Patient Care None 2022-03-10 00:00:00 2022-03-10 00:00:00 No 2022-08-04 00:00:00 None A None 25000 75000 -26250 48750 0 None MX4611 N CA00776342, CA00776342, CA00776342 B, B, B SFY2022-23
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2022-07-18 00:00:00 920017789 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-06-29 00:00:00 2022-06-29 00:00:00 No 2022-08-08 00:00:00 None B None 3000 9000 -3150 5850 0 None MQSR11 N CA00790879, CA00790879, CA00790963, CA00790963 A, A, A, A SFY2022-23
920000077 ALAMEDA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-07-19 00:00:00 920017791 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-06-15 00:00:00 2022-06-15 00:00:00 No 2022-08-09 00:00:00 None B None 3000 3000 -1050 1950 0 None VDLY11 N CA00786215 A SFY2022-23
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-07-21 00:00:00 920017802 Open Citation Citation A (HSC 1424) Patient Care None 2022-04-15 00:00:00 2022-04-15 00:00:00 No 2022-08-11 00:00:00 None A None 25000 25000 0 0 25000 None UNOI11 N CA00781957, CA00781957 A, A SFY2022-23
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2022-07-22 00:00:00 920017806 Closed Citation Citation B (HSC 1424) Patient Care None 2022-05-18 00:00:00 2022-05-18 00:00:00 No 2022-08-12 00:00:00 None B None 3000 3200 -1050 2150 0 None W0BQ11 N CA00785411, CA00785431 B, B SFY2022-23
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-07-21 00:00:00 920017807 Closed Citation Citation A (HSC 1424) Patient Care None 2022-04-25 00:00:00 2022-04-25 00:00:00 No 2022-08-11 00:00:00 None A None 20000 20000 -7000 13000 0 None FUKB11 N CA00782082 B SFY2022-23
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-07-27 00:00:00 920017808 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-06-14 00:00:00 2022-06-14 00:00:00 No 2022-08-17 00:00:00 None B None 3000 3000 0 3000 0 None JUFV11 N CA00788797 A SFY2022-23
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-07-22 00:00:00 920017817 Closed Citation Citation A (HSC 1424) Patient Care None 2022-04-15 00:00:00 2022-04-15 00:00:00 Yes 2022-08-12 00:00:00 2022-08-12 00:00:00 A A 15000 11250 0 11250 0 None DV5G11 N CA00781769, CA00781769 B, B SFY2022-23
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2022-07-26 00:00:00 920017822 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-12 00:00:00 2022-06-12 00:00:00 No 2022-08-16 00:00:00 None B None 3000 9000 -3150 5850 0 None IY5W11 N None None SFY2022-23
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-07-28 00:00:00 920017826 Closed Citation Citation A (HSC 1424) Patient Care None 2022-03-05 00:00:00 2022-03-05 00:00:00 No 2022-08-18 00:00:00 None A None 25000 25700 -8750 16950 0 None G3CR11 N CA00786440, CA00786440, CA00786440, CA00786440, CA00786440, CA00786440 B, B, B, B, B, B SFY2022-23
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-07-27 00:00:00 920017830 Open Citation Citation A (HSC 1424) Patient Care None 2022-01-07 00:00:00 2022-01-07 00:00:00 Yes 2022-08-17 00:00:00 2022-08-05 00:00:00 A None 25000 75000 0 0 75000 None JRKN11 N CA00787881, CA00787887, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906 B, B, A, A, A, A, A, A, A SFY2022-23
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-07-27 00:00:00 920017833 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2022-01-07 00:00:00 2022-01-07 00:00:00 Yes 2022-08-17 00:00:00 2022-08-15 00:00:00 WF None 25000 25000 0 0 25000 None JRKN11 None CA00787881, CA00787887, CA00787906 B, B, A SFY2022-23
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2022-08-08 00:00:00 920017881 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-06-28 00:00:00 2022-06-28 00:00:00 No 2022-08-29 00:00:00 None B None 3000 3000 -1050 1950 0 None 2Z9Q11 N CA00790636, CA00790636, CA00790676, CA00790676 B, B, B, B SFY2022-23
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-08-11 00:00:00 920017883 Open Citation Citation A (HSC 1424) Patient Care None 2022-06-01 00:00:00 2022-06-01 00:00:00 Yes 2022-09-01 00:00:00 2022-08-30 00:00:00 A None 15000 15000 0 0 15000 None SU2D11 N CA00785564, CA00785564, CA00785564 B, B, B SFY2022-23
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-08-10 00:00:00 920017884 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-02 00:00:00 2022-06-02 00:00:00 No 2022-08-31 00:00:00 None B None 3000 3000 0 3000 0 None Z4DL11 N CA00786175 B SFY2022-23
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2022-08-12 00:00:00 920017889 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-06-29 00:00:00 2022-06-29 00:00:00 No 2022-09-02 00:00:00 None B None 3000 3000 -1050 1950 0 None MQSR11 N CA00790879, CA00790963 A, A SFY2022-23
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-08-19 00:00:00 920017901 Closed Citation Citation A (HSC 1424) Patient Care Accident Hazards 2022-04-27 00:00:00 2022-04-27 00:00:00 No 2022-09-12 00:00:00 None A None 20000 20000 0 20000 0 None N1N511 N CA00783276, CA00783276, CA00788437, CA00788437, CA00788437 B, B, A, A, A SFY2022-23
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-08-19 00:00:00 920017905 Closed Citation Citation A (HSC 1424) Patient Care None 2021-01-01 00:00:00 2021-01-01 00:00:00 No 2022-09-12 00:00:00 None A None 20000 20000 -7000 13000 0 None 8CXT11 N CA00720338 A SFY2022-23
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-08-18 00:00:00 920017907 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-29 00:00:00 2022-06-29 00:00:00 No 2022-09-09 00:00:00 None A None 20000 20000 -7000 13000 0 None MCM511 N CA00791282, CA00791420 A, A SFY2022-23
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-08-18 00:00:00 920017909 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-29 00:00:00 2022-06-29 00:00:00 No 2022-09-09 00:00:00 None B None 3000 3000 -1050 1950 0 None MCM511 N CA00791282, CA00791420 A, A SFY2022-23
910000073 BRENTWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-08-19 00:00:00 920017910 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Facility not self-report 2022-06-06 00:00:00 2022-06-06 00:00:00 No 2022-09-12 00:00:00 None B None 2000 2000 0 2000 0 None V4RG11 N None None SFY2022-23
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-08-19 00:00:00 920017913 Open Citation Citation A (HSC 1424) Patient Care None 2021-04-01 00:00:00 2021-04-01 00:00:00 Yes 2022-09-12 00:00:00 2022-08-22 00:00:00 A None 20000 20000 0 0 20000 None 0MMT11 N CA00731444 B SFY2022-23
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2022-08-30 00:00:00 920017917 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-02 00:00:00 2022-07-02 00:00:00 No 2022-09-21 00:00:00 None A None 25000 25050 -8750 16300 0 None WC5611 N CA00791842, CA00791842 B, B SFY2022-23
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-08-24 00:00:00 920017918 Closed Citation Citation A (HSC 1424) Patient Care None 2022-05-23 00:00:00 2022-05-23 00:00:00 Yes 2022-09-15 00:00:00 2022-09-06 00:00:00 A A 25000 17500 0 17500 0 None JE6311 N CA00786142 B SFY2022-23
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-08-23 00:00:00 920017920 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-08 00:00:00 2022-06-08 00:00:00 No 2022-09-14 00:00:00 None B None 3000 3000 -1050 1950 0 None I63F11 N CA00788510 A SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-08-25 00:00:00 920017925 Open Citation Citation A (HSC 1424) Patient Care None 2022-05-14 00:00:00 2022-05-14 00:00:00 Yes 2022-09-16 00:00:00 2022-09-06 00:00:00 A A 25000 17200 0 0 17200 None JVHH11 N CA00788883, CA00788883, CA00788883, CA00788883 B, B, B, B SFY2022-23
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-02 00:00:00 920017926 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-09 00:00:00 2022-06-09 00:00:00 No 2022-09-26 00:00:00 None B None 3000 3000 0 3000 0 None 4XK511 N CA00789134, CA00789134, CA00789134, CA00789144, CA00789144, CA00789144, CA00789144, CA00789782, CA00789782 B, B, B, B, B, B, B, B, B SFY2022-23
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-08-26 00:00:00 920017931 Closed Citation Citation A (HSC 1424) Patient Care None 2022-03-18 00:00:00 2022-03-18 00:00:00 No 2022-09-19 00:00:00 None A None 25000 25000 -8750 16250 0 None 1D4C11 N CA00777632 B SFY2022-23
920000048 MIRAGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-08-25 00:00:00 920017932 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-22 00:00:00 2022-03-22 00:00:00 No 2022-09-16 00:00:00 None B None 3000 3200 0 3200 0 None 1UJE11 N CA00779974 B SFY2022-23
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-08-26 00:00:00 920017936 Closed Citation Citation B (HSC 1424) Patient Care None 2022-05-25 00:00:00 2022-05-25 00:00:00 No 2022-09-19 00:00:00 None B None 3000 3000 -1050 1950 0 None WWOR11 N CA00787038, CA00788255 B, B SFY2022-23
630016910 THE ELLISON JOHN TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-08-26 00:00:00 920017937 Open Citation Citation A (HSC 1424) Patient Care None 2022-04-27 00:00:00 2022-04-27 00:00:00 Yes 2022-09-19 00:00:00 2022-08-26 00:00:00 A None 25000 25000 0 0 25000 None YQ2211 N None None SFY2022-23
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-08-26 00:00:00 920017938 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2022-05-25 00:00:00 2022-05-25 00:00:00 No 2022-09-19 00:00:00 None WF None 3500 3500 -1225 2275 0 None WWOR11 None CA00787038, CA00787038, CA00787038, CA00787038, CA00788255, CA00788255, CA00788255 B, B, B, B, B, B, B SFY2022-23
910000316 WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-09-06 00:00:00 920017946 Closed Citation Citation A (HSC 1424) Patient Care None 2022-05-17 00:00:00 2022-05-17 00:00:00 No 2022-09-27 00:00:00 None A None 25000 25000 0 25000 0 None 6VON11 N CA00785335, CA00785335, CA00785938, CA00785938, CA00785938 B, B, B, B, B SFY2022-23
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-02 00:00:00 920017948 Open Citation Citation A (HSC 1424) Patient Care None 2022-07-19 00:00:00 2022-07-19 00:00:00 Yes 2022-09-26 00:00:00 2022-09-21 00:00:00 A None 25000 75000 0 0 75000 None Z2V511 N CA00794378 A SFY2022-23
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-01 00:00:00 920017951 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-05-17 00:00:00 2022-05-17 00:00:00 No 2022-09-23 00:00:00 None B None 3000 3000 0 3000 0 None EVGG11 N CA00785459 B SFY2022-23
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-01 00:00:00 920017952 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-07-18 00:00:00 2022-07-18 00:00:00 No 2022-09-23 00:00:00 None B None 3000 3000 0 3000 0 None 1RX611 N CA00791921, CA00791921, CA00791921, CA00795437, CA00795437 B, B, B, B, B SFY2022-23
920000069 THE CARE CENTER ON HAZELTINE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2022-09-09 00:00:00 920017970 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-05 00:00:00 2022-06-05 00:00:00 No 2022-09-30 00:00:00 None B None 3000 3000 -1050 1950 0 None P03C11 N CA00788090 B SFY2022-23
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2022-09-08 00:00:00 920017973 Open Citation Citation A (HSC 1424) Patient Rights None 2020-12-12 00:00:00 2020-12-12 00:00:00 Yes 2022-09-29 00:00:00 2022-09-15 00:00:00 A None 20000 20000 0 0 20000 None U00111 N None None SFY2022-23
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-09-08 00:00:00 920017974 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-07-07 00:00:00 2022-07-07 00:00:00 No 2022-09-29 00:00:00 None B None 3000 3000 -1050 1950 0 None ZMEL11 N CA00792471 A SFY2022-23
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-09 00:00:00 920017981 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-07-15 00:00:00 2022-07-15 00:00:00 No 2022-09-30 00:00:00 None B None 3000 3000 -1050 1950 0 None NL9V11 N CA00795191, CA00795191, CA00795191, CA00795191, CA00795537, CA00795537 A, A, A, A, A, A SFY2022-23
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-09-09 00:00:00 920017982 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-17 00:00:00 2022-07-17 00:00:00 No 2022-09-30 00:00:00 None A None 20000 20000 -7000 13000 0 None NYBF11 Y CA00789231, CA00789231, CA00789231 B, B, B SFY2022-23
920000005 COUNTRY MANOR HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2022-09-13 00:00:00 920017985 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-05-23 00:00:00 2022-05-23 00:00:00 No 2022-10-04 00:00:00 None B None 2500 2500 0 2500 0 None Y69T11 N CA00786138 B SFY2022-23
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-16 00:00:00 920017997 Open Citation Citation A (HSC 1424) Patient Care None 2022-06-16 00:00:00 2022-06-16 00:00:00 Yes 2022-10-07 00:00:00 2022-10-07 00:00:00 A None 25000 25000 0 0 25000 None TFQS11 N CA00790467 A SFY2022-23
920000310 THE GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-16 00:00:00 920017999 Open Citation Citation A (HSC 1424) Patient Care None 2022-06-14 00:00:00 2022-06-14 00:00:00 Yes 2022-10-07 00:00:00 2022-10-06 00:00:00 A None 25000 25000 0 0 25000 None GLWI11 N CA00789313 B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-16 00:00:00 920018001 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-20 00:00:00 2022-06-20 00:00:00 No 2022-10-07 00:00:00 None A None 25000 25100 -8750 16350 0 None 0DTE11 N CA00790589 B SFY2022-23
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2022-09-21 00:00:00 920018002 Open Citation Citation A (HSC 1424) Patient Care None 2022-08-17 00:00:00 2022-08-17 00:00:00 Yes 2022-10-12 00:00:00 2022-09-26 00:00:00 A None 25000 25000 0 0 25000 None NNI711 Y CA00799107, CA00799107, CA00799107 A, A, A SFY2022-23
920000005 COUNTRY MANOR HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2022-09-19 00:00:00 920018004 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-13 00:00:00 2022-06-13 00:00:00 No 2022-10-10 00:00:00 None B None 2500 2500 0 2500 0 None BQ1311 N CA00788981 B SFY2022-23
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-20 00:00:00 920018005 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-30 00:00:00 2022-06-30 00:00:00 No 2022-10-11 00:00:00 None B None 3000 9000 0 9000 0 None EQ0L11 N CA00792932 B SFY2022-23
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-20 00:00:00 920018006 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-07-29 00:00:00 2022-07-29 00:00:00 No 2022-10-11 00:00:00 None B None 2500 2500 -875 1625 0 None MR8Y11 N CA00796111 A SFY2022-23
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-20 00:00:00 920018007 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-07-29 00:00:00 2022-07-29 00:00:00 No 2022-10-11 00:00:00 None B None 2500 2500 -875 1625 0 None MR8Y11 N CA00796111 A SFY2022-23
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-09-23 00:00:00 920018013 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-09-01 00:00:00 2022-09-01 00:00:00 No 2022-10-14 00:00:00 None B None 3000 9000 -3150 5850 0 None KYZY11 N CA00800182 A SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-26 00:00:00 920018015 Closed Citation Citation A (HSC 1424) Patient Care None 2021-10-19 00:00:00 2021-10-19 00:00:00 No 2022-10-17 00:00:00 None A None 20000 20000 0 20000 0 None 5OAE11 N CA00793738, CA00793738, CA00793738 B, B, B SFY2022-23
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-28 00:00:00 920018018 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-08-29 00:00:00 2022-08-29 00:00:00 No 2022-10-19 00:00:00 None B None 3000 3000 -1050 1950 0 None 9RPM11 N CA00800175, CA00800175 B, B SFY2022-23
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2022-09-30 00:00:00 920018025 Closed Citation Citation AA (HSC 1424) Patient Care None 2022-08-01 00:00:00 2022-08-01 00:00:00 No 2022-10-21 00:00:00 None AA None 100000 100000 -35000 65000 0 None N6EF11 Y CA00796714 A SFY2022-23
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2022-09-30 00:00:00 920018037 Closed Citation Citation B (HSC 1424) Patient Care Patient Care 2022-05-16 00:00:00 2022-05-16 00:00:00 Yes 2022-10-21 00:00:00 2022-10-18 00:00:00 B B 2000 2250 -550 1700 0 None 7KZM11 N CA00796094 B SFY2022-23
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2022-10-06 00:00:00 920018054 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-03 00:00:00 2022-07-03 00:00:00 No 2022-10-27 00:00:00 None A None 25000 25000 -8750 16250 0 None 7ISM11 N CA00791771, CA00791771, CA00791771 B, B, B SFY2022-23
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-10-07 00:00:00 920018064 Closed Citation Citation B (HSC 1424) Staffing None 2022-08-27 00:00:00 2022-08-27 00:00:00 No 2022-10-28 00:00:00 None B None 2500 2500 -875 1625 0 None ENLF11 N CA00800404, CA00800404, CA00800642 A, A, A SFY2022-23
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-10-14 00:00:00 920018085 Closed Citation Citation A (HSC 1424) Patient Care None 2022-02-28 00:00:00 2022-02-28 00:00:00 No 2022-11-04 00:00:00 None A None 25000 75000 -26250 48750 0 None I4P411 N CA00796130, CA00796130 B, B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-10-20 00:00:00 920018100 Open Citation Citation A (HSC 1424) Patient Care None 2022-07-04 00:00:00 2022-07-04 00:00:00 No 2022-11-10 00:00:00 None A None 25000 75000 -26250 48850 -100 None GKAO11 N CA00795570, CA00795570 B, B SFY2022-23
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-10-21 00:00:00 920018105 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-09-01 00:00:00 2022-09-01 00:00:00 No 2022-11-14 00:00:00 None B None 3000 3000 0 3000 0 None 4V0B11 N CA00801218, CA00803275 B, B SFY2022-23
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-10-25 00:00:00 920018114 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2022-08-17 00:00:00 2022-08-17 00:00:00 No 2022-11-16 00:00:00 None WF None 3500 3500 0 3500 0 None RK8P11 N CA00798739 A SFY2022-23
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-10-25 00:00:00 920018115 Closed Citation Citation A (HSC 1424) Patient Care None 2022-09-09 00:00:00 2022-09-09 00:00:00 Yes 2022-11-16 00:00:00 2022-11-08 00:00:00 A B 20000 20000 0 20000 0 None 6UZR11 N CA00802633, CA00803307 B, A SFY2022-23
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2022-10-26 00:00:00 920018117 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2022-08-18 00:00:00 2022-09-10 00:00:00 No 2022-11-17 00:00:00 None B None 3000 4150 -1050 3100 0 None T44K11 N CA00802964 A SFY2022-23
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2022-10-26 00:00:00 920018118 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2022-08-17 00:00:00 2022-09-10 00:00:00 No 2022-11-17 00:00:00 None B None 3000 4200 -1050 3150 0 None T44K11 N CA00802964, CA00802964 A, A SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-11-02 00:00:00 920018129 Closed Citation Citation B (HSC 1424) Problem Transfer None 2022-09-06 00:00:00 2022-09-06 00:00:00 No 2022-11-28 00:00:00 None B None 3000 3000 0 3000 0 None 7DYC11 N CA00802192, CA00802192, CA00802192 A, A, A SFY2022-23
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-11-17 00:00:00 920018151 Closed Citation Citation B (HSC 1424) Medication None 2022-10-18 00:00:00 2022-10-18 00:00:00 No 2022-12-12 00:00:00 None B None 3000 5100 -1050 4050 0 None 9LNP11 N CA00807802, CA00807802, CA00807802, CA00807802, CA00807802, CA00807802, CA00807802, CA00807802 A, A, A, A, A, A, A, A SFY2022-23
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-11-21 00:00:00 920018161 Open Citation Citation A (HSC 1424) Patient Care None 2022-08-09 00:00:00 2022-08-09 00:00:00 No 2022-12-14 00:00:00 None A None 25000 25000 0 0 25000 None B7BC11 N CA00805294, CA00805799, CA00805799, CA00806200, CA00806200, CA00806200 B, A, A, A, A, A SFY2022-23
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-11-21 00:00:00 920018163 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-14 00:00:00 2022-10-14 00:00:00 No 2022-12-14 00:00:00 None A None 25000 76500 -26250 50250 0 None I18H11 N CA00807580, CA00807580, CA00807580, CA00810538, CA00810538, CA00810538 B, B, B, A, A, A SFY2022-23
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2022-11-21 00:00:00 920018164 Open Citation Citation AA (HSC 1424) Patient Care None 2022-05-23 00:00:00 2022-05-23 00:00:00 Yes 2022-12-14 00:00:00 2022-11-28 00:00:00 AA None 120000 121200 0 0 121200 None 6N8W11 Y CA00804866, CA00804866, CA00804866, CA00804866, CA00804866 A, A, A, A, A SFY2022-23
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-11-23 00:00:00 920018168 Open Citation Citation B (HSC 1424) Patient Rights None 2022-10-09 00:00:00 2022-10-09 00:00:00 No 2022-12-16 00:00:00 None B None 3000 3000 0 0 3000 None CRFS11 N CA00807450 B SFY2022-23
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-11-23 00:00:00 920018178 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse Reporting 2022-08-19 00:00:00 2022-08-19 00:00:00 No 2022-12-16 00:00:00 None B None 3000 3000 0 3000 0 None 8KFG11 Y CA00799946 B SFY2022-23
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2022-11-23 00:00:00 920018179 Open Citation Citation A (HSC 1424) Patient Care None 2022-08-18 00:00:00 2022-08-18 00:00:00 No 2022-12-16 00:00:00 None A None 25000 75050 0 0 75050 None 8KFG11 Y CA00799946 B SFY2022-23
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2022-11-23 00:00:00 920018181 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-07 00:00:00 2022-10-07 00:00:00 No 2022-12-15 00:00:00 None B None 3000 9000 -3150 5850 0 None 4RLF11 N CA00806550 B SFY2022-23
920000030 THE HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-11-23 00:00:00 920018182 Closed Citation Citation B (HSC 1424) Staffing None 2022-10-13 00:00:00 2022-10-13 00:00:00 No 2022-12-15 00:00:00 None B None 2000 2000 -700 1300 0 None 4UMG11 N None None SFY2022-23
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-02 00:00:00 920018204 Open Citation Citation A (HSC 1424) Patient Care None 2022-10-05 00:00:00 2022-10-05 00:00:00 Yes 2022-12-23 00:00:00 2022-12-20 00:00:00 A None 20000 20000 0 0 20000 None 5BOC11 N CA00806278 B SFY2022-23
920000083 CANYON OAKS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-09 00:00:00 920018232 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-18 00:00:00 2022-10-18 00:00:00 No 2022-12-30 00:00:00 None A None 20000 20000 0 20000 0 None 307F11 N CA00808435 A SFY2022-23
910000324 KENNEDY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-13 00:00:00 920018238 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-01 00:00:00 2022-09-01 00:00:00 No 2023-01-04 00:00:00 None B None 3000 3000 -1050 1950 0 None OX1R11 N CA00803715 B SFY2022-23
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-14 00:00:00 920018243 Open Citation Citation A (HSC 1424) Patient Care None 2022-06-23 00:00:00 2022-06-23 00:00:00 Yes 2023-01-05 00:00:00 2022-12-21 00:00:00 A None 20000 20000 0 0 20000 None OE2D11 N CA00807110, CA00808300, CA00809042 B, B, B SFY2022-23
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-14 00:00:00 920018244 Open Citation Citation A (HSC 1424) Patient Care None 2022-09-09 00:00:00 2022-09-09 00:00:00 Yes 2023-01-05 00:00:00 2022-12-21 00:00:00 A None 20000 20000 0 0 20000 None OE2D11 N CA00807110, CA00808300, CA00809042 B, B, B SFY2022-23
910000073 BRENTWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-20 00:00:00 920018252 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-23 00:00:00 2022-09-23 00:00:00 No 2023-01-11 00:00:00 None B None 3000 3200 -1050 2150 0 None PLVC11 Y None None SFY2022-23
910000073 BRENTWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-20 00:00:00 920018254 Closed Citation Citation B (HSC 1424) Administration None 2022-11-18 00:00:00 2022-11-18 00:00:00 No 2023-01-11 00:00:00 None B None 3000 3000 -1050 1950 0 None PLVC11 N None None SFY2022-23
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-22 00:00:00 920018258 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-10 00:00:00 2022-12-10 00:00:00 No 2023-01-13 00:00:00 None A None 20000 60000 0 60000 0 None KM7211 N CA00806850, CA00809985 B, A SFY2022-23
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2022-12-28 00:00:00 920018265 Closed Citation Citation A (HSC 1424) Patient Care None 2022-09-13 00:00:00 2022-09-13 00:00:00 No 2023-01-20 00:00:00 None A None 25000 25000 -8750 16250 0 None 9LIO11 N CA00805475, CA00805475, CA00805475 B, B, B SFY2022-23
910000320 GUARDIAN REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-12-29 00:00:00 920018272 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-03 00:00:00 2022-10-03 00:00:00 Yes 2023-01-23 00:00:00 2023-01-17 00:00:00 A None 25000 25000 -8750 16250 0 None K3T011 N CA00806036, CA00806036 B, B SFY2022-23
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-30 00:00:00 920018280 Open Citation Citation AA (HSC 1424) Patient Care None 2022-09-08 00:00:00 2022-09-08 00:00:00 Yes 2023-01-24 00:00:00 2023-01-23 00:00:00 AA None 120000 120050 0 0 120050 None NE3B11 Y CA00803963, CA00803963 B, B SFY2022-23
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-01-06 00:00:00 920018288 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-02-26 00:00:00 2021-02-26 00:00:00 No 2023-01-30 00:00:00 None B None 2000 2000 0 2000 0 None D6WB11 N CA00810295 B SFY2022-23
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-01-06 00:00:00 920018290 Open Citation Citation A (HSC 1424) Patient Care None 2022-10-12 00:00:00 2022-10-12 00:00:00 No 2023-01-30 00:00:00 None A None 25000 25050 0 0 25050 None R51711 N CA00807085 B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-01-11 00:00:00 920018297 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2022-09-30 00:00:00 2022-09-30 00:00:00 No 2023-02-02 00:00:00 None WF None 25000 25050 -8750 16300 0 None RFZN11 None CA00808935, CA00808935, CA00808935 B, B, B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-01-11 00:00:00 920018299 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-29 00:00:00 2022-10-29 00:00:00 No 2023-02-02 00:00:00 None A None 25000 75000 -26250 48750 0 None RFZN11 N CA00808935, CA00808935, CA00808935 B, B, B SFY2022-23
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-01-27 00:00:00 920018323 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-23 00:00:00 2022-11-23 00:00:00 No 2023-02-17 00:00:00 None B None 3000 3000 -1050 1950 0 None KZV211 N CA00812842 B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-01-20 00:00:00 920018343 Closed Citation Citation AA (HSC 1424) Patient Care None 2022-04-25 00:00:00 2022-04-25 00:00:00 No 2023-02-10 00:00:00 None AA None 120000 120000 0 120000 0 None 5FLI11 Y CA00808938, CA00808938, CA00808938 A, A, A SFY2022-23
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-01-25 00:00:00 920018355 Open Citation Citation AA (HSC 1424) Patient Care None 2022-12-02 00:00:00 2022-12-02 00:00:00 No 2023-02-15 00:00:00 None AA None 100000 100000 0 0 100000 None UE8T11 Y CA00815240 A SFY2022-23
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2023-01-25 00:00:00 920018357 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-30 00:00:00 2022-10-30 00:00:00 No 2023-02-15 00:00:00 None B None 3000 3000 0 3000 0 None 5YCJ11 N CA00809685 B SFY2022-23
920000089 THE REHABILITATION CENTER OF NORTH HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-02-02 00:00:00 920018373 Open Citation Citation AA (HSC 1424) Patient Care None 2022-11-04 00:00:00 2022-11-04 00:00:00 Yes 2023-02-24 00:00:00 2023-02-03 00:00:00 AA None 100000 100000 0 0 100000 None DWCJ11 Y CA00811583 A SFY2022-23
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2023-02-10 00:00:00 920018386 Open Citation Citation A (HSC 1424) Patient Care None 2022-11-06 00:00:00 2022-11-06 00:00:00 No 2023-03-06 00:00:00 None A None 25000 25000 -8750 16250 0 None EYGB11 N CA00815155, CA00815155, CA00815155 B, B, B SFY2022-23
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-02-10 00:00:00 920018390 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-12-17 00:00:00 2022-12-17 00:00:00 No 2023-03-06 00:00:00 None B None 3000 3000 -1050 1950 0 None 57U911 N CA00821000 B SFY2022-23
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-02-16 00:00:00 920018417 Open Citation Citation A (HSC 1424) Patient Care None 2022-12-22 00:00:00 2022-12-22 00:00:00 No 2023-03-10 00:00:00 None A None 25000 75100 0 0 75100 None O1L911 N CA00818204, CA00818204 A, A SFY2022-23
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-02-16 00:00:00 920018418 Closed Citation Citation A (HSC 1424) Patient Care None 2022-11-01 00:00:00 2022-11-01 00:00:00 No 2023-03-10 00:00:00 None A None 25000 75050 -26250 48800 0 None O1L911 N CA00818204, CA00818204 A, A SFY2022-23
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2023-02-17 00:00:00 920018423 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-11-11 00:00:00 2022-11-11 00:00:00 No 2023-03-13 00:00:00 None B None 3000 3000 0 3000 0 None 35JC11 N CA00814288, CA00814288, CA00814288, CA00814288 B, B, B, B SFY2022-23
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-02-16 00:00:00 920018424 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-22 00:00:00 2022-12-22 00:00:00 No 2023-03-10 00:00:00 None B None 3000 3100 0 3100 0 None O1L911 N CA00818204, CA00818204 A, A SFY2022-23
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2023-02-17 00:00:00 920018426 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-11 00:00:00 2022-11-11 00:00:00 No 2023-03-13 00:00:00 None B None 3000 3000 0 3000 0 None 35JC11 N CA00814288, CA00814288, CA00814288 B, B, B SFY2022-23
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-02-23 00:00:00 920018438 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-24 00:00:00 2022-11-24 00:00:00 No 2023-03-16 00:00:00 None B None 3000 3000 0 3000 0 None NT0O11 N CA00813566, CA00813566 B, B SFY2022-23
930000611 PACIFICA HOSPITAL OF THE VALLEY D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2023-02-28 00:00:00 920018442 Closed Citation Citation B (HSC 1424) Administration None 2022-05-15 00:00:00 2022-05-15 00:00:00 No 2023-03-21 00:00:00 None B None 3000 3000 -1050 1950 0 None JFC511 N None None SFY2022-23
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-02-28 00:00:00 920018443 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-01-06 00:00:00 2023-01-06 00:00:00 No 2023-03-21 00:00:00 None WF None 3500 3500 -1225 2275 0 None YXMD11 None CA00819468, CA00819468 B, B SFY2022-23
920000062 EISENBERG VILLAGE LTC SNF Skilled Nursing Facility LA Region 2 2023-02-28 00:00:00 920018444 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-05-17 00:00:00 2022-05-17 00:00:00 No 2023-03-21 00:00:00 None B None 3000 3000 -1050 1950 0 None W7R611 N CA00820553 B SFY2022-23
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-03-01 00:00:00 920018457 Closed Citation Citation A (HSC 1424) Patient Care None 2023-01-05 00:00:00 2023-01-05 00:00:00 No 2023-03-22 00:00:00 None A None 25000 25000 -8750 16250 0 None RL3Y11 N CA00819636, CA00819636, CA00819819, CA00819819, CA00819819 A, A, B, B, B SFY2022-23
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2023-03-01 00:00:00 920018458 Open Citation Citation B (HSC 1424) Patient Rights None 2023-01-20 00:00:00 2023-01-20 00:00:00 No 2023-03-22 00:00:00 None B None 3000 3000 0 0 3000 None 6KT811 N CA00818466, CA00818466, CA00818466 B, B, B SFY2022-23
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-03-02 00:00:00 920018460 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-12-11 00:00:00 2022-12-11 00:00:00 No 2023-03-23 00:00:00 None B None 3000 9000 0 9000 0 None BIO111 N CA00816111, CA00821037, CA00821037, CA00821037 B, B, B, B SFY2022-23
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-03-09 00:00:00 920018481 Closed Citation Citation B (HSC 1424) Administration None 2023-01-25 00:00:00 2023-01-25 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None 3WEL11 N CA00822505, CA00822505, CA00822505 A, A, A SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-03-08 00:00:00 920018485 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-05 00:00:00 2023-01-05 00:00:00 No 2023-03-29 00:00:00 None B None 3000 3200 0 3200 0 None 471C11 N CA00819585 B SFY2022-23
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2023-03-10 00:00:00 920018487 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-02 00:00:00 2023-02-02 00:00:00 No 2023-04-03 00:00:00 None B None 3000 3000 0 0 3000 None OD5K11 N CA00825306, CA00825809 A, B SFY2022-23
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2023-03-10 00:00:00 920018488 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-02 00:00:00 2023-02-02 00:00:00 No 2023-04-03 00:00:00 None B None 3000 3000 0 0 3000 None OD5K11 N None None SFY2022-23
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-03-15 00:00:00 920018508 Closed Citation Citation A (HSC 1424) Patient Care None 2023-01-03 00:00:00 2023-01-03 00:00:00 No 2023-04-06 00:00:00 None A None 25000 25000 -8750 16250 0 None 5BW911 Y CA00818458, CA00818458, CA00818458, CA00818458, CA00818458, CA00818974 B, B, B, B, B, A SFY2022-23
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-03-17 00:00:00 920018524 Closed Citation Citation A (HSC 1424) Patient Care None 2023-01-01 00:00:00 2023-01-01 00:00:00 No 2023-04-10 00:00:00 None A None 25000 25000 -8750 16250 0 None SSH811 N None None SFY2022-23
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-03-17 00:00:00 920018525 Closed Citation Citation A (HSC 1424) Patient Care None 2019-11-22 00:00:00 2019-11-22 00:00:00 No 2023-04-10 00:00:00 None A None 20000 20000 -7000 13000 0 None SSH811 N None None SFY2022-23
630016910 THE ELLISON JOHN TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-03-17 00:00:00 920018526 Closed Citation Citation A (HSC 1424) Patient Care None 2022-09-23 00:00:00 2022-09-23 00:00:00 No 2023-04-10 00:00:00 None A None 25000 25000 -8750 16250 0 None L5ZC11 N CA00824455 B SFY2022-23
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-03-22 00:00:00 920018552 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-02 00:00:00 2022-12-02 00:00:00 No 2023-04-13 00:00:00 None A None 20000 20000 0 20000 0 None I7G211 N CA00814795, CA00814795 A, A SFY2022-23
910000019 NEW VISTA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-03 00:00:00 920018579 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-02-27 00:00:00 2023-02-27 00:00:00 No 2023-04-24 00:00:00 None WF None 3500 3500 0 3500 0 None JJ5411 N CA00827951, CA00827951, CA00827951 B, B, B SFY2022-23
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-03-29 00:00:00 920018593 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-03-16 00:00:00 2023-03-16 00:00:00 No 2023-04-20 00:00:00 None B None 3000 3000 -1050 1950 0 None 1NI611 N CA00830115, CA00830115 B, B SFY2022-23
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-12 00:00:00 920018594 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-05-03 00:00:00 None B None 3000 3150 0 3150 0 None C5HK11 N CA00825857, CA00825857, CA00825857, CA00825857, CA00825857 B, B, B, B, B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-04 00:00:00 920018600 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-01-15 00:00:00 2023-01-15 00:00:00 No 2023-04-25 00:00:00 None WF None 7500 7800 0 7800 0 None IJ4K11 None CA00826109, CA00826109, CA00826109 B, B, B SFY2022-23
970000127 BURLINGTON CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-04-12 00:00:00 920018601 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-03 00:00:00 2023-01-03 00:00:00 No 2023-05-03 00:00:00 None B None 3000 3000 -1050 1950 0 None F68B11 N None None SFY2022-23
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-04 00:00:00 920018602 Closed Citation Citation B (HSC 1424) Administration None 2023-02-15 00:00:00 2023-02-15 00:00:00 No 2023-04-25 00:00:00 None B None 3000 3250 -1050 2200 0 None SP3Z11 N None None SFY2022-23
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-12 00:00:00 920018617 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-02-07 00:00:00 2023-02-07 00:00:00 No 2023-05-03 00:00:00 None B None 3000 3000 0 3000 0 None LGNH11 N CA00825756 B SFY2022-23
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-12 00:00:00 920018618 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-07 00:00:00 2023-02-07 00:00:00 No 2023-05-03 00:00:00 None B None 3000 3000 0 3000 0 None LGNH11 N CA00825756 B SFY2022-23
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-04-10 00:00:00 920018621 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-01 00:00:00 2023-03-01 00:00:00 No 2023-05-01 00:00:00 None B None 3000 3000 0 3000 0 None LEDL11 N CA00826544, CA00826544, CA00826544, CA00826544, CA00826544 B, B, B, B, B SFY2022-23
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-13 00:00:00 920018628 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-23 00:00:00 2023-02-23 00:00:00 No 2023-05-04 00:00:00 None B None 3000 3350 -1050 2300 0 None 8U1N11 N CA00828659, CA00828659 B, B SFY2022-23
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-13 00:00:00 920018629 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-23 00:00:00 2023-02-23 00:00:00 No 2023-05-04 00:00:00 None B None 3000 3350 -1050 2300 0 None 8U1N11 N CA00828659, CA00828659, CA00828659 B, B, B SFY2022-23
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-04-14 00:00:00 920018635 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-03-02 00:00:00 2023-03-02 00:00:00 No 2023-05-05 00:00:00 None B None 3000 3000 -1050 1950 0 None 254P11 N CA00829320 A SFY2022-23
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2023-04-18 00:00:00 920018645 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-04 00:00:00 2023-03-04 00:00:00 No 2023-05-09 00:00:00 None B None 3000 3000 -1050 1950 0 None ZBVX11 N CA00830175, CA00830175 B, B SFY2022-23
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-04-20 00:00:00 920018652 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-03-16 00:00:00 2023-03-16 00:00:00 No 2023-05-11 00:00:00 None B None 3000 3000 -1050 1950 0 None 9BFT11 N CA00831667, CA00831700, CA00833516 A, A, B SFY2022-23
910000019 NEW VISTA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-21 00:00:00 920018658 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-20 00:00:00 2023-02-20 00:00:00 No 2023-05-12 00:00:00 None B None 3000 3000 0 3000 0 None FJ3S11 Y CA00828184, CA00828184, CA00828184, CA00828860, CA00828860, CA00829199, CA00829199, CA00829199, CA00829199 A, A, A, A, A, A, A, A, A SFY2022-23
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-04-20 00:00:00 920018659 Open Citation Citation A (HSC 1424) Patient Care None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-05-11 00:00:00 None A None 25000 25000 0 0 25000 None KLID11 N CA00826514, CA00826514, CA00826514 B, B, B SFY2022-23
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2023-04-21 00:00:00 920018664 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-14 00:00:00 2022-10-14 00:00:00 Yes 2023-05-12 00:00:00 2023-05-04 00:00:00 A A 25000 58000 0 58000 0 None F8FA11 N CA00826064, CA00826064, CA00826064, CA00826064 B, B, B, B SFY2022-23
910000316 WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-04-21 00:00:00 920018668 Open Citation Citation A (HSC 1424) Patient Care None 2023-02-17 00:00:00 2023-02-17 00:00:00 Yes 2023-05-12 00:00:00 2023-05-12 00:00:00 A None 25000 75000 0 0 75000 None ZMPV11 N CA00827754, CA00827754, CA00827754, CA00827754, CA00827754, CA00827754, CA00827754 A, A, A, A, A, A, A SFY2022-23
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2023-04-25 00:00:00 920018683 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-23 00:00:00 2023-01-23 00:00:00 No 2023-05-16 00:00:00 None B None 3000 3000 0 3000 0 None XR5H11 N CA00824554, CA00824554 B, B SFY2022-23
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2023-04-25 00:00:00 920018684 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-23 00:00:00 2023-01-23 00:00:00 No 2023-05-16 00:00:00 None B None 3000 3000 0 3000 0 None XR5H11 N CA00824554, CA00824554 B, B SFY2022-23
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-25 00:00:00 920018687 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-15 00:00:00 2023-03-15 00:00:00 No 2023-05-16 00:00:00 None B None 3000 3000 -1050 1950 0 None BP5511 N CA00829759, CA00829759, CA00829759 B, B, B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-26 00:00:00 920018689 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-21 00:00:00 2023-02-21 00:00:00 No 2023-05-17 00:00:00 None B None 3000 3150 -1050 2100 0 None CYUT11 N CA00827857 B SFY2022-23
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-04-26 00:00:00 920018691 Open Citation Citation B (HSC 1424) Patient Care None 2023-03-15 00:00:00 2023-03-15 00:00:00 No 2023-05-17 00:00:00 None B None 3000 3100 0 0 3100 None MEKQ11 N CA00829943, CA00829943, CA00829943 B, B, B SFY2022-23
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-25 00:00:00 920018694 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-15 00:00:00 2023-03-15 00:00:00 No 2023-05-16 00:00:00 None B None 3000 3000 -1050 1950 0 None BP5511 N CA00829759, CA00829759, CA00829759, CA00829759 B, B, B, B SFY2022-23
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-04-27 00:00:00 920018698 Open Citation Citation A (HSC 1424) Patient Care None 2021-05-22 00:00:00 2021-05-22 00:00:00 No 2023-05-18 00:00:00 None A None 20000 20000 0 0 20000 None MTT611 Y CA00824652, CA00824652, CA00824652, CA00824652, CA00824652, CA00824652 B, B, B, B, B, B SFY2022-23
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-27 00:00:00 920018700 Closed Citation Citation AA (HSC 1424) Patient Care None 2023-03-05 00:00:00 2023-03-05 00:00:00 No 2023-05-18 00:00:00 None AA None 120000 120000 -42000 78000 0 None AK4X11 Y CA00830041, CA00830325, CA00831186 A, B, A SFY2022-23
910000318 PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-04-28 00:00:00 920018705 Closed Citation Citation A (HSC 1424) Medication None 2023-02-09 00:00:00 2023-02-09 00:00:00 No 2023-05-19 00:00:00 None A None 20000 20000 -7000 13000 0 None 5E1P11 N CA00831645, CA00831645 B, B SFY2022-23
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-05-10 00:00:00 920018730 Open Citation Citation A (HSC 1424) Patient Care None 2023-03-18 00:00:00 2023-03-18 00:00:00 Yes 2023-06-01 00:00:00 2023-05-12 00:00:00 A None 20000 20000 0 0 20000 None 7YUG11 N CA00832171, CA00832171 A, A SFY2022-23
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-05-11 00:00:00 920018736 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-03-21 00:00:00 2023-03-21 00:00:00 Yes 2023-06-02 00:00:00 2023-05-26 00:00:00 WF None 3500 5000 0 0 5000 None PDZM11 None CA00831291, CA00831291 B, B SFY2022-23
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-05-11 00:00:00 920018745 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2021-11-21 00:00:00 2021-11-21 00:00:00 No 2023-06-02 00:00:00 None WF None 3000 3000 -1050 1950 0 None 4SX211 None CA00834790, CA00834961, CA00834961, CA00834961, CA00834961 B, B, B, B, B SFY2022-23
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2023-05-11 00:00:00 920018747 Closed Citation Citation A (HSC 1424) Patient Care None 2022-05-17 00:00:00 2022-05-17 00:00:00 No 2023-06-02 00:00:00 None A None 25000 25000 -8750 16250 0 None 1QF411 N CA00830835 B SFY2022-23
920000050 CALIFORNIA HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-05-16 00:00:00 920018748 Open Citation Citation AA (HSC 1424) Patient Care None 2023-03-09 00:00:00 2023-03-09 00:00:00 Yes 2023-06-07 00:00:00 2023-05-17 00:00:00 AA None 100000 100000 0 0 100000 None 7IZ611 Y CA00830569 A SFY2022-23
910000089 VISTA DEL SOL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-05-12 00:00:00 920018750 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-08 00:00:00 2023-03-08 00:00:00 No 2023-06-05 00:00:00 None B None 3000 3000 -1050 1950 0 None JCWJ11 N CA00830244 B SFY2022-23
930001552 SHERMAN OAKS HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-05-12 00:00:00 920018751 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-03-31 00:00:00 2023-03-31 00:00:00 No 2023-06-05 00:00:00 None B None 3000 3000 0 3000 0 None I3ZW11 N None None SFY2022-23
920000292 ARARAT NURSING FACILITY LTC SNF Skilled Nursing Facility LA Region 2 2023-06-01 00:00:00 920018759 Open Citation Citation A (HSC 1424) Patient Rights None 2023-03-11 00:00:00 2023-03-11 00:00:00 Yes 2023-06-22 00:00:00 2023-06-14 00:00:00 A None 25000 25000 0 0 25000 None TQS211 Y CA00831523, CA00831523, CA00831523, CA00833802, CA00833802, CA00838613, CA00838613 A, A, A, B, B, B, B SFY2022-23
920000310 THE GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-05-17 00:00:00 920018760 Closed Citation Citation A (HSC 1424) Patient Care None 2023-02-01 00:00:00 2023-02-01 00:00:00 No 2023-06-08 00:00:00 None A None 25000 75000 0 75000 0 None QBP211 N CA00832328, CA00833058 B, B SFY2022-23
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-05-18 00:00:00 920018764 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-17 00:00:00 2023-04-17 00:00:00 No 2023-06-09 00:00:00 None B None 3000 9000 0 0 9000 None TUFL11 N CA00836735 B SFY2022-23
910000013 BERKLEY WEST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-05-23 00:00:00 920018782 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-27 00:00:00 2023-03-27 00:00:00 No 2023-06-14 00:00:00 None B None 3000 3000 -1050 1950 0 None LFM311 N CA00834053, CA00834053 B, B SFY2022-23
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-05-25 00:00:00 920018794 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-03-07 00:00:00 2023-03-07 00:00:00 No 2023-06-16 00:00:00 None B None 3000 3000 0 3000 0 None SU9D11 N CA00829513, CA00829513, CA00829513, CA00830059, CA00830059, CA00830268, CA00830268 B, B, B, A, A, A, A SFY2022-23
920000089 THE REHABILITATION CENTER OF NORTH HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-06-01 00:00:00 920018813 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-27 00:00:00 2022-12-27 00:00:00 No 2023-06-22 00:00:00 None A None 25000 25000 -8750 16250 0 None H4PL11 N CA00835739, CA00836105, CA00837110 B, B, B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-02 00:00:00 920018822 Open Citation Citation AA (HSC 1424) Patient Care None 2022-12-27 00:00:00 2022-12-27 00:00:00 Yes 2023-06-23 00:00:00 2023-06-12 00:00:00 AA None 120000 120150 0 0 120150 None IJ4K11 Y CA00826109, CA00826109, CA00826109, CA00826109 B, B, B, B SFY2022-23
970000062 GARDEN CREST REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-06 00:00:00 920018831 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-30 00:00:00 2023-04-30 00:00:00 No 2023-06-27 00:00:00 None B None 3000 3000 -1050 1950 0 None C56911 N CA00838749 B SFY2022-23
970000062 GARDEN CREST REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-06 00:00:00 920018833 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-30 00:00:00 2023-04-30 00:00:00 No 2023-06-27 00:00:00 None B None 3000 3000 -1050 1950 0 None C56911 N CA00838749, CA00838749 B, B SFY2022-23
920000055 GRAND VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-08 00:00:00 920018836 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-28 00:00:00 2023-04-28 00:00:00 No 2023-06-29 00:00:00 None B None 3000 3000 -1050 1950 0 None YCP711 N CA00838604 B SFY2022-23
910000013 BERKLEY WEST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-08 00:00:00 920018837 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-24 00:00:00 2023-04-24 00:00:00 No 2023-06-29 00:00:00 None B None 3000 3000 -1050 1950 0 None GG3911 N CA00838157, CA00838157, CA00838157 A, A, A SFY2022-23
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-09 00:00:00 920018842 Open Citation Citation A (HSC 1424) Patient Care None 2023-04-17 00:00:00 2023-04-17 00:00:00 Yes 2023-06-30 00:00:00 2023-06-27 00:00:00 A None 25000 75000 0 0 75000 None MZ0511 N CA00833612, CA00833612, CA00833624, CA00833624, CA00833908, CA00833908 B, B, B, B, B, B SFY2022-23
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-09 00:00:00 920018843 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-04-12 00:00:00 2023-04-12 00:00:00 No 2023-06-30 00:00:00 None B None 3000 3000 0 3000 0 None MZ0511 N CA00833612, CA00833624, CA00833908, CA00835726 B, B, B, A SFY2022-23
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-13 00:00:00 920018850 Closed Citation Citation A (HSC 1424) Patient Care None 2023-04-12 00:00:00 2023-04-12 00:00:00 No 2023-07-05 00:00:00 None A None 25000 25000 -8750 16250 0 None 7QNW11 N CA00836963, CA00836963 B, B SFY2022-23
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2023-06-14 00:00:00 920018854 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-22 00:00:00 2023-04-22 00:00:00 No 2023-07-06 00:00:00 None B None 3000 4000 0 4000 0 None 6M5711 N CA00837885, CA00840434 B, B SFY2022-23
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-14 00:00:00 920018860 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-28 00:00:00 2023-04-28 00:00:00 No 2023-07-06 00:00:00 None B None 3000 3000 0 3000 0 None 3OJ811 N CA00838716, CA00838733, CA00839236, CA00839236 A, B, B, B SFY2022-23
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-14 00:00:00 920018861 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-28 00:00:00 2023-04-28 00:00:00 No 2023-07-06 00:00:00 None B None 3000 3000 0 3000 0 None 3OJ811 N CA00838716, CA00838716, CA00838733, CA00838733, CA00839236, CA00839236, CA00839236 A, A, B, B, B, B, B SFY2022-23
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-21 00:00:00 920018888 Open Citation Citation A (HSC 1424) Patient Care None 2023-03-14 00:00:00 2023-03-14 00:00:00 Yes 2023-07-13 00:00:00 2023-06-30 00:00:00 A None 25000 75050 0 0 75050 None 6OY311 N CA00831494, CA00832076 B, B SFY2022-23
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-26 00:00:00 920018898 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-16 00:00:00 2023-05-16 00:00:00 No 2023-07-18 00:00:00 None B None 3000 3000 -1050 1950 0 None QITT11 N None None SFY2022-23
910000089 VISTA DEL SOL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-29 00:00:00 920018899 Open Citation Citation A (HSC 1424) Patient Care None 2023-05-02 00:00:00 2023-05-02 00:00:00 Yes 2023-07-21 00:00:00 2023-07-21 00:00:00 A None 20000 20000 0 0 20000 None DXZ211 N CA00839086 B SFY2022-23
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-28 00:00:00 920018901 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-04-01 00:00:00 2023-04-01 00:00:00 No 2023-07-20 00:00:00 None WF None 3500 4300 0 0 4300 None 6D5S11 None CA00839581, CA00839835, CA00840441 B, B, A SFY2022-23
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-06-30 00:00:00 920018902 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-17 00:00:00 2023-05-17 00:00:00 No 2023-07-24 00:00:00 None B None 3000 3000 0 3000 0 None K32211 N CA00840990, CA00840990, CA00840990, CA00840990 B, B, B, B SFY2022-23
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2023-06-30 00:00:00 920018903 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-05-22 00:00:00 2023-05-22 00:00:00 No 2023-07-24 00:00:00 None WF None 3500 3500 0 2275 1225 None 4MEI11 None CA00839798, CA00839798 B, B SFY2022-23
920000062 EISENBERG VILLAGE LTC SNF Skilled Nursing Facility LA Region 2 2023-06-29 00:00:00 920018908 Open Citation Citation A (HSC 1424) Patient Care None 2023-05-23 00:00:00 2023-05-23 00:00:00 Yes 2023-07-21 00:00:00 2023-07-06 00:00:00 A None 25000 25000 0 0 25000 None 87VO11 N CA00842317 A SFY2022-23
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-07-13 00:00:00 920018949 Open Citation Citation B (HSC 1424) Problem Transfer None 2023-05-10 00:00:00 2023-05-10 00:00:00 No 2023-08-03 00:00:00 None B None 3000 3850 0 3000 850 None MXTJ11 N CA00843072, CA00843072 A, A SFY2023-24
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-07-14 00:00:00 920018950 Closed Citation Citation A (HSC 1424) Patient Care None 2023-05-19 00:00:00 2023-05-19 00:00:00 No 2023-08-04 00:00:00 None A None 25000 25000 -8750 16250 0 None SKQY11 N CA00842577, CA00842577, CA00842577, CA00842577, CA00842577 A, A, A, A, A SFY2023-24
910000075 OCEAN PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2023-07-14 00:00:00 920018952 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-13 00:00:00 2022-12-13 00:00:00 No 2023-08-04 00:00:00 None B None 3000 3000 -1050 1950 0 None L3VD11 Y CA00844353 A SFY2023-24
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-07-14 00:00:00 920018954 Closed Citation Citation B (HSC 1424) Administration None 2023-06-07 00:00:00 2023-06-07 00:00:00 No 2023-08-04 00:00:00 None B None 3000 9000 -3150 5850 0 None UTK711 N CA00843640, CA00843640, CA00843640, CA00843640, CA00843640, CA00843640, CA00843644, CA00843644 B, B, B, B, B, B, B, B SFY2023-24
920000077 ALAMEDA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-07-20 00:00:00 920018975 Open Citation Citation A (HSC 1424) Patient Care None 2023-05-25 00:00:00 2023-05-25 00:00:00 Yes 2023-08-10 00:00:00 2023-07-27 00:00:00 A None 20000 20000 0 0 20000 None G4GN11 N CA00842827, CA00843578 B, B SFY2023-24
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-08-11 00:00:00 920018987 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-02-18 00:00:00 2023-02-18 00:00:00 No 2023-09-01 00:00:00 None B None 3000 3000 -1050 1950 0 None HG2T11 N CA00846684 A SFY2023-24
910000019 NEW VISTA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-07-21 00:00:00 920018990 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-02-18 00:00:00 2023-02-18 00:00:00 No 2023-08-11 00:00:00 None WF None 3500 3500 0 3500 0 None ZJB911 None CA00843575 B SFY2023-24
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-07-24 00:00:00 920018993 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-06-26 00:00:00 2023-06-26 00:00:00 No 2023-08-14 00:00:00 None B None 3000 3000 -1050 1950 0 None 625I11 N CA00845240 B SFY2023-24
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2023-07-28 00:00:00 920019006 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-16 00:00:00 2023-06-16 00:00:00 No 2023-08-18 00:00:00 None B None 3000 4000 -1050 1950 1000 None NC6P11 N CA00847031 A SFY2023-24
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-08-04 00:00:00 920019030 Open Citation Citation A (HSC 1424) Patient Care None 2023-06-17 00:00:00 2023-06-17 00:00:00 No 2023-08-25 00:00:00 None A None 20000 20000 0 0 20000 None 2VXH11 N CA00846533, CA00846533, CA00846533 A, A, A SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-08-07 00:00:00 920019035 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-06-19 00:00:00 2023-06-19 00:00:00 No 2023-08-28 00:00:00 None B None 3000 3000 -1050 1950 0 None 39QO11 N CA00846568, CA00846568 B, B SFY2023-24
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-08-14 00:00:00 920019044 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-13 00:00:00 2023-07-13 00:00:00 Yes 2023-09-05 00:00:00 2023-08-29 00:00:00 A None 20000 20650 0 0 20650 None HJ8311 N CA00850219, CA00850219, CA00850219 A, A, A SFY2023-24
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-08-10 00:00:00 920019049 Open Citation Citation B (HSC 1424) Problem Transfer None 2023-06-06 00:00:00 2023-06-06 00:00:00 No 2023-08-31 00:00:00 None B None 3000 3100 0 0 3100 None Q6WS11 N CA00845288, CA00845288, CA00845288 A, A, A SFY2023-24
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-08-11 00:00:00 920019054 Open Citation Citation A (HSC 1424) Patient Care None 2023-04-05 00:00:00 2023-04-05 00:00:00 Yes 2023-09-01 00:00:00 2023-08-31 00:00:00 A None 25000 75000 0 0 75000 None MVNF11 N CA00844567, CA00844567, CA00844567, CA00844567, CA00844672, CA00844672, CA00844672, CA00844672, CA00844672 B, B, B, B, B, B, B, B, B SFY2023-24
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-08-18 00:00:00 920019074 Closed Citation Citation A (HSC 1424) Patient Care None 2023-06-17 00:00:00 2023-06-17 00:00:00 No 2023-09-11 00:00:00 None A None 25000 25000 -8750 16250 0 None YDCF11 Y CA00847057 A SFY2023-24
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-08-22 00:00:00 920019085 Closed Citation Citation B (HSC 1424) Problem Transfer None 2023-05-11 00:00:00 2023-05-11 00:00:00 No 2023-09-13 00:00:00 None B None 3000 9000 -3150 5850 0 None RCJC11 N CA00851635, CA00851635 B, B SFY2023-24
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-08-23 00:00:00 920019089 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-17 00:00:00 2023-06-17 00:00:00 No 2023-09-14 00:00:00 None B None 3000 3000 0 3000 0 None MRHB11 N CA00846711, CA00846711 B, B SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-01 00:00:00 920019118 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-18 00:00:00 2023-07-18 00:00:00 Yes 2023-09-25 00:00:00 2023-09-13 00:00:00 A None 25000 25000 0 0 25000 None PVH911 N CA00851256, CA00851256, CA00851256 A, A, A SFY2023-24
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-01 00:00:00 920019127 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-18 00:00:00 2023-07-18 00:00:00 No 2023-09-25 00:00:00 None B None 3000 3000 -1050 1950 0 None EEQZ11 N CA00851223, CA00851223 A, A SFY2023-24
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-09-06 00:00:00 920019130 Open Citation Citation B (HSC 1424) Patient Care None 2023-07-27 00:00:00 2023-07-27 00:00:00 No 2023-09-27 00:00:00 None B None 3000 3000 0 0 3000 None FMZ611 N CA00852599, CA00852599, CA00852599, CA00852599, CA00852599 A, A, A, A, A SFY2023-24
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-07 00:00:00 920019139 Open Citation Citation AA (HSC 1424) Patient Care None 2023-05-04 00:00:00 2023-05-04 00:00:00 Yes 2023-09-28 00:00:00 2023-09-27 00:00:00 AA None 120000 120000 0 0 120000 None K5X311 Y CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00851412, CA00851412, CA00851412, CA00851412 B, B, B, B, B, B, B, A, A, A, A SFY2023-24
910000075 OCEAN PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2023-09-12 00:00:00 920019149 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-08-03 00:00:00 2023-08-03 00:00:00 No 2023-10-03 00:00:00 None B None 3000 3000 0 3000 0 None IJ3U11 N CA00851736 B SFY2023-24
910000075 OCEAN PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2023-09-12 00:00:00 920019154 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-03 00:00:00 2023-08-03 00:00:00 No 2023-10-03 00:00:00 None B None 3000 3000 0 3000 0 None IJ3U11 N CA00851736 B SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-19 00:00:00 920019173 Open Citation Citation B (HSC 1424) Patient Rights None 2023-08-09 00:00:00 2023-08-09 00:00:00 No 2023-10-10 00:00:00 None B None 3000 9000 -3150 5850 0 None D17111 N CA00856967 B SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-19 00:00:00 920019176 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-08-08 00:00:00 2023-08-08 00:00:00 No 2023-10-10 00:00:00 None B None 3000 9000 -3150 5850 0 None D17111 N CA00856967, CA00856967 B, B SFY2023-24
920000089 THE REHABILITATION CENTER OF NORTH HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-09-21 00:00:00 920019185 Closed Citation Citation A (HSC 1424) Patient Care None 2023-08-09 00:00:00 2023-08-09 00:00:00 No 2023-10-12 00:00:00 None A None 25000 25000 -8750 16250 0 None 747F11 N CA00850756, CA00850756 A, A SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-22 00:00:00 920019189 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-08 00:00:00 2023-08-08 00:00:00 No 2023-10-13 00:00:00 None B None 3000 3000 -1050 1950 0 None 6ESM11 N CA00854733, CA00854733, CA00854733 A, A, A SFY2023-24
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-09-21 00:00:00 920019190 Open Citation Citation B (HSC 1424) Physical Environment None 2023-09-01 00:00:00 2023-09-01 00:00:00 No 2023-10-12 00:00:00 None B None 3000 9250 0 9000 250 None 8Z7W11 N CA00858758, CA00858758 B, B SFY2023-24
630016910 THE ELLISON JOHN TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-22 00:00:00 920019194 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-04 00:00:00 2023-08-04 00:00:00 No 2023-10-13 00:00:00 None B None 3000 3000 0 3000 0 None EER611 N CA00854963, CA00856009, CA00856009 A, B, B SFY2023-24
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-25 00:00:00 920019199 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-05 00:00:00 2023-08-05 00:00:00 Yes 2023-10-16 00:00:00 2023-09-26 00:00:00 A None 25000 25000 0 0 25000 None DERK11 N CA00854694, CA00854694, CA00854694 B, B, B SFY2023-24
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-09-27 00:00:00 920019209 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-18 00:00:00 2023-08-18 00:00:00 No 2023-10-18 00:00:00 None A None 25000 75000 0 0 75000 None GV6911 N CA00856730, CA00856730 B, B SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2023-09-28 00:00:00 920019210 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-13 00:00:00 2023-08-13 00:00:00 Yes 2023-10-19 00:00:00 2023-10-13 00:00:00 A None 25000 25000 0 0 25000 None LQ1P11 N CA00855844, CA00855844 A, A SFY2023-24
920000074 PROVIDENCE ST. ELIZABETH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-09-28 00:00:00 920019213 Closed Citation Citation B (HSC 1424) Staffing None 2023-06-03 00:00:00 2023-06-03 00:00:00 No 2023-10-19 00:00:00 None B None 3000 3000 -1050 1950 0 None 501T11 N CA00854465, CA00854465 B, B SFY2023-24
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2023-09-29 00:00:00 920019216 Open Citation Citation B (HSC 1424) Patient Care None 2023-06-12 00:00:00 2023-06-12 00:00:00 No 2023-10-20 00:00:00 None B None 3000 3150 0 3000 150 None E7H011 Y CA00856680, CA00856680, CA00856680, CA00856680, CA00856680, CA00856680, CA00856680 B, B, B, B, B, B, B SFY2023-24
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2023-10-04 00:00:00 920019226 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-04 00:00:00 2023-07-04 00:00:00 No 2023-10-25 00:00:00 None B None 3000 3000 0 3000 0 None XW0E11 N CA00855873 B SFY2023-24
970000062 GARDEN CREST REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-04 00:00:00 920019227 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-06 00:00:00 2023-07-06 00:00:00 No 2023-10-25 00:00:00 None B None 3000 9000 -3150 5850 0 None JHR511 N CA00854393, CA00854393, CA00854393 B, B, B SFY2023-24
970000062 GARDEN CREST REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-05 00:00:00 920019229 Closed Citation Citation A (HSC 1424) Patient Care None 2023-07-06 00:00:00 2023-07-06 00:00:00 No 2023-10-26 00:00:00 None A None 25000 25000 -8750 16250 0 None JHR511 N CA00854393, CA00854393, CA00854393, CA00854393 B, B, B, B SFY2023-24
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-06 00:00:00 920019239 Open Citation Citation A (HSC 1424) Problem Transfer None 2023-08-01 00:00:00 2023-08-01 00:00:00 Yes 2023-10-27 00:00:00 2023-10-23 00:00:00 A None 25000 25000 0 0 25000 None 8U8Q11 N CA00856456, CA00856456, CA00856456 A, A, A SFY2023-24
920000008 SHERMAN VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-06 00:00:00 920019240 Open Citation Citation AA (HSC 1424) Patient Care None 2023-07-05 00:00:00 2023-07-05 00:00:00 Yes 2023-10-27 00:00:00 2023-10-11 00:00:00 AA None 120000 120000 0 0 120000 None RVW111 Y CA00851408, CA00852892 B, B SFY2023-24
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-11 00:00:00 920019249 Closed Citation Citation A (HSC 1424) Patient Care None 2023-08-20 00:00:00 2023-08-20 00:00:00 No 2023-11-01 00:00:00 None A None 25000 25000 0 25000 0 None 4QQ711 N CA00856712 A SFY2023-24
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-10 00:00:00 920019250 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-18 00:00:00 2023-07-18 00:00:00 Yes 2023-10-31 00:00:00 2023-10-18 00:00:00 A None 20000 20000 0 0 20000 None EH6911 Y CA00857495, CA00857495, CA00857495 A, A, A SFY2023-24
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-10-13 00:00:00 920019257 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-09-01 00:00:00 2023-09-01 00:00:00 No 2023-11-03 00:00:00 None B None 3000 3000 -1050 1950 0 None WQUE11 N CA00858864 A SFY2023-24
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-13 00:00:00 920019258 Open Citation Citation B (HSC 1424) Patient Care None 2023-08-20 00:00:00 2023-08-20 00:00:00 No 2023-11-03 00:00:00 None B None 3000 4050 0 3000 1050 None Y8JI11 N CA00857869 A SFY2023-24
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-13 00:00:00 920019260 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-12 00:00:00 2023-09-12 00:00:00 No 2023-11-03 00:00:00 None B None 3000 3000 0 0 3000 None LLOG11 N CA00860554 B SFY2023-24
920000310 THE GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-16 00:00:00 920019262 Closed Citation Citation B (HSC 1424) Administration None 2023-09-20 00:00:00 2023-09-20 00:00:00 No 2023-11-06 00:00:00 None B None 3000 3000 -1050 1950 0 None XH7F11 N CA00862541 A SFY2023-24
920000087 MAGNOLIA GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-10-16 00:00:00 920019264 Open Citation Citation B (HSC 1424) Refusal to Readmit None 2023-08-22 00:00:00 2023-08-23 00:00:00 No 2023-11-06 00:00:00 None B None 3000 3050 -1050 1982.5 17.5 None TFGG11 N CA00857104 A SFY2023-24
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-10-19 00:00:00 920019275 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-21 00:00:00 2023-09-21 00:00:00 No 2023-11-09 00:00:00 None B None 3000 9000 0 0 9000 None FMZ612 N None None SFY2023-24
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2023-10-19 00:00:00 920019282 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-31 00:00:00 2023-08-31 00:00:00 No 2023-11-09 00:00:00 None B None 3000 3000 -1050 1950 0 None TNWO11 N CA00859602 A SFY2023-24
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-10-20 00:00:00 920019285 Closed Citation Citation B (HSC 1424) Patient Care None 2023-09-03 00:00:00 2023-09-03 00:00:00 No 2023-11-13 00:00:00 None B None 3000 3000 -1050 1950 0 None WQUE11 N CA00858864, CA00858864 A, A SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-24 00:00:00 920019294 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-20 00:00:00 2023-09-20 00:00:00 No 2023-11-15 00:00:00 None B None 3000 3000 0 3000 0 None DVQX11 N CA00862415, CA00862415, CA00862415 A, A, A SFY2023-24
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-10-26 00:00:00 920019303 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-03 00:00:00 2023-09-03 00:00:00 No 2023-11-17 00:00:00 None B None 3000 3000 0 0 3000 None EMQT11 N CA00860073, CA00860073, CA00860073, CA00860073, CA00860073, CA00860073 A, A, A, A, A, A SFY2023-24
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-10-26 00:00:00 920019304 Open Citation Citation B (HSC 1424) Patient Care None 2023-10-03 00:00:00 2023-10-03 00:00:00 No 2023-11-17 00:00:00 None B None 3000 3000 0 0 3000 None EMQT11 N CA00860073, CA00860073, CA00860073, CA00860073, CA00860073, CA00860073 A, A, A, A, A, A SFY2023-24
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-27 00:00:00 920019307 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-09-01 00:00:00 2023-09-01 00:00:00 No 2023-11-20 00:00:00 None WF None 3500 3500 0 3500 0 None G0O511 None CA00859647 A SFY2023-24
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-10-27 00:00:00 920019308 Open Citation Citation A (HSC 1424) Patient Care None 2023-09-06 00:00:00 2023-09-06 00:00:00 No 2023-11-20 00:00:00 None A None 25000 25000 0 0 25000 None G0O511 N CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647 A, A, A, A, A, A, A, A, A SFY2023-24
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-10-27 00:00:00 920019316 Open Citation Citation A (HSC 1424) Patient Rights None 2023-05-20 00:00:00 2023-05-20 00:00:00 Yes 2023-11-20 00:00:00 2023-11-02 00:00:00 A None 25000 25000 0 0 25000 None L8WX11 N CA00859648, CA00859916, CA00859916, CA00860041, CA00860041 B, A, A, A, A SFY2023-24
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-01 00:00:00 920019324 Closed Citation Citation A (HSC 1424) Patient Care None 2023-08-23 00:00:00 2023-08-23 00:00:00 No 2023-11-27 00:00:00 None A None 20000 20000 0 20000 0 None VXHD11 N CA00858162, CA00858162, CA00858162 A, A, A SFY2023-24
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2023-10-31 00:00:00 920019326 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-05 00:00:00 2023-09-05 00:00:00 No 2023-11-22 00:00:00 None B None 3000 3000 -1050 1950 0 None V3JJ11 N CA00859505 B SFY2023-24
920000083 CANYON OAKS NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-02 00:00:00 920019330 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-27 00:00:00 2023-08-27 00:00:00 No 2023-11-28 00:00:00 None B None 3000 3000 -1050 1950 0 None UXTM11 N CA00859259, CA00859259, CA00859259, CA00859665, CA00859665, CA00859665 B, B, B, B, B, B SFY2023-24
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-11-03 00:00:00 920019338 Closed Citation Citation B (HSC 1424) Patient Care None 2023-09-05 00:00:00 2023-09-05 00:00:00 No 2023-11-29 00:00:00 None B None 3000 3000 -1050 1950 0 None MFYK11 Y CA00859104 B SFY2023-24
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-03 00:00:00 920019342 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-28 00:00:00 2023-08-28 00:00:00 Yes 2023-11-29 00:00:00 2023-11-08 00:00:00 A None 25000 25000 0 0 25000 None FM8F11 N CA00862088, CA00862088, CA00862088, CA00862088, CA00862990, CA00862990, CA00862990 A, A, A, A, A, A, A SFY2023-24
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-09 00:00:00 920019354 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-09-25 00:00:00 2023-09-25 00:00:00 No 2023-12-05 00:00:00 None WF None 3500 3500 0 0 3500 None ND9I11 None None None SFY2023-24
920000086 GRANADA HILLS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-11-09 00:00:00 920019356 Closed Citation Citation A (HSC 1424) Patient Care None 2023-06-12 00:00:00 2023-06-12 00:00:00 No 2023-12-05 00:00:00 None A None 25000 25000 -8750 16250 0 None 7W8T11 N None None SFY2023-24
910000076 SUNSET PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2023-11-09 00:00:00 920019357 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-01 00:00:00 2023-10-01 00:00:00 No 2023-12-05 00:00:00 None B None 3000 3000 -1050 1950 0 None 787V11 N CA00862242, CA00862242 B, B SFY2023-24
910000330 SHARON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-13 00:00:00 920019362 Open Citation Citation A (HSC 1424) Patient Care None 2023-07-05 00:00:00 2023-07-05 00:00:00 Yes 2023-12-06 00:00:00 2023-12-01 00:00:00 A None 25000 25000 0 0 25000 None P67F11 N CA00861634, CA00861634, CA00861634 B, B, B SFY2023-24
920000310 THE GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-14 00:00:00 920019364 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-14 00:00:00 2023-09-14 00:00:00 Yes 2023-12-07 00:00:00 2023-11-15 00:00:00 B B 3000 3000 0 0 3000 None V91V11 N CA00865240, CA00865601, CA00865819, CA00869111 B, B, A, B SFY2023-24
920000066 SHERMAN OAKS HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-15 00:00:00 920019366 Open Citation Citation A (HSC 1424) Other Nursing Services-IC 2020-07-26 00:00:00 2020-07-26 00:00:00 Yes 2023-12-08 00:00:00 2023-11-16 00:00:00 A None 20000 20000 0 0 20000 None Z5OX11 Y CA00804958, CA00804958 B, B SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-16 00:00:00 920019378 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-04 00:00:00 2023-10-04 00:00:00 No 2023-12-11 00:00:00 None B None 3000 3000 0 3000 0 None LSLZ11 N CA00865570 A SFY2023-24
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2023-11-17 00:00:00 920019379 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-10-04 00:00:00 2023-10-04 00:00:00 No 2023-12-12 00:00:00 None WF None 3500 3500 -1225 2275 0 None 4IKU11 None None None SFY2023-24
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2023-11-17 00:00:00 920019380 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-03 00:00:00 2023-10-03 00:00:00 No 2023-12-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 4IKU11 N None None SFY2023-24
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2023-11-17 00:00:00 920019381 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-31 00:00:00 2023-07-31 00:00:00 No 2023-12-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 4IKU11 N None None SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-22 00:00:00 920019395 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-11 00:00:00 2023-10-11 00:00:00 No 2023-12-15 00:00:00 None B None 3000 3000 0 3000 0 None Y4J711 N CA00865050 A SFY2023-24
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-22 00:00:00 920019396 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-23 00:00:00 2023-09-23 00:00:00 No 2023-12-15 00:00:00 None B None 3000 3000 -1050 1950 0 None MLWH11 N CA00862728 B SFY2023-24
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-11-22 00:00:00 920019399 Closed Citation Citation A (HSC 1424) Patient Care None 2023-10-04 00:00:00 2023-10-04 00:00:00 No 2023-12-15 00:00:00 None A None 25000 25000 -8750 16250 0 None 5RAT11 N CA00862262, CA00863178 B, B SFY2023-24
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-27 00:00:00 920019402 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-26 00:00:00 2023-09-26 00:00:00 No 2023-12-18 00:00:00 None B None 3000 3000 -1050 1950 0 None 66YP11 N CA00863269 A SFY2023-24
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-11-27 00:00:00 920019403 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-01 00:00:00 2023-10-01 00:00:00 No 2023-12-18 00:00:00 None B None 3000 3000 -1050 1950 0 None G2WR11 N CA00863336 B SFY2023-24
920000001 ALL SAINTS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2023-11-30 00:00:00 920019421 Closed Citation Citation B (HSC 1424) Medication None 2023-10-18 00:00:00 2023-10-18 00:00:00 No 2023-12-21 00:00:00 None B None 3000 3000 -1050 1950 0 None J7RW11 N None None SFY2023-24
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-01 00:00:00 920019427 Open Citation Citation A (HSC 1424) Patient Care None 2023-10-04 00:00:00 2023-10-04 00:00:00 Yes 2023-12-22 00:00:00 2023-12-06 00:00:00 A None 25000 43250 0 0 43250 None YT1T11 N None None SFY2023-24
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-01 00:00:00 920019428 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-10-18 00:00:00 2023-10-18 00:00:00 Yes 2023-12-22 00:00:00 2023-12-06 00:00:00 WF None 3500 3500 0 0 3500 None YT1T11 None None None SFY2023-24
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-01 00:00:00 920019429 Closed Citation Citation A (HSC 1424) Patient Care None 2023-07-11 00:00:00 2023-07-11 00:00:00 No 2023-12-22 00:00:00 None A None 25000 25000 -8750 16250 0 None 548911 N CA00862475, CA00862986 A, B SFY2023-24
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-01 00:00:00 920019430 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-10 00:00:00 2023-10-10 00:00:00 No 2023-12-22 00:00:00 None B None 3000 3000 -1050 1950 0 None 548911 N CA00862475, CA00862986 A, B SFY2023-24
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-12-01 00:00:00 920019435 Closed Citation Citation A (HSC 1424) Patient Care None 2023-06-29 00:00:00 2023-06-29 00:00:00 No 2023-12-22 00:00:00 None A None 25000 25050 0 25050 0 None YOPN11 N CA00864759, CA00864771, CA00864950 B, B, B SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-05 00:00:00 920019438 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-10-31 00:00:00 2023-10-31 00:00:00 No 2023-12-27 00:00:00 None B None 3000 9000 -3150 5850 0 None MU5P11 N CA00866191, CA00866191 B, B SFY2023-24
910000320 GUARDIAN REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-12-06 00:00:00 920019445 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-05-13 00:00:00 2022-05-13 00:00:00 No 2023-12-28 00:00:00 None B None 3000 3000 0 3000 0 None UMT511 N CA00867640, CA00867640 A, A SFY2023-24
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-12-07 00:00:00 920019453 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-15 00:00:00 2023-10-15 00:00:00 No 2023-12-29 00:00:00 None B None 3000 3000 0 3000 0 None E58111 N CA00865650, CA00865650, CA00865928, CA00866000, CA00866000 B, B, B, B, B SFY2023-24
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-12-08 00:00:00 920019457 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-17 00:00:00 2023-10-17 00:00:00 No 2024-01-01 00:00:00 None B None 3000 3000 0 0 3000 None UVHR11 N CA00865998, CA00866036, CA00866036, CA00866036 B, B, B, B SFY2023-24
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-11 00:00:00 920019460 Open Citation Citation B (HSC 1424) Patient Care None 2023-11-20 00:00:00 2023-11-20 00:00:00 No 2024-01-02 00:00:00 None B None 3000 3000 0 3000 0 None OEWN11 N CA00871134 A SFY2023-24
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-12 00:00:00 920019465 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-08 00:00:00 2023-11-08 00:00:00 No 2024-01-03 00:00:00 None B None 3000 9000 -3150 5850 0 None EFIY11 N CA00869305 B SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-13 00:00:00 920019478 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-11-25 00:00:00 2023-11-25 00:00:00 No 2024-01-04 00:00:00 None B None 3000 3000 -1050 1950 0 None O7JD11 N None None SFY2023-24
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-12-14 00:00:00 920019484 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-30 00:00:00 2023-10-30 00:00:00 No 2024-01-05 00:00:00 None B None 3000 3000 0 3000 0 None FUV511 N None None SFY2023-24
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-12-14 00:00:00 920019493 Open Citation Citation AA (HSC 1424) Patient Care None 2023-05-06 00:00:00 2023-05-06 00:00:00 Yes 2024-01-05 00:00:00 2023-12-27 00:00:00 AA None 120000 120000 0 0 120000 None FIV611 Y CA00869481, CA00869481, CA00869481, CA00869481, CA00869481, CA00869481, CA00869481 A, A, A, A, A, A, A SFY2023-24
920000030 THE HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-15 00:00:00 920019497 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-25 00:00:00 2023-03-25 00:00:00 No 2024-01-08 00:00:00 None B None 3000 3000 -1050 1950 0 None 9QW811 N CA00867370 A SFY2023-24
920000030 THE HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-15 00:00:00 920019498 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-10-20 00:00:00 2023-10-20 00:00:00 No 2024-01-08 00:00:00 None WF None 3500 3500 -1225 2275 0 None 0EYJ11 None None None SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-15 00:00:00 920019499 Closed Citation Citation B (HSC 1424) Patient Care None 2023-09-24 00:00:00 2023-09-24 00:00:00 No 2024-01-08 00:00:00 None B None 3000 3000 -1050 1950 0 None T37D11 N CA00866100, CA00866100, CA00866100, CA00866100 B, B, B, B SFY2023-24
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2023-12-15 00:00:00 920019500 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-11-06 00:00:00 2023-11-06 00:00:00 No 2024-01-08 00:00:00 None WF None 3500 10500 -3675 6825 0 None H6XF11 None CA00867452 B SFY2023-24
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-12-18 00:00:00 920019506 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-16 00:00:00 2023-10-16 00:00:00 No 2024-01-09 00:00:00 None B None 3000 4100 0 4100 0 None 3OCK11 N CA00866799, CA00866799 B, B SFY2023-24
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-20 00:00:00 920019515 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-01 00:00:00 2023-11-01 00:00:00 No 2024-01-11 00:00:00 None B None 3000 3000 -1050 1950 0 None P9PI11 N CA00868606 A SFY2023-24
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-12-21 00:00:00 920019522 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-13 00:00:00 2023-11-13 00:00:00 No 2024-01-12 00:00:00 None B None 3000 3000 0 3000 0 None NSRC11 N CA00869726 A SFY2023-24
970000062 GARDEN CREST REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-28 00:00:00 920019527 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-11 00:00:00 2023-11-11 00:00:00 No 2024-01-18 00:00:00 None A None 25000 75000 -26250 48750 0 None IUG211 N CA00863381 C SFY2023-24
970000062 GARDEN CREST REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-26 00:00:00 920019528 Closed Citation Citation B (HSC 1424) Patient Care None 2023-09-28 00:00:00 2023-09-28 00:00:00 No 2024-01-16 00:00:00 None B None 3000 3000 -1050 1950 0 None IUG211 N CA00863381, CA00863381 C, C SFY2023-24
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-28 00:00:00 920019530 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-03 00:00:00 2023-07-03 00:00:00 No 2024-01-18 00:00:00 None B None 3000 3350 0 3350 0 None LS3R11 N CA00870706, CA00870706, CA00870706 B, B, B SFY2023-24
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2024-01-02 00:00:00 920019531 Open Citation Citation B (HSC 1424) Patient Care None 2023-11-19 00:00:00 2023-11-19 00:00:00 No 2024-01-23 00:00:00 None B None 3000 9000 -3150 5850 0 None QYRP11 N CA00870815, CA00870815 B, B SFY2023-24
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-28 00:00:00 920019534 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-10-25 00:00:00 2023-10-25 00:00:00 No 2024-01-18 00:00:00 None WF None 3500 3500 -1225 2275 0 None YY3Z11 None CA00867380, CA00867440 A, A SFY2023-24
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-29 00:00:00 920019537 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-01 00:00:00 2023-11-01 00:00:00 No 2024-01-19 00:00:00 None B None 3000 3000 0 0 3000 None FKYB11 N CA00868153, CA00869541 B, B SFY2023-24
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-29 00:00:00 920019549 Open Citation Citation A (HSC 1424) Patient Care None 2023-06-24 00:00:00 2023-06-24 00:00:00 No 2024-01-19 00:00:00 None A None 20000 60000 0 0 60000 None KJT511 N CA00869683, CA00869683, CA00869683, CA00869683, CA00869809, CA00869809, CA00869809 B, B, B, B, A, A, A SFY2023-24
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-02 00:00:00 920019554 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-30 00:00:00 2023-10-30 00:00:00 No 2024-01-23 00:00:00 None B None 3000 3000 0 3000 0 None OBVV11 N CA00868328, CA00868328, CA00868328, CA00868328, CA00868328 B, B, B, B, B SFY2023-24
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-05 00:00:00 920019563 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2023-11-13 00:00:00 2023-11-16 00:00:00 No 2024-01-26 00:00:00 None B None 3000 3150 -1050 2100 0 None 3IXW11 N CA00870244 A SFY2023-24
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2024-01-04 00:00:00 920019572 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-11 00:00:00 2023-11-11 00:00:00 No 2024-01-25 00:00:00 None B None 3000 9000 0 9000 0 None 7YDN11 N CA00869680 A SFY2023-24
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-05 00:00:00 920019575 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-07 00:00:00 2023-11-07 00:00:00 No 2024-01-26 00:00:00 None B None 3000 3000 -1050 1950 0 None SPUX11 N CA00869297 B SFY2023-24
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2024-01-09 00:00:00 920019579 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-22 00:00:00 2023-10-22 00:00:00 No 2024-01-30 00:00:00 None B None 3000 9000 0 9000 0 None L05811 N CA00866812 C SFY2023-24
920000005 COUNTRY MANOR HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2024-01-10 00:00:00 920019587 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-16 00:00:00 2023-11-16 00:00:00 Yes 2024-01-31 00:00:00 2024-01-30 00:00:00 A None 20000 20000 0 0 20000 None ZCBX11 N CA00870062, CA00870062, CA00870758, CA00870758, CA00870826, CA00870826, CA00870826 B, B, B, B, B, B, B SFY2023-24
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-11 00:00:00 920019588 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-15 00:00:00 2023-01-15 00:00:00 No 2024-02-01 00:00:00 None B None 3000 3000 -1050 1950 0 None 3QHB11 N CA00870633, CA00870633, CA00870633, CA00870633, CA00870633 B, B, B, B, B SFY2023-24
920000302 WINDSOR TERRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-12 00:00:00 920019592 Closed Citation Citation A (HSC 1424) Patient Care None 2023-09-25 00:00:00 2023-09-25 00:00:00 No 2024-02-02 00:00:00 None A None 25000 25000 -8750 16250 0 None 7IYW11 N CA00871522, CA00871522 B, B SFY2023-24
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-12 00:00:00 920019594 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-13 00:00:00 2023-11-13 00:00:00 No 2024-02-02 00:00:00 None A None 25000 25000 0 0 25000 None OW2E11 N CA00870076, CA00870267, CA00870534 B, B, B SFY2023-24
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-19 00:00:00 920019612 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-16 00:00:00 2023-11-16 00:00:00 No 2024-02-09 00:00:00 None B None 3000 3000 0 3000 0 None 9K6311 N CA00871414, CA00871414, CA00871414 A, A, A SFY2023-24
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2024-01-19 00:00:00 920019619 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-10 00:00:00 2023-11-10 00:00:00 No 2024-02-09 00:00:00 None A None 15000 45000 -15750 29250 0 None 99G011 N CA00870755, CA00871149, CA00874346 B, B, B SFY2023-24
920000002 ASTORIA NURSING AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-23 00:00:00 920019625 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-03 00:00:00 2023-12-03 00:00:00 No 2024-02-13 00:00:00 None B None 3000 3000 -1050 1950 0 None 3DLY11 N CA00872727, CA00872735 B, B SFY2023-24
920000066 SHERMAN OAKS HEALTH & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-25 00:00:00 920019630 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-21 00:00:00 2023-11-21 00:00:00 Yes 2024-02-15 00:00:00 2024-02-14 00:00:00 A None 20000 20000 0 0 20000 None NHE211 N CA00869798, CA00871164 B, B SFY2023-24
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2024-01-26 00:00:00 920019656 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-25 00:00:00 2023-11-25 00:00:00 No 2024-02-16 00:00:00 None B None 3000 3000 -1050 1950 0 None QKGH11 N CA00875981, CA00875981 B, B SFY2023-24
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2024-01-26 00:00:00 920019657 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-25 00:00:00 2023-11-25 00:00:00 No 2024-02-16 00:00:00 None B None 3000 9000 -3150 5850 0 None QKGH11 N CA00875981, CA00875981, CA00875981 B, B, B SFY2023-24
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-26 00:00:00 920019658 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-27 00:00:00 2023-11-27 00:00:00 Yes 2024-02-16 00:00:00 2024-01-30 00:00:00 A None 20000 60000 0 0 60000 None 9XEQ11 N CA00872031 B SFY2023-24
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-26 00:00:00 920019660 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-20 00:00:00 2023-12-20 00:00:00 No 2024-02-16 00:00:00 None B None 3000 9000 -3150 5850 0 None 9XEQ11 N CA00871136, CA00871479, CA00871479, CA00871479, CA00872031 B, B, B, B, B SFY2023-24
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2024-01-29 00:00:00 920019662 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-25 00:00:00 2023-11-25 00:00:00 No 2024-02-19 00:00:00 None B None 3000 3000 -1050 1950 0 None QKGH11 N CA00875981, CA00875981, CA00875981 B, B, B SFY2023-24
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2024-01-29 00:00:00 920019663 Closed Citation Citation B (HSC 1424) Medication None 2023-12-30 00:00:00 2023-12-30 00:00:00 No 2024-02-19 00:00:00 None B None 3000 3000 -1050 1950 0 None QKGH11 N CA00876918, CA00876918, CA00876918 A, A, A SFY2023-24
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-01-30 00:00:00 920019664 Closed Citation Citation B (HSC 1424) Patient Care None 2023-12-14 00:00:00 2023-12-14 00:00:00 No 2024-02-20 00:00:00 None B None 3000 3000 -1050 1950 0 None CR1211 N CA00873561, CA00873561 B, B SFY2023-24
630016910 THE ELLISON JOHN TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-01 00:00:00 920019676 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-04 00:00:00 2023-12-04 00:00:00 No 2024-02-22 00:00:00 None B None 3000 9000 -3150 5850 0 None OF1211 N CA00872829 A SFY2023-24
630016910 THE ELLISON JOHN TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-01 00:00:00 920019677 Closed Citation Citation B (HSC 1424) Medication None 2023-11-22 00:00:00 2023-11-22 00:00:00 No 2024-02-22 00:00:00 None B None 3000 9000 -3150 5850 0 None OF1211 N CA00873518, CA00873518, CA00873518 B, B, B SFY2023-24
920000076 VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC. LTC SNF Skilled Nursing Facility LA Region 2 2024-02-01 00:00:00 920019678 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-06 00:00:00 2023-12-06 00:00:00 No 2024-02-22 00:00:00 None B None 2000 2000 -700 1300 0 None I0FD11 N CA00873372 B SFY2023-24
920000312 TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY LTC SNF Skilled Nursing Facility LA Region 2 2024-02-02 00:00:00 920019679 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-15 00:00:00 2022-11-15 00:00:00 No 2024-02-23 00:00:00 None B None 3000 3000 0 3000 0 None JW1M11 N None None SFY2023-24
920000312 TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY LTC SNF Skilled Nursing Facility LA Region 2 2024-02-02 00:00:00 920019682 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-20 00:00:00 2023-07-20 00:00:00 No 2024-02-23 00:00:00 None B None 3000 3000 0 3000 0 None JW1M11 N None None SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-02 00:00:00 920019685 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-28 00:00:00 2023-10-28 00:00:00 No 2024-02-23 00:00:00 None B None 3000 3000 0 3000 0 None JRWK11 N CA00873380 A SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-02 00:00:00 920019688 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-01 00:00:00 2023-11-01 00:00:00 No 2024-02-23 00:00:00 None B None 3000 3000 0 3000 0 None JRWK11 Y CA00873380 A SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-02 00:00:00 920019689 Closed Citation Citation B (HSC 1424) Patient Care None 2023-12-03 00:00:00 2023-12-03 00:00:00 No 2024-02-23 00:00:00 None B None 3000 3000 0 3000 0 None JRWK11 Y CA00873380 A SFY2023-24
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2024-02-02 00:00:00 920019691 Closed Citation Citation A (HSC 1424) Patient Care None 2023-11-25 00:00:00 2023-11-25 00:00:00 No 2024-02-23 00:00:00 None A None 25000 25000 -8750 16250 0 None QKGH11 Y CA00876918, CA00876918, CA00876918 A, A, A SFY2023-24
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-05 00:00:00 920019694 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-05 00:00:00 2023-12-05 00:00:00 Yes 2024-02-26 00:00:00 2024-02-12 00:00:00 A None 25000 75000 0 0 75000 None A0RQ11 N CA00873958 B SFY2023-24
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-07 00:00:00 920019702 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-21 00:00:00 2023-12-21 00:00:00 No 2024-02-28 00:00:00 None B None 3000 3000 0 3000 0 None EUXN11 N CA00876096 B SFY2023-24
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-07 00:00:00 920019703 Open Citation Citation B (HSC 1424) Patient Care None 2023-08-24 00:00:00 2023-08-24 00:00:00 No 2024-02-29 00:00:00 None B None 3000 3200 -1050 1950 200 None WYTP11 N CA00872611, CA00875147 B, A SFY2023-24
920000049 BERKLEY POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2024-02-08 00:00:00 920019710 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-09 00:00:00 2023-01-09 00:00:00 No 2024-02-29 00:00:00 None B None 3000 3000 -1050 1950 0 None P5XW11 N CA00872987, CA00873393 B, B SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-02-08 00:00:00 920019711 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-25 00:00:00 2023-12-25 00:00:00 No 2024-03-01 00:00:00 None B None 3000 9000 0 9000 0 None SWB311 N CA00876662, CA00876662 B, B SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-02-08 00:00:00 920019712 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-25 00:00:00 2023-12-25 00:00:00 No 2024-03-01 00:00:00 None B None 3000 9000 0 9000 0 None SWB311 N CA00876662, CA00876662 B, B SFY2023-24
910000074 SANTA MONICA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-09 00:00:00 920019719 Closed Citation Citation B (HSC 1424) Patient Care None 2023-12-14 00:00:00 2023-12-14 00:00:00 No 2024-03-01 00:00:00 None B None 3000 3000 0 3000 0 None OJG411 N CA00876006 B SFY2023-24
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-12 00:00:00 920019724 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-15 00:00:00 2023-09-15 00:00:00 No 2024-03-05 00:00:00 None B None 3000 9600 0 9600 0 None B94911 N CA00878286, CA00878286 B, B SFY2023-24
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2024-02-12 00:00:00 920019726 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-14 00:00:00 2023-12-14 00:00:00 No 2024-03-05 00:00:00 None B None 3000 9200 0 9200 0 None N1GG11 N CA00875552, CA00875552 A, A SFY2023-24
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-14 00:00:00 920019742 Open Citation Citation B (HSC 1424) Patient Care None 2024-01-10 00:00:00 2024-01-10 00:00:00 No 2024-03-06 00:00:00 None B None 3000 9100 -3150 5850 100 None LS3R12 N None None SFY2023-24
910000019 NEW VISTA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-23 00:00:00 920019767 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-10 00:00:00 2022-03-10 00:00:00 No 2024-03-15 00:00:00 None B None 3000 3000 0 3000 0 None GCQO11 Y CA00883344 A SFY2023-24
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2024-02-22 00:00:00 920019768 Closed Citation Citation A (HSC 1424) Patient Care None 2023-12-04 00:00:00 2023-12-04 00:00:00 No 2024-03-14 00:00:00 None A None 20000 20000 -7000 13000 0 None K9ED11 N CA00873258, CA00873258, CA00873302 B, B, B SFY2023-24
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-02-29 00:00:00 920019790 Closed Citation Citation A (HSC 1424) Patient Care None 2024-01-07 00:00:00 2024-01-07 00:00:00 No 2024-03-21 00:00:00 None A None 25000 75000 -26250 48750 0 None VZJR11 N CA00878585 B SFY2023-24
920000310 THE GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-29 00:00:00 920019801 Closed Citation Citation A (HSC 1424) Patient Care None 2024-01-13 00:00:00 2024-01-13 00:00:00 No 2024-03-21 00:00:00 None A None 25000 75000 -26250 48750 0 None YKN411 N CA00879659, CA00879940, CA00879940, CA00879990, CA00879990, CA00879990 A, B, B, B, B, B SFY2023-24
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-29 00:00:00 920019805 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-23 00:00:00 2023-11-23 00:00:00 No 2024-03-21 00:00:00 None A None 20000 60000 0 0 60000 None 3ZLD11 N CA00879116, CA00879116, CA00879116, CA00879228, CA00879228, CA00879228, CA00879228, CA00879228 B, B, B, A, A, A, A, A SFY2023-24
970000133 GRAND PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-03-01 00:00:00 920019810 Open Citation Citation B (HSC 1424) Refusal to Readmit None 2024-01-20 00:00:00 2024-01-30 00:00:00 No 2024-03-22 00:00:00 None B None 3000 3650 0 3500 150 None Z8MS11 N CA00881231 A SFY2023-24
920000085 WEST VALLEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2024-03-05 00:00:00 920019821 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-25 00:00:00 2023-12-25 00:00:00 No 2024-03-26 00:00:00 None B None 3000 9000 -3150 5850 0 None A1EM11 N CA00876642 B SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-03-06 00:00:00 920019831 Open Citation Citation AA (HSC 1424) Patient Care None 2023-12-03 00:00:00 2023-12-03 00:00:00 Yes 2024-03-27 00:00:00 2024-03-13 00:00:00 AA None 120000 120000 0 0 120000 None EKQ811 Y CA00879015 A SFY2023-24
920000026 HIGH VALLEY LODGE LTC SNF Skilled Nursing Facility LA Region 2 2024-03-07 00:00:00 920019835 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-15 00:00:00 2023-04-15 00:00:00 No 2024-03-28 00:00:00 None B None 3000 3000 -1050 1950 0 None BOXC11 N CA00877071, CA00877521 B, B SFY2023-24
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-03-07 00:00:00 920019836 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-21 00:00:00 2024-01-21 00:00:00 No 2024-03-28 00:00:00 None B None 3000 3000 -1050 1950 0 None FFRB11 N CA00880820 B SFY2023-24
920000088 RINALDI CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-03-07 00:00:00 920019837 Closed Citation Citation B (HSC 1424) Physical Environment None 2024-02-05 00:00:00 2024-02-05 00:00:00 No 2024-03-28 00:00:00 None B None 3000 3000 -1050 1950 0 None X92O11 N CA00883468, CA00883468, CA00883508, CA00883508 A, A, A, A SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-03-07 00:00:00 920019842 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-08 00:00:00 2023-12-08 00:00:00 No 2024-03-28 00:00:00 None A None 25000 75000 0 0 75000 None DQ3J11 N None None SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-03-08 00:00:00 920019843 Open Citation Citation B (HSC 1424) Patient Care None 2024-01-22 00:00:00 2024-01-22 00:00:00 No 2024-03-29 00:00:00 None B None 3000 9000 0 0 9000 None DQ3J11 N CA00880645 B SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-03-08 00:00:00 920019847 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-24 00:00:00 2024-01-24 00:00:00 No 2024-03-29 00:00:00 None B None 3000 3000 0 0 3000 None DQ3J11 N None None SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-03-11 00:00:00 920019854 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-13 00:00:00 2024-01-13 00:00:00 No 2024-04-02 00:00:00 None B None 3000 3000 -1050 1950 0 None H5UN11 N CA00879988, CA00879988, CA00879988 A, A, A SFY2023-24
970000121 ALDEN TERRACE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-03-12 00:00:00 920019858 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-04 00:00:00 2024-02-04 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 75KZ11 N CA00884302, CA00884302, CA00884302 A, A, A SFY2023-24
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-03-12 00:00:00 920019859 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2024-01-25 00:00:00 2024-01-25 00:00:00 No 2024-04-03 00:00:00 None WF None 20000 20000 0 0 20000 None DQ3J11 None None None SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-03-15 00:00:00 920019875 Open Citation Citation B (HSC 1424) Physical Environment None 2024-02-04 00:00:00 2024-02-04 00:00:00 No 2024-04-05 00:00:00 None B None 3000 3050 -1050 1950 50 None UCQT11 N CA00883645 A SFY2023-24
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2024-03-15 00:00:00 920019876 Open Citation Citation A (HSC 1424) Patient Care None 2024-01-19 00:00:00 2024-01-19 00:00:00 Yes 2024-04-05 00:00:00 2024-04-04 00:00:00 A None 25000 75000 0 0 75000 None JDG211 N CA00881140, CA00881140, CA00881140 B, B, B SFY2023-24
910000324 KENNEDY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-03-20 00:00:00 920019885 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-08 00:00:00 2024-02-08 00:00:00 No 2024-04-11 00:00:00 None B None 3000 3000 0 3000 0 None TGLU11 N CA00884011, CA00884011 B, B SFY2023-24
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-03-27 00:00:00 920019921 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-26 00:00:00 2023-12-26 00:00:00 Yes 2024-04-18 00:00:00 2024-04-02 00:00:00 A None 25000 25000 0 0 25000 None K21S11 N CA00883490, CA00883490, CA00883490, CA00883490 A, A, A, A SFY2023-24
910000334 WINDSOR GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-03-29 00:00:00 920019930 Closed Citation Citation A (HSC 1424) Patient Care None 2024-02-25 00:00:00 2024-02-25 00:00:00 No 2024-04-22 00:00:00 None A None 25000 25000 -8750 16250 0 None 0S9411 N CA00886780, CA00886780, CA00886780 B, B, B SFY2023-24
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2024-04-04 00:00:00 920019949 Closed Citation Citation A (HSC 1424) Patient Care None 2023-09-17 00:00:00 2023-09-17 00:00:00 No 2024-04-25 00:00:00 None A None 25000 75000 -26250 48750 0 None OKZI11 N None None SFY2023-24
910000320 GUARDIAN REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-04-03 00:00:00 920019950 Open Citation Citation B (HSC 1424) Refusal to Readmit None 2024-01-19 00:00:00 2024-03-05 00:00:00 No 2024-04-24 00:00:00 None B None 3000 5300 -1050 3445 805 None XY9711 N CA00886040, CA00886040 A, A SFY2023-24
920000090 CASITAS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-04-05 00:00:00 920019966 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-02-23 00:00:00 2024-02-23 00:00:00 No 2024-04-26 00:00:00 None B None 3000 3000 -1050 1950 0 None U1YY11 N None None SFY2023-24
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-04-10 00:00:00 920019986 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-28 00:00:00 2024-01-28 00:00:00 No 2024-05-01 00:00:00 None B None 3000 3100 -1050 1950 100 None EI5I11 N CA00882095, CA00882095 B, B SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-04-11 00:00:00 920019989 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-20 00:00:00 2024-02-20 00:00:00 No 2024-05-02 00:00:00 None B None 3000 3000 -1050 1950 0 None C4YF11 N CA00886995 A SFY2023-24
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-04-12 00:00:00 920019996 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-03-09 00:00:00 2024-03-09 00:00:00 No 2024-05-03 00:00:00 None B None 3000 3000 -1050 1950 0 None J1DY11 N None None SFY2023-24
920000076 VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC. LTC SNF Skilled Nursing Facility LA Region 2 2024-04-12 00:00:00 920019997 Open Citation Citation B (HSC 1424) Physical Environment None 2024-04-04 00:00:00 2024-04-04 00:00:00 No 2024-05-03 00:00:00 None B None 3000 3000 -1050 1950 0 None YERJ21 N CA00892442 B SFY2023-24
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2024-04-12 00:00:00 920019999 Open Citation Citation B (HSC 1424) Patient Care None 2024-01-31 00:00:00 2024-01-31 00:00:00 No 2024-05-03 00:00:00 None B None 3000 3000 0 0 3000 None 60UW11 Y CA00886055 A SFY2023-24
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2024-04-12 00:00:00 920020004 Closed Citation Citation A (HSC 1424) Patient Care None 2023-12-21 00:00:00 2023-12-21 00:00:00 No 2024-05-03 00:00:00 None A None 20000 20000 -7000 13000 0 None U24S11 N CA00885222, CA00885222 A, A SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-04-15 00:00:00 920020008 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-21 00:00:00 2024-03-21 00:00:00 No 2024-05-06 00:00:00 None B None 3000 9000 0 0 9000 None B7IM11 N CA00891219, CA00891219 B, B SFY2023-24
910000089 VISTA DEL SOL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-04-17 00:00:00 920020029 Open Citation Citation B (HSC 1424) Patient Care None 2024-03-23 00:00:00 2024-03-23 00:00:00 No 2024-05-08 00:00:00 None B None 3000 3000 0 0 3000 None CWQ011 N None None SFY2023-24
910000089 VISTA DEL SOL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-04-17 00:00:00 920020030 Open Citation Citation B (HSC 1424) Patient Care None 2024-03-23 00:00:00 2024-03-23 00:00:00 No 2024-05-08 00:00:00 None B None 3000 3000 0 0 3000 None CWQ011 N None None SFY2023-24
910000312 BEVERLY HILLS REHABILITATION CENTRE LTC SNF Skilled Nursing Facility LA Region 2 2024-04-19 00:00:00 920020045 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-27 00:00:00 2024-02-27 00:00:00 No 2024-05-10 00:00:00 None B None 3000 9000 0 9000 0 None CLOE11 N CA00886919, CA00886919 B, B SFY2023-24
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-04-23 00:00:00 920020053 Open Citation Citation B (HSC 1424) Patient Care None 2024-03-02 00:00:00 2024-03-02 00:00:00 No 2024-05-14 00:00:00 None B None 3000 9500 -3150 5850 500 None 0AGO11 N CA00887790, CA00887790 A, A SFY2023-24
910000320 GUARDIAN REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-04-23 00:00:00 920020060 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-16 00:00:00 2024-02-16 00:00:00 No 2024-05-14 00:00:00 None B None 3000 9000 0 5850 3150 None 1Q7B11 N CA00886820 B SFY2023-24
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2024-04-26 00:00:00 920020071 Closed Citation Citation B (HSC 1424) Medication None 2024-03-12 00:00:00 2024-03-12 00:00:00 No 2024-05-17 00:00:00 None B None 3000 3450 -1050 2400 0 None GLCQ11 N None None SFY2023-24
910000028 WESTWOOD POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 2 2024-04-26 00:00:00 920020073 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-12 00:00:00 2024-02-12 00:00:00 No 2024-05-17 00:00:00 None B None 3000 9000 -3150 5850 0 None V7C311 Y CA00888596 A SFY2023-24
920000025 NEW VISTA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-02 00:00:00 920020100 Open Citation Citation A (HSC 1424) Patient Care None 2024-02-08 00:00:00 2024-02-08 00:00:00 Yes 2024-05-23 00:00:00 2024-05-21 00:00:00 A None 25000 25000 0 0 25000 None F4FW11 N CA00884043, CA00884978 B, A SFY2023-24
920000069 THE CARE CENTER ON HAZELTINE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-05-02 00:00:00 920020102 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-10 00:00:00 2024-03-10 00:00:00 No 2024-05-23 00:00:00 None B None 3000 3000 -1050 1950 0 None EZ8211 N CA00889082 B SFY2023-24
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-02 00:00:00 920020105 Open Citation Citation A (HSC 1424) Patient Care None 2024-02-01 00:00:00 2024-02-01 00:00:00 Yes 2024-05-23 00:00:00 2024-05-15 00:00:00 A None 25000 75000 0 0 75000 None 7W7W11 N CA00883242, CA00883242 B, B SFY2023-24
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-02 00:00:00 920020109 Open Citation Citation A (HSC 1424) Patient Care None 2024-02-09 00:00:00 2024-02-09 00:00:00 Yes 2024-05-23 00:00:00 2024-05-15 00:00:00 A None 25000 75000 0 0 75000 None 7W7W11 N CA00885039 B SFY2023-24
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-02 00:00:00 920020112 Open Citation Citation A (HSC 1424) Patient Care None 2024-03-04 00:00:00 2024-03-04 00:00:00 No 2024-05-23 00:00:00 None A None 25000 75000 0 0 75000 None BCVS11 N CA00889498, CA00889498 B, B SFY2023-24
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-03 00:00:00 920020114 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2024-03-14 00:00:00 2024-03-14 00:00:00 No 2024-05-24 00:00:00 None WF None 3500 3500 -1225 2275 0 None SBU111 None None None SFY2023-24
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-09 00:00:00 920020147 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-23 00:00:00 2024-03-23 00:00:00 No 2024-05-31 00:00:00 None B None 3000 9000 -3150 5850 0 None T7X611 N CA00891576 A SFY2023-24
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2024-05-10 00:00:00 920020164 Closed Citation Citation A (HSC 1424) Patient Care None 2024-03-13 00:00:00 2024-03-13 00:00:00 No 2024-06-03 00:00:00 None A None 25000 25000 -8750 16250 0 None 9KSV11 N CA00889805, CA00889805, CA00889805 B, B, B SFY2023-24
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-10 00:00:00 920020170 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-26 00:00:00 2023-11-26 00:00:00 No 2024-06-03 00:00:00 None B None 3000 3000 0 3000 0 None 8FS211 N None None SFY2023-24
910000332 THE REHABILITATION CENTER ON PICO LTC SNF Skilled Nursing Facility LA Region 2 2024-05-10 00:00:00 920020172 Closed Citation Citation A (HSC 1424) Patient Care None 2024-03-16 00:00:00 2024-03-16 00:00:00 No 2024-06-03 00:00:00 None A None 25000 25000 -8750 16250 0 None 9KSV11 N CA00890213 B SFY2023-24
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2024-05-15 00:00:00 920020187 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-27 00:00:00 2024-03-27 00:00:00 No 2024-06-06 00:00:00 None B None 3000 3000 -1050 1950 0 None PC3I11 N CA00892306 A SFY2023-24
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-05-16 00:00:00 920020194 Closed Citation Citation B (HSC 1424) Patient Care None 2024-04-01 00:00:00 2024-04-01 00:00:00 No 2024-06-07 00:00:00 None B None 3000 9000 0 9000 0 None SK7311 N None None SFY2023-24
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-21 00:00:00 920020202 Open Citation Citation B (HSC 1424) Patient Care None 2023-06-02 00:00:00 2023-06-02 00:00:00 No 2024-06-12 00:00:00 None B None 3000 3000 0 0 3000 None 5M5N11 Y CA00893123 A SFY2023-24
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2024-05-22 00:00:00 920020217 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-04-05 00:00:00 2024-04-05 00:00:00 No 2024-06-13 00:00:00 None B None 3000 9000 -3150 5850 0 None AUP811 N CA00893352, CA00893352, CA00893533 B, B, B SFY2023-24
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2024-05-22 00:00:00 920020221 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-10 00:00:00 2024-03-10 00:00:00 No 2024-06-13 00:00:00 None B None 3000 10350 0 0 10350 None NFQH11 N CA00891723, CA00891723, CA00891723, CA00891723 B, B, B, B SFY2023-24
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-23 00:00:00 920020225 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-17 00:00:00 2024-04-17 00:00:00 No 2024-06-14 00:00:00 None B None 3000 3000 -1050 1950 0 None 6NFE11 N CA00895558, CA00895558 B, B SFY2023-24
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-24 00:00:00 920020233 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-05 00:00:00 2024-04-05 00:00:00 No 2024-06-17 00:00:00 None B None 3000 3000 0 0 3000 None MOWN11 N CA00893581 A SFY2023-24
930000681 PROVIDENCE HOLY CROSS MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2024-05-24 00:00:00 920020237 Closed Citation Citation A (HSC 1424) Patient Care None 2024-01-15 00:00:00 2024-01-15 00:00:00 No 2024-06-17 00:00:00 None A None 20000 20000 -7000 13000 0 None VXYQ11 N None None SFY2023-24
920000084 CHATSWORTH PARK HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-30 00:00:00 920020238 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-07 00:00:00 2024-04-07 00:00:00 No 2024-06-20 00:00:00 None B None 3000 9000 -3150 5850 0 None 8JWD11 N CA00893487 B SFY2023-24
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-31 00:00:00 920020250 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-23 00:00:00 2023-12-23 00:00:00 No 2024-06-21 00:00:00 None A None 25000 25000 0 0 25000 None KLGB11 N CA00888850 A SFY2023-24
920000289 SYLMAR HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-05-31 00:00:00 920020255 Open Citation Citation A (HSC 1424) Patient Care None 2024-04-07 00:00:00 2024-04-07 00:00:00 No 2024-06-21 00:00:00 None A None 20000 20000 -7000 13000 0 None IV5L11 N CA00893971 B SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-06-04 00:00:00 920020257 Open Citation Citation B (HSC 1424) Staffing None 2024-04-21 00:00:00 2024-04-21 00:00:00 No 2024-06-25 00:00:00 None B None 3000 3000 -1050 1950 0 None H44P11 N CA00896421, CA00896421, CA00896421 A, A, A SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-06-06 00:00:00 920020271 Open Citation Citation B (HSC 1424) Administration None 2023-09-07 00:00:00 2023-09-07 00:00:00 No 2024-06-27 00:00:00 None B None 3000 3000 -1050 1950 0 None VIOT11 N CA00894329, CA00894329 A, A SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-06-06 00:00:00 920020273 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-10 00:00:00 2024-04-10 00:00:00 No 2024-06-27 00:00:00 None B None 3000 3000 -1050 1950 0 None VIOT11 Y CA00894329 A SFY2023-24
920000064 WEST VALLEY SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-07 00:00:00 920020286 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-01-22 00:00:00 2023-01-22 00:00:00 No 2024-06-28 00:00:00 None WF None 3500 3500 -1225 2275 0 None Q6WV11 None CA00895462, CA00895462, CA00895462, CA00895462, CA00895462, CA00895462, CA00895462 B, B, B, B, B, B, B SFY2023-24
920000064 WEST VALLEY SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-07 00:00:00 920020287 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-23 00:00:00 2022-12-23 00:00:00 No 2024-06-28 00:00:00 None B None 3000 3000 -1050 1950 0 None Q6WV11 N CA00895462 B SFY2023-24
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-11 00:00:00 920020296 Open Citation Citation AA (HSC 1424) Patient Care None 2024-02-20 00:00:00 2024-02-20 00:00:00 Yes 2024-07-02 00:00:00 2024-06-24 00:00:00 AA None 100000 100000 0 0 100000 None FW5Z11 N None None SFY2023-24
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-12 00:00:00 920020301 Open Citation Citation A (HSC 1424) Patient Care None 2024-01-20 00:00:00 2024-01-20 00:00:00 Yes 2024-07-03 00:00:00 2024-06-24 00:00:00 A None 20000 20000 0 0 20000 None FW5Z11 N None None SFY2023-24
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2024-06-13 00:00:00 920020309 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2024-04-26 00:00:00 2024-04-26 00:00:00 No 2024-07-05 00:00:00 None WF None 3500 3500 -1225 2275 0 None H44P11 None CA00896178, CA00896178 B, B SFY2023-24
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-13 00:00:00 920020313 Closed Citation Citation B (HSC 1424) Patient Care None 2024-04-14 00:00:00 2024-04-14 00:00:00 No 2024-07-05 00:00:00 None B None 3000 3000 -1050 1950 0 None ZKE011 N CA00895365 B SFY2023-24
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2024-06-14 00:00:00 920020321 Open Citation Citation A (HSC 1424) Patient Care None 2024-05-02 00:00:00 2024-05-02 00:00:00 Yes 2024-07-08 00:00:00 2024-06-27 00:00:00 A None 25000 75000 0 0 75000 None DH9V11 N None None SFY2023-24
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2024-06-14 00:00:00 920020323 Open Citation Citation A (HSC 1424) Patient Care None 2024-04-21 00:00:00 2024-04-21 00:00:00 Yes 2024-07-08 00:00:00 2024-06-27 00:00:00 A None 20000 60000 0 0 60000 None G58K11 N CA00896133 B SFY2023-24
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2024-06-14 00:00:00 920020324 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-19 00:00:00 2024-04-19 00:00:00 No 2024-07-08 00:00:00 None B None 3000 3000 0 0 3000 None G58K11 N CA00895955 B SFY2023-24
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-21 00:00:00 920020344 Open Citation Citation B (HSC 1424) Patient Rights None 2024-05-08 00:00:00 2024-05-08 00:00:00 No 2024-07-15 00:00:00 None B None 3000 3000 0 0 3000 None 9LXO11 N CA00900415, CA00900415 A, A SFY2023-24
910000013 BERKLEY WEST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-21 00:00:00 920020346 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-20 00:00:00 2024-04-20 00:00:00 No 2024-07-15 00:00:00 None B None 3000 3000 -1050 1950 0 None VVEC11 N CA00900185, CA00900185 A, A SFY2023-24
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-21 00:00:00 920020348 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-05-01 00:00:00 2024-05-01 00:00:00 No 2024-07-15 00:00:00 None B None 3000 9000 0 0 9000 None 85PZ11 N CA00898044 B SFY2023-24
970000121 ALDEN TERRACE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-06-27 00:00:00 920020364 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2024-05-12 00:00:00 2024-05-12 00:00:00 No 2024-07-19 00:00:00 None WF None 3500 3500 0 0 3500 None U5LJ11 None CA00900199 B SFY2023-24
920000292 ARARAT NURSING FACILITY LTC SNF Skilled Nursing Facility LA Region 2 2024-06-28 00:00:00 920020368 Open Citation Citation AA (HSC 1424) Patient Care None 2024-03-09 00:00:00 2024-03-09 00:00:00 Yes 2024-07-22 00:00:00 2024-07-08 00:00:00 AA None 120000 120000 0 0 120000 None VX8N11 Y CA00896655, CA00896655, CA00896655 B, B, B SFY2023-24
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-06-28 00:00:00 920020369 Open Citation Citation AA (HSC 1424) Patient Care None 2024-05-04 00:00:00 2024-05-04 00:00:00 Yes 2024-07-22 00:00:00 2024-07-02 00:00:00 AA None 120000 120200 0 0 120200 None 2J8W11 Y CA00898449, CA00898449 A, A SFY2023-24
970000121 ALDEN TERRACE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2024-06-28 00:00:00 920020372 Open Citation Citation B (HSC 1424) Patient Care None 2024-05-12 00:00:00 2024-05-12 00:00:00 No 2024-07-22 00:00:00 None B None 3000 9000 0 0 9000 None U5LJ11 N CA00900199, CA00900199, CA00900199, CA00900199 B, B, B, B SFY2023-24
920000292 ARARAT NURSING FACILITY LTC SNF Skilled Nursing Facility LA Region 2 2024-06-28 00:00:00 920020374 Open Citation Citation B (HSC 1424) Administration None 2024-05-13 00:00:00 2024-05-13 00:00:00 No 2024-07-22 00:00:00 None B None 2000 2000 0 0 2000 None VX8N11 N CA00896655, CA00896655, CA00896655 B, B, B SFY2023-24
930000773 PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-01-11 00:00:00 930000313 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-26 00:00:00 None Yes 2001-05-14 00:00:00 2001-05-10 00:00:00 A B 6500 4875 0 4875 0 930010571 A99999 N None None SFY1999-00
930000773 PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-01-11 00:00:00 930000314 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Care None 1999-08-26 00:00:00 None Yes 2001-05-21 00:00:00 2001-05-08 00:00:00 WF WMO=<$1000 800 600 0 600 0 930010571 A99999 None None None SFY1999-00
930001154 USC VERDUGO HILLS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2000-01-26 00:00:00 930000315 Closed Citation Citation A (HSC 1424) Patient Care None 2000-01-03 00:00:00 None No 2000-02-16 00:00:00 None A None 7000 7000 -2450 4550 0 930010611 A99999 N None None SFY1999-00
930000436 PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-03-16 00:00:00 930000317 Closed Citation Citation A (HSC 1424) Patient Care None 2000-02-29 00:00:00 None Yes 2001-05-21 00:00:00 2001-05-08 00:00:00 A B 4000 9050 -50 9000 0 930010697 A99999 N None None SFY1999-00
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 930000318 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-10 00:00:00 None Yes 2001-05-15 00:00:00 2000-04-28 00:00:00 B B 900 900 0 900 0 930010843 A99999 N None None SFY1999-00
930001309 CITRUS VALLEY MEDICAL CENTER - QV CAMPUS D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2000-04-18 00:00:00 930000319 Closed Citation Citation B (HSC 1424) Dietary None 2000-04-14 00:00:00 None No 2000-05-09 00:00:00 None B None 750 750 -262.5 487.5 0 930010848 A99999 N None None SFY1999-00
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2000-05-02 00:00:00 930000320 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-20 00:00:00 None Yes 2001-05-31 00:00:00 2000-05-11 00:00:00 B B 850 850 0 850 0 930010865 A99999 N None None SFY1999-00
930001568 COAST PLAZA DOCTORS HOSPITAL, D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2000-05-17 00:00:00 930000321 Closed Citation Citation A (HSC 1424) Patient Care None 2000-05-06 00:00:00 None Yes 2001-05-31 00:00:00 2000-05-26 00:00:00 A A 5000 5000 0 5000 0 930010895 A99999 N None None SFY1999-00
930001551 CASA COLINA HOSPITAL FOR REHAB. MEDICINE D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2001-02-06 00:00:00 930000324 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-29 00:00:00 None No 2001-03-01 00:00:00 None B None 850 850 -297.5 552.5 0 930011644 A99999 N None None SFY2000-01
930000622 CALIFORNIA HOSPITAL MEDICAL CENTER - L.A. D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2001-05-02 00:00:00 930000325 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-20 00:00:00 None No 2001-05-23 00:00:00 None B None 800 800 0 800 0 930011857 A99999 N None None SFY2000-01
930000744 MOTION PICTURE & TELEVISION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2001-05-31 00:00:00 930000326 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-28 00:00:00 None No 2001-06-21 00:00:00 None B None 1000 1000 -350 650 0 930011993 A99999 N None None SFY2000-01
930000865 ENCINO HOSPITAL MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-06-06 00:00:00 930000327 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-07 00:00:00 None Yes 2001-12-11 00:00:00 2001-06-12 00:00:00 A A 7000 7400 -400 7000 0 930011923 A99999 N None None SFY2000-01
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2002-02-11 00:00:00 930000329 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-24 00:00:00 None No 2002-03-06 00:00:00 None B None 1000 1000 -350 650 0 930012655 A99999 N None None SFY2001-02
930000904 MEMORIAL HOSPITAL OF GARDENA D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2002-02-27 00:00:00 930000330 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-23 00:00:00 None No 2002-03-20 00:00:00 None B None 1000 1050 0 1050 0 930012555 A99999 N None None SFY2001-02
930001577 PRESBYTERIAN INTERCOMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2002-08-20 00:00:00 930000331 Closed Citation Citation A (HSC 1424) Patient Care None 2002-03-11 00:00:00 None No 2002-09-23 00:00:00 None A None 12000 12000 -4200 7800 0 930013231 A99999 N None None SFY2002-03
930000609 SANTA TERESITA HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2002-09-11 00:00:00 930000332 Closed Citation Citation B (HSC 1424) Patient Care None 2002-04-25 00:00:00 None Yes 2002-12-10 00:00:00 2002-11-27 00:00:00 B B 700 700 0 700 0 930013349 A99999 N None None SFY2002-03
930001463 TORRANCE MEMORIAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2002-12-30 00:00:00 930000333 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-04 00:00:00 None Yes 2003-05-21 00:00:00 2003-01-08 00:00:00 A A 7500 7500 0 7500 0 930013681 A99999 N None None SFY2002-03
930000611 PACIFICA HOSPITAL OF THE VALLEY D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2003-01-24 00:00:00 930000335 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-01-07 00:00:00 None No 2003-02-26 00:00:00 None B None 1000 2950 -350 2600 0 930013863 A99999 N None None SFY2002-03
930001463 TORRANCE MEMORIAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2003-03-11 00:00:00 930000336 Closed Citation Citation A (HSC 1424) Administration None 2002-11-08 00:00:00 None No 2003-04-02 00:00:00 None A None 9000 9000 -3150 5850 0 930014066 A99999 N None None SFY2002-03
930000889 HENRY MAYO NEWHALL MEMORIAL HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2003-04-16 00:00:00 930000337 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-03 00:00:00 None No 2003-05-07 00:00:00 None A None 12000 12000 -4200 7800 0 930013996 A99999 N None None SFY2002-03
930001544 MIDWAY HOSPITAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2003-06-23 00:00:00 930000338 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-17 00:00:00 None No 2003-07-21 00:00:00 None B None 1000 1000 -350 650 0 930014325 A99999 N None None SFY2002-03
930000564 SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2003-08-20 00:00:00 930000339 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-18 00:00:00 None Yes 2004-01-22 00:00:00 2004-01-12 00:00:00 B B 1000 1000 0 1000 0 930014271 A99999 N None None SFY2003-04
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2003-09-05 00:00:00 930000340 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-05-22 00:00:00 None No 2003-10-10 00:00:00 None B None 1000 1000 -350 650 0 930014491 A99999 N None None SFY2003-04
930000564 SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2003-10-09 00:00:00 930000341 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-26 00:00:00 2003-05-26 00:00:00 Yes 2004-01-22 00:00:00 2004-01-12 00:00:00 B B 1000 1000 0 1000 0 930014449 A99999 N None None SFY2003-04
930000609 SANTA TERESITA HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2003-11-14 00:00:00 930000342 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-19 00:00:00 None No 2003-12-22 00:00:00 None B None 1000 1000 -350 650 0 930014607 A99999 N None None SFY2003-04
930001558 LOS ANGELES COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2003-11-14 00:00:00 930000343 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-16 00:00:00 2003-09-19 00:00:00 No 2004-01-06 00:00:00 None B None 1000 1000 -350 650 0 930014658 A99999 N None None SFY2003-04
930001611 PROMISE HOSP OF EAST LOS ANGELES-SUB CAMPUS DP/SNF LTC SNF Skilled Nursing Facility LA Region 3 2004-02-26 00:00:00 930000344 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-20 00:00:00 None No 2004-04-06 00:00:00 None B None 1000 1000 -350 650 0 930014717 A99999 N None None SFY2003-04
930000744 MOTION PICTURE & TELEVISION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2004-11-23 00:00:00 930000345 Closed Citation Citation B (HSC 1424) Medication None 2004-06-27 00:00:00 2004-06-27 00:00:00 Yes 2004-12-28 00:00:00 2004-11-24 00:00:00 B B 1000 500 0 500 0 930015363 A99999 N None None SFY2004-05
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2005-09-21 00:00:00 930000346 Closed Citation Citation B (HSC 1424) Physical Environment None 2005-08-08 00:00:00 None No 2005-10-25 00:00:00 None B None 1000 1000 -350 650 0 930015706 A99999 N None None SFY2005-06
930001561 WEST COVINA MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2006-02-08 00:00:00 930000347 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-01-11 00:00:00 2006-01-11 00:00:00 Yes 2006-03-03 00:00:00 2006-02-13 00:00:00 B B 900 450 0 450 0 930015807 A99999 N None None SFY2005-06
930000436 PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-04-14 00:00:00 930003031 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-17 00:00:00 2006-03-17 00:00:00 No 2006-05-15 00:00:00 None B None 900 900 -315 585 0 None 1PIX11 N CA00075234 A SFY2005-06
930001577 PRESBYTERIAN INTERCOMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2007-04-23 00:00:00 930003672 Closed Citation Citation A (HSC 1424) Patient Care None 2006-06-24 00:00:00 2006-06-24 00:00:00 No 2007-05-14 00:00:00 None A None 5000 5000 -1750 3250 0 None 6V5H11 N CA00095430 C SFY2006-07
930000611 PACIFICA HOSPITAL OF THE VALLEY D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2007-03-09 00:00:00 930003773 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-12 00:00:00 2005-07-12 00:00:00 No 2007-03-30 00:00:00 None B None 900 900 -315 585 0 None VZYE11 N CA00065023 C SFY2006-07
930000911 TEMPLE COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2007-05-14 00:00:00 930003954 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-05-02 00:00:00 2007-05-02 00:00:00 No 2007-06-04 00:00:00 None B None 900 900 -315 585 0 None 4DXQ11 N None None SFY2006-07
930001561 WEST COVINA MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2007-08-15 00:00:00 930004180 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-13 00:00:00 2007-06-13 00:00:00 Yes 2007-09-06 00:00:00 2007-08-27 00:00:00 B B 900 450 0 450 0 None YBI211 N None None SFY2007-08
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-08-03 00:00:00 930006409 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-26 00:00:00 2009-02-26 00:00:00 Yes 2009-08-24 00:00:00 2009-08-14 00:00:00 A None 5000 5000 0 5000 0 None 58NZ11 N CA00181216 C SFY2009-10
930000744 MOTION PICTURE & TELEVISION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2010-04-29 00:00:00 930007177 Closed Citation Citation A (HSC 1424) Patient Care None 2009-05-28 00:00:00 2009-05-28 00:00:00 No 2010-05-20 00:00:00 None A None 7500 7500 -2625 4875 0 None EGNK11 N CA00191435 C SFY2009-10
930001185 POMONA VALLEY HOSPITAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2010-05-26 00:00:00 930007249 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-11-06 00:00:00 2009-11-06 00:00:00 No 2010-06-17 00:00:00 None B None 900 900 -315 585 0 None CZG211 N CA00209484 B SFY2009-10
930000822 WHITE MEMORIAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2010-06-01 00:00:00 930007266 Closed Citation Citation B (HSC 1424) Patient Care None 2010-02-09 00:00:00 2010-02-09 00:00:00 No 2010-06-22 00:00:00 None B None 900 900 0 900 0 None RM0311 N CA00220319 C SFY2009-10
930001558 LOS ANGELES COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2010-06-18 00:00:00 930007313 Closed Citation Citation A (HSC 1424) Other General Maintenance 2010-02-19 00:00:00 2010-02-19 00:00:00 No 2010-07-09 00:00:00 None A None 5000 5000 -1750 3250 0 None B22T11 N CA00217751 C SFY2009-10
930000744 MOTION PICTURE & TELEVISION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2011-02-01 00:00:00 930007848 Closed Citation Citation A (HSC 1424) Patient Care None 2010-06-04 00:00:00 2010-06-04 00:00:00 Yes 2011-02-23 00:00:00 2011-02-22 00:00:00 A None 10000 10600 0 10600 0 None XO4W11 N CA00229837 B SFY2010-11
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-03-31 00:00:00 930008037 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2010-10-27 00:00:00 2010-10-27 00:00:00 No 2011-04-21 00:00:00 None WF None 2000 2000 0 2000 0 None TV4411 None None None SFY2010-11
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2011-06-27 00:00:00 930008083 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-02 00:00:00 2010-05-02 00:00:00 No 2011-07-19 00:00:00 None B None 1000 1000 -350 650 0 None 4EZX11 N CA00228597 C SFY2010-11
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2011-06-27 00:00:00 930008084 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-05-04 00:00:00 2010-05-04 00:00:00 No 2011-07-19 00:00:00 None B None 1000 1000 -350 650 0 None 4EZX11 N CA00228593 C SFY2010-11
930000744 MOTION PICTURE & TELEVISION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2011-12-29 00:00:00 930008531 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-10-17 00:00:00 2010-10-17 00:00:00 No 2012-01-23 00:00:00 None AA None 80000 80000 -28000 52000 0 None 06KL11 Y CA00246798 C SFY2011-12
930000773 PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-01-05 00:00:00 930008536 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-08-10 00:00:00 2011-08-10 00:00:00 Yes 2012-01-27 00:00:00 2012-01-27 00:00:00 B B 1000 500 0 500 0 None S9I211 N CA00278966 A SFY2011-12
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2012-07-17 00:00:00 930008863 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-26 00:00:00 2011-01-26 00:00:00 No 2012-08-07 00:00:00 None B None 1000 1000 -350 650 0 None UVXY11 N CA00259085 C SFY2012-13
930001498 EMANATE HEALTH INTER-COMMUNITY HOSPITAL, D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2012-02-24 00:00:00 930008929 Closed Citation Citation A (HSC 1424) Patient Care None 2010-10-20 00:00:00 2010-10-20 00:00:00 Yes 2012-03-16 00:00:00 2012-03-01 00:00:00 A None 10000 10000 0 10000 0 None VQ6T11 N CA00248621 C SFY2011-12
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2012-04-19 00:00:00 930009022 Closed Citation Citation B (HSC 1424) Patient Care None 2011-12-12 00:00:00 2011-12-12 00:00:00 No 2012-05-10 00:00:00 None B None 1000 1000 -350 650 0 None 71MV11 N CA00292802 C SFY2011-12
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-07-03 00:00:00 930009378 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-11 00:00:00 2011-09-11 00:00:00 Yes 2012-07-25 00:00:00 2012-07-13 00:00:00 A B 15000 15000 0 15000 0 None ZOV311 N CA00283490 B SFY2012-13
930000611 PACIFICA HOSPITAL OF THE VALLEY D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2012-08-23 00:00:00 930009452 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2012-04-02 00:00:00 2012-04-02 00:00:00 No 2012-09-14 00:00:00 None WF None 900 900 -315 585 0 None 8YHS11 None None None SFY2012-13
930000904 MEMORIAL HOSPITAL OF GARDENA D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2014-12-02 00:00:00 930011139 Closed Citation Citation B (HSC 1424) Physical Environment None 2014-10-14 00:00:00 2014-10-14 00:00:00 No 2014-12-23 00:00:00 None B None 2000 2000 -700 1300 0 None L0LZ21 N None None SFY2014-15
930000904 MEMORIAL HOSPITAL OF GARDENA D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2015-02-05 00:00:00 930011151 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-02 00:00:00 2014-06-02 00:00:00 Yes 2015-02-27 00:00:00 2015-02-17 00:00:00 A A 15000 9750 0 9750 0 None L0LZ11 N None None SFY2014-15
930000611 PACIFICA HOSPITAL OF THE VALLEY D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2015-06-19 00:00:00 930011378 Closed Citation Citation A (HSC 1424) Medication None 2014-06-30 00:00:00 2014-06-30 00:00:00 No 2015-07-10 00:00:00 None A None 20000 20000 -7000 13000 0 None FNO511 N None None SFY2014-15
930000793 ALHAMBRA HOSPITAL MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2015-07-30 00:00:00 930011599 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-16 00:00:00 2015-04-16 00:00:00 No 2015-08-20 00:00:00 None B None 2000 2000 -700 1300 0 None X7O812 N None None SFY2015-16
930001558 LOS ANGELES COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2015-08-05 00:00:00 930011647 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-04-24 00:00:00 2015-04-24 00:00:00 No 2015-08-26 00:00:00 None B None 2000 2000 0 2000 0 None 1WXY11 N None None SFY2015-16
930000744 MOTION PICTURE & TELEVISION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2015-09-24 00:00:00 930011723 Closed Citation Citation A (HSC 1424) Patient Care None 2010-11-16 00:00:00 2010-11-16 00:00:00 No 2015-10-15 00:00:00 None A None 20000 20000 -7000 13000 0 None BD0Y11 N CA00257469 B SFY2015-16
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-10-16 00:00:00 930011726 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-07-22 00:00:00 2015-07-22 00:00:00 No 2015-11-06 00:00:00 None B None 2000 2000 0 2000 0 None OTWT11 N CA00451837 B SFY2015-16
930000904 MEMORIAL HOSPITAL OF GARDENA D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2016-05-05 00:00:00 930012207 Closed Citation Citation B (HSC 1424) Patient Care None 2016-01-23 00:00:00 2016-01-23 00:00:00 No 2016-05-26 00:00:00 None B None 2000 2000 -700 1300 0 None NLBU11 N None None SFY2015-16
930000611 PACIFICA HOSPITAL OF THE VALLEY D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2016-05-18 00:00:00 930012259 Closed Citation Citation B (HSC 1424) Patient Care None 2016-02-03 00:00:00 2016-02-03 00:00:00 No 2016-06-09 00:00:00 None B None 2000 2000 -700 1300 0 None SJB511 N None None SFY2015-16
930000773 PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-09-19 00:00:00 930013505 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-05-17 00:00:00 2017-05-17 00:00:00 No 2017-10-10 00:00:00 None B None 2000 2000 0 2000 0 None 63XO11 N CA00536005 A SFY2017-18
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2017-11-29 00:00:00 930013650 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-23 00:00:00 2016-11-23 00:00:00 No 2017-12-20 00:00:00 None A None 18000 18000 0 18000 0 None JI0S11 N None None SFY2017-18
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2017-11-29 00:00:00 930013651 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-12 00:00:00 2017-10-12 00:00:00 No 2017-12-20 00:00:00 None B None 2000 2000 0 2000 0 None JI0S11 N None None SFY2017-18
930000564 SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2018-03-22 00:00:00 930013930 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-10-28 00:00:00 2016-10-28 00:00:00 No 2018-04-12 00:00:00 None B None 2000 2000 0 2000 0 None ERD011 N CA00509562 B SFY2017-18
930000564 SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2018-03-22 00:00:00 930013931 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-02-28 00:00:00 2016-02-28 00:00:00 No 2018-04-12 00:00:00 None B None 1000 1000 0 1000 0 None ERD011 N CA00509562 B SFY2017-18
930000611 PACIFICA HOSPITAL OF THE VALLEY D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2018-05-22 00:00:00 930014092 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-03-28 00:00:00 2018-03-28 00:00:00 No 2018-06-13 00:00:00 None B None 2000 2000 0 2000 0 None FYEQ11 N CA00575757, CA00575757 B, B SFY2017-18
930000744 MOTION PICTURE & TELEVISION HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2018-08-22 00:00:00 930014342 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-27 00:00:00 2017-10-27 00:00:00 No 2018-09-13 00:00:00 None A None 15000 15000 0 15000 0 None 8OYU11 N CA00558736 B SFY2018-19
930001154 USC VERDUGO HILLS HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2018-11-08 00:00:00 930014574 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-03-26 00:00:00 2018-03-26 00:00:00 No 2018-12-04 00:00:00 None B None 2000 2000 0 2000 0 None QYPX11 N CA00579993 B SFY2018-19
930000575 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 2 2018-11-19 00:00:00 930014583 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-18 00:00:00 2018-10-18 00:00:00 No 2018-12-12 00:00:00 None B None 2000 2000 0 2000 0 None UKKV11 N None None SFY2018-19
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-03-29 00:00:00 930014928 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-10 00:00:00 2018-10-10 00:00:00 Yes 2019-04-22 00:00:00 2019-04-10 00:00:00 A B 20000 1000 0 1000 0 None NB7I11 N None None SFY2018-19
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-03-29 00:00:00 930014929 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-18 00:00:00 2018-09-18 00:00:00 Yes 2019-04-19 00:00:00 2019-04-10 00:00:00 A A 20000 3100 -100 3000 0 None NB7I11 N None None SFY2018-19
930000904 MEMORIAL HOSPITAL OF GARDENA D/P SNF LTC SNF Skilled Nursing Facility LA Region 3 2020-05-11 00:00:00 930015855 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-09-21 00:00:00 2019-09-21 00:00:00 No 2020-06-01 00:00:00 None B None 2000 2000 -700 1300 0 None TF4V11 N CA00677556, CA00677556, CA00677556 B, B, B SFY2019-20
930001561 WEST COVINA MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2022-06-22 00:00:00 930017707 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-24 00:00:00 2022-03-24 00:00:00 No 2022-07-14 00:00:00 None B None 2000 2000 -700 1300 0 None 7GUP11 N CA00778265, CA00778265 B, B SFY2021-22
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2000-01-14 00:00:00 940001380 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-03 00:00:00 None Yes 2001-05-29 00:00:00 2000-01-26 00:00:00 B B 1000 1000 0 1000 0 940005029 A99999 N None None SFY1999-00
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2000-01-14 00:00:00 940001381 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-05 00:00:00 None Yes 2000-02-07 00:00:00 2000-01-26 00:00:00 B B 1000 1000 0 1000 0 940005029 A99999 N None None SFY1999-00
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2000-02-02 00:00:00 940001382 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-31 00:00:00 None No 2000-02-24 00:00:00 None B None 1000 3000 -1050 1950 0 940005043 A99999 N None None SFY1999-00
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2000-02-02 00:00:00 940001383 Closed Citation Citation B (HSC 1424) Other ACCIDENTS 1999-11-06 00:00:00 None No 2000-03-07 00:00:00 None B None 1000 1000 0 1000 0 940005047 A99999 N None None SFY1999-00
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2000-02-09 00:00:00 940001384 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-09 00:00:00 None Yes 2000-03-01 00:00:00 2000-02-21 00:00:00 B None 750 750 0 750 0 940005057 A99999 N None None SFY1999-00
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-02-11 00:00:00 940001385 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2000-02-11 00:00:00 None No 2000-03-06 00:00:00 None B None 1000 1000 -350 650 0 940005058 A99999 N None None SFY1999-00
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2000-02-18 00:00:00 940001386 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-25 00:00:00 2000-02-18 00:00:00 No 2000-03-13 00:00:00 None B None 1000 1000 0 1000 0 940005066 A99999 N None None SFY1999-00
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2000-02-18 00:00:00 940001387 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-02-11 00:00:00 None No 2000-03-10 00:00:00 None B None 1000 1000 -350 650 0 940005066 A99999 N None None SFY1999-00
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2000-03-06 00:00:00 940001388 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-06 00:00:00 None No 2000-03-27 00:00:00 None B None 1000 1000 -350 650 0 940005083 A99999 N None None SFY1999-00
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2000-03-09 00:00:00 940001389 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT 2000-03-03 00:00:00 2000-03-09 00:00:00 No 2000-03-30 00:00:00 None B None 1000 3000 -1050 1950 0 940005089 A99999 N None None SFY1999-00
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2000-03-16 00:00:00 940001390 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-03-16 00:00:00 None No 2000-04-06 00:00:00 None B None 1000 3000 -1050 1950 0 940005098 A99999 N None None SFY1999-00
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2000-03-30 00:00:00 940001391 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-02-23 00:00:00 2000-02-23 00:00:00 Yes 2001-05-15 00:00:00 2000-04-07 00:00:00 B B Trebled 1000 3000 0 3000 0 940005108 A99999 N None None SFY1999-00
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-05-03 00:00:00 940001392 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-03 00:00:00 None No 2000-05-24 00:00:00 None B None 1000 1000 -350 650 0 940005136 A99999 N None None SFY1999-00
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-05-09 00:00:00 940001394 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT 2000-05-09 00:00:00 None Yes 2001-05-11 00:00:00 2000-05-11 00:00:00 B B 1000 1000 0 1000 0 940005140 A99999 N None None SFY1999-00
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2000-05-24 00:00:00 940001395 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-15 00:00:00 2000-02-15 00:00:00 No 2000-06-14 00:00:00 None B None 950 950 -332.5 617.5 0 940005149 A99999 N None None SFY1999-00
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-05-25 00:00:00 940001396 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-25 00:00:00 None Yes 2001-05-22 00:00:00 2000-05-30 00:00:00 B B 1000 1000 0 1000 0 940005112 A99999 N None None SFY1999-00
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-05-25 00:00:00 940001397 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-25 00:00:00 None Yes 2001-05-31 00:00:00 2000-05-30 00:00:00 B B 1000 1000 0 1000 0 940005112 A99999 N None None SFY1999-00
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-05-25 00:00:00 940001398 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-02 00:00:00 2000-05-05 00:00:00 No 2000-06-15 00:00:00 None B None 1000 1000 0 1000 0 940005155 A99999 N None None SFY1999-00
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-06-26 00:00:00 940001399 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-29 00:00:00 None No 2000-07-17 00:00:00 None B None 1000 1000 0 1000 0 940005187 A99999 N None None SFY1999-00
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2000-07-21 00:00:00 940001400 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-16 00:00:00 None No 2000-08-11 00:00:00 None B None 1000 1000 0 1000 0 940005208 A99999 N None None SFY2000-01
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-08-03 00:00:00 940001401 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-26 00:00:00 None No 2000-08-24 00:00:00 None B None 1000 1000 -350 650 0 940005233 A99999 N None None SFY2000-01
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2000-09-20 00:00:00 940001402 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-10 00:00:00 None No 2000-10-11 00:00:00 None B None 1000 1000 -350 650 0 940005273 A99999 N None None SFY2000-01
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-09-21 00:00:00 940001403 Closed Citation Citation B (HSC 1424) Other POLICY & PROCEDURES 2000-09-21 00:00:00 None No 2000-10-13 00:00:00 None B None 1000 1000 -350 650 0 940005282 A99999 N None None SFY2000-01
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-09-29 00:00:00 940001404 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-29 00:00:00 None No 2000-10-20 00:00:00 None B None 1000 1000 -350 650 0 940005294 A99999 N None None SFY2000-01
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2000-11-17 00:00:00 940001405 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-11-17 00:00:00 None No 2000-12-12 00:00:00 None WF None 1000 1000 -350 650 0 940005375 A99999 None None None SFY2000-01
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2000-12-21 00:00:00 940001406 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-12-01 00:00:00 None Yes 2001-05-11 00:00:00 2001-01-04 00:00:00 B B 800 800 0 800 0 940005412 A99999 N None None SFY2000-01
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2000-12-22 00:00:00 940001407 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-21 00:00:00 None No 2001-01-12 00:00:00 None B None 600 600 -210 390 0 940005416 A99999 N None None SFY2000-01
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2001-01-12 00:00:00 940001408 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-23 00:00:00 None No 2001-02-05 00:00:00 None B None 1000 1000 -350 650 0 940005430 A99999 N None None SFY2000-01
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-01-12 00:00:00 940001409 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-12-14 00:00:00 None No 2001-02-05 00:00:00 None B None 1000 1000 -350 650 0 940005431 A99999 N None None SFY2000-01
940000079 PICO RIVERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-01-18 00:00:00 940001410 Closed Citation Citation B (HSC 1424) Medication None 2000-12-29 00:00:00 None No 2001-02-16 00:00:00 None B B 1000 1000 -800 200 0 940005438 A99999 N None None SFY2000-01
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2001-01-19 00:00:00 940001411 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-13 00:00:00 None Yes 2001-05-11 00:00:00 2001-04-20 00:00:00 B B 800 800 0 800 0 940005445 A99999 N None None SFY2000-01
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2001-03-26 00:00:00 940001412 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-12 00:00:00 None No 2001-04-16 00:00:00 None B None 800 800 -280 520 0 940005512 A99999 N None None SFY2000-01
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-03-28 00:00:00 940001413 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-21 00:00:00 None No 2001-04-18 00:00:00 None B Drop>Deficiency 800 800 0 800 0 940005515 A99999 N None None SFY2000-01
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-04-11 00:00:00 940001414 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-11 00:00:00 None Yes 2001-05-02 00:00:00 2001-04-17 00:00:00 B B 950 475 0 475 0 940005520 A99999 N None None SFY2000-01
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-04-13 00:00:00 940001415 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-13 00:00:00 None Yes 2001-06-25 00:00:00 2001-04-25 00:00:00 B None 1000 1000 0 1000 0 940005530 A99999 N None None SFY2000-01
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-04-13 00:00:00 940001416 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-13 00:00:00 None No 2001-05-04 00:00:00 None B None 500 500 -175 325 0 940005532 A99999 N None None SFY2000-01
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-04-18 00:00:00 940001417 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-23 00:00:00 None No 2001-05-18 00:00:00 None B None 950 950 -332.5 617.5 0 940005537 A99999 N None None SFY2000-01
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2001-04-25 00:00:00 940001418 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-20 00:00:00 None No 2001-05-16 00:00:00 None B None 500 500 -175 325 0 940005548 A99999 N None None SFY2000-01
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-06-04 00:00:00 940001420 Closed Citation Citation A (HSC 1424) Physical Environment None 2001-04-14 00:00:00 None No 2001-07-16 00:00:00 None A B 10000 9000 0 9000 0 940005649 A99999 N None None SFY2000-01
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-06-11 00:00:00 940001421 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-14 00:00:00 None No 2001-07-19 00:00:00 None B None 800 800 -280 520 0 940005594 A99999 N None None SFY2000-01
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-07-12 00:00:00 940001422 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-03 00:00:00 None Yes 2001-08-20 00:00:00 2001-08-20 00:00:00 B B 800 800 -640 160 0 940005675 A99999 N None None SFY2001-02
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-07-20 00:00:00 940001423 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-17 00:00:00 None No 2001-08-30 00:00:00 None B None 800 2400 -840 1560 0 940005711 A99999 N None None SFY2001-02
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-07-23 00:00:00 940001424 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-22 00:00:00 None No 2001-08-13 00:00:00 None B None 1000 1000 -350 650 0 940005708 A99999 N None None SFY2001-02
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-08-14 00:00:00 940001425 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2001-07-14 00:00:00 None No 2001-11-05 00:00:00 None WF None 800 800 -280 520 0 940005713 A99999 None None None SFY2001-02
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-08-14 00:00:00 940001426 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-17 00:00:00 None No 2001-11-05 00:00:00 None B None 800 800 -280 520 0 940005713 A99999 N None None SFY2001-02
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-08-14 00:00:00 940001427 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-14 00:00:00 None No 2001-11-05 00:00:00 None B None 800 800 -280 520 0 940005713 A99999 N None None SFY2001-02
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-08-22 00:00:00 940001429 Closed Citation Citation B (HSC 1424) Staffing None 2001-07-27 00:00:00 None Yes 2001-09-13 00:00:00 2001-09-06 00:00:00 B None 800 900 0 900 0 940005770 A99999 N None None SFY2001-02
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-08-21 00:00:00 940001430 Closed Citation Citation A (HSC 1424) Patient Care None 2001-06-22 00:00:00 None Yes 2001-09-12 00:00:00 2001-08-31 00:00:00 A A 5000 5000 0 5000 0 940005721 A99999 N None None SFY2001-02
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2001-09-07 00:00:00 940001431 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-18 00:00:00 None Yes 2001-12-07 00:00:00 2001-09-17 00:00:00 B B 1000 1000 0 1000 0 940005743 A99999 N None None SFY2001-02
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2001-09-07 00:00:00 940001432 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-12 00:00:00 None Yes 2001-12-14 00:00:00 2001-09-17 00:00:00 B B 1000 1000 0 1000 0 940005687 A99999 N None None SFY2001-02
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2001-09-07 00:00:00 940001433 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-27 00:00:00 None Yes 2002-01-14 00:00:00 2001-09-17 00:00:00 B B 1000 1000 0 1000 0 940005743 A99999 N None None SFY2001-02
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2001-09-19 00:00:00 940001434 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-11 00:00:00 None No 2001-10-11 00:00:00 None B None 800 800 -280 520 0 940005725 A99999 N None None SFY2001-02
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-09-17 00:00:00 940001435 Closed Citation Citation B (HSC 1424) Other ABUSE 2001-07-16 00:00:00 None Yes 2002-02-21 00:00:00 2001-09-21 00:00:00 B B 1000 1000 0 1000 0 940005712 A99999 N None None SFY2001-02
940000048 COTTAGE CREST POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2001-10-10 00:00:00 940001436 Closed Citation Citation B (HSC 1424) Problem Transfer None 2001-04-03 00:00:00 None No 2001-11-14 00:00:00 None B None 1000 1000 -350 650 0 940005837 A99999 N None None SFY2001-02
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-10-25 00:00:00 940001437 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-23 00:00:00 None No 2001-11-16 00:00:00 None B None 1000 1000 -350 650 0 940005647 A99999 N None None SFY2001-02
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-10-25 00:00:00 940001438 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-07 00:00:00 None No 2001-09-17 00:00:00 None B None 1000 1000 -350 650 0 940005636 A99999 N None None SFY2001-02
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-11-14 00:00:00 940001439 Closed Citation Citation B (HSC 1424) Administration None 2001-10-15 00:00:00 None No 2001-12-07 00:00:00 None B None 800 800 -280 520 0 940005852 A99999 N None None SFY2001-02
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-11-14 00:00:00 940001440 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-27 00:00:00 None No 2001-12-20 00:00:00 None B None 1000 1000 -350 650 0 940005848 A99999 N None None SFY2001-02
940000091 PARAMOUNT CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2001-11-15 00:00:00 940001441 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-30 00:00:00 None Yes 2002-02-25 00:00:00 2001-11-29 00:00:00 B B 1000 1000 0 1000 0 940005835 A99999 N None None SFY2001-02
940000073 HUNTINGTON PARK NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-12-05 00:00:00 940001442 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-10 00:00:00 None No 2002-01-02 00:00:00 None B None 900 900 0 900 0 940005894 A99999 N None None SFY2001-02
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-12-12 00:00:00 940001443 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-08 00:00:00 None No 2002-01-15 00:00:00 None B B 500 500 -450 50 0 940005839 A99999 N None None SFY2001-02
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-01-07 00:00:00 940001444 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-20 00:00:00 None No 2002-02-28 00:00:00 None B None 800 800 -280 520 0 940005897 A99999 N None None SFY2001-02
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-01-07 00:00:00 940001445 Closed Citation Citation B (HSC 1424) Administration None 2001-11-20 00:00:00 None No 2002-02-28 00:00:00 None B None 500 500 -175 325 0 940005897 A99999 N None None SFY2001-02
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2002-01-23 00:00:00 940001446 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-12 00:00:00 2002-01-23 00:00:00 No 2002-02-26 00:00:00 None B None 800 800 -280 520 0 940005977 A99999 N None None SFY2001-02
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2002-01-23 00:00:00 940001447 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-20 00:00:00 2002-01-23 00:00:00 No 2002-02-26 00:00:00 None B None 500 500 -175 325 0 940005977 A99999 N None None SFY2001-02
940000016 BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-02-04 00:00:00 940001448 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-09 00:00:00 2002-02-04 00:00:00 No 2002-03-05 00:00:00 None B None 1000 1000 -350 650 0 940005906 A99999 N None None SFY2001-02
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-02-08 00:00:00 940001449 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-30 00:00:00 None No 2002-03-12 00:00:00 None B None 1000 1000 0 1000 0 940005900 A99999 N None None SFY2001-02
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-02-08 00:00:00 940001450 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-11-30 00:00:00 None Yes 2002-03-14 00:00:00 2002-03-05 00:00:00 B Drop>Deficiency 1000 900 0 900 0 940005900 A99999 N None None SFY2001-02
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-02-20 00:00:00 940001451 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-23 00:00:00 None Yes 2002-03-28 00:00:00 2002-03-07 00:00:00 B Dismissed by Court 800 0 0 0 0 940005917 A99999 N None None SFY2001-02
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-02-20 00:00:00 940001452 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-23 00:00:00 None Yes 2002-03-28 00:00:00 2002-03-07 00:00:00 B Drop>Deficiency 1000 500 0 500 0 940005917 A99999 N None None SFY2001-02
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-02-26 00:00:00 940001453 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-23 00:00:00 None Yes 2002-03-28 00:00:00 2002-03-07 00:00:00 A B 5000 5000 0 5000 0 940005917 A99999 N None None SFY2001-02
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2002-03-15 00:00:00 940001454 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-27 00:00:00 None No 2002-05-10 00:00:00 None B None 800 800 0 800 0 940005996 A99999 N None None SFY2001-02
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-03-28 00:00:00 940001455 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-01-16 00:00:00 2002-03-27 00:00:00 Yes 2002-04-26 00:00:00 2002-04-09 00:00:00 B B 800 400 0 400 0 940005983 A99999 N None None SFY2001-02
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-04-09 00:00:00 940001456 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-27 00:00:00 None Yes 2002-05-03 00:00:00 2002-04-29 00:00:00 B Drop>Deficiency 400 300 0 300 0 940005830 A99999 N None None SFY2001-02
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2002-04-10 00:00:00 940001457 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-27 00:00:00 None No 2002-05-10 00:00:00 None B None 500 500 -175 325 0 940005920 A99999 N None None SFY2001-02
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-04-11 00:00:00 940001458 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-01 00:00:00 2002-04-11 00:00:00 No 2002-05-09 00:00:00 None B None 1000 1000 -350 650 0 940005979 A99999 N None None SFY2001-02
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-05-13 00:00:00 940001459 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-24 00:00:00 None No 2002-06-12 00:00:00 None B None 1000 1000 -350 650 0 940006093 A99999 N None None SFY2001-02
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-05-16 00:00:00 940001460 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-26 00:00:00 None Yes 2002-06-10 00:00:00 2002-05-21 00:00:00 B B 500 500 0 500 0 940006109 A99999 N None None SFY2001-02
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-05-22 00:00:00 940001461 Closed Citation Citation B (HSC 1424) Other PT CARE/ABUSE/NEGLEC 2002-01-17 00:00:00 None Yes 2002-09-05 00:00:00 2002-08-22 00:00:00 B Drop>Deficiency 700 700 0 700 0 940006112 A99999 N None None SFY2001-02
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-06-05 00:00:00 940001462 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-16 00:00:00 None No 2002-07-16 00:00:00 None B None 600 600 -210 390 0 940006108 A99999 N None None SFY2001-02
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-06-28 00:00:00 940001463 Closed Citation Citation B (HSC 1424) Other RES BEHAVIOR FAC PRA 2002-06-15 00:00:00 None No 2002-07-26 00:00:00 None B None 500 500 -175 325 0 940006160 A99999 N None None SFY2001-02
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-07-01 00:00:00 940001464 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-15 00:00:00 None No 2002-08-13 00:00:00 None B None 700 700 -245 455 0 940006161 A99999 N None None SFY2002-03
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-07-03 00:00:00 940001466 Closed Citation Citation B (HSC 1424) Other PT CARE / NEGLECT 2002-06-17 00:00:00 None Yes 2002-08-07 00:00:00 2002-07-19 00:00:00 B None 700 700 -700 0 0 940006160 A99999 N None None SFY2002-03
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-07-12 00:00:00 940001467 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-09 00:00:00 None No 2002-08-02 00:00:00 None B None 950 950 -332.5 617.5 0 940006143 A99999 N None None SFY2002-03
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-08-02 00:00:00 940001468 Closed Citation Citation B (HSC 1424) Other ABUSE 2002-07-01 00:00:00 None Yes 2002-09-05 00:00:00 2002-08-16 00:00:00 B Drop>Deficiency 500 500 0 500 0 940006193 A99999 N None None SFY2002-03
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-08-07 00:00:00 940001469 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-31 00:00:00 None No 2002-08-28 00:00:00 None B None 700 700 -245 455 0 940006200 A99999 N None None SFY2002-03
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2002-10-07 00:00:00 940001470 Closed Citation Citation A (HSC 1424) Patient Care None 2002-07-02 00:00:00 None Yes 2003-02-24 00:00:00 2003-02-04 00:00:00 A A 10000 10000 0 10000 0 940006273 A99999 N None None SFY2002-03
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-10-11 00:00:00 940001471 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-07-07 00:00:00 None No 2002-11-12 00:00:00 None B None 750 750 -262.5 487.5 0 940006175 A99999 N None None SFY2002-03
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-10-11 00:00:00 940001472 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-09 00:00:00 None No 2002-11-15 00:00:00 None B None 1000 1000 -350 650 0 940006278 A99999 N None None SFY2002-03
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-10-11 00:00:00 940001473 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-03-09 00:00:00 2002-03-09 00:00:00 No 2002-11-15 00:00:00 None B None 800 800 -280 520 0 940006278 A99999 N None None SFY2002-03
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2002-10-11 00:00:00 940001474 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-06-22 00:00:00 2002-06-22 00:00:00 No 2002-12-16 00:00:00 None B None 1000 1000 -350 650 0 940006279 A99999 N None None SFY2002-03
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2002-12-05 00:00:00 940001475 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-31 00:00:00 None Yes 2003-03-18 00:00:00 2002-12-13 00:00:00 B Dismissed by Court 350 0 0 0 0 940006388 A99999 N None None SFY2002-03
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-12-26 00:00:00 940001476 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Rights None 2002-04-14 00:00:00 None No 2003-01-28 00:00:00 None WF None 2000 2000 -700 1300 0 940006344 A99999 None None None SFY2002-03
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-12-13 00:00:00 940001477 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-19 00:00:00 None No 2003-01-21 00:00:00 None B None 800 800 -280 520 0 940006315 A99999 N None None SFY2002-03
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2002-12-19 00:00:00 940001478 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-16 00:00:00 None No 2003-01-16 00:00:00 None B None 800 800 -280 520 0 940006426 A99999 N None None SFY2002-03
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-01-06 00:00:00 940001479 Closed Citation Citation B (HSC 1424) Patient Care None 2002-10-09 00:00:00 None No 2003-01-28 00:00:00 None B None 900 900 -315 585 0 940006283 A99999 N None None SFY2002-03
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-02-10 00:00:00 940001480 Closed Citation Citation A (HSC 1424) Patient Care None 2003-01-02 00:00:00 None Yes 2003-03-11 00:00:00 2003-02-18 00:00:00 A None 10000 10000 0 10000 0 940006446 A99999 N None None SFY2002-03
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-02-24 00:00:00 940001481 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-26 00:00:00 None Yes 2003-07-11 00:00:00 2003-06-27 00:00:00 B B 800 800 -272 528 0 940006528 A99999 N None None SFY2002-03
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2003-03-13 00:00:00 940001482 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-06 00:00:00 None No 2003-04-28 00:00:00 None B None 1000 1000 0 1000 0 940006564 A99999 N None None SFY2002-03
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2003-03-13 00:00:00 940001483 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-17 00:00:00 None No 2003-04-28 00:00:00 None B None 1000 1000 0 1000 0 940006564 A99999 N None None SFY2002-03
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2003-03-13 00:00:00 940001484 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-06 00:00:00 None No 2003-04-28 00:00:00 None B None 1000 1000 0 1000 0 940006564 A99999 N None None SFY2002-03
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2003-04-11 00:00:00 940001485 Closed Citation Citation B (HSC 1424) Other MISUSE OF PT FUNDS. 2003-01-25 00:00:00 None Yes 2003-09-15 00:00:00 2003-04-23 00:00:00 B B 400 100 0 100 0 940006591 A99999 N None None SFY2002-03
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2003-04-11 00:00:00 940001486 Closed Citation Citation B (HSC 1424) Other MISUSE OF PT. FUNDS 2003-01-25 00:00:00 None Yes 2003-09-15 00:00:00 2003-04-23 00:00:00 B B 400 100 0 100 0 940006593 A99999 N None None SFY2002-03
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-04-23 00:00:00 940001487 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-21 00:00:00 None No 2003-05-22 00:00:00 None B None 1000 1000 -350 650 0 940006542 A99999 N None None SFY2002-03
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-05-06 00:00:00 940001488 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-04 00:00:00 None No 2003-06-03 00:00:00 None B Drop>Deficiency 800 100 0 100 0 940006579 A99999 N None None SFY2002-03
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-05-06 00:00:00 940001489 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-22 00:00:00 None No 2003-06-05 00:00:00 None B None 800 800 0 800 0 940006534 A99999 N None None SFY2002-03
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2003-06-23 00:00:00 940001490 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-14 00:00:00 None No 2003-07-15 00:00:00 None B None 1000 1000 -350 650 0 940006607 A99999 N None None SFY2002-03
940000030 VILLA SERENA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-06-23 00:00:00 940001491 Closed Citation Citation B (HSC 1424) Patient Care None 2003-04-24 00:00:00 None No 2003-07-24 00:00:00 None B None 1000 1000 -350 650 0 940006650 A99999 N None None SFY2002-03
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-08-08 00:00:00 940001492 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-28 00:00:00 None No 2003-09-04 00:00:00 None B None 950 950 -332.5 617.5 0 940006717 A99999 N None None SFY2003-04
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2003-08-19 00:00:00 940001493 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-05 00:00:00 None No 2003-09-19 00:00:00 None B None 1000 1000 -350 650 0 940006656 A99999 N None None SFY2003-04
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2003-10-07 00:00:00 940001494 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-22 00:00:00 None No 2003-11-18 00:00:00 None B None 800 800 -280 520 0 940006818 A99999 N None None SFY2003-04
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2004-02-04 00:00:00 940001495 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-17 00:00:00 None No 2004-02-27 00:00:00 None B None 800 800 -280 520 0 940006922 A99999 N None None SFY2003-04
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2004-02-06 00:00:00 940001496 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-22 00:00:00 None No 2004-03-02 00:00:00 None B None 1000 1000 -350 650 0 940006924 A99999 N None None SFY2003-04
940000062 ALAMITOS BELMONT HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility LA Region 3 2004-02-27 00:00:00 940001497 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Medication None 2003-11-24 00:00:00 None No 2004-03-19 00:00:00 None WF None 2000 2000 -700 1300 0 940006926 A99999 None None None SFY2003-04
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2004-02-26 00:00:00 940001498 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-14 00:00:00 None No 2004-03-18 00:00:00 None B None 1000 1000 0 1000 0 940006912 A99999 N None None SFY2003-04
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-02-02 00:00:00 940001499 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Medication None 2005-01-05 00:00:00 None No 2005-02-24 00:00:00 None WF None 2000 2000 -700 1300 0 940007369 A99999 None None None SFY2004-05
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-02-25 00:00:00 940001500 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-27 00:00:00 None No 2005-03-18 00:00:00 None B None 800 800 -280 520 0 940007392 A99999 N None None SFY2004-05
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-04-05 00:00:00 940001501 Closed Citation Citation B (HSC 1424) Staffing None 2005-02-04 00:00:00 None No 2005-04-26 00:00:00 None B None 1000 1000 0 1000 0 940007386 A99999 N None None SFY2004-05
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-04-21 00:00:00 940001502 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-10-15 00:00:00 None No 2005-05-23 00:00:00 None B None 1000 1000 -350 650 0 940007387 A99999 N None None SFY2004-05
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2005-06-21 00:00:00 940001503 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-24 00:00:00 None No 2005-08-10 00:00:00 None B None 1000 1050 -350 700 0 940007473 A99999 N None None SFY2004-05
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2005-08-25 00:00:00 940001504 Closed Citation Citation B (HSC 1424) Other FIDUCIARY ABUSE 2005-05-23 00:00:00 None No 2005-09-16 00:00:00 None B None 1000 1000 -350 650 0 940007587 A99999 N None None SFY2005-06
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-09-29 00:00:00 940001505 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-24 00:00:00 None No 2005-10-21 00:00:00 None B None 1000 1000 -350 650 0 940007498 A99999 N None None SFY2005-06
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2005-09-29 00:00:00 940001506 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-11 00:00:00 None No 2005-10-21 00:00:00 None B None 1000 1000 0 1000 0 940007539 A99999 N None None SFY2005-06
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-10-20 00:00:00 940001507 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-05-25 00:00:00 2004-05-25 00:00:00 Yes 2005-11-10 00:00:00 2005-11-03 00:00:00 B None 1000 40500 0 40500 0 940007654 A99999 N None None SFY2005-06
940000069 BROOKFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-10-24 00:00:00 940001508 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-09 00:00:00 None No 2006-01-25 00:00:00 None B None 1000 1000 -350 650 0 940007553 A99999 N None None SFY2005-06
940000069 BROOKFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-10-24 00:00:00 940001509 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-09 00:00:00 None No 2006-01-25 00:00:00 None B None 1000 1000 -350 650 0 940007553 A99999 N None None SFY2005-06
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2005-11-02 00:00:00 940001510 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-11-16 00:00:00 None No 2006-01-24 00:00:00 None B None 1000 1000 -350 650 0 940007660 A99999 N None None SFY2005-06
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2005-11-10 00:00:00 940001511 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-31 00:00:00 None No 2006-01-25 00:00:00 None B None 1000 3000 -1050 1950 0 940007605 A99999 N None None SFY2005-06
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2005-11-16 00:00:00 940001512 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-12 00:00:00 None No 2006-01-24 00:00:00 None B None 1000 1000 -350 650 0 940007678 A99999 N None None SFY2005-06
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2005-11-16 00:00:00 940001513 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-12 00:00:00 None No 2006-01-24 00:00:00 None B None 1000 1000 -350 650 0 940007679 A99999 N None None SFY2005-06
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-12-15 00:00:00 940001514 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-18 00:00:00 None No 2006-01-24 00:00:00 None B None 1000 1000 -350 650 0 940007552 A99999 N None None SFY2005-06
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-12-15 00:00:00 940001515 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-05 00:00:00 None No 2006-01-25 00:00:00 None B None 1000 3000 -1050 1950 0 940007686 A99999 N None None SFY2005-06
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2006-01-05 00:00:00 940001516 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-23 00:00:00 None No 2006-02-08 00:00:00 None B None 1000 1000 -350 650 0 940007669 A99999 N None None SFY2005-06
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-01-06 00:00:00 940001517 Closed Citation Citation B (HSC 1424) Other ABUSE 2005-10-21 00:00:00 None Yes 2006-02-08 00:00:00 2006-02-27 00:00:00 B B 1000 1000 0 1000 0 940007721 A99999 N None None SFY2005-06
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-01-09 00:00:00 940001518 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-28 00:00:00 None No 2006-01-31 00:00:00 None B None 1000 1000 -350 650 0 940007549 A99999 N None None SFY2005-06
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-02-03 00:00:00 940001519 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-31 00:00:00 2005-03-31 00:00:00 No 2006-02-28 00:00:00 None B None 1000 1000 0 1000 0 940007731 A99999 N None None SFY2005-06
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-03-02 00:00:00 940002884 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-14 00:00:00 2005-05-14 00:00:00 Yes 2006-04-12 00:00:00 2006-03-20 00:00:00 B B 1000 700 0 700 0 None 45CV11 N CA00048392 B SFY2005-06
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-03-02 00:00:00 940002885 Closed Citation Citation B (HSC 1424) Patient Care None 2005-05-29 00:00:00 2005-05-29 00:00:00 Yes 2006-04-12 00:00:00 2006-03-20 00:00:00 B B 1000 700 0 700 0 None 45CV11 N CA00053815 C SFY2005-06
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2006-03-02 00:00:00 940002886 Closed Citation Citation B (HSC 1424) Other Resident Abuse 2004-12-21 00:00:00 2004-12-21 00:00:00 Yes 2006-04-07 00:00:00 2006-03-21 00:00:00 B B 1000 650 0 650 0 None OHPX11 N CA00036202 A SFY2005-06
940000117 SOCAL POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2006-03-21 00:00:00 940002934 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-02 00:00:00 2005-08-02 00:00:00 No 2006-04-12 00:00:00 None B None 1000 1000 -350 650 0 None AE8W11 N CA00058081 C SFY2005-06
940000117 SOCAL POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2006-03-21 00:00:00 940002939 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-12 00:00:00 2005-11-12 00:00:00 Yes 2006-04-20 00:00:00 2006-03-29 00:00:00 B None 1000 1000 -1000 0 0 None AE8W11 N CA00066569 C SFY2005-06
940000098 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-04-03 00:00:00 940003003 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-20 00:00:00 2005-11-20 00:00:00 Yes 2006-05-08 00:00:00 2006-04-17 00:00:00 B None 1000 1000 0 1000 0 None PBDT11 N CA00066978 C SFY2005-06
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-04-05 00:00:00 940003004 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-01-08 00:00:00 2005-01-08 00:00:00 No 2006-05-02 00:00:00 None B None 1000 1000 -350 650 0 None 6B5I11 N CA00059029 C SFY2005-06
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-04-11 00:00:00 940003022 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-13 00:00:00 2005-07-13 00:00:00 Yes 2006-05-30 00:00:00 2006-04-25 00:00:00 B B 1000 500 0 500 0 None 6B5I11 N CA00059029 C SFY2005-06
940000117 SOCAL POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2006-04-21 00:00:00 940003054 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-18 00:00:00 2005-09-18 00:00:00 Yes 2006-05-26 00:00:00 2006-04-28 00:00:00 B None 1000 1000 -1000 0 0 None AE8W11 N CA00061797 C SFY2005-06
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-02-09 00:00:00 940003065 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-07 00:00:00 2004-09-07 00:00:00 No 2007-03-02 00:00:00 None B None 1000 1000 -350 650 0 None YWJT11 N CA00035257 C SFY2006-07
940000024 NORWALK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2007-06-08 00:00:00 940003154 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-08-15 00:00:00 2005-08-15 00:00:00 Yes 2007-06-29 00:00:00 2007-06-12 00:00:00 AA AA 80000 80000 -69484 10516 0 None VIFF11 Y CA00059797 C SFY2006-07
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2006-10-13 00:00:00 940003269 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-02 00:00:00 2006-06-02 00:00:00 Yes 2006-11-17 00:00:00 2006-10-16 00:00:00 B None 1000 1000 0 1000 0 None IK0W11 N CA00071904 B SFY2006-07
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-14 00:00:00 940003271 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-28 00:00:00 2006-05-28 00:00:00 No 2006-09-05 00:00:00 None B None 1000 1000 -350 650 0 None 8WOW11 N CA00084358 B SFY2006-07
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-10-13 00:00:00 940003420 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-20 00:00:00 2006-09-20 00:00:00 No 2006-11-03 00:00:00 None B None 1000 1000 -350 650 0 None LGPT11 N CA00094439 A SFY2006-07
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2006-10-19 00:00:00 940003434 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-12 00:00:00 2005-12-12 00:00:00 No 2006-11-28 00:00:00 None B None 1000 3000 -1050 1950 0 None JZ6N11 N CA00072004 C SFY2006-07
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2006-10-25 00:00:00 940003443 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-09-13 00:00:00 2006-09-13 00:00:00 No 2006-11-22 00:00:00 None B None 1000 1000 0 1000 0 None GEDF11 N CA00089977 B SFY2006-07
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2006-11-03 00:00:00 940003463 Closed Citation Citation B (HSC 1424) Medication None 2006-10-16 00:00:00 2006-10-16 00:00:00 Yes 2006-11-29 00:00:00 2006-11-14 00:00:00 B B 1000 1000 0 1000 0 None XFWN11 N CA00096646 B SFY2006-07
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2006-11-08 00:00:00 940003467 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-07 00:00:00 2006-10-07 00:00:00 No 2006-12-04 00:00:00 None B None 800 800 0 800 0 None IB0R11 N CA00095528 B SFY2006-07
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2006-11-09 00:00:00 940003478 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-27 00:00:00 2006-08-27 00:00:00 No 2006-12-15 00:00:00 None B None 800 800 0 800 0 None R3MX11 N CA00094570 C SFY2006-07
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-11-17 00:00:00 940003497 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-27 00:00:00 2006-08-27 00:00:00 No 2006-12-12 00:00:00 None B None 1000 1000 0 1000 0 None LE6011 N CA00094573 C SFY2006-07
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2006-11-28 00:00:00 940003514 Closed Citation Citation B (HSC 1424) Medication None 2005-11-08 00:00:00 2005-11-08 00:00:00 Yes 2007-01-04 00:00:00 2006-12-11 00:00:00 B B 1000 500 0 500 0 None 1NWB11 N CA00094636 B SFY2006-07
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-11-29 00:00:00 940003531 Closed Citation Citation B (HSC 1424) Medication None 2006-08-05 00:00:00 2006-08-05 00:00:00 No 2007-01-02 00:00:00 None B None 1000 1000 -350 650 0 None SB5911 N CA00089492 A SFY2006-07
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2006-12-13 00:00:00 940003570 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-16 00:00:00 2005-11-16 00:00:00 Yes 2007-01-31 00:00:00 2006-12-22 00:00:00 B B 1000 550 0 550 0 None XNZJ11 N CA00066521 B SFY2006-07
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-12-14 00:00:00 940003571 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-03 00:00:00 2006-05-03 00:00:00 No 2007-01-08 00:00:00 None B None 1000 1000 0 1000 0 None QDSG11 N CA00080920 B SFY2006-07
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-12-14 00:00:00 940003578 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-21 00:00:00 2005-08-21 00:00:00 No 2007-01-31 00:00:00 None B None 1000 1000 0 1000 0 None 5HPT11 N CA00066815 B SFY2006-07
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2006-12-19 00:00:00 940003585 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-05-04 00:00:00 2006-05-04 00:00:00 Yes 2007-01-11 00:00:00 2006-12-28 00:00:00 B B 1000 1000 -869 131 0 None ENEC11 N CA00080607 C SFY2006-07
940000091 PARAMOUNT CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2007-01-02 00:00:00 940003597 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-24 00:00:00 2006-06-24 00:00:00 No 2007-01-23 00:00:00 None B None 800 800 0 800 0 None U8VV11 N CA00084734 A SFY2006-07
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-01-02 00:00:00 940003598 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-15 00:00:00 2006-06-15 00:00:00 No 2007-02-05 00:00:00 None B None 1000 3000 -1050 1950 0 None VM6411 Y CA00083918 C SFY2006-07
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2006-12-27 00:00:00 940003606 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-20 00:00:00 2004-09-20 00:00:00 Yes 2007-01-18 00:00:00 2007-01-09 00:00:00 B B 1000 500 0 500 0 None LNB611 N CA00061783 C SFY2006-07
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-12-27 00:00:00 940003607 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-01 00:00:00 2005-07-01 00:00:00 No 2007-01-18 00:00:00 None B None 1000 1000 0 1000 0 None 7T1611 N CA00066468 B SFY2006-07
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-12-27 00:00:00 940003608 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-01 00:00:00 2005-07-01 00:00:00 No 2007-01-18 00:00:00 None B None 1000 1000 0 1000 0 None 7T1611 N CA00066468 B SFY2006-07
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2007-01-24 00:00:00 940003629 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-18 00:00:00 2006-11-18 00:00:00 No 2007-02-14 00:00:00 None B None 1000 1000 -350 650 0 None F3QK11 N CA00101266, CA00101266 C, C SFY2006-07
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2007-01-24 00:00:00 940003630 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-18 00:00:00 2006-11-18 00:00:00 No 2007-02-14 00:00:00 None B None 1000 1000 -350 650 0 None F3QK11 N CA00101266 C SFY2006-07
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-01-11 00:00:00 940003633 Closed Citation Citation B (HSC 1424) Patient Care None 2006-11-04 00:00:00 2006-11-04 00:00:00 No 2007-02-01 00:00:00 None B None 1000 1000 0 1000 0 None L7XM11 N CA00098210 C SFY2006-07
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2007-02-05 00:00:00 940003653 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-18 00:00:00 2006-11-18 00:00:00 No 2007-02-26 00:00:00 None B None 1000 1000 -350 650 0 None F3QK11 N CA00101266 C SFY2006-07
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-02-05 00:00:00 940003683 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-18 00:00:00 2006-05-18 00:00:00 No 2007-02-26 00:00:00 None B None 1000 1000 -350 650 0 None XNC511 N CA00083372 C SFY2006-07
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2007-02-09 00:00:00 940003701 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-23 00:00:00 2006-06-23 00:00:00 Yes 2007-04-04 00:00:00 2007-02-26 00:00:00 B B 1000 500 0 500 0 None 55YC11 N CA00084624 B SFY2006-07
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-02-28 00:00:00 940003760 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-01-25 00:00:00 2007-01-25 00:00:00 No 2007-03-21 00:00:00 None B None 1000 1000 -350 650 0 None 09JI11 N CA00091797 B SFY2006-07
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2007-03-19 00:00:00 940003816 Closed Citation Citation B (HSC 1424) Physical Environment None 2006-06-23 00:00:00 2006-06-23 00:00:00 Yes 2007-04-09 00:00:00 2007-04-06 00:00:00 B B 1000 500 0 500 0 None 4VWG11 N CA00087718 A SFY2006-07
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-05-02 00:00:00 940003922 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-13 00:00:00 2006-12-13 00:00:00 No 2007-07-10 00:00:00 None B None 1000 1000 0 1000 0 None P4HS11 N CA00111232 C SFY2006-07
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-05-02 00:00:00 940003923 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-12-13 00:00:00 2006-12-13 00:00:00 No 2007-07-10 00:00:00 None B None 1000 1000 0 1000 0 None P4HS11 N CA00111232 C SFY2006-07
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2007-05-15 00:00:00 940003949 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-20 00:00:00 2006-06-20 00:00:00 No 2007-06-05 00:00:00 None B None 1000 1000 -350 650 0 None CRE211 N CA00085685 B SFY2006-07
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2007-05-15 00:00:00 940003950 Closed Citation Citation B (HSC 1424) Administration None 2006-06-20 00:00:00 2006-06-20 00:00:00 No 2007-06-05 00:00:00 None B None 1000 1000 -350 650 0 None CRE211 N CA00085685 B SFY2006-07
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-06-29 00:00:00 940003955 Closed Citation Citation A (HSC 1424) Patient Rights None 2007-03-28 00:00:00 2007-03-28 00:00:00 Yes 2007-07-23 00:00:00 2007-07-18 00:00:00 A B 20000 10100 -100 10000 0 None GEY111 N CA00111425 C SFY2006-07
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2007-05-25 00:00:00 940003992 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-24 00:00:00 2005-06-24 00:00:00 Yes 2007-06-15 00:00:00 2007-06-08 00:00:00 B B 1000 500 0 500 0 None IVQU11 N CA00053399 A SFY2006-07
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2007-06-07 00:00:00 940004012 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-07 00:00:00 2007-05-07 00:00:00 No 2007-07-16 00:00:00 None B None 1000 1000 0 1000 0 None 7I5B11 N CA00114939 B SFY2006-07
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2007-06-08 00:00:00 940004019 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-06 00:00:00 2007-03-06 00:00:00 No 2007-06-29 00:00:00 None B None 1000 1000 -350 650 0 None V73K11 N CA00114240 C SFY2006-07
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2007-06-08 00:00:00 940004020 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-27 00:00:00 2007-04-27 00:00:00 No 2007-06-29 00:00:00 None B None 1000 1000 -350 650 0 None V73K11 N CA00114240 C SFY2006-07
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-06-29 00:00:00 940004021 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-19 00:00:00 2007-03-19 00:00:00 Yes 2007-07-23 00:00:00 2007-07-18 00:00:00 B Drop>Deficiency 1000 100 -100 0 0 None GEY111 N CA00111425 C SFY2006-07
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-06-29 00:00:00 940004022 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-04 00:00:00 2007-04-04 00:00:00 Yes 2007-07-23 00:00:00 2007-07-18 00:00:00 B Drop>Deficiency 1000 100 -100 0 0 None GEY111 N CA00111425 C SFY2006-07
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2007-06-15 00:00:00 940004036 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-01-14 00:00:00 2007-01-14 00:00:00 No 2007-07-09 00:00:00 None B None 800 800 -280 520 0 None LPMO11 N CA00104172 C SFY2006-07
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2007-07-09 00:00:00 940004082 Closed Citation Citation B (HSC 1424) Patient Rights Abuse 2007-05-17 00:00:00 2007-05-17 00:00:00 Yes 2007-07-30 00:00:00 2007-07-18 00:00:00 B B 1000 500 0 500 0 None E2QH11 N CA00114993 A SFY2007-08
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-08-12 00:00:00 940004104 Closed Citation Citation AA (HSC 1424) Patient Care Accidents/Supervision 2007-07-12 00:00:00 2007-07-12 00:00:00 Yes 2011-09-02 00:00:00 2011-09-07 00:00:00 AA AA 80000 56000 0 56000 0 None U4N911 Y CA00120054 B SFY2011-12
940000077 WHITTIER NURSING AND WELLNESS CENTER, INC. LTC SNF Skilled Nursing Facility LA Region 1 2007-08-17 00:00:00 940004189 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-07 00:00:00 2007-06-07 00:00:00 Yes 2011-08-30 00:00:00 2011-04-27 00:00:00 B Dismissed by Court 1000 0 0 0 0 None BMVR11 N CA00120874 C SFY2007-08
940000077 WHITTIER NURSING AND WELLNESS CENTER, INC. LTC SNF Skilled Nursing Facility LA Region 1 2007-08-17 00:00:00 940004190 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-02 00:00:00 2007-06-02 00:00:00 Yes 2011-08-30 00:00:00 2011-04-27 00:00:00 B Drop>Deficiency 1000 0 0 0 0 None BMVR11 N CA00120874 C SFY2007-08
940000077 WHITTIER NURSING AND WELLNESS CENTER, INC. LTC SNF Skilled Nursing Facility LA Region 1 2007-08-17 00:00:00 940004191 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-06-02 00:00:00 2007-06-02 00:00:00 Yes 2011-08-30 00:00:00 2011-04-27 00:00:00 B Dismissed by Court 1000 0 0 0 0 None BMVR11 N CA00120874 C SFY2007-08
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-09-26 00:00:00 940004202 Closed Citation Citation B (HSC 1424) Patient Rights Verbal Abuse 2006-07-12 00:00:00 2006-07-12 00:00:00 No 2007-10-18 00:00:00 None B None 1000 1000 -350 650 0 None Z29611 N CA00086572 B SFY2007-08
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2007-08-31 00:00:00 940004215 Closed Citation Citation B (HSC 1424) Patient Care None 2007-06-18 00:00:00 2007-06-18 00:00:00 No 2007-09-24 00:00:00 None B None 800 800 0 800 0 None 999999 N None None SFY2007-08
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2007-08-31 00:00:00 940004216 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-11 00:00:00 2007-07-11 00:00:00 No 2007-09-24 00:00:00 None B None 1000 1000 -350 650 0 None WUOC11 N CA00119748 B SFY2007-08
940000101 LONG BEACH POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2007-09-26 00:00:00 940004217 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-06-08 00:00:00 2007-06-08 00:00:00 No 2007-10-18 00:00:00 None B None 800 800 0 800 0 None HPP511 N CA00115700 C SFY2007-08
940000101 LONG BEACH POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2007-09-26 00:00:00 940004218 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-06-11 00:00:00 2007-06-11 00:00:00 No 2007-10-18 00:00:00 None B None 800 800 -280 520 0 None L2BS11 N CA00115655 C SFY2007-08
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-08-31 00:00:00 940004234 Closed Citation Citation B (HSC 1424) Other Abuse 2007-01-28 00:00:00 2007-01-28 00:00:00 No 2007-09-24 00:00:00 None B None 800 800 -280 520 0 None 3L1P11 N None None SFY2007-08
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2007-09-19 00:00:00 940004285 Closed Citation Citation B (HSC 1424) Other Abuse 2007-03-09 00:00:00 2007-03-09 00:00:00 Yes 2007-10-11 00:00:00 2007-09-20 00:00:00 B B 1000 500 0 500 0 None KWHI11 N CA00072855, CA00083355 B, B SFY2007-08
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2007-09-19 00:00:00 940004286 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-09 00:00:00 2007-03-09 00:00:00 Yes 2007-10-11 00:00:00 2007-09-20 00:00:00 B B 1000 500 0 500 0 None KWHI11 N CA00072855, CA00083355 B, B SFY2007-08
940000048 COTTAGE CREST POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2007-12-10 00:00:00 940004370 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-22 00:00:00 2007-09-22 00:00:00 No 2008-01-02 00:00:00 None A None 10000 10000 -3500 6500 0 None LH0P11 N CA00127596 C SFY2007-08
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-04-15 00:00:00 940004421 Closed Citation Citation B (HSC 1424) Patient Care None 2007-11-01 00:00:00 2007-11-01 00:00:00 Yes 2008-05-06 00:00:00 2008-04-22 00:00:00 B B 1000 1800 0 1800 0 None J2CB11 N CA00124203 D SFY2007-08
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2007-12-11 00:00:00 940004477 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-11 00:00:00 2007-09-11 00:00:00 No 2008-01-03 00:00:00 None B None 1000 1000 -350 650 0 None GGK011 N CA00131232 B SFY2007-08
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2007-12-11 00:00:00 940004478 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-11-02 00:00:00 2007-11-02 00:00:00 No 2008-01-03 00:00:00 None B None 1000 1000 -350 650 0 None GGK011 N CA00131232 B SFY2007-08
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-01-07 00:00:00 940004553 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-18 00:00:00 2007-09-18 00:00:00 No 2008-01-29 00:00:00 None B None 1000 1450 0 1450 0 None 8ED811 N CA00134191 C SFY2007-08
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2008-01-29 00:00:00 940004627 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-18 00:00:00 2007-02-18 00:00:00 No 2008-02-21 00:00:00 None B None 1000 1000 0 1000 0 None FHYT11 N CA00107545 B SFY2007-08
940000098 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-02-14 00:00:00 940004696 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-05 00:00:00 2007-04-05 00:00:00 Yes 2008-03-07 00:00:00 2008-03-03 00:00:00 B B 1000 1000 0 1000 0 None CSMC11 N CA00112173 C SFY2007-08
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-03-27 00:00:00 940004839 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-29 00:00:00 2006-03-29 00:00:00 No 2008-04-18 00:00:00 None B None 1000 1000 -350 650 0 None 3S8G11 N CA00076516 A SFY2007-08
940000048 COTTAGE CREST POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2008-04-09 00:00:00 940004886 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Administration None 2007-11-01 00:00:00 2007-11-01 00:00:00 Yes 2008-04-30 00:00:00 2008-04-22 00:00:00 WF None 2500 2500 0 2500 0 None JVMG11 None None None SFY2007-08
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2008-04-16 00:00:00 940004938 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-01-11 00:00:00 2008-01-11 00:00:00 Yes 2008-05-07 00:00:00 2008-04-17 00:00:00 B B 800 460 0 460 0 None RSMS11 N CA00138840 B SFY2007-08
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2008-05-22 00:00:00 940005069 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-28 00:00:00 2007-09-28 00:00:00 Yes 2008-06-13 00:00:00 2008-05-22 00:00:00 B B 1000 750 0 750 0 None L75N11 N CA00127798 A SFY2007-08
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-05-23 00:00:00 940005070 Closed Citation Citation A (HSC 1424) Patient Care None 2007-01-28 00:00:00 2007-01-28 00:00:00 Yes 2011-09-26 00:00:00 2011-09-20 00:00:00 A A 20000 10000 0 10000 0 None TXCY11 Y CA00109996 B SFY2007-08
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2008-05-23 00:00:00 940005074 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-31 00:00:00 2008-01-31 00:00:00 Yes 2008-06-16 00:00:00 2008-05-29 00:00:00 B B 1000 750 0 750 0 None DILN11 N CA00136613, CA00136632 C, B SFY2007-08
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-10-29 00:00:00 940005150 Closed Citation Citation A (HSC 1424) Patient Care None 2007-09-21 00:00:00 2007-09-21 00:00:00 Yes 2008-11-20 00:00:00 2008-11-13 00:00:00 A A 20000 10000 0 10000 0 None 8NWI11 N CA00128453 B SFY2008-09
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-07-28 00:00:00 940005264 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-20 00:00:00 2007-03-20 00:00:00 Yes 2008-08-18 00:00:00 2008-08-11 00:00:00 B B 1000 500 0 500 0 None 60NH11 N CA00108387 C SFY2008-09
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2008-07-28 00:00:00 940005268 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-05 00:00:00 2008-05-05 00:00:00 No 2008-08-18 00:00:00 None B None 1000 1000 -350 650 0 None AWZZ11 N CA00147391 C SFY2008-09
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2008-09-25 00:00:00 940005470 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-22 00:00:00 2008-01-22 00:00:00 No 2008-10-17 00:00:00 None B None 1000 1000 0 1000 0 None 0LLM11 N CA00138935 B SFY2008-09
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2008-10-10 00:00:00 940005518 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-10 00:00:00 2008-05-10 00:00:00 Yes 2008-11-03 00:00:00 2008-10-17 00:00:00 B B 1000 500 0 500 0 None 3YK111 N CA00150680 C SFY2008-09
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-01-05 00:00:00 940005567 Closed Citation Citation A (HSC 1424) Administration None 2008-07-03 00:00:00 2008-07-03 00:00:00 Yes 2009-01-26 00:00:00 2009-01-06 00:00:00 A A 5000 2000 0 2000 0 None NFEE11 N None None SFY2008-09
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-01-08 00:00:00 940005762 Closed Citation Citation B (HSC 1424) Administration None 2008-12-17 00:00:00 2008-12-17 00:00:00 No 2009-01-30 00:00:00 None B None 1000 1000 0 1000 0 None 0WM811 N CA00172470 C SFY2008-09
940000069 BROOKFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-01-12 00:00:00 940005780 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-28 00:00:00 2008-08-28 00:00:00 No 2009-02-03 00:00:00 None B None 400 400 0 400 0 None YBT711 N CA00162072 A SFY2008-09
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2009-01-20 00:00:00 940005808 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-03-25 00:00:00 2008-03-25 00:00:00 No 2009-02-10 00:00:00 None B None 1000 1000 -350 650 0 None HUMW11 N CA00145216 B SFY2008-09
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-03-06 00:00:00 940005817 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-12-23 00:00:00 2008-12-23 00:00:00 Yes 2009-03-27 00:00:00 2009-03-27 00:00:00 AA AA 100000 35000 0 35000 0 None 7I0Q11 Y CA00173598 C SFY2008-09
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-02-09 00:00:00 940005867 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-21 00:00:00 2009-01-21 00:00:00 No 2009-03-04 00:00:00 None B None 1000 1000 -350 650 0 None IWUI11 N CA00175390 C SFY2008-09
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-02-10 00:00:00 940005871 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-27 00:00:00 2009-01-27 00:00:00 No 2009-03-05 00:00:00 None B None 1000 1000 -350 650 0 None IWUI11 N CA00175390 C SFY2008-09
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-03-30 00:00:00 940005938 Closed Citation Citation A (HSC 1424) Administration None 2009-01-12 00:00:00 2009-01-12 00:00:00 Yes 2009-04-21 00:00:00 2009-04-10 00:00:00 A B 20000 1000 0 1000 0 None 7I0Q11 Y CA00173598 C SFY2008-09
940000101 LONG BEACH POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2009-03-24 00:00:00 940006010 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-06-04 00:00:00 2008-06-04 00:00:00 No 2009-04-15 00:00:00 None B None 1000 1000 0 1000 0 None CEX511 N CA00154143 C SFY2008-09
940000024 NORWALK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2009-05-06 00:00:00 940006164 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-13 00:00:00 2008-05-13 00:00:00 No 2009-05-28 00:00:00 None B None 1000 1000 -350 650 0 None JO9I11 N CA00152176 B SFY2008-09
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-07-06 00:00:00 940006355 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-05-30 00:00:00 2009-05-30 00:00:00 No 2009-07-27 00:00:00 None B None 1000 1000 0 1000 0 None C00V11 N CA00190449 C SFY2009-10
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-07-29 00:00:00 940006426 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-05-26 00:00:00 2009-05-26 00:00:00 No 2009-08-19 00:00:00 None B None 1000 1000 0 1000 0 None DLMF11 N CA00189927 C SFY2009-10
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-09-15 00:00:00 940006432 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-13 00:00:00 2009-06-13 00:00:00 Yes 2012-06-18 00:00:00 2012-05-31 00:00:00 A A 20000 20000 0 20000 0 None 527V11 N CA00192043 C SFY2009-10
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2009-10-07 00:00:00 940006511 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-01 00:00:00 2007-06-01 00:00:00 Yes 2009-10-29 00:00:00 2009-10-22 00:00:00 A A 20000 11600 0 11600 0 None XP4R11 N CA00137036 C SFY2009-10
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2009-09-15 00:00:00 940006515 Closed Citation Citation A (HSC 1424) Patient Care None 2009-06-13 00:00:00 2009-06-13 00:00:00 Yes 2012-06-15 00:00:00 2012-05-31 00:00:00 A B 20000 10000 0 10000 0 None 527V11 N CA00192043 C SFY2009-10
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-03-10 00:00:00 940006558 Closed Citation Citation B (HSC 1424) Problem Transfer None 2009-03-24 00:00:00 2009-03-24 00:00:00 No 2011-04-01 00:00:00 None B None 1000 1000 0 1000 0 None YXQP11 N CA00175910 A SFY2010-11
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2010-01-11 00:00:00 940006832 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-22 00:00:00 2009-10-22 00:00:00 Yes 2010-02-03 00:00:00 2010-01-29 00:00:00 A A 16000 9280 0 9280 0 None K8KO11 N None None SFY2009-10
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2010-01-11 00:00:00 940006855 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-20 00:00:00 2009-10-20 00:00:00 Yes 2010-02-03 00:00:00 2010-01-29 00:00:00 A A 20000 11600 0 11600 0 None K8KO11 N None None SFY2009-10
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2010-01-11 00:00:00 940006856 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-19 00:00:00 2009-10-19 00:00:00 Yes 2010-02-03 00:00:00 2010-01-29 00:00:00 A A 16000 9280 0 9280 0 None K8KO11 N None None SFY2009-10
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-01-19 00:00:00 940006857 Closed Citation Citation A (HSC 1424) Patient Care None 2009-11-30 00:00:00 2009-11-30 00:00:00 Yes 2010-02-09 00:00:00 2010-02-04 00:00:00 A A 16000 16000 0 16000 0 None RHYD11 N None None SFY2009-10
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2010-01-11 00:00:00 940006858 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-29 00:00:00 2009-10-29 00:00:00 Yes 2010-02-03 00:00:00 2010-01-29 00:00:00 A A 16000 9280 0 9280 0 None 0SL511 N None None SFY2009-10
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2010-01-11 00:00:00 940006859 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-30 00:00:00 2009-10-30 00:00:00 Yes 2010-02-03 00:00:00 2010-01-29 00:00:00 A A 20000 11600 0 11600 0 None 0SL511 N None None SFY2009-10
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2010-01-15 00:00:00 940006860 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-23 00:00:00 2009-10-23 00:00:00 Yes 2010-02-08 00:00:00 2010-01-29 00:00:00 A A 16000 9280 0 9280 0 None K8KO11 N None None SFY2009-10
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2010-04-07 00:00:00 940006956 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-05-19 00:00:00 2008-05-19 00:00:00 Yes 2011-01-26 00:00:00 2010-11-22 00:00:00 AA A 100000 50000 0 50000 0 None M1EX11 Y CA00150565 C SFY2009-10
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-03-15 00:00:00 940006975 Closed Citation Citation A (HSC 1424) Patient Care None 2009-11-30 00:00:00 2009-11-30 00:00:00 Yes 2010-04-06 00:00:00 2010-04-27 00:00:00 A None 16000 16000 0 16000 0 None RHYD11 N None None SFY2009-10
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-03-15 00:00:00 940006976 Closed Citation Citation A (HSC 1424) Dietary None 2009-11-30 00:00:00 2009-11-30 00:00:00 Yes 2010-04-06 00:00:00 2010-03-23 00:00:00 A A 16000 16000 0 16000 0 None RHYD11 N None None SFY2009-10
940000073 HUNTINGTON PARK NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2010-02-10 00:00:00 940006987 Open Citation Citation B (HSC 1424) Patient Care None 2008-11-10 00:00:00 2008-11-10 00:00:00 Yes 2010-03-03 00:00:00 2010-03-20 00:00:00 B B 1000 1000 0 0 1000 None 48WB11 N CA00169141 A SFY2009-10
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2010-04-16 00:00:00 940007118 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-10 00:00:00 2010-03-10 00:00:00 Yes 2010-05-07 00:00:00 2010-07-14 00:00:00 B B 1000 1000 -883.6 116.4 0 None T2M011 N CA00221018 C SFY2009-10
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2010-04-16 00:00:00 940007119 Closed Citation Citation A (HSC 1424) Administration None 2010-02-11 00:00:00 2010-02-11 00:00:00 Yes 2013-04-22 00:00:00 2013-04-15 00:00:00 A A 16000 16000 -14137.56 1862.44 0 None T2M011 N CA00221018 C SFY2009-10
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2010-10-08 00:00:00 940007622 Closed Citation Citation B (HSC 1424) Administration None 2010-07-29 00:00:00 2010-07-29 00:00:00 Yes 2010-10-29 00:00:00 2010-10-19 00:00:00 B B 1000 750 0 750 0 None U4I211 N CA00237223 A SFY2010-11
940000093 ARTESIA CHRISTIAN HOME INC. LTC SNF Skilled Nursing Facility LA Region 3 2011-04-19 00:00:00 940007724 Closed Citation Citation A (HSC 1424) Patient Care None 2010-09-30 00:00:00 2010-09-30 00:00:00 Yes 2011-05-10 00:00:00 2011-05-04 00:00:00 A A 15000 15000 0 15000 0 None C80M11 Y CA00245336 C SFY2010-11
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2011-03-25 00:00:00 940007797 Closed Citation Citation A (HSC 1424) Patient Care None 2008-07-08 00:00:00 2008-07-08 00:00:00 Yes 2011-04-18 00:00:00 2011-04-12 00:00:00 A A 20000 20000 0 20000 0 None LS6X11 N CA00129672 B SFY2010-11
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2011-02-24 00:00:00 940007928 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-12-28 00:00:00 2008-12-28 00:00:00 No 2011-03-17 00:00:00 None B None 1000 1000 0 1000 0 None 09NX11 N CA00173609 C SFY2010-11
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2011-02-24 00:00:00 940007969 Closed Citation Citation B (HSC 1424) Patient Care None 2008-08-31 00:00:00 2008-08-31 00:00:00 No 2011-03-17 00:00:00 None B None 1000 1000 0 1000 0 None KUMG11 N CA00162266 C SFY2010-11
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2011-03-02 00:00:00 940007985 Closed Citation Citation B (HSC 1424) Patient Care None 2009-05-10 00:00:00 2009-05-10 00:00:00 No 2011-03-23 00:00:00 None B None 1000 1000 0 1000 0 None Q5PQ11 N CA00188082 C SFY2010-11
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-03-02 00:00:00 940007993 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-01 00:00:00 2010-05-01 00:00:00 Yes 2011-03-23 00:00:00 2011-03-17 00:00:00 B None 1000 1000 0 1000 0 None HZ5O11 N CA00228467 B SFY2010-11
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-03-09 00:00:00 940008011 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-11-05 00:00:00 2009-11-05 00:00:00 Yes 2011-03-30 00:00:00 2011-03-24 00:00:00 B B 500 375 0 375 0 None ITOF11 N CA00208176 C SFY2010-11
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-03-09 00:00:00 940008016 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-22 00:00:00 2010-04-22 00:00:00 No 2011-03-30 00:00:00 None B None 1000 1000 -350 650 0 None B1LG11 N None None SFY2010-11
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-01-20 00:00:00 940008078 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-08 00:00:00 2011-03-08 00:00:00 No 2012-02-10 00:00:00 None B None 2000 2000 -700 1300 0 None IQ9K11 N CA00258730, CA00258730, CA00258730 B, B, B SFY2011-12
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-06-20 00:00:00 940008086 Closed Citation Citation A (HSC 1424) Other Quality of Care 2010-05-20 00:00:00 2010-05-20 00:00:00 Yes 2011-07-12 00:00:00 2011-06-28 00:00:00 A B 10000 6500 0 6500 0 None R8ER11 N CA00255688, CA00255688 B, B SFY2010-11
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-06-20 00:00:00 940008088 Closed Citation Citation A (HSC 1424) Other Quality of Care 2011-01-31 00:00:00 2011-01-31 00:00:00 Yes 2011-07-12 00:00:00 2011-06-28 00:00:00 A A 15000 15000 0 15000 0 None R8ER11 N CA00255688, CA00255688 B, B SFY2010-11
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-03-30 00:00:00 940008089 Open Citation Citation B (HSC 1424) Other Unusual Occurrence 2011-01-31 00:00:00 2011-01-31 00:00:00 Yes 2011-04-21 00:00:00 2011-04-06 00:00:00 B None 1000 1000 0 0 1000 None R8ER11 Y CA00255688, CA00255688 B, B SFY2010-11
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2011-04-19 00:00:00 940008102 Closed Citation Citation B (HSC 1424) Patient Care None 2009-09-05 00:00:00 2009-09-05 00:00:00 No 2011-05-10 00:00:00 None B None 1000 3000 0 3000 0 None 34BV11 N None None SFY2010-11
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-04-20 00:00:00 940008175 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-17 00:00:00 2010-11-17 00:00:00 Yes 2011-05-11 00:00:00 2011-04-27 00:00:00 B B 1000 530 0 530 0 None UFV411 Y CA00216242 C SFY2010-11
940000073 HUNTINGTON PARK NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-04-26 00:00:00 940008198 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-03-26 00:00:00 2011-03-26 00:00:00 Yes 2014-05-01 00:00:00 2014-04-11 00:00:00 B B 1000 750 0 750 0 None 3ITL11 N None None SFY2010-11
940000073 HUNTINGTON PARK NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-04-26 00:00:00 940008199 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-03-23 00:00:00 2011-03-23 00:00:00 Yes 2014-05-01 00:00:00 2014-04-11 00:00:00 B B 1000 0 0 0 0 None 3ITL11 N None None SFY2010-11
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2011-08-12 00:00:00 940008202 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-07-05 00:00:00 2008-07-05 00:00:00 Yes 2013-08-13 00:00:00 2013-07-23 00:00:00 AA AA 75000 75000 0 75000 0 None EQJS11 Y CA00168749 C SFY2011-12
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-05-26 00:00:00 940008206 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-20 00:00:00 2010-05-20 00:00:00 Yes 2011-06-17 00:00:00 2011-06-03 00:00:00 B B 1000 900 0 900 0 None R8ER11 N CA00255688, CA00255688 B, B SFY2010-11
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-05-12 00:00:00 940008224 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-08-24 00:00:00 2009-08-24 00:00:00 No 2011-06-03 00:00:00 None B None 1000 1000 -350 650 0 None F4L911 N CA00199693 A SFY2010-11
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-05-26 00:00:00 940008276 Closed Citation Citation B (HSC 1424) Administration None 2008-09-10 00:00:00 2008-09-10 00:00:00 Yes 2011-06-17 00:00:00 2011-05-27 00:00:00 B Dismissed by Court 1000 0 0 0 0 None LG5I11 N CA00161725 C SFY2010-11
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2011-05-26 00:00:00 940008277 Closed Citation Citation B (HSC 1424) Other Abuse 2007-07-28 00:00:00 2007-07-28 00:00:00 No 2011-06-17 00:00:00 None B None 1000 1000 0 1000 0 None KZFE11 N CA00121721 B SFY2010-11
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-08-31 00:00:00 940008524 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-10 00:00:00 2008-03-10 00:00:00 Yes 2011-09-22 00:00:00 2011-09-22 00:00:00 B None 1000 1000 0 1000 0 None 81L011 N CA00153066 C SFY2011-12
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2011-09-13 00:00:00 940008565 Closed Citation Citation B (HSC 1424) Patient Care None 2009-04-10 00:00:00 2009-04-10 00:00:00 No 2011-10-05 00:00:00 None B None 1000 1000 0 1000 0 None H7G411 N CA00185377 C SFY2011-12
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-02-09 00:00:00 940008589 Closed Citation Citation A (HSC 1424) Patient Care None 2010-04-18 00:00:00 2010-04-18 00:00:00 Yes 2012-03-02 00:00:00 2012-02-23 00:00:00 A A 20000 11600 0 11600 0 None W0HL11 N CA00226262, CA00226612, CA00227613 C, C, C SFY2011-12
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2011-09-26 00:00:00 940008590 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-05-18 00:00:00 2011-05-18 00:00:00 No 2011-10-17 00:00:00 None B None 500 500 0 500 0 None XRRB11 N CA00272333 A SFY2011-12
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-09-26 00:00:00 940008592 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-02-07 00:00:00 2011-02-07 00:00:00 No 2011-10-17 00:00:00 None B None 500 500 0 500 0 None H9US11 N CA00258541 B SFY2011-12
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2011-09-27 00:00:00 940008595 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-17 00:00:00 2011-03-17 00:00:00 No 2011-10-18 00:00:00 None B None 1000 1000 -350 650 0 None 2ROH11 N CA00264964 B SFY2011-12
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2011-09-27 00:00:00 940008596 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-02-17 00:00:00 2011-02-17 00:00:00 No 2011-10-18 00:00:00 None B None 500 500 0 500 0 None K2JF11 N CA00259821 B SFY2011-12
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-02-06 00:00:00 940008612 Closed Citation Citation A (HSC 1424) Patient Care None 2011-01-06 00:00:00 2011-01-06 00:00:00 Yes 2012-02-28 00:00:00 2012-03-05 00:00:00 A A 5000 2900 0 2900 0 None J9D911 N CA00259263 B SFY2011-12
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-02-10 00:00:00 940008692 Closed Citation Citation A (HSC 1424) Patient Care None 2009-10-31 00:00:00 2009-10-31 00:00:00 Yes 2012-03-05 00:00:00 2012-03-12 00:00:00 A B 15000 15000 0 15000 0 None PFNX11 N CA00223359 C SFY2011-12
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-01-24 00:00:00 940008718 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-03-10 00:00:00 2010-03-10 00:00:00 Yes 2012-02-14 00:00:00 2012-01-26 00:00:00 AA A 80000 70000 0 70000 0 None ZFSX11 Y CA00222026 C SFY2011-12
940000030 VILLA SERENA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-01-25 00:00:00 940008722 Closed Citation Citation B (HSC 1424) Patient Care None 2011-01-25 00:00:00 2011-01-25 00:00:00 No 2012-02-15 00:00:00 None B None 1000 1000 -350 650 0 None NPQJ11 N None None SFY2011-12
940000030 VILLA SERENA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-01-25 00:00:00 940008723 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-14 00:00:00 2011-09-14 00:00:00 No 2012-02-15 00:00:00 None B None 1000 1000 -350 650 0 None NPQJ11 N None None SFY2011-12
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-01-19 00:00:00 940008813 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-11 00:00:00 2010-09-11 00:00:00 No 2012-02-09 00:00:00 None B None 2000 2000 0 2000 0 None JXI811 N None None SFY2011-12
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-01-19 00:00:00 940008814 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse/Facility Not Report 2011-10-14 00:00:00 2011-10-14 00:00:00 No 2012-02-09 00:00:00 None B None 2000 2000 0 2000 0 None JXI811 N None None SFY2011-12
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2012-02-10 00:00:00 940008992 Closed Citation Citation B (HSC 1424) Medication None 2011-09-14 00:00:00 2011-09-14 00:00:00 No 2012-03-05 00:00:00 None B None 500 500 -175 325 0 None 9IPW11 N None None SFY2011-12
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-02-27 00:00:00 940009045 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-30 00:00:00 2011-09-30 00:00:00 No 2012-03-19 00:00:00 None B None 1200 1200 -420 780 0 None E8NU11 N CA00286581 B SFY2011-12
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-02-27 00:00:00 940009046 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2011-09-15 00:00:00 2011-09-15 00:00:00 No 2012-03-19 00:00:00 None B None 1000 1000 -350 650 0 None E8NU11 N CA00286581 B SFY2011-12
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-03-06 00:00:00 940009064 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-11-26 00:00:00 2011-11-26 00:00:00 Yes 2012-03-27 00:00:00 2012-04-06 00:00:00 B None 1000 1000 -350 650 0 None MOG811 N CA00290918 B SFY2011-12
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2012-08-07 00:00:00 940009065 Closed Citation Citation A (HSC 1424) Patient Care None 2011-11-08 00:00:00 2011-11-08 00:00:00 Yes 2012-08-28 00:00:00 2012-08-28 00:00:00 A A 20000 10000 0 10000 0 None VO3E11 Y CA00289153 A SFY2012-13
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-03-02 00:00:00 940009066 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-02-02 00:00:00 2012-02-02 00:00:00 No 2012-03-23 00:00:00 None B None 2000 2000 0 2000 0 None C74K11 N None None SFY2011-12
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-04-03 00:00:00 940009093 Closed Citation Citation A (HSC 1424) Patient Care None 2012-02-02 00:00:00 2012-02-02 00:00:00 No 2012-04-24 00:00:00 None A None 20000 20000 -7000 13000 0 None C74K11 N None None SFY2011-12
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-03-27 00:00:00 940009192 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-10-03 00:00:00 2011-10-03 00:00:00 Yes 2012-04-17 00:00:00 2012-03-30 00:00:00 B None 1000 1000 0 0 1000 None J73H11 N CA00285647 B SFY2011-12
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-04-27 00:00:00 940009244 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-12-01 00:00:00 2011-12-01 00:00:00 No 2012-05-18 00:00:00 None B None 2000 2000 -700 1300 0 None P6UD11 N CA00297004 B SFY2011-12
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-04-27 00:00:00 940009245 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-12-17 00:00:00 2011-12-17 00:00:00 No 2012-05-18 00:00:00 None B None 2000 2000 -700 1300 0 None P6UD11 N CA00297004 B SFY2011-12
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-05-09 00:00:00 940009289 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-23 00:00:00 2011-02-23 00:00:00 Yes 2012-05-31 00:00:00 2012-05-11 00:00:00 B None 2000 2000 0 2000 0 None IIYI11 N CA00271732 C SFY2011-12
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-05-09 00:00:00 940009293 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-28 00:00:00 2011-09-28 00:00:00 No 2012-05-31 00:00:00 None B None 2000 2000 -700 1300 0 None Z6LS11 N CA00289733 B SFY2011-12
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-05-16 00:00:00 940009309 Closed Citation Citation B (HSC 1424) Patient Care None 2009-10-21 00:00:00 2009-10-21 00:00:00 No 2012-06-07 00:00:00 None B None 1200 1200 -420 780 0 None PX4711 N CA00206139 A SFY2011-12
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-05-22 00:00:00 940009325 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-14 00:00:00 2012-03-14 00:00:00 No 2012-06-13 00:00:00 None B None 600 600 0 600 0 None 9Y2Y11 N CA00303679, CA00304753 B, B SFY2011-12
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-07-02 00:00:00 940009383 Closed Citation Citation B (HSC 1424) Patient Care None 2012-05-08 00:00:00 2012-05-08 00:00:00 No 2012-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None X8UW11 N CA00309969 B SFY2012-13
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-07-02 00:00:00 940009384 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-25 00:00:00 2012-02-25 00:00:00 No 2012-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None XEER11 N CA00301239 B SFY2012-13
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2012-07-10 00:00:00 940009393 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-06-12 00:00:00 2012-06-12 00:00:00 No 2012-07-31 00:00:00 None B None 2000 2000 -700 1300 0 None 1W0211 N None None SFY2012-13
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-07-18 00:00:00 940009400 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-07-12 00:00:00 2012-07-12 00:00:00 No 2012-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None 0DOF11 N None None SFY2012-13
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-08-07 00:00:00 940009428 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-07-01 00:00:00 2012-07-01 00:00:00 No 2012-08-28 00:00:00 None B None 2000 2000 -700 1300 0 None WZ0E11 N CA00316682 B SFY2012-13
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-08-20 00:00:00 940009446 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-02-03 00:00:00 2011-02-03 00:00:00 No 2012-09-11 00:00:00 None B None 1600 1600 0 1600 0 None H52E11 N CA00264600 B SFY2012-13
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-08-20 00:00:00 940009447 Closed Citation Citation B (HSC 1424) Problem Transfer None 2011-08-09 00:00:00 2011-08-09 00:00:00 No 2012-09-11 00:00:00 None B None 2000 2000 -700 1300 0 None W3YY11 N CA00280466 B SFY2012-13
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-08-20 00:00:00 940009449 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-02 00:00:00 2011-04-02 00:00:00 No 2012-09-11 00:00:00 None B None 2000 2000 0 2000 0 None H52E11 N CA00264630 B SFY2012-13
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-08-21 00:00:00 940009451 Closed Citation Citation B (HSC 1424) Other Misappropriation of Prope 2011-10-28 00:00:00 2011-10-28 00:00:00 No 2012-09-12 00:00:00 None B None 2000 2000 -700 1300 0 None MWEH11 N CA00286822 B SFY2012-13
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2012-09-11 00:00:00 940009471 Closed Citation Citation A (HSC 1424) Patient Care None 2011-03-09 00:00:00 2011-03-09 00:00:00 Yes 2012-10-02 00:00:00 2012-09-24 00:00:00 A B 18000 18000 0 18000 0 None CMIK11 N CA00264641 B SFY2012-13
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-09-11 00:00:00 940009481 Closed Citation Citation A (HSC 1424) Patient Care None 2012-03-27 00:00:00 2012-03-27 00:00:00 No 2012-10-02 00:00:00 None A None 12000 12000 -4200 7800 0 None 1O8611 N CA00309309 B SFY2012-13
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-09-11 00:00:00 940009482 Closed Citation Citation B (HSC 1424) Problem Transfer None 2012-03-27 00:00:00 2012-03-27 00:00:00 No 2012-10-02 00:00:00 None B None 1500 1500 -525 975 0 None 1O8611 N CA00309309 B SFY2012-13
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2012-09-12 00:00:00 940009484 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-12 00:00:00 2012-03-12 00:00:00 No 2012-10-03 00:00:00 None B None 1000 1000 0 1000 0 None 1EJE11 N None None SFY2012-13
940000072 MARLORA POST ACUTE REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-09-12 00:00:00 940009485 Closed Citation Citation B (HSC 1424) Patient Care None 2012-03-09 00:00:00 2012-03-09 00:00:00 No 2012-10-03 00:00:00 None B None 2000 2000 0 2000 0 None CV2311 N CA00304236 B SFY2012-13
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-11-19 00:00:00 940009529 Closed Citation Citation A (HSC 1424) Patient Care None 2011-11-05 00:00:00 2011-11-05 00:00:00 No 2012-12-12 00:00:00 None A None 16000 16000 0 16000 0 None PCS411 N CA00290257 B SFY2012-13
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-10-02 00:00:00 940009535 Closed Citation Citation B (HSC 1424) Patient Care None 2012-08-28 00:00:00 2012-08-28 00:00:00 No 2012-10-23 00:00:00 None B None 2000 6000 0 6000 0 None LBL111 N CA00323873 B SFY2012-13
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2012-11-19 00:00:00 940009543 Closed Citation Citation A (HSC 1424) Patient Care None 2012-04-07 00:00:00 2012-04-07 00:00:00 No 2012-12-12 00:00:00 None A None 10000 10000 -3500 6500 0 None DVDQ11 N CA00313712, CA00314680, CA00314680 B, B, B SFY2012-13
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2012-11-20 00:00:00 940009609 Closed Citation Citation A (HSC 1424) Patient Care None 2012-10-21 00:00:00 2012-10-21 00:00:00 No 2012-12-13 00:00:00 None A None 15000 45000 -15750 29250 0 None 6P8211 N CA00331033 C SFY2012-13
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2012-11-28 00:00:00 940009627 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-16 00:00:00 2011-05-16 00:00:00 No 2012-12-19 00:00:00 None B None 1800 1800 -630 1170 0 None Z7XL11 N CA00269932 B SFY2012-13
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-11-30 00:00:00 940009634 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-03 00:00:00 2012-02-03 00:00:00 No 2012-12-21 00:00:00 None B None 1000 1000 0 1000 0 None URF411 N CA00301515 B SFY2012-13
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-02-11 00:00:00 940009696 Closed Citation Citation A (HSC 1424) Patient Care None 2012-09-13 00:00:00 2012-09-13 00:00:00 Yes 2013-03-05 00:00:00 2013-02-15 00:00:00 A A 18000 12000 0 12000 0 None CL8911 N CA00326879, CA00326889 C, B SFY2012-13
940000030 VILLA SERENA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-02-11 00:00:00 940009709 Closed Citation Citation A (HSC 1424) Patient Care None 2012-11-23 00:00:00 2012-11-23 00:00:00 Yes 2013-03-05 00:00:00 2013-02-19 00:00:00 A None 17000 17000 0 17000 0 None L54Z11 N None None SFY2012-13
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2013-01-25 00:00:00 940009719 Closed Citation Citation B (HSC 1424) Patient Care None 2012-11-07 00:00:00 2012-11-07 00:00:00 No 2013-02-15 00:00:00 None B None 2000 2000 -700 1300 0 None SV2Q11 N CA00332557 A SFY2012-13
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-01-30 00:00:00 940009723 Closed Citation Citation B (HSC 1424) Patient Care None 2012-07-30 00:00:00 2012-07-30 00:00:00 No 2013-02-21 00:00:00 None B None 500 500 -175 325 0 None 83PF11 N CA00319483 B SFY2012-13
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-01-30 00:00:00 940009724 Closed Citation Citation B (HSC 1424) Patient Care None 2012-07-12 00:00:00 2012-07-12 00:00:00 No 2013-02-21 00:00:00 None B None 2000 2000 -700 1300 0 None 83PF11 N CA00318175 B SFY2012-13
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-02-12 00:00:00 940009741 Closed Citation Citation B (HSC 1424) Patient Care None 2012-11-11 00:00:00 2012-11-11 00:00:00 No 2013-03-06 00:00:00 None B None 2000 6000 -2100 3900 0 None 3ONJ11 N None None SFY2012-13
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-02-12 00:00:00 940009742 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-11 00:00:00 2012-10-11 00:00:00 No 2013-03-06 00:00:00 None B None 2000 6000 -2100 3900 0 None 3ONJ11 N None None SFY2012-13
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-02-12 00:00:00 940009743 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-11 00:00:00 2012-10-11 00:00:00 No 2013-03-06 00:00:00 None B None 2000 6000 -2100 3900 0 None 3ONJ11 N None None SFY2012-13
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-02-12 00:00:00 940009744 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-11 00:00:00 2012-10-11 00:00:00 No 2013-03-06 00:00:00 None B None 2000 6000 -2100 3900 0 None 3ONJ11 N None None SFY2012-13
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-02-27 00:00:00 940009760 Closed Citation Citation B (HSC 1424) Administration None 2012-12-25 00:00:00 2012-12-25 00:00:00 No 2013-03-20 00:00:00 None B None 750 750 -262.5 487.5 0 None YPQR11 N CA00338322 B SFY2012-13
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2013-05-21 00:00:00 940009762 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-01-27 00:00:00 2010-01-27 00:00:00 Yes 2013-06-12 00:00:00 2013-05-31 00:00:00 AA None 75000 75000 -66269.82 8730.18 0 None HY1211 Y CA00260266 B SFY2012-13
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-08-06 00:00:00 940010074 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-05-16 00:00:00 2013-05-16 00:00:00 No 2013-08-27 00:00:00 None B None 2000 2000 -700 1300 0 None JOLV11 N CA00355513 A SFY2013-14
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-08-07 00:00:00 940010090 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-05-18 00:00:00 2013-05-18 00:00:00 No 2013-08-28 00:00:00 None B None 2000 2000 -700 1300 0 None GFZJ11 N None None SFY2013-14
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2013-09-12 00:00:00 940010146 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-07-16 00:00:00 2013-07-16 00:00:00 No 2013-10-03 00:00:00 None B None 2000 2200 -700 1500 0 None BSWW11 N CA00364163 B SFY2013-14
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2013-09-16 00:00:00 940010149 Closed Citation Citation B (HSC 1424) Administration None 2013-07-16 00:00:00 2013-07-16 00:00:00 No 2013-10-07 00:00:00 None B None 2000 2000 -700 1300 0 None BSWW11 N CA00364163 B SFY2013-14
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-09-26 00:00:00 940010164 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-05-14 00:00:00 2013-05-14 00:00:00 No 2013-10-17 00:00:00 None B None 2000 2000 0 2000 0 None 90DN11 N None None SFY2013-14
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-11-19 00:00:00 940010271 Closed Citation Citation B (HSC 1424) Patient Care None 2013-09-05 00:00:00 2013-09-05 00:00:00 No 2013-12-12 00:00:00 None B None 2000 2000 -700 1300 0 None 3Y5H11 N CA00370957 B SFY2013-14
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-12-23 00:00:00 940010297 Closed Citation Citation B (HSC 1424) Patient Care None 2013-11-06 00:00:00 2013-11-06 00:00:00 No 2014-01-15 00:00:00 None B None 1500 1500 0 1500 0 None 1VMM11 N CA00376018 B SFY2013-14
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-12-23 00:00:00 940010357 Closed Citation Citation B (HSC 1424) Patient Care None 2013-11-06 00:00:00 2013-11-06 00:00:00 No 2014-01-15 00:00:00 None B None 1000 1000 0 1000 0 None 1VMM11 N CA00376018 B SFY2013-14
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2014-01-10 00:00:00 940010371 Closed Citation Citation B (HSC 1424) Medication None 2013-12-06 00:00:00 2013-12-06 00:00:00 No 2014-02-03 00:00:00 None B None 2000 2000 -700 1300 0 None B9QR11 N CA00379346 B SFY2013-14
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-02-12 00:00:00 940010466 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-06-03 00:00:00 2013-06-03 00:00:00 No 2014-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None VPCD11 N CA00363669 B SFY2013-14
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-02-12 00:00:00 940010468 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-06-03 00:00:00 2013-06-03 00:00:00 No 2014-03-06 00:00:00 None B None 2000 2000 -700 1300 0 None VPCD11 N CA00363900 B SFY2013-14
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-03-06 00:00:00 940010523 Closed Citation Citation B (HSC 1424) Problem Transfer None 2013-10-21 00:00:00 2013-10-21 00:00:00 No 2014-03-27 00:00:00 None B None 2000 2000 -700 1300 0 None K1BV11 N CA00374667 A SFY2013-14
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2014-04-03 00:00:00 940010598 Closed Citation Citation B (HSC 1424) Administration None 2014-01-23 00:00:00 2014-01-23 00:00:00 No 2014-04-24 00:00:00 None B None 2000 2000 -700 1300 0 None MEYO11 N None None SFY2013-14
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-09-23 00:00:00 940010691 Closed Citation Citation A (HSC 1424) Patient Care None 2013-09-30 00:00:00 2013-09-30 00:00:00 No 2014-10-14 00:00:00 None A None 10000 10000 -3500 6500 0 None 0FZ511 N CA00372631, CA00372655 C, B SFY2014-15
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-05-06 00:00:00 940010703 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-06-08 00:00:00 2013-06-08 00:00:00 No 2014-05-28 00:00:00 None B None 2000 2000 -700 1300 0 None E1U611 N CA00391699 C SFY2013-14
940000048 COTTAGE CREST POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2014-06-02 00:00:00 940010714 Closed Citation Citation A (HSC 1424) Medication None 2014-02-19 00:00:00 2014-02-19 00:00:00 Yes 2014-06-23 00:00:00 2014-06-09 00:00:00 A A 20000 13000 0 13000 0 None S1Z811 N CA00388285, CA00388285, CA00388285 B, B, B SFY2013-14
940000048 COTTAGE CREST POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2014-06-02 00:00:00 940010742 Closed Citation Citation B (HSC 1424) Medication None 2014-03-03 00:00:00 2014-03-03 00:00:00 Yes 2014-06-23 00:00:00 2014-06-06 00:00:00 B B 2000 2000 0 2000 0 None S1Z811 N CA00388285, CA00388285, CA00388285, CA00388285 B, B, B, B SFY2013-14
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2014-06-10 00:00:00 940010743 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-03-28 00:00:00 2014-03-28 00:00:00 No 2014-07-01 00:00:00 None B None 1000 1000 0 1000 0 None 2P7V11 N None None SFY2013-14
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2014-06-10 00:00:00 940010746 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-28 00:00:00 2014-03-28 00:00:00 No 2014-07-01 00:00:00 None A None 10000 10000 -8835.98 1164.02 0 None 2P7V11 N None None SFY2013-14
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2014-07-31 00:00:00 940010900 Open Citation Citation B (HSC 1424) Patient Care None 2014-06-09 00:00:00 2014-06-09 00:00:00 Yes 2014-08-21 00:00:00 2014-08-07 00:00:00 B None 2000 2000 0 0 2000 None 5QG411 N CA00401276 B SFY2014-15
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-08-21 00:00:00 940010945 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-07-11 00:00:00 2014-07-11 00:00:00 No 2014-09-12 00:00:00 None B None 2000 2000 -700 1300 0 None OQ6311 N None None SFY2014-15
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-08-27 00:00:00 940010963 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-06-13 00:00:00 2013-06-13 00:00:00 No 2014-09-18 00:00:00 None B None 1000 1000 -350 650 0 None SE5511 N CA00358555 A SFY2014-15
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2014-12-23 00:00:00 940010998 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-01-17 00:00:00 2014-01-17 00:00:00 Yes 2015-01-15 00:00:00 2014-12-30 00:00:00 AA A 75000 52500 0 52500 0 None 2XYV11 Y CA00392280, CA00393859 B, C SFY2014-15
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2014-12-23 00:00:00 940010999 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-07 00:00:00 2014-03-07 00:00:00 Yes 2015-01-15 00:00:00 2014-12-30 00:00:00 A A 20000 14000 0 14000 0 None 2XYV11 N None None SFY2014-15
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2014-12-04 00:00:00 940011067 Closed Citation Citation A (HSC 1424) Patient Care None 2012-04-23 00:00:00 2012-04-23 00:00:00 No 2014-12-26 00:00:00 None A None 10000 10000 -3500 6500 0 None DE8911 N CA00308763 C SFY2014-15
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-10-22 00:00:00 940011087 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-08-07 00:00:00 2014-08-07 00:00:00 No 2014-11-13 00:00:00 None B None 2000 2000 0 2000 0 None R4L011 N None None SFY2014-15
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-11-12 00:00:00 940011123 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-08-10 00:00:00 2013-08-10 00:00:00 No 2014-12-05 00:00:00 None B None 2000 6000 0 6000 0 None ZDZH11 N CA00366498 B SFY2014-15
940000117 SOCAL POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2014-12-10 00:00:00 940011129 Closed Citation Citation A (HSC 1424) Patient Care None 2012-09-25 00:00:00 2012-09-25 00:00:00 No 2015-01-02 00:00:00 None A None 10000 10000 -3500 6500 0 None 21M911 N CA00327335 C SFY2014-15
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-12-10 00:00:00 940011134 Closed Citation Citation B (HSC 1424) Patient Care None 2013-11-08 00:00:00 2013-11-08 00:00:00 No 2015-01-01 00:00:00 None B None 2000 2000 -700 1300 0 None RKWZ11 N CA00376515 A SFY2014-15
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-12-10 00:00:00 940011147 Closed Citation Citation A (HSC 1424) Patient Care None 2014-10-20 00:00:00 2014-10-20 00:00:00 No 2015-01-02 00:00:00 None A None 10000 10000 0 10000 0 None I4F611 N CA00382650 B SFY2014-15
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-12-23 00:00:00 940011181 Closed Citation Citation A (HSC 1424) Patient Care None 2013-09-22 00:00:00 2013-09-22 00:00:00 No 2015-01-15 00:00:00 None A None 10000 10000 -3500 6500 0 None KPLG11 N CA00371320 B SFY2014-15
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2014-12-18 00:00:00 940011184 Closed Citation Citation B (HSC 1424) Patient Care None 2013-03-11 00:00:00 2013-03-11 00:00:00 No 2015-01-12 00:00:00 None B None 2000 2000 -700 1300 0 None JP8T11 N CA00349883 B SFY2014-15
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2015-01-26 00:00:00 940011194 Closed Citation Citation A (HSC 1424) Patient Care None 2014-05-18 00:00:00 2014-05-18 00:00:00 No 2015-02-17 00:00:00 None A None 10000 10000 -3500 6500 0 None C5KX11 N None None SFY2014-15
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-02-05 00:00:00 940011250 Closed Citation Citation A (HSC 1424) Patient Care None 2012-03-06 00:00:00 2012-03-06 00:00:00 Yes 2015-02-27 00:00:00 2015-02-18 00:00:00 A A 20000 20000 0 20000 0 None C9MU11 N CA00326157 B SFY2014-15
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-03-25 00:00:00 940011286 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-04 00:00:00 2014-08-04 00:00:00 Yes 2015-04-16 00:00:00 2015-08-27 00:00:00 A A 20000 13000 0 13000 0 None N3IW11 N CA00408730 B SFY2014-15
960001457 EL ENCANTO HEALTHCARE AND HABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-03-18 00:00:00 940011312 Closed Citation Citation A (HSC 1424) Patient Care None 2013-08-27 00:00:00 2013-08-27 00:00:00 No 2015-04-09 00:00:00 None A None 12000 12000 -4200 7800 0 None XCO611 N CA00368644 B SFY2014-15
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-03-31 00:00:00 940011362 Closed Citation Citation A (HSC 1424) Patient Care None 2013-05-19 00:00:00 2013-05-19 00:00:00 Yes 2015-04-21 00:00:00 2015-04-01 00:00:00 A A 20000 20000 0 20000 0 None X81111 N None None SFY2014-15
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-04-20 00:00:00 940011365 Open Citation Citation B (HSC 1424) Patient Rights None 2013-02-09 00:00:00 2013-02-09 00:00:00 Yes 2015-05-11 00:00:00 2015-04-21 00:00:00 B None 2000 2000 0 0 2000 None 217W11 N CA00343375 B SFY2014-15
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-05-04 00:00:00 940011388 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-04 00:00:00 2014-07-04 00:00:00 No 2015-05-26 00:00:00 None A None 20000 20000 -7000 13000 0 None PWXR11 Y CA00404710 A SFY2014-15
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2015-04-17 00:00:00 940011403 Closed Citation Citation B (HSC 1424) Physical Environment None 2015-04-06 00:00:00 2015-04-06 00:00:00 Yes 2015-05-08 00:00:00 2015-04-21 00:00:00 B None 2000 2000 0 2000 0 None ZI5D11 N None None SFY2014-15
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2015-04-24 00:00:00 940011417 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-27 00:00:00 2015-02-27 00:00:00 Yes 2015-05-15 00:00:00 2015-05-12 00:00:00 B B 2000 2000 0 2000 0 None 5URS11 N None None SFY2014-15
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-04-29 00:00:00 940011424 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-03-20 00:00:00 2015-03-20 00:00:00 No 2015-05-20 00:00:00 None B None 2000 2000 0 2000 0 None 4P7811 N CA00433723 B SFY2014-15
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-05-01 00:00:00 940011430 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-10-07 00:00:00 2013-10-07 00:00:00 No 2015-05-22 00:00:00 None B None 2000 2000 -700 1300 0 None 0D5P11 N None None SFY2014-15
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-05-06 00:00:00 940011431 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-07-07 00:00:00 2014-07-07 00:00:00 Yes 2015-05-28 00:00:00 2015-05-13 00:00:00 B B 2000 2000 0 2000 0 None WN3911 N CA00413473, CA00413474, CA00413475, CA00413476 B, B, B, B SFY2014-15
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-05-06 00:00:00 940011435 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-20 00:00:00 2014-09-20 00:00:00 Yes 2015-05-28 00:00:00 2015-05-13 00:00:00 A A 20000 18000 0 18000 0 None WN3911 N CA00413475 B SFY2014-15
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-05-06 00:00:00 940011447 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-12-30 00:00:00 2013-12-30 00:00:00 No 2015-05-28 00:00:00 None B None 2000 2000 -700 1300 0 None JKC311 N CA00383209, CA00383221 E, E SFY2014-15
940000098 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-05-13 00:00:00 940011469 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-07-03 00:00:00 2014-07-03 00:00:00 No 2015-06-04 00:00:00 None B None 2000 2000 -700 1300 0 None H9J711 N CA00405852, CA00405852 A, A SFY2014-15
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2015-05-13 00:00:00 940011470 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-01-15 00:00:00 2015-01-15 00:00:00 No 2015-06-04 00:00:00 None B None 1000 1000 -350 650 0 None V3K111 N None None SFY2014-15
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-05-13 00:00:00 940011471 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-29 00:00:00 2014-03-29 00:00:00 No 2015-06-04 00:00:00 None B None 1000 1000 0 1000 0 None JR0411 N None None SFY2014-15
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2015-05-20 00:00:00 940011481 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-11-06 00:00:00 2013-11-06 00:00:00 No 2015-06-11 00:00:00 None B None 2000 2000 0 2000 0 None UTJL11 N None None SFY2014-15
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2015-06-11 00:00:00 940011546 Closed Citation Citation A (HSC 1424) Patient Care None 2014-06-28 00:00:00 2014-06-28 00:00:00 Yes 2015-07-02 00:00:00 2015-06-23 00:00:00 A B 20000 16000 0 16000 0 None KWEW11 N CA00403861, CA00403861 A, A SFY2014-15
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-07-01 00:00:00 940011570 Closed Citation Citation A (HSC 1424) Medication None 2013-07-26 00:00:00 2013-07-26 00:00:00 Yes 2015-07-22 00:00:00 2015-07-08 00:00:00 A A 20000 12500 0 12500 0 None JKCM11 N CA00382526, CA00382526, CA00382526, CA00382526, CA00382526 B, B, B, B, B SFY2015-16
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-07-01 00:00:00 940011573 Closed Citation Citation A (HSC 1424) Patient Care None 2013-09-08 00:00:00 2013-09-08 00:00:00 Yes 2015-07-22 00:00:00 2015-07-08 00:00:00 A B 20000 12500 0 12500 0 None JKCM11 N CA00382526, CA00382526, CA00382526, CA00382526, CA00382526 B, B, B, B, B SFY2015-16
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-06-29 00:00:00 940011579 Closed Citation Citation A (HSC 1424) Patient Care None 2012-04-16 00:00:00 2012-04-16 00:00:00 No 2015-07-20 00:00:00 None A None 20000 20000 -7000 13000 0 None C6BJ11 N CA00321666 A SFY2014-15
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-07-02 00:00:00 940011590 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-04-27 00:00:00 2014-04-27 00:00:00 No 2015-07-23 00:00:00 None B None 2000 2000 0 2000 0 None P3VB11 N CA00397098 B SFY2015-16
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-07-10 00:00:00 940011606 Closed Citation Citation A (HSC 1424) Patient Care None 2014-12-01 00:00:00 2014-12-01 00:00:00 Yes 2015-07-31 00:00:00 2015-07-28 00:00:00 A B 20000 15000 0 15000 0 None E2EP11 N None None SFY2015-16
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2015-07-09 00:00:00 940011609 Closed Citation Citation B (HSC 1424) Physical Environment None 2015-06-08 00:00:00 2015-06-08 00:00:00 No 2015-07-30 00:00:00 None B None 2000 2000 -700 1300 0 None KOFO21 N None None SFY2015-16
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-09-10 00:00:00 940011696 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-09-09 00:00:00 2014-09-09 00:00:00 No 2015-10-01 00:00:00 None A None 20000 20000 -7000 13000 0 None QGYZ11 N CA00412849 A SFY2015-16
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-09-18 00:00:00 940011704 Closed Citation Citation A (HSC 1424) Administration None 2014-08-03 00:00:00 2014-08-03 00:00:00 No 2015-10-09 00:00:00 None A None 20000 20000 -7000 13000 0 None 9KT411 N CA00408466 B SFY2015-16
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-09-29 00:00:00 940011713 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-29 00:00:00 2015-06-29 00:00:00 No 2015-10-20 00:00:00 None A None 20000 20000 -7000 13000 0 None 69GP11 N CA00452623 B SFY2015-16
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-09-30 00:00:00 940011762 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2015-10-21 00:00:00 None B None 2000 2000 0 2000 0 None 6Z5X11 N CA00431523 A SFY2015-16
940000069 BROOKFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-10-30 00:00:00 940011766 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-18 00:00:00 2014-07-18 00:00:00 No 2015-11-23 00:00:00 None B None 2000 2000 -700 1300 0 None ZDUZ11 N CA00407775 B SFY2015-16
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-10-02 00:00:00 940011768 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-05-15 00:00:00 2014-05-15 00:00:00 No 2015-10-23 00:00:00 None B None 2000 2000 0 2000 0 None 750111 N CA00399109 B SFY2015-16
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-10-23 00:00:00 940011781 Closed Citation Citation A (HSC 1424) Patient Care None 2015-09-28 00:00:00 2015-09-28 00:00:00 No 2015-11-16 00:00:00 None A None 20000 60000 -21000 39000 0 None 69GP12 N CA00452623 B SFY2015-16
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2015-12-02 00:00:00 940011818 Open Citation Citation A (HSC 1424) Patient Care None 2015-01-18 00:00:00 2015-01-18 00:00:00 Yes 2015-12-23 00:00:00 2015-12-15 00:00:00 A None 20000 20000 0 0 20000 None UPUY11 N CA00427793 B SFY2015-16
940000098 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-12-03 00:00:00 940011853 Closed Citation Citation A (HSC 1424) Patient Care None 2014-12-13 00:00:00 2014-12-13 00:00:00 No 2015-12-24 00:00:00 None A None 20000 20000 -7000 13000 0 None QPB311 N CA00423877 B SFY2015-16
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2015-12-02 00:00:00 940011862 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-30 00:00:00 2015-06-30 00:00:00 No 2015-12-23 00:00:00 None A None 20000 60000 0 60000 0 None V4XQ11 N CA00463569 B SFY2015-16
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2015-12-02 00:00:00 940011864 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-20 00:00:00 2015-02-20 00:00:00 No 2015-12-23 00:00:00 None A None 20000 20000 -7000 13000 0 None V4XQ11 N CA00463569 B SFY2015-16
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2016-04-08 00:00:00 940011868 Open Citation Citation A (HSC 1424) Patient Care None 2014-12-22 00:00:00 2014-12-22 00:00:00 Yes 2016-04-29 00:00:00 2016-04-18 00:00:00 A None 20000 20000 0 0 20000 None 7EQ211 N CA00424777, CA00426417 B, B SFY2015-16
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2015-12-02 00:00:00 940011876 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-17 00:00:00 2015-05-17 00:00:00 No 2015-12-23 00:00:00 None B None 2000 2000 0 2000 0 None BXS811 N CA00443367 B SFY2015-16
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-01-21 00:00:00 940011911 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-06 00:00:00 2014-07-06 00:00:00 Yes 2016-02-11 00:00:00 2016-02-08 00:00:00 A A 20000 11000 0 11000 0 None G34911 N CA00405476 A SFY2015-16
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-01-12 00:00:00 940011958 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-10 00:00:00 2015-04-10 00:00:00 No 2016-02-03 00:00:00 None B None 2000 2000 -700 1300 0 None JTSS11 N CA00441833 A SFY2015-16
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-01-21 00:00:00 940011982 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-06 00:00:00 2014-07-06 00:00:00 Yes 2016-02-11 00:00:00 2016-02-08 00:00:00 B B 2000 800 0 800 0 None G34911 N CA00405476 A SFY2015-16
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-02-12 00:00:00 940011990 Closed Citation Citation A (HSC 1424) Patient Care None 2014-12-11 00:00:00 2014-12-11 00:00:00 No 2016-03-07 00:00:00 None A None 20000 20000 -7000 13000 0 None MP8811 N CA00423393 A SFY2015-16
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-02-04 00:00:00 940011998 Closed Citation Citation A (HSC 1424) Medication None 2015-10-18 00:00:00 2015-10-18 00:00:00 No 2016-02-26 00:00:00 None A None 20000 20000 -7000 13000 0 None RMRM11 N None None SFY2015-16
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-02-04 00:00:00 940011999 Closed Citation Citation A (HSC 1424) Patient Care None 2015-10-18 00:00:00 2015-10-18 00:00:00 No 2016-02-26 00:00:00 None A None 10000 10000 -3500 6500 0 None RMRM11 N None None SFY2015-16
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2016-02-12 00:00:00 940012009 Closed Citation Citation A (HSC 1424) Medication None 2015-04-17 00:00:00 2015-04-17 00:00:00 Yes 2016-03-07 00:00:00 2016-02-25 00:00:00 A A 20000 12500 0 12500 0 None NTFO11 N CA00443994 B SFY2015-16
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2016-02-12 00:00:00 940012011 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2015-07-05 00:00:00 2015-07-05 00:00:00 Yes 2016-03-07 00:00:00 2016-02-25 00:00:00 WF WMF>$1000 2000 2000 0 2000 0 None NTFO11 None CA00443994 B SFY2015-16
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2016-03-02 00:00:00 940012049 Closed Citation Citation A (HSC 1424) Patient Care None 2014-10-09 00:00:00 2014-10-09 00:00:00 No 2016-03-23 00:00:00 None A None 20000 20000 -7000 13000 0 None 2NOL11 N CA00417029 B SFY2015-16
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-03-29 00:00:00 940012126 Closed Citation Citation A (HSC 1424) Patient Care None 2013-10-10 00:00:00 2013-10-10 00:00:00 No 2016-04-20 00:00:00 None A None 20000 20000 -7000 13000 0 None M8BV11 N CA00374430 B SFY2015-16
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-03-29 00:00:00 940012148 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-31 00:00:00 2015-08-31 00:00:00 No 2016-04-20 00:00:00 None B None 2000 2000 -700 1300 0 None UM8U11 N CA00456417 B SFY2015-16
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2016-04-21 00:00:00 940012186 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-13 00:00:00 2015-12-13 00:00:00 No 2016-05-12 00:00:00 None A None 20000 20000 -7000 13000 0 None 1E3211 N None None SFY2015-16
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2016-04-21 00:00:00 940012187 Closed Citation Citation B (HSC 1424) Administration None 2016-03-17 00:00:00 2016-03-17 00:00:00 No 2016-05-12 00:00:00 None B None 1000 1000 -350 650 0 None 1E3211 N None None SFY2015-16
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-04-27 00:00:00 940012198 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-01-17 00:00:00 2016-01-17 00:00:00 No 2016-05-18 00:00:00 None B None 2000 2000 -700 1300 0 None 09XU11 N CA00472912 B SFY2015-16
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-26 00:00:00 940012227 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-03-20 00:00:00 2016-03-20 00:00:00 No 2016-06-17 00:00:00 None B None 2000 2000 -700 1300 0 None 59C811 N CA00481117 B SFY2015-16
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-26 00:00:00 940012231 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-10 00:00:00 2015-08-10 00:00:00 Yes 2016-06-17 00:00:00 2016-06-10 00:00:00 A B 20000 10000 0 10000 0 None 59C811 N CA00454015 B SFY2015-16
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-26 00:00:00 940012232 Closed Citation Citation B (HSC 1424) Patient Care None 2016-01-18 00:00:00 2016-01-18 00:00:00 No 2016-06-17 00:00:00 None B None 2000 2000 -700 1300 0 None 59C811 N None None SFY2015-16
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-26 00:00:00 940012233 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-18 00:00:00 2016-01-18 00:00:00 Yes 2016-06-17 00:00:00 2016-06-10 00:00:00 A A 20000 10000 0 10000 0 None 59C811 N CA00473520 A SFY2015-16
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-26 00:00:00 940012234 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-04 00:00:00 2016-04-04 00:00:00 Yes 2016-06-17 00:00:00 2016-06-10 00:00:00 A B 16000 3000 0 3000 0 None 59C811 N CA00483076 B SFY2015-16
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-11 00:00:00 940012236 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-01-27 00:00:00 2016-01-27 00:00:00 No 2016-06-02 00:00:00 None B None 2000 2000 0 2000 0 None X4NK11 N CA00474146 A SFY2015-16
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-26 00:00:00 940012278 Closed Citation Citation A (HSC 1424) Patient Care None 2014-10-29 00:00:00 2014-10-29 00:00:00 Yes 2016-06-17 00:00:00 2016-06-17 00:00:00 A A 16000 1000 0 1000 0 None QO1S11 N CA00418864 B SFY2015-16
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-05-26 00:00:00 940012287 Closed Citation Citation A (HSC 1424) Patient Care None 2015-01-09 00:00:00 2015-01-09 00:00:00 Yes 2016-06-17 00:00:00 2016-06-16 00:00:00 A A 16000 10400 0 10400 0 None DWZ111 N CA00427557 A SFY2015-16
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-06-10 00:00:00 940012314 Closed Citation Citation A (HSC 1424) Patient Rights None 2015-07-11 00:00:00 2015-07-11 00:00:00 No 2016-07-01 00:00:00 None A None 10000 10000 -3500 6500 0 None 47T411 N CA00450112 B SFY2015-16
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-06-28 00:00:00 940012352 Closed Citation Citation A (HSC 1424) Patient Care None 2015-10-24 00:00:00 2015-10-24 00:00:00 No 2016-07-20 00:00:00 None A None 20000 20000 -7000 13000 0 None OO2K11 N CA00463224, CA00463282, CA00463893 A, A, B SFY2015-16
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2016-06-28 00:00:00 940012353 Closed Citation Citation A (HSC 1424) Patient Care None 2014-04-04 00:00:00 2014-04-04 00:00:00 Yes 2016-07-20 00:00:00 2016-07-18 00:00:00 A A 20000 15000 0 15000 0 None SONT11 N CA00396680 A SFY2015-16
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2016-06-24 00:00:00 940012354 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-05-22 00:00:00 2014-05-22 00:00:00 No 2016-07-18 00:00:00 None B None 2000 2000 -700 1300 0 None NUG411 N CA00400282 A SFY2015-16
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2016-06-28 00:00:00 940012355 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-18 00:00:00 2016-05-18 00:00:00 No 2016-07-20 00:00:00 None A None 20000 20000 -7000 13000 0 None E1ZX11 N CA00488905 B SFY2015-16
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-06-28 00:00:00 940012357 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-01 00:00:00 2016-01-01 00:00:00 No 2016-07-20 00:00:00 None A None 20000 20000 -7000 13000 0 None UZ5O11 N CA00471098 B SFY2015-16
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2016-06-28 00:00:00 940012360 Closed Citation Citation A (HSC 1424) Other Abuse/Facility Not Report 2015-04-02 00:00:00 2015-04-02 00:00:00 No 2016-07-20 00:00:00 None A None 20000 20000 -7000 13000 0 None EW3811 N CA00437533 A SFY2015-16
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-07-13 00:00:00 940012367 Closed Citation Citation A (HSC 1424) Patient Care None 2016-05-27 00:00:00 2016-05-27 00:00:00 Yes 2016-08-03 00:00:00 2016-07-27 00:00:00 A A 20000 10000 0 10000 0 None VSL511 N CA00490287 B SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-07-18 00:00:00 940012411 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-22 00:00:00 2015-09-22 00:00:00 No 2016-08-08 00:00:00 None B None 2000 2000 0 2000 0 None 5LG411 N CA00459380 B SFY2016-17
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-08-11 00:00:00 940012432 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-10 00:00:00 2016-03-10 00:00:00 Yes 2016-09-01 00:00:00 2016-08-19 00:00:00 A A 20000 14000 0 14000 0 None 4NLR11 N CA00480034, CA00480082 B, B SFY2016-17
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2016-08-02 00:00:00 940012435 Closed Citation Citation A (HSC 1424) Patient Care None 2015-07-14 00:00:00 2015-07-14 00:00:00 No 2016-08-23 00:00:00 None A None 20000 20000 -7000 13000 0 None 99O511 N CA00450452, CA00452004 B, B SFY2016-17
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-08-03 00:00:00 940012484 Closed Citation Citation B (HSC 1424) Other State Posting 2016-06-17 00:00:00 2016-06-17 00:00:00 No 2016-08-24 00:00:00 None B None 1000 1000 -350 650 0 None 68YZ11 N None None SFY2016-17
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-08-03 00:00:00 940012487 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-04 00:00:00 2015-08-04 00:00:00 No 2016-08-24 00:00:00 None B None 2000 2000 -700 1300 0 None NRJQ11 N CA00454247, CA00454247, CA00454247 B, B, B SFY2016-17
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2016-08-04 00:00:00 940012488 Closed Citation Citation B (HSC 1424) Other star posting 2016-07-26 00:00:00 2016-07-26 00:00:00 No 2016-08-25 00:00:00 None B None 1000 1000 -350 650 0 None CWU311 N None None SFY2016-17
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-08-04 00:00:00 940012489 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-07-30 00:00:00 2015-07-30 00:00:00 No 2016-08-25 00:00:00 None B None 2000 2000 -700 1300 0 None EI1011 N CA00452558, CA00453369 B, B SFY2016-17
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-08-05 00:00:00 940012494 Closed Citation Citation B (HSC 1424) Other Unusual Occurrence 2015-07-13 00:00:00 2015-07-13 00:00:00 No 2016-08-26 00:00:00 None B None 2000 2000 0 2000 0 None 36RS11 N None None SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-08-19 00:00:00 940012500 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-27 00:00:00 2014-07-27 00:00:00 No 2016-09-12 00:00:00 None A None 20000 20000 0 20000 0 None MBD511 N CA00407200 A SFY2016-17
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2016-08-11 00:00:00 940012505 Open Citation Citation B (HSC 1424) Patient Rights None 2015-07-15 00:00:00 2015-07-15 00:00:00 No 2016-09-01 00:00:00 None B None 2000 2000 0 0 2000 None VQIG11 N CA00450731 A SFY2016-17
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-09-12 00:00:00 940012507 Closed Citation Citation A (HSC 1424) Patient Care None 2016-06-30 00:00:00 2016-06-30 00:00:00 Yes 2016-10-03 00:00:00 2016-09-13 00:00:00 A B 16000 10000 0 10000 0 None 0RCV11 N None None SFY2016-17
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-08-19 00:00:00 940012519 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-18 00:00:00 2015-04-18 00:00:00 No 2016-09-12 00:00:00 None B None 2000 2000 0 0 2000 None IN4W11 N CA00439800, CA00442385 B, B SFY2016-17
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-08-22 00:00:00 940012523 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-02-15 00:00:00 2016-02-15 00:00:00 No 2016-09-13 00:00:00 None B None 2000 2000 -700 1300 0 None JCP311 N CA00481746 B SFY2016-17
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2016-08-19 00:00:00 940012525 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-30 00:00:00 2015-08-30 00:00:00 No 2016-09-12 00:00:00 None B None 2000 2000 -700 1300 0 None OXUQ11 N None None SFY2016-17
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-08-26 00:00:00 940012543 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-09 00:00:00 2015-09-09 00:00:00 No 2016-09-19 00:00:00 None B None 2000 2000 0 2000 0 None J3S611 N CA00457446 B SFY2016-17
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-09-23 00:00:00 940012596 Open Citation Citation B (HSC 1424) Patient Care None 2014-04-15 00:00:00 2014-04-15 00:00:00 No 2016-10-14 00:00:00 None B None 2000 2000 0 0 2000 None ZKPQ11 N CA00397032 B SFY2016-17
940000069 BROOKFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-09-30 00:00:00 940012602 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-10 00:00:00 2015-08-10 00:00:00 No 2016-10-21 00:00:00 None A None 20000 20000 -7000 13000 0 None 5D4R11 N CA00454389 B SFY2016-17
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2016-09-30 00:00:00 940012610 Open Citation Citation B (HSC 1424) Patient Rights None 2015-06-17 00:00:00 2015-06-17 00:00:00 No 2016-10-21 00:00:00 None B None 2000 2000 0 0 2000 None 37SR11 N None None SFY2016-17
940000101 LONG BEACH POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-10-11 00:00:00 940012624 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-12-29 00:00:00 2015-12-29 00:00:00 No 2016-11-01 00:00:00 None B None 500 500 0 500 0 None HPGL11 N CA00472065 B SFY2016-17
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-10-06 00:00:00 940012629 Closed Citation Citation A (HSC 1424) Other Quality of Care 2016-03-30 00:00:00 2016-03-30 00:00:00 Yes 2016-10-27 00:00:00 2016-10-19 00:00:00 A A 16000 16000 0 16000 0 None BD7911 N CA00481361 B SFY2016-17
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-10-12 00:00:00 940012637 Closed Citation Citation A (HSC 1424) Other Quality of Care 2014-12-17 00:00:00 2014-12-17 00:00:00 No 2016-11-02 00:00:00 None A None 20000 20000 -7000 13000 0 None ZJTD11 N None None SFY2016-17
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-11-03 00:00:00 940012657 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-06 00:00:00 2016-07-06 00:00:00 Yes 2016-11-29 00:00:00 2016-11-18 00:00:00 A A 20000 0 0 0 0 None IZ6Z11 N None None SFY2016-17
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-11-03 00:00:00 940012658 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-18 00:00:00 2016-07-18 00:00:00 Yes 2016-11-29 00:00:00 2016-11-18 00:00:00 A A 20000 15000 0 15000 0 None IZ6Z11 N None None SFY2016-17
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-11-03 00:00:00 940012659 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-05 00:00:00 2016-07-05 00:00:00 Yes 2016-11-29 00:00:00 2016-11-18 00:00:00 A A 20000 19000 0 19000 0 None IZ6Z11 N None None SFY2016-17
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2016-11-01 00:00:00 940012660 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-02 00:00:00 2016-03-02 00:00:00 Yes 2016-11-23 00:00:00 2016-11-08 00:00:00 A A 16000 12000 0 12000 0 None X0NL11 N CA00494101 B SFY2016-17
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-10-28 00:00:00 940012671 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-17 00:00:00 2016-01-17 00:00:00 No 2016-11-21 00:00:00 None A None 20000 20000 -7000 13000 0 None E9IR11 N None None SFY2016-17
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-10-21 00:00:00 940012673 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-07 00:00:00 2016-08-07 00:00:00 No 2016-11-14 00:00:00 None B None 2000 2000 -700 1300 0 None FSWN11 N CA00498490 A SFY2016-17
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-10-25 00:00:00 940012686 Closed Citation Citation B (HSC 1424) Problem Transfer None 2015-10-15 00:00:00 2015-10-15 00:00:00 No 2016-11-16 00:00:00 None B None 2000 2000 -700 1300 0 None O6K411 N CA00462207 B SFY2016-17
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-10-31 00:00:00 940012694 Closed Citation Citation B (HSC 1424) Other Quality of Care 2016-03-06 00:00:00 2016-03-06 00:00:00 No 2016-11-22 00:00:00 None B None 2000 2000 0 2000 0 None 9ICQ11 N CA00479344 A SFY2016-17
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2016-11-01 00:00:00 940012705 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-18 00:00:00 2015-08-18 00:00:00 Yes 2016-11-23 00:00:00 2016-11-17 00:00:00 A A 20000 13000 0 13000 0 None Y9CF11 N CA00455277 B SFY2016-17
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2016-11-10 00:00:00 940012718 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-09-07 00:00:00 2016-09-07 00:00:00 No 2016-12-06 00:00:00 None B None 1000 1000 -350 650 0 None V67811 N CA00484953 B SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-11-18 00:00:00 940012732 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-29 00:00:00 2016-08-29 00:00:00 No 2016-12-13 00:00:00 None A None 20000 60000 0 60000 0 None C2L511 N CA00501263 A SFY2016-17
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-11-08 00:00:00 940012733 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-15 00:00:00 2016-09-15 00:00:00 No 2016-12-02 00:00:00 None B None 2000 2000 -700 1300 0 None IKW511 N None None SFY2016-17
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-11-08 00:00:00 940012734 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-15 00:00:00 2016-09-15 00:00:00 No 2016-12-02 00:00:00 None B None 2000 2000 -700 1300 0 None IKW511 N None None SFY2016-17
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-11-08 00:00:00 940012738 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-15 00:00:00 2016-09-15 00:00:00 No 2016-12-02 00:00:00 None B None 2000 2000 -700 1300 0 None IKW511 N None None SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-01-06 00:00:00 940012743 Closed Citation Citation A (HSC 1424) Patient Care None 2014-05-14 00:00:00 2014-05-14 00:00:00 No 2017-01-30 00:00:00 None A None 20000 20000 0 20000 0 None 750111 N CA00399109 B SFY2016-17
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2016-11-16 00:00:00 940012755 Closed Citation Citation A (HSC 1424) Patient Care None 2014-11-23 00:00:00 2014-11-23 00:00:00 No 2016-12-09 00:00:00 None A None 20000 20000 -7000 13000 0 None V8CM11 N CA00421454 A SFY2016-17
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2016-11-22 00:00:00 940012768 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-05-09 00:00:00 2016-05-09 00:00:00 No 2016-12-15 00:00:00 None B None 2000 2000 0 2000 0 None OILJ11 N CA00500863 A SFY2016-17
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-11-23 00:00:00 940012769 Closed Citation Citation B (HSC 1424) Problem Transfer None 2016-05-24 00:00:00 2016-05-24 00:00:00 No 2016-12-16 00:00:00 None B None 2000 2000 0 2000 0 None MJQ911 N CA00491266 B SFY2016-17
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-11-29 00:00:00 940012781 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-10 00:00:00 2016-07-10 00:00:00 No 2016-12-20 00:00:00 None B None 2000 2000 -700 1300 0 None Q74R11 N CA00500577 A SFY2016-17
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2016-11-29 00:00:00 940012783 Closed Citation Citation B (HSC 1424) Patient Care None 2016-04-05 00:00:00 2016-04-05 00:00:00 No 2016-12-20 00:00:00 None B None 2000 2000 -700 1300 0 None K52711 N CA00485230 A SFY2016-17
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-01-06 00:00:00 940012864 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2014-12-15 00:00:00 2014-12-15 00:00:00 No 2017-01-30 00:00:00 None B None 2000 2000 -700 1300 0 None L18H11 N CA00423852 B SFY2016-17
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2017-01-19 00:00:00 940012867 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-27 00:00:00 2016-03-27 00:00:00 No 2017-02-09 00:00:00 None A None 20000 20000 -7000 13000 0 None 1MGY11 N None None SFY2016-17
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2017-01-19 00:00:00 940012868 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-11-14 00:00:00 2016-11-14 00:00:00 No 2017-02-09 00:00:00 None B None 2000 6000 -2100 3900 0 None 1MGY11 N CA00511297 B SFY2016-17
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2017-01-19 00:00:00 940012869 Closed Citation Citation B (HSC 1424) Patient Care None 2016-03-27 00:00:00 2016-03-27 00:00:00 No 2017-02-09 00:00:00 None B None 2000 2000 -700 1300 0 None 1MGY11 N None None SFY2016-17
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2017-03-23 00:00:00 940012870 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-24 00:00:00 2016-03-24 00:00:00 No 2017-04-14 00:00:00 None A None 20000 20000 -7000 13000 0 None 391J11 N CA00481720 A SFY2016-17
970000037 FLOWER VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 2 2017-01-07 00:00:00 940012872 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-09 00:00:00 2016-11-09 00:00:00 No 2017-01-30 00:00:00 None A None 20000 20000 -7000 13000 0 None JYRG11 N None None SFY2016-17
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-01-09 00:00:00 940012873 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-19 00:00:00 2016-02-19 00:00:00 Yes 2017-01-31 00:00:00 2017-01-20 00:00:00 A B 20000 20000 0 20000 0 None FP8811 N CA00478599 B SFY2016-17
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2017-01-10 00:00:00 940012877 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-04-28 00:00:00 2016-04-28 00:00:00 No 2017-02-01 00:00:00 None B None 2000 2000 -700 1300 0 None KW5W11 N CA00493830 B SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-01-13 00:00:00 940012879 Closed Citation Citation A (HSC 1424) Patient Care None 2015-10-01 00:00:00 2015-10-01 00:00:00 No 2017-02-06 00:00:00 None A None 20000 20000 0 20000 0 None SYW011 N CA00461261 B SFY2016-17
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-01-18 00:00:00 940012886 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-12 00:00:00 2016-10-12 00:00:00 No 2017-02-08 00:00:00 None A None 15000 15000 -5250 9750 0 None BB5D11 N CA00506511 A SFY2016-17
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-01-20 00:00:00 940012895 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-25 00:00:00 2016-01-25 00:00:00 Yes 2017-02-10 00:00:00 2017-02-02 00:00:00 A B 10000 10000 0 10000 0 None FJ6Q11 N CA00490332 A SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-01-26 00:00:00 940012909 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-24 00:00:00 2015-08-24 00:00:00 No 2017-02-16 00:00:00 None B None 2000 2000 0 2000 0 None O38L11 N CA00461724 B SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-01-26 00:00:00 940012910 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-24 00:00:00 2015-08-24 00:00:00 No 2017-02-16 00:00:00 None B None 2000 2000 0 2000 0 None O38L11 N CA00461724 B SFY2016-17
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-31 00:00:00 940012913 Closed Citation Citation A (HSC 1424) Patient Care None 2016-09-25 00:00:00 2016-09-25 00:00:00 Yes 2017-04-21 00:00:00 2017-04-04 00:00:00 A A 20000 35000 0 35000 0 None VAOZ11 N CA00504455 B SFY2016-17
940000079 PICO RIVERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-02-06 00:00:00 940012944 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-02 00:00:00 2016-08-02 00:00:00 Yes 2017-02-28 00:00:00 2017-02-07 00:00:00 A B 15000 10500 0 10500 0 None W8LS11 N None None SFY2016-17
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-02-04 00:00:00 940012949 Closed Citation Citation A (HSC 1424) Other Infection Control 2016-12-15 00:00:00 2016-12-15 00:00:00 Yes 2017-02-27 00:00:00 2017-02-08 00:00:00 A B 16000 12000 0 12000 0 None 2YOC11 N None None SFY2016-17
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-02-06 00:00:00 940012950 Closed Citation Citation A (HSC 1424) Patient Care None 2016-06-08 00:00:00 2016-06-08 00:00:00 Yes 2017-02-28 00:00:00 2017-02-08 00:00:00 A B 16000 12000 0 12000 0 None 2YOC11 N None None SFY2016-17
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-02-22 00:00:00 940012979 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-29 00:00:00 2016-08-29 00:00:00 No 2017-03-15 00:00:00 None B None 2000 2000 0 2000 0 None 9UZX11 N CA00502514 B SFY2016-17
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-02-22 00:00:00 940012981 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-02 00:00:00 2016-09-02 00:00:00 No 2017-03-15 00:00:00 None B None 2000 2000 -700 1300 0 None 9UZX11 N CA00502516 B SFY2016-17
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-02-24 00:00:00 940012984 Closed Citation Citation A (HSC 1424) Patient Care None 2014-09-04 00:00:00 2014-09-04 00:00:00 Yes 2017-03-17 00:00:00 2017-03-01 00:00:00 A B 15000 10000 0 10000 0 None L4HV11 N CA00411926 B SFY2016-17
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-01 00:00:00 940012986 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-02 00:00:00 2016-07-02 00:00:00 No 2017-03-22 00:00:00 None A None 20000 20000 -7000 13000 0 None 22EX11 N CA00509193 A SFY2016-17
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2017-02-28 00:00:00 940012995 Closed Citation Citation A (HSC 1424) Patient Care None 2016-09-16 00:00:00 2016-09-16 00:00:00 No 2017-03-21 00:00:00 None A None 15000 15000 -5250 9750 0 None 28G111 N CA00504985 B SFY2016-17
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-02-24 00:00:00 940013001 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-30 00:00:00 2016-06-30 00:00:00 No 2017-03-17 00:00:00 None B None 2000 2000 -700 1300 0 None 22EX11 N CA00509193 A SFY2016-17
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-02-24 00:00:00 940013002 Closed Citation Citation A (HSC 1424) Other Quality of Care 2016-07-14 00:00:00 2016-07-14 00:00:00 Yes 2017-03-17 00:00:00 2017-03-17 00:00:00 A A 20000 15000 0 15000 0 None 22EX11 N CA00509193 A SFY2016-17
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-02-24 00:00:00 940013003 Closed Citation Citation A (HSC 1424) Other Quality of Care 2016-06-03 00:00:00 2016-06-03 00:00:00 No 2017-03-17 00:00:00 None A None 20000 20000 -7000 13000 0 None 22EX11 N CA00509193 A SFY2016-17
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-12-01 00:00:00 940013004 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-08 00:00:00 2017-09-08 00:00:00 No 2017-12-22 00:00:00 None A None 20000 20000 0 20000 0 None 3WCT11 N CA00509193, CA00509193, CA00509193, CA00509193, CA00509193, CA00551846 A, A, A, A, A, A SFY2017-18
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2017-03-01 00:00:00 940013010 Open Citation Citation A (HSC 1424) Other Abuse 2017-01-07 00:00:00 2017-01-07 00:00:00 No 2017-03-22 00:00:00 None A None 20000 20000 0 0 20000 None N5GN11 N CA00517156, CA00517221 A, A SFY2016-17
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-03-01 00:00:00 940013011 Closed Citation Citation A (HSC 1424) Dietary None 2015-08-28 00:00:00 2015-08-28 00:00:00 No 2017-03-22 00:00:00 None A None 20000 20000 -7000 13000 0 None SF1H11 N CA00457740 A SFY2016-17
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-03 00:00:00 940013013 Closed Citation Citation B (HSC 1424) Administration None 2017-01-23 00:00:00 2017-01-23 00:00:00 No 2017-03-24 00:00:00 None B None 1000 1000 0 1000 0 None 2I1B11 N None None SFY2016-17
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-03-06 00:00:00 940013017 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-19 00:00:00 2017-01-19 00:00:00 No 2017-03-27 00:00:00 None B None 1800 1800 -630 1170 0 None LPQO11 N CA00519091 B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013027 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-24 00:00:00 2017-01-24 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520971, CA00520971 B, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013031 Open Citation Citation B (HSC 1424) Patient Care None 2017-01-29 00:00:00 2017-01-29 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520035, CA00520971, CA00520971 A, B, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013032 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-03 00:00:00 2016-12-03 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520971, CA00520971 B, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013033 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-01 00:00:00 2016-12-01 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520035, CA00520971 A, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013034 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-03 00:00:00 2016-12-03 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520971, CA00520971 B, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013035 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-28 00:00:00 2017-01-28 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520035, CA00520233, CA00520971 A, A, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013036 Open Citation Citation A (HSC 1424) Patient Care None 2016-10-19 00:00:00 2016-10-19 00:00:00 No 2017-04-03 00:00:00 None A None 20000 20000 0 0 20000 None 7ZJH11 N CA00520035, CA00520035, CA00520035, CA00521106 A, A, A, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013037 Open Citation Citation B (HSC 1424) Patient Care None 2017-01-30 00:00:00 2017-01-30 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520035, CA00520971 A, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013038 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-30 00:00:00 2017-01-30 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520035, CA00520971, CA00520971 A, B, B SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013039 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-27 00:00:00 2017-01-27 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520035 A SFY2016-17
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013040 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-15 00:00:00 2017-01-15 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 0 2000 None 7ZJH11 N CA00520035 A SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013041 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-23 00:00:00 2016-09-23 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 2000 0 None EFHM11 N CA00508023, CA00508023 A, A SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013042 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-14 00:00:00 2016-08-14 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 2000 0 None EFHM11 N CA00508023, CA00508023 A, A SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-10 00:00:00 940013043 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-23 00:00:00 2016-09-23 00:00:00 No 2017-04-03 00:00:00 None B None 2000 2000 0 2000 0 None EFHM11 N CA00508023, CA00508023 A, A SFY2016-17
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-03-24 00:00:00 940013044 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-14 00:00:00 2017-02-14 00:00:00 No 2017-04-17 00:00:00 None A None 16000 16000 0 16000 0 None 2YOC12 N None None SFY2016-17
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2017-03-15 00:00:00 940013046 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-15 00:00:00 2016-09-15 00:00:00 No 2017-04-06 00:00:00 None B None 2000 2000 -700 1300 0 None 8TFL11 N CA00503088 B SFY2016-17
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2017-03-14 00:00:00 940013048 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-26 00:00:00 2016-12-26 00:00:00 No 2017-04-05 00:00:00 None B None 2000 2000 -700 1300 0 None FQT811 N CA00516140 B SFY2016-17
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-03-29 00:00:00 940013058 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-17 00:00:00 2016-12-17 00:00:00 No 2017-04-20 00:00:00 None A None 20000 60000 -21000 39000 0 None LBXN11 N CA00515117 A SFY2016-17
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-03-29 00:00:00 940013088 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-28 00:00:00 2017-02-28 00:00:00 No 2017-04-20 00:00:00 None A None 20000 20000 -7000 13000 0 None Z5R411 N CA00516797 B SFY2016-17
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-04-28 00:00:00 940013130 Closed Citation Citation B (HSC 1424) Administration None 2017-03-14 00:00:00 2017-03-14 00:00:00 No 2017-05-19 00:00:00 None B None 1000 1000 -350 650 0 None 08F611 N None None SFY2016-17
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-04-28 00:00:00 940013131 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-14 00:00:00 2017-03-14 00:00:00 No 2017-05-19 00:00:00 None B None 2000 2000 -700 1300 0 None 08F611 N None None SFY2016-17
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-04-28 00:00:00 940013132 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-14 00:00:00 2017-03-14 00:00:00 No 2017-05-19 00:00:00 None A None 16000 16000 -5600 10400 0 None 08F611 N None None SFY2016-17
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-04-28 00:00:00 940013133 Closed Citation Citation A (HSC 1424) Patient Care None 2016-01-07 00:00:00 2016-01-07 00:00:00 No 2017-05-19 00:00:00 None A None 16000 16000 -5600 10400 0 None 08F611 N None None SFY2016-17
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-05-31 00:00:00 940013137 Closed Citation Citation AA (HSC 1424) Patient Care None 2016-11-02 00:00:00 2016-11-02 00:00:00 Yes 2017-06-21 00:00:00 2017-06-21 00:00:00 AA AA 100000 75000 0 75000 0 None 575P11 Y CA00516664, CA00516664, CA00516664 A, A, A SFY2016-17
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-04-21 00:00:00 940013141 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-12 00:00:00 2017-02-12 00:00:00 No 2017-05-12 00:00:00 None A None 20000 20000 -7000 13000 0 None L3YT11 N CA00522198 A SFY2016-17
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2017-04-21 00:00:00 940013148 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-02-08 00:00:00 2017-02-08 00:00:00 No 2017-05-12 00:00:00 None B None 2000 2000 -700 1300 0 None PPI011 N CA00521856 B SFY2016-17
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-04-28 00:00:00 940013162 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-09 00:00:00 2017-01-09 00:00:00 Yes 2017-05-19 00:00:00 2017-08-29 00:00:00 B None 2000 2000 0 2000 0 None 72ZN11 N CA00517745 A SFY2016-17
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-04-28 00:00:00 940013164 Closed Citation Citation A (HSC 1424) Patient Care None 2016-02-15 00:00:00 2016-02-15 00:00:00 No 2017-05-19 00:00:00 None A None 20000 20000 -7000 13000 0 None VGI511 N CA00477457 B SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-05-23 00:00:00 940013192 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-11 00:00:00 2017-02-11 00:00:00 No 2017-06-14 00:00:00 None A None 20000 60000 0 60000 0 None LCES11 N CA00525819 A SFY2016-17
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2017-05-26 00:00:00 940013210 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-12 00:00:00 2017-04-12 00:00:00 No 2017-06-19 00:00:00 None A None 10000 10000 -3500 6500 0 None TAV211 N CA00527485 C SFY2016-17
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-06-01 00:00:00 940013237 Closed Citation Citation A (HSC 1424) Other Accidents 2017-05-05 00:00:00 2017-05-05 00:00:00 Yes 2017-06-22 00:00:00 2017-06-21 00:00:00 A A 20000 40000 0 40000 0 None QYLD11 N None None SFY2016-17
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-06-09 00:00:00 940013261 Open Citation Citation A (HSC 1424) Patient Care None 2016-10-30 00:00:00 2016-10-30 00:00:00 Yes 2017-06-30 00:00:00 2017-06-09 00:00:00 A None 20000 20000 0 0 20000 None 987Q11 N CA00518324 B SFY2016-17
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2017-06-14 00:00:00 940013285 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-04-04 00:00:00 2017-04-04 00:00:00 No 2017-07-06 00:00:00 None B None 2000 2000 0 2000 0 None LOJS11 N CA00532209 B SFY2016-17
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2017-06-14 00:00:00 940013286 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-04-04 00:00:00 2017-04-04 00:00:00 No 2017-07-06 00:00:00 None B None 2000 2000 0 2000 0 None LOJS11 N CA00532209 B SFY2016-17
940000044 EL RANCHO VISTA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-07-12 00:00:00 940013306 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-05 00:00:00 2017-03-05 00:00:00 No 2017-08-02 00:00:00 None A None 20000 20000 -7000 13000 0 None 11FU11 N CA00526643, CA00526824, CA00528497 B, B, A SFY2017-18
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-06-23 00:00:00 940013309 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-23 00:00:00 2017-01-23 00:00:00 Yes 2017-07-17 00:00:00 2017-06-30 00:00:00 A A 20000 13000 0 13000 0 None ZN1K11 N CA00519450 A SFY2016-17
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013375 Closed Citation Citation A (HSC 1424) Patient Care None 2017-05-28 00:00:00 2017-05-28 00:00:00 No 2017-08-17 00:00:00 None A None 20000 60000 -21000 39000 0 None 4UJK11 N CA00537217, CA00537260, CA00538319 B, B, B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013376 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-14 00:00:00 2016-09-14 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00503202 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013377 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-23 00:00:00 2016-09-23 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00504432 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013378 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-11-30 00:00:00 2016-11-30 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00512639 B SFY2017-18
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013379 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-08 00:00:00 2017-02-08 00:00:00 Yes 2017-08-17 00:00:00 2017-08-16 00:00:00 A A 20000 14000 0 14000 0 None C2UH11 N CA00524093 A SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013380 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-10-14 00:00:00 2016-10-14 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00507156 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013381 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-04-01 00:00:00 2017-04-01 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N None None SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013382 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-27 00:00:00 2017-05-27 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00537281 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013383 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-10 00:00:00 2016-07-10 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00494981, CA00504407 B, B SFY2017-18
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-07-28 00:00:00 940013384 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-16 00:00:00 2016-12-16 00:00:00 Yes 2017-08-18 00:00:00 2017-08-17 00:00:00 A A 20000 15000 0 15000 0 None M1C811 N CA00522865 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013385 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-17 00:00:00 2017-05-17 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00535971 B SFY2017-18
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013389 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-08 00:00:00 2017-02-08 00:00:00 Yes 2017-08-17 00:00:00 2017-08-17 00:00:00 A A 20000 14000 0 14000 0 None C2UH11 N CA00524093, CA00524093 A, A SFY2017-18
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013390 Open Citation Citation B (HSC 1424) Patient Rights None 2017-02-08 00:00:00 2017-02-08 00:00:00 Yes 2017-08-17 00:00:00 2017-08-16 00:00:00 B None 2000 2000 0 0 2000 None C2UH11 N CA00524093 A SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013391 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-02 00:00:00 2017-06-02 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00507604 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013392 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-11-11 00:00:00 2016-11-11 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00510453 C SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013394 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-26 00:00:00 2017-05-26 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00537225 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013400 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-10-14 00:00:00 2016-10-14 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00536845 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-07-27 00:00:00 940013401 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-28 00:00:00 2017-05-28 00:00:00 No 2017-08-17 00:00:00 None B None 2000 2000 0 2000 0 None 4UJK11 N CA00537217, CA00537260 B, B SFY2017-18
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-08-15 00:00:00 940013427 Closed Citation Citation A (HSC 1424) Patient Care None 2015-01-01 00:00:00 2015-01-01 00:00:00 No 2017-09-06 00:00:00 None A None 20000 20000 0 20000 0 None XSRW11 N CA00443043 B SFY2017-18
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-08-24 00:00:00 940013431 Closed Citation Citation A (HSC 1424) Patient Care None 2017-05-26 00:00:00 2017-05-26 00:00:00 No 2017-09-15 00:00:00 None A None 16000 16000 -5600 10400 0 None 4RQ211 N CA00536873, CA00536873, CA00536873, CA00536873 A, A, A, A SFY2017-18
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-08-24 00:00:00 940013432 Closed Citation Citation A (HSC 1424) Patient Care None 2017-05-26 00:00:00 2017-05-26 00:00:00 No 2017-09-15 00:00:00 None A None 16000 16000 -5600 10400 0 None 4RQ211 N CA00536873 A SFY2017-18
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-08-31 00:00:00 940013460 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-15 00:00:00 2017-04-15 00:00:00 Yes 2017-09-22 00:00:00 2017-09-05 00:00:00 A A 20000 15000 0 15000 0 None 0F5P11 N CA00535636 A SFY2017-18
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-09-22 00:00:00 940013469 Closed Citation Citation A (HSC 1424) Patient Care None 2017-05-12 00:00:00 2017-05-12 00:00:00 Yes 2017-10-13 00:00:00 2017-10-13 00:00:00 A B 16000 13000 0 13000 0 None VGWG11 N None None SFY2017-18
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-09-22 00:00:00 940013470 Closed Citation Citation A (HSC 1424) Medication None 2016-11-29 00:00:00 2016-11-29 00:00:00 Yes 2017-10-13 00:00:00 2017-10-13 00:00:00 A A 16000 11000 0 11000 0 None VGWG11 N CA00544188 B SFY2017-18
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-09-22 00:00:00 940013478 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-13 00:00:00 2017-05-13 00:00:00 No 2017-10-13 00:00:00 None B None 2000 2000 -700 1300 0 None C7CI11 N CA00535564, CA00537830 C, A SFY2017-18
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-09-08 00:00:00 940013482 Closed Citation Citation A (HSC 1424) Patient Care None 2017-05-23 00:00:00 2017-05-23 00:00:00 Yes 2017-09-29 00:00:00 2017-09-29 00:00:00 A A 20000 13000 0 13000 0 None YG6X11 N CA00536882 A SFY2017-18
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-09-12 00:00:00 940013491 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-31 00:00:00 2017-03-31 00:00:00 No 2017-10-03 00:00:00 None B None 2000 2000 0 2000 0 None 6IWQ11 N CA00538088 A SFY2017-18
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-09-22 00:00:00 940013514 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-02 00:00:00 2017-07-02 00:00:00 No 2017-10-13 00:00:00 None B None 2000 2000 0 2000 0 None VGWG11 N CA00544188 B SFY2017-18
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-10-02 00:00:00 940013518 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-15 00:00:00 2017-02-15 00:00:00 No 2017-10-23 00:00:00 None A None 16000 16000 -5600 10400 0 None 6G0K11 N None None SFY2017-18
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-10-04 00:00:00 940013527 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-27 00:00:00 2017-03-27 00:00:00 No 2017-10-25 00:00:00 None B None 2000 2000 -700 1300 0 None RG7311 N CA00538839, CA00538839, CA00538839 A, A, A SFY2017-18
940000007 ATLANTIC MEMORIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-10-05 00:00:00 940013530 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-29 00:00:00 2017-05-29 00:00:00 No 2017-10-26 00:00:00 None B None 2000 2000 -700 1300 0 None MIW311 N CA00538579 A SFY2017-18
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2017-10-12 00:00:00 940013539 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-20 00:00:00 2017-06-20 00:00:00 Yes 2017-11-02 00:00:00 2017-10-25 00:00:00 A None 16000 16000 -5600 10400 0 None 7FR711 N CA00541006 A SFY2017-18
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-10-12 00:00:00 940013541 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-17 00:00:00 2017-06-17 00:00:00 Yes 2017-11-02 00:00:00 2017-10-30 00:00:00 A B 16000 3500 0 3500 0 None K1ML11 N CA00540331 A SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-10-12 00:00:00 940013543 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-08-12 00:00:00 2017-08-12 00:00:00 No 2017-11-02 00:00:00 None B None 2000 2000 0 2000 0 None 999999 N None None SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-03-09 00:00:00 940013547 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-16 00:00:00 2017-08-16 00:00:00 No 2018-03-30 00:00:00 None A None 20000 60000 -21000 39000 0 None P3CY11 N CA00549342 B SFY2017-18
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-10-19 00:00:00 940013550 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-09 00:00:00 2017-06-09 00:00:00 Yes 2017-11-09 00:00:00 2017-11-20 00:00:00 A A 20000 13000 0 13000 0 None CA2R11 N CA00539898, CA00540615 B, A SFY2017-18
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2017-10-20 00:00:00 940013552 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-30 00:00:00 2017-06-30 00:00:00 No 2017-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None F2P111 N CA00542317 B SFY2017-18
940000025 VIEW HEIGHTS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2017-11-03 00:00:00 940013554 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-07-05 00:00:00 2017-07-05 00:00:00 Yes 2017-11-29 00:00:00 2017-11-13 00:00:00 AA A 100000 40278.32 0 40278.32 0 None ATHB11 Y CA00542581 A SFY2017-18
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-10-20 00:00:00 940013555 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-25 00:00:00 2017-06-25 00:00:00 No 2017-11-13 00:00:00 None B None 2000 2000 -700 1300 0 None 4Y0L11 N CA00541473 A SFY2017-18
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-10-27 00:00:00 940013562 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-29 00:00:00 2017-04-29 00:00:00 No 2017-11-20 00:00:00 None A None 20000 60000 -21000 39000 0 None XKTW11 N CA00534240 A SFY2017-18
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-10-27 00:00:00 940013564 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-30 00:00:00 2017-04-30 00:00:00 No 2017-11-20 00:00:00 None A None 20000 60000 -21000 39000 0 None XKTW11 N CA00534240 A SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-11-01 00:00:00 940013579 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-07-02 00:00:00 2017-07-02 00:00:00 No 2017-11-27 00:00:00 None B None 2000 2000 0 2000 0 None KJDL11 N CA00542615 C SFY2017-18
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-11-16 00:00:00 940013625 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-05 00:00:00 2017-07-05 00:00:00 No 2017-12-11 00:00:00 None B None 2000 2000 -700 1300 0 None FDER11 N CA00545963 B SFY2017-18
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-11-30 00:00:00 940013653 Open Citation Citation A (HSC 1424) Patient Care None 2017-08-06 00:00:00 2017-08-06 00:00:00 Yes 2017-12-21 00:00:00 2017-12-13 00:00:00 A None 16000 16000 0 0 16000 None 7U4Z11 N CA00547299 A SFY2017-18
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2017-12-01 00:00:00 940013658 Open Citation Citation B (HSC 1424) Other ABUSE 2017-07-07 00:00:00 2017-07-07 00:00:00 Yes 2017-12-22 00:00:00 2017-12-06 00:00:00 B None 1000 1000 0 0 1000 None 9J5Y11 N CA00543238 B SFY2017-18
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2017-12-01 00:00:00 940013662 Closed Citation Citation B (HSC 1424) Other ABUSE 2017-07-09 00:00:00 2017-07-09 00:00:00 No 2017-12-22 00:00:00 None B None 1000 1000 0 1000 0 None L97811 N CA00543270 B SFY2017-18
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-12-01 00:00:00 940013664 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-28 00:00:00 2016-11-28 00:00:00 Yes 2017-12-22 00:00:00 2017-12-11 00:00:00 A A 20000 40000 0 40000 0 None IS8011 N CA00515924 B SFY2017-18
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-12-06 00:00:00 940013673 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-11 00:00:00 2017-03-11 00:00:00 Yes 2017-12-28 00:00:00 2017-12-26 00:00:00 A A 20000 40000 0 40000 0 None VTFV11 N CA00547665 B SFY2017-18
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2017-12-07 00:00:00 940013674 Open Citation Citation A (HSC 1424) Patient Care None 2017-08-19 00:00:00 2017-08-19 00:00:00 No 2017-12-29 00:00:00 None A None 20000 60000 0 0 60000 None C9IS11 N CA00549198 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-12-08 00:00:00 940013677 Open Citation Citation A (HSC 1424) Patient Care None 2017-08-12 00:00:00 2017-08-12 00:00:00 No 2018-01-02 00:00:00 None A None 20000 60000 0 0 60000 None 46EM11 N CA00548280, CA00548299 B, B SFY2017-18
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2017-12-08 00:00:00 940013680 Open Citation Citation A (HSC 1424) Patient Care None 2017-08-07 00:00:00 2017-08-07 00:00:00 No 2018-01-01 00:00:00 None A None 20000 60000 0 0 60000 None QECE11 N CA00547284, CA00547284, CA00547658, CA00547658 B, B, B, B SFY2017-18
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-12-14 00:00:00 940013683 Closed Citation Citation A (HSC 1424) Patient Care None 2017-08-24 00:00:00 2017-08-24 00:00:00 Yes 2018-01-05 00:00:00 2017-12-26 00:00:00 A A 20000 40000 0 40000 0 None UOMZ11 N CA00548790, CA00548790 A, A SFY2017-18
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2017-12-19 00:00:00 940013689 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-06 00:00:00 2017-07-06 00:00:00 Yes 2018-01-10 00:00:00 2017-12-26 00:00:00 A A 20000 15000 0 15000 0 None H3QS11 N CA00543698 B SFY2017-18
940000010 BEL VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-12-13 00:00:00 940013691 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-23 00:00:00 2017-08-23 00:00:00 No 2018-01-04 00:00:00 None B None 1000 1000 -350 650 0 None 957T11 N CA00549930 B SFY2017-18
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-12-13 00:00:00 940013692 Open Citation Citation B (HSC 1424) Patient Care None 2017-08-14 00:00:00 2017-08-14 00:00:00 Yes 2018-01-04 00:00:00 2017-12-20 00:00:00 B None 2000 2000 0 0 2000 None VW6V11 N CA00548796, CA00549941, CA00550338 A, A, B SFY2017-18
940000077 WHITTIER NURSING AND WELLNESS CENTER, INC. LTC SNF Skilled Nursing Facility LA Region 1 2017-12-15 00:00:00 940013693 Open Citation Citation A (HSC 1424) Patient Care None 2017-08-30 00:00:00 2017-08-30 00:00:00 Yes 2018-01-08 00:00:00 2018-01-08 00:00:00 A None 20000 20000 0 0 20000 None H9UR11 N CA00551122, CA00551122 B, B SFY2017-18
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-12-15 00:00:00 940013694 Open Citation Citation B (HSC 1424) Problem Transfer None 2017-05-25 00:00:00 2017-05-25 00:00:00 Yes 2018-01-08 00:00:00 2017-12-15 00:00:00 B None 2000 2000 0 0 2000 None 3RRD11 N CA00550094 A SFY2017-18
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-04 00:00:00 940013708 Closed Citation Citation A (HSC 1424) Patient Care None 2014-04-22 00:00:00 2014-04-22 00:00:00 No 2018-01-25 00:00:00 None A None 16000 16000 -5600 10400 0 None MCO511 Y CA00415246, CA00415377, CA00415377, CA00415377 B, B, B, B SFY2017-18
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-04 00:00:00 940013709 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-01 00:00:00 2017-09-01 00:00:00 Yes 2018-01-25 00:00:00 2018-01-26 00:00:00 A B 20000 10000 0 10000 0 None HKPZ11 N CA00551586, CA00551586, CA00551586, CA00551899, CA00551901 B, B, B, B, B SFY2017-18
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-01-04 00:00:00 940013711 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-05 00:00:00 2017-11-05 00:00:00 No 2018-01-25 00:00:00 None A None 20000 20000 -7000 13000 0 None BYXQ11 N None None SFY2017-18
940000093 ARTESIA CHRISTIAN HOME INC. LTC SNF Skilled Nursing Facility LA Region 3 2018-01-12 00:00:00 940013726 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-12 00:00:00 2017-07-12 00:00:00 No 2018-02-02 00:00:00 None A None 16000 16000 -5600 10400 0 None 2ZBT11 N CA00543753 B SFY2017-18
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-12 00:00:00 940013727 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-27 00:00:00 2017-03-27 00:00:00 No 2018-02-02 00:00:00 None A None 20000 20000 0 20000 0 None IUCW11 N CA00553456, CA00553456, CA00553456 B, B, B SFY2017-18
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-19 00:00:00 940013731 Closed Citation Citation B (HSC 1424) Patient Care None 2017-04-26 00:00:00 2017-04-26 00:00:00 No 2018-02-09 00:00:00 None B None 2000 6000 0 6000 0 None W4P711 N CA00533041 B SFY2017-18
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-01-12 00:00:00 940013734 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-09 00:00:00 2017-09-09 00:00:00 Yes 2018-02-02 00:00:00 2018-01-18 00:00:00 A B 20000 1300 0 1300 0 None FXYJ11 N CA00553083 B SFY2017-18
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-13 00:00:00 940013735 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-17 00:00:00 2017-06-17 00:00:00 Yes 2018-02-02 00:00:00 2018-01-17 00:00:00 A A 20000 15500 0 15500 0 None SNC211 N CA00544468 A SFY2017-18
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2018-01-19 00:00:00 940013740 Open Citation Citation A (HSC 1424) Patient Care None 2017-09-16 00:00:00 2017-09-16 00:00:00 Yes 2018-02-09 00:00:00 2018-01-26 00:00:00 A None 20000 20000 0 0 20000 None H4ZX11 N CA00553859, CA00553859 B, B SFY2017-18
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-19 00:00:00 940013742 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-09 00:00:00 2017-03-09 00:00:00 No 2018-02-09 00:00:00 None B None 2000 2000 0 2000 0 None J29I11 N CA00525948, CA00535947 B, B SFY2017-18
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-26 00:00:00 940013758 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-19 00:00:00 2017-02-19 00:00:00 No 2018-02-16 00:00:00 None A None 20000 20000 0 20000 0 None VNGC11 N CA00555485 B SFY2017-18
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-26 00:00:00 940013759 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-26 00:00:00 2017-04-26 00:00:00 No 2018-02-16 00:00:00 None A None 20000 20000 -7000 13000 0 None UQ1O11 N CA00555214, CA00555214 B, B SFY2017-18
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-26 00:00:00 940013760 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-15 00:00:00 2017-04-15 00:00:00 No 2018-02-16 00:00:00 None A None 20000 20000 -7000 13000 0 None 0W0J11 N CA00531045, CA00531045 B, B SFY2017-18
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-26 00:00:00 940013761 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-08 00:00:00 2017-08-08 00:00:00 No 2018-02-16 00:00:00 None B None 2000 2000 0 2000 0 None Y9JM11 N CA00555133 B SFY2017-18
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2018-01-30 00:00:00 940013769 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-11 00:00:00 2017-07-11 00:00:00 Yes 2018-02-20 00:00:00 2018-01-31 00:00:00 A A 16000 13000 0 13000 0 None XS9G11 N CA00546327 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-02-02 00:00:00 940013772 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-10-20 00:00:00 2017-10-20 00:00:00 No 2018-02-26 00:00:00 None AA None 100000 100200 0 100200 0 None HXJE11 Y CA00557785 A SFY2017-18
970000037 FLOWER VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 2 2018-02-08 00:00:00 940013787 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-23 00:00:00 2017-12-23 00:00:00 No 2018-03-01 00:00:00 None A None 20000 20050 -7000 13050 0 None WTEI11 N None None SFY2017-18
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2018-02-28 00:00:00 940013813 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-06 00:00:00 2017-09-06 00:00:00 No 2018-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None KGFK11 N CA00555644 A SFY2017-18
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-02-16 00:00:00 940013819 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-12-05 00:00:00 2017-12-05 00:00:00 Yes 2018-03-09 00:00:00 2018-02-27 00:00:00 B Drop>Deficiency 2000 2000 0 2000 0 None YEC311 N CA00563826 A SFY2017-18
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-02-17 00:00:00 940013828 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-18 00:00:00 2017-06-18 00:00:00 No 2018-03-09 00:00:00 None A None 20000 20250 0 20250 0 None N3VI11 N CA00549338 A SFY2017-18
970000117 HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2018-02-26 00:00:00 940013852 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-28 00:00:00 2017-01-28 00:00:00 No 2018-03-19 00:00:00 None B None 2000 2000 -700 1300 0 None 3HPY11 N CA00520301 B SFY2017-18
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-08 00:00:00 940013881 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-23 00:00:00 2018-01-23 00:00:00 No 2018-03-29 00:00:00 None A None 20000 20000 -7000 13000 0 None FFNF11 N None None SFY2017-18
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-03-15 00:00:00 940013897 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-27 23:59:00 2017-12-27 23:59:00 Yes 2018-04-05 00:00:00 2018-03-22 00:00:00 A B 20000 2000 0 2000 0 None FTTT11 N CA00564143, CA00564143, CA00564143 B, B, B SFY2017-18
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-03-16 00:00:00 940013902 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-11 00:00:00 2017-07-11 00:00:00 Yes 2018-04-06 00:00:00 2018-03-27 00:00:00 A A 20000 30000 0 30000 0 None ER0M11 N CA00543707, CA00543707 B, B SFY2017-18
940000077 WHITTIER NURSING AND WELLNESS CENTER, INC. LTC SNF Skilled Nursing Facility LA Region 1 2018-04-04 00:00:00 940013956 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-18 00:00:00 2017-11-18 00:00:00 No 2018-04-25 00:00:00 None A None 20000 20000 -7000 13000 0 None MY4J11 N CA00563638 B SFY2017-18
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-04 00:00:00 940013958 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-02 00:00:00 2017-12-02 00:00:00 Yes 2018-04-25 00:00:00 2018-04-04 00:00:00 A A 20000 20000 0 20000 0 None R4RI11 N CA00563635 B SFY2017-18
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-04-06 00:00:00 940013963 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-04 00:00:00 2017-12-04 00:00:00 No 2018-04-27 00:00:00 None B None 2000 2000 0 2000 0 None SWLR11 N CA00563455, CA00563455 B, B SFY2017-18
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-12 00:00:00 940013964 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-24 00:00:00 2017-10-24 00:00:00 No 2018-05-03 00:00:00 None B None 2000 2000 0 2000 0 None O0IF11 N CA00570125, CA00570205, CA00570372 A, B, A SFY2017-18
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-04-19 00:00:00 940013969 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-14 00:00:00 2017-10-14 00:00:00 Yes 2018-05-10 00:00:00 2018-05-07 00:00:00 B None 2000 2000 0 2000 0 None IXWL11 N CA00565994 B SFY2017-18
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-20 00:00:00 940013975 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-12-26 00:00:00 2017-12-26 00:00:00 Yes 2018-05-11 00:00:00 2018-04-26 00:00:00 AA A 100000 60000 0 60000 0 None 56VB11 Y CA00566768, CA00566768 A, A SFY2017-18
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-04-20 00:00:00 940013977 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-11-30 00:00:00 2017-11-30 00:00:00 No 2018-05-11 00:00:00 None AA None 100000 100000 -35000 65000 0 None GGHP11 Y CA00563191, CA00563191, CA00581717, CA00581717 B, B, B, B SFY2017-18
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-12 00:00:00 940013989 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-19 00:00:00 2018-01-19 00:00:00 No 2018-05-03 00:00:00 None B None 2000 2000 0 2000 0 None O0IF11 N CA00570125, CA00570125, CA00570205, CA00570205, CA00570372, CA00570372 A, A, B, B, A, A SFY2017-18
970000089 COLLEGE VISTA POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-04-20 00:00:00 940014003 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-08-02 00:00:00 2017-08-02 00:00:00 No 2018-05-11 00:00:00 None B None 2000 2000 0 2000 0 None QXX811 N CA00547002 B SFY2017-18
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-04-27 00:00:00 940014014 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-20 00:00:00 2017-11-20 00:00:00 Yes 2018-05-18 00:00:00 2018-05-10 00:00:00 A B 20000 6000 0 6000 0 None GQN311 N CA00562088, CA00562088, CA00562381, CA00562381 B, B, B, B SFY2017-18
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-04-26 00:00:00 940014017 Open Citation Citation A (HSC 1424) Patient Care None 2017-12-24 00:00:00 2017-12-24 00:00:00 Yes 2018-05-17 00:00:00 2018-05-16 00:00:00 A None 20000 20000 0 0 20000 None Z3YX11 N CA00566437, CA00566437, CA00566726, CA00566726 B, B, B, B SFY2017-18
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-04-26 00:00:00 940014018 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-19 00:00:00 2017-11-19 00:00:00 Yes 2018-05-17 00:00:00 2018-05-16 00:00:00 A B 20000 10000 0 10000 0 None QX9Y11 N CA00563101 B SFY2017-18
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2018-04-27 00:00:00 940014021 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-04 00:00:00 2017-09-04 00:00:00 No 2018-05-18 00:00:00 None A None 16000 16000 -5600 10400 0 None RL1D11 N CA00559094, CA00559094, CA00559094 B, B, B SFY2017-18
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2018-05-08 00:00:00 940014029 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-26 00:00:00 2018-01-26 00:00:00 No 2018-05-29 00:00:00 None A None 20000 60000 -21000 39000 0 None J59S11 N CA00562891 B SFY2017-18
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-04-26 00:00:00 940014033 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-06 00:00:00 2017-10-06 00:00:00 No 2018-05-17 00:00:00 None B None 2000 2000 -700 1300 0 None 9XKQ11 N CA00575460 A SFY2017-18
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-04-27 00:00:00 940014034 Open Citation Citation B (HSC 1424) Patient Care None 2017-12-29 00:00:00 2017-12-29 00:00:00 Yes 2018-05-18 00:00:00 2018-04-30 00:00:00 B None 2000 6000 0 0 6000 None TU1G11 N CA00567157, CA00567891 A, C SFY2017-18
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2018-05-11 00:00:00 940014066 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-20 00:00:00 2017-12-20 00:00:00 No 2018-06-01 00:00:00 None B None 2000 2000 -700 1300 0 None 2CEK11 N CA00568834, CA00568834 B, B SFY2017-18
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-05-11 00:00:00 940014068 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-31 00:00:00 2018-01-31 00:00:00 Yes 2018-06-01 00:00:00 2018-05-10 00:00:00 A A 20000 17500 0 17500 0 None 8N7W11 N CA00569608 B SFY2017-18
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-05-18 00:00:00 940014087 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-03 00:00:00 2017-03-03 00:00:00 No 2018-06-08 00:00:00 None A None 20000 20000 -7000 13000 0 None CCBM11 N CA00570288 B SFY2017-18
940000037 SANTA FE HEIGHTS HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 3 2018-05-25 00:00:00 940014095 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-15 00:00:00 2018-03-15 00:00:00 No 2018-06-18 00:00:00 None B None 2000 2000 0 2000 0 None RDU811 N CA00579272 A SFY2017-18
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2018-06-01 00:00:00 940014106 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-21 00:00:00 2017-12-21 00:00:00 Yes 2018-06-22 00:00:00 2018-06-07 00:00:00 A A 20000 15000 0 15000 0 None 4XYE11 N CA00566300 A SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-06-08 00:00:00 940014109 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-27 00:00:00 2017-09-27 00:00:00 No 2018-06-29 00:00:00 None A None 20000 20000 -7000 13000 0 None IEM311 Y CA00573839, CA00573839, CA00573839 A, A, A SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-06-08 00:00:00 940014110 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-12-27 00:00:00 2017-12-27 00:00:00 No 2018-06-29 00:00:00 None AA None 100000 100000 -35000 65000 0 None IEM311 N CA00573839, CA00573839, CA00573839, CA00573839 A, A, A, A SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-06-08 00:00:00 940014111 Closed Citation Citation B (HSC 1424) Patient Care None 2018-02-10 00:00:00 2018-02-10 00:00:00 No 2018-06-29 00:00:00 None B None 2000 6000 0 6000 0 None IEM311 N CA00573839, CA00573839, CA00573839, CA00573839 A, A, A, A SFY2017-18
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-01 00:00:00 940014112 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-12 00:00:00 2018-01-12 00:00:00 Yes 2018-06-22 00:00:00 2018-06-05 00:00:00 A B 20000 20000 0 20000 0 None 55CD11 N CA00572390, CA00572390 B, B SFY2017-18
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-01 00:00:00 940014113 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-12 00:00:00 2018-01-12 00:00:00 Yes 2018-06-22 00:00:00 2018-06-05 00:00:00 A A 20000 20000 0 20000 0 None 55CD11 N CA00572390, CA00572390, CA00572390 B, B, B SFY2017-18
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-06-28 00:00:00 940014117 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-25 00:00:00 2017-09-25 00:00:00 No 2018-07-20 00:00:00 None A None 20000 20000 -7000 13000 0 None 3IFU11 Y CA00573452, CA00573452, CA00573452 A, A, A SFY2017-18
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-06-01 00:00:00 940014119 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-12-13 00:00:00 2017-12-13 00:00:00 No 2018-06-22 00:00:00 None B None 2000 2000 -700 1300 0 None WSC311 N CA00572729, CA00572729, CA00572729, CA00572729, CA00572729 A, A, A, A, A SFY2017-18
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-06-11 00:00:00 940014121 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-30 00:00:00 2017-12-30 00:00:00 No 2018-07-02 00:00:00 None A None 20000 20000 0 20000 0 None TDHF11 N CA00573294 B SFY2017-18
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-15 00:00:00 940014122 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-12 00:00:00 2018-02-12 00:00:00 No 2018-07-09 00:00:00 None A None 20000 60000 0 60000 0 None 27PD11 N CA00574448, CA00574448 B, B SFY2017-18
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-15 00:00:00 940014123 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-09 00:00:00 2018-04-09 00:00:00 No 2018-07-09 00:00:00 None A None 10000 30000 0 30000 0 None FKEK11 N CA00582122 A SFY2017-18
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-06-06 00:00:00 940014127 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-26 00:00:00 2018-04-26 00:00:00 No 2018-06-27 00:00:00 None B None 2000 2000 -700 1300 0 None PLZZ11 N None None SFY2017-18
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-06-18 00:00:00 940014138 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-15 00:00:00 2017-12-15 00:00:00 Yes 2018-07-10 00:00:00 2018-06-27 00:00:00 A None 20000 20000 0 20000 0 None QH5L11 N CA00565297, CA00565297, CA00576295, CA00576295 B, B, B, B SFY2017-18
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2018-06-15 00:00:00 940014139 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-10 00:00:00 2018-03-10 00:00:00 No 2018-07-09 00:00:00 None B None 2000 2000 0 2000 0 None 70H211 N CA00577597 B SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-06-15 00:00:00 940014140 Closed Citation Citation B (HSC 1424) Patient Care None 2018-02-12 00:00:00 2018-02-12 00:00:00 No 2018-07-09 00:00:00 None B None 2000 6000 -2100 3900 0 None VQP111 N CA00574592, CA00574592, CA00574592 A, A, A SFY2017-18
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-15 00:00:00 940014142 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-14 00:00:00 2018-02-14 00:00:00 No 2018-07-09 00:00:00 None A None 20000 20000 -7000 13000 0 None KFX311 N CA00574836 B SFY2017-18
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-22 00:00:00 940014170 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-25 00:00:00 2018-03-25 00:00:00 Yes 2018-07-16 00:00:00 2018-06-25 00:00:00 A A 18000 12600 0 12600 0 None E2MJ11 N None None SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-06-22 00:00:00 940014172 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-08 00:00:00 2018-02-08 00:00:00 No 2018-07-16 00:00:00 None A None 20000 60000 -21000 39000 0 None XVGB11 Y CA00574618, CA00574618, CA00574618, CA00574618, CA00574618, CA00575079, CA00575079 A, A, A, A, A, B, B SFY2017-18
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-24 00:00:00 940014176 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-26 00:00:00 2017-12-26 00:00:00 Yes 2018-07-16 00:00:00 2018-06-25 00:00:00 A A 20000 13000 0 13000 0 None VGSK11 N CA00575702 B SFY2017-18
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-22 00:00:00 940014179 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-05 00:00:00 2018-04-05 00:00:00 Yes 2018-07-16 00:00:00 2018-07-16 00:00:00 A A 20000 30000 0 30000 0 None FWGE11 N CA00581958 A SFY2017-18
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-06-29 00:00:00 940014200 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-14 00:00:00 2018-02-14 00:00:00 No 2018-07-23 00:00:00 None A None 16000 16000 -5600 10400 0 None 4JJ111 N CA00576399 B SFY2017-18
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-07-05 00:00:00 940014203 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-05 00:00:00 2018-03-05 00:00:00 No 2018-07-26 00:00:00 None B None 2000 2000 0 2000 0 None GTZW11 Y CA00576998 B SFY2018-19
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-07-06 00:00:00 940014204 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-30 00:00:00 2017-12-30 00:00:00 Yes 2018-07-27 00:00:00 2018-07-26 00:00:00 A B 16000 10000 0 10000 0 None JVB411 Y CA00568039, CA00568039, CA00568039 B, B, B SFY2018-19
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-07-06 00:00:00 940014216 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-14 00:00:00 2018-01-14 00:00:00 Yes 2018-07-27 00:00:00 2018-07-17 00:00:00 A A 20000 15000 0 15000 0 None IPUG11 N CA00577578, CA00577578 A, A SFY2018-19
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-07-05 00:00:00 940014220 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-07 00:00:00 2017-03-07 00:00:00 No 2018-07-26 00:00:00 None B None 2000 2000 -700 1300 0 None EGFJ11 N CA00525648 B SFY2018-19
940000100 HARBOR VIEW BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-07-06 00:00:00 940014221 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-10-18 00:00:00 2016-10-18 00:00:00 No 2018-07-27 00:00:00 None B None 2000 2000 -700 1300 0 None TUJG11 N CA00509908 B SFY2018-19
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-07-13 00:00:00 940014231 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-29 00:00:00 2018-01-29 00:00:00 Yes 2018-08-03 00:00:00 2018-08-01 00:00:00 A A 20000 17500 0 17500 0 None 81RM11 N CA00568999 B SFY2018-19
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-07-13 00:00:00 940014232 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-29 00:00:00 2018-01-29 00:00:00 Yes 2018-08-03 00:00:00 2018-08-01 00:00:00 A B 20000 2000 0 2000 0 None 81RM11 N CA00568999, CA00568999 B, B SFY2018-19
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-07-27 00:00:00 940014247 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-03-30 00:00:00 2018-03-30 00:00:00 Yes 2018-08-17 00:00:00 2018-08-01 00:00:00 AA A 100000 60000 0 60000 0 None 5FSM11 N CA00580634, CA00580704, CA00580704, CA00580704, CA00580704, CA00580704 B, A, A, A, A, A SFY2018-19
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2018-07-20 00:00:00 940014249 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-28 00:00:00 2018-03-28 00:00:00 Yes 2018-08-10 00:00:00 2018-08-06 00:00:00 B B 2000 1000 0 1000 0 None TTTM11 N CA00582561, CA00582561 A, A SFY2018-19
940000024 NORWALK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2018-07-20 00:00:00 940014257 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-14 00:00:00 2018-03-14 00:00:00 Yes 2018-08-10 00:00:00 2018-08-08 00:00:00 A B 20000 2000 0 2000 0 None CJTH11 N CA00580497 A SFY2018-19
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2018-07-20 00:00:00 940014260 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-07 00:00:00 2018-03-07 00:00:00 No 2018-08-10 00:00:00 None B None 2000 2000 0 2000 0 None Q7SJ11 N CA00574021 B SFY2018-19
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-07-26 00:00:00 940014271 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-11 00:00:00 2018-04-11 00:00:00 Yes 2018-08-16 00:00:00 2018-08-06 00:00:00 A B 20000 2000 0 2000 0 None MO4H11 N CA00580395 B SFY2018-19
940000097 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-07-26 00:00:00 940014279 Closed Citation Citation B (HSC 1424) Patient Care None 2018-02-02 00:00:00 2018-02-02 00:00:00 No 2018-08-16 00:00:00 None B None 2000 2000 0 2000 0 None XC0M11 N CA00572350 A SFY2018-19
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-03 00:00:00 940014298 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-03-08 00:00:00 2018-03-08 00:00:00 Yes 2018-08-24 00:00:00 2018-08-10 00:00:00 AA A 100000 65000 0 65000 0 None LFJQ11 Y CA00581500, CA00581500 B, B SFY2018-19
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-02 00:00:00 940014301 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-16 00:00:00 2017-11-16 00:00:00 No 2018-08-23 00:00:00 None B None 2000 2000 -700 1300 0 None 2SVH11 N CA00561457, CA00561457 B, B SFY2018-19
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-08-02 00:00:00 940014308 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-03-21 00:00:00 2018-03-21 00:00:00 No 2018-08-23 00:00:00 None B None 2000 2000 0 2000 0 None Q9WH11 Y CA00581053 A SFY2018-19
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-03 00:00:00 940014310 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-07 00:00:00 2018-04-07 00:00:00 No 2018-08-24 00:00:00 None A None 6000 6000 -2100 3900 0 None 3PDJ11 N CA00581652 A SFY2018-19
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-02 00:00:00 940014311 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-29 00:00:00 2018-03-29 00:00:00 No 2018-08-23 00:00:00 None B None 2000 2000 0 2000 0 None 30VC11 N CA00582493, CA00582493 A, A SFY2018-19
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-06 00:00:00 940014313 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-16 00:00:00 2018-03-16 00:00:00 Yes 2018-08-27 00:00:00 2018-08-10 00:00:00 A A 20000 16000 0 16000 0 None MU8J11 N CA00582336, CA00582336 B, B SFY2018-19
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-02 00:00:00 940014315 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-23 00:00:00 2017-09-23 00:00:00 No 2018-08-23 00:00:00 None B None 2000 6000 0 6000 0 None 1IDZ11 N CA00554425, CA00554864, CA00554864 A, B, B SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-10 00:00:00 940014320 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-19 00:00:00 2018-04-19 00:00:00 No 2018-08-31 00:00:00 None B None 2000 2000 -700 1300 0 None 3UBV11 N CA00583775, CA00583997 B, B SFY2018-19
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-08 00:00:00 940014323 Closed Citation Citation B (HSC 1424) Patient Care None 2018-06-13 00:00:00 2018-06-13 00:00:00 Yes 2018-08-29 00:00:00 2018-08-09 00:00:00 B B 2000 1400 0 1400 0 None RFFS11 N None None SFY2018-19
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-10 00:00:00 940014324 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-19 00:00:00 2018-04-19 00:00:00 No 2018-08-31 00:00:00 None B None 2000 2000 0 2000 0 None S99711 N CA00583150, CA00583150 B, B SFY2018-19
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-10 00:00:00 940014328 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-04-08 00:00:00 2018-04-08 00:00:00 Yes 2018-08-31 00:00:00 2018-08-14 00:00:00 AA A 100000 20000 0 20000 0 None DG6W11 Y CA00582724, CA00582724 A, A SFY2018-19
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-15 00:00:00 940014331 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-10 00:00:00 2018-04-10 00:00:00 Yes 2018-09-06 00:00:00 2018-09-05 00:00:00 A A 20000 35000 0 35000 0 None Y88I11 N CA00583053, CA00583053 B, B SFY2018-19
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-17 00:00:00 940014333 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-21 00:00:00 2017-12-21 00:00:00 Yes 2018-09-10 00:00:00 2018-08-20 00:00:00 B B 2000 1700 0 1700 0 None ONR111 N CA00566090 B SFY2018-19
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-17 00:00:00 940014334 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-14 00:00:00 2017-10-14 00:00:00 No 2018-09-10 00:00:00 None A None 20000 20000 0 20000 0 None 4Q7V11 N CA00583331, CA00583331, CA00583331, CA00583331 B, B, B, B SFY2018-19
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2018-08-15 00:00:00 940014337 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-01 00:00:00 2018-04-01 00:00:00 No 2018-09-06 00:00:00 None A None 20000 20000 -7000 13000 0 None 7LEY11 N CA00582927, CA00582927, CA00582927 B, B, B SFY2018-19
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-24 00:00:00 940014343 Closed Citation Citation A (HSC 1424) Patient Care None 2013-09-07 00:00:00 2013-09-07 00:00:00 Yes 2018-09-17 00:00:00 2018-09-13 00:00:00 A B 20000 10000 0 10000 0 None KBMD11 N CA00382802 B SFY2018-19
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-30 00:00:00 940014353 Open Citation Citation A (HSC 1424) Patient Care None 2018-03-13 00:00:00 2018-03-13 00:00:00 Yes 2018-09-21 00:00:00 2018-09-06 00:00:00 A None 20000 20000 0 0 20000 None 17MJ11 N CA00585249 B SFY2018-19
940000070 SOUTHLAND LTC SNF Skilled Nursing Facility LA Region 3 2018-08-23 00:00:00 940014354 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-28 00:00:00 2017-01-28 00:00:00 No 2018-09-14 00:00:00 None B None 2000 2000 -700 1300 0 None FE8Z11 N CA00584476 B SFY2018-19
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-08-23 00:00:00 940014358 Open Citation Citation B (HSC 1424) Patient Care None 2017-11-17 00:00:00 2017-11-17 00:00:00 Yes 2018-09-14 00:00:00 2018-08-28 00:00:00 B None 2000 6000 0 0 6000 None 2I2D11 N CA00561620, CA00561620 A, A SFY2018-19
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-09-04 00:00:00 940014376 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-07 00:00:00 2018-05-07 00:00:00 No 2018-09-25 00:00:00 None B None 2000 2000 0 2000 0 None NZ6I11 N CA00585896 A SFY2018-19
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2018-09-05 00:00:00 940014389 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-27 00:00:00 2018-04-27 00:00:00 No 2018-09-26 00:00:00 None B None 2000 2000 0 2000 0 None 3VIR11 N CA00585892, CA00586511 A, A SFY2018-19
940000078 GREENFIELD CARE CENTER OF SOUTH GATE LTC SNF Skilled Nursing Facility LA Region 3 2018-09-07 00:00:00 940014394 Closed Citation Citation B (HSC 1424) Dietary None 2018-07-20 00:00:00 2018-07-20 00:00:00 No 2018-09-28 00:00:00 None B None 2000 2000 -700 1300 0 None LMQ311 N None None SFY2018-19
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-09-10 00:00:00 940014399 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-08 00:00:00 2016-04-08 00:00:00 No 2018-10-01 00:00:00 None A None 20000 20000 0 20000 0 None 0TVR11 Y CA00578347, CA00578347, CA00578347 B, B, B SFY2018-19
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-09-12 00:00:00 940014406 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-13 00:00:00 2018-05-13 00:00:00 No 2018-10-03 00:00:00 None B None 2000 2000 -700 1300 0 None YKV411 N CA00586997 B SFY2018-19
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-09-13 00:00:00 940014409 Open Citation Citation B (HSC 1424) Patient Rights None 2018-05-12 00:00:00 2018-05-12 00:00:00 Yes 2018-10-04 00:00:00 2018-09-19 00:00:00 B None 2000 2000 0 0 2000 None TQBR11 N CA00587329, CA00587329, CA00587329 A, A, A SFY2018-19
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2018-10-04 00:00:00 940014420 Closed Citation Citation B (HSC 1424) Other Infection Control 2017-12-11 00:00:00 2017-12-11 00:00:00 No 2018-10-25 00:00:00 None B None 2000 2000 -700 1300 0 None 92GS11 N CA00589920 A SFY2018-19
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-10-02 00:00:00 940014442 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-28 00:00:00 2017-02-28 00:00:00 Yes 2018-10-23 00:00:00 2018-10-11 00:00:00 A A 20000 16000 0 16000 0 None QHC511 Y CA00519343, CA00519343 B, B SFY2018-19
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-10-02 00:00:00 940014453 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2017-01-03 00:00:00 2017-01-03 00:00:00 Yes 2018-10-23 00:00:00 2018-10-12 00:00:00 WF WMF>$1000 2000 2000 0 2000 0 None QHC511 N CA00519343, CA00519343 B, B SFY2018-19
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-10-04 00:00:00 940014456 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-18 00:00:00 2018-04-18 00:00:00 Yes 2018-10-25 00:00:00 2018-10-12 00:00:00 A B 16000 14000 0 14000 0 None XVY511 N CA00593605, CA00593605 B, B SFY2018-19
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-10-04 00:00:00 940014459 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-18 00:00:00 2018-04-18 00:00:00 Yes 2018-10-25 00:00:00 2018-10-12 00:00:00 B Drop>Deficiency 2000 2000 0 2000 0 None XVY511 N CA00593605, CA00593605, CA00593605 B, B, B SFY2018-19
940000004 BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2018-10-05 00:00:00 940014463 Closed Citation Citation B (HSC 1424) Patient Care None 2016-12-26 00:00:00 2016-12-26 00:00:00 No 2018-10-26 00:00:00 None B None 2000 2000 -700 1300 0 None 9VW011 N CA00516744 B SFY2018-19
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2018-10-05 00:00:00 940014464 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-19 00:00:00 2018-07-19 00:00:00 No 2018-10-26 00:00:00 None B None 2000 2000 0 2000 0 None O91V11 N CA00596459, CA00596459 A, A SFY2018-19
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-10-11 00:00:00 940014473 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-14 00:00:00 2017-06-14 00:00:00 No 2018-11-01 00:00:00 None A None 20000 20000 -7000 13000 0 None T3U111 N CA00540091, CA00540091 B, B SFY2018-19
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2018-10-12 00:00:00 940014475 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-16 00:00:00 2017-06-16 00:00:00 No 2018-11-02 00:00:00 None A None 15000 45000 -15750 29250 0 None ZINQ11 N CA00540422 B SFY2018-19
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-10-19 00:00:00 940014500 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-09 00:00:00 2018-07-09 00:00:00 No 2018-11-09 00:00:00 None B None 2000 2000 -700 1300 0 None NQVV11 N CA00596221, CA00596259 A, A SFY2018-19
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-10-19 00:00:00 940014501 Closed Citation Citation B (HSC 1424) Patient Care None 2018-06-29 00:00:00 2018-06-29 00:00:00 No 2018-11-09 00:00:00 None B None 2000 2000 0 2000 0 None L7T511 N CA00596495, CA00596495, CA00596495 B, B, B SFY2018-19
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-10-24 00:00:00 940014514 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-23 00:00:00 2018-04-23 00:00:00 No 2018-11-15 00:00:00 None B None 2000 2000 0 2000 0 None 5W3K11 N CA00583753 B SFY2018-19
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-10-24 00:00:00 940014526 Closed Citation Citation B (HSC 1424) Patient Care None 2018-06-27 00:00:00 2018-06-27 00:00:00 No 2018-11-15 00:00:00 None B None 1500 1500 -525 975 0 None 251T11 N None None SFY2018-19
940000047 VILLA DEL SOL POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-11-02 00:00:00 940014549 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-17 00:00:00 2018-05-17 00:00:00 No 2018-11-28 00:00:00 None A None 20000 20000 0 20000 0 None Z2MI11 N CA00598472, CA00598472 B, B SFY2018-19
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-11-02 00:00:00 940014555 Closed Citation Citation B (HSC 1424) Patient Care None 2017-05-02 00:00:00 2017-05-02 00:00:00 No 2018-11-28 00:00:00 None B None 1000 1000 0 1000 0 None 7FKX11 N CA00598877, CA00598877 B, B SFY2018-19
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-11-14 00:00:00 940014578 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2018-12-07 00:00:00 None A None 20000 60000 -21000 39000 0 None NX1M11 N CA00600053, CA00600053 B, B SFY2018-19
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-11-17 00:00:00 940014582 Closed Citation Citation A (HSC 1424) Patient Care None 2018-07-21 00:00:00 2018-07-21 00:00:00 No 2018-12-11 00:00:00 None A None 16000 16000 -5600 10400 0 None 6B9P11 N CA00596461 B SFY2018-19
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-11-16 00:00:00 940014590 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-06 00:00:00 2015-08-06 00:00:00 No 2018-12-11 00:00:00 None B None 2000 2000 0 2000 0 None KSJR11 N CA00453800, CA00453800, CA00453800 B, B, B SFY2018-19
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-11-21 00:00:00 940014595 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-20 00:00:00 2018-08-20 00:00:00 Yes 2018-12-14 00:00:00 2018-12-14 00:00:00 A A 20000 20000 0 20000 0 None 3F0W11 N CA00601129, CA00601129 A, A SFY2018-19
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-11-21 00:00:00 940014598 Closed Citation Citation A (HSC 1424) Patient Care None 2018-07-26 00:00:00 2018-07-26 00:00:00 Yes 2018-12-14 00:00:00 2018-12-12 00:00:00 A B 20000 39000 0 39000 0 None R2HM11 Y CA00597204, CA00597204 B, B SFY2018-19
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-11-21 00:00:00 940014601 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-11 00:00:00 2018-09-11 00:00:00 No 2018-12-14 00:00:00 None A None 20000 20000 0 20000 0 None 9D2N11 N CA00603924 B SFY2018-19
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-12-07 00:00:00 940014625 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-23 00:00:00 2018-07-23 00:00:00 No 2018-12-31 00:00:00 None B None 2000 2000 0 2000 0 None 50W911 N CA00596891, CA00596891 A, A SFY2018-19
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-12-07 00:00:00 940014628 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-28 00:00:00 2018-08-28 00:00:00 No 2018-12-31 00:00:00 None B None 2000 2000 -700 1300 0 None EMC511 N CA00603264, CA00603264, CA00603264 B, B, B SFY2018-19
940000091 PARAMOUNT CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-12-07 00:00:00 940014637 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-08-31 00:00:00 2018-08-31 00:00:00 No 2018-12-31 00:00:00 None B None 2000 2000 -700 1300 0 None XNGM11 N CA00603191, CA00603191 A, A SFY2018-19
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-12-07 00:00:00 940014639 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-07 00:00:00 2018-09-07 00:00:00 No 2018-12-31 00:00:00 None B None 2000 6000 0 6000 0 None NN8311 N CA00603297, CA00603297 B, B SFY2018-19
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2018-12-21 00:00:00 940014667 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-02-08 00:00:00 2018-02-08 00:00:00 Yes 2019-01-14 00:00:00 2018-12-21 00:00:00 AA A 100000 20000 0 20000 0 None F5UW11 N CA00593335 B SFY2018-19
940000014 ROSE VILLA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-12-26 00:00:00 940014670 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-25 00:00:00 2018-09-25 00:00:00 Yes 2019-01-16 00:00:00 2019-01-15 00:00:00 A A 20000 13000 0 13000 0 None QJPV11 N CA00605587, CA00605587 B, B SFY2018-19
940000029 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH LTC SNF Skilled Nursing Facility LA Region 3 2018-12-21 00:00:00 940014675 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-18 00:00:00 2018-09-18 00:00:00 No 2019-01-14 00:00:00 None B None 2000 2000 -700 1300 0 None SO2N11 N CA00604488, CA00604488, CA00604488, CA00604915, CA00604915, CA00604915 A, A, A, A, A, A SFY2018-19
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-12-28 00:00:00 940014694 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-09-18 00:00:00 2018-09-18 00:00:00 No 2019-01-18 00:00:00 None B None 2000 2000 -700 1300 0 None CC0O11 N CA00607273 B SFY2018-19
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-01-04 00:00:00 940014698 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-08-12 00:00:00 2018-08-12 00:00:00 Yes 2019-01-25 00:00:00 2019-01-11 00:00:00 AA A 100000 100000 0 100000 0 None 37FN11 Y CA00607988, CA00607988, CA00607988 A, A, A SFY2018-19
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-01-03 00:00:00 940014700 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-14 00:00:00 2018-11-14 00:00:00 Yes 2019-01-24 00:00:00 2019-01-11 00:00:00 A A 17000 12050 -50 12000 0 None U56Z11 Y None None SFY2018-19
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2019-01-11 00:00:00 940014711 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-18 00:00:00 2018-10-18 00:00:00 Yes 2019-02-01 00:00:00 2019-01-15 00:00:00 A None 20000 20000 0 20000 0 None 1OUR11 Y CA00608396, CA00608396, CA00608396 A, A, A SFY2018-19
940000001 SUNNY HILLS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2019-01-11 00:00:00 940014713 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-23 00:00:00 2018-08-23 00:00:00 Yes 2019-02-01 00:00:00 2019-01-11 00:00:00 A A 16000 12000 0 12000 0 None BFCB11 N CA00606213 A SFY2018-19
940000046 PACIFIC PALMS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2019-01-11 00:00:00 940014717 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-23 00:00:00 2018-08-23 00:00:00 Yes 2019-02-01 00:00:00 2019-01-11 00:00:00 A B 16000 16000 0 16000 0 None 6YIW11 N CA00601151, CA00601151, CA00601151 B, B, B SFY2018-19
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2019-01-15 00:00:00 940014722 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-18 00:00:00 2018-10-18 00:00:00 Yes 2019-02-05 00:00:00 2019-01-15 00:00:00 A None 20000 20000 0 20000 0 None XRH811 N CA00607983, CA00607983, CA00607983, CA00607983 A, A, A, A SFY2018-19
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-01-23 00:00:00 940014759 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-10 00:00:00 2018-04-10 00:00:00 No 2019-02-13 00:00:00 None B None 2000 2000 -700 1300 0 None MHGK11 N CA00582185, CA00582185 A, A SFY2018-19
940000062 ALAMITOS BELMONT HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility LA Region 3 2019-01-25 00:00:00 940014760 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-10 00:00:00 2017-09-10 00:00:00 Yes 2019-02-15 00:00:00 2019-01-25 00:00:00 A None 16000 16000 0 16000 0 None ZMJL11 N CA00552299 B SFY2018-19
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-01-25 00:00:00 940014762 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-10 00:00:00 2016-10-10 00:00:00 No 2019-02-15 00:00:00 None A None 20000 20000 -20000 0 0 None XRHV11 N CA00507193 B SFY2018-19
940000011 BELL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2019-01-25 00:00:00 940014763 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-24 00:00:00 2018-10-24 00:00:00 No 2019-02-15 00:00:00 None A None 20000 20000 -7000 13000 0 None 7MVJ11 N CA00609537, CA00609537, CA00609537, CA00609659, CA00609659 B, B, B, A, A SFY2018-19
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2019-01-25 00:00:00 940014764 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-22 00:00:00 2018-10-22 00:00:00 Yes 2019-02-15 00:00:00 2019-01-29 00:00:00 A None 20000 20000 0 20000 0 None JQ4O11 N CA00608953 B SFY2018-19
940000012 BRIARCREST NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-06 00:00:00 940014767 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-11-07 00:00:00 2018-11-07 00:00:00 No 2019-02-27 00:00:00 None AA None 100000 100000 -35000 65000 0 None LBKM11 N CA00611276, CA00611276, CA00611276 B, B, B SFY2018-19
940000031 CATERED MANOR NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-01 00:00:00 940014769 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-04 00:00:00 2018-11-04 00:00:00 Yes 2019-02-22 00:00:00 2019-02-06 00:00:00 A A 20000 14000 0 14000 0 None EPSF11 Y CA00610650 A SFY2018-19
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-01 00:00:00 940014770 Closed Citation Citation AA (HSC 1424) Patient Care None 2018-11-07 00:00:00 2018-11-07 00:00:00 No 2019-02-22 00:00:00 None AA None 100000 100000 0 100000 0 None 508311 Y CA00602982, CA00602982 B, B SFY2018-19
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-12 00:00:00 940014771 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-12 00:00:00 2016-10-12 00:00:00 No 2019-03-05 00:00:00 None A None 20000 20000 -20000 0 0 None G81411 N CA00507203 B SFY2018-19
970000037 FLOWER VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 2 2019-01-31 00:00:00 940014784 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-20 00:00:00 2018-10-20 00:00:00 No 2019-02-21 00:00:00 None B None 1000 1000 -350 650 0 None PVI811 N None None SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-05 00:00:00 940014788 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-08 00:00:00 2018-11-08 00:00:00 No 2019-02-26 00:00:00 None B None 2000 2000 0 2000 0 None H55I11 N CA00610614, CA00610614, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, B, B, A, A, A, A, A, A, A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-05 00:00:00 940014793 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-01 00:00:00 2018-10-01 00:00:00 Yes 2019-02-26 00:00:00 2019-02-08 00:00:00 A A 20000 17000 0 17000 0 None H55I11 N CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-05 00:00:00 940014795 Closed Citation Citation B (HSC 1424) Patient Care None 2018-09-25 00:00:00 2018-09-25 00:00:00 No 2019-02-26 00:00:00 None B None 2000 2000 0 2000 0 None H55I11 N CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-08 00:00:00 940014798 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-04 00:00:00 2018-10-04 00:00:00 Yes 2019-03-01 00:00:00 2019-02-28 00:00:00 A A 20000 17200 -200 17000 0 None H55I11 N CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-08 00:00:00 940014799 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-03 00:00:00 2018-11-03 00:00:00 Yes 2019-03-01 00:00:00 2019-02-28 00:00:00 A A 16000 12000 0 12000 0 None H55I11 N CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-08 00:00:00 940014800 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-25 00:00:00 2018-08-25 00:00:00 Yes 2019-03-01 00:00:00 2019-02-28 00:00:00 A B 12000 6000 0 6000 0 None H55I11 N CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-08 00:00:00 940014801 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-27 00:00:00 2018-08-27 00:00:00 No 2019-03-01 00:00:00 None B None 2000 2000 0 2000 0 None H55I11 N CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-08 00:00:00 940014802 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-19 00:00:00 2018-08-19 00:00:00 No 2019-03-01 00:00:00 None B None 2000 2000 0 2000 0 None H55I11 N CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2019-02-06 00:00:00 940014805 Closed Citation Citation B (HSC 1424) Administration None 2018-12-21 00:00:00 2018-12-21 00:00:00 No 2019-02-28 00:00:00 None B None 2000 2000 -700 1300 0 None 90EO11 N None None SFY2018-19
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2019-02-06 00:00:00 940014807 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2018-12-21 00:00:00 2018-12-21 00:00:00 No 2019-02-27 00:00:00 None WF None 1000 1000 -350 650 0 None 90EO11 None None None SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-08 00:00:00 940014808 Closed Citation Citation A (HSC 1424) Patient Care None 2018-06-07 00:00:00 2018-06-07 00:00:00 Yes 2019-03-01 00:00:00 2019-02-28 00:00:00 A A 20000 25000 0 25000 0 None H55I11 Y CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-08 00:00:00 940014809 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-14 00:00:00 2018-10-14 00:00:00 Yes 2019-03-01 00:00:00 2019-02-28 00:00:00 A A 20000 17000 0 17000 0 None H55I11 N CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A SFY2018-19
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-02-13 00:00:00 940014812 Closed Citation Citation A (HSC 1424) Patient Care None 2018-03-31 00:00:00 2018-03-31 00:00:00 No 2019-03-06 00:00:00 None A None 20000 20050 -7000 13050 0 None D2IV11 N CA00580830 B SFY2018-19
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-15 00:00:00 940014819 Closed Citation Citation B (HSC 1424) Other Unusual Occurrences 2018-11-17 00:00:00 2018-11-17 00:00:00 No 2019-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None D3D911 Y CA00614024 B SFY2018-19
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-02-22 00:00:00 940014832 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-21 00:00:00 2018-11-21 00:00:00 No 2019-03-15 00:00:00 None B None 2000 2000 -700 1300 0 None JPVD11 N CA00613450, CA00613450 B, B SFY2018-19
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-02-22 00:00:00 940014834 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-15 00:00:00 2017-12-15 00:00:00 No 2019-03-15 00:00:00 None B None 2000 2000 -700 1300 0 None 9GSR11 N CA00565294 B SFY2018-19
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-03-07 00:00:00 940014852 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-04 00:00:00 2018-12-04 00:00:00 Yes 2019-03-28 00:00:00 2019-03-27 00:00:00 A B 15000 34250 0 34250 0 None Q89P11 N CA00614966, CA00616235 B, B SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-04-05 00:00:00 940014933 Closed Citation Citation A (HSC 1424) Patient Care None 2019-02-06 00:00:00 2019-02-06 00:00:00 Yes 2019-04-26 00:00:00 2019-04-08 00:00:00 A A 20000 60000 0 60000 0 None H55I11 N CA00610614, CA00610614, CA00610874, CA00610874, CA00610949, CA00610949, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962 A, A, A, A, A, A, B, B, A, A, A, A, A, A, A SFY2018-19
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2000-01-07 00:00:00 950001320 Closed Citation Citation B (HSC 1424) Patient Care None 1999-03-26 00:00:00 None No 2000-02-18 00:00:00 None B None 1000 1000 -350 650 0 950006212 A99999 N None None SFY1999-00
950000053 CLAREMONT MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-01-19 00:00:00 950001321 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-22 00:00:00 None Yes 2000-02-25 00:00:00 2000-02-04 00:00:00 B None 700 700 0 700 0 950006220 A99999 N None None SFY1999-00
950000105 SUNSET MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2000-01-20 00:00:00 950001322 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-01-12 00:00:00 None No 2000-02-10 00:00:00 None B None 500 500 -175 325 0 950006222 A99999 N None None SFY1999-00
950000053 CLAREMONT MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-01-25 00:00:00 950001323 Closed Citation Citation A (HSC 1424) Patient Care None 1999-08-23 00:00:00 None Yes 2001-05-10 00:00:00 2000-02-04 00:00:00 A A 6000 6000 0 6000 0 950006230 A99999 N None None SFY1999-00
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-01 00:00:00 950001324 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-20 00:00:00 2000-01-20 00:00:00 No 2000-02-23 00:00:00 None B None 1000 1000 -350 650 0 950006227 A99999 N None None SFY1999-00
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-08 00:00:00 950001325 Closed Citation Citation B (HSC 1424) Patient Care None 1999-08-18 00:00:00 None No 2000-03-01 00:00:00 None B None 500 500 -175 325 0 950006254 A99999 N None None SFY1999-00
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-08 00:00:00 950001326 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-20 00:00:00 None No 2000-03-01 00:00:00 None A None 4000 4000 -1400 2600 0 950006254 A99999 N None None SFY1999-00
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-15 00:00:00 950001327 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-15 00:00:00 None No 2000-03-08 00:00:00 None B None 700 700 -245 455 0 950006267 A99999 N None None SFY1999-00
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-17 00:00:00 950001328 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-07 00:00:00 None No 2000-03-10 00:00:00 None B None 500 1500 0 1500 0 950006269 A99999 N None None SFY1999-00
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-18 00:00:00 950001329 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-11 00:00:00 None No 2000-03-13 00:00:00 None B None 500 1500 -525 975 0 950006270 A99999 N None None SFY1999-00
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-29 00:00:00 950001330 Closed Citation Citation B (HSC 1424) Other WMF 2000-02-11 00:00:00 None No 2000-03-21 00:00:00 None B None 1000 1000 0 1000 0 950006280 A99999 N None None SFY1999-00
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2000-03-08 00:00:00 950001331 Closed Citation Citation A (HSC 1424) Patient Care None 1998-09-28 00:00:00 None Yes 2001-05-10 00:00:00 2000-03-28 00:00:00 A A 3000 3000 0 3000 0 950006290 A99999 N None None SFY1999-00
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2000-03-13 00:00:00 950001332 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-28 00:00:00 None No 2000-04-24 00:00:00 None B None 500 500 -175 325 0 950006294 A99999 N None None SFY1999-00
950000046 HARVARD CREEK POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2000-03-16 00:00:00 950001333 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-07 00:00:00 2000-03-09 00:00:00 No 2000-04-06 00:00:00 None B None 800 800 -280 520 0 950006299 A99999 N None None SFY1999-00
950000046 HARVARD CREEK POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2000-03-23 00:00:00 950001334 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-27 00:00:00 1999-12-15 00:00:00 No 2000-04-28 00:00:00 None B None 1000 1000 -350 650 0 950006311 A99999 N None None SFY1999-00
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-03-24 00:00:00 950001335 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-15 00:00:00 None No 2000-04-28 00:00:00 None B None 500 500 -175 325 0 950006267 A99999 N None None SFY1999-00
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-04-14 00:00:00 950001336 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-01 00:00:00 None No 2000-05-05 00:00:00 None B None 1000 1000 -350 650 0 950006342 A99999 N None None SFY1999-00
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2000-04-27 00:00:00 950001337 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-02 00:00:00 None No 2000-05-18 00:00:00 None B None 600 600 -210 390 0 950006348 A99999 N None None SFY1999-00
950000033 CHINO VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-05-24 00:00:00 950001338 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-07 00:00:00 None Yes 2000-06-14 00:00:00 2000-05-31 00:00:00 B Drop>Deficiency 800 800 0 800 0 950006381 A99999 N None None SFY1999-00
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-05-25 00:00:00 950001339 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-14 00:00:00 None No 2000-06-16 00:00:00 None B None 1000 1000 0 1000 0 950006382 A99999 N None None SFY1999-00
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2000-05-25 00:00:00 950001340 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-07 00:00:00 None No 2000-06-16 00:00:00 None B None 700 700 -245 455 0 950006383 A99999 N None None SFY1999-00
950000105 SUNSET MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2000-05-25 00:00:00 950001341 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-14 00:00:00 None No 2001-05-11 00:00:00 None B B 600 600 0 600 0 950006384 A99999 N None None SFY1999-00
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2000-05-30 00:00:00 950001342 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-27 00:00:00 None No 2000-06-20 00:00:00 None B None 500 500 0 500 0 950006386 A99999 N None None SFY1999-00
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-06-20 00:00:00 950001343 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-22 00:00:00 None No 2000-07-12 00:00:00 None B None 1000 1000 -350 650 0 950006407 A99999 N None None SFY1999-00
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-06-20 00:00:00 950001344 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-01-26 00:00:00 None No 2000-07-12 00:00:00 None B None 900 900 -315 585 0 950006408 A99999 N None None SFY1999-00
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-07-11 00:00:00 950001345 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-27 00:00:00 None No 2000-08-01 00:00:00 None B None 800 800 -280 520 0 950006434 A99999 N None None SFY2000-01
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-07-12 00:00:00 950001346 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-14 00:00:00 None No 2000-08-02 00:00:00 None B None 800 800 -280 520 0 950006435 A99999 N None None SFY2000-01
950000249 MAYFLOWER CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-07-12 00:00:00 950001347 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-19 00:00:00 None No 2000-08-02 00:00:00 None B None 300 300 -105 195 0 950006436 A99999 N None None SFY2000-01
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-09 00:00:00 950001348 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-16 00:00:00 None No 2000-08-30 00:00:00 None B None 800 800 -280 520 0 950006480 A99999 N None None SFY2000-01
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2000-08-09 00:00:00 950001349 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-05-05 00:00:00 None No 2000-08-30 00:00:00 None WF None 400 400 0 400 0 950006481 A99999 None None None SFY2000-01
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-18 00:00:00 950001355 Closed Citation Citation B (HSC 1424) Other PHYSICAL ABUSE 2000-05-16 00:00:00 None No 2000-09-11 00:00:00 None B None 400 400 -140 260 0 950006480 A99999 N None None SFY2000-01
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2000-08-21 00:00:00 950001356 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-02 00:00:00 None No 2000-09-12 00:00:00 None B None 500 500 -175 325 0 950006494 A99999 N None None SFY2000-01
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2000-09-06 00:00:00 950001358 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-15 00:00:00 None Yes 2000-09-27 00:00:00 2000-09-18 00:00:00 B None 500 500 0 500 0 950006528 A99999 N None None SFY2000-01
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-09-25 00:00:00 950001361 Closed Citation Citation A (HSC 1424) Patient Care None 2000-07-19 00:00:00 2000-07-24 00:00:00 No 2000-10-17 00:00:00 None A None 8000 8000 -2800 5200 0 950006559 A99999 N None None SFY2000-01
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-10-11 00:00:00 950001362 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-22 00:00:00 None No 2000-11-01 00:00:00 None B None 500 500 -175 325 0 950006582 A99999 N None None SFY2000-01
950000056 DEL MAR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2000-10-24 00:00:00 950001364 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-08-15 00:00:00 None Yes 2001-05-11 00:00:00 2000-10-31 00:00:00 B B 500 500 0 500 0 950006615 A99999 N None None SFY2000-01
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-10-25 00:00:00 950001365 Closed Citation Citation B (HSC 1424) Other ABUSE/FACILITY PRACT 1999-10-18 00:00:00 None Yes 2001-05-11 00:00:00 2001-04-26 00:00:00 B Dismissed by Court 1000 100 -100 0 0 950006380 A99999 N None None SFY2000-01
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-10-26 00:00:00 950001366 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-28 00:00:00 None No 2000-11-17 00:00:00 None B None 750 750 -262.5 487.5 0 950006619 A99999 N None None SFY2000-01
950000038 ROSEMEAD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-11-03 00:00:00 950001367 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-09-06 00:00:00 None No 2000-11-29 00:00:00 None B None 600 600 0 600 0 950006638 A99999 N None None SFY2000-01
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-11-07 00:00:00 950001368 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-09-22 00:00:00 None No 2000-11-28 00:00:00 None B None 1000 1000 -350 650 0 950006640 A99999 N None None SFY2000-01
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-11-15 00:00:00 950001369 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-20 00:00:00 None No 2000-12-08 00:00:00 None B None 1000 1000 -350 650 0 950006654 A99999 N None None SFY2000-01
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-11-17 00:00:00 950001371 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-16 00:00:00 None No 2000-12-08 00:00:00 None B None 900 900 0 900 0 950006657 A99999 N None None SFY2000-01
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-11-30 00:00:00 950001374 Closed Citation Citation A (HSC 1424) Patient Care None 2000-06-06 00:00:00 None No 2000-12-21 00:00:00 None A None 8000 8000 -2800 5200 0 950006677 A99999 N None None SFY2000-01
950000033 CHINO VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-01-17 00:00:00 950001376 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-09 00:00:00 None Yes 2001-02-07 00:00:00 2001-02-05 00:00:00 B B 1000 750 0 750 0 950006642 A99999 N None None SFY2000-01
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-12-12 00:00:00 950001377 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-28 00:00:00 None No 2001-01-02 00:00:00 None B None 500 500 -175 325 0 950006703 A99999 N None None SFY2000-01
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2000-12-15 00:00:00 950001378 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2000-11-21 00:00:00 None No 2001-01-09 00:00:00 None B None 900 900 -315 585 0 950006713 A99999 N None None SFY2000-01
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-12-15 00:00:00 950001379 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-15 00:00:00 None No 2001-01-05 00:00:00 None B None 1000 1000 -350 650 0 950006714 A99999 N None None SFY2000-01
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-01-22 00:00:00 950001380 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-30 00:00:00 None No 2001-02-13 00:00:00 None B None 1000 1000 0 1000 0 950006755 A99999 N None None SFY2000-01
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-02-22 00:00:00 950001381 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-17 00:00:00 None No 2001-04-19 00:00:00 None B B 1000 1300 -800 500 0 950006801 A99999 N None None SFY2000-01
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2001-03-14 00:00:00 950001382 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2001-01-10 00:00:00 None No 2001-04-23 00:00:00 None B None 750 750 0 750 0 950006809 A99999 N None None SFY2000-01
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2001-03-14 00:00:00 950001383 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-02-20 00:00:00 None No 2001-06-19 00:00:00 None B None 500 500 -175 325 0 950006812 A99999 N None None SFY2000-01
950000050 MISSION CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-03-15 00:00:00 950001384 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-02 00:00:00 None No 2001-03-30 00:00:00 None B None 600 600 0 600 0 950006813 A99999 N None None SFY2000-01
950000077 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-03-15 00:00:00 950001385 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-26 00:00:00 None No 2001-04-19 00:00:00 None B None 1000 1000 -350 650 0 950006814 A99999 N None None SFY2000-01
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-03-16 00:00:00 950001387 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2000-09-17 00:00:00 None No 2001-04-23 00:00:00 None B B 1000 1050 -800 250 0 950006811 A99999 N None None SFY2000-01
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-03-23 00:00:00 950001388 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-02-27 00:00:00 None No 2001-04-20 00:00:00 None B None 500 500 0 500 0 950006821 A99999 N None None SFY2000-01
950000068 LAUREL PARK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-04-05 00:00:00 950001389 Closed Citation Citation B (HSC 1424) Administration None 2000-12-16 00:00:00 None No 2001-05-23 00:00:00 None B B 900 900 -810 90 0 950006856 A99999 N None None SFY2000-01
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-05-03 00:00:00 950001390 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-18 00:00:00 None Yes 2001-07-31 00:00:00 2001-05-10 00:00:00 B B 1000 1000 0 1000 0 950006922 A99999 N None None SFY2000-01
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2001-05-31 00:00:00 950001391 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-17 00:00:00 None Yes 2001-07-17 00:00:00 2001-06-14 00:00:00 B None 700 700 0 700 0 950006943 A99999 N None None SFY2000-01
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2001-06-01 00:00:00 950001392 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-15 00:00:00 None No 2001-07-06 00:00:00 None B None 800 800 0 800 0 950006947 A99999 N None None SFY2000-01
950000030 BROADWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-06-07 00:00:00 950001393 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-23 00:00:00 None No 2001-07-18 00:00:00 None B None 850 850 0 850 0 950006957 A99999 N None None SFY2000-01
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2001-06-08 00:00:00 950001394 Closed Citation Citation B (HSC 1424) Problem Transfer None 2001-06-01 00:00:00 None Yes 2001-07-27 00:00:00 2001-06-26 00:00:00 B None 1000 1000 0 1000 0 950006960 A99999 N None None SFY2000-01
950000045 ARCADIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-06-12 00:00:00 950001395 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-31 00:00:00 None No 2001-07-03 00:00:00 None B None 1000 1000 -350 650 0 950006964 A99999 N None None SFY2000-01
950000045 ARCADIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-06-12 00:00:00 950001396 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-31 00:00:00 None Yes 2001-09-24 00:00:00 2001-07-02 00:00:00 B B 1000 1000 0 1000 0 950006964 A99999 N None None SFY2000-01
950000051 MARGUERITE GARDENS LTC SNF Skilled Nursing Facility LA Region 1 2001-06-07 00:00:00 950001397 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-18 00:00:00 None Yes 2001-06-28 00:00:00 2001-07-20 00:00:00 B B 800 800 0 800 0 950006937 A99999 N None None SFY2000-01
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2001-07-20 00:00:00 950001398 Closed Citation Citation B (HSC 1424) Other PATIENTS' MONIES 2001-06-29 00:00:00 None No 2001-08-17 00:00:00 None B None 800 800 -280 520 0 950007005 A99999 N None None SFY2001-02
950000040 COUNTRY OAKS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-07-25 00:00:00 950001399 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-07-13 00:00:00 None No 2001-09-13 00:00:00 None B None 600 600 -210 390 0 950007004 A99999 N None None SFY2001-02
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2001-07-25 00:00:00 950001400 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-11 00:00:00 None Yes 2001-08-27 00:00:00 2001-08-07 00:00:00 B None 800 800 0 800 0 950006974 A99999 N None None SFY2001-02
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-08-10 00:00:00 950001401 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-05 00:00:00 None No 2001-09-17 00:00:00 None B None 800 800 -280 520 0 950007046 A99999 N None None SFY2001-02
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-08-10 00:00:00 950001402 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-05 00:00:00 None No 2001-09-17 00:00:00 None B None 800 800 -280 520 0 950007046 A99999 N None None SFY2001-02
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-08-22 00:00:00 950001403 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-10 00:00:00 None Yes 2001-12-14 00:00:00 2001-08-31 00:00:00 B B 1000 3000 0 3000 0 950007027 A99999 N None None SFY2001-02
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2001-09-28 00:00:00 950001404 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2001-08-01 00:00:00 None No 2001-12-13 00:00:00 None B None 800 800 -280 520 0 950007030 A99999 N None None SFY2001-02
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-10-16 00:00:00 950001405 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-28 00:00:00 None Yes 2002-02-19 00:00:00 2001-10-31 00:00:00 B B 900 2700 0 2700 0 950007120 A99999 N None None SFY2001-02
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-10-19 00:00:00 950001406 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-20 00:00:00 None Yes 2002-02-21 00:00:00 2001-10-25 00:00:00 B B 1000 1000 0 1000 0 950007103 A99999 N None None SFY2001-02
950000050 MISSION CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-11-02 00:00:00 950001407 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-12 00:00:00 None No 2001-11-28 00:00:00 None B None 500 1500 -525 975 0 950007125 A99999 N None None SFY2001-02
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-12-21 00:00:00 950001408 Closed Citation Citation B (HSC 1424) Patient Care None 2001-11-04 00:00:00 None No 2002-01-30 00:00:00 None B None 1000 3000 -1050 1950 0 950007153 A99999 N None None SFY2001-02
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2002-01-22 00:00:00 950001409 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-01-03 00:00:00 None No 2002-02-25 00:00:00 None B None 1000 1000 -350 650 0 950007239 A99999 N None None SFY2001-02
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-03-27 00:00:00 950001410 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-04 00:00:00 None No 2002-05-17 00:00:00 None B None 1000 1000 -350 650 0 950007312 A99999 N None None SFY2001-02
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-03-29 00:00:00 950001411 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-25 00:00:00 None No 2002-05-02 00:00:00 None B None 1000 1000 -350 650 0 950007284 A99999 N None None SFY2001-02
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-04-11 00:00:00 950001412 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2001-12-11 00:00:00 None No 2002-05-20 00:00:00 None B None 1000 1000 -350 650 0 950007243 A99999 N None None SFY2001-02
950000046 HARVARD CREEK POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2002-05-08 00:00:00 950001413 Closed Citation Citation A (HSC 1424) Patient Care None 2001-01-03 00:00:00 None Yes 2002-06-12 00:00:00 2002-05-15 00:00:00 A Dismissed by Court 10000 10000 0 10000 0 950007220 A99999 Y None None SFY2001-02
950000054 BEACON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-05-09 00:00:00 950001414 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-24 00:00:00 None No 2002-06-10 00:00:00 None B None 1000 1000 -350 650 0 950007374 A99999 N None None SFY2001-02
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-06-05 00:00:00 950001415 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-04 00:00:00 None No 2002-07-05 00:00:00 None B None 1000 1000 -350 650 0 950007339 A99999 N None None SFY2001-02
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-07-12 00:00:00 950001416 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-11 00:00:00 None No 2002-08-02 00:00:00 None B None 950 950 -332.5 617.5 0 950007337 A99999 N None None SFY2002-03
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-07-18 00:00:00 950001417 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-03-18 00:00:00 None Yes 2002-11-19 00:00:00 2002-08-07 00:00:00 B B 700 700 0 700 0 950007326 A99999 N None None SFY2002-03
950000018 SIERRA VIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-07-25 00:00:00 950001418 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-31 00:00:00 2002-07-25 00:00:00 No 2002-10-08 00:00:00 None B None 950 950 -332.5 617.5 0 950007335 A99999 N None None SFY2002-03
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2002-10-01 00:00:00 950001419 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-08 00:00:00 None No 2002-11-01 00:00:00 None B None 1000 1000 -350 650 0 950007555 A99999 N None None SFY2002-03
950000015 BALDWIN GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-10-11 00:00:00 950001420 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-12 00:00:00 None No 2002-11-18 00:00:00 None B None 750 750 -262.5 487.5 0 950007397 A99999 N None None SFY2002-03
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-10-15 00:00:00 950001421 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-08 00:00:00 None No 2002-11-15 00:00:00 None B None 700 700 -245 455 0 950007533 A99999 N None None SFY2002-03
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-12-31 00:00:00 950001422 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-03 00:00:00 None No 2003-01-30 00:00:00 None B None 600 600 -210 390 0 950007683 A99999 N None None SFY2002-03
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-02-12 00:00:00 950001423 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-11 00:00:00 None No 2003-03-06 00:00:00 None B None 700 700 -245 455 0 950007726 A99999 N None None SFY2002-03
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-02-12 00:00:00 950001424 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-12-07 00:00:00 None No 2003-03-17 00:00:00 None B None 650 650 0 650 0 950007695 A99999 N None None SFY2002-03
950000033 CHINO VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-04-25 00:00:00 950001425 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-15 00:00:00 None No 2003-05-22 00:00:00 None B None 600 600 0 600 0 950007778 A99999 N None None SFY2002-03
950000039 ATHERTON BAPTIST HOME-SAM B. WEST LTC SNF Skilled Nursing Facility LA Region 1 2003-05-15 00:00:00 950001426 Closed Citation Citation A (HSC 1424) Patient Care None 2003-02-11 00:00:00 None Yes 2003-06-13 00:00:00 2003-06-06 00:00:00 A A 5000 2000 0 2000 0 950007773 A99999 N None None SFY2002-03
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-06-23 00:00:00 950001427 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-05-07 00:00:00 None No 2003-07-21 00:00:00 None B None 500 500 0 500 0 950007879 A99999 N None None SFY2002-03
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-08-15 00:00:00 950001428 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-29 00:00:00 None Yes 2003-09-08 00:00:00 2003-08-21 00:00:00 A A 10000 5738 0 5738 0 950007998 A99999 N None None SFY2003-04
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-08-15 00:00:00 950001429 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-29 00:00:00 None Yes 2003-09-08 00:00:00 2003-08-25 00:00:00 B B 1000 574 0 574 0 950007998 A99999 N None None SFY2003-04
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2003-11-13 00:00:00 950001431 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-10-08 00:00:00 2003-10-09 00:00:00 No 2003-12-16 00:00:00 None B None 600 600 0 600 0 950008051 A99999 N None None SFY2003-04
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2003-11-13 00:00:00 950001432 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-02 00:00:00 None No 2003-12-08 00:00:00 None B None 900 900 -315 585 0 950008061 A99999 N None None SFY2003-04
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2004-01-16 00:00:00 950001433 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-12-08 00:00:00 2004-01-16 00:00:00 No 2004-03-01 00:00:00 None B None 1000 1000 -350 650 0 950008165 A99999 N None None SFY2003-04
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2004-01-27 00:00:00 950001434 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-12-04 00:00:00 2004-01-27 00:00:00 No 2004-03-02 00:00:00 None B None 1000 1000 -350 650 0 950008164 A99999 N None None SFY2003-04
950000072 MISSION LODGE SANITARIUM LTC SNF Skilled Nursing Facility LA Region 1 2004-02-27 00:00:00 950001435 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-27 00:00:00 2004-01-27 00:00:00 Yes 2004-04-02 00:00:00 2004-03-03 00:00:00 B B 600 300 0 300 0 950008231 A99999 N None None SFY2003-04
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2004-04-16 00:00:00 950001436 Closed Citation Citation B (HSC 1424) Problem Transfer None 2004-02-02 00:00:00 None Yes 2004-06-08 00:00:00 2004-04-28 00:00:00 B B 1000 500 0 500 0 950008244 A99999 N None None SFY2003-04
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2004-04-29 00:00:00 950001437 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-04 00:00:00 None Yes 2004-06-08 00:00:00 2004-05-07 00:00:00 B B 1000 700 0 700 0 950008221 A99999 N None None SFY2003-04
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2004-08-27 00:00:00 950001438 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-01 00:00:00 2004-05-06 00:00:00 No 2004-09-20 00:00:00 None B None 1000 1000 0 1000 0 950008314 A99999 N None None SFY2004-05
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2005-04-12 00:00:00 950001439 Closed Citation Citation AA (HSC 1424) Medication None 2004-07-02 00:00:00 None Yes 2005-05-10 00:00:00 2005-04-27 00:00:00 AA A 50000 37500 0 37500 0 950008449 A99999 Y None None SFY2004-05
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2005-07-11 00:00:00 950001440 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-14 00:00:00 None No 2005-08-01 00:00:00 None B None 800 800 0 800 0 950008467 A99999 N None None SFY2005-06
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2005-10-14 00:00:00 950001441 Closed Citation Citation B (HSC 1424) Other VERBAL ABUSE 2005-08-11 00:00:00 None No 2005-11-21 00:00:00 None B None 1000 1000 -350 650 0 950008548 A99999 N None None SFY2005-06
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2005-10-14 00:00:00 950001442 Closed Citation Citation B (HSC 1424) Other VERBAL ABUSE 2005-08-11 00:00:00 None No 2005-11-21 00:00:00 None B None 1000 1000 -350 650 0 950008548 A99999 N None None SFY2005-06
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2005-11-10 00:00:00 950001443 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-10-28 00:00:00 None Yes 2005-12-06 00:00:00 2005-11-23 00:00:00 B None 1000 1000 -1000 0 0 950008581 A99999 N None None SFY2005-06
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2005-11-10 00:00:00 950001444 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-07 00:00:00 2005-10-07 00:00:00 No 2005-12-06 00:00:00 None B None 300 300 -105 195 0 950008582 A99999 N None None SFY2005-06
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2006-01-13 00:00:00 950001445 Closed Citation Citation B (HSC 1424) Problem Transfer None 2005-10-27 00:00:00 None Yes 2006-02-21 00:00:00 2006-02-13 00:00:00 B B 1000 500 0 500 0 950008615 A99999 N None None SFY2005-06
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2006-01-31 00:00:00 950001446 Closed Citation Citation B (HSC 1424) Administration None 2005-08-30 00:00:00 None No 2006-03-07 00:00:00 None B None 1000 1000 -350 650 0 950008620 A99999 N None None SFY2005-06
950000015 BALDWIN GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2006-03-21 00:00:00 950002965 Closed Citation Citation B (HSC 1424) Patient Care None 2005-07-07 00:00:00 2005-07-07 00:00:00 No 2006-04-24 00:00:00 None B None 1000 1000 -350 650 0 None R8QH11 Y CA00054242 A SFY2005-06
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2006-06-09 00:00:00 950003153 Closed Citation Citation B (HSC 1424) Medication None 2006-04-06 00:00:00 2006-04-06 00:00:00 No 2006-06-30 00:00:00 None B None 1000 1000 0 1000 0 None 5T6P11 N None None SFY2005-06
950000046 HARVARD CREEK POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2006-08-11 00:00:00 950003278 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-01 00:00:00 2005-11-01 00:00:00 No 2006-09-18 00:00:00 None B None 1000 1000 -350 650 0 None XYID11 N CA00065301 B SFY2006-07
950000038 ROSEMEAD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2007-08-02 00:00:00 950004160 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-03-26 00:00:00 2007-03-26 00:00:00 Yes 2007-08-23 00:00:00 2007-08-22 00:00:00 B B 1000 500 0 500 0 None MCR911 N CA00110303 C SFY2007-08
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2007-09-25 00:00:00 950004293 Closed Citation Citation B (HSC 1424) Medication None 2007-09-05 00:00:00 2007-09-05 00:00:00 No 2007-10-17 00:00:00 None B None 1000 1000 -350 650 0 None 999999 N None None SFY2007-08
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2007-10-12 00:00:00 950004352 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-12 00:00:00 2007-09-12 00:00:00 No 2007-11-02 00:00:00 None B None 600 750 -210 540 0 None 999999 N None None SFY2007-08
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2007-12-28 00:00:00 950004545 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-24 00:00:00 2007-08-24 00:00:00 No 2008-01-22 00:00:00 None B None 1000 1000 0 1000 0 None 53LD11 N CA00124557 C SFY2007-08
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-01-22 00:00:00 950004603 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-11-08 00:00:00 2007-11-08 00:00:00 No 2008-02-13 00:00:00 None B B 1000 1350 -1173 177 0 None INN411 N CA00131310 A SFY2007-08
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-01-22 00:00:00 950004604 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-11-08 00:00:00 2007-11-08 00:00:00 No 2008-02-13 00:00:00 None B B 1000 1050 -912 138 0 None 7ZT511 N CA00131563 A SFY2007-08
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2008-12-19 00:00:00 950005366 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-27 00:00:00 2007-10-27 00:00:00 Yes 2009-01-12 00:00:00 2009-01-12 00:00:00 B B 1000 500 0 500 0 None D1RC11 N CA00130756 C SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2008-12-19 00:00:00 950005411 Closed Citation Citation A (HSC 1424) Patient Care None 2007-10-27 00:00:00 2007-10-27 00:00:00 Yes 2009-12-14 00:00:00 2009-12-09 00:00:00 A B 20000 6500 0 6500 0 None D1RC11 N CA00130756 C SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2008-12-19 00:00:00 950005435 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-10-27 00:00:00 2007-10-27 00:00:00 Yes 2009-01-13 00:00:00 2009-12-09 00:00:00 AA B 100000 6500 0 6500 0 None D1RC11 Y CA00130756 C SFY2008-09
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2008-10-28 00:00:00 950005556 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-07-29 00:00:00 2008-07-29 00:00:00 Yes 2008-11-19 00:00:00 2008-11-01 00:00:00 B B 500 250 0 250 0 None RWV611 N CA00159157 A SFY2008-09
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-05-18 00:00:00 950005577 Closed Citation Citation AA (HSC 1424) Patient Care None 2008-01-28 00:00:00 2008-01-28 00:00:00 Yes 2009-06-09 00:00:00 2009-05-28 00:00:00 AA A 100000 60000 0 60000 0 None MBUQ11 Y CA00139885 C SFY2008-09
950000030 BROADWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-03-02 00:00:00 950005896 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-11 00:00:00 2009-02-11 00:00:00 Yes 2009-03-23 00:00:00 2009-03-19 00:00:00 B B 1000 700 -50 650 0 None Z8F711 N CA00178032 B SFY2008-09
950000069 LUTHERAN HEALTH FACILITY LTC SNF Skilled Nursing Facility LA Region 1 2009-03-04 00:00:00 950005898 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-18 00:00:00 2009-02-18 00:00:00 Yes 2009-03-25 00:00:00 2009-03-17 00:00:00 B B 1000 650 0 650 0 None 7YTH11 N CA00177971 A SFY2008-09
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-03-03 00:00:00 950005899 Closed Citation Citation B (HSC 1424) Patient Care None 2009-02-19 00:00:00 2009-02-19 00:00:00 No 2009-03-24 00:00:00 None B None 1000 1000 -350 650 0 None 5WQC11 N CA00178034 B SFY2008-09
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2009-03-30 00:00:00 950005989 Closed Citation Citation A (HSC 1424) Patient Care None 2008-03-27 00:00:00 2008-03-27 00:00:00 Yes 2009-05-04 00:00:00 2009-04-15 00:00:00 A A 10000 10000 0 10000 0 None S2O311 N CA00146618 C SFY2008-09
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2009-08-31 00:00:00 950005991 Closed Citation Citation B (HSC 1424) Medication None 2008-04-16 00:00:00 2008-04-16 00:00:00 No 2009-09-22 00:00:00 None B None 1000 1000 -350 650 0 None 150M11 N CA00160041 A SFY2009-10
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2009-08-31 00:00:00 950005995 Closed Citation Citation B (HSC 1424) Administration None 2008-04-16 00:00:00 2008-04-16 00:00:00 No 2009-09-22 00:00:00 None B None 1000 1000 -350 650 0 None 150M11 N CA00160041 A SFY2009-10
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2011-12-22 00:00:00 950005996 Closed Citation Citation A (HSC 1424) Patient Care None 2008-10-31 00:00:00 2008-10-31 00:00:00 Yes 2012-01-17 00:00:00 2012-01-09 00:00:00 A A 10000 10000 0 10000 0 None V1GW11 N CA00168000 H SFY2011-12
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006014 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006015 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006016 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006021 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006023 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006024 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006032 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006033 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006034 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006035 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2009-03-31 00:00:00 950006041 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-23 00:00:00 2009-02-23 00:00:00 Yes 2009-04-21 00:00:00 2009-04-13 00:00:00 A Dismissed by Court 20000 0 0 0 0 None LMCN11 N None None SFY2008-09
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2009-06-03 00:00:00 950006147 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-09 00:00:00 2009-04-09 00:00:00 Yes 2009-06-24 00:00:00 2009-06-03 00:00:00 A A 10000 10000 0 10000 0 None WTOJ11 N None None SFY2008-09
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2009-06-08 00:00:00 950006148 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-09 00:00:00 2009-04-09 00:00:00 Yes 2009-06-29 00:00:00 2009-06-11 00:00:00 A A 20000 11000 0 11000 0 None WTOJ11 N None None SFY2008-09
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2009-06-03 00:00:00 950006150 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-06 00:00:00 2009-04-06 00:00:00 Yes 2009-06-24 00:00:00 2013-05-29 00:00:00 A A 20000 10000 0 10000 0 None WTOJ11 N None None SFY2008-09
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2009-06-08 00:00:00 950006155 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-06 00:00:00 2009-04-06 00:00:00 Yes 2009-06-29 00:00:00 2009-06-11 00:00:00 A A 20000 11000 0 11000 0 None WTOJ11 N None None SFY2008-09
950000069 LUTHERAN HEALTH FACILITY LTC SNF Skilled Nursing Facility LA Region 1 2009-09-15 00:00:00 950006523 Closed Citation Citation A (HSC 1424) Patient Care None 2009-01-29 00:00:00 2009-01-29 00:00:00 Yes 2011-08-18 00:00:00 2011-06-23 00:00:00 A B 12000 12000 0 12000 0 None H92D11 N None None SFY2009-10
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-01-13 00:00:00 950006912 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2009-12-18 00:00:00 2009-12-18 00:00:00 No 2010-02-05 00:00:00 None B None 1000 1000 -350 650 0 None HIG711 N CA00208864 A SFY2009-10
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2010-02-17 00:00:00 950007002 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-01-22 00:00:00 2010-01-22 00:00:00 No 2010-03-10 00:00:00 None B None 1000 1000 0 1000 0 None SJCI11 N CA00215079 H SFY2009-10
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2010-02-17 00:00:00 950007003 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-24 00:00:00 2009-10-24 00:00:00 No 2010-03-10 00:00:00 None B None 1000 1000 0 1000 0 None SJCI11 N CA00215079 H SFY2009-10
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2010-02-17 00:00:00 950007004 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-01-22 00:00:00 2010-01-22 00:00:00 No 2010-03-10 00:00:00 None B None 1000 1000 0 1000 0 None SJCI11 N CA00215079 H SFY2009-10
950000018 SIERRA VIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-05-25 00:00:00 950007248 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-12-19 00:00:00 2009-12-19 00:00:00 Yes 2010-06-16 00:00:00 2010-06-16 00:00:00 B B 1000 650 0 650 0 None PBTY11 N CA00212432 B SFY2009-10
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-10-15 00:00:00 950007462 Closed Citation Citation A (HSC 1424) Patient Care None 2010-04-12 00:00:00 2010-04-12 00:00:00 No 2010-11-08 00:00:00 None A None 5000 5000 -1750 3250 0 None 459D11 N None None SFY2010-11
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-10-15 00:00:00 950007463 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-10 00:00:00 2010-04-10 00:00:00 No 2010-11-08 00:00:00 None B None 1000 1000 -350 650 0 None 459D11 N None None SFY2010-11
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-10-15 00:00:00 950007464 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-06 00:00:00 2010-03-06 00:00:00 No 2010-11-08 00:00:00 None A None 10000 10000 -3500 6500 0 None 459D11 N None None SFY2010-11
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-10-15 00:00:00 950007465 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-06 00:00:00 2010-03-06 00:00:00 No 2010-11-08 00:00:00 None A None 10000 10000 -3500 6500 0 None 459D11 N None None SFY2010-11
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-10-15 00:00:00 950007478 Closed Citation Citation A (HSC 1424) Patient Care None 2010-03-06 00:00:00 2010-03-06 00:00:00 Yes 2010-11-08 00:00:00 2010-11-10 00:00:00 A A 5000 5000 0 5000 0 None 459D11 N None None SFY2010-11
970000184 PASADENA PARK HEALTHCARE AND WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-08-11 00:00:00 950007485 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-24 00:00:00 2009-04-24 00:00:00 Yes 2010-09-01 00:00:00 2013-04-15 00:00:00 A A 20000 10000 0 10000 0 None 0T7Q11 N CA00187425 C SFY2010-11
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2010-09-20 00:00:00 950007527 Closed Citation Citation A (HSC 1424) Administration None 2010-01-22 00:00:00 2010-01-22 00:00:00 No 2010-10-11 00:00:00 None A None 10000 10000 -3500 6500 0 None SJCI11 N CA00215079 H SFY2010-11
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2011-06-02 00:00:00 950007574 Closed Citation Citation A (HSC 1424) Patient Care None 2009-04-28 00:00:00 2009-04-28 00:00:00 Yes 2013-01-14 00:00:00 2012-12-20 00:00:00 A A 20000 20000 0 20000 0 None MU5611 N CA00186536 H SFY2010-11
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2010-11-22 00:00:00 950007696 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-30 00:00:00 2010-05-30 00:00:00 No 2010-12-21 00:00:00 None A None 10000 10000 0 10000 0 None 459D11 N None None SFY2010-11
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-02-03 00:00:00 950007915 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-27 00:00:00 2010-10-27 00:00:00 No 2011-02-25 00:00:00 None B None 1000 1000 -350 650 0 None 00IY11 N CA00245931 B SFY2010-11
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2011-02-03 00:00:00 950007917 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-04-13 00:00:00 2010-04-13 00:00:00 No 2011-02-25 00:00:00 None B None 1000 1000 -350 650 0 None 7CBF11 N CA00223510 B SFY2010-11
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-05-27 00:00:00 950008158 Closed Citation Citation A (HSC 1424) Patient Care None 2010-08-08 00:00:00 2010-08-08 00:00:00 Yes 2011-06-20 00:00:00 2011-06-14 00:00:00 A A 10000 6750 -250 6500 0 None W0Q411 N CA00239502 B SFY2010-11
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-04-26 00:00:00 950008192 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-10-05 00:00:00 2010-10-05 00:00:00 No 2011-05-17 00:00:00 None B None 1000 1000 -350 650 0 None 00IY11 N CA00245931 B SFY2010-11
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-09-19 00:00:00 950008449 Closed Citation Citation A (HSC 1424) Patient Care None 2009-07-13 00:00:00 2009-07-13 00:00:00 No 2011-10-10 00:00:00 None A None 15000 15050 0 15050 0 None K04T11 N CA00192629 H SFY2011-12
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-08-09 00:00:00 950008454 Closed Citation Citation B (HSC 1424) Patient Care None 2011-05-26 00:00:00 2011-05-26 00:00:00 No 2011-08-30 00:00:00 None B None 1000 1000 -350 650 0 None K5Q711 N CA00224230 B SFY2011-12
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2011-09-23 00:00:00 950008473 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-14 00:00:00 2010-04-14 00:00:00 No 2011-10-14 00:00:00 None B None 1000 1100 -350 750 0 None XG9N11 N CA00223928 B SFY2011-12
950000015 BALDWIN GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-08-26 00:00:00 950008511 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2011-07-25 00:00:00 2011-07-25 00:00:00 No 2011-09-19 00:00:00 None WF None 2500 2500 -875 1625 0 None FN4711 None None None SFY2011-12
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-08-30 00:00:00 950008519 Closed Citation Citation B (HSC 1424) Patient Care None 2011-03-16 00:00:00 2011-03-16 00:00:00 No 2011-09-21 00:00:00 None B None 1000 1000 0 1000 0 None EYKN11 N None None SFY2011-12
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-09-07 00:00:00 950008528 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-24 00:00:00 2010-08-24 00:00:00 No 2011-09-29 00:00:00 None B None 800 800 -280 520 0 None Q0KQ11 N CA00236244 B SFY2011-12
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-10-06 00:00:00 950008618 Closed Citation Citation B (HSC 1424) Patient Care None 2009-08-07 00:00:00 2009-08-07 00:00:00 No 2011-10-27 00:00:00 None B None 1000 1000 -350 650 0 None E9YW11 N CA00197392 H SFY2011-12
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2011-10-20 00:00:00 950008652 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-14 00:00:00 2009-10-14 00:00:00 No 2011-11-10 00:00:00 None B None 1000 1000 -350 650 0 None QJ4R11 N CA00200871 A SFY2011-12
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-10-21 00:00:00 950008654 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-01 00:00:00 2008-07-01 00:00:00 No 2011-11-14 00:00:00 None B None 1000 1000 0 1000 0 None VFG611 N CA00203516 A SFY2011-12
950000077 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-11-01 00:00:00 950008685 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-17 00:00:00 2008-04-17 00:00:00 No 2011-11-23 00:00:00 None B None 1000 1000 -350 650 0 None XNIK11 N CA00147472 C SFY2011-12
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2011-11-01 00:00:00 950008687 Closed Citation Citation B (HSC 1424) Other Failed to post rating 2011-09-16 00:00:00 2011-09-16 00:00:00 No 2011-11-23 00:00:00 None B None 1000 1000 -350 650 0 None GQCI11 N None None SFY2011-12
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2011-11-10 00:00:00 950008741 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-03 00:00:00 2009-12-03 00:00:00 No 2011-12-06 00:00:00 None B None 1000 1000 -350 650 0 None QGX211 N CA00206383 B SFY2011-12
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-01-31 00:00:00 950008890 Closed Citation Citation A (HSC 1424) Patient Care None 2009-12-10 00:00:00 2009-12-10 00:00:00 Yes 2012-02-22 00:00:00 2012-02-09 00:00:00 A A 10000 6500 0 6500 0 None 396911 N CA00209584 C SFY2011-12
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2012-01-27 00:00:00 950008893 Closed Citation Citation A (HSC 1424) Patient Care None 2011-01-21 00:00:00 2011-01-21 00:00:00 No 2012-02-17 00:00:00 None A None 10000 10000 -3500 6500 0 None 0Y5B11 N CA00246937 B SFY2011-12
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2012-01-13 00:00:00 950008909 Closed Citation Citation B (HSC 1424) Other unusual occurences 2011-12-30 00:00:00 2011-12-30 00:00:00 No 2012-02-06 00:00:00 None B None 1000 1000 -350 650 0 None XN8F11 N None None SFY2011-12
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-02-01 00:00:00 950008966 Closed Citation Citation B (HSC 1424) Dietary None 2011-07-11 00:00:00 2011-07-11 00:00:00 No 2012-02-23 00:00:00 None B None 2000 2000 -700 1300 0 None 36GN11 N CA00275397 B SFY2011-12
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-02-01 00:00:00 950008968 Closed Citation Citation B (HSC 1424) Dietary None 2011-07-11 00:00:00 2011-07-11 00:00:00 No 2012-02-23 00:00:00 None B None 2000 2000 -700 1300 0 None 36GN11 N CA00275397 B SFY2011-12
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-02-01 00:00:00 950008969 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-10-15 00:00:00 2011-10-15 00:00:00 No 2012-02-23 00:00:00 None B None 2000 2000 -700 1300 0 None 3WD611 N CA00287777 B SFY2011-12
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2012-02-07 00:00:00 950008981 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-01-26 00:00:00 2010-01-26 00:00:00 No 2012-02-29 00:00:00 None B None 2000 2000 -700 1300 0 None 05XU11 N CA00217184 B SFY2011-12
970000066 THE CALIFORNIAN PASADENA HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2012-05-18 00:00:00 950009266 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-06-24 00:00:00 2008-06-24 00:00:00 Yes 2012-06-11 00:00:00 2012-06-22 00:00:00 B None 2000 2000 0 2000 0 None 0B6111 N CA00153221 B SFY2011-12
970000066 THE CALIFORNIAN PASADENA HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2012-05-18 00:00:00 950009267 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-06-24 00:00:00 2008-06-24 00:00:00 Yes 2012-06-11 00:00:00 2012-06-22 00:00:00 B None 2000 2000 0 2000 0 None 0B6111 N CA00153221 B SFY2011-12
950000045 ARCADIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-06-04 00:00:00 950009303 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-03 00:00:00 2011-08-03 00:00:00 Yes 2012-06-25 00:00:00 2012-06-22 00:00:00 A A 10000 5000 0 5000 0 None PEKW11 N CA00278771 B SFY2011-12
970000066 THE CALIFORNIAN PASADENA HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2012-05-18 00:00:00 950009317 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-06-24 00:00:00 2008-06-24 00:00:00 Yes 2012-06-11 00:00:00 2012-06-22 00:00:00 B None 2000 2000 0 2000 0 None 0B6111 N CA00153221 B SFY2011-12
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2012-05-24 00:00:00 950009333 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-07 00:00:00 2012-02-07 00:00:00 No 2012-06-15 00:00:00 None B None 2000 2000 0 2000 0 None 1BSL11 N CA00298753 A SFY2011-12
950000105 SUNSET MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2012-06-15 00:00:00 950009365 Closed Citation Citation B (HSC 1424) Patient Care None 2010-08-24 00:00:00 2010-08-24 00:00:00 No 2012-07-09 00:00:00 None B None 2000 2000 -700 1300 0 None IC4M11 N CA00240050 B SFY2011-12
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-06-19 00:00:00 950009368 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-03 00:00:00 2012-04-03 00:00:00 No 2012-07-11 00:00:00 None B None 2000 2000 -700 1300 0 None H6GQ11 N None None SFY2011-12
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2012-07-03 00:00:00 950009371 Closed Citation Citation AA (HSC 1424) Physical Environment None 2011-12-28 00:00:00 2011-12-28 00:00:00 Yes 2012-07-25 00:00:00 2012-07-17 00:00:00 AA AA 80000 52000 -0.01 51999.99 0 None 6M4I11 Y CA00259599 A SFY2012-13
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2012-06-27 00:00:00 950009379 Open Citation Citation B (HSC 1424) Patient Care None 2008-10-23 00:00:00 2008-10-23 00:00:00 Yes 2012-07-19 00:00:00 2012-07-10 00:00:00 B None 2000 6000 0 0 6000 None 56LI11 N CA00166896 H SFY2011-12
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-07-18 00:00:00 950009401 Closed Citation Citation B (HSC 1424) Staffing None 2012-04-03 00:00:00 2012-04-03 00:00:00 No 2012-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None H6GQ11 N None None SFY2012-13
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-07-18 00:00:00 950009402 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-03 00:00:00 2012-04-03 00:00:00 No 2012-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None H6GQ11 N None None SFY2012-13
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-07-18 00:00:00 950009403 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-03-28 00:00:00 2012-03-28 00:00:00 No 2012-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None BE9Q11 N CA00299715 B SFY2012-13
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2012-08-10 00:00:00 950009436 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-07 00:00:00 2010-01-07 00:00:00 No 2012-08-31 00:00:00 None A None 10000 10000 -3500 6500 0 None 3N6I11 N CA00206945 B SFY2012-13
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2012-08-23 00:00:00 950009456 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-09-09 00:00:00 2010-09-09 00:00:00 Yes 2012-09-14 00:00:00 2012-09-06 00:00:00 B None 2000 2000 0 2000 0 None QEB611 N CA00277821 A SFY2012-13
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2012-09-11 00:00:00 950009483 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-25 00:00:00 2011-02-25 00:00:00 Yes 2012-10-02 00:00:00 2012-09-21 00:00:00 B None 2000 2000 -700 1300 0 None JMK511 N None None SFY2012-13
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-09-20 00:00:00 950009514 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-06-16 00:00:00 2010-06-16 00:00:00 No 2012-10-11 00:00:00 None B None 2000 2000 -700 1300 0 None TB3811 N CA00232191 B SFY2012-13
950000046 HARVARD CREEK POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2012-11-05 00:00:00 950009552 Closed Citation Citation A (HSC 1424) Patient Care None 2012-08-16 00:00:00 2012-08-16 00:00:00 No 2012-11-29 00:00:00 None A None 10000 10000 -3500 6500 0 None 1TGK11 N CA00213197 B SFY2012-13
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-11-06 00:00:00 950009584 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-10-03 00:00:00 2009-10-03 00:00:00 No 2012-11-30 00:00:00 None B None 2000 2000 0 2000 0 None QZGM11 N CA00204106 B SFY2012-13
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2012-11-21 00:00:00 950009616 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-08-31 00:00:00 2011-08-31 00:00:00 Yes 2012-12-14 00:00:00 2012-12-12 00:00:00 B None 2000 2000 0 0 2000 None H9G411 N CA00281630 A SFY2012-13
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2012-11-29 00:00:00 950009632 Closed Citation Citation B (HSC 1424) Dietary None 2012-11-08 00:00:00 2012-11-08 00:00:00 No 2012-12-20 00:00:00 None B None 2000 2000 -700 1300 0 None D74711 N None None SFY2012-13
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2012-11-29 00:00:00 950009633 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-11-08 00:00:00 2012-11-08 00:00:00 No 2012-12-20 00:00:00 None B None 2000 2000 -700 1300 0 None D74711 N None None SFY2012-13
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-12-26 00:00:00 950009689 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-11-30 00:00:00 2012-11-30 00:00:00 No 2013-01-17 00:00:00 None B None 2000 2000 -700 1300 0 None U71W11 N None None SFY2012-13
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2013-01-24 00:00:00 950009714 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-15 00:00:00 2011-02-15 00:00:00 No 2013-02-14 00:00:00 None B None 2000 2000 -700 1300 0 None 8NHZ11 N CA00257734 B SFY2012-13
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-02-08 00:00:00 950009735 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-11-27 00:00:00 2012-11-27 00:00:00 No 2013-03-04 00:00:00 None B None 2000 2000 -700 1300 0 None U71W21 N None None SFY2012-13
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-02-28 00:00:00 950009759 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-24 00:00:00 2012-10-24 00:00:00 No 2013-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None HH3111 N CA00330594 A SFY2012-13
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-04-19 00:00:00 950009804 Closed Citation Citation A (HSC 1424) Patient Care None 2011-03-29 00:00:00 2011-03-29 00:00:00 No 2013-05-10 00:00:00 None A None 10000 10000 0 10000 0 None M2VJ11 N CA00262232 B SFY2012-13
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2013-04-26 00:00:00 950009824 Closed Citation Citation A (HSC 1424) Patient Care None 2013-02-14 00:00:00 2013-02-14 00:00:00 Yes 2013-05-17 00:00:00 2013-05-06 00:00:00 A None 10000 10000 0 10000 0 None EZF611 N None None SFY2012-13
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-04-03 00:00:00 950009828 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-30 00:00:00 2010-04-30 00:00:00 No 2013-04-24 00:00:00 None B None 2000 6000 0 6000 0 None SVD411 N CA00227190 A SFY2012-13
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2013-04-05 00:00:00 950009830 Closed Citation Citation B (HSC 1424) Patient Care None 2013-02-14 00:00:00 2013-02-14 00:00:00 No 2013-04-26 00:00:00 None B None 2000 2000 -700 1300 0 None QV8M11 N None None SFY2012-13
950000033 CHINO VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-03-25 00:00:00 950009835 Closed Citation Citation AA (HSC 1424) Patient Care None 2010-11-23 00:00:00 2010-11-23 00:00:00 Yes 2014-04-16 00:00:00 2014-03-27 00:00:00 AA A 100000 65000 0 65000 0 None XV4H11 Y CA00250612 A SFY2013-14
950000038 ROSEMEAD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-04-18 00:00:00 950009844 Closed Citation Citation B (HSC 1424) Patient Care None 2012-11-26 00:00:00 2012-11-26 00:00:00 No 2013-05-09 00:00:00 None B None 2000 2000 0 2000 0 None 9OQV11 N CA00345111 B SFY2012-13
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2013-07-03 00:00:00 950009849 Closed Citation Citation B (HSC 1424) Medication None 2012-11-08 00:00:00 2012-11-08 00:00:00 Yes 2013-07-25 00:00:00 2013-07-25 00:00:00 B None 2000 2000 -2000 0 0 None D74711 N None None SFY2013-14
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-04-22 00:00:00 950009850 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-01-16 00:00:00 2013-01-16 00:00:00 No 2013-05-13 00:00:00 None B None 2000 2000 -700 1300 0 None 4JL511 N CA00339811 A SFY2012-13
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-04-22 00:00:00 950009852 Closed Citation Citation B (HSC 1424) Patient Care None 2012-12-11 00:00:00 2012-12-11 00:00:00 No 2013-05-13 00:00:00 None B None 2000 2000 -700 1300 0 None UD4Y11 N None None SFY2012-13
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-04-30 00:00:00 950009866 Closed Citation Citation B (HSC 1424) Patient Care None 2010-07-06 00:00:00 2010-07-06 00:00:00 No 2013-05-21 00:00:00 None B None 2000 2000 -700 1300 0 None 1BSG11 N CA00233137 B SFY2012-13
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2013-05-01 00:00:00 950009868 Closed Citation Citation B (HSC 1424) Patient Care None 2012-06-06 00:00:00 2012-06-06 00:00:00 No 2013-05-22 00:00:00 None B None 2000 2000 -700 1300 0 None DCBS11 N CA00293238 A SFY2012-13
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-06-25 00:00:00 950009975 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-11-21 00:00:00 2012-11-21 00:00:00 No 2013-07-17 00:00:00 None B None 2000 2000 0 2000 0 None COWG11 N CA00325620 B SFY2012-13
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2013-07-01 00:00:00 950009987 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-28 00:00:00 2012-02-28 00:00:00 No 2013-07-23 00:00:00 None B None 2000 2000 -700 1300 0 None EDNB11 N None None SFY2013-14
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-07-01 00:00:00 950009988 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-01-23 00:00:00 2013-01-23 00:00:00 No 2013-07-23 00:00:00 None B None 1000 1000 0 1000 0 None LVX921 N None None SFY2013-14
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-07-24 00:00:00 950010023 Closed Citation Citation B (HSC 1424) Medication None 2010-08-31 00:00:00 2010-08-31 00:00:00 No 2013-08-14 00:00:00 None B None 2000 2000 -700 1300 0 None BO2G11 N CA00219600, CA00220415 B, B SFY2013-14
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2016-09-21 00:00:00 950010088 Open Citation Citation A (HSC 1424) Patient Care None 2015-04-15 00:00:00 2015-04-15 00:00:00 Yes 2016-10-12 00:00:00 2016-09-29 00:00:00 A None 20000 20000 0 0 20000 None RR2311 N CA00438738 A SFY2016-17
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2013-08-12 00:00:00 950010089 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-25 00:00:00 2012-04-25 00:00:00 No 2013-09-03 00:00:00 None B None 2000 2000 -700 1300 0 None UJWR11 N CA00306664 B SFY2013-14
970000167 SAINT VINCENT HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2013-08-20 00:00:00 950010103 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-02-22 00:00:00 2013-02-22 00:00:00 No 2013-09-11 00:00:00 None B None 2000 2000 0 2000 0 None KOYV11 N None None SFY2013-14
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2013-08-22 00:00:00 950010116 Closed Citation Citation B (HSC 1424) Physical Environment None 2012-10-30 00:00:00 2012-10-30 00:00:00 No 2013-09-13 00:00:00 None B None 2000 2000 -700 1300 0 None D5TB11 N CA00331031 B SFY2013-14
950000030 BROADWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-12-10 00:00:00 950010234 Closed Citation Citation A (HSC 1424) Patient Care None 2012-06-11 00:00:00 2012-06-11 00:00:00 No 2014-01-01 00:00:00 None A None 20000 20000 -7000 13000 0 None XHIM11 Y CA00311957 B SFY2013-14
950000018 SIERRA VIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-03-13 00:00:00 950010484 Closed Citation Citation A (HSC 1424) Patient Care None 2010-11-30 00:00:00 2010-11-30 00:00:00 No 2014-04-04 00:00:00 None A None 20000 20000 -7000 13000 0 None YN9111 N CA00249854 B SFY2013-14
970000075 THE BELLEFONTAINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-02-20 00:00:00 950010488 Closed Citation Citation B (HSC 1424) Administration None 2013-09-24 00:00:00 2013-09-24 00:00:00 No 2014-03-13 00:00:00 None B None 1000 1000 0 1000 0 None QOR211 N None None SFY2013-14
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2014-04-08 00:00:00 950010603 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-09-28 00:00:00 2013-09-28 00:00:00 No 2014-04-29 00:00:00 None B None 1000 1000 -350 650 0 None GGNJ11 N None None SFY2013-14
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2014-04-24 00:00:00 950010661 Closed Citation Citation B (HSC 1424) Other HSC 1418.21 (a) 2014-03-24 00:00:00 2014-03-24 00:00:00 No 2014-05-15 00:00:00 None B None 1000 1000 0 1000 0 None 446M11 N CA00390605 B SFY2013-14
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2014-09-03 00:00:00 950010956 Closed Citation Citation A (HSC 1424) Patient Care None 2014-07-21 00:00:00 2014-07-21 00:00:00 Yes 2014-09-24 00:00:00 2014-09-15 00:00:00 A A 20000 14000 0 14000 0 None NT8N11 N CA00405622 A SFY2014-15
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-09-12 00:00:00 950010968 Closed Citation Citation A (HSC 1424) Patient Care None 2012-03-13 00:00:00 2012-03-13 00:00:00 No 2014-10-03 00:00:00 None A None 20000 20000 0 20000 0 None BZTP11 N CA00232299 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-11-26 00:00:00 950011142 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-08-15 00:00:00 2014-08-15 00:00:00 No 2014-12-19 00:00:00 None B None 2000 2200 -700 1500 0 None 519411 N CA00362425, CA00362450, CA00363066 B, B, B SFY2014-15
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-12-17 00:00:00 950011183 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-11-24 00:00:00 2013-11-24 00:00:00 No 2015-01-09 00:00:00 None B None 500 500 0 500 0 None ZOVU11 N CA00380033 B SFY2014-15
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2015-01-02 00:00:00 950011212 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-07-25 00:00:00 2013-07-25 00:00:00 Yes 2015-01-26 00:00:00 2015-01-28 00:00:00 B None 2000 2000 -1767.2 232.8 0 None LW4S11 N CA00363164 A SFY2014-15
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2015-02-06 00:00:00 950011266 Closed Citation Citation A (HSC 1424) Patient Care None 2013-12-09 00:00:00 2013-12-09 00:00:00 Yes 2015-03-02 00:00:00 2015-03-01 00:00:00 A None 15000 15000 -13253.96 1746.04 0 None Z1LV11 N CA00378323 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-03 00:00:00 950011289 Closed Citation Citation A (HSC 1424) Patient Care None 2014-11-10 00:00:00 2014-11-10 00:00:00 No 2015-04-24 00:00:00 None A None 20000 20100 0 20100 0 None 07IS11 Y CA00419738, CA00419744 A, A SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-03-05 00:00:00 950011293 Closed Citation Citation A (HSC 1424) Patient Care None 2014-05-16 00:00:00 2014-05-16 00:00:00 Yes 2015-03-26 00:00:00 2015-03-24 00:00:00 A A 20000 12500 0 12500 0 None 3MWO11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011326 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-09 00:00:00 2015-02-09 00:00:00 No 2015-05-01 00:00:00 None A None 10000 10000 0 10000 0 None DM3W11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011327 Closed Citation Citation A (HSC 1424) Patient Care None 2015-01-11 00:00:00 2015-01-11 00:00:00 No 2015-05-01 00:00:00 None A None 7500 7500 0 7500 0 None DM3W11 N CA00429179 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011328 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-11 00:00:00 2015-02-11 00:00:00 No 2015-05-01 00:00:00 None A None 8000 8000 0 8000 0 None DM3W11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011329 Closed Citation Citation B (HSC 1424) Patient Care None 2014-10-14 00:00:00 2014-10-14 00:00:00 No 2015-05-01 00:00:00 None B None 1000 1000 0 1000 0 None DM3W11 N CA00429230 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011330 Closed Citation Citation A (HSC 1424) Patient Care None 2015-01-27 00:00:00 2015-01-27 00:00:00 No 2015-05-01 00:00:00 None A None 12000 12000 0 12000 0 None DM3W11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011334 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2015-05-01 00:00:00 None B None 750 750 0 750 0 None DM3W11 N CA00429349 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011335 Closed Citation Citation B (HSC 1424) Patient Care None 2014-06-08 00:00:00 2014-06-08 00:00:00 No 2015-05-01 00:00:00 None B None 1000 1000 0 1000 0 None DM3W11 N CA00429349 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011336 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-01-17 00:00:00 2014-01-17 00:00:00 No 2015-05-01 00:00:00 None B None 1000 1000 0 1000 0 None DM3W11 N CA00429199 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011337 Closed Citation Citation B (HSC 1424) Patient Care None 2014-10-11 00:00:00 2014-10-11 00:00:00 No 2015-05-01 00:00:00 None B None 750 750 0 750 0 None DM3W11 N CA00429242 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011338 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-10-22 00:00:00 2014-10-22 00:00:00 No 2015-05-01 00:00:00 None B None 1000 1000 0 1000 0 None DM3W11 N CA00429248 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011349 Closed Citation Citation B (HSC 1424) Dietary None 2014-12-01 00:00:00 2014-12-01 00:00:00 No 2015-05-01 00:00:00 None B None 1500 1500 0 1500 0 None DM3W11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011350 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-24 00:00:00 2014-05-24 00:00:00 No 2015-05-01 00:00:00 None B None 1000 1000 0 1000 0 None DM3W11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011366 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2015-05-01 00:00:00 None B None 2000 2000 0 2000 0 None DM3W11 N CA00429084 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011367 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2015-05-01 00:00:00 None B None 2000 2250 0 2250 0 None 3MWO11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011368 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2015-05-01 00:00:00 None B None 2000 2000 0 2000 0 None DM3W11 N CA00429084 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011370 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-11-25 00:00:00 2014-11-25 00:00:00 No 2015-05-01 00:00:00 None B None 2000 2000 0 2000 0 None C15011 N CA00420866 C SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-17 00:00:00 950011371 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2015-05-08 00:00:00 None A None 20000 20000 0 20000 0 None DM3W11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011381 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2015-05-01 00:00:00 None A None 20000 20000 0 20000 0 None DM3W11 Y CA00429054 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-10 00:00:00 950011382 Closed Citation Citation B (HSC 1424) Physical Environment None 2013-11-05 00:00:00 2013-11-05 00:00:00 No 2015-05-01 00:00:00 None B None 2000 2000 0 2000 0 None Y0FK11 N CA00375648 B SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-17 00:00:00 950011396 Closed Citation Citation A (HSC 1424) Patient Care None 2015-04-02 00:00:00 2015-04-02 00:00:00 No 2015-05-08 00:00:00 None A None 20000 20000 0 20000 0 None DM3W11 N None None SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-17 00:00:00 950011399 Closed Citation Citation A (HSC 1424) Patient Care None 2014-10-07 00:00:00 2014-10-07 00:00:00 No 2015-05-08 00:00:00 None A None 20000 20000 0 20000 0 None MO4S11 N CA00410156 A SFY2014-15
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-04-17 00:00:00 950011405 Closed Citation Citation A (HSC 1424) Patient Care None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2015-05-08 00:00:00 None A None 20000 20000 0 20000 0 None DM3W11 N None None SFY2014-15
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2015-05-22 00:00:00 950011504 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2013-06-20 00:00:00 2013-06-20 00:00:00 No 2015-06-15 00:00:00 None B None 2000 2000 -700 1300 0 None 0SUD11 N None None SFY2014-15
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2015-06-19 00:00:00 950011518 Closed Citation Citation AA (HSC 1424) Patient Care None 2014-05-25 00:00:00 2014-05-25 00:00:00 No 2015-07-10 00:00:00 None AA None 100000 100000 -35000 65000 0 None KWS411 Y CA00399766 A SFY2014-15
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2015-09-01 00:00:00 950011688 Open Citation Citation A (HSC 1424) Patient Rights None 2014-05-06 00:00:00 2014-05-06 00:00:00 No 2015-09-23 00:00:00 None A None 20000 20000 0 0 20000 None EIIZ11 N CA00275823 A SFY2015-16
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2015-09-25 00:00:00 950011747 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-05-06 00:00:00 2014-05-06 00:00:00 No 2015-10-16 00:00:00 None B None 2000 2000 0 0 2000 None EIIZ11 N CA00275823 A SFY2015-16
950000260 ROYAL OAKS MANOR - BRADBURY OAKS LTC SNF Skilled Nursing Facility LA Region 1 2016-06-03 00:00:00 950012031 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-01 00:00:00 2015-08-01 00:00:00 No 2016-06-24 00:00:00 None A None 10000 10000 -3500 6500 0 None XQPH11 N CA00456086 B SFY2015-16
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-03-16 00:00:00 950012052 Closed Citation Citation A (HSC 1424) Patient Care None 2015-03-24 00:00:00 2015-03-24 00:00:00 No 2016-04-07 00:00:00 None A None 14000 14550 -4900 9650 0 None UXKS11 N CA00436069 A SFY2015-16
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2016-03-16 00:00:00 950012058 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-30 00:00:00 2015-06-30 00:00:00 Yes 2016-04-07 00:00:00 2016-04-07 00:00:00 A A 20000 12500 0 12500 0 None 6TR011 N CA00421735 B SFY2015-16
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2016-05-24 00:00:00 950012064 Closed Citation Citation AA (HSC 1424) Patient Care None 2015-03-05 00:00:00 2015-03-05 00:00:00 Yes 2016-06-15 00:00:00 2016-06-15 00:00:00 AA AA 100000 50000 0 50000 0 None E5GN11 Y CA00433847 A SFY2015-16
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2016-05-17 00:00:00 950012073 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-04 00:00:00 2014-08-04 00:00:00 No 2016-06-08 00:00:00 None A None 16000 16000 -5600 10400 0 None LQJV11 N CA00406765 B SFY2015-16
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2016-03-18 00:00:00 950012125 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-05-21 00:00:00 2015-05-21 00:00:00 No 2016-04-11 00:00:00 None B None 2000 2000 -700 1300 0 None GG5Z11 N CA00443667 A SFY2015-16
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2016-03-18 00:00:00 950012127 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-09-24 00:00:00 2014-09-24 00:00:00 No 2016-04-11 00:00:00 None B None 2000 2000 -700 1300 0 None MU0511 N CA00414262 B SFY2015-16
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-03-23 00:00:00 950012144 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-26 00:00:00 2011-10-26 00:00:00 No 2016-04-14 00:00:00 None B None 2000 2000 0 2000 0 None 0WEZ11 N CA00287664 A SFY2015-16
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-03-24 00:00:00 950012147 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-01-16 00:00:00 2015-01-16 00:00:00 No 2016-04-15 00:00:00 None B None 2000 2000 0 2000 0 None 3YJX11 N CA00427313, CA00432905 B, B SFY2015-16
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2016-04-07 00:00:00 950012150 Closed Citation Citation A (HSC 1424) Patient Care None 2015-08-13 00:00:00 2015-08-13 00:00:00 Yes 2016-04-28 00:00:00 2016-04-21 00:00:00 A A 14000 14000 0 14000 0 None PMRJ11 N CA00452872 B SFY2015-16
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2016-04-11 00:00:00 950012179 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-02-12 00:00:00 2015-02-12 00:00:00 Yes 2016-05-02 00:00:00 2016-05-06 00:00:00 B B 2000 1500 0 1500 0 None YT9C11 Y CA00429163 B SFY2015-16
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-04-20 00:00:00 950012203 Closed Citation Citation B (HSC 1424) Administration None 2012-11-23 00:00:00 2012-11-23 00:00:00 No 2016-05-11 00:00:00 None B None 2000 2000 -700 1300 0 None RHFF11 N CA00335899 A SFY2015-16
950000054 BEACON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-07-14 00:00:00 950012210 Closed Citation Citation A (HSC 1424) Patient Care None 2014-02-25 00:00:00 2014-02-25 00:00:00 No 2016-08-04 00:00:00 None A None 20000 20000 -20000 0 0 None QZKS11 N CA00387559 B SFY2016-17
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-06-03 00:00:00 950012230 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-09-04 00:00:00 2014-09-04 00:00:00 Yes 2016-06-24 00:00:00 2016-06-23 00:00:00 A B 14000 11500 0 11500 0 None F2X311 N CA00412059 A SFY2015-16
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-07-25 00:00:00 950012240 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-06 00:00:00 2014-08-06 00:00:00 No 2016-08-15 00:00:00 None A None 15000 15000 -5250 9750 0 None IPCW11 N CA00408570 A SFY2016-17
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-05-09 00:00:00 950012248 Closed Citation Citation B (HSC 1424) Patient Care None 2013-09-14 00:00:00 2013-09-14 00:00:00 No 2016-05-31 00:00:00 None B None 2000 2000 0 2000 0 None CK3111 N None None SFY2015-16
950000260 ROYAL OAKS MANOR - BRADBURY OAKS LTC SNF Skilled Nursing Facility LA Region 1 2016-06-03 00:00:00 950012311 Closed Citation Citation B (HSC 1424) Patient Care None 2013-10-28 00:00:00 2013-10-28 00:00:00 No 2016-06-24 00:00:00 None B None 1500 1500 -525 975 0 None 2WT711 N None None SFY2015-16
950000260 ROYAL OAKS MANOR - BRADBURY OAKS LTC SNF Skilled Nursing Facility LA Region 1 2016-07-18 00:00:00 950012334 Closed Citation Citation A (HSC 1424) Patient Care None 2013-10-28 00:00:00 2013-10-28 00:00:00 No 2016-08-08 00:00:00 None A None 15000 15000 -5250 9750 0 None 2WT711 N None None SFY2016-17
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2016-09-02 00:00:00 950012558 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-01 00:00:00 2016-08-01 00:00:00 No 2016-09-26 00:00:00 None B None 2000 2000 0 2000 0 None 1QXO11 N None None SFY2016-17
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2016-09-02 00:00:00 950012560 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-01 00:00:00 2016-08-01 00:00:00 No 2016-09-26 00:00:00 None B None 2000 2000 0 0 2000 None 1QXO11 N None None SFY2016-17
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-09-02 00:00:00 950012561 Open Citation Citation B (HSC 1424) Patient Care None 2015-06-01 00:00:00 2015-06-01 00:00:00 Yes 2016-09-26 00:00:00 2016-09-23 00:00:00 B None 2000 2000 0 0 2000 None VD6M11 N None None SFY2016-17
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-09-02 00:00:00 950012562 Open Citation Citation B (HSC 1424) Patient Care None 2015-06-01 00:00:00 2015-06-01 00:00:00 Yes 2016-09-26 00:00:00 2016-09-23 00:00:00 B None 2000 2000 0 0 2000 None VD6M11 N None None SFY2016-17
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-09-08 00:00:00 950012566 Closed Citation Citation B (HSC 1424) Patient Care None 2015-09-24 00:00:00 2015-09-24 00:00:00 No 2016-09-29 00:00:00 None B None 2000 2000 0 2000 0 None BB8A11 N CA00447549 A SFY2016-17
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2016-09-14 00:00:00 950012569 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-18 00:00:00 2016-03-18 00:00:00 No 2016-10-05 00:00:00 None A None 16000 16000 -5600 10400 0 None F2K311 N None None SFY2016-17
950000084 PILGRIM PLACE HEALTH SERVICES CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-09-23 00:00:00 950012592 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-28 00:00:00 2014-03-28 00:00:00 No 2016-10-14 00:00:00 None A None 15000 15000 -5250 9750 0 None 86OS11 N CA00392476 B SFY2016-17
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-09-26 00:00:00 950012598 Closed Citation Citation A (HSC 1424) Patient Care None 2015-12-29 00:00:00 2015-12-29 00:00:00 Yes 2016-10-17 00:00:00 2016-09-27 00:00:00 A A 16000 5000 0 5000 0 None TFYZ11 N CA00470176 A SFY2016-17
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-09-30 00:00:00 950012606 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-03 00:00:00 2016-08-03 00:00:00 No 2016-10-21 00:00:00 None A None 16000 16000 0 16000 0 None V3H811 N CA00498181 B SFY2016-17
950000078 MOUNT SAN ANTONIO GARDENS LTC SNF Skilled Nursing Facility LA Region 1 2016-10-04 00:00:00 950012615 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-28 00:00:00 2016-07-28 00:00:00 No 2016-10-25 00:00:00 None A None 18000 18000 -6300 11700 0 None SM2111 N CA00496923 A SFY2016-17
950000078 MOUNT SAN ANTONIO GARDENS LTC SNF Skilled Nursing Facility LA Region 1 2016-10-04 00:00:00 950012621 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-28 00:00:00 2016-07-28 00:00:00 No 2016-10-25 00:00:00 None B None 2000 2000 -700 1300 0 None SM2111 N CA00496923 A SFY2016-17
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-10-28 00:00:00 950012695 Closed Citation Citation A (HSC 1424) Physical Environment None 2013-05-03 00:00:00 2013-05-03 00:00:00 No 2016-11-21 00:00:00 None A None 16000 16000 -5600 10400 0 None 7QQF11 N CA00352794 B SFY2016-17
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2016-11-01 00:00:00 950012707 Closed Citation Citation B (HSC 1424) Other Infection Control 2016-01-05 00:00:00 2016-01-05 00:00:00 No 2016-11-23 00:00:00 None B None 2000 2000 -700 1300 0 None Z8J411 N CA00471302 A SFY2016-17
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2016-11-01 00:00:00 950012710 Closed Citation Citation B (HSC 1424) Other Infection Control 2016-01-05 00:00:00 2016-01-05 00:00:00 No 2016-11-23 00:00:00 None B None 2000 2000 -700 1300 0 None Z8J411 N CA00471302 A SFY2016-17
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-11-16 00:00:00 950012756 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-08 00:00:00 2016-07-08 00:00:00 No 2016-12-09 00:00:00 None B None 2000 2000 -700 1300 0 None RRDF11 N CA00494079 B SFY2016-17
950000045 ARCADIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-11-17 00:00:00 950012761 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-27 00:00:00 2016-08-27 00:00:00 No 2016-12-12 00:00:00 None B None 2000 2000 -700 1300 0 None 49QC11 N CA00501412 A SFY2016-17
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-11-21 00:00:00 950012770 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-19 00:00:00 2015-08-19 00:00:00 No 2016-12-14 00:00:00 None B None 2000 2000 -700 1300 0 None 5WXC11 N CA00447235 C SFY2016-17
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-11-21 00:00:00 950012771 Closed Citation Citation B (HSC 1424) Patient Care None 2015-08-19 00:00:00 2015-08-19 00:00:00 No 2016-12-14 00:00:00 None B None 2000 2000 -700 1300 0 None 5WXC11 N CA00447235 C SFY2016-17
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2016-11-23 00:00:00 950012772 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-08-17 00:00:00 2016-08-17 00:00:00 No 2016-12-16 00:00:00 None B None 2000 2000 -700 1300 0 None 3X2712 N None None SFY2016-17
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-11-23 00:00:00 950012777 Closed Citation Citation B (HSC 1424) Patient Care None 2016-06-30 00:00:00 2016-06-30 00:00:00 No 2016-12-16 00:00:00 None B None 2000 2000 -700 1300 0 None OY1P11 N CA00493616 B SFY2016-17
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2016-12-22 00:00:00 950012799 Open Citation Citation A (HSC 1424) Patient Care None 2016-09-27 00:00:00 2016-09-27 00:00:00 Yes 2017-01-13 00:00:00 2016-12-30 00:00:00 A None 20000 20000 0 0 20000 None R0KX11 N None None SFY2016-17
950000104 ROYAL GARDENS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2016-12-14 00:00:00 950012814 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-07 00:00:00 2015-06-07 00:00:00 Yes 2017-01-05 00:00:00 2016-12-28 00:00:00 A A 15000 11000 0 11000 0 None NEJT11 N None None SFY2016-17
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-12-14 00:00:00 950012815 Closed Citation Citation A (HSC 1424) Patient Care None 2015-09-03 00:00:00 2015-09-03 00:00:00 No 2017-01-05 00:00:00 None A None 16000 16000 -5600 10400 0 None DKN811 N None None SFY2016-17
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-12-14 00:00:00 950012821 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-13 00:00:00 2016-09-13 00:00:00 No 2017-01-05 00:00:00 None B None 2000 2000 -700 1300 0 None RR6711 N CA00503005 B SFY2016-17
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2016-12-21 00:00:00 950012829 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-31 00:00:00 2016-08-31 00:00:00 Yes 2017-01-12 00:00:00 2017-01-19 00:00:00 A A 16000 12000 0 12000 0 None 2SUI11 N CA00501426 B SFY2016-17
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2016-12-22 00:00:00 950012831 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-17 00:00:00 2016-08-17 00:00:00 No 2017-01-13 00:00:00 None A None 20000 20000 -7000 13000 0 None 3X2711 N None None SFY2016-17
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-01-06 00:00:00 950012855 Closed Citation Citation A (HSC 1424) Physical Environment None 2016-10-11 00:00:00 2016-10-11 00:00:00 Yes 2017-01-30 00:00:00 2017-01-11 00:00:00 A B 16000 10500 0 10500 0 None T2JM11 N CA00506451 A SFY2016-17
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2017-01-18 00:00:00 950012889 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-13 00:00:00 2016-07-13 00:00:00 No 2017-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None 3X2711 N None None SFY2016-17
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2017-01-18 00:00:00 950012890 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-13 00:00:00 2016-07-13 00:00:00 No 2017-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None 3X2711 N None None SFY2016-17
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2017-01-18 00:00:00 950012891 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-13 00:00:00 2016-07-13 00:00:00 No 2017-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None 3X2711 N None None SFY2016-17
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2017-01-18 00:00:00 950012892 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-12 00:00:00 2017-01-12 00:00:00 No 2017-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None 3X2711 N None None SFY2016-17
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2017-01-18 00:00:00 950012893 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-12 00:00:00 2017-01-12 00:00:00 No 2017-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None 3X2711 N None None SFY2016-17
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2017-01-18 00:00:00 950012894 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-13 00:00:00 2016-07-13 00:00:00 No 2017-02-08 00:00:00 None B None 2000 2000 -700 1300 0 None 3X2711 N None None SFY2016-17
970000163 CAMELLIA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-01-26 00:00:00 950012911 Closed Citation Citation B (HSC 1424) Patient Care None 2016-10-26 00:00:00 2016-10-26 00:00:00 No 2017-02-16 00:00:00 None B None 2000 2000 -700 1300 0 None L1RH11 N CA00507233 B SFY2016-17
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2017-02-24 00:00:00 950012914 Closed Citation Citation A (HSC 1424) Patient Care None 2015-03-20 00:00:00 2015-03-20 00:00:00 Yes 2017-03-17 00:00:00 2017-02-28 00:00:00 A B 16000 10000 0 10000 0 None S0L311 N CA00436145 B SFY2016-17
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2017-02-15 00:00:00 950012924 Closed Citation Citation A (HSC 1424) Patient Care None 2015-09-10 00:00:00 2015-09-10 00:00:00 No 2017-03-09 00:00:00 None A None 16000 16000 -5600 10400 0 None F7AG11 N CA00458401, CA00462210 B, B SFY2016-17
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-02-03 00:00:00 950012941 Open Citation Citation A (HSC 1424) Patient Care None 2016-07-30 00:00:00 2016-07-30 00:00:00 Yes 2017-02-27 00:00:00 2017-02-27 00:00:00 A None 10000 10100 0 0 10100 None 4T3O11 N CA00498850 B SFY2016-17
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-02-03 00:00:00 950012946 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-05 00:00:00 2017-01-05 00:00:00 Yes 2017-02-27 00:00:00 2017-02-27 00:00:00 B None 2000 2000 0 0 2000 None CEGV11 N CA00381575 B SFY2016-17
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-02-03 00:00:00 950012947 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-05 00:00:00 2017-01-05 00:00:00 Yes 2017-02-27 00:00:00 2017-02-27 00:00:00 B None 2000 2000 0 0 2000 None CEGV11 N CA00381575 B SFY2016-17
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-02-24 00:00:00 950012992 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-26 00:00:00 2016-10-26 00:00:00 No 2017-03-17 00:00:00 None A None 16000 16000 -5600 10400 0 None MCGE11 N CA00507206 B SFY2016-17
950000101 ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2017-02-24 00:00:00 950013006 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-12-09 00:00:00 2016-12-09 00:00:00 No 2017-03-17 00:00:00 None B None 2000 2000 -700 1300 0 None ESPO11 N CA00513848 B SFY2016-17
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-03-07 00:00:00 950013018 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-01 00:00:00 2017-02-01 00:00:00 Yes 2017-03-28 00:00:00 2017-06-28 00:00:00 A A 15000 9750 0 9750 0 None QXKN11 N None None SFY2016-17
950000077 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-03-21 00:00:00 950013065 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-02 00:00:00 2017-03-02 00:00:00 No 2017-04-12 00:00:00 None B None 2000 2000 -700 1300 0 None 3MU411 N CA00521751, CA00521751 B, B SFY2016-17
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-03-21 00:00:00 950013067 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-10 00:00:00 2017-02-10 00:00:00 No 2017-04-12 00:00:00 None A None 20000 20000 -7000 13000 0 None 9BZP11 N CA00516360 C SFY2016-17
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-03-21 00:00:00 950013068 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-10 00:00:00 2017-02-10 00:00:00 No 2017-04-12 00:00:00 None A None 20000 20000 -7000 13000 0 None 9BZP11 N CA00516360 C SFY2016-17
950000084 PILGRIM PLACE HEALTH SERVICES CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-03-24 00:00:00 950013078 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-07 00:00:00 2017-03-07 00:00:00 No 2017-04-17 00:00:00 None A None 20000 20000 -7000 13000 0 None YYJZ11 N CA00494123 B SFY2016-17
950000050 MISSION CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-05-04 00:00:00 950013176 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-22 00:00:00 2017-02-22 00:00:00 No 2017-05-25 00:00:00 None A None 15000 15000 -5250 9750 0 None XI2D11 N CA00523027 B SFY2016-17
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-05-03 00:00:00 950013177 Closed Citation Citation B (HSC 1424) Administration None 2017-03-18 00:00:00 2017-03-18 00:00:00 Yes 2017-05-24 00:00:00 2017-05-23 00:00:00 B B 2000 2000 0 2000 0 None MTDH11 N None None SFY2016-17
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2017-05-04 00:00:00 950013182 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-04 00:00:00 2017-01-04 00:00:00 No 2017-05-25 00:00:00 None A None 18000 18000 0 18000 0 None LEUB11 N CA00517013 B SFY2016-17
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-05-04 00:00:00 950013183 Closed Citation Citation A (HSC 1424) Patient Care None 2016-11-24 00:00:00 2016-11-24 00:00:00 No 2017-05-25 00:00:00 None A None 20000 20000 0 20000 0 None FYED11 N CA00512032 B SFY2016-17
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-05-12 00:00:00 950013193 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-31 00:00:00 2017-01-31 00:00:00 No 2017-06-05 00:00:00 None A None 15000 15000 -5250 9750 0 None 2S5H11 N CA00520811 A SFY2016-17
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-05-18 00:00:00 950013198 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-07 00:00:00 2017-04-07 00:00:00 No 2017-06-09 00:00:00 None A None 10000 10000 -3500 6500 0 None 2H4H11 N None None SFY2016-17
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-05-18 00:00:00 950013199 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-07 00:00:00 2017-04-07 00:00:00 No 2017-06-09 00:00:00 None A None 10000 10000 -3500 6500 0 None 2H4H11 N CA00529489 C SFY2016-17
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-05-17 00:00:00 950013203 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-13 00:00:00 2017-03-13 00:00:00 Yes 2017-06-08 00:00:00 2017-06-06 00:00:00 A A 20000 15000 0 15000 0 None WYW711 N None None SFY2016-17
970000066 THE CALIFORNIAN PASADENA HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2017-05-31 00:00:00 950013240 Closed Citation Citation B (HSC 1424) Other Quality of Care 2017-04-30 00:00:00 2017-04-30 00:00:00 Yes 2017-06-21 00:00:00 2017-06-07 00:00:00 B None 2000 2000 -2000 0 0 None 5PU211 N None None SFY2016-17
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-06-02 00:00:00 950013251 Closed Citation Citation B (HSC 1424) Other Abuse 2014-02-23 00:00:00 2014-02-23 00:00:00 No 2017-06-23 00:00:00 None B None 2000 2000 -700 1300 0 None Z2B411 N CA00388849 B SFY2016-17
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-06-09 00:00:00 950013272 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-31 00:00:00 2017-03-31 00:00:00 No 2017-06-30 00:00:00 None B None 2000 2000 -700 1300 0 None S1QZ11 N CA00527062, CA00527062 B, B SFY2016-17
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2017-06-09 00:00:00 950013274 Closed Citation Citation B (HSC 1424) Patient Care None 2017-04-04 00:00:00 2017-04-04 00:00:00 No 2017-06-30 00:00:00 None B None 2000 2000 -700 1300 0 None 9LZI11 N CA00527715 B SFY2016-17
950000039 ATHERTON BAPTIST HOME-SAM B. WEST LTC SNF Skilled Nursing Facility LA Region 1 2017-06-16 00:00:00 950013297 Closed Citation Citation B (HSC 1424) Other Abuse 2017-05-20 00:00:00 2017-05-20 00:00:00 No 2017-07-10 00:00:00 None B None 2000 2000 -700 1300 0 None THR311 N CA00536375 B SFY2016-17
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-06-26 00:00:00 950013316 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-08 00:00:00 2017-06-08 00:00:00 Yes 2017-07-18 00:00:00 2017-06-30 00:00:00 B None 2000 2000 -700 1300 0 None B3L111 N None None SFY2016-17
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2017-06-30 00:00:00 950013322 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-12 00:00:00 2017-01-12 00:00:00 Yes 2017-07-24 00:00:00 2017-07-13 00:00:00 B B 2000 1200 0 1200 0 None QVCT11 N CA00518133 B SFY2016-17
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2017-07-05 00:00:00 950013327 Closed Citation Citation B (HSC 1424) Patient Rights Fin Occur/Fin Abuse Misap 2017-05-17 00:00:00 2017-05-17 00:00:00 No 2017-07-26 00:00:00 None B None 2000 2000 0 2000 0 None CGXI11 N CA00536117, CA00536117 A, A SFY2017-18
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-07-10 00:00:00 950013334 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-02 00:00:00 2017-06-02 00:00:00 No 2017-07-31 00:00:00 None B None 1000 1000 0 1000 0 None F2G511 N CA00541319 A SFY2017-18
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-07-18 00:00:00 950013353 Closed Citation Citation B (HSC 1424) Other Free of accident harzards 2017-05-26 00:00:00 2017-05-26 00:00:00 No 2017-08-08 00:00:00 None B None 2000 2000 -700 1300 0 None RPDW11 N CA00537480 A SFY2017-18
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-07-18 00:00:00 950013354 Closed Citation Citation B (HSC 1424) Other Unusual Occurrences 2017-05-26 00:00:00 2017-05-26 00:00:00 No 2017-08-08 00:00:00 None B None 500 500 -175 325 0 None RPDW11 N CA00537480, CA00537480 A, A SFY2017-18
950000249 MAYFLOWER CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-07-27 00:00:00 950013388 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-30 00:00:00 2017-06-30 00:00:00 Yes 2017-08-17 00:00:00 2017-08-17 00:00:00 A B 10000 7500 0 7500 0 None JNWW11 N CA00533461, CA00533461, CA00533461 A, A, A SFY2017-18
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-09-18 00:00:00 950013504 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-03 00:00:00 2017-08-03 00:00:00 No 2017-10-09 00:00:00 None B None 2000 2000 -700 1300 0 None M38911 N None None SFY2017-18
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2017-10-19 00:00:00 950013553 Closed Citation Citation A (HSC 1424) Patient Care None 2017-09-08 00:00:00 2017-09-08 00:00:00 No 2017-11-09 00:00:00 None A None 20000 20000 -7000 13000 0 None UV8O11 N None None SFY2017-18
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2017-10-24 00:00:00 950013566 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-07-14 00:00:00 2017-07-14 00:00:00 No 2017-11-15 00:00:00 None B None 2000 2000 0 2000 0 None QHWG11 N None None SFY2017-18
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2017-10-30 00:00:00 950013581 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-30 00:00:00 2017-06-30 00:00:00 No 2017-11-21 00:00:00 None B None 2000 2000 -700 1300 0 None IN0511 N CA00541935, CA00542041 A, A SFY2017-18
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2017-10-30 00:00:00 950013587 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-30 00:00:00 2017-06-30 00:00:00 No 2017-11-21 00:00:00 None B None 2000 2000 -700 1300 0 None IN0511 N CA00541935, CA00541935, CA00541935, CA00542041, CA00542041 A, A, A, A, A SFY2017-18
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2017-10-30 00:00:00 950013588 Closed Citation Citation B (HSC 1424) Patient Care None 2017-06-30 00:00:00 2017-06-30 00:00:00 No 2017-11-21 00:00:00 None B None 2000 2000 -700 1300 0 None IN0511 N CA00541935, CA00542041 A, A SFY2017-18
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2017-11-17 00:00:00 950013631 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-17 00:00:00 2017-10-17 00:00:00 No 2017-12-12 00:00:00 None B None 2000 2000 -700 1300 0 None R7MN11 N CA00553383 C SFY2017-18
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2017-11-17 00:00:00 950013632 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-17 00:00:00 2017-10-17 00:00:00 No 2017-12-12 00:00:00 None B None 2000 2000 -700 1300 0 None R7MN11 N CA00553387 C SFY2017-18
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2017-11-17 00:00:00 950013633 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-17 00:00:00 2017-10-17 00:00:00 No 2017-12-12 00:00:00 None B None 2000 2000 -700 1300 0 None R7MN11 N None None SFY2017-18
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2017-11-22 00:00:00 950013644 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-06 00:00:00 2017-11-06 00:00:00 No 2017-12-15 00:00:00 None B None 2000 2000 0 2000 0 None J7UT11 N CA00554654 B SFY2017-18
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2017-11-22 00:00:00 950013645 Closed Citation Citation B (HSC 1424) Patient Care None 2017-11-06 00:00:00 2017-11-06 00:00:00 No 2017-12-15 00:00:00 None B None 2000 2000 0 2000 0 None J7UT11 N None None SFY2017-18
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-12-01 00:00:00 950013666 Closed Citation Citation B (HSC 1424) Other Infection Control 2017-08-08 00:00:00 2017-08-08 00:00:00 No 2017-12-22 00:00:00 None B None 2000 2000 0 2000 0 None P6EM11 N CA00546808 A SFY2017-18
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-12-01 00:00:00 950013667 Closed Citation Citation B (HSC 1424) Other Unusual Occurence 2017-05-25 00:00:00 2017-05-25 00:00:00 No 2017-12-22 00:00:00 None B None 2000 2000 0 2000 0 None P6EM11 N CA00546808 A SFY2017-18
950000077 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2017-12-06 00:00:00 950013678 Open Citation Citation B (HSC 1424) Other Accidents 2017-10-29 00:00:00 2017-10-29 00:00:00 Yes 2017-12-28 00:00:00 2017-12-18 00:00:00 B None 2000 2000 0 0 2000 None 3TR311 N None None SFY2017-18
950000057 PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2018-01-10 00:00:00 950013725 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-29 00:00:00 2017-10-29 00:00:00 No 2018-01-31 00:00:00 None B None 2000 2000 -700 1300 0 None Z1XI11 N None None SFY2017-18
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2018-02-02 00:00:00 950013771 Open Citation Citation A (HSC 1424) Patient Care None 2017-02-09 00:00:00 2017-02-09 00:00:00 Yes 2018-02-26 00:00:00 2018-02-26 00:00:00 A None 20000 60000 0 0 60000 None OVGF11 N CA00555279 B SFY2017-18
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-02-05 00:00:00 950013783 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-19 00:00:00 2017-06-19 00:00:00 No 2018-02-26 00:00:00 None A None 20000 20000 0 20000 0 None G8DE11 N None None SFY2017-18
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2018-02-07 00:00:00 950013785 Closed Citation Citation B (HSC 1424) Patient Care None 2017-08-01 00:00:00 2017-08-01 00:00:00 No 2018-02-28 00:00:00 None B None 2000 2000 -700 1300 0 None MCIU11 N CA00546891 B SFY2017-18
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2018-02-23 00:00:00 950013847 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-12-31 00:00:00 2017-12-31 00:00:00 No 2018-03-16 00:00:00 None B None 2000 2000 0 2000 0 None MXV711 N CA00567344 B SFY2017-18
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2018-02-23 00:00:00 950013848 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-01-09 00:00:00 2018-01-09 00:00:00 No 2018-03-16 00:00:00 None B None 2000 2000 0 2000 0 None O9TS11 N CA00568697 B SFY2017-18
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-02 00:00:00 950013862 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-19 00:00:00 2018-01-19 00:00:00 Yes 2018-03-23 00:00:00 2018-05-03 00:00:00 A B 20000 15000 0 15000 0 None BQTD11 N None None SFY2017-18
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-03 00:00:00 950013874 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-20 00:00:00 2016-12-20 00:00:00 Yes 2018-03-23 00:00:00 2018-03-05 00:00:00 A None 20000 20000 -7000 13000 0 None J2GM11 N CA00551527 A SFY2017-18
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2018-03-09 00:00:00 950013882 Closed Citation Citation A (HSC 1424) Patient Care None 2017-11-09 00:00:00 2017-11-09 00:00:00 Yes 2018-03-30 00:00:00 2018-03-29 00:00:00 A B 10000 4100 0 4100 0 None HIOC11 N None None SFY2017-18
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-21 00:00:00 950013894 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-07 00:00:00 2017-02-07 00:00:00 No 2018-04-11 00:00:00 None A None 15000 15000 -5250 9750 0 None 4J0I11 N CA00562364 B SFY2017-18
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-21 00:00:00 950013911 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-01-17 00:00:00 2018-01-17 00:00:00 No 2018-04-11 00:00:00 None B None 2000 2000 -700 1300 0 None 025511 N CA00571041 A SFY2017-18
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-21 00:00:00 950013912 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-01-22 00:00:00 2018-01-22 00:00:00 No 2018-04-11 00:00:00 None B None 2000 2000 -700 1300 0 None 025511 N CA00571041, CA00571041 A, A SFY2017-18
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-21 00:00:00 950013913 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-01-17 00:00:00 2018-01-17 00:00:00 No 2018-04-11 00:00:00 None B None 2000 2000 -700 1300 0 None 025511 N CA00571041, CA00571041 A, A SFY2017-18
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-21 00:00:00 950013914 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-01-18 00:00:00 2018-01-18 00:00:00 No 2018-04-11 00:00:00 None B None 2000 2000 -700 1300 0 None 025511 N CA00571041, CA00571041 A, A SFY2017-18
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-21 00:00:00 950013915 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-01-22 00:00:00 2018-01-22 00:00:00 No 2018-04-11 00:00:00 None B None 2000 2000 -700 1300 0 None 025511 N CA00571041, CA00571041 A, A SFY2017-18
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-21 00:00:00 950013923 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-23 00:00:00 2018-01-23 00:00:00 No 2018-04-11 00:00:00 None B None 2000 2000 -700 1300 0 None 4J0I11 N CA00572688 B SFY2017-18
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-30 00:00:00 950013949 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-12-03 00:00:00 2017-12-03 00:00:00 No 2018-04-20 00:00:00 None B None 2000 2000 -700 1300 0 None IC7X11 N CA00563492 A SFY2017-18
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-04-11 00:00:00 950013976 Closed Citation Citation B (HSC 1424) Patient Care None 2017-12-10 00:00:00 2017-12-10 00:00:00 No 2018-05-02 00:00:00 None B None 2000 2000 -700 1300 0 None T33O11 N CA00564643 A SFY2017-18
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-05-03 00:00:00 950014031 Closed Citation Citation A (HSC 1424) Patient Care QUALITY OF CARE 2017-10-07 23:59:00 2017-10-07 23:59:00 No 2018-05-24 00:00:00 None A None 16000 16000 -5600 10400 0 None FOOK11 N None None SFY2017-18
950000040 COUNTRY OAKS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-04-27 00:00:00 950014032 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-13 00:00:00 2017-10-13 00:00:00 Yes 2018-05-18 00:00:00 2018-05-03 00:00:00 A B 20000 24000 0 24000 0 None I3NE11 Y CA00558971 A SFY2017-18
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2018-05-02 00:00:00 950014042 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-27 00:00:00 2017-10-27 00:00:00 No 2018-05-23 00:00:00 None B None 2000 2000 -700 1300 0 None MBYW11 N CA00559802, CA00559802 B, B SFY2017-18
970000075 THE BELLEFONTAINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-05-02 00:00:00 950014043 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-02-11 00:00:00 2018-02-11 00:00:00 Yes 2018-05-23 00:00:00 2018-05-07 00:00:00 B None 2000 2000 0 0 2000 None WGOL11 N CA00578231 B SFY2017-18
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-06-12 00:00:00 950014141 Closed Citation Citation B (HSC 1424) Other Unusual Occurrence 2017-10-02 00:00:00 2017-10-02 00:00:00 No 2018-07-03 00:00:00 None B None 2000 2000 0 2000 0 None M7MT11 Y CA00566931 B SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-06-15 00:00:00 950014155 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-04-01 00:00:00 2018-04-01 00:00:00 Yes 2018-07-09 00:00:00 2018-06-28 00:00:00 B None 2000 2000 0 2000 0 None TYZC11 N CA00583908 B SFY2017-18
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2018-06-15 00:00:00 950014157 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-01 00:00:00 2018-04-01 00:00:00 Yes 2018-07-09 00:00:00 2018-06-28 00:00:00 B None 2000 2000 0 2000 0 None TYZC11 N CA00583908 B SFY2017-18
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2018-06-23 00:00:00 950014182 Open Citation Citation B (HSC 1424) Patient Rights None 2018-02-05 00:00:00 2018-02-05 00:00:00 No 2018-07-16 00:00:00 None B None 2000 2000 -700 1300 0 None NLL811 N CA00575814 B SFY2017-18
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2018-07-11 00:00:00 950014199 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-15 00:00:00 2018-01-15 00:00:00 No 2018-08-01 00:00:00 None A None 20000 20000 0 20000 0 None 65RU11 Y CA00569431, CA00569431 A, A SFY2018-19
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2018-06-29 00:00:00 950014205 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-22 00:00:00 2018-02-22 00:00:00 No 2018-07-23 00:00:00 None A None 20000 20000 0 20000 0 None KF5611 Y CA00576294 A SFY2017-18
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-07-06 00:00:00 950014225 Open Citation Citation B (HSC 1424) Patient Record None 2018-03-19 00:00:00 2018-03-19 00:00:00 Yes 2018-07-27 00:00:00 2018-07-20 00:00:00 B None 2000 2000 0 0 2000 None YS2X11 N CA00578817 A SFY2018-19
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2018-07-18 00:00:00 950014250 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2018-08-08 00:00:00 None B None 2000 2000 0 2000 0 None VBDZ11 N CA00578992 A SFY2018-19
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2018-07-18 00:00:00 950014252 Closed Citation Citation B (HSC 1424) Patient Care None 2018-03-16 00:00:00 2018-03-16 00:00:00 No 2018-08-08 00:00:00 None B None 2000 2000 0 2000 0 None VBDZ11 N CA00578992, CA00578992 A, A SFY2018-19
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2018-07-27 00:00:00 950014280 Closed Citation Citation B (HSC 1424) Patient Record Documentation 2017-12-04 00:00:00 2017-12-04 00:00:00 No 2018-08-17 00:00:00 None B None 2000 2000 0 2000 0 None K7PI11 Y CA00582060, CA00582060, CA00582060 B, B, B SFY2018-19
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2018-07-27 00:00:00 950014281 Closed Citation Citation A (HSC 1424) Patient Care None 2017-12-04 00:00:00 2017-12-04 00:00:00 Yes 2018-08-17 00:00:00 2018-07-30 00:00:00 A A 20000 17500 0 17500 0 None K7PI11 Y CA00582060, CA00582060, CA00582060 B, B, B SFY2018-19
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2018-07-27 00:00:00 950014292 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-24 00:00:00 2018-01-24 00:00:00 No 2018-08-17 00:00:00 None A None 20000 20000 0 20000 0 None 0SFS11 Y CA00571343, CA00571343 A, A SFY2018-19
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2018-08-16 00:00:00 950014341 Closed Citation Citation B (HSC 1424) Patient Care None 2018-01-31 00:00:00 2018-01-31 00:00:00 No 2018-09-07 00:00:00 None B None 2000 2000 0 2000 0 None O2XG11 N CA00571859, CA00571859, CA00574968 B, B, A SFY2018-19
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-08-17 00:00:00 950014344 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-02-14 00:00:00 2018-02-14 00:00:00 Yes 2018-09-10 00:00:00 2018-09-10 00:00:00 B B 2000 1200 0 1200 0 None LZ6J11 N CA00574494 A SFY2018-19
950000054 BEACON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-08-31 00:00:00 950014373 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-06-18 00:00:00 2018-06-18 00:00:00 No 2018-09-24 00:00:00 None B None 2000 2000 0 2000 0 None ZWJ311 N CA00593866, CA00595935, CA00601055, CA00601055 A, A, A, A SFY2018-19
950000050 MISSION CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-09-14 00:00:00 950014413 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-05-19 00:00:00 2018-05-19 00:00:00 No 2018-10-05 00:00:00 None B None 2000 2000 0 2000 0 None ERLH11 N CA00587731, CA00588158 A, A SFY2018-19
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-10-05 00:00:00 950014465 Open Citation Citation B (HSC 1424) Patient Care None 2018-05-10 00:00:00 2018-05-10 00:00:00 Yes 2018-10-26 00:00:00 2018-10-18 00:00:00 B None 2000 2000 0 0 2000 None NE3H11 N None None SFY2018-19
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-10-19 00:00:00 950014509 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-20 00:00:00 2018-07-20 00:00:00 Yes 2018-11-09 00:00:00 2018-11-02 00:00:00 B None 2000 2000 0 0 2000 None SMNM11 N CA00596497, CA00596497, CA00596663, CA00596663 B, B, B, B SFY2018-19
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-10-25 00:00:00 950014517 Closed Citation Citation A (HSC 1424) Patient Care None 2018-04-12 00:00:00 2018-04-12 00:00:00 No 2018-11-16 00:00:00 None A None 20000 20000 -7000 13000 0 None 6VYH11 Y CA00585132, CA00585132 B, B SFY2018-19
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-11-14 00:00:00 950014518 Closed Citation Citation B (HSC 1424) Patient Care None 2018-04-12 00:00:00 2018-04-12 00:00:00 No 2018-12-07 00:00:00 None B None 2000 2000 -700 1300 0 None KGSL11 N CA00589496 A SFY2018-19
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-10-30 00:00:00 950014545 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-11-05 00:00:00 2017-11-05 00:00:00 No 2018-11-21 00:00:00 None B None 2000 2000 -700 1300 0 None 3EL411 N CA00559916 B SFY2018-19
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-11-09 00:00:00 950014576 Closed Citation Citation B (HSC 1424) Medication None 2018-08-08 00:00:00 2018-08-08 00:00:00 No 2018-12-05 00:00:00 None B None 2000 2000 -700 1300 0 None QNZI11 N CA00599544 B SFY2018-19
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-11-16 00:00:00 950014585 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-08-21 00:00:00 2018-08-21 00:00:00 No 2018-12-11 00:00:00 None B None 2000 2000 -700 1300 0 None Q66P11 N CA00601828, CA00605580 A, A SFY2018-19
970000117 HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2018-11-26 00:00:00 950014604 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-08-23 00:00:00 2018-08-23 00:00:00 No 2018-12-17 00:00:00 None B None 2000 2000 0 2000 0 None R4BY11 N CA00602103, CA00602103 A, A SFY2018-19
950000260 ROYAL OAKS MANOR - BRADBURY OAKS LTC SNF Skilled Nursing Facility LA Region 1 2018-11-30 00:00:00 950014611 Closed Citation Citation A (HSC 1424) Patient Care None 2018-11-13 00:00:00 2018-11-13 00:00:00 Yes 2018-12-21 00:00:00 2018-12-04 00:00:00 A B 20000 10000 0 10000 0 None 7FRU11 N None None SFY2018-19
970000163 CAMELLIA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-11-29 00:00:00 950014612 Closed Citation Citation B (HSC 1424) Patient Care None 2018-08-10 00:00:00 2018-08-10 00:00:00 No 2018-12-20 00:00:00 None B None 2000 2000 -700 1300 0 None HCQM11 N CA00602662 B SFY2018-19
950000249 MAYFLOWER CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-12-04 00:00:00 950014626 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-08-29 00:00:00 2018-08-29 00:00:00 No 2018-12-26 00:00:00 None B None 2000 2000 0 2000 0 None F3W911 N CA00602886, CA00602886 A, A SFY2018-19
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2018-12-04 00:00:00 950014629 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-09-07 00:00:00 2018-09-07 00:00:00 No 2018-12-26 00:00:00 None B None 2000 2000 -700 1300 0 None 5V1L11 N CA00602799 A SFY2018-19
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-12-07 00:00:00 950014638 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-13 00:00:00 2018-10-13 00:00:00 No 2018-12-31 00:00:00 None B None 2000 2000 -700 1300 0 None 0YH311 N CA00608062 A SFY2018-19
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-12-14 00:00:00 950014660 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-03 00:00:00 2018-09-03 00:00:00 Yes 2019-01-07 00:00:00 2018-12-27 00:00:00 A B 20000 20000 0 20000 0 None ZAMA11 N CA00604651 B SFY2018-19
970000075 THE BELLEFONTAINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-12-21 00:00:00 950014662 Closed Citation Citation A (HSC 1424) Patient Care None 2018-08-25 00:00:00 2018-08-25 00:00:00 Yes 2019-01-14 00:00:00 2019-01-03 00:00:00 A A 20000 10000 0 10000 0 None 3LR211 N CA00605487 B SFY2018-19
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-12-21 00:00:00 950014678 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-07-07 00:00:00 2018-07-07 00:00:00 No 2019-01-14 00:00:00 None B None 2000 2000 0 2000 0 None I21111 N CA00605484 A SFY2018-19
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-12-27 00:00:00 950014688 Closed Citation Citation B (HSC 1424) Patient Care None 2018-05-03 00:00:00 2018-05-03 00:00:00 No 2019-01-17 00:00:00 None B None 2000 2000 -700 1300 0 None 6K9G11 N CA00585504, CA00606442 B, B SFY2018-19
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-01-11 00:00:00 950014712 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-26 00:00:00 2018-09-26 00:00:00 Yes 2019-02-01 00:00:00 2019-02-01 00:00:00 A B 20000 16000 0 16000 0 None 7O9P11 Y CA00608148 A SFY2018-19
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-01-10 00:00:00 950014718 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-11-28 00:00:00 2018-11-28 00:00:00 No 2019-01-31 00:00:00 None B None 1000 1000 -350 650 0 None U7F511 N None None SFY2018-19
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-01-23 00:00:00 950014755 Closed Citation Citation A (HSC 1424) Patient Care None 2019-01-22 00:00:00 2019-01-22 00:00:00 No 2019-02-13 00:00:00 None A None 20000 20000 -7000 13000 0 None NU9X11 N CA00615083 B SFY2018-19
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-01-30 00:00:00 950014780 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-10-17 00:00:00 2018-10-17 00:00:00 No 2019-02-20 00:00:00 None B None 2000 2000 -700 1300 0 None 6G0N11 N CA00610343, CA00610343 A, A SFY2018-19
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2019-02-01 00:00:00 950014782 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-05 00:00:00 2018-12-05 00:00:00 Yes 2019-02-22 00:00:00 2019-02-15 00:00:00 A A 15000 7500 0 7500 0 None 381311 N None None SFY2018-19
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-02-08 00:00:00 950014803 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-19 00:00:00 2018-10-19 00:00:00 Yes 2019-03-01 00:00:00 2019-03-01 00:00:00 A B 20000 10000 0 10000 0 None JYSE11 N CA00608994, CA00608994 B, B SFY2018-19
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-02-22 00:00:00 950014835 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-11-23 00:00:00 2018-11-23 00:00:00 No 2019-03-15 00:00:00 None B None 2000 2000 -700 1300 0 None N25E11 N CA00613451 A SFY2018-19
940000006 LAKEWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-03-14 00:00:00 950014884 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-11-01 00:00:00 2018-11-01 00:00:00 No 2019-04-04 00:00:00 None B None 2000 2000 -700 1300 0 None IPVS11 N CA00616629 B SFY2018-19
950000078 MOUNT SAN ANTONIO GARDENS LTC SNF Skilled Nursing Facility LA Region 1 2019-03-14 00:00:00 950014885 Open Citation Citation B (HSC 1424) Patient Care None 2018-10-21 00:00:00 2018-10-21 00:00:00 Yes 2019-04-04 00:00:00 2019-04-02 00:00:00 B None 2000 2000 -700 1300 0 None 448V11 N None None SFY2018-19
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-03-21 00:00:00 950014900 Open Citation Citation B (HSC 1424) Patient Rights None 2018-12-12 00:00:00 2018-12-12 00:00:00 Yes 2019-04-11 00:00:00 2019-03-22 00:00:00 B None 2000 6000 0 0 6000 None JBZE11 N CA00617485 B SFY2018-19
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-03-21 00:00:00 950014903 Open Citation Citation B (HSC 1424) Patient Rights None 2018-12-19 00:00:00 2018-12-19 00:00:00 Yes 2019-04-11 00:00:00 2019-03-22 00:00:00 B None 2000 6000 0 0 6000 None JBZE11 N CA00617485, CA00617485 B, B SFY2018-19
970000117 HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2019-03-22 00:00:00 950014910 Closed Citation Citation B (HSC 1424) Problem Transfer None 2018-12-04 00:00:00 2018-12-04 00:00:00 No 2019-04-12 00:00:00 None B None 2000 2000 0 2000 0 None AFNO11 N CA00617471 B SFY2018-19
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2019-04-04 00:00:00 950014935 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-14 00:00:00 2019-01-14 00:00:00 No 2019-04-25 00:00:00 None B None 2000 2000 -700 1300 0 None 7NDW11 N CA00618866, CA00618866, CA00620107, CA00620107 B, B, B, B SFY2018-19
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2019-04-11 00:00:00 950014951 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-16 00:00:00 2018-09-16 00:00:00 Yes 2019-05-02 00:00:00 2019-04-16 00:00:00 A B 20000 15000 0 15000 0 None ZUHI11 Y CA00619634 A SFY2018-19
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-04-17 00:00:00 950014963 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-18 00:00:00 2018-10-18 00:00:00 No 2019-05-08 00:00:00 None A None 20000 20000 -7000 13000 0 None PJBG11 Y CA00620616 A SFY2018-19
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-04-17 00:00:00 950014966 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2018-10-18 00:00:00 2018-10-18 00:00:00 No 2019-05-08 00:00:00 None WF None 1000 1000 -350 650 0 None PJBG11 None CA00620616 A SFY2018-19
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2019-05-08 00:00:00 950015043 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-10 00:00:00 2018-12-10 00:00:00 No 2019-05-29 00:00:00 None A None 20000 20000 -7000 13000 0 None EY5711 N CA00615509 B SFY2018-19
950000105 SUNSET MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2019-05-15 00:00:00 950015060 Closed Citation Citation B (HSC 1424) Patient Care None 2018-12-31 00:00:00 2018-12-31 00:00:00 No 2019-06-05 00:00:00 None B None 2000 2000 0 2000 0 None 01LE11 N CA00624660 A SFY2018-19
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2019-05-24 00:00:00 950015110 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-04-18 00:00:00 2019-04-18 00:00:00 No 2019-06-14 00:00:00 None B None 2000 2000 0 2000 0 None U5ES11 N CA00626698 B SFY2018-19
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-06-21 00:00:00 950015178 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-01 00:00:00 2019-02-01 00:00:00 No 2019-07-12 00:00:00 None B None 2000 2000 0 2000 0 None JXRH11 N CA00630534, CA00630534 B, B SFY2018-19
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2019-06-20 00:00:00 950015188 Closed Citation Citation A (HSC 1424) Other Quality of Care 2019-03-22 00:00:00 2019-03-22 00:00:00 No 2019-07-11 00:00:00 None A None 20000 20000 -7000 13000 0 None OE7X11 N CA00630618 B SFY2018-19
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-07-03 00:00:00 950015216 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-16 00:00:00 2019-03-16 00:00:00 No 2019-07-24 00:00:00 None B None 2000 2000 -700 1300 0 None N5ZY11 N CA00632022 B SFY2019-20
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-07-15 00:00:00 950015232 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-02-14 00:00:00 2019-02-14 00:00:00 No 2019-08-05 00:00:00 None B None 1500 1500 0 1500 0 None 6F0711 N CA00624437, CA00624437 B, B SFY2019-20
950000018 SIERRA VIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-07-26 00:00:00 950015247 Closed Citation Citation A (HSC 1424) Patient Care None 2019-03-01 00:00:00 2019-03-01 00:00:00 Yes 2019-08-16 00:00:00 2019-10-01 00:00:00 A A 20000 14000 0 14000 0 None 9WP411 Y CA00627215, CA00627215 A, A SFY2019-20
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2019-08-09 00:00:00 950015288 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-05-16 00:00:00 2019-05-16 00:00:00 No 2019-08-30 00:00:00 None B None 2000 2000 -700 1300 0 None QN8211 N CA00637939 B SFY2019-20
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2019-08-09 00:00:00 950015289 Closed Citation Citation B (HSC 1424) Problem Transfer None 2019-05-16 00:00:00 2019-05-16 00:00:00 No 2019-08-30 00:00:00 None B None 2000 2000 -700 1300 0 None QN8211 N CA00637939 B SFY2019-20
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2019-08-09 00:00:00 950015291 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-28 00:00:00 2018-10-28 00:00:00 No 2019-08-30 00:00:00 None B None 2000 2000 -700 1300 0 None 0YQ611 N CA00637548 B SFY2019-20
920000306 AUTUMN HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-08-13 00:00:00 950015303 Closed Citation Citation B (HSC 1424) Patient Care None 2019-05-20 00:00:00 2019-05-20 00:00:00 Yes 2019-09-03 00:00:00 2019-09-03 00:00:00 B B 2000 1600 0 1600 0 None MSM711 N CA00639436 B SFY2019-20
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-09-20 00:00:00 950015335 Closed Citation Citation B (HSC 1424) Patient Care None 2019-07-02 00:00:00 2019-07-02 00:00:00 No 2019-10-11 00:00:00 None B None 2000 2000 0 2000 0 None Q9UC11 N CA00643073, CA00643073, CA00643073, CA00643073, CA00643309, CA00643309, CA00643309, CA00643309, CA00645226, CA00645226, CA00645226, CA00645226, CA00645226 B, B, B, B, A, A, A, A, B, B, B, B, B SFY2019-20
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-09-20 00:00:00 950015336 Closed Citation Citation B (HSC 1424) Medication None 2019-07-02 00:00:00 2019-07-02 00:00:00 No 2019-10-11 00:00:00 None B None 2000 2000 0 2000 0 None Q9UC11 N CA00643073, CA00643073, CA00643073, CA00643073, CA00643309, CA00643309, CA00643309, CA00643309, CA00645226, CA00645226, CA00645226, CA00645226, CA00645226 B, B, B, B, A, A, A, A, B, B, B, B, B SFY2019-20
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-09-19 00:00:00 950015338 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-07 00:00:00 2019-05-07 00:00:00 No 2019-10-10 00:00:00 None B None 2000 2000 -700 1300 0 None RXTC11 N CA00636749, CA00638666, CA00639257, CA00640788 A, A, B, B SFY2019-20
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-09-03 00:00:00 950015363 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-02 00:00:00 2019-03-02 00:00:00 No 2019-09-24 00:00:00 None B None 2000 2000 0 2000 0 None L4DM11 N None None SFY2019-20
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-09-19 00:00:00 950015397 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-07 00:00:00 2019-05-07 00:00:00 No 2019-10-10 00:00:00 None B None 2000 2000 0 2000 0 None RXTC11 N CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788, CA00640788 A, A, A, A, A, A, A, B, B, B, B, B, B SFY2019-20
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-09-19 00:00:00 950015398 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-07 00:00:00 2019-05-07 00:00:00 No 2019-10-10 00:00:00 None B None 2000 2000 0 2000 0 None RXTC11 N CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788 A, A, A, A, A, A, A, B, B, B, B, B SFY2019-20
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-09-19 00:00:00 950015399 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-05-07 00:00:00 2019-05-07 00:00:00 No 2019-10-10 00:00:00 None B None 2000 2000 0 2000 0 None RXTC11 N CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788 A, A, A, A, A, A, A, B, B, B, B, B SFY2019-20
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2019-09-26 00:00:00 950015418 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-14 00:00:00 2018-11-14 00:00:00 No 2019-10-17 00:00:00 None B None 2000 2000 -700 1300 0 None 3RSL11 N CA00610605 B SFY2019-20
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2019-10-11 00:00:00 950015452 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-18 00:00:00 2018-05-18 00:00:00 No 2019-11-01 00:00:00 None A None 20000 20000 -7000 13000 0 None V19C11 Y CA00589344, CA00589344, CA00589344 A, A, A SFY2019-20
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-10-18 00:00:00 950015466 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-06 00:00:00 2019-08-06 00:00:00 No 2019-11-08 00:00:00 None B None 2000 2000 -700 1300 0 None K6JL11 N CA00647268 B SFY2019-20
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2019-10-24 00:00:00 950015474 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-11-08 00:00:00 2018-11-08 00:00:00 No 2019-11-14 00:00:00 None B None 2000 2000 0 2000 0 None ERFB11 N CA00647701 B SFY2019-20
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2019-10-25 00:00:00 950015478 Closed Citation Citation A (HSC 1424) Patient Care None 2019-04-08 00:00:00 2019-04-08 00:00:00 No 2019-11-15 00:00:00 None A None 20000 20000 -7000 13000 0 None 4XNI11 N CA00647872 B SFY2019-20
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2019-10-25 00:00:00 950015482 Closed Citation Citation B (HSC 1424) Administration None 2019-03-22 00:00:00 2019-03-22 00:00:00 No 2019-11-18 00:00:00 None B None 2000 2000 -700 1300 0 None BB2711 N CA00647988 A SFY2019-20
940000026 LA PAZ GEROPSYCHIATRIC CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-30 00:00:00 950015485 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-02 00:00:00 2019-09-02 00:00:00 No 2019-11-20 00:00:00 None B None 2000 2000 -700 1300 0 None 3POG11 N CA00653172 B SFY2019-20
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-11-01 00:00:00 950015505 Closed Citation Citation B (HSC 1424) Medication None 2019-05-09 00:00:00 2019-05-09 00:00:00 No 2019-11-22 00:00:00 None B None 2000 2000 0 2000 0 None WQN511 N CA00649160, CA00649160 A, A SFY2019-20
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-11-07 00:00:00 950015523 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-09 00:00:00 2019-06-09 00:00:00 No 2019-11-28 00:00:00 None B None 2000 2000 -700 1300 0 None S70511 N CA00641334, CA00641334 B, B SFY2019-20
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-11-27 00:00:00 950015559 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-01 00:00:00 2019-08-01 00:00:00 No 2019-12-18 00:00:00 None B None 2000 2000 -700 1300 0 None 71PW11 N CA00652514, CA00652514, CA00653951, CA00653951, CA00653951 B, B, A, A, A SFY2019-20
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-12-12 00:00:00 950015607 Open Citation Citation B (HSC 1424) Physical Environment None 2019-07-15 00:00:00 2019-07-15 00:00:00 No 2020-01-02 00:00:00 None B None 2000 2000 -700 1300 0 None EECP11 N None None SFY2019-20
970000089 COLLEGE VISTA POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2020-01-10 00:00:00 950015674 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-12-29 00:00:00 2019-12-29 00:00:00 No 2020-01-31 00:00:00 None B None 2000 2000 0 2000 0 None C17Z11 N CA00659241 B SFY2019-20
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-01-17 00:00:00 950015692 Closed Citation Citation B (HSC 1424) Physical Environment None 2019-11-26 00:00:00 2019-11-26 00:00:00 No 2020-02-07 00:00:00 None B None 2000 2000 -700 1300 0 None X5F911 N CA00665263 A SFY2019-20
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-02-12 00:00:00 950015735 Closed Citation Citation B (HSC 1424) Patient Care None 2019-09-15 00:00:00 2019-09-15 00:00:00 No 2020-03-04 00:00:00 None B None 2000 2350 0 2350 0 None LBG411 N None None SFY2019-20
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-03-19 00:00:00 950015755 Closed Citation Citation A (HSC 1424) Other Abuse 2019-02-14 00:00:00 2019-02-14 00:00:00 Yes 2020-04-09 00:00:00 2020-04-06 00:00:00 A A 20000 14000 0 14000 0 None 3TSR11 N CA00625874, CA00627571 A, A SFY2019-20
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-03-12 00:00:00 950015800 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-01-09 00:00:00 2020-01-09 00:00:00 No 2020-04-02 00:00:00 None B None 2000 2000 0 2000 0 None I4M311 N CA00670900 A SFY2019-20
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2020-03-12 00:00:00 950015803 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-12-07 00:00:00 2019-12-07 00:00:00 No 2020-04-03 00:00:00 None B None 2000 2000 0 2000 0 None P55L11 N CA00666961 A SFY2019-20
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2020-04-02 00:00:00 950015808 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-10-15 00:00:00 2019-10-15 00:00:00 No 2020-04-23 00:00:00 None B None 2000 2500 -700 1800 0 None 5NEF11 N CA00659364 B SFY2019-20
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-03-19 00:00:00 950015814 Closed Citation Citation A (HSC 1424) Patient Care None 2019-09-24 00:00:00 2019-09-24 00:00:00 Yes 2020-04-10 00:00:00 2020-03-25 00:00:00 A B 20000 20300 -300 20000 0 None X2BU11 N CA00657063, CA00657063, CA00664497, CA00664497 B, B, B, B SFY2019-20
950000027 SANTA FE LODGE LTC SNF Skilled Nursing Facility LA Region 1 2020-04-03 00:00:00 950015836 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-19 00:00:00 2020-02-19 00:00:00 No 2020-04-24 00:00:00 None B None 2000 2000 -700 1300 0 None ML6Z11 N None None SFY2019-20
950000104 ROYAL GARDENS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2020-04-16 00:00:00 950015849 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-25 00:00:00 2020-02-25 00:00:00 No 2020-05-07 00:00:00 None B None 2000 2000 0 2000 0 None KI0J11 N CA00677751 A SFY2019-20
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-04-17 00:00:00 950015853 Closed Citation Citation A (HSC 1424) Patient Care None 2020-04-16 00:00:00 2020-04-16 00:00:00 No 2020-05-08 00:00:00 None A None 20000 20000 0 20000 0 None 5WU611 N CA00672565, CA00672565, CA00672565 A, A, A SFY2019-20
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-04-17 00:00:00 950015854 Closed Citation Citation B (HSC 1424) Patient Care None 2020-04-16 00:00:00 2020-04-16 00:00:00 No 2020-05-08 00:00:00 None B None 2000 2000 0 2000 0 None 5WU611 N CA00672565, CA00672565 A, A SFY2019-20
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-04-23 00:00:00 950015857 Closed Citation Citation A (HSC 1424) Patient Care None 2020-01-29 00:00:00 2020-01-29 00:00:00 Yes 2020-05-14 00:00:00 2020-04-23 00:00:00 A B 16000 16000 0 16000 0 None Q71B11 N None None SFY2019-20
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-05-01 00:00:00 950015866 Closed Citation Citation B (HSC 1424) Patient Care None 2020-02-14 00:00:00 2020-02-14 00:00:00 No 2020-05-22 00:00:00 None B None 2000 2000 -700 1300 0 None 903811 N CA00676304 A SFY2019-20
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-05-08 00:00:00 950015872 Closed Citation Citation A (HSC 1424) Patient Care None 2020-02-12 00:00:00 2020-02-12 00:00:00 No 2020-05-29 00:00:00 None A None 20000 20000 -7000 13000 0 None 6CFJ11 N CA00676321, CA00676321 A, A SFY2019-20
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-05-27 00:00:00 950015887 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-11-18 00:00:00 2019-11-18 00:00:00 No 2020-06-17 00:00:00 None B None 2000 2000 0 2000 0 None TF2M11 N CA00678264 A SFY2019-20
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2020-06-12 00:00:00 950015897 Closed Citation Citation A (HSC 1424) Patient Care None 2020-03-10 00:00:00 2020-03-10 00:00:00 Yes 2020-07-03 00:00:00 2020-06-17 00:00:00 A None 20000 20150 0 20150 0 None 17LP11 Y CA00680747 B SFY2019-20
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-06-25 00:00:00 950015912 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-27 00:00:00 2020-05-27 00:00:00 No 2020-07-16 00:00:00 None B None 2000 2000 0 2000 0 None 84UX11 N CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106 A, A, A, A, A, A SFY2019-20
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-06-30 00:00:00 950015913 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-27 00:00:00 2020-05-27 00:00:00 No 2020-07-21 00:00:00 None B None 2000 2000 0 2000 0 None 84UX11 N CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106 A, A, A, A, A, A SFY2019-20
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-06-26 00:00:00 950015914 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-27 00:00:00 2020-05-27 00:00:00 No 2020-07-17 00:00:00 None B None 2000 2000 0 2000 0 None 84UX11 N CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106 A, A, A, A, A, A SFY2019-20
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-06-25 00:00:00 950015915 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-27 00:00:00 2020-05-27 00:00:00 No 2020-07-16 00:00:00 None B None 2000 2000 0 2000 0 None 84UX11 N CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106 A, A, A, A, A, A SFY2019-20
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-06-26 00:00:00 950015916 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-27 00:00:00 2020-05-27 00:00:00 No 2020-07-17 00:00:00 None B None 2000 2000 0 2000 0 None 84UX11 N CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106 A, A, A, A, A, A SFY2019-20
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-05-27 00:00:00 950015950 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-27 00:00:00 2020-05-27 00:00:00 No 2020-06-17 00:00:00 None B None 2000 2000 0 2000 0 None 84UX11 N CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106 A, A, A, A, A, A SFY2019-20
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-07-31 00:00:00 950015963 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-06 00:00:00 2020-06-06 00:00:00 No 2020-08-21 00:00:00 None B None 2000 2000 -700 1300 0 None O7EW11 N CA00691538, CA00691538, CA00691650, CA00691650 A, A, B, B SFY2020-21
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-08-07 00:00:00 950015964 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-27 00:00:00 2020-05-27 00:00:00 No 2020-08-28 00:00:00 None A None 20000 20000 -20000 0 0 None X3W711 N CA00688967 A SFY2020-21
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-08-07 00:00:00 950015968 Closed Citation Citation A (HSC 1424) Medication None 2020-05-20 00:00:00 2020-05-20 00:00:00 No 2020-08-28 00:00:00 None A None 20000 20000 -20000 0 0 None FGHK11 N CA00689421 B SFY2020-21
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-08-07 00:00:00 950015969 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-27 00:00:00 2020-05-27 00:00:00 No 2020-08-28 00:00:00 None A None 20000 20000 -20000 0 0 None 84UX11 N CA00690106 A SFY2020-21
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-08-14 00:00:00 950015975 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-26 00:00:00 2020-06-26 00:00:00 No 2020-09-04 00:00:00 None B None 2000 2000 -700 1300 0 None VY6V11 N CA00694274, CA00694274, CA00694467 A, A, A SFY2020-21
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-08-14 00:00:00 950015976 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-27 00:00:00 2020-06-27 00:00:00 No 2020-09-04 00:00:00 None B None 2000 2000 -700 1300 0 None VY6V11 N CA00694274, CA00694274, CA00694274, CA00694467, CA00694467 A, A, A, A, A SFY2020-21
920000304 GLENHAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2020-08-14 00:00:00 950015977 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-24 00:00:00 2020-05-24 00:00:00 No 2020-09-04 00:00:00 None B None 2000 2000 0 2000 0 None T9PD11 N CA00689848 A SFY2020-21
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-08-19 00:00:00 950015983 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-04 00:00:00 2020-06-04 00:00:00 No 2020-09-10 00:00:00 None B None 2000 2000 -2000 0 0 None YUUR11 N CA00691200, CA00691200 A, A SFY2020-21
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2020-08-21 00:00:00 950015987 Closed Citation Citation B (HSC 1424) Patient Care None 2020-06-24 00:00:00 2020-06-24 00:00:00 No 2020-09-14 00:00:00 None B None 2000 2000 -700 1300 0 None O6X211 N CA00693769, CA00693769 A, A SFY2020-21
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-09-10 00:00:00 950016021 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-03 00:00:00 2020-08-03 00:00:00 No 2020-10-01 00:00:00 None B None 2000 2000 0 2000 0 None L6R611 N CA00696803 A SFY2020-21
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-09-17 00:00:00 950016039 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-08-04 00:00:00 2020-08-04 00:00:00 No 2020-10-08 00:00:00 None B None 2000 2000 -700 1300 0 None Y5VO11 N CA00699701 A SFY2020-21
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-09-18 00:00:00 950016040 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-09 00:00:00 2020-07-09 00:00:00 No 2020-10-09 00:00:00 None B None 2000 2000 -700 1300 0 None J1V311 N CA00696216, CA00696216 A, A SFY2020-21
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-10-09 00:00:00 950016044 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-20 00:00:00 2020-08-20 00:00:00 No 2020-10-30 00:00:00 None B None 2000 2000 -700 1300 0 None NQG011 N CA00701853, CA00701853 A, A SFY2020-21
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-09-25 00:00:00 950016055 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-13 00:00:00 2020-08-13 00:00:00 Yes 2020-10-16 00:00:00 2020-09-30 00:00:00 B None 2000 2000 0 2000 0 None DC4011 N CA00701161 A SFY2020-21
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-09-25 00:00:00 950016060 Closed Citation Citation A (HSC 1424) Patient Care None 2020-01-12 00:00:00 2020-01-12 00:00:00 Yes 2020-10-16 00:00:00 2020-10-16 00:00:00 A B 20000 9500 0 9500 0 None 233911 Y CA00671404, CA00671404 A, A SFY2020-21
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-09-25 00:00:00 950016061 Closed Citation Citation B (HSC 1424) Patient Care None 2020-05-30 00:00:00 2020-05-30 00:00:00 No 2020-10-16 00:00:00 None B None 2000 2000 -700 1300 0 None WHCB11 N CA00690707, CA00690743 A, A SFY2020-21
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2020-12-09 00:00:00 950016116 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-11 00:00:00 2016-10-11 00:00:00 No 2020-12-31 00:00:00 None A None 20000 20000 -7000 13000 0 None JD5N11 N CA00480344, CA00480344 A, A SFY2020-21
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-11-04 00:00:00 950016135 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-24 00:00:00 2020-07-24 00:00:00 No 2020-11-30 00:00:00 None B None 2000 2000 -700 1300 0 None HBMP11 N CA00700915 A SFY2020-21
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-11-04 00:00:00 950016136 Closed Citation Citation B (HSC 1424) Patient Care None 2020-07-24 00:00:00 2020-07-24 00:00:00 No 2020-11-30 00:00:00 None B None 2000 2000 -700 1300 0 None HBMP11 N CA00700915, CA00700915 A, A SFY2020-21
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-11-06 00:00:00 950016139 Closed Citation Citation B (HSC 1424) Problem Transfer None 2020-08-10 00:00:00 2020-08-10 00:00:00 No 2020-12-02 00:00:00 None B None 2000 8100 0 8100 0 None IIO511 N CA00700694, CA00700694, CA00700882, CA00700882, CA00700889, CA00700889, CA00701262, CA00701262, CA00703394 A, A, A, A, A, A, A, A, B SFY2020-21
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2020-11-06 00:00:00 950016143 Closed Citation Citation A (HSC 1424) Patient Care None 2020-09-20 00:00:00 2020-09-20 00:00:00 Yes 2020-12-02 00:00:00 2020-11-06 00:00:00 A None 20000 20000 0 20000 0 None YFDC11 N CA00655775 B SFY2020-21
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2020-11-12 00:00:00 950016146 Open Citation Citation B (HSC 1424) Patient Care None 2020-09-04 00:00:00 2020-09-04 00:00:00 Yes 2020-12-07 00:00:00 2020-12-04 00:00:00 B None 2000 2000 0 0 2000 None 09FC11 N CA00704056, CA00704056, CA00704159, CA00704159 A, A, B, B SFY2020-21
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2020-11-12 00:00:00 950016147 Open Citation Citation A (HSC 1424) Patient Care None 2020-09-04 00:00:00 2020-09-04 00:00:00 Yes 2020-12-07 00:00:00 2020-12-04 00:00:00 A None 20000 20000 0 0 20000 None 09FC11 N CA00704056, CA00704056, CA00704056 A, A, A SFY2020-21
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2020-11-12 00:00:00 950016152 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-04 00:00:00 2020-09-04 00:00:00 Yes 2020-12-07 00:00:00 2020-12-04 00:00:00 B B 2000 1800 0 1800 0 None 09FC11 N CA00704056, CA00704056, CA00704056, CA00704159, CA00704159, CA00704159 A, A, A, B, B, B SFY2020-21
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2020-11-12 00:00:00 950016153 Open Citation Citation A (HSC 1424) Patient Care None 2020-09-04 00:00:00 2020-09-04 00:00:00 Yes 2020-12-07 00:00:00 2020-12-04 00:00:00 A None 20000 20000 0 0 20000 None 09FC11 N CA00704056, CA00704056, CA00704056, CA00704159, CA00704159, CA00704159 A, A, A, B, B, B SFY2020-21
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-11-17 00:00:00 950016157 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-04 00:00:00 2020-11-04 00:00:00 No 2020-12-10 00:00:00 None B None 2000 2350 -700 1650 0 None IKXN11 N CA00711346 A SFY2020-21
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2020-11-20 00:00:00 950016163 Closed Citation Citation A (HSC 1424) Patient Rights None 2020-11-16 00:00:00 2020-11-16 00:00:00 Yes 2020-12-15 00:00:00 2020-12-11 00:00:00 A A 20000 12000 0 12000 0 None JVN411 N CA00663996, CA00663996, CA00664127, CA00664127, CA00664131, CA00664131 B, B, B, B, B, B SFY2020-21
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-11-20 00:00:00 950016164 Closed Citation Citation B (HSC 1424) Patient Care None 2020-08-21 00:00:00 2020-08-21 00:00:00 No 2020-12-15 00:00:00 None B None 2000 2000 0 2000 0 None W0VX11 N CA00702532, CA00702532, CA00702532, CA00702532 B, B, B, B SFY2020-21
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-11-25 00:00:00 950016169 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-16 00:00:00 2020-10-16 00:00:00 No 2020-12-18 00:00:00 None B None 2000 2000 -700 1300 0 None GVY411 N CA00709046, CA00709046, CA00709046 B, B, B SFY2020-21
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-11-25 00:00:00 950016170 Closed Citation Citation B (HSC 1424) Physical Environment None 2020-10-01 00:00:00 2020-10-01 00:00:00 No 2020-12-18 00:00:00 None B None 2000 2000 -700 1300 0 None CVGL11 N CA00707189, CA00707189, CA00708050, CA00708050 A, A, B, B SFY2020-21
970000099 SOLHEIM SENIOR COMMUNITY LTC SNF Skilled Nursing Facility LA Region 1 2020-12-04 00:00:00 950016174 Closed Citation Citation A (HSC 1424) Patient Care None 2020-08-31 00:00:00 2020-08-31 00:00:00 Yes 2020-12-28 00:00:00 2020-12-28 00:00:00 A A 20000 12600 -100 12500 0 None 47LN11 N CA00703561 B SFY2020-21
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-12-02 00:00:00 950016175 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-04 00:00:00 2020-09-04 00:00:00 No 2020-12-23 00:00:00 None B None 2000 2000 0 2000 0 None F3YQ11 N CA00703838, CA00703866, CA00703912 B, B, B SFY2020-21
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-12-04 00:00:00 950016181 Closed Citation Citation A (HSC 1424) Patient Care None 2020-04-12 00:00:00 2020-04-12 00:00:00 Yes 2020-12-28 00:00:00 2020-12-09 00:00:00 A A 20000 13000 0 13000 0 None QLOX11 Y CA00687029, CA00687029, CA00687029 B, B, B SFY2020-21
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-12-04 00:00:00 950016183 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-01 00:00:00 2020-11-01 00:00:00 No 2020-12-28 00:00:00 None B None 2000 2000 -700 1300 0 None 3ICO11 N CA00710953 A SFY2020-21
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-12-11 00:00:00 950016192 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-12 00:00:00 2020-09-12 00:00:00 No 2021-01-05 00:00:00 None B None 2000 2000 -700 1300 0 None IS1D11 N CA00704881, CA00704881, CA00704881, CA00704881, CA00704881, CA00704881 A, A, A, A, A, A SFY2020-21
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-12-11 00:00:00 950016195 Open Citation Citation B (HSC 1424) Patient Care None 2020-10-29 00:00:00 2020-10-29 00:00:00 Yes 2021-01-05 00:00:00 2020-12-30 00:00:00 B None 2000 2000 0 0 2000 None 6MVR11 N CA00710735 A SFY2020-21
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-01-07 00:00:00 950016230 Closed Citation Citation A (HSC 1424) Patient Care None 2020-08-31 00:00:00 2020-08-31 00:00:00 No 2021-01-29 00:00:00 None A None 20000 20000 -7000 13000 0 None UHJV11 N CA00703228 A SFY2020-21
960001457 EL ENCANTO HEALTHCARE AND HABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-01-10 00:00:00 950016236 Closed Citation Citation A (HSC 1424) Patient Care None 2020-09-24 00:00:00 2020-09-24 00:00:00 Yes 2021-02-01 00:00:00 2021-01-29 00:00:00 A A 20000 15000 0 15000 0 None B66511 N CA00706663, CA00708950 B, B SFY2020-21
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-01-14 00:00:00 950016242 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-02 00:00:00 2020-12-02 00:00:00 No 2021-02-05 00:00:00 None B None 2000 2000 -700 1300 0 None 011F11 N None None SFY2020-21
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-01-22 00:00:00 950016248 Open Citation Citation B (HSC 1424) Patient Care None 2020-11-15 00:00:00 2020-11-15 00:00:00 Yes 2021-02-12 00:00:00 2021-02-09 00:00:00 B None 2000 2000 0 0 2000 None 6DRN11 N CA00712621 A SFY2020-21
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-01-29 00:00:00 950016258 Closed Citation Citation B (HSC 1424) Patient Care None 2019-10-07 00:00:00 2019-10-07 00:00:00 No 2021-02-22 00:00:00 None B None 2000 2000 0 2000 0 None MBID11 N CA00711458, CA00711458, CA00711458 A, A, A SFY2020-21
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-03 00:00:00 950016261 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-30 00:00:00 2020-11-30 00:00:00 No 2021-02-25 00:00:00 None B None 2000 2000 0 2000 0 None KU5H11 N CA00715348 A SFY2020-21
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2021-02-04 00:00:00 950016263 Closed Citation Citation A (HSC 1424) Patient Care None 2020-05-06 00:00:00 2020-05-06 00:00:00 No 2021-02-26 00:00:00 None A None 20000 20000 -7000 13000 0 None JJ6I11 Y CA00704229 A SFY2020-21
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2021-02-11 00:00:00 950016276 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-10-02 00:00:00 2020-10-02 00:00:00 No 2021-03-05 00:00:00 None B None 2000 2000 -700 1300 0 None PHOG11 N CA00712662, CA00713242, CA00713242 A, B, B SFY2020-21
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016277 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-22 00:00:00 2020-11-22 00:00:00 No 2021-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None 3NLN11 N CA00713520, CA00713520, CA00713520, CA00713526, CA00713526, CA00713526, CA00714431, CA00714431, CA00714533, CA00714533, CA00714533 A, A, A, A, A, A, B, B, B, B, B SFY2020-21
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016278 Open Citation Citation A (HSC 1424) Patient Care None 2020-11-21 00:00:00 2020-11-21 00:00:00 Yes 2021-03-08 00:00:00 2021-02-26 00:00:00 A None 20000 20000 0 0 20000 None 3NLN11 N CA00713520, CA00713520, CA00713526, CA00713526, CA00714431, CA00714533, CA00714533 A, A, A, A, B, B, B SFY2020-21
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016280 Open Citation Citation A (HSC 1424) Patient Care None 2020-11-22 00:00:00 2020-11-22 00:00:00 Yes 2021-03-08 00:00:00 2021-02-26 00:00:00 A None 20000 20000 0 0 20000 None 3NLN11 N CA00713520, CA00713520, CA00713520, CA00713526, CA00713526, CA00713526, CA00714431, CA00714431, CA00714533, CA00714533, CA00714533 A, A, A, A, A, A, B, B, B, B, B SFY2020-21
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016281 Open Citation Citation A (HSC 1424) Patient Care None 2020-11-21 00:00:00 2020-11-21 00:00:00 Yes 2021-03-08 00:00:00 2021-02-26 00:00:00 A None 20000 20000 0 0 20000 None 3NLN11 Y CA00713520, CA00713520, CA00713520, CA00713526, CA00713526, CA00713526, CA00714431, CA00714431, CA00714533, CA00714533, CA00714533 A, A, A, A, A, A, B, B, B, B, B SFY2020-21
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016282 Open Citation Citation A (HSC 1424) Patient Care None 2020-11-21 00:00:00 2020-11-21 00:00:00 Yes 2021-03-08 00:00:00 2021-02-26 00:00:00 A None 20000 20000 0 0 20000 None 3NLN11 Y CA00713520, CA00713520, CA00713520, CA00713526, CA00713526, CA00713526, CA00714431, CA00714431, CA00714533, CA00714533, CA00714533 A, A, A, A, A, A, B, B, B, B, B SFY2020-21
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016284 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-22 00:00:00 2020-11-22 00:00:00 No 2021-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None 3NLN11 N CA00713520, CA00713520, CA00713526, CA00713526, CA00714431, CA00714533, CA00714533 A, A, A, A, B, B, B SFY2020-21
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016285 Open Citation Citation B (HSC 1424) Patient Care None 2020-11-22 00:00:00 2020-11-22 00:00:00 Yes 2021-03-08 00:00:00 2021-03-02 00:00:00 B None 2000 2000 0 0 2000 None 3NLN11 N CA00713520, CA00713520, CA00713526, CA00713526, CA00714431, CA00714533, CA00714533 A, A, A, A, B, B, B SFY2020-21
950000039 ATHERTON BAPTIST HOME-SAM B. WEST LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016286 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-11 00:00:00 2020-12-11 00:00:00 No 2021-03-08 00:00:00 None B None 2000 2000 0 2000 0 None D63411 N CA00715957, CA00715957 B, B SFY2020-21
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-12 00:00:00 950016288 Closed Citation Citation B (HSC 1424) Patient Care None 2020-10-01 00:00:00 2020-10-01 00:00:00 No 2021-03-08 00:00:00 None B None 2000 2000 -700 1300 0 None GDP811 N CA00708634 B SFY2020-21
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-17 00:00:00 950016309 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-18 00:00:00 2018-12-18 00:00:00 No 2021-04-08 00:00:00 None A None 20000 20000 -7000 13000 0 None TVL811 N CA00616542 B SFY2020-21
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2021-03-11 00:00:00 950016310 Closed Citation Citation A (HSC 1424) Patient Care None 2017-07-27 00:00:00 2017-07-27 00:00:00 No 2021-04-02 00:00:00 None A None 20000 20000 -7000 13000 0 None VRH511 Y CA00547569 A SFY2020-21
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-25 00:00:00 950016311 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-29 00:00:00 2020-11-29 00:00:00 No 2021-03-18 00:00:00 None B None 2000 2000 -700 1300 0 None ZFYH11 N CA00714259 A SFY2020-21
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-04 00:00:00 950016316 Closed Citation Citation A (HSC 1424) Patient Care None 2020-11-26 00:00:00 2020-11-26 00:00:00 Yes 2021-03-25 00:00:00 2021-03-26 00:00:00 A A 20000 16300 -300 16000 0 None 9YHF11 N CA00714719 A SFY2020-21
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-02 00:00:00 950016321 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-08 00:00:00 2020-12-08 00:00:00 No 2021-03-23 00:00:00 None B None 2000 2000 0 2000 0 None 0RBG11 N CA00715535, CA00715535, CA00715569, CA00715569 B, B, B, B SFY2020-21
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-05 00:00:00 950016324 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-24 00:00:00 2020-11-24 00:00:00 No 2021-03-26 00:00:00 None B None 2000 2000 0 2000 0 None DO9M11 N CA00720218, CA00720218, CA00720218, CA00720218 A, A, A, A SFY2020-21
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-05 00:00:00 950016325 Closed Citation Citation B (HSC 1424) Administration None 2020-12-30 00:00:00 2020-12-30 00:00:00 No 2021-03-26 00:00:00 None B None 2000 2000 0 2000 0 None XVOG11 Y CA00719810, CA00719810, CA00719810 A, A, A SFY2020-21
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-05 00:00:00 950016328 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-01-04 00:00:00 2021-01-04 00:00:00 Yes 2021-03-26 00:00:00 2021-03-26 00:00:00 AA AA 100000 65000 0 65000 0 None DO9M11 Y CA00720218, CA00720218, CA00720218, CA00720218, CA00720218 A, A, A, A, A SFY2020-21
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-09 00:00:00 950016335 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-13 00:00:00 2021-01-13 00:00:00 No 2021-03-30 00:00:00 None B None 2000 2000 -700 1300 0 None UHJV11 N CA00703228, CA00703228 A, A SFY2020-21
950000105 SUNSET MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2021-03-11 00:00:00 950016339 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-12-18 00:00:00 2020-12-18 00:00:00 No 2021-04-02 00:00:00 None B None 2000 2000 -700 1300 0 None DKIF11 N CA00717995 B SFY2020-21
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-12 00:00:00 950016345 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-14 00:00:00 2021-01-14 00:00:00 No 2021-04-05 00:00:00 None B None 2000 6000 -2100 3900 0 None 2HBL11 N CA00721332 A SFY2020-21
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-12 00:00:00 950016346 Closed Citation Citation B (HSC 1424) Staffing None 2021-01-14 00:00:00 2021-01-14 00:00:00 No 2021-04-05 00:00:00 None B None 2000 2000 -700 1300 0 None 2HBL11 N CA00721332, CA00721332 A, A SFY2020-21
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-16 00:00:00 950016347 Closed Citation Citation A (HSC 1424) Patient Care None 2020-12-24 00:00:00 2020-12-24 00:00:00 Yes 2021-04-07 00:00:00 2021-04-07 00:00:00 A A 20000 15000 0 15000 0 None 7VL111 N CA00669029 B SFY2020-21
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2021-03-25 00:00:00 950016379 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-17 00:00:00 2021-02-17 00:00:00 No 2021-04-16 00:00:00 None B None 2000 2000 -700 1300 0 None X0NP11 N CA00721496 B SFY2020-21
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-26 00:00:00 950016380 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-04 00:00:00 2021-01-04 00:00:00 No 2021-04-19 00:00:00 None B None 2000 2000 0 2000 0 None 3U5Y11 N CA00722119 B SFY2020-21
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-03-25 00:00:00 950016382 Closed Citation Citation B (HSC 1424) Patient Care None 2019-11-07 00:00:00 2019-11-07 00:00:00 No 2021-04-16 00:00:00 None B None 2000 2000 -700 1300 0 None 16FB11 N CA00662864 A SFY2020-21
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-04-08 00:00:00 950016408 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-22 00:00:00 2021-02-22 00:00:00 No 2021-04-29 00:00:00 None B None 2000 2000 -700 1300 0 None CN3X11 N None None SFY2020-21
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-04-14 00:00:00 950016418 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-14 00:00:00 2021-01-14 00:00:00 No 2021-05-05 00:00:00 None B None 2000 2000 0 2000 0 None EHOQ11 N CA00721321, CA00721321, CA00721321, CA00721794, CA00721801 A, A, A, B, B SFY2020-21
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-04-15 00:00:00 950016419 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-18 00:00:00 2021-02-18 00:00:00 No 2021-05-06 00:00:00 None B None 2000 2000 0 2000 0 None T4EO11 N CA00727665, CA00727665 A, A SFY2020-21
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-04-23 00:00:00 950016441 Open Citation Citation AA (HSC 1424) Patient Care None 2021-01-07 00:00:00 2021-01-07 00:00:00 Yes 2021-05-14 00:00:00 2021-04-26 00:00:00 AA None 100000 100000 0 0 100000 None WDT711 Y CA00722820, CA00722820 A, A SFY2020-21
950000068 LAUREL PARK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-04-28 00:00:00 950016447 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-12 00:00:00 2021-01-12 00:00:00 No 2021-05-19 00:00:00 None B None 2000 2000 -700 1300 0 None MJ7X11 N CA00729156 A SFY2020-21
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-04-29 00:00:00 950016453 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-01-05 00:00:00 2021-01-05 00:00:00 No 2021-05-20 00:00:00 None B None 2000 2000 -700 1300 0 None H30V11 N CA00720604 A SFY2020-21
920000304 GLENHAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2021-05-05 00:00:00 950016471 Closed Citation Citation A (HSC 1424) Patient Care None 2020-02-02 00:00:00 2020-02-02 00:00:00 No 2021-05-26 00:00:00 None A None 20000 20000 -7000 13000 0 None 3FPE11 N CA00674743, CA00674743 B, B SFY2020-21
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2021-05-05 00:00:00 950016474 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-26 00:00:00 2021-03-26 00:00:00 No 2021-05-26 00:00:00 None B None 2000 2000 0 2000 0 None MZW411 N CA00730592 A SFY2020-21
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-05-14 00:00:00 950016500 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-26 00:00:00 2021-03-26 00:00:00 No 2021-06-07 00:00:00 None B None 2000 2000 -700 1300 0 None KLN811 N CA00729501 B SFY2020-21
970000089 COLLEGE VISTA POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2021-05-19 00:00:00 950016509 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-07-29 00:00:00 2020-07-29 00:00:00 No 2021-06-10 00:00:00 None B None 2000 6000 0 6000 0 None TV2O11 N CA00699076 B SFY2020-21
970000089 COLLEGE VISTA POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2021-05-19 00:00:00 950016517 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-07-29 00:00:00 2020-07-29 00:00:00 No 2021-06-10 00:00:00 None B None 2000 2000 0 2000 0 None TV2O11 N CA00699076 B SFY2020-21
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-05-20 00:00:00 950016521 Closed Citation Citation A (HSC 1424) Patient Care None 2019-08-24 00:00:00 2019-08-24 00:00:00 No 2021-06-11 00:00:00 None A None 20000 20000 -7000 13000 0 None 9G9Z11 N CA00652111, CA00652111 B, B SFY2020-21
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-05-21 00:00:00 950016532 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-31 00:00:00 2021-01-31 00:00:00 No 2021-06-14 00:00:00 None B None 1000 1100 -350 750 0 None 4PR511 N CA00726380, CA00726380, CA00726380, CA00726380, CA00726380 A, A, A, A, A SFY2020-21
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-05-26 00:00:00 950016541 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-16 00:00:00 2017-03-16 00:00:00 No 2021-06-17 00:00:00 None B None 2000 2000 -700 1300 0 None IV6O11 N CA00528315 B SFY2020-21
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-06-02 00:00:00 950016559 Closed Citation Citation B (HSC 1424) Patient Care None 2021-01-20 00:00:00 2021-01-20 00:00:00 No 2021-06-23 00:00:00 None B None 2000 2000 -700 1300 0 None 912T11 N None None SFY2020-21
950000015 BALDWIN GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-06-14 00:00:00 950016574 Open Citation Citation A (HSC 1424) Patient Care None 2020-02-15 00:00:00 2020-02-15 00:00:00 Yes 2021-07-05 00:00:00 2021-07-02 00:00:00 A B 20000 13500 0 13000 500 None FZTG11 N CA00676496 B SFY2020-21
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2021-06-11 00:00:00 950016577 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-04-29 00:00:00 2021-04-29 00:00:00 No 2021-07-02 00:00:00 None B None 2000 2000 0 2000 0 None Y7TZ11 N CA00734574, CA00734574 A, A SFY2020-21
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2021-06-11 00:00:00 950016579 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-04-29 00:00:00 2021-04-29 00:00:00 No 2021-07-02 00:00:00 None B None 2000 3150 0 3150 0 None NYPM11 N CA00734724 A SFY2020-21
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2021-06-09 00:00:00 950016581 Closed Citation Citation A (HSC 1424) Patient Care None 2021-02-24 00:00:00 2021-02-24 00:00:00 No 2021-06-30 00:00:00 None A None 20000 20000 -7000 13000 0 None IRIG11 N None None SFY2020-21
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2021-06-09 00:00:00 950016584 Closed Citation Citation A (HSC 1424) Medication None 2021-04-23 00:00:00 2021-04-23 00:00:00 No 2021-06-30 00:00:00 None A None 20000 20000 -7000 13000 0 None IRIG11 N None None SFY2020-21
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2021-06-09 00:00:00 950016585 Closed Citation Citation A (HSC 1424) Patient Care None 2021-04-23 00:00:00 2021-04-23 00:00:00 No 2021-06-30 00:00:00 None A None 20000 20000 -7000 13000 0 None IRIG11 N None None SFY2020-21
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2021-06-11 00:00:00 950016602 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-10 00:00:00 2021-03-10 00:00:00 No 2021-07-02 00:00:00 None B None 2000 2000 0 2000 0 None U67011 N CA00728848, CA00728848, CA00729252, CA00729252 A, A, A, A SFY2020-21
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-06-17 00:00:00 950016621 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-20 00:00:00 2021-02-20 00:00:00 No 2021-07-08 00:00:00 None B None 2000 2000 0 2000 0 None DJAN11 N None None SFY2020-21
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-06-18 00:00:00 950016622 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-15 00:00:00 2021-02-15 00:00:00 No 2021-07-09 00:00:00 None B None 2000 2000 0 2000 0 None 8FI511 N None None SFY2020-21
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2021-06-25 00:00:00 950016650 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-30 00:00:00 2021-03-30 00:00:00 No 2021-07-16 00:00:00 None B None 2000 2000 0 2000 0 None INKM11 N CA00730959 A SFY2020-21
950000045 ARCADIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-06-29 00:00:00 950016651 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-14 00:00:00 2021-05-14 00:00:00 No 2021-07-20 00:00:00 None B None 1000 1000 -350 650 0 None UUXN11 N CA00737317 A SFY2020-21
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-06-28 00:00:00 950016654 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-04-30 00:00:00 2021-04-30 00:00:00 No 2021-07-19 00:00:00 None B None 2000 2000 -700 1300 0 None 103I11 N CA00734692, CA00734692 A, A SFY2020-21
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-01 00:00:00 950016676 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-02 00:00:00 2021-03-02 00:00:00 No 2021-07-22 00:00:00 None B None 2000 2000 0 2000 0 None 1JCC11 N CA00731462 A SFY2021-22
950000279 SANTA TERESITA MANOR LTC SNF Skilled Nursing Facility LA Region 1 2021-07-01 00:00:00 950016681 Closed Citation Citation AA (HSC 1424) Patient Care None 2021-05-12 00:00:00 2021-05-12 00:00:00 No 2021-07-22 00:00:00 None AA None 100000 100000 -35000 65000 0 None A6ZF11 Y CA00736584, CA00736584 A, A SFY2021-22
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-02 00:00:00 950016690 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-04-27 00:00:00 2021-04-27 00:00:00 No 2021-07-23 00:00:00 None B None 2000 2000 0 2000 0 None MD1B11 N None None SFY2021-22
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-07 00:00:00 950016699 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-18 00:00:00 2021-05-18 00:00:00 No 2021-07-28 00:00:00 None B None 2000 2000 0 2000 0 None NRCG11 N CA00735643, CA00735643, CA00735931, CA00735931, CA00737113, CA00737113, CA00737113 B, B, B, B, B, B, B SFY2021-22
950000084 PILGRIM PLACE HEALTH SERVICES CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-07 00:00:00 950016704 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-17 00:00:00 2021-04-17 00:00:00 No 2021-07-28 00:00:00 None B None 2000 2000 -700 1300 0 None IMWV11 N CA00733425 A SFY2021-22
950000057 PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2021-07-15 00:00:00 950016727 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2021-06-18 00:00:00 2021-07-15 00:00:00 Yes 2021-08-05 00:00:00 2021-07-19 00:00:00 B B 2000 6100 -1350 4750 0 None JLVN11 N CA00743816 A SFY2021-22
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2021-07-23 00:00:00 950016741 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-05-01 00:00:00 2021-05-01 00:00:00 No 2021-08-13 00:00:00 None B None 2000 2000 0 2000 0 None 8NVA11 N CA00738564 A SFY2021-22
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-23 00:00:00 950016743 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-04-28 00:00:00 2021-04-28 00:00:00 No 2021-08-13 00:00:00 None B None 2000 2350 0 2350 0 None 18XN11 N CA00734410, CA00734410, CA00734410 A, A, A SFY2021-22
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2021-07-23 00:00:00 950016745 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-04-12 00:00:00 2021-04-12 00:00:00 No 2021-08-13 00:00:00 None B None 2000 2000 0 2000 0 None 4VNU11 N CA00732537, CA00738538, CA00739312, CA00739312 A, A, B, B SFY2021-22
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-29 00:00:00 950016778 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-05-27 00:00:00 2021-05-27 00:00:00 No 2021-08-19 00:00:00 None B None 2000 2000 0 2000 0 None EYWR11 N CA00738571 B SFY2021-22
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-20 00:00:00 950016790 Closed Citation Citation AA (HSC 1424) Patient Care None 2020-11-02 00:00:00 2020-11-02 00:00:00 Yes 2021-09-13 00:00:00 2021-09-13 00:00:00 AA None 100000 100000 -35000 65000 0 None 30I611 Y CA00733275, CA00733275, CA00734860 B, B, B SFY2021-22
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-06 00:00:00 950016797 Closed Citation Citation B (HSC 1424) Staffing None 2021-05-19 00:00:00 2021-05-19 00:00:00 No 2021-08-27 00:00:00 None B None 2000 2000 -700 1300 0 None 1I0O11 N CA00736002 B SFY2021-22
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-12 00:00:00 950016804 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-21 00:00:00 2021-06-21 00:00:00 No 2021-09-02 00:00:00 None A None 20000 60000 -21000 39000 0 None YYSG11 N CA00741512 A SFY2021-22
970000163 CAMELLIA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-13 00:00:00 950016807 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-06-15 00:00:00 2021-06-15 00:00:00 No 2021-09-03 00:00:00 None B None 2000 2000 -700 1300 0 None S37Y11 N None None SFY2021-22
970000163 CAMELLIA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-13 00:00:00 950016814 Closed Citation Citation B (HSC 1424) Patient Care Accidents 2021-06-23 00:00:00 2021-06-23 00:00:00 No 2021-09-03 00:00:00 None B None 2000 2000 -700 1300 0 None S37Y11 N None None SFY2021-22
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-20 00:00:00 950016836 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-14 00:00:00 2021-06-14 00:00:00 No 2021-09-13 00:00:00 None B None 2000 2000 -700 1300 0 None G48W11 N CA00739226 B SFY2021-22
950000033 CHINO VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-20 00:00:00 950016837 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-06-20 00:00:00 2020-06-20 00:00:00 Yes 2021-09-13 00:00:00 2021-08-27 00:00:00 B Drop>Deficiency 2000 2000 0 2000 0 None MAB011 N CA00743055, CA00743055 A, A SFY2021-22
950000050 MISSION CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-20 00:00:00 950016838 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-23 00:00:00 2021-05-23 00:00:00 No 2021-09-13 00:00:00 None B None 2000 2000 0 2000 0 None YGI111 N None None SFY2021-22
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-26 00:00:00 950016856 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-17 00:00:00 2021-07-17 00:00:00 No 2021-09-17 00:00:00 None B None 2000 6000 -2100 3900 0 None 1SMT11 N CA00744858, CA00744858 A, A SFY2021-22
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-27 00:00:00 950016862 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-13 00:00:00 2021-07-13 00:00:00 No 2021-09-20 00:00:00 None B None 2000 2000 -700 1300 0 None 32UI11 N None None SFY2021-22
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2021-08-27 00:00:00 950016864 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-30 00:00:00 2021-04-30 00:00:00 No 2021-09-20 00:00:00 None B None 2000 2000 -700 1300 0 None UCW011 N CA00735273 B SFY2021-22
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-03 00:00:00 950016870 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-20 00:00:00 2021-05-20 00:00:00 No 2021-09-27 00:00:00 None A None 20000 20000 -7000 13000 0 None N2MH11 N CA00739402, CA00739402 A, A SFY2021-22
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-01 00:00:00 950016872 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-01-28 00:00:00 2021-01-28 00:00:00 No 2021-09-23 00:00:00 None B None 2000 2000 0 2000 0 None EF5911 N CA00739031, CA00739031 B, B SFY2021-22
970000117 HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2021-09-01 00:00:00 950016873 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-25 00:00:00 2020-11-25 00:00:00 No 2021-09-23 00:00:00 None B None 2000 2000 -700 1300 0 None 43I011 N None None SFY2021-22
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-03 00:00:00 950016889 Closed Citation Citation B (HSC 1424) Patient Care None 2021-04-03 00:00:00 2021-04-03 00:00:00 No 2021-09-27 00:00:00 None B None 2000 6000 -2100 3900 0 None WUCI11 N CA00732043 B SFY2021-22
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-03 00:00:00 950016890 Closed Citation Citation B (HSC 1424) Patient Care None 2021-02-07 00:00:00 2021-02-07 00:00:00 No 2021-09-27 00:00:00 None B None 2000 2000 0 2000 0 None JCD411 N None None SFY2021-22
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-03 00:00:00 950016891 Open Citation Citation B (HSC 1424) Patient Care None 2021-06-09 00:00:00 2021-06-09 00:00:00 No 2021-09-27 00:00:00 None B None 2000 2000 -700 1700 -400 None DPYV11 N CA00743956 B SFY2021-22
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-09 00:00:00 950016904 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-28 00:00:00 2021-05-28 00:00:00 No 2021-09-30 00:00:00 None B None 2000 2000 0 2000 0 None 2DTO11 N None None SFY2021-22
940000117 SOCAL POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2021-09-10 00:00:00 950016910 Closed Citation Citation B (HSC 1424) Patient Care Discharge Planning Proces 2021-06-09 00:00:00 2021-06-09 00:00:00 No 2021-10-01 00:00:00 None B None 2000 2000 -700 1300 0 None JD0111 N CA00740213, CA00740213 B, B SFY2021-22
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-10 00:00:00 950016911 Open Citation Citation B (HSC 1424) Patient Care None 2021-07-27 00:00:00 2021-07-27 00:00:00 No 2021-10-01 00:00:00 None B None 2000 2000 -700 1700 -400 None CJV111 N None None SFY2021-22
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2021-09-10 00:00:00 950016914 Closed Citation Citation B (HSC 1424) Medication None 2021-06-08 00:00:00 2021-06-08 00:00:00 No 2021-10-01 00:00:00 None B None 2000 2000 0 2000 0 None 8GO011 N None None SFY2021-22
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-24 00:00:00 950016960 Closed Citation Citation A (HSC 1424) Patient Care None 2021-06-29 00:00:00 2021-06-29 00:00:00 Yes 2021-10-15 00:00:00 2021-10-14 00:00:00 A A 20000 17000 0 17000 0 None T78E11 N CA00735463, CA00735463, CA00735463 A, A, A SFY2021-22
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-29 00:00:00 950016968 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-05 00:00:00 2021-07-05 00:00:00 No 2021-10-20 00:00:00 None B None 2000 2000 0 2000 0 None NV4L11 N CA00743049, CA00743049 A, A SFY2021-22
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-01 00:00:00 950016977 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-01 00:00:00 2021-05-01 00:00:00 Yes 2021-10-22 00:00:00 2021-10-26 00:00:00 A B 20000 15000 0 15000 0 None 7XG311 N CA00736572, CA00737008 A, A SFY2021-22
970000089 COLLEGE VISTA POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2021-10-15 00:00:00 950016987 Closed Citation Citation A (HSC 1424) Patient Care None 2019-04-26 00:00:00 2019-04-26 00:00:00 Yes 2021-11-05 00:00:00 2021-10-26 00:00:00 A A 20000 14000 0 14000 0 None 88H311 N CA00745003 A SFY2021-22
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-06 00:00:00 950016989 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-23 00:00:00 2021-08-23 00:00:00 No 2021-10-27 00:00:00 None B None 2000 2000 -700 1300 0 None Q7NG11 N CA00749444 B SFY2021-22
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-08 00:00:00 950016993 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-10 00:00:00 2021-05-10 00:00:00 No 2021-10-29 00:00:00 None A None 20000 20000 -7000 13000 0 None YMHW11 N CA00737140, CA00737483, CA00737483 B, B, B SFY2021-22
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-08 00:00:00 950016994 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-05 00:00:00 2021-05-05 00:00:00 No 2021-10-29 00:00:00 None A None 20000 20000 -7000 13000 0 None YMHW11 N CA00737140, CA00737140, CA00737483, CA00737483, CA00737483 B, B, B, B, B SFY2021-22
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-08 00:00:00 950016995 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-05 00:00:00 2021-05-05 00:00:00 No 2021-10-29 00:00:00 None A None 20000 20100 -7000 13100 0 None YMHW11 N CA00737140, CA00737140, CA00737483, CA00737483, CA00737483 B, B, B, B, B SFY2021-22
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-08 00:00:00 950016996 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-11 00:00:00 2021-08-11 00:00:00 No 2021-10-29 00:00:00 None B None 2000 2000 -700 1300 0 None NXDG11 N CA00747957, CA00747957 B, B SFY2021-22
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-15 00:00:00 950017018 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-18 00:00:00 2021-08-18 00:00:00 No 2021-11-05 00:00:00 None B None 2000 2000 -700 1300 0 None WFWI11 N CA00748659 B SFY2021-22
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-15 00:00:00 950017019 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-15 00:00:00 2021-08-15 00:00:00 No 2021-11-05 00:00:00 None B None 2000 2000 -700 1300 0 None VMN011 N CA00749120 B SFY2021-22
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-15 00:00:00 950017020 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-08-15 00:00:00 2021-08-15 00:00:00 No 2021-11-05 00:00:00 None B None 2000 2000 -700 1300 0 None VMN011 N CA00749120 B SFY2021-22
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-15 00:00:00 950017021 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-29 00:00:00 2021-03-29 00:00:00 No 2021-11-05 00:00:00 None B None 2000 2000 -700 1300 0 None IHKC11 N CA00737426, CA00737426 A, A SFY2021-22
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-20 00:00:00 950017028 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-01 00:00:00 2021-08-01 00:00:00 No 2021-11-10 00:00:00 None B None 2000 2000 -700 1300 0 None GVN011 N CA00751125, CA00751125 B, B SFY2021-22
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-22 00:00:00 950017034 Closed Citation Citation B (HSC 1424) Patient Care None 2021-07-15 00:00:00 2021-07-15 00:00:00 Yes 2021-11-15 00:00:00 2021-11-05 00:00:00 B B 2000 1700 0 1700 0 None WS2B11 N CA00747947, CA00748120, CA00748727, CA00748913, CA00748913, CA00751749, CA00751749, CA00752666 B, B, B, B, B, A, A, A SFY2021-22
970000091 ARARAT CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2021-10-26 00:00:00 950017041 Closed Citation Citation B (HSC 1424) Patient Care None 2020-09-27 00:00:00 2020-09-27 00:00:00 No 2021-11-17 00:00:00 None B None 2000 2000 -700 1300 0 None 403R11 N CA00707048 B SFY2021-22
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2021-10-28 00:00:00 950017052 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-07 00:00:00 2021-09-07 00:00:00 No 2021-11-19 00:00:00 None B None 2000 2000 -700 1300 0 None 5TY611 N None None SFY2021-22
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-29 00:00:00 950017054 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-23 00:00:00 2021-08-23 00:00:00 No 2021-11-22 00:00:00 None B None 2000 6000 -2100 3900 0 None XBCX11 N CA00747913, CA00747913, CA00749025, CA00749025 B, B, A, A SFY2021-22
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2021-10-29 00:00:00 950017055 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-02 00:00:00 2021-08-02 00:00:00 No 2021-11-22 00:00:00 None B None 2000 2000 -700 1300 0 None D0HX11 N None None SFY2021-22
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2021-10-29 00:00:00 950017058 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-15 00:00:00 2021-09-15 00:00:00 No 2021-11-22 00:00:00 None B None 2000 2000 0 2000 0 None GP1F11 N None None SFY2021-22
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2021-11-08 00:00:00 950017062 Closed Citation Citation A (HSC 1424) Patient Care None 2021-08-04 00:00:00 2021-08-04 00:00:00 No 2021-12-02 00:00:00 None A None 20000 20000 0 20000 0 None 8U1811 N CA00747109, CA00747109, CA00747486, CA00747486, CA00747747, CA00747747, CA00747747, CA00747747 B, B, B, B, B, B, B, B SFY2021-22
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-11-04 00:00:00 950017063 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-09 00:00:00 2021-08-09 00:00:00 No 2021-11-30 00:00:00 None B None 2000 2000 -700 1300 0 None C2JF11 N CA00747490, CA00747490 B, B SFY2021-22
970000117 HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2021-11-04 00:00:00 950017074 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-10-28 00:00:00 2021-10-28 00:00:00 No 2021-11-30 00:00:00 None B None 2000 2000 0 2000 0 None DZK911 N CA00759125 A SFY2021-22
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-11-12 00:00:00 950017091 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-10 00:00:00 2021-06-10 00:00:00 No 2021-12-07 00:00:00 None B None 2000 2000 -700 1300 0 None M08Z11 N CA00739938, CA00739938 A, A SFY2021-22
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-11-12 00:00:00 950017092 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-10 00:00:00 2021-06-10 00:00:00 No 2021-12-07 00:00:00 None B None 2000 2000 -700 1300 0 None M08Z11 N CA00739938, CA00739938, CA00739938 A, A, A SFY2021-22
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-11-15 00:00:00 950017096 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-26 00:00:00 2021-06-26 00:00:00 No 2021-12-08 00:00:00 None B None 2000 2000 0 2000 0 None R88V11 N CA00741742, CA00748519, CA00748519 A, B, B SFY2021-22
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2021-11-23 00:00:00 950017134 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-15 00:00:00 2021-08-15 00:00:00 No 2021-12-16 00:00:00 None B None 2000 2000 0 2000 0 None 5V7T11 N CA00750410, CA00750410 B, B SFY2021-22
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-11-24 00:00:00 950017138 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-08 00:00:00 2021-10-08 00:00:00 No 2021-12-17 00:00:00 None B None 2000 2000 -700 1300 0 None A67B11 N CA00756979, CA00756979 A, A SFY2021-22
950000050 MISSION CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-02 00:00:00 950017148 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-21 00:00:00 2021-10-21 00:00:00 No 2021-12-23 00:00:00 None B None 2000 2000 0 2000 0 None CDKP11 N CA00758060, CA00758060 A, A SFY2021-22
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-10 00:00:00 950017164 Closed Citation Citation A (HSC 1424) Patient Care None 2021-02-22 00:00:00 2021-02-22 00:00:00 No 2021-12-31 00:00:00 None A None 20000 20000 -7000 13000 0 None YWW011 N CA00728086 B SFY2021-22
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-09 00:00:00 950017166 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-06-17 00:00:00 2021-06-17 00:00:00 No 2021-12-30 00:00:00 None B None 2000 2000 0 2000 0 None L6SQ11 N CA00737690, CA00737690, CA00737698, CA00737698, CA00737698, CA00739498, CA00739498, CA00740510, CA00740510, CA00740851, CA00740851, CA00740906, CA00740906 B, B, A, A, A, B, B, B, B, B, B, A, A SFY2021-22
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-08 00:00:00 950017167 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-10 00:00:00 2021-09-10 00:00:00 No 2021-12-29 00:00:00 None B None 2000 2000 0 2000 0 None RCFG11 N CA00752136, CA00752136 A, A SFY2021-22
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2021-12-08 00:00:00 950017170 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-11-04 00:00:00 2021-11-04 00:00:00 No 2021-12-29 00:00:00 None B None 2000 2000 0 2000 0 None H36311 N CA00759885 A SFY2021-22
950000077 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-10 00:00:00 950017178 Closed Citation Citation A (HSC 1424) Patient Care None 2021-10-26 00:00:00 2021-10-26 00:00:00 Yes 2021-12-31 00:00:00 2021-12-14 00:00:00 A A 20000 18000 0 18000 0 None 123B11 N None None SFY2021-22
950000249 MAYFLOWER CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-16 00:00:00 950017198 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-09-24 00:00:00 2021-09-24 00:00:00 No 2022-01-06 00:00:00 None B None 2000 2000 0 2000 0 None 7P6X11 N CA00754233 A SFY2021-22
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-27 00:00:00 950017224 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-09-29 00:00:00 2021-09-29 00:00:00 No 2022-01-18 00:00:00 None B None 2000 3550 -700 2850 0 None U5BX11 N CA00754300 A SFY2021-22
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-29 00:00:00 950017228 Closed Citation Citation B (HSC 1424) Other Infection Control 2021-10-01 00:00:00 2021-10-01 00:00:00 No 2022-01-20 00:00:00 None B None 2000 2000 -700 1300 0 None V97D11 N CA00755143 B SFY2021-22
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-29 00:00:00 950017232 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-09 00:00:00 2021-11-09 00:00:00 No 2022-01-20 00:00:00 None B None 2000 2000 -700 1300 0 None 0KBZ11 N None None SFY2021-22
920000028 MONTROSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-04 00:00:00 950017248 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-06-12 00:00:00 2021-06-12 00:00:00 No 2022-01-26 00:00:00 None B None 2000 2000 -700 1300 0 None 92Y511 N CA00741365 B SFY2021-22
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-07 00:00:00 950017250 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-25 00:00:00 2021-09-25 00:00:00 Yes 2022-01-31 00:00:00 2022-01-26 00:00:00 B B 2000 1600 0 1600 0 None 3K2L11 N CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599 B, B, A, A, A, A, A SFY2021-22
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-07 00:00:00 950017253 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-25 00:00:00 2021-09-25 00:00:00 Yes 2022-01-31 00:00:00 2022-01-26 00:00:00 B B 2000 1600 0 1600 0 None 3K2L11 N CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599 B, B, A, A, A, A, A SFY2021-22
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-07 00:00:00 950017256 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-04-12 00:00:00 2021-04-12 00:00:00 Yes 2022-01-31 00:00:00 2022-01-26 00:00:00 B B 2000 1400 0 1400 0 None 3K2L11 N CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599 B, B, A, A, A, A, A SFY2021-22
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-07 00:00:00 950017258 Open Citation Citation A (HSC 1424) Other Abuse 2021-09-25 00:00:00 2021-09-25 00:00:00 Yes 2022-01-31 00:00:00 2022-01-26 00:00:00 A None 20000 20000 0 0 20000 None 3K2L11 N CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599 B, B, A, A, A, A, A SFY2021-22
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-12 00:00:00 950017262 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-05 00:00:00 2020-12-05 00:00:00 No 2022-02-03 00:00:00 None B None 2000 2000 0 2000 0 None 9F0N11 N CA00716096 B SFY2021-22
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2022-01-19 00:00:00 950017272 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-12-07 00:00:00 2021-12-07 00:00:00 No 2022-02-09 00:00:00 None B None 2000 2000 0 2000 0 None 224911 N CA00763709 A SFY2021-22
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-20 00:00:00 950017275 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-10 00:00:00 2021-05-10 00:00:00 No 2022-02-10 00:00:00 None B None 2000 6000 -2100 3900 0 None 0CNQ11 N CA00736178 B SFY2021-22
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-21 00:00:00 950017283 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-07 00:00:00 2021-09-07 00:00:00 No 2022-02-11 00:00:00 None B None 2000 2000 0 2000 0 None OD2D11 N CA00758692, CA00758692 A, A SFY2021-22
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-01-28 00:00:00 950017289 Closed Citation Citation A (HSC 1424) Patient Care None 2021-05-04 00:00:00 2021-05-04 00:00:00 Yes 2022-02-18 00:00:00 2022-02-17 00:00:00 A B 20000 17000 0 17000 0 None YQBT11 N CA00759416, CA00759416, CA00759416 B, B, B SFY2021-22
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-02-02 00:00:00 950017311 Open Citation Citation B (HSC 1424) Patient Care None 2021-03-25 00:00:00 2021-03-25 00:00:00 Yes 2022-02-24 00:00:00 2022-02-11 00:00:00 B None 2000 2000 0 0 2000 None 58XG11 N CA00752196, CA00752196, CA00752196, CA00752196, CA00752196, CA00752196 A, A, A, A, A, A SFY2021-22
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-02-04 00:00:00 950017325 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-12-21 00:00:00 2021-12-21 00:00:00 No 2022-02-28 00:00:00 None B None 2000 2000 0 2000 0 None 4H9B11 N CA00765618 A SFY2021-22
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-02-10 00:00:00 950017330 Open Citation Citation A (HSC 1424) Patient Care None 2020-11-27 00:00:00 2020-11-27 00:00:00 Yes 2022-03-04 00:00:00 2022-03-01 00:00:00 A A 20000 20000 0 0 20000 None 5NGR11 N CA00761336, CA00761336, CA00761336, CA00761901, CA00761901, CA00761901 A, A, A, A, A, A SFY2021-22
970000099 SOLHEIM SENIOR COMMUNITY LTC SNF Skilled Nursing Facility LA Region 1 2022-02-10 00:00:00 950017332 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-15 00:00:00 2021-12-15 00:00:00 No 2022-03-04 00:00:00 None B None 2000 2000 -700 1300 0 None 5BR011 N CA00766157 A SFY2021-22
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-02-10 00:00:00 950017339 Closed Citation Citation B (HSC 1424) Patient Care None 2020-11-29 00:00:00 2020-11-29 00:00:00 No 2022-03-04 00:00:00 None B None 2000 2000 -700 1300 0 None 5NGR11 Y CA00761336, CA00761336, CA00761336, CA00761336, CA00761901, CA00761901, CA00761901, CA00761901 A, A, A, A, A, A, A, A SFY2021-22
950000006 FIDELITY HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2022-02-11 00:00:00 950017344 Closed Citation Citation A (HSC 1424) Patient Care None 2021-11-29 00:00:00 2021-11-29 00:00:00 No 2022-03-07 00:00:00 None A None 20000 20000 -7000 13000 0 None 06DN11 N CA00761364 B SFY2021-22
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-02-11 00:00:00 950017345 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-15 00:00:00 2021-11-15 00:00:00 No 2022-03-07 00:00:00 None B None 2000 2000 -700 1300 0 None ECSM11 N CA00761733, CA00761733 A, A SFY2021-22
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2022-02-18 00:00:00 950017371 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-23 00:00:00 2021-11-23 00:00:00 No 2022-03-14 00:00:00 None B None 2000 2000 0 2000 0 None R1U911 N CA00762080, CA00762080, CA00762080, CA00762080, CA00762080 A, A, A, A, A SFY2021-22
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-02 00:00:00 950017454 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-28 00:00:00 2021-12-28 00:00:00 No 2022-03-23 00:00:00 None B None 2000 2000 -700 1300 0 None G2YE11 N CA00766953, CA00766953 A, A SFY2021-22
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-02 00:00:00 950017456 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-13 00:00:00 2022-01-13 00:00:00 No 2022-03-23 00:00:00 None B None 2000 2000 -700 1300 0 None WC9F11 N CA00768871, CA00768871 A, A SFY2021-22
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-04 00:00:00 950017464 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-12 00:00:00 2021-11-12 00:00:00 No 2022-03-25 00:00:00 None B None 2000 2000 0 2000 0 None SFGT11 N CA00763841, CA00763841, CA00763841 B, B, B SFY2021-22
920000304 GLENHAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2022-03-10 00:00:00 950017475 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-04-24 00:00:00 2021-04-24 00:00:00 No 2022-04-01 00:00:00 None B None 2000 2000 -700 1300 0 None 2E7V11 N CA00734675 A SFY2021-22
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2022-03-10 00:00:00 950017481 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-13 00:00:00 2022-01-13 00:00:00 No 2022-04-01 00:00:00 None B None 2000 6000 0 6000 0 None 3E6O11 N CA00768555 B SFY2021-22
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-10 00:00:00 950017483 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-02-02 00:00:00 2022-02-02 00:00:00 No 2022-04-01 00:00:00 None B None 3000 3000 -1050 1950 0 None O32V11 N CA00771715 A SFY2021-22
950000249 MAYFLOWER CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-11 00:00:00 950017485 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-29 00:00:00 2022-01-29 00:00:00 No 2022-04-04 00:00:00 None B None 3000 3000 0 3000 0 None VBKT11 N CA00771079 A SFY2021-22
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-03-15 00:00:00 950017494 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-12-28 00:00:00 2021-12-28 00:00:00 No 2022-04-06 00:00:00 None B None 2000 2000 0 2000 0 None 6F0N11 N CA00766681, CA00768855 B, B SFY2021-22
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-16 00:00:00 950017504 Closed Citation Citation B (HSC 1424) Patient Care None 2021-09-07 00:00:00 2021-09-07 00:00:00 No 2022-04-07 00:00:00 None B None 2000 6000 0 6000 0 None 6TSV11 N CA00751975, CA00751975 A, A SFY2021-22
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-18 00:00:00 950017514 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-05 00:00:00 2021-09-05 00:00:00 No 2022-04-11 00:00:00 None B None 2000 2000 0 0 2000 None 1W8811 N CA00756208 B SFY2021-22
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-24 00:00:00 950017521 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-02-10 00:00:00 2022-02-10 00:00:00 No 2022-04-15 00:00:00 None B None 2500 2500 -875 1625 0 None 8NOD11 N CA00772250, CA00772250, CA00772250, CA00772250, CA00772250 A, A, A, A, A SFY2021-22
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-24 00:00:00 950017527 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2022-03-09 00:00:00 2022-03-09 00:00:00 No 2022-04-15 00:00:00 None B None 3000 3000 -1050 1950 0 None VCI711 N CA00776337 A SFY2021-22
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-03-24 00:00:00 950017529 Closed Citation Citation B (HSC 1424) Other General Maintenance 2022-02-15 00:00:00 2022-02-15 00:00:00 No 2022-04-15 00:00:00 None B None 2500 2500 0 2500 0 None BWCN21 N CA00773431, CA00773431 A, A SFY2021-22
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-30 00:00:00 950017535 Closed Citation Citation AA (HSC 1424) Patient Care None 2022-01-19 00:00:00 2022-01-19 00:00:00 Yes 2022-04-21 00:00:00 2022-04-07 00:00:00 AA A 120000 50000 0 50000 0 None 8EOE11 N CA00770038, CA00770038 A, A SFY2021-22
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-08 00:00:00 950017551 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-16 00:00:00 2022-02-16 00:00:00 No 2022-04-29 00:00:00 None B None 2500 2500 -875 1625 0 None 4OB111 N CA00773878, CA00773878, CA00773878 A, A, A SFY2021-22
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2022-04-08 00:00:00 950017558 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-01-26 00:00:00 2022-01-26 00:00:00 No 2022-04-29 00:00:00 None B None 3000 3200 0 3200 0 None SNLW11 N CA00768435 B SFY2021-22
950000068 LAUREL PARK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-11 00:00:00 950017561 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-02-15 00:00:00 2022-02-15 00:00:00 No 2022-05-02 00:00:00 None B None 3000 3000 -1050 1950 0 None 4QHE11 N CA00774306, CA00774306 A, A SFY2021-22
970000169 HERITAGE MANOR LTC SNF Skilled Nursing Facility LA Region 1 2022-04-13 00:00:00 950017570 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-23 00:00:00 2022-01-23 00:00:00 No 2022-05-04 00:00:00 None B None 2000 2000 -700 1300 0 None U0U611 N CA00770187, CA00770187 A, A SFY2021-22
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-13 00:00:00 950017571 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-15 00:00:00 2022-01-15 00:00:00 No 2022-05-04 00:00:00 None B None 2000 2000 -700 1300 0 None ENKQ11 N CA00769762 B SFY2021-22
950000030 BROADWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-15 00:00:00 950017580 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-01 00:00:00 2022-02-01 00:00:00 No 2022-05-06 00:00:00 None B None 3000 3000 -1050 1950 0 None 5M4E11 N CA00769531 B SFY2021-22
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2022-04-22 00:00:00 950017590 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-08 00:00:00 2022-03-08 00:00:00 No 2022-05-13 00:00:00 None B None 2500 2500 -875 1625 0 None 6R9111 N CA00776387 A SFY2021-22
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-22 00:00:00 950017595 Open Citation Citation B (HSC 1424) Refusal to Readmit None 2022-04-14 00:00:00 2022-04-22 00:00:00 No 2022-05-13 00:00:00 None B None 3000 3400 0 0 3400 None NCG011 N CA00780870 A SFY2021-22
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-22 00:00:00 950017596 Open Citation Citation B (HSC 1424) Refusal to Readmit None 2022-04-15 00:00:00 2022-04-22 00:00:00 No 2022-05-13 00:00:00 None B None 3000 3350 0 0 3350 None NCG011 N CA00781120 A SFY2021-22
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-25 00:00:00 950017597 Closed Citation Citation B (HSC 1424) Patient Record None 2022-03-08 00:00:00 2022-03-08 00:00:00 No 2022-05-16 00:00:00 None B None 3000 3000 -1050 1950 0 None CE3Z11 N None None SFY2021-22
950000249 MAYFLOWER CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-29 00:00:00 950017607 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-01-29 00:00:00 2022-01-29 00:00:00 No 2022-05-20 00:00:00 None B None 1500 4500 -1575 2925 0 None A2L211 N CA00771165, CA00771165, CA00771165 A, A, A SFY2021-22
950000279 SANTA TERESITA MANOR LTC SNF Skilled Nursing Facility LA Region 1 2022-05-04 00:00:00 950017615 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-14 00:00:00 2021-10-14 00:00:00 No 2022-05-25 00:00:00 None B None 2000 2000 0 2000 0 None CR6L11 N CA00757359, CA00757359 B, B SFY2021-22
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-04 00:00:00 950017616 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-12-18 00:00:00 2019-12-18 00:00:00 No 2022-05-25 00:00:00 None B None 2000 2000 -700 1300 0 None NZCP11 N CA00668390 B SFY2021-22
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-04 00:00:00 950017617 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-08-02 00:00:00 2021-08-02 00:00:00 No 2022-05-25 00:00:00 None B None 2000 2000 -700 1300 0 None 67NV11 N CA00746973 B SFY2021-22
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-04 00:00:00 950017618 Closed Citation Citation B (HSC 1424) Patient Care None 2020-12-18 00:00:00 2020-12-18 00:00:00 No 2022-05-25 00:00:00 None B None 2000 2000 -700 1300 0 None FWJ311 N CA00719159 B SFY2021-22
950000260 ROYAL OAKS MANOR - BRADBURY OAKS LTC SNF Skilled Nursing Facility LA Region 1 2022-05-04 00:00:00 950017620 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-30 00:00:00 2022-01-30 00:00:00 No 2022-05-25 00:00:00 None B None 2000 2000 -700 1300 0 None Z0YC11 Y CA00772034, CA00772034 A, A SFY2021-22
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-04 00:00:00 950017621 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2022-04-25 00:00:00 2022-04-25 00:00:00 No 2022-05-25 00:00:00 None B None 3000 3000 -1050 1950 0 None T8O311 N CA00782488 A SFY2021-22
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-05 00:00:00 950017625 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-11 00:00:00 2021-09-11 00:00:00 No 2022-05-26 00:00:00 None B None 2000 2000 0 2000 0 None LGYS11 N CA00752629 B SFY2021-22
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-06 00:00:00 950017627 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-06 00:00:00 2022-02-06 00:00:00 No 2022-05-27 00:00:00 None B None 2000 2000 -700 1300 0 None O1ER11 N CA00772568, CA00772626 B, B SFY2021-22
950000101 ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2022-05-06 00:00:00 950017628 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-27 00:00:00 2022-01-27 00:00:00 No 2022-05-27 00:00:00 None B None 2000 2000 0 2000 0 None QVIF11 N CA00772256, CA00772256 B, B SFY2021-22
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-06 00:00:00 950017629 Closed Citation Citation A (HSC 1424) Patient Care None 2022-02-07 00:00:00 2022-02-07 00:00:00 No 2022-05-27 00:00:00 None A None 25000 25000 -8750 16250 0 None LZXD11 Y CA00772449, CA00772449, CA00772543, CA00772543, CA00772543, CA00772543 A, A, A, A, A, A SFY2021-22
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-20 00:00:00 950017655 Open Citation Citation B (HSC 1424) Patient Care None 2022-04-05 00:00:00 2022-04-05 00:00:00 No 2022-06-13 00:00:00 None B None 3000 3000 0 0 3000 None 17F111 N CA00779614, CA00779614, CA00779614 B, B, B SFY2021-22
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-24 00:00:00 950017663 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2022-04-14 00:00:00 2022-05-24 00:00:00 No 2022-06-15 00:00:00 None B None 3000 11000 0 11000 0 None J6ZL11 N CA00783878, CA00783878 A, A SFY2021-22
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2022-05-26 00:00:00 950017671 Closed Citation Citation B (HSC 1424) Other Infection control 2022-01-01 00:00:00 2022-01-01 00:00:00 No 2022-06-17 00:00:00 None B None 2000 2000 -700 1300 0 None 04HB11 N CA00774797 B SFY2021-22
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2022-05-27 00:00:00 950017677 Closed Citation Citation A (HSC 1424) Patient Care None 2021-08-08 00:00:00 2021-08-08 00:00:00 Yes 2022-06-20 00:00:00 2022-06-30 00:00:00 A A 20000 17000 0 17000 0 None HYZR11 Y CA00747605 B SFY2021-22
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-03 00:00:00 950017689 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-17 00:00:00 2022-04-17 00:00:00 No 2022-06-24 00:00:00 None B None 3000 3000 -1050 1950 0 None IH4711 N CA00781642, CA00781642, CA00781642 B, B, B SFY2021-22
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-02 00:00:00 950017690 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-03 00:00:00 2022-03-03 00:00:00 No 2022-06-23 00:00:00 None B None 3000 3000 -1050 1950 0 None Y55611 N CA00775617, CA00775617, CA00775623 B, B, B SFY2021-22
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-09 00:00:00 950017695 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-28 00:00:00 2022-01-28 00:00:00 No 2022-06-30 00:00:00 None B None 3000 3000 -1050 1950 0 None XDS611 N CA00776963, CA00776963 A, A SFY2021-22
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2022-06-09 00:00:00 950017696 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-09 00:00:00 2022-03-09 00:00:00 No 2022-06-30 00:00:00 None B None 3000 3000 0 3000 0 None TIU911 Y CA00776535 A SFY2021-22
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-08 00:00:00 950017697 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-25 00:00:00 2022-01-25 00:00:00 No 2022-06-29 00:00:00 None B None 2000 2000 0 2000 0 None R0EP11 N CA00776306 A SFY2021-22
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2022-06-08 00:00:00 950017698 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-04-28 00:00:00 2022-04-28 00:00:00 No 2022-06-29 00:00:00 None B None 3000 3000 -1050 1950 0 None EIOT11 N CA00782721, CA00782721, CA00782764, CA00782764 A, A, A, A SFY2021-22
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-09 00:00:00 950017702 Open Citation Citation B (HSC 1424) Patient Care None 2022-04-28 00:00:00 2022-04-28 00:00:00 No 2022-06-30 00:00:00 None B None 2000 2000 0 0 2000 None YM8911 N CA00776502, CA00776502 B, B SFY2021-22
970000089 COLLEGE VISTA POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2022-06-16 00:00:00 950017712 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-03 00:00:00 2021-12-03 00:00:00 No 2022-07-08 00:00:00 None B None 2000 2000 0 2000 0 None 8DP311 N CA00762736, CA00763315 B, B SFY2021-22
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-17 00:00:00 950017713 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-11 00:00:00 2022-03-11 00:00:00 No 2022-07-11 00:00:00 None B None 2000 2000 -700 1300 0 None 4CVC11 N CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830 A, A, A, A, A, A, A, A, A SFY2021-22
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-17 00:00:00 950017714 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-11 00:00:00 2022-03-11 00:00:00 No 2022-07-11 00:00:00 None B None 2000 6000 -2100 3900 0 None 4CVC11 N CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830 A, A, A, A, A, A, A, A, A, A SFY2021-22
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-30 00:00:00 950017744 Open Citation Citation A (HSC 1424) Patient Care None 2021-07-07 00:00:00 2021-07-07 00:00:00 Yes 2022-07-22 00:00:00 2022-07-15 00:00:00 A None 20000 20000 0 0 20000 None WD5711 N CA00784523, CA00784523 A, A SFY2021-22
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-30 00:00:00 950017754 Closed Citation Citation B (HSC 1424) Medication None 2021-07-07 00:00:00 2021-07-07 00:00:00 Yes 2022-07-22 00:00:00 2022-07-15 00:00:00 B B 2000 2000 0 2000 0 None WD5711 N CA00784523, CA00784523, CA00784523 A, A, A SFY2021-22
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-01 00:00:00 950017756 Closed Citation Citation B (HSC 1424) Medication None 2021-11-09 00:00:00 2021-11-09 00:00:00 No 2022-07-25 00:00:00 None B None 2000 2000 -700 1300 0 None 24VS11 N CA00779345, CA00779345 B, B SFY2022-23
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2022-07-01 00:00:00 950017757 Closed Citation Citation B (HSC 1424) Patient Care None 2022-05-13 00:00:00 2022-05-13 00:00:00 No 2022-07-25 00:00:00 None B None 3000 3000 0 3000 0 None JPRY11 N CA00784928 B SFY2022-23
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-22 00:00:00 950017763 Closed Citation Citation B (HSC 1424) Patient Care None 2022-05-21 00:00:00 2022-05-21 00:00:00 No 2022-08-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 7S9411 N CA00785876 B SFY2022-23
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-07 00:00:00 950017764 Closed Citation Citation A (HSC 1424) Patient Care None 2022-04-28 00:00:00 2022-04-28 00:00:00 No 2022-07-28 00:00:00 None A None 25000 25000 -8750 16250 0 None QSWV11 N CA00783557 B SFY2022-23
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-13 00:00:00 950017780 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-04-07 00:00:00 2022-04-07 00:00:00 No 2022-08-03 00:00:00 None B None 2000 2000 -700 1300 0 None FRKJ11 N CA00780014, CA00780014 B, B SFY2022-23
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-14 00:00:00 950017785 Open Citation Citation A (HSC 1424) Patient Care None 2022-03-15 00:00:00 2022-03-15 00:00:00 Yes 2022-08-04 00:00:00 2022-07-19 00:00:00 A None 25000 25000 0 0 25000 None MF0411 N None None SFY2022-23
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-19 00:00:00 950017798 Closed Citation Citation B (HSC 1424) Patient Care None 2022-02-18 00:00:00 2022-02-18 00:00:00 No 2022-08-09 00:00:00 None B None 3000 3000 -1050 1950 0 None FY8I11 N CA00781185, CA00781185, CA00781185 B, B, B SFY2022-23
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-21 00:00:00 950017809 Open Citation Citation AA (HSC 1424) Patient Care None 2022-04-22 00:00:00 2022-04-22 00:00:00 Yes 2022-08-11 00:00:00 2022-08-03 00:00:00 AA None 120000 120000 0 0 120000 None MI5811 Y CA00781869, CA00781869, CA00781869, CA00781869 A, A, A, A SFY2022-23
950000045 ARCADIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-22 00:00:00 950017818 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-04-06 00:00:00 2022-04-06 00:00:00 No 2022-08-12 00:00:00 None B None 3000 3000 -1050 1950 0 None GUTO11 N CA00783125 A SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-07-28 00:00:00 950017851 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-07-21 00:00:00 2021-07-21 00:00:00 No 2022-08-18 00:00:00 None B None 2000 2000 0 2000 0 None OQAR11 N CA00744596 A SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-07-28 00:00:00 950017854 Open Citation Citation B (HSC 1424) Patient Rights None 2021-07-15 00:00:00 2021-07-15 00:00:00 No 2022-08-18 00:00:00 None B None 2000 2000 0 0 2000 None OQAR11 N CA00744596, CA00744596 A, A SFY2022-23
950000104 ROYAL GARDENS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2022-07-28 00:00:00 950017855 Open Citation Citation B (HSC 1424) Patient Care None 2022-05-03 00:00:00 2022-05-03 00:00:00 No 2022-08-18 00:00:00 None B None 3000 3000 0 0 3000 None G7IR11 N CA00783150, CA00783150, CA00784294 A, A, B SFY2022-23
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-28 00:00:00 950017856 Open Citation Citation B (HSC 1424) Patient Care None 2016-03-20 00:00:00 2016-03-20 00:00:00 No 2022-08-18 00:00:00 None B None 2000 2000 0 0 2000 None NTBG11 Y CA00506029, CA00506029, CA00506029, CA00506029 B, B, B, B SFY2022-23
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-29 00:00:00 950017862 Closed Citation Citation B (HSC 1424) Patient Care None 2019-08-31 00:00:00 2019-08-31 00:00:00 No 2022-08-19 00:00:00 None B None 2000 2000 -700 1300 0 None Y5H411 N CA00653002 A SFY2022-23
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-29 00:00:00 950017863 Closed Citation Citation A (HSC 1424) Patient Rights None 2019-07-09 00:00:00 2019-07-09 00:00:00 No 2022-08-19 00:00:00 None A None 20000 20000 -7000 13000 0 None 9UKD11 N CA00645265 B SFY2022-23
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-07-29 00:00:00 950017864 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-01-21 00:00:00 2022-01-21 00:00:00 No 2022-08-19 00:00:00 None B None 3000 3000 -1050 1950 0 None DYNH11 N CA00768861 B SFY2022-23
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2022-08-05 00:00:00 950017879 Closed Citation Citation B (HSC 1424) Patient Care None 2022-03-04 00:00:00 2022-03-04 00:00:00 No 2022-08-26 00:00:00 None B None 3000 3000 0 3000 0 None 80SI11 N CA00784208, CA00784208, CA00784208 A, A, A SFY2022-23
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2022-08-05 00:00:00 950017880 Closed Citation Citation B (HSC 1424) Other Patient Abuse 2022-05-27 00:00:00 2022-05-27 00:00:00 No 2022-08-26 00:00:00 None B None 3000 3000 -1050 1950 0 None JLNZ11 N CA00789410 A SFY2022-23
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2022-08-12 00:00:00 950017894 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-14 00:00:00 2022-06-14 00:00:00 No 2022-09-02 00:00:00 None B None 2000 2000 0 2000 0 None 6OKO11 N CA00789813, CA00789813 A, A SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-08-19 00:00:00 950017911 Open Citation Citation B (HSC 1424) Patient Rights None 2022-06-02 00:00:00 2022-06-02 00:00:00 No 2022-09-12 00:00:00 None B None 2500 2500 0 0 2500 None QGD111 N CA00788040 A SFY2022-23
950000104 ROYAL GARDENS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2022-08-29 00:00:00 950017941 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-08-04 00:00:00 2022-08-04 00:00:00 No 2022-09-20 00:00:00 None B None 3000 3000 0 3000 0 None XU6W11 N CA00791448, CA00791448 B, B SFY2022-23
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2022-09-02 00:00:00 950017962 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-16 00:00:00 2022-06-16 00:00:00 No 2022-09-26 00:00:00 None B None 3000 3000 0 3000 0 None UPCY11 N CA00790036, CA00790036 A, A SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-09-08 00:00:00 950017967 Open Citation Citation B (HSC 1424) Patient Care None 2022-03-25 00:00:00 2022-03-25 00:00:00 No 2022-09-29 00:00:00 None B None 3000 3000 0 0 3000 None YRPU11 N CA00789261 B SFY2022-23
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-09-15 00:00:00 950017994 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-07-07 00:00:00 2022-07-07 00:00:00 No 2022-10-06 00:00:00 None B None 3000 3000 -1050 1950 0 None HWOM11 N CA00792497 A SFY2022-23
950000077 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-09-15 00:00:00 950017995 Closed Citation Citation B (HSC 1424) Medication None 2022-05-27 00:00:00 2022-05-27 00:00:00 No 2022-10-06 00:00:00 None B None 3000 3000 0 3000 0 None HICW11 N CA00796629 A SFY2022-23
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-09-15 00:00:00 950018000 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-15 00:00:00 2022-06-15 00:00:00 No 2022-10-06 00:00:00 None A None 20000 20000 -7000 13000 0 None 7KXZ11 N CA00789292, CA00789292 B, B SFY2022-23
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2022-09-21 00:00:00 950018009 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-20 00:00:00 2022-06-20 00:00:00 Yes 2022-10-12 00:00:00 2022-09-28 00:00:00 A None 25000 25000 0 25000 0 None CFCM11 N CA00790385, CA00790385, CA00790385 B, B, B SFY2022-23
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2022-09-23 00:00:00 950018014 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-08-12 00:00:00 2022-08-12 00:00:00 No 2022-10-14 00:00:00 None B None 3000 3000 -1050 1950 0 None HICX11 N CA00796623, CA00796623 B, B SFY2022-23
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-09-27 00:00:00 950018016 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-01-22 00:00:00 2021-01-22 00:00:00 No 2022-10-18 00:00:00 None B None 2000 2000 0 2000 0 None YI7Z11 N CA00722622 A SFY2022-23
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-09-28 00:00:00 950018020 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-17 00:00:00 2022-06-17 00:00:00 No 2022-10-19 00:00:00 None A None 25000 25000 -8750 16250 0 None U4XV11 N CA00791387 B SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-09-29 00:00:00 950018026 Closed Citation Citation B (HSC 1424) Medication None 2022-08-17 00:00:00 2022-08-17 00:00:00 No 2022-10-20 00:00:00 None B None 3000 3000 0 3000 0 None 2CN011 N CA00797018, CA00797018, CA00797018 B, B, B SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-09-29 00:00:00 950018028 Closed Citation Citation B (HSC 1424) Medication None 2022-08-17 00:00:00 2022-08-17 00:00:00 No 2022-10-20 00:00:00 None B None 3000 3000 -1050 1950 0 None 2CN011 N CA00797018, CA00797018, CA00797018, CA00797018 B, B, B, B SFY2022-23
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-05 00:00:00 950018048 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-04-28 00:00:00 2022-04-28 00:00:00 No 2022-10-26 00:00:00 None B None 2000 6000 0 6000 0 None IGWB11 N CA00782774 B SFY2022-23
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-05 00:00:00 950018049 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-19 00:00:00 2022-04-19 00:00:00 No 2022-10-26 00:00:00 None B None 3000 3000 0 3000 0 None VY7J11 N CA00781347, CA00781347 A, A SFY2022-23
970000156 HOLLENBECK PALMS LTC SNF Skilled Nursing Facility LA Region 1 2022-10-06 00:00:00 950018051 Open Citation Citation AA (HSC 1424) Physical Environment None 2022-07-31 00:00:00 2022-07-31 00:00:00 Yes 2022-10-27 00:00:00 2022-10-24 00:00:00 AA AA 120000 100000 0 50000 50000 None 3W1V11 Y CA00796469, CA00796469, CA00796469 A, A, A SFY2022-23
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-06 00:00:00 950018055 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-05-24 00:00:00 2022-05-24 00:00:00 No 2022-10-27 00:00:00 None B None 2000 6000 0 6000 0 None 5K3D11 N CA00786207 A SFY2022-23
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-06 00:00:00 950018057 Closed Citation Citation B (HSC 1424) Patient Care None 2022-06-08 00:00:00 2022-06-08 00:00:00 No 2022-10-27 00:00:00 None B None 2000 6000 0 6000 0 None C9QD11 N CA00787420 B SFY2022-23
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2022-10-06 00:00:00 950018058 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-09-06 00:00:00 2022-09-06 00:00:00 No 2022-10-27 00:00:00 None B None 2500 2500 -875 1625 0 None YK2C11 N CA00801405, CA00801405 A, A SFY2022-23
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2022-10-06 00:00:00 950018059 Open Citation Citation B (HSC 1424) Physical Environment None 2022-09-18 00:00:00 2022-09-18 00:00:00 No 2022-10-27 00:00:00 None B None 2500 2500 0 0 2500 None YK2C11 N CA00801405, CA00801405 A, A SFY2022-23
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-06 00:00:00 950018060 Closed Citation Citation A (HSC 1424) Patient Care None 2022-07-20 00:00:00 2022-07-20 00:00:00 No 2022-10-27 00:00:00 None A None 25000 25000 -8750 16250 0 None 4KNV11 N CA00794962 B SFY2022-23
950000002 CLAREMONT CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-06 00:00:00 950018061 Closed Citation Citation A (HSC 1424) Patient Care None 2022-06-12 00:00:00 2022-06-12 00:00:00 No 2022-10-27 00:00:00 None A None 25000 25000 -8750 16250 0 None 4KNV11 N CA00795492 A SFY2022-23
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-07 00:00:00 950018067 Closed Citation Citation B (HSC 1424) Patient Care None 2022-07-20 00:00:00 2022-07-20 00:00:00 No 2022-10-28 00:00:00 None B None 3000 3000 0 3000 0 None TRWP11 N CA00796373, CA00796373 A, A SFY2022-23
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-14 00:00:00 950018087 Closed Citation Citation B (HSC 1424) Medication None 2022-08-12 00:00:00 2022-08-12 00:00:00 No 2022-11-04 00:00:00 None B None 2000 6000 -2100 3900 0 None HYJV11 N CA00798411, CA00798411, CA00798411 B, B, B SFY2022-23
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-20 00:00:00 950018101 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-09-07 00:00:00 2022-09-07 00:00:00 No 2022-11-10 00:00:00 None B None 2500 2500 -875 1625 0 None DHUL11 N CA00801697, CA00801697 A, A SFY2022-23
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-24 00:00:00 950018112 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-18 00:00:00 2022-08-18 00:00:00 No 2022-11-15 00:00:00 None B None 2000 2000 0 2000 0 None 9J2011 N CA00799635 A SFY2022-23
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2022-10-27 00:00:00 950018124 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-06-01 00:00:00 2022-06-01 00:00:00 No 2022-11-18 00:00:00 None B None 3000 3000 -1050 1950 0 None KVZ711 N CA00787409 A SFY2022-23
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2022-10-27 00:00:00 950018125 Closed Citation Citation B (HSC 1424) Patient Care None 2022-07-22 00:00:00 2022-07-22 00:00:00 No 2022-11-18 00:00:00 None B None 3000 3000 0 3000 0 None 7KN111 N CA00798472 B SFY2022-23
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2022-11-03 00:00:00 950018140 Open Citation Citation A (HSC 1424) Patient Care None 2021-10-02 00:00:00 2021-10-02 00:00:00 Yes 2022-11-28 00:00:00 2022-11-05 00:00:00 A None 20000 20000 0 0 20000 None 7SON11 N CA00755622 B SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-11-10 00:00:00 950018150 Open Citation Citation B (HSC 1424) Patient Care None 2022-09-11 00:00:00 2022-09-11 00:00:00 No 2022-12-06 00:00:00 None B None 3000 3000 0 0 3000 None I4S211 N CA00802685, CA00802685 A, A SFY2022-23
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-11-17 00:00:00 950018159 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-11 00:00:00 2022-01-11 00:00:00 No 2022-12-12 00:00:00 None B None 2000 6000 0 6000 0 None 2IKD11 N CA00768733 A SFY2022-23
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2022-11-18 00:00:00 950018160 Closed Citation Citation B (HSC 1424) Patient Care None 2022-05-15 00:00:00 2022-05-15 00:00:00 No 2022-12-13 00:00:00 None B None 3000 3000 0 3000 0 None UJZK11 N CA00785508 B SFY2022-23
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-11-18 00:00:00 950018162 Open Citation Citation A (HSC 1424) Patient Care None 2022-08-19 00:00:00 2022-08-19 00:00:00 Yes 2022-12-13 00:00:00 2022-11-29 00:00:00 A None 25000 25000 0 0 25000 None FZWJ11 N CA00799715, CA00799715 A, A SFY2022-23
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-11-22 00:00:00 950018166 Closed Citation Citation A (HSC 1424) Patient Care None 2022-09-02 00:00:00 2022-09-02 00:00:00 No 2022-12-15 00:00:00 None A None 25000 25000 -8750 16250 0 None M3CJ11 N CA00801486, CA00802869, CA00802869 B, B, B SFY2022-23
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2022-11-22 00:00:00 950018171 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-07 00:00:00 2022-10-07 00:00:00 No 2022-12-15 00:00:00 None A None 25000 25000 -8750 16250 0 None BVGY11 Y CA00806781, CA00806781 A, A SFY2022-23
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-11-30 00:00:00 950018190 Open Citation Citation B (HSC 1424) Patient Care None 2021-07-24 00:00:00 2021-07-24 00:00:00 No 2022-12-21 00:00:00 None B None 2000 2000 0 0 2000 None PG0511 N CA00745482 B SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-12-01 00:00:00 950018192 Open Citation Citation B (HSC 1424) Patient Rights None 2022-05-06 00:00:00 2022-05-06 00:00:00 No 2022-12-22 00:00:00 None B None 3000 3000 0 0 3000 None F4QX11 N CA00806826, CA00807089, CA00807089, CA00807627, CA00807627 B, A, A, A, A SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-12-01 00:00:00 950018195 Open Citation Citation B (HSC 1424) Patient Rights None 2022-05-06 00:00:00 2022-05-06 00:00:00 No 2022-12-22 00:00:00 None B None 3000 3000 0 0 3000 None F4QX11 N CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627 B, B, A, A, A, A, A, A SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-12-01 00:00:00 950018202 Open Citation Citation B (HSC 1424) Patient Rights None 2022-05-06 00:00:00 2022-05-06 00:00:00 No 2022-12-22 00:00:00 None B None 3000 3000 0 0 3000 None F4QX11 N CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627 B, B, A, A, A, A, A, A SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-12-01 00:00:00 950018203 Open Citation Citation B (HSC 1424) Patient Rights None 2022-05-06 00:00:00 2022-05-06 00:00:00 No 2022-12-22 00:00:00 None B None 3000 3000 0 0 3000 None F4QX11 N CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627 B, B, A, A, A, A, A, A SFY2022-23
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2022-12-02 00:00:00 950018209 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-10 00:00:00 2022-01-10 00:00:00 No 2022-12-23 00:00:00 None B None 3000 3000 0 3000 0 None VKOL11 N CA00803392, CA00803392, CA00803392, CA00803392, CA00803402, CA00803402, CA00803402, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749 B, B, B, B, B, B, B, A, A, A, A, A, A, A SFY2022-23
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-12-02 00:00:00 950018211 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-19 00:00:00 2022-09-19 00:00:00 No 2022-12-23 00:00:00 None B None 3000 3000 -1050 1950 0 None U7KH11 N CA00803831 A SFY2022-23
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-12-08 00:00:00 950018222 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-08-01 00:00:00 2022-08-01 00:00:00 No 2022-12-29 00:00:00 None B None 3000 3000 -1050 1950 0 None M1HQ11 N CA00796381 A SFY2022-23
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-12-08 00:00:00 950018230 Open Citation Citation B (HSC 1424) Patient Care None 2022-09-29 00:00:00 2022-09-29 00:00:00 No 2022-12-29 00:00:00 None B None 3000 3000 0 3000 0 None VLF411 N CA00805752 A SFY2022-23
970000169 HERITAGE MANOR LTC SNF Skilled Nursing Facility LA Region 1 2022-12-09 00:00:00 950018233 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-13 00:00:00 2022-10-13 00:00:00 No 2022-12-30 00:00:00 None B None 3000 3000 0 3000 0 None I7MJ11 N CA00808002 B SFY2022-23
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2022-12-21 00:00:00 950018256 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-25 00:00:00 2022-09-25 00:00:00 No 2023-01-12 00:00:00 None B None 3000 3000 0 3000 0 None MKPS11 N CA00804791 B SFY2022-23
920000304 GLENHAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2022-12-29 00:00:00 950018266 Closed Citation Citation A (HSC 1424) Patient Rights None 2022-10-28 00:00:00 2022-10-28 00:00:00 No 2023-01-23 00:00:00 None A None 25000 25000 0 25000 0 None IJI611 N CA00811679 A SFY2022-23
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-12-29 00:00:00 950018268 Open Citation Citation B (HSC 1424) Patient Care None 2022-11-11 00:00:00 2022-11-11 00:00:00 No 2023-01-23 00:00:00 None B None 3000 3000 -1050 1950 0 None RFHI11 N None None SFY2022-23
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-12-29 00:00:00 950018270 Open Citation Citation B (HSC 1424) Patient Care None 2022-11-11 00:00:00 2022-11-11 00:00:00 No 2023-01-23 00:00:00 None B None 3000 3000 -1050 1950 0 None RFHI11 N None None SFY2022-23
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-12-29 00:00:00 950018275 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-11-09 00:00:00 2022-11-09 00:00:00 No 2023-01-23 00:00:00 None B None 3000 3000 0 3000 0 None NW3M11 N None None SFY2022-23
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2022-12-29 00:00:00 950018278 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-09-02 00:00:00 2022-09-02 00:00:00 No 2023-01-23 00:00:00 None B None 3000 3000 -1050 1950 0 None UOZH11 N CA00801294 B SFY2022-23
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-12-30 00:00:00 950018279 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-07 00:00:00 2022-10-07 00:00:00 No 2023-01-24 00:00:00 None B None 3000 3000 -1050 1950 0 None HWPR11 N CA00806980 B SFY2022-23
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2023-01-05 00:00:00 950018286 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-11-23 00:00:00 2022-11-23 00:00:00 No 2023-01-27 00:00:00 None B None 3000 3000 -1050 1950 0 None UD8K11 N CA00810945 B SFY2022-23
930001561 WEST COVINA MEDICAL CENTER D/P SNF LTC SNF Skilled Nursing Facility LA Region 1 2023-01-06 00:00:00 950018295 Open Citation Citation B (HSC 1424) Other No IP nurse 2022-12-06 00:00:00 2022-12-06 00:00:00 No 2023-01-30 00:00:00 None B None 3000 3000 -1050 1950 0 None BH3Q11 N None None SFY2022-23
960001457 EL ENCANTO HEALTHCARE AND HABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-01-11 00:00:00 950018298 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-12-03 00:00:00 2022-12-03 00:00:00 No 2023-02-02 00:00:00 None B None 3000 3000 -1050 1950 0 None B6V411 N CA00815039 A SFY2022-23
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-01-12 00:00:00 950018303 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-17 00:00:00 2022-10-17 00:00:00 Yes 2023-02-03 00:00:00 2023-01-16 00:00:00 A B 25000 14000 0 14000 0 None 2W3Z11 N CA00807992 A SFY2022-23
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-01-12 00:00:00 950018305 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-10-15 00:00:00 2022-10-15 00:00:00 No 2023-02-03 00:00:00 None B None 3000 3000 -1050 1950 0 None KFJZ11 N CA00808618, CA00808618, CA00808618 B, B, B SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-01-18 00:00:00 950018320 Open Citation Citation B (HSC 1424) Dietary None 2022-11-30 00:00:00 2022-11-30 00:00:00 No 2023-02-08 00:00:00 None B None 3000 3000 0 0 3000 None XN3F11 N CA00811934, CA00811934 B, B SFY2022-23
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2023-01-19 00:00:00 950018326 Closed Citation Citation A (HSC 1424) Patient Care None 2022-10-07 00:00:00 2022-10-07 00:00:00 No 2023-02-09 00:00:00 None A None 25000 25000 -8750 16250 0 None IV5911 Y CA00809094 A SFY2022-23
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-01-25 00:00:00 950018360 Closed Citation Citation B (HSC 1424) Patient Care None 2022-10-17 00:00:00 2022-10-17 00:00:00 No 2023-02-15 00:00:00 None B None 3000 3000 -1050 1950 0 None TWGX11 N None None SFY2022-23
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-01-27 00:00:00 950018366 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2022-12-01 00:00:00 2022-12-19 00:00:00 No 2023-02-17 00:00:00 None B None 3000 3900 -1050 2850 0 None F0TC11 N CA00814361, CA00814361, CA00814361, CA00815404 A, A, A, A SFY2022-23
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-03 00:00:00 950018374 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-12-19 00:00:00 2022-12-19 00:00:00 No 2023-02-27 00:00:00 None B None 3000 3000 -1050 1950 0 None D7O311 N CA00815507, CA00817212 B, A SFY2022-23
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-03 00:00:00 950018377 Closed Citation Citation B (HSC 1424) Patient Care None 2022-07-29 00:00:00 2022-07-29 00:00:00 No 2023-02-27 00:00:00 None B None 3000 3000 -1050 1950 0 None Z97111 N CA00810914, CA00810914, CA00810914, CA00810914 A, A, A, A SFY2022-23
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-02-08 00:00:00 950018384 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-01-05 00:00:00 2023-01-05 00:00:00 No 2023-03-02 00:00:00 None B None 3000 3000 -1050 1950 0 None YN5111 N CA00822971 B SFY2022-23
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-09 00:00:00 950018392 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-18 00:00:00 2022-11-18 00:00:00 No 2023-03-03 00:00:00 None B None 3000 3000 -1050 1950 0 None YBEQ11 N CA00812394 A SFY2022-23
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-09 00:00:00 950018397 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-12-13 00:00:00 2022-12-13 00:00:00 No 2023-03-03 00:00:00 None B None 3000 3000 0 3000 0 None J8EX11 N CA00816128 A SFY2022-23
950000054 BEACON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-15 00:00:00 950018414 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-05-03 00:00:00 2022-05-03 00:00:00 No 2023-03-09 00:00:00 None B None 3000 3000 -1050 1950 0 None LPLQ11 N CA00816647, CA00816647 B, B SFY2022-23
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-02-17 00:00:00 950018419 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-12-02 00:00:00 2022-12-02 00:00:00 No 2023-03-13 00:00:00 None B None 3000 3000 0 3000 0 None HXJ311 N CA00815862, CA00815862 B, B SFY2022-23
950000068 LAUREL PARK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-16 00:00:00 950018420 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-17 00:00:00 2022-12-17 00:00:00 No 2023-03-10 00:00:00 None B None 3000 3000 -1050 1950 0 None 684H11 N CA00817108 A SFY2022-23
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-17 00:00:00 950018421 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-16 00:00:00 2022-11-16 00:00:00 No 2023-03-13 00:00:00 None B None 3000 3000 0 3000 0 None S1BB11 N CA00812703, CA00812703, CA00812703 B, B, B SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-22 00:00:00 950018435 Open Citation Citation B (HSC 1424) Patient Care None 2022-12-30 00:00:00 2022-12-30 00:00:00 No 2023-03-15 00:00:00 None B None 3000 3000 0 0 3000 None XJBO11 N CA00818705, CA00818705, CA00818705 A, A, A SFY2022-23
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-02-23 00:00:00 950018439 Open Citation Citation A (HSC 1424) Patient Care None 2022-10-21 00:00:00 2022-10-21 00:00:00 No 2023-03-16 00:00:00 None A None 25000 25000 0 0 25000 None Q6EX11 N CA00815062, CA00815062 B, B SFY2022-23
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-24 00:00:00 950018441 Closed Citation Citation A (HSC 1424) Patient Care None 2022-01-20 00:00:00 2022-01-20 00:00:00 No 2023-03-17 00:00:00 None A None 25000 25000 -8750 16250 0 None BZDH11 N CA00770297 B SFY2022-23
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-28 00:00:00 950018450 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-16 00:00:00 2022-11-16 00:00:00 No 2023-03-21 00:00:00 None B None 3000 3000 -1050 1950 0 None 2KPU11 N None None SFY2022-23
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-02-28 00:00:00 950018454 Open Citation Citation B (HSC 1424) Patient Rights None 2023-02-12 00:00:00 2023-02-12 00:00:00 No 2023-03-21 00:00:00 None B None 2500 2500 -875 1625 0 None HL9L11 N CA00828402 A SFY2022-23
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2023-03-02 00:00:00 950018459 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-12-15 00:00:00 2022-12-15 00:00:00 No 2023-03-23 00:00:00 None B None 3000 3000 0 3000 0 None 1BLX11 N CA00814484, CA00814484 B, B SFY2022-23
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-03-02 00:00:00 950018466 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-21 00:00:00 2022-12-21 00:00:00 No 2023-03-23 00:00:00 None A None 25000 25000 -8750 16250 0 None YGY111 N CA00817745 B SFY2022-23
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-09 00:00:00 950018489 Open Citation Citation AA (HSC 1424) Medication None 2023-01-10 00:00:00 2023-01-10 00:00:00 Yes 2023-03-30 00:00:00 2023-03-27 00:00:00 AA None 120000 120000 0 0 120000 None LCOJ11 Y CA00821511, CA00821511, CA00821511 A, A, A SFY2022-23
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-09 00:00:00 950018500 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-02 00:00:00 2023-01-02 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 -1050 1950 0 None H7NH11 N CA00819256, CA00819256, CA00819256, CA00819276, CA00819276, CA00819421, CA00819421 A, A, A, A, A, B, B SFY2022-23
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-03-09 00:00:00 950018501 Closed Citation Citation B (HSC 1424) Other Abuse 2023-02-07 00:00:00 2023-02-07 00:00:00 No 2023-03-30 00:00:00 None B None 3000 3000 0 3000 0 None O4KD11 N CA00815393, CA00815393 A, A SFY2022-23
950000057 PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-03-10 00:00:00 950018503 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-08 00:00:00 2022-12-08 00:00:00 No 2023-04-03 00:00:00 None B None 3000 3000 -1050 1950 0 None S6P611 N CA00815815, CA00815815 B, B SFY2022-23
950000053 CLAREMONT MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-10 00:00:00 950018507 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-01 00:00:00 2023-01-01 00:00:00 No 2023-04-03 00:00:00 None B None 3000 3000 0 3000 0 None O06X11 N None None SFY2022-23
950000015 BALDWIN GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-13 00:00:00 950018511 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-02-06 00:00:00 2023-02-06 00:00:00 No 2023-04-04 00:00:00 None B None 3000 3000 -1050 1950 0 None RJ2J11 N CA00825110 A SFY2022-23
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2023-03-16 00:00:00 950018517 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-01-04 00:00:00 2023-01-04 00:00:00 No 2023-04-07 00:00:00 None B None 3000 3000 -1050 1950 0 None TXNN11 N CA00817328 B SFY2022-23
960001457 EL ENCANTO HEALTHCARE AND HABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-16 00:00:00 950018518 Closed Citation Citation A (HSC 1424) Patient Care None 2022-12-19 00:00:00 2022-12-19 00:00:00 No 2023-04-07 00:00:00 None A None 25000 25000 -8750 16250 0 None 24JD11 N CA00817496 B SFY2022-23
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-03-17 00:00:00 950018532 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-03-13 00:00:00 2023-03-13 00:00:00 No 2023-04-10 00:00:00 None B None 3000 3000 0 3000 0 None TLDP11 N CA00830956 A SFY2022-23
950000038 ROSEMEAD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-21 00:00:00 950018539 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-04-12 00:00:00 None B None 3000 3000 0 3000 0 None Q6UY11 N None None SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-21 00:00:00 950018540 Closed Citation Citation B (HSC 1424) Medication None 2023-01-18 00:00:00 2023-01-18 00:00:00 No 2023-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 9XC211 N CA00822075, CA00822075, CA00822075, CA00822075, CA00822075 A, A, A, A, A SFY2022-23
950000249 MAYFLOWER CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-22 00:00:00 950018551 Open Citation Citation A (HSC 1424) Patient Care None 2023-01-22 00:00:00 2023-01-22 00:00:00 Yes 2023-04-13 00:00:00 2023-04-12 00:00:00 A None 25000 25000 0 0 25000 None 0DKX11 N CA00822871 B SFY2022-23
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-23 00:00:00 950018557 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-11-29 00:00:00 2022-11-29 00:00:00 No 2023-04-14 00:00:00 None B None 2000 6000 0 6000 0 None IEYB11 N CA00813995, CA00813995 B, B SFY2022-23
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-03-23 00:00:00 950018562 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-14 00:00:00 2022-12-14 00:00:00 No 2023-04-14 00:00:00 None B None 3000 3000 -1050 1950 0 None 3U8M11 N CA00822231 B SFY2022-23
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-03-23 00:00:00 950018564 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-09 00:00:00 2023-01-09 00:00:00 No 2023-04-14 00:00:00 None B None 3000 3000 -1050 1950 0 None 82GZ11 N CA00821560, CA00824671 B, B SFY2022-23
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-03-30 00:00:00 950018595 Open Citation Citation A (HSC 1424) Patient Care None 2023-02-11 00:00:00 2023-02-11 00:00:00 Yes 2023-04-21 00:00:00 2023-04-12 00:00:00 A None 25000 25000 0 0 25000 None W2FV11 Y CA00826913, CA00826913, CA00826913, CA00826913 A, A, A, A SFY2022-23
950000027 SANTA FE LODGE LTC SNF Skilled Nursing Facility LA Region 1 2023-04-05 00:00:00 950018609 Open Citation Citation A (HSC 1424) Patient Care None 2023-02-07 00:00:00 2023-02-07 00:00:00 Yes 2023-04-26 00:00:00 2023-04-12 00:00:00 A None 25000 25000 0 0 25000 None 8DDU11 N CA00822840, CA00822840 B, B SFY2022-23
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-04-07 00:00:00 950018616 Closed Citation Citation B (HSC 1424) Patient Care None 2023-01-07 00:00:00 2023-01-07 00:00:00 No 2023-04-28 00:00:00 None B None 3000 3000 0 3000 0 None ZHQ711 N CA00820273 B SFY2022-23
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-04-12 00:00:00 950018624 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-07-20 00:00:00 2022-07-20 00:00:00 No 2023-05-03 00:00:00 None B None 3000 3000 0 3000 0 None OEF311 N CA00827735, CA00827735, CA00827735 A, A, A SFY2022-23
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-14 00:00:00 950018637 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-03-01 00:00:00 2023-03-01 00:00:00 No 2023-05-05 00:00:00 None B None 3000 3000 -1050 1950 0 None TVQO21 N CA00829330 A SFY2022-23
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-18 00:00:00 950018643 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-26 00:00:00 2023-02-26 00:00:00 No 2023-05-09 00:00:00 None B None 3000 3000 0 3000 0 None KB4B11 N CA00828864, CA00828864 A, A SFY2022-23
950000027 SANTA FE LODGE LTC SNF Skilled Nursing Facility LA Region 1 2023-04-20 00:00:00 950018654 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-07 00:00:00 2023-03-07 00:00:00 No 2023-05-11 00:00:00 None B None 3000 3000 -1050 1950 0 None UT1711 N None None SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-21 00:00:00 950018665 Open Citation Citation B (HSC 1424) Patient Rights None 2023-03-22 00:00:00 2023-03-22 00:00:00 No 2023-05-12 00:00:00 None B None 3000 3000 0 0 3000 None 9YWU11 N CA00835040 A SFY2022-23
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-24 00:00:00 950018676 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-10-25 00:00:00 2022-10-25 00:00:00 No 2023-05-15 00:00:00 None B None 3000 3000 -1050 1950 0 None 78IE11 N CA00825701, CA00825701, CA00825701, CA00825701, CA00825701, CA00825701, CA00825701 A, A, A, A, A, A, A SFY2022-23
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-24 00:00:00 950018678 Open Citation Citation B (HSC 1424) Patient Rights None 2023-03-13 00:00:00 2023-03-13 00:00:00 No 2023-05-15 00:00:00 None B None 3000 3000 0 0 3000 None TTUX11 N CA00830937 B SFY2022-23
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-28 00:00:00 950018701 Closed Citation Citation B (HSC 1424) Medication None 2023-01-11 00:00:00 2023-01-11 00:00:00 No 2023-05-19 00:00:00 None B None 3000 3000 -1050 1950 0 None CMVI11 N CA00824590, CA00824590, CA00824590 B, B, B SFY2022-23
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-28 00:00:00 950018702 Closed Citation Citation B (HSC 1424) Medication None 2023-03-13 00:00:00 2023-03-13 00:00:00 No 2023-05-19 00:00:00 None B None 3000 9000 0 9000 0 None 9YPE11 N None None SFY2022-23
950000018 SIERRA VIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-28 00:00:00 950018704 Open Citation Citation B (HSC 1424) Patient Care None 2022-04-05 00:00:00 2022-04-05 00:00:00 No 2023-05-19 00:00:00 None B None 3000 3000 0 3000 0 None F6XQ11 N CA00829369, CA00830245, CA00830245 B, B, B SFY2022-23
970000117 HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2023-04-28 00:00:00 950018706 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-02-10 00:00:00 2023-02-10 00:00:00 No 2023-05-19 00:00:00 None B None 3000 3000 0 3000 0 None 06C011 N CA00826233 B SFY2022-23
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-28 00:00:00 950018707 Closed Citation Citation B (HSC 1424) Medication None 2023-03-13 00:00:00 2023-03-13 00:00:00 No 2023-05-19 00:00:00 None B None 3000 9000 0 9000 0 None 9YPE11 N None None SFY2022-23
970000105 ARARAT POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-04-28 00:00:00 950018708 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-03-17 00:00:00 2023-03-17 00:00:00 No 2023-05-19 00:00:00 None B None 3000 3000 0 3000 0 None MGS811 N CA00831749 A SFY2022-23
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-04-28 00:00:00 950018709 Closed Citation Citation B (HSC 1424) Medication None 2023-03-13 00:00:00 2023-03-13 00:00:00 No 2023-05-19 00:00:00 None B None 3000 9000 0 9000 0 None 9YPE11 N None None SFY2022-23
950000057 PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-05-04 00:00:00 950018720 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-13 00:00:00 2023-02-13 00:00:00 No 2023-05-25 00:00:00 None B None 3000 3000 -1050 1950 0 None MEU911 N CA00826586, CA00826586, CA00826595, CA00826595 B, B, B, B SFY2022-23
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-05-05 00:00:00 950018723 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-13 00:00:00 2023-03-13 00:00:00 No 2023-05-26 00:00:00 None B None 3000 3000 0 3000 0 None 9MJ611 N CA00831069 B SFY2022-23
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-05-05 00:00:00 950018724 Open Citation Citation B (HSC 1424) Patient Care None 2023-04-08 00:00:00 2023-04-08 00:00:00 No 2023-05-26 00:00:00 None B None 3000 3000 0 0 3000 None 2UYV11 N CA00835339, CA00835339, CA00835339 A, A, A SFY2022-23
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-05-05 00:00:00 950018725 Open Citation Citation B (HSC 1424) Patient Rights None 2023-04-08 00:00:00 2023-04-08 00:00:00 No 2023-05-26 00:00:00 None B None 3000 3000 0 0 3000 None 2UYV11 N CA00835339, CA00835339, CA00835339, CA00835339 A, A, A, A SFY2022-23
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-05-11 00:00:00 950018744 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-03-21 00:00:00 2023-03-21 00:00:00 No 2023-06-02 00:00:00 None B None 3000 3000 -1050 1950 0 None 37J711 N CA00832547, CA00832547 A, A SFY2022-23
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-05-12 00:00:00 950018749 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-24 00:00:00 2023-03-24 00:00:00 No 2023-06-05 00:00:00 None B None 3000 3000 0 3000 0 None JRQE11 N CA00833018, CA00833503 B, B SFY2022-23
950000015 BALDWIN GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-05-17 00:00:00 950018758 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-04-12 00:00:00 2023-04-12 00:00:00 No 2023-06-08 00:00:00 None B None 3000 3000 -1050 1950 0 None GSU911 N CA00835129 A SFY2022-23
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-05-23 00:00:00 950018787 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-16 00:00:00 2023-03-16 00:00:00 No 2023-06-14 00:00:00 None B None 3000 3000 -1050 1950 0 None 0C7L11 N CA00830137, CA00830137, CA00830137, CA00830137, CA00830137, CA00830137 B, B, B, B, B, B SFY2022-23
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2023-05-23 00:00:00 950018788 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-11 00:00:00 2023-04-11 00:00:00 No 2023-06-14 00:00:00 None B None 3000 3000 -1050 1950 0 None ILHW11 N None None SFY2022-23
950000040 COUNTRY OAKS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-05-23 00:00:00 950018789 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-10 00:00:00 2023-04-10 00:00:00 No 2023-06-14 00:00:00 None B None 3000 3000 0 3000 0 None XSTK11 N CA00836796, CA00836865, CA00836986, CA00837609, CA00837721, CA00837721, CA00837820, CA00837964, CA00837964, CA00838043, CA00838195, CA00838195, CA00838195, CA00838198, CA00838198, CA00838198, CA00838383, CA00838383, CA00838383 B, B, B, B, B, B, A, A, A, B, A, A, A, B, B, B, B, B, B SFY2022-23
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2023-05-24 00:00:00 950018790 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-27 00:00:00 2023-03-27 00:00:00 No 2023-06-15 00:00:00 None B None 3000 3000 0 3000 0 None 9X1P11 N CA00834792, CA00835626, CA00835626, CA00835626 A, A, A, A SFY2022-23
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-05-24 00:00:00 950018796 Closed Citation Citation A (HSC 1424) Patient Rights None 2023-03-18 00:00:00 2023-03-18 00:00:00 No 2023-06-15 00:00:00 None A None 25000 25000 0 25000 0 None JTBH11 N CA00831961, CA00831985 B, A SFY2022-23
950000039 ATHERTON BAPTIST HOME-SAM B. WEST LTC SNF Skilled Nursing Facility LA Region 1 2023-06-02 00:00:00 950018817 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-15 00:00:00 2023-04-15 00:00:00 No 2023-06-23 00:00:00 None B None 3000 3000 -1050 1950 0 None IWWD11 N CA00836697 A SFY2022-23
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-06-02 00:00:00 950018824 Closed Citation Citation A (HSC 1424) Patient Care None 2022-11-11 00:00:00 2022-11-11 00:00:00 No 2023-06-23 00:00:00 None A None 25000 25000 -8750 16250 0 None 4AYD11 N None None SFY2022-23
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-06-02 00:00:00 950018825 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-04-20 00:00:00 2023-04-20 00:00:00 No 2023-06-23 00:00:00 None B None 3000 3000 -1050 1950 0 None 4AYD11 N None None SFY2022-23
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-06-02 00:00:00 950018826 Closed Citation Citation A (HSC 1424) Patient Care None 2023-04-12 00:00:00 2023-04-12 00:00:00 No 2023-06-23 00:00:00 None A None 25000 25000 -8750 16250 0 None 4AYD11 N None None SFY2022-23
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-06-12 00:00:00 950018844 Closed Citation Citation A (HSC 1424) Patient Care None 2023-04-27 00:00:00 2023-04-27 00:00:00 No 2023-07-03 00:00:00 None A None 25000 25000 -8750 16250 0 None TR2M11 Y CA00838711 B SFY2022-23
970000091 ARARAT CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-06-14 00:00:00 950018858 Closed Citation Citation B (HSC 1424) Staffing None 2023-03-31 00:00:00 2023-03-31 00:00:00 No 2023-07-06 00:00:00 None B None 3000 3000 -1050 1950 0 None 1SNF11 N CA00835700, CA00835700 A, A SFY2022-23
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-06-15 00:00:00 950018867 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-04-24 00:00:00 2023-04-24 00:00:00 No 2023-07-07 00:00:00 None B None 3000 3000 -1050 1950 0 None SCQL11 N CA00838474 B SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2023-06-16 00:00:00 950018872 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-04-11 00:00:00 2023-04-11 00:00:00 No 2023-07-10 00:00:00 None B None 3000 3000 0 0 3000 None NF2V11 N CA00837342, CA00837342, CA00837342, CA00837342, CA00838505, CA00838505, CA00838505, CA00838505, CA00838508, CA00838508, CA00838508, CA00838508 B, B, B, B, A, A, A, A, A, A, A, A SFY2022-23
970000184 PASADENA PARK HEALTHCARE AND WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-06-23 00:00:00 950018896 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-05-24 00:00:00 2023-05-24 00:00:00 No 2023-07-17 00:00:00 None B None 3000 3000 0 3000 0 None XS4O11 N CA00841916 B SFY2022-23
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-05 00:00:00 950018912 Closed Citation Citation A (HSC 1424) Patient Care None 2023-04-13 00:00:00 2023-04-13 00:00:00 No 2023-07-26 00:00:00 None A None 25000 25000 -8750 16250 0 None K2CJ11 Y CA00839347, CA00839347, CA00839347, CA00840888, CA00840888, CA00840888, CA00840888, CA00840888 B, B, B, A, A, A, A, A SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-06-30 00:00:00 950018913 Closed Citation Citation A (HSC 1424) Patient Care None 2023-05-06 00:00:00 2023-05-06 00:00:00 No 2023-07-24 00:00:00 None A None 25000 25000 -8750 16250 0 None I37311 N CA00840256, CA00840256 A, A SFY2022-23
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-05 00:00:00 950018924 Open Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Willful Material Falsification None 2023-04-12 00:00:00 2023-04-12 00:00:00 No 2023-07-26 00:00:00 None WF None 3500 3500 0 2275 1225 None K2CJ11 None CA00839347, CA00839347, CA00839347, CA00839347, CA00840888, CA00840888, CA00840888, CA00840888, CA00840888, CA00840888 B, B, B, B, A, A, A, A, A, A SFY2023-24
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-10 00:00:00 950018932 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-23 00:00:00 2023-05-23 00:00:00 No 2023-07-31 00:00:00 None B None 3000 3000 -1050 1950 0 None U9MT11 N CA00842392, CA00842392, CA00842507, CA00842507, CA00842507, CA00842507, CA00842507 B, B, A, A, A, A, A SFY2023-24
920000028 MONTROSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-11 00:00:00 950018935 Open Citation Citation B (HSC 1424) Patient Rights None 2023-06-23 00:00:00 2023-06-23 00:00:00 No 2023-08-01 00:00:00 None B None 3000 3000 0 0 3000 None QFSK11 N CA00848545 A SFY2023-24
950000077 VICTORIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-11 00:00:00 950018937 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-06-10 00:00:00 2023-06-10 00:00:00 No 2023-08-01 00:00:00 None B None 3000 3000 0 3000 0 None W25811 N CA00845184 A SFY2023-24
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-11 00:00:00 950018939 Open Citation Citation B (HSC 1424) Patient Care None 2023-05-08 00:00:00 2023-05-08 00:00:00 No 2023-08-01 00:00:00 None B None 3000 3000 -1050 1950 0 None HQYJ11 N CA00840164 B SFY2023-24
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-11 00:00:00 950018940 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-05-10 00:00:00 2023-05-10 00:00:00 No 2023-08-01 00:00:00 None B None 3000 3000 0 3000 0 None I7XP11 N CA00841487 A SFY2023-24
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-12 00:00:00 950018944 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-05-29 00:00:00 2023-05-29 00:00:00 No 2023-08-02 00:00:00 None B None 3000 3000 -1050 1950 0 None SSVJ11 N CA00843112, CA00843834 A, A SFY2023-24
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-18 00:00:00 950018971 Closed Citation Citation B (HSC 1424) Other Staff Qualifications 2023-05-24 00:00:00 2023-05-24 00:00:00 No 2023-08-08 00:00:00 None B None 3000 3000 -1050 1950 0 None 4AYD12 N None None SFY2023-24
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2023-07-20 00:00:00 950018978 Closed Citation Citation A (HSC 1424) Patient Care None 2023-05-03 00:00:00 2023-05-03 00:00:00 No 2023-08-10 00:00:00 None A None 25000 25000 -8750 16250 0 None QQ6211 N None None SFY2023-24
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2023-07-20 00:00:00 950018980 Closed Citation Citation B (HSC 1424) Patient Record None 2023-06-08 00:00:00 2023-06-08 00:00:00 No 2023-08-10 00:00:00 None B None 3000 3000 -1050 1950 0 None QQ6211 N None None SFY2023-24
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-20 00:00:00 950018984 Closed Citation Citation B (HSC 1424) Patient Care None 2023-03-20 00:00:00 2023-03-20 00:00:00 No 2023-08-10 00:00:00 None B None 3000 3000 0 3000 0 None TJKN11 N CA00841911, CA00841911 B, B SFY2023-24
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2023-07-21 00:00:00 950018986 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-13 00:00:00 2023-05-13 00:00:00 No 2023-08-11 00:00:00 None B None 3000 3000 -1050 1950 0 None QQ6211 N None None SFY2023-24
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2023-07-21 00:00:00 950018989 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-06-08 00:00:00 2023-06-08 00:00:00 No 2023-08-11 00:00:00 None B None 3000 3000 -1050 1950 0 None QQ6221 N None None SFY2023-24
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2023-07-31 00:00:00 950019011 Open Citation Citation B (HSC 1424) Patient Care None 2023-05-29 00:00:00 2023-05-29 00:00:00 No 2023-08-21 00:00:00 None B None 3000 3150 -1050 1950 150 None KVTV11 N CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759 B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A SFY2023-24
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2023-07-31 00:00:00 950019012 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-21 00:00:00 2023-05-21 00:00:00 No 2023-08-21 00:00:00 None B None 3000 3000 -1050 1950 0 None KVTV11 N CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A SFY2023-24
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2023-07-31 00:00:00 950019013 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-08 00:00:00 2023-06-08 00:00:00 No 2023-08-21 00:00:00 None B None 3000 3000 -1050 1950 0 None KVTV11 N CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A SFY2023-24
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2023-07-31 00:00:00 950019014 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-22 00:00:00 2023-05-22 00:00:00 No 2023-08-21 00:00:00 None B None 3000 3000 -1050 1950 0 None KVTV11 N CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A SFY2023-24
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2023-07-31 00:00:00 950019015 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-29 00:00:00 2023-05-29 00:00:00 No 2023-08-21 00:00:00 None B None 3000 3000 -1050 1950 0 None KVTV11 N CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A SFY2023-24
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2023-07-31 00:00:00 950019016 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-08 00:00:00 2023-06-08 00:00:00 No 2023-08-21 00:00:00 None B None 3000 3000 -1050 1950 0 None KVTV11 N CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A SFY2023-24
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-08-02 00:00:00 950019024 Open Citation Citation B (HSC 1424) Patient Rights None 2023-06-21 00:00:00 2023-06-21 00:00:00 No 2023-08-23 00:00:00 None B None 3000 3000 0 0 3000 None BY0U11 N CA00845582, CA00845631 B, B SFY2023-24
950000104 ROYAL GARDENS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2023-08-03 00:00:00 950019029 Open Citation Citation B (HSC 1424) Physical Environment None 2023-07-20 00:00:00 2023-07-20 00:00:00 No 2023-08-24 00:00:00 None B None 3000 9000 0 0 9000 None J10K11 N CA00850126 B SFY2023-24
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-08-04 00:00:00 950019032 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-07-25 00:00:00 2023-07-25 00:00:00 No 2023-08-25 00:00:00 None B None 3000 3400 -1050 2350 0 None QGQE11 N CA00852022, CA00852022, CA00852022 A, A, A SFY2023-24
970000156 HOLLENBECK PALMS LTC SNF Skilled Nursing Facility LA Region 1 2023-08-11 00:00:00 950019056 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-07-05 00:00:00 2023-07-05 00:00:00 No 2023-09-01 00:00:00 None B None 3000 3000 -1050 1950 0 None KNJU11 N CA00848792, CA00848792 A, A SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-08-17 00:00:00 950019066 Closed Citation Citation A (HSC 1424) Patient Care None 2023-04-30 00:00:00 2023-04-30 00:00:00 No 2023-09-08 00:00:00 None A None 25000 25000 -8750 16250 0 None KSQA11 N CA00844002, CA00844002, CA00844002 A, A, A SFY2023-24
950000256 GLENDORA CANYON TRANSITIONAL CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2023-08-18 00:00:00 950019078 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-06 00:00:00 2023-07-06 00:00:00 No 2023-09-11 00:00:00 None B None 3000 3000 0 3000 0 None AAVV11 N CA00849980 A SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-08-22 00:00:00 950019087 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-25 00:00:00 2023-05-25 00:00:00 No 2023-09-13 00:00:00 None B None 3000 9000 -3150 5850 0 None QK1211 N CA00842770, CA00843986 B, B SFY2023-24
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2023-08-23 00:00:00 950019091 Open Citation Citation B (HSC 1424) Patient Care None 2023-06-29 00:00:00 2023-06-29 00:00:00 No 2023-09-14 00:00:00 None B None 3000 3000 0 0 3000 None W20R11 N CA00849798, CA00849927 A, A SFY2023-24
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-08-25 00:00:00 950019098 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-10 00:00:00 2023-06-10 00:00:00 No 2023-09-18 00:00:00 None B None 3000 3000 -1050 1950 0 None O9O311 N CA00845243, CA00846609 B, B SFY2023-24
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2023-08-31 00:00:00 950019119 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-22 00:00:00 2023-07-22 00:00:00 No 2023-09-22 00:00:00 None B None 3000 3000 0 3000 0 None 74O111 N CA00851951 B SFY2023-24
950000053 CLAREMONT MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-08-31 00:00:00 950019121 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-07-15 00:00:00 2023-07-15 00:00:00 No 2023-09-22 00:00:00 None B None 3000 3000 0 3000 0 None 78XN11 N CA00851666, CA00851666 B, B SFY2023-24
950000104 ROYAL GARDENS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2023-09-01 00:00:00 950019124 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-02 00:00:00 2023-07-02 00:00:00 No 2023-09-25 00:00:00 None B None 3000 3000 0 3000 0 None 6JNU11 N CA00848590, CA00848590 B, B SFY2023-24
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-01 00:00:00 950019125 Open Citation Citation B (HSC 1424) Patient Care None 2023-07-25 00:00:00 2023-07-25 00:00:00 No 2023-09-25 00:00:00 None B None 3000 3000 0 0 3000 None QIRU11 N CA00852670, CA00852670 A, A SFY2023-24
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-06 00:00:00 950019129 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-07-30 00:00:00 2023-07-30 00:00:00 No 2023-09-27 00:00:00 None B None 3000 3000 -1050 1950 0 None 3I3N11 N CA00853227 A SFY2023-24
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2023-09-07 00:00:00 950019135 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-28 00:00:00 2023-07-28 00:00:00 No 2023-09-28 00:00:00 None B None 3000 3000 -1050 1950 0 None MB6011 N CA00851109 B SFY2023-24
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-08 00:00:00 950019141 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-25 00:00:00 2023-07-25 00:00:00 No 2023-09-29 00:00:00 None B None 3000 3000 -1050 1950 0 None CGGX11 N CA00852605 B SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-09-11 00:00:00 950019144 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-22 00:00:00 2023-07-22 00:00:00 No 2023-10-02 00:00:00 None B None 3000 3000 -1050 1950 0 None Z3VM11 N CA00852580, CA00852580 A, A SFY2023-24
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-12 00:00:00 950019151 Closed Citation Citation B (HSC 1424) Administration None 2023-07-19 00:00:00 2023-07-19 00:00:00 No 2023-10-03 00:00:00 None B None 3000 3000 -1050 1950 0 None MC1P11 N CA00854842 A SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-09-13 00:00:00 950019156 Open Citation Citation AA (HSC 1424) Patient Record None 2023-07-25 00:00:00 2023-07-25 00:00:00 Yes 2023-10-04 00:00:00 2023-10-04 00:00:00 AA None 120000 120000 0 0 120000 None Z3VM11 Y CA00852568 A SFY2023-24
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-13 00:00:00 950019159 Closed Citation Citation B (HSC 1424) Administration None 2023-07-19 00:00:00 2023-07-19 00:00:00 No 2023-10-04 00:00:00 None B None 3000 3000 -1050 1950 0 None CDJI11 N CA00850001 B SFY2023-24
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2023-09-15 00:00:00 950019167 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-03 00:00:00 2023-06-03 00:00:00 No 2023-10-06 00:00:00 None B None 3000 3000 -1050 1950 0 None UXFV11 N CA00854030, CA00854030 A, A SFY2023-24
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-20 00:00:00 950019180 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-11 00:00:00 2023-08-11 00:00:00 No 2023-10-11 00:00:00 None B None 3000 3000 -1050 1950 0 None VD7011 N CA00853987, CA00853987, CA00853987 B, B, B SFY2023-24
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-20 00:00:00 950019186 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-05 00:00:00 2023-08-05 00:00:00 No 2023-10-11 00:00:00 None B None 3000 3000 -1050 1950 0 None OL2011 N CA00854436, CA00854436, CA00854482, CA00854482 A, A, A, A SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-21 00:00:00 950019187 Closed Citation Citation B (HSC 1424) Administration None 2023-09-02 00:00:00 2023-09-02 00:00:00 No 2023-10-12 00:00:00 None B None 3000 3000 0 3000 0 None 7R1Z11 N CA00859267, CA00859267 B, B SFY2023-24
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-22 00:00:00 950019192 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-01 00:00:00 2023-08-01 00:00:00 No 2023-10-13 00:00:00 None B None 3000 3000 -1050 1950 0 None S1C511 N CA00854484, CA00854484, CA00854484, CA00854484 A, A, A, A SFY2023-24
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-27 00:00:00 950019203 Open Citation Citation B (HSC 1424) Patient Care None 2023-08-02 00:00:00 2023-08-02 00:00:00 No 2023-10-18 00:00:00 None B None 3000 3450 -1050 1950 450 None HW2O11 N CA00851950, CA00851950, CA00852680, CA00852680, CA00852680, CA00853636, CA00853636 B, B, B, B, B, A, A SFY2023-24
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-09-28 00:00:00 950019206 Open Citation Citation B (HSC 1424) Patient Care None 2023-08-12 00:00:00 2023-08-12 00:00:00 No 2023-10-19 00:00:00 None B None 3000 9000 0 0 9000 None Z10H11 N CA00855882 A SFY2023-24
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-10-03 00:00:00 950019222 Closed Citation Citation B (HSC 1424) Administration None 2023-09-13 00:00:00 2023-09-13 00:00:00 No 2023-10-24 00:00:00 None B None 3000 3000 0 3000 0 None WV4Q11 N CA00860769 B SFY2023-24
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-10-11 00:00:00 950019243 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-08-16 00:00:00 2023-08-16 00:00:00 No 2023-11-01 00:00:00 None B None 3000 3000 0 3000 0 None NFBR11 N CA00856380 B SFY2023-24
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-10-11 00:00:00 950019244 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-16 00:00:00 2023-08-16 00:00:00 No 2023-11-01 00:00:00 None B None 3000 3000 0 3000 0 None NFBR11 N CA00856380 B SFY2023-24
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-10-11 00:00:00 950019245 Open Citation Citation AA (HSC 1424) Patient Care None 2023-08-16 00:00:00 2023-08-16 00:00:00 No 2023-11-01 00:00:00 None AA None 120000 120000 0 0 120000 None NFBR11 Y CA00857259, CA00857259, CA00857259 A, A, A SFY2023-24
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-10-11 00:00:00 950019247 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-16 00:00:00 2023-08-16 00:00:00 No 2023-11-01 00:00:00 None B None 3000 3000 0 3000 0 None NFBR11 N CA00856398, CA00856398 B, B SFY2023-24
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-12 00:00:00 950019255 Open Citation Citation B (HSC 1424) Patient Rights None 2023-08-24 00:00:00 2023-08-24 00:00:00 No 2023-11-02 00:00:00 None B None 3000 3000 -1050 1950 0 None 9VGD11 N CA00857683, CA00858505 B, B SFY2023-24
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-14 00:00:00 950019261 Closed Citation Citation B (HSC 1424) Other Dietary 2023-08-30 00:00:00 2023-08-30 00:00:00 No 2023-11-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 7P2B11 N CA00856903, CA00856903, CA00856903, CA00856903 B, B, B, B SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-19 00:00:00 950019271 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-08-24 00:00:00 2023-08-24 00:00:00 No 2023-11-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 7R1Z11 N CA00857171, CA00859724 B, B SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-19 00:00:00 950019276 Closed Citation Citation B (HSC 1424) Staffing None 2023-08-25 00:00:00 2023-08-25 00:00:00 No 2023-11-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 7R1Z11 N CA00858050, CA00858138 A, B SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-10-19 00:00:00 950019277 Closed Citation Citation B (HSC 1424) Patient Care None 2023-09-03 00:00:00 2023-09-03 00:00:00 No 2023-11-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 89NR11 N CA00859261, CA00859261 A, A SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-19 00:00:00 950019278 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-24 00:00:00 2023-08-24 00:00:00 No 2023-11-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 7R1Z11 N CA00857171, CA00859724 B, B SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-19 00:00:00 950019281 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-14 00:00:00 2023-07-14 00:00:00 No 2023-11-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 85YI11 N CA00859485, CA00859485 A, A SFY2023-24
940000015 THE ORCHARD - POST ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 1 2023-10-19 00:00:00 950019283 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-12 00:00:00 2023-08-12 00:00:00 Yes 2023-11-09 00:00:00 2023-11-08 00:00:00 A None 20000 20000 0 0 20000 None G9H511 Y CA00856555, CA00856555, CA00856555, CA00856555, CA00856555, CA00856555 A, A, A, A, A, A SFY2023-24
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-25 00:00:00 950019295 Closed Citation Citation B (HSC 1424) Other Abuse 2023-09-12 00:00:00 2023-09-12 00:00:00 No 2023-11-16 00:00:00 None B None 3000 3000 -1050 1950 0 None V2XP11 N CA00857956, CA00857956 B, B SFY2023-24
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-10-26 00:00:00 950019296 Open Citation Citation B (HSC 1424) Patient Rights None 2023-08-27 00:00:00 2023-08-27 00:00:00 No 2023-11-17 00:00:00 None B None 3000 3000 0 3000 0 None DVM211 N CA00857901, CA00857901, CA00858191, CA00858191 B, B, B, B SFY2023-24
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-26 00:00:00 950019299 Closed Citation Citation B (HSC 1424) Other PropertyMisappropriation 2023-08-23 00:00:00 2023-08-23 00:00:00 No 2023-11-17 00:00:00 None B None 3000 3000 -1050 1950 0 None 18ZR11 Y CA00858552 B SFY2023-24
950000068 LAUREL PARK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-26 00:00:00 950019305 Open Citation Citation B (HSC 1424) Patient Rights None 2023-09-17 00:00:00 2023-09-17 00:00:00 No 2023-11-17 00:00:00 None B None 3000 3000 -1050 1950 0 None 3JYL11 N CA00861070 B SFY2023-24
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-10-27 00:00:00 950019310 Closed Citation Citation A (HSC 1424) Patient Rights None 2023-08-30 00:00:00 2023-08-30 00:00:00 No 2023-11-20 00:00:00 None A None 20000 20000 0 20000 0 None LNX311 N CA00859143, CA00859327 B, A SFY2023-24
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-27 00:00:00 950019311 Open Citation Citation B (HSC 1424) Patient Rights None 2023-09-16 00:00:00 2023-09-16 00:00:00 No 2023-11-20 00:00:00 None B None 3000 3000 0 3000 0 None 81G311 N CA00862424 B SFY2023-24
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-27 00:00:00 950019312 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-16 00:00:00 2023-09-16 00:00:00 No 2023-11-20 00:00:00 None B None 3000 3000 -1050 1950 0 None 81G311 N CA00862424, CA00863374 B, B SFY2023-24
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-10-27 00:00:00 950019313 Open Citation Citation B (HSC 1424) Patient Rights None 2023-08-30 00:00:00 2023-08-30 00:00:00 No 2023-11-20 00:00:00 None B None 3000 3050 0 3000 50 None LNX311 N CA00859143, CA00859327 B, A SFY2023-24
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-10-27 00:00:00 950019315 Open Citation Citation A (HSC 1424) Patient Rights None 2023-03-16 00:00:00 2023-03-16 00:00:00 No 2023-11-20 00:00:00 None A None 25000 25000 0 0 25000 None 2TPG11 N CA00860791, CA00860791, CA00860791, CA00860791 A, A, A, A SFY2023-24
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-11-02 00:00:00 950019331 Open Citation Citation B (HSC 1424) Patient Care None 2023-09-05 00:00:00 2023-09-05 00:00:00 No 2023-11-28 00:00:00 None B None 3000 3000 -1050 1950 0 None DQLI11 N CA00861116, CA00861598 A, A SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-11-09 00:00:00 950019348 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-22 00:00:00 2023-09-22 00:00:00 No 2023-12-05 00:00:00 None B None 3000 3000 -1050 1950 0 None VPX411 N CA00861581, CA00861581, CA00861581, CA00861581 A, A, A, A SFY2023-24
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-11-09 00:00:00 950019351 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-09-23 00:00:00 2023-09-23 00:00:00 No 2023-12-05 00:00:00 None B None 3000 3000 -1050 1950 0 None LDJ511 N CA00862405, CA00862596, CA00862596, CA00862596, CA00862596, CA00862596 A, A, A, A, A, A SFY2023-24
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-11-09 00:00:00 950019353 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-09-23 00:00:00 2023-09-23 00:00:00 No 2023-12-05 00:00:00 None B None 3000 3000 -1050 1950 0 None LDJ511 N CA00862405, CA00862596, CA00862596, CA00862596, CA00862596, CA00862596 A, A, A, A, A, A SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-11-14 00:00:00 950019363 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-21 00:00:00 2023-09-21 00:00:00 No 2023-12-07 00:00:00 None B None 3000 3000 -1050 1950 0 None DUNI11 N CA00861979, CA00861979, CA00861979, CA00861988, CA00861988, CA00861988 B, B, B, B, B, B SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-11-15 00:00:00 950019372 Closed Citation Citation B (HSC 1424) Medication None 2023-03-20 00:00:00 2023-03-20 00:00:00 No 2023-12-08 00:00:00 None B None 3000 3000 -1050 1950 0 None XJO111 N CA00862285 A SFY2023-24
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-11-15 00:00:00 950019374 Closed Citation Citation A (HSC 1424) Patient Care None 2023-10-10 00:00:00 2023-10-10 00:00:00 No 2023-12-08 00:00:00 None A None 25000 25000 0 25000 0 None QNH211 N None None SFY2023-24
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-11-22 00:00:00 950019397 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-07 00:00:00 2023-10-07 00:00:00 No 2023-12-15 00:00:00 None B None 3000 3000 0 3000 0 None 4IO611 N CA00864314 A SFY2023-24
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-11-22 00:00:00 950019398 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-07 00:00:00 2023-10-07 00:00:00 No 2023-12-15 00:00:00 None B None 3000 3000 -1050 1950 0 None 4IO611 N CA00864314 A SFY2023-24
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-11-30 00:00:00 950019426 Closed Citation Citation B (HSC 1424) Administration None 2023-11-08 00:00:00 2023-11-08 00:00:00 No 2023-12-21 00:00:00 None B None 3000 3000 -1050 1950 0 None 752Q11 N CA00869386, CA00869586 A, B SFY2023-24
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-01 00:00:00 950019434 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-04 00:00:00 2023-10-04 00:00:00 No 2023-12-22 00:00:00 None B None 3000 3000 0 3000 0 None X1II11 N None None SFY2023-24
950000050 MISSION CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-05 00:00:00 950019440 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-08-28 00:00:00 2023-08-28 00:00:00 No 2023-12-27 00:00:00 None B None 3000 3000 -1050 1950 0 None VMBG11 N CA00866692 A SFY2023-24
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2023-12-07 00:00:00 950019451 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-09 00:00:00 2023-10-09 00:00:00 No 2023-12-29 00:00:00 None B None 3000 3000 0 3000 0 None 9SG311 N CA00864805 B SFY2023-24
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-08 00:00:00 950019459 Closed Citation Citation B (HSC 1424) Other Rehab Services Physician 2023-10-14 00:00:00 2023-10-14 00:00:00 No 2024-01-02 00:00:00 None B None 3000 3000 -1050 1950 0 None 9CYS11 N CA00865871, CA00865871 B, B SFY2023-24
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-12 00:00:00 950019466 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-17 00:00:00 2023-10-17 00:00:00 No 2024-01-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 3KJW11 N CA00866067 B SFY2023-24
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-12-12 00:00:00 950019470 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-05-11 00:00:00 2023-05-11 00:00:00 No 2024-01-03 00:00:00 None B None 3000 3000 -1050 1950 0 None FVY011 N CA00868350 A SFY2023-24
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-14 00:00:00 950019492 Open Citation Citation B (HSC 1424) Patient Rights None 2023-10-20 00:00:00 2023-10-20 00:00:00 No 2024-01-05 00:00:00 None B None 3000 3000 0 3000 0 None C5K711 N CA00866614 B SFY2023-24
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-15 00:00:00 950019494 Open Citation Citation B (HSC 1424) Patient Rights None 2023-10-31 00:00:00 2023-10-31 00:00:00 No 2024-01-08 00:00:00 None B None 3000 3000 -1050 1950 0 None FV1811 N CA00868276 A SFY2023-24
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-18 00:00:00 950019505 Closed Citation Citation B (HSC 1424) Administration None 2023-11-26 00:00:00 2023-11-26 00:00:00 No 2024-01-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 8X5R11 N CA00871707, CA00871707, CA00871707 B, B, B SFY2023-24
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-19 00:00:00 950019507 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-10-22 00:00:00 2023-10-22 00:00:00 No 2024-01-11 00:00:00 None B None 3000 3000 -1050 1950 0 None YWBQ11 N CA00866519 B SFY2023-24
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-19 00:00:00 950019510 Closed Citation Citation B (HSC 1424) Patient Care None 2023-10-21 00:00:00 2023-10-21 00:00:00 No 2024-01-11 00:00:00 None B None 3000 3000 -1050 1950 0 None R1L311 N CA00867018, CA00867018 B, B SFY2023-24
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-19 00:00:00 950019512 Open Citation Citation B (HSC 1424) Patient Care None 2023-10-17 00:00:00 2023-10-17 00:00:00 No 2024-01-10 00:00:00 None B None 2000 6000 -2100 3900 0 None E1E711 N CA00867215, CA00867215, CA00868099, CA00868099, CA00868277, CA00868277, CA00868329, CA00868329 B, B, B, B, B, B, B, B SFY2023-24
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-12-22 00:00:00 950019525 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-09 00:00:00 2023-11-09 00:00:00 No 2024-01-15 00:00:00 None B None 3000 3000 0 3000 0 None 4GGQ11 N CA00869560 A SFY2023-24
950000056 DEL MAR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-12-26 00:00:00 950019526 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-12-08 00:00:00 2023-12-08 00:00:00 No 2024-01-18 00:00:00 None B None 3000 3000 -1050 1950 0 None JVHC21 N CA00873888, CA00874466 A, A SFY2023-24
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2023-12-27 00:00:00 950019529 Open Citation Citation B (HSC 1424) Patient Rights None 2023-11-15 00:00:00 2023-11-15 00:00:00 No 2024-01-17 00:00:00 None B None 3000 3000 0 3000 0 None OPEU11 N CA00870381 A SFY2023-24
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-12-29 00:00:00 950019548 Closed Citation Citation B (HSC 1424) Patient Care None 2023-05-08 00:00:00 2023-05-08 00:00:00 No 2024-01-19 00:00:00 None B None 3000 3000 0 3000 0 None 9JY211 N CA00870405, CA00870405 B, B SFY2023-24
970000169 HERITAGE MANOR LTC SNF Skilled Nursing Facility LA Region 1 2024-01-02 00:00:00 950019556 Closed Citation Citation B (HSC 1424) Administration None 2023-11-21 00:00:00 2023-11-21 00:00:00 No 2024-01-23 00:00:00 None B None 3000 3000 -1050 1950 0 None OWOP11 N CA00870237 B SFY2023-24
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-01-05 00:00:00 950019574 Open Citation Citation B (HSC 1424) Patient Rights None 2023-11-21 00:00:00 2023-11-21 00:00:00 No 2024-01-26 00:00:00 None B None 3000 3000 -1050 1950 0 None PR7K11 N CA00870989 A SFY2023-24
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-11 00:00:00 950019590 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-12-27 00:00:00 2023-12-27 00:00:00 No 2024-02-02 00:00:00 None B None 3000 3000 -1050 1950 0 None 6VJZ11 N None None SFY2023-24
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-12 00:00:00 950019597 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-22 00:00:00 2023-11-22 00:00:00 No 2024-02-02 00:00:00 None B None 3000 3000 -1050 1950 0 None WS2H11 N CA00869891, CA00869891 B, B SFY2023-24
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2024-01-19 00:00:00 950019613 Open Citation Citation AA (HSC 1424) Patient Care None 2023-12-01 00:00:00 2023-12-01 00:00:00 Yes 2024-02-09 00:00:00 2024-01-31 00:00:00 AA None 120000 120000 0 0 120000 None DPQV11 Y CA00872691, CA00873769 A, A SFY2023-24
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-17 00:00:00 950019614 Closed Citation Citation B (HSC 1424) Other Free from accident hazard 2023-12-02 00:00:00 2023-12-02 00:00:00 No 2024-02-07 00:00:00 None B None 3000 3000 0 3000 0 None E0UK11 N CA00872422, CA00872956 A, A SFY2023-24
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-19 00:00:00 950019615 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2023-12-14 00:00:00 2023-12-17 00:00:00 No 2024-02-09 00:00:00 None B None 3000 3150 -1050 2100 0 None CU7411 N CA00874872, CA00874872 A, A SFY2023-24
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-19 00:00:00 950019617 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-30 00:00:00 2023-11-30 00:00:00 No 2024-02-09 00:00:00 None B None 3000 3000 -1050 1950 0 None PTEU11 N CA00872510 A SFY2023-24
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-19 00:00:00 950019618 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-03 00:00:00 2023-12-03 00:00:00 Yes 2024-02-09 00:00:00 2024-01-29 00:00:00 A None 25000 25000 0 0 25000 None E00H11 Y CA00872709, CA00872709 A, A SFY2023-24
950000029 VALLEY VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-01-19 00:00:00 950019621 Open Citation Citation B (HSC 1424) Patient Care None 2023-10-18 00:00:00 2023-10-18 00:00:00 No 2024-02-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 6TBO11 N CA00871258, CA00871258, CA00871258, CA00871258, CA00871258 B, B, B, B, B SFY2023-24
950000068 LAUREL PARK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-26 00:00:00 950019646 Closed Citation Citation B (HSC 1424) Patient Care None 2023-08-17 00:00:00 2023-08-17 00:00:00 No 2024-02-16 00:00:00 None B None 3000 3000 0 3000 0 None 1KYE11 N None None SFY2023-24
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2024-01-26 00:00:00 950019653 Open Citation Citation A (HSC 1424) Patient Care None 2023-11-24 00:00:00 2023-11-24 00:00:00 No 2024-02-16 00:00:00 None A None 25000 25000 0 25000 0 None HQWZ11 N CA00872067, CA00872067 B, B SFY2023-24
970000105 ARARAT POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-02-02 00:00:00 950019675 Open Citation Citation AA (HSC 1424) Patient Care None 2023-10-29 00:00:00 2023-10-29 00:00:00 Yes 2024-02-26 00:00:00 2024-02-09 00:00:00 AA None 120000 120000 0 0 120000 None PF8D11 Y None None SFY2023-24
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-02 00:00:00 950019684 Open Citation Citation B (HSC 1424) Patient Rights None 2023-10-31 00:00:00 2023-10-31 00:00:00 No 2024-02-23 00:00:00 None B None 3000 3000 -1050 1950 0 None 5LGY11 N CA00872426 B SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2024-02-07 00:00:00 950019699 Closed Citation Citation B (HSC 1424) Other Abuse/Investigation w/out 2023-12-28 00:00:00 2023-12-28 00:00:00 No 2024-02-28 00:00:00 None B None 3000 9000 -3150 5850 0 None TDUO11 N CA00877396, CA00877396, CA00877396 A, A, A SFY2023-24
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-07 00:00:00 950019705 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-21 00:00:00 2023-12-21 00:00:00 No 2024-02-28 00:00:00 None B None 3000 3000 -1050 1950 0 None 762D11 N CA00875819, CA00875819 A, A SFY2023-24
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-07 00:00:00 950019708 Open Citation Citation B (HSC 1424) Patient Care None 2023-12-11 00:00:00 2023-12-11 00:00:00 No 2024-02-28 00:00:00 None B None 3000 3000 -1050 1950 0 None AVGT11 N CA00875484 B SFY2023-24
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2024-02-08 00:00:00 950019717 Open Citation Citation B (HSC 1424) Administration None 2024-01-10 00:00:00 2024-01-10 00:00:00 No 2024-02-29 00:00:00 None B None 3000 3000 -1050 1950 0 None O32U11 N CA00879127 B SFY2023-24
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-13 00:00:00 950019737 Closed Citation Citation B (HSC 1424) Other Nursing Services 2024-01-02 00:00:00 2024-01-02 00:00:00 No 2024-03-05 00:00:00 None B None 3000 3000 -1050 1950 0 None V7E911 N CA00877793, CA00877793, CA00877793 B, B, B SFY2023-24
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2024-02-14 00:00:00 950019739 Open Citation Citation B (HSC 1424) Patient Care None 2023-11-23 00:00:00 2023-11-23 00:00:00 No 2024-03-06 00:00:00 None B None 3000 3000 -1050 1950 0 None KTCZ11 N CA00877037, CA00877037, CA00877402, CA00877402, CA00877402 A, A, A, A, A SFY2023-24
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-15 00:00:00 950019741 Closed Citation Citation B (HSC 1424) Other Abuse 2023-12-20 00:00:00 2023-12-20 00:00:00 No 2024-03-07 00:00:00 None B None 3000 3000 -1050 1950 0 None 2BSZ11 N CA00875987 B SFY2023-24
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-15 00:00:00 950019743 Open Citation Citation B (HSC 1424) Refusal to Readmit None 2023-12-25 00:00:00 2023-12-28 00:00:00 No 2024-03-07 00:00:00 None B None 3000 3150 -1050 1982.5 117.5 None 2BSZ11 N CA00876647, CA00876825 A, B SFY2023-24
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2024-02-15 00:00:00 950019749 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-26 00:00:00 2023-12-26 00:00:00 No 2024-03-07 00:00:00 None B None 3000 3000 0 3000 0 None 7ILP11 N None None SFY2023-24
970000105 ARARAT POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-02-15 00:00:00 950019750 Open Citation Citation B (HSC 1424) Administration None 2023-12-21 00:00:00 2023-12-21 00:00:00 No 2024-03-07 00:00:00 None B None 3000 3000 0 3000 0 None 1WU511 N CA00882005 B SFY2023-24
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2024-02-15 00:00:00 950019752 Open Citation Citation B (HSC 1424) Patient Care None 2023-12-26 00:00:00 2023-12-26 00:00:00 No 2024-03-07 00:00:00 None B None 3000 3000 0 3000 0 None 7ILP11 N CA00876702, CA00876702 B, B SFY2023-24
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-17 00:00:00 950019759 Closed Citation Citation B (HSC 1424) Refusal to Readmit None 2023-12-26 00:00:00 2023-12-28 00:00:00 No 2024-03-08 00:00:00 None B None 3000 3100 -1050 2050 0 None CWT811 N CA00876852, CA00876852 A, A SFY2023-24
950000045 ARCADIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-21 00:00:00 950019761 Open Citation Citation B (HSC 1424) Patient Care None 2024-01-02 00:00:00 2024-01-02 00:00:00 No 2024-03-13 00:00:00 None B None 3000 3000 -1050 1950 0 None URUY11 N CA00877983, CA00877983 B, B SFY2023-24
940000019 WHITTIER HILLS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-22 00:00:00 950019769 Open Citation Citation B (HSC 1424) Patient Care None 2023-04-29 00:00:00 2023-04-29 00:00:00 No 2024-03-14 00:00:00 None B None 3000 3000 -1050 1950 0 None OI2R11 N None None SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-02-27 00:00:00 950019785 Closed Citation Citation B (HSC 1424) Patient Care None 2023-11-19 00:00:00 2023-11-19 00:00:00 No 2024-03-19 00:00:00 None B None 3000 3000 -1050 1950 0 None 1HFW11 N CA00878069 B SFY2023-24
950000027 SANTA FE LODGE LTC SNF Skilled Nursing Facility LA Region 1 2024-03-06 00:00:00 950019828 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-18 00:00:00 2024-01-18 00:00:00 No 2024-03-27 00:00:00 None B None 3000 3000 0 3000 0 None 3W1111 N CA00880300, CA00880300, CA00880300 A, A, A SFY2023-24
950000081 PARK AVENUE HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-06 00:00:00 950019832 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-03 00:00:00 2024-02-03 00:00:00 No 2024-03-27 00:00:00 None B None 2000 6000 0 6000 0 None DILQ11 N CA00883256 B SFY2023-24
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-07 00:00:00 950019841 Open Citation Citation B (HSC 1424) Patient Rights None 2024-01-25 00:00:00 2024-01-25 00:00:00 No 2024-03-28 00:00:00 None B None 3000 3000 -1050 1950 0 None KRX011 N None None SFY2023-24
950000050 MISSION CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-11 00:00:00 950019848 Closed Citation Citation B (HSC 1424) Administration None 2024-01-14 00:00:00 2024-01-14 00:00:00 No 2024-04-02 00:00:00 None B None 3000 3000 -1050 1950 0 None P2H211 N CA00880665 B SFY2023-24
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-12 00:00:00 950019860 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-12 00:00:00 2023-12-12 00:00:00 Yes 2024-04-03 00:00:00 2024-03-18 00:00:00 A None 25000 25000 0 0 25000 None RU6Y11 N CA00879536, CA00879536 B, B SFY2023-24
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-13 00:00:00 950019861 Open Citation Citation B (HSC 1424) Medication None 2024-01-24 00:00:00 2024-01-24 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 9FVG11 N None None SFY2023-24
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-03-13 00:00:00 950019862 Open Citation Citation B (HSC 1424) Patient Care None 2023-12-31 00:00:00 2023-12-31 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 0 3000 0 None 2NPH11 N None None SFY2023-24
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-13 00:00:00 950019865 Open Citation Citation B (HSC 1424) Medication None 2024-01-22 00:00:00 2024-01-22 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 9FVG11 N None None SFY2023-24
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-15 00:00:00 950019872 Open Citation Citation B (HSC 1424) Other ENVIRONMENTAL CONDITION 2024-02-06 00:00:00 2024-02-06 00:00:00 No 2024-04-05 00:00:00 None B None 3000 3000 -1050 1950 0 None VNQU11 N None None SFY2023-24
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-15 00:00:00 950019873 Open Citation Citation B (HSC 1424) Other Dietary 2024-02-06 00:00:00 2024-02-06 00:00:00 No 2024-04-05 00:00:00 None B None 3000 3000 -1050 1950 0 None VNQU11 N None None SFY2023-24
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-18 00:00:00 950019878 Open Citation Citation B (HSC 1424) Other Patient Safety Elopement 2024-01-30 00:00:00 2024-01-30 00:00:00 No 2024-04-08 00:00:00 None B None 3000 3000 0 3000 0 None E13311 N CA00881836, CA00881836, CA00882849, CA00882849 B, B, A, A SFY2023-24
920000017 GLENOAKS CONV. HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2024-03-21 00:00:00 950019892 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-14 00:00:00 2024-02-14 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None G0OF11 N CA00884888 B SFY2023-24
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-22 00:00:00 950019897 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-24 00:00:00 2024-01-24 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 68TQ11 N CA00883198, CA00883198, CA00883198 A, A, A SFY2023-24
950000061 SUNNY VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-22 00:00:00 950019898 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-04-29 00:00:00 2023-04-29 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None B6Y811 N None None SFY2023-24
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-22 00:00:00 950019899 Open Citation Citation A (HSC 1424) Patient Rights None 2023-12-08 00:00:00 2023-12-08 00:00:00 No 2024-04-12 00:00:00 None A None 25000 25000 -8750 16250 0 None MCZ211 Y CA00883846, CA00883846 A, A SFY2023-24
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-22 00:00:00 950019903 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-07 00:00:00 2024-02-07 00:00:00 No 2024-04-12 00:00:00 None B None 1500 4500 -1575 2925 0 None 5QE611 N CA00883961 B SFY2023-24
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-03-26 00:00:00 950019911 Closed Citation Citation B (HSC 1424) Administration None 2024-02-01 00:00:00 2024-02-01 00:00:00 No 2024-04-17 00:00:00 None B None 3000 3000 0 3000 0 None G48B11 N CA00885345 A SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2024-03-27 00:00:00 950019913 Closed Citation Citation B (HSC 1424) Other Quality of Care 2024-02-12 00:00:00 2024-02-12 00:00:00 No 2024-04-18 00:00:00 None B None 3000 3000 -1050 1950 0 None E42611 N CA00882133, CA00882133, CA00882375, CA00882375 B, B, B, B SFY2023-24
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-27 00:00:00 950019918 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-10 00:00:00 2024-02-10 00:00:00 No 2024-04-17 00:00:00 None B None 3000 3000 -1050 1950 0 None NH6011 N CA00884518 A SFY2023-24
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-27 00:00:00 950019920 Open Citation Citation B (HSC 1424) Patient Care None 2024-01-29 00:00:00 2024-01-29 00:00:00 No 2024-04-17 00:00:00 None B None 3000 3000 -1050 1950 0 None VNQU11 N None None SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-29 00:00:00 950019928 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-12 00:00:00 2024-02-12 00:00:00 No 2024-04-22 00:00:00 None B None 3000 3000 -1050 1950 0 None LZJL11 N CA00885266 A SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-03-29 00:00:00 950019934 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-11 00:00:00 2024-02-11 00:00:00 No 2024-04-22 00:00:00 None B None 3000 3000 -1050 1950 0 None LZJL11 N CA00885073 A SFY2023-24
950000027 SANTA FE LODGE LTC SNF Skilled Nursing Facility LA Region 1 2024-03-29 00:00:00 950019937 Closed Citation Citation B (HSC 1424) Physical Environment None 2024-03-15 00:00:00 2024-03-15 00:00:00 No 2024-04-22 00:00:00 None B None 2000 2850 0 2850 0 None RND511 N CA00889986 B SFY2023-24
950000027 SANTA FE LODGE LTC SNF Skilled Nursing Facility LA Region 1 2024-03-29 00:00:00 950019938 Closed Citation Citation B (HSC 1424) Physical Environment None 2024-03-15 00:00:00 2024-03-15 00:00:00 No 2024-04-22 00:00:00 None B None 2000 2850 0 2850 0 None RND511 N CA00889986, CA00889986 B, B SFY2023-24
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-04-03 00:00:00 950019951 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-21 00:00:00 2024-02-21 00:00:00 No 2024-04-24 00:00:00 None B None 3000 3000 0 0 3000 None RUUZ11 N None None SFY2023-24
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-04 00:00:00 950019952 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-01 00:00:00 2024-02-01 00:00:00 No 2024-04-25 00:00:00 None B None 3000 3000 -1050 1950 0 None PXJ011 N None None SFY2023-24
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-04-04 00:00:00 950019955 Open Citation Citation B (HSC 1424) Dietary Food & Nutrition 2024-02-05 00:00:00 2024-02-05 00:00:00 No 2024-04-25 00:00:00 None B None 3000 3000 0 0 3000 None RUUZ11 N None None SFY2023-24
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-04 00:00:00 950019963 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-20 00:00:00 2024-01-20 00:00:00 No 2024-04-25 00:00:00 None B None 3000 3000 -1050 1950 0 None 8X8S11 N CA00885443, CA00885443, CA00885443, CA00885443 A, A, A, A SFY2023-24
950000068 LAUREL PARK BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-05 00:00:00 950019968 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-15 00:00:00 2024-02-15 00:00:00 No 2024-04-26 00:00:00 None B None 2000 6000 -2100 3900 0 None 0UY111 N CA00885309 B SFY2023-24
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-10 00:00:00 950019981 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-16 00:00:00 2024-02-16 00:00:00 No 2024-05-01 00:00:00 None B None 3000 3000 -1050 1950 0 None 0QDN11 N CA00885616, CA00885635, CA00885635, CA00885746, CA00885746 B, B, B, B, B SFY2023-24
950000038 ROSEMEAD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-12 00:00:00 950020000 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-19 00:00:00 2024-02-19 00:00:00 No 2024-05-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 8QVT11 N CA00885794 B SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-18 00:00:00 950020032 Closed Citation Citation B (HSC 1424) Administration None 2024-02-08 00:00:00 2024-02-08 00:00:00 No 2024-05-09 00:00:00 None B None 3000 3000 -1050 1950 0 None J1R511 N CA00887819, CA00887819, CA00887819, CA00888379, CA00888379, CA00888379, CA00888426, CA00888426, CA00888485, CA00888485 A, A, A, B, B, B, B, B, A, A SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-18 00:00:00 950020033 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-06 00:00:00 2024-03-06 00:00:00 No 2024-05-09 00:00:00 None B None 3000 3000 -1050 1950 0 None EZUN11 N CA00888356 B SFY2023-24
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2024-04-18 00:00:00 950020036 Open Citation Citation A (HSC 1424) Patient Care None 2024-02-24 00:00:00 2024-02-24 00:00:00 No 2024-05-09 00:00:00 None A None 10000 30000 0 30000 0 None HBIU11 N CA00886684 B SFY2023-24
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-18 00:00:00 950020037 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-25 00:00:00 2024-02-25 00:00:00 No 2024-05-09 00:00:00 None B None 3000 3000 -1050 1950 0 None ET5A11 N None None SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2024-04-19 00:00:00 950020038 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-03 00:00:00 2024-03-03 00:00:00 No 2024-05-10 00:00:00 None B None 3000 3000 -1050 1950 0 None C01Q11 N CA00887768 A SFY2023-24
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2024-04-23 00:00:00 950020052 Open Citation Citation B (HSC 1424) Patient Care None 2024-03-10 00:00:00 2024-03-10 00:00:00 No 2024-05-14 00:00:00 None B None 3000 3000 -1050 1950 0 None 4MIE11 N CA00888230, CA00888230, CA00888230 B, B, B SFY2023-24
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2024-04-24 00:00:00 950020059 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-15 00:00:00 2024-03-15 00:00:00 No 2024-05-15 00:00:00 None B None 3000 3000 -1050 1950 0 None CDB611 N None None SFY2023-24
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2024-04-25 00:00:00 950020062 Open Citation Citation B (HSC 1424) Administration None 2024-03-12 00:00:00 2024-03-12 00:00:00 No 2024-05-16 00:00:00 None B None 3000 3000 -1050 1950 0 None XDIZ11 N None None SFY2023-24
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-04-25 00:00:00 950020066 Open Citation Citation B (HSC 1424) Medication None 2024-03-14 00:00:00 2024-03-14 00:00:00 No 2024-05-16 00:00:00 None B None 3000 3000 -1050 1950 0 None VIX111 N CA00891825, CA00891825, CA00891825 A, A, A SFY2023-24
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2024-04-26 00:00:00 950020074 Open Citation Citation B (HSC 1424) Patient Care None 2024-03-01 00:00:00 2024-03-01 00:00:00 No 2024-05-17 00:00:00 None B None 3000 3000 -1050 1950 0 None NCSW11 N CA00887807, CA00887807 B, B SFY2023-24
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2024-04-26 00:00:00 950020075 Open Citation Citation B (HSC 1424) Patient Care None 2024-03-01 00:00:00 2024-03-01 00:00:00 No 2024-05-17 00:00:00 None B None 3000 3000 0 3000 0 None NCSW11 N CA00886750 B SFY2023-24
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-02 00:00:00 950020098 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-10 00:00:00 2024-03-10 00:00:00 No 2024-05-23 00:00:00 None B None 3000 3000 0 3000 0 None 7BNB11 N CA00889145 A SFY2023-24
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2024-05-02 00:00:00 950020101 Open Citation Citation B (HSC 1424) Other Pharmaceutical Service 2024-03-01 00:00:00 2024-03-01 00:00:00 No 2024-05-23 00:00:00 None B None 3000 3000 -1050 1950 0 None QI6Q11 N CA00888152 B SFY2023-24
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-02 00:00:00 950020104 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-14 00:00:00 2024-02-14 00:00:00 No 2024-05-23 00:00:00 None B None 2500 7500 -2625 4875 0 None T61P11 N CA00890434 A SFY2023-24
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-03 00:00:00 950020117 Open Citation Citation B (HSC 1424) Problem Transfer None 2024-03-09 00:00:00 2024-03-09 00:00:00 No 2024-05-24 00:00:00 None B None 3000 3000 -1050 1950 0 None V9GU11 N CA00891591 A SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-10 00:00:00 950020148 Open Citation Citation B (HSC 1424) Other Nursing Service 2024-03-21 00:00:00 2024-03-21 00:00:00 No 2024-06-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 4O3J11 N None None SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-10 00:00:00 950020167 Open Citation Citation B (HSC 1424) Administration None 2024-01-22 00:00:00 2024-01-22 00:00:00 No 2024-06-03 00:00:00 None B None 3000 3000 -1050 1950 0 None 4O3J11 N CA00891597 A SFY2023-24
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-10 00:00:00 950020169 Open Citation Citation A (HSC 1424) Patient Care None 2024-01-22 00:00:00 2024-01-22 00:00:00 No 2024-06-03 00:00:00 None A None 60000 60000 -21000 39000 0 None 4O3J11 Y CA00891597 A SFY2023-24
950000022 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-10 00:00:00 950020171 Open Citation Citation B (HSC 1424) Patient Care None 2024-03-18 00:00:00 2024-03-18 00:00:00 No 2024-06-03 00:00:00 None B None 3000 3000 -1050 1950 0 None QY6E11 N CA00890190, CA00890490 A, A SFY2023-24
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-14 00:00:00 950020181 Open Citation Citation B (HSC 1424) Patient Rights None 2024-03-31 00:00:00 2024-03-31 00:00:00 No 2024-06-05 00:00:00 None B None 3000 3000 -1050 1950 0 None KR5411 N CA00892387 A SFY2023-24
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-15 00:00:00 950020185 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-04-01 00:00:00 2024-04-01 00:00:00 No 2024-06-06 00:00:00 None B None 3000 3000 -1050 1950 0 None BT0B11 N CA00892449 A SFY2023-24
950000083 PENN MAR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-15 00:00:00 950020192 Open Citation Citation B (HSC 1424) Patient Care None 2024-03-29 00:00:00 2024-03-29 00:00:00 No 2024-06-06 00:00:00 None B None 3000 3000 -1050 1950 0 None KS3T11 N CA00892403 A SFY2023-24
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-05-17 00:00:00 950020199 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-30 00:00:00 2024-03-30 00:00:00 No 2024-06-10 00:00:00 None B None 3000 3000 -1050 1950 0 None 6TG511 N CA00892444 B SFY2023-24
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-23 00:00:00 950020227 Closed Citation Citation B (HSC 1424) Other Nursing Service 2024-03-24 00:00:00 2024-03-24 00:00:00 No 2024-06-14 00:00:00 None B None 3000 3000 -1050 1950 0 None 1D6B11 N CA00891796 B SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2024-05-24 00:00:00 950020228 Open Citation Citation AA (HSC 1424) Patient Care None 2024-04-12 00:00:00 2024-04-12 00:00:00 Yes 2024-06-17 00:00:00 2024-06-07 00:00:00 AA None 120000 120000 0 0 120000 None 5O3211 Y CA00892812, CA00892812, CA00893587, CA00893587, CA00894512, CA00894512, CA00894820, CA00894820, CA00894820 B, B, A, A, A, A, A, A, A SFY2023-24
970000169 HERITAGE MANOR LTC SNF Skilled Nursing Facility LA Region 1 2024-05-24 00:00:00 950020235 Open Citation Citation B (HSC 1424) Patient Care None 2024-02-08 00:00:00 2024-02-08 00:00:00 No 2024-06-17 00:00:00 None B None 3000 3000 -1050 1950 0 None 95DV11 N None None SFY2023-24
950000260 ROYAL OAKS MANOR - BRADBURY OAKS LTC SNF Skilled Nursing Facility LA Region 1 2024-05-28 00:00:00 950020239 Open Citation Citation A (HSC 1424) Patient Care None 2024-03-29 00:00:00 2024-03-29 00:00:00 No 2024-06-18 00:00:00 None A None 20000 20000 0 0 20000 None Z0UL11 N CA00892494 B SFY2023-24
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2024-05-29 00:00:00 950020240 Open Citation Citation B (HSC 1424) Patient Rights None 2024-04-15 00:00:00 2024-04-15 00:00:00 No 2024-06-19 00:00:00 None B None 3000 3000 -1050 1950 0 None 5RIZ11 N CA00894874, CA00894874, CA00894874, CA00894874 A, A, A, A SFY2023-24
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-05-31 00:00:00 950020247 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-11 00:00:00 2024-04-11 00:00:00 No 2024-06-21 00:00:00 None B None 3000 3000 0 0 3000 None 085211 N CA00894573, CA00894573, CA00894790, CA00894790 A, A, A, A SFY2023-24
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2024-05-31 00:00:00 950020248 Open Citation Citation B (HSC 1424) Patient Rights None 2024-04-11 00:00:00 2024-04-11 00:00:00 No 2024-06-21 00:00:00 None B None 3000 3000 0 0 3000 None 085211 N CA00894573, CA00894790 A, A SFY2023-24
950000040 COUNTRY OAKS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-31 00:00:00 950020249 Open Citation Citation B (HSC 1424) Patient Rights None 2024-04-17 00:00:00 2024-04-17 00:00:00 No 2024-06-21 00:00:00 None B None 3000 3000 -1050 1950 0 None 39D211 N CA00892882 B SFY2023-24
950000101 ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2024-05-31 00:00:00 950020254 Open Citation Citation AA (HSC 1424) Patient Care None 2024-04-17 00:00:00 2024-04-17 00:00:00 Yes 2024-06-21 00:00:00 2024-06-12 00:00:00 AA None 120000 120000 0 0 120000 None OFYG11 Y CA00895525 A SFY2023-24
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2024-06-03 00:00:00 950020258 Open Citation Citation AA (HSC 1424) Patient Care None 2024-04-19 00:00:00 2024-04-19 00:00:00 No 2024-06-24 00:00:00 None AA None 120000 120000 -42000 78000 0 None 10YV11 Y CA00896040 A SFY2023-24
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-05 00:00:00 950020262 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-14 00:00:00 2024-04-14 00:00:00 No 2024-06-26 00:00:00 None B None 3000 3000 -1050 1950 0 None ZM2O11 N CA00894834, CA00894834, CA00895544, CA00895544, CA00895544 B, B, A, A, A SFY2023-24
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-05 00:00:00 950020266 Open Citation Citation B (HSC 1424) Other Transfer and discharge 2024-04-11 00:00:00 2024-04-11 00:00:00 No 2024-06-26 00:00:00 None B None 3000 3000 -1050 1950 0 None Q8JP11 N CA00896485 A SFY2023-24
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2024-06-05 00:00:00 950020268 Open Citation Citation B (HSC 1424) Other Nursing Services 2024-04-30 00:00:00 2024-04-30 00:00:00 No 2024-06-26 00:00:00 None B None 3000 3000 0 0 3000 None K9II11 N CA00898079 B SFY2023-24
950000076 MONTEREY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2024-06-05 00:00:00 950020269 Open Citation Citation B (HSC 1424) Administration None 2024-04-30 00:00:00 2024-04-30 00:00:00 No 2024-06-26 00:00:00 None B None 3000 3000 0 0 3000 None K9II11 N CA00898079, CA00898079 B, B SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2024-06-06 00:00:00 950020281 Closed Citation Citation B (HSC 1424) Patient Care None 2024-04-16 00:00:00 2024-04-16 00:00:00 No 2024-06-27 00:00:00 None B None 3000 3000 -1050 1950 0 None 5ZF711 N CA00895317, CA00895317, CA00896156, CA00896156, CA00896156, CA00896498, CA00896498 A, A, A, A, A, A, A SFY2023-24
950000036 OLIVE VISTA BEHAVIORAL HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-06 00:00:00 950020283 Open Citation Citation B (HSC 1424) Patient Care None 2024-05-19 00:00:00 2024-05-19 00:00:00 No 2024-06-27 00:00:00 None B None 3000 3000 -1050 1950 0 None 2O6811 N CA00900990 A SFY2023-24
950000009 GLENDORA GRAND, INC. LTC SNF Skilled Nursing Facility LA Region 1 2024-06-07 00:00:00 950020285 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-24 00:00:00 2024-04-24 00:00:00 No 2024-06-28 00:00:00 None B None 3000 3000 -1050 1950 0 None 10YV11 N CA00896867 B SFY2023-24
950000003 SAN GABRIEL CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-07 00:00:00 950020288 Open Citation Citation A (HSC 1424) Patient Care None 2024-04-10 00:00:00 2024-04-10 00:00:00 Yes 2024-06-28 00:00:00 2024-06-13 00:00:00 A None 25000 25000 0 0 25000 None TBUP11 N CA00894185 B SFY2023-24
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-07 00:00:00 950020289 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-24 00:00:00 2024-04-24 00:00:00 No 2024-06-28 00:00:00 None B None 3000 9000 -3150 5850 0 None 9A1E11 N CA00896832, CA00896832 B, B SFY2023-24
950000044 WEST HAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2024-06-12 00:00:00 950020308 Open Citation Citation B (HSC 1424) Patient Care None 2024-05-01 00:00:00 2024-05-01 00:00:00 No 2024-07-03 00:00:00 None B None 3000 3000 0 0 3000 None KU9O11 N CA00897922, CA00897922, CA00897922 A, A, A SFY2023-24
950000060 ROYAL TERRACE HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2024-06-13 00:00:00 950020318 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-08 00:00:00 2024-04-08 00:00:00 No 2024-07-05 00:00:00 None B None 3000 3000 -1050 1950 0 None 2DC411 N CA00894668 B SFY2023-24
950000052 CASA BONITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2024-06-17 00:00:00 950020329 Open Citation Citation B (HSC 1424) Physical Environment None 2024-06-17 00:00:00 2024-06-17 00:00:00 No 2024-07-09 00:00:00 None B None 3000 3000 -1050 1950 0 None 1BBC11 N CA00903061, CA00903061 B, B SFY2023-24
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-18 00:00:00 950020337 Closed Citation Citation B (HSC 1424) Problem Transfer None 2024-04-17 00:00:00 2024-04-17 00:00:00 No 2024-07-10 00:00:00 None B None 3000 3000 -1050 1950 0 None ESS711 N CA00896338 B SFY2023-24
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-21 00:00:00 950020340 Open Citation Citation AA (HSC 1424) Patient Care None 2024-04-12 00:00:00 2024-04-12 00:00:00 Yes 2024-07-15 00:00:00 2024-06-27 00:00:00 AA None 100000 100000 0 0 100000 None ORRL11 Y CA00895969 B SFY2023-24
950000066 LANDMARK MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-20 00:00:00 950020341 Open Citation Citation B (HSC 1424) Patient Care None 2024-05-19 00:00:00 2024-05-19 00:00:00 No 2024-07-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 4EQS11 N CA00900710 A SFY2023-24
960001459 EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-04 00:00:00 960000820 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-12-22 00:00:00 None Yes 2000-01-26 00:00:00 2000-01-13 00:00:00 A A 10000 9000 0 9000 0 960006783 A99999 N None None SFY1999-00
960001718 NEW HORIZONS C LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-04 00:00:00 960000821 Closed Citation Citation A (HSC 1424) Patient Rights None 1999-12-01 00:00:00 None Yes 2000-01-26 00:00:00 2001-02-20 00:00:00 A A 5000 3500 0 3500 0 960006784 A99999 N None None SFY1999-00
960000872 ROSE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-06 00:00:00 960000822 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-30 00:00:00 None Yes 2000-01-28 00:00:00 2000-01-06 00:00:00 B None 900 900 0 900 0 960006794 A99999 N None None SFY1999-00
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-13 00:00:00 960000823 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-13 00:00:00 None Yes 2001-02-20 00:00:00 2001-05-15 00:00:00 B B 600 600 0 600 0 960006809 A99999 N None None SFY1999-00
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-13 00:00:00 960000824 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-13 00:00:00 None Yes 2001-02-20 00:00:00 2001-05-15 00:00:00 B B 600 600 0 600 0 960006810 A99999 N None None SFY1999-00
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-18 00:00:00 960000825 Closed Citation Citation A (HSC 1424) Patient Care None 1999-12-22 00:00:00 None Yes 2001-05-09 00:00:00 2000-02-04 00:00:00 A A 5000 5000 0 5000 0 960006819 A99999 N None None SFY1999-00
960001043 PHOENIX DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-21 00:00:00 960000826 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-29 00:00:00 None No 2000-02-17 00:00:00 None B None 1000 1000 -350 650 0 960006826 A99999 N None None SFY1999-00
960001677 SPECIAL ADULT CARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-21 00:00:00 960000827 Closed Citation Citation B (HSC 1424) Patient Care None 1999-11-03 00:00:00 None No 2000-02-17 00:00:00 None B None 800 800 -280 520 0 960006827 A99999 N None None SFY1999-00
960001977 REALITOS DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-24 00:00:00 960000828 Closed Citation Citation B (HSC 1424) Patient Care None 1999-12-20 00:00:00 None Yes 2001-03-14 00:00:00 2000-01-24 00:00:00 B B 600 600 0 600 0 960006833 A99999 N None None SFY1999-00
960001612 MADISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-28 00:00:00 960000829 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-27 00:00:00 None No 2000-02-28 00:00:00 None B None 800 800 -280 520 0 960006839 A99999 N None None SFY1999-00
960001743 MIDOMAR HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-01-31 00:00:00 960000830 Closed Citation Citation B (HSC 1424) Other ACTIVE TREATMENT 2000-01-12 00:00:00 None No 2000-03-06 00:00:00 None B None 1000 1000 -350 650 0 960006844 A99999 N None None SFY1999-00
960000907 EDGEWOOD CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-02-16 00:00:00 960000831 Closed Citation Citation B (HSC 1424) Other NEGLECT 1999-08-10 00:00:00 None Yes 2001-05-08 00:00:00 2001-05-15 00:00:00 B B 1000 1000 0 1000 0 960006872 A99999 N None None SFY1999-00
960001221 UNITED CARE HOMES, INC. - CAMWOOD LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-02-16 00:00:00 960000832 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-31 00:00:00 None No 2000-03-09 00:00:00 None B None 700 700 -245 455 0 960006873 A99999 N None None SFY1999-00
960001807 UNITED CARE HOMES-VALINDA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-02-17 00:00:00 960000833 Closed Citation Citation B (HSC 1424) Other CLIENTS' TRUST ACCTS 2000-02-01 00:00:00 None No 2000-03-10 00:00:00 None B None 1000 1250 -350 900 0 960006881 A99999 N None None SFY1999-00
960001150 CAMELOT DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-02-25 00:00:00 960000834 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-01 00:00:00 None No 2000-03-17 00:00:00 None B None 600 600 -210 390 0 960006894 A99999 N None None SFY1999-00
960001907 FAIRVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-14 00:00:00 960000835 Closed Citation Citation B (HSC 1424) Patient Care None 2000-02-23 00:00:00 None No 2000-04-04 00:00:00 None B None 1000 3000 0 3000 0 960006924 A99999 N None None SFY1999-00
960001612 MADISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-15 00:00:00 960000836 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT 2000-02-15 00:00:00 None Yes 2000-04-05 00:00:00 2000-03-30 00:00:00 B Dismissed by Court 1000 0 0 0 0 960006930 A99999 N None None SFY1999-00
960001898 EMILY CARE CENTER II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-15 00:00:00 960000837 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-08 00:00:00 None No 2000-04-05 00:00:00 None A None 8000 8000 -2800 5200 0 960006927 A99999 N None None SFY1999-00
960001071 MINUET DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-17 00:00:00 960000838 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-24 00:00:00 None Yes 2001-04-04 00:00:00 2000-03-21 00:00:00 B B 600 600 0 600 0 960006946 A99999 N None None SFY1999-00
960002352 MATHARU ASSISTED LIVING #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-22 00:00:00 960000839 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-14 00:00:00 None No 2000-04-12 00:00:00 None B None 500 500 -175 325 0 960006951 A99999 N None None SFY1999-00
960001973 ROSCIEL'S HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-28 00:00:00 960000840 Closed Citation Citation A (HSC 1424) Other NEGLECT/PATIENT CARE 2000-03-07 00:00:00 None Yes 2000-04-21 00:00:00 2000-04-18 00:00:00 A A 10000 5000 0 5000 0 960006964 A99999 N None None SFY1999-00
960002310 OCCIDENTAL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-28 00:00:00 960000841 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-04 00:00:00 None Yes 2000-04-24 00:00:00 2000-04-04 00:00:00 B None 500 500 0 500 0 960006967 A99999 N None None SFY1999-00
960001973 ROSCIEL'S HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-28 00:00:00 960000842 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-07 00:00:00 None Yes 2000-04-21 00:00:00 2000-04-17 00:00:00 B B 1000 1000 -1000 0 0 960006970 A99999 N None None SFY1999-00
960002399 VISTA DEL VALLE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-29 00:00:00 960000843 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-02-24 00:00:00 None Yes 2001-05-09 00:00:00 2001-05-03 00:00:00 A Dismissed by Court 6000 0 0 0 0 960006974 A99999 N None None SFY1999-00
960002358 PATE & INGRAM HOME I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-29 00:00:00 960000844 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-01-05 00:00:00 None No 2000-04-19 00:00:00 None B None 500 500 -175 325 0 960006975 A99999 N None None SFY1999-00
960002316 FLORINDA STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-03-30 00:00:00 960000845 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-17 00:00:00 None No 2000-04-20 00:00:00 None B None 800 800 0 800 0 960006950 A99999 N None None SFY1999-00
960002308 BRIAN AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-04-05 00:00:00 960000846 Closed Citation Citation A (HSC 1424) Medication None 2000-03-09 00:00:00 None Yes 2001-05-11 00:00:00 2001-05-15 00:00:00 A A 10000 7500 0 7500 0 960006988 A99999 N None None SFY1999-00
960001522 EMILY'S RESIDENTIAL CARE CENTER, LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-04-05 00:00:00 960000847 Closed Citation Citation A (HSC 1424) Other NEGLECT 2000-03-04 00:00:00 None No 2000-05-02 00:00:00 None A None 10000 10000 -3500 6500 0 960006994 A99999 N None None SFY1999-00
960001522 EMILY'S RESIDENTIAL CARE CENTER, LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-04-05 00:00:00 960000848 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-04 00:00:00 None No 2000-05-02 00:00:00 None B None 1000 1000 -350 650 0 960006995 A99999 N None None SFY1999-00
960002308 BRIAN AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-04-12 00:00:00 960000849 Closed Citation Citation B (HSC 1424) Patient Care None 2000-03-10 00:00:00 None Yes 2001-05-08 00:00:00 2001-05-15 00:00:00 B B 1000 750 0 750 0 960007017 A99999 N None None SFY1999-00
960001817 VIRGINIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-04-20 00:00:00 960000850 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-12 00:00:00 None No 2000-05-11 00:00:00 None B None 1000 1000 0 1000 0 960007046 A99999 N None None SFY1999-00
960002322 DOUGLASS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-04-26 00:00:00 960000851 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-19 00:00:00 None Yes 2001-05-08 00:00:00 2000-05-16 00:00:00 B B 700 700 0 700 0 960007058 A99999 N None None SFY1999-00
960001050 HOLY INFANT HOME FOR CHILDREN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-04-27 00:00:00 960000852 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-12 00:00:00 None No 2000-05-18 00:00:00 None B None 600 600 0 600 0 960007059 A99999 N None None SFY1999-00
960002104 BIOLA DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-05-09 00:00:00 960000853 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-04-29 00:00:00 None No 2000-05-31 00:00:00 None A None 6000 6000 -2100 3900 0 960007079 A99999 N None None SFY1999-00
960001221 UNITED CARE HOMES, INC. - CAMWOOD LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-06-12 00:00:00 960000854 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-17 00:00:00 None No 2000-07-03 00:00:00 None B None 1000 1000 -350 650 0 960007134 A99999 N None None SFY1999-00
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-06-16 00:00:00 960000855 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-19 00:00:00 None No 2000-07-10 00:00:00 None B None 800 800 -280 520 0 960007143 A99999 N None None SFY1999-00
960001694 ASTORIA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-06-30 00:00:00 960000856 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-10 00:00:00 None No 2000-07-24 00:00:00 None B None 600 600 -210 390 0 960007167 A99999 N None None SFY1999-00
960001898 EMILY CARE CENTER II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-06 00:00:00 960000857 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-12 00:00:00 None No 2000-07-27 00:00:00 None B None 800 800 -280 520 0 960007168 A99999 N None None SFY2000-01
960001306 OASIS HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-10 00:00:00 960000858 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-27 00:00:00 None No 2000-07-31 00:00:00 None B None 500 500 0 500 0 960007180 A99999 N None None SFY2000-01
960001306 OASIS HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-10 00:00:00 960000859 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-27 00:00:00 None No 2000-07-31 00:00:00 None B None 850 850 0 850 0 960007180 A99999 N None None SFY2000-01
960001351 CEDAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-11 00:00:00 960000860 Closed Citation Citation B (HSC 1424) Medication None 2000-06-30 00:00:00 2000-06-30 00:00:00 Yes 2000-08-01 00:00:00 2000-07-18 00:00:00 B B 1000 1000 0 1000 0 960007182 A99999 N None None SFY2000-01
960001366 SCHMIDT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-12 00:00:00 960000862 Closed Citation Citation B (HSC 1424) Dietary None 2000-07-05 00:00:00 2000-07-05 00:00:00 No 2000-08-02 00:00:00 None B None 700 700 0 700 0 960007184 A99999 N None None SFY2000-01
960001671 BRITTANY'S PLACE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-14 00:00:00 960000863 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-10 00:00:00 2000-07-11 00:00:00 No 2000-08-04 00:00:00 None B None 700 700 -245 455 0 960007189 A99999 N None None SFY2000-01
960001677 SPECIAL ADULT CARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-21 00:00:00 960000864 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-10 00:00:00 None No 2000-08-11 00:00:00 None B None 800 800 -280 520 0 960007195 A99999 N None None SFY2000-01
960002312 GRAND AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-27 00:00:00 960000865 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-18 00:00:00 None Yes 2001-05-09 00:00:00 2000-07-31 00:00:00 B Dismissed by Court 600 0 0 0 0 960007200 A99999 N None None SFY2000-01
960002312 GRAND AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-07-27 00:00:00 960000866 Closed Citation Citation B (HSC 1424) Staffing None 2000-07-18 00:00:00 None Yes 2001-05-29 00:00:00 2001-05-15 00:00:00 B B 800 800 0 800 0 960007201 A99999 N None None SFY2000-01
960002142 MATHARU ASSISTED LIVING #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-08-09 00:00:00 960000867 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-07 00:00:00 None No 2000-08-30 00:00:00 None B None 800 800 -280 520 0 960007230 A99999 N None None SFY2000-01
960000985 BERRYMAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-08-09 00:00:00 960000868 Closed Citation Citation B (HSC 1424) Other TRUST ACCOUNTS 2000-07-31 00:00:00 None No 2000-08-30 00:00:00 None B None 800 1050 0 1050 0 960007233 A99999 N None None SFY2000-01
960000985 BERRYMAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-08-10 00:00:00 960000869 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-31 00:00:00 None No 2000-08-31 00:00:00 None B None 1000 1000 0 1000 0 960007234 A99999 N None None SFY2000-01
960001738 VALLEY VILLAGE ALTANO HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-08-10 00:00:00 960000870 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-31 00:00:00 None No 2000-08-31 00:00:00 None B None 1000 1000 -350 650 0 960007239 A99999 N None None SFY2000-01
960001445 STAHL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-08-31 00:00:00 960000871 Closed Citation Citation B (HSC 1424) Dietary None 2000-08-17 00:00:00 None Yes 2001-05-09 00:00:00 2000-09-05 00:00:00 B B 800 850 0 850 0 960007263 A99999 N None None SFY2000-01
960001522 EMILY'S RESIDENTIAL CARE CENTER, LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-09-13 00:00:00 960000872 Closed Citation Citation B (HSC 1424) Medication None 2000-09-05 00:00:00 None No 2000-10-06 00:00:00 None B None 700 700 -245 455 0 960007277 A99999 N None None SFY2000-01
960002089 SUNBURST CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-10-05 00:00:00 960000873 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-14 00:00:00 None No 2000-10-27 00:00:00 None B None 600 600 0 600 0 960007321 A99999 N None None SFY2000-01
960002089 SUNBURST CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-10-05 00:00:00 960000874 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-05-05 00:00:00 None No 2000-10-27 00:00:00 None B None 1000 1000 0 1000 0 960007322 A99999 N None None SFY2000-01
960000872 ROSE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-10-06 00:00:00 960000875 Closed Citation Citation B (HSC 1424) Patient Care None 2000-09-28 00:00:00 None No 2000-10-30 00:00:00 None B None 900 2700 -945 1755 0 960007323 A99999 N None None SFY2000-01
960001787 ELLENBOGEN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-10-20 00:00:00 960000876 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-02 00:00:00 None No 2000-11-13 00:00:00 None B None 1000 1350 0 1350 0 960007351 A99999 N None None SFY2000-01
960001601 NORMANDIE PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-10-19 00:00:00 960000877 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-10-03 00:00:00 None No 2000-11-09 00:00:00 None A None 6000 6000 -2100 3900 0 960007352 A99999 N None None SFY2000-01
960000897 MOMENTUM AGENCIES ICF/DD-N NEWPORT LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-10-24 00:00:00 960000878 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-10-16 00:00:00 None No 2000-11-15 00:00:00 None B None 700 700 -245 455 0 960007359 A99999 N None None SFY2000-01
960002310 OCCIDENTAL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-11-06 00:00:00 960000879 Closed Citation Citation A (HSC 1424) Patient Care None 2000-10-18 00:00:00 None Yes 2001-05-09 00:00:00 2001-04-19 00:00:00 A A 10000 7500 0 7500 0 960007378 A99999 N None None SFY2000-01
960001871 JO-MI ALTA 5 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-12-12 00:00:00 960000880 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-23 00:00:00 None Yes 2001-05-30 00:00:00 2000-12-28 00:00:00 B B 600 600 0 600 0 960007438 A99999 N None None SFY2000-01
960001457 EL ENCANTO HEALTHCARE AND HABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-12-15 00:00:00 960000881 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2000-10-23 00:00:00 None No 2001-01-05 00:00:00 None WF None 800 800 -280 520 0 960007445 A99999 None None None SFY2000-01
960001765 ST. MARY'S HOME ICF - DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-12-19 00:00:00 960000882 Closed Citation Citation B (HSC 1424) Administration None 2000-11-30 00:00:00 None No 2001-01-11 00:00:00 None B None 700 700 0 700 0 960007452 A99999 N None None SFY2000-01
960002399 VISTA DEL VALLE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-01-04 00:00:00 960000883 Closed Citation Citation A (HSC 1424) Patient Rights None 2000-11-28 00:00:00 None Yes 2001-07-09 00:00:00 2001-06-12 00:00:00 A A 10000 10000 0 10000 0 960007481 A99999 N None None SFY2000-01
960001445 STAHL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-02-01 00:00:00 960000884 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-05 00:00:00 None No 2001-02-26 00:00:00 None B None 600 600 -210 390 0 960007505 A99999 N None None SFY2000-01
960000919 SVS MOUNT WASHINGTON GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-01-24 00:00:00 960000885 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-16 00:00:00 None No 2001-02-15 00:00:00 None B None 1000 1000 -350 650 0 960007514 A99999 N None None SFY2000-01
960001907 FAIRVIEW HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-02-14 00:00:00 960000886 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-22 00:00:00 None No 2001-03-21 00:00:00 None B None 1000 1050 0 1050 0 960007526 A99999 N None None SFY2000-01
960002360 PATE & INGRAM HOME II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-03-07 00:00:00 960000887 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-01-21 00:00:00 None No 2001-04-03 00:00:00 None B None 1000 1000 -350 650 0 960007562 A99999 N None None SFY2000-01
960002036 JENYMEL'S HOME CARE INC. III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-03-07 00:00:00 960000888 Closed Citation Citation B (HSC 1424) Other ACTIVE TREATMENT 2001-01-29 00:00:00 None No 2001-05-18 00:00:00 None B None 1000 1000 -350 650 0 960007563 A99999 N None None SFY2000-01
960001984 ARLETA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-03-21 00:00:00 960000889 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-02-22 00:00:00 None No 2001-05-18 00:00:00 None B None 600 600 -210 390 0 960007582 A99999 N None None SFY2000-01
960001150 CAMELOT DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-03-22 00:00:00 960000890 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-27 00:00:00 None No 2001-06-18 00:00:00 None B None 600 600 0 600 0 960007584 A99999 N None None SFY2000-01
960001949 BURTON HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-04-19 00:00:00 960000891 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-05 00:00:00 None Yes 2001-08-02 00:00:00 2001-05-01 00:00:00 B B 900 900 0 900 0 960007632 A99999 N None None SFY2000-01
960001771 VALLEY VILLAGE TUPPERHOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-04-17 00:00:00 960000892 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-07 00:00:00 None No 2001-06-04 00:00:00 None B None 1000 1000 -350 650 0 960007636 A99999 N None None SFY2000-01
960001894 RCN PEDIATRIC CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-04-18 00:00:00 960000893 Closed Citation Citation B (HSC 1424) Other CLIENT TRUST ACCOUNT 2001-03-29 00:00:00 None No 2001-06-01 00:00:00 None B None 1000 1000 0 1000 0 960007638 A99999 N None None SFY2000-01
960001605 TRINITY HOME III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-02 00:00:00 960000894 Closed Citation Citation B (HSC 1424) Medication None 2001-04-03 00:00:00 None No 2001-06-18 00:00:00 None B None 1000 1000 -350 650 0 960007673 A99999 N None None SFY2000-01
960001756 EBORA GUEST HOME #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-04 00:00:00 960000895 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-08 00:00:00 None No 2001-05-25 00:00:00 None B None 950 950 -332.5 617.5 0 960007676 A99999 N None None SFY2000-01
960002352 MATHARU ASSISTED LIVING #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-09 00:00:00 960000896 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-30 00:00:00 None No 2001-06-22 00:00:00 None B None 1000 1000 -350 650 0 960007688 A99999 N None None SFY2000-01
960001001 MARLINDA WEST NURSING HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-14 00:00:00 960000897 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-16 00:00:00 None Yes 2001-12-24 00:00:00 2001-05-31 00:00:00 B B 1000 1000 0 1000 0 960007715 A99999 N None None SFY2000-01
960002127 SUTTER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-14 00:00:00 960000898 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-07 00:00:00 None No 2001-06-20 00:00:00 None B None 1000 1000 -350 650 0 960007716 A99999 N None None SFY2000-01
960002411 LA CASA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-16 00:00:00 960000899 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-09 00:00:00 None No 2001-06-18 00:00:00 None B None 900 900 -315 585 0 960007723 A99999 N None None SFY2000-01
960002411 LA CASA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-16 00:00:00 960000900 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-04-09 00:00:00 None No 2001-06-18 00:00:00 None B None 900 900 -315 585 0 960007724 A99999 N None None SFY2000-01
960001790 OAKBANK HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-18 00:00:00 960000901 Closed Citation Citation B (HSC 1424) Medication None 2001-03-22 00:00:00 None No 2001-06-29 00:00:00 None B None 1000 1000 -350 650 0 960007737 A99999 N None None SFY2000-01
960002276 MORRIS HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-24 00:00:00 960000902 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-18 00:00:00 None No 2001-07-24 00:00:00 None B None 700 700 -245 455 0 960007760 A99999 N None None SFY2000-01
960002276 MORRIS HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-24 00:00:00 960000903 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-18 00:00:00 None No 2001-07-24 00:00:00 None B None 800 800 -280 520 0 960007761 A99999 N None None SFY2000-01
960002115 TEMPLE GARDEN HOMES #3 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-05-29 00:00:00 960000904 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-15 00:00:00 None No 2001-06-29 00:00:00 None B None 1000 1000 -350 650 0 960007774 A99999 N None None SFY2000-01
960001809 TEMPLE GARDEN HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-05 00:00:00 960000905 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-08 00:00:00 None Yes 2001-07-17 00:00:00 2001-06-06 00:00:00 B Dismissed by Court 800 50 -50 0 0 960007787 A99999 N None None SFY2000-01
960002170 ROBILYN'S GUEST HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-05 00:00:00 960000906 Closed Citation Citation B (HSC 1424) Staffing None 2001-05-18 00:00:00 None No 2001-07-09 00:00:00 None B None 800 800 -280 520 0 960007803 A99999 N None None SFY2000-01
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-05 00:00:00 960000907 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-10 00:00:00 None No 2001-07-10 00:00:00 None B None 2400 2400 -840 1560 0 960007804 A99999 N None None SFY2000-01
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-05 00:00:00 960000908 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-10 00:00:00 None No 2001-07-03 00:00:00 None B None 800 800 -280 520 0 960007805 A99999 N None None SFY2000-01
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-05 00:00:00 960000909 Closed Citation Citation B (HSC 1424) Patient Care None 2001-05-10 00:00:00 None No 2001-07-03 00:00:00 None B None 1000 1000 -350 650 0 960007808 A99999 N None None SFY2000-01
960002170 ROBILYN'S GUEST HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-05 00:00:00 960000910 Closed Citation Citation A (HSC 1424) Patient Care None 2001-05-08 00:00:00 None No 2001-07-11 00:00:00 None A None 10000 10000 0 10000 0 960007811 A99999 N None None SFY2000-01
960001605 TRINITY HOME III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-05 00:00:00 960000911 Closed Citation Citation B (HSC 1424) Patient Care None 2001-04-24 00:00:00 None No 2001-07-09 00:00:00 None B None 900 900 -315 585 0 960007812 A99999 N None None SFY2000-01
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-06 00:00:00 960000912 Closed Citation Citation B (HSC 1424) Administration None 2001-05-29 00:00:00 None No 2001-07-17 00:00:00 None B None 1000 1000 -350 650 0 960007819 A99999 N None None SFY2000-01
960001587 MT MITCHELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-18 00:00:00 960000913 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-11 00:00:00 None No 2001-07-10 00:00:00 None B None 1000 1000 -350 650 0 960007848 A99999 N None None SFY2000-01
960002295 FORBES DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-06-28 00:00:00 960000914 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-04 00:00:00 None No 2001-08-10 00:00:00 None B None 1000 1000 -350 650 0 960007866 A99999 N None None SFY2000-01
960001148 GRANADA DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-07-02 00:00:00 960000915 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-09 00:00:00 None No 2001-09-26 00:00:00 None B None 1000 1000 0 1000 0 960007869 A99999 N None None SFY2001-02
960000887 MOMENTUM AGENCIES ICF/DD-N WESTLAKE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-07-03 00:00:00 960000916 Closed Citation Citation B (HSC 1424) Medication None 2001-06-14 00:00:00 None No 2001-09-18 00:00:00 None B None 1000 1000 -350 650 0 960007871 A99999 N None None SFY2001-02
960002360 PATE & INGRAM HOME II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-07-06 00:00:00 960000917 Closed Citation Citation B (HSC 1424) Administration None 2001-06-25 00:00:00 None No 2001-07-27 00:00:00 None B None 1000 1000 -350 650 0 960007882 A99999 N None None SFY2001-02
960000930 SVS SAN GABRIEL GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-07-11 00:00:00 960000918 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-05-06 00:00:00 None No 2001-10-03 00:00:00 None B None 500 500 -175 325 0 960007889 A99999 N None None SFY2001-02
960001875 K & S GROUP HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-07-23 00:00:00 960000919 Closed Citation Citation B (HSC 1424) Administration None 2001-06-25 00:00:00 None No 2001-09-13 00:00:00 None B None 1000 1000 -350 650 0 960007902 A99999 N None None SFY2001-02
960001482 ARLINGTON HOME #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-07-31 00:00:00 960000920 Closed Citation Citation A (HSC 1424) Patient Care None 2001-07-20 00:00:00 None No 2001-09-14 00:00:00 None A None 3000 3100 -1050 2050 0 960007928 A99999 N None None SFY2001-02
960002089 SUNBURST CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-03 00:00:00 960000921 Closed Citation Citation B (HSC 1424) Administration None 2001-07-18 00:00:00 None No 2001-09-20 00:00:00 None B None 500 650 -175 475 0 960007939 A99999 N None None SFY2001-02
960002356 SUNBURST CARE CENTER - WINNETKA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-03 00:00:00 960000922 Closed Citation Citation B (HSC 1424) Administration None 2001-07-18 00:00:00 None No 2001-09-20 00:00:00 None B None 500 650 -175 475 0 960007940 A99999 N None None SFY2001-02
960002089 SUNBURST CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-03 00:00:00 960000923 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-18 00:00:00 None No 2001-09-20 00:00:00 None B None 500 650 -175 475 0 960007941 A99999 N None None SFY2001-02
960002087 SIERRA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-14 00:00:00 960000924 Closed Citation Citation B (HSC 1424) Staffing None 2001-07-31 00:00:00 None No 2001-09-14 00:00:00 None B None 800 800 -280 520 0 960007957 A99999 N None None SFY2001-02
960002356 SUNBURST CARE CENTER - WINNETKA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-14 00:00:00 960000925 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-07 00:00:00 None No 2001-09-17 00:00:00 None B None 500 500 -175 325 0 960007958 A99999 N None None SFY2001-02
960002356 SUNBURST CARE CENTER - WINNETKA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-14 00:00:00 960000926 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-07 00:00:00 None No 2001-09-14 00:00:00 None B None 500 500 -175 325 0 960007960 A99999 N None None SFY2001-02
960001351 CEDAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-15 00:00:00 960000927 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-02-06 00:00:00 None Yes 2001-12-11 00:00:00 2001-09-05 00:00:00 B B 1000 1000 0 1000 0 960007867 A99999 N None None SFY2001-02
960002401 CASA DEL SOL DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-14 00:00:00 960000928 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-02 00:00:00 None No 2001-09-14 00:00:00 None B None 800 800 -280 520 0 960007961 A99999 N None None SFY2001-02
960001351 CEDAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-15 00:00:00 960000930 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-10 00:00:00 None Yes 2001-12-14 00:00:00 2001-09-05 00:00:00 B B 1000 1000 0 1000 0 960007867 A99999 N None None SFY2001-02
960001351 CEDAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-15 00:00:00 960000931 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-03-10 00:00:00 None Yes 2001-12-26 00:00:00 2001-09-05 00:00:00 B B 1000 1000 0 1000 0 960007867 A99999 N None None SFY2001-02
960001351 CEDAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-15 00:00:00 960000932 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-06-05 00:00:00 None Yes 2001-12-26 00:00:00 2001-09-05 00:00:00 B B 1000 1000 0 1000 0 960007867 A99999 N None None SFY2001-02
960002205 MIMIS HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-17 00:00:00 960000933 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-27 00:00:00 None No 2001-10-05 00:00:00 None B None 800 800 0 800 0 960007926 A99999 N None None SFY2001-02
960000907 EDGEWOOD CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-08-30 00:00:00 960000934 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-12 00:00:00 None Yes 2001-12-11 00:00:00 2001-09-12 00:00:00 B B 1000 1000 0 1000 0 960007985 A99999 N None None SFY2001-02
960000930 SVS SAN GABRIEL GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-09-20 00:00:00 960000935 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-08-31 00:00:00 None No 2001-10-30 00:00:00 None B None 1000 1000 -350 650 0 960008030 A99999 N None None SFY2001-02
960002411 LA CASA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-09-26 00:00:00 960000936 Closed Citation Citation B (HSC 1424) Administration None 2001-08-25 00:00:00 None No 2001-11-16 00:00:00 None B None 500 500 -175 325 0 960007988 A99999 N None None SFY2001-02
960000947 HELEN EVANS HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-10-09 00:00:00 960000937 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-09-28 00:00:00 None No 2001-11-19 00:00:00 None B None 700 700 -245 455 0 960008073 A99999 N None None SFY2001-02
960001457 EL ENCANTO HEALTHCARE AND HABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-10-12 00:00:00 960000938 Closed Citation Citation B (HSC 1424) Patient Care None 2001-09-15 00:00:00 None No 2001-11-15 00:00:00 None B None 800 800 -280 520 0 960008061 A99999 N None None SFY2001-02
960002096 CANYON HOME II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-10-18 00:00:00 960000939 Closed Citation Citation B (HSC 1424) Staffing None 2001-10-05 00:00:00 None No 2001-11-21 00:00:00 None B None 600 650 -210 440 0 960008098 A99999 N None None SFY2001-02
960001949 BURTON HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-11-20 00:00:00 960000940 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-24 00:00:00 None No 2001-12-13 00:00:00 None B None 1000 1000 -350 650 0 960008116 A99999 N None None SFY2001-02
960001316 PALM HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-11-26 00:00:00 960000941 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-02 00:00:00 None Yes 2002-05-02 00:00:00 2001-11-26 00:00:00 B B 1000 1000 0 1000 0 960008160 A99999 N None None SFY2001-02
960001831 ARLINGTON HOME #6 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-11-30 00:00:00 960000942 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-15 00:00:00 None No 2001-12-21 00:00:00 None B None 800 800 0 800 0 960008179 A99999 N None None SFY2001-02
960002104 BIOLA DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-12-04 00:00:00 960000943 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-03 00:00:00 None Yes 2002-01-25 00:00:00 2001-12-13 00:00:00 B Drop>Deficiency 1000 1050 0 1050 0 960008035 A99999 N None None SFY2001-02
960002036 JENYMEL'S HOME CARE INC. III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-12-07 00:00:00 960000944 Closed Citation Citation B (HSC 1424) Staffing None 2001-11-26 00:00:00 None No 2001-12-31 00:00:00 None B None 1000 1000 -350 650 0 960008197 A99999 N None None SFY2001-02
960001522 EMILY'S RESIDENTIAL CARE CENTER, LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-12-10 00:00:00 960000945 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-10-18 00:00:00 None No 2002-01-02 00:00:00 None A None 10000 10000 -3500 6500 0 960008198 A99999 N None None SFY2001-02
960001826 G M HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-12-10 00:00:00 960000946 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-10-11 00:00:00 None No 2002-01-10 00:00:00 None B None 1000 1000 -350 650 0 960008084 A99999 N None None SFY2001-02
960002407 ELBEN DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-12-12 00:00:00 960000947 Closed Citation Citation B (HSC 1424) Patient Care None 2001-10-23 00:00:00 None No 2002-01-04 00:00:00 None B None 1000 1000 0 1000 0 960008125 A99999 N None None SFY2001-02
960000869 MOMENTUM AGENCIES ICF/DD-N WENDT LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-12-20 00:00:00 960000949 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-25 00:00:00 None No 2002-01-30 00:00:00 None A None 9000 9000 -3150 5850 0 960008149 A99999 N None None SFY2001-02
960002606 PRIMARY RELIANCE - VICTORIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-01-08 00:00:00 960000950 Closed Citation Citation A (HSC 1424) Patient Care None 2001-08-25 00:00:00 None No 2002-02-07 00:00:00 None A None 5000 5000 -1750 3250 0 960008020 A99999 N None None SFY2001-02
960001715 GOLDEN CARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-01-10 00:00:00 960000952 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-13 00:00:00 None No 2002-02-07 00:00:00 None B None 1000 1000 -350 650 0 960008270 A99999 N None None SFY2001-02
960000951 PROJECT HOMELIFE - PARISE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-01-17 00:00:00 960000953 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-26 00:00:00 None No 2002-02-21 00:00:00 None B None 600 600 -210 390 0 960008284 A99999 N None None SFY2001-02
960000951 PROJECT HOMELIFE - PARISE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-01-17 00:00:00 960000954 Closed Citation Citation B (HSC 1424) Medication None 2001-12-26 00:00:00 None No 2002-02-21 00:00:00 None B None 800 800 -280 520 0 960008285 A99999 N None None SFY2001-02
960000897 MOMENTUM AGENCIES ICF/DD-N NEWPORT LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-01-18 00:00:00 960000955 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-02 00:00:00 None No 2002-02-11 00:00:00 None B None 800 800 -280 520 0 960008288 A99999 N None None SFY2001-02
960000962 BURNETTS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-02-05 00:00:00 960000956 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-18 00:00:00 None No 2002-03-08 00:00:00 None B None 600 600 -210 390 0 960008341 A99999 N None None SFY2001-02
960000962 BURNETTS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-02-05 00:00:00 960000957 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-23 00:00:00 None No 2002-03-08 00:00:00 None B None 1000 1000 -350 650 0 960008341 A99999 N None None SFY2001-02
960000904 MOMENTUM AGENCIES ICF/DD-H BLEDSOE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-02-11 00:00:00 960000958 Closed Citation Citation A (HSC 1424) Patient Care None 2001-11-18 00:00:00 None No 2002-03-12 00:00:00 None A None 5000 5000 -1750 3250 0 960008185 A99999 N CA00096726 H SFY2001-02
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-02-26 00:00:00 960000959 Closed Citation Citation B (HSC 1424) Medication None 2002-02-12 00:00:00 None Yes 2002-06-25 00:00:00 2002-03-18 00:00:00 B B 1000 1000 0 1000 0 960008374 A99999 N None None SFY2001-02
960001605 TRINITY HOME III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-02-25 00:00:00 960000960 Closed Citation Citation A (HSC 1424) Patient Rights None 2001-12-12 00:00:00 None No 2002-03-22 00:00:00 None A None 6000 6000 -2100 3900 0 960008354 A99999 N None None SFY2001-02
960001603 R & D HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-02-26 00:00:00 960000961 Closed Citation Citation B (HSC 1424) Other MEDICATION/PATIENTRT 2002-01-31 00:00:00 None No 2002-05-02 00:00:00 None B None 900 900 -315 585 0 960008379 A99999 N None None SFY2001-02
960000997 MOMENTUM AGENCIES ICF/DD-H HARBOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-03-20 00:00:00 960000962 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-19 00:00:00 None No 2002-04-17 00:00:00 None B None 1000 1000 -350 650 0 960008388 A99999 N None None SFY2001-02
960002310 OCCIDENTAL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-03-25 00:00:00 960000963 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-15 00:00:00 None No 2002-04-26 00:00:00 None B None 1000 1000 -350 650 0 960008425 A99999 N None None SFY2001-02
960001323 QUARTZ HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-03-27 00:00:00 960000964 Closed Citation Citation A (HSC 1424) Patient Care None 2002-02-08 00:00:00 None Yes 2002-06-18 00:00:00 2002-06-12 00:00:00 A Dismissed by Court 10000 0 0 0 0 960008353 A99999 N None None SFY2001-02
960001836 IDEAL HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-03-26 00:00:00 960000965 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-15 00:00:00 None Yes 2002-06-19 00:00:00 2002-03-26 00:00:00 B B 1000 1000 0 1000 0 960008427 A99999 N None None SFY2001-02
960001055 BEACH AVENUE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-03-27 00:00:00 960000966 Closed Citation Citation B (HSC 1424) Patient Care None 2001-12-19 00:00:00 None Yes 2002-09-09 00:00:00 2002-03-28 00:00:00 B Dismissed by Court 1000 0 0 0 0 960008273 A99999 N None None SFY2001-02
960002687 CROCKETT DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-04-12 00:00:00 960000967 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2002-01-08 00:00:00 None No 2002-05-20 00:00:00 None B None 1000 1000 -350 650 0 960008267 A99999 N None None SFY2001-02
960001646 ARLINGTON HOME #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-04-17 00:00:00 960000968 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-12-02 00:00:00 None No 2002-05-28 00:00:00 None B None 1000 1000 -350 650 0 960008206 A99999 N None None SFY2001-02
960001306 OASIS HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-04-19 00:00:00 960000969 Closed Citation Citation B (HSC 1424) Other POLICY & PROCEDURE 2002-01-28 00:00:00 None No 2002-05-29 00:00:00 None B None 500 500 -175 325 0 960008345 A99999 N None None SFY2001-02
960000914 MOMENTUM AGENCIES ICF/DD-N BRADLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-05-10 00:00:00 960000970 Closed Citation Citation B (HSC 1424) Administration None 2002-04-15 00:00:00 None No 2002-06-18 00:00:00 None B None 600 600 -210 390 0 960008514 A99999 N None None SFY2001-02
960002558 CERRITOS HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-05-21 00:00:00 960000971 Closed Citation Citation B (HSC 1424) Medication None 2002-05-07 00:00:00 None No 2002-06-17 00:00:00 None B None 1000 1000 -350 650 0 960008554 A99999 N None None SFY2001-02
960001748 FERNWOOD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-05-22 00:00:00 960000972 Closed Citation Citation B (HSC 1424) Administration None 2002-05-15 00:00:00 None No 2002-06-13 00:00:00 None B None 600 600 -210 390 0 960008557 A99999 N None None SFY2001-02
960002295 FORBES DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-05-24 00:00:00 960000973 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-20 00:00:00 None No 2002-06-17 00:00:00 None B None 1000 1000 -350 650 0 960008564 A99999 N None None SFY2001-02
960002077 MARY'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-05-30 00:00:00 960000974 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-05-15 00:00:00 None No 2002-06-26 00:00:00 None B None 1000 1000 -350 650 0 960008567 A99999 N None None SFY2001-02
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-06-13 00:00:00 960000975 Closed Citation Citation B (HSC 1424) Staffing None 2002-06-04 00:00:00 None No 2002-08-06 00:00:00 None B None 600 600 -210 390 0 960008585 A99999 N None None SFY2001-02
960002027 MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-06-14 00:00:00 960000976 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-30 00:00:00 None No 2002-07-08 00:00:00 None B None 800 800 -280 520 0 960008571 A99999 N None None SFY2001-02
960002024 MOMENTUM AGENCIES ICF/DD-H AMESTOY SOUTH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-06-14 00:00:00 960000977 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-30 00:00:00 None No 2002-07-15 00:00:00 None B None 700 700 -245 455 0 960008572 A99999 N None None SFY2001-02
960002368 LOOP HOME FOUNDATION, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-06-20 00:00:00 960000978 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-06 00:00:00 None No 2002-08-02 00:00:00 None B None 1000 1000 -350 650 0 960008606 A99999 N None None SFY2001-02
960002360 PATE & INGRAM HOME II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-06-21 00:00:00 960000979 Closed Citation Citation B (HSC 1424) Staffing None 2002-06-12 00:00:00 None No 2002-08-01 00:00:00 None B None 700 700 -245 455 0 960008608 A99999 N None None SFY2001-02
960002352 MATHARU ASSISTED LIVING #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-06-25 00:00:00 960000980 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-13 00:00:00 None No 2002-07-29 00:00:00 None B None 1000 1000 -350 650 0 960008599 A99999 N None None SFY2001-02
960001885 BENWICK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-06-28 00:00:00 960000981 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-01-01 00:00:00 None No 2002-07-26 00:00:00 None B None 1000 1000 -350 650 0 960008524 A99999 N None None SFY2001-02
960001885 BENWICK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-06-28 00:00:00 960000982 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-01-01 00:00:00 None No 2002-07-26 00:00:00 None B None 1000 1000 0 1000 0 960008524 A99999 N None None SFY2001-02
960000900 MOMENTUM AGENCIES ICF/DD-N MAX FACTOR HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-07-09 00:00:00 960000983 Closed Citation Citation B (HSC 1424) Staffing None 2002-06-21 00:00:00 None No 2002-08-08 00:00:00 None B None 700 700 -245 455 0 960008623 A99999 N None None SFY2002-03
960001643 ARLINGTON HOME #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-07-10 00:00:00 960000984 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-03 00:00:00 None No 2002-08-09 00:00:00 None B None 1000 1000 -350 650 0 960008656 A99999 N None None SFY2002-03
960001001 MARLINDA WEST NURSING HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-07-19 00:00:00 960000985 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-04-29 00:00:00 None No 2002-09-20 00:00:00 None B None 1000 1000 -350 650 0 960008673 A99999 N None None SFY2002-03
960001416 INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-08-05 00:00:00 960000986 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-17 00:00:00 None No 2002-08-26 00:00:00 None B None 1000 1000 -350 650 0 960008711 A99999 N None None SFY2002-03
960001148 GRANADA DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-10-02 00:00:00 960000987 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-08-27 00:00:00 None No 2002-10-30 00:00:00 None B None 1000 1000 -350 650 0 960008817 A99999 N None None SFY2002-03
960002326 BLAISDELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-10-03 00:00:00 960000988 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-13 00:00:00 None No 2002-11-05 00:00:00 None B None 800 800 0 800 0 960008821 A99999 N None None SFY2002-03
960001150 CAMELOT DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-10-11 00:00:00 960000989 Closed Citation Citation B (HSC 1424) Patient Care None 2002-05-16 00:00:00 None No 2002-11-14 00:00:00 None B None 650 650 -227.5 422.5 0 960008835 A99999 N None None SFY2002-03
960001148 GRANADA DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-10-15 00:00:00 960000990 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-30 00:00:00 None No 2002-11-14 00:00:00 None B None 800 800 0 800 0 960008795 A99999 N None None SFY2002-03
960002043 PARTHENIA NORTH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-10-31 00:00:00 960000991 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-18 00:00:00 None Yes 2003-04-10 00:00:00 2002-11-19 00:00:00 B B 1000 1000 0 1000 0 960008851 A99999 N None None SFY2002-03
960001896 JANRAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-11-04 00:00:00 960000992 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-26 00:00:00 None No 2002-12-04 00:00:00 None B None 600 600 -210 390 0 960008824 A99999 N None None SFY2002-03
960002027 MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-11-07 00:00:00 960000993 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-28 00:00:00 None No 2002-12-10 00:00:00 None B None 1000 1000 -350 650 0 960008855 A99999 N None None SFY2002-03
960002689 G & E CARE HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-11-21 00:00:00 960000994 Closed Citation Citation B (HSC 1424) Administration None 2001-09-01 00:00:00 None No 2002-12-20 00:00:00 None B None 1000 1000 -350 650 0 960008904 A99999 N None None SFY2002-03
960002142 MATHARU ASSISTED LIVING #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-11-21 00:00:00 960000995 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-08 00:00:00 None No 2002-12-31 00:00:00 None B None 1000 1000 -350 650 0 960008838 A99999 N None None SFY2002-03
960000882 MOMENTUM AGENCIES ICF/DD-H HUBBARD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-12-02 00:00:00 960000996 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-05 00:00:00 None No 2002-12-23 00:00:00 None B None 800 800 -280 520 0 960008879 A99999 N None None SFY2002-03
960002322 DOUGLASS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-12-05 00:00:00 960000997 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-23 00:00:00 None No 2003-01-07 00:00:00 None B None 500 500 0 500 0 960008886 A99999 N None None SFY2002-03
960002066 HAWAIIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-12-26 00:00:00 960000998 Closed Citation Citation B (HSC 1424) Medication None 2002-12-11 00:00:00 None No 2003-01-17 00:00:00 None B None 1000 1000 -350 650 0 960008928 A99999 N None None SFY2002-03
960000874 UCP SAN PEDRO HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-12-30 00:00:00 960000999 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-11 00:00:00 None No 2003-01-28 00:00:00 None A None 10000 10000 -3500 6500 0 960008850 A99999 N None None SFY2002-03
960002407 ELBEN DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-01-10 00:00:00 960001000 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-10-26 00:00:00 None No 2003-02-06 00:00:00 None B None 1000 1000 -350 650 0 960008949 A99999 N None None SFY2002-03
960001984 ARLETA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-01-29 00:00:00 960001001 Closed Citation Citation B (HSC 1424) Staffing None 2003-01-08 00:00:00 None No 2003-02-25 00:00:00 None B None 900 900 0 900 0 960008981 A99999 N None None SFY2002-03
960002076 THE LIGHTHOUSE CENTER I LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-01-29 00:00:00 960001002 Closed Citation Citation B (HSC 1424) Staffing None 2003-01-12 00:00:00 None No 2003-02-28 00:00:00 None B None 1000 1000 0 1000 0 960008982 A99999 N None None SFY2002-03
960001625 THE JALS II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-01-29 00:00:00 960001003 Closed Citation Citation B (HSC 1424) Other ACTIVE TREATMENT 2003-01-12 00:00:00 None No 2003-02-21 00:00:00 None B None 1000 1000 -350 650 0 960008999 A99999 N None None SFY2002-03
960002705 JADE RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-02-10 00:00:00 960001004 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-30 00:00:00 None Yes 2003-05-27 00:00:00 2003-05-14 00:00:00 B B 1000 1000 0 1000 0 960009004 A99999 N None None SFY2002-03
960000951 PROJECT HOMELIFE - PARISE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-02-11 00:00:00 960001005 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-30 00:00:00 None No 2003-03-12 00:00:00 None B None 1000 1000 -350 650 0 960009005 A99999 N None None SFY2002-03
960000951 PROJECT HOMELIFE - PARISE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-02-13 00:00:00 960001006 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-01-30 00:00:00 None No 2003-03-14 00:00:00 None B None 1000 1000 -350 650 0 960009015 A99999 N None None SFY2002-03
960002015 DURNESS HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-02-24 00:00:00 960001007 Closed Citation Citation B (HSC 1424) Patient Care None 2003-01-11 00:00:00 None No 2003-03-24 00:00:00 None B None 800 800 -280 520 0 960008962 A99999 N None None SFY2002-03
960000984 HARBOR HEALTH CARE, INC. - BAYLOR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-03-07 00:00:00 960001008 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-27 00:00:00 None Yes 2003-06-05 00:00:00 2003-03-12 00:00:00 B Dismissed by Court 800 0 0 0 0 960008988 A99999 N None None SFY2002-03
960001584 JOYCE MARIE HOMES INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-03-12 00:00:00 960001009 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-12 00:00:00 None No 2003-04-10 00:00:00 None B None 1000 1000 -350 650 0 960009047 A99999 N None None SFY2002-03
960001584 JOYCE MARIE HOMES INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-03-20 00:00:00 960001010 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-11 00:00:00 None No 2003-04-18 00:00:00 None B None 1000 1000 -350 650 0 960009068 A99999 N None None SFY2002-03
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-03-20 00:00:00 960001011 Closed Citation Citation B (HSC 1424) Administration None 2003-02-27 00:00:00 None No 2003-04-25 00:00:00 None B None 1000 1000 -350 650 0 960009070 A99999 N None None SFY2002-03
960002084 HOME CARE FORTE, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-04-08 00:00:00 960001012 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-17 00:00:00 None No 2003-06-02 00:00:00 None B None 1000 1000 0 1000 0 960009100 A99999 N None None SFY2002-03
960002558 CERRITOS HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-04-19 00:00:00 960001013 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-30 00:00:00 None No 2003-06-02 00:00:00 None B None 1000 3000 -1050 1950 0 960009116 A99999 N None None SFY2002-03
960002558 CERRITOS HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-04-19 00:00:00 960001014 Closed Citation Citation B (HSC 1424) Administration None 2003-03-29 00:00:00 None No 2003-06-02 00:00:00 None B None 1000 1000 -350 650 0 960009116 A99999 N None None SFY2002-03
960002204 J-J EXCELCARE HOME 2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-04-29 00:00:00 960001015 Closed Citation Citation B (HSC 1424) Administration None 2003-03-28 00:00:00 None No 2003-05-28 00:00:00 None B None 800 800 -280 520 0 960009131 A99999 N None None SFY2002-03
960000997 MOMENTUM AGENCIES ICF/DD-H HARBOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-04-30 00:00:00 960001016 Closed Citation Citation B (HSC 1424) Administration None 2003-04-09 00:00:00 None Yes 2003-09-15 00:00:00 2003-09-12 00:00:00 B B 800 400 0 400 0 960009106 A99999 N None None SFY2002-03
960002170 ROBILYN'S GUEST HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-05-06 00:00:00 960001017 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-04-12 00:00:00 None No 2003-06-06 00:00:00 None B None 800 800 -280 520 0 960009134 A99999 N None None SFY2002-03
960002170 ROBILYN'S GUEST HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-05-06 00:00:00 960001018 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-18 00:00:00 None No 2003-06-06 00:00:00 None B None 1000 1000 -350 650 0 960009145 A99999 N None None SFY2002-03
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-05-20 00:00:00 960001019 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-11-02 00:00:00 None No 2003-06-18 00:00:00 None B None 1000 1000 -350 650 0 960009102 A99999 N None None SFY2002-03
960002170 ROBILYN'S GUEST HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-05-21 00:00:00 960001020 Closed Citation Citation B (HSC 1424) Administration None 2003-04-12 00:00:00 None No 2003-06-20 00:00:00 None B None 1000 1000 -350 650 0 960009134 A99999 N None None SFY2002-03
960002077 MARY'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-05-30 00:00:00 960001021 Closed Citation Citation B (HSC 1424) Administration None 2003-05-16 00:00:00 None No 2003-06-20 00:00:00 None B None 800 800 -280 520 0 960009176 A99999 N None None SFY2002-03
960001605 TRINITY HOME III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-06-09 00:00:00 960001022 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-07 00:00:00 None No 2003-07-23 00:00:00 None B None 1000 1000 -350 650 0 960009211 A99999 N None None SFY2002-03
960001898 EMILY CARE CENTER II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-06-17 00:00:00 960001023 Closed Citation Citation B (HSC 1424) Patient Care None 2003-05-12 00:00:00 None No 2003-07-23 00:00:00 None B None 800 800 -280 520 0 960009228 A99999 N None None SFY2002-03
960001807 UNITED CARE HOMES-VALINDA LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-06-17 00:00:00 960001024 Closed Citation Citation B (HSC 1424) Administration None 2003-05-27 00:00:00 None No 2003-07-09 00:00:00 None B None 800 800 -280 520 0 960009229 A99999 N None None SFY2002-03
960001482 ARLINGTON HOME #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-07-18 00:00:00 960001025 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-20 00:00:00 None No 2003-08-15 00:00:00 None B None 1000 1000 -350 650 0 960009272 A99999 N None None SFY2003-04
960001612 MADISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-07-21 00:00:00 960001026 Closed Citation Citation B (HSC 1424) Administration None 2003-06-06 00:00:00 None No 2003-08-20 00:00:00 None B None 1000 1000 -350 650 0 960009273 A99999 N None None SFY2003-04
960001743 MIDOMAR HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-07-21 00:00:00 960001027 Closed Citation Citation B (HSC 1424) Administration None 2003-06-18 00:00:00 None No 2003-08-21 00:00:00 None B None 800 800 -280 520 0 960009275 A99999 N None None SFY2003-04
960001743 MIDOMAR HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-07-21 00:00:00 960001028 Closed Citation Citation B (HSC 1424) Administration None 2003-06-17 00:00:00 None No 2003-08-21 00:00:00 None B None 1000 1000 -350 650 0 960009276 A99999 N None None SFY2003-04
960001743 MIDOMAR HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-07-22 00:00:00 960001029 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-06-18 00:00:00 None No 2003-08-21 00:00:00 None B None 1000 1000 -350 650 0 960009277 A99999 N None None SFY2003-04
960002393 PACIFIC HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-07-31 00:00:00 960001030 Closed Citation Citation B (HSC 1424) Staffing None 2003-07-29 00:00:00 None No 2003-09-08 00:00:00 None B None 1000 1000 -350 650 0 960009292 A99999 N None None SFY2003-04
960001280 INDEPENDENT OPTIONS, INC./KIOWA CREST II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-08-14 00:00:00 960001032 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-09 00:00:00 None No 2003-09-24 00:00:00 None B None 1000 1000 -350 650 0 960009311 A99999 N None None SFY2003-04
960002393 PACIFIC HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-08-25 00:00:00 960001033 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-29 00:00:00 None No 2003-09-23 00:00:00 None B None 1000 1000 -350 650 0 960009292 A99999 N None None SFY2003-04
960001096 PURE JOY #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-09-26 00:00:00 960001034 Closed Citation Citation B (HSC 1424) Patient Care None 2003-08-04 00:00:00 None Yes 2004-01-27 00:00:00 2003-10-06 00:00:00 B B 1000 1500 -500 1000 0 960009320 A99999 N None None SFY2003-04
960000943 FENTON HOUSE ICF/DD-H LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-10-01 00:00:00 960001035 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-07-11 00:00:00 None No 2003-10-30 00:00:00 None B None 1000 1000 -350 650 0 960009405 A99999 N None None SFY2003-04
960001553 HOLY HILL HOME CARE/BENFIELD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-10-14 00:00:00 960001036 Closed Citation Citation B (HSC 1424) Administration None 2003-09-19 00:00:00 None No 2003-11-10 00:00:00 None B None 800 800 0 800 0 960009392 A99999 N None None SFY2003-04
960000869 MOMENTUM AGENCIES ICF/DD-N WENDT LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-10-31 00:00:00 960001037 Closed Citation Citation B (HSC 1424) Patient Care None 2003-09-30 00:00:00 None No 2003-12-15 00:00:00 None B None 1000 1000 -350 650 0 960009447 A99999 N None None SFY2003-04
960002326 BLAISDELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-11-05 00:00:00 960001038 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-15 00:00:00 None Yes 2004-03-12 00:00:00 2003-11-23 00:00:00 B Dismissed by Court 900 0 0 0 0 960009452 A99999 N None None SFY2003-04
960001316 PALM HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-11-07 00:00:00 960001039 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-15 00:00:00 None No 2003-12-15 00:00:00 None B None 1000 1000 -350 650 0 960009460 A99999 N None None SFY2003-04
960002087 SIERRA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-11-10 00:00:00 960001040 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-23 00:00:00 None No 2003-12-19 00:00:00 None B None 1000 1000 0 1000 0 960009458 A99999 N None None SFY2003-04
960002087 SIERRA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-11-14 00:00:00 960001041 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-10-24 00:00:00 None No 2003-12-19 00:00:00 None B None 1000 1000 0 1000 0 960009457 A99999 N None None SFY2003-04
960002060 RAYMOND HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-11-26 00:00:00 960001042 Closed Citation Citation B (HSC 1424) Administration None 2003-11-13 00:00:00 None No 2004-01-08 00:00:00 None B None 800 800 -280 520 0 960009488 A99999 N None None SFY2003-04
960000962 BURNETTS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-12-10 00:00:00 960001043 Closed Citation Citation B (HSC 1424) Administration None 2003-11-26 00:00:00 None No 2004-01-08 00:00:00 None B None 700 700 -245 455 0 960009495 A99999 N None None SFY2003-04
960002205 MIMIS HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-12-18 00:00:00 960001044 Closed Citation Citation B (HSC 1424) Staffing None 2003-12-03 00:00:00 None No 2004-01-21 00:00:00 None B None 1000 1000 -350 650 0 960009499 A99999 N None None SFY2003-04
960001833 MARIE'S HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-12-18 00:00:00 960001045 Closed Citation Citation B (HSC 1424) Administration None 2003-12-04 00:00:00 None No 2004-01-20 00:00:00 None B None 1000 1000 -350 650 0 960009518 A99999 N None None SFY2003-04
960001833 MARIE'S HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-12-18 00:00:00 960001046 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-03 00:00:00 None No 2004-01-20 00:00:00 None B None 900 900 -315 585 0 960009518 A99999 N None None SFY2003-04
960000956 HARBOR HEALTH CARE, INC. - HOBACK DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-12-30 00:00:00 960001047 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-21 00:00:00 None Yes 2004-06-04 00:00:00 2004-01-06 00:00:00 B Dismissed by Court 900 0 0 0 0 960009486 A99999 N None None SFY2003-04
960000951 PROJECT HOMELIFE - PARISE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-01-20 00:00:00 960001048 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-02 00:00:00 None No 2004-02-20 00:00:00 None B None 1000 1000 -350 650 0 960009540 A99999 N None None SFY2003-04
960002312 GRAND AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-03 00:00:00 960001049 Closed Citation Citation B (HSC 1424) Patient Care None 2003-11-05 00:00:00 None No 2004-03-12 00:00:00 None B None 1000 1000 0 1000 0 960009496 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-23 00:00:00 960001050 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-11-30 00:00:00 None Yes 2004-04-05 00:00:00 2004-03-03 00:00:00 B B 1000 1000 -1000 0 0 960009542 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-23 00:00:00 960001051 Closed Citation Citation B (HSC 1424) Administration None 2003-12-09 00:00:00 None Yes 2004-08-12 00:00:00 2004-03-03 00:00:00 B B 1000 3150 -2150 1000 0 960009559 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-23 00:00:00 960001052 Closed Citation Citation B (HSC 1424) Administration None 2003-11-30 00:00:00 None Yes 2004-08-12 00:00:00 2004-03-03 00:00:00 B Drop>Deficiency 800 0 0 0 0 960009542 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-23 00:00:00 960001053 Closed Citation Citation B (HSC 1424) Physical Environment None 2003-12-09 00:00:00 None Yes 2004-03-15 00:00:00 2004-03-03 00:00:00 B B 1000 1000 -1000 0 0 960009559 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-23 00:00:00 960001054 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-09 00:00:00 None Yes 2004-04-05 00:00:00 2004-03-03 00:00:00 B None 1000 1000 -1000 0 0 960009559 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-23 00:00:00 960001055 Closed Citation Citation B (HSC 1424) Medication None 2002-12-01 00:00:00 None Yes 2004-03-15 00:00:00 2004-03-03 00:00:00 B B 1000 1050 -1050 0 0 960009559 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-24 00:00:00 960001056 Closed Citation Citation B (HSC 1424) Administration None 2003-12-09 00:00:00 None Yes 2006-03-10 00:00:00 2004-03-03 00:00:00 B B 1000 1000 -1000 0 0 960009559 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-24 00:00:00 960001057 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-09 00:00:00 None Yes 2006-03-20 00:00:00 2004-03-03 00:00:00 B B 1000 1000 -1000 0 0 960009559 A99999 N None None SFY2003-04
960002467 COMMUNITY CARE SERVICES - ARMSTEAD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-26 00:00:00 960001058 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-09 00:00:00 None Yes 2004-04-05 00:00:00 2004-03-03 00:00:00 B B 1000 1000 -1000 0 0 960009559 A99999 N None None SFY2003-04
960001221 UNITED CARE HOMES, INC. - CAMWOOD LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-02-27 00:00:00 960001059 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-13 00:00:00 None No 2004-04-27 00:00:00 None B None 1000 1000 -350 650 0 960009609 A99999 N None None SFY2003-04
960001756 EBORA GUEST HOME #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-03-03 00:00:00 960001060 Closed Citation Citation B (HSC 1424) Administration None 2004-01-21 00:00:00 None No 2004-04-12 00:00:00 None B None 1000 1000 -350 650 0 960009587 A99999 N None None SFY2003-04
960002394 BEACHSIDE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-03-08 00:00:00 960001061 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-12 00:00:00 None No 2004-03-29 00:00:00 None B None 1000 1000 -350 650 0 960009629 A99999 N None None SFY2003-04
960001718 NEW HORIZONS C LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-03-30 00:00:00 960001062 Closed Citation Citation B (HSC 1424) Patient Care None 2004-02-23 00:00:00 None No 2004-04-30 00:00:00 None B None 1000 1000 -350 650 0 960009643 A99999 N None None SFY2003-04
960001718 NEW HORIZONS C LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-03-30 00:00:00 960001063 Closed Citation Citation B (HSC 1424) Administration None 2004-02-23 00:00:00 None No 2004-04-30 00:00:00 None B None 1000 1000 -350 650 0 960009643 A99999 N None None SFY2003-04
960002084 HOME CARE FORTE, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-03-30 00:00:00 960001064 Closed Citation Citation B (HSC 1424) Staffing None 2003-11-25 00:00:00 None No 2004-04-30 00:00:00 None B None 1000 1000 -350 650 0 960009638 A99999 N None None SFY2003-04
960001720 CASA MONTANA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-04-02 00:00:00 960001065 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-15 00:00:00 None No 2004-05-05 00:00:00 None B None 1000 1000 -350 650 0 960009651 A99999 N None None SFY2003-04
960001412 NEW HORIZONS B LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-04-20 00:00:00 960001066 Closed Citation Citation B (HSC 1424) Administration None 2004-02-27 00:00:00 None No 2004-05-11 00:00:00 None B None 1000 1000 -350 650 0 960009627 A99999 N None None SFY2003-04
960000966 ROBILYN GUEST HOME IV LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-04-30 00:00:00 960001067 Closed Citation Citation B (HSC 1424) Administration None 2004-03-30 00:00:00 None No 2004-05-21 00:00:00 None B None 1000 1000 -350 650 0 960009680 A99999 N None None SFY2003-04
960001826 G M HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-04-30 00:00:00 960001069 Closed Citation Citation B (HSC 1424) Administration None 2004-03-12 00:00:00 None No 2004-06-03 00:00:00 None B None 1000 1000 -350 650 0 960009697 A99999 N None None SFY2003-04
960001097 PURE JOY #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-05-26 00:00:00 960001071 Closed Citation Citation B (HSC 1424) Physical Environment None 2004-03-26 00:00:00 None No 2004-07-14 00:00:00 None B None 1000 1000 -350 650 0 960009733 A99999 N None None SFY2003-04
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-05-27 00:00:00 960001072 Closed Citation Citation B (HSC 1424) Administration None 2004-03-23 00:00:00 None Yes 2011-04-26 00:00:00 2011-04-13 00:00:00 B B 1000 500 0 500 0 960009661 A99999 N None None SFY2003-04
960002836 MOMENTUM AGENCIES ICF/DD-H MISSION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-05-27 00:00:00 960001073 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-01 00:00:00 None No 2004-07-13 00:00:00 None B None 1000 1000 -350 650 0 960009677 A99999 N None None SFY2003-04
960002403 NORRIS DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-06-04 00:00:00 960001074 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-01-05 00:00:00 None Yes 2004-07-13 00:00:00 2004-06-09 00:00:00 B Dismissed by Court 1000 0 0 0 0 960009676 A99999 N None None SFY2003-04
960001818 ACRE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-06-04 00:00:00 960001075 Closed Citation Citation B (HSC 1424) Patient Care None 2003-10-10 00:00:00 None No 2004-07-13 00:00:00 None B None 1000 1000 0 1000 0 960009712 A99999 N None None SFY2003-04
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-06-07 00:00:00 960001076 Closed Citation Citation B (HSC 1424) Patient Care None 2004-04-30 00:00:00 None No 2004-07-13 00:00:00 None B None 1000 1000 -350 650 0 960009705 A99999 N None None SFY2003-04
960001643 ARLINGTON HOME #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-06-15 00:00:00 960001077 Closed Citation Citation B (HSC 1424) Patient Care None 2004-05-28 00:00:00 None No 2004-07-20 00:00:00 None B None 800 800 -280 520 0 960009759 A99999 N None None SFY2003-04
960001743 MIDOMAR HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-06-25 00:00:00 960001078 Closed Citation Citation B (HSC 1424) Administration None 2004-06-08 00:00:00 None No 2004-08-04 00:00:00 None B None 1000 1000 -350 650 0 960009774 A99999 N None None SFY2003-04
960001416 INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-07-06 00:00:00 960001079 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-05-08 00:00:00 None No 2004-07-27 00:00:00 None B None 1000 1000 -350 650 0 960009749 A99999 N None None SFY2004-05
960002084 HOME CARE FORTE, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-07-12 00:00:00 960001080 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-12-06 00:00:00 None No 2004-09-03 00:00:00 None B None 1000 1000 -350 650 0 960009804 A99999 N None None SFY2004-05
960001413 NEW HORIZONS A LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-07-21 00:00:00 960001081 Closed Citation Citation B (HSC 1424) Administration None 2004-06-18 00:00:00 None No 2004-08-19 00:00:00 None B None 1000 1000 -350 650 0 960009782 A99999 N None None SFY2004-05
960001679 PECK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-07-22 00:00:00 960001082 Closed Citation Citation B (HSC 1424) Administration None 2004-06-17 00:00:00 None No 2004-08-25 00:00:00 None B None 800 800 -280 520 0 960009788 A99999 N None None SFY2004-05
960001255 JO-MI INTERMEDIATE CARE FAC/DEVELOPMENTALLY-NRSG LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-07-23 00:00:00 960001083 Closed Citation Citation B (HSC 1424) Administration None 2004-06-07 00:00:00 None No 2004-09-17 00:00:00 None B None 800 800 -280 520 0 960009773 A99999 N None None SFY2004-05
960002324 DAWNVIEW HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-07-29 00:00:00 960001084 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-06-21 00:00:00 None Yes 2011-06-30 00:00:00 2011-04-13 00:00:00 B B 1000 500 0 500 0 960009838 A99999 N None None SFY2004-05
960000984 HARBOR HEALTH CARE, INC. - BAYLOR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-02 00:00:00 960001085 Closed Citation Citation B (HSC 1424) Administration None 2004-06-23 00:00:00 None No 2004-09-03 00:00:00 None B None 1000 1000 0 1000 0 960009789 A99999 N None None SFY2004-05
960001548 BROWN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-11 00:00:00 960001086 Closed Citation Citation B (HSC 1424) Administration None 2004-07-23 00:00:00 None No 2004-09-28 00:00:00 None B None 900 900 0 900 0 960009834 A99999 N None None SFY2004-05
960001619 WEST LA SUPPORT SERVICES HOME #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-12 00:00:00 960001087 Closed Citation Citation B (HSC 1424) Patient Care None 2004-01-08 00:00:00 None Yes 2004-09-30 00:00:00 2004-08-23 00:00:00 B Dismissed by Court 900 0 0 0 0 960009831 A99999 N None None SFY2004-05
960000874 UCP SAN PEDRO HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-13 00:00:00 960001088 Closed Citation Citation B (HSC 1424) Patient Care None 2004-07-21 00:00:00 None No 2004-09-28 00:00:00 None B None 1000 1000 -350 650 0 960009827 A99999 N None None SFY2004-05
960002036 JENYMEL'S HOME CARE INC. III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-18 00:00:00 960001089 Closed Citation Citation B (HSC 1424) Administration None 2004-08-06 00:00:00 None No 2004-11-05 00:00:00 None B None 900 900 -315 585 0 960009856 A99999 N None None SFY2004-05
960002040 RAINBOW HORIZONS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-20 00:00:00 960001090 Closed Citation Citation B (HSC 1424) Patient Care None 2004-03-02 00:00:00 None No 2004-09-13 00:00:00 None B None 1000 1000 -350 650 0 960009756 A99999 N None None SFY2004-05
960001172 MOUNTAINGATE HOUSE - PROJECT SIX LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-23 00:00:00 960001091 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-03-23 00:00:00 None No 2004-09-14 00:00:00 None B None 1000 1000 -350 650 0 960009878 A99999 N None None SFY2004-05
960001274 VALLEY VILLAGE PARTHENIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-20 00:00:00 960001092 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-07-09 00:00:00 None No 2004-09-30 00:00:00 None B None 1000 1000 -350 650 0 960009822 A99999 N None None SFY2004-05
960002849 VALVERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-10-08 00:00:00 960001093 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-09-24 00:00:00 None No 2004-11-12 00:00:00 None B None 1000 1000 -350 650 0 960009924 A99999 N None None SFY2004-05
960001001 MARLINDA WEST NURSING HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-10-26 00:00:00 960001094 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-23 00:00:00 None No 2004-12-14 00:00:00 None B None 1000 1000 -350 650 0 960009941 A99999 N None None SFY2004-05
960001172 MOUNTAINGATE HOUSE - PROJECT SIX LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-12-03 00:00:00 960001096 Closed Citation Citation B (HSC 1424) Administration None 2004-08-29 00:00:00 None No 2005-01-11 00:00:00 None B None 1000 1000 -350 650 0 960009982 A99999 N None None SFY2004-05
960002358 PATE & INGRAM HOME I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-12-03 00:00:00 960001097 Closed Citation Citation B (HSC 1424) Medication None 2004-10-01 00:00:00 None No 2005-01-31 00:00:00 None B None 1000 1000 -350 650 0 960009983 A99999 N None None SFY2004-05
960001482 ARLINGTON HOME #2 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-12-03 00:00:00 960001098 Closed Citation Citation B (HSC 1424) Patient Care None 2004-09-22 00:00:00 None No 2005-01-19 00:00:00 None B None 1000 1000 -350 650 0 960009984 A99999 N None None SFY2004-05
960001922 NORTH HILLS HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-01-14 00:00:00 960001099 Closed Citation Citation B (HSC 1424) Administration None 2004-12-14 00:00:00 None No 2005-02-07 00:00:00 None B None 800 800 -280 520 0 960010028 A99999 N None None SFY2004-05
960001351 CEDAR HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-01-14 00:00:00 960001100 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-02-14 00:00:00 None No 2005-02-15 00:00:00 None B None 1000 1000 -350 650 0 960010029 A99999 N None None SFY2004-05
960001924 MATHARU ASSISTED LIVING LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-02-11 00:00:00 960001101 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-25 00:00:00 None No 2005-07-12 00:00:00 None B None 500 500 -175 325 0 960010048 A99999 N None None SFY2004-05
960002084 HOME CARE FORTE, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-02-14 00:00:00 960001102 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-24 00:00:00 None No 2005-03-30 00:00:00 None B None 1000 1000 -350 650 0 960010043 A99999 N None None SFY2004-05
960002084 HOME CARE FORTE, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-02-14 00:00:00 960001103 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-24 00:00:00 None No 2005-03-30 00:00:00 None B None 1000 1000 -350 650 0 960010043 A99999 N None None SFY2004-05
960002084 HOME CARE FORTE, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-02-14 00:00:00 960001104 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-24 00:00:00 None No 2005-03-30 00:00:00 None B None 1000 1000 -350 650 0 960010043 A99999 N None None SFY2004-05
960000997 MOMENTUM AGENCIES ICF/DD-H HARBOR LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-02-25 00:00:00 960001105 Closed Citation Citation B (HSC 1424) Patient Care None 2004-12-08 00:00:00 None No 2005-07-08 00:00:00 None B None 800 800 -280 520 0 960010039 A99999 N None None SFY2004-05
960002027 MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-04-01 00:00:00 960001106 Closed Citation Citation B (HSC 1424) Administration None 2005-03-21 00:00:00 None No 2005-07-08 00:00:00 None B None 800 800 -280 520 0 960010122 A99999 N None None SFY2004-05
960000967 BURNETT'S #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-03-24 00:00:00 960001107 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-21 00:00:00 None No 2005-05-18 00:00:00 None B None 1000 1000 -350 650 0 960010123 A99999 N None None SFY2004-05
960000967 BURNETT'S #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-04-06 00:00:00 960001108 Closed Citation Citation B (HSC 1424) Patient Care None 2005-03-21 00:00:00 2005-03-24 00:00:00 No 2005-05-18 00:00:00 None B None 1000 1000 -350 650 0 960010123 A99999 N None None SFY2004-05
960001975 ARMSTRONG HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-04-08 00:00:00 960001109 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-22 00:00:00 2005-03-25 00:00:00 No 2005-05-16 00:00:00 None B None 1000 1000 -350 650 0 960010127 A99999 N None None SFY2004-05
960001412 NEW HORIZONS B LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-04-15 00:00:00 960001110 Closed Citation Citation B (HSC 1424) Administration None 2005-02-17 00:00:00 None No 2005-07-08 00:00:00 None B None 1000 1000 -350 650 0 960010099 A99999 N None None SFY2004-05
960001643 ARLINGTON HOME #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-04-22 00:00:00 960001111 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-07 00:00:00 None No 2005-05-25 00:00:00 None B None 1000 1000 -350 650 0 960010137 A99999 N None None SFY2004-05
960002058 BEST CARE HOME II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-04-26 00:00:00 960001112 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-01 00:00:00 None No 2005-06-06 00:00:00 None B None 800 1150 -280 870 0 960010132 A99999 N None None SFY2004-05
960001694 ASTORIA HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-05-19 00:00:00 960001113 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-02 00:00:00 None No 2005-06-29 00:00:00 None B None 1000 1000 -350 650 0 960010165 A99999 N None None SFY2004-05
960002077 MARY'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-05-24 00:00:00 960001114 Closed Citation Citation B (HSC 1424) Administration None 2005-04-25 00:00:00 None No 2005-06-15 00:00:00 None B None 700 700 -245 455 0 960010159 A99999 N None None SFY2004-05
960001875 K & S GROUP HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-05-23 00:00:00 960001115 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-29 00:00:00 None No 2005-06-20 00:00:00 None B None 800 800 -280 520 0 960010167 A99999 N None None SFY2004-05
960001754 MARIE'S PRIVATE QUARTERS #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-05-25 00:00:00 960001116 Closed Citation Citation B (HSC 1424) Administration None 2005-04-12 00:00:00 None No 2005-07-19 00:00:00 None B None 800 800 -280 520 0 960010144 A99999 N None None SFY2004-05
960001754 MARIE'S PRIVATE QUARTERS #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-05-25 00:00:00 960001117 Closed Citation Citation B (HSC 1424) Administration None 2005-04-12 00:00:00 None No 2005-07-19 00:00:00 None B None 1000 1000 -350 650 0 960010144 A99999 N None None SFY2004-05
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-06 00:00:00 960001118 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-25 00:00:00 None No 2005-07-08 00:00:00 None B None 1000 1000 -350 650 0 960010170 A99999 N None None SFY2004-05
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-06 00:00:00 960001119 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-26 00:00:00 None No 2005-07-11 00:00:00 None B None 1000 1000 -350 650 0 960010170 A99999 N None None SFY2004-05
960000929 JULIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-08 00:00:00 960001121 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-04 00:00:00 None No 2005-06-29 00:00:00 None B None 1000 1000 -350 650 0 960010139 A99999 N None None SFY2004-05
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-15 00:00:00 960001122 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-02-09 00:00:00 None No 2005-07-19 00:00:00 None B None 1000 1000 -350 650 0 960010170 A99999 N None None SFY2004-05
960001743 MIDOMAR HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-09 00:00:00 960001123 Closed Citation Citation B (HSC 1424) Administration None 2005-05-23 00:00:00 None No 2005-07-18 00:00:00 None B None 1000 3000 -1050 1950 0 960010188 A99999 N None None SFY2004-05
960001789 MARKWAY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-10 00:00:00 960001124 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-05-18 00:00:00 2005-05-20 00:00:00 No 2005-07-12 00:00:00 None B None 1000 1000 -350 650 0 960010187 A99999 N None None SFY2004-05
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-15 00:00:00 960001125 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-29 00:00:00 None No 2005-07-19 00:00:00 None B None 500 1500 -525 975 0 960010170 A99999 N None None SFY2004-05
960000874 UCP SAN PEDRO HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-16 00:00:00 960001127 Closed Citation Citation B (HSC 1424) Administration None 2005-04-26 00:00:00 None Yes 2005-07-27 00:00:00 2005-07-14 00:00:00 B B 1000 500 0 500 0 960010185 A99999 N None None SFY2004-05
960002724 TEMPLE GARDEN HOMES IV LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-07-18 00:00:00 960001128 Closed Citation Citation B (HSC 1424) Administration None 2005-06-21 00:00:00 None No 2005-08-08 00:00:00 None B None 800 800 0 800 0 960010227 A99999 N None None SFY2005-06
960001001 MARLINDA WEST NURSING HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-07-21 00:00:00 960001129 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-21 00:00:00 None Yes 2005-08-11 00:00:00 2005-09-15 00:00:00 B None 1000 1200 0 1200 0 960010226 A99999 N None None SFY2005-06
960001445 STAHL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-07-29 00:00:00 960001130 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-12 00:00:00 None No 2005-09-15 00:00:00 None B None 1000 1000 -350 650 0 960010154 A99999 N None None SFY2005-06
960001445 STAHL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-07-29 00:00:00 960001131 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-12 00:00:00 None No 2005-09-15 00:00:00 None B None 1000 1000 -350 650 0 960010154 A99999 N None None SFY2005-06
960002102 LAFONDA DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-08-03 00:00:00 960001132 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-17 00:00:00 None No 2005-09-19 00:00:00 None B None 1000 1000 -350 650 0 960010243 A99999 N None None SFY2005-06
960001412 NEW HORIZONS B LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-08-03 00:00:00 960001133 Closed Citation Citation B (HSC 1424) Administration None 2005-06-17 00:00:00 None No 2005-09-19 00:00:00 None B None 1000 1000 -350 650 0 960010242 A99999 N None None SFY2005-06
960001412 NEW HORIZONS B LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-08-03 00:00:00 960001134 Closed Citation Citation B (HSC 1424) Administration None 2005-06-17 00:00:00 None No 2005-09-19 00:00:00 None B None 1000 1000 -350 650 0 960010242 A99999 N None None SFY2005-06
960002865 DISCOVERING HORIZONS-BALBOA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-08-03 00:00:00 960001135 Closed Citation Citation B (HSC 1424) Administration None 2005-05-31 00:00:00 None No 2005-09-19 00:00:00 None B None 500 500 -175 325 0 960010264 A99999 N None None SFY2005-06
960002347 G M HOME III LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-08-15 00:00:00 960001136 Closed Citation Citation B (HSC 1424) Administration None 2005-07-20 00:00:00 None No 2005-09-15 00:00:00 None B None 800 800 -280 520 0 960010261 A99999 N None None SFY2005-06
960001445 STAHL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-09 00:00:00 960001137 Closed Citation Citation A (HSC 1424) Administration None 2005-09-09 00:00:00 None No 2005-10-25 00:00:00 None A None 5000 5000 -1750 3250 0 960010154 A99999 N None None SFY2005-06
960002358 PATE & INGRAM HOME I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-06 00:00:00 960001139 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-03 00:00:00 None No 2005-10-18 00:00:00 None B None 1000 1000 -350 650 0 960010248 A99999 N None None SFY2005-06
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-09 00:00:00 960001140 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-04 00:00:00 None Yes 2011-06-08 00:00:00 2011-04-13 00:00:00 B B 1000 500 0 500 0 960010251 A99999 N None None SFY2005-06
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-09 00:00:00 960001141 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-04 00:00:00 None Yes 2011-06-08 00:00:00 2011-04-13 00:00:00 B B 1000 500 0 500 0 960010251 A99999 N None None SFY2005-06
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-09 00:00:00 960001142 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-06-03 00:00:00 None Yes 2011-06-08 00:00:00 2011-04-13 00:00:00 B B 1000 500 0 500 0 960010251 A99999 N None None SFY2005-06
960002687 CROCKETT DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-14 00:00:00 960001143 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-19 00:00:00 None No 2005-10-17 00:00:00 None B None 1000 1000 -350 650 0 960010287 A99999 N None None SFY2005-06
960001459 EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-15 00:00:00 960001144 Closed Citation Citation B (HSC 1424) Patient Care None 2005-08-04 00:00:00 None No 2005-10-17 00:00:00 None B None 1000 1000 -350 650 0 960010271 A99999 N None None SFY2005-06
960001459 EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-15 00:00:00 960001145 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-08 00:00:00 None No 2005-10-17 00:00:00 None B None 1000 1000 -350 650 0 960010271 A99999 N None None SFY2005-06
960001323 QUARTZ HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-09-22 00:00:00 960001146 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-22 00:00:00 None No 2005-10-25 00:00:00 None B None 1000 1250 0 1250 0 960010309 A99999 N None None SFY2005-06
960001096 PURE JOY #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-10-04 00:00:00 960001147 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-29 00:00:00 None No 2005-10-26 00:00:00 None B None 800 1200 0 1200 0 960010303 A99999 N None None SFY2005-06
960001097 PURE JOY #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-10-04 00:00:00 960001149 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-29 00:00:00 None No 2005-11-16 00:00:00 None B None 800 1150 0 1150 0 960010341 A99999 N None None SFY2005-06
960002322 DOUGLASS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-10-07 00:00:00 960001150 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-13 00:00:00 None No 2005-11-08 00:00:00 None B None 1000 1000 -350 650 0 960010305 A99999 N None None SFY2005-06
960001906 NEARGROVE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-10-20 00:00:00 960001151 Closed Citation Citation A (HSC 1424) Patient Care None 2005-01-30 00:00:00 None No 2005-11-10 00:00:00 None A None 10000 10000 -3500 6500 0 960010362 A99999 Y None None SFY2005-06
960002874 SGM FOSTER LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-10-27 00:00:00 960001152 Closed Citation Citation B (HSC 1424) Patient Care None 2005-09-19 00:00:00 None No 2005-12-05 00:00:00 None B None 1000 1000 -350 650 0 960010368 A99999 N None None SFY2005-06
960002863 CHELSEA HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-10-28 00:00:00 960001153 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-09-20 00:00:00 2005-09-20 00:00:00 No 2005-11-21 00:00:00 None B None 1000 1650 0 1650 0 960010348 A99999 N None None SFY2005-06
960002849 VALVERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-11-10 00:00:00 960001154 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-24 00:00:00 None No 2005-12-06 00:00:00 None B None 900 900 -315 585 0 960010376 A99999 N None None SFY2005-06
960002060 RAYMOND HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-11-16 00:00:00 960001155 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-25 00:00:00 None No 2006-01-03 00:00:00 None B None 1000 1000 -350 650 0 960010381 A99999 N None None SFY2005-06
960002060 RAYMOND HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-11-16 00:00:00 960001156 Closed Citation Citation B (HSC 1424) Administration None 2005-10-29 00:00:00 None No 2006-01-06 00:00:00 None B None 1000 1000 -350 650 0 960010381 A99999 N None None SFY2005-06
960002865 DISCOVERING HORIZONS-BALBOA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-11-16 00:00:00 960001157 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-24 00:00:00 None No 2005-12-21 00:00:00 None B None 900 900 -315 585 0 960010371 A99999 N None None SFY2005-06
960002099 SPRING GABLES ICF/DDH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-11-16 00:00:00 960001158 Closed Citation Citation B (HSC 1424) Administration None 2005-11-02 00:00:00 None No 2005-12-09 00:00:00 None B None 1000 1000 -350 650 0 960010387 A99999 N None None SFY2005-06
960002127 SUTTER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-11-17 00:00:00 960001159 Closed Citation Citation B (HSC 1424) Physical Environment None 2005-10-29 00:00:00 None No 2006-01-13 00:00:00 None B None 1000 1000 -350 650 0 960010390 A99999 N None None SFY2005-06
960002705 JADE RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-12-13 00:00:00 960001160 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-12 00:00:00 None Yes 2006-01-05 00:00:00 2005-12-28 00:00:00 B None 1000 1000 -350 650 0 960010366 A99999 N None None SFY2005-06
960002705 JADE RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-12-13 00:00:00 960001161 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-19 00:00:00 None No 2006-01-26 00:00:00 None B None 1000 1000 -350 650 0 960010366 A99999 N None None SFY2005-06
960001522 EMILY'S RESIDENTIAL CARE CENTER, LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-12-14 00:00:00 960001162 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-21 00:00:00 None No 2006-01-17 00:00:00 None B None 1000 1000 -350 650 0 960010405 A99999 N None None SFY2005-06
960001833 MARIE'S HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-12-17 00:00:00 960001163 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-11 00:00:00 None No 2006-01-26 00:00:00 None B None 1000 1000 -350 650 0 960010415 A99999 N None None SFY2005-06
960002066 HAWAIIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-12-23 00:00:00 960001164 Closed Citation Citation B (HSC 1424) Patient Care None 2005-10-28 00:00:00 None No 2006-03-09 00:00:00 None B None 1000 1000 -350 650 0 960010388 A99999 N None None SFY2005-06
960001096 PURE JOY #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-12-29 00:00:00 960001165 Closed Citation Citation B (HSC 1424) Administration None 2005-11-23 00:00:00 None No 2006-01-31 00:00:00 None B None 1000 1000 -350 650 0 960010420 A99999 N None None SFY2005-06
960000954 HARBOR HEALTH CARE, INC. ANTONIO DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-01-06 00:00:00 960001166 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-07 00:00:00 None No 2006-02-16 00:00:00 None B None 1000 1000 -350 650 0 960010435 A99999 N None None SFY2005-06
960000954 HARBOR HEALTH CARE, INC. ANTONIO DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-01-10 00:00:00 960001167 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-17 00:00:00 None Yes 2006-02-16 00:00:00 2006-01-12 00:00:00 B None 1000 1000 0 1000 0 960010435 A99999 N None None SFY2005-06
960001553 HOLY HILL HOME CARE/BENFIELD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-01-19 00:00:00 960001168 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-12-07 00:00:00 None Yes 2006-03-13 00:00:00 2006-01-19 00:00:00 B None 1000 1000 -350 650 0 960010423 A99999 N None None SFY2005-06
960002072 DANIEL'S CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-02-08 00:00:00 960001169 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-20 00:00:00 2006-01-20 00:00:00 No 2006-03-03 00:00:00 None B None 1000 1000 -350 650 0 960010481 A99999 N None None SFY2005-06
960002877 TEMPLE GARDEN HOMES #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-02-09 00:00:00 960001170 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-24 00:00:00 None No 2006-03-16 00:00:00 None B None 1000 1000 0 1000 0 960010482 A99999 N None None SFY2005-06
960001659 CASA CARLOS LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-02-09 00:00:00 960001171 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-14 00:00:00 2005-06-14 00:00:00 No 2006-03-06 00:00:00 None B None 1000 1000 -350 650 0 960010463 A99999 N None None SFY2005-06
960001904 LIN-ROS BEST HOME CARE, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-02-16 00:00:00 960001172 Closed Citation Citation B (HSC 1424) Administration None 2006-01-21 00:00:00 2006-01-21 00:00:00 No 2006-03-10 00:00:00 None B None 1000 1000 -350 650 0 960010484 A99999 N None None SFY2005-06
960001904 LIN-ROS BEST HOME CARE, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-02-16 00:00:00 960001173 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-21 00:00:00 2006-01-21 00:00:00 No 2006-03-10 00:00:00 None B None 1000 1000 -350 650 0 960010484 A99999 N None None SFY2005-06
960001904 LIN-ROS BEST HOME CARE, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-02-16 00:00:00 960001174 Closed Citation Citation B (HSC 1424) Patient Care None 2006-01-21 00:00:00 2006-01-21 00:00:00 No 2006-03-10 00:00:00 None B None 1000 1000 -350 650 0 960010484 A99999 N None None SFY2005-06
960001794 TLC - RINALDI HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-03-08 00:00:00 960002909 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-01-19 00:00:00 2006-01-19 00:00:00 No 2006-04-10 00:00:00 None B None 1000 1000 -350 650 0 None 8ZJF11 N None None SFY2005-06
960001787 ELLENBOGEN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-03-15 00:00:00 960002938 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-28 00:00:00 2006-02-28 00:00:00 No 2006-04-27 00:00:00 None B None 1000 1000 -350 650 0 None 5GQN11 N None None SFY2005-06
960001713 BEST CARE HOME I, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-03-21 00:00:00 960002973 Closed Citation Citation B (HSC 1424) Administration None 2006-02-15 00:00:00 2006-02-15 00:00:00 No 2006-04-12 00:00:00 None B None 1000 1000 -350 650 0 None 035H11 N CA00072403 B SFY2005-06
960001718 NEW HORIZONS C LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-03-22 00:00:00 960002976 Closed Citation Citation B (HSC 1424) Administration None 2006-02-25 00:00:00 2006-02-25 00:00:00 No 2006-05-09 00:00:00 None B None 800 800 -280 520 0 None 3K3V11 N None None SFY2005-06
960002849 VALVERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-03-31 00:00:00 960002995 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-01-27 00:00:00 2006-01-27 00:00:00 No 2006-04-21 00:00:00 None B None 1000 1000 -350 650 0 None 1ZHM11 N CA00068765, CA00070606 C, B SFY2005-06
960002849 VALVERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-03-31 00:00:00 960002996 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-01-27 00:00:00 2006-01-27 00:00:00 No 2006-04-21 00:00:00 None B None 1000 1000 -350 650 0 None 1ZHM11 N CA00068765, CA00070606 C, B SFY2005-06
960001900 ABLANO HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-03-29 00:00:00 960002999 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-02-17 00:00:00 2006-02-17 00:00:00 No 2006-05-02 00:00:00 None B None 1000 1000 0 1000 0 None E04P11 N None None SFY2005-06
960002558 CERRITOS HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-04-10 00:00:00 960003021 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-20 00:00:00 2006-03-20 00:00:00 No 2006-05-01 00:00:00 None B None 1000 1000 -350 650 0 None 0DL811 N None None SFY2005-06
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-04-14 00:00:00 960003028 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-23 00:00:00 2006-03-23 00:00:00 No 2006-05-05 00:00:00 None B None 1000 1000 -350 650 0 None R6K911 N None None SFY2005-06
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-04-14 00:00:00 960003029 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-19 00:00:00 2006-03-19 00:00:00 No 2006-05-05 00:00:00 None B None 1000 1000 -350 650 0 None R6K911 N None None SFY2005-06
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-04-14 00:00:00 960003030 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-03-19 00:00:00 2005-03-19 00:00:00 No 2006-05-23 00:00:00 None B None 1000 3000 -1050 1950 0 None BMTI11 N None None SFY2005-06
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-04-21 00:00:00 960003051 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-04-01 00:00:00 2006-04-01 00:00:00 Yes 2006-05-25 00:00:00 2006-05-05 00:00:00 B B 1000 500 0 500 0 None CLPZ11 N CA00076483 C SFY2005-06
960002151 CASA JOHN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-04-21 00:00:00 960003052 Closed Citation Citation B (HSC 1424) Administration None 2006-03-28 00:00:00 2006-03-28 00:00:00 No 2006-05-12 00:00:00 None B None 1000 1000 -350 650 0 None RZRE11 N CA00076334 B SFY2005-06
960002314 SUNDANCE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-05-04 00:00:00 960003079 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-28 00:00:00 2006-03-28 00:00:00 No 2006-05-25 00:00:00 None B None 1000 1000 -350 650 0 None BRVO11 N CA00076156 C SFY2005-06
960002314 SUNDANCE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-05-04 00:00:00 960003080 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-03-28 00:00:00 2006-03-28 00:00:00 Yes 2006-07-07 00:00:00 2006-06-09 00:00:00 B B 1000 1000 -500 500 0 None BRVO11 N None None SFY2005-06
960002202 CASA TERRY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-05-09 00:00:00 960003088 Closed Citation Citation B (HSC 1424) Administration None 2006-04-14 00:00:00 2006-04-14 00:00:00 No 2006-05-31 00:00:00 None B None 1000 1000 -350 650 0 None D5SZ11 N None None SFY2005-06
960001323 QUARTZ HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-05-24 00:00:00 960003114 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-05 00:00:00 2006-05-05 00:00:00 No 2006-07-03 00:00:00 None B None 1000 1000 -350 650 0 None PQBD11 N CA00080124 A SFY2005-06
960002316 FLORINDA STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-05-25 00:00:00 960003120 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-03-19 00:00:00 2006-03-19 00:00:00 No 2006-07-06 00:00:00 None B None 800 800 -280 520 0 None X4C111 N CA00075852 B SFY2005-06
960002127 SUTTER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-05-31 00:00:00 960003130 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-07 00:00:00 2006-02-07 00:00:00 No 2006-06-21 00:00:00 None B None 1000 1000 -350 650 0 None OYPV11 N None None SFY2005-06
960001898 EMILY CARE CENTER II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-02 00:00:00 960003135 Closed Citation Citation B (HSC 1424) Patient Care None 2006-02-09 00:00:00 2006-02-09 00:00:00 No 2006-06-23 00:00:00 None B None 1000 1000 -350 650 0 None VMYN11 N None None SFY2005-06
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-08 00:00:00 960003151 Closed Citation Citation A (HSC 1424) Patient Care None 2005-12-03 00:00:00 2005-12-03 00:00:00 Yes 2006-07-12 00:00:00 2006-06-29 00:00:00 A A 10000 6500 0 6500 0 None MCJS11 N CA00069274, CA00073915 C, C SFY2005-06
960000929 JULIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-14 00:00:00 960003160 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-02 00:00:00 2005-06-02 00:00:00 Yes 2006-07-21 00:00:00 2006-06-15 00:00:00 B B 1000 500 0 500 0 None OTXO11 N None None SFY2005-06
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-14 00:00:00 960003161 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-17 00:00:00 2005-04-17 00:00:00 No 2006-07-24 00:00:00 None B None 1000 1000 0 1000 0 None HCST11 N None None SFY2005-06
960000929 JULIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-15 00:00:00 960003167 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-06 00:00:00 2006-05-06 00:00:00 Yes 2006-07-21 00:00:00 2006-06-15 00:00:00 B B 1000 500 0 500 0 None OTXO11 N None None SFY2005-06
960001904 LIN-ROS BEST HOME CARE, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-29 00:00:00 960003186 Closed Citation Citation B (HSC 1424) Patient Record None 2006-05-12 00:00:00 2006-05-12 00:00:00 No 2006-07-21 00:00:00 None B None 1000 1000 -350 650 0 None M34R11 N CA00081009 A SFY2005-06
960001904 LIN-ROS BEST HOME CARE, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-29 00:00:00 960003188 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2006-05-10 00:00:00 2006-05-10 00:00:00 No 2006-07-21 00:00:00 None B None 1000 1000 -350 650 0 None M34R11 N CA00081009 A SFY2005-06
960001911 FELIZ HEALTH CARE CENTER II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-30 00:00:00 960003189 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-03-13 00:00:00 2004-03-13 00:00:00 No 2006-07-24 00:00:00 None B None 1000 1000 -350 650 0 None 629J11 N None None SFY2005-06
960001904 LIN-ROS BEST HOME CARE, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-07-07 00:00:00 960003194 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-10 00:00:00 2006-05-10 00:00:00 No 2006-07-28 00:00:00 None B None 1000 3000 -1050 1950 0 None M34R11 N CA00081009 A SFY2006-07
960001841 HOLY HILL HOME CARE/BELLFLOWER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-07-07 00:00:00 960003195 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-04 00:00:00 2006-05-04 00:00:00 No 2006-09-15 00:00:00 None B None 1000 1000 0 1000 0 None 76NO11 N CA00081021 C SFY2006-07
960001841 HOLY HILL HOME CARE/BELLFLOWER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-07-07 00:00:00 960003196 Closed Citation Citation B (HSC 1424) Administration None 2006-05-04 00:00:00 2006-05-04 00:00:00 No 2006-09-15 00:00:00 None B None 1000 1000 0 1000 0 None 76NO11 N CA00081021 C SFY2006-07
960000984 HARBOR HEALTH CARE, INC. - BAYLOR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-07-11 00:00:00 960003199 Closed Citation Citation B (HSC 1424) Administration None 2006-07-04 00:00:00 2006-07-04 00:00:00 Yes 2006-08-30 00:00:00 2006-08-08 00:00:00 B Dismissed by Court 1000 0 0 0 0 None C8XU11 N None None SFY2006-07
960002127 SUTTER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-07-14 00:00:00 960003209 Closed Citation Citation B (HSC 1424) Patient Care None 2006-03-31 00:00:00 2006-03-31 00:00:00 No 2006-08-04 00:00:00 None B None 1000 1000 -350 650 0 None OYPV11 N None None SFY2006-07
960001416 INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-08-17 00:00:00 960003291 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-25 00:00:00 2006-07-25 00:00:00 Yes 2006-10-31 00:00:00 2006-10-05 00:00:00 B B 1000 500 0 500 0 None 5XKL11 N CA00086404 A SFY2006-07
960001416 INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-08-17 00:00:00 960003292 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-07-13 00:00:00 2006-07-13 00:00:00 Yes 2006-10-31 00:00:00 2006-10-12 00:00:00 B B 1000 500 0 500 0 None 5XKL11 N CA00086404 A SFY2006-07
960001416 INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-08-17 00:00:00 960003294 Closed Citation Citation B (HSC 1424) Patient Care None 2006-07-26 00:00:00 2006-07-26 00:00:00 Yes 2006-10-31 00:00:00 2006-10-12 00:00:00 B B 1000 500 0 500 0 None 5XKL11 N None None SFY2006-07
960002314 SUNDANCE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-09-12 00:00:00 960003336 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-19 00:00:00 2006-08-19 00:00:00 No 2006-10-31 00:00:00 None B None 900 900 -315 585 0 None 2P7511 N None None SFY2006-07
960002347 G M HOME III LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-09-28 00:00:00 960003379 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-12 00:00:00 2006-08-12 00:00:00 No 2006-11-17 00:00:00 None B None 1000 1000 -350 650 0 None AI2E11 N None None SFY2006-07
960000925 SILVER SPRAY HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-10-02 00:00:00 960003385 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-28 00:00:00 2006-08-28 00:00:00 Yes 2006-11-02 00:00:00 2006-10-11 00:00:00 B B 1000 500 0 500 0 None GF7W11 N CA00093445 A SFY2006-07
960002877 TEMPLE GARDEN HOMES #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-10-24 00:00:00 960003441 Closed Citation Citation B (HSC 1424) Administration None 2006-08-18 00:00:00 2006-08-18 00:00:00 Yes 2006-12-22 00:00:00 2006-10-31 00:00:00 B B 1000 1000 0 1000 0 None 6PLZ11 N CA00094943 C SFY2006-07
960002295 FORBES DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-10-24 00:00:00 960003442 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-08 00:00:00 2006-06-08 00:00:00 No 2006-11-15 00:00:00 None B None 1000 1000 -350 650 0 None Z1NY11 N CA00083286 D SFY2006-07
960001416 INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-11-02 00:00:00 960003459 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-12 00:00:00 2006-10-12 00:00:00 Yes 2006-12-14 00:00:00 2006-11-28 00:00:00 B B 1000 500 0 500 0 None 5XKL12 N None None SFY2006-07
960001096 PURE JOY #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-11-13 00:00:00 960003487 Closed Citation Citation B (HSC 1424) Administration None 2006-10-10 00:00:00 2006-10-10 00:00:00 No 2006-12-06 00:00:00 None B None 1000 3750 0 3750 0 None W1P811 N CA00083232 C SFY2006-07
960001096 PURE JOY #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-11-13 00:00:00 960003488 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-10 00:00:00 2006-10-10 00:00:00 No 2006-12-06 00:00:00 None B None 1000 2850 0 2850 0 None W1P811 N CA00083232 C SFY2006-07
960001280 INDEPENDENT OPTIONS, INC./KIOWA CREST II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-12-18 00:00:00 960003583 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-11-29 00:00:00 2006-11-29 00:00:00 Yes 2007-01-31 00:00:00 2007-01-08 00:00:00 B B 1000 500 0 500 0 None MI0011 N None None SFY2006-07
960002099 SPRING GABLES ICF/DDH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-01-02 00:00:00 960003612 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-13 00:00:00 2006-12-13 00:00:00 No 2007-01-23 00:00:00 None B None 800 800 -280 520 0 None RJ6J11 N None None SFY2006-07
960002142 MATHARU ASSISTED LIVING #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-03-02 00:00:00 960003764 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-14 00:00:00 2007-02-14 00:00:00 No 2007-03-23 00:00:00 None B None 1000 1000 -350 650 0 None LR2C11 N None None SFY2006-07
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-03-07 00:00:00 960003775 Closed Citation Citation B (HSC 1424) Administration Abuse/Facility Not Report 2006-11-09 00:00:00 2006-11-09 00:00:00 Yes 2007-03-28 00:00:00 2007-03-19 00:00:00 B B 1000 500 0 500 0 None 5T1K11 N CA00103776 C SFY2006-07
960000954 HARBOR HEALTH CARE, INC. ANTONIO DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-03-12 00:00:00 960003788 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-11 00:00:00 2007-02-11 00:00:00 No 2007-04-02 00:00:00 None B None 1000 1000 -350 650 0 None 0EIH11 N None None SFY2006-07
960002202 CASA TERRY LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-04-03 00:00:00 960003866 Closed Citation Citation B (HSC 1424) Administration None 2007-02-27 00:00:00 2007-02-27 00:00:00 No 2007-04-24 00:00:00 None B None 1000 1000 -350 650 0 None H2SN11 N None None SFY2006-07
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-04-04 00:00:00 960003871 Closed Citation Citation A (HSC 1424) Patient Care None 2006-11-09 00:00:00 2006-11-09 00:00:00 Yes 2007-04-25 00:00:00 2007-04-10 00:00:00 A A 10000 5000 0 5000 0 None 5T1K11 N CA00103776 C SFY2006-07
960002072 DANIEL'S CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-04-06 00:00:00 960003883 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-03-15 00:00:00 2007-03-15 00:00:00 No 2007-04-27 00:00:00 None B None 1000 1000 -350 650 0 None 7CSJ11 N None None SFY2006-07
960001584 JOYCE MARIE HOMES INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-04-13 00:00:00 960003900 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-20 00:00:00 2007-03-20 00:00:00 No 2007-05-04 00:00:00 None B None 1000 1000 -350 650 0 None FW6H11 N None None SFY2006-07
960001584 JOYCE MARIE HOMES INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-04-13 00:00:00 960003901 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-17 00:00:00 2007-03-17 00:00:00 No 2007-05-04 00:00:00 None B None 1000 1000 -350 650 0 None FW6H11 N None None SFY2006-07
960002863 CHELSEA HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-05-15 00:00:00 960003957 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-22 00:00:00 2007-04-22 00:00:00 Yes 2007-06-05 00:00:00 2007-05-23 00:00:00 B None 1000 1000 0 1000 0 None JFCF11 N None None SFY2006-07
960002863 CHELSEA HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-05-15 00:00:00 960003958 Closed Citation Citation B (HSC 1424) Patient Care None 2007-04-28 00:00:00 2007-04-28 00:00:00 Yes 2007-06-05 00:00:00 2007-05-15 00:00:00 B B 1000 500 0 500 0 None JFCF11 N None None SFY2006-07
960002863 CHELSEA HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-05-15 00:00:00 960003959 Closed Citation Citation B (HSC 1424) Physical Environment None 2007-04-22 00:00:00 2007-04-22 00:00:00 Yes 2007-06-05 00:00:00 2007-05-15 00:00:00 B B 1000 1000 0 1000 0 None JFCF11 N None None SFY2006-07
630004441 BAILEY CARE HOME 1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-05-23 00:00:00 960003979 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-24 00:00:00 2007-04-24 00:00:00 No 2007-06-14 00:00:00 None B None 1000 1000 -350 650 0 None NPDL11 N None None SFY2006-07
960001150 CAMELOT DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-05-23 00:00:00 960003980 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-09 00:00:00 2007-05-09 00:00:00 No 2007-07-11 00:00:00 None B None 900 900 -315 585 0 None 4X5E11 N CA00114252 A SFY2006-07
960002056 K AND S GROUP HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-06-04 00:00:00 960004009 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-18 00:00:00 2007-04-18 00:00:00 No 2007-06-25 00:00:00 None B None 900 900 -315 585 0 None M83N11 N None None SFY2006-07
960001550 LOMITA GROUP HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-06-04 00:00:00 960004011 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-05-22 00:00:00 2007-05-22 00:00:00 No 2007-07-11 00:00:00 None B None 1000 1000 -350 650 0 None OTLN11 N CA00115036 B SFY2006-07
960001587 MT MITCHELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-06-29 00:00:00 960004055 Closed Citation Citation B (HSC 1424) Administration None 2007-06-01 00:00:00 2007-06-01 00:00:00 No 2007-07-23 00:00:00 None B None 1000 1000 -350 650 0 None 580711 N None None SFY2006-07
960002765 LAXFORD HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-07-19 00:00:00 960004114 Closed Citation Citation B (HSC 1424) Administration None 2007-06-30 00:00:00 2007-06-30 00:00:00 No 2007-08-09 00:00:00 None B None 1000 1000 0 1000 0 None 9UKK11 N CA00118889 A SFY2007-08
960002901 CK II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-08-03 00:00:00 960004159 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-15 00:00:00 2007-07-15 00:00:00 No 2007-08-24 00:00:00 None B None 1000 1000 0 1000 0 None 00DG11 N CA00121564 C SFY2007-08
960001607 MATHARU ASSISTED LIVING #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-08-09 00:00:00 960004167 Closed Citation Citation B (HSC 1424) Medication None 2007-07-27 00:00:00 2007-07-27 00:00:00 No 2007-08-30 00:00:00 None B None 1000 1000 -350 650 0 None LR2C11 N None None SFY2007-08
960002786 SUNBURST CARE CENTER #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-08-10 00:00:00 960004172 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-14 00:00:00 2007-02-14 00:00:00 No 2007-08-31 00:00:00 None B None 800 800 -280 520 0 None 2P2H11 N CA00122805 C SFY2007-08
960002322 DOUGLASS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-08-29 00:00:00 960004223 Closed Citation Citation B (HSC 1424) Patient Care None 2007-07-09 00:00:00 2007-07-09 00:00:00 Yes 2007-09-20 00:00:00 2007-09-04 00:00:00 B B 1000 500 0 500 0 None MO1911 N CA00118396 C SFY2007-08
960000984 HARBOR HEALTH CARE, INC. - BAYLOR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-09-27 00:00:00 960004299 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-08-24 00:00:00 2007-08-24 00:00:00 No 2007-10-19 00:00:00 None B None 1000 1000 -350 650 0 None 4XZS11 N None None SFY2007-08
960000929 JULIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-10-04 00:00:00 960004320 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-03 00:00:00 2007-02-03 00:00:00 No 2007-10-26 00:00:00 None B None 1000 1000 -350 650 0 None B82111 Y CA00107812 C SFY2007-08
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-10-24 00:00:00 960004401 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-14 00:00:00 2007-07-14 00:00:00 Yes 2007-11-15 00:00:00 2007-11-26 00:00:00 B B 1000 650 0 650 0 None TJBX11 N CA00120664 A SFY2007-08
960001885 BENWICK HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-11-08 00:00:00 960004432 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-23 00:00:00 2007-10-23 00:00:00 No 2007-12-04 00:00:00 None B None 800 800 0 800 0 None MHK411 N None None SFY2007-08
960001366 SCHMIDT HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-11-15 00:00:00 960004448 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-04 00:00:00 2007-08-04 00:00:00 No 2007-12-10 00:00:00 None B None 1000 1000 -350 650 0 None WYKH11 N CA00124114 C SFY2007-08
960002356 SUNBURST CARE CENTER - WINNETKA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-11-16 00:00:00 960004450 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-15 00:00:00 2007-10-15 00:00:00 No 2007-12-11 00:00:00 None B None 1000 1000 -350 650 0 None WM5M11 N None None SFY2007-08
960002356 SUNBURST CARE CENTER - WINNETKA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-11-16 00:00:00 960004451 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-15 00:00:00 2007-10-15 00:00:00 No 2007-12-11 00:00:00 None B None 1000 1000 -350 650 0 None WM5M11 N None None SFY2007-08
960001445 STAHL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-12-05 00:00:00 960004494 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-11-14 00:00:00 2007-11-14 00:00:00 No 2007-12-27 00:00:00 None B None 1000 1000 -350 650 0 None Y0JH11 N None None SFY2007-08
960001445 STAHL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-12-05 00:00:00 960004499 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-11-14 00:00:00 2007-11-14 00:00:00 No 2007-12-27 00:00:00 None B None 800 800 -280 520 0 None Y0JH11 N None None SFY2007-08
960002370 TLC - RAVITZ HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-12-14 00:00:00 960004507 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-10-24 00:00:00 2007-10-24 00:00:00 No 2008-01-08 00:00:00 None B None 1000 1000 0 1000 0 None MJCD11 N None None SFY2007-08
960002316 FLORINDA STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-12-28 00:00:00 960004528 Closed Citation Citation B (HSC 1424) Patient Care None 2007-09-22 00:00:00 2007-09-22 00:00:00 No 2008-01-22 00:00:00 None B None 1000 1000 -350 650 0 None I6VU11 N CA00131613 C SFY2007-08
960001587 MT MITCHELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-01-29 00:00:00 960004621 Closed Citation Citation A (HSC 1424) Patient Care None 2007-06-11 00:00:00 2007-06-11 00:00:00 No 2008-02-21 00:00:00 None A None 10000 10000 -3500 6500 0 None T6LI11 N CA00118208 B SFY2007-08
960001607 MATHARU ASSISTED LIVING #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-02-14 00:00:00 960004687 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-24 00:00:00 2008-01-24 00:00:00 No 2008-03-07 00:00:00 None B None 1000 1000 -350 650 0 None 999999 N None None SFY2007-08
960001316 PALM HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-02-15 00:00:00 960004690 Closed Citation Citation B (HSC 1424) Administration None 2008-02-06 00:00:00 2008-02-06 00:00:00 No 2008-03-10 00:00:00 None B None 1000 1000 -350 650 0 None UX8I11 N None None SFY2007-08
960000894 UCP/SCF ICF/DD-N HATCHER HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-02-22 00:00:00 960004708 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-05 00:00:00 2008-02-05 00:00:00 No 2008-03-14 00:00:00 None B None 1000 1000 -350 650 0 None HMZJ11 N CA00140111 A SFY2007-08
960001670 STORM INN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-03 00:00:00 960004733 Closed Citation Citation B (HSC 1424) Administration None 2008-02-13 00:00:00 2008-02-13 00:00:00 No 2008-03-24 00:00:00 None B None 1000 1000 0 1000 0 None 9V1H11 N None None SFY2007-08
960001001 MARLINDA WEST NURSING HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-20 00:00:00 960004770 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-19 00:00:00 2008-02-19 00:00:00 Yes 2008-04-11 00:00:00 2008-04-22 00:00:00 B None 1000 1000 0 1000 0 None KU5711 N CA00142183 A SFY2007-08
960002370 TLC - RAVITZ HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-11 00:00:00 960004773 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-26 00:00:00 2008-01-26 00:00:00 No 2008-04-02 00:00:00 None B None 1000 3000 0 3000 0 None IRGF11 N CA00139713 C SFY2007-08
960001316 PALM HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-13 00:00:00 960004783 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-06 00:00:00 2008-02-06 00:00:00 No 2008-04-04 00:00:00 None B None 1000 1000 -350 650 0 None E5YF11 N CA00131989 A SFY2007-08
960002393 PACIFIC HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-13 00:00:00 960004784 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-01 00:00:00 2008-02-01 00:00:00 No 2008-04-04 00:00:00 None B None 1000 1000 -350 650 0 None D78Z11 N CA00139062 C SFY2007-08
960001713 BEST CARE HOME I, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-25 00:00:00 960004812 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-06 00:00:00 2008-02-06 00:00:00 No 2008-04-16 00:00:00 None B None 900 900 -315 585 0 None HUDR11 N CA00140561 D SFY2007-08
960001713 BEST CARE HOME I, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-25 00:00:00 960004816 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-10 00:00:00 2008-01-10 00:00:00 No 2008-04-16 00:00:00 None B None 800 800 -280 520 0 None WI3Q11 N CA00137995 C SFY2007-08
960000956 HARBOR HEALTH CARE, INC. - HOBACK DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-31 00:00:00 960004842 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-07 00:00:00 2008-03-07 00:00:00 No 2008-04-21 00:00:00 None B None 1000 1000 -350 650 0 None 53QC11 N None None SFY2007-08
960000956 HARBOR HEALTH CARE, INC. - HOBACK DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-03-31 00:00:00 960004843 Closed Citation Citation B (HSC 1424) Patient Care None 2008-03-19 00:00:00 2008-03-19 00:00:00 No 2008-04-21 00:00:00 None B None 1000 1000 -350 650 0 None 53QC11 N None None SFY2007-08
960002276 MORRIS HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-04-11 00:00:00 960004850 Closed Citation Citation B (HSC 1424) Administration None 2008-03-28 00:00:00 2008-03-28 00:00:00 No 2008-05-05 00:00:00 None B None 1000 1000 -350 650 0 None L4H011 N None None SFY2007-08
960002099 SPRING GABLES ICF/DDH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-04-11 00:00:00 960004900 Closed Citation Citation B (HSC 1424) Patient Care None 2008-04-01 00:00:00 2008-04-01 00:00:00 No 2008-05-02 00:00:00 None B None 1000 1000 -350 650 0 None IE3811 N None None SFY2007-08
960001910 MIRAJOY HOME I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-04-18 00:00:00 960004939 Closed Citation Citation B (HSC 1424) Administration None 2008-03-26 00:00:00 2008-03-26 00:00:00 No 2008-05-09 00:00:00 None B None 1000 1000 0 1000 0 None HI2511 N None None SFY2007-08
960001323 QUARTZ HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-05-21 00:00:00 960005058 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-16 00:00:00 2008-02-16 00:00:00 No 2008-06-12 00:00:00 None B None 1000 1000 0 1000 0 None 45EK11 N CA00141099 A SFY2007-08
960002151 CASA JOHN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-06-17 00:00:00 960005111 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-22 00:00:00 2008-05-22 00:00:00 No 2008-07-09 00:00:00 None B None 800 800 -280 520 0 None PJPR11 N None None SFY2007-08
960001096 PURE JOY #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-06-16 00:00:00 960005112 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-13 00:00:00 2008-05-13 00:00:00 No 2008-07-08 00:00:00 None B None 600 600 -210 390 0 None KMGC11 N CA00149989 A SFY2007-08
960002877 TEMPLE GARDEN HOMES #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-06-13 00:00:00 960005113 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-04-28 00:00:00 2008-04-28 00:00:00 No 2008-07-07 00:00:00 None B None 1000 1000 -350 650 0 None SLKR11 N None None SFY2007-08
960001926 TEMPLE GARDEN HOMES NO. 2 - ICF/DD-N LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-06-11 00:00:00 960005115 Closed Citation Citation B (HSC 1424) Administration None 2008-05-23 00:00:00 2008-05-23 00:00:00 No 2008-07-02 00:00:00 None B None 800 800 -280 520 0 None CNDZ11 N None None SFY2007-08
960002072 DANIEL'S CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-06-25 00:00:00 960005174 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-05-28 00:00:00 2008-05-28 00:00:00 No 2008-07-17 00:00:00 None B None 1000 1000 0 1000 0 None G2J411 N None None SFY2007-08
960001965 BOWLING HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-07-02 00:00:00 960005208 Closed Citation Citation B (HSC 1424) Administration None 2008-06-17 00:00:00 2008-06-17 00:00:00 Yes 2008-07-24 00:00:00 2008-07-22 00:00:00 B B 1000 500 0 500 0 None 2LJZ11 N None None SFY2008-09
960001841 HOLY HILL HOME CARE/BELLFLOWER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-07-03 00:00:00 960005209 Closed Citation Citation B (HSC 1424) Administration None 2008-06-17 00:00:00 2008-06-17 00:00:00 No 2008-07-25 00:00:00 None B None 1000 1000 0 1000 0 None PTTQ11 N None None SFY2008-09
960001601 NORMANDIE PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-07-18 00:00:00 960005244 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-03 00:00:00 2008-07-03 00:00:00 No 2008-08-08 00:00:00 None B None 800 800 -280 520 0 None 9GK911 N None None SFY2008-09
960001601 NORMANDIE PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-07-18 00:00:00 960005245 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-07-01 00:00:00 2008-07-01 00:00:00 No 2008-08-08 00:00:00 None B None 1000 1000 -350 650 0 None 9GK911 N None None SFY2008-09
960002058 BEST CARE HOME II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-07-24 00:00:00 960005256 Closed Citation Citation B (HSC 1424) Patient Care None 2008-07-19 00:00:00 2008-07-19 00:00:00 No 2008-08-21 00:00:00 None B None 1000 1000 0 1000 0 None Z5AI11 N None None SFY2008-09
960001646 ARLINGTON HOME #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-07-31 00:00:00 960005282 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-12 00:00:00 2008-07-12 00:00:00 No 2008-08-21 00:00:00 None B None 1000 1000 -350 650 0 None BSTU11 N None None SFY2008-09
960001450 VALLEY VILLAGE VARIEL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-08-01 00:00:00 960005288 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-07-08 00:00:00 2008-07-08 00:00:00 No 2008-08-22 00:00:00 None B None 1000 1000 -350 650 0 None IGFX11 N None None SFY2008-09
960002127 SUTTER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-08-04 00:00:00 960005294 Closed Citation Citation B (HSC 1424) Patient Record None 2008-06-25 00:00:00 2008-06-25 00:00:00 No 2008-08-25 00:00:00 None B None 1000 1000 -350 650 0 None RY3D11 N None None SFY2008-09
960001765 ST. MARY'S HOME ICF - DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-08-13 00:00:00 960005325 Closed Citation Citation B (HSC 1424) Administration None 2008-07-02 00:00:00 2008-07-02 00:00:00 No 2008-09-04 00:00:00 None B None 1000 1000 -350 650 0 None N52811 N None None SFY2008-09
960001787 ELLENBOGEN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-09-02 00:00:00 960005371 Closed Citation Citation B (HSC 1424) Physical Environment None 2008-06-09 00:00:00 2008-06-09 00:00:00 No 2008-09-23 00:00:00 None B None 1000 1000 0 1000 0 None 8VC511 N CA00160812 H SFY2008-09
960001743 MIDOMAR HOMES I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-10-14 00:00:00 960005512 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-19 00:00:00 2008-09-19 00:00:00 No 2008-11-04 00:00:00 None B None 1000 1000 -350 650 0 None Q24T11 N None None SFY2008-09
630004921 JANRAY HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-10-27 00:00:00 960005550 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-11 00:00:00 2008-09-11 00:00:00 No 2008-11-18 00:00:00 None B None 1000 1000 0 1000 0 None ZDQD11 N None None SFY2008-09
630004921 JANRAY HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-10-27 00:00:00 960005551 Closed Citation Citation B (HSC 1424) Administration None 2008-09-11 00:00:00 2008-09-11 00:00:00 No 2008-11-18 00:00:00 None B None 1000 1000 0 1000 0 None ZDQD11 N None None SFY2008-09
960001598 GLENCREST DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-11-07 00:00:00 960005590 Closed Citation Citation B (HSC 1424) Patient Care None 2007-08-01 00:00:00 2007-08-01 00:00:00 Yes 2008-12-03 00:00:00 2008-11-13 00:00:00 B B 1000 500 0 500 0 None SO8G11 N None None SFY2008-09
960001196 THE RANCHITO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-11-10 00:00:00 960005594 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-26 00:00:00 2008-09-26 00:00:00 No 2008-12-04 00:00:00 None B None 1000 1000 -350 650 0 None 9TGC11 N CA00166279 C SFY2008-09
960002314 SUNDANCE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-11-13 00:00:00 960005600 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-15 00:00:00 2008-09-15 00:00:00 Yes 2008-12-08 00:00:00 2008-11-24 00:00:00 B B 1000 500 0 500 0 None PXNN11 N CA00163609 C SFY2008-09
960002314 SUNDANCE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-11-13 00:00:00 960005601 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-07 00:00:00 2008-09-07 00:00:00 No 2008-12-08 00:00:00 None B None 1000 1000 -350 650 0 None PXNN11 N CA00163609 C SFY2008-09
960001416 INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-12-04 00:00:00 960005664 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-11 00:00:00 2008-11-11 00:00:00 No 2008-12-26 00:00:00 None B None 1000 1000 -350 650 0 None 46CT11 N None None SFY2008-09
960001255 JO-MI INTERMEDIATE CARE FAC/DEVELOPMENTALLY-NRSG LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-12-04 00:00:00 960005666 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-10 00:00:00 2008-10-10 00:00:00 Yes 2008-12-26 00:00:00 2008-12-26 00:00:00 B B 1000 650 0 650 0 None JTZQ11 N None None SFY2008-09
630004461 BAILEY CARE HOME 2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-12-12 00:00:00 960005685 Closed Citation Citation B (HSC 1424) Patient Care None 2008-11-13 00:00:00 2008-11-13 00:00:00 No 2009-01-05 00:00:00 None B None 1000 1000 -350 650 0 None M6MC11 N CA00169246 C SFY2008-09
960001977 REALITOS DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-01-29 00:00:00 960005837 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-09 00:00:00 2009-01-09 00:00:00 No 2009-04-06 00:00:00 None B None 1000 1000 -350 650 0 None XJ0G11 N None None SFY2008-09
630010241 BIXBY KNOLL PLACE II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-01-30 00:00:00 960005841 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-01-09 00:00:00 2009-01-09 00:00:00 Yes 2009-02-24 00:00:00 2009-02-09 00:00:00 B B 1000 1000 0 1000 0 None UDRJ11 N CA00174246 A SFY2008-09
630011598 ST. PHILOMENA CARE HOMES - I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-02-18 00:00:00 960005884 Closed Citation Citation B (HSC 1424) Administration None 2009-02-05 00:00:00 2009-02-05 00:00:00 No 2009-03-11 00:00:00 None B None 1000 1000 -350 650 0 None FDTQ11 N None None SFY2008-09
960002158 MVM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-03-02 00:00:00 960005921 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-01-07 00:00:00 2009-01-07 00:00:00 No 2009-03-23 00:00:00 None B None 1000 1000 -350 650 0 None EWLW11 N CA00174027 A SFY2008-09
960002072 DANIEL'S CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-03-27 00:00:00 960005953 Closed Citation Citation B (HSC 1424) Administration None 2009-02-03 00:00:00 2009-02-03 00:00:00 No 2009-04-20 00:00:00 None B None 1000 1000 -350 650 0 None ODV211 N CA00177038 C SFY2008-09
960000889 MOMENTUM AGENCIES ICF/DD-N LONGO LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-03-18 00:00:00 960005975 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-27 00:00:00 2008-10-27 00:00:00 No 2009-04-09 00:00:00 None B None 1000 1000 -350 650 0 None S01U11 N None None SFY2008-09
960002842 STANWIN HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-03-18 00:00:00 960005978 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-02-25 00:00:00 2009-02-25 00:00:00 No 2009-04-09 00:00:00 None B None 1000 1050 -350 700 0 None NOKG11 N None None SFY2008-09
960001043 PHOENIX DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-03-20 00:00:00 960005999 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-05 00:00:00 2009-03-05 00:00:00 No 2009-04-13 00:00:00 None B None 1000 1000 -350 650 0 None 91JB11 N None None SFY2008-09
960001553 HOLY HILL HOME CARE/BENFIELD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-04-10 00:00:00 960006081 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-15 00:00:00 2009-03-15 00:00:00 No 2009-05-01 00:00:00 None B None 1000 1000 0 1000 0 None 8GIC11 N None None SFY2008-09
960002901 CK II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-04-14 00:00:00 960006094 Closed Citation Citation B (HSC 1424) Administration None 2009-03-25 00:00:00 2009-03-25 00:00:00 No 2009-05-05 00:00:00 None B None 1000 1200 0 1200 0 None KZDE11 N None None SFY2008-09
960002757 RCN PEDIATRIC CARE III LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-04-24 00:00:00 960006128 Closed Citation Citation B (HSC 1424) Physical Environment None 2009-04-03 00:00:00 2009-04-03 00:00:00 No 2009-05-15 00:00:00 None B None 900 900 -315 585 0 None OB0W11 N None None SFY2008-09
960002877 TEMPLE GARDEN HOMES #5 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-04-30 00:00:00 960006144 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-06 00:00:00 2009-03-06 00:00:00 No 2009-05-21 00:00:00 None B None 1000 1000 -350 650 0 None FB3Y11 N CA00179596 C SFY2008-09
960000976 HARBOR HEALTH CARE, INC. - BRIAR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-07-21 00:00:00 960006399 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-30 00:00:00 2009-06-30 00:00:00 No 2009-08-11 00:00:00 None B None 1000 1000 -350 650 0 None ZNW911 N CA00193429 A SFY2009-10
960001152 CAPISTRANO DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-08-06 00:00:00 960006444 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-06-08 00:00:00 2009-06-08 00:00:00 No 2009-08-27 00:00:00 None B None 1000 1000 -350 650 0 None 99JC11 N CA00191437 C SFY2009-10
960001612 MADISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-08-20 00:00:00 960006474 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-25 00:00:00 2009-07-25 00:00:00 No 2009-09-11 00:00:00 None B None 1000 1000 0 1000 0 None U6MB11 N None None SFY2009-10
960001612 MADISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-08-20 00:00:00 960006477 Closed Citation Citation B (HSC 1424) Patient Care None 2009-07-23 00:00:00 2009-07-23 00:00:00 No 2009-09-11 00:00:00 None B None 1000 1000 0 1000 0 None U6MB11 N None None SFY2009-10
960001713 BEST CARE HOME I, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-11-30 00:00:00 960006533 Closed Citation Citation B (HSC 1424) Administration None 2009-08-11 00:00:00 2009-08-11 00:00:00 No 2009-12-21 00:00:00 None B None 1000 1000 -350 650 0 None 3BGH11 N None None SFY2009-10
960002063 UNITED CARE HOMES - KINBRAE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2009-10-07 00:00:00 960006609 Closed Citation Citation A (HSC 1424) Patient Care None 2009-07-22 00:00:00 2009-07-22 00:00:00 No 2009-10-29 00:00:00 None A None 5000 5000 -1750 3250 0 None Q1NM11 N CA00197320 C SFY2009-10
630004921 JANRAY HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-01-05 00:00:00 960006869 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2009-11-19 00:00:00 2009-11-19 00:00:00 No 2010-01-28 00:00:00 None B None 1000 1000 -350 650 0 None EFK011 N None None SFY2009-10
960000967 BURNETT'S #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-02-10 00:00:00 960006984 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-01-05 00:00:00 2010-01-05 00:00:00 No 2010-03-03 00:00:00 None B None 1000 1000 0 1000 0 None 55IE11 N CA00213936 B SFY2009-10
960002314 SUNDANCE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-02-12 00:00:00 960006989 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-09 00:00:00 2009-11-09 00:00:00 No 2010-03-05 00:00:00 None B None 1000 1000 -350 650 0 None ZVDE11 N CA00207159 D SFY2009-10
960002863 CHELSEA HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-02-16 00:00:00 960006990 Closed Citation Citation B (HSC 1424) Patient Care None 2009-11-17 00:00:00 2009-11-17 00:00:00 No 2010-03-09 00:00:00 None B None 1000 1000 -350 650 0 None 3G6E11 N CA00209652 C SFY2009-10
960002366 TLC'S HILTON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-02-17 00:00:00 960006995 Closed Citation Citation B (HSC 1424) Administration None 2009-10-23 00:00:00 2009-10-23 00:00:00 No 2010-03-10 00:00:00 None B None 1000 1000 0 1000 0 None ZU3J11 N CA00206604 C SFY2009-10
960001904 LIN-ROS BEST HOME CARE, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-03-12 00:00:00 960006998 Closed Citation Citation B (HSC 1424) Patient Care None 2009-12-22 00:00:00 2009-12-22 00:00:00 No 2010-04-05 00:00:00 None B None 1000 1000 -350 650 0 None HXQG11 N CA00211752 C SFY2009-10
960002879 TEMPLE GARDEN HOMES #6 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-04-21 00:00:00 960007135 Closed Citation Citation B (HSC 1424) Patient Care None 2010-03-12 00:00:00 2010-03-12 00:00:00 No 2010-05-12 00:00:00 None B None 1000 1000 -350 650 0 None 0H6O11 N CA00221269 B SFY2009-10
960002084 HOME CARE FORTE, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-05-04 00:00:00 960007182 Closed Citation Citation A (HSC 1424) Patient Care None 2010-04-10 00:00:00 2010-04-10 00:00:00 No 2010-05-25 00:00:00 None A None 10000 10000 -3500 6500 0 None 9J5O11 N None None SFY2009-10
960002901 CK II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-04-04 00:00:00 960007183 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-19 00:00:00 2010-03-19 00:00:00 No 2010-04-23 00:00:00 None B None 1000 1000 0 1000 0 None 2V3J11 N None None SFY2009-10
960002901 CK II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-05-04 00:00:00 960007184 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-03-19 00:00:00 2010-03-19 00:00:00 No 2010-05-25 00:00:00 None B None 1000 1000 0 1000 0 None 2V3J11 N None None SFY2009-10
960001984 ARLETA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-05-13 00:00:00 960007212 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-14 00:00:00 2010-04-14 00:00:00 No 2010-06-04 00:00:00 None B None 1000 1000 -350 650 0 None BOEY11 N None None SFY2009-10
960000947 HELEN EVANS HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-05-26 00:00:00 960007255 Closed Citation Citation A (HSC 1424) Patient Care None 2010-01-05 00:00:00 2010-01-05 00:00:00 Yes 2010-06-17 00:00:00 2010-07-08 00:00:00 A A 5000 5000 0 5000 0 None V4X411 N None None SFY2009-10
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-05-26 00:00:00 960007261 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-04-28 00:00:00 2010-04-28 00:00:00 No 2010-06-17 00:00:00 None B None 1000 1000 -350 650 0 None 7CI811 N None None SFY2009-10
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-06-15 00:00:00 960007310 Closed Citation Citation B (HSC 1424) Administration None 2010-02-05 00:00:00 2010-02-05 00:00:00 No 2010-08-06 00:00:00 None B None 1000 1000 0 1000 0 None HIZI11 N CA00219851 E SFY2009-10
960002066 HAWAIIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-07-01 00:00:00 960007350 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-15 00:00:00 2010-05-15 00:00:00 No 2010-07-23 00:00:00 None B None 1000 1000 -350 650 0 None 0RDZ11 N None None SFY2010-11
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-07-15 00:00:00 960007375 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-02-10 00:00:00 2010-02-10 00:00:00 No 2010-08-09 00:00:00 None B None 1000 1000 0 1000 0 None HIZI11 N CA00219851 E SFY2010-11
960001696 PRIMARY RELIANCE ENCINAS HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-07-15 00:00:00 960007377 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-10 00:00:00 2010-02-10 00:00:00 Yes 2010-08-09 00:00:00 2010-08-24 00:00:00 B None 1000 1000 0 1000 0 None HIZI11 N CA00219851 E SFY2010-11
960001601 NORMANDIE PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-07-13 00:00:00 960007378 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-06-24 00:00:00 2010-06-24 00:00:00 No 2010-08-05 00:00:00 None B None 1000 1000 -350 650 0 None IRK611 N None None SFY2010-11
960002211 R & C QUALITY CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-08-11 00:00:00 960007484 Closed Citation Citation B (HSC 1424) Patient Care None 2010-04-26 00:00:00 2010-04-26 00:00:00 Yes 2010-09-02 00:00:00 2010-10-19 00:00:00 B None 1000 1000 -350 650 0 None T12H11 N None None SFY2010-11
960002098 G E PEDIATRIC CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-08-13 00:00:00 960007495 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-05-17 00:00:00 2010-05-17 00:00:00 No 2010-09-03 00:00:00 None B None 1000 1000 -350 650 0 None 21RI11 N None None SFY2010-11
960001612 MADISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-08-31 00:00:00 960007532 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-08-12 00:00:00 2010-08-12 00:00:00 No 2010-09-22 00:00:00 None B None 1000 1000 0 1000 0 None 7QWP11 N None None SFY2010-11
960001875 K & S GROUP HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-10-07 00:00:00 960007621 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-11 00:00:00 2010-09-11 00:00:00 No 2010-10-28 00:00:00 None B None 1000 1000 -350 650 0 None WUJY11 N None None SFY2010-11
960002211 R & C QUALITY CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-11-24 00:00:00 960007731 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-09-12 00:00:00 2010-09-12 00:00:00 No 2010-12-17 00:00:00 None B None 1000 1000 -350 650 0 None K18T11 N CA00243083 C SFY2010-11
960000947 HELEN EVANS HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-12-16 00:00:00 960007734 Closed Citation Citation A (HSC 1424) Patient Care None 2010-05-05 00:00:00 2010-05-05 00:00:00 Yes 2011-01-06 00:00:00 2011-01-03 00:00:00 A A 10000 10000 0 10000 0 None B7B211 N CA00234753 C SFY2010-11
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-12-23 00:00:00 960007791 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-06-23 00:00:00 2010-06-23 00:00:00 No 2011-01-13 00:00:00 None B None 1000 1000 -350 650 0 None C5FI11 N CA00231395 C SFY2010-11
960002799 DOWNEY ADULT HOME CARE III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-02-14 00:00:00 960007934 Closed Citation Citation B (HSC 1424) Patient Care None 2010-05-21 00:00:00 2010-05-21 00:00:00 No 2011-03-08 00:00:00 None B None 1000 1000 -350 650 0 None 4R5Z11 N CA00236764 C SFY2010-11
960001097 PURE JOY #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-02-17 00:00:00 960007942 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2010-06-15 00:00:00 2010-06-15 00:00:00 No 2011-03-11 00:00:00 None B None 500 500 -175 325 0 None DZWB11 N CA00250944 D SFY2010-11
960002799 DOWNEY ADULT HOME CARE III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-03-10 00:00:00 960008023 Closed Citation Citation B (HSC 1424) Patient Care None 2010-09-07 00:00:00 2010-09-07 00:00:00 No 2011-04-01 00:00:00 None B None 1000 1000 -350 650 0 None 0NH811 N CA00245849 B SFY2010-11
960002036 JENYMEL'S HOME CARE INC. III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-05-18 00:00:00 960008157 Closed Citation Citation AA (HSC 1424) Dietary None 2010-07-29 00:00:00 2010-07-29 00:00:00 No 2011-06-09 00:00:00 None AA None 20000 20000 -7000 13000 0 None ITYX11 Y CA00237721 C SFY2010-11
960001407 CLARK DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-06-09 00:00:00 960008272 Closed Citation Citation A (HSC 1424) Patient Care None 2010-12-30 00:00:00 2010-12-30 00:00:00 Yes 2011-06-30 00:00:00 2011-06-28 00:00:00 A A 5000 5000 0 5000 0 None C4IW11 N CA00255503 C SFY2010-11
960002411 LA CASA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-05-27 00:00:00 960008274 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-03-25 00:00:00 2011-03-25 00:00:00 No 2011-06-20 00:00:00 None B None 1000 1000 -350 650 0 None YKBC11 N None None SFY2010-11
960000914 MOMENTUM AGENCIES ICF/DD-N BRADLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-06-24 00:00:00 960008323 Closed Citation Citation B (HSC 1424) Patient Care None 2011-02-25 00:00:00 2011-02-25 00:00:00 No 2011-07-18 00:00:00 None B None 1000 1000 -350 650 0 None SMTK11 N None None SFY2010-11
960002901 CK II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-07-08 00:00:00 960008364 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-24 00:00:00 2011-05-24 00:00:00 No 2011-07-29 00:00:00 None B None 1000 1000 -350 650 0 None 3CVV11 N None None SFY2011-12
960002142 MATHARU ASSISTED LIVING #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-07-08 00:00:00 960008365 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-05-04 00:00:00 2011-05-04 00:00:00 No 2011-07-29 00:00:00 None B None 1000 1000 -350 650 0 None G5HE11 N CA00267379 C SFY2011-12
960002899 CK I LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-07-18 00:00:00 960008389 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-05-24 00:00:00 2011-05-24 00:00:00 No 2011-08-08 00:00:00 None B None 1000 1000 0 1000 0 None 1P0P11 N None None SFY2011-12
960001831 ARLINGTON HOME #6 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-07-22 00:00:00 960008405 Closed Citation Citation B (HSC 1424) Patient Care None 2011-04-16 00:00:00 2011-04-16 00:00:00 No 2011-08-12 00:00:00 None B None 800 800 -280 520 0 None 8GS711 N CA00266555 C SFY2011-12
960000872 ROSE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-07-26 00:00:00 960008417 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-04-05 00:00:00 2011-04-05 00:00:00 No 2011-08-16 00:00:00 None B None 500 500 -175 325 0 None 8E0D11 N None None SFY2011-12
960002849 VALVERDE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-08-15 00:00:00 960008457 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-06-08 00:00:00 2011-06-08 00:00:00 No 2011-09-05 00:00:00 None B None 1000 1000 -350 650 0 None K0RN11 N CA00272737 A SFY2011-12
960001587 MT MITCHELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-09-02 00:00:00 960008532 Closed Citation Citation B (HSC 1424) Administration None 2009-03-26 00:00:00 2009-03-26 00:00:00 No 2011-09-26 00:00:00 None B None 1000 1000 -1000 0 0 None CDVZ11 N None None SFY2011-12
960001587 MT MITCHELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-09-10 00:00:00 960008538 Closed Citation Citation A (HSC 1424) Patient Care None 2011-03-31 00:00:00 2011-03-31 00:00:00 No 2011-10-03 00:00:00 None A None 10000 10000 -10000 0 0 None CDVZ11 N None None SFY2011-12
960001587 MT MITCHELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-09-12 00:00:00 960008539 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-31 00:00:00 2011-08-31 00:00:00 No 2011-10-04 00:00:00 None A None 10000 10000 -10000 0 0 None CDVZ11 N None None SFY2011-12
960001587 MT MITCHELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-09-12 00:00:00 960008540 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-31 00:00:00 2011-08-31 00:00:00 No 2011-10-04 00:00:00 None A None 10000 10000 -10000 0 0 None CDVZ11 N None None SFY2011-12
960002058 BEST CARE HOME II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-10-07 00:00:00 960008622 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-09-14 00:00:00 2011-09-14 00:00:00 No 2011-10-28 00:00:00 None B None 1000 1000 -350 650 0 None VURD11 N None None SFY2011-12
960002077 MARY'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-10-14 00:00:00 960008627 Closed Citation Citation B (HSC 1424) Administration None 2011-08-31 00:00:00 2011-08-31 00:00:00 No 2011-11-04 00:00:00 None B None 1000 1000 -350 650 0 None 85P811 N None None SFY2011-12
960001612 MADISON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-10-12 00:00:00 960008636 Closed Citation Citation B (HSC 1424) Patient Record None 2011-08-24 00:00:00 2011-08-24 00:00:00 No 2011-11-02 00:00:00 None B None 700 700 -245 455 0 None U7KJ11 N None None SFY2011-12
960002799 DOWNEY ADULT HOME CARE III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-11-08 00:00:00 960008675 Closed Citation Citation A (HSC 1424) Patient Care None 2011-08-31 00:00:00 2011-08-31 00:00:00 Yes 2011-12-02 00:00:00 2011-11-29 00:00:00 A A 5000 5000 0 5000 0 None 0NH811 N CA00245849 B SFY2011-12
960001836 IDEAL HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-11-04 00:00:00 960008698 Closed Citation Citation B (HSC 1424) Patient Care None 2011-09-20 00:00:00 2011-09-20 00:00:00 No 2011-11-30 00:00:00 None B None 1000 1000 0 1000 0 None ZSGE11 N None None SFY2011-12
960001598 GLENCREST DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-11-17 00:00:00 960008732 Closed Citation Citation A (HSC 1424) Physical Environment None 2010-11-25 00:00:00 2010-11-25 00:00:00 Yes 2011-12-12 00:00:00 2011-11-29 00:00:00 A A 5000 5000 0 5000 0 None Y11711 N None None SFY2011-12
960002316 FLORINDA STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-12-06 00:00:00 960008789 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-07-07 00:00:00 2011-07-07 00:00:00 No 2011-12-28 00:00:00 None B None 1000 1000 -350 650 0 None 3GVN11 N None None SFY2011-12
960001875 K & S GROUP HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-12-07 00:00:00 960008790 Closed Citation Citation B (HSC 1424) Patient Rights None 2011-10-29 00:00:00 2011-10-29 00:00:00 No 2011-12-29 00:00:00 None B None 1000 1000 0 1000 0 None 0JH311 N None None SFY2011-12
960001836 IDEAL HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-01-09 00:00:00 960008888 Closed Citation Citation B (HSC 1424) Patient Care None 2011-11-19 00:00:00 2011-11-19 00:00:00 No 2012-01-31 00:00:00 None B None 1000 3000 0 3000 0 None ZSGE12 N None None SFY2011-12
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-02-08 00:00:00 960008982 Open Citation Citation B (HSC 1424) Patient Rights None 2011-03-31 00:00:00 2011-03-31 00:00:00 Yes 2012-03-01 00:00:00 2012-02-27 00:00:00 B None 1000 1000 0 0 1000 None O8S511 N CA00264334 A SFY2011-12
960002077 MARY'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-02-08 00:00:00 960008983 Closed Citation Citation B (HSC 1424) Administration None 2012-01-26 00:00:00 2012-01-26 00:00:00 No 2012-03-01 00:00:00 None B None 1000 1000 0 1000 0 None L0VJ11 N CA00297673 B SFY2011-12
960001001 MARLINDA WEST NURSING HOME LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-03-06 00:00:00 960009019 Closed Citation Citation A (HSC 1424) Physical Environment None 2011-06-25 00:00:00 2011-06-25 00:00:00 Yes 2012-03-27 00:00:00 2012-03-22 00:00:00 A None 3000 3000 -3000 0 0 None XD3V11 N CA00274679 C SFY2011-12
960002063 UNITED CARE HOMES - KINBRAE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-02-17 00:00:00 960009026 Closed Citation Citation B (HSC 1424) Administration None 2010-10-27 00:00:00 2010-10-27 00:00:00 No 2012-03-12 00:00:00 None B None 1000 1000 -350 650 0 None C89G11 N CA00257172 C SFY2011-12
960002060 RAYMOND HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-05-16 00:00:00 960009040 Closed Citation Citation A (HSC 1424) Patient Care None 2010-06-14 00:00:00 2010-06-14 00:00:00 No 2012-06-07 00:00:00 None A None 5000 5000 0 5000 0 None BTZK11 Y CA00232529 D SFY2011-12
960001274 VALLEY VILLAGE PARTHENIA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-03-19 00:00:00 960009146 Closed Citation Citation B (HSC 1424) Patient Care None 2012-02-05 00:00:00 2012-02-05 00:00:00 No 2012-04-09 00:00:00 None B None 1000 1000 -350 650 0 None VY3E11 N None None SFY2011-12
960002127 SUTTER HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-03-21 00:00:00 960009160 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2012-02-13 00:00:00 2012-02-13 00:00:00 No 2012-04-11 00:00:00 None B None 1000 1000 -350 650 0 None 11ZI11 N None None SFY2011-12
960001522 EMILY'S RESIDENTIAL CARE CENTER, LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-06-15 00:00:00 960009358 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-04-23 00:00:00 2012-04-23 00:00:00 No 2012-07-09 00:00:00 None B None 1000 1000 -350 650 0 None IK8111 N None None SFY2011-12
960001096 PURE JOY #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-07-13 00:00:00 960009394 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2011-08-31 00:00:00 2011-08-31 00:00:00 No 2012-08-03 00:00:00 None B None 1000 1000 -350 650 0 None FQMP11 N None None SFY2012-13
960002098 G E PEDIATRIC CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-09-06 00:00:00 960009472 Closed Citation Citation B (HSC 1424) Patient Care None 2012-04-21 00:00:00 2012-04-21 00:00:00 No 2012-09-27 00:00:00 None B None 1000 1000 -350 650 0 None UYGJ11 N CA00308311 C SFY2012-13
960001713 BEST CARE HOME I, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-11-29 00:00:00 960009630 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-09-21 00:00:00 2012-09-21 00:00:00 No 2012-12-20 00:00:00 None B None 1000 1000 -350 650 0 None G24011 N None None SFY2012-13
960002312 GRAND AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-12-04 00:00:00 960009641 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-05-03 00:00:00 2012-05-03 00:00:00 Yes 2012-12-26 00:00:00 2012-12-19 00:00:00 B B 1000 500 0 500 0 None LPZ811 N CA00310498 C SFY2012-13
960001713 BEST CARE HOME I, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2012-12-17 00:00:00 960009680 Closed Citation Citation B (HSC 1424) Patient Care None 2012-09-24 00:00:00 2012-09-24 00:00:00 No 2013-01-09 00:00:00 None B None 1000 1000 -350 650 0 None G24011 N None None SFY2012-13
960001997 MOMENTUM AGENCIES ICF/DD-H DRONFIELD NORTH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-02-08 00:00:00 960009734 Closed Citation Citation B (HSC 1424) Patient Care None 2012-07-22 00:00:00 2012-07-22 00:00:00 No 2013-03-04 00:00:00 None B None 1000 1000 -350 650 0 None KTF311 N CA00321878 B SFY2012-13
630013538 BEECHWOOD PARK, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-03-07 00:00:00 960009778 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-12-08 00:00:00 2012-12-08 00:00:00 No 2013-03-28 00:00:00 None B None 1000 1000 -350 650 0 None L32111 N None None SFY2012-13
960001150 CAMELOT DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-03-22 00:00:00 960009794 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-10-17 00:00:00 2012-10-17 00:00:00 No 2013-04-15 00:00:00 None B None 1000 1000 -350 650 0 None NJS611 N CA00331067 B SFY2012-13
960001150 CAMELOT DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-03-22 00:00:00 960009795 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2012-10-17 00:00:00 2012-10-17 00:00:00 No 2013-04-15 00:00:00 None B None 1000 1000 -350 650 0 None NJS611 N CA00331067 B SFY2012-13
960001553 HOLY HILL HOME CARE/BENFIELD HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-04-02 00:00:00 960009826 Closed Citation Citation B (HSC 1424) Patient Care None 2013-02-22 00:00:00 2013-02-22 00:00:00 No 2013-04-23 00:00:00 None B None 1000 1000 -350 650 0 None 7LGC11 N None None SFY2012-13
960002158 MVM HOME, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-04-19 00:00:00 960009847 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-03-15 00:00:00 2013-03-15 00:00:00 No 2013-05-10 00:00:00 None B None 1000 1000 -350 650 0 None DZDJ11 N None None SFY2012-13
960000872 ROSE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-06-07 00:00:00 960009932 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-06-04 00:00:00 2012-06-04 00:00:00 No 2013-06-28 00:00:00 None B None 1000 1000 -350 650 0 None 8FG111 N None None SFY2012-13
960001715 GOLDEN CARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-06-24 00:00:00 960009964 Closed Citation Citation B (HSC 1424) Patient Care None 2013-06-07 00:00:00 2013-06-07 00:00:00 No 2013-07-16 00:00:00 None B None 1000 1000 0 1000 0 None O0G311 N None None SFY2012-13
960000949 GLENRIDGE CENTER, #140 LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-06-24 00:00:00 960009965 Closed Citation Citation B (HSC 1424) Patient Care None 2013-01-28 00:00:00 2013-01-28 00:00:00 Yes 2013-07-16 00:00:00 2013-07-08 00:00:00 B B 1000 500 0 500 0 None E3YU11 N None None SFY2012-13
960002901 CK II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-09-18 00:00:00 960010152 Closed Citation Citation B (HSC 1424) Patient Care None 2013-03-11 00:00:00 2013-03-11 00:00:00 No 2013-10-09 00:00:00 None B None 1000 1000 0 1000 0 None 9JIL11 N None None SFY2013-14
960001702 BIXBY KNOLL PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-10-17 00:00:00 960010217 Closed Citation Citation B (HSC 1424) Patient Rights None 2013-05-08 00:00:00 2013-05-08 00:00:00 No 2013-11-07 00:00:00 None B None 1000 1000 0 1000 0 None RBPF11 N None None SFY2013-14
960001900 ABLANO HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-10-18 00:00:00 960010223 Closed Citation Citation B (HSC 1424) Patient Care None 2013-05-23 00:00:00 2013-05-23 00:00:00 No 2013-11-08 00:00:00 None B None 1000 1000 0 1000 0 None DWYX11 N None None SFY2013-14
960001724 DIAMOND GARDEN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2013-11-18 00:00:00 960010266 Closed Citation Citation B (HSC 1424) Administration None 2013-09-11 00:00:00 2013-09-11 00:00:00 No 2013-12-11 00:00:00 None B None 1000 1000 -350 650 0 None R7CO11 N None None SFY2013-14
630013546 DOWNEY ADULT HOME CARE III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-01-30 00:00:00 960010301 Closed Citation Citation A (HSC 1424) Patient Rights None 2013-04-10 00:00:00 2013-04-10 00:00:00 Yes 2014-02-21 00:00:00 2014-02-18 00:00:00 A None 3000 3000 0 3000 0 None BYHB11 N None None SFY2013-14
960002867 MAPLE SPRINGS ICF/DDN HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-02-05 00:00:00 960010443 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Other Willful Falsification 2013-12-17 00:00:00 2013-12-17 00:00:00 No 2014-02-27 00:00:00 None WF None 1000 1000 -350 650 0 None F0GN11 None None None SFY2013-14
960000882 MOMENTUM AGENCIES ICF/DD-H HUBBARD LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-03-07 00:00:00 960010474 Closed Citation Citation A (HSC 1424) Patient Rights None 2013-11-28 00:00:00 2013-11-28 00:00:00 No 2014-03-28 00:00:00 None A None 3000 3000 -1050 1950 0 None Y8RW11 N None None SFY2013-14
960002205 MIMIS HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2015-03-10 00:00:00 960010497 Closed Citation Citation A (HSC 1424) Patient Care None 2013-01-26 00:00:00 2013-01-26 00:00:00 Yes 2015-04-01 00:00:00 2015-03-17 00:00:00 A None 5000 5000 -5000 0 0 None GJSO11 N None None SFY2014-15
960002148 VALLEY VILLAGE CORBIN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-02-26 00:00:00 960010498 Closed Citation Citation B (HSC 1424) Administration None 2013-11-09 00:00:00 2013-11-09 00:00:00 No 2014-03-19 00:00:00 None B None 1000 1000 0 1000 0 None GGY411 N None None SFY2013-14
960001210 KRONENTHAL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-04-22 00:00:00 960010650 Closed Citation Citation B (HSC 1424) Patient Care None 2012-10-13 00:00:00 2012-10-13 00:00:00 No 2014-05-13 00:00:00 None B None 1000 1000 -350 650 0 None H8CJ11 N CA00332898 B SFY2013-14
960002567 DELHAVEN COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-12-05 00:00:00 960011152 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-04 00:00:00 2014-03-04 00:00:00 No 2014-12-29 00:00:00 None B None 1000 1000 -350 650 0 None YMCU11 N None None SFY2014-15
960001896 JANRAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-12-05 00:00:00 960011153 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-08 00:00:00 2014-03-08 00:00:00 No 2014-12-29 00:00:00 None B None 1000 1000 -350 650 0 None EJ6L11 N None None SFY2014-15
960000973 HARBOR HEALTH CARE, INC. - DESTINO DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-12-05 00:00:00 960011154 Closed Citation Citation B (HSC 1424) Patient Care None 2014-05-23 00:00:00 2014-05-23 00:00:00 No 2014-12-29 00:00:00 None B None 1000 1000 0 1000 0 None H1IW11 N None None SFY2014-15
960000869 MOMENTUM AGENCIES ICF/DD-N WENDT LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2015-10-09 00:00:00 960011773 Closed Citation Citation B (HSC 1424) Administration None 2004-11-19 00:00:00 2004-11-19 00:00:00 No 2015-10-30 00:00:00 None B None 1000 1000 -350 650 0 None 8BC611 N None None SFY2015-16
960001841 HOLY HILL HOME CARE/BELLFLOWER HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2015-10-08 00:00:00 960011774 Closed Citation Citation B (HSC 1424) Administration None 2014-09-14 00:00:00 2014-09-14 00:00:00 No 2015-10-29 00:00:00 None B None 1000 1000 -350 650 0 None OF7H11 N None None SFY2015-16
960002685 DORE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2016-09-23 00:00:00 960012567 Closed Citation Citation A (HSC 1424) Patient Rights None 2016-06-29 00:00:00 2016-06-29 00:00:00 Yes 2016-10-14 00:00:00 2016-09-23 00:00:00 A None 20000 20000 -20000 0 0 None 3V1M11 N CA00493954 B SFY2016-17
960001724 DIAMOND GARDEN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2016-12-01 00:00:00 960012642 Closed Citation Citation A (HSC 1424) Patient Care None 2016-08-11 00:00:00 2016-08-11 00:00:00 No 2016-12-22 00:00:00 None A None 3500 3500 -1225 2275 0 None 3UHT11 N CA00500108 B SFY2016-17
960001096 PURE JOY #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2016-10-12 00:00:00 960012644 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-08-05 00:00:00 2016-08-05 00:00:00 No 2016-11-02 00:00:00 None B None 1000 1000 -350 650 0 None 1DGN11 N None None SFY2016-17
630011598 ST. PHILOMENA CARE HOMES - I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2016-11-15 00:00:00 960012715 Closed Citation Citation A (HSC 1424) Patient Care None 2016-09-27 00:00:00 2016-09-27 00:00:00 No 2016-12-08 00:00:00 None A None 5000 5000 -1750 3250 0 None 0PFD11 N CA00504415 B SFY2016-17
960001603 R & D HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2016-11-03 00:00:00 960012719 Closed Citation Citation B (HSC 1424) Administration None 2014-05-03 00:00:00 2014-05-03 00:00:00 No 2016-11-29 00:00:00 None B None 1000 1000 -350 650 0 None H4KW11 N None None SFY2016-17
960001738 VALLEY VILLAGE ALTANO HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2016-11-09 00:00:00 960012737 Closed Citation Citation B (HSC 1424) Administration None 2016-08-23 00:00:00 2016-08-23 00:00:00 No 2016-12-05 00:00:00 None B None 1000 1000 -350 650 0 None N8NS11 N None None SFY2016-17
960001738 VALLEY VILLAGE ALTANO HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2016-11-09 00:00:00 960012739 Closed Citation Citation B (HSC 1424) Patient Care None 2016-09-16 00:00:00 2016-09-16 00:00:00 No 2016-12-05 00:00:00 None B None 1000 1000 -350 650 0 None N8NS11 N None None SFY2016-17
960002538 RCN PEDIATRIC CARE II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2016-12-15 00:00:00 960012803 Closed Citation Citation A (HSC 1424) Patient Care None 2016-07-27 00:00:00 2016-07-27 00:00:00 No 2017-01-06 00:00:00 None A None 6000 6000 -2100 3900 0 None 1UWS11 N CA00497023 B SFY2016-17
960001809 TEMPLE GARDEN HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-01-06 00:00:00 960012836 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-16 00:00:00 2016-10-16 00:00:00 Yes 2017-01-30 00:00:00 2017-01-17 00:00:00 A None 4000 4000 0 4000 0 None 2FP711 N CA00507473 B SFY2016-17
960001724 DIAMOND GARDEN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-01-05 00:00:00 960012860 Closed Citation Citation B (HSC 1424) Administration None 2016-02-11 00:00:00 2016-02-11 00:00:00 No 2017-01-27 00:00:00 None B None 1000 1000 -350 650 0 None DZGB11 N None None SFY2016-17
960001724 DIAMOND GARDEN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-01-05 00:00:00 960012862 Closed Citation Citation B (HSC 1424) Administration None 2016-01-04 00:00:00 2016-01-04 00:00:00 No 2017-01-27 00:00:00 None B None 1000 1000 -350 650 0 None DZGB11 N None None SFY2016-17
960001724 DIAMOND GARDEN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-01-05 00:00:00 960012863 Closed Citation Citation B (HSC 1424) Administration None 2016-02-11 00:00:00 2016-02-11 00:00:00 No 2017-01-27 00:00:00 None B None 1000 1000 -350 650 0 None DZGB11 N None None SFY2016-17
960002322 DOUGLASS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-02-17 00:00:00 960012908 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-05 00:00:00 2016-10-05 00:00:00 No 2017-03-13 00:00:00 None A None 3500 3500 0 3500 0 None KR5011 N CA00504404 B SFY2016-17
960001148 GRANADA DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-03-24 00:00:00 960013049 Closed Citation Citation A (HSC 1424) Patient Care None 2016-12-27 00:00:00 2016-12-27 00:00:00 No 2017-04-17 00:00:00 None A None 3500 3500 -1225 2275 0 None 7ZUJ11 N CA00516152 B SFY2016-17
960000945 GOLDEN STATE CARE CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-04-04 00:00:00 960013093 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-12 00:00:00 2017-01-12 00:00:00 No 2017-04-25 00:00:00 None A None 10000 10000 -3500 6500 0 None Y9XN11 N CA00518427, CA00518443 B, B SFY2016-17
960000976 HARBOR HEALTH CARE, INC. - BRIAR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-03-29 00:00:00 960013096 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-03-12 00:00:00 2017-03-12 00:00:00 No 2017-04-20 00:00:00 None B None 1000 1000 0 1000 0 None XWRR11 N CA00526372 A SFY2016-17
960001702 BIXBY KNOLL PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-03-30 00:00:00 960013098 Closed Citation Citation B (HSC 1424) Administration None 2016-03-03 00:00:00 2016-03-03 00:00:00 No 2017-04-21 00:00:00 None B None 1000 1000 -350 650 0 None 7VIF11 N None None SFY2016-17
960001306 OASIS HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-04-07 00:00:00 960013099 Closed Citation Citation A (HSC 1424) Patient Care None 2016-03-24 00:00:00 2016-03-24 00:00:00 Yes 2017-04-28 00:00:00 2017-04-24 00:00:00 A B 3000 5000 0 5000 0 None 0D0F11 N None None SFY2016-17
960002705 JADE RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-03-31 00:00:00 960013102 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-28 00:00:00 2017-01-28 00:00:00 No 2017-04-21 00:00:00 None B None 1000 1000 -350 650 0 None REYY11 N CA00520411 C SFY2016-17
630013691 CHATEAU RESIDENTIAL CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-04-24 00:00:00 960013139 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2017-01-24 00:00:00 2017-01-24 00:00:00 No 2017-05-15 00:00:00 None B None 1000 1000 0 1000 0 None 5VIL11 N None None SFY2016-17
630013452 LOLETA GUEST HOME, ICF-DDN LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-22 00:00:00 960013142 Closed Citation Citation A (HSC 1424) Patient Rights None 2017-03-11 00:00:00 2017-03-11 00:00:00 No 2017-07-14 00:00:00 None A None 5000 5000 -1750 3250 0 None QGIV11 Y CA00524208 B SFY2016-17
630013691 CHATEAU RESIDENTIAL CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-04-24 00:00:00 960013147 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-24 00:00:00 2017-01-24 00:00:00 No 2017-05-15 00:00:00 None B None 1000 1000 0 1000 0 None 5VIL11 N None None SFY2016-17
630014292 COLD SPRINGS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-05-03 00:00:00 960013157 Closed Citation Citation B (HSC 1424) Administration None 2015-04-08 00:00:00 2015-04-08 00:00:00 No 2017-05-24 00:00:00 None B None 1000 1000 -350 650 0 None LSZR11 N None None SFY2016-17
960002310 OCCIDENTAL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-05-06 00:00:00 960013185 Open Citation Citation AA (HSC 1424) Patient Care None 2017-02-10 00:00:00 2017-02-10 00:00:00 No 2019-05-27 00:00:00 None AA None 25000 25000 0 0 25000 None BU1U11 Y CA00522328 B SFY2018-19
630004441 BAILEY CARE HOME 1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-05-23 00:00:00 960013223 Closed Citation Citation B (HSC 1424) Administration None 2017-04-24 00:00:00 2017-04-24 00:00:00 No 2017-06-14 00:00:00 None B None 1000 1000 0 1000 0 None 82W011 N None None SFY2016-17
960001522 EMILY'S RESIDENTIAL CARE CENTER, LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-08 00:00:00 960013247 Closed Citation Citation A (HSC 1424) Staffing None 2017-04-14 00:00:00 2017-04-14 00:00:00 No 2017-06-29 00:00:00 None A None 4000 4000 -1400 2600 0 None HRDK11 N CA00530796 A SFY2016-17
960001670 STORM INN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-07-21 00:00:00 960013249 Closed Citation Citation AA (HSC 1424) Patient Care None 2017-01-10 00:00:00 2017-01-10 00:00:00 No 2017-08-11 00:00:00 None AA None 25000 25000 -8750 16250 0 None S9FT11 Y CA00517918, CA00518127 C, B SFY2017-18
960002314 SUNDANCE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-07-05 00:00:00 960013250 Closed Citation Citation A (HSC 1424) Patient Care None 2017-04-20 00:00:00 2017-04-20 00:00:00 No 2017-07-26 00:00:00 None A None 4000 4000 -1400 2600 0 None KJKN11 N CA00532132 B SFY2017-18
960002060 RAYMOND HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-07-11 00:00:00 960013257 Closed Citation Citation A (HSC 1424) Staffing None 2017-03-28 00:00:00 2017-03-28 00:00:00 No 2017-08-01 00:00:00 None A None 2000 2000 0 2000 0 None GB6111 N CA00528530 B SFY2017-18
630004921 JANRAY HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-20 00:00:00 960013259 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-04 00:00:00 2017-02-04 00:00:00 No 2017-07-12 00:00:00 None A None 5000 5000 -1750 3250 0 None CXFS11 Y CA00521228 B SFY2016-17
960001055 BEACH AVENUE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-07 00:00:00 960013264 Closed Citation Citation B (HSC 1424) Administration None 2016-11-05 00:00:00 2016-11-05 00:00:00 No 2017-06-28 00:00:00 None B None 1000 1000 -350 650 0 None 5HDZ11 N None None SFY2016-17
960001498 TLC - LINDLEY II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-08 00:00:00 960013269 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-05-17 00:00:00 2017-05-17 00:00:00 No 2017-06-29 00:00:00 None B None 1000 1000 -350 650 0 None F8XX11 N None None SFY2016-17
960002211 R & C QUALITY CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-11-08 00:00:00 960013276 Closed Citation Citation B (HSC 1424) Administration None 2017-01-25 00:00:00 2017-01-25 00:00:00 No 2017-12-04 00:00:00 None B None 2000 2000 0 2000 0 None 1V1H11 N None None SFY2017-18
960001904 LIN-ROS BEST HOME CARE, INC. LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-15 00:00:00 960013277 Closed Citation Citation B (HSC 1424) Administration None 2014-09-22 00:00:00 2014-09-22 00:00:00 No 2017-07-07 00:00:00 None B None 800 800 -280 520 0 None Q8C011 N None None SFY2016-17
960001677 SPECIAL ADULT CARE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-20 00:00:00 960013298 Closed Citation Citation B (HSC 1424) Patient Care None 2015-04-09 00:00:00 2015-04-09 00:00:00 No 2017-07-12 00:00:00 None B None 1000 1000 0 1000 0 None 651R11 N CA00438900, CA00439104 A, B SFY2016-17
960001607 MATHARU ASSISTED LIVING #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-21 00:00:00 960013302 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-07-20 00:00:00 2016-07-20 00:00:00 No 2017-07-13 00:00:00 None B None 1000 1000 0 1000 0 None GEEQ11 N CA00496253 B SFY2016-17
960002060 RAYMOND HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-07-11 00:00:00 960013308 Closed Citation Citation A (HSC 1424) Patient Care None 2017-03-28 00:00:00 2017-03-28 00:00:00 No 2017-08-01 00:00:00 None A None 3000 3000 0 3000 0 None GB6111 N CA00528530 B SFY2017-18
960001498 TLC - LINDLEY II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-08-10 00:00:00 960013419 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-10 00:00:00 2017-01-10 00:00:00 No 2017-08-31 00:00:00 None B None 1000 1000 -350 650 0 None 8ZZN11 N CA00520139 B SFY2017-18
630011744 SCOVILLE VILLA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-08-31 00:00:00 960013461 Closed Citation Citation B (HSC 1424) Patient Care None 2017-07-19 00:00:00 2017-07-19 00:00:00 No 2017-09-22 00:00:00 None B None 1000 1000 -350 650 0 None FDS611 N None None SFY2017-18
960001506 GABLE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-09-13 00:00:00 960013492 Closed Citation Citation B (HSC 1424) Patient Record None 2017-07-27 00:00:00 2017-07-27 00:00:00 No 2017-10-04 00:00:00 None B None 1000 1000 -350 650 0 None 6IMB11 N CA00546251 B SFY2017-18
960002393 PACIFIC HOME CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-09-13 00:00:00 960013493 Closed Citation Citation B (HSC 1424) Physical Environment None 2017-08-02 00:00:00 2017-08-02 00:00:00 No 2017-10-04 00:00:00 None B None 1000 1000 -350 650 0 None LC9J11 N None None SFY2017-18
960001826 G M HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-10-19 00:00:00 960013556 Closed Citation Citation B (HSC 1424) Administration None 2017-07-31 00:00:00 2017-07-31 00:00:00 No 2017-11-09 00:00:00 None B None 1000 1000 -350 650 0 None OUXG11 N None None SFY2017-18
960000939 TERHUNE DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-10-20 00:00:00 960013557 Closed Citation Citation B (HSC 1424) Administration None 2017-09-20 00:00:00 2017-09-20 00:00:00 No 2017-11-13 00:00:00 None B None 1000 1000 -350 650 0 None U4ZP11 N CA00552738 B SFY2017-18
960002211 R & C QUALITY CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-11-08 00:00:00 960013598 Closed Citation Citation A (HSC 1424) Patient Rights None 2017-07-22 00:00:00 2017-07-22 00:00:00 No 2017-12-04 00:00:00 None A None 8000 8000 -2800 5200 0 None 736L11 N CA00545793, CA00546205 B, A SFY2017-18
960000984 HARBOR HEALTH CARE, INC. - BAYLOR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-12-01 00:00:00 960013659 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-01 00:00:00 2017-09-01 00:00:00 No 2017-12-22 00:00:00 None B None 1500 1500 -525 975 0 None D3EI11 N None None SFY2017-18
960000984 HARBOR HEALTH CARE, INC. - BAYLOR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-12-01 00:00:00 960013661 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-01 00:00:00 2017-09-01 00:00:00 No 2017-12-22 00:00:00 None B None 1500 1500 -525 975 0 None D3EI11 N None None SFY2017-18
960000984 HARBOR HEALTH CARE, INC. - BAYLOR DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-12-01 00:00:00 960013663 Closed Citation Citation B (HSC 1424) Patient Care None 2017-09-01 00:00:00 2017-09-01 00:00:00 No 2017-12-22 00:00:00 None B None 2000 2000 -700 1300 0 None D3EI11 N None None SFY2017-18
960002322 DOUGLASS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-06-29 00:00:00 960014054 Closed Citation Citation A (HSC 1424) Patient Care None 2013-07-26 00:00:00 2013-07-26 00:00:00 No 2018-07-23 00:00:00 None A None 10000 10000 -3500 6500 0 None MI7D11 N CA00355845 B SFY2017-18
960001196 THE RANCHITO LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-05-24 00:00:00 960014072 Closed Citation Citation B (HSC 1424) Patient Care None 2013-10-31 00:00:00 2013-10-31 00:00:00 No 2018-06-14 00:00:00 None B None 1000 1000 -350 650 0 None C43I11 N CA00375920 C SFY2017-18
630012183 THE CARING BUNCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-06-14 00:00:00 960014136 Closed Citation Citation B (HSC 1424) Administration None 2018-04-20 00:00:00 2018-04-20 00:00:00 No 2018-07-06 00:00:00 None B None 1000 1000 -350 650 0 None 0C8211 N None None SFY2017-18
630013691 CHATEAU RESIDENTIAL CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-06-29 00:00:00 960014154 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-31 00:00:00 2018-01-31 00:00:00 No 2018-07-23 00:00:00 None A None 10000 10000 -3500 6500 0 None XGOR11 N None None SFY2017-18
960001836 IDEAL HOME CARE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-08-15 00:00:00 960014181 Closed Citation Citation B (HSC 1424) Patient Care None 2013-04-01 00:00:00 2013-04-01 00:00:00 No 2018-09-06 00:00:00 None B None 1000 1000 -350 650 0 None GIQS11 N CA00351207 C SFY2018-19
960002366 TLC'S HILTON HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-07-13 00:00:00 960014235 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-06-12 00:00:00 2018-06-12 00:00:00 No 2018-08-03 00:00:00 None B None 1000 1000 -350 650 0 None KMCX11 N None None SFY2018-19
960000914 MOMENTUM AGENCIES ICF/DD-N BRADLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-08-24 00:00:00 960014335 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-16 00:00:00 2018-05-16 00:00:00 No 2018-09-17 00:00:00 None A None 4000 4000 0 4000 0 None PBDL11 N CA00585484 B SFY2018-19
960002322 DOUGLASS HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-08-30 00:00:00 960014357 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-07 00:00:00 2018-02-07 00:00:00 No 2018-09-21 00:00:00 None A None 10000 10000 0 10000 0 None 4KW411 N CA00573714, CA00573714, CA00574049, CA00574049 B, B, B, B SFY2018-19
960002399 VISTA DEL VALLE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-09-21 00:00:00 960014425 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-07-12 00:00:00 2018-07-12 00:00:00 No 2018-10-12 00:00:00 None B None 1000 1000 -350 650 0 None WUIE11 N CA00595680 A SFY2018-19
960002326 BLAISDELL HOME LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2018-11-14 00:00:00 960014573 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-09-06 00:00:00 2018-09-06 00:00:00 No 2018-12-07 00:00:00 None B None 1000 1000 -350 650 0 None O3TR11 N CA00602675 A SFY2018-19
630011902 WALBROOK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-01-04 00:00:00 960014594 Closed Citation Citation B (HSC 1424) Patient Care None 2018-07-17 00:00:00 2018-07-17 00:00:00 No 2019-01-25 00:00:00 None B None 1000 1000 -350 650 0 None PKK311 N CA00594498 B SFY2018-19
630011599 ST. PHILOMENA CARE HOMES - II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-02-27 00:00:00 960014823 Closed Citation Citation A (HSC 1424) Other Health Care Services 2018-11-22 00:00:00 2018-11-22 00:00:00 No 2019-03-20 00:00:00 None A None 10000 10000 -3500 6500 0 None 1IQE11 N CA00613122, CA00613122, CA00613665 A, A, B SFY2018-19
960001210 KRONENTHAL HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-08-09 00:00:00 960015297 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-04-29 00:00:00 2019-04-29 00:00:00 No 2019-08-30 00:00:00 None B None 1000 1000 0 1000 0 None B6DB11 N CA00635638, CA00637764 B, B SFY2019-20
960001702 BIXBY KNOLL PLACE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-08-09 00:00:00 960015298 Closed Citation Citation B (HSC 1424) Patient Care None 2019-01-08 00:00:00 2019-01-08 00:00:00 No 2019-08-30 00:00:00 None B None 1000 1000 0 1000 0 None RO8R11 N None None SFY2019-20
960001809 TEMPLE GARDEN HOMES LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-08-14 00:00:00 960015311 Closed Citation Citation A (HSC 1424) Patient Rights None 2019-04-09 00:00:00 2019-04-09 00:00:00 No 2019-09-04 00:00:00 None A None 7000 7000 -2450 4550 0 None R4CV11 N CA00632604 B SFY2019-20
960002312 GRAND AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-08-14 00:00:00 960015313 Closed Citation Citation B (HSC 1424) Patient Care Injury of Unknown Origin 2019-06-29 00:00:00 2019-06-29 00:00:00 No 2019-09-04 00:00:00 None B None 1000 1000 -350 650 0 None XYM111 N CA00644262 B SFY2019-20
960002308 BRIAN AVENUE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-08-23 00:00:00 960015350 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2019-05-02 00:00:00 2019-05-02 00:00:00 No 2019-09-13 00:00:00 None B None 1000 1000 -350 650 0 None JLET11 N CA00639627, CA00639627, CA00639627 A, A, A SFY2019-20
960002358 PATE & INGRAM HOME I LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2019-11-22 00:00:00 960015550 Closed Citation Citation B (HSC 1424) Patient Rights None 2019-10-08 00:00:00 2019-10-08 00:00:00 No 2019-12-13 00:00:00 None B None 1000 1000 -350 650 0 None 2B4H11 N None None SFY2019-20
960000907 EDGEWOOD CENTER LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2020-01-02 00:00:00 960015656 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-11 00:00:00 2019-06-11 00:00:00 No 2020-01-23 00:00:00 None A None 8000 8000 -2800 5200 0 None QOS011 Y CA00643020 B SFY2019-20
960002204 J-J EXCELCARE HOME 2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2020-02-12 00:00:00 960015733 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-19 00:00:00 2019-06-19 00:00:00 No 2020-03-04 00:00:00 None B None 1000 1000 -350 650 0 None YCGM11 N CA00642932 B SFY2019-20
960001723 JENYMEL'S HOME CARE, INC. II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2020-10-16 00:00:00 960016095 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-07-23 00:00:00 2020-07-23 00:00:00 No 2020-11-06 00:00:00 None B None 1000 1000 -350 650 0 None 8JLP11 N CA00698255, CA00698321 A, A SFY2020-21
960000897 MOMENTUM AGENCIES ICF/DD-N NEWPORT LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2020-11-18 00:00:00 960016159 Closed Citation Citation A (HSC 1424) Physical Environment None 2020-07-10 00:00:00 2020-07-10 00:00:00 No 2020-12-11 00:00:00 None A None 8000 8000 -2800 5200 0 None CM9V11 N CA00702971, CA00702976 A, A SFY2020-21
630012580 GROVE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2020-12-18 00:00:00 960016198 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-01-01 00:00:00 2014-01-01 00:00:00 No 2021-01-12 00:00:00 None A None 8000 8000 0 8000 0 None OG1911 Y CA00386509 C SFY2020-21
960000872 ROSE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2021-04-08 00:00:00 960016409 Closed Citation Citation A (HSC 1424) Patient Care None 2021-02-02 00:00:00 2021-02-02 00:00:00 No 2021-04-29 00:00:00 None A None 10000 10000 -3500 6500 0 None 871Q11 N CA00724110, CA00724164, CA00724532 A, A, A SFY2020-21
960000973 HARBOR HEALTH CARE, INC. - DESTINO DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2021-05-21 00:00:00 960016522 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-16 00:00:00 2017-10-16 00:00:00 No 2021-06-14 00:00:00 None B None 1000 1000 0 1000 0 None 6J9G11 N None None SFY2020-21
960000973 HARBOR HEALTH CARE, INC. - DESTINO DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2021-05-21 00:00:00 960016523 Closed Citation Citation B (HSC 1424) Patient Care None 2017-10-16 00:00:00 2017-10-16 00:00:00 No 2021-06-14 00:00:00 None B None 1000 1000 -350 650 0 None 6J9G11 N CA00557536 B SFY2020-21
960002356 SUNBURST CARE CENTER - WINNETKA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2021-10-26 00:00:00 960017037 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-14 00:00:00 2021-05-14 00:00:00 No 2021-11-17 00:00:00 None B None 1000 1000 -350 650 0 None E6JW11 N CA00736741, CA00737119 C, B SFY2021-22
630012473 MINUET HOMES, INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2022-01-31 00:00:00 960017302 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-09 00:00:00 2021-12-09 00:00:00 No 2022-02-22 00:00:00 None B None 1000 1700 -350 1350 0 None 4BVT11 N CA00763927 A SFY2021-22
960001720 CASA MONTANA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2022-02-03 00:00:00 960017312 Closed Citation Citation B (HSC 1424) Medication None 2021-12-14 00:00:00 2021-12-14 00:00:00 No 2022-02-25 00:00:00 None B None 1000 1000 -350 650 0 None TV8311 N None None SFY2021-22
960001720 CASA MONTANA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2022-02-03 00:00:00 960017315 Closed Citation Citation B (HSC 1424) Medication None 2021-12-16 00:00:00 2021-12-16 00:00:00 No 2022-02-25 00:00:00 None B None 1000 1000 -350 650 0 None TV8311 N None None SFY2021-22
960001975 ARMSTRONG HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2022-09-02 00:00:00 960017939 Closed Citation Citation A (HSC 1424) Other AB-Abuse 2022-07-12 00:00:00 2022-07-12 00:00:00 No 2022-09-26 00:00:00 None A None 4000 4700 0 4700 0 None K9E211 N CA00793418, CA00793418 A, A SFY2022-23
960001506 GABLE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2022-10-06 00:00:00 960018056 Closed Citation Citation B (HSC 1424) Patient Care None 2021-10-26 00:00:00 2021-10-26 00:00:00 No 2022-10-27 00:00:00 None B None 2000 2000 -700 1300 0 None 2ZB311 N CA00756581 B SFY2022-23
960001792 FELIZ HEALTH CARE CENTER LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2022-10-14 00:00:00 960018088 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-22 00:00:00 2022-08-22 00:00:00 No 2022-11-04 00:00:00 None B None 2000 2000 0 2000 0 None 63XS11 N CA00799130 A SFY2022-23
960001793 STORMHAVEN LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-05-30 00:00:00 960018804 Closed Citation Citation A (HSC 1424) Patient Rights None 2023-03-23 00:00:00 2023-03-23 00:00:00 No 2023-06-20 00:00:00 None A None 25000 25000 -25000 0 0 None N35011 Y CA00828665, CA00828665, CA00832896, CA00832896, CA00832896 A, A, A, A, A SFY2022-23
630011902 WALBROOK HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-05-26 00:00:00 960018806 Closed Citation Citation A (HSC 1424) Patient Rights None 2023-02-18 00:00:00 2023-02-18 00:00:00 No 2023-06-19 00:00:00 None A None 20000 20000 -7000 13000 0 None 2PL511 N CA00827603, CA00827603, CA00828183 B, B, B SFY2022-23
630018601 VILLA ESPERANZA WYNN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-09-26 00:00:00 960019191 Closed Citation Citation B (HSC 1424) Patient Care None 2023-06-19 00:00:00 2023-06-19 00:00:00 No 2023-10-17 00:00:00 None B None 3000 3000 -1050 1950 0 None VJHO11 N CA00847443 B SFY2023-24
960000914 MOMENTUM AGENCIES ICF/DD-N BRADLEY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-09-27 00:00:00 960019205 Open Citation Citation A (HSC 1424) Patient Care None 2023-08-19 00:00:00 2023-08-19 00:00:00 No 2023-10-18 00:00:00 None A None 20000 20000 -7000 13000 0 None 649U11 N CA00857043 C SFY2023-24
630013540 BLOOMFIELD WEST, INC. LTC ICFDD Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-10-17 00:00:00 960019268 Open Citation Citation B (HSC 1424) Patient Care None 2023-07-30 00:00:00 2023-07-30 00:00:00 No 2023-11-07 00:00:00 None B None 3000 3000 -1050 1950 0 None 930C11 N CA00853506 A SFY2023-24
960002316 FLORINDA STREET HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-10-19 00:00:00 960019279 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-09-26 00:00:00 2023-09-26 00:00:00 No 2023-11-09 00:00:00 None B None 3000 3000 0 3000 0 None P4MX11 N CA00864318 B SFY2023-24
630012978 S & E COMFORT CARE LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-11-28 00:00:00 960019394 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2023-09-24 00:00:00 2023-09-24 00:00:00 Yes 2023-12-19 00:00:00 2023-12-13 00:00:00 B B 2000 2500 -600 1900 0 None BGQN11 N CA00860464 B SFY2023-24
630012428 THE OLIVE TREE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-11-27 00:00:00 960019405 Closed Citation Citation B (HSC 1424) Medication None 2023-05-28 00:00:00 2023-05-28 00:00:00 No 2023-12-18 00:00:00 None B None 1800 1800 0 1800 0 None F5U811 N CA00843033, CA00843033 C, C SFY2023-24
630012428 THE OLIVE TREE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2023-12-15 00:00:00 960019490 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-06 00:00:00 2023-12-06 00:00:00 Yes 2024-01-08 00:00:00 2023-12-27 00:00:00 A None 10000 10000 0 0 10000 None D72I11 N CA00844653 C SFY2023-24
960001678 TLC - DEVONSHIRE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-02-08 00:00:00 960019696 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-10-22 00:00:00 2023-10-22 00:00:00 No 2024-02-29 00:00:00 None B None 1000 1000 0 1000 0 None 6AJH11 N CA00867262 A SFY2023-24
960001172 MOUNTAINGATE HOUSE - PROJECT SIX LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-02-07 00:00:00 960019704 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-11-15 00:00:00 2023-11-15 00:00:00 No 2024-02-28 00:00:00 None B None 1000 1000 0 1000 0 None GGVS11 N CA00870431 A SFY2023-24
630012580 GROVE HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-02-15 00:00:00 960019745 Closed Citation Citation A (HSC 1424) Patient Care None 2023-12-06 00:00:00 2023-12-06 00:00:00 No 2024-03-07 00:00:00 None A None 8000 8000 -2800 5200 0 None TK6L11 N CA00872621 B SFY2023-24
960002015 DURNESS HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-02-15 00:00:00 960019751 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-03-05 00:00:00 2023-03-05 00:00:00 No 2024-03-08 00:00:00 None B None 3000 3000 -1050 1950 0 None M5I311 N CA00863051, CA00863051 B, B SFY2023-24
960002027 MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-03-08 00:00:00 960019844 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-12 00:00:00 2024-01-12 00:00:00 No 2024-03-29 00:00:00 None B None 1500 1500 -525 975 0 None OCBO11 N CA00878506 B SFY2023-24
960000872 ROSE DIVISION LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-03-21 00:00:00 960019896 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-02-09 00:00:00 2023-02-09 00:00:00 No 2024-04-11 00:00:00 None B None 2000 2000 0 2000 0 None K7FA11 N None None SFY2023-24
960002211 R & C QUALITY CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-03-27 00:00:00 960019919 Closed Citation Citation A (HSC 1424) Patient Care None 2024-02-01 00:00:00 2024-02-01 00:00:00 No 2024-04-18 00:00:00 None A None 8000 8050 0 8050 0 None HDWR11 N None None SFY2023-24
960002094 TLC - DONNA HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-04-09 00:00:00 960019975 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-15 00:00:00 2023-12-15 00:00:00 No 2024-04-30 00:00:00 None B None 2000 2350 0 2350 0 None 1GNL11 N CA00876230, CA00876230, CA00876230, CA00877601, CA00877601 C, C, C, B, B SFY2023-24
960001316 PALM HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-04-10 00:00:00 960019979 Open Citation Citation B (HSC 1424) Other Dietary 2024-02-21 00:00:00 2024-02-21 00:00:00 Yes 2024-05-01 00:00:00 2024-04-19 00:00:00 B None 1800 1800 0 0 1800 None 98QG11 N None None SFY2023-24
960001097 PURE JOY #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-04-16 00:00:00 960020012 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-03-14 00:00:00 2024-03-14 00:00:00 No 2024-05-07 00:00:00 None B None 1300 1300 -455 845 0 None 5IDE11 N None None SFY2023-24
960002836 MOMENTUM AGENCIES ICF/DD-H MISSION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-04-26 00:00:00 960020067 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-17 00:00:00 2024-01-17 00:00:00 No 2024-05-17 00:00:00 None B None 1500 1500 -525 975 0 None 94N511 N CA00880478 A SFY2023-24
630012978 S & E COMFORT CARE LLC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-04-30 00:00:00 960020082 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-10 00:00:00 2024-01-10 00:00:00 No 2024-05-21 00:00:00 None B None 2000 2000 0 2000 0 None RJVQ11 N None None SFY2023-24
960001894 RCN PEDIATRIC CARE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-05-10 00:00:00 960020168 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-04 00:00:00 2024-02-04 00:00:00 No 2024-06-03 00:00:00 None B None 1800 1800 0 1800 0 None YHIQ11 N CA00884961 B SFY2023-24
960001306 OASIS HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2024-06-04 00:00:00 960020259 Open Citation Citation B (HSC 1424) Patient Care None 2024-04-09 00:00:00 2024-04-09 00:00:00 Yes 2024-06-25 00:00:00 2024-06-14 00:00:00 B None 3000 3000 0 0 3000 None SFYJ11 N CA00894911, CA00896365, CA00896365, CA00896365 C, B, B, B SFY2023-24
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 1999-04-28 00:00:00 970000969 Closed Citation Citation B (HSC 1424) Patient Care None 1999-01-24 00:00:00 1999-01-24 00:00:00 Yes 1999-07-05 00:00:00 1999-05-12 00:00:00 B B 1000 1000 -342 658 0 970004652 A99999 N None None SFY1998-99
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2000-02-01 00:00:00 970000998 Closed Citation Citation A (HSC 1424) Patient Care None 1999-11-29 00:00:00 1999-11-29 00:00:00 Yes 2001-05-29 00:00:00 2000-02-14 00:00:00 A A 5000 5000 0 5000 0 970005021 A99999 N None None SFY1999-00
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-02-14 00:00:00 970000999 Closed Citation Citation A (HSC 1424) Patient Care None 1999-02-25 00:00:00 None Yes 2000-03-07 00:00:00 2000-02-22 00:00:00 A None 5000 5000 0 5000 0 970005026 A99999 N None None SFY1999-00
970000060 SPARR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-02-10 00:00:00 970001000 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-27 00:00:00 None No 2000-03-02 00:00:00 None B None 1000 1000 -1000 0 0 970005027 A99999 N None None SFY1999-00
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-02-18 00:00:00 970001001 Closed Citation Citation A (HSC 1424) Patient Care None 1999-10-02 00:00:00 None No 2000-03-10 00:00:00 None A None 8000 8000 -2800 5200 0 970005035 A99999 N None None SFY1999-00
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-03-30 00:00:00 970001002 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-03-23 00:00:00 None Yes 2000-04-20 00:00:00 2000-04-11 00:00:00 B Dismissed by Court 800 0 0 0 0 970005080 A99999 N None None SFY1999-00
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-04-04 00:00:00 970001004 Closed Citation Citation AA (HSC 1424) Patient Care None 2000-01-02 00:00:00 None Yes 2000-05-05 00:00:00 2000-04-17 00:00:00 AA B 20000 10000 0 10000 0 970005091 A99999 Y None None SFY1999-00
970000133 GRAND PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-04-03 00:00:00 970001005 Closed Citation Citation B (HSC 1424) Staffing None 2000-03-14 00:00:00 None No 2000-04-24 00:00:00 None B None 1000 1000 -350 650 0 970005094 A99999 N None None SFY1999-00
970000039 HOLLYWOOD PREMIER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2000-04-12 00:00:00 970001006 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-02-15 00:00:00 None Yes 2001-05-18 00:00:00 2000-04-20 00:00:00 B B 900 900 0 900 0 970005108 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001007 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-20 00:00:00 2000-03-23 00:00:00 Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B B 800 1000 0 1000 0 970005110 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001008 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-20 00:00:00 2000-03-23 00:00:00 Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005111 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001009 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-01-04 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005112 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001010 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-09 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005113 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001011 Closed Citation Citation B (HSC 1424) Patient Rights None 1998-02-26 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005114 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001012 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-02-08 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005115 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001013 Closed Citation Citation B (HSC 1424) Patient Rights None 1998-12-10 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005116 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001014 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-02-08 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005117 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001015 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-12-31 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005118 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001016 Closed Citation Citation B (HSC 1424) Patient Rights None 1998-12-01 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005119 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001017 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-16 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005120 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001018 Closed Citation Citation B (HSC 1424) Patient Rights None 1997-11-13 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005121 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001019 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-25 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005122 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001020 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-05-16 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005123 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001021 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-08 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005124 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001022 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-11 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005125 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001023 Closed Citation Citation B (HSC 1424) Patient Rights None 1998-12-10 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005126 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001024 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-16 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005127 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001025 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-14 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005128 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001026 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-30 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005129 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001027 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-06-23 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005130 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001028 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-16 00:00:00 None No 2000-05-09 00:00:00 None B Dismissed by Court 800 0 0 0 0 970005131 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001029 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-03 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005132 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001030 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-04 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005133 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001031 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-02-29 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005134 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001032 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-03-08 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005135 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001033 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-15 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005136 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001034 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-15 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005137 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001035 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-09-16 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005138 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001036 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-08 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005139 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001037 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-08 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005140 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001038 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-08 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005141 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-04-18 00:00:00 970001039 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-10-08 00:00:00 None Yes 2000-05-09 00:00:00 2000-05-02 00:00:00 B Dismissed by Court 800 0 0 0 0 970005142 A99999 N None None SFY1999-00
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2000-05-11 00:00:00 970001041 Closed Citation Citation B (HSC 1424) Patient Care None 2000-04-28 00:00:00 None No 2000-06-01 00:00:00 None B None 800 800 -280 520 0 970005177 A99999 N None None SFY1999-00
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-05-17 00:00:00 970001042 Closed Citation Citation A (HSC 1424) Patient Care None 2000-04-05 00:00:00 None No 2000-06-07 00:00:00 None A None 9000 9000 -3150 5850 0 970005180 A99999 N None None SFY1999-00
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2000-06-02 00:00:00 970001043 Closed Citation Citation A (HSC 1424) Patient Care None 2000-03-03 00:00:00 None Yes 2000-06-23 00:00:00 2000-06-07 00:00:00 A None 6000 6000 -2051 3949 0 970005191 A99999 N None None SFY1999-00
970000087 ALLIANCE NURSING CENTER OF ECHO PARK LTC SNF Skilled Nursing Facility LA Region 2 2000-06-21 00:00:00 970001045 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-04-24 00:00:00 2000-05-31 00:00:00 Yes 2000-07-13 00:00:00 2000-06-22 00:00:00 B None 900 900 0 900 0 970005210 A99999 N None None SFY1999-00
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-07-11 00:00:00 970001046 Closed Citation Citation B (HSC 1424) Patient Care None 2000-05-01 00:00:00 None No 2000-08-01 00:00:00 None B None 1000 1000 -350 650 0 970005240 A99999 N None None SFY2000-01
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-07-13 00:00:00 970001047 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-06-28 00:00:00 2000-07-11 00:00:00 Yes 2000-08-24 00:00:00 2000-07-14 00:00:00 B None 900 900 0 900 0 970005244 A99999 N None None SFY2000-01
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-08 00:00:00 970001049 Closed Citation Citation B (HSC 1424) Other FAC.PRACTICES-ABUSE 2000-07-05 00:00:00 None No 2000-08-29 00:00:00 None B None 1000 1000 -350 650 0 970005278 A99999 N None None SFY2000-01
970000075 THE BELLEFONTAINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-14 00:00:00 970001050 Closed Citation Citation B (HSC 1424) Administration None 2000-07-03 00:00:00 2000-08-10 00:00:00 Yes 2001-05-11 00:00:00 2000-09-05 00:00:00 B Drop>Deficiency 800 150 -150 0 0 970005289 A99999 N None None SFY2000-01
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2000-08-22 00:00:00 970001052 Closed Citation Citation B (HSC 1424) Administration None 2000-08-08 00:00:00 None Yes 2001-05-18 00:00:00 2000-09-01 00:00:00 B B 800 800 0 800 0 970005300 A99999 N None None SFY2000-01
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2000-08-31 00:00:00 970001053 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-08 00:00:00 None Yes 2001-05-11 00:00:00 2000-09-11 00:00:00 B B 700 700 0 700 0 970005316 A99999 N None None SFY2000-01
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-10-18 00:00:00 970001055 Closed Citation Citation B (HSC 1424) Administration None 2000-09-26 00:00:00 None No 2000-11-08 00:00:00 None B None 1000 1000 -350 650 0 970005388 A99999 N None None SFY2000-01
970000033 ORCHARD GABLES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-11-01 00:00:00 970001056 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-10-08 00:00:00 None No 2000-12-05 00:00:00 None B None 1000 1050 0 1050 0 970005395 A99999 N None None SFY2000-01
970000033 ORCHARD GABLES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-11-01 00:00:00 970001057 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-10-08 00:00:00 None No 2000-12-05 00:00:00 None B None 1000 1050 0 1050 0 970005395 A99999 N None None SFY2000-01
970000033 ORCHARD GABLES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-11-01 00:00:00 970001058 Closed Citation Citation B (HSC 1424) Other CERT.TRNG.PROGRAM 2000-10-08 00:00:00 None No 2000-11-27 00:00:00 None B None 600 650 0 650 0 970005395 A99999 N None None SFY2000-01
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2000-11-22 00:00:00 970001059 Closed Citation Citation B (HSC 1424) Staffing None 2000-10-20 00:00:00 None No 2000-12-13 00:00:00 None B None 1000 1000 -350 650 0 970005392 A99999 N None None SFY2000-01
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2000-11-28 00:00:00 970001060 Closed Citation Citation B (HSC 1424) Administration None 2000-10-27 00:00:00 None Yes 2000-12-29 00:00:00 2000-12-13 00:00:00 B Dismissed by Court 600 0 0 0 0 970005406 A99999 N None None SFY2000-01
970000033 ORCHARD GABLES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2000-11-30 00:00:00 970001061 Closed Citation Citation B (HSC 1424) Staffing None 2000-10-01 00:00:00 None No 2000-12-21 00:00:00 None B None 800 800 0 800 0 970005412 A99999 N None None SFY2000-01
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2000-12-26 00:00:00 970001064 Closed Citation Citation B (HSC 1424) Staffing None 2000-12-07 00:00:00 None Yes 2001-01-16 00:00:00 2001-01-09 00:00:00 B B 1000 1600 0 1600 0 970005440 A99999 N None None SFY2000-01
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-01-09 00:00:00 970001066 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-27 00:00:00 None Yes 2001-01-31 00:00:00 2001-01-25 00:00:00 B B 1000 700 0 700 0 970005465 A99999 N None None SFY2000-01
970000075 THE BELLEFONTAINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-01-17 00:00:00 970001067 Closed Citation Citation B (HSC 1424) Staffing None 2001-01-04 00:00:00 None Yes 2001-02-07 00:00:00 2001-02-09 00:00:00 B None 1000 1100 0 1100 0 970005474 A99999 N None None SFY2000-01
970000075 THE BELLEFONTAINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-01-17 00:00:00 970001068 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-29 00:00:00 None Yes 2001-02-07 00:00:00 2001-02-09 00:00:00 B B 1000 650 0 650 0 970005475 A99999 N None None SFY2000-01
970000075 THE BELLEFONTAINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-01-17 00:00:00 970001069 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-29 00:00:00 None Yes 2001-02-07 00:00:00 2001-02-05 00:00:00 B B 1000 650 0 650 0 970005476 A99999 N None None SFY2000-01
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-02-01 00:00:00 970001070 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-07 00:00:00 None Yes 2001-06-04 00:00:00 2001-05-15 00:00:00 B B 700 300 0 300 0 970005498 A99999 N None None SFY2000-01
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-02-01 00:00:00 970001071 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-28 00:00:00 None Yes 2001-05-18 00:00:00 2001-05-17 00:00:00 B B 1000 1000 0 1000 0 970005499 A99999 N None None SFY2000-01
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-02-01 00:00:00 970001072 Closed Citation Citation B (HSC 1424) Other F225/F226 UO 2000-12-07 00:00:00 None Yes 2001-05-16 00:00:00 2001-04-30 00:00:00 B Drop>Deficiency 800 0 0 0 0 970005500 A99999 N None None SFY2000-01
970000163 CAMELLIA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-17 00:00:00 970001093 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-15 00:00:00 None No 2000-09-07 00:00:00 None B None 500 500 -175 325 0 970005649 A99999 N None None SFY2000-01
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-12-01 00:00:00 970001203 Closed Citation Citation B (HSC 1424) Patient Care None 2000-11-16 00:00:00 None No 2000-12-22 00:00:00 None B None 950 950 -332.5 617.5 0 970006092 A99999 N None None SFY2000-01
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-11 00:00:00 970001214 Closed Citation Citation B (HSC 1424) Patient Care None 2000-06-23 00:00:00 None Yes 2001-05-21 00:00:00 2001-04-30 00:00:00 B B 1000 800 0 800 0 970006148 A99999 N None None SFY2000-01
970000178 VILLA GARDENS HEALTH CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2000-09-12 00:00:00 970001218 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-09-08 00:00:00 None No 2000-10-03 00:00:00 None B None 500 500 -175 325 0 970006181 A99999 N None None SFY2000-01
970000191 SCRIPPS HOME THE LTC SNF Skilled Nursing Facility LA Region 1 2000-08-22 00:00:00 970001287 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-08-07 00:00:00 None No 2000-09-13 00:00:00 None B None 500 500 -175 325 0 970006494 A99999 N None None SFY2000-01
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-15 00:00:00 970001347 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-26 00:00:00 None Yes 2000-09-05 00:00:00 2001-06-22 00:00:00 B Dismissed by Court 1000 0 0 0 0 970006626 A99999 N None None SFY2000-01
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-15 00:00:00 970001348 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-26 00:00:00 None Yes 2000-09-05 00:00:00 2001-06-22 00:00:00 B Dismissed by Court 1000 0 0 0 0 970006626 A99999 N None None SFY2000-01
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-08-15 00:00:00 970001349 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-07-26 00:00:00 None Yes 2000-09-05 00:00:00 2001-06-22 00:00:00 B B 1000 1200 0 1200 0 970006626 A99999 N None None SFY2000-01
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2000-09-14 00:00:00 970001350 Closed Citation Citation B (HSC 1424) Patient Care None 2000-07-25 00:00:00 None Yes 2001-05-29 00:00:00 2001-05-13 00:00:00 B B 1000 350 0 350 0 970006629 A99999 N None None SFY2000-01
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-02-26 00:00:00 970001351 Closed Citation Citation B (HSC 1424) Other ABUSE 2000-12-16 00:00:00 None Yes 2002-05-01 00:00:00 2002-04-12 00:00:00 B B 1000 500 0 500 0 970006642 A99999 N None None SFY2000-01
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2001-02-28 00:00:00 970001352 Closed Citation Citation A (HSC 1424) Patient Care None 2000-11-02 00:00:00 None No 2001-03-27 00:00:00 None A None 15000 15000 -5250 9750 0 970006643 A99999 Y None None SFY2000-01
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-03-09 00:00:00 970001353 Closed Citation Citation B (HSC 1424) Patient Care None 2000-08-08 00:00:00 None No 2001-03-30 00:00:00 None B None 500 500 -175 325 0 970006647 A99999 N None None SFY2000-01
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2001-04-18 00:00:00 970001354 Closed Citation Citation B (HSC 1424) Other (ABUSE) 2001-04-10 00:00:00 None Yes 2001-06-06 00:00:00 2001-08-07 00:00:00 B B 1000 1000 -900 100 0 970006671 A99999 N None None SFY2000-01
970000097 SKYLINE HEALTHCARE CENTER-LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2001-04-18 00:00:00 970001355 Closed Citation Citation B (HSC 1424) Other ABUSE 2001-04-10 00:00:00 None No 2001-06-11 00:00:00 None B B 1000 1000 -900 100 0 970006674 A99999 N None None SFY2000-01
970000033 ORCHARD GABLES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2001-04-18 00:00:00 970001356 Closed Citation Citation B (HSC 1424) Administration None 2001-04-12 00:00:00 None No 2001-05-25 00:00:00 None B None 1000 1450 -350 1100 0 970006675 A99999 N None None SFY2000-01
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2001-06-07 00:00:00 970001357 Closed Citation Citation A (HSC 1424) Patient Care None 2001-04-09 00:00:00 None Yes 2001-10-01 00:00:00 2001-09-25 00:00:00 A A 20000 14000 0 14000 0 970006700 A99999 Y None None SFY2000-01
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2001-06-11 00:00:00 970001358 Closed Citation Citation B (HSC 1424) Patient Care None 2001-03-19 00:00:00 None Yes 2001-07-18 00:00:00 2001-06-18 00:00:00 B B 1000 500 0 500 0 970006753 A99999 N None None SFY2000-01
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-06-26 00:00:00 970001359 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-20 00:00:00 None No 2001-07-18 00:00:00 None B None 1000 1000 -350 650 0 970006789 A99999 N None None SFY2000-01
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-07-05 00:00:00 970001360 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-06 00:00:00 None No 2001-08-15 00:00:00 None B B 800 700 -300 400 0 970006694 A99999 N None None SFY2001-02
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-07-11 00:00:00 970001361 Closed Citation Citation B (HSC 1424) Patient Care None 2001-02-13 00:00:00 None No 2001-08-13 00:00:00 None B None 1000 1000 -350 650 0 970006806 A99999 N None None SFY2001-02
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-08-17 00:00:00 970001362 Closed Citation Citation B (HSC 1424) Patient Rights None 2001-07-26 00:00:00 None No 2001-09-10 00:00:00 None B None 500 500 0 500 0 970006837 A99999 N None None SFY2001-02
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-09-12 00:00:00 970001363 Closed Citation Citation B (HSC 1424) Other PATIENT RIGHTS/OTHER 2001-08-28 00:00:00 None No 2001-10-03 00:00:00 None B None 1000 1000 0 1000 0 970006865 A99999 N None None SFY2001-02
970000121 ALDEN TERRACE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2001-09-21 00:00:00 970001364 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-18 00:00:00 None Yes 2001-11-23 00:00:00 2001-10-01 00:00:00 B B 800 300 0 300 0 970006824 A99999 N None None SFY2001-02
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2001-10-23 00:00:00 970001365 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-07 00:00:00 None Yes 2002-03-15 00:00:00 2002-02-28 00:00:00 B B 1000 1750 0 1750 0 970006882 A99999 N None None SFY2001-02
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2001-11-02 00:00:00 970001366 Closed Citation Citation B (HSC 1424) Other NEGLECT/ABUSE 2001-09-03 00:00:00 None Yes 2002-01-02 00:00:00 2001-11-09 00:00:00 B None 1000 1000 0 1000 0 970006950 A99999 N None None SFY2001-02
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2001-11-14 00:00:00 970001367 Closed Citation Citation B (HSC 1424) Problem Transfer None 2001-08-30 00:00:00 None No 2001-12-14 00:00:00 None B None 1000 1000 -350 650 0 970006902 A99999 N None None SFY2001-02
970000141 MAPLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2001-12-21 00:00:00 970001369 Closed Citation Citation B (HSC 1424) Administration None 2001-11-21 00:00:00 None Yes 2002-03-22 00:00:00 2001-12-27 00:00:00 B B 1000 500 0 500 0 970007009 A99999 N None None SFY2001-02
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2002-01-03 00:00:00 970001370 Closed Citation Citation B (HSC 1424) Physical Environment None 2001-12-19 00:00:00 None No 2002-02-15 00:00:00 None B None 1000 1700 -350 1350 0 970007019 A99999 N None None SFY2001-02
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2002-01-08 00:00:00 970001371 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-26 00:00:00 None Yes 2002-02-19 00:00:00 2002-01-28 00:00:00 B B 1000 500 0 500 0 970006785 A99999 N None None SFY2001-02
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-02-11 00:00:00 970001373 Closed Citation Citation B (HSC 1424) Patient Care None 2001-06-25 00:00:00 None No 2002-03-20 00:00:00 None B None 1000 1000 -350 650 0 970006831 A99999 N None None SFY2001-02
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-03-21 00:00:00 970001374 Closed Citation Citation B (HSC 1424) Patient Care None 2002-01-18 00:00:00 None Yes 2002-04-22 00:00:00 2002-04-01 00:00:00 B B 1000 500 0 500 0 970007046 A99999 N None None SFY2001-02
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-04-11 00:00:00 970001375 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-24 00:00:00 2002-04-11 00:00:00 No 2002-05-02 00:00:00 None B None 1000 1000 -350 650 0 970007136 A99999 N None None SFY2001-02
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-05-14 00:00:00 970001376 Closed Citation Citation B (HSC 1424) Patient Care None 2002-03-30 00:00:00 None No 2002-06-10 00:00:00 None B None 1000 1000 -350 650 0 970007138 A99999 N None None SFY2001-02
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-06-11 00:00:00 970001377 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-27 00:00:00 None No 2002-07-02 00:00:00 None B None 1000 1000 -350 650 0 970007128 A99999 N None None SFY2001-02
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-06-14 00:00:00 970001378 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-21 00:00:00 2002-06-14 00:00:00 Yes 2002-07-19 00:00:00 2002-07-09 00:00:00 B B 900 100 0 100 0 970007068 A99999 N None None SFY2001-02
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2002-06-14 00:00:00 970001379 Closed Citation Citation B (HSC 1424) Patient Care None 2002-02-21 00:00:00 2002-06-14 00:00:00 Yes 2002-07-22 00:00:00 2002-07-09 00:00:00 B None 1000 1000 0 1000 0 970007068 A99999 N None None SFY2001-02
970000145 OLYMPIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2002-09-09 00:00:00 970001380 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-19 00:00:00 None Yes 2003-03-07 00:00:00 2002-09-23 00:00:00 B None 700 700 0 700 0 970007290 A99999 N None None SFY2002-03
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2002-10-09 00:00:00 970001381 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-08 00:00:00 None Yes 2002-10-31 00:00:00 2002-11-08 00:00:00 B None 700 700 0 700 0 970007291 A99999 N None None SFY2002-03
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-10-24 00:00:00 970001382 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-05-05 00:00:00 None Yes 2003-02-13 00:00:00 2002-11-04 00:00:00 B B 650 650 0 650 0 970007184 A99999 N None None SFY2002-03
970000111 KEI-AI LOS ANGELES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2002-12-05 00:00:00 970001383 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-13 00:00:00 2002-12-04 00:00:00 No 2003-01-03 00:00:00 None B None 850 850 -297.5 552.5 0 970007417 A99999 N None None SFY2002-03
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2002-12-13 00:00:00 970001384 Closed Citation Citation A (HSC 1424) Patient Care None 2002-09-29 00:00:00 None No 2003-01-27 00:00:00 None A None 10000 10000 -3500 6500 0 970007455 A99999 N None None SFY2002-03
970000121 ALDEN TERRACE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2003-01-17 00:00:00 970001385 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-01 00:00:00 None Yes 2003-02-10 00:00:00 2003-01-24 00:00:00 B B 1000 500 0 500 0 970007499 A99999 N None None SFY2002-03
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2003-01-29 00:00:00 970001386 Closed Citation Citation A (HSC 1424) Patient Care None 2002-10-11 00:00:00 None Yes 2003-05-20 00:00:00 2003-05-07 00:00:00 A A 16000 8000 0 8000 0 970007514 A99999 N None None SFY2002-03
970000137 THE REHABILITATION CENTER OF LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 2 2003-03-25 00:00:00 970001387 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-24 00:00:00 None Yes 2003-09-16 00:00:00 2003-04-18 00:00:00 B B 1000 1000 0 1000 0 970007573 A99999 N None None SFY2002-03
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-04-16 00:00:00 970001388 Closed Citation Citation B (HSC 1424) Patient Care None 2003-02-19 00:00:00 2003-02-19 00:00:00 Yes 2003-05-14 00:00:00 2003-05-02 00:00:00 B B 800 800 0 800 0 970007578 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001389 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001390 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001391 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-14 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001392 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001393 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-25 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001394 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001395 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-25 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001396 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001397 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001398 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001399 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001400 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 800 800 -800 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001401 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-25 00:00:00 None No 2003-06-09 00:00:00 None B None 800 800 -800 0 0 970007623 A99999 N None None SFY2002-03
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-01 00:00:00 970001402 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-03-13 00:00:00 None No 2003-06-09 00:00:00 None B None 500 500 -500 0 0 970007623 A99999 N None None SFY2002-03
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-05-12 00:00:00 970001403 Closed Citation Citation B (HSC 1424) Patient Care None 2002-12-12 00:00:00 None No 2003-06-11 00:00:00 None B None 1000 1000 -350 650 0 970007545 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001404 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 250 0 250 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001405 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 250 0 250 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001406 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001407 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001408 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001409 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001410 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001411 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001412 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001413 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001414 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001415 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001416 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001417 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001418 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001419 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001420 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001421 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001422 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001423 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001424 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001425 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001426 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001427 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001428 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001429 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001430 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001431 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-03 00:00:00 970001432 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-24 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-03 00:00:00 970001433 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-24 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001434 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001435 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001436 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001437 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001438 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001439 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001440 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-05-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001441 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001442 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001443 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000101 ROYAL VILLA HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2003-06-05 00:00:00 970001444 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-04-23 00:00:00 None Yes 2003-06-26 00:00:00 2003-06-11 00:00:00 B B 1000 500 0 500 0 970007665 A99999 N None None SFY2002-03
970000052 ST. ANDREWS HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2003-06-30 00:00:00 970001445 Closed Citation Citation B (HSC 1424) Patient Care None 2003-03-24 00:00:00 None No 2003-07-22 00:00:00 None B None 1000 1000 -350 650 0 970007683 A99999 N None None SFY2002-03
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2003-10-20 00:00:00 970001446 Closed Citation Citation B (HSC 1424) Patient Care None 2003-06-13 00:00:00 None Yes 2003-11-20 00:00:00 2003-11-04 00:00:00 B B 1000 1000 0 1000 0 970007773 A99999 N None None SFY2003-04
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2003-11-07 00:00:00 970001447 Closed Citation Citation A (HSC 1424) Patient Care None 2003-06-13 00:00:00 None Yes 2003-12-10 00:00:00 2003-11-22 00:00:00 A A 16000 10400 0 10400 0 970007853 A99999 N None None SFY2003-04
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2003-11-14 00:00:00 970001448 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-10-23 00:00:00 None No 2003-12-09 00:00:00 None B None 1000 1000 -350 650 0 970007858 A99999 N None None SFY2003-04
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2003-12-22 00:00:00 970001449 Closed Citation Citation B (HSC 1424) Problem Transfer None 2003-11-18 00:00:00 None No 2004-01-14 00:00:00 None B None 1000 1000 -350 650 0 970007873 A99999 N None None SFY2003-04
970000121 ALDEN TERRACE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2004-02-09 00:00:00 970001450 Closed Citation Citation B (HSC 1424) Patient Care None 2003-12-02 00:00:00 None Yes 2004-03-11 00:00:00 2004-02-12 00:00:00 B B 1000 750 0 750 0 970007947 A99999 N None None SFY2003-04
970000133 GRAND PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2004-02-23 00:00:00 970001451 Closed Citation Citation B (HSC 1424) Patient Care None 2003-07-24 00:00:00 None No 2004-03-23 00:00:00 None B None 1000 1000 -350 650 0 970007840 A99999 N None None SFY2003-04
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2004-03-26 00:00:00 970001452 Closed Citation Citation A (HSC 1424) Medication None 2003-02-21 00:00:00 None No 2004-04-28 00:00:00 None A None 20000 20000 -7000 13000 0 970007607 A99999 Y None None SFY2003-04
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2004-07-21 00:00:00 970001453 Closed Citation Citation B (HSC 1424) Patient Rights None 2004-04-01 00:00:00 None No 2004-09-01 00:00:00 None B None 1000 1050 -350 700 0 970008017 A99999 N None None SFY2004-05
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2005-03-10 00:00:00 970001454 Closed Citation Citation AA (HSC 1424) Patient Care None 2004-09-20 00:00:00 None Yes 2005-04-12 00:00:00 2005-03-31 00:00:00 AA A 70000 70000 0 70000 0 970008150 A99999 Y None None SFY2004-05
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2005-09-07 00:00:00 970001455 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-07-01 00:00:00 2005-07-01 00:00:00 No 2005-09-28 00:00:00 None B None 800 800 -280 520 0 970008392 A99999 N None None SFY2005-06
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2005-12-21 00:00:00 970001456 Closed Citation Citation B (HSC 1424) Administration None 2005-09-21 00:00:00 None No 2006-01-30 00:00:00 None B None 1000 1000 -350 650 0 970008461 A99999 N None None SFY2005-06
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2005-12-21 00:00:00 970001457 Closed Citation Citation B (HSC 1424) Patient Care None 2005-01-06 00:00:00 None No 2006-03-22 00:00:00 None B None 1000 1000 -350 650 0 970008264 A99999 Y None None SFY2005-06
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2005-12-23 00:00:00 970001458 Closed Citation Citation B (HSC 1424) Patient Care None 2004-10-18 00:00:00 None Yes 2006-04-04 00:00:00 2006-01-11 00:00:00 B B 1000 500 0 500 0 970008381 A99999 N None None SFY2005-06
970000103 VIRGIL REHABILITATION AND SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2005-12-27 00:00:00 970001459 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-14 00:00:00 None Yes 2006-03-22 00:00:00 2006-01-18 00:00:00 B B 1000 500 0 500 0 970008420 A99999 N CA00051788 B SFY2005-06
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-02-06 00:00:00 970001460 Closed Citation Citation B (HSC 1424) Staffing None 2005-12-15 00:00:00 2005-12-15 00:00:00 No 2006-03-01 00:00:00 None B None 1000 1000 -350 650 0 970008527 A99999 N None None SFY2005-06
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-03-17 00:00:00 970002967 Closed Citation Citation B (HSC 1424) Patient Care None 2005-11-23 00:00:00 2005-11-23 00:00:00 Yes 2006-04-14 00:00:00 2006-03-23 00:00:00 B B 1000 1000 0 1000 0 None KRC411 N CA00066390 B SFY2005-06
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2006-04-19 00:00:00 970003038 Closed Citation Citation A (HSC 1424) Medication None 2005-08-30 00:00:00 2005-08-30 00:00:00 Yes 2006-05-19 00:00:00 2006-05-02 00:00:00 A A 15000 15000 0 15000 0 None CT9T11 N CA00058962, CA00059385 B, B SFY2005-06
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-04-20 00:00:00 970003041 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-11-05 00:00:00 2005-11-05 00:00:00 No 2006-06-06 00:00:00 None B None 1000 1000 -350 650 0 None 70KD11 N CA00065365 C SFY2005-06
970000167 SAINT VINCENT HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2006-06-23 00:00:00 970003090 Closed Citation Citation B (HSC 1424) Staffing None 2006-05-03 00:00:00 2006-05-03 00:00:00 No 2006-07-17 00:00:00 None B None 500 500 -175 325 0 None 9ELC11 N CA00079622 C SFY2005-06
970000021 LA BREA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2006-06-23 00:00:00 970003113 Closed Citation Citation B (HSC 1424) Physical Environment None 2005-08-18 00:00:00 2005-08-18 00:00:00 Yes 2006-07-17 00:00:00 2006-07-05 00:00:00 B B 1000 850 0 850 0 None F3EN11 N CA00057128 C SFY2005-06
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-06-23 00:00:00 970003176 Closed Citation Citation B (HSC 1424) Patient Care None 2005-12-09 00:00:00 2005-12-09 00:00:00 No 2006-07-17 00:00:00 None B None 1000 1000 -1000 0 0 None 6K3N11 N CA00067970 A SFY2005-06
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003230 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-20 00:00:00 2006-06-20 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003231 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-06 00:00:00 2006-06-06 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003232 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-21 00:00:00 2006-06-21 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003233 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-06 00:00:00 2006-06-06 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003234 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-05-15 00:00:00 2006-05-15 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003235 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-09 00:00:00 2006-06-09 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1400 -1400 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003236 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-06-06 00:00:00 2006-06-06 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003237 Closed Citation Citation B (HSC 1424) Staffing None 2006-06-09 00:00:00 2006-06-09 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003239 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-10 00:00:00 2005-09-10 00:00:00 No 2006-08-30 00:00:00 None A None 5000 5250 -5250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003240 Closed Citation Citation A (HSC 1424) Patient Care None 2005-09-05 00:00:00 2005-09-05 00:00:00 No 2006-08-30 00:00:00 None A None 20000 20250 -20250 0 0 None CL2911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003242 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-06-06 00:00:00 2006-06-06 00:00:00 No 2006-08-30 00:00:00 None A None 20000 20250 -20250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003243 Closed Citation Citation A (HSC 1424) Patient Rights None 2006-06-07 00:00:00 2006-06-07 00:00:00 No 2006-08-30 00:00:00 None A None 20000 20300 -20300 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003244 Closed Citation Citation A (HSC 1424) Patient Care None 2006-05-22 00:00:00 2006-05-22 00:00:00 No 2006-08-30 00:00:00 None A None 10000 10250 -10250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003245 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-11-15 00:00:00 2005-11-15 00:00:00 No 2006-08-30 00:00:00 None A None 20000 20250 -20250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-07 00:00:00 970003246 Closed Citation Citation B (HSC 1424) Staffing None 2006-05-02 00:00:00 2006-05-02 00:00:00 No 2006-08-28 00:00:00 None B None 1000 3350 -3350 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003247 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-30 00:00:00 2006-06-30 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003249 Closed Citation Citation B (HSC 1424) Patient Care None 2006-06-20 00:00:00 2006-06-20 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003250 Closed Citation Citation B (HSC 1424) Administration None 2006-06-06 00:00:00 2006-06-06 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-08-09 00:00:00 970003262 Closed Citation Citation B (HSC 1424) Medication None 2006-05-08 00:00:00 2006-05-08 00:00:00 No 2006-08-30 00:00:00 None B None 1000 1250 -1250 0 0 None CL6911 N CA00089036 B SFY2006-07
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-10-27 00:00:00 970003391 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-14 00:00:00 2006-08-14 00:00:00 No 2006-11-20 00:00:00 None B None 1000 1000 -350 650 0 None 42EY11 N CA00092046 C SFY2006-07
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-10-27 00:00:00 970003452 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-08-14 00:00:00 2006-08-14 00:00:00 No 2006-12-19 00:00:00 None B None 1000 1000 -350 650 0 None 42EY11 N CA00092046 C SFY2006-07
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2007-10-02 00:00:00 970003556 Closed Citation Citation AA (HSC 1424) Patient Care None 2005-05-01 00:00:00 2005-05-01 00:00:00 Yes 2010-12-14 00:00:00 2010-10-15 00:00:00 AA A 80000 25000 0 25000 0 None 54XD11 Y CA00062911 D SFY2007-08
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-12-21 00:00:00 970003594 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-10-04 00:00:00 2006-10-04 00:00:00 No 2007-01-15 00:00:00 None B None 1000 3000 -1050 1950 0 None T7CL11 N CA00095172 C SFY2006-07
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2006-12-21 00:00:00 970003596 Closed Citation Citation B (HSC 1424) Patient Rights None 2006-12-08 00:00:00 2006-12-08 00:00:00 Yes 2007-01-16 00:00:00 2007-01-08 00:00:00 B B 1000 1500 0 1500 0 None RL6211 N CA00100908 B SFY2006-07
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-02-27 00:00:00 970003777 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-16 00:00:00 2007-02-16 00:00:00 No 2008-03-19 00:00:00 None B None 1000 1000 -350 650 0 None RUD811 N None None SFY2007-08
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2007-04-18 00:00:00 970003905 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-02 00:00:00 2006-12-02 00:00:00 No 2007-05-09 00:00:00 None B None 1000 1000 0 1000 0 None DVY311 N None None SFY2006-07
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2007-09-04 00:00:00 970004007 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-04-26 00:00:00 2007-04-26 00:00:00 No 2007-09-25 00:00:00 None B None 1000 1000 0 1000 0 None IVWY11 N CA00113186 B SFY2007-08
970000117 HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2007-08-08 00:00:00 970004040 Closed Citation Citation B (HSC 1424) Other Abuse 2007-05-20 00:00:00 2007-05-20 00:00:00 No 2007-08-29 00:00:00 None B B 900 900 -782 118 0 None TVZU11 N CA00115255 B SFY2007-08
970000147 WESTLAKE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2007-10-30 00:00:00 970004411 Closed Citation Citation B (HSC 1424) Patient Care None 2007-05-27 00:00:00 2007-05-27 00:00:00 Yes 2007-11-21 00:00:00 2007-11-15 00:00:00 B B 1000 1000 0 1000 0 None 2GT811 N CA00116632 B SFY2007-08
970000117 HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2008-01-31 00:00:00 970004424 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-09-17 00:00:00 2007-09-17 00:00:00 Yes 2008-02-25 00:00:00 2008-02-14 00:00:00 AA AA 90000 90000 -78170 11830 0 None GNLD11 Y CA00126648 A SFY2007-08
970000083 LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2007-11-29 00:00:00 970004470 Closed Citation Citation B (HSC 1424) Administration None 2007-10-14 00:00:00 2007-10-14 00:00:00 Yes 2007-12-20 00:00:00 2007-12-17 00:00:00 B B 1000 500 0 500 0 None RKB411 N CA00130537 B SFY2007-08
970000037 FLOWER VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 2 2007-12-28 00:00:00 970004548 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-07 00:00:00 2007-12-07 00:00:00 No 2008-01-22 00:00:00 None B None 1000 1000 -350 650 0 None VQK811 N None None SFY2007-08
970000037 FLOWER VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 2 2007-12-28 00:00:00 970004549 Closed Citation Citation B (HSC 1424) Patient Care None 2007-12-05 00:00:00 2007-12-05 00:00:00 No 2008-01-22 00:00:00 None B None 1000 1000 -350 650 0 None VQK811 N None None SFY2007-08
970000167 SAINT VINCENT HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2008-01-10 00:00:00 970004579 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-08 00:00:00 2007-12-08 00:00:00 No 2008-02-01 00:00:00 None B None 1000 1000 -350 650 0 None 4T3D11 N CA00134956 B SFY2007-08
970000184 PASADENA PARK HEALTHCARE AND WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-01-28 00:00:00 970004616 Closed Citation Citation B (HSC 1424) Other Infection Control 2008-01-01 00:00:00 2008-01-01 00:00:00 No 2008-02-20 00:00:00 None B None 1000 1000 0 1000 0 None 9WL911 N CA00135564 C SFY2007-08
970000184 PASADENA PARK HEALTHCARE AND WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-02-11 00:00:00 970004660 Closed Citation Citation B (HSC 1424) Patient Care None 2008-01-09 00:00:00 2008-01-09 00:00:00 No 2008-03-05 00:00:00 None B None 1000 1000 0 1000 0 None 6ZLI11 N CA00135290 C SFY2007-08
970000184 PASADENA PARK HEALTHCARE AND WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-02-11 00:00:00 970004661 Closed Citation Citation B (HSC 1424) Other Resident Assessment 2007-12-04 00:00:00 2007-12-04 00:00:00 No 2008-03-05 00:00:00 None B None 1000 1000 0 1000 0 None 6ZLI11 N CA00135290 C SFY2007-08
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2008-02-15 00:00:00 970004699 Closed Citation Citation B (HSC 1424) Patient Care None 2006-12-30 00:00:00 2006-12-30 00:00:00 No 2008-03-10 00:00:00 None B None 1000 1000 -350 650 0 None AIQB11 N CA00103377 B SFY2007-08
970000050 VERNON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-08-07 00:00:00 970004713 Closed Citation Citation A (HSC 1424) Patient Care None 2007-08-01 00:00:00 2007-08-01 00:00:00 Yes 2008-09-25 00:00:00 2008-08-20 00:00:00 A A 20000 2000 0 2000 0 None FOJB11 N CA00123898 C SFY2008-09
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-09-15 00:00:00 970004723 Closed Citation Citation A (HSC 1424) Patient Care None 2008-01-16 00:00:00 2008-01-16 00:00:00 Yes 2011-08-15 00:00:00 2011-08-10 00:00:00 A B 20000 1000 0 1000 0 None EC3U11 N CA00128929 C SFY2009-10
970000169 HERITAGE MANOR LTC SNF Skilled Nursing Facility LA Region 1 2008-03-07 00:00:00 970004725 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-12-13 00:00:00 2007-12-13 00:00:00 Yes 2008-03-28 00:00:00 2008-03-10 00:00:00 B B 1000 500 0 500 0 None 8D0K11 N CA00135156 B SFY2007-08
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-06-23 00:00:00 970004730 Closed Citation Citation B (HSC 1424) Patient Care None 2008-02-27 00:00:00 2008-02-27 00:00:00 No 2008-07-15 00:00:00 None B None 1000 1000 -350 650 0 None SGGD11 N None None SFY2007-08
970000194 BRIGHTON CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-05-23 00:00:00 970004774 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-02-23 00:00:00 2008-02-23 00:00:00 No 2008-06-16 00:00:00 None B None 900 900 -315 585 0 None 5K8E11 N CA00142058 A SFY2007-08
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-05-23 00:00:00 970004777 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-01-04 00:00:00 2008-01-04 00:00:00 No 2008-06-25 00:00:00 None B None 800 800 -280 520 0 None ISVW11 N CA00139183 C SFY2007-08
970000121 ALDEN TERRACE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2008-04-09 00:00:00 970004890 Closed Citation Citation B (HSC 1424) Patient Care None 2007-10-30 00:00:00 2007-10-30 00:00:00 Yes 2008-04-30 00:00:00 2008-04-16 00:00:00 B B 1000 500 0 500 0 None ZMTM11 N None None SFY2007-08
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2008-04-14 00:00:00 970004921 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-07-26 00:00:00 2007-07-26 00:00:00 No 2008-05-07 00:00:00 None B None 900 900 -315 585 0 None K3S411 N CA00121490 B SFY2007-08
970000017 SUNNYVIEW CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2008-04-29 00:00:00 970004970 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-05-09 00:00:00 2007-05-09 00:00:00 Yes 2008-05-20 00:00:00 2008-05-02 00:00:00 B Drop>Deficiency 1000 1000 0 1000 0 None LVTE11 N CA00114470 B SFY2007-08
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2009-05-28 00:00:00 970005303 Closed Citation Citation AA (HSC 1424) Patient Care None 2007-01-04 00:00:00 2007-01-04 00:00:00 Yes 2009-06-25 00:00:00 2009-07-24 00:00:00 AA A 100000 20000 0 20000 0 None PRQJ11 Y CA00103271 C SFY2008-09
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-01-12 00:00:00 970005773 Closed Citation Citation B (HSC 1424) Patient Care None 2008-12-30 00:00:00 2008-12-30 00:00:00 No 2009-02-02 00:00:00 None B None 1000 1000 -350 650 0 None PFYP11 N CA00172850 C SFY2008-09
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-02-02 00:00:00 970005846 Closed Citation Citation B (HSC 1424) Patient Care None 2009-01-22 00:00:00 2009-01-22 00:00:00 No 2009-02-25 00:00:00 None B None 1000 1000 -350 650 0 None S9HW11 N CA00174185 C SFY2008-09
970000143 MID-WILSHIRE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-02-02 00:00:00 970005847 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2008-12-26 00:00:00 2008-12-26 00:00:00 No 2009-02-25 00:00:00 None B None 1000 1000 -350 650 0 None S9HW11 N CA00174185 C SFY2008-09
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2009-06-18 00:00:00 970006117 Closed Citation Citation A (HSC 1424) Medication None 2008-08-16 00:00:00 2008-08-16 00:00:00 Yes 2009-07-09 00:00:00 2009-06-19 00:00:00 A A 18000 18000 0 18000 0 None NWM211 N CA00160992 C SFY2008-09
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-07-31 00:00:00 970006430 Closed Citation Citation B (HSC 1424) Patient Care None 2009-06-12 00:00:00 2009-06-12 00:00:00 Yes 2009-08-21 00:00:00 2009-08-21 00:00:00 B None 1000 1000 -350 650 0 None LF5R11 N CA00190885 C SFY2009-10
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-07-31 00:00:00 970006438 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-06-12 00:00:00 2009-06-12 00:00:00 Yes 2009-08-21 00:00:00 2009-08-21 00:00:00 B None 1000 1000 -350 650 0 None LF5R11 N CA00190885 C SFY2009-10
970000169 HERITAGE MANOR LTC SNF Skilled Nursing Facility LA Region 1 2009-10-20 00:00:00 970006528 Closed Citation Citation B (HSC 1424) Patient Rights None 2009-03-09 00:00:00 2009-03-09 00:00:00 Yes 2009-11-10 00:00:00 2009-10-26 00:00:00 B B 1000 500 0 500 0 None KVLD11 N CA00179718 C SFY2009-10
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2009-09-17 00:00:00 970006563 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-05 00:00:00 2008-03-05 00:00:00 No 2009-10-08 00:00:00 None B None 1000 1000 -350 650 0 None 5INU11 N CA00143139 C SFY2009-10
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-03-26 00:00:00 970009181 Closed Citation Citation B (HSC 1424) Dietary None 2012-02-17 00:00:00 2012-02-17 00:00:00 No 2012-04-16 00:00:00 None B None 2000 2000 0 2000 0 None 1F1L11 N CA00299588 B SFY2011-12
980000764 NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2000-12-29 00:00:00 980000238 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-18 00:00:00 None No 2001-01-23 00:00:00 None B None 1000 1000 -350 650 0 980009262 A99999 N None None SFY2000-01
980000764 NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2000-12-29 00:00:00 980000239 Closed Citation Citation B (HSC 1424) Patient Care None 2000-12-18 00:00:00 None No 2001-01-23 00:00:00 None B None 1000 1000 -350 650 0 980009262 A99999 N None None SFY2000-01
980000764 NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2001-01-04 00:00:00 980000240 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-12-18 00:00:00 None No 2001-01-26 00:00:00 None B None 1000 1000 0 1000 0 980009262 A99999 N None None SFY2000-01
980000764 NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2001-01-09 00:00:00 980000241 Closed Citation Citation B (HSC 1424) Other NURSING SERVICE 2000-12-18 00:00:00 None No 2001-01-31 00:00:00 None B None 1000 1000 0 1000 0 980009262 A99999 N None None SFY2000-01
980000858 CAREMERIDIAN - MAYALL HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2004-10-04 00:00:00 980000242 Closed Citation Citation B (HSC 1424) Other ABUSE/NEGLECT 2004-09-03 00:00:00 None Yes 2004-10-26 00:00:00 2004-10-12 00:00:00 B B 1000 500 0 500 0 980010666 A99999 N None None SFY2004-05
630011586 CAREMERIDIAN - VICTORY HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2010-04-26 00:00:00 980007169 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-02-18 00:00:00 2010-02-18 00:00:00 No 2010-05-17 00:00:00 None B None 1000 1000 0 1000 0 None OE0O11 N CA00219059 B SFY2009-10
630010951 ST. RITA'S HAVEN LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2011-09-12 00:00:00 980008548 Closed Citation Citation B (HSC 1424) Physical Environment None 2011-07-12 00:00:00 2011-07-12 00:00:00 No 2011-10-04 00:00:00 None B None 1000 1000 -350 650 0 None 9MHD11 N CA00275659 B SFY2011-12
630011138 ST. RITA'S HAVEN 2 LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2012-10-12 00:00:00 980009553 Closed Citation Citation B (HSC 1424) Patient Care None 2012-08-30 00:00:00 2012-08-30 00:00:00 No 2012-11-02 00:00:00 None B None 1000 1000 -350 650 0 None 8V0E11 N None None SFY2012-13
630010951 ST. RITA'S HAVEN LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2012-11-02 00:00:00 980009579 Closed Citation Citation B (HSC 1424) Patient Rights None 2012-08-30 00:00:00 2012-08-30 00:00:00 No 2012-11-28 00:00:00 None B None 1000 1000 -350 650 0 None TRH311 N CA00324102 B SFY2012-13
980002279 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2014-02-06 00:00:00 980010431 Closed Citation Citation B (HSC 1424) Administration None 2014-01-04 00:00:00 2014-01-04 00:00:00 No 2014-02-28 00:00:00 None B None 1000 1000 -350 650 0 None S7NG11 N CA00382918 A SFY2013-14
630013124 HEART TO HEART HEALTH CARE, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2014-03-24 00:00:00 980010567 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-02 00:00:00 2014-03-02 00:00:00 No 2014-04-15 00:00:00 None B None 600 600 -210 390 0 None Z90211 N CA00389676 B SFY2013-14
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2014-05-29 00:00:00 980010736 Closed Citation Citation A (HSC 1424) Patient Care None 2014-03-04 00:00:00 2014-03-04 00:00:00 No 2014-06-19 00:00:00 None A None 5000 5000 -1750 3250 0 None U7OH11 N CA00389254 B SFY2013-14
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2014-05-29 00:00:00 980010737 Closed Citation Citation B (HSC 1424) Patient Care None 2014-03-04 00:00:00 2014-03-04 00:00:00 No 2014-06-19 00:00:00 None B None 1000 1000 -350 650 0 None U7OH11 N CA00389254 B SFY2013-14
630013243 CORBIN CONGREGATE HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2015-09-30 00:00:00 980011733 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-10 00:00:00 2015-06-10 00:00:00 No 2015-10-21 00:00:00 None A None 10000 10000 -3500 6500 0 None 56DW11 N CA00446093 A SFY2015-16
980002508 THE CENTER FOR DISCOVERY AND ADOLESCENT CHANGE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2015-10-08 00:00:00 980011777 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-08-01 00:00:00 2015-08-01 00:00:00 No 2015-10-29 00:00:00 None B None 1000 1500 0 1500 0 None ZRL811 N CA00453075 A SFY2015-16
980002508 THE CENTER FOR DISCOVERY AND ADOLESCENT CHANGE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2015-11-19 00:00:00 980011855 Closed Citation Citation A (HSC 1424) Patient Rights None 2014-12-06 00:00:00 2014-12-06 00:00:00 No 2015-12-14 00:00:00 None A None 10000 30000 0 30000 0 None ZQM811 N CA00455211 B SFY2015-16
980002508 THE CENTER FOR DISCOVERY AND ADOLESCENT CHANGE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2015-11-18 00:00:00 980011856 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-11-15 00:00:00 2014-11-15 00:00:00 No 2015-12-11 00:00:00 None B None 1000 3000 0 3000 0 None ZQM811 N CA00455211 B SFY2015-16
630013603 NAPOLI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-04-07 00:00:00 980012054 Closed Citation Citation A (HSC 1424) Patient Care None 2015-06-03 00:00:00 2015-06-03 00:00:00 Yes 2016-04-28 00:00:00 2016-04-17 00:00:00 A A 10000 6000 0 6000 0 None DYUL11 N CA00451680 C SFY2015-16
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-05-24 00:00:00 980012261 Closed Citation Citation B (HSC 1424) Administration None 2016-04-07 00:00:00 2016-04-07 00:00:00 No 2016-06-15 00:00:00 None B None 1000 1000 0 1000 0 None ZWQP11 N CA00483377 A SFY2015-16
630014963 BELLAGIO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-09-07 00:00:00 980012538 Closed Citation Citation A (HSC 1424) Patient Care None 2016-04-30 00:00:00 2016-04-30 00:00:00 Yes 2016-09-28 00:00:00 2016-09-30 00:00:00 A A 10000 6500 0 6500 0 None 7ZPQ11 N CA00486738 A SFY2016-17
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-11-10 00:00:00 980012542 Closed Citation Citation AA (HSC 1424) Patient Care None 2016-04-30 00:00:00 2016-04-30 00:00:00 Yes 2016-12-06 00:00:00 2016-12-08 00:00:00 AA AA 25000 16250 0 16250 0 None 4J3J11 Y CA00486481, CA00487360 B, B SFY2016-17
630014924 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-09-08 00:00:00 980012547 Closed Citation Citation A (HSC 1424) Patient Care None 2016-06-15 00:00:00 2016-06-15 00:00:00 No 2016-09-29 00:00:00 None A None 10000 10000 -3500 6500 0 None MQMQ11 N CA00492876 B SFY2016-17
630014963 BELLAGIO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-10-13 00:00:00 980012643 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-19 00:00:00 2016-07-19 00:00:00 No 2016-11-03 00:00:00 None B None 1000 3000 -1050 1950 0 None RB9511 N CA00498148 B SFY2016-17
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-10-21 00:00:00 980012648 Closed Citation Citation B (HSC 1424) Patient Care None 2016-07-19 00:00:00 2016-07-19 00:00:00 No 2016-11-14 00:00:00 None B None 1000 1000 -350 650 0 None 8ZJW11 N CA00496151 B SFY2016-17
630014038 CROFT LIVING HOME INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-11-21 00:00:00 980012767 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-08-29 00:00:00 2016-08-29 00:00:00 No 2016-12-14 00:00:00 None B None 1000 1000 -350 650 0 None IW9M11 N CA00498696, CA00501016 B, A SFY2016-17
630010951 ST. RITA'S HAVEN LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-11-29 00:00:00 980012780 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2016-09-20 00:00:00 2016-09-20 00:00:00 No 2016-12-20 00:00:00 None B None 1000 1000 0 1000 0 None KPYP11 N CA00504082 A SFY2016-17
630013966 STONEBRIDGE MANOR LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2016-12-07 00:00:00 980012797 Closed Citation Citation B (HSC 1424) Physical Environment None 2016-08-06 00:00:00 2016-08-06 00:00:00 No 2016-12-29 00:00:00 None B None 1000 1000 -350 650 0 None U4UL11 N CA00496534 B SFY2016-17
630014467 FAMILY CIRCLE CLHF, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2017-01-04 00:00:00 980012854 Closed Citation Citation A (HSC 1424) Patient Care None 2016-10-04 00:00:00 2016-10-04 00:00:00 No 2017-01-26 00:00:00 None A None 10000 10000 -3500 6500 0 None SCV511 N CA00505991 A SFY2016-17
630011333 GATEWAY HOMES TO INDEPENDENCE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2017-03-23 00:00:00 980013077 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-27 00:00:00 2017-01-27 00:00:00 No 2017-04-14 00:00:00 None B None 1000 1000 -350 650 0 None 0Z5K11 N CA00519771 A SFY2016-17
630013603 NAPOLI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2017-04-18 00:00:00 980013128 Closed Citation Citation A (HSC 1424) Patient Care None 2017-01-01 00:00:00 2017-01-01 00:00:00 Yes 2017-05-09 00:00:00 2017-05-03 00:00:00 A A 10000 6300 -300 6000 0 None UURE11 N CA00518652, CA00519287 A, B SFY2016-17
630013784 OAK FENCE CONGREGATE LIVING HEALTH FACILITY LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2017-05-23 00:00:00 980013215 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-03-17 00:00:00 2017-03-17 00:00:00 No 2017-06-14 00:00:00 None B None 1000 1000 0 1000 0 None 8PUI11 N CA00527705 B SFY2016-17
630014956 ALL CARE - AMALFI LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2017-07-27 00:00:00 980013387 Closed Citation Citation B (HSC 1424) Administration None 2017-05-09 00:00:00 2017-05-09 00:00:00 No 2017-08-17 00:00:00 None B None 800 800 0 800 0 None QZ7X11 N CA00535161 B SFY2017-18
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2017-09-28 00:00:00 980013488 Closed Citation Citation A (HSC 1424) Patient Care None 2017-06-20 00:00:00 2017-06-20 00:00:00 Yes 2017-10-19 00:00:00 2017-10-25 00:00:00 A None 10000 10000 0 10000 0 None DP0F11 N CA00542101 B SFY2017-18
630014893 ROYAL HAVEN, LLC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2017-11-14 00:00:00 980013613 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-09-14 00:00:00 2017-09-14 00:00:00 No 2017-12-07 00:00:00 None B None 1000 1000 -350 650 0 None IN3Y11 N CA00553505 A SFY2017-18
630014729 WHITE OAK CONGREGATE LIVING FACILITY, LLC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-01-22 00:00:00 980013738 Closed Citation Citation A (HSC 1424) Patient Care None 2017-10-11 00:00:00 2017-10-11 00:00:00 No 2018-02-12 00:00:00 None A None 8000 8000 -2800 5200 0 None R92K11 N CA00558343 B SFY2017-18
630014956 ALL CARE - AMALFI LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-01-25 00:00:00 980013764 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-10-31 00:00:00 2017-10-31 00:00:00 No 2018-02-15 00:00:00 None B None 1000 1000 -350 650 0 None RQGR11 N CA00558804 A SFY2017-18
980000858 CAREMERIDIAN - MAYALL HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-02-01 00:00:00 980013777 Closed Citation Citation B (HSC 1424) Patient Rights None 2017-11-03 00:00:00 2017-11-03 00:00:00 No 2018-02-22 00:00:00 None B None 1000 1000 0 1000 0 None NUYR11 N CA00559539 A SFY2017-18
630010951 ST. RITA'S HAVEN LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-05-30 00:00:00 980014002 Closed Citation Citation A (HSC 1424) Patient Care None 2018-01-21 00:00:00 2018-01-21 00:00:00 No 2018-06-20 00:00:00 None A None 10000 10350 -5000 5350 0 None U8AG11 Y CA00570487 B SFY2017-18
630010951 ST. RITA'S HAVEN LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-04-20 00:00:00 980014007 Closed Citation Citation B (HSC 1424) Patient Care None 2018-02-12 00:00:00 2018-02-12 00:00:00 Yes 2018-05-11 00:00:00 2018-05-07 00:00:00 B None 1000 1200 -350 850 0 None DOW011 N CA00571613 B SFY2017-18
630013966 STONEBRIDGE MANOR LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-05-25 00:00:00 980014073 Closed Citation Citation B (HSC 1424) Staffing None 2018-02-23 00:00:00 2018-02-23 00:00:00 Yes 2018-06-15 00:00:00 2018-05-25 00:00:00 B None 1000 1200 0 1200 0 None M1VS11 N CA00576063 B SFY2017-18
630011138 ST. RITA'S HAVEN 2 LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-05-16 00:00:00 980014079 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2015-12-10 00:00:00 2015-12-10 00:00:00 No 2018-06-06 00:00:00 None B None 1000 1250 -350 900 0 None FD9Z11 N CA00584393, CA00584393 A, A SFY2017-18
630014956 ALL CARE - AMALFI LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-05-31 00:00:00 980014115 Closed Citation Citation A (HSC 1424) Patient Care None 2018-02-13 00:00:00 2018-02-13 00:00:00 Yes 2018-06-21 00:00:00 2018-05-31 00:00:00 A A 10000 6300 0 6300 0 None 07WV11 N CA00576448 B SFY2017-18
630013981 ADONAI CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-07-02 00:00:00 980014202 Open Citation Citation A (HSC 1424) Patient Care None 2018-02-03 00:00:00 2018-02-03 00:00:00 Yes 2018-07-24 00:00:00 2018-07-02 00:00:00 A None 10000 10150 0 0 10150 None ZJD411 N CA00572703, CA00572703 B, B SFY2018-19
630014717 TOLUCA CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-08-08 00:00:00 980014319 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-06-13 00:00:00 2018-06-13 00:00:00 No 2018-08-29 00:00:00 None B None 1000 1000 0 1000 0 None KCHS11 N CA00591510 A SFY2018-19
630015806 ROSE DESERT CONGREGATE CARE INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-09-10 00:00:00 980014395 Open Citation Citation B (HSC 1424) Patient Rights None 2018-05-23 00:00:00 2018-05-23 00:00:00 Yes 2018-10-01 00:00:00 2018-09-27 00:00:00 B None 1000 1000 0 0 1000 None TN8C11 N CA00587968 A SFY2018-19
630015908 ALL VALLEY CONGREGATE LIVING INC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-10-19 00:00:00 980014504 Closed Citation Citation B (HSC 1424) Patient Rights None 2018-08-31 00:00:00 2018-08-31 00:00:00 No 2018-11-09 00:00:00 None B None 1000 1300 0 1300 0 None 9OJE11 N CA00602646 A SFY2018-19
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-12-07 00:00:00 980014624 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-05 00:00:00 2018-11-05 00:00:00 No 2018-12-31 00:00:00 None B None 1000 1000 -350 650 0 None SKS711 N CA00606608 B SFY2018-19
630016015 WEST VALLEY CONGREGATE HEALTH LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-12-11 00:00:00 980014645 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-12 00:00:00 2018-10-12 00:00:00 No 2019-01-02 00:00:00 None A None 10000 10750 0 10750 0 None WWGH11 N CA00608363, CA00608363 B, B SFY2018-19
630016015 WEST VALLEY CONGREGATE HEALTH LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-12-11 00:00:00 980014646 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-12 00:00:00 2018-10-12 00:00:00 No 2019-01-02 00:00:00 None A None 10000 11800 0 11800 0 None WWGH11 N CA00608363, CA00608363, CA00608363 B, B, B SFY2018-19
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2018-12-28 00:00:00 980014692 Closed Citation Citation B (HSC 1424) Patient Care None 2018-11-04 00:00:00 2018-11-04 00:00:00 No 2019-01-18 00:00:00 None B None 1000 1000 -350 650 0 None SEZJ11 N CA00609783 B SFY2018-19
630014717 TOLUCA CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2019-01-25 00:00:00 980014765 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-27 00:00:00 2018-10-27 00:00:00 No 2019-02-15 00:00:00 None B None 1000 1000 -350 650 0 None 9TSG11 N CA00614225, CA00614301 B, B SFY2018-19
630014670 SENIOR CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2019-03-13 00:00:00 980014867 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-14 00:00:00 2018-12-14 00:00:00 No 2019-04-03 00:00:00 None A None 10000 10000 -3500 6500 0 None B9D311 N CA00616865, CA00617088 B, B SFY2018-19
630013751 BALDWIN PARK CONGREGATE HOME INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2019-04-04 00:00:00 980014931 Closed Citation Citation B (HSC 1424) Patient Care None 2018-10-18 00:00:00 2018-10-18 00:00:00 No 2019-04-25 00:00:00 None B None 1000 1000 -350 650 0 None L2VJ11 N CA00608776 B SFY2018-19
630014236 UNITED CARE MINFORD LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2019-06-27 00:00:00 980015199 Closed Citation Citation B (HSC 1424) Patient Care None 2019-03-20 00:00:00 2019-03-20 00:00:00 No 2019-07-18 00:00:00 None B None 1000 1700 0 1700 0 None QLDQ11 N CA00636809 B SFY2018-19
630013146 UNITED CARE PELONA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2019-08-01 00:00:00 980015263 Closed Citation Citation B (HSC 1424) Patient Care None 2019-02-05 00:00:00 2019-02-05 00:00:00 No 2019-08-22 00:00:00 None B None 1000 1150 0 1150 0 None YXZJ11 N CA00640059, CA00640059 B, B SFY2019-20
630014236 UNITED CARE MINFORD LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2020-03-13 00:00:00 980015802 Closed Citation Citation B (HSC 1424) Patient Care None 2020-01-16 00:00:00 2020-01-16 00:00:00 No 2020-04-03 00:00:00 None B None 1000 1000 0 1000 0 None Z2FG11 N CA00671662, CA00671662, CA00671662, CA00671662 A, A, A, A SFY2019-20
630013784 OAK FENCE CONGREGATE LIVING HEALTH FACILITY LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2020-04-17 00:00:00 980015851 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-02-22 00:00:00 2020-02-22 00:00:00 No 2020-05-08 00:00:00 None B None 1000 1000 -350 650 0 None B3V611 N CA00677503 A SFY2019-20
630015906 SHERMAN OAKS CONGREGATE CENTER INC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2020-06-02 00:00:00 980015888 Closed Citation Citation B (HSC 1424) Patient Care None 2020-04-02 00:00:00 2020-04-02 00:00:00 Yes 2020-06-23 00:00:00 2020-06-05 00:00:00 B None 1000 1300 -350 950 0 None 7RKV11 N CA00683458 A SFY2019-20
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2020-07-29 00:00:00 980015944 Closed Citation Citation AA (HSC 1424) Patient Care None 2020-04-01 00:00:00 2020-04-01 00:00:00 No 2020-08-19 00:00:00 None AA None 25000 25000 -8750 16250 0 None 0I4D11 Y CA00682907, CA00682907, CA00683913 A, A, B SFY2020-21
630013603 NAPOLI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2020-11-16 00:00:00 980016154 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-09-19 00:00:00 2020-09-19 00:00:00 No 2020-12-09 00:00:00 None B None 1000 1000 -350 650 0 None I9K211 N CA00705786, CA00705786 A, A SFY2020-21
630015117 DESIRABLE CONGREGATE LIVING HOME - VIEW PARK LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2020-12-04 00:00:00 980016179 Closed Citation Citation B (HSC 1424) Patient Rights None 2020-10-08 00:00:00 2020-10-08 00:00:00 No 2020-12-28 00:00:00 None B None 1000 1000 -350 650 0 None KKS911 N CA00707974, CA00707974, CA00707974, CA00708015, CA00708015, CA00708015, CA00709581, CA00709581, CA00709581, CA00709586, CA00709586, CA00709586 A, A, A, A, A, A, B, B, B, B, B, B SFY2020-21
630013603 NAPOLI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-01-15 00:00:00 980016237 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-11-19 00:00:00 2020-11-19 00:00:00 No 2021-02-08 00:00:00 None B None 1000 1000 0 1000 0 None 4FD011 N CA00713154 A SFY2020-21
630014071 ADONAI CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-03-05 00:00:00 980016322 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-01-06 00:00:00 2021-01-06 00:00:00 No 2021-03-26 00:00:00 None B None 1000 1000 0 1000 0 None N4GN11 N CA00719942, CA00720217 A, A SFY2020-21
630014558 TLC CONGREGATE LIVING I, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-04-02 00:00:00 980016393 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-02-03 00:00:00 2021-02-03 00:00:00 No 2021-04-23 00:00:00 None B None 1000 1000 0 1000 0 None RLSB11 N CA00723579, CA00723579, CA00723579, CA00723666, CA00723666, CA00723666 B, B, B, B, B, B SFY2020-21
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-04-13 00:00:00 980016416 Closed Citation Citation A (HSC 1424) Patient Care None 2021-03-30 00:00:00 2021-03-30 00:00:00 No 2021-05-04 00:00:00 None A None 7000 7000 -2450 4550 0 None 9S5H11 N CA00725367, CA00725367 A, A SFY2020-21
630016841 ALL CARE - S.F. VALLEY LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-04-22 00:00:00 980016435 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-02-16 00:00:00 2021-02-16 00:00:00 No 2021-05-13 00:00:00 None B None 1000 1000 -350 650 0 None I1VB11 N CA00726008, CA00726008 A, A SFY2020-21
630011333 GATEWAY HOMES TO INDEPENDENCE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-04-26 00:00:00 980016443 Open Citation Citation B (HSC 1424) Patient Care None 2021-03-12 00:00:00 2021-03-12 00:00:00 No 2021-05-17 00:00:00 None B None 1000 1000 -350 650 0 None 70NQ11 N CA00727561 B SFY2020-21
630015903 PORTER RANCH CONGREGATE LIVING INC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-04-29 00:00:00 980016450 Closed Citation Citation B (HSC 1424) Patient Care None 2021-03-03 00:00:00 2021-03-03 00:00:00 No 2021-05-20 00:00:00 None B None 1000 1000 0 1000 0 None QVO111 N CA00730430, CA00730430 B, B SFY2020-21
630016003 PULSE HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-05-10 00:00:00 980016484 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-03-17 00:00:00 2021-03-17 00:00:00 No 2021-06-01 00:00:00 None B None 1000 1000 0 1000 0 None 5B8811 N CA00729314, CA00729314 A, A SFY2020-21
630013943 QUALITY CLHF, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-05-21 00:00:00 980016533 Open Citation Citation B (HSC 1424) Patient Care None 2021-05-06 00:00:00 2021-05-06 00:00:00 No 2021-06-14 00:00:00 None B None 1000 1000 -350 750 -100 None 4TLS11 N None None SFY2020-21
630016992 GLENDALE HOUSE CLHS, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-06-08 00:00:00 980016571 Closed Citation Citation B (HSC 1424) Patient Rights None 2021-05-20 00:00:00 2021-05-20 00:00:00 No 2021-06-29 00:00:00 None B None 1000 1000 0 1000 0 None J8TU11 N None None SFY2020-21
630013124 HEART TO HEART HEALTH CARE, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-06-22 00:00:00 980016627 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-27 00:00:00 2021-05-27 00:00:00 No 2021-07-13 00:00:00 None B None 1000 1000 0 1000 0 None 7Z3R11 N None None SFY2020-21
630014652 LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-07-02 00:00:00 980016679 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-03 00:00:00 2021-05-03 00:00:00 No 2021-07-23 00:00:00 None B None 1000 1000 0 1000 0 None NM2811 N CA00735076 B SFY2021-22
630016501 PARADISE POINT CARE CENTER, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-07-02 00:00:00 980016682 Closed Citation Citation B (HSC 1424) Patient Care None 2021-05-11 00:00:00 2021-05-11 00:00:00 No 2021-07-23 00:00:00 None B None 1000 1000 0 1000 0 None L7YJ11 N CA00736195 A SFY2021-22
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-07-14 00:00:00 980016721 Closed Citation Citation B (HSC 1424) Patient Care None 2021-06-03 00:00:00 2021-06-03 00:00:00 No 2021-08-04 00:00:00 None B None 1000 1000 -350 650 0 None 2SQR11 N CA00730962, CA00730970 B, B SFY2021-22
630013751 BALDWIN PARK CONGREGATE HOME INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-08-02 00:00:00 980016782 Closed Citation Citation B (HSC 1424) Other Dietary 2021-06-30 00:00:00 2021-06-30 00:00:00 No 2021-08-23 00:00:00 None B None 1000 1000 0 1000 0 None OM6511 N None None SFY2021-22
630016392 MAGNIFIQUE CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-08-19 00:00:00 980016813 Open Citation Citation A (HSC 1424) Patient Care None 2021-05-20 00:00:00 2021-05-20 00:00:00 Yes 2021-09-10 00:00:00 2021-08-31 00:00:00 A None 10000 10200 0 0 10200 None Y4F311 Y None None SFY2021-22
630013981 ADONAI CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-08-13 00:00:00 980016817 Open Citation Citation B (HSC 1424) Patient Care None 2021-07-08 00:00:00 2021-07-08 00:00:00 No 2021-09-03 00:00:00 None B None 1000 1550 0 1550 0 None Z84Z11 N None None SFY2021-22
630016501 PARADISE POINT CARE CENTER, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-08-25 00:00:00 980016849 Closed Citation Citation B (HSC 1424) Physical Environment None 2021-07-08 00:00:00 2021-07-08 00:00:00 No 2021-09-16 00:00:00 None B None 1000 1000 0 1000 0 None K3V711 N None None SFY2021-22
630016501 PARADISE POINT CARE CENTER, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-09-01 00:00:00 980016880 Open Citation Citation B (HSC 1424) Patient Care None 2021-07-09 00:00:00 2021-07-09 00:00:00 No 2021-09-23 00:00:00 None B None 1000 1000 0 0 1000 None K3V711 N None None SFY2021-22
630016392 MAGNIFIQUE CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-09-16 00:00:00 980016928 Closed Citation Citation B (HSC 1424) Other Dietary 2021-07-19 00:00:00 2021-07-19 00:00:00 No 2021-10-07 00:00:00 None B None 1000 1150 0 1150 0 None EGXZ11 N CA00744538, CA00744538, CA00744538 A, A, A SFY2021-22
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-10-18 00:00:00 980017023 Closed Citation Citation B (HSC 1424) Patient Care None 2021-08-20 00:00:00 2021-08-20 00:00:00 No 2021-11-08 00:00:00 None B None 1000 1200 0 1200 0 None UR6811 N CA00749354 A SFY2021-22
630016207 VALLEY VIEW CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-11-10 00:00:00 980017089 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2021-09-08 00:00:00 2021-09-08 00:00:00 No 2021-12-06 00:00:00 None B None 1000 1000 0 1000 0 None MH1B11 N CA00752501, CA00752501, CA00753036, CA00753036 A, A, A, A SFY2021-22
630013784 OAK FENCE CONGREGATE LIVING HEALTH FACILITY LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2021-11-23 00:00:00 980017129 Open Citation Citation B (HSC 1424) Patient Care None 2021-09-29 00:00:00 2021-09-29 00:00:00 No 2021-12-16 00:00:00 None B None 1000 2300 0 1000 1300 None XWSF11 N CA00754799, CA00754799, CA00754799 A, A, A SFY2021-22
630017710 CARESOURCE CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-01-14 00:00:00 980017268 Closed Citation Citation B (HSC 1424) Patient Care None 2021-11-04 00:00:00 2021-11-04 00:00:00 No 2022-02-07 00:00:00 None B None 1000 1000 -350 650 0 None 6QM011 N CA00761225 B SFY2021-22
630015903 PORTER RANCH CONGREGATE LIVING INC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-01-14 00:00:00 980017269 Open Citation Citation A (HSC 1424) Patient Care None 2021-11-15 00:00:00 2021-11-15 00:00:00 No 2022-02-07 00:00:00 None A A 10000 9112.51 0 9112.51 0 None N5PJ11 N CA00761108, CA00761108, CA00761108, CA00761212, CA00761212, CA00761212, CA00761406, CA00761406, CA00761406 A, A, A, A, A, A, A, A, A SFY2021-22
630015648 MSB, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-01-18 00:00:00 980017270 Open Citation Citation B (HSC 1424) Staffing None 2021-11-19 00:00:00 2021-11-19 00:00:00 No 2022-02-08 00:00:00 None B B 1000 2812.51 0 2182.51 630 None LSVH11 N CA00761784, CA00761784 A, A SFY2021-22
630013784 OAK FENCE CONGREGATE LIVING HEALTH FACILITY LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-02-11 00:00:00 980017347 Open Citation Citation B (HSC 1424) Patient Care None 2021-12-03 00:00:00 2021-12-03 00:00:00 No 2022-03-07 00:00:00 None B None 1000 1650 0 0 1650 None DYLS11 N CA00764421, CA00764421 A, A SFY2021-22
630017057 OAK FENCE CONGREGATE LIVING HEALTH FACILITY #2 LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-02-11 00:00:00 980017349 Open Citation Citation B (HSC 1424) Patient Care None 2021-12-15 00:00:00 2021-12-15 00:00:00 No 2022-03-07 00:00:00 None B None 1000 1000 0 0 1000 None RLGC11 N CA00764593, CA00764593 A, A SFY2021-22
630017710 CARESOURCE CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-02-25 00:00:00 980017449 Closed Citation Citation B (HSC 1424) Patient Care None 2021-12-30 00:00:00 2021-12-30 00:00:00 No 2022-03-18 00:00:00 None B None 1000 1250 -350 900 0 None JU4511 Y CA00766515, CA00766515, CA00766515 A, A, A SFY2021-22
630014956 ALL CARE - AMALFI LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-03-04 00:00:00 980017468 Closed Citation Citation B (HSC 1424) Patient Care None 2022-01-03 00:00:00 2022-01-03 00:00:00 No 2022-03-25 00:00:00 None B None 1000 1000 -350 650 0 None BM5711 N CA00766988 A SFY2021-22
630015903 PORTER RANCH CONGREGATE LIVING INC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-03-08 00:00:00 980017476 Open Citation Citation A (HSC 1424) Patient Care None 2022-02-22 00:00:00 2022-02-22 00:00:00 No 2022-03-29 00:00:00 None A A 10000 22501 0 22501 0 None TFKL11 N CA00774296, CA00774296 H, H SFY2021-22
630015903 PORTER RANCH CONGREGATE LIVING INC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-03-08 00:00:00 980017478 Open Citation Citation A (HSC 1424) Patient Care None 2022-02-04 00:00:00 2022-02-04 00:00:00 No 2022-03-29 00:00:00 None A A 10000 7501 0 1592.74 5908.26 None TFKL11 N CA00774296, CA00774296, CA00774296 H, H, H SFY2021-22
630015648 MSB, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-03-18 00:00:00 980017511 Open Citation Citation A (HSC 1424) Patient Care None 2022-03-04 00:00:00 2022-03-04 00:00:00 No 2022-04-11 00:00:00 None A A 10000 7607.5 0 0 7607.5 None V29611 N CA00775581 A SFY2021-22
630015648 MSB, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-03-25 00:00:00 980017528 Open Citation Citation A (HSC 1424) Patient Care None 2022-03-08 00:00:00 2022-03-08 00:00:00 No 2022-04-18 00:00:00 None A A 10000 7501 0 0 7501 None LE0L11 N CA00776672, CA00776672, CA00776672 A, A, A SFY2021-22
630015903 PORTER RANCH CONGREGATE LIVING INC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-04-08 00:00:00 980017559 Open Citation Citation A (HSC 1424) Patient Care None 2022-02-10 00:00:00 2022-02-10 00:00:00 No 2022-04-29 00:00:00 None A A 10000 7501 0 0 7501 None HJ9E11 N CA00772611, CA00772611 A, A SFY2021-22
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-04-14 00:00:00 980017575 Closed Citation Citation A (HSC 1424) Patient Care None 2022-03-03 00:00:00 2022-03-03 00:00:00 No 2022-05-05 00:00:00 None A None 10000 10000 -7000 3000 0 None 71U911 N CA00768150 A SFY2021-22
630014709 THE COMMUNITY HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-04-15 00:00:00 980017577 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-01-24 00:00:00 2022-01-24 00:00:00 No 2022-05-06 00:00:00 None B None 1000 1000 -350 650 0 None DQ8W11 N CA00773774 A SFY2021-22
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-05-04 00:00:00 980017619 Closed Citation Citation A (HSC 1424) Patient Care None 2022-02-16 00:00:00 2022-02-16 00:00:00 No 2022-05-25 00:00:00 None A None 10000 10000 -7000 3000 0 None VJK111 N CA00777242 A SFY2021-22
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-05-31 00:00:00 980017680 Closed Citation Citation B (HSC 1424) Medication None 2022-04-01 00:00:00 2022-04-01 00:00:00 No 2022-06-21 00:00:00 None B None 1000 1000 0 1000 0 None S7E911 N CA00779028 A SFY2021-22
630015648 MSB, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-01 00:00:00 980017687 Open Citation Citation A (HSC 1424) Patient Care None 2022-03-11 00:00:00 2022-03-11 00:00:00 No 2022-06-22 00:00:00 None A A 10000 7501 0 0 7501 None LE0L11 N CA00776672, CA00776672, CA00776672, CA00776672 A, A, A, A SFY2021-22
630015609 NEW HAVEN CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-07 00:00:00 980017694 Open Citation Citation B (HSC 1424) Patient Rights None 2022-04-02 00:00:00 2022-04-02 00:00:00 No 2022-06-28 00:00:00 None B None 1000 1000 -350 650 0 None 3NYL11 N CA00780053, CA00780053 A, A SFY2021-22
630016015 WEST VALLEY CONGREGATE HEALTH LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-10 00:00:00 980017699 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-21 00:00:00 2022-04-21 00:00:00 No 2022-07-01 00:00:00 None B None 1000 1500 0 1500 0 None 74TL11 N None None SFY2021-22
630016015 WEST VALLEY CONGREGATE HEALTH LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-10 00:00:00 980017704 Open Citation Citation B (HSC 1424) Patient Care None 2022-04-21 00:00:00 2022-04-21 00:00:00 No 2022-07-01 00:00:00 None B None 1000 1500 0 1000 500 None 74TL11 N None None SFY2021-22
630016108 ROYAL CONGREGATE LIVING, LLC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-23 00:00:00 980017729 Closed Citation Citation B (HSC 1424) Staffing None 2022-04-28 00:00:00 2022-04-28 00:00:00 No 2022-07-15 00:00:00 None B None 1000 1200 0 1200 0 None QHFC11 N CA00782522, CA00782522 A, A SFY2021-22
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-23 00:00:00 980017730 Closed Citation Citation B (HSC 1424) Staffing None 2022-04-21 00:00:00 2022-04-21 00:00:00 No 2022-07-15 00:00:00 None B None 1000 1000 0 1000 0 None E5BN11 N None None SFY2021-22
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-23 00:00:00 980017732 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-21 00:00:00 2022-04-21 00:00:00 No 2022-07-15 00:00:00 None B None 1000 1000 0 1000 0 None E5BN11 N None None SFY2021-22
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-23 00:00:00 980017734 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-21 00:00:00 2022-04-21 00:00:00 No 2022-07-15 00:00:00 None B None 1000 1000 0 1000 0 None E5BN11 N None None SFY2021-22
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-23 00:00:00 980017736 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-21 00:00:00 2022-04-21 00:00:00 No 2022-07-15 00:00:00 None B None 1000 1000 0 1000 0 None E5BN11 N None None SFY2021-22
630014956 ALL CARE - AMALFI LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-06-24 00:00:00 980017737 Closed Citation Citation B (HSC 1424) Patient Care None 2022-04-28 00:00:00 2022-04-28 00:00:00 No 2022-07-18 00:00:00 None B None 1000 1000 -350 650 0 None JJRS11 N CA00782480, CA00782480, CA00782480, CA00782480 A, A, A, A SFY2021-22
630016841 ALL CARE - S.F. VALLEY LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-07-12 00:00:00 980017776 Closed Citation Citation B (HSC 1424) Physical Environment None 2022-05-13 00:00:00 2022-05-13 00:00:00 No 2022-08-02 00:00:00 None B None 1000 1000 -350 650 0 None D8XE11 N CA00784770, CA00784770, CA00784770 A, A, A SFY2022-23
630015635 UNITED CARE CENTER, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-08-01 00:00:00 980017838 Open Citation Citation A (HSC 1424) Patient Care None 2022-05-18 00:00:00 2022-05-18 00:00:00 No 2022-08-22 00:00:00 None A None 10000 10150 0 1700 8450 None 9I1P11 N CA00777815, CA00777815 A, A SFY2022-23
630018276 BETHEL ESTATES LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-09-02 00:00:00 980017957 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-20 00:00:00 2022-08-20 00:00:00 No 2022-09-26 00:00:00 None B None 1000 3250 0 3250 0 None RA7R11 N CA00792619, CA00792619, CA00792619, CA00792619, CA00792619, CA00792619 A, A, A, A, A, A SFY2022-23
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-09-29 00:00:00 980018030 Closed Citation Citation B (HSC 1424) Patient Care None 2022-08-20 00:00:00 2022-08-20 00:00:00 No 2022-10-20 00:00:00 None B None 1000 1850 -1850 0 0 None 7YBE11 N CA00798335, CA00798335, CA00798833 B, B, A SFY2022-23
630015017 PARADISE CONGREGATE LIVING INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-09-29 00:00:00 980018031 Closed Citation Citation B (HSC 1424) Medication None 2022-08-20 00:00:00 2022-08-20 00:00:00 No 2022-10-20 00:00:00 None B None 1000 1000 -1000 0 0 None 7YBE11 N CA00798335, CA00798335, CA00798335, CA00798833, CA00798833 B, B, B, A, A SFY2022-23
630016523 ALLWELL RESIDENTIAL CARE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-11-01 00:00:00 980018128 Closed Citation Citation B (HSC 1424) Administration None 2022-07-06 00:00:00 2022-07-06 00:00:00 No 2022-11-23 00:00:00 None B None 1000 1650 -350 1300 0 None 9NML11 N CA00791881, CA00791881 A, A SFY2022-23
630014467 FAMILY CIRCLE CLHF, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-11-03 00:00:00 980018141 Closed Citation Citation A (HSC 1424) Patient Care None 2022-03-03 00:00:00 2022-03-03 00:00:00 No 2022-11-28 00:00:00 None A None 10000 10000 0 10000 0 None 3OCN11 N CA00775218, CA00775218, CA00775218 A, A, A SFY2022-23
630015502 BEL AIR CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-11-04 00:00:00 980018143 Closed Citation Citation B (HSC 1424) Staffing None 2022-09-20 00:00:00 2022-09-20 00:00:00 No 2022-11-30 00:00:00 None B None 1000 1150 -350 800 0 None ZF2Z11 N CA00803219, CA00803219 B, B SFY2022-23
630014529 GOLDEN STATE HOMES, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2022-11-22 00:00:00 980018170 Closed Citation Citation B (HSC 1424) Staffing None 2022-09-27 00:00:00 2022-09-27 00:00:00 No 2022-12-15 00:00:00 None B None 1000 1000 0 1000 0 None RL2S11 N CA00805094, CA00805094, CA00805094, CA00805094 A, A, A, A SFY2022-23
630016108 ROYAL CONGREGATE LIVING, LLC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-01-06 00:00:00 980018289 Closed Citation Citation B (HSC 1424) Patient Care None 2022-11-11 00:00:00 2022-11-11 00:00:00 No 2023-01-30 00:00:00 None B None 1000 1000 0 1000 0 None D95F11 N CA00811225 B SFY2022-23
630014717 TOLUCA CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-01-12 00:00:00 980018306 Closed Citation Citation B (HSC 1424) Patient Care None 2022-12-30 00:00:00 2022-12-30 00:00:00 No 2023-02-03 00:00:00 None B None 1000 1000 0 1000 0 None IXVI11 N CA00812031, CA00812031 A, A SFY2022-23
630014126 VISTA CARE HOME INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-02-17 00:00:00 980018427 Open Citation Citation B (HSC 1424) Patient Care None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-03-13 00:00:00 None B None 1000 2900 0 2900 0 None OR2M11 N None None SFY2022-23
630014126 VISTA CARE HOME INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-02-17 00:00:00 980018428 Closed Citation Citation B (HSC 1424) Patient Care None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-03-13 00:00:00 None B None 1000 1000 0 1000 0 None OR2M11 N None None SFY2022-23
630014126 VISTA CARE HOME INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-03-07 00:00:00 980018479 Open Citation Citation A (HSC 1424) Patient Rights None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-03-28 00:00:00 None A None 2000 3000 0 0 3000 None OR2M11 N None None SFY2022-23
630014126 VISTA CARE HOME INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-03-07 00:00:00 980018480 Open Citation Citation A (HSC 1424) Patient Care None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-03-28 00:00:00 None A None 2000 3000 0 0 3000 None OR2M11 N None None SFY2022-23
630019055 SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-03-24 00:00:00 980018571 Open Citation Citation B (HSC 1424) Staffing None 2023-01-31 00:00:00 2023-01-31 00:00:00 No 2023-04-17 00:00:00 None B None 1000 1000 0 0 1000 None 39RI11 N CA00827132, CA00827132, CA00827132, CA00827132, CA00827132, CA00828165, CA00828165, CA00828165, CA00829024, CA00829024, CA00829024 B, B, B, B, B, B, B, B, A, A, A SFY2022-23
630019055 SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-03-24 00:00:00 980018575 Open Citation Citation B (HSC 1424) Medication None 2023-03-01 00:00:00 2023-03-01 00:00:00 No 2023-04-17 00:00:00 None B None 1000 1000 0 0 1000 None 39RI11 N None None SFY2022-23
630019055 SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-03-29 00:00:00 980018589 Open Citation Citation B (HSC 1424) Physical Environment None 2023-03-01 00:00:00 2023-03-01 00:00:00 No 2023-04-20 00:00:00 None B None 1000 1000 0 0 1000 None 39RI11 N CA00827132, CA00827132, CA00827132, CA00827132, CA00827132, CA00828165, CA00828165, CA00828165, CA00829024, CA00829024, CA00829024 B, B, B, B, B, B, B, B, A, A, A SFY2022-23
630019055 SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-03-30 00:00:00 980018596 Open Citation Citation B (HSC 1424) Physical Environment None 2023-03-01 00:00:00 2023-03-01 00:00:00 No 2023-04-21 00:00:00 None B None 1000 1000 0 0 1000 None 39RI11 N CA00828165, CA00828165, CA00828165 B, B, B SFY2022-23
630016163 VALLEY GRACE HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-04-05 00:00:00 980018607 Open Citation Citation B (HSC 1424) Staffing None 2023-03-08 00:00:00 2023-03-08 00:00:00 No 2023-04-26 00:00:00 None B None 1000 1000 0 0 1000 None BXV311 N None None SFY2022-23
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-04-13 00:00:00 980018630 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-03-15 00:00:00 2023-03-15 00:00:00 No 2023-05-04 00:00:00 None B None 1000 1000 -350 650 0 None RJQZ11 N None None SFY2022-23
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-04-13 00:00:00 980018631 Closed Citation Citation B (HSC 1424) Dietary None 2023-03-15 00:00:00 2023-03-15 00:00:00 No 2023-05-04 00:00:00 None B None 1000 1000 -350 650 0 None RJQZ11 N None None SFY2022-23
630013062 CAPRI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-04-13 00:00:00 980018634 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-03-14 00:00:00 2023-03-14 00:00:00 No 2023-05-04 00:00:00 None B None 1000 1450 -350 1100 0 None RJQZ11 N None None SFY2022-23
630026176 HAYVEN HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-04-26 00:00:00 980018696 Open Citation Citation B (HSC 1424) Staffing None 2023-03-14 00:00:00 2023-03-14 00:00:00 No 2023-05-17 00:00:00 None B None 1000 1250 0 0 1250 None 9NOC11 N CA00831031 A SFY2022-23
630013966 STONEBRIDGE MANOR LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-03 00:00:00 980018714 Closed Citation Citation B (HSC 1424) Staffing None 2023-04-20 00:00:00 2023-04-20 00:00:00 No 2023-05-24 00:00:00 None B None 1000 1000 0 1000 0 None OPC611 N None None SFY2022-23
630013603 NAPOLI IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-03 00:00:00 980018718 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-03-23 00:00:00 2023-03-23 00:00:00 No 2023-05-24 00:00:00 None B None 1000 1000 -350 650 0 None ESGW11 N CA00831359, CA00831359, CA00831359 B, B, B SFY2022-23
630014085 VILLA BALBOA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-08 00:00:00 980018726 Closed Citation Citation B (HSC 1424) Staffing None 2023-04-22 00:00:00 2023-04-22 00:00:00 No 2023-05-30 00:00:00 None B None 1000 1000 0 1000 0 None RXKG11 N None None SFY2022-23
630014085 VILLA BALBOA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-08 00:00:00 980018728 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-04-22 00:00:00 2023-04-22 00:00:00 No 2023-05-30 00:00:00 None B None 1000 1000 0 1000 0 None RXKG11 N None None SFY2022-23
630014085 VILLA BALBOA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-08 00:00:00 980018729 Closed Citation Citation B (HSC 1424) Physical Environment None 2023-04-23 00:00:00 2023-04-23 00:00:00 No 2023-05-30 00:00:00 None B None 1000 1000 0 1000 0 None RXKG11 N None None SFY2022-23
630014236 UNITED CARE MINFORD LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-11 00:00:00 980018743 Open Citation Citation B (HSC 1424) Staffing None 2023-04-27 00:00:00 2023-04-27 00:00:00 No 2023-06-02 00:00:00 None B None 1000 1150 0 1000 150 None ZHNH11 N None None SFY2022-23
630013784 OAK FENCE CONGREGATE LIVING HEALTH FACILITY LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-18 00:00:00 980018767 Open Citation Citation B (HSC 1424) Dietary Dietary 2023-05-04 00:00:00 2023-05-04 00:00:00 No 2023-06-09 00:00:00 None B None 1000 2450 0 0 2450 None YJ4S11 N None None SFY2022-23
630013784 OAK FENCE CONGREGATE LIVING HEALTH FACILITY LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-18 00:00:00 980018768 Open Citation Citation B (HSC 1424) Staffing None 2023-05-04 00:00:00 2023-05-04 00:00:00 No 2023-06-09 00:00:00 None B None 1000 1000 0 0 1000 None YJ4S11 N None None SFY2022-23
630014670 SENIOR CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-19 00:00:00 980018777 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-07 00:00:00 2023-04-07 00:00:00 No 2023-06-12 00:00:00 None B None 1000 1000 0 1000 0 None WR1B11 N CA00834923, CA00834923, CA00834923 A, A, A SFY2022-23
630014670 SENIOR CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-19 00:00:00 980018778 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-07 00:00:00 2023-04-07 00:00:00 No 2023-06-12 00:00:00 None B None 1000 1000 0 1000 0 None WR1B11 N CA00834923, CA00834923, CA00834923 A, A, A SFY2022-23
630014486 SUNNYVIEW HOME LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-05-26 00:00:00 980018805 Closed Citation Citation B (HSC 1424) Medication None 2023-05-14 00:00:00 2023-05-14 00:00:00 No 2023-06-19 00:00:00 None B None 1000 1000 0 1000 0 None 1XPY11 N None None SFY2022-23
630014670 SENIOR CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-01 00:00:00 980018814 Open Citation Citation A (HSC 1424) Patient Care None 2023-05-18 00:00:00 2023-05-18 00:00:00 No 2023-06-22 00:00:00 None A None 10000 10000 0 0 10000 None FGTV11 N None None SFY2022-23
630014670 SENIOR CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-01 00:00:00 980018816 Closed Citation Citation B (HSC 1424) Medication None 2023-05-18 00:00:00 2023-05-18 00:00:00 No 2023-06-22 00:00:00 None B None 1000 1000 0 1000 0 None FGTV11 N None None SFY2022-23
630015109 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-14 00:00:00 980018857 Open Citation Citation B (HSC 1424) Patient Care None 2023-05-31 00:00:00 2023-05-31 00:00:00 No 2023-07-06 00:00:00 None B None 1000 1050 0 0 1050 None MBWB11 N CA00843340 A SFY2022-23
630014231 FENTON VILLA, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-15 00:00:00 980018870 Open Citation Citation B (HSC 1424) Patient Care None 2023-06-02 00:00:00 2023-06-02 00:00:00 No 2023-07-07 00:00:00 None B None 1000 1300 0 0 1300 None 53GX11 N None None SFY2022-23
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-16 00:00:00 980018874 Open Citation Citation B (HSC 1424) Staffing None 2023-06-02 00:00:00 2023-06-02 00:00:00 Yes 2023-07-10 00:00:00 2023-06-23 00:00:00 B None 1000 1000 0 0 1000 None 8PIW11 N CA00843407, CA00843407, CA00843407 A, A, A SFY2022-23
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-16 00:00:00 980018875 Open Citation Citation B (HSC 1424) Dietary None 2023-06-02 00:00:00 2023-06-02 00:00:00 No 2023-07-10 00:00:00 None B None 1000 1000 0 0 1000 None 8PIW11 N CA00843407, CA00843407, CA00843407 A, A, A SFY2022-23
630015806 ROSE DESERT CONGREGATE CARE INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-16 00:00:00 980018876 Open Citation Citation B (HSC 1424) Staffing None 2023-06-02 00:00:00 2023-06-02 00:00:00 Yes 2023-07-10 00:00:00 2023-06-23 00:00:00 B None 1000 1000 0 0 1000 None 21OW11 N CA00843416, CA00843416, CA00843416 A, A, A SFY2022-23
630016392 MAGNIFIQUE CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-16 00:00:00 980018877 Open Citation Citation B (HSC 1424) Physical Environment None 2023-06-02 00:00:00 2023-06-02 00:00:00 Yes 2023-07-10 00:00:00 2023-06-23 00:00:00 B None 1000 1300 0 0 1300 None JL4411 N CA00843401, CA00843401, CA00843401, CA00843401 A, A, A, A SFY2022-23
630016392 MAGNIFIQUE CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-16 00:00:00 980018878 Open Citation Citation B (HSC 1424) Staffing None 2023-06-02 00:00:00 2023-06-02 00:00:00 No 2023-07-10 00:00:00 None B None 1000 1000 0 0 1000 None JL4411 N CA00843401, CA00843401, CA00843401, CA00843401 A, A, A, A SFY2022-23
630014231 FENTON VILLA, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-16 00:00:00 980018879 Open Citation Citation B (HSC 1424) Physical Environment None 2023-06-02 00:00:00 2023-06-02 00:00:00 Yes 2023-07-10 00:00:00 2023-08-08 00:00:00 B None 1000 2000 0 1000 1000 None 53GX11 N None None SFY2022-23
630014709 THE COMMUNITY HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-06-30 00:00:00 980018919 Closed Citation Citation B (HSC 1424) Staffing None 2023-06-14 00:00:00 2023-06-14 00:00:00 No 2023-07-24 00:00:00 None B None 1000 1000 -350 650 0 None SIZ211 N None None SFY2022-23
630014709 THE COMMUNITY HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-07-03 00:00:00 980018921 Open Citation Citation B (HSC 1424) Staffing None 2023-06-14 00:00:00 2023-06-14 00:00:00 No 2023-07-25 00:00:00 None B None 1000 1000 -350 650 0 None SIZ211 N None None SFY2023-24
630014709 THE COMMUNITY HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-07-03 00:00:00 980018922 Open Citation Citation B (HSC 1424) Patient Care None 2023-06-14 00:00:00 2023-06-14 00:00:00 No 2023-07-25 00:00:00 None B None 1000 2450 -350 650 1450 None SIZ211 N None None SFY2023-24
630014709 THE COMMUNITY HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-07-03 00:00:00 980018923 Open Citation Citation B (HSC 1424) Physical Environment None 2023-06-14 00:00:00 2023-06-14 00:00:00 No 2023-07-25 00:00:00 None B None 1000 2450 -350 650 1450 None SIZ211 N None None SFY2023-24
630017463 ST. RITA'S CONGREGATE, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-08-24 00:00:00 980019095 Closed Citation Citation B (HSC 1424) Staffing None 2023-08-10 00:00:00 2023-08-10 00:00:00 No 2023-09-15 00:00:00 None B None 1000 1000 -350 650 0 None 5O3C11 N CA00851924, CA00851924, CA00851924 B, B, B SFY2023-24
630011586 CAREMERIDIAN - VICTORY HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-08-30 00:00:00 980019111 Open Citation Citation B (HSC 1424) Patient Care None 2023-07-26 00:00:00 2023-07-26 00:00:00 No 2023-09-21 00:00:00 None B None 1000 1450 0 1000 450 None P4YB11 N CA00855627, CA00855627 A, A SFY2023-24
630011586 CAREMERIDIAN - VICTORY HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-08-30 00:00:00 980019112 Open Citation Citation B (HSC 1424) Patient Care None 2023-07-26 00:00:00 2023-07-26 00:00:00 No 2023-09-21 00:00:00 None B None 1000 1100 0 0 1100 None P4YB11 N CA00855627, CA00855627 A, A SFY2023-24
630013243 CORBIN CONGREGATE HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-09-14 00:00:00 980019165 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-08-23 00:00:00 2023-08-23 00:00:00 No 2023-10-05 00:00:00 None B None 1000 3100 0 0 3100 None D09R11 N CA00857534, CA00857534 A, A SFY2023-24
980000944 NEW START CLHF'S INDEPENDENT TRAINING CENTERS - LARAMIE HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-03 00:00:00 980019225 Open Citation Citation B (HSC 1424) Patient Rights None 2023-08-22 00:00:00 2023-08-22 00:00:00 Yes 2023-10-24 00:00:00 2023-01-05 00:00:00 B None 1000 1150 0 0 1150 None UUH611 N CA00859702, CA00859702, CA00859702, CA00859702, CA00859702, CA00859702, CA00859702 A, A, A, A, A, A, A SFY2023-24
630016716 MIH PROJECT A, LLC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-10 00:00:00 980019242 Open Citation Citation B (HSC 1424) Dietary None 2023-09-15 00:00:00 2023-09-15 00:00:00 No 2023-10-31 00:00:00 None B None 1000 3650 0 0 3650 None 1VM411 N CA00860762, CA00860762, CA00860762 A, A, A SFY2023-24
630017463 ST. RITA'S CONGREGATE, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-17 00:00:00 980019265 Closed Citation Citation B (HSC 1424) Other Unusual Occurrence 2023-08-21 00:00:00 2023-08-21 00:00:00 No 2023-11-07 00:00:00 None B None 1000 1000 -350 650 0 None JMIR11 N CA00857315, CA00857315, CA00857315, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799 B, B, B, A, A, A, A, A, A SFY2023-24
630017463 ST. RITA'S CONGREGATE, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-17 00:00:00 980019266 Closed Citation Citation B (HSC 1424) Patient Record None 2023-08-21 00:00:00 2023-08-21 00:00:00 No 2023-11-07 00:00:00 None B None 1000 1000 -350 650 0 None DQ1J11 N CA00859429, CA00859429 A, A SFY2023-24
630017463 ST. RITA'S CONGREGATE, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-17 00:00:00 980019267 Closed Citation Citation B (HSC 1424) Other employee files 2023-08-21 00:00:00 2023-08-21 00:00:00 No 2023-11-07 00:00:00 None B None 1000 1000 -350 650 0 None JMIR11 N CA00857315, CA00857315, CA00857315, CA00857315, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799 B, B, B, B, A, A, A, A, A, A, A SFY2023-24
630014467 FAMILY CIRCLE CLHF, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-19 00:00:00 980019284 Open Citation Citation B (HSC 1424) Staffing None 2023-09-12 00:00:00 2023-09-12 00:00:00 No 2023-11-09 00:00:00 None B None 1000 1000 0 0 1000 None QB0P11 N CA00860331, CA00860331 A, A SFY2023-24
630014125 VALLEY LIVING CENTER INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-20 00:00:00 980019289 Open Citation Citation B (HSC 1424) Staffing None 2023-09-12 00:00:00 2023-09-12 00:00:00 No 2023-11-13 00:00:00 None B None 1000 1000 0 0 1000 None P16711 N CA00860353, CA00860353, CA00860353 A, A, A SFY2023-24
630014893 ROYAL HAVEN, LLC LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-26 00:00:00 980019306 Open Citation Citation B (HSC 1424) Staffing None 2023-09-12 00:00:00 2023-09-12 00:00:00 No 2023-11-17 00:00:00 None B None 1000 1000 0 0 1000 None 82V811 N CA00860344, CA00860344 A, A SFY2023-24
630013243 CORBIN CONGREGATE HOME, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-10-27 00:00:00 980019309 Open Citation Citation B (HSC 1424) Staffing None 2023-09-12 00:00:00 2023-09-12 00:00:00 No 2023-11-20 00:00:00 None B None 1000 1000 0 0 1000 None 47GA11 N CA00860342, CA00860342 A, A SFY2023-24
630017573 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-11-08 00:00:00 980019346 Closed Citation Citation B (HSC 1424) Patient Care None 2023-07-10 00:00:00 2023-07-10 00:00:00 No 2023-12-04 00:00:00 None B None 1000 1000 0 1000 0 None 852811 N CA00862698, CA00863139, CA00863139 B, B, B SFY2023-24
630013943 QUALITY CLHF, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-12-13 00:00:00 980019483 Open Citation Citation B (HSC 1424) Physical Environment None 2023-11-28 00:00:00 2023-11-28 00:00:00 No 2024-01-04 00:00:00 None B None 1000 1000 0 1000 0 None MHBY11 N None None SFY2023-24
630016338 VIEWCREST CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-12-13 00:00:00 980019486 Open Citation Citation B (HSC 1424) Patient Care None 2023-11-27 00:00:00 2023-11-27 00:00:00 No 2024-01-04 00:00:00 None B None 1000 1000 0 1000 0 None X5HJ11 N None None SFY2023-24
630016338 VIEWCREST CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-12-13 00:00:00 980019487 Open Citation Citation B (HSC 1424) Medication None 2023-11-27 00:00:00 2023-11-27 00:00:00 No 2024-01-04 00:00:00 None B None 1000 1000 0 1000 0 None X5HJ11 N None None SFY2023-24
630016338 VIEWCREST CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-12-13 00:00:00 980019488 Open Citation Citation B (HSC 1424) Physical Environment None 2023-11-27 00:00:00 2023-11-27 00:00:00 No 2024-01-04 00:00:00 None B None 1000 1000 0 1000 0 None X5HJ11 N None None SFY2023-24
630016338 VIEWCREST CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-12-13 00:00:00 980019489 Open Citation Citation B (HSC 1424) Administration None 2023-11-29 00:00:00 2023-11-29 00:00:00 No 2024-01-04 00:00:00 None B None 1000 1000 0 1000 0 None 64NG11 N CA00871266, CA00871266, CA00871266, CA00871266 A, A, A, A SFY2023-24
630013943 QUALITY CLHF, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-12-14 00:00:00 980019491 Open Citation Citation B (HSC 1424) Administration None 2023-11-28 00:00:00 2023-11-28 00:00:00 No 2024-01-05 00:00:00 None B None 1000 1000 0 1000 0 None MHBY11 N None None SFY2023-24
630014529 GOLDEN STATE HOMES, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-12-14 00:00:00 980019495 Open Citation Citation B (HSC 1424) Patient Care None 2023-11-29 00:00:00 2023-11-29 00:00:00 No 2024-01-08 00:00:00 None B None 1000 1800 0 0 1800 None GKOY11 N None None SFY2023-24
630014529 GOLDEN STATE HOMES, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2023-12-14 00:00:00 980019496 Closed Citation Citation B (HSC 1424) Medication None 2023-11-29 00:00:00 2023-11-29 00:00:00 No 2024-01-08 00:00:00 None B None 1000 1000 0 1000 0 None GKOY11 N None None SFY2023-24
630016338 VIEWCREST CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-01-04 00:00:00 980019573 Open Citation Citation B (HSC 1424) Patient Care None 2023-11-28 00:00:00 2023-11-28 00:00:00 No 2024-01-25 00:00:00 None B None 1000 1000 0 1000 0 None 64NG11 N CA00871266, CA00871266, CA00871266, CA00871266 A, A, A, A SFY2023-24
630013943 QUALITY CLHF, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-01-12 00:00:00 980019595 Open Citation Citation B (HSC 1424) Staffing None 2023-11-22 00:00:00 2023-11-22 00:00:00 No 2024-02-02 00:00:00 None B None 1000 1000 0 1000 0 None IEGU11 N CA00870444, CA00870444 A, A SFY2023-24
630013943 QUALITY CLHF, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-01-12 00:00:00 980019599 Open Citation Citation B (HSC 1424) Patient Rights None 2023-11-22 00:00:00 2023-11-22 00:00:00 No 2024-02-02 00:00:00 None B None 1000 1000 0 1000 0 None IEGU11 N CA00870444, CA00870444, CA00870444 A, A, A SFY2023-24
630014652 LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-01-16 00:00:00 980019601 Open Citation Citation B (HSC 1424) Dietary None 2023-12-29 00:00:00 2023-12-29 00:00:00 No 2024-02-06 00:00:00 None B None 1000 1000 0 1000 0 None R3OC11 N CA00877094, CA00877094 A, A SFY2023-24
630014652 LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-01-16 00:00:00 980019603 Open Citation Citation B (HSC 1424) Patient Rights None 2023-12-29 00:00:00 2023-12-29 00:00:00 No 2024-02-06 00:00:00 None B None 1000 8400 0 1000 7400 None R3OC11 N CA00877094, CA00877094, CA00877094 A, A, A SFY2023-24
630015502 BEL AIR CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-01-16 00:00:00 980019605 Closed Citation Citation B (HSC 1424) Medication None 2023-12-28 00:00:00 2023-12-28 00:00:00 No 2024-02-06 00:00:00 None B None 1000 1300 0 1300 0 None L1SK11 N None None SFY2023-24
630015502 BEL AIR CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-01-16 00:00:00 980019608 Closed Citation Citation B (HSC 1424) Staffing None 2023-12-27 00:00:00 2023-12-27 00:00:00 No 2024-02-06 00:00:00 None B None 1000 1500 0 1500 0 None L1SK11 N None None SFY2023-24
630015502 BEL AIR CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-01-16 00:00:00 980019609 Closed Citation Citation B (HSC 1424) Dietary None 2023-12-29 00:00:00 2023-12-29 00:00:00 No 2024-02-06 00:00:00 None B None 1000 1800 0 1800 0 None L1SK11 N None None SFY2023-24
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-02-02 00:00:00 980019687 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-09 00:00:00 2023-12-09 00:00:00 Yes 2024-02-23 00:00:00 2024-02-23 00:00:00 A None 10000 10000 0 0 10000 None NQVM11 N CA00873398, CA00873398, CA00873398, CA00873398 B, B, B, B SFY2023-24
630013454 SORRENTO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-02-02 00:00:00 980019690 Open Citation Citation B (HSC 1424) Administration None 2023-12-11 00:00:00 2023-12-11 00:00:00 No 2024-02-23 00:00:00 None B None 1000 1000 0 0 1000 None NQVM11 N CA00873398, CA00873398, CA00873398, CA00873398, CA00873398 B, B, B, B, B SFY2023-24
630014071 ADONAI CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-02-15 00:00:00 980019746 Open Citation Citation B (HSC 1424) Dietary None 2024-01-30 00:00:00 2024-01-30 00:00:00 No 2024-03-08 00:00:00 None B None 1000 2200 0 1000 1200 None T5FT11 N None None SFY2023-24
630014071 ADONAI CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-02-15 00:00:00 980019747 Open Citation Citation B (HSC 1424) Medication None 2024-01-31 00:00:00 2024-01-31 00:00:00 No 2024-03-08 00:00:00 None B None 1000 1750 0 1000 750 None T5FT11 N None None SFY2023-24
630014071 ADONAI CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-02-15 00:00:00 980019748 Open Citation Citation B (HSC 1424) Patient Care None 2024-01-30 00:00:00 2024-01-30 00:00:00 No 2024-03-08 00:00:00 None B None 1000 2200 0 1000 1200 None T5FT11 N None None SFY2023-24
630017843 BRIGHTER DAY HEALTHCARE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-02-29 00:00:00 980019806 Closed Citation Citation B (HSC 1424) Medication None 2024-01-01 00:00:00 2024-01-01 00:00:00 No 2024-03-21 00:00:00 None B None 1000 1000 -350 650 0 None XA8J11 N CA00878521 A SFY2023-24
630017843 BRIGHTER DAY HEALTHCARE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-02-29 00:00:00 980019807 Closed Citation Citation B (HSC 1424) Patient Care None 2024-01-01 00:00:00 2024-01-01 00:00:00 No 2024-03-21 00:00:00 None B None 1000 1000 -350 650 0 None XA8J11 N CA00878521, CA00878521 A, A SFY2023-24
630016207 VALLEY VIEW CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-01 00:00:00 980019812 Open Citation Citation B (HSC 1424) Administration None 2023-12-30 00:00:00 2023-12-30 00:00:00 No 2024-03-22 00:00:00 None B None 1000 2150 0 1000 1150 None MPL911 N CA00878112, CA00878112, CA00878112 B, B, B SFY2023-24
630015635 UNITED CARE CENTER, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-07 00:00:00 980019839 Closed Citation Citation B (HSC 1424) Staffing None 2024-02-22 00:00:00 2024-02-22 00:00:00 No 2024-03-28 00:00:00 None B None 1000 1000 0 1000 0 None D0RH11 N None None SFY2023-24
630017843 BRIGHTER DAY HEALTHCARE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-11 00:00:00 980019850 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-01-02 00:00:00 2024-01-02 00:00:00 No 2024-04-02 00:00:00 None B None 1000 1000 -350 650 0 None OEKE11 N CA00879239, CA00879239, CA00879239 A, A, A SFY2023-24
630016392 MAGNIFIQUE CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-12 00:00:00 980019855 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-02 00:00:00 2024-02-02 00:00:00 Yes 2024-04-02 00:00:00 2024-03-12 00:00:00 B None 1000 1000 0 0 1000 None GXQN11 N CA00882686, CA00882686 B, B SFY2023-24
630015325 CASA VALLE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-15 00:00:00 980019877 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-01-23 00:00:00 2024-01-23 00:00:00 No 2024-04-08 00:00:00 None B None 1000 1000 -350 650 0 None F3T211 N CA00882561, CA00882561, CA00882561, CA00882561, CA00882561 B, B, B, B, B SFY2023-24
630015325 CASA VALLE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-15 00:00:00 980019879 Open Citation Citation B (HSC 1424) Staffing None 2023-12-27 00:00:00 2023-12-27 00:00:00 No 2024-04-08 00:00:00 None B None 1000 1150 -350 650 150 None WWMN11 N CA00883888, CA00883888 A, A SFY2023-24
630015889 FIVE POINT CARE, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-21 00:00:00 980019893 Open Citation Citation B (HSC 1424) Patient Rights None 2024-01-23 00:00:00 2024-01-23 00:00:00 No 2024-04-12 00:00:00 None B None 1000 2050 0 1000 1050 None ZREV11 N CA00881015, CA00881015, CA00881015 A, A, A SFY2023-24
630017710 CARESOURCE CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-22 00:00:00 980019902 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-23 00:00:00 2024-01-23 00:00:00 No 2024-04-15 00:00:00 None B None 1000 1000 -350 650 0 None BZEU11 N CA00880940, CA00880940 A, A SFY2023-24
630014961 SAN MARINO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-29 00:00:00 980019935 Open Citation Citation AA (HSC 1424) Medication None 2024-01-24 00:00:00 2024-01-24 00:00:00 Yes 2024-04-22 00:00:00 2024-04-01 00:00:00 AA None 25000 25000 -8750 16250 0 None JOBQ11 N CA00882055 A SFY2023-24
630014652 LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-29 00:00:00 980019936 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-22 00:00:00 None B None 1000 1000 -350 650 0 None 847111 N CA00882785, CA00882785 A, A SFY2023-24
630014652 LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-29 00:00:00 980019939 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-22 00:00:00 None B None 1000 1000 -350 650 0 None 847111 N CA00882785, CA00882785 A, A SFY2023-24
630014652 LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-29 00:00:00 980019940 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-22 00:00:00 None B None 1000 4800 -350 650 3800 None 847111 N CA00882785, CA00882785 A, A SFY2023-24
630014652 LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-29 00:00:00 980019941 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-22 00:00:00 None B None 1000 4800 -350 650 3800 None 847111 N CA00882785, CA00882785 A, A SFY2023-24
630014652 LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-03-29 00:00:00 980019942 Open Citation Citation B (HSC 1424) Patient Record None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-22 00:00:00 None B None 1000 4800 -350 650 3800 None 847111 N CA00882785, CA00882785 A, A SFY2023-24
630016501 PARADISE POINT CARE CENTER, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-04-04 00:00:00 980019956 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-25 00:00:00 None B None 1000 4550 0 1000 3550 None 1YXD11 N CA00883680 A SFY2023-24
630015889 FIVE POINT CARE, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-04-04 00:00:00 980019959 Open Citation Citation B (HSC 1424) Dietary None 2024-03-19 00:00:00 2024-03-19 00:00:00 No 2024-04-25 00:00:00 None B None 1000 1400 0 1000 400 None 98WE11 N None None SFY2023-24
630016501 PARADISE POINT CARE CENTER, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-04-04 00:00:00 980019964 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-25 00:00:00 None B None 1000 4550 0 1000 3550 None 1YXD11 N CA00883680, CA00883680 A, A SFY2023-24
630016501 PARADISE POINT CARE CENTER, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-04-05 00:00:00 980019965 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-02 00:00:00 2024-02-02 00:00:00 No 2024-04-26 00:00:00 None B None 1000 4550 0 1000 3550 None 1YXD11 N CA00883680, CA00883680 A, A SFY2023-24
630017573 NEURORESTORATIVE CALIFORNIA LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-04-05 00:00:00 980019967 Open Citation Citation B (HSC 1424) Medication None 2024-01-20 00:00:00 2024-01-20 00:00:00 No 2024-04-26 00:00:00 None B None 1000 2800 0 1000 1800 None KDOA11 N CA00883482, CA00883482, CA00883482 A, A, A SFY2023-24
630015683 ANGEL CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-04-12 00:00:00 980019998 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-29 00:00:00 2024-03-29 00:00:00 No 2024-05-03 00:00:00 None B None 1000 1000 -350 650 0 None 9VU211 N None None SFY2023-24
630018118 MOUNTAIN VIEW CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-04-29 00:00:00 980020078 Closed Citation Citation B (HSC 1424) Patient Care None 2024-03-12 00:00:00 2024-03-12 00:00:00 No 2024-05-20 00:00:00 None B None 1000 1000 0 1000 0 None ZOKU11 N CA00887715, CA00887715 B, B SFY2023-24
630014963 BELLAGIO IN THE DESERT LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-05-14 00:00:00 980020183 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-03-01 00:00:00 2024-03-01 00:00:00 No 2024-06-05 00:00:00 None B None 1000 1000 -350 650 0 None 16ER11 N CA00889956 B SFY2023-24
630015698 HOUSE OF FAITH CONGREGATE LIVING, INC. LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-05-29 00:00:00 980020241 Closed Citation Citation B (HSC 1424) Other Nursing Service/Admin 2024-05-14 00:00:00 2024-05-14 00:00:00 Yes 2024-06-19 00:00:00 2024-06-05 00:00:00 B None 1000 1000 0 1000 0 None 6EMZ11 N None None SFY2023-24
630011586 CAREMERIDIAN - VICTORY HOUSE LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-05-31 00:00:00 980020252 Closed Citation Citation B (HSC 1424) Patient Care None 2024-04-02 00:00:00 2024-04-02 00:00:00 No 2024-06-21 00:00:00 None B None 1000 1000 0 1000 0 None R6HG11 N CA00892739 A SFY2023-24
630025909 HANDS ON HANDS CONGREGATE LIVING LTC CLHF Congregate Living Health Facility LA HHA/Hospice 2024-06-28 00:00:00 980020373 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-04-11 00:00:00 2024-04-11 00:00:00 No 2024-07-22 00:00:00 None B None 1000 1000 0 0 1000 None NOC311 N CA00897385, CA00897385, CA00897385 A, A, A SFY2023-24
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2022-10-19 00:00:00 990018080 Closed Citation Citation AA (HSC 1424) Patient Care None 2022-05-18 00:00:00 2022-05-18 00:00:00 No 2022-11-09 00:00:00 None AA None 50000 50000 -17500 32500 0 None LH9D11 Y CA00785630, CA00785630 B, B SFY2022-23
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2022-11-04 00:00:00 990018123 Closed Citation Citation B (HSC 1424) Patient Care None 2022-09-20 00:00:00 2022-09-20 00:00:00 No 2022-11-29 00:00:00 None B None 3000 3000 0 3000 0 None RQ6711 N CA00801238, CA00801238, CA00801238 B, B, B SFY2022-23
100000194 LOCUST HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2023-01-04 00:00:00 990018267 Closed Citation Citation B (HSC 1424) Patient Rights None 2022-10-24 00:00:00 2022-10-24 00:00:00 No 2023-01-26 00:00:00 None B None 3000 3000 -1050 1950 0 None 36YM11 N CA00808773 B SFY2022-23
100000194 LOCUST HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2023-01-04 00:00:00 990018269 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-05-23 00:00:00 2022-05-23 00:00:00 No 2023-01-26 00:00:00 None B None 3000 3000 -1050 1950 0 None 36YM11 N CA00808773 B SFY2022-23
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2023-02-23 00:00:00 990018433 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2022-12-24 00:00:00 2022-12-24 00:00:00 No 2023-03-16 00:00:00 None B None 2000 2000 -700 1300 0 None 8YLM11 N CA00819523 C SFY2022-23
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2023-08-08 00:00:00 990019021 Closed Citation Citation B (HSC 1424) Patient Care None 2023-04-25 00:00:00 2023-04-25 00:00:00 No 2023-08-29 00:00:00 None B None 3000 3000 -1050 1950 0 None LJWU11 N CA00841031, CA00841031, CA00841031, CA00841031, CA00841031, CA00841031, CA00841031 B, B, B, B, B, B, B SFY2023-24
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2023-08-23 00:00:00 990019072 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-06-29 00:00:00 2023-06-29 00:00:00 Yes 2023-09-14 00:00:00 2023-08-28 00:00:00 B None 3000 3000 0 0 3000 None IZ7B11 N None None SFY2023-24
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2023-08-23 00:00:00 990019073 Closed Citation Citation B (HSC 1424) Problem Transfer None 2023-06-09 00:00:00 2023-06-09 00:00:00 No 2023-09-14 00:00:00 None B None 3000 3000 -1050 1950 0 None MU4F11 N CA00847173, CA00847173 B, B SFY2023-24
100001573 CARCIDO'S ICF/DD-H #4 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2023-08-25 00:00:00 990019076 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-08-01 00:00:00 2023-08-01 00:00:00 No 2023-09-18 00:00:00 None B None 3000 3000 -1050 1950 0 None LJQZ11 N CA00853996, CA00853996 A, A SFY2023-24
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2023-10-26 00:00:00 990019286 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-07-25 00:00:00 2023-07-25 00:00:00 No 2023-11-17 00:00:00 None B None 2000 2000 -700 1300 0 None OJ8611 N CA00852800 A SFY2023-24
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-01-04 00:00:00 990019546 Closed Citation Citation A (HSC 1424) Patient Care None 2023-08-03 00:00:00 2023-08-03 00:00:00 No 2024-01-25 00:00:00 None A None 25000 25000 0 25000 0 None B9QG11 Y CA00861301, CA00861301, CA00861301, CA00861618, CA00861618, CA00861618, CA00861618, CA00861618, CA00861618 B, B, B, B, B, B, B, B, B SFY2023-24
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-01-09 00:00:00 990019547 Open Citation Citation AA (HSC 1424) Patient Care None 2023-08-05 00:00:00 2023-08-05 00:00:00 No 2024-01-30 00:00:00 None AA None 120000 120000 0 0 120000 None B9QG11 Y CA00861618, CA00861618, CA00861618, CA00861618, CA00861618, CA00861618 B, B, B, B, B, B SFY2023-24
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-01-29 00:00:00 990019732 Open Citation Citation B (HSC 1424) Patient Care None 2023-06-21 00:00:00 2023-06-21 00:00:00 No 2024-02-19 00:00:00 None B None 3000 3600 0 3000 600 None E2O111 N CA00846858 B SFY2023-24
100001166 CARCIDO'S ICF/DD-H #1 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2024-03-12 00:00:00 990019776 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-20 00:00:00 2023-12-20 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 -1050 1950 0 None WT1511 N CA00881705 B SFY2023-24
100000058 TRACY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-07 00:00:00 990019777 Closed Citation Citation B (HSC 1424) Problem Transfer None 2024-01-03 00:00:00 2024-01-03 00:00:00 No 2024-03-28 00:00:00 None B None 3000 3000 -1050 1950 0 None KBFF11 N CA00881317, CA00881317, CA00881317 B, B, B SFY2023-24
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-12 00:00:00 990019816 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-10-26 00:00:00 2023-10-26 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 0 3000 0 None QS9Y11 N None None SFY2023-24
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-12 00:00:00 990019817 Closed Citation Citation B (HSC 1424) Patient Care None 2023-12-12 00:00:00 2023-12-12 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 0 3000 0 None QS9Y11 N None None SFY2023-24
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-12 00:00:00 990019818 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-12-15 00:00:00 2023-12-15 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 0 3000 0 None QS9Y11 N None None SFY2023-24
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-12 00:00:00 990019819 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-12-15 00:00:00 2023-12-15 00:00:00 No 2024-04-03 00:00:00 None B None 3000 3000 0 3000 0 None QS9Y11 N None None SFY2023-24
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2024-03-29 00:00:00 990019820 Closed Citation Citation B (HSC 1424) Problem Transfer None 2023-11-11 00:00:00 2023-11-11 00:00:00 No 2024-04-22 00:00:00 None B None 3000 3000 -1050 1950 0 None DH0M11 N CA00878114 A SFY2023-24
030001823 NOBLE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-05-03 00:00:00 990019864 Open Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-02-18 00:00:00 2024-02-18 00:00:00 No 2024-05-24 00:00:00 None B None 3000 3050 -1050 1950 50 None BWH311 N CA00886144 B SFY2023-24
100000058 TRACY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-21 00:00:00 990019867 Closed Citation Citation B (HSC 1424) Patient Rights None 2023-11-20 00:00:00 2023-11-20 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None I60H11 N CA00879338 B SFY2023-24
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-21 00:00:00 990019868 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-01-26 00:00:00 2024-01-26 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None DJV511 N CA00882107 B SFY2023-24
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-21 00:00:00 990019869 Closed Citation Citation B (HSC 1424) Patient Rights None 2024-01-26 00:00:00 2024-01-26 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None DJV511 N CA00882107 B SFY2023-24
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-03-21 00:00:00 990019883 Closed Citation Citation B (HSC 1424) Patient Care None 2024-02-13 00:00:00 2024-02-13 00:00:00 No 2024-04-12 00:00:00 None B None 3000 3000 -1050 1950 0 None 0MXH11 N CA00885082 B SFY2023-24
100001800 J & M'S ICF/DDH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2024-05-03 00:00:00 990020091 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-08 00:00:00 2023-09-08 00:00:00 No 2024-05-24 00:00:00 None B None 3000 3000 -1050 1950 0 None LCEK11 N CA00886160 B SFY2023-24
100000058 TRACY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2024-05-09 00:00:00 990020097 Open Citation Citation A (HSC 1424) Patient Care None 2023-12-28 00:00:00 2023-12-28 00:00:00 No 2024-05-31 00:00:00 None A None 25000 25050 0 0 25050 None WLWH11 Y CA00877821 B SFY2023-24
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2024-06-14 00:00:00 990020326 Open Citation Citation B (HSC 1424) Patient Rights None 2024-02-25 00:00:00 2024-02-25 00:00:00 No 2024-07-08 00:00:00 None B None 3000 3000 0 0 3000 None 5DGN11 N CA00886803 B SFY2023-24
020000010 ASHBY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2012-08-24 00:00:00 020009459 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-07-12 00:00:00 2011-10-08 00:00:00 No 2012-09-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None J2O511 None None None SFY2012-13
020000094 PARK CENTRAL CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2012-11-26 00:00:00 020009608 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-03-06 00:00:00 2012-05-21 00:00:00 Yes 2012-12-11 00:00:00 None AP NHPPD REVERSED 15000 0 0 0 0 None F8GY11 None None None SFY2012-13
020000110 LAKE MERRITT HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2013-02-19 00:00:00 020009737 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-01-30 00:00:00 2012-04-15 00:00:00 No 2013-03-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ID8L11 None None None SFY2012-13
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2013-06-26 00:00:00 020009961 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 No 2013-07-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WCFH11 None None None SFY2012-13
020000119 REDWOOD HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility East Bay 2013-10-10 00:00:00 020010175 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-01-30 00:00:00 2012-04-15 00:00:00 No 2013-10-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WW3511 None None None SFY2013-14
020000019 VISTA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2013-01-17 00:00:00 020010356 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-12-05 00:00:00 2013-02-19 00:00:00 Yes 2013-02-01 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 2EJB11 None None None SFY2012-13
140000106 MARTINEZ CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2014-09-26 00:00:00 020011018 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-03-17 00:00:00 2014-06-16 00:00:00 No 2014-10-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None L8X111 None None None SFY2014-15
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2015-02-19 00:00:00 020011280 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-03-17 00:00:00 2014-06-16 00:00:00 No 2015-03-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None QY2E11 None None None SFY2014-15
140000113 LAFAYETTE CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2017-05-04 00:00:00 020013166 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2017-05-19 00:00:00 None AP NHPPD None 30000 30000 -30000 0 0 None T9GK11 None None None SFY2016-17
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2019-03-05 00:00:00 020014841 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-10-01 00:00:00 2017-12-31 00:00:00 Yes 2019-03-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None GKZS11 None None None SFY2018-19
020000079 MEDICAL HILL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2020-08-04 00:00:00 020015954 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-07-01 00:00:00 2018-09-30 00:00:00 No 2020-08-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None GZQK11 None None None SFY2020-21
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2021-04-13 00:00:00 020016404 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-04-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None PC5111 None None None SFY2020-21
140001185 THE REUTLINGER COMMUNITY LTC SNF Skilled Nursing Facility East Bay 2021-09-02 00:00:00 020016955 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None O4IB11 None None None SFY2021-22
020000077 SAN LEANDRO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-11-04 00:00:00 020017050 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-19 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None I1Y811 None None None SFY2021-22
020000100 MERCY RETIREMENT & CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-02-01 00:00:00 020017277 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None OBBP11 None None None SFY2021-22
020000276 CANYON CREEK POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2022-07-28 00:00:00 020017803 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-09-01 00:00:00 2019-12-31 00:00:00 No 2022-08-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FKG211 None None None SFY2022-23
140000003 DELTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2023-01-31 00:00:00 020018352 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-22 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 5VJE11 None None None SFY2022-23
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-03-08 00:00:00 020018456 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-29 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None HPUY11 None None None SFY2022-23
030000280 AUBURN OAKS CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2012-09-12 00:00:00 030009490 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-02-01 00:00:00 2012-04-17 00:00:00 No 2012-09-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None HTD611 None None None SFY2012-13
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2013-11-19 00:00:00 030010257 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2012-02-08 00:00:00 2012-04-24 00:00:00 No 2013-12-04 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None Y20Y11 None None None SFY2013-14
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2014-04-01 00:00:00 030010317 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 No 2014-04-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9Z1D11 None None None SFY2013-14
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2014-07-25 00:00:00 030010872 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-10-02 00:00:00 2014-01-01 00:00:00 Yes 2014-08-09 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 40WH11 None None None SFY2014-15
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2016-01-07 00:00:00 030011903 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-01-04 00:00:00 2015-04-05 00:00:00 Yes 2016-01-22 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None VDFW11 None CA00437231, CA00437231, CA00437231, CA00437231, CA00437530 B, B, B, B, B SFY2015-16
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2017-06-28 00:00:00 030013305 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2017-07-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None J7RZ11 None None None SFY2016-17
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2017-09-07 00:00:00 030013472 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2017-09-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CY9P11 None None None SFY2017-18
030000020 CARMICHAEL POSTACUTE CARE, LLC LTC SNF Skilled Nursing Facility Sacramento 2018-07-30 00:00:00 030014264 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-10-03 00:00:00 2017-01-02 00:00:00 No 2018-08-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CSW011 None None None SFY2018-19
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-05-14 00:00:00 030015045 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-02-04 00:00:00 2018-05-06 00:00:00 No 2019-05-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FU3F11 None None None SFY2018-19
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2020-11-09 00:00:00 030016107 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-03-04 00:00:00 2019-06-03 00:00:00 No 2020-11-24 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None KVWD11 None None None SFY2020-21
100000022 ARBOR REHABILITATION & NURSING CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-07-15 00:00:00 030016701 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-07-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RY6T11 None None None SFY2021-22
100000091 BRIDGEWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2021-08-12 00:00:00 030016810 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None QOKY11 None None None SFY2021-22
100000003 FAIRMONT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2021-12-23 00:00:00 030017200 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7EWF11 None None None SFY2021-22
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2022-02-08 00:00:00 030017304 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5KG011 None None None SFY2021-22
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2022-02-14 00:00:00 030017323 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-03-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None EVLG11 None None None SFY2021-22
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2022-03-10 00:00:00 030017461 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-25 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 7SYT11 None None None SFY2021-22
100000030 THE GROVE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-04-19 00:00:00 030017567 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9QQU11 None None None SFY2021-22
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2022-06-29 00:00:00 030017725 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-07-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None BDRM11 None None None SFY2021-22
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2022-07-27 00:00:00 030017805 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-11 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None VZM711 None None None SFY2022-23
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2022-11-15 00:00:00 030018145 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-12-08 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 1FFU11 None None None SFY2022-23
030000013 AUBURN RAVINE TERRACE LTC SNF Skilled Nursing Facility Sacramento 2023-08-03 00:00:00 030019005 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 Yes 2023-08-24 00:00:00 2023-08-10 00:00:00 AP NHPPD None 25000 25000 0 25000 0 None J1QW11 None None None SFY2023-24
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2024-06-12 00:00:00 030020265 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-07-03 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None VJIL11 None None None SFY2023-24
040000036 MANNING GARDENS CARE CENTER, INC. LTC SNF Skilled Nursing Facility Fresno 2013-01-23 00:00:00 040009525 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-11-16 00:00:00 2012-01-31 00:00:00 Yes 2013-02-07 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None CHFU11 None None None SFY2012-13
040000047 HEALTHCARE CENTRE OF FRESNO LTC SNF Skilled Nursing Facility Fresno 2013-06-13 00:00:00 040009930 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-07-22 00:00:00 2011-10-18 00:00:00 Yes 2013-06-28 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None LG5M11 None None None SFY2012-13
040000074 WISH-I-AH HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility Fresno 2013-12-16 00:00:00 040010321 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-11-26 00:00:00 2013-02-10 00:00:00 Yes 2013-12-31 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None D1I711 None None None SFY2013-14
040000058 MAJESTIC MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2014-04-25 00:00:00 040010340 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-10-03 00:00:00 2012-12-18 00:00:00 No 2014-05-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 1EOD11 None None None SFY2013-14
040000069 ORCHARD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2015-02-19 00:00:00 040011281 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-09-04 00:00:00 2013-12-04 00:00:00 Yes 2015-03-06 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 9HQI11 None None None SFY2014-15
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2017-05-04 00:00:00 040013168 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-08-23 00:00:00 2015-11-22 00:00:00 Yes 2017-05-19 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None GT2T11 None None None SFY2016-17
040000050 GOLDEN MERCED CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2018-09-06 00:00:00 040014369 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-01-24 00:00:00 2017-04-25 00:00:00 No 2018-09-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3OQL11 None None None SFY2018-19
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2018-09-24 00:00:00 040014416 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-10-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None MOWV11 None None None SFY2018-19
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2018-10-30 00:00:00 040014523 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 Yes 2018-11-14 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None T1BP11 None None None SFY2018-19
040000050 GOLDEN MERCED CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2019-06-13 00:00:00 040015133 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-06-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZUOQ11 None None None SFY2018-19
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-08-19 00:00:00 040016937 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None S3V811 None None None SFY2021-22
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2022-06-22 00:00:00 040017710 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZXID11 None None None SFY2021-22
040000018 PALMS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2022-12-07 00:00:00 040018186 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-28 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None JRK811 None None None SFY2022-23
040001040 WILLOW CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-02-28 00:00:00 040018248 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-21 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 8PMC11 None None None SFY2022-23
040000033 VINEYARDS AT FOWLER LTC SNF Skilled Nursing Facility Fresno 2023-02-01 00:00:00 040018356 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-23 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None VF3P11 None None None SFY2022-23
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-04-05 00:00:00 040018587 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-26 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None XHTL11 None None None SFY2022-23
050000049 GREENFIELD CARE CENTER OF FILLMORE, LLC LTC SNF Skilled Nursing Facility Ventura 2012-08-31 00:00:00 050009470 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-03-05 00:00:00 2012-05-20 00:00:00 Yes 2012-09-15 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 1INC11 None None None SFY2012-13
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2013-03-13 00:00:00 050009774 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 No 2013-03-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 0E0411 None None None SFY2012-13
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2013-03-19 00:00:00 050009785 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-03-05 00:00:00 2012-05-20 00:00:00 No 2013-04-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None PLKP11 None None None SFY2012-13
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2014-01-02 00:00:00 050010311 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 No 2014-01-17 00:00:00 None AP NHPPD UNCOLLECTABLE 15000 15000 -6449.86 8550.14 0 None N2OL11 None None None SFY2013-14
050000005 COUNTRY CARE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Ventura 2017-09-28 00:00:00 050013511 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-01-26 00:00:00 2016-04-26 00:00:00 No 2017-10-13 00:00:00 None AP NHPPD None 15000 15000 -15000 0 0 None JMYB11 None None None SFY2017-18
050000068 SANTA PAULA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Ventura 2018-09-25 00:00:00 050014418 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2017-03-14 00:00:00 2017-06-13 00:00:00 No 2018-10-10 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None M8H011 None None None SFY2018-19
050000069 VALLE VERDE HEALTH FACILITY LTC SNF Skilled Nursing Facility Ventura 2021-04-13 00:00:00 050016402 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-04-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RYKB11 None None None SFY2020-21
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2021-04-09 00:00:00 050016413 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None MN8D11 None None None SFY2020-21
050000043 OJAI HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Ventura 2021-08-04 00:00:00 050016770 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-08-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None SMVC11 None None None SFY2021-22
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2021-08-17 00:00:00 050016824 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None BUP511 None None None SFY2021-22
050000062 THE CALIFORNIAN LTC SNF Skilled Nursing Facility Ventura 2021-09-01 00:00:00 050016876 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 2GOY11 None None None SFY2021-22
060000031 ANAHEIM CREST NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2014-07-31 00:00:00 060010884 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-09-08 00:00:00 2013-12-08 00:00:00 Yes 2014-08-15 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None Q3S211 None None None SFY2014-15
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2016-05-03 00:00:00 060012217 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-03-17 00:00:00 2015-06-16 00:00:00 No 2016-05-18 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None UK7911 None None None SFY2015-16
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2017-11-07 00:00:00 060013589 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2017-11-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None HMIG11 None None None SFY2017-18
060001058 WALNUT VILLAGE REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility Orange 2018-08-01 00:00:00 060014278 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-11-28 00:00:00 2017-02-27 00:00:00 No 2018-08-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Z0XN11 None None None SFY2018-19
060000054 HUNTINGTON VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2019-05-02 00:00:00 060014998 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-11-01 00:00:00 2018-01-29 00:00:00 No 2019-05-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 24Y311 None None None SFY2018-19
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2021-07-13 00:00:00 060016714 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None GOT211 None None None SFY2021-22
060000089 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2021-09-15 00:00:00 060016898 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-09-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None J94E11 None None None SFY2021-22
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2023-01-19 00:00:00 060018327 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 9NV911 None None None SFY2022-23
060000033 PELICAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2024-01-10 00:00:00 060019541 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-01-31 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None YM8H11 None None None SFY2023-24
070000068 HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER LTC SNF Skilled Nursing Facility San Jose 2013-02-11 00:00:00 070009161 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-11-01 00:00:00 2012-01-28 00:00:00 Yes 2013-02-26 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None X1ZU11 None None None SFY2012-13
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2012-10-31 00:00:00 070009495 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-02-21 00:00:00 2012-05-07 00:00:00 Yes 2012-11-15 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None YQYJ11 None None None SFY2012-13
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2013-10-10 00:00:00 070010174 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2012-02-14 00:00:00 2012-04-30 00:00:00 No 2013-10-25 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None P7RT11 None None None SFY2013-14
070000038 CRESTHAVEN SKILLED NURSING FACILITY, INC. LTC SNF Skilled Nursing Facility San Jose 2016-04-21 00:00:00 070012208 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-03-17 00:00:00 2015-06-16 00:00:00 No 2016-05-06 00:00:00 None AP NHPPD None 15000 15000 -15000 0 0 None MX2V11 None None None SFY2015-16
070000027 CARMEL HILLS CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-08-05 00:00:00 070016789 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None C29Q11 None None None SFY2021-22
070000034 CARMEL VALLEY MANOR LTC SNF Skilled Nursing Facility San Jose 2022-03-09 00:00:00 070017459 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2021-12-31 00:00:00 No 2022-03-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None V7Z811 None None None SFY2021-22
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-04-19 00:00:00 070017566 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None O7RM11 None None None SFY2021-22
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-01-04 00:00:00 070019540 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-25 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 01SI11 None None None SFY2023-24
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2012-06-06 00:00:00 080009353 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-03-05 00:00:00 2012-05-20 00:00:00 No 2012-06-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZJ6211 None None None SFY2011-12
080000017 THE ROYAL HOME LTC SNF Skilled Nursing Facility San Diego 2012-09-12 00:00:00 080009492 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2011-10-11 00:00:00 2012-01-07 00:00:00 Yes 2012-09-27 00:00:00 None AP NHPPD UPHELD 30000 30000 0 30000 0 None OVZD11 None None None SFY2012-13
080000222 OCEAN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2014-01-09 00:00:00 080010306 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-11-15 00:00:00 2013-01-30 00:00:00 Yes 2014-01-24 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None SSZ911 None None None SFY2013-14
080000050 PALOMAR VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2014-01-17 00:00:00 080010313 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-10-10 00:00:00 2012-12-25 00:00:00 Yes 2014-02-01 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None KFKU11 None None None SFY2013-14
080000056 ABBY GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2015-03-12 00:00:00 080011309 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-07-21 00:00:00 2014-10-20 00:00:00 No 2015-03-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6ZZ711 None None None SFY2014-15
080000062 PARKWAY HILLS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility San Diego 2017-04-27 00:00:00 080013146 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-08-24 00:00:00 2015-11-23 00:00:00 No 2017-05-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None XFFL11 None None None SFY2016-17
090000067 IMPERIAL MANOR LTC SNF Skilled Nursing Facility San Diego 2012-08-31 00:00:00 090009467 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-11-28 00:00:00 2012-02-12 00:00:00 No 2012-09-15 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None MP3X11 None None None SFY2012-13
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2013-04-19 00:00:00 090009839 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-07-04 00:00:00 2011-09-30 00:00:00 No 2013-05-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None J57V11 None None None SFY2012-13
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2013-05-20 00:00:00 090009890 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-02-09 00:00:00 2012-04-25 00:00:00 No 2013-06-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 06PK11 None None None SFY2012-13
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2014-05-01 00:00:00 090010352 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 No 2014-05-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None YZ7Q11 None None None SFY2013-14
090000067 IMPERIAL MANOR LTC SNF Skilled Nursing Facility San Diego 2014-11-26 00:00:00 090011131 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-01-26 00:00:00 2014-04-27 00:00:00 No 2014-12-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3N8G11 None None None SFY2014-15
090000071 LEMON GROVE CARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2018-03-06 00:00:00 090013854 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-10-10 00:00:00 2017-01-09 00:00:00 No 2018-03-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JFID11 None None None SFY2017-18
090000029 ARROYO VISTA NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2018-06-21 00:00:00 090014160 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-01-04 00:00:00 2017-04-05 00:00:00 No 2018-07-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 8VQC11 None None None SFY2017-18
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2018-07-26 00:00:00 090014259 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-02-06 00:00:00 2017-05-08 00:00:00 Yes 2018-08-10 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 0G4L11 None None None SFY2018-19
090000102 AMAYA SPRINGS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2018-08-28 00:00:00 090014351 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-02-27 00:00:00 2017-05-29 00:00:00 No 2018-09-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JKGV11 None None None SFY2018-19
090000041 COMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2019-02-21 00:00:00 100014822 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-07-01 00:00:00 2017-09-30 00:00:00 No 2019-03-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Y3WQ11 None None None SFY2018-19
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2019-03-25 00:00:00 100014894 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-10-01 00:00:00 2017-12-31 00:00:00 No 2019-04-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 163D11 None None None SFY2018-19
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2019-04-15 00:00:00 100014926 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-10-01 00:00:00 2017-12-31 00:00:00 No 2019-04-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Q8QY11 None None None SFY2018-19
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2019-05-21 00:00:00 100015070 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-06-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None OG7B11 None None None SFY2018-19
080000007 BOULDER CREEK POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2019-12-03 00:00:00 100015528 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2017-10-09 00:00:00 2018-01-08 00:00:00 No 2019-12-18 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None Y1K611 None None None SFY2019-20
090000003 MAGNOLIA POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2021-09-15 00:00:00 100016899 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2021-12-31 00:00:00 No 2021-09-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None HNTD11 None None None SFY2021-22
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2021-10-07 00:00:00 100016972 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WY0G11 None None None SFY2021-22
080000060 THE SHORES POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2023-01-12 00:00:00 100018302 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None KPMJ11 None None None SFY2022-23
090000046 UNIVERSITY CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-07-18 00:00:00 100018938 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-08-08 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None IIET11 None None None SFY2023-24
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2012-03-23 00:00:00 110009118 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-06-09 00:00:00 2011-09-05 00:00:00 No 2012-04-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None L6QK11 None None None SFY2011-12
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2013-01-08 00:00:00 110009527 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-01-27 00:00:00 2012-04-12 00:00:00 Yes 2013-01-23 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 4HXX11 None None None SFY2012-13
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2014-04-25 00:00:00 110010373 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-09-26 00:00:00 2012-12-11 00:00:00 No 2014-05-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None DNYH11 None None None SFY2013-14
010000980 NORTHGATE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2014-12-30 00:00:00 110011188 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2014-02-26 00:00:00 2014-05-28 00:00:00 No 2015-01-14 00:00:00 None AP NHPPD UNCOLLECTABLE 30000 30000 -30000 0 0 None 5SGO11 None None None SFY2014-15
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2016-03-15 00:00:00 110012061 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-03-17 00:00:00 2015-06-16 00:00:00 No 2016-03-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 25QV11 None None None SFY2015-16
010000082 REDWOOD COVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2017-02-16 00:00:00 110012960 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-11-15 00:00:00 2016-02-14 00:00:00 No 2017-03-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None QB4L11 None None None SFY2016-17
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2017-06-08 00:00:00 110013245 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2017-06-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None U63R11 None None None SFY2016-17
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2018-01-16 00:00:00 110013548 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-01-12 00:00:00 2016-04-12 00:00:00 Yes 2018-01-31 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None U7O811 None None None SFY2017-18
010000949 PINE RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2018-06-13 00:00:00 110014131 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-06 00:00:00 2017-06-05 00:00:00 Yes 2018-06-28 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None AH1I11 None None None SFY2017-18
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2019-04-18 00:00:00 110014953 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-02-05 00:00:00 2018-05-07 00:00:00 No 2019-05-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FOCF11 None None None SFY2018-19
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2019-05-02 00:00:00 110014999 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-05-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None B1OC11 None None None SFY2018-19
110000053 PINER'S NURSING HOME LTC SNF Skilled Nursing Facility Santa Rosa 2021-07-08 00:00:00 110016707 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None QTZV11 None None None SFY2021-22
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2021-07-22 00:00:00 110016723 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-08-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None R0EJ11 None None None SFY2021-22
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-09-21 00:00:00 110016912 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None DEZD11 None None None SFY2021-22
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-01-19 00:00:00 110018247 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-02-09 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None XJZF11 None None None SFY2022-23
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2024-04-10 00:00:00 110019946 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-01 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None BESW11 None None None SFY2023-24
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2012-12-31 00:00:00 120009524 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 Yes 2013-01-15 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None JPBR11 None None None SFY2012-13
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2013-02-19 00:00:00 120009736 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 Yes 2013-03-06 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None C4KA11 None None None SFY2012-13
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2014-04-08 00:00:00 120010337 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-11-26 00:00:00 2013-02-10 00:00:00 No 2014-04-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None PSTZ11 None None None SFY2013-14
120000377 KINGSTON HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Bakersfield 2014-06-06 00:00:00 120010338 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-01-01 00:00:00 2013-03-18 00:00:00 Yes 2014-06-21 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 2IXS11 None None None SFY2013-14
120000323 BELLA SERA LTC SNF Skilled Nursing Facility Bakersfield 2014-07-29 00:00:00 120010878 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2013-11-26 00:00:00 2014-02-25 00:00:00 Yes 2014-08-13 00:00:00 None AP NHPPD CHOW- SETTLEMENT 30000 9000 0 9000 0 None D4WG11 None None None SFY2014-15
120000331 HEIGHT STREET SKILLED CARE LTC SNF Skilled Nursing Facility Bakersfield 2015-02-05 00:00:00 120011248 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-01-12 00:00:00 2014-04-13 00:00:00 Yes 2015-02-20 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None B7PI11 None None None SFY2014-15
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2021-07-20 00:00:00 120016742 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None C5PE11 None None None SFY2021-22
120001526 LINDSAY GARDENS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Bakersfield 2023-01-31 00:00:00 120018353 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-22 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 1IKH11 None None None SFY2022-23
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2023-02-08 00:00:00 120018371 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-02 00:00:00 2020-09-30 00:00:00 No 2023-03-02 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None DDEJ11 None None None SFY2022-23
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2023-10-03 00:00:00 120019200 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-10-24 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None FR6K11 None None None SFY2023-24
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2019-08-13 00:00:00 170015279 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-10-01 00:00:00 2017-12-31 00:00:00 No 2019-08-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None SIDU11 None None None SFY2019-20
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-08-13 00:00:00 170015280 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-07-01 00:00:00 2017-09-30 00:00:00 No 2019-08-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9SGI11 None None None SFY2019-20
220000020 LAWTON SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Francisco 2018-08-09 00:00:00 220014309 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-02-21 00:00:00 2017-05-23 00:00:00 No 2018-08-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None OIIS11 None None None SFY2018-19
220000046 CENTRAL GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2018-08-15 00:00:00 220014322 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-02-23 00:00:00 2017-05-25 00:00:00 No 2018-08-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 1EXU11 None None None SFY2018-19
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2019-05-21 00:00:00 220015073 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-06-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None KYF611 None None None SFY2018-19
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2019-07-30 00:00:00 220015242 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-08-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None M7JN11 None None None SFY2019-20
220000045 CARLMONT GARDENS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2021-07-27 00:00:00 220016766 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None HRNV11 None None None SFY2021-22
220000971 SAN FRANCISCO TOWERS LTC SNF Skilled Nursing Facility San Francisco 2021-09-01 00:00:00 220016931 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None BUCP11 None None None SFY2021-22
220000077 PACIFIC HEIGHTS TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2024-01-23 00:00:00 220019623 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None G3SO11 None None None SFY2023-24
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2012-10-12 00:00:00 230009519 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-02-23 00:00:00 2012-05-09 00:00:00 Yes 2012-10-27 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None NC6N11 None None None SFY2012-13
230000279 CRYSTAL RIDGE CARE CENTER LTC SNF Skilled Nursing Facility Chico 2012-11-29 00:00:00 230009526 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-10-10 00:00:00 2012-01-06 00:00:00 No 2012-12-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RQ6X11 None None None SFY2012-13
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2013-02-14 00:00:00 230009528 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-07-11 00:00:00 2011-10-07 00:00:00 Yes 2013-03-01 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None D12Z11 None None None SFY2012-13
230000031 CYPRESS MEADOWS POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2013-07-15 00:00:00 230009995 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-06-20 00:00:00 2011-09-16 00:00:00 No 2013-07-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7Q0211 None None None SFY2013-14
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-07-11 00:00:00 230010846 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-09-22 00:00:00 2013-12-22 00:00:00 Yes 2014-07-26 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None FH3111 None None None SFY2014-15
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2014-09-18 00:00:00 230011002 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-03-11 00:00:00 2014-06-10 00:00:00 No 2014-10-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RO5111 None None None SFY2014-15
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2015-02-24 00:00:00 230011278 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-03-17 00:00:00 2014-06-16 00:00:00 No 2015-03-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None V6NI11 None None None SFY2014-15
230000027 SHASTA VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2016-07-22 00:00:00 230012395 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-09-28 00:00:00 2015-12-28 00:00:00 No 2016-08-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 2BMH11 None None None SFY2016-17
230000278 MARYSVILLE POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2017-05-17 00:00:00 230013190 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-12-15 00:00:00 2016-03-15 00:00:00 No 2017-06-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None C0YX11 None None None SFY2016-17
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2017-09-13 00:00:00 230013475 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-11-04 00:00:00 2016-02-03 00:00:00 No 2017-09-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None I1BK11 None None None SFY2017-18
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2018-05-02 00:00:00 230014025 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-10-23 00:00:00 2017-01-22 00:00:00 No 2018-05-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None G60Q11 None None None SFY2017-18
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2019-03-18 00:00:00 230014870 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-04-01 00:00:00 2018-06-30 00:00:00 No 2019-04-02 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 66IU11 None None None SFY2018-19
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2019-05-29 00:00:00 230015105 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-06-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None OFNV11 None None None SFY2018-19
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2019-06-12 00:00:00 230015127 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-06-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CUQ811 None None None SFY2018-19
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2021-04-13 00:00:00 230016403 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-04-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None VJ4H11 None None None SFY2020-21
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2021-07-01 00:00:00 230016677 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None AKKS11 None None None SFY2021-22
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2021-07-01 00:00:00 230016678 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None AKKS11 None None None SFY2021-22
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2021-07-28 00:00:00 230016746 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2021-09-30 00:00:00 Yes 2021-08-12 00:00:00 2021-08-12 00:00:00 AP NHPPD None 15000 15000 0 15000 0 None 4N3K11 None None None SFY2021-22
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2022-09-21 00:00:00 230017988 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2022-10-12 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None HPZP11 None None None SFY2022-23
230000275 YUBA CITY POST ACUTE LTC SNF Skilled Nursing Facility Chico 2023-01-31 00:00:00 230018349 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-02-22 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None U2OL11 None None None SFY2022-23
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2013-07-03 00:00:00 240009962 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-08-01 00:00:00 2011-10-28 00:00:00 No 2013-07-18 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 25OM11 None None None SFY2013-14
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2013-09-04 00:00:00 240010111 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 Yes 2013-09-19 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None OTVU11 None None None SFY2013-14
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2014-02-20 00:00:00 240010326 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 No 2014-03-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None MJDR11 None None None SFY2013-14
240000150 REDLANDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2014-01-09 00:00:00 240010350 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-08-16 00:00:00 2012-10-31 00:00:00 No 2014-01-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None SYIO11 None None None SFY2013-14
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2014-02-20 00:00:00 240010354 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-02-04 00:00:00 2013-06-16 00:00:00 No 2014-03-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 36R111 None None None SFY2013-14
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2014-08-13 00:00:00 240010911 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-01-12 00:00:00 2014-04-13 00:00:00 No 2014-08-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3PD211 None None None SFY2014-15
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2014-09-11 00:00:00 240010983 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-03-09 00:00:00 2014-06-08 00:00:00 Yes 2014-09-26 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None CUUR11 None None None SFY2014-15
240000058 HAVEN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2014-12-17 00:00:00 240011137 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-03-17 00:00:00 2014-06-16 00:00:00 No 2015-01-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None YOFE11 None None None SFY2014-15
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2015-09-02 00:00:00 240011690 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-02-11 00:00:00 2015-05-13 00:00:00 No 2015-09-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None W24Y11 None None None SFY2015-16
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-04-27 00:00:00 240012204 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-03-17 00:00:00 2015-06-16 00:00:00 No 2016-05-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 30RI11 None None None SFY2015-16
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-05-26 00:00:00 240012206 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-03-17 00:00:00 2015-06-16 00:00:00 No 2016-06-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None T38G11 None None None SFY2015-16
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-06-28 00:00:00 240012344 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-08-26 00:00:00 2015-11-25 00:00:00 No 2016-07-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CYI511 None None None SFY2015-16
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2017-01-25 00:00:00 240012885 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-11-17 00:00:00 2016-02-16 00:00:00 Yes 2017-02-09 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None HU8L11 None None None SFY2016-17
240000047 RIALTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-01-11 00:00:00 240013704 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-02-29 00:00:00 2016-05-30 00:00:00 No 2018-01-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None YFM711 None None None SFY2017-18
240000090 ONTARIO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-06-28 00:00:00 240014177 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-01-30 00:00:00 2017-05-01 00:00:00 No 2018-07-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 0LV311 None None None SFY2017-18
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-08-28 00:00:00 240014350 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-09-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None UCFL11 None None None SFY2018-19
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-09-12 00:00:00 240014390 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-09-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None W3QE11 None None None SFY2018-19
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-10-15 00:00:00 240014469 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-10-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WGNC11 None None None SFY2018-19
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-10-15 00:00:00 240014470 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-10-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None TPQO11 None None None SFY2018-19
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2018-12-10 00:00:00 240014620 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-12-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None O56M11 None None None SFY2018-19
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2019-08-29 00:00:00 240015342 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-12-04 00:00:00 2018-03-05 00:00:00 No 2019-09-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None E8HI11 None None None SFY2019-20
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2020-08-06 00:00:00 240015958 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-01 00:00:00 2018-12-31 00:00:00 No 2020-08-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4VBM11 None None None SFY2020-21
240000090 ONTARIO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2021-06-01 00:00:00 240016540 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-06-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FCET11 None None None SFY2020-21
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2021-08-20 00:00:00 240016811 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6JFI11 None None None SFY2021-22
240000152 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2022-12-07 00:00:00 240018185 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-28 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None C27V11 None None None SFY2022-23
240001011 APPLE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-01-12 00:00:00 240018301 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 9KED11 None None None SFY2022-23
240000063 GRAND TERRACE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-02-08 00:00:00 240018370 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-02 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 5YK611 None None None SFY2022-23
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2013-12-16 00:00:00 250010300 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-03-12 00:00:00 2013-05-27 00:00:00 Yes 2013-12-31 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None PD0I11 None None None SFY2013-14
250000154 VISTA PACIFICA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Riverside 2014-02-04 00:00:00 250010323 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-01-24 00:00:00 2013-04-10 00:00:00 Yes 2014-02-19 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 1PMP11 None None None SFY2013-14
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2015-01-26 00:00:00 250011237 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-03-17 00:00:00 2014-06-16 00:00:00 No 2015-02-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None XB7J11 None None None SFY2014-15
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2015-06-10 00:00:00 250011519 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-12-01 00:00:00 2015-02-26 00:00:00 No 2015-06-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None H3N911 None None None SFY2014-15
250000073 RIVERSIDE POSTACUTE CARE LTC SNF Skilled Nursing Facility Riverside 2018-07-19 00:00:00 250014236 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-12-19 00:00:00 2017-03-20 00:00:00 No 2018-08-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JTDW11 None None None SFY2018-19
250000081 RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility Riverside 2018-07-25 00:00:00 250014246 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2016-08-14 00:00:00 2016-11-13 00:00:00 No 2018-08-09 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None IYKE11 None None None SFY2018-19
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2019-04-24 00:00:00 250014965 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-05-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None I10P11 None None None SFY2018-19
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2019-05-06 00:00:00 250015006 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-11-01 00:00:00 2018-01-31 00:00:00 No 2019-05-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 34WM11 None None None SFY2018-19
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2019-06-19 00:00:00 250015157 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-07-04 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None CQ9Z11 None None None SFY2018-19
250000095 THE GROVE CARE AND WELLNESS LTC SNF Skilled Nursing Facility Riverside 2021-08-13 00:00:00 250016788 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-08-28 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 5V5511 None None None SFY2021-22
250000098 MENIFEE LAKES POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2021-11-15 00:00:00 250017073 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 89DH11 None None None SFY2021-22
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2022-12-21 00:00:00 250018241 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-01-12 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 5D9611 None None None SFY2022-23
250000043 COMMUNITY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2023-02-22 00:00:00 250018413 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None X6Z911 None None None SFY2022-23
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2019-08-07 00:00:00 810015265 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 Yes 2019-08-22 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 8BIN11 None None None SFY2019-20
250000061 DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2019-08-16 00:00:00 810015301 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 Yes 2019-08-31 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None U17G11 None None None SFY2019-20
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-08-21 00:00:00 810015314 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-07-01 00:00:00 2017-09-30 00:00:00 No 2019-09-05 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None O2WB11 None None None SFY2019-20
100000059 DOUBLE TREE POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2019-08-29 00:00:00 810015341 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-25 00:00:00 2018-06-24 00:00:00 No 2019-09-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CXZ211 None None None SFY2019-20
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-10-14 00:00:00 810015360 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-04-09 00:00:00 2018-04-12 00:00:00 No 2019-10-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None NY2M11 None None None SFY2019-20
090000063 SAN DIEGO POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Diego 2019-10-14 00:00:00 810015361 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-10-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None M0L111 None None None SFY2019-20
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2019-09-30 00:00:00 810015406 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-10-15 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None QDGI11 None None None SFY2019-20
220000046 CENTRAL GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2019-10-14 00:00:00 810015442 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-10-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JNE811 None None None SFY2019-20
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-10-14 00:00:00 810015444 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-10-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None W5Y311 None None None SFY2019-20
090000034 PARKSIDE HEALTH AND WELLNESS CENTER LTC SNF Skilled Nursing Facility San Diego 2019-10-22 00:00:00 810015456 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-11-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RPED11 None None None SFY2019-20
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2019-10-22 00:00:00 810015457 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-11-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None C4WY11 None None None SFY2019-20
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2019-11-04 00:00:00 810015488 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-11-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WUQS11 None None None SFY2019-20
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2019-12-10 00:00:00 810015491 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-01-01 00:00:00 2018-03-31 00:00:00 No 2019-12-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None O3HT11 None None None SFY2019-20
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2020-04-20 00:00:00 810015771 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-02-14 00:00:00 2018-05-16 00:00:00 No 2020-05-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5WED11 None None None SFY2019-20
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2020-07-13 00:00:00 810015926 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-07-30 00:00:00 2018-10-29 00:00:00 No 2020-08-04 00:00:00 None AP NHPPD None 0 0 0 0 0 None NSG411 None None None SFY2020-21
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2020-07-09 00:00:00 810015927 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-10-01 00:00:00 2018-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Y5TF11 None None None SFY2020-21
090000006 MOUNT MIGUEL COVENANT VILLAGE HEALTH FACILITY LTC SNF Skilled Nursing Facility San Diego 2020-07-27 00:00:00 810015928 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-07-01 00:00:00 2018-09-30 00:00:00 No 2020-08-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5GMO11 None None None SFY2020-21
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2020-07-27 00:00:00 810015934 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-09-18 00:00:00 2018-12-18 00:00:00 No 2020-08-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None K9OJ11 None None None SFY2020-21
080000062 PARKWAY HILLS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility San Diego 2020-08-04 00:00:00 810015953 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-07-31 00:00:00 2018-10-30 00:00:00 No 2020-08-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CEL811 None None None SFY2020-21
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2020-09-15 00:00:00 810015955 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-01-01 00:00:00 2019-03-31 00:00:00 Yes 2020-09-30 00:00:00 2020-10-01 00:00:00 AP NHPPD None 15000 15000 0 15000 0 None HGP911 None None None SFY2020-21
220000047 ATHERTON PARK POST-ACUTE LTC SNF Skilled Nursing Facility San Francisco 2020-08-04 00:00:00 810015956 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-03-17 00:00:00 2019-06-16 00:00:00 No 2020-08-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FRZF11 None None None SFY2020-21
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2020-07-30 00:00:00 810015959 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-03-31 00:00:00 2019-06-30 00:00:00 No 2020-08-21 00:00:00 None AP NHPPD None 0 0 -15000 0 -15000 None MKI211 None None None SFY2020-21
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2020-08-06 00:00:00 810015960 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-07-01 00:00:00 2018-09-30 00:00:00 No 2020-08-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JSLE11 None None None SFY2020-21
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2020-11-05 00:00:00 810015961 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-01-09 00:00:00 2019-04-10 00:00:00 No 2020-11-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7CU111 None None None SFY2020-21
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-08-06 00:00:00 810015962 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-03-17 00:00:00 2019-06-16 00:00:00 No 2020-08-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None KBNQ11 None None None SFY2020-21
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2020-08-14 00:00:00 810015966 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-01-01 00:00:00 2019-03-31 00:00:00 No 2020-08-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None LMJK11 None None None SFY2020-21
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-06-25 00:00:00 810016003 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-10-01 00:00:00 2018-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 46NG11 None None None SFY2019-20
030000063 GOLD COUNTRY HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-06-25 00:00:00 810016004 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-10-08 00:00:00 2019-01-07 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None FU4K11 None None None SFY2019-20
030001615 GOLDEN SONORA CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2020-07-30 00:00:00 810016005 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-11-28 00:00:00 2019-02-27 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 0Q1C11 None None None SFY2020-21
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2020-07-02 00:00:00 810016006 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-01-01 00:00:00 2019-03-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None SDQU11 None None None SFY2020-21
090000003 MAGNOLIA POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2020-06-18 00:00:00 810016007 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-10-01 00:00:00 2018-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Y61Y11 None None None SFY2019-20
090000061 GOLDEN HILL POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2020-07-02 00:00:00 810016008 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-01-01 00:00:00 2019-03-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None GG0A11 None None None SFY2020-21
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2020-07-02 00:00:00 810016009 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-01-01 00:00:00 2019-03-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None UUFV11 None None None SFY2020-21
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2020-08-04 00:00:00 810016010 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-07-31 00:00:00 2018-10-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None MJGW11 None None None SFY2020-21
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2020-07-02 00:00:00 810016011 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-01-01 00:00:00 2019-03-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 79UD11 None None None SFY2020-21
140000122 THE VINEYARDS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2020-07-30 00:00:00 810016012 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-10-01 00:00:00 2018-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None XT7C11 None None None SFY2020-21
230000460 RIVER VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Chico 2020-07-09 00:00:00 810016013 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-10-01 00:00:00 2018-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Y5TF11 None None None SFY2020-21
940000020 COSTA DEL SOL HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2020-07-30 00:00:00 810016014 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-07-30 00:00:00 2018-10-29 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None VWXU11 None None None SFY2020-21
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2020-07-09 00:00:00 810016015 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-01-01 00:00:00 2019-03-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 376L11 None None None SFY2020-21
940000089 PACIFIC CARE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-07-14 00:00:00 810016016 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-03-14 00:00:00 2019-06-13 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Q0MC11 None None None SFY2020-21
010000959 MARIN POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2020-09-17 00:00:00 810016022 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-01 00:00:00 2018-12-31 00:00:00 No 2020-10-02 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9JTP11 None None None SFY2020-21
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2020-09-29 00:00:00 810016023 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-01-01 00:00:00 2019-03-31 00:00:00 No 2020-10-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None T19T11 None None None SFY2020-21
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2020-09-29 00:00:00 810016042 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-11-25 00:00:00 2019-02-24 00:00:00 No 2020-10-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None LQSW11 None None None SFY2020-21
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-10-06 00:00:00 810016067 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-07-25 00:00:00 2018-10-24 00:00:00 No 2020-10-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None QZL611 None None None SFY2020-21
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2020-10-06 00:00:00 810016068 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-07-01 00:00:00 2018-09-30 00:00:00 No 2020-10-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None TOYB11 None None None SFY2020-21
080000761 SANTA FE POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2020-10-06 00:00:00 810016069 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-01 00:00:00 2018-12-31 00:00:00 No 2020-10-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None IR7311 None None None SFY2020-21
060000117 BONITA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2020-07-14 00:00:00 810016073 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-07-17 00:00:00 2018-10-16 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None TDYD11 None None None SFY2020-21
050000549 BUENA VISTA CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2020-09-03 00:00:00 810016074 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-10-21 00:00:00 2019-01-20 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 8BIC11 None None None SFY2020-21
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2020-09-15 00:00:00 810016075 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-07-01 00:00:00 2018-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None OVMT11 None None None SFY2020-21
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2020-09-15 00:00:00 810016076 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-07-01 00:00:00 2018-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None YMUI11 None None None SFY2020-21
020000087 CROWN BAY NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2020-09-15 00:00:00 810016078 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-12-31 00:00:00 2019-04-01 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None P1QC11 None None None SFY2020-21
230000027 SHASTA VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2020-09-17 00:00:00 810016079 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2018-07-16 00:00:00 2018-10-15 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None UKWN11 None None None SFY2020-21
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2020-10-12 00:00:00 810016080 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-03-17 00:00:00 2019-06-16 00:00:00 No 2020-10-27 00:00:00 None AP NHPPD None 30000 30000 0 0 30000 None G05D11 None None None SFY2020-21
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-10-13 00:00:00 810016081 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-01-01 00:00:00 2019-03-31 00:00:00 No 2020-10-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ESDJ11 None None None SFY2020-21
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2020-10-22 00:00:00 810016094 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-01-01 00:00:00 2019-03-31 00:00:00 No 2020-11-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7C3911 None None None SFY2020-21
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2020-10-26 00:00:00 810016105 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-03-17 00:00:00 2019-06-16 00:00:00 No 2020-11-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None UMLJ11 None None None SFY2020-21
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-10-26 00:00:00 810016106 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-01-01 00:00:00 2019-03-31 00:00:00 No 2020-11-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZRDY11 None None None SFY2020-21
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2020-10-26 00:00:00 810016108 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-01 00:00:00 2018-12-31 00:00:00 No 2020-11-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None KQVG11 None None None SFY2020-21
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2020-11-05 00:00:00 810016118 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-14 00:00:00 2019-01-13 00:00:00 No 2020-11-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 63E611 None None None SFY2020-21
120001462 ORCHARDS AT TULARE LTC SNF Skilled Nursing Facility Bakersfield 2020-11-05 00:00:00 810016123 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-02-01 00:00:00 2019-04-30 00:00:00 No 2020-11-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None OGKS11 None None None SFY2020-21
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2020-11-09 00:00:00 810016124 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-03-17 00:00:00 2019-06-16 00:00:00 No 2020-11-24 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 5F4B11 None None None SFY2020-21
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-11-09 00:00:00 810016126 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-01 00:00:00 2018-12-31 00:00:00 Yes 2020-11-24 00:00:00 2020-11-30 00:00:00 AP NHPPD None 15000 15000 0 15000 0 None C59L11 None None None SFY2020-21
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2020-11-09 00:00:00 810016127 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-03-17 00:00:00 2019-06-16 00:00:00 No 2020-11-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None NV3H11 None None None SFY2020-21
070000095 A GRACE SUB ACUTE & SKILLED CARE LTC SNF Skilled Nursing Facility San Jose 2020-11-10 00:00:00 810016128 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-03-31 00:00:00 2019-06-30 00:00:00 No 2020-11-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3CHX11 None None None SFY2020-21
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2020-12-17 00:00:00 810016129 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-07-01 00:00:00 2018-09-30 00:00:00 No 2021-01-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None X3W511 None None None SFY2020-21
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2020-12-15 00:00:00 810016130 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-15 00:00:00 2019-01-14 00:00:00 No 2020-12-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 33SM11 None None None SFY2020-21
030000085 THE PINES AT PLACERVILLE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2020-12-28 00:00:00 810016201 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-01 00:00:00 2018-12-31 00:00:00 No 2021-01-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4RAM11 None None None SFY2020-21
040000058 MAJESTIC MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2020-12-28 00:00:00 810016202 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-03-17 00:00:00 2019-06-16 00:00:00 No 2021-01-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9JGB11 None None None SFY2020-21
080000820 COUNTRY HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2020-12-30 00:00:00 810016210 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-01 00:00:00 2018-12-31 00:00:00 No 2021-01-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None V8PI11 None None None SFY2020-21
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2021-01-05 00:00:00 810016212 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-10-01 00:00:00 2018-12-31 00:00:00 No 2021-01-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 32XK11 None None None SFY2020-21
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2021-01-08 00:00:00 810016221 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-01-01 00:00:00 2019-03-31 00:00:00 No 2021-01-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 1F7S11 None None None SFY2020-21
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2021-01-14 00:00:00 810016223 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-04-01 00:00:00 2019-06-30 00:00:00 No 2021-01-29 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None GXF511 None None None SFY2020-21
230000802 COUNTRY CREST POST-ACUTE LTC SNF Skilled Nursing Facility Chico 2021-02-05 00:00:00 810016257 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-02-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Q74711 None None None SFY2020-21
920000074 PROVIDENCE ST. ELIZABETH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-02-11 00:00:00 810016266 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-02-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 2FU111 None None None SFY2020-21
230000027 SHASTA VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2021-02-17 00:00:00 810016273 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None PHGJ11 None None None SFY2020-21
080000062 PARKWAY HILLS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility San Diego 2021-02-17 00:00:00 810016274 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None QG5D11 None None None SFY2020-21
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2021-02-24 00:00:00 810016287 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4CIJ11 None None None SFY2020-21
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-02-24 00:00:00 810016291 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None H2K011 None None None SFY2020-21
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-03-02 00:00:00 810016296 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-17 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 3I2311 None None None SFY2020-21
040000036 MANNING GARDENS CARE CENTER, INC. LTC SNF Skilled Nursing Facility Fresno 2021-03-02 00:00:00 810016297 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-05 00:00:00 2019-09-30 00:00:00 No 2021-03-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6TX011 None None None SFY2020-21
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2021-03-04 00:00:00 810016306 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-19 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 9Q3811 None None None SFY2020-21
940000017 DOWNEY POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-03-10 00:00:00 810016313 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CUE011 None None None SFY2020-21
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2021-03-10 00:00:00 810016319 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None EY4911 None None None SFY2020-21
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2021-03-17 00:00:00 810016332 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-04-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9FUB11 None None None SFY2020-21
040000037 SIERRA VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2021-03-17 00:00:00 810016333 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-04-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5PB711 None None None SFY2020-21
040001040 WILLOW CREEK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-03-25 00:00:00 810016356 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-04-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9PXQ11 None None None SFY2020-21
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2021-03-25 00:00:00 810016357 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-04-09 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 12S711 None None None SFY2020-21
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-04-01 00:00:00 810016375 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-04-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 8L5X11 None None None SFY2020-21
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-04-20 00:00:00 810016401 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-05-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None C50C11 None None None SFY2020-21
090000044 BELLA VISTA HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2021-04-19 00:00:00 810016415 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-12-10 00:00:00 No 2021-05-04 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 7KUY11 None None None SFY2020-21
230000029 CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2021-04-22 00:00:00 810016420 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-05-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None MISS11 None None None SFY2020-21
020000019 VISTA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2021-05-04 00:00:00 810016421 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-05-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None TWZI11 None None None SFY2020-21
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-07-01 00:00:00 810016428 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-05-21 00:00:00 None AP NHPPD None 0 0 0 0 0 None R7JM11 None None None SFY2021-22
040000018 PALMS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-05-06 00:00:00 810016429 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-05-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None VNZR11 None None None SFY2020-21
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-05-03 00:00:00 810016444 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-05-18 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None LO4W11 None None None SFY2020-21
230000283 ALMOND VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2021-05-11 00:00:00 810016451 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-05-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3PQR11 None None None SFY2020-21
080000014 REDWOOD TERRACE HEALTH CENTER LTC SNF Skilled Nursing Facility San Diego 2021-07-01 00:00:00 810016459 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None RJOO11 None None None SFY2021-22
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2021-05-03 00:00:00 810016460 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None YN6K11 None None None SFY2020-21
120000320 THE ORCHARDS POST-ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2021-05-14 00:00:00 810016462 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-05-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FVOO11 None None None SFY2020-21
040000026 COUNTRYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-06-17 00:00:00 810016508 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None MPOW11 None None None SFY2020-21
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-07-01 00:00:00 810016513 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None ND5N11 None None None SFY2021-22
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-06-29 00:00:00 810016514 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None L5BC11 None None None SFY2020-21
140000138 CREEKSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-07-01 00:00:00 810016515 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None N18Q11 None None None SFY2021-22
240000085 MONTCLAIR MANOR CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2021-06-01 00:00:00 810016516 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-06-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None F5D111 None None None SFY2020-21
090000084 ST. PAUL'S HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2021-06-08 00:00:00 810016544 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-06-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None VJ7F11 None None None SFY2020-21
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2021-09-23 00:00:00 810016556 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-10-08 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None LGJ211 None None None SFY2021-22
070000074 CYPRESS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-06-17 00:00:00 810016561 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-07-02 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 1F8E11 None None None SFY2020-21
240000020 HIGHLAND CARE CENTER OF REDLANDS LTC SNF Skilled Nursing Facility San Bernardino 2021-06-29 00:00:00 810016562 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-07-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None PE8111 None None None SFY2020-21
020000093 EXCELL HEALTH CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-07-01 00:00:00 810016573 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None R5QQ11 None None None SFY2021-22
920000077 ALAMEDA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-06-09 00:00:00 810016576 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None NNT611 None None None SFY2020-21
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2021-07-06 00:00:00 810016578 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-07-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 0RLJ11 None None None SFY2021-22
040000015 BETHEL LUTHERAN HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2021-06-30 00:00:00 810016580 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 32FO11 None None None SFY2020-21
100000290 RIVERWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Stockton 2021-07-01 00:00:00 810016582 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None YN6K11 None None None SFY2021-22
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-05-18 00:00:00 810016583 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None ND5N11 None None None SFY2020-21
070000032 CANTERBURY WOODS LTC SNF Skilled Nursing Facility San Jose 2021-07-01 00:00:00 810016586 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 8QS811 None None None SFY2021-22
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-16 00:00:00 810016587 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None RHMC11 None None None SFY2021-22
120000379 BAKERSFIELD POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2021-06-30 00:00:00 810016590 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 2MVW11 None None None SFY2020-21
240000063 GRAND TERRACE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2021-07-08 00:00:00 810016593 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None CG9Y11 None None None SFY2021-22
240000066 HILLCREST NURSING HOME LTC SNF Skilled Nursing Facility San Bernardino 2021-07-08 00:00:00 810016594 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None X23C11 None None None SFY2021-22
970000081 LEISURE GLEN POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-16 00:00:00 810016595 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 9LY311 None None None SFY2021-22
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-16 00:00:00 810016596 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 1BGZ11 None None None SFY2021-22
140001126 TICE VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2021-06-17 00:00:00 810016598 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None S7N511 None None None SFY2020-21
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2021-06-11 00:00:00 810016599 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 3IQB11 None None None SFY2020-21
030000011 ROCK CREEK CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-06-11 00:00:00 810016601 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None QBGI11 None None None SFY2020-21
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2021-06-30 00:00:00 810016606 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None LK3F11 None None None SFY2020-21
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2021-06-30 00:00:00 810016607 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 14VH11 None None None SFY2020-21
040000061 GRACE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-06-18 00:00:00 810016636 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None UJVO11 None None None SFY2020-21
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2021-06-18 00:00:00 810016637 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None SPGQ11 None None None SFY2020-21
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-06-18 00:00:00 810016638 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 95C411 None None None SFY2020-21
970000001 ALCOTT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-06-18 00:00:00 810016639 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 7HQD11 None None None SFY2020-21
010000951 TIBURON HILLS CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2021-06-18 00:00:00 810016640 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Q4F611 None None None SFY2020-21
030000047 WESTERN SLOPE HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-06-24 00:00:00 810016642 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 00JN11 None None None SFY2020-21
030000063 GOLD COUNTRY HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-06-24 00:00:00 810016643 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None KEPD11 None None None SFY2020-21
040000050 GOLDEN MERCED CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-06-24 00:00:00 810016644 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None FQS311 None None None SFY2020-21
100000010 GUARDIAN CARE AND REHAB CENTER LTC SNF Skilled Nursing Facility Stockton 2021-06-24 00:00:00 810016645 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None FNNV11 None None None SFY2020-21
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2021-06-24 00:00:00 810016646 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None ROY111 None None None SFY2020-21
020000026 BAY VIEW REHABILITATION HOSPITAL, LLC LTC SNF Skilled Nursing Facility East Bay 2021-07-06 00:00:00 810016653 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 Yes 2021-07-21 00:00:00 2021-08-18 00:00:00 AP NHPPD None 30000 30000 0 30000 0 None QZUQ11 None None None SFY2021-22
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2021-06-30 00:00:00 810016667 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None L5C011 None None None SFY2020-21
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-06-30 00:00:00 810016668 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None H64211 None None None SFY2020-21
910000084 SUNNYSIDE NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-06-30 00:00:00 810016669 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None P5EL11 None None None SFY2020-21
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2021-06-30 00:00:00 810016670 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 05HM11 None None None SFY2020-21
140000083 WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility East Bay 2021-06-30 00:00:00 810016671 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None O8TD11 None None None SFY2020-21
970000161 PASADENA GROVE HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-21 00:00:00 810016673 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-08-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6G1T11 None None None SFY2021-22
950000277 BAYSHIRE SAN DIMAS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2021-07-08 00:00:00 810016674 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-07-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None K5GP11 None None None SFY2021-22
090000046 UNIVERSITY CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2021-07-08 00:00:00 810016675 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-07-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6XZK11 None None None SFY2021-22
060000125 THE GROVE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2021-07-08 00:00:00 810016683 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-07-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Y28Y11 None None None SFY2021-22
230000023 OAK RIVER REHAB LTC SNF Skilled Nursing Facility Chico 2021-07-08 00:00:00 810016686 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-07-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7FK011 None None None SFY2021-22
920000061 WOODLAND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-13 00:00:00 810016693 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-07-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None K8JM11 None None None SFY2021-22
920000063 NORTHRIDGE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-06 00:00:00 810016694 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 5SYJ11 None None None SFY2021-22
230000030 RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2021-07-15 00:00:00 810016705 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-07-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JCV711 None None None SFY2021-22
970000005 BRIER OAK ON SUNSET LTC SNF Skilled Nursing Facility LA Region 2 2021-07-15 00:00:00 810016706 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-07-30 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None B0T911 None None None SFY2021-22
240000068 HIGHLAND PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2021-07-21 00:00:00 810016715 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-08-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7HL511 None None None SFY2021-22
250000673 RIVERSIDE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2021-07-22 00:00:00 810016724 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-08-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None H23M11 None None None SFY2021-22
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2021-07-15 00:00:00 810016725 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 4M2U11 None None None SFY2021-22
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2021-09-17 00:00:00 810016726 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-10-02 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None S4YJ11 None None None SFY2021-22
970000066 THE CALIFORNIAN PASADENA HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2021-07-16 00:00:00 810016729 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 2T1O11 None None None SFY2021-22
080000007 BOULDER CREEK POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2021-07-15 00:00:00 810016733 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 747D11 None None None SFY2021-22
920000310 THE GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-07-15 00:00:00 810016734 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None CM5J11 None None None SFY2021-22
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-07-15 00:00:00 810016736 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None AN1R11 None None None SFY2021-22
060000155 TERRACE VIEW CARE CENTER LTC SNF Skilled Nursing Facility Orange 2021-07-27 00:00:00 810016737 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-08-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RI5G11 None None None SFY2021-22
220000048 SAN FRANCISCO POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2021-07-27 00:00:00 810016739 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-08-11 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None W26M11 None None None SFY2021-22
140000030 SAN PABLO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2021-07-27 00:00:00 810016740 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-08-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None AREB11 None None None SFY2021-22
950000033 CHINO VALLEY HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-21 00:00:00 810016744 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None U22P11 None None None SFY2021-22
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-07-20 00:00:00 810016752 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 4BTU11 None None None SFY2021-22
030001819 FULTON GARDENS POST ACUTE, LLC LTC SNF Skilled Nursing Facility Stockton 2021-07-20 00:00:00 810016753 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 3019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None RVZC11 None None None SFY2021-22
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2021-08-02 00:00:00 810016765 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-08-17 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None H6MX11 None None None SFY2021-22
920000071 BURBANK HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-05 00:00:00 810016775 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-08-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 8HY211 None None None SFY2021-22
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2021-08-06 00:00:00 810016779 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-08-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None OVTC11 None None None SFY2021-22
220000046 CENTRAL GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Francisco 2021-08-06 00:00:00 810016780 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-08-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JW8O11 None None None SFY2021-22
010000059 NORTHVINE POSTACUTE CARE LTC SNF Skilled Nursing Facility Santa Rosa 2021-08-09 00:00:00 810016783 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-08-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None H8LO11 None None None SFY2021-22
250000619 SUNDANCE CREEK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2021-08-02 00:00:00 810016784 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None OTUO11 None None None SFY2021-22
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-07-20 00:00:00 810016785 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 9HKG11 None None None SFY2021-22
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2021-08-17 00:00:00 810016799 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None M8DJ11 None None None SFY2021-22
040000064 TWILIGHT HAVEN LTC SNF Skilled Nursing Facility Fresno 2021-08-25 00:00:00 810016802 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WCY511 None None None SFY2021-22
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2021-09-01 00:00:00 810016805 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-16 00:00:00 None AP NHPPD None 15000 15000 -15000 0 0 None RSPW11 None None None SFY2021-22
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2021-08-19 00:00:00 810016806 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-09-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 2I7H11 None None None SFY2021-22
110000063 NAPA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-08-27 00:00:00 810016818 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 84YH11 None None None SFY2021-22
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2021-08-23 00:00:00 810016821 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-09-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3O1211 None None None SFY2021-22
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-31 00:00:00 810016822 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-15 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None NOLQ11 None None None SFY2021-22
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2021-08-27 00:00:00 810016835 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None UMG711 None None None SFY2021-22
970000174 FOOTHILL HEIGHTS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-31 00:00:00 810016840 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 Yes 2021-09-15 00:00:00 2021-09-04 00:00:00 AP NHPPD None 15000 15000 0 15000 0 None ENL011 None None None SFY2021-22
920000059 LAKE BALBOA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-31 00:00:00 810016844 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-09-15 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None X5SP11 None None None SFY2021-22
090000051 BRIGHTON PLACE SAN DIEGO LTC SNF Skilled Nursing Facility San Diego 2021-09-02 00:00:00 810016852 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-09-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RPFC11 None None None SFY2021-22
090000054 FREDERICKA MANOR CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2021-09-02 00:00:00 810016855 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RTX011 None None None SFY2021-22
970000178 VILLA GARDENS HEALTH CARE UNIT LTC SNF Skilled Nursing Facility LA Region 1 2021-08-10 00:00:00 810016861 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 6PLP11 None None None SFY2021-22
950000088 CLARA BALDWIN STOCKER HOME FOR WOMEN LTC SNF Skilled Nursing Facility LA Region 1 2021-09-08 00:00:00 810016867 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None GH3N11 None None None SFY2021-22
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-09-07 00:00:00 810016869 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4JM011 None None None SFY2021-22
030000160 WINDSOR CARE CENTER OF SACRAMENTO LTC SNF Skilled Nursing Facility Sacramento 2021-09-07 00:00:00 810016875 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 014P11 None None None SFY2021-22
070000078 PACIFIC GROVE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Jose 2021-09-08 00:00:00 810016877 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-23 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 3LS411 None None None SFY2021-22
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2021-09-08 00:00:00 810016882 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None W7EV11 None None None SFY2021-22
240000286 MOUNTAIN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2021-09-17 00:00:00 810016885 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-02 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None X8NX11 None None None SFY2021-22
040000058 MAJESTIC MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-09-10 00:00:00 810016888 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-25 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 967311 None None None SFY2021-22
250000026 CORONA POST ACUTE CENTER LTC SNF Skilled Nursing Facility Riverside 2021-08-17 00:00:00 810016893 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 37XG11 None None None SFY2021-22
240000075 LINDA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2021-08-17 00:00:00 810016894 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None BZKT11 None None None SFY2021-22
140000396 SHIELDS NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2021-08-24 00:00:00 810016895 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 8ZEY11 None None None SFY2021-22
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2021-09-30 00:00:00 810016913 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-15 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ETOB11 None None None SFY2021-22
060000029 ST. ELIZABETH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2021-09-21 00:00:00 810016919 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-06 00:00:00 None AP NHPPD None 15000 15000 -15000 0 0 None R5YB11 None None None SFY2021-22
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2021-09-21 00:00:00 810016920 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7VB511 None None None SFY2021-22
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2021-09-24 00:00:00 810016927 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WOR411 None None None SFY2021-22
030000530 OAK RIDGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-08-24 00:00:00 810016933 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 1B5I11 None None None SFY2021-22
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2021-08-17 00:00:00 810016935 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None YDWN11 None None None SFY2021-22
090000064 HILLCREST MANOR SANITARIUM LTC SNF Skilled Nursing Facility San Diego 2021-08-10 00:00:00 810016936 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None FIGU11 None None None SFY2021-22
920000091 TOPANGA TERRACE LTC SNF Skilled Nursing Facility LA Region 2 2021-09-10 00:00:00 810016950 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None E0BE11 None None None SFY2021-22
060000045 BEACHSIDE NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2021-09-30 00:00:00 810016951 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-15 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 46SD11 None None None SFY2021-22
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2021-09-30 00:00:00 810016952 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-15 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None 2D3311 None None None SFY2021-22
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-09-10 00:00:00 810016954 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None TSII11 None None None SFY2021-22
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2021-08-24 00:00:00 810016956 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None O3OR11 None None None SFY2021-22
010000043 PARK VIEW POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-10-01 00:00:00 810016957 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 Yes 2021-10-16 00:00:00 2021-10-19 00:00:00 AP NHPPD None 15000 15000 0 15000 0 None NTFF11 None None None SFY2021-22
940000098 COURTYARD CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-10-01 00:00:00 810016958 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None HLDH11 None None None SFY2021-22
920000304 GLENHAVEN HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2021-09-10 00:00:00 810016959 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None UT5F11 None None None SFY2021-22
100000072 GOLDEN MODESTO CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-08-19 00:00:00 810016961 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None S3V811 None None None SFY2021-22
940000094 RIO HONDO SUBACUTE & NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-05 00:00:00 810016963 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-10-20 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None MZP211 None None None SFY2021-22
060000143 SOUTH COAST POST ACUTE LTC SNF Skilled Nursing Facility Orange 2021-10-07 00:00:00 810016969 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 921411 None None None SFY2021-22
020000128 ELMWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2021-11-15 00:00:00 810016975 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-30 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None WXRP11 None None None SFY2021-22
030001657 COVENANT VILLAGE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-08-24 00:00:00 810016979 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None MEJM11 None None None SFY2021-22
910000021 THE CANTERBURY LTC SNF Skilled Nursing Facility LA Region 3 2021-09-10 00:00:00 810016981 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None MYS911 None None None SFY2021-22
140000962 PITTSBURG SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2021-09-20 00:00:00 810016982 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None HI5311 None None None SFY2021-22
970000058 PALAZZO POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-10-13 00:00:00 810016988 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-28 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None OR5V11 None None None SFY2021-22
920000056 THE MEADOWS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-10-14 00:00:00 810016990 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None RG5011 None None None SFY2021-22
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2021-10-14 00:00:00 810016991 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-29 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None SI5Y11 None None None SFY2021-22
040000077 CORNERSTONE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2021-09-23 00:00:00 810017002 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 12L911 None None None SFY2021-22
040000013 CALIFORNIA HOME FOR THE AGED, INC. LTC SNF Skilled Nursing Facility Fresno 2021-10-19 00:00:00 810017003 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WXUQ11 None None None SFY2021-22
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2021-09-21 00:00:00 810017005 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None VWLV11 None None None SFY2021-22
940000076 GRANADA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-09-10 00:00:00 810017006 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None KWZK11 None None None SFY2021-22
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2021-10-21 00:00:00 810017011 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3CIF11 None None None SFY2021-22
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-21 00:00:00 810017012 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None U5R311 None None None SFY2021-22
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2021-11-04 00:00:00 810017017 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None E1J511 None None None SFY2021-22
140000062 DIABLO VALLEY POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2021-10-26 00:00:00 810017024 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None L2R411 None None None SFY2021-22
040000069 ORCHARD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2021-10-26 00:00:00 810017025 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-11-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7VOT11 None None None SFY2021-22
060000147 PARK ANAHEIM HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2021-10-27 00:00:00 810017026 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-11-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7UN911 None None None SFY2021-22
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2021-10-28 00:00:00 810017029 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None MTXJ11 None None None SFY2021-22
910000328 LONGWOOD MANOR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2021-10-28 00:00:00 810017030 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9UE611 None None None SFY2021-22
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-11-04 00:00:00 810017036 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7Z8V11 None None None SFY2021-22
060000113 HARBOR VILLA CARE CENTER LTC SNF Skilled Nursing Facility Orange 2021-11-02 00:00:00 810017043 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 8LSC11 None None None SFY2021-22
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2021-11-10 00:00:00 810017060 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None IO2Y11 None None None SFY2021-22
140000102 LEGACY POST ACUTE CARE LTC SNF Skilled Nursing Facility East Bay 2021-11-09 00:00:00 810017061 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None X9RM11 None None None SFY2021-22
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-11-10 00:00:00 810017067 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None KJAK11 None None None SFY2021-22
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2022-01-10 00:00:00 810017070 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 2IN911 None None None SFY2021-22
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2021-11-12 00:00:00 810017072 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-11-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None F1WU11 None None None SFY2021-22
020000037 EMMANUEL POST ACUTE CARE - HAYWARD LTC SNF Skilled Nursing Facility East Bay 2021-11-22 00:00:00 810017093 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-12-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None XY1Q11 None None None SFY2021-22
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2021-11-22 00:00:00 810017095 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-12-07 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None YDPI11 None None None SFY2021-22
240000650 MADISON GROVE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2021-11-24 00:00:00 810017098 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None IRFF11 None None None SFY2021-22
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-11-29 00:00:00 810017106 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None LZ8P11 None None None SFY2021-22
060001718 BAYSHIRE YORBA LINDA POST-ACUTE LTC SNF Skilled Nursing Facility Orange 2021-11-29 00:00:00 810017111 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None BIIF11 None None None SFY2021-22
250000022 BLYTHE POST ACUTE LLC LTC SNF Skilled Nursing Facility Riverside 2021-11-29 00:00:00 810017118 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3O3C11 None None None SFY2021-22
950000063 THE GARDENS OF EL MONTE LTC SNF Skilled Nursing Facility LA Region 1 2022-01-06 00:00:00 810017120 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6HJE11 None None None SFY2021-22
080000685 CASA DE LAS CAMPANAS LTC SNF Skilled Nursing Facility San Diego 2021-12-01 00:00:00 810017125 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7R9T11 None None None SFY2021-22
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2021-12-01 00:00:00 810017126 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 52W811 None None None SFY2021-22
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-12-07 00:00:00 810017140 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None KMRL11 None None None SFY2021-22
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2021-09-21 00:00:00 810017145 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Q38W11 None None None SFY2021-22
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2021-12-15 00:00:00 810017153 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-30 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None P8WO11 None None None SFY2021-22
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-12-15 00:00:00 810017158 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None PFLR11 None None None SFY2021-22
950000026 SAN MARINO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-12-15 00:00:00 810017161 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 1WLV11 None None None SFY2021-22
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2021-12-15 00:00:00 810017163 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-30 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None BYP111 None None None SFY2021-22
970000003 ALEXANDRIA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-12-16 00:00:00 810017171 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-31 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 0SRU11 None None None SFY2021-22
110001255 LAKEPORT POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2021-12-21 00:00:00 810017189 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-05 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None ZTRZ11 None None None SFY2021-22
250000078 MEADOWBROOK POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2021-12-22 00:00:00 810017191 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-06 00:00:00 None AP NHPPD None 30000 30000 0 5000 25000 None W4UD11 None None None SFY2021-22
910000057 LOS PALOS POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-22 00:00:00 810017192 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 150F11 None None None SFY2021-22
070000082 PLUM TREE CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-03-09 00:00:00 810017193 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 Yes 2022-03-24 00:00:00 2022-03-22 00:00:00 AP NHPPD None 15000 15000 0 15000 0 None T76811 None None None SFY2021-22
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2021-12-23 00:00:00 810017194 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5KO911 None None None SFY2021-22
090000028 VILLA LAS PALMAS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2021-12-30 00:00:00 810017199 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-14 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 84E811 None None None SFY2021-22
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2021-12-23 00:00:00 810017201 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None SVOE11 None None None SFY2021-22
060000054 HUNTINGTON VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2021-12-29 00:00:00 810017210 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None EV7U11 None None None SFY2021-22
010000078 EUREKA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2021-12-30 00:00:00 810017222 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6RGJ11 None None None SFY2021-22
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2022-01-05 00:00:00 810017229 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-01-20 00:00:00 None AP NHPPD None 15000 15000 -15000 0 0 None PNNZ11 None None None SFY2021-22
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-01-05 00:00:00 810017230 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None YZP411 None None None SFY2021-22
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2022-01-05 00:00:00 810017233 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-20 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None ISXW11 None None None SFY2021-22
010000028 NORTH BAY POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-01-06 00:00:00 810017236 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 0UDM11 None None None SFY2021-22
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2021-11-30 00:00:00 810017238 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None L7R611 None None None SFY2021-22
100000100 STOLLWOOD CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2022-01-12 00:00:00 810017243 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-27 00:00:00 None AP NHPPD None 15000 15000 -15000 0 0 None FUBH11 None None None SFY2021-22
970000075 THE BELLEFONTAINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-11 00:00:00 810017244 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5XXC11 None None None SFY2021-22
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-01-12 00:00:00 810017246 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 1LCI11 None None None SFY2021-22
920000015 DREIER'S NURSING CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-14 00:00:00 810017251 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZTVY11 None None None SFY2021-22
220001030 THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING LTC SNF Skilled Nursing Facility San Jose 2022-01-14 00:00:00 810017252 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None MDTN11 None None None SFY2021-22
090000067 IMPERIAL MANOR LTC SNF Skilled Nursing Facility San Diego 2022-01-20 00:00:00 810017259 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-04 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None FOY911 None None None SFY2021-22
080001540 ANAHEIM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Orange 2022-01-26 00:00:00 810017271 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-10 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 0EQC11 None None None SFY2021-22
920000024 NORTH VALLEY NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-02-16 00:00:00 810017273 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 2TT911 None None None SFY2021-22
910000035 LOTUS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-09-21 00:00:00 810017274 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None OW0U11 None None None SFY2021-22
080000094 BRADLEY COURT LTC SNF Skilled Nursing Facility San Diego 2022-02-02 00:00:00 810017284 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-02-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None X9CZ11 None None None SFY2021-22
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-02 00:00:00 810017286 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 34EC11 None None None SFY2021-22
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-02 00:00:00 810017287 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-17 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None M6VO11 None None None SFY2021-22
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2022-02-08 00:00:00 810017294 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None SFOE11 None None None SFY2021-22
220000081 SAN BRUNO SKILLED NURSING LTC SNF Skilled Nursing Facility San Francisco 2022-02-08 00:00:00 810017303 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-23 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 94QZ11 None None None SFY2021-22
140000081 MORAGA POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2022-02-10 00:00:00 810017310 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-25 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 8USF11 None None None SFY2021-22
950000027 SANTA FE LODGE LTC SNF Skilled Nursing Facility LA Region 1 2022-02-15 00:00:00 810017317 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-02 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JJ5E11 None None None SFY2021-22
020000053 CRESTWOOD MANOR - FREMONT LTC SNF Skilled Nursing Facility East Bay 2022-02-11 00:00:00 810017320 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 711T11 None None None SFY2021-22
910000071 BEACHSIDE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-02-16 00:00:00 810017331 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JXTZ11 None None None SFY2021-22
910000036 THE EARLWOOD LTC SNF Skilled Nursing Facility LA Region 3 2022-02-17 00:00:00 810017336 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None SNDZ11 None None None SFY2021-22
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2022-02-16 00:00:00 810017338 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JV4T11 None None None SFY2021-22
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2022-02-18 00:00:00 810017343 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Q11K11 None None None SFY2021-22
940000071 STUDEBAKER HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-22 00:00:00 810017355 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-03-09 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None US6P11 None None None SFY2021-22
070000041 WINDSOR MONTEREY CARE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-02-24 00:00:00 810017362 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5EHA11 None None None SFY2021-22
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2022-03-04 00:00:00 810017368 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-19 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None M80O11 None None None SFY2021-22
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-02-25 00:00:00 810017369 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4OLR11 None None None SFY2021-22
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-02-25 00:00:00 810017372 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None QXAG11 None None None SFY2021-22
040000002 KINGSBURG CENTER LTC SNF Skilled Nursing Facility Fresno 2022-03-02 00:00:00 810017375 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None MLI211 None None None SFY2021-22
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2022-03-02 00:00:00 810017376 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None YEYV11 None None None SFY2021-22
970000043 ST. JOHN OF GOD RETIREMENT AND CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-03-02 00:00:00 810017377 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None R4MV11 None None None SFY2021-22
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-03-02 00:00:00 810017381 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-03-17 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None VILG11 None None None SFY2021-22
120001431 WESTGATE GARDENS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-03-02 00:00:00 810017382 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9GX711 None None None SFY2021-22
030000074 KIT CARSON NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2022-03-08 00:00:00 810017450 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 1RX511 None None None SFY2021-22
040000027 LA SIERRA CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2022-03-08 00:00:00 810017451 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-23 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None EEQF11 None None None SFY2021-22
060000715 TRABUCO HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2022-03-23 00:00:00 810017453 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None J6II11 None None None SFY2021-22
020000076 ST. FRANCIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-03-15 00:00:00 810017458 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WHFL11 None None None SFY2021-22
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-15 00:00:00 810017469 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-08-01 00:00:00 2019-10-31 00:00:00 No 2022-03-30 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None P4BZ11 None None None SFY2021-22
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-03-14 00:00:00 810017472 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-03-29 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None POPF11 None None None SFY2021-22
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-03-23 00:00:00 810017480 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7IBB11 None None None SFY2021-22
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2022-03-21 00:00:00 810017489 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-04-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZHTG11 None None None SFY2021-22
090000020 STILLWATER POST-ACUTE LTC SNF Skilled Nursing Facility San Diego 2022-03-21 00:00:00 810017490 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None MB8O11 None None None SFY2021-22
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-03-21 00:00:00 810017491 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZUGW11 None None None SFY2021-22
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2022-03-21 00:00:00 810017492 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JV1211 None None None SFY2021-22
120001469 VISALIA POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2022-03-22 00:00:00 810017495 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None DHHE11 None None None SFY2021-22
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-03-24 00:00:00 810017506 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-08 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None VKEO11 None None None SFY2021-22
070000058 SANTA CRUZ POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-03-24 00:00:00 810017507 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-08 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None HX6S11 None None None SFY2021-22
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2022-03-29 00:00:00 810017515 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None AHZ611 None None None SFY2021-22
910000073 BRENTWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-29 00:00:00 810017516 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4TTJ11 None None None SFY2021-22
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2022-03-29 00:00:00 810017517 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 01QL11 None None None SFY2021-22
140000130 DANVILLE POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility East Bay 2022-03-29 00:00:00 810017518 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 17UM11 None None None SFY2021-22
040000049 COVENANT POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2022-04-05 00:00:00 810017531 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-20 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None ESX711 None None None SFY2021-22
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2022-04-05 00:00:00 810017532 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None LRRW11 None None None SFY2021-22
240000097 ARROWHEAD SPRINGS HEALTHCARE LTC SNF Skilled Nursing Facility San Bernardino 2022-04-15 00:00:00 810017552 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None F22C11 None None None SFY2021-22
950000103 EASTLAND SUBACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-04-14 00:00:00 810017555 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None TSJG11 None None None SFY2021-22
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2022-04-14 00:00:00 810017557 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-04-29 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 6KYW11 None None None SFY2021-22
140000096 PLEASANT HILL POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2022-04-19 00:00:00 810017564 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 2YI311 None None None SFY2021-22
110000018 FAIRFIELD POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility Santa Rosa 2022-04-19 00:00:00 810017565 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None JDUF11 None None None SFY2021-22
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2022-04-21 00:00:00 810017573 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 Yes 2022-05-06 00:00:00 2022-05-13 00:00:00 AP NHPPD None 15000 15000 0 15000 0 None 9OZF11 None None None SFY2021-22
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2022-04-26 00:00:00 810017581 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None LRLC11 None None None SFY2021-22
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-04-29 00:00:00 810017593 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None NNYN11 None None None SFY2021-22
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2022-05-03 00:00:00 810017599 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-18 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None QK0K11 None None None SFY2021-22
910000006 OCEAN POINTE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-05-10 00:00:00 810017600 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None M0IE11 None None None SFY2021-22
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2022-05-10 00:00:00 810017601 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9XYV11 None None None SFY2021-22
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2022-05-13 00:00:00 810017605 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-05-28 00:00:00 None AP NHPPD None 30000 30000 0 0 30000 None QW3911 None None None SFY2021-22
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2022-05-12 00:00:00 810017623 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None M8ZM11 None None None SFY2021-22
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2022-05-17 00:00:00 810017631 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-01 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None 3HET11 None None None SFY2021-22
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-05-17 00:00:00 810017632 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9K4P11 None None None SFY2021-22
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2022-05-17 00:00:00 810017633 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CXMC11 None None None SFY2021-22
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-17 00:00:00 810017634 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None KQ7R11 None None None SFY2021-22
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-05-24 00:00:00 810017639 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None S5OJ11 None None None SFY2021-22
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2022-05-24 00:00:00 810017640 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-08 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None F74J11 None None None SFY2021-22
220000038 VISTA TERRACE OF BELMONT LTC SNF Skilled Nursing Facility San Francisco 2022-05-26 00:00:00 810017641 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-10 00:00:00 None AP NHPPD None 15000 15000 -15000 0 0 None 96HP11 None None None SFY2021-22
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2022-05-24 00:00:00 810017642 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None OQ3R11 None None None SFY2021-22
920000028 MONTROSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-05-24 00:00:00 810017643 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None HX1J11 None None None SFY2021-22
100000029 LODI CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-05-24 00:00:00 810017644 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None VMCT11 None None None SFY2021-22
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2022-06-02 00:00:00 810017659 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-17 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None WFV811 None None None SFY2021-22
010000959 MARIN POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-06-02 00:00:00 810017660 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 2KVP11 None None None SFY2021-22
100000035 CRESTWOOD MANOR LTC SNF Skilled Nursing Facility Stockton 2022-08-02 00:00:00 810017662 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9EOE11 None None None SFY2022-23
040000047 HEALTHCARE CENTRE OF FRESNO LTC SNF Skilled Nursing Facility Fresno 2022-06-07 00:00:00 810017678 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None LIHV11 None None None SFY2021-22
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-06-07 00:00:00 810017679 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-22 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None RH5B11 None None None SFY2021-22
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2022-06-15 00:00:00 810017681 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 0NVI11 None None None SFY2021-22
910000038 FIRESIDE HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-06-14 00:00:00 810017693 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-06-29 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None DNNE11 None None None SFY2021-22
020000060 BAYPOINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-06-22 00:00:00 810017708 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-07 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 1BHC11 None None None SFY2021-22
030001812 WOODLAND POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-06-29 00:00:00 810017721 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None KZRX11 None None None SFY2021-22
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2022-06-29 00:00:00 810017722 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-14 00:00:00 None AP NHPPD None 30000 30000 -30000 0 0 None R4YS11 None None None SFY2021-22
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2022-06-29 00:00:00 810017723 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-14 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 5SK711 None None None SFY2021-22
070000019 AVE MARIA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Jose 2022-06-30 00:00:00 810017733 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-15 00:00:00 None AP NHPPD None 15000 15000 -15000 0 0 None D50H11 None None None SFY2021-22
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2022-06-30 00:00:00 810017735 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-15 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6LMD11 None None None SFY2021-22
100000069 GOOD SAMARITAN REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2022-07-06 00:00:00 810017745 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-21 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None LEEZ11 None None None SFY2022-23
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2022-07-06 00:00:00 810017747 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-21 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 9LFW11 None None None SFY2022-23
060000039 ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Orange 2022-07-06 00:00:00 810017748 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-07-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None NQ2111 None None None SFY2022-23
920000007 MOUNTAIN VIEW CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-07-06 00:00:00 810017752 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None WPBE11 None None None SFY2022-23
920000014 CHESTNUT RIDGE POST ACUTE LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-07-13 00:00:00 810017761 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-07-28 00:00:00 None AP NHPPD None 15000 15000 0 0 15000 None OBAK11 None None None SFY2022-23
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2022-07-13 00:00:00 810017762 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2022-07-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7JUC11 None None None SFY2022-23
220001076 SUNNYVALE GARDENS POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-07-19 00:00:00 810017772 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None QCOE11 None None None SFY2022-23
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2022-07-21 00:00:00 810017773 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZMGO11 None None None SFY2022-23
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2022-07-21 00:00:00 810017777 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-05 00:00:00 None AP NHPPD None 30000 30000 0 0 30000 None 46J611 None None None SFY2022-23
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-07-20 00:00:00 810017778 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-04 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None N4W911 None None None SFY2022-23
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-07-20 00:00:00 810017779 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-04 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None N8J211 None None None SFY2022-23
940000023 OCEAN RIDGE POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-07-25 00:00:00 810017787 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3YJW11 None None None SFY2022-23
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2022-07-26 00:00:00 810017788 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None EQ7V11 None None None SFY2022-23
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2022-07-26 00:00:00 810017790 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-10 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 8QLK11 None None None SFY2022-23
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2022-07-27 00:00:00 810017800 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-11 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FWX911 None None None SFY2022-23
970000147 WESTLAKE CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2022-07-27 00:00:00 810017801 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 Yes 2022-08-11 00:00:00 2022-08-15 00:00:00 AP NHPPD None 15000 15000 -15000 0 0 None VCGY11 None None None SFY2022-23
090000105 SOMERSET SUBACUTE AND CARE LTC SNF Skilled Nursing Facility San Diego 2022-08-05 00:00:00 810017812 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3S5Q11 None None None SFY2022-23
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-08-02 00:00:00 810017820 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FQ3F11 None None None SFY2022-23
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2022-08-02 00:00:00 810017823 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-17 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None O7UP11 None None None SFY2022-23
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2022-08-02 00:00:00 810017824 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None H1KB11 None None None SFY2022-23
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2022-08-10 00:00:00 810017825 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None YE1H11 None None None SFY2022-23
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2022-08-03 00:00:00 810017828 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-18 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 7CRL11 None None None SFY2022-23
240000285 LAUREL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2022-04-04 00:00:00 810017835 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-07-01 00:00:00 2019-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None KYOK11 None None None SFY2021-22
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2021-09-21 00:00:00 810017836 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None X1IL11 None None None SFY2021-22
920000280 ANTELOPE VALLEY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-16 00:00:00 810017837 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 5X3D11 None None None SFY2021-22
250000072 PALM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2021-08-10 00:00:00 810017839 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None HKFJ11 None None None SFY2021-22
970000163 CAMELLIA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-07 00:00:00 810017840 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None LIXU11 None None None SFY2021-22
970000163 CAMELLIA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-06-07 00:00:00 810017841 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None LIXU11 None None None SFY2021-22
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-22 00:00:00 810017842 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None D0SY11 None None None SFY2021-22
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2021-08-17 00:00:00 810017843 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None PEOL11 None None None SFY2021-22
920000082 WEST HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-17 00:00:00 810017844 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None NRPG11 None None None SFY2021-22
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2022-02-14 00:00:00 810017845 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None E1IB11 None None None SFY2021-22
240001032 CEDAR MOUNTAIN POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2021-08-31 00:00:00 810017846 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Y03111 None None None SFY2021-22
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-08-09 00:00:00 810017847 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 3Y0H11 None None None SFY2021-22
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-08-09 00:00:00 810017848 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None V52L11 None None None SFY2021-22
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2021-09-15 00:00:00 810017849 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 03CO11 None None None SFY2021-22
910000064 PACIFIC POST - ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2021-09-19 00:00:00 810017850 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None BHM911 None None None SFY2021-22
910000013 BERKLEY WEST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-01 00:00:00 810017853 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 8DJ411 None None None SFY2021-22
220000088 ST. ANNE'S HOME LTC SNF Skilled Nursing Facility San Francisco 2021-08-24 00:00:00 810017857 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 0S2B11 None None None SFY2021-22
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-08-09 00:00:00 810017858 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None WJ8C11 None None None SFY2021-22
220000089 GOLDEN PAVILION HEALTHCARE LTC SNF Skilled Nursing Facility San Francisco 2021-07-19 00:00:00 810017859 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None KV6711 None None None SFY2021-22
970000149 TEMPLE PARK CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2021-08-06 00:00:00 810017860 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None SHIN11 None None None SFY2021-22
140000038 GREENRIDGE POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2021-08-17 00:00:00 810017861 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None G1OX11 None None None SFY2021-22
070000023 CANYON SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-08-09 00:00:00 810017865 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None U4DN11 None None None SFY2022-23
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2022-08-09 00:00:00 810017868 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-24 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 8WL511 None None None SFY2022-23
910000009 BAY CREST CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-08-31 00:00:00 810017916 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-09-22 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None S7B311 None None None SFY2022-23
250000567 HEMET HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2022-09-21 00:00:00 810017927 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-10-06 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 9E4X11 None None None SFY2022-23
090000083 BRIGHTON PLACE SPRING VALLEY LTC SNF Skilled Nursing Facility San Diego 2022-09-21 00:00:00 810017928 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-10-06 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None G46111 None None None SFY2022-23
250000092 PALM SPRINGS HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2022-09-21 00:00:00 810017980 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-10-06 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None PO5J11 None None None SFY2022-23
950000023 GARDEN VIEW POST ACUTE REHABILITATION LTC SNF Skilled Nursing Facility LA Region 1 2022-09-21 00:00:00 810017989 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-10-12 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 2PWW11 None None None SFY2022-23
970000062 GARDEN CREST REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-26 00:00:00 810018003 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-10-17 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None UDNF11 None None None SFY2022-23
030001827 CITY CREEK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-10-10 00:00:00 810018039 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2022-10-31 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 92WL11 None None None SFY2022-23
080000007 BOULDER CREEK POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2022-10-11 00:00:00 810018040 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-11-01 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 4QV011 None None None SFY2022-23
010000024 GRANADA REHAB & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2022-10-11 00:00:00 810018043 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2022-10-26 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None TXH211 None None None SFY2022-23
940000063 THE SPRINGS POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-10-12 00:00:00 810018046 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-10-27 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None RR5Q11 None None None SFY2022-23
250000634 DESERT SPRINGS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2022-10-12 00:00:00 810018047 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-10-27 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None PH8Z11 None None None SFY2022-23
070000097 THE REDWOODS POST-ACUTE LTC SNF Skilled Nursing Facility San Jose 2022-10-19 00:00:00 810018073 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2022-11-09 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 4Y3S11 None None None SFY2022-23
940000095 RIVIERA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-10-24 00:00:00 810018074 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-11-08 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None JOPB11 None None None SFY2022-23
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-24 00:00:00 810018075 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-11-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None O6N111 None None None SFY2022-23
230000037 FEATHER RIVER CARE CENTER LTC SNF Skilled Nursing Facility Chico 2022-10-25 00:00:00 810018090 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-11-16 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None XLWA11 None None None SFY2022-23
940000036 LYNWOOD POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-10-25 00:00:00 810018091 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-11-09 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None TYK911 None None None SFY2022-23
060000031 ANAHEIM CREST NURSING CENTER LTC SNF Skilled Nursing Facility Orange 2022-10-25 00:00:00 810018092 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-11-09 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None YN2311 None None None SFY2022-23
240000013 RANCHO MESA CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2022-10-31 00:00:00 810018111 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-11-22 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None X7PJ11 None None None SFY2022-23
970000046 SUNRAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-11-02 00:00:00 810018119 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-11-28 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None AXAM11 None None None SFY2022-23
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2022-11-02 00:00:00 810018120 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2022-11-28 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None EQ4R11 None None None SFY2022-23
120001477 LINWOOD MEADOWS CARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2022-11-02 00:00:00 810018121 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-11-17 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None S6MK11 None None None SFY2022-23
250000051 EXTENDED CARE HOSPITAL OF RIVERSIDE LTC SNF Skilled Nursing Facility Riverside 2022-11-07 00:00:00 810018126 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-01 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None C5P811 None None None SFY2022-23
020000123 SAGE POST ACUTE LTC SNF Skilled Nursing Facility East Bay 2022-11-07 00:00:00 810018127 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-01 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None VZMM11 None None None SFY2022-23
240000080 MEDICAL CENTER CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2022-11-15 00:00:00 810018135 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-08 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 1DMX11 None None None SFY2022-23
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-11-10 00:00:00 810018136 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-12-06 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None YW0211 None None None SFY2022-23
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2022-11-15 00:00:00 810018144 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2022-12-08 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 9EMG11 None None None SFY2022-23
090000003 MAGNOLIA POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2022-11-15 00:00:00 810018147 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2022-12-08 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 992211 None None None SFY2022-23
920000074 PROVIDENCE ST. ELIZABETH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-11-22 00:00:00 810018154 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None XYO011 None None None SFY2022-23
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-11-22 00:00:00 810018155 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 9ZJY11 None None None SFY2022-23
970000188 PASADENA CARE CENTER, LLC LTC SNF Skilled Nursing Facility LA Region 1 2022-11-30 00:00:00 810018169 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None MS8W11 None None None SFY2022-23
250000010 ALTA VISTA HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2022-11-30 00:00:00 810018177 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-21 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None L5Q411 None None None SFY2022-23
240000289 UPLAND REHABILITATION AND CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2022-12-15 00:00:00 810018184 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-30 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 7Z1N11 None None None SFY2022-23
950000041 POMONA VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-10-24 00:00:00 810018188 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 4U5K11 None None None SFY2022-23
040000012 EVERGREEN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2022-10-04 00:00:00 810018189 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None CH2K11 None None None SFY2022-23
250001745 BAYSHIRE RANCHO MIRAGE LTC SNF Skilled Nursing Facility Riverside 2022-12-14 00:00:00 810018198 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-01-05 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None KDO711 None None None SFY2022-23
140000080 SHIELDS RICHMOND NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2022-12-20 00:00:00 810018200 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-01-11 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None SGYF11 None None None SFY2022-23
940000069 BROOKFIELD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-12-08 00:00:00 810018201 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2022-12-29 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None PQX811 None None None SFY2022-23
250000153 VILLA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2022-12-20 00:00:00 810018206 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FHRK11 None None None SFY2022-23
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-12-13 00:00:00 810018213 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-01-04 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None Y5NR11 None None None SFY2022-23
060000055 MISSION PALMS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2022-12-13 00:00:00 810018214 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-01-04 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None E8FY11 None None None SFY2022-23
080000801 VILLAGE SQUARE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2022-12-20 00:00:00 810018237 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None QNVQ11 None None None SFY2022-23
240000145 VILLA MESA CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2022-12-20 00:00:00 810018239 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-01-11 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None CM1111 None None None SFY2022-23
950000048 MONROVIA GARDENS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-12-27 00:00:00 810018250 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-01-19 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 5YPL11 None None None SFY2022-23
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2022-12-27 00:00:00 810018251 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-01-19 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 6NRI11 None None None SFY2022-23
010000001 VINEYARD POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2022-12-28 00:00:00 810018255 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-01-20 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 64KI11 None None None SFY2022-23
010001005 ALDERSLY SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Santa Rosa 2023-01-04 00:00:00 810018261 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-01-26 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None E9X611 None None None SFY2022-23
240000285 LAUREL CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Bernardino 2023-01-04 00:00:00 810018262 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-01-26 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 97CC11 None None None SFY2022-23
910000041 IMPERIAL CREST HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-01-12 00:00:00 810018283 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-02-03 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None CC2P11 None None None SFY2022-23
910000034 DRIFTWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-01-12 00:00:00 810018284 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-03 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None P3RU11 None None None SFY2022-23
120000328 THE REHABILITATION CENTER OF BAKERSFIELD LTC SNF Skilled Nursing Facility Bakersfield 2020-09-20 00:00:00 810018292 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None C0KY11 None None None SFY2020-21
910000058 MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2022-09-20 00:00:00 810018293 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None NKBF11 None None None SFY2022-23
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-09-20 00:00:00 810018294 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 8B8C11 None None None SFY2022-23
010000004 CRESCENT CITY SKILLED NURSING LTC SNF Skilled Nursing Facility Santa Rosa 2023-01-10 00:00:00 810018296 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-29 00:00:00 2021-02-28 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 2IY411 None None None SFY2022-23
060000125 THE GROVE POST ACUTE LTC SNF Skilled Nursing Facility Orange 2023-01-20 00:00:00 810018304 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-10 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FI6K11 None None None SFY2022-23
040000004 FRESNO POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2023-01-19 00:00:00 810018307 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-09 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None K3WC11 None None None SFY2022-23
030001817 COTTONWOOD HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-01-24 00:00:00 810018309 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-13 00:00:00 No 2023-02-14 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None L0TH11 None None None SFY2022-23
230000027 SHASTA VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2023-01-24 00:00:00 810018315 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-02-14 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None ZFPL11 None None None SFY2022-23
040000052 ROLLING HILLS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-01-24 00:00:00 810018317 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-02-14 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None LRVY11 None None None SFY2022-23
940000099 SUNSET VILLA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-01-25 00:00:00 810018319 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 4JQA11 None None None SFY2022-23
040000069 ORCHARD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2023-01-26 00:00:00 810018324 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-16 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None HBZ711 None None None SFY2022-23
950000012 ARBOR GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-01-26 00:00:00 810018325 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-02-16 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None SYJ511 None None None SFY2022-23
100000089 CEDARWOOD POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2022-12-20 00:00:00 810018328 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None URXM11 None None None SFY2022-23
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-09-28 00:00:00 810018329 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None IGOC11 None None None SFY2022-23
060000042 LAGUNA HILLS HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2022-12-20 00:00:00 810018330 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None XNWJ11 None None None SFY2022-23
940000074 CALIFORNIA POST-ACUTE CARE LTC SNF Skilled Nursing Facility LA Region 3 2022-09-28 00:00:00 810018331 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None TWLV11 None None None SFY2022-23
950000027 SANTA FE LODGE LTC SNF Skilled Nursing Facility LA Region 1 2022-12-20 00:00:00 810018332 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 0KQ111 None None None SFY2022-23
040000036 MANNING GARDENS CARE CENTER, INC. LTC SNF Skilled Nursing Facility Fresno 2023-01-11 00:00:00 810018333 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 588611 None None None SFY2022-23
950000049 WEST COVINA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-01-11 00:00:00 810018334 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None IR0G11 None None None SFY2022-23
040000037 SIERRA VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2023-01-12 00:00:00 810018335 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None UTT811 None None None SFY2022-23
040000043 FRESNO NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2023-01-12 00:00:00 810018336 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None TXID11 None None None SFY2022-23
040000019 MORNING STAR POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2023-01-18 00:00:00 810018337 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None TYLH11 None None None SFY2022-23
970000068 GEM TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2020-01-18 00:00:00 810018338 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None SA9I11 None None None SFY2019-20
010000033 SANTA ROSA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-01-31 00:00:00 810018348 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-22 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FWIN11 None None None SFY2022-23
240000090 ONTARIO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-02-07 00:00:00 810018350 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-01 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None RYL211 None None None SFY2022-23
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-07 00:00:00 810018354 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-01 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None STS111 None None None SFY2022-23
240000032 BROOKSIDE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-02-02 00:00:00 810018362 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-02-24 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None LMX511 None None None SFY2022-23
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-02 00:00:00 810018363 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-02-24 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 71EB11 None None None SFY2022-23
920000020 GLENDALE POST ACUTE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-07 00:00:00 810018368 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-01 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 9SYP11 None None None SFY2022-23
100000826 CREEKSIDE CENTER LTC SNF Skilled Nursing Facility Stockton 2023-01-05 00:00:00 810018379 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None SB5F11 None None None SFY2022-23
030000067 SACRAMENTO POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2023-01-05 00:00:00 810018380 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None LKP611 None None None SFY2022-23
040000225 ANBERRY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Fresno 2023-02-14 00:00:00 810018381 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 Yes 2023-03-08 00:00:00 2023-03-08 00:00:00 AP NHPPD None 25000 25000 0 0 25000 None IIK911 None None None SFY2022-23
080000222 OCEAN VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2023-02-14 00:00:00 810018382 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-08 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None QC6U11 None None None SFY2022-23
020000274 THE REHABILITATION CENTER OF OAKLAND LTC SNF Skilled Nursing Facility East Bay 2023-02-15 00:00:00 810018388 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-09 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None RII111 None None None SFY2022-23
240000089 MEADOWS RIDGE CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-02-15 00:00:00 810018389 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-09 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None L95T11 None None None SFY2022-23
940000062 ALAMITOS BELMONT HEALTH AND REHABILITATION LTC SNF Skilled Nursing Facility LA Region 3 2023-02-16 00:00:00 810018393 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-10 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 4UF011 None None None SFY2022-23
250000673 RIVERSIDE VILLAGE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Riverside 2023-02-16 00:00:00 810018394 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-10 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None O2Z611 None None None SFY2022-23
250000723 MONTEREY PALMS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2023-02-22 00:00:00 810018395 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None S4ZS11 None None None SFY2022-23
070000044 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ LTC SNF Skilled Nursing Facility San Jose 2023-02-28 00:00:00 810018401 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-21 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None N2P911 None None None SFY2022-23
630012057 GRAND OAKS CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-02-28 00:00:00 810018415 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-03-21 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None Z52G11 None None None SFY2022-23
230000044 WILLOWS POST ACUTE LTC SNF Skilled Nursing Facility Chico 2023-03-01 00:00:00 810018430 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-22 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None C1OG11 None None None SFY2022-23
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2023-03-01 00:00:00 810018431 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-03-22 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None WJGY11 None None None SFY2022-23
060000168 ST. CATHERINE HEALTHCARE LTC SNF Skilled Nursing Facility Orange 2023-03-01 00:00:00 810018432 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-22 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None N2NW11 None None None SFY2022-23
100000324 NORTH PARK POST-ACUTE LTC SNF Skilled Nursing Facility Stockton 2023-01-17 00:00:00 810018434 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-29 00:00:00 2021-02-28 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None QVX411 None None None SFY2022-23
020000114 LAKE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-01-26 00:00:00 810018445 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None XDQX11 None None None SFY2022-23
090000086 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility San Diego 2023-03-08 00:00:00 810018455 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-29 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None TGMN11 None None None SFY2022-23
970000035 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2023-03-09 00:00:00 810018462 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-30 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None DLET11 None None None SFY2022-23
100000107 MODESTO POST ACUTE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-03-09 00:00:00 810018463 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-03-30 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 5ZGH11 None None None SFY2022-23
910000276 KEI-AI SOUTH BAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-03-14 00:00:00 810018468 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-05 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 0NTC11 None None None SFY2022-23
100000001 ASBURY PARK NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-03-14 00:00:00 810018469 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-04-05 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None FWMV11 None None None SFY2022-23
050001409 SHERWOOD OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2023-03-14 00:00:00 810018470 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-04-05 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None ILGR11 None None None SFY2022-23
080000062 PARKWAY HILLS NURSING & REHABILITATION LTC SNF Skilled Nursing Facility San Diego 2023-03-14 00:00:00 810018471 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-04-05 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None H55G11 None None None SFY2022-23
030001605 SIENA SKILLED NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-01-24 00:00:00 810018472 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None QQ8811 None None None SFY2022-23
070000084 SALINAS VALLEY POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2023-01-20 00:00:00 810018473 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 3MSO11 None None None SFY2022-23
110000077 GREENFIELD CARE CENTER OF FAIRFIELD LTC SNF Skilled Nursing Facility Santa Rosa 2023-02-07 00:00:00 810018474 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-29 00:00:00 2021-02-28 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Y19J11 None None None SFY2022-23
230000255 ARBOR POST ACUTE LTC SNF Skilled Nursing Facility Chico 2023-02-07 00:00:00 810018475 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-29 00:00:00 2021-02-28 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None YIVL11 None None None SFY2022-23
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-01-20 00:00:00 810018476 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None DX2811 None None None SFY2022-23
630016910 THE ELLISON JOHN TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-03-15 00:00:00 810018482 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-04-06 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None PRZQ11 None None None SFY2022-23
250000036 VALENCIA GARDENS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2023-03-15 00:00:00 810018483 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-04-06 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None RB0R11 None None None SFY2022-23
040000059 NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Fresno 2023-03-22 00:00:00 810018513 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-13 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None WWVX11 None None None SFY2022-23
240000023 YUCAIPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2023-03-22 00:00:00 810018514 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-13 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None DFVX11 None None None SFY2022-23
090000104 VICTORIA POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2023-03-15 00:00:00 810018516 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-06 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None FK2O11 None None None SFY2022-23
100000049 WINDSOR ELMHAVEN CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2023-03-30 00:00:00 810018522 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-04-21 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 4MG011 None None None SFY2022-23
030000028 MISSION CARMICHAEL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-03-28 00:00:00 810018533 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-19 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None V2MZ11 None None None SFY2022-23
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2023-03-28 00:00:00 810018534 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-19 00:00:00 None AP NHPPD None 25000 25000 -25000 0 0 None 5RNZ11 None None None SFY2022-23
950000011 MONTE VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-02-13 00:00:00 810018541 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None WX6111 None None None SFY2022-23
910000065 CENTURY VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2023-03-29 00:00:00 810018547 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-20 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None VZ4Q11 None None None SFY2022-23
080001536 THE HILLS POST ACUTE LTC SNF Skilled Nursing Facility Orange 2023-01-31 00:00:00 810018576 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 6MT411 None None None SFY2022-23
120000322 SAN JOAQUIN NURSING CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-04-06 00:00:00 810018585 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-27 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 9T8311 None None None SFY2022-23
250000284 HIGHLAND SPRINGS CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2023-04-06 00:00:00 810018586 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-27 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None S3I711 None None None SFY2022-23
910000055 LOMITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-04-06 00:00:00 810018588 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-04-27 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None D8HS11 None None None SFY2022-23
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-04-13 00:00:00 810018604 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-05-04 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None PXFM11 None None None SFY2022-23
920000078 IMPERIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-04-13 00:00:00 810018611 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-05-04 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None ZIUK11 None None None SFY2022-23
240000020 HIGHLAND CARE CENTER OF REDLANDS LTC SNF Skilled Nursing Facility San Bernardino 2023-04-10 00:00:00 810018619 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None WG9P11 None None None SFY2022-23
230000366 QUARTZ HILL POST ACUTE LTC SNF Skilled Nursing Facility Chico 2023-04-26 00:00:00 810018644 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-05-17 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None OLRV11 None None None SFY2022-23
070000040 GILROY HEALTHCARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2023-04-26 00:00:00 810018655 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-05-17 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 5RNZ11 None None None SFY2022-23
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2023-05-09 00:00:00 810018681 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-05-31 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None LNFZ11 None None None SFY2022-23
110000084 VACAVILLE RANCH POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2023-05-25 00:00:00 810018766 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-06-16 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FOYJ11 None None None SFY2022-23
050000002 SHORELINE CARE CENTER LTC SNF Skilled Nursing Facility Ventura 2023-05-30 00:00:00 810018783 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-06-20 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None IWBE11 None None None SFY2022-23
950000092 WOODS HEALTH SERVICES LTC SNF Skilled Nursing Facility LA Region 1 2023-05-30 00:00:00 810018784 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-06-20 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None XJX811 None None None SFY2022-23
060000037 CAPISTRANO BEACH CARE CENTER LTC SNF Skilled Nursing Facility Orange 2023-06-01 00:00:00 810018799 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-06-22 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 4IGW11 None None None SFY2022-23
090000067 IMPERIAL MANOR LTC SNF Skilled Nursing Facility San Diego 2023-06-06 00:00:00 810018809 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-06-27 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None Q03V11 None None None SFY2022-23
020000043 ALAMEDA HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2023-06-06 00:00:00 810018810 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-06-27 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 3M1T11 None None None SFY2022-23
230000370 THE FOUNTAINS LTC SNF Skilled Nursing Facility Chico 2023-06-09 00:00:00 810018812 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None JV2X11 None None None SFY2022-23
020000010 ASHBY CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-06-09 00:00:00 810018823 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-06-30 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None PEZ311 None None None SFY2022-23
120000355 VALLEY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-06-13 00:00:00 810018829 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-05 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 2HP211 None None None SFY2022-23
940000116 WHITTIER PACIFIC CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-06-13 00:00:00 810018830 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-05 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 60OU11 None None None SFY2022-23
970000180 MONTE VISTA GROVE HOMES LTC SNF Skilled Nursing Facility LA Region 1 2023-06-08 00:00:00 810018840 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None PDXE11 None None None SFY2022-23
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-06-20 00:00:00 810018848 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-12 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None X6WX11 None None None SFY2022-23
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-06-20 00:00:00 810018849 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-12 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None J5C011 None None None SFY2022-23
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-06-22 00:00:00 810018851 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-14 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None YKMD11 None None None SFY2022-23
090000074 COTTONWOOD CANYON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-06-23 00:00:00 810018855 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-17 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None MXGE11 None None None SFY2022-23
020000115 OAKLAND HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility East Bay 2023-06-23 00:00:00 810018856 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-17 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 1FZF11 None None None SFY2022-23
040000058 MAJESTIC MOUNTAIN CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-06-22 00:00:00 810018862 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-14 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None MZY811 None None None SFY2022-23
220000060 THE AVENUES TRANSITIONAL CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2023-06-22 00:00:00 810018863 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-07-14 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FS8X11 None None None SFY2022-23
020000277 BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility East Bay 2023-07-17 00:00:00 810018883 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-08-07 00:00:00 None AP NHPPD None 0 0 0 0 0 None GJWC11 None None None SFY2023-24
950000058 GREEN ACRES HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-21 00:00:00 810018884 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-08-11 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None SJ9F11 None None None SFY2023-24
030000096 SAN LUIS CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-07-21 00:00:00 810018885 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-08-11 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None NEEK11 None None None SFY2023-24
250000072 PALM TERRACE CARE CENTER LTC SNF Skilled Nursing Facility Riverside 2023-07-06 00:00:00 810018910 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-07-27 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None BRWD11 None None None SFY2023-24
060000052 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility Orange 2023-05-30 00:00:00 810018934 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None YEG611 None None None SFY2022-23
050000058 OXNARD MANOR HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Ventura 2023-07-18 00:00:00 810018936 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-08-08 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None H6DQ11 None None None SFY2023-24
240000106 ARROWHEAD HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility San Bernardino 2023-05-30 00:00:00 810018946 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-06-28 00:00:00 None AP NHPPD None 0 0 0 0 0 None XK9E11 None None None SFY2022-23
020001250 BELLAKEN SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2023-07-17 00:00:00 810018957 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None HNM911 None None None SFY2023-24
940000034 COLONIAL CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-25 00:00:00 810018961 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 Yes 2023-08-15 00:00:00 2023-08-17 00:00:00 AP NHPPD None 50000 50000 0 0 50000 None K96P11 None None None SFY2023-24
910000032 CULVER WEST HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-07-25 00:00:00 810018962 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-08-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None B3OY11 None None None SFY2023-24
250000061 DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Riverside 2023-07-25 00:00:00 810018963 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-08-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None QC9111 None None None SFY2023-24
950000007 RAMONA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-07-25 00:00:00 810018964 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-01 00:00:00 2021-01-31 00:00:00 No 2023-08-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None S4O011 None None None SFY2023-24
920000051 DESERT CANYON POST ACUTE, LLC LTC SNF Skilled Nursing Facility LA Region 2 2023-07-18 00:00:00 810018965 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None Y9YR11 None None None SFY2023-24
970000066 THE CALIFORNIAN PASADENA HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2023-07-18 00:00:00 810018966 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None TCXQ11 None None None SFY2023-24
230000025 CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility Chico 2023-08-01 00:00:00 810018991 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-08-22 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None NTSD11 None None None SFY2023-24
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-07-25 00:00:00 810018994 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None ZU5Q11 None None None SFY2023-24
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-07-25 00:00:00 810018997 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 6XWW11 None None None SFY2023-24
060001680 SAN JUAN HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2023-08-02 00:00:00 810019001 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-08-23 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None DXW711 None None None SFY2023-24
020000275 WASHINGTON CENTER LTC SNF Skilled Nursing Facility East Bay 2023-08-02 00:00:00 810019002 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-08-23 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 2BU311 None None None SFY2023-24
020000880 OAKLAND HEIGHTS NURSING AND REHABILITATION LTC SNF Skilled Nursing Facility East Bay 2023-06-22 00:00:00 810019010 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 167R11 None None None SFY2022-23
050000074 VILLA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2023-08-03 00:00:00 810019025 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 5G8B11 None None None SFY2023-24
090000102 AMAYA SPRINGS HEALTH CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-08-15 00:00:00 810019026 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-06 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None 0FJL11 None None None SFY2023-24
030000050 MAIN WEST POSTACUTE CARE LTC SNF Skilled Nursing Facility Fresno 2023-08-15 00:00:00 810019027 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-09-06 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None B76Y11 None None None SFY2023-24
120001421 GATEWAY POST ACUTE LTC SNF Skilled Nursing Facility Bakersfield 2023-08-15 00:00:00 810019028 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-06 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None L6HR11 None None None SFY2023-24
100000025 ARDEN PARK POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2023-08-28 00:00:00 810019033 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-09-19 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None WJTT11 None None None SFY2023-24
220000053 DEVONSHIRE OAKS NURSING CENTER LTC SNF Skilled Nursing Facility San Francisco 2023-08-15 00:00:00 810019034 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-06 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None TN1311 None None None SFY2023-24
920000021 BROADWAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-08-15 00:00:00 810019037 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-06 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None P6WF11 None None None SFY2023-24
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-08-15 00:00:00 810019038 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-06 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None WKDX11 None None None SFY2023-24
250000077 WOODCREST POST ACUTE & REHABILITATION LTC SNF Skilled Nursing Facility Riverside 2023-08-23 00:00:00 810019039 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-14 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None XIQU11 None None None SFY2023-24
020000054 PRINCETON MANOR HEALTHCARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2023-08-23 00:00:00 810019041 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-14 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 1J9S11 None None None SFY2023-24
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-08-22 00:00:00 810019060 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-09-13 00:00:00 None AP NHPPD None 50000 50000 0 20000 30000 None XFS011 None None None SFY2023-24
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-08-15 00:00:00 810019061 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 58ML11 None None None SFY2023-24
030000019 NORTH POINTE CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2023-08-15 00:00:00 810019062 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 58ML11 None None None SFY2023-24
250001724 MURRIETA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Riverside 2023-08-24 00:00:00 810019067 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-15 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None VNRT11 None None None SFY2023-24
040000026 COUNTRYSIDE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-08-24 00:00:00 810019068 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 16I111 None None None SFY2023-24
030001168 MID-TOWN OAKS POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2023-08-24 00:00:00 810019070 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-09-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None P9YW11 None None None SFY2023-24
020000276 CANYON CREEK POST-ACUTE LTC SNF Skilled Nursing Facility East Bay 2023-08-28 00:00:00 810019081 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-19 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 9VEM11 None None None SFY2023-24
090000034 PARKSIDE HEALTH AND WELLNESS CENTER LTC SNF Skilled Nursing Facility San Diego 2023-08-28 00:00:00 810019082 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-19 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None IEMJ11 None None None SFY2023-24
230000036 RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility Chico 2023-08-28 00:00:00 810019083 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-19 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None VUM311 None None None SFY2023-24
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2023-08-29 00:00:00 810019084 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-09-20 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 8WCB11 None None None SFY2023-24
230000283 ALMOND VIEW CARE CENTER LTC SNF Skilled Nursing Facility Chico 2023-08-29 00:00:00 810019086 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-20 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FRE811 None None None SFY2023-24
910000017 BEACHWOOD POST-ACUTE & REHAB LTC SNF Skilled Nursing Facility LA Region 2 2023-09-05 00:00:00 810019107 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-26 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None B5QV11 None None None SFY2023-24
060000876 VILLA VALENCIA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Orange 2023-09-05 00:00:00 810019108 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-26 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None B8Y611 None None None SFY2023-24
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2023-09-07 00:00:00 810019113 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-28 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None E0OX11 None None None SFY2023-24
230000276 GOLDEN EMPIRE LTC SNF Skilled Nursing Facility Chico 2023-09-07 00:00:00 810019114 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-28 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None VOBU11 None None None SFY2023-24
140000396 SHIELDS NURSING CENTER LTC SNF Skilled Nursing Facility East Bay 2023-09-07 00:00:00 810019115 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-09-28 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None RLCL11 None None None SFY2023-24
910000057 LOS PALOS POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-12 00:00:00 810019128 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-10-03 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None XX8T11 None None None SFY2023-24
950000085 SANTA ANITA CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2023-09-13 00:00:00 810019131 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-10-04 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None GOFG11 None None None SFY2023-24
240000031 CREEKSIDE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2023-09-13 00:00:00 810019132 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-10-04 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None RUI511 None None None SFY2023-24
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-09-20 00:00:00 810019158 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 Yes 2023-10-11 00:00:00 2023-10-13 00:00:00 AP NHPPD None 50000 50000 0 0 50000 None 4X0D11 None None None SFY2023-24
020000076 ST. FRANCIS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2023-09-26 00:00:00 810019174 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-30 00:00:00 No 2023-10-17 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None OU0911 None None None SFY2023-24
940000042 SHORELINE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-26 00:00:00 810019175 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-30 00:00:00 No 2023-10-17 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None LPW711 None None None SFY2023-24
230000277 WOLF CREEK CARE CENTER LTC SNF Skilled Nursing Facility Chico 2023-09-28 00:00:00 810019188 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-10-19 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 8HVI11 None None None SFY2023-24
240000096 PLYMOUTH VILLAGE LTC SNF Skilled Nursing Facility San Bernardino 2023-10-03 00:00:00 810019197 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-10-24 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None JOF611 None None None SFY2023-24
090000004 HILLCREST HEIGHTS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2023-10-03 00:00:00 810019201 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-10-24 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None ROD511 None None None SFY2023-24
950000062 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2023-08-31 00:00:00 810019221 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None G8LZ11 None None None SFY2023-24
140000092 ORINDA CARE CENTER, LLC LTC SNF Skilled Nursing Facility East Bay 2023-05-25 00:00:00 810019223 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None UE0R11 None None None SFY2022-23
910000322 MIRACLE MILE HEALTHCARE CENTER LLC LTC SNF Skilled Nursing Facility LA Region 2 2023-09-13 00:00:00 810019263 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 1YEM11 None None None SFY2023-24
120001474 SEQUOIA TRANSITIONAL CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-10-31 00:00:00 810019292 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-11-22 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None Z9QL11 None None None SFY2023-24
910000318 PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2023-11-02 00:00:00 810019300 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-11-28 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None HXDV11 None None None SFY2023-24
910000023 WINDSOR CARE CENTER OF CHEVIOT HILLS LTC SNF Skilled Nursing Facility LA Region 2 2023-11-02 00:00:00 810019301 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-11-28 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None MDVG11 None None None SFY2023-24
230000038 MARQUIS CARE AT SHASTA LTC SNF Skilled Nursing Facility Chico 2023-11-22 00:00:00 810019369 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-30 00:00:00 2020-12-31 00:00:00 No 2023-12-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FFWY11 None None None SFY2023-24
230000039 LASSEN NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Chico 2023-11-22 00:00:00 810019373 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2023-12-15 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None BW4311 None None None SFY2023-24
030000012 GOLDEN SAN ANDREAS CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2023-12-04 00:00:00 810019390 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-12-26 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 4VVO11 None None None SFY2023-24
240000038 CITRUS NURSING CENTER LTC SNF Skilled Nursing Facility San Bernardino 2023-11-27 00:00:00 810019404 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None E74B11 None None None SFY2023-24
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-12-06 00:00:00 810019407 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-12-28 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 6F6811 None None None SFY2023-24
030001825 LODI NURSING & REHABILITATION LTC SNF Skilled Nursing Facility Sacramento 2023-12-06 00:00:00 810019408 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-12-28 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FL1M11 None None None SFY2023-24
060000765 NEW ORANGE HILLS LTC SNF Skilled Nursing Facility Orange 2023-12-12 00:00:00 810019415 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-03 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None J19J11 None None None SFY2023-24
120000375 SHAFTER NURSING CARE LTC SNF Skilled Nursing Facility Bakersfield 2023-12-06 00:00:00 810019416 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-12-28 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None KDN911 None None None SFY2023-24
940000005 BROADWAY BY THE SEA LTC SNF Skilled Nursing Facility LA Region 3 2023-12-12 00:00:00 810019417 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-03 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None X42B11 None None None SFY2023-24
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2023-12-06 00:00:00 810019418 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2023-12-28 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 4BWV11 None None None SFY2023-24
250000057 WINDSOR CYPRESS GARDENS LTC SNF Skilled Nursing Facility Riverside 2023-12-06 00:00:00 810019446 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 58K911 None None None SFY2023-24
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2023-09-12 00:00:00 810019461 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None V3CO11 None None None SFY2023-24
050000061 SAMARKAND SKILLED NURSING FACILITY LTC SNF Skilled Nursing Facility Ventura 2023-12-20 00:00:00 810019463 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None CF9I11 None None None SFY2023-24
250000098 MENIFEE LAKES POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2023-12-20 00:00:00 810019464 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None CIR011 None None None SFY2023-24
970000105 ARARAT POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2023-12-13 00:00:00 810019468 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None MYTO11 None None None SFY2023-24
240000365 KNOLLS WEST POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2023-12-20 00:00:00 810019469 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None D5RV11 None None None SFY2023-24
040000025 FOWLER CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2023-12-13 00:00:00 810019473 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None SS5D11 None None None SFY2023-24
910000014 BERKLEY EAST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-20 00:00:00 810019475 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None LL5E11 None None None SFY2023-24
910000013 BERKLEY WEST HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-20 00:00:00 810019476 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 0QP111 None None None SFY2023-24
050000069 VALLE VERDE HEALTH FACILITY LTC SNF Skilled Nursing Facility Ventura 2023-12-20 00:00:00 810019477 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None NGUC11 None None None SFY2023-24
030000088 RIVERBANK POST-ACUTE LTC SNF Skilled Nursing Facility Fresno 2023-12-20 00:00:00 810019479 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None JBD411 None None None SFY2023-24
080000087 LA JOLLA NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2023-12-20 00:00:00 810019480 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-30 00:00:00 2021-02-28 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None PI2S11 None None None SFY2023-24
910000022 PRIMROSE POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2023-12-20 00:00:00 810019481 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None QRF511 None None None SFY2023-24
230000284 BRIDGEVIEW POST ACUTE LTC SNF Skilled Nursing Facility Chico 2023-12-20 00:00:00 810019482 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-01-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None VI1811 None None None SFY2023-24
120000365 PARKVIEW JULIAN HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Bakersfield 2023-12-27 00:00:00 810019516 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-17 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 2TKX11 None None None SFY2023-24
910000064 PACIFIC POST - ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2023-12-27 00:00:00 810019517 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-17 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 7O2H11 None None None SFY2023-24
080000053 FALLBROOK SKILLED NURSING LTC SNF Skilled Nursing Facility San Diego 2023-12-27 00:00:00 810019518 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-09-01 00:00:00 2020-12-31 00:00:00 No 2024-01-19 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None P11E11 None None None SFY2023-24
220000081 SAN BRUNO SKILLED NURSING LTC SNF Skilled Nursing Facility San Francisco 2023-12-27 00:00:00 810019519 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-01-17 00:00:00 None AP NHPPD None 25000 25000 -25000 0 0 None C5CQ11 None None None SFY2023-24
250000148 OAK GLEN POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2023-12-12 00:00:00 810019532 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-29 00:00:00 2021-02-28 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 3O3G11 None None None SFY2023-24
920000028 MONTROSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-04 00:00:00 810019538 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-25 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None HYAW11 None None None SFY2023-24
090000039 MISSION HILLS POST ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2024-01-04 00:00:00 810019539 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-25 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None O9EO11 None None None SFY2023-24
240000060 SPRING VALLEY POST ACUTE LLC LTC SNF Skilled Nursing Facility San Bernardino 2024-01-10 00:00:00 810019558 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-01-31 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 0DLM11 None None None SFY2023-24
090000092 EL CENTRO POST-ACUTE CARE LTC SNF Skilled Nursing Facility San Diego 2024-01-10 00:00:00 810019559 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-01-31 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None CXFU11 None None None SFY2023-24
250000016 SUNRISE POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2024-01-10 00:00:00 810019560 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-01-31 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None F2L811 None None None SFY2023-24
050000053 SANTA MARIA POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2024-01-10 00:00:00 810019561 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-01-31 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None ST8Y11 None None None SFY2023-24
240000682 INDIAN CANYON POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2024-01-10 00:00:00 810019562 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-02-01 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 6LFF11 None None None SFY2023-24
910000004 OSAGE HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2024-01-10 00:00:00 810019564 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2024-02-01 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None I9Q111 None None None SFY2023-24
940000092 MAYWOOD SKILLED NURSING & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 3 2024-01-11 00:00:00 810019567 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-02-01 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None W16511 None None None SFY2023-24
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2024-01-11 00:00:00 810019568 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-02-01 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 188I11 None None None SFY2023-24
060000026 SEAL BEACH HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Orange 2024-01-11 00:00:00 810019570 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-02-01 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None PKS011 None None None SFY2023-24
950000079 INLAND VALLEY CARE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-01-09 00:00:00 810019578 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None OU9Q11 None None None SFY2023-24
100000003 FAIRMONT REHABILITATION HOSPITAL LTC SNF Skilled Nursing Facility Sacramento 2024-01-17 00:00:00 810019583 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-02-07 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None P73411 None None None SFY2023-24
080000685 CASA DE LAS CAMPANAS LTC SNF Skilled Nursing Facility San Diego 2024-01-10 00:00:00 810019584 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-07-01 00:00:00 2020-09-30 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None SZS411 None None None SFY2023-24
250000041 THE BRADLEY GARDENS LTC SNF Skilled Nursing Facility Riverside 2024-01-18 00:00:00 810019589 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 Yes 2024-02-08 00:00:00 2024-02-12 00:00:00 AP NHPPD None 50000 50000 0 50000 0 None 0VDO11 None None None SFY2023-24
040000047 HEALTHCARE CENTRE OF FRESNO LTC SNF Skilled Nursing Facility Fresno 2024-01-24 00:00:00 810019610 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-02-14 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None XBKU11 None None None SFY2023-24
100000021 CASA COLOMA HEALTH CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-01-30 00:00:00 810019624 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-02-20 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None NOH811 None None None SFY2023-24
030000852 BRANDEL MANOR LTC SNF Skilled Nursing Facility Fresno 2024-01-31 00:00:00 810019627 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-02-21 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None ZW1W11 None None None SFY2023-24
220000056 HAYES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility San Francisco 2024-02-06 00:00:00 810019665 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-02-27 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None SBWW11 None None None SFY2023-24
970000009 VIEW PARK CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-02-06 00:00:00 810019666 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-02-27 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None WNNQ11 None None None SFY2023-24
010001007 THE REDWOODS, A COMMUNITY OF SENIORS LTC SNF Skilled Nursing Facility Santa Rosa 2024-02-08 00:00:00 810019671 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-02-29 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None CYW511 None None None SFY2023-24
240000094 LAS COLINAS POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2024-02-20 00:00:00 810019727 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-03-12 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None IX6411 None None None SFY2023-24
030000071 FAIR OAKS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-02-20 00:00:00 810019728 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-03-12 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 4PF611 None None None SFY2023-24
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-02-20 00:00:00 810019729 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-03-12 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None OMIK11 None None None SFY2023-24
220001063 WEBSTER HOUSE LTC SNF Skilled Nursing Facility San Jose 2024-01-30 00:00:00 810019733 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 4ROQ11 None None None SFY2023-24
110000053 PINER'S NURSING HOME LTC SNF Skilled Nursing Facility Santa Rosa 2024-01-10 00:00:00 810019735 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-29 00:00:00 2021-02-28 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 2MQM11 None None None SFY2023-24
070000093 WATSONVILLE NURSING CENTER LTC SNF Skilled Nursing Facility San Jose 2024-02-27 00:00:00 810019760 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-03-19 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 5VMY11 None None None SFY2023-24
220001000 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Jose 2024-02-28 00:00:00 810019762 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-03-20 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None J9H711 None None None SFY2023-24
240000873 RECHE CANYON REGIONAL REHAB CENTER LTC SNF Skilled Nursing Facility San Bernardino 2024-02-28 00:00:00 810019763 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-03-20 00:00:00 None AP NHPPD None 25000 25000 0 3125 21875 None BS1K11 None None None SFY2023-24
040000049 COVENANT POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2024-03-06 00:00:00 810019782 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-03-27 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 3P5S11 None None None SFY2023-24
230000043 SHASTA VIEW ESTATES LTC SNF Skilled Nursing Facility Chico 2024-06-13 00:00:00 810019783 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 Yes 2024-07-05 00:00:00 2024-04-17 00:00:00 AP NHPPD None 25000 25000 0 25000 0 None QQBK11 None None None SFY2023-24
110000031 EMMANUEL CARE CENTER - TRAVIS LTC SNF Skilled Nursing Facility Santa Rosa 2024-03-19 00:00:00 810019800 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-04-09 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None Y6XH11 None None None SFY2023-24
110001248 ROCKY POINT CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2024-03-01 00:00:00 810019811 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-29 00:00:00 2021-02-28 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 37U711 None None None SFY2023-24
940000049 MEADOW CREEK POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-03-13 00:00:00 810019826 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-04-03 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 0QPT11 None None None SFY2023-24
950000056 DEL MAR CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 1 2024-03-13 00:00:00 810019827 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-04-04 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None YSHB11 None None None SFY2023-24
220001018 SANTA CLARA POST ACUTE LTC SNF Skilled Nursing Facility San Jose 2024-03-14 00:00:00 810019834 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-04-04 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None WQHQ11 None None None SFY2023-24
040001364 HANFORD POST ACUTE LTC SNF Skilled Nursing Facility Fresno 2024-03-14 00:00:00 810019838 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-04-04 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None Y7T911 None None None SFY2023-24
090000015 PIONEERS MEMORIAL SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility San Diego 2024-03-19 00:00:00 810019856 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-04-09 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None DR5Z11 None None None SFY2023-24
010000959 MARIN POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2024-03-21 00:00:00 810019863 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-04-11 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None WIC211 None None None SFY2023-24
100000092 RANCHO SECO CARE CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-03-22 00:00:00 810019870 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-04-15 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None Y2DD11 None None None SFY2023-24
010000034 SONOMA POST ACUTE LTC SNF Skilled Nursing Facility Santa Rosa 2024-03-26 00:00:00 810019881 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-04-16 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None SMH111 None None None SFY2023-24
010000940 NOVATO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2024-03-28 00:00:00 810019890 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-04-19 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None LPRG11 None None None SFY2023-24
220001009 CUPERTINO HEALTHCARE & WELLNESS CENTER LTC SNF Skilled Nursing Facility San Jose 2024-04-10 00:00:00 810019945 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-01 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None FKDI11 None None None SFY2023-24
940000057 DOWNEY COMMUNITY HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-11 00:00:00 810019953 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 Yes 2024-05-02 00:00:00 2024-05-06 00:00:00 AP NHPPD None 25000 25000 0 0 25000 None 7AZM11 None None None SFY2023-24
140000082 WINDSOR ROSEWOOD CARE CENTER LTC SNF Skilled Nursing Facility East Bay 2024-04-11 00:00:00 810019954 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-02 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None QY7811 None None None SFY2023-24
010000075 FORTUNA REHABILITATION & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2024-04-11 00:00:00 810019957 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-02 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None XV5P11 None None None SFY2023-24
040000067 VINEYARD CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2024-04-17 00:00:00 810019982 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-08 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None 846Q11 None None None SFY2023-24
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2024-04-17 00:00:00 810019983 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-08 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 595K11 None None None SFY2023-24
940000053 GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2024-04-17 00:00:00 810019985 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-05-08 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None 6DZY11 None None None SFY2023-24
100000041 LINCOLN SQUARE POST ACUTE CARE LTC SNF Skilled Nursing Facility Stockton 2024-04-18 00:00:00 810019990 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-09 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None HIC111 None None None SFY2023-24
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2024-04-30 00:00:00 810020010 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-05-21 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None QFGZ11 None None None SFY2023-24
970000015 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 2 2024-04-24 00:00:00 810020015 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-15 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 8H9Z11 None None None SFY2023-24
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2024-05-06 00:00:00 810020077 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-05-28 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 15RC11 None None None SFY2023-24
010000968 PROFESSIONAL POST ACUTE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2024-05-07 00:00:00 810020081 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-29 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 705611 None None None SFY2023-24
040000007 PROMENADE CARE CENTER LTC SNF Skilled Nursing Facility Fresno 2024-05-08 00:00:00 810020085 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-30 00:00:00 None AP NHPPD None 50000 50000 -50000 0 0 None HOU811 None None None SFY2023-24
010000936 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility Santa Rosa 2024-05-08 00:00:00 810020086 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-30 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 1ZUI11 None None None SFY2023-24
030000076 RIVER POINTE POST-ACUTE LTC SNF Skilled Nursing Facility Sacramento 2024-05-08 00:00:00 810020088 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-05-30 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 1JEM11 None None None SFY2023-24
010000062 SHERWOOD OAKS POST ACUTE CARE, LLC LTC SNF Skilled Nursing Facility Santa Rosa 2024-05-08 00:00:00 810020089 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-05-30 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None M4QC11 None None None SFY2023-24
110000013 WINDSOR VALLEJO NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2024-05-14 00:00:00 810020125 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-05 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None UBV211 None None None SFY2023-24
070000094 WATSONVILLE POST ACUTE CENTER LTC SNF Skilled Nursing Facility San Jose 2024-05-14 00:00:00 810020126 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-05 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None CJE811 None None None SFY2023-24
100000026 VALLEY SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility Fresno 2024-06-10 00:00:00 810020140 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-01 00:00:00 2021-02-28 00:00:00 No 2024-07-01 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None 9RO711 None None None SFY2023-24
220000087 MILLBRAE CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2024-05-15 00:00:00 810020156 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-06 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None BZJH11 None None None SFY2023-24
030000820 CITRUS HEIGHTS POST ACUTE LTC SNF Skilled Nursing Facility Sacramento 2024-05-17 00:00:00 810020160 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-10 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None IVY111 None None None SFY2023-24
140000078 TAMPICO HEALTHCARE CENTER LTC SNF Skilled Nursing Facility East Bay 2024-05-17 00:00:00 810020161 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-06-10 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None 49UI11 None None None SFY2023-24
220000069 LINDA MAR CARE CENTER LTC SNF Skilled Nursing Facility San Francisco 2024-05-17 00:00:00 810020163 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-10 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 65OC11 None None None SFY2023-24
100000084 PIONEER HOUSE LTC SNF Skilled Nursing Facility Sacramento 2024-05-21 00:00:00 810020179 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-12 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None NPQN11 None None None SFY2023-24
090000065 BALBOA NURSING & REHABILITATION CENTER LTC SNF Skilled Nursing Facility San Diego 2024-05-22 00:00:00 810020186 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-13 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 090F11 None None None SFY2023-24
060000022 ALAMITOS WEST HEALTH & REHABILITATION LTC SNF Skilled Nursing Facility Orange 2024-05-22 00:00:00 810020191 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-13 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None 336H11 None None None SFY2023-24
100000032 BROOKSIDE CARE CENTER LTC SNF Skilled Nursing Facility Stockton 2024-06-05 00:00:00 810020204 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-26 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None 6FQG11 None None None SFY2023-24
010000003 CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH LTC SNF Skilled Nursing Facility Santa Rosa 2024-06-13 00:00:00 810020260 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-07-05 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None ZEXG11 None None None SFY2023-24
100000038 ALMOND VISTA HEALTHCARE LTC SNF Skilled Nursing Facility Fresno 2024-06-13 00:00:00 810020261 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-07-05 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None D54R11 None None None SFY2023-24
030000063 GOLD COUNTRY HEALTH CENTER LTC SNF Skilled Nursing Facility Sacramento 2024-06-06 00:00:00 810020275 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-06-27 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None YSF211 None None None SFY2023-24
080000099 VISTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility San Diego 2024-06-06 00:00:00 810020277 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-27 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None ECKN11 None None None SFY2023-24
050000047 VALLEY OAKS POST ACUTE LTC SNF Skilled Nursing Facility Ventura 2024-06-12 00:00:00 810020292 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2021-07-01 00:00:00 2021-09-30 00:00:00 No 2024-07-03 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 5M4511 None None None SFY2023-24
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-06-12 00:00:00 810020295 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2021-07-01 00:00:00 2021-09-30 00:00:00 No 2024-07-03 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 1DF811 None None None SFY2023-24
110000046 NAPA VALLEY CARE CENTER LTC SNF Skilled Nursing Facility Santa Rosa 2024-06-12 00:00:00 810020298 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2021-07-01 00:00:00 2021-09-30 00:00:00 No 2024-07-03 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None NS3O11 None None None SFY2023-24
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2024-06-12 00:00:00 810020299 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2021-07-01 00:00:00 2021-09-30 00:00:00 No 2024-07-03 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None PILV11 None None None SFY2023-24
040000015 BETHEL LUTHERAN HOME, INC. LTC SNF Skilled Nursing Facility Fresno 2024-06-11 00:00:00 810020319 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2021-07-01 00:00:00 2021-09-30 00:00:00 No 2024-07-02 00:00:00 None AP NHPPD None 0 0 0 0 0 None JD3U11 None None None SFY2023-24
240001854 BISHOP CARE CENTER LTC SNF Skilled Nursing Facility San Bernardino 2024-06-18 00:00:00 810020333 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-07-10 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None MI4E11 None None None SFY2023-24
950000014 COVINA REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2024-05-22 00:00:00 810020339 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-06-13 00:00:00 None AP NHPPD None 0 0 0 0 0 None QLBG11 None None None SFY2023-24
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2024-06-26 00:00:00 810020347 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-07-18 00:00:00 None AP NHPPD None 25000 25000 0 25000 0 None XVHM11 None None None SFY2023-24
090000054 FREDERICKA MANOR CARE CENTER LTC SNF Skilled Nursing Facility San Diego 2024-06-27 00:00:00 810020355 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-07-19 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None 3P3K11 None None None SFY2023-24
240000029 UNIVERSITY POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2024-06-27 00:00:00 810020361 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-07-19 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None 3KJ011 None None None SFY2023-24
090000063 SAN DIEGO POST-ACUTE CENTER LTC SNF Skilled Nursing Facility San Diego 2024-05-22 00:00:00 810020393 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-06-13 00:00:00 None AP NHPPD None 0 0 0 0 0 None V1SK11 None None None SFY2023-24
910000314 CRENSHAW NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2012-08-31 00:00:00 910009468 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2012-01-10 00:00:00 2012-03-26 00:00:00 No 2012-09-15 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 5UV511 None None None SFY2012-13
910000086 TORRANCE CARE CENTER EAST LTC SNF Skilled Nursing Facility LA Region 3 2012-08-31 00:00:00 910009469 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2012-03-19 00:00:00 2012-06-03 00:00:00 Yes 2012-09-15 00:00:00 None AP NHPPD UPHELD 30000 30000 0 30000 0 None 1OOX11 None None None SFY2012-13
910000091 TORRANCE CARE CENTER WEST, INC. LTC SNF Skilled Nursing Facility LA Region 3 2012-09-12 00:00:00 910009488 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-03-19 00:00:00 2012-06-03 00:00:00 Yes 2012-09-27 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 0DF911 None CA00247532 C SFY2012-13
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2012-09-12 00:00:00 910009493 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-11-30 00:00:00 2012-02-14 00:00:00 No 2012-09-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Q6EO11 None None None SFY2012-13
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2012-11-29 00:00:00 910009520 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 No 2012-12-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ESF711 None None None SFY2012-13
910000075 OCEAN PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2012-02-12 00:00:00 910009533 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2010-12-21 00:00:00 2011-03-19 00:00:00 No 2012-02-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CBVW11 None None None SFY2011-12
910000076 SUNSET PARK HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 2 2012-02-21 00:00:00 910009570 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2010-12-14 00:00:00 2011-03-12 00:00:00 No 2012-03-07 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None HGFF11 None None None SFY2011-12
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2012-12-31 00:00:00 910009688 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 No 2013-01-15 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None QOQ511 None None None SFY2012-13
970000139 ALTA VIEW POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2013-05-09 00:00:00 910009872 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2012-03-28 00:00:00 2012-06-12 00:00:00 No 2013-05-24 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None H93J11 None None None SFY2012-13
910000050 INGLEWOOD HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-05-16 00:00:00 910009881 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-09-19 00:00:00 2011-12-16 00:00:00 No 2013-05-31 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Y28111 None None None SFY2012-13
910000053 LAS FLORES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2014-01-02 00:00:00 910010305 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 Yes 2014-01-17 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None RRRD11 None None None SFY2013-14
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2013-12-30 00:00:00 910010327 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-03-04 00:00:00 2013-05-09 00:00:00 No 2014-01-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 68MX11 None None None SFY2013-14
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2014-02-12 00:00:00 910010328 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2013-03-06 00:00:00 2013-05-11 00:00:00 No 2014-02-27 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None YSI911 None None None SFY2013-14
910000068 PALOS VERDES HEALTH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-04-01 00:00:00 910010339 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 No 2014-04-16 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None LP9811 None None None SFY2013-14
910000081 CAMINO HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 3 2014-03-10 00:00:00 910010403 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-11-07 00:00:00 2013-01-22 00:00:00 Yes 2014-03-25 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None EWHP11 None None None SFY2013-14
970000129 ALVARADO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2014-07-10 00:00:00 910010844 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-09-24 00:00:00 2013-12-24 00:00:00 Yes 2014-07-25 00:00:00 None AP NHPPD REVERSED 15000 0 0 0 0 None 9X9U11 None None None SFY2014-15
910000069 PLAYA DEL REY CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-07-28 00:00:00 910010876 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-09-24 00:00:00 2013-12-24 00:00:00 Yes 2014-08-12 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None F9JD11 None None None SFY2014-15
910000046 HARBOR POST ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-08-04 00:00:00 910010891 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-11-26 00:00:00 2014-02-25 00:00:00 Yes 2014-08-19 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 58FQ11 None None None SFY2014-15
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2015-05-21 00:00:00 910011476 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-11-30 00:00:00 2015-03-01 00:00:00 No 2015-06-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None J8QT11 None None None SFY2014-15
910000047 HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 3 2016-01-07 00:00:00 910011905 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-11-10 00:00:00 2015-02-09 00:00:00 Yes 2016-01-22 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 7GSH11 None None None SFY2015-16
910000035 LOTUS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-02-16 00:00:00 910012027 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-02-16 00:00:00 2015-05-18 00:00:00 No 2016-03-02 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None D14611 None None None SFY2015-16
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-03-24 00:00:00 910012124 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-03-17 00:00:00 2015-06-16 00:00:00 No 2016-04-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7OXP11 None None None SFY2015-16
910000336 THE REHABILITATION CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2017-06-02 00:00:00 910013231 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 Yes 2017-06-17 00:00:00 None AP NHPPD REVERSED 15000 0 0 0 0 None S9R811 None None None SFY2016-17
910000007 WEST GARDENA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2017-06-14 00:00:00 910013267 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-01-25 00:00:00 2016-04-25 00:00:00 No 2017-06-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None FXSU11 None None None SFY2016-17
910000003 ROSECRANS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-10-19 00:00:00 910013545 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-10-25 00:00:00 2016-01-24 00:00:00 No 2017-11-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None O2MV11 None None None SFY2017-18
910000049 HYDE PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-12-15 00:00:00 910013665 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2017-12-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9QYQ11 None None None SFY2017-18
910000016 VERMONT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-01-25 00:00:00 910013745 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-10-10 00:00:00 2017-01-09 00:00:00 No 2018-02-09 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5C1M11 None None None SFY2017-18
970000131 CALIFORNIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2018-02-13 00:00:00 910013757 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2018-02-28 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 5CH511 None None None SFY2017-18
910000027 OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2018-06-07 00:00:00 910014118 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-11-17 00:00:00 2017-02-16 00:00:00 No 2018-06-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None GWQ711 None None None SFY2017-18
970000125 BONNIE BRAE SKILLED NURSING LTC SNF Skilled Nursing Facility LA Region 2 2018-06-13 00:00:00 910014129 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-12-02 00:00:00 2017-02-08 00:00:00 No 2018-06-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Z5R111 None None None SFY2017-18
910000043 GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA LTC SNF Skilled Nursing Facility LA Region 2 2018-10-03 00:00:00 910014438 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-10-18 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 6VZS11 None None None SFY2018-19
910000077 SEACREST POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-10-03 00:00:00 910014439 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 Yes 2018-10-18 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None J6WO11 None None None SFY2018-19
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2019-07-03 00:00:00 910015200 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2019-07-18 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None JKV411 None None None SFY2019-20
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2019-07-10 00:00:00 910015215 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2019-07-25 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None EK8Q11 None None None SFY2019-20
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2019-08-07 00:00:00 910015264 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-08-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None VYHZ11 None None None SFY2019-20
940000064 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-11-29 00:00:00 910017110 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Y88S11 None None None SFY2021-22
940000043 EDGEWATER SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2021-12-09 00:00:00 910017144 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-12-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None YNE611 None None None SFY2021-22
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2022-01-27 00:00:00 910017168 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-02-11 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 05LT11 None None None SFY2021-22
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2022-06-22 00:00:00 910017709 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-07-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 2HSW11 None None None SFY2021-22
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2022-07-28 00:00:00 910017804 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-12 00:00:00 None AP NHPPD None 30000 30000 0 0 30000 None D7EO11 None None None SFY2022-23
910000059 MARINA POINTE HEALTHCARE & SUBACUTE LTC SNF Skilled Nursing Facility LA Region 3 2022-08-03 00:00:00 910017829 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-08-18 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None UN5411 None None None SFY2022-23
910000067 LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC LTC SNF Skilled Nursing Facility LA Region 3 2024-02-15 00:00:00 910019714 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-03-08 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None COGG11 None None None SFY2023-24
970000089 COLLEGE VISTA POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2012-07-25 00:00:00 920009405 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-11-22 00:00:00 2012-02-06 00:00:00 Yes 2012-08-09 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 1Z6I11 None None None SFY2012-13
920000031 LA CRESCENTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-03-19 00:00:00 920009769 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-09-01 00:00:00 2011-11-29 00:00:00 No 2013-04-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 8JJ811 None None None SFY2012-13
920000009 MACLAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2013-06-20 00:00:00 920009840 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-02-09 00:00:00 2012-04-25 00:00:00 Yes 2013-07-05 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None LLUQ11 None None None SFY2012-13
920000004 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP LTC SNF Skilled Nursing Facility LA Region 2 2013-06-20 00:00:00 920009955 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-03-19 00:00:00 2012-06-03 00:00:00 No 2013-07-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3JFP11 None None None SFY2012-13
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-07-19 00:00:00 920010008 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-11-25 00:00:00 2012-02-09 00:00:00 No 2013-08-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CU1T11 None None None SFY2013-14
920000052 MAYFLOWER GARDENS CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 2 2014-07-01 00:00:00 920010376 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-12-25 00:00:00 2013-03-11 00:00:00 Yes 2014-07-16 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None PQOY11 None None None SFY2014-15
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2016-06-23 00:00:00 920012338 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-09-06 00:00:00 2015-12-06 00:00:00 No 2016-07-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3N3A11 None None None SFY2015-16
920000053 SANTA CLARITA POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2017-09-13 00:00:00 920013476 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2017-09-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 43LY11 None None None SFY2017-18
920000018 GRIFFITH PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-04-17 00:00:00 920013980 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-08-07 00:00:00 2016-11-06 00:00:00 No 2018-05-02 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None F5FX11 None None None SFY2017-18
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2018-08-07 00:00:00 920014304 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-05 00:00:00 2017-06-04 00:00:00 No 2018-08-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4R0211 None None None SFY2018-19
920000049 BERKLEY POST-ACUTE LTC SNF Skilled Nursing Facility LA Region 2 2018-10-30 00:00:00 920014522 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-01-01 00:00:00 2017-03-31 00:00:00 No 2018-11-14 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Q9TW11 None None None SFY2018-19
920000030 THE HILLS HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-04-18 00:00:00 920014952 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-02-26 00:00:00 2018-05-28 00:00:00 No 2019-05-03 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None SRZ411 None None None SFY2018-19
920000068 HOLIDAY MANOR CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-06 00:00:00 920015004 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-05-21 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Z6NG11 None None None SFY2018-19
920000067 TARZANA HEALTH AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-05-14 00:00:00 920015046 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2018-03-17 00:00:00 2018-06-16 00:00:00 No 2019-05-29 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 0KNB11 None None None SFY2018-19
920000003 THE GROVE POST-ACUTE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-03-10 00:00:00 920016318 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-07-01 00:00:00 2019-09-30 00:00:00 No 2021-03-25 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None PRLR11 None None None SFY2020-21
920000092 STONEY POINT HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-08-17 00:00:00 920016825 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None GIPI11 None None None SFY2021-22
970000135 UNIVERSITY PARK HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 2 2021-09-09 00:00:00 920016883 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-09-24 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None SW2911 None None None SFY2021-22
920000075 STUDIO CITY REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 2 2022-03-08 00:00:00 920017455 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-03-23 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None S53F11 None None None SFY2021-22
970000123 ANGELS NURSING HEALTH CENTER LTC SNF Skilled Nursing Facility LA Region 2 2023-12-05 00:00:00 920019441 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 8TIJ11 None None None SFY2023-24
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2012-09-21 00:00:00 940009489 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-02-01 00:00:00 2012-04-17 00:00:00 Yes 2012-10-06 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None G9G511 None None None SFY2012-13
940000090 PACIFIC VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 3 2012-09-12 00:00:00 940009491 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-12-26 00:00:00 2012-03-11 00:00:00 No 2012-09-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None Y14911 None None None SFY2012-13
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-01-07 00:00:00 940009686 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 No 2013-01-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 1ZKB11 None None None SFY2012-13
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2013-04-02 00:00:00 940009797 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 No 2013-04-17 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None XLM411 None None None SFY2012-13
970000037 FLOWER VILLA, INC. LTC SNF Skilled Nursing Facility LA Region 2 2013-07-19 00:00:00 940009801 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2011-10-04 00:00:00 2011-12-31 00:00:00 No 2013-08-03 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 733E11 None None None SFY2013-14
940000115 IMPERIAL HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-05-09 00:00:00 940009867 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 Yes 2013-05-24 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 0B1C11 None None None SFY2012-13
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-06-13 00:00:00 940009939 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 Yes 2013-06-28 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None R9OF11 None None None SFY2012-13
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2013-09-04 00:00:00 940010110 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 No 2013-09-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9C7411 None None None SFY2013-14
970000115 HUNTINGTON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-02-28 00:00:00 940010304 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-10-23 00:00:00 2013-01-07 00:00:00 No 2014-03-15 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 5WXP11 None None None SFY2013-14
940000107 LONG BEACH CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-01-24 00:00:00 940010310 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 Yes 2014-02-08 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None EX8411 None None None SFY2013-14
940000096 ROYAL CARE SKILLED NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-01-24 00:00:00 940010315 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-02-05 00:00:00 2013-04-22 00:00:00 Yes 2014-02-08 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None TJ9E11 None None None SFY2013-14
940000111 ARTESIA PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-06-03 00:00:00 940010322 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-07-02 00:00:00 2012-09-16 00:00:00 Yes 2014-06-18 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None QSMR11 None None None SFY2013-14
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-01-24 00:00:00 940010329 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-01-01 00:00:00 2013-03-18 00:00:00 No 2014-02-08 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 19ZC11 None None None SFY2013-14
970000070 INFINITY CARE OF EAST LOS ANGELES LTC SNF Skilled Nursing Facility LA Region 1 2014-06-11 00:00:00 940010331 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-01-30 00:00:00 2013-04-16 00:00:00 No 2014-06-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 3YK211 None None None SFY2013-14
940000013 BELLFLOWER POST ACUTE LTC SNF Skilled Nursing Facility LA Region 3 2014-02-28 00:00:00 940010351 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2013-03-27 00:00:00 2013-06-11 00:00:00 No 2014-03-15 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 0J7F11 None None None SFY2013-14
940000065 INTERCOMMUNITY CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2014-02-12 00:00:00 940010377 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 No 2014-02-27 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 7B0T11 None None None SFY2013-14
940000051 AVALON VILLA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2016-01-07 00:00:00 940011904 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2015-01-05 00:00:00 2015-04-06 00:00:00 Yes 2016-01-22 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 30000 30000 0 30000 0 None OW1Q11 None None None SFY2015-16
940000056 LONG BEACH HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2017-09-07 00:00:00 940013471 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-10-19 00:00:00 2016-01-18 00:00:00 No 2017-09-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7LBS11 None None None SFY2017-18
940000033 COLONIAL GARDENS NURSING HOME LTC SNF Skilled Nursing Facility LA Region 3 2017-09-28 00:00:00 940013515 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-11-02 00:00:00 2016-02-01 00:00:00 No 2017-10-13 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 9HMB11 None None None SFY2017-18
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2017-10-10 00:00:00 940013524 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2015-04-01 00:00:00 2015-06-16 00:00:00 No 2017-10-25 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None T8PF11 None None None SFY2017-18
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2017-10-20 00:00:00 940013540 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2015-03-17 00:00:00 2015-06-16 00:00:00 No 2017-11-04 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None X95D11 None None None SFY2017-18
940000050 LIGHTHOUSE HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2018-08-07 00:00:00 940014303 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-11-24 00:00:00 2017-02-23 00:00:00 No 2018-08-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZCTL11 None None None SFY2018-19
940000040 VILLA DEL RIO LTC SNF Skilled Nursing Facility LA Region 3 2018-09-12 00:00:00 940014387 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2018-09-27 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None P43T11 None None None SFY2018-19
940000041 VILLA DEL RIO GARDENS LTC SNF Skilled Nursing Facility LA Region 3 2018-09-12 00:00:00 940014388 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2018-09-27 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 368Q11 None None None SFY2018-19
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-09-20 00:00:00 940014408 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-04-02 00:00:00 2017-06-30 00:00:00 No 2018-10-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ODQY11 None None None SFY2018-19
970000064 MANCHESTER MANOR CVLT HOSPITAL LTC SNF Skilled Nursing Facility LA Region 3 2018-11-05 00:00:00 940014537 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-12-12 00:00:00 2017-03-13 00:00:00 Yes 2018-11-20 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None YTGR11 None None None SFY2018-19
970000109 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 2 2019-04-11 00:00:00 940014941 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-07-01 00:00:00 2017-09-30 00:00:00 No 2019-04-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 85I211 None None None SFY2018-19
940000112 CERRITOS VISTA HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 3 2019-08-21 00:00:00 940015315 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-10-01 00:00:00 2017-12-31 00:00:00 No 2019-09-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4ZFM11 None None None SFY2019-20
970000163 CAMELLIA GARDENS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-09-12 00:00:00 950009487 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2011-12-06 00:00:00 2012-02-20 00:00:00 No 2012-09-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 46GO11 None None None SFY2012-13
970000077 SOUTH PASADENA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2012-12-05 00:00:00 950009517 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-02-01 00:00:00 2012-04-17 00:00:00 Yes 2012-12-20 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None QQN711 None None None SFY2012-13
970000176 TWO PALMS CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-03-25 00:00:00 950009786 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2011-11-23 00:00:00 2012-02-07 00:00:00 No 2013-04-09 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None CUCK11 None None None SFY2012-13
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2013-05-13 00:00:00 950009882 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-04-02 00:00:00 2012-06-16 00:00:00 Yes 2013-05-28 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None JWQJ11 None None None SFY2012-13
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-05-23 00:00:00 950009888 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-01-23 00:00:00 2012-04-08 00:00:00 No 2013-06-07 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None D4ZM11 None None None SFY2012-13
950000019 ROYAL VISTA CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2013-07-15 00:00:00 950009996 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2012-02-29 00:00:00 2012-05-22 00:00:00 Yes 2013-07-30 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None VO5X11 None None None SFY2013-14
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2014-03-10 00:00:00 950010320 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 Yes 2014-03-25 00:00:00 None AP NHPPD APPEAL WITHDRAWN BY 15000 15000 0 15000 0 None MZCU11 None None None SFY2013-14
950000047 COAST CARE CONVALESCENT CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-05-01 00:00:00 950010332 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-03-05 00:00:00 2013-05-20 00:00:00 Yes 2014-05-16 00:00:00 None AP NHPPD REVERSED 15000 0 0 0 0 None SN0C11 None None None SFY2013-14
970000167 SAINT VINCENT HEALTHCARE LTC SNF Skilled Nursing Facility LA Region 1 2014-04-08 00:00:00 950010336 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-03-18 00:00:00 2013-06-02 00:00:00 Yes 2014-04-23 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None 4PMU11 None None None SFY2013-14
950000100 IVY CREEK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2014-02-04 00:00:00 950010375 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-04-02 00:00:00 2013-06-16 00:00:00 No 2014-02-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 0VP111 None None None SFY2013-14
970000165 GOLDEN ROSE CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2014-08-06 00:00:00 950010896 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2013-11-26 00:00:00 2014-02-25 00:00:00 No 2014-08-21 00:00:00 None AP NHPPD DEPT WITHDREW CITATI 15000 15000 -15000 0 0 None 056R11 None None None SFY2014-15
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2014-12-17 00:00:00 950011138 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-02-16 00:00:00 2014-05-18 00:00:00 No 2015-01-01 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None IBFB11 None None None SFY2014-15
970000171 GOLDEN CROSS HEALTH CARE LTC SNF Skilled Nursing Facility LA Region 1 2015-01-26 00:00:00 950011236 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-02-25 00:00:00 2014-05-27 00:00:00 Yes 2015-02-10 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None CF1611 None None None SFY2014-15
950000032 MESA GLEN CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-02-05 00:00:00 950011243 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-02-26 00:00:00 2014-05-28 00:00:00 No 2015-02-20 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None R73S11 None None None SFY2014-15
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2015-07-14 00:00:00 950011603 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2014-11-27 00:00:00 2015-02-26 00:00:00 Yes 2015-07-29 00:00:00 None AP NHPPD UPHELD 30000 30000 0 30000 0 None OEIG11 None None None SFY2015-16
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2016-04-13 00:00:00 950012169 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-03-01 00:00:00 2015-05-31 00:00:00 No 2016-04-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None CH4911 None None None SFY2015-16
950000054 BEACON HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2016-12-22 00:00:00 950012813 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2015-12-21 00:00:00 2016-03-21 00:00:00 No 2017-01-06 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZBY511 None None None SFY2016-17
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2017-07-13 00:00:00 950013330 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-03-17 00:00:00 2016-06-16 00:00:00 No 2017-07-28 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None R7PG11 None None None SFY2017-18
950000001 GLADSTONE SUB-ACUTE AND REHAB CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-03-07 00:00:00 950013861 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-02-23 00:00:00 2017-05-25 00:00:00 No 2018-03-22 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None KPZH11 None None None SFY2017-18
950000073 MONROVIA POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2018-08-15 00:00:00 950014321 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-12-20 00:00:00 2017-03-21 00:00:00 No 2018-08-30 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 4XQR11 None None None SFY2018-19
950000013 THE ROWLAND LTC SNF Skilled Nursing Facility LA Region 1 2018-09-04 00:00:00 950014370 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-09-19 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ILQF11 None None None SFY2018-19
970000186 PASADENA NURSING CENTER LTC SNF Skilled Nursing Facility LA Region 1 2018-09-12 00:00:00 950014383 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2016-12-27 00:00:00 2017-03-28 00:00:00 No 2018-09-27 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None XRYM11 None None None SFY2018-19
920000019 ROYAL PALMS POST ACUTE LTC SNF Skilled Nursing Facility LA Region 1 2019-05-16 00:00:00 950015049 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-07-01 00:00:00 2017-09-30 00:00:00 No 2019-05-31 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 0SEV11 None None None SFY2018-19
950000031 LIVE OAK REHABILITATION CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-07-20 00:00:00 950016713 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-08-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 7P3R11 None None None SFY2021-22
970000107 YORK HEALTHCARE & WELLNESS CENTRE LTC SNF Skilled Nursing Facility LA Region 1 2021-09-01 00:00:00 950016934 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 6B1B11 None None None SFY2021-22
940000109 MONTEBELLO CARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-10-07 00:00:00 950016971 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-22 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None 7KKX11 None None None SFY2021-22
950000030 BROADWAY HEALTHCARE CENTER LTC SNF Skilled Nursing Facility LA Region 1 2021-09-16 00:00:00 950016980 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2019-10-01 00:00:00 2019-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None 0YUI11 None None None SFY2021-22
920000027 MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER LTC SNF Skilled Nursing Facility LA Region 1 2022-01-11 00:00:00 950017245 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-01-26 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None VMQP11 None None None SFY2021-22
950000279 SANTA TERESITA MANOR LTC SNF Skilled Nursing Facility LA Region 1 2022-04-19 00:00:00 950017568 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2022-05-04 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None 887M11 None None None SFY2021-22
950000042 GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP LTC SNF Skilled Nursing Facility LA Region 1 2023-02-02 00:00:00 950018361 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2020-07-01 00:00:00 2020-09-30 00:00:00 No 2023-02-24 00:00:00 None AP NHPPD None 25000 25000 0 0 25000 None 6IS811 None None None SFY2022-23
100000058 TRACY NURSING AND REHABILITATION CENTER LTC SNF Skilled Nursing Facility Stockton 2022-09-20 00:00:00 990018291 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 1 Day (No Penalty) None 2020-10-01 00:00:00 2020-12-31 00:00:00 No None None AP NHPPD None 0 0 0 0 0 None N0F111 None None None SFY2022-23
100000073 STOCKTON NURSING CENTER LTC SNF Skilled Nursing Facility Stockton 2024-06-10 00:00:00 990020180 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-11-29 00:00:00 2021-02-28 00:00:00 No 2024-07-01 00:00:00 None AP NHPPD None 50000 50000 0 50000 0 None F7XS11 None None None SFY2023-24
140000797 STANFORD HEALTH CARE TRI-VALLEY Non-LTC GACH General Acute Care Hospital East Bay 2007-08-22 00:00:00 020004196 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-08-04 00:00:00 2007-08-04 00:00:00 Yes 2007-09-13 00:00:00 2008-03-26 00:00:00 AP IJ None 25000 25000 0 25000 0 None 21C211 N CA00122589 A SFY2007-08
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2007-11-06 00:00:00 020004353 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-08-17 00:00:00 2007-08-17 00:00:00 No 2007-11-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 0RIN11 Y CA00124329 A SFY2007-08
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2008-01-10 00:00:00 020004575 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-07-11 16:15:00 2007-07-11 16:15:00 No 2008-02-01 00:00:00 None FTR AE None 700 700 0 700 0 None JW7G11 N CA00121190 C SFY2007-08
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-02-20 00:00:00 020004706 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-02 12:26:00 2007-11-02 12:26:00 Yes 2008-03-14 00:00:00 2008-02-28 00:00:00 FTR AE None 2800 2800 0 2800 0 None F3F211 N CA00135308 C SFY2007-08
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-02-25 00:00:00 020004711 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-31 14:30:00 2008-01-31 14:30:00 Yes 2008-04-02 00:00:00 2008-03-03 00:00:00 FTR AE None 700 700 0 700 0 None 1YMD11 N CA00140955 C SFY2007-08
140000190 KAISER FOUNDATION HOSPITAL - WALNUT CREEK Non-LTC GACH General Acute Care Hospital East Bay 2008-03-04 00:00:00 020004729 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-24 00:00:00 2007-12-24 00:00:00 No 2008-03-25 00:00:00 None FTR AE None 600 600 0 600 0 None V5CQ11 N CA00136710 C SFY2007-08
140000041 ST ROSE HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2008-03-10 00:00:00 020004758 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-22 09:15:00 2007-12-22 09:15:00 No 2008-04-01 00:00:00 None FTR AE None 2100 2100 0 2100 0 None 4ICR11 N CA00138120 B SFY2007-08
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2008-03-10 00:00:00 020004764 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-12-28 23:15:00 2007-12-28 23:15:00 No 2008-04-01 00:00:00 None FTR AE None 3300 3300 0 3300 0 None GMRT11 N CA00139822 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-03-10 00:00:00 020004776 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-17 00:00:00 2007-12-17 00:00:00 No 2008-04-01 00:00:00 None FTR AE None 4000 4000 0 4000 0 None HZVT11 N CA00139549 C SFY2007-08
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-03-13 00:00:00 020004785 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-16 12:27:00 2008-01-16 12:27:00 Yes 2008-04-07 00:00:00 2008-03-19 00:00:00 FTR AE None 700 700 0 700 0 None DM3Z11 N CA00139055 C SFY2007-08
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-03-25 00:00:00 020004813 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-30 12:00:00 2008-01-30 12:00:00 No 2008-04-16 00:00:00 None FTR AE None 900 900 0 900 0 None TZIK11 N CA00140723 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-03-27 00:00:00 020004830 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-20 08:00:00 2007-11-20 08:00:00 No 2008-04-18 00:00:00 None FTR AE None 900 900 0 900 0 None EQFU11 N CA00134033 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-03-27 00:00:00 020004831 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-27 09:00:00 2007-11-27 09:00:00 No 2008-04-18 00:00:00 None FTR AE None 200 200 0 200 0 None EQFU11 N CA00134033 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-03-28 00:00:00 020004840 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-03-03 15:00:00 2008-03-03 15:00:00 No 2008-04-21 00:00:00 None FTR AE None 300 300 0 300 0 None HCNI11 N CA00143402 C SFY2007-08
140001086 KAISER FOUNDATION HOSPITAL - FREMONT Non-LTC GACH General Acute Care Hospital East Bay 2008-04-09 00:00:00 020004869 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-22 14:30:00 2008-02-22 14:30:00 No 2008-04-30 00:00:00 None FTR AE None 300 300 0 300 0 None LZN911 N CA00142602 C SFY2007-08
140001086 KAISER FOUNDATION HOSPITAL - FREMONT Non-LTC GACH General Acute Care Hospital East Bay 2008-04-09 00:00:00 020004870 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-17 17:00:00 2008-02-17 17:00:00 No 2008-05-01 00:00:00 None FTR AE None 700 700 0 700 0 None LZN911 N CA00142597 C SFY2007-08
140001086 KAISER FOUNDATION HOSPITAL - FREMONT Non-LTC GACH General Acute Care Hospital East Bay 2008-04-10 00:00:00 020004871 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-15 21:05:00 2008-02-15 21:05:00 No 2008-05-01 00:00:00 None FTR AE None 700 700 0 700 0 None LZN911 N CA00142244 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-04-10 00:00:00 020004873 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-07 14:30:00 2007-11-07 14:30:00 No 2008-05-01 00:00:00 None FTR AE None 3200 3200 0 3200 0 None 34PF11 N CA00135353 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-04-10 00:00:00 020004874 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-24 09:00:00 2007-10-24 09:00:00 No 2008-05-01 00:00:00 None FTR AE None 2200 2200 0 2200 0 None 34PF11 N CA00132829 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-04-14 00:00:00 020004876 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-14 11:00:00 2007-10-14 11:00:00 No 2008-05-05 00:00:00 None FTR AE None 3200 3200 0 3200 0 None 34PF11 N CA00132829 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-04-14 00:00:00 020004878 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-12 07:00:00 2007-11-12 07:00:00 No 2008-05-05 00:00:00 None FTR AE None 400 400 0 400 0 None 3E6S11 N CA00133040 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-04-14 00:00:00 020004880 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-19 11:30:00 2007-11-19 11:30:00 No 2008-05-05 00:00:00 None FTR AE None 1100 1100 0 1100 0 None 9C6511 N CA00134114 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-04-14 00:00:00 020004881 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-13 16:30:00 2007-11-13 16:30:00 No 2008-05-05 00:00:00 None FTR AE None 300 300 0 300 0 None 9C6511 N CA00132828 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-04-14 00:00:00 020004884 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-09 15:30:00 2007-11-09 15:30:00 No 2008-05-05 00:00:00 None FTR AE None 700 700 0 700 0 None 9C6511 N CA00132827 C SFY2007-08
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-04-14 00:00:00 020004903 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-07 09:30:00 2008-03-07 09:30:00 No 2008-05-05 00:00:00 None FTR AE None 2000 2000 0 2000 0 None SNPQ11 N CA00145681 C SFY2007-08
140001086 KAISER FOUNDATION HOSPITAL - FREMONT Non-LTC GACH General Acute Care Hospital East Bay 2008-04-17 00:00:00 020004929 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-01 11:00:00 2007-12-01 11:00:00 No 2008-05-09 00:00:00 None FTR AE None 1500 1500 0 1500 0 None 3X9911 N CA00135676 C SFY2007-08
140001086 KAISER FOUNDATION HOSPITAL - FREMONT Non-LTC GACH General Acute Care Hospital East Bay 2008-04-16 00:00:00 020004930 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-16 17:00:00 2007-11-16 17:00:00 No 2008-05-08 00:00:00 None FTR AE None 2900 2900 0 2900 0 None 3X9911 N CA00135670 C SFY2007-08
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-04-16 00:00:00 020004931 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-18 11:00:00 2008-02-18 11:00:00 No 2008-05-08 00:00:00 None FTR AE None 1000 1000 0 1000 0 None UVKD11 N CA00142659 C SFY2007-08
140000041 ST ROSE HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2008-04-17 00:00:00 020004940 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-01 11:50:00 2007-10-01 11:50:00 No 2008-05-12 00:00:00 None FTR AE None 14600 14600 0 14600 0 None KXDH11 N CA00134817 D SFY2007-08
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-06-20 00:00:00 020005148 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-04-26 04:40:00 2008-04-26 04:40:00 No 2008-07-16 00:00:00 None FTR AE None 800 800 0 800 0 None NRTW11 N CA00150159 B SFY2007-08
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-07-01 00:00:00 020005183 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-04-02 18:23:00 2008-04-02 18:23:00 No 2008-07-23 00:00:00 None FTR AE None 1400 1400 0 1400 0 None 124K11 N CA00147721 B SFY2008-09
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-07-03 00:00:00 020005188 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-06 08:15:00 2008-06-06 08:15:00 No 2008-07-25 00:00:00 None FTR AE None 700 700 0 700 0 None Z1QT11 N CA00154662 C SFY2008-09
140000148 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 020005274 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-15 14:20:00 2008-07-15 14:20:00 No 2008-09-05 00:00:00 None FTR AE None 800 800 0 800 0 None 698M11 N CA00157850 C SFY2008-09
140000148 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 020005276 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-08 14:38:00 2008-07-08 14:38:00 No 2008-09-05 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 698M11 N CA00157850 C SFY2008-09
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 020005286 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-05 17:00:00 2008-02-05 17:00:00 No 2008-09-03 00:00:00 None FTR AE None 7300 7300 0 7300 0 None YZSZ11 N CA00147800 C SFY2008-09
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 020005289 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-23 09:20:00 2008-04-23 09:20:00 No 2008-09-03 00:00:00 None FTR AE None 200 200 0 200 0 None YZSZ11 N CA00148599 C SFY2008-09
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 020005290 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-22 10:27:00 2008-04-22 10:27:00 No 2008-09-03 00:00:00 None FTR AE None 200 200 0 200 0 None YZSZ11 N CA00148599 C SFY2008-09
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2008-08-12 00:00:00 020005313 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-23 13:30:00 2008-05-23 13:30:00 No 2008-09-04 00:00:00 None FTR AE None 700 700 0 700 0 None YYHG11 N CA00152584 C SFY2008-09
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2008-08-12 00:00:00 020005314 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-11 10:25:00 2008-03-11 10:25:00 No 2008-09-05 00:00:00 None FTR AE None 6800 6800 0 6800 0 None FWQS11 N CA00151876 C SFY2008-09
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2008-08-26 00:00:00 020005328 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2008-03-21 10:00:00 2008-03-21 10:00:00 No 2008-09-18 00:00:00 None FTR AE None 13200 13200 0 13200 0 None 9RB711 N CA00157036, CA00159255 C, C SFY2008-09
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2008-08-15 00:00:00 020005330 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-03-14 19:06:00 2008-03-14 19:06:00 Yes 2008-09-10 00:00:00 2008-08-27 00:00:00 FTR AE FTR AE 11700 10530 0 10530 0 None UXKQ11 N CA00156815 C SFY2008-09
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2008-08-27 00:00:00 020005335 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-04-26 02:12:00 2008-04-26 02:12:00 No 2008-09-19 00:00:00 None FTR AE None 6100 6100 0 6100 0 None 3KUZ11 N None None SFY2008-09
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-08-27 00:00:00 020005338 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-30 09:45:00 2008-06-30 09:45:00 No 2008-09-19 00:00:00 None FTR AE None 400 400 0 400 0 None 77KV11 N CA00156194 C SFY2008-09
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-09-17 00:00:00 020005413 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-27 15:00:00 2008-06-27 15:00:00 No 2008-10-15 00:00:00 None FTR AE None 3000 3000 0 3000 0 None 467E11 N CA00159051 C SFY2008-09
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-10-21 00:00:00 020005525 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-09-03 16:00:00 2008-09-03 16:00:00 No 2008-11-13 00:00:00 None FTR AE None 300 300 0 300 0 None Y86F11 N None None SFY2008-09
140000148 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA Non-LTC GACH General Acute Care Hospital East Bay 2008-11-04 00:00:00 020005569 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-21 12:24:00 2008-07-21 12:24:00 No 2008-12-04 00:00:00 None FTR AE None 1300 1300 0 1300 0 None HKIT11 N CA00160215 C SFY2008-09
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2008-12-01 00:00:00 020005637 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-09-17 20:00:00 2008-09-17 20:00:00 No 2008-12-26 00:00:00 None FTR AE None 1100 1100 0 1100 0 None 1CDY11 N CA00165541 C SFY2008-09
140000148 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA Non-LTC GACH General Acute Care Hospital East Bay 2008-12-04 00:00:00 020005660 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-11-18 18:01:00 2008-11-18 18:01:00 No 2009-01-05 00:00:00 None FTR AE None 100 100 0 100 0 None OM0V11 N CA00169155 C SFY2008-09
140000148 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA Non-LTC GACH General Acute Care Hospital East Bay 2008-12-04 00:00:00 020005661 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-05 11:21:00 2008-01-05 11:21:00 No 2009-01-05 00:00:00 None FTR AE None 2900 2900 0 2900 0 None 29YU11 N CA00141767 C SFY2008-09
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-12-08 00:00:00 020005673 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events State Monitoring 2008-10-18 00:00:00 2008-10-18 00:00:00 No 2008-12-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None RMYI11 N CA00167372 B SFY2008-09
140000148 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA Non-LTC GACH General Acute Care Hospital East Bay 2009-02-09 00:00:00 020005855 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-01-01 11:49:00 2009-01-01 11:49:00 No 2009-03-10 00:00:00 None FTR AE None 700 700 0 700 0 None 599U11 N CA00174669 C SFY2008-09
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2009-02-17 00:00:00 020005880 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-09-10 11:30:00 2008-09-10 11:30:00 No 2009-03-11 00:00:00 None FTR AE None 200 200 0 200 0 None 0QK111 N CA00164261 C SFY2008-09
140000704 SAN RAMON REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2009-03-12 00:00:00 020005945 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-18 11:00:00 2008-03-18 11:00:00 No 2009-04-06 00:00:00 None FTR AE None 18300 18300 0 18300 0 None W14511 N CA00164414 C SFY2008-09
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2009-04-21 00:00:00 020005962 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2009-01-26 00:00:00 2009-01-26 00:00:00 No 2009-05-12 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 4OG511 N CA00176168 B SFY2008-09
140000148 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA Non-LTC GACH General Acute Care Hospital East Bay 2009-04-15 00:00:00 020006084 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-02-14 03:44:00 2009-02-14 03:44:00 No 2009-05-06 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 4FDS11 N CA00179856 C SFY2008-09
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2009-04-20 00:00:00 020006108 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-03-11 15:34:00 2008-03-11 15:34:00 No 2009-05-11 00:00:00 None FTR AE None 36100 36100 0 36100 0 None K42P11 N CA00181312 C SFY2008-09
140000186 SAN LEANDRO HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2009-05-15 00:00:00 020006185 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-07-26 18:59:00 2008-07-26 18:59:00 No 2009-06-08 00:00:00 None FTR AE None 700 700 0 700 0 None DDHP11 N CA00158688 B SFY2008-09
140000186 SAN LEANDRO HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2009-06-08 00:00:00 020006187 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2008-07-26 00:00:00 2008-07-26 00:00:00 No 2009-06-29 00:00:00 None AP IJ None 25000 25000 0 25000 0 None DDHP11 N CA00158688 B SFY2008-09
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2009-06-05 00:00:00 020006196 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-12-22 00:00:00 2008-12-22 00:00:00 No 2009-06-29 00:00:00 None AP IJ None 25000 25000 0 25000 0 None TQ7G11 N CA00173006 B SFY2008-09
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2009-06-10 00:00:00 020006258 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-04-02 17:30:00 2009-04-02 17:30:00 No 2009-07-01 00:00:00 None FTR AE None 1400 1400 0 1400 0 None HEWF11 N CA00186217 C SFY2008-09
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2009-06-10 00:00:00 020006260 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-04-16 15:20:00 2009-04-16 15:20:00 No 2009-07-01 00:00:00 None FTR AE None 300 300 0 300 0 None HEWF11 N CA00186921 C SFY2008-09
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2009-06-09 00:00:00 020006261 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-04-06 15:00:00 2009-04-06 15:00:00 No 2009-06-30 00:00:00 None FTR AE None 300 300 0 300 0 None QT9T11 N CA00186078 C SFY2008-09
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2009-07-03 00:00:00 020006347 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-04-11 11:00:00 2009-04-11 11:00:00 No 2009-07-24 00:00:00 None FTR AE None 700 700 0 700 0 None 56EH11 N CA00186064 C SFY2009-10
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2009-07-09 00:00:00 020006367 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-05-01 15:40:00 2009-05-01 15:40:00 No 2009-07-31 00:00:00 None FTR AE None 3400 3400 0 3400 0 None GC7B11 N CA00191490 C SFY2009-10
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2009-09-02 00:00:00 020006475 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2009-02-16 00:00:00 2009-02-16 00:00:00 No 2009-09-24 00:00:00 None AP IJ None 50000 50000 0 50000 0 None L5LC11 N CA00178293 A SFY2009-10
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2009-11-30 00:00:00 020006724 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-06-01 15:15:00 2009-06-01 15:15:00 No 2009-12-22 00:00:00 None FTR AE None 1800 1800 0 1800 0 None Y1WW11 N CA00193009, CA00199059 C, C SFY2009-10
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2009-12-03 00:00:00 020006746 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-11-02 10:00:00 2009-11-02 10:00:00 No 2009-12-28 00:00:00 None FTR AE None 700 700 0 700 0 None 47R911 N CA00208539 C SFY2009-10
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2009-12-07 00:00:00 020006750 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-06-11 21:54:00 2009-06-11 21:54:00 No 2009-12-31 00:00:00 None FTR BR None 900 900 -225 675 0 None 69M111 None CA00203158 D SFY2009-10
140000190 KAISER FOUNDATION HOSPITAL - WALNUT CREEK Non-LTC GACH General Acute Care Hospital East Bay 2009-12-17 00:00:00 020006798 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-03-20 16:00:00 2009-03-20 16:00:00 No 2010-01-13 00:00:00 None FTR BR None 4900 4900 -1225 3675 0 None WVIT11 None CA00188238 C SFY2009-10
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2009-12-17 00:00:00 020006800 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-04-18 15:55:00 2009-04-18 15:55:00 No 2010-01-11 00:00:00 None FTR BR None 3500 3500 0 3500 0 None PRLH11 None CA00190965 C SFY2009-10
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2010-01-05 00:00:00 020006844 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE27 - Death/injury from a physical assault None 2009-04-16 12:45:00 2009-04-16 12:45:00 No 2010-01-29 00:00:00 None FTR AE None 700 700 0 700 0 None Z2OO11 N CA00186325 C SFY2009-10
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2010-01-13 00:00:00 020006883 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2009-10-07 00:00:00 2009-10-07 00:00:00 No 2010-02-05 00:00:00 None AP IJ None 75000 75000 0 75000 0 None MOV011 N CA00204680 A SFY2009-10
020000895 CENTERWELL HOME HEALTH Non-LTC HHA Home Health Agency East Bay 2010-01-11 00:00:00 020006903 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2009-07-23 13:55:00 2009-07-23 13:55:00 No 2010-02-03 00:00:00 None FTR BR None 2400 2400 -600 1800 0 None NMIX11 None CA00201921 C SFY2009-10
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-02-16 00:00:00 020006917 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-06-22 15:00:00 2009-06-22 15:00:00 No 2010-03-11 00:00:00 None FTR BR None 500 500 -125 375 0 None 1IT611 None CA00195652 D SFY2009-10
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-02-16 00:00:00 020006959 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach by person other than a h/c worker None 2009-02-23 15:00:00 2009-02-23 15:00:00 No 2010-03-11 00:00:00 None FTR BR None 500 500 -125 375 0 None 1IT611 None CA00195652 D SFY2009-10
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2010-02-09 00:00:00 020006966 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-07-23 11:15:00 2009-07-23 11:15:00 No 2010-03-02 00:00:00 None FTR AE None 2700 2700 0 2700 0 None G32I11 N CA00199570 C SFY2009-10
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2010-02-18 00:00:00 020006999 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE24 - Care by impersonating licensed provider None 2009-04-24 08:00:00 2009-04-24 08:00:00 No 2010-03-16 00:00:00 None FTR AE None 700 700 0 700 0 None YDSL11 N CA00189144 C SFY2009-10
140000148 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA Non-LTC GACH General Acute Care Hospital East Bay 2010-02-18 00:00:00 020007000 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-01-05 16:13:00 2010-01-05 16:13:00 No 2010-03-12 00:00:00 None FTR AE None 100 100 0 100 0 None GGX811 N CA00214808 C SFY2009-10
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-03-16 00:00:00 020007046 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-09-26 12:00:00 2009-09-26 12:00:00 No 2010-04-07 00:00:00 None FTR AE None 600 600 0 600 0 None 7SO211 N CA00204153 C SFY2009-10
140000832 JOHN MUIR BEHAVIORAL HEALTH CENTER Non-LTC APH Acute Psychiatric Hospital East Bay 2010-04-20 00:00:00 020007102 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2010-01-18 00:00:00 2010-01-18 00:00:00 No 2010-05-11 00:00:00 None AP IJ AP IJ 50000 30000 0 30000 0 None CF3811 Y CA00215949 B SFY2009-10
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-04-22 00:00:00 020007103 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2010-02-23 00:00:00 2010-02-23 00:00:00 No 2010-12-29 00:00:00 None AP IJ AP IJ 50000 30000 0 30000 0 None ISZN11 N CA00219946 B SFY2009-10
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2010-04-08 00:00:00 020007108 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-09-05 20:00:00 2009-09-05 20:00:00 No 2010-04-29 00:00:00 None FTR AE None 1100 1100 0 1100 0 None 3J8G11 N CA00203391 C SFY2009-10
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2010-04-27 00:00:00 020007160 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-07-06 12:20:00 2009-07-06 12:20:00 No 2010-05-20 00:00:00 None FTR AE None 600 600 0 600 0 None EYJ611 N CA00195622 C SFY2009-10
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-05-25 00:00:00 020007228 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-11-12 12:00:00 2009-11-12 12:00:00 No 2010-06-16 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None ZUSM11 None CA00211672 D SFY2009-10
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-06-10 00:00:00 020007271 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system Failure to Report to Pt 2010-02-12 23:59:00 2010-02-12 23:59:00 No 2010-07-02 00:00:00 None FTR RES None 5300 5300 -1325 3975 0 None SK1Z11 None CA00225485 D SFY2009-10
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-06-10 00:00:00 020007272 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Other Failure to Report to Pt 2010-03-25 23:59:00 2010-03-25 23:59:00 No 2010-06-30 00:00:00 None FTR BR None 3900 3900 -975 2925 0 None SK1Z11 None CA00225485 D SFY2009-10
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-06-10 00:00:00 020007273 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system Failure to Report to Pt 2010-03-03 23:59:00 2010-03-03 23:59:00 No 2010-07-02 00:00:00 None FTR RES None 4100 4100 -1025 3075 0 None SK1Z11 None CA00225485 D SFY2009-10
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-06-14 00:00:00 020007296 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-07-24 15:00:00 2009-07-24 15:00:00 No 2010-07-07 00:00:00 None FTR RES None 1000 1000 -250 750 0 None XMU611 None CA00199293 D SFY2009-10
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-07-01 00:00:00 020007332 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-10-14 16:56:00 2009-10-14 16:56:00 No 2010-07-23 00:00:00 None FTR AE None 200 200 0 200 0 None 4JSN11 N CA00205691 C SFY2010-11
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-07-01 00:00:00 020007341 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-10-10 11:07:00 2009-10-10 11:07:00 No 2010-07-23 00:00:00 None FTR AE None 700 700 0 700 0 None 4JSN11 N CA00205693 C SFY2010-11
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-07-21 00:00:00 020007391 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-01-19 08:00:00 2009-01-19 08:00:00 No 2010-08-12 00:00:00 None FTR BR None 9400 9400 -2350 7050 0 None X9RK11 None CA00190604 C SFY2010-11
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-07-21 00:00:00 020007392 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-05-14 14:00:00 2009-05-14 14:00:00 No 2010-08-12 00:00:00 None FTR BR None 2700 2700 -675 2025 0 None X9RK11 None CA00190819 C SFY2010-11
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-07-21 00:00:00 020007393 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-05-23 11:00:00 2009-05-23 11:00:00 No 2010-08-12 00:00:00 None FTR BR None 900 900 -225 675 0 None X9RK11 None CA00192067 C SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-07-27 00:00:00 020007406 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-05-17 00:00:00 2010-05-17 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 50000 50000 0 50000 0 None HKD711 N CA00230604 B SFY2010-11
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-07-22 00:00:00 020007413 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-05-19 18:00:00 2010-05-19 18:00:00 No 2010-08-16 00:00:00 None FTR AE None 1100 1100 0 1100 0 None GP1811 N CA00231886 C SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-07-30 00:00:00 020007426 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2012-10-01 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None YR3L11 None CA00200378 C SFY2010-11
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2010-09-08 00:00:00 020007489 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-11-28 00:00:00 2009-11-28 00:00:00 No 2010-10-01 00:00:00 None FTR AE None 800 800 0 800 0 None P52I11 N CA00211045, CA00212632 C, C SFY2010-11
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2010-09-08 00:00:00 020007491 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-12-08 00:00:00 2009-12-08 00:00:00 No 2010-10-01 00:00:00 None FTR AE None 1000 1000 0 1000 0 None P52I11 N CA00211045, CA00212632 C, C SFY2010-11
140001086 KAISER FOUNDATION HOSPITAL - FREMONT Non-LTC GACH General Acute Care Hospital East Bay 2010-08-31 00:00:00 020007530 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-02-08 00:27:00 2010-02-08 00:27:00 No 2010-09-24 00:00:00 None FTR BR None 1100 1100 0 1100 0 None HSX911 None CA00220322 C SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007537 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-04-22 00:00:00 2010-04-22 00:00:00 No 2010-10-05 00:00:00 None FTR BR None 700 700 -175 525 0 None W57611 None CA00229319 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007538 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-04-22 00:00:00 2010-04-22 00:00:00 No 2010-09-23 00:00:00 None FTR BR None 700 700 -175 525 0 None W57611 None CA00229319 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007539 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-03-11 00:00:00 2010-03-11 00:00:00 No 2010-10-05 00:00:00 None FTR BR None 700 700 -175 525 0 None W57611 None CA00229319 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007540 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-17 00:00:00 2010-05-17 00:00:00 No 2010-10-05 00:00:00 None FTR BR None 300 300 -75 225 0 None W57611 None CA00230608 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007541 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-17 00:00:00 2010-05-17 00:00:00 No 2010-10-05 00:00:00 None FTR BR None 500 500 -125 375 0 None W57611 None CA00230608 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007542 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-03-19 00:00:00 2010-03-19 00:00:00 No 2010-10-05 00:00:00 None FTR BR None 2800 2800 -700 2100 0 None W57611 None CA00230608 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007543 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-03-19 00:00:00 2010-03-19 00:00:00 No 2010-10-05 00:00:00 None FTR BR None 2900 2900 -725 2175 0 None W57611 None CA00230608 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007544 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-04-27 00:00:00 2010-04-27 00:00:00 No 2010-10-05 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None W57611 None CA00230608 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-09-09 00:00:00 020007545 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-04-27 00:00:00 2010-04-27 00:00:00 No 2010-10-05 00:00:00 None FTR BR None 2500 2500 -625 1875 0 None W57611 None CA00230608 D SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-09-13 00:00:00 020007553 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-13 00:00:00 2010-08-13 00:00:00 No 2010-10-04 00:00:00 None FTR BR None 200 200 -50 150 0 None TKK611 None CA00201329 D SFY2010-11
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2010-09-28 00:00:00 020007601 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-06-24 08:30:00 2010-06-24 08:30:00 No 2010-10-20 00:00:00 None FTR BR None 700 700 0 700 0 None SUCE11 None CA00194279 C SFY2010-11
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-10-04 00:00:00 020007608 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-03-20 20:13:00 2010-03-20 20:13:00 No 2010-10-27 00:00:00 None FTR BR None 300 300 0 300 0 None QWYN11 None CA00223831 D SFY2010-11
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-10-04 00:00:00 020007610 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-03-20 20:13:00 2010-03-20 20:13:00 No 2010-10-27 00:00:00 None FTR RES None 300 300 0 300 0 None QWYN11 None CA00223831 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-10-14 00:00:00 020007634 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-07-21 11:45:00 2010-07-21 11:45:00 No 2010-11-05 00:00:00 None FTR BR None 1600 1600 -400 1200 0 None VVF511 None CA00239475 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-10-14 00:00:00 020007635 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-07-21 11:45:00 2010-07-21 11:45:00 No 2010-11-05 00:00:00 None FTR RES None 1600 1600 -400 1200 0 None VVF511 None CA00239475 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-10-14 00:00:00 020007637 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-07-21 11:45:00 2010-07-21 11:45:00 No 2010-11-05 00:00:00 None FTR RES None 1600 1600 -400 1200 0 None VVF511 None CA00239475 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-10-14 00:00:00 020007638 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-01 02:10:00 2010-08-01 02:10:00 No 2010-11-05 00:00:00 None FTR BR None 400 400 -100 300 0 None VVF511 None CA00240737 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-10-14 00:00:00 020007639 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-08-01 02:10:00 2010-08-01 02:10:00 No 2010-11-05 00:00:00 None FTR RES None 400 400 -100 300 0 None VVF511 None CA00240737 D SFY2010-11
140000014 UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND Non-LTC GACH General Acute Care Hospital East Bay 2010-10-18 00:00:00 020007641 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2010-02-24 05:30:00 2010-02-24 05:30:00 No 2010-11-08 00:00:00 None FTR AE None 700 700 0 700 0 None KEWZ11 Y CA00220693 A SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-12-06 00:00:00 020007745 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-05 00:00:00 2010-08-05 00:00:00 No 2010-12-27 00:00:00 None FTR BR None 700 700 -175 525 0 None 97BF11 None CA00241373 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-12-06 00:00:00 020007746 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-08-05 00:00:00 2010-08-05 00:00:00 No 2010-12-27 00:00:00 None FTR RES None 700 700 -175 525 0 None 97BF11 None CA00241373 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-12-06 00:00:00 020007747 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-06-04 00:00:00 2010-06-04 00:00:00 No 2010-12-27 00:00:00 None FTR BR None 7200 7200 -1800 5400 0 None 97BF11 None CA00241373 D SFY2010-11
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-12-06 00:00:00 020007748 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-06-04 00:00:00 2010-06-04 00:00:00 No 2010-12-27 00:00:00 None FTR RES None 7200 7200 -1800 5400 0 None 97BF11 None CA00241373 D SFY2010-11
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2011-01-13 00:00:00 020007761 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-05-26 00:00:00 2010-05-26 00:00:00 No 2011-09-29 00:00:00 None AP IJ None 50000 50000 0 50000 0 None PJC611 N CA00231608 C SFY2010-11
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2010-12-13 00:00:00 020007768 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-12-31 17:27:00 2009-12-31 17:27:00 No 2011-01-03 00:00:00 None FTR RES None 1100 1100 0 1100 0 None N6O111 None CA00213437 C SFY2010-11
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2011-01-10 00:00:00 020007812 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-01-21 16:00:00 2010-01-21 16:00:00 No 2011-02-01 00:00:00 None FTR AE None 3200 3200 0 3200 0 None 51QT11 N CA00220155 C SFY2010-11
020000161 JOHN MUIR HOME HEALTH SERVICES Non-LTC HHA Home Health Agency East Bay 2011-01-11 00:00:00 020007825 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-07-19 00:00:00 2010-07-19 00:00:00 No 2011-02-02 00:00:00 None FTR BR None 800 800 -200 600 0 None G9Y311 None CA00239446 C SFY2010-11
020000895 CENTERWELL HOME HEALTH Non-LTC HHA Home Health Agency East Bay 2011-01-12 00:00:00 020007835 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-08 00:00:00 2010-11-08 00:00:00 No 2011-02-03 00:00:00 None FTR RES None 300 300 -75 225 0 None F8M311 None CA00250801 C SFY2010-11
020000895 CENTERWELL HOME HEALTH Non-LTC HHA Home Health Agency East Bay 2011-01-12 00:00:00 020007839 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-02-09 00:00:00 2010-02-09 00:00:00 No 2011-02-03 00:00:00 None FTR RES None 200 200 -50 150 0 None F8M311 None CA00239070 C SFY2010-11
020000895 CENTERWELL HOME HEALTH Non-LTC HHA Home Health Agency East Bay 2011-01-12 00:00:00 020007840 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-04-29 00:00:00 2010-04-29 00:00:00 No 2011-02-03 00:00:00 None FTR BR None 300 300 -75 225 0 None F8M311 None CA00229082 C SFY2010-11
020000895 CENTERWELL HOME HEALTH Non-LTC HHA Home Health Agency East Bay 2011-01-12 00:00:00 020007841 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-12 00:00:00 2010-11-12 00:00:00 No 2011-02-03 00:00:00 None FTR RES None 1300 1300 -325 975 0 None F8M311 None CA00250653 C SFY2010-11
020000895 CENTERWELL HOME HEALTH Non-LTC HHA Home Health Agency East Bay 2011-01-12 00:00:00 020007842 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-12 00:00:00 2010-11-12 00:00:00 No 2011-02-03 00:00:00 None FTR RES None 1300 1300 -325 975 0 None F8M311 None CA00250653 C SFY2010-11
020000895 CENTERWELL HOME HEALTH Non-LTC HHA Home Health Agency East Bay 2011-01-12 00:00:00 020007843 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-12 00:00:00 2010-11-12 00:00:00 No 2011-02-03 00:00:00 None FTR RES None 1300 1300 -325 975 0 None F8M311 None CA00250653 C SFY2010-11
140000014 UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND Non-LTC GACH General Acute Care Hospital East Bay 2011-01-13 00:00:00 020007844 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2009-01-15 19:05:00 2009-01-15 19:05:00 No 2011-02-04 00:00:00 None FTR BR None 500 500 -125 375 0 None O23011 None CA00176299 C SFY2010-11
140000014 UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND Non-LTC GACH General Acute Care Hospital East Bay 2011-01-13 00:00:00 020007845 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2009-01-15 19:05:00 2009-01-15 19:05:00 No 2011-02-04 00:00:00 None FTR BR None 500 500 -125 375 0 None O23011 None CA00176299 C SFY2010-11
140000014 UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND Non-LTC GACH General Acute Care Hospital East Bay 2011-01-13 00:00:00 020007846 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2009-01-15 19:05:00 2009-01-15 19:05:00 No 2011-02-04 00:00:00 None FTR BR None 500 500 -125 375 0 None O23011 None CA00176299 C SFY2010-11
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2011-02-17 00:00:00 020007949 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-12-20 20:29:00 2010-12-20 20:29:00 No 2011-03-11 00:00:00 None FTR AE None 300 300 0 300 0 None P0CS11 N CA00253693 B SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-02-17 00:00:00 020007950 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-01-01 13:25:00 2011-01-01 13:25:00 No 2011-03-11 00:00:00 None FTR AE None 500 500 0 500 0 None 2LCJ11 N CA00255262 C SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-03-01 00:00:00 020007953 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-18 00:00:00 2009-10-18 00:00:00 No 2011-03-22 00:00:00 None FTR BR None 8000 8000 -2000 6000 0 None VLGS11 None CA00220364 D SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-03-01 00:00:00 020007954 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-10-18 00:00:00 2009-10-18 00:00:00 No 2011-03-22 00:00:00 None FTR RES None 8000 8000 -8000 0 0 None VLGS11 None CA00220364 D SFY2010-11
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2011-03-30 00:00:00 020008075 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-05-28 10:44:00 2010-05-28 10:44:00 No 2011-04-21 00:00:00 None FTR BR None 1300 1300 -325 975 0 None EW0O11 None CA00235068 C SFY2010-11
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2011-03-30 00:00:00 020008077 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Patient Record None 2010-05-28 10:44:00 2010-05-28 10:44:00 No 2011-04-21 00:00:00 None FTR RES None 600 600 -150 450 0 None EW0O11 None CA00235068 C SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-05-05 00:00:00 020008214 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-21 12:39:00 2009-11-21 12:39:00 No 2011-05-26 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None RSMP11 None CA00213566 D SFY2010-11
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2011-05-05 00:00:00 020008218 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-05-14 00:00:00 2010-05-14 00:00:00 Yes 2011-05-26 00:00:00 2011-05-19 00:00:00 FTR AE None 5500 5500 0 5500 0 None FY7M11 N CA00235279 C SFY2010-11
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2011-05-12 00:00:00 020008227 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2010-07-03 00:00:00 2010-07-03 00:00:00 No 2011-06-03 00:00:00 None FTR BR None 200 200 0 200 0 None 23SZ11 None CA00242031 C SFY2010-11
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-08-01 00:00:00 020008427 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-04-03 16:15:00 2011-04-03 16:15:00 No 2011-08-22 00:00:00 None FTR AE None 500 500 0 500 0 None BOMZ11 N CA00266175 C SFY2011-12
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-08-30 00:00:00 020008518 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE22 - Death associated with a fall None 2011-04-10 07:05:00 2011-04-10 07:05:00 No 2011-09-21 00:00:00 None FTR AE None 2000 2000 0 2000 0 None 5D0Y11 Y CA00270377 B SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-10-26 00:00:00 020008677 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-30 12:00:00 2009-10-30 12:00:00 No 2011-11-17 00:00:00 None FTR BR None 13200 13200 -3300 9900 0 None 73GM11 None CA00222169 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-10-26 00:00:00 020008679 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-10-30 12:00:00 2009-10-30 12:00:00 No 2011-11-17 00:00:00 None FTR RES None 13000 13000 -3250 9750 0 None 73GM11 None CA00222169 D SFY2011-12
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2011-12-14 00:00:00 020008742 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2011-06-03 00:00:00 2011-06-03 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 6XLN11 N CA00232584 A SFY2011-12
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2011-12-13 00:00:00 020008802 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Rights None 2011-08-02 08:45:00 2011-08-02 08:45:00 No 2012-01-05 00:00:00 None FTR BR None 200 200 0 200 0 None ID3X11 None CA00276472 B SFY2011-12
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2012-05-23 00:00:00 020008812 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2011-09-24 00:00:00 2011-09-24 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None QM2W11 N CA00284528 B SFY2011-12
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-01-24 00:00:00 020009043 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-05-09 13:30:00 2011-05-09 13:30:00 No 2012-02-14 00:00:00 None FTR AE None 1800 1800 0 1800 0 None X34B11 N CA00271179 C SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-03-06 00:00:00 020009075 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-04-17 17:00:00 2010-04-17 17:00:00 No 2012-03-27 00:00:00 None FTR BR None 300 300 -75 225 0 None I02F11 None CA00230595 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-03-06 00:00:00 020009076 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-04-17 17:00:00 2010-04-17 17:00:00 No 2012-03-27 00:00:00 None FTR RES None 300 300 -75 225 0 None I02F11 None CA00230595 D SFY2011-12
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2012-05-24 00:00:00 020009089 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE05 - Death during or up to 24 hours after surgery None 2010-09-16 00:00:00 2010-09-16 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 100000 100000 0 100000 0 None DBTF11 Y CA00243799 B SFY2011-12
140001086 KAISER FOUNDATION HOSPITAL - FREMONT Non-LTC GACH General Acute Care Hospital East Bay 2012-04-19 00:00:00 020009115 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-08-11 00:00:00 2009-08-11 00:00:00 No 2013-03-08 00:00:00 None AP BR None 50000 50000 -12500 37500 0 None NBYY11 None CA00203912 C SFY2011-12
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2012-04-11 00:00:00 020009215 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-05-02 16:56:00 2011-05-02 16:56:00 No 2012-05-02 00:00:00 None FTR BR None 900 900 0 900 0 None 197S11 None CA00269481 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-04-27 00:00:00 020009225 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-01-17 13:04:00 2010-01-17 13:04:00 No 2012-05-18 00:00:00 None FTR RES None 13100 13100 -3275 9825 0 None IHKY11 None CA00235336 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-04-27 00:00:00 020009226 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-01-17 13:04:00 2010-01-17 13:04:00 No 2012-05-18 00:00:00 None FTR BR None 13100 13100 -3275 9825 0 None IHKY11 None CA00235336 D SFY2011-12
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-05-07 00:00:00 020009280 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE08 - Death/disability due to intravascular air embolism None 2011-10-31 11:32:00 2011-10-31 11:32:00 No 2012-05-29 00:00:00 None FTR AE None 11500 11500 0 11500 0 None QGL711 Y CA00303523 B SFY2011-12
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-06-20 00:00:00 020009290 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2011-11-27 00:00:00 2011-11-27 00:00:00 No 2012-11-02 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 86R611 Y CA00291607 C SFY2011-12
020000685 CORAM CVS/SPECIALTY INFUSION SERVICES Non-LTC HHA Home Health Agency East Bay 2012-07-23 00:00:00 020009399 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-03-16 00:00:00 2011-03-16 00:00:00 No 2012-08-13 00:00:00 None FTR BR None 100 100 0 100 0 None J6RT11 None CA00266339 B SFY2012-13
630011339 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency East Bay 2012-07-26 00:00:00 020009410 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-08-15 12:00:00 2011-08-15 12:00:00 No 2012-08-16 00:00:00 None FTR BR None 500 500 -125 375 0 None XERO11 None CA00300681 C SFY2012-13
020000924 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency East Bay 2012-09-19 00:00:00 020009416 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-07-18 12:00:00 2011-07-18 12:00:00 No 2012-10-10 00:00:00 None FTR BR None 900 900 -225 675 0 None RI2911 None CA00279795 C SFY2012-13
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2012-10-12 00:00:00 020009550 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2005-02-17 15:40:00 2005-02-17 15:40:00 No 2012-11-02 00:00:00 None FTR AE None 400 400 0 400 0 None FZRV11 N CA00252420 C SFY2012-13
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2012-10-12 00:00:00 020009551 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2005-02-17 15:40:00 2005-02-17 15:40:00 No 2012-11-02 00:00:00 None FTR AE None 400 400 0 400 0 None FZRV11 N CA00252420 C SFY2012-13
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2013-02-28 00:00:00 020009758 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2012-10-25 08:49:00 2012-10-25 08:49:00 No 2013-03-21 00:00:00 None FTR AE None 500 500 0 500 0 None WJZ011 N CA00333374 C SFY2012-13
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2013-03-01 00:00:00 020009765 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-10-04 11:30:00 2011-10-04 11:30:00 No 2013-03-22 00:00:00 None FTR AE None 18000 18000 0 18000 0 None D9RS11 N CA00305738 B SFY2012-13
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2013-05-01 00:00:00 020009843 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Rights None 2013-01-18 09:00:00 2013-01-18 09:00:00 No 2013-05-22 00:00:00 None FTR BR None 400 400 -100 300 0 None MG8G11 None CA00340435 C SFY2012-13
140000704 SAN RAMON REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2013-05-06 00:00:00 020009878 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-12-21 14:00:00 2012-12-21 14:00:00 No 2013-05-28 00:00:00 None FTR RES None 600 600 0 600 0 None F4QC11 None CA00338866 E SFY2012-13
140000704 SAN RAMON REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2013-05-06 00:00:00 020009879 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-12-21 14:00:00 2012-12-21 14:00:00 No 2013-05-28 00:00:00 None FTR BR None 700 700 0 700 0 None F4QC11 None CA00338866 E SFY2012-13
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2013-05-14 00:00:00 020009894 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-12-17 15:00:00 2010-12-17 15:00:00 No 2013-06-05 00:00:00 None FTR RES None 1300 1300 0 1300 0 None T3ZO11 None CA00254997 D SFY2012-13
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2013-05-14 00:00:00 020009895 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-12-17 15:00:00 2010-12-17 15:00:00 No 2013-06-05 00:00:00 None FTR BR None 1300 1300 0 1300 0 None T3ZO11 None CA00254997 D SFY2012-13
140000186 SAN LEANDRO HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2013-06-03 00:00:00 020009922 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-05-31 17:20:00 2010-05-31 17:20:00 No 2013-06-24 00:00:00 None FTR AE None 400 400 0 400 0 None JF1111 N CA00232747 C SFY2012-13
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2014-02-27 00:00:00 020010511 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2013-08-30 00:00:00 2013-08-30 00:00:00 No 2014-05-22 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 0HT111 N CA00368387 C SFY2013-14
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2014-03-11 00:00:00 020010533 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2013-03-25 00:00:00 2013-03-25 00:00:00 No 2014-05-22 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 0HT111 Y CA00373507 C SFY2013-14
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2014-04-02 00:00:00 020010583 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-03-25 09:31:00 2013-03-25 09:31:00 No 2014-04-23 00:00:00 None FTR AE None 18700 18700 0 18700 0 None 0HT111 Y CA00373507 C SFY2013-14
140000014 UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND Non-LTC GACH General Acute Care Hospital East Bay 2014-12-04 00:00:00 020011156 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-03-03 00:00:00 2014-03-03 00:00:00 No 2014-12-26 00:00:00 None FTR AE None 8100 8100 0 8100 0 None P2HJ11 N CA00400495 C SFY2014-15
630011203 KAISER FOUNDATION HOSPITAL - ANTIOCH Non-LTC GACH General Acute Care Hospital East Bay 2015-03-11 00:00:00 020011316 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-09-09 00:00:00 2013-09-09 00:00:00 No 2015-04-02 00:00:00 None FTR AE None 400 400 0 400 0 None 9Q1D11 N CA00370134 C SFY2014-15
630011203 KAISER FOUNDATION HOSPITAL - ANTIOCH Non-LTC GACH General Acute Care Hospital East Bay 2015-04-21 00:00:00 020011395 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Retention Foreign Object 2014-09-02 00:00:00 2014-09-02 00:00:00 No 2015-05-12 00:00:00 None AP NON-IJ None 14392 14392 0 14392 0 None LEM611 N CA00416790 C SFY2014-15
140000190 KAISER FOUNDATION HOSPITAL - WALNUT CREEK Non-LTC GACH General Acute Care Hospital East Bay 2016-10-20 00:00:00 020012655 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2015-09-26 00:00:00 2015-09-26 00:00:00 No 2016-11-10 00:00:00 None FTR BR None 600 600 -150 450 0 None QPLY11 None CA00463342 C SFY2016-17
140000190 KAISER FOUNDATION HOSPITAL - WALNUT CREEK Non-LTC GACH General Acute Care Hospital East Bay 2017-02-22 00:00:00 020012990 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Retained Foreign Object 2016-09-21 00:00:00 2016-09-21 00:00:00 No 2017-03-15 00:00:00 None AP NON-IJ None 3750 3750 0 3750 0 None 9Z6811 N CA00505221 C SFY2016-17
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2017-09-07 00:00:00 020013070 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-02-06 00:00:00 2015-02-06 00:00:00 No 2017-09-28 00:00:00 None AP NON-IJ None 12487 12487 0 12487 0 None ORBG11 N CA00431980 C SFY2017-18
140000707 FREMONT HOSPITAL Non-LTC APH Acute Psychiatric Hospital East Bay 2017-05-03 00:00:00 020013172 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-12-03 00:00:00 2016-12-03 00:00:00 No 2017-05-24 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 1FR811 Y CA00512985 A SFY2016-17
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2017-05-16 00:00:00 020013180 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2015-12-01 00:00:00 2015-12-01 00:00:00 No 2017-06-07 00:00:00 None AP NON-IJ None 14520 14520 0 14520 0 None 6XFZ11 Y CA00467901 B SFY2016-17
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2017-09-08 00:00:00 020013191 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-11-09 00:00:00 2015-11-09 00:00:00 No 2017-09-29 00:00:00 None AP NON-IJ None 12720 12720 0 12720 0 None ZT9E11 Y CA00468168 C SFY2017-18
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2018-02-09 00:00:00 020013444 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-03-05 00:00:00 2017-03-05 00:00:00 Yes 2018-03-02 00:00:00 2018-08-24 00:00:00 AP IJ AP IJ 33000 25000 0 25000 0 None DKVM11 N CA00528846 B SFY2017-18
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2017-05-02 00:00:00 020013531 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-03-13 00:00:00 2017-03-13 00:00:00 No 2017-05-23 00:00:00 None AP IJ None 39187 39187 0 39187 0 None QITB11 N CA00526681 A SFY2016-17
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2017-10-18 00:00:00 020013546 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events Nursing Services 2016-01-12 00:00:00 2016-01-12 00:00:00 No 2017-11-08 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 06Q411 Y CA00471992 C SFY2017-18
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2018-01-18 00:00:00 020013743 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Anesthesia 2017-01-12 00:00:00 2017-01-12 00:00:00 No 2018-02-08 00:00:00 None AP NON-IJ None 4125 4125 0 4125 0 None D77311 N CA00518548 C SFY2017-18
630015029 KAISER FOUNDATION HOSPITAL - SAN LEANDRO Non-LTC GACH General Acute Care Hospital East Bay 2018-01-22 00:00:00 020013747 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2015-07-14 00:00:00 2015-07-14 00:00:00 No 2018-04-19 00:00:00 None AP NON-IJ None 10781 10781 0 10781 0 None 6BRF11 Y CA00475154 C SFY2017-18
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2017-11-28 00:00:00 020013802 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-09-29 00:00:00 2015-09-29 00:00:00 No 2018-10-01 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None 3Q6P11 None CA00503431 C SFY2017-18
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2018-02-28 00:00:00 020013943 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2016-04-29 00:00:00 2016-04-29 00:00:00 No 2018-10-01 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None 98KR11 None CA00491173 D SFY2017-18
140000797 STANFORD HEALTH CARE TRI-VALLEY Non-LTC GACH General Acute Care Hospital East Bay 2018-04-24 00:00:00 020014023 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2016-04-18 00:00:00 2016-04-18 00:00:00 No 2018-05-15 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None HZ3111 N CA00486430, CA00486430 B, B SFY2017-18
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2018-04-25 00:00:00 020014024 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2017-04-07 00:00:00 2017-04-07 00:00:00 No 2018-05-16 00:00:00 None AP NON-IJ None 5500 5500 0 5500 0 None EGZZ11 N None None SFY2017-18
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2018-04-18 00:00:00 020014046 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-11-26 00:00:00 2016-11-26 00:00:00 No 2018-05-09 00:00:00 None AP NON-IJ None 4162 4162 0 4162 0 None 2F1U11 N CA00513141 C SFY2017-18
070001413 VITAS HEALTHCARE CORPORATION OF CALIFORNIA Non-LTC HOSPICE Hospice East Bay 2018-04-16 00:00:00 020014055 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2016-06-18 00:00:00 2016-06-18 00:00:00 Yes 2018-10-01 00:00:00 2018-09-14 00:00:00 AP BR AP BR 250000 128177.5 0 128177.5 0 None UPYO11 None CA00494826 D SFY2017-18
140000246 AXIS COMMUNITY HEALTH Non-LTC COMTYC Primary Care Clinic East Bay 2018-04-13 00:00:00 020014071 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-12-28 00:00:00 2015-12-28 00:00:00 No 2018-05-04 00:00:00 None AP BR None 0 0 0 0 0 None TMK111 None CA00472536 D SFY2017-18
140000425 ALTA BATES SUMMIT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2018-05-21 00:00:00 020014090 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-09-11 00:00:00 2015-09-11 00:00:00 No 2018-06-12 00:00:00 None AP NON-IJ None 3937 3937 0 3937 0 None 2XD511 N CA00458606 C SFY2017-18
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2018-06-15 00:00:00 020014153 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-03-05 00:00:00 2015-03-05 00:00:00 No 2018-07-09 00:00:00 None AP NON-IJ None 5775 5775 0 5775 0 None MLTC11 Y CA00519013 B SFY2017-18
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2018-06-12 00:00:00 020014189 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-08-26 00:00:00 2016-08-26 00:00:00 No 2019-04-12 00:00:00 None AP BR None 12750 12750 0 12750 0 None QD1811 None CA00534112 D SFY2017-18
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2018-07-26 00:00:00 020014227 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2017-08-22 00:00:00 2017-08-22 00:00:00 No 2018-08-16 00:00:00 None AP NON-IJ None 10312 10312 0 10312 0 None OWFO11 N None None SFY2018-19
630012147 GENTIVA Non-LTC HOSPICE Hospice Santa Rosa 2018-06-20 00:00:00 020014248 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-09-21 00:00:00 2015-09-21 00:00:00 No 2018-07-12 00:00:00 None AP BR None 37500 37500 -9375 28125 0 None WD6Q11 None CA00461571 D SFY2017-18
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2018-10-31 00:00:00 020014492 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-03-27 00:00:00 2017-03-27 00:00:00 No 2018-11-26 00:00:00 None FTR AE None 500 500 0 500 0 None NYN511 N CA00530337 C SFY2018-19
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2018-10-10 00:00:00 020014539 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-11-17 00:00:00 2014-11-17 00:00:00 No 2019-04-12 00:00:00 None AP BR None 49500 49500 -12375 37125 0 None LJ2Y11 None CA00547171, CA00547171 C, C SFY2018-19
140001086 KAISER FOUNDATION HOSPITAL - FREMONT Non-LTC GACH General Acute Care Hospital East Bay 2018-10-12 00:00:00 020014551 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-07-15 00:00:00 2014-07-15 00:00:00 No 2018-11-02 00:00:00 None AP BR None 0 0 0 0 0 None QD3O11 None CA00418633 C SFY2018-19
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2022-01-14 00:00:00 020014627 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-10-13 00:00:00 2017-10-13 00:00:00 No 2022-02-22 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None 9MN311 None CA00570954 D SFY2021-22
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2018-12-18 00:00:00 020014668 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2017-12-11 00:00:00 2017-12-11 00:00:00 No 2019-04-11 00:00:00 None AP IJ None 75000 75000 0 75000 0 None MEMQ11 Y CA00565446, CA00565446, CA00565446, CA00565446, CA00565446 B, B, B, B, B SFY2018-19
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2018-11-08 00:00:00 020014690 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-10-30 00:00:00 2015-10-30 00:00:00 No 2018-12-04 00:00:00 None AP BR None 0 0 0 0 0 None 95GG11 None CA00491933 D SFY2018-19
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2019-01-16 00:00:00 020014739 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2017-12-07 00:00:00 2017-12-07 00:00:00 No 2019-02-06 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None J6GM11 N CA00564173 A SFY2018-19
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2022-01-14 00:00:00 020014850 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2017-10-13 00:00:00 2017-10-13 00:00:00 No 2022-02-04 00:00:00 None FTR RES None 4900 4900 -1225 3675 0 None 9MN311 None CA00570954, CA00570954 D, D SFY2021-22
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2019-03-29 00:00:00 020014911 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-01-30 00:00:00 2018-01-30 00:00:00 No 2019-04-19 00:00:00 None FTR AE None 1200 1200 0 1200 0 None ODBT11 N CA00575545, CA00575545 B, B SFY2018-19
070001239 KAISER FOUNDATION HOSPITAL HOSPICE - OAKLAND Non-LTC HOSPICE Hospice East Bay 2019-03-14 00:00:00 020014912 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2016-12-02 00:00:00 2016-12-02 00:00:00 No 2019-04-04 00:00:00 None AP BR None 0 0 0 0 0 None QG3K11 None CA00514297 D SFY2018-19
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2019-04-03 00:00:00 020015015 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-07-15 00:00:00 2014-07-15 00:00:00 No 2019-04-24 00:00:00 None AP BR None 0 0 0 0 0 None R13B11 None CA00406693, CA00406693 D, D SFY2018-19
140000118 WASHINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2021-12-17 00:00:00 020015053 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-02-28 00:00:00 2017-02-28 00:00:00 Yes 2022-01-07 00:00:00 2022-01-14 00:00:00 AP BR None 15000 15000 0 15000 0 None JRDD11 None CA00529366 C SFY2021-22
140000034 HIGHLAND HOSPITAL Non-LTC GACH General Acute Care Hospital East Bay 2021-04-20 00:00:00 020016372 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2018-10-16 00:00:00 2018-10-16 00:00:00 No 2021-05-11 00:00:00 None AP NON-IJ None 13800 13800 0 13800 0 None ZZBF11 Y CA00609136, CA00609136, CA00609136, CA00609136, CA00609136, CA00609356 B, B, B, B, B, B SFY2020-21
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2022-01-28 00:00:00 020017261 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2013-09-10 00:00:00 2013-09-10 00:00:00 No 2022-02-22 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None WIZ211 None CA00374060 D SFY2021-22
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2021-04-23 00:00:00 020017898 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2020-09-02 00:00:00 2020-09-02 00:00:00 No 2022-09-15 00:00:00 None AP BR None 30000 30000 0 30000 0 None 7LWH11 None CA00704754 D SFY2020-21
140001094 LIFELONG BROOKSIDE COMMUNITY HEALTH CENTER-SAN PABLO Non-LTC COMTYC Primary Care Clinic East Bay 2021-12-03 00:00:00 020017899 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-03-24 00:00:00 2017-03-24 00:00:00 Yes 2022-09-15 00:00:00 2022-09-02 00:00:00 AP BR AP BR 15000 8500 0 8500 0 None E97611 None CA00530618 C SFY2021-22
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2021-12-03 00:00:00 020017900 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-04-01 00:00:00 2017-04-01 00:00:00 No 2022-09-15 00:00:00 None AP BR None 30000 30000 -7500 22500 0 None 4H3J11 None CA00596331 D SFY2021-22
140000188 KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Non-LTC GACH General Acute Care Hospital East Bay 2021-04-23 00:00:00 020017902 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2020-09-02 00:00:00 2020-09-02 00:00:00 No 2021-05-14 00:00:00 None FTR RES None 11400 11400 0 11400 0 None 7LWH11 None CA00704754, CA00704754 D, D SFY2020-21
140000183 EDEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2021-02-03 00:00:00 020018580 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-12-26 00:00:00 2017-12-26 00:00:00 No 2023-05-03 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None 3W1T11 None CA00570499 C SFY2020-21
630015029 KAISER FOUNDATION HOSPITAL - SAN LEANDRO Non-LTC GACH General Acute Care Hospital East Bay 2022-06-17 00:00:00 020019050 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-08-31 00:00:00 2018-08-31 00:00:00 No 2023-09-14 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None WPSO11 None CA00614174 D SFY2021-22
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2023-06-14 00:00:00 020019219 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-08-04 00:00:00 2022-08-04 00:00:00 No 2023-11-16 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None KBLU11 None CA00804469 D SFY2022-23
140000016 SUTTER DELTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2023-06-14 00:00:00 020019220 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2022-08-04 00:00:00 2022-08-04 00:00:00 No 2023-07-06 00:00:00 None FTR RES None 100 100 0 100 0 None KBLU11 None CA00804469 D SFY2022-23
140000195 CONTRA COSTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital East Bay 2023-08-01 00:00:00 020019252 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-12-09 00:00:00 2021-12-09 00:00:00 No 2023-11-17 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None HHU111 None CA00767134 D SFY2023-24
140000012 ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2024-03-05 00:00:00 020020218 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2020-04-09 00:00:00 2020-04-09 00:00:00 Yes 2024-03-26 00:00:00 2024-06-06 00:00:00 FTR BR None 2000 2000 0 0 2000 None VKB911 None CA00692515 C SFY2023-24
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2008-03-26 00:00:00 030004516 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-01 00:00:00 2007-10-01 00:00:00 No 2008-04-18 00:00:00 None FTR AE None 500 500 0 500 0 None VFMI11 N CA00129057 B SFY2007-08
030000320 SIERRA VISTA HOSPITAL, INC. Non-LTC APH Acute Psychiatric Hospital Sacramento 2008-01-25 00:00:00 030004738 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-03-22 00:00:00 2007-03-22 00:00:00 No 2008-02-19 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 43VJ11 N None None SFY2007-08
030000129 CENTRAL VALLEY SPECIALTY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2008-01-25 00:00:00 030004739 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-05-11 00:00:00 2007-05-11 00:00:00 No 2008-02-19 00:00:00 None AP IJ None 25000 25000 0 25000 0 None VB4J11 N None None SFY2007-08
030000129 CENTRAL VALLEY SPECIALTY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2008-01-25 00:00:00 030004740 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-05-10 00:00:00 2007-05-10 00:00:00 No 2008-02-19 00:00:00 None AP IJ None 25000 25000 0 25000 0 None IUII11 N None None SFY2007-08
030000129 CENTRAL VALLEY SPECIALTY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2008-01-25 00:00:00 030004741 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-05-07 00:00:00 2007-05-07 00:00:00 No 2008-02-19 00:00:00 None AP IJ None 25000 25000 0 25000 0 None S9SJ11 Y None None SFY2007-08
030000320 SIERRA VISTA HOSPITAL, INC. Non-LTC APH Acute Psychiatric Hospital Sacramento 2008-04-23 00:00:00 030004817 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-02-16 00:00:00 2008-02-16 00:00:00 No 2008-05-15 00:00:00 None AP IJ None 25000 25000 0 25000 0 None VWJJ11 N CA00141167, CA00141245 B, A SFY2007-08
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2008-03-26 00:00:00 030004822 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-08-24 00:00:00 2007-08-24 00:00:00 No 2008-04-18 00:00:00 None FTR AE None 200 200 0 200 0 None 3M9L11 N CA00125205 B SFY2007-08
030000124 MERCY GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2008-03-26 00:00:00 030004823 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-11 00:00:00 2007-10-11 00:00:00 No 2008-04-18 00:00:00 None FTR AE None 1000 1000 0 1000 0 None ZCKU11 N CA00130385 C SFY2007-08
030000973 KAISER FOUNDATION HOSPITAL MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2008-03-26 00:00:00 030004825 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2007-09-01 00:00:00 2007-09-01 00:00:00 No 2008-04-17 00:00:00 None FTR AE None 2900 2900 0 2900 0 None JZVT11 N CA00128667 B SFY2007-08
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2008-04-11 00:00:00 030004916 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-08-17 00:00:00 2007-08-17 00:00:00 No 2008-05-06 00:00:00 None FTR AE None 1500 1500 0 1500 0 None ZJ9311 N CA00125584 B SFY2007-08
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2008-04-11 00:00:00 030004917 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-09-16 00:00:00 2007-09-16 00:00:00 No 2008-05-06 00:00:00 None FTR AE None 400 400 0 400 0 None I0R911 N CA00127601 B SFY2007-08
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2008-04-11 00:00:00 030004919 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-07-17 00:00:00 2007-07-17 00:00:00 No 2008-05-05 00:00:00 None FTR AE None 900 900 0 900 0 None 8NJV11 N CA00122137 B SFY2007-08
030000108 SUTTER AMADOR HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2008-04-23 00:00:00 030004959 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-07-17 00:00:00 2007-07-17 00:00:00 No 2008-05-15 00:00:00 None FTR AE None 3300 3300 0 3300 0 None ZS3911 N CA00124937 B SFY2007-08
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-05-14 00:00:00 030005038 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-12 00:00:00 2007-12-12 00:00:00 No 2008-06-10 00:00:00 None FTR AE None 1700 1700 0 1700 0 None N2W811 N CA00137387 B SFY2007-08
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2008-05-14 00:00:00 030005039 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-11 00:00:00 2007-12-11 00:00:00 No 2008-06-10 00:00:00 None FTR AE None 500 500 0 500 0 None G8YC11 N CA00135716 B SFY2007-08
030000114 BARTON MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2008-06-09 00:00:00 030005125 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2007-11-06 00:00:00 2007-11-06 00:00:00 Yes 2008-07-02 00:00:00 2008-06-18 00:00:00 FTR AE None 5300 5300 0 5300 0 None W68D11 N CA00137437 B SFY2007-08
030000117 DAMERON HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2008-09-29 00:00:00 030005469 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2007-10-14 00:00:00 2007-10-14 00:00:00 No 2008-10-22 00:00:00 None FTR AE None 3800 3800 0 3800 0 None L2BD11 N CA00133149 B SFY2008-09
030000901 MERCY HOSPITAL OF FOLSOM Non-LTC GACH General Acute Care Hospital Sacramento 2008-12-11 00:00:00 030005687 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2007-10-08 00:00:00 2007-10-08 00:00:00 No 2009-01-12 00:00:00 None FTR AE None 11400 11400 0 11400 0 None MD3L11 N CA00139917 B SFY2008-09
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2009-03-09 00:00:00 030005941 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE05 - Death during or up to 24 hours after surgery None 2008-12-03 00:00:00 2008-12-03 00:00:00 No 2009-04-01 00:00:00 None FTR AE None 300 300 0 300 0 None F1K911 Y CA00171971 B SFY2008-09
030000901 MERCY HOSPITAL OF FOLSOM Non-LTC GACH General Acute Care Hospital Sacramento 2009-03-09 00:00:00 030005943 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-11-27 00:00:00 2008-11-27 00:00:00 No 2009-04-01 00:00:00 None FTR AE None 4400 4400 0 4400 0 None NI4E11 N CA00174934 B SFY2008-09
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2009-03-17 00:00:00 030005969 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-02 00:00:00 2008-08-02 00:00:00 Yes 2009-04-08 00:00:00 2009-03-26 00:00:00 FTR AE None 14100 14100 0 0 14100 None 7W6111 N CA00159502 B SFY2008-09
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2009-03-17 00:00:00 030005976 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-20 00:00:00 2008-03-20 00:00:00 No 2009-04-13 00:00:00 None FTR AE None 7100 7100 0 7100 0 None P5BT11 N CA00145302 B SFY2008-09
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2009-03-18 00:00:00 030005982 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-12 00:00:00 2008-01-12 00:00:00 No 2009-04-13 00:00:00 None FTR AE None 2000 2000 0 2000 0 None NKVU11 N CA00140083 B SFY2008-09
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2009-03-18 00:00:00 030005986 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-08-31 00:00:00 2007-08-31 00:00:00 No 2009-04-13 00:00:00 None FTR AE None 12800 12800 0 12800 0 None V7QP11 N CA00137755, CA00138649, CA00139421 B, B, B SFY2008-09
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2009-03-20 00:00:00 030006002 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-06 00:00:00 2008-10-06 00:00:00 No 2009-04-14 00:00:00 None FTR AE None 300 300 0 300 0 None DBYM11 N CA00166152 B SFY2008-09
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2009-05-13 00:00:00 030006181 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-08 00:00:00 2008-10-08 00:00:00 No 2009-06-05 00:00:00 None FTR AE None 100 100 0 100 0 None M73V11 N CA00166256 B SFY2008-09
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2009-05-13 00:00:00 030006182 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-27 00:00:00 2008-05-27 00:00:00 No 2009-06-05 00:00:00 None FTR AE None 2200 2200 0 2200 0 None 9IK711 N CA00154463 B SFY2008-09
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2009-06-12 00:00:00 030006289 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-16 00:00:00 2008-07-16 00:00:00 No 2009-07-06 00:00:00 None FTR AE None 2400 2400 0 2400 0 None XHYX11 N CA00160228 B SFY2008-09
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2009-06-26 00:00:00 030006325 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE23 - Death/disab assoc with use of restraints/bedrails None 2008-02-17 00:00:00 2008-02-17 00:00:00 Yes 2009-07-17 00:00:00 2009-09-21 00:00:00 AP IJ AP IJ 25000 12500 0 12500 0 None B2U611 N CA00169749 B SFY2008-09
030000120 MARK TWAIN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2009-06-30 00:00:00 030006334 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2008-01-20 00:00:00 2008-01-20 00:00:00 Yes 2009-07-21 00:00:00 2009-09-14 00:00:00 AP IJ None 25000 25000 0 25000 0 None 1HE211 Y CA00139414 B SFY2008-09
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2009-07-16 00:00:00 030006389 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2007-12-17 00:00:00 2007-12-17 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 25000 25000 0 25000 0 None RMBX11 Y CA00136701 B SFY2009-10
030000822 HERITAGE OAKS HOSPITAL Non-LTC APH Acute Psychiatric Hospital Sacramento 2009-10-06 00:00:00 030006604 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2007-08-16 00:00:00 2007-08-16 00:00:00 No 2009-10-28 00:00:00 None AP IJ None 25000 25000 0 25000 0 None BX5511 N CA00123668, CA00123691 A, A SFY2009-10
030000149 SUTTER DAVIS HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2009-11-12 00:00:00 030006692 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-03-23 00:00:00 2008-03-23 00:00:00 Yes 2009-12-07 00:00:00 2010-04-21 00:00:00 AP IJ AP IJ 25000 8000 0 8000 0 None S5XD11 N CA00145077 B SFY2009-10
030000973 KAISER FOUNDATION HOSPITAL MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2010-06-23 00:00:00 030007326 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-04-27 00:00:00 2009-04-27 00:00:00 No 2010-07-14 00:00:00 None FTR BR None 600 600 0 600 0 None Y2D911 None CA00187752 B SFY2009-10
030000120 MARK TWAIN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2010-06-23 00:00:00 030007329 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-06 00:00:00 2009-11-06 00:00:00 No 2010-07-16 00:00:00 None FTR BR None 600 600 0 600 0 None 7JJJ11 None CA00208749 B SFY2009-10
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2010-11-10 00:00:00 030007706 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE15 - Death/disability directly related to hypoglycemia None 2007-08-10 00:00:00 2007-08-10 00:00:00 No 2010-12-06 00:00:00 None FTR AE None 84000 84000 0 84000 0 None R0JL11 N CA00211341 B SFY2010-11
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2010-11-19 00:00:00 030007727 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2008-02-21 00:00:00 2008-02-21 00:00:00 No 2010-12-14 00:00:00 None FTR AE None 37400 37400 0 37400 0 None H40K11 N CA00180801 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2010-11-30 00:00:00 030007739 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-08-28 00:00:00 2009-08-28 00:00:00 No 2010-12-21 00:00:00 None FTR BR None 1600 1600 -400 1200 0 None FD6R11 None CA00202232 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2010-12-01 00:00:00 030007741 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-12-21 00:00:00 2009-12-21 00:00:00 No 2010-12-22 00:00:00 None FTR BR None 1800 1800 -450 1350 0 None 20WM11 None CA00214619 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2010-12-02 00:00:00 030007749 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-07-29 00:00:00 2010-07-29 00:00:00 No 2010-12-23 00:00:00 None FTR BR None 2800 2800 0 2800 0 None TP5U11 None CA00241526 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2010-12-02 00:00:00 030007750 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-07-29 00:00:00 2010-07-29 00:00:00 No 2010-12-23 00:00:00 None FTR RES None 2800 2800 -700 2100 0 None TP5U11 None CA00241526 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2010-12-03 00:00:00 030007753 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-09 00:00:00 2010-08-09 00:00:00 No 2010-12-24 00:00:00 None FTR BR None 3500 3500 -875 2625 0 None N7DB11 None CA00243496 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2011-03-25 00:00:00 030008064 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-05-26 00:00:00 2009-05-26 00:00:00 No 2011-04-18 00:00:00 None FTR BR None 500 500 -125 375 0 None I9HJ11 None CA00190942 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2011-03-25 00:00:00 030008069 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-09-08 00:00:00 2010-09-08 00:00:00 No 2011-04-18 00:00:00 None FTR BR None 500 500 -125 375 0 None Z40M11 None CA00243311 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2011-03-25 00:00:00 030008071 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-09-08 00:00:00 2010-09-08 00:00:00 No 2011-04-18 00:00:00 None FTR RES None 2100 2100 -525 1575 0 None Z40M11 None CA00243311 B SFY2010-11
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2013-05-16 00:00:00 030009913 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-10-15 00:00:00 2010-10-15 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 1K5X11 Y CA00319646 C SFY2012-13
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-10-15 00:00:00 030010196 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-01-15 00:00:00 2009-01-15 00:00:00 No 2013-11-05 00:00:00 None FTR BR None 100 100 -25 75 0 None KCG511 None CA00175388 B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-10-17 00:00:00 030010211 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-07-10 00:00:00 2009-07-10 00:00:00 No 2013-11-07 00:00:00 None FTR BR None 400 400 -100 300 0 None SMT911 None CA00195569 B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-10-21 00:00:00 030010225 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-05-21 00:00:00 2009-05-21 00:00:00 No 2013-11-12 00:00:00 None FTR BR None 1300 1300 -325 975 0 None F00W11 None CA00191152 B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-11-20 00:00:00 030010270 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-05-13 00:00:00 2009-05-13 00:00:00 No 2013-12-13 00:00:00 None FTR BR None 200 200 -50 150 0 None WX4B11 None CA00188988 B SFY2013-14
030000125 EMANUEL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-12-16 00:00:00 030010282 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-03-30 00:00:00 2009-03-30 00:00:00 No 2014-01-07 00:00:00 None FTR AE None 3300 3300 0 3300 0 None 3U3211 N CA00187513 B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-01-21 00:00:00 030010358 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-02-06 00:00:00 2009-02-06 00:00:00 No 2014-02-11 00:00:00 None FTR BR None 900 900 -225 675 0 None KR9C11 None CA00178703 C SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-01-28 00:00:00 030010387 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-10 00:00:00 2009-11-10 00:00:00 No 2014-02-19 00:00:00 None FTR BR None 2200 2200 -550 1650 0 None 4D4P11 None CA00210666 B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-02-04 00:00:00 030010411 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-08-06 00:00:00 2009-08-06 00:00:00 No 2014-02-26 00:00:00 None FTR BR None 600 600 -150 450 0 None 5T7711 None CA00198914 B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-02-11 00:00:00 030010433 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-04-26 00:00:00 2009-04-26 00:00:00 No 2014-03-05 00:00:00 None FTR BR None 400 400 -100 300 0 None 33TC11 None CA00187215 B SFY2013-14
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2014-02-06 00:00:00 030010446 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2013-03-24 00:00:00 2013-03-24 00:00:00 No 2014-05-22 00:00:00 None AP IJ None 50000 50000 0 50000 0 None V7F011 Y CA00349058, CA00352428 D, B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-02-18 00:00:00 030010476 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-01 00:00:00 2009-11-01 00:00:00 No 2014-03-11 00:00:00 None FTR BR None 900 900 -225 675 0 None ZSED11 None CA00209886 C SFY2013-14
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2014-02-18 00:00:00 030010477 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-07-18 00:00:00 2013-07-18 00:00:00 No 2014-03-11 00:00:00 None FTR BR None 400 400 0 400 0 None D98311 None CA00364023 E SFY2013-14
630011683 KAISER FOUNDATION HOSPITAL MODESTO Non-LTC GACH General Acute Care Hospital Sacramento 2014-03-18 00:00:00 030010537 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-08-02 00:00:00 2011-08-02 00:00:00 No 2014-04-09 00:00:00 None FTR AE None 2900 2900 0 2900 0 None DLER11 N CA00282704 B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-03-18 00:00:00 030010552 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-30 00:00:00 2009-11-30 00:00:00 No 2014-04-09 00:00:00 None FTR BR None 200 200 -50 150 0 None O4DH11 None CA00210673 B SFY2013-14
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-03-18 00:00:00 030010553 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-03-06 00:00:00 2009-03-06 00:00:00 No 2014-04-09 00:00:00 None FTR BR None 100 100 0 100 0 None 90TJ11 None CA00180905 B SFY2013-14
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2014-03-18 00:00:00 030010554 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-01-29 00:00:00 2009-01-29 00:00:00 No 2014-04-09 00:00:00 None FTR AE None 900 900 0 900 0 None I8WU11 N CA00177805 B SFY2013-14
030000120 MARK TWAIN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2014-03-24 00:00:00 030010564 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2013-06-13 00:00:00 2013-06-13 00:00:00 No 2015-03-05 00:00:00 None AP IJ None 50000 50000 0 50000 0 None SJO311 N CA00359050, CA00359061 D, D SFY2013-14
030000973 KAISER FOUNDATION HOSPITAL MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2014-07-18 00:00:00 030010570 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-11-15 00:00:00 2012-11-15 00:00:00 No 2014-08-08 00:00:00 None FTR BR None 700 700 -175 525 0 None HP2B11 None CA00335235 C SFY2014-15
030000973 KAISER FOUNDATION HOSPITAL MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2014-07-18 00:00:00 030010571 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-11-15 00:00:00 2012-11-15 00:00:00 No 2014-08-08 00:00:00 None FTR RES None 1800 1800 -450 1350 0 None HP2B11 None CA00335235 C SFY2014-15
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-04-01 00:00:00 030010584 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-15 00:00:00 2009-10-15 00:00:00 No 2014-04-22 00:00:00 None FTR BR None 1500 1500 -375 1125 0 None GJM211 None CA00207306 B SFY2013-14
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-04-08 00:00:00 030010585 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-01-12 00:00:00 2009-01-12 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 158I11 N CA00180867, CA00180956 B, B SFY2013-14
030000117 DAMERON HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2014-08-15 00:00:00 030010618 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-05-08 00:00:00 2012-05-08 00:00:00 No 2014-09-08 00:00:00 None FTR BR None 3500 3500 -875 2625 0 None VDP011 None CA00321407 E SFY2014-15
030000117 DAMERON HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2014-08-15 00:00:00 030010619 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-05-08 00:00:00 2012-05-08 00:00:00 No 2014-09-08 00:00:00 None FTR RES None 3500 3500 -875 2625 0 None VDP011 None CA00321407 E SFY2014-15
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2014-04-14 00:00:00 030010625 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-07-03 00:00:00 2012-07-03 00:00:00 No 2014-05-05 00:00:00 None FTR AE None 2300 2300 0 2300 0 None 0GVC11 N CA00320003 B SFY2013-14
030000114 BARTON MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2014-04-14 00:00:00 030010626 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-02-15 00:00:00 2010-02-15 00:00:00 No 2014-05-05 00:00:00 None FTR AE None 200 200 0 200 0 None V9TJ11 N CA00218981 B SFY2013-14
030000118 DOCTORS HOSPITAL OF MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2014-04-14 00:00:00 030010627 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-03-11 00:00:00 2009-03-11 00:00:00 No 2014-05-05 00:00:00 None FTR BR None 500 500 0 500 0 None D3NL11 None CA00221696 B SFY2013-14
030000118 DOCTORS HOSPITAL OF MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2014-04-14 00:00:00 030010628 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-03-11 00:00:00 2009-03-11 00:00:00 No 2014-05-05 00:00:00 None FTR RES None 200 200 0 200 0 None D3NL11 None CA00221696 B SFY2013-14
030000125 EMANUEL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-04-18 00:00:00 030010632 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-08-05 00:00:00 2009-08-05 00:00:00 No 2014-05-09 00:00:00 None FTR RES None 100 100 0 100 0 None 6FWP11 None CA00215187 B SFY2013-14
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-08 00:00:00 030010633 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-08-27 00:00:00 2010-08-27 00:00:00 No 2015-06-01 00:00:00 None FTR AE None 600 600 0 600 0 None GPET11 N CA00242228 B SFY2014-15
030000125 EMANUEL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-04-22 00:00:00 030010652 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-09-08 00:00:00 2009-09-08 00:00:00 No 2014-05-13 00:00:00 None FTR BR None 100 100 0 100 0 None 12R911 None CA00201800 B SFY2013-14
030000125 EMANUEL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-04-23 00:00:00 030010653 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-08-03 00:00:00 2009-08-03 00:00:00 No 2014-05-14 00:00:00 None FTR BR None 200 200 0 200 0 None BUN811 None CA00198099 B SFY2013-14
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2014-08-01 00:00:00 030010677 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-02-08 00:00:00 2011-02-08 00:00:00 No 2014-08-22 00:00:00 None FTR AE None 5400 5400 0 5400 0 None HZ6E11 N CA00265502 B SFY2014-15
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2014-04-29 00:00:00 030010679 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-02-12 00:00:00 2009-02-12 00:00:00 No 2014-05-20 00:00:00 None FTR AE None 100 100 0 100 0 None ZO1Z11 N CA00178329 B SFY2013-14
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2014-05-06 00:00:00 030010706 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-03 00:00:00 2008-07-03 00:00:00 No 2014-05-28 00:00:00 None FTR AE None 300 300 0 300 0 None 60ER11 N CA00156661 B SFY2013-14
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2014-05-13 00:00:00 030010725 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-08-23 00:00:00 2011-08-23 00:00:00 No 2014-06-04 00:00:00 None FTR AE None 400 400 0 400 0 None 0WYP11 N CA00282034 B SFY2013-14
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2014-05-20 00:00:00 030010734 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-06-16 00:00:00 2012-06-16 00:00:00 No 2014-06-11 00:00:00 None FTR AE None 800 800 0 800 0 None LRP611 N CA00316232 E SFY2013-14
030000973 KAISER FOUNDATION HOSPITAL MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2014-05-27 00:00:00 030010741 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-07-13 00:00:00 2011-07-13 00:00:00 No 2014-06-17 00:00:00 None FTR RES None 600 600 -150 450 0 None 5PLV11 None CA00276626 B SFY2013-14
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2010-06-10 00:00:00 030010748 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-04-22 00:00:00 2010-04-22 00:00:00 No 2010-07-01 00:00:00 None FTR RES None 1200 1200 0 1200 0 None ZMJZ11 None CA00226866 B SFY2009-10
630011683 KAISER FOUNDATION HOSPITAL MODESTO Non-LTC GACH General Acute Care Hospital Sacramento 2014-06-17 00:00:00 030010819 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-03-09 00:00:00 2012-03-09 00:00:00 No 2014-07-09 00:00:00 None FTR AE None 200 200 0 200 0 None 408B11 N CA00303659 D SFY2013-14
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2014-07-18 00:00:00 030010863 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-02-13 00:00:00 2010-02-13 00:00:00 No 2014-08-08 00:00:00 None FTR BR None 900 900 0 900 0 None BRGC11 None CA00220341 B SFY2014-15
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2014-07-18 00:00:00 030010864 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-02-13 00:00:00 2010-02-13 00:00:00 No 2014-08-08 00:00:00 None FTR RES None 800 800 0 800 0 None BRGC11 None CA00220341 B SFY2014-15
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2014-08-07 00:00:00 030010922 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-10-14 00:00:00 2008-10-14 00:00:00 No 2014-08-28 00:00:00 None FTR AE None 800 800 0 800 0 None D9VP11 N CA00167567 B SFY2014-15
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2014-08-21 00:00:00 030010952 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-01-07 00:00:00 2010-01-07 00:00:00 No 2014-09-12 00:00:00 None FTR AE None 500 500 0 500 0 None ZF8Y11 N CA00215627 B SFY2014-15
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2014-08-28 00:00:00 030010967 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-30 00:00:00 2008-06-30 00:00:00 No 2014-09-19 00:00:00 None FTR AE None 2400 2400 0 2400 0 None 1Q6711 N CA00158855 B SFY2014-15
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-08 00:00:00 030011021 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-08-17 00:00:00 2011-08-17 00:00:00 No 2015-06-01 00:00:00 None FTR AE None 3800 3800 0 3800 0 None H4UX11 N CA00285216 B SFY2014-15
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-04-20 00:00:00 030011406 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-19 00:00:00 2008-03-19 00:00:00 No 2015-05-11 00:00:00 None FTR AE None 400 400 0 400 0 None 5H5711 N CA00145430 B SFY2014-15
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-04-20 00:00:00 030011408 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2008-06-25 00:00:00 2008-06-25 00:00:00 No 2015-05-11 00:00:00 None FTR AE None 2500 2500 0 2500 0 None 1KI111 N CA00158266 B SFY2014-15
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-04-22 00:00:00 030011415 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-06-25 00:00:00 2009-06-25 00:00:00 No 2015-05-13 00:00:00 None FTR AE None 100 100 0 100 0 None 2T4X11 N CA00193727 B SFY2014-15
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-04 00:00:00 030011432 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2012-07-13 00:00:00 2012-07-13 00:00:00 No 2015-05-26 00:00:00 None FTR AE None 200 200 0 200 0 None ELN811 N CA00318897 C SFY2014-15
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-06 00:00:00 030011433 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE19 - Death/disability due to electric shock None 2011-05-03 00:00:00 2011-05-03 00:00:00 No 2015-05-28 00:00:00 None FTR AE None 300 300 0 300 0 None T0UJ11 N CA00269224 B SFY2014-15
030000149 SUTTER DAVIS HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-04 00:00:00 030011434 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-05-07 00:00:00 2013-05-07 00:00:00 No 2015-05-26 00:00:00 None FTR BR None 200 200 0 200 0 None RURL11 None CA00355059 E SFY2014-15
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-11 00:00:00 030011461 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-29 00:00:00 2008-03-29 00:00:00 No 2015-06-02 00:00:00 None FTR AE None 600 600 0 600 0 None EVKR11 N CA00146448 B SFY2014-15
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-11 00:00:00 030011462 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2013-02-11 00:00:00 2013-02-11 00:00:00 No 2015-06-02 00:00:00 None FTR AE None 400 400 0 400 0 None OXPQ11 N CA00344332 D SFY2014-15
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-11 00:00:00 030011463 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE08 - Death/disability due to intravascular air embolism None 2012-08-29 00:00:00 2012-08-29 00:00:00 No 2015-06-02 00:00:00 None FTR AE None 400 400 0 400 0 None D7D111 N CA00324919 D SFY2014-15
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-05-11 00:00:00 030011464 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2012-06-27 00:00:00 2012-06-27 00:00:00 No 2015-06-02 00:00:00 None FTR AE None 300 300 0 300 0 None X2Y311 N CA00316868 D SFY2014-15
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-06-02 00:00:00 030011510 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-03-08 00:00:00 2009-03-08 00:00:00 No 2016-02-19 00:00:00 None AP IJ None 75000 75000 0 75000 0 None PN3G11 Y CA00181306 B SFY2014-15
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2015-06-08 00:00:00 030011530 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-07-09 00:00:00 2011-07-09 00:00:00 No 2015-06-29 00:00:00 None FTR AE None 1900 1900 0 1900 0 None 85RK11 N CA00278112 C SFY2014-15
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2015-06-08 00:00:00 030011535 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2012-03-22 00:00:00 2012-03-22 00:00:00 No 2015-06-29 00:00:00 None FTR AE None 300 300 0 300 0 None Y0LB11 N CA00305090 D SFY2014-15
030000149 SUTTER DAVIS HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-06-08 00:00:00 030011539 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-05-15 00:00:00 2013-05-15 00:00:00 No 2015-06-29 00:00:00 None FTR BR None 900 900 0 900 0 None CJ8Y11 None CA00356950 E SFY2014-15
030000149 SUTTER DAVIS HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-06-08 00:00:00 030011540 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-05-15 00:00:00 2013-05-15 00:00:00 No 2015-06-29 00:00:00 None FTR RES None 600 600 0 600 0 None CJ8Y11 None CA00356950 E SFY2014-15
030000973 KAISER FOUNDATION HOSPITAL MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2015-06-16 00:00:00 030011564 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-02 00:00:00 2009-10-02 00:00:00 No 2015-07-07 00:00:00 None FTR BR None 100 100 -25 75 0 None E2KE11 None CA00204416 B SFY2014-15
100000853 KAISER FOUNDATION HOSPITAL - HOSPICE Non-LTC HOSPICE Hospice Sacramento 2015-06-19 00:00:00 030011574 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach of IT system theft/loss of edevice/med rec None 2014-11-26 00:00:00 2014-11-26 00:00:00 No 2015-07-10 00:00:00 None FTR RES None 400 400 0 400 0 None BN0W11 None CA00422420 C SFY2014-15
100000853 KAISER FOUNDATION HOSPITAL - HOSPICE Non-LTC HOSPICE Hospice Sacramento 2015-06-26 00:00:00 030011584 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-08-06 00:00:00 2013-08-06 00:00:00 No 2015-07-17 00:00:00 None FTR BR None 400 400 0 400 0 None DG0N11 None CA00367162 D SFY2014-15
100000853 KAISER FOUNDATION HOSPITAL - HOSPICE Non-LTC HOSPICE Hospice Sacramento 2015-06-26 00:00:00 030011585 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-08-06 00:00:00 2013-08-06 00:00:00 No 2015-07-17 00:00:00 None FTR RES None 700 700 0 700 0 None DG0N11 None CA00367162 D SFY2014-15
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-08-03 00:00:00 030011649 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-27 00:00:00 2007-12-27 00:00:00 No 2015-08-24 00:00:00 None FTR AE None 300 300 0 300 0 None FGBG11 N CA00137267 B SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-08-03 00:00:00 030011650 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-24 00:00:00 2008-01-24 00:00:00 No 2015-08-24 00:00:00 None FTR AE None 13300 13300 0 13300 0 None FGBG11 N CA00137267 B SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-08-03 00:00:00 030011651 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-29 00:00:00 2008-01-29 00:00:00 No 2015-08-24 00:00:00 None FTR AE None 12800 12800 0 12800 0 None FGBG11 N CA00137267 B SFY2015-16
630011683 KAISER FOUNDATION HOSPITAL MODESTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-08-10 00:00:00 030011652 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-02-05 00:00:00 2009-02-05 00:00:00 No 2015-08-31 00:00:00 None FTR AE None 4300 4300 0 4300 0 None 968011 N CA00182761 B SFY2015-16
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-08-11 00:00:00 030011663 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-01-17 00:00:00 2013-01-17 00:00:00 No 2015-09-01 00:00:00 None FTR AE None 100 100 0 100 0 None D8FL11 N CA00340706 D SFY2015-16
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-08-17 00:00:00 030011670 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-07-09 00:00:00 2014-07-09 00:00:00 No 2015-09-08 00:00:00 None FTR BR None 600 600 0 600 0 None JHBA11 None CA00415173 D SFY2015-16
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-08-17 00:00:00 030011671 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-07-09 00:00:00 2014-07-09 00:00:00 No 2015-09-08 00:00:00 None FTR RES None 700 700 0 700 0 None JHBA11 None CA00415173 D SFY2015-16
030000120 MARK TWAIN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2015-08-17 00:00:00 030011672 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-01-27 00:00:00 2009-01-27 00:00:00 No 2015-09-08 00:00:00 None FTR AE None 4500 4500 0 4500 0 None WEZA11 N CA00181884 B SFY2015-16
100001207 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency Sacramento 2015-08-25 00:00:00 030011689 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-06-18 00:00:00 2012-06-18 00:00:00 No 2015-09-16 00:00:00 None FTR BR None 100 100 -25 75 0 None ECZO11 None CA00315781 C SFY2015-16
100000853 KAISER FOUNDATION HOSPITAL - HOSPICE Non-LTC HOSPICE Hospice Sacramento 2015-09-28 00:00:00 030011749 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-07-26 00:00:00 2014-07-26 00:00:00 No 2015-10-19 00:00:00 None FTR BR None 8200 8200 0 8200 0 None U2E011 None CA00419294 C SFY2015-16
100000853 KAISER FOUNDATION HOSPITAL - HOSPICE Non-LTC HOSPICE Hospice Sacramento 2015-09-28 00:00:00 030011750 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-07-26 00:00:00 2014-07-26 00:00:00 No 2015-10-19 00:00:00 None FTR RES None 8200 8200 0 8200 0 None U2E011 None CA00419294 C SFY2015-16
100001207 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency Sacramento 2015-09-28 00:00:00 030011751 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-10-18 00:00:00 2011-10-18 00:00:00 No 2015-10-19 00:00:00 None FTR BR None 100 100 -25 75 0 None 9OB411 None CA00287925 B SFY2015-16
100001207 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency Sacramento 2015-09-28 00:00:00 030011752 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-10-18 00:00:00 2011-10-18 00:00:00 No 2015-10-19 00:00:00 None FTR RES None 100 100 -25 75 0 None 9OB411 None CA00287925 B SFY2015-16
030000112 SUTTER MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-09-28 00:00:00 030011754 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-10-27 00:00:00 2010-10-27 00:00:00 No 2015-10-19 00:00:00 None FTR AE None 1400 1400 0 1400 0 None HGRV11 N CA00249653 B SFY2015-16
030000112 SUTTER MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-10-22 00:00:00 030011790 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-08-28 00:00:00 2014-08-28 00:00:00 No 2015-11-13 00:00:00 None FTR AE None 300 300 0 300 0 None 3GJO11 N CA00412168 D SFY2015-16
030000112 SUTTER MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-10-23 00:00:00 030011796 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-06-10 00:00:00 2014-06-10 00:00:00 No 2015-11-16 00:00:00 None FTR AE None 300 300 0 300 0 None PLGS11 N CA00402482 D SFY2015-16
030000112 SUTTER MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-10-30 00:00:00 030011811 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2012-01-10 00:00:00 2012-01-10 00:00:00 No 2015-11-23 00:00:00 None FTR AE None 6500 6500 0 6500 0 None VZYC11 N CA00304124 D SFY2015-16
030000112 SUTTER MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-11-05 00:00:00 030011833 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-11-18 00:00:00 2013-11-18 00:00:00 No 2015-12-01 00:00:00 None FTR AE None 300 300 0 300 0 None 1IN111 N CA00378532 D SFY2015-16
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2015-11-16 00:00:00 030011847 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2013-01-17 00:00:00 2013-01-17 00:00:00 No 2015-12-09 00:00:00 None FTR AE None 100 100 0 100 0 None IK0L11 N CA00340669 E SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-07 00:00:00 030011880 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-08-02 00:00:00 2009-08-02 00:00:00 No 2015-12-29 00:00:00 None FTR RES None 500 500 0 500 0 None KLXS11 None CA00233381 B SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-07 00:00:00 030011881 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-02 00:00:00 2010-11-02 00:00:00 No 2015-12-29 00:00:00 None FTR RES None 1900 1900 0 1900 0 None WD6G11 None CA00249724 B SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-07 00:00:00 030011882 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-22 00:00:00 2010-11-22 00:00:00 No 2015-12-29 00:00:00 None FTR RES None 900 900 0 900 0 None Y69711 None CA00251234 B SFY2015-16
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-10 00:00:00 030011888 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-05-18 00:00:00 2009-05-18 00:00:00 No 2016-01-01 00:00:00 None FTR BR None 10100 10100 -2525 7575 0 None NIII11 None CA00201737 B SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-10 00:00:00 030011889 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-06-10 00:00:00 2010-06-10 00:00:00 No 2016-01-01 00:00:00 None FTR BR None 700 700 0 700 0 None I7TO11 None CA00247216 B SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-10 00:00:00 030011890 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-06-10 00:00:00 2010-06-10 00:00:00 No 2016-01-01 00:00:00 None FTR RES None 700 700 0 700 0 None I7TO11 None CA00247216 B SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-14 00:00:00 030011893 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2010-08-17 00:00:00 2010-08-17 00:00:00 No 2016-01-05 00:00:00 None FTR BR None 900 900 0 900 0 None MIQJ11 None CA00243660 B SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-14 00:00:00 030011894 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2010-08-17 00:00:00 2010-08-17 00:00:00 No 2016-01-05 00:00:00 None FTR RES None 800 800 0 800 0 None MIQJ11 None CA00243660 B SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-14 00:00:00 030011895 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-07-25 00:00:00 2010-07-25 00:00:00 No 2016-01-05 00:00:00 None FTR RES None 300 300 0 300 0 None LUDI11 None CA00238348 B SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2015-12-17 00:00:00 030011901 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-06-17 00:00:00 2010-06-17 00:00:00 No 2016-01-08 00:00:00 None FTR RES None 900 900 0 900 0 None 1HDL11 None CA00233506 B SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-01-14 00:00:00 030011960 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-05-16 00:00:00 2012-05-16 00:00:00 No 2016-02-05 00:00:00 None FTR RES None 700 700 0 700 0 None FQ0411 None CA00312032 E SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-01-14 00:00:00 030011962 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach by person other than a h/c worker None 2012-03-18 00:00:00 2012-03-18 00:00:00 No 2016-02-05 00:00:00 None FTR RES None 300 300 0 300 0 None 50U611 None CA00304330 E SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-28 00:00:00 030012001 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2012-03-23 00:00:00 2012-03-23 00:00:00 No 2016-07-20 00:00:00 None FTR RES None 3300 3300 0 3300 0 None ECS511 None CA00309025 D SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-02-01 00:00:00 030012003 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2012-06-24 00:00:00 2012-06-24 00:00:00 No 2016-02-23 00:00:00 None FTR BR None 700 700 0 700 0 None 8Q3S11 None CA00329855 D SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-02-05 00:00:00 030012015 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-07-16 00:00:00 2013-07-16 00:00:00 No 2016-02-29 00:00:00 None FTR BR None 2200 2200 0 2200 0 None DKD011 None CA00366107 D SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-02-05 00:00:00 030012016 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-07-16 00:00:00 2013-07-16 00:00:00 No 2016-02-29 00:00:00 None FTR RES None 2200 2200 0 2200 0 None DKD011 None CA00366107 D SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-02-09 00:00:00 030012024 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-09-18 00:00:00 2013-09-18 00:00:00 No 2016-03-02 00:00:00 None FTR BR None 100 100 0 100 0 None LC6711 None CA00371392 D SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-02-09 00:00:00 030012026 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-09-18 00:00:00 2013-09-18 00:00:00 No 2016-03-02 00:00:00 None FTR RES None 100 100 0 100 0 None LC6711 None CA00371392 D SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-02-12 00:00:00 030012032 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-05-23 00:00:00 2013-05-23 00:00:00 No 2016-03-07 00:00:00 None FTR RES None 800 800 0 800 0 None UO4Z11 None CA00356910 D SFY2015-16
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-02-24 00:00:00 030012043 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-11-06 00:00:00 2009-11-06 00:00:00 No 2016-03-16 00:00:00 None FTR AE None 200 200 0 200 0 None 9GQU11 N CA00208472 C SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-04-04 00:00:00 030012160 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-08-05 00:00:00 2013-08-05 00:00:00 No 2016-04-25 00:00:00 None FTR AE None 100 100 0 100 0 None 1IUK11 N CA00400829 D SFY2015-16
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-04-05 00:00:00 030012163 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-03-05 00:00:00 2009-03-05 00:00:00 No 2016-04-26 00:00:00 None FTR AE None 2600 2600 0 2600 0 None JO2V11 N CA00183964 B SFY2015-16
030000860 ONE COMMUNITY HEALTH Non-LTC COMTYC Primary Care Clinic Sacramento 2016-04-07 00:00:00 030012171 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-12-15 00:00:00 2011-12-15 00:00:00 No 2016-04-28 00:00:00 None FTR BR None 100 100 0 100 0 None 0QDM11 None CA00294044 C SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-05-03 00:00:00 030012224 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-11-24 00:00:00 2009-11-24 00:00:00 No 2016-05-24 00:00:00 None FTR AE None 4700 4700 0 4700 0 None 8Q0S11 N CA00214998 B SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-05-04 00:00:00 030012225 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-10-07 00:00:00 2011-10-07 00:00:00 No 2016-05-25 00:00:00 None FTR RES None 3500 3500 0 3500 0 None 4QC111 None CA00286814 B SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2016-05-24 00:00:00 030012270 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-07-26 00:00:00 2010-07-26 00:00:00 No 2016-06-15 00:00:00 None FTR BR None 2100 2100 0 2100 0 None IHKX11 None CA00243658 B SFY2015-16
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2016-05-24 00:00:00 030012271 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-07-26 00:00:00 2010-07-26 00:00:00 No 2016-06-15 00:00:00 None FTR RES None 2000 2000 0 2000 0 None IHKX11 None CA00243658 B SFY2015-16
030000973 KAISER FOUNDATION HOSPITAL MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2016-05-24 00:00:00 030012272 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-12-04 00:00:00 2009-12-04 00:00:00 No 2016-06-15 00:00:00 None FTR AE None 200 200 0 200 0 None LLYE11 N CA00217313 B SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-05-31 00:00:00 030012301 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-19 00:00:00 2010-05-19 00:00:00 No 2016-06-21 00:00:00 None FTR BR None 200 200 0 200 0 None OEFV11 None CA00230624 B SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-01 00:00:00 030012303 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-04-22 00:00:00 2014-04-22 00:00:00 No 2016-06-22 00:00:00 None FTR BR None 100 100 0 100 0 None 3QFH11 None CA00397030 D SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-01 00:00:00 030012304 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-04-22 00:00:00 2014-04-22 00:00:00 No 2016-06-22 00:00:00 None FTR RES None 100 100 0 100 0 None 3QFH11 None CA00397030 D SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-09 00:00:00 030012319 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-07-28 00:00:00 2014-07-28 00:00:00 No 2016-06-30 00:00:00 None FTR BR None 900 900 0 900 0 None COME11 None CA00409281 D SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-09 00:00:00 030012320 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-07-28 00:00:00 2014-07-28 00:00:00 No 2016-06-30 00:00:00 None FTR RES None 1000 1000 0 1000 0 None COME11 None CA00409281 D SFY2015-16
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-28 00:00:00 030012358 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2012-03-23 00:00:00 2012-03-23 00:00:00 No 2016-07-20 00:00:00 None FTR BR None 3100 3100 0 3100 0 None ECS511 None CA00309025 D SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-28 00:00:00 030012363 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-08-31 00:00:00 2014-08-31 00:00:00 No 2016-07-20 00:00:00 None FTR BR None 200 200 0 200 0 None YWUH11 None CA00412729 D SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-28 00:00:00 030012364 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-08-31 00:00:00 2014-08-31 00:00:00 No 2016-07-20 00:00:00 None FTR RES None 200 200 0 200 0 None YWUH11 None CA00412729 D SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-29 00:00:00 030012370 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-10-07 00:00:00 2014-10-07 00:00:00 No 2016-07-21 00:00:00 None FTR BR None 100 100 0 100 0 None V6H211 None CA00417148 D SFY2015-16
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-06-29 00:00:00 030012371 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-10-07 00:00:00 2014-10-07 00:00:00 No 2016-07-21 00:00:00 None FTR RES None 100 100 0 100 0 None V6H211 None CA00417148 D SFY2015-16
030000149 SUTTER DAVIS HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2016-08-16 00:00:00 030012506 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2012-01-10 00:00:00 2012-01-10 00:00:00 Yes 2017-05-11 00:00:00 2017-04-28 00:00:00 AP IJ None 50000 50000 0 0 50000 None 79QU11 N CA00324171 D SFY2016-17
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-08-23 00:00:00 030012520 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-10-28 00:00:00 2014-10-28 00:00:00 No 2016-09-14 00:00:00 None FTR BR None 500 500 0 500 0 None 5K6D11 None CA00419942 D SFY2016-17
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-08-23 00:00:00 030012521 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-04-04 00:00:00 2014-04-04 00:00:00 No 2016-09-14 00:00:00 None FTR AE None 100 100 0 100 0 None H6YM11 N CA00394546 D SFY2016-17
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2016-08-29 00:00:00 030012546 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-03-17 00:00:00 2009-03-17 00:00:00 No 2016-09-20 00:00:00 None FTR BR None 100 100 0 100 0 None FWIY11 None CA00182267 B SFY2016-17
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-08-30 00:00:00 030012549 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2012-06-18 00:00:00 2012-06-18 00:00:00 No 2016-09-21 00:00:00 None FTR AE None 200 200 0 200 0 None T3CR11 N CA00315647 D SFY2016-17
030000149 SUTTER DAVIS HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2016-09-15 00:00:00 030012579 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2012-01-10 00:00:00 2012-01-10 00:00:00 No 2016-10-06 00:00:00 None FTR AE None 22900 22900 0 22900 0 None 79QU11 N CA00324171 D SFY2016-17
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-07 00:00:00 030012635 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2011-06-29 00:00:00 2011-06-29 00:00:00 No 2016-10-28 00:00:00 None FTR AE None 1400 1400 0 1400 0 None H5QD11 N CA00276431 C SFY2016-17
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-07 00:00:00 030012636 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-05-07 00:00:00 2010-05-07 00:00:00 No 2016-10-28 00:00:00 None FTR AE None 200 200 0 200 0 None ZSHX11 N CA00228965 B SFY2016-17
030000117 DAMERON HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-25 00:00:00 030012684 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-11-27 00:00:00 2013-11-27 00:00:00 No 2016-11-16 00:00:00 None FTR AE None 2100 2100 0 2100 0 None JR3L11 N CA00381438 D SFY2016-17
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-26 00:00:00 030012688 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-06-17 00:00:00 2009-06-17 00:00:00 No 2016-11-17 00:00:00 None FTR AE None 700 700 0 700 0 None 4GTL11 N CA00193453 B SFY2016-17
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-26 00:00:00 030012689 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2014-01-13 00:00:00 2014-01-13 00:00:00 No 2016-11-17 00:00:00 None FTR AE None 300 300 0 300 0 None RB5F11 N CA00384693 C SFY2016-17
030000124 MERCY GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-27 00:00:00 030012690 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-10-18 00:00:00 2013-10-18 00:00:00 No 2016-11-18 00:00:00 None FTR AE None 800 800 0 800 0 None TB2111 N CA00375545 D SFY2016-17
030000124 MERCY GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-27 00:00:00 030012693 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-10-23 00:00:00 2013-10-23 00:00:00 No 2016-11-18 00:00:00 None FTR AE None 700 700 0 700 0 None 79LV11 N CA00375687 D SFY2016-17
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-28 00:00:00 030012697 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-08-17 00:00:00 2013-08-17 00:00:00 No 2016-11-21 00:00:00 None FTR AE None 500 500 0 500 0 None 3H9Q11 N CA00367703 D SFY2016-17
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-28 00:00:00 030012698 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-07-02 00:00:00 2013-07-02 00:00:00 No 2016-11-21 00:00:00 None FTR AE None 300 300 0 300 0 None VMTC11 N CA00361527 D SFY2016-17
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-31 00:00:00 030012701 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2011-03-30 00:00:00 2011-03-30 00:00:00 No 2016-11-22 00:00:00 None FTR AE None 300 300 0 300 0 None XDBW11 N CA00265182 B SFY2016-17
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-31 00:00:00 030012703 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2012-12-03 00:00:00 2012-12-03 00:00:00 No 2016-11-22 00:00:00 None FTR AE None 600 600 0 600 0 None WLLS11 N CA00336298 D SFY2016-17
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-31 00:00:00 030012704 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2012-02-23 00:00:00 2012-02-23 00:00:00 No 2016-11-22 00:00:00 None FTR AE None 2000 2000 0 2000 0 None QJ9L11 N CA00303868 D SFY2016-17
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-31 00:00:00 030012708 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-09-06 00:00:00 2013-09-06 00:00:00 No 2016-11-22 00:00:00 None FTR AE None 1200 1200 0 1200 0 None IOXH11 N CA00370710 D SFY2016-17
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-31 00:00:00 030012709 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE22 - Death associated with a fall None 2012-01-27 00:00:00 2012-01-27 00:00:00 No 2016-11-22 00:00:00 None FTR AE None 200 200 0 200 0 None Z52D11 N CA00298711 C SFY2016-17
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-10-31 00:00:00 030012711 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-02-01 00:00:00 2013-02-01 00:00:00 No 2016-11-22 00:00:00 None FTR AE None 500 500 0 500 0 None 157D11 N CA00343180 D SFY2016-17
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-11-04 00:00:00 030012725 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-04-26 00:00:00 2010-04-26 00:00:00 No 2016-11-30 00:00:00 None FTR AE None 400 400 0 400 0 None V8JM11 N CA00228099 B SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-11-04 00:00:00 030012726 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-01-05 00:00:00 2015-01-05 00:00:00 No 2016-11-30 00:00:00 None FTR AE None 400 400 0 400 0 None MO0711 N CA00427163 D SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-11-17 00:00:00 030012760 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-07-31 00:00:00 2015-07-31 00:00:00 No 2016-12-12 00:00:00 None FTR AE None 600 600 0 600 0 None 1WWI11 N CA00454043 C SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-11-18 00:00:00 030012765 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-10-19 00:00:00 2010-10-19 00:00:00 No 2016-12-13 00:00:00 None FTR AE None 1100 1100 0 1100 0 None X18611 N CA00248216 B SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2016-12-05 00:00:00 030012791 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2011-07-14 00:00:00 2011-07-14 00:00:00 No 2016-12-27 00:00:00 None FTR AE None 1400 1400 0 1400 0 None 524L11 N CA00277904 C SFY2016-17
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2016-12-29 00:00:00 030012852 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-06-13 00:00:00 2014-06-13 00:00:00 No 2017-01-23 00:00:00 None FTR AE None 200 200 0 200 0 None 0P6511 N CA00402815 D SFY2016-17
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-01-24 00:00:00 030012901 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-04-01 00:00:00 2009-04-01 00:00:00 No 2017-02-14 00:00:00 None FTR BR None 800 800 0 800 0 None VVQO11 None CA00184879 B SFY2016-17
030000118 DOCTORS HOSPITAL OF MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2017-02-02 00:00:00 030012931 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-12-25 00:00:00 2009-12-25 00:00:00 No 2017-02-24 00:00:00 None FTR BR None 100 100 -25 75 0 None KWDO11 None CA00213272 B SFY2016-17
030000118 DOCTORS HOSPITAL OF MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2017-02-02 00:00:00 030012934 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-01-20 00:00:00 2011-01-20 00:00:00 No 2017-02-24 00:00:00 None FTR BR None 100 100 -25 75 0 None V1FH11 None CA00257474 B SFY2016-17
030000118 DOCTORS HOSPITAL OF MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2017-02-02 00:00:00 030012935 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-01-20 00:00:00 2011-01-20 00:00:00 No 2017-02-24 00:00:00 None FTR RES None 100 100 -25 75 0 None V1FH11 None CA00257474 B SFY2016-17
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-02-14 00:00:00 030012974 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-02-12 00:00:00 2013-02-12 00:00:00 No 2017-03-08 00:00:00 None FTR AE None 500 500 0 500 0 None M70I11 N CA00344749 E SFY2016-17
030000121 MARSHALL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-03-24 00:00:00 030013084 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-04-08 00:00:00 2009-04-08 00:00:00 No 2017-04-17 00:00:00 None FTR BR None 100 100 0 100 0 None VVQO11 None CA00184879 B SFY2016-17
100001060 ADVANCED HOME HEALTH, INC Non-LTC HHA Home Health Agency Sacramento 2017-04-07 00:00:00 030013091 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2015-05-29 00:00:00 2015-05-29 00:00:00 No 2017-04-28 00:00:00 None FTR BR None 4000 4000 0 4000 0 None W7I211 None CA00452465 D SFY2016-17
100001060 ADVANCED HOME HEALTH, INC Non-LTC HHA Home Health Agency Sacramento 2017-04-07 00:00:00 030013092 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2015-05-29 00:00:00 2015-05-29 00:00:00 No 2017-04-28 00:00:00 None FTR RES None 3500 3500 0 3500 0 None W7I211 None CA00452465 D SFY2016-17
030000117 DAMERON HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2017-03-29 00:00:00 030013094 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE08 - Death/disability due to intravascular air embolism None 2012-10-09 00:00:00 2012-10-09 00:00:00 No 2017-04-20 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 5GQH11 N CA00330864 D SFY2016-17
030000117 DAMERON HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2017-04-14 00:00:00 030013125 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-07-30 00:00:00 2015-07-30 00:00:00 No 2017-05-05 00:00:00 None FTR AE None 100 100 0 100 0 None 2N6W11 N CA00453411 D SFY2016-17
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2017-04-20 00:00:00 030013138 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2015-08-18 00:00:00 2015-08-18 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 47452 47452 0 47452 0 None CCIW11 N CA00455078, CA00462656 B, B SFY2016-17
630011683 KAISER FOUNDATION HOSPITAL MODESTO Non-LTC GACH General Acute Care Hospital Sacramento 2017-05-16 00:00:00 030013209 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-05-13 00:00:00 2013-05-13 00:00:00 No 2017-06-07 00:00:00 None FTR AE None 400 400 0 400 0 None 1Z4411 N CA00356078 B SFY2016-17
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2017-05-18 00:00:00 030013214 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-10-10 00:00:00 2013-10-10 00:00:00 No 2017-06-09 00:00:00 None FTR AE None 200 200 0 200 0 None KNKV11 N CA00373817 D SFY2016-17
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2017-05-19 00:00:00 030013216 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-12-07 00:00:00 2013-12-07 00:00:00 No 2017-06-12 00:00:00 None FTR AE None 100 100 0 100 0 None 5ZE411 N CA00380450 D SFY2016-17
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-05-23 00:00:00 030013222 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-08-16 00:00:00 2016-08-16 00:00:00 No 2017-06-14 00:00:00 None FTR AE None 100 100 0 100 0 None MZ8X11 N CA00499951 D SFY2016-17
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2017-05-24 00:00:00 030013226 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-09-10 00:00:00 2013-09-10 00:00:00 No 2017-06-15 00:00:00 None FTR BR None 300 300 0 300 0 None NFRJ11 None CA00370566 D SFY2016-17
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2017-05-24 00:00:00 030013227 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-09-10 00:00:00 2013-09-10 00:00:00 No 2017-06-15 00:00:00 None FTR RES None 300 300 0 300 0 None NFRJ11 None CA00370566 D SFY2016-17
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2017-05-25 00:00:00 030013230 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-06-16 00:00:00 2014-06-16 00:00:00 No 2017-06-16 00:00:00 None FTR AE None 100 100 0 100 0 None ZP6H11 N CA00402982 D SFY2016-17
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-01 00:00:00 030013244 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-01-18 00:00:00 2010-01-18 00:00:00 No 2017-06-22 00:00:00 None FTR AE None 200 200 0 200 0 None G1HN11 N CA00215770 B SFY2016-17
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-06 00:00:00 030013256 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-11-08 00:00:00 2013-11-08 00:00:00 No 2017-06-27 00:00:00 None FTR AE None 200 200 0 200 0 None JJGR11 N CA00377395 D SFY2016-17
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-06 00:00:00 030013258 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-04-29 00:00:00 2013-04-29 00:00:00 No 2017-06-27 00:00:00 None FTR AE None 900 900 0 900 0 None 9SDN11 N CA00354398 D SFY2016-17
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-07 00:00:00 030013265 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-02-04 00:00:00 2013-02-04 00:00:00 No 2017-06-28 00:00:00 None FTR AE None 200 200 0 200 0 None 5OU711 N CA00343161 D SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-08 00:00:00 030013270 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-04-10 00:00:00 2015-04-10 00:00:00 No 2017-06-29 00:00:00 None FTR AE None 300 300 0 300 0 None D1CM11 N CA00439587 E SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-14 00:00:00 030013282 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2013-02-19 00:00:00 2013-02-19 00:00:00 No 2017-07-06 00:00:00 None FTR AE None 200 200 0 200 0 None SVCX11 N CA00345188 D SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-15 00:00:00 030013291 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-07-03 00:00:00 2013-07-03 00:00:00 No 2017-07-07 00:00:00 None FTR AE None 500 500 0 500 0 None EJ9B11 N CA00362420 D SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-20 00:00:00 030013301 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-09-05 00:00:00 2013-09-05 00:00:00 No 2017-07-12 00:00:00 None FTR AE None 300 300 0 300 0 None 0S6I11 N CA00369915 D SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-06-21 00:00:00 030013304 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-07-30 00:00:00 2014-07-30 00:00:00 No 2017-07-13 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 7ZFK11 N CA00409458 D SFY2016-17
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2017-07-17 00:00:00 030013352 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-07-30 00:00:00 2015-07-30 00:00:00 No 2017-08-07 00:00:00 None FTR AE None 300 300 0 300 0 None I16B11 N CA00453767 D SFY2017-18
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2017-07-25 00:00:00 030013372 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-08-12 00:00:00 2014-08-12 00:00:00 No 2017-08-15 00:00:00 None FTR AE None 200 200 0 200 0 None GCC511 N CA00410071, CA00414465 C, B SFY2017-18
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2017-08-01 00:00:00 030013407 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-12-14 00:00:00 2016-12-14 00:00:00 No 2017-08-22 00:00:00 None FTR AE None 700 700 0 700 0 None B1UP11 N CA00518997 B SFY2017-18
100001176 FIRST CALL HOME HEALTH Non-LTC HHA Home Health Agency Sacramento 2017-08-15 00:00:00 030013434 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-03 00:00:00 2010-11-03 00:00:00 No 2017-09-06 00:00:00 None FTR RES None 600 600 0 600 0 None 999999 None None None SFY2017-18
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2017-11-07 00:00:00 030013603 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-04-26 00:00:00 2015-04-26 00:00:00 No 2017-12-01 00:00:00 None FTR AE None 4700 4700 0 4700 0 None M0S711 N CA00447030 D SFY2017-18
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2017-11-20 00:00:00 030013636 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-02-17 00:00:00 2016-02-17 00:00:00 No 2017-12-13 00:00:00 None FTR AE None 5800 5800 0 5800 0 None VI9O11 N CA00485129 C SFY2017-18
030000124 MERCY GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2018-03-28 00:00:00 030013945 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2016-09-28 00:00:00 2016-09-28 00:00:00 No 2018-04-18 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 681V11 Y CA00505471, CA00505471 A, A SFY2017-18
030000124 MERCY GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2018-05-07 00:00:00 030014056 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-07-23 00:00:00 2015-07-23 00:00:00 No 2018-05-28 00:00:00 None FTR AE None 200 200 0 200 0 None VF5D11 N CA00452535 E SFY2017-18
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2018-05-09 00:00:00 030014069 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-10-31 00:00:00 2014-10-31 00:00:00 No 2018-05-30 00:00:00 None FTR AE None 200 200 0 200 0 None K18L11 N CA00431176 D SFY2017-18
630011683 KAISER FOUNDATION HOSPITAL MODESTO Non-LTC GACH General Acute Care Hospital Sacramento 2018-06-15 00:00:00 030014150 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE08 - Death/disability due to intravascular air embolism None 2016-04-26 00:00:00 2016-04-26 00:00:00 No 2018-07-09 00:00:00 None FTR AE None 100 100 0 100 0 None Z7IW11 Y CA00486910 B SFY2017-18
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2018-06-14 00:00:00 030014156 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2014-10-16 00:00:00 2014-10-16 00:00:00 No 2018-07-06 00:00:00 None FTR AE None 700 700 0 700 0 None 81NX11 N CA00418878 D SFY2017-18
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2018-06-15 00:00:00 030014162 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-02-02 00:00:00 2015-02-02 00:00:00 No 2018-07-09 00:00:00 None FTR AE None 3200 3200 0 3200 0 None KDY311 N CA00434635 C SFY2017-18
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2018-06-27 00:00:00 030014191 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-05-11 00:00:00 2014-05-11 00:00:00 No 2018-07-19 00:00:00 None FTR AE None 1900 1900 0 1900 0 None 4N8X11 N CA00400894 D SFY2017-18
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2018-06-28 00:00:00 030014198 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-02-16 00:00:00 2017-02-16 00:00:00 No 2018-07-20 00:00:00 None FTR AE None 600 600 0 600 0 None MN1U11 N CA00524201 E SFY2017-18
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2018-07-03 00:00:00 030014214 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-05-07 00:00:00 2014-05-07 00:00:00 No 2018-07-25 00:00:00 None FTR AE None 300 300 0 300 0 None N4ZK11 N CA00398747 E SFY2018-19
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2018-07-19 00:00:00 030014251 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-06-18 00:00:00 2014-06-18 00:00:00 No 2018-08-09 00:00:00 None FTR AE None 1400 1400 0 1400 0 None KLIP11 N CA00404647 D SFY2018-19
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2018-07-19 00:00:00 030014253 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-06-17 00:00:00 2015-06-17 00:00:00 No 2018-08-09 00:00:00 None FTR AE None 700 700 0 700 0 None 9U2Q11 N CA00448622 D SFY2018-19
030000907 VIBRA HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2018-07-25 00:00:00 030014283 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2014-12-14 00:00:00 2014-12-14 00:00:00 No 2018-12-28 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 8DNL11 Y CA00424314, CA00424314 A, A SFY2018-19
030000124 MERCY GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2018-12-14 00:00:00 030014651 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2017-11-30 00:00:00 2017-11-30 00:00:00 No 2019-01-07 00:00:00 None FTR AE None 1800 1800 0 1800 0 None G3F711 N CA00573734 B SFY2018-19
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2018-12-14 00:00:00 030014656 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2017-08-28 00:00:00 2017-08-28 00:00:00 No 2019-01-07 00:00:00 None FTR AE None 14500 14500 0 14500 0 None VRSI11 Y CA00570948, CA00570948, CA00574265, CA00574265, CA00574265, CA00574265 A, A, B, B, B, B SFY2018-19
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2018-12-14 00:00:00 030014657 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2017-08-28 00:00:00 2017-08-28 00:00:00 Yes 2019-04-11 00:00:00 2019-03-29 00:00:00 AP IJ AP IJ 75000 60000 0 60000 0 None VRSI11 Y CA00570948, CA00574265, CA00574265, CA00574265 A, B, B, B SFY2018-19
030000124 MERCY GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2019-09-19 00:00:00 030015394 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-04-04 00:00:00 2018-04-04 00:00:00 No 2019-10-10 00:00:00 None FTR AE None 3900 3900 0 3900 0 None QXM311 N CA00587425 C SFY2019-20
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2019-10-01 00:00:00 030015426 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-07-15 00:00:00 2019-07-15 00:00:00 No 2019-10-22 00:00:00 None FTR AE None 1100 1100 0 1100 0 None JYHU11 N CA00648408 C SFY2019-20
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2020-01-09 00:00:00 030015657 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2019-03-30 00:00:00 2019-03-30 00:00:00 No 2020-01-30 00:00:00 None AP NON-IJ None 13750 13750 0 13750 0 None TNXO11 N CA00631482 B SFY2019-20
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2020-01-09 00:00:00 030015660 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-07-20 00:00:00 2018-07-20 00:00:00 No 2020-01-30 00:00:00 None AP NON-IJ None 13750 13750 0 13750 0 None FZNZ11 N CA00596445, CA00605034, CA00606366, CA00639026, CA00639781 B, B, B, B, B SFY2019-20
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2020-01-09 00:00:00 030015663 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2019-04-01 00:00:00 2019-04-01 00:00:00 No 2020-01-30 00:00:00 None AP NON-IJ None 13750 13750 0 13750 0 None HNFY11 N CA00569040, CA00632853, CA00632856, CA00633211, CA00639954, CA00647961, CA00658000 B, B, B, B, C, C, C SFY2019-20
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2020-08-14 00:00:00 030015979 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-01-03 00:00:00 2020-01-03 00:00:00 No 2020-09-04 00:00:00 None FTR AE None 100 100 0 100 0 None YCPJ11 Y CA00670821 B SFY2020-21
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2021-05-20 00:00:00 030016527 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2016-03-20 00:00:00 2016-03-20 00:00:00 No 2021-06-11 00:00:00 None FTR AE None 4100 4100 0 4100 0 None 543D11 Y CA00487028 B SFY2020-21
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2021-05-24 00:00:00 030016529 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2021-04-07 00:00:00 2021-04-07 00:00:00 No 2021-06-15 00:00:00 None AP NON-IJ None 14437.5 14437.5 0 14437.5 0 None QCK411 N CA00636304, CA00636304, CA00636337, CA00636337, CA00637686, CA00637686, CA00654838, CA00654838, CA00654843, CA00654851 B, B, B, B, B, B, C, C, C, C SFY2020-21
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2021-12-23 00:00:00 030017219 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-09-06 00:00:00 2021-09-06 00:00:00 No 2022-01-13 00:00:00 None FTR AE None 2400 2400 0 2400 0 None D19B11 N CA00755797 C SFY2021-22
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2022-04-21 00:00:00 030017585 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2016-06-22 00:00:00 2016-06-22 00:00:00 No 2022-05-12 00:00:00 None FTR AE None 5800 5800 0 5800 0 None 95DO11 Y CA00500368 B SFY2021-22
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2022-08-05 00:00:00 030017874 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-06-03 00:00:00 2021-06-03 00:00:00 No 2022-08-26 00:00:00 None FTR AE None 300 300 0 300 0 None POCW11 N CA00740039 C SFY2022-23
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2022-08-05 00:00:00 030017877 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE21 - Death/disability due to a burn None 2020-02-18 00:00:00 2020-02-18 00:00:00 No 2022-08-26 00:00:00 None FTR AE None 87800 87800 0 87800 0 None 9L1L11 Y CA00678340, CA00794544 B, B SFY2022-23
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2022-08-12 00:00:00 030017890 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2020-09-28 00:00:00 2020-09-28 00:00:00 No 2022-09-02 00:00:00 None FTR AE None 800 800 0 800 0 None OSSX11 N CA00709710 B SFY2022-23
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2022-08-12 00:00:00 030017893 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-10-09 00:00:00 2020-10-09 00:00:00 No 2022-09-02 00:00:00 None FTR AE None 20300 20300 0 20300 0 None FHYZ11 N CA00736985, CA00737120 B, B SFY2022-23
030000118 DOCTORS HOSPITAL OF MANTECA Non-LTC GACH General Acute Care Hospital Sacramento 2022-09-07 00:00:00 030017964 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2016-01-26 00:00:00 2016-01-26 00:00:00 No 2022-09-28 00:00:00 None FTR AE None 100 100 0 100 0 None 1PDE11 N CA00474412, CA00474412 C, C SFY2022-23
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2022-09-07 00:00:00 030017966 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-10-03 00:00:00 2019-10-03 00:00:00 No 2022-09-28 00:00:00 None FTR AE None 700 700 0 700 0 None E0K911 N CA00659202 C SFY2022-23
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2022-09-14 00:00:00 030017968 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2022-03-03 00:00:00 2022-03-03 00:00:00 No 2022-10-05 00:00:00 None FTR AE None 7200 7200 0 7200 0 None HCNX11 N CA00785659 B SFY2022-23
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2022-09-14 00:00:00 030017991 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-14 00:00:00 2020-12-14 00:00:00 No 2022-10-05 00:00:00 None FTR AE None 400 400 0 400 0 None VNTP11 N CA00718261 C SFY2022-23
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2022-09-15 00:00:00 030017992 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-07-13 00:00:00 2020-07-13 00:00:00 No 2022-10-06 00:00:00 None FTR AE None 3800 3800 0 3800 0 None J5MY11 N CA00702562 B SFY2022-23
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2022-09-28 00:00:00 030018019 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-08-11 00:00:00 2020-08-11 00:00:00 No 2022-10-19 00:00:00 None FTR AE None 900 900 0 900 0 None R1YI11 N CA00702577 B SFY2022-23
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2022-09-30 00:00:00 030018032 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-03-24 00:00:00 2022-03-24 00:00:00 No 2022-10-21 00:00:00 None FTR AE None 11500 11500 0 11500 0 None RFYU11 N CA00795040 C SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2022-10-06 00:00:00 030018050 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-23 00:00:00 2020-12-23 00:00:00 No 2022-10-27 00:00:00 None FTR AE None 200 200 0 200 0 None BZE411 N CA00719268 C SFY2022-23
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2022-10-07 00:00:00 030018063 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2019-05-22 00:00:00 2019-05-22 00:00:00 No 2022-10-28 00:00:00 None FTR AE None 800 800 0 800 0 None YQ6F11 N CA00640304 C SFY2022-23
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2022-10-18 00:00:00 030018086 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE08 - Death/disability due to intravascular air embolism None 2019-08-27 00:00:00 2019-08-27 00:00:00 Yes 2022-11-08 00:00:00 2022-11-01 00:00:00 FTR AE FTR AE 113700 10000 0 10000 0 None NBEP11 Y CA00652480 C SFY2022-23
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2022-10-18 00:00:00 030018093 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-02-22 00:00:00 2021-02-22 00:00:00 No 2022-11-08 00:00:00 None FTR AE None 5400 5400 0 5400 0 None 6SDE11 N CA00733963 B SFY2022-23
030000127 MERCY SAN JUAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2022-10-18 00:00:00 030018095 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-07-16 00:00:00 2020-07-16 00:00:00 No 2022-11-08 00:00:00 None FTR AE None 700 700 0 700 0 None 89ON11 N CA00698795 B SFY2022-23
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2022-10-26 00:00:00 030018103 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-11-23 00:00:00 2020-11-23 00:00:00 No 2022-11-17 00:00:00 None FTR AE None 900 900 0 900 0 None QVME11 N CA00715528 B SFY2022-23
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2022-11-04 00:00:00 030018134 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-09-13 00:00:00 2019-09-13 00:00:00 No 2022-11-30 00:00:00 None FTR AE None 1500 1500 0 1500 0 None 78OX11 N CA00657681 B SFY2022-23
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2022-11-10 00:00:00 030018142 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-08-06 00:00:00 2019-08-06 00:00:00 No 2022-12-05 00:00:00 None FTR AE None 5300 5300 0 5300 0 None WJKR11 N CA00657683 B SFY2022-23
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2023-03-09 00:00:00 030018484 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-10-24 00:00:00 2022-10-24 00:00:00 No 2023-03-30 00:00:00 None FTR AE None 600 600 0 600 0 None 1D4X11 N CA00810396 E SFY2022-23
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2023-03-20 00:00:00 030018536 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2022-10-28 00:00:00 2022-10-28 00:00:00 No 2023-04-11 00:00:00 None FTR AE None 200 200 0 200 0 None Y3FL11 N CA00810394 B SFY2022-23
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2023-03-20 00:00:00 030018538 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-12-16 00:00:00 2022-12-16 00:00:00 No 2023-04-11 00:00:00 None FTR AE None 2100 2100 0 2100 0 None UOFS11 N CA00820803 C SFY2022-23
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2023-04-20 00:00:00 030018649 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-01-12 00:00:00 2023-01-12 00:00:00 No 2023-05-11 00:00:00 None FTR AE None 200 200 0 200 0 None HDXL11 N CA00822123 E SFY2022-23
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2023-04-20 00:00:00 030018653 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-01-13 00:00:00 2023-01-13 00:00:00 No 2023-05-11 00:00:00 None FTR AE None 100 100 0 100 0 None WYM411 N CA00822121 E SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-05-17 00:00:00 030018669 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-01-15 00:00:00 2020-01-15 00:00:00 No 2023-06-08 00:00:00 None FTR AE None 48700 48700 0 48700 0 None EU1O11 N CA00737609 B SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-05-17 00:00:00 030018670 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-23 00:00:00 2020-12-23 00:00:00 No 2023-06-08 00:00:00 None FTR AE None 14400 14400 0 14400 0 None EU1O11 N CA00737609 B SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-05-17 00:00:00 030018671 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-03-04 00:00:00 2021-03-04 00:00:00 No 2023-06-08 00:00:00 None FTR AE None 7300 7300 0 7300 0 None EU1O11 N CA00737609 B SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-05-17 00:00:00 030018672 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-13 00:00:00 2020-11-13 00:00:00 No 2023-06-08 00:00:00 None FTR AE None 18400 18400 0 18400 0 None EU1O11 N CA00737609 B SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-05-17 00:00:00 030018673 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-28 00:00:00 2020-12-28 00:00:00 No 2023-06-08 00:00:00 None FTR AE None 13900 13900 0 13900 0 None EU1O11 N CA00737609 B SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-05-17 00:00:00 030018674 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-03 00:00:00 2020-11-03 00:00:00 No 2023-06-08 00:00:00 None FTR AE None 19400 19400 0 19400 0 None EU1O11 N CA00737609 B SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-05-17 00:00:00 030018675 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-05-14 00:00:00 2020-05-14 00:00:00 No 2023-06-08 00:00:00 None FTR AE None 36700 36700 0 36700 0 None EU1O11 N CA00737609 B SFY2022-23
030000135 SAN JOAQUIN GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2023-04-25 00:00:00 030018682 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2022-10-24 00:00:00 2022-10-24 00:00:00 No 2023-05-16 00:00:00 None FTR AE None 600 600 0 600 0 None B19R11 N CA00810398 B SFY2022-23
030000108 SUTTER AMADOR HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2023-07-14 00:00:00 030018695 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-09-15 00:00:00 2021-09-15 00:00:00 No 2023-08-04 00:00:00 None FTR AE None 7000 7000 0 7000 0 None 6X1311 N CA00762536 B SFY2023-24
030000124 MERCY GENERAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2023-04-26 00:00:00 030018697 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-11-13 00:00:00 2019-11-13 00:00:00 No 2023-05-17 00:00:00 None FTR AE None 200 200 0 200 0 None NHXH11 Y CA00664476 C SFY2022-23
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2022-02-25 00:00:00 030018732 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-07-01 00:00:00 2015-07-01 00:00:00 No 2023-06-08 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None LYF411 None CA00603270 D SFY2021-22
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-06-01 00:00:00 030018815 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-10-01 00:00:00 2020-10-01 00:00:00 No 2023-06-22 00:00:00 None FTR AE None 4200 4200 0 4200 0 None FFIM11 N CA00713107 C SFY2022-23
030000037 METHODIST HOSPITAL OF SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-06-07 00:00:00 030018835 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE02 - Wrong patient surgery None 2021-11-18 00:00:00 2021-11-18 00:00:00 No 2023-06-28 00:00:00 None FTR AE None 700 700 0 700 0 None 0NY411 N CA00763079 B SFY2022-23
030000901 MERCY HOSPITAL OF FOLSOM Non-LTC GACH General Acute Care Hospital Sacramento 2023-07-14 00:00:00 030018871 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2019-03-28 00:00:00 2019-03-28 00:00:00 No 2023-08-07 00:00:00 None AP IJ None 71250 71250 0 71250 0 None 46SI11 Y CA00632576 C SFY2023-24
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2023-06-29 00:00:00 030018904 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-04-24 00:00:00 2023-04-24 00:00:00 No 2023-07-21 00:00:00 None FTR AE None 1300 1300 0 1300 0 None VIPW11 N CA00840542 E SFY2022-23
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2023-06-30 00:00:00 030018907 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-05-24 00:00:00 2022-05-24 00:00:00 No 2023-07-24 00:00:00 None FTR AE None 2400 2400 0 2400 0 None TF4K11 N CA00790031 B SFY2022-23
030000901 MERCY HOSPITAL OF FOLSOM Non-LTC GACH General Acute Care Hospital Sacramento 2023-07-14 00:00:00 030018930 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2020-12-13 00:00:00 2020-12-13 00:00:00 No 2023-08-07 00:00:00 None AP IJ None 100000 100000 0 100000 0 None G1N911 Y CA00716818 B SFY2023-24
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-08-21 00:00:00 030019022 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-10-24 00:00:00 2018-10-24 00:00:00 Yes 2023-09-12 00:00:00 2023-09-01 00:00:00 FTR AE FTR AE 170800 65000 0 65000 0 None QGG211 N CA00610260 B SFY2023-24
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-08-09 00:00:00 030019031 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-02-25 00:00:00 2022-02-25 00:00:00 No 2023-08-30 00:00:00 None FTR AE None 2300 2300 0 2300 0 None P32111 N CA00778296 C SFY2023-24
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2023-02-07 00:00:00 030019047 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2017-04-04 00:00:00 2017-04-04 00:00:00 No 2023-09-14 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None TPJJ11 None CA00531520 D SFY2022-23
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-08-30 00:00:00 030019099 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-12-07 00:00:00 2019-12-07 00:00:00 No 2023-09-21 00:00:00 None FTR AE None 1900 1900 0 1900 0 None 8OU111 N CA00669744 B SFY2023-24
030000133 KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-08-30 00:00:00 030019100 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2021-10-20 00:00:00 2021-10-20 00:00:00 No 2023-09-21 00:00:00 None FTR AE None 200 200 0 200 0 None LX6J11 N CA00758764 B SFY2023-24
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-11-03 00:00:00 030019101 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-05-26 00:00:00 2023-05-26 00:00:00 No 2023-11-29 00:00:00 None FTR AE None 5600 5600 0 5600 0 None 51LD11 N CA00852834, CA00852834 E, E SFY2023-24
030000901 MERCY HOSPITAL OF FOLSOM Non-LTC GACH General Acute Care Hospital Sacramento 2023-11-03 00:00:00 030019122 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-03-22 00:00:00 2022-03-22 00:00:00 No 2023-11-29 00:00:00 None FTR AE None 13700 13700 0 13700 0 None 6NW711 N CA00798120 C SFY2023-24
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-11-03 00:00:00 030019123 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-01-20 00:00:00 2020-01-20 00:00:00 No 2023-11-29 00:00:00 None FTR AE None 93700 93700 0 93700 0 None OJU811 N CA00799186 B SFY2023-24
030000320 SIERRA VISTA HOSPITAL, INC. Non-LTC APH Acute Psychiatric Hospital Sacramento 2023-11-01 00:00:00 030019317 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE27 - Death/injury from a physical assault None 2021-02-18 00:00:00 2021-02-18 00:00:00 No 2023-11-27 00:00:00 None FTR AE None 300 300 0 300 0 None NX8811 N CA00727166 B SFY2023-24
030000146 WOODLAND MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2024-01-04 00:00:00 030019387 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-04-04 00:00:00 2023-04-04 00:00:00 No 2024-01-25 00:00:00 None FTR AE None 4000 4000 0 4000 0 None 2N4N11 N CA00841941 E SFY2023-24
030000146 WOODLAND MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2024-01-04 00:00:00 030019388 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-12-21 00:00:00 2022-12-21 00:00:00 No 2024-01-25 00:00:00 None FTR AE None 14400 14400 0 14400 0 None XG6T11 N CA00841947, CA00841947 B, B SFY2023-24
030000146 WOODLAND MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2024-01-04 00:00:00 030019389 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-02-15 00:00:00 2023-02-15 00:00:00 No 2024-01-25 00:00:00 None FTR AE None 8800 8800 0 8800 0 None LOF811 N CA00841950 B SFY2023-24
030000134 SUTTER ROSEVILLE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2024-01-22 00:00:00 030019502 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2022-07-14 00:00:00 2022-07-14 00:00:00 No 2024-02-13 00:00:00 None AP NON-IJ None 12375 12375 0 12375 0 None SSIJ11 N CA00794884 B SFY2023-24
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2023-12-20 00:00:00 030019503 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2023-06-30 00:00:00 2023-06-30 00:00:00 No 2024-01-11 00:00:00 None FTR AE None 500 500 0 500 0 None 4NRF11 N CA00823398, CA00849852 E, E SFY2023-24
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2024-01-22 00:00:00 030019504 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE08 - Death/disability due to intravascular air embolism None 2022-11-30 00:00:00 2022-11-30 00:00:00 Yes 2024-02-12 00:00:00 2024-01-31 00:00:00 FTR AE FTR AE 33900 32900 0 32900 0 None J1WF11 Y CA00867612 B SFY2023-24
030001370 KAISER FOUNDATION HOSPITAL - ROSEVILLE Non-LTC GACH General Acute Care Hospital Sacramento 2023-08-15 00:00:00 030019698 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-03-01 00:00:00 2013-03-01 00:00:00 No 2024-03-13 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None Y9WH11 None CA00498532 D SFY2023-24
030000151 SUTTER MEDICAL CENTER, SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2023-10-17 00:00:00 030019797 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-04-03 00:00:00 2022-04-03 00:00:00 No 2024-04-11 00:00:00 None AP BR None 20000 20000 -5000 15000 0 None U8DN11 None CA00783291 D SFY2023-24
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2024-02-29 00:00:00 030019802 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-06-08 00:00:00 2023-06-08 00:00:00 No 2024-03-21 00:00:00 None FTR AE None 700 700 0 700 0 None 8L4I11 N CA00846560 E SFY2023-24
030000130 KAISER FOUNDATION HOSPITAL - SACRAMENTO Non-LTC GACH General Acute Care Hospital Sacramento 2024-04-03 00:00:00 030019887 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-01-23 00:00:00 2023-01-23 00:00:00 No 2024-04-24 00:00:00 None FTR AE None 13100 13100 0 13100 0 None NEOV11 N CA00844788 E SFY2023-24
030000146 WOODLAND MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Sacramento 2024-03-28 00:00:00 030019925 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-10-11 00:00:00 2023-10-11 00:00:00 No 2024-04-19 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 3MIA11 N CA00867450, CA00867450 E, E SFY2023-24
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2024-04-18 00:00:00 030020034 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-09-03 00:00:00 2023-09-03 00:00:00 No 2024-05-09 00:00:00 None FTR AE None 600 600 0 600 0 None 35MN11 N CA00860872 E SFY2023-24
030001799 ADVENTIST HEALTH SONORA Non-LTC GACH General Acute Care Hospital Sacramento 2023-12-05 00:00:00 030020042 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-06-07 00:00:00 2018-06-07 00:00:00 No 2024-05-22 00:00:00 None AP BR None 20000 20000 -5000 15000 0 None 5B5W11 None CA00653645 D SFY2023-24
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2024-05-08 00:00:00 030020055 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-09-19 00:00:00 2023-09-19 00:00:00 No 2024-05-30 00:00:00 None FTR AE None 3000 3000 0 3000 0 None 0VW211 N CA00866850 E SFY2023-24
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2024-04-24 00:00:00 030020056 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-09-19 00:00:00 2023-09-19 00:00:00 No 2024-05-15 00:00:00 None FTR AE None 100 100 0 100 0 None J6QY11 N CA00862444 E SFY2023-24
030000901 MERCY HOSPITAL OF FOLSOM Non-LTC GACH General Acute Care Hospital Sacramento 2024-05-31 00:00:00 030020080 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2023-08-15 00:00:00 2023-08-15 00:00:00 No 2024-06-21 00:00:00 None FTR AE None 15100 15100 0 15100 0 None B3UU11 N CA00877832 B SFY2023-24
030000862 ST. JOSEPH'S BEHAVIORAL HEALTH CENTER Non-LTC APH Acute Psychiatric Hospital Sacramento 2024-05-09 00:00:00 030020157 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2023-11-16 00:00:00 2023-11-16 00:00:00 No 2024-05-31 00:00:00 None FTR AE None 300 300 0 300 0 None GOMY11 N CA00870861 E SFY2023-24
030000860 ONE COMMUNITY HEALTH Non-LTC COMTYC Primary Care Clinic Sacramento 2024-01-09 00:00:00 030020209 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2018-05-13 00:00:00 2018-05-13 00:00:00 No 2024-01-31 00:00:00 None AP BR None 60000 60000 -15000 45000 0 None QX6E11 None CA00588680 D SFY2023-24
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2023-12-19 00:00:00 030020212 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-06-14 00:00:00 2017-06-14 00:00:00 Yes 2024-06-19 00:00:00 2024-06-07 00:00:00 AP BR None 239700 239700 0 0 239700 None BCH511 None CA00652924 C SFY2023-24
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2023-12-19 00:00:00 030020213 Open Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2017-06-14 00:00:00 2017-06-14 00:00:00 Yes 2024-01-11 00:00:00 2024-06-07 00:00:00 FTR RES None 10300 10300 0 0 10300 None BCH511 None CA00652924 C SFY2023-24
030000113 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Sacramento 2024-01-09 00:00:00 030020214 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-11-28 00:00:00 2019-11-28 00:00:00 Yes 2024-06-19 00:00:00 2024-06-07 00:00:00 AP BR None 250000 250000 0 0 250000 None MTW011 None CA00694894 C SFY2023-24
030000143 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON Non-LTC GACH General Acute Care Hospital Sacramento 2024-06-06 00:00:00 030020280 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2023-11-19 00:00:00 2023-11-19 00:00:00 No 2024-06-27 00:00:00 None FTR AE None 600 600 0 600 0 None JJXS11 N CA00872481 E SFY2023-24
630012960 ADVENTIST HEALTH HANFORD Non-LTC GACH General Acute Care Hospital Fresno 2007-07-31 00:00:00 040004118 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-06-06 00:00:00 2007-06-06 00:00:00 Yes 2007-08-21 00:00:00 2007-11-02 00:00:00 AP IJ AP IJ 25000 18750 0 18750 0 None EFH111 N CA00181660 C SFY2007-08
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2007-08-06 00:00:00 040004136 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-07-24 00:00:00 2007-07-24 00:00:00 Yes 2007-08-27 00:00:00 2007-11-02 00:00:00 AP IJ AP IJ 25000 15000 0 15000 0 None CT2G11 N CA00116315 C SFY2007-08
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-02-21 00:00:00 040004707 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-11 07:04:00 2008-01-11 07:04:00 No 2008-03-13 00:00:00 None FTR AE None 300 300 0 300 0 None D0WJ11 N CA00138281 C SFY2007-08
040001397 FRESNO HEART AND SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2008-02-25 00:00:00 040004709 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-12-22 00:00:00 2007-12-22 00:00:00 Yes 2008-03-17 00:00:00 2008-03-05 00:00:00 FTR AE None 4000 4000 0 4000 0 None J9YX11 N CA00139709 B SFY2007-08
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-02-14 00:00:00 040004814 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-14 04:00:00 2008-02-14 04:00:00 Yes 2008-03-07 00:00:00 2008-04-03 00:00:00 FTR AE None 2200 2200 0 2200 0 None P6TO11 N CA00143655 C SFY2007-08
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-03-28 00:00:00 040004844 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-19 04:15:00 2008-02-19 04:15:00 No 2008-04-21 00:00:00 None FTR AE None 3000 3000 0 3000 0 None 5EY611 N CA00145010 C SFY2007-08
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-05-02 00:00:00 040004983 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-12-19 18:50:00 2007-12-19 18:50:00 No 2008-05-23 00:00:00 None FTR AE None 1000 1000 0 1000 0 None YK2L11 N CA00136807 C SFY2007-08
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-06-16 00:00:00 040005116 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-06-02 00:00:00 2008-06-02 00:00:00 Yes 2008-07-08 00:00:00 2008-08-26 00:00:00 AP IJ AP IJ 25000 18500 0 18500 0 None J9Y511 N CA00116315, CA00151250 C, B SFY2007-08
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-06-09 00:00:00 040005119 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-14 17:00:00 2008-04-14 17:00:00 No 2008-06-30 00:00:00 None FTR AE None 600 600 0 600 0 None W04Y11 N CA00148080 C SFY2007-08
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-06-09 00:00:00 040005122 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-10 16:00:00 2008-04-10 16:00:00 No 2008-06-30 00:00:00 None FTR AE None 700 700 0 700 0 None 20TX11 N CA00147677 C SFY2007-08
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-05-27 00:00:00 040005136 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-05 11:05:00 2008-03-05 11:05:00 Yes 2008-06-17 00:00:00 2008-06-20 00:00:00 FTR AE FTR AE 8800 400 0 400 0 None P2LD11 N CA00145321 D SFY2007-08
040000949 KAISER FOUNDATION HOSPITAL - FRESNO Non-LTC GACH General Acute Care Hospital Fresno 2008-07-15 00:00:00 040005237 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-07-09 00:00:00 2008-07-09 00:00:00 No 2008-08-05 00:00:00 None AP IJ None 25000 25000 0 25000 0 None KX9F12 N CA00129602 A SFY2008-09
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-08-28 00:00:00 040005339 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-24 21:45:00 2008-07-24 21:45:00 No 2008-09-19 00:00:00 None FTR AE None 800 800 0 800 0 None IF7P11 N CA00159455 C SFY2008-09
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-10-02 00:00:00 040005487 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE05 - Death during or up to 24 hours after surgery None 2008-09-09 00:00:00 2008-09-09 00:00:00 Yes 2008-10-24 00:00:00 2009-05-01 00:00:00 AP IJ AP IJ 25000 18500 0 18500 0 None TX0V11 N CA00161748 A SFY2008-09
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-11-03 00:00:00 040005573 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-08 20:56:00 2008-10-08 20:56:00 No 2008-11-25 00:00:00 None FTR AE None 800 800 0 800 0 None 7RML11 N CA00166977 B SFY2008-09
040000095 CLOVIS COMMUNITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-11-26 00:00:00 040005635 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-10-29 00:00:00 2008-10-29 00:00:00 No 2008-12-19 00:00:00 None AP IJ None 25000 25000 0 25000 0 None I4QB11 N CA00166149 A SFY2008-09
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-11-25 00:00:00 040005654 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-11-03 08:00:00 2008-11-03 08:00:00 No 2008-12-18 00:00:00 None FTR AE None 400 400 0 400 0 None BVLM11 N CA00168998 B SFY2008-09
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2008-12-09 00:00:00 040005675 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-11-18 16:38:00 2008-11-18 16:38:00 No 2008-12-31 00:00:00 None FTR AE None 1000 1000 0 1000 0 None XIDE11 N CA00171057 A SFY2008-09
630012960 ADVENTIST HEALTH HANFORD Non-LTC GACH General Acute Care Hospital Fresno 2009-06-16 00:00:00 040006391 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-02-24 00:00:00 2009-02-24 00:00:00 No 2009-07-07 00:00:00 None FTR BR None 1600 1600 0 1600 0 None QOKX11 None CA00181660 C SFY2008-09
630012960 ADVENTIST HEALTH HANFORD Non-LTC GACH General Acute Care Hospital Fresno 2010-03-10 00:00:00 040007038 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-12-23 13:03:00 2008-12-23 13:03:00 Yes 2010-04-01 00:00:00 2010-03-22 00:00:00 FTR AE FTR AE 2500 2500 0 2500 0 None Z69911 N CA00204947 C SFY2009-10
630012960 ADVENTIST HEALTH HANFORD Non-LTC GACH General Acute Care Hospital Fresno 2010-04-26 00:00:00 040007039 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-12-23 00:00:00 2008-12-23 00:00:00 Yes 2010-05-17 00:00:00 2010-11-17 00:00:00 AP IJ None 25000 25000 0 25000 0 None Z69911 N CA00204947 C SFY2009-10
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2010-06-14 00:00:00 040007264 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-11-02 11:53:00 2009-11-02 11:53:00 No 2010-07-05 00:00:00 None FTR AE None 2800 2800 0 2800 0 None 9CJE11 N CA00211223 D SFY2009-10
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2010-10-14 00:00:00 040007630 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-06-18 04:00:00 2010-06-18 04:00:00 No 2010-11-05 00:00:00 None FTR AE None 900 900 0 900 0 None PNN511 N CA00233458 D SFY2010-11
630012960 ADVENTIST HEALTH HANFORD Non-LTC GACH General Acute Care Hospital Fresno 2010-11-22 00:00:00 040007729 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-07-30 14:50:00 2010-07-30 14:50:00 No 2010-12-15 00:00:00 None FTR BR None 700 700 0 700 0 None KUJR11 None CA00239202 D SFY2010-11
030000125 EMANUEL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2011-03-02 00:00:00 040007986 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-04-08 06:46:00 2010-04-08 06:46:00 No 2011-03-23 00:00:00 None FTR AE None 1000 1000 0 1000 0 None VBIE11 N CA00226350 D SFY2010-11
030001661 STANISLAUS SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2011-04-05 00:00:00 040008112 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2010-08-19 00:00:00 2010-08-19 00:00:00 Yes 2011-09-29 00:00:00 2011-09-14 00:00:00 AP IJ AP IJ 50000 25000 0 25000 0 None 2R0B11 N CA00240051 D SFY2010-11
030000125 EMANUEL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2011-04-05 00:00:00 040008113 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-04-05 00:00:00 2010-04-05 00:00:00 Yes 2011-09-29 00:00:00 2011-09-15 00:00:00 AP IJ AP IJ 50000 30000 0 30000 0 None VBIE11 N CA00226350 D SFY2010-11
040000111 MADERA COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2011-05-03 00:00:00 040008215 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Record None 2011-01-04 17:00:00 2011-01-04 17:00:00 No 2011-05-24 00:00:00 None FTR BR None 2200 2200 -550 1650 0 None J8CF11 None CA00257805 D SFY2010-11
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2011-07-29 00:00:00 040008388 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-12-14 00:00:00 2010-12-14 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 50000 50000 0 50000 0 None M8ND11 Y CA00252552 A SFY2011-12
040000254 FRESNO SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2011-10-10 00:00:00 040008688 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2011-02-08 00:00:00 2011-02-08 00:00:00 No 2013-02-26 00:00:00 None AP IJ None 75000 75000 0 75000 0 None NZ0L11 N CA00258732 C SFY2011-12
040000254 FRESNO SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2011-10-10 00:00:00 040008690 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-05-12 00:00:00 2009-05-12 00:00:00 No 2011-12-30 00:00:00 None AP IJ None 50000 50000 0 50000 0 None KRE011 N CA00246867 D SFY2011-12
630012960 ADVENTIST HEALTH HANFORD Non-LTC GACH General Acute Care Hospital Fresno 2011-11-09 00:00:00 040008736 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2011-07-11 00:00:00 2011-07-11 00:00:00 No 2013-02-26 00:00:00 None AP IJ None 50000 50000 0 50000 0 None B9A311 Y CA00276019 C SFY2011-12
040000111 MADERA COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2012-01-18 00:00:00 040008925 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-10-11 00:00:00 2011-10-11 00:00:00 No 2012-11-02 00:00:00 None AP IJ None 50000 50000 0 50000 0 None ZMBQ11 Y CA00286708 B SFY2011-12
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2012-04-18 00:00:00 040009197 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-10-11 00:00:00 2010-10-11 00:00:00 No 2012-09-20 00:00:00 None AP IJ None 50000 50000 0 50000 0 None BN0211 N CA00261250 D SFY2011-12
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2012-07-25 00:00:00 040009417 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2011-12-19 00:00:00 2011-12-19 00:00:00 No 2013-02-26 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 181311 Y CA00293942 D SFY2012-13
040000113 MERCY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2012-10-09 00:00:00 040009542 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2012-03-28 00:00:00 2012-03-28 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 50000 50000 0 50000 0 None OCUO11 N CA00305275 D SFY2012-13
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2012-10-07 00:00:00 040009592 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE02 - Wrong patient surgery None 2011-05-22 00:00:00 2011-05-22 00:00:00 No 2013-02-26 00:00:00 None AP IJ None 50000 50000 0 50000 0 None B3Z211 N CA00312640 C SFY2012-13
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-01-28 00:00:00 040009720 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2012-04-02 00:00:00 2012-04-02 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 75000 75000 0 75000 0 None WGUB11 N CA00306344 B SFY2012-13
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-02-05 00:00:00 040009732 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE15 - Death/disability directly related to hypoglycemia None 2011-12-03 00:00:00 2011-12-03 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 100000 100000 0 100000 0 None ZF5T11 N CA00295285 C SFY2012-13
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-03-12 00:00:00 040009784 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2012-10-31 00:00:00 2012-10-31 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 100000 100000 0 100000 0 None OMZ011 N CA00332399 B SFY2012-13
040000110 MEMORIAL HOSPITAL LOS BANOS Non-LTC GACH General Acute Care Hospital Fresno 2013-05-17 00:00:00 040009892 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2013-01-30 00:00:00 2013-01-30 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 20000 20000 0 20000 0 None RSEW11 N CA00342228 B SFY2012-13
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-06-04 00:00:00 040009929 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-10 00:00:00 2009-10-10 00:00:00 No 2013-06-25 00:00:00 None FTR BR None 1700 1700 -425 1275 0 None 48PT11 None CA00207459 B SFY2012-13
040000113 MERCY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-11-15 00:00:00 040010267 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2012-02-08 00:00:00 2012-02-08 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 75000 75000 0 75000 0 None KHN011 N CA00318087 D SFY2013-14
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2013-11-15 00:00:00 040010268 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2012-10-04 00:00:00 2012-10-04 00:00:00 Yes 2015-11-09 00:00:00 2015-10-22 00:00:00 AP BR None 250000 250000 0 0 250000 None DL8611 None CA00329115 D SFY2013-14
040000113 MERCY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-09-12 00:00:00 040010992 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2014-08-14 00:00:00 2014-08-14 00:00:00 No 2015-06-09 00:00:00 None AP IJ None 100000 100000 0 100000 0 None VI3O11 Y CA00394996 B SFY2014-15
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2014-12-24 00:00:00 040011203 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-04-08 00:00:00 2014-04-08 00:00:00 Yes 2016-02-19 00:00:00 2016-02-04 00:00:00 AP IJ AP IJ 86625 86625 0 86625 0 None NF8I11 N CA00404755 E SFY2014-15
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2015-03-11 00:00:00 040011315 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2014-11-10 00:00:00 2014-11-10 00:00:00 Yes 2015-04-02 00:00:00 2018-01-10 00:00:00 AP BR AP BR 91500 68625 0 68625 0 None 6EXH11 None CA00420482 D SFY2014-15
040000254 FRESNO SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2015-11-20 00:00:00 040011829 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2015-05-20 00:00:00 2015-05-20 00:00:00 No 2015-12-15 00:00:00 None AP NON-IJ None 3750 3750 0 3750 0 None 24T311 N CA00444060 B SFY2015-16
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2016-01-25 00:00:00 040011989 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-05-09 00:00:00 2015-05-09 00:00:00 No 2016-02-16 00:00:00 None AP NON-IJ None 4750 4750 0 4750 0 None WR0411 N CA00442364 B SFY2015-16
040000129 VALLEY CHILDREN'S HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2016-05-23 00:00:00 040012267 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-11-06 00:00:00 2015-11-06 00:00:00 No 2016-06-14 00:00:00 None AP IJ None 71962.5 71962.5 0 71962.5 0 None 33I711 N CA00465207 E SFY2015-16
040000254 FRESNO SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2016-09-16 00:00:00 040012580 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2015-12-16 00:00:00 2015-12-16 00:00:00 No 2016-10-07 00:00:00 None AP NON-IJ None 15000 15000 0 15000 0 None ZD1O11 N CA00469450 A SFY2016-17
040000113 MERCY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2016-10-14 00:00:00 040012620 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2016-01-13 00:00:00 2016-01-13 00:00:00 No 2016-11-04 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None XWI811 N CA00472682 A SFY2016-17
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2017-01-13 00:00:00 040012884 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2016-05-02 00:00:00 2016-05-02 00:00:00 No 2017-02-06 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None Z40R11 N CA00487366 C SFY2016-17
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2017-08-10 00:00:00 040013351 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2016-11-22 00:00:00 2016-11-22 00:00:00 No 2017-08-31 00:00:00 None AP IJ None 71250 71250 0 71250 0 None 5RCH11 Y CA00512428 A SFY2017-18
030000122 DOCTORS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2017-10-27 00:00:00 040013576 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE27 - Death/injury from a physical assault None 2017-02-09 00:00:00 2017-02-09 00:00:00 No 2017-11-20 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None 0Q7511 N CA00522580 B SFY2017-18
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2018-02-01 00:00:00 040013781 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-03-09 00:00:00 2017-03-09 00:00:00 No 2018-12-28 00:00:00 None AP IJ None 71250 71250 0 71250 0 None 5L5Y11 Y CA00525763 A SFY2017-18
040000111 MADERA COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2018-03-09 00:00:00 040013887 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2016-04-26 00:00:00 2016-04-26 00:00:00 No 2018-03-30 00:00:00 None AP IJ None 47025 47025 0 47025 0 None 626Z11 N CA00501908 A SFY2017-18
040000111 MADERA COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2018-04-10 00:00:00 040013974 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2017-01-06 00:00:00 2017-01-06 00:00:00 No 2018-05-01 00:00:00 None AP NON-IJ None 3750 3750 0 3750 0 None 8LYS11 N CA00517366 C SFY2017-18
040001397 FRESNO HEART AND SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2018-08-24 00:00:00 040014355 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-03-03 00:00:00 2017-03-03 00:00:00 Yes 2019-02-28 00:00:00 2019-02-19 00:00:00 AP IJ AP IJ 42750 32063 0 32063 0 None 6SQZ11 N CA00529409 B SFY2018-19
630012960 ADVENTIST HEALTH HANFORD Non-LTC GACH General Acute Care Hospital Fresno 2019-04-10 00:00:00 040014945 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-12-06 00:00:00 2017-12-06 00:00:00 No 2019-07-09 00:00:00 None AP IJ None 42750 42750 0 42750 0 None 688H11 N CA00569261, CA00569261 B, B SFY2018-19
040000095 CLOVIS COMMUNITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2019-10-18 00:00:00 040015468 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-05-21 00:00:00 2019-05-21 00:00:00 No 2019-11-08 00:00:00 None AP IJ None 28500 28500 0 28500 0 None OJ8Z11 N CA00589580 B SFY2019-20
040000129 VALLEY CHILDREN'S HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2019-10-31 00:00:00 040015477 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2018-04-16 00:00:00 2018-04-16 00:00:00 No 2019-11-22 00:00:00 None AP IJ None 28500 28500 0 28500 0 None MTV111 N CA00618664, CA00618664 E, E SFY2019-20
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2019-11-06 00:00:00 040015520 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2018-07-12 00:00:00 2018-07-12 00:00:00 No 2021-05-14 00:00:00 None AP IJ None 66000 66000 0 66000 0 None YB0O11 N CA00595961 A SFY2019-20
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2019-11-27 00:00:00 040015560 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-09-01 00:00:00 2018-09-01 00:00:00 No 2019-12-18 00:00:00 None AP IJ None 28500 28500 0 28500 0 None Q5HH11 N CA00620913 B SFY2019-20
040000095 CLOVIS COMMUNITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2020-06-30 00:00:00 040015917 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2020-04-16 00:00:00 2020-04-16 00:00:00 No 2020-07-21 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None Y2J411 N CA00583610 B SFY2019-20
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2020-07-03 00:00:00 040015919 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE02 - Wrong patient surgery None 2019-05-16 00:00:00 2019-05-16 00:00:00 No 2020-07-24 00:00:00 None AP IJ None 40000 40000 0 40000 0 None N5D211 N CA00638626 B SFY2020-21
040000111 MADERA COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2020-07-03 00:00:00 040015920 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2019-10-01 00:00:00 2019-10-01 00:00:00 No 2020-07-24 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None 0PD811 N CA00657521 B SFY2020-21
040000095 CLOVIS COMMUNITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2020-08-20 00:00:00 040015986 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-03-18 00:00:00 2020-03-18 00:00:00 No 2020-09-11 00:00:00 None AP IJ None 47025 47025 0 47025 0 None RG3Z11 N CA00682133, CA00682133 A, A SFY2020-21
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2020-10-29 00:00:00 040016117 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2018-01-03 00:00:00 2018-01-03 00:00:00 No 2020-11-20 00:00:00 None AP IJ None 66000 66000 0 66000 0 None 10M911 Y CA00570992 B SFY2020-21
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2021-04-07 00:00:00 040016406 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-06-09 00:00:00 2020-06-09 00:00:00 No 2021-04-28 00:00:00 None AP IJ None 71250 71250 0 71250 0 None E72211 Y CA00692593 A SFY2020-21
040000111 MADERA COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2021-09-30 00:00:00 040016965 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2020-05-01 00:00:00 2020-05-01 00:00:00 No 2021-10-21 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None 27LF11 N CA00687558 A SFY2021-22
040000113 MERCY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2021-11-02 00:00:00 040017059 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-12-24 00:00:00 2020-12-24 00:00:00 No 2021-11-24 00:00:00 None AP IJ None 71250 71250 0 71250 0 None VR6M11 Y CA00718664 A SFY2021-22
040000095 CLOVIS COMMUNITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2022-04-13 00:00:00 040017569 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-11-02 00:00:00 2020-11-02 00:00:00 No 2022-05-04 00:00:00 None AP IJ None 60000 60000 0 60000 0 None HTR511 N CA00711949 A SFY2021-22
630012960 ADVENTIST HEALTH HANFORD Non-LTC GACH General Acute Care Hospital Fresno 2022-04-26 00:00:00 040017598 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2019-10-01 00:00:00 2019-10-01 00:00:00 No 2022-05-17 00:00:00 None AP IJ None 43177.5 43177.5 0 43177.5 0 None UL3N11 N CA00658107 A SFY2021-22
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2022-07-29 00:00:00 040017852 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2022-04-11 00:00:00 2022-04-11 00:00:00 No 2022-08-19 00:00:00 None FTR AE None 1600 1600 0 1600 0 None B3JU11 N CA00782357 A SFY2022-23
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2022-09-13 00:00:00 040017986 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2021-06-17 00:00:00 2021-06-17 00:00:00 No 2022-10-04 00:00:00 None AP IJ None 42750 42750 0 42750 0 None BB4R11 N CA00743485 A SFY2022-23
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2022-11-03 00:00:00 040018131 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-06-06 00:00:00 2021-06-06 00:00:00 No 2022-11-29 00:00:00 None AP IJ None 100000 100000 0 100000 0 None IKTT11 Y CA00740044 B SFY2022-23
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2023-01-25 00:00:00 040018359 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2022-04-26 00:00:00 2022-04-26 00:00:00 No 2023-02-15 00:00:00 None AP IJ None 78750 78750 0 78750 0 None DM3H11 Y CA00783686 B SFY2022-23
030000123 MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2021-03-19 00:00:00 040018546 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-07-12 00:00:00 2016-07-12 00:00:00 No 2021-04-12 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None HXDT11 None CA00513160 D SFY2020-21
040000126 SAINT AGNES MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2023-07-14 00:00:00 040018953 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2019-07-25 00:00:00 2019-07-25 00:00:00 No 2023-08-04 00:00:00 None AP IJ None 125000 125000 0 125000 0 None 1L4Y11 Y CA00649173 B SFY2023-24
040000095 CLOVIS COMMUNITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2022-09-06 00:00:00 040019052 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-04-09 00:00:00 2018-04-09 00:00:00 No 2023-09-14 00:00:00 None AP BR None 45000 45000 -11250 33750 0 None G8ZH11 None CA00585476 D SFY2022-23
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2023-09-19 00:00:00 040019096 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2022-09-07 00:00:00 2022-09-07 00:00:00 No 2023-10-10 00:00:00 None AP IJ None 47025 47025 0 47025 0 None 6M3T11 N CA00802370 B SFY2023-24
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2022-09-23 00:00:00 040019145 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-11-18 00:00:00 2021-11-18 00:00:00 No 2023-10-18 00:00:00 None AP BR None 60000 60000 -15000 45000 0 None 28EE11 None CA00668900 D SFY2022-23
040000111 MADERA COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Fresno 2023-11-03 00:00:00 040019329 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2019-12-18 00:00:00 2019-12-18 00:00:00 No 2023-11-29 00:00:00 None AP NON-IJ None 12375 12375 0 0 12375 None RR3L11 N CA00669450 B SFY2023-24
040000101 COMMUNITY REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Fresno 2023-08-15 00:00:00 040019332 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-03-10 00:00:00 2019-03-10 00:00:00 No 2023-12-20 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None QJTG11 None CA00769156 C SFY2023-24
040000124 ADVENTIST HEALTH REEDLEY Non-LTC GACH General Acute Care Hospital Fresno 2023-11-03 00:00:00 040019336 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-02-29 00:00:00 2020-02-29 00:00:00 No 2023-11-29 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None 1HWR11 N CA00679234, CA00679234 A, A SFY2023-24
050000037 TENET HEALTH CENTRAL COAST TWIN CITIES COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2008-04-09 00:00:00 050004875 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-09-11 00:00:00 2007-09-11 00:00:00 Yes 2008-04-30 00:00:00 2008-04-21 00:00:00 FTR AE None 6400 6400 0 0 6400 None KH2P11 N CA00132546 C SFY2007-08
050000026 ST. JOHN'S HOSPITAL CAMARILLO Non-LTC GACH General Acute Care Hospital Ventura 2008-04-09 00:00:00 050004882 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-09-03 00:00:00 2007-09-03 00:00:00 No 2008-05-05 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 9X7711 N CA00127369 B SFY2007-08
050000455 ADVENTIST HEALTH SIMI VALLEY Non-LTC GACH General Acute Care Hospital Ventura 2008-04-09 00:00:00 050004885 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-01-03 00:00:00 2008-01-03 00:00:00 No 2008-05-05 00:00:00 None FTR AE None 1700 1700 0 1700 0 None ZDMF11 N CA00139215 C SFY2007-08
050000455 ADVENTIST HEALTH SIMI VALLEY Non-LTC GACH General Acute Care Hospital Ventura 2008-04-10 00:00:00 050004892 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-02-20 00:00:00 2008-02-20 00:00:00 No 2008-05-05 00:00:00 None FTR AE None 700 700 0 700 0 None G8CF11 N CA00142789 B SFY2007-08
630010957 VENTURA COUNTY MEDICAL CENTER - SANTA PAULA HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2008-04-30 00:00:00 050004971 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2007-10-23 00:00:00 2007-10-23 00:00:00 Yes 2008-05-28 00:00:00 2009-03-05 00:00:00 AP IJ AP IJ 25000 15000 0 15000 0 None RUW011 N CA00133347 B SFY2007-08
630010957 VENTURA COUNTY MEDICAL CENTER - SANTA PAULA HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2008-04-30 00:00:00 050004972 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-10-28 00:00:00 2007-10-28 00:00:00 Yes 2008-05-23 00:00:00 2008-05-12 00:00:00 FTR AE None 2600 2600 0 2600 0 None RUW011 N CA00133347 B SFY2007-08
050001468 THOUSAND OAKS SURGICAL HOSP., A CAMPUS OF LOS ROBLES HOSP. & MEDICAL CTR. Non-LTC GACH General Acute Care Hospital Ventura 2008-08-15 00:00:00 050005333 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-04-18 00:00:00 2008-04-18 00:00:00 No 2008-09-09 00:00:00 None FTR AE None 3000 3000 0 3000 0 None 0K9Z11 N CA00151772 None SFY2008-09
050001468 THOUSAND OAKS SURGICAL HOSP., A CAMPUS OF LOS ROBLES HOSP. & MEDICAL CTR. Non-LTC GACH General Acute Care Hospital Ventura 2009-01-02 00:00:00 050005334 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-04-18 00:00:00 2008-04-18 00:00:00 No 2009-01-26 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 0K9Z11 N CA00151772 None SFY2008-09
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2008-10-22 00:00:00 050005539 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-12 00:00:00 2008-06-12 00:00:00 No 2008-11-18 00:00:00 None FTR AE None 4400 4400 0 4400 0 None Z44611 N CA00158890 C SFY2008-09
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2008-11-06 00:00:00 050005588 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-09-17 00:00:00 2008-09-17 00:00:00 Yes 2008-12-05 00:00:00 2008-11-18 00:00:00 FTR AE None 300 300 -300 0 0 None 1MDP11 N CA00164852 C SFY2008-09
050000023 COMMUNITY MEMORIAL HOSPITAL - OJAI Non-LTC GACH General Acute Care Hospital Ventura 2008-11-12 00:00:00 050005597 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-31 00:00:00 2008-05-31 00:00:00 No 2008-12-10 00:00:00 None FTR AE None 1300 1300 0 1300 0 None YPGQ11 N CA00154205 C SFY2008-09
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2008-11-14 00:00:00 050005609 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-09-29 00:00:00 2008-09-29 00:00:00 No 2008-12-12 00:00:00 None FTR AE None 1300 1300 0 1300 0 None MBWP11 N CA00166922 C SFY2008-09
050000455 ADVENTIST HEALTH SIMI VALLEY Non-LTC GACH General Acute Care Hospital Ventura 2008-11-13 00:00:00 050005610 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-01 00:00:00 2008-10-01 00:00:00 No 2008-12-11 00:00:00 None FTR AE None 100 100 0 100 0 None BQLE11 N CA00165721 B SFY2008-09
050000014 COMMUNITY MEMORIAL HOSPITAL - VENTURA Non-LTC GACH General Acute Care Hospital Ventura 2008-12-23 00:00:00 050005733 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-16 00:00:00 2008-10-16 00:00:00 No 2009-01-19 00:00:00 None FTR AE None 300 300 0 300 0 None 8VKL11 N CA00167556 C SFY2008-09
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2009-02-18 00:00:00 050005885 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-12-11 00:00:00 2008-12-11 00:00:00 No 2009-03-13 00:00:00 None FTR AE None 800 800 0 800 0 None VM2511 N CA00173306 C SFY2008-09
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2009-02-25 00:00:00 050005907 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-01-12 00:00:00 2009-01-12 00:00:00 No 2009-03-20 00:00:00 None FTR AE None 200 200 0 200 0 None 9C1011 N CA00175377 C SFY2008-09
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2009-03-05 00:00:00 050005932 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-01-29 00:00:00 2009-01-29 00:00:00 No 2009-03-27 00:00:00 None FTR AE None 600 600 0 600 0 None C9R211 N CA00177418 C SFY2008-09
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2009-04-08 00:00:00 050006066 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-22 00:00:00 2008-10-22 00:00:00 No 2009-04-30 00:00:00 None FTR AE None 2900 2900 0 2900 0 None 27YG11 N CA00170433 C SFY2008-09
050000021 MARIAN REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2009-12-16 00:00:00 050006802 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2009-03-26 00:00:00 2009-03-26 00:00:00 No 2010-01-11 00:00:00 None FTR BR None 700 700 0 700 0 None X07G11 None CA00184283 C SFY2009-10
050000455 ADVENTIST HEALTH SIMI VALLEY Non-LTC GACH General Acute Care Hospital Ventura 2010-02-09 00:00:00 050006933 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-07-02 00:00:00 2009-07-02 00:00:00 No 2010-03-05 00:00:00 None FTR AE None 900 900 0 900 0 None H39S11 N CA00194108 C SFY2009-10
050000039 VENTURA COUNTY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2010-01-21 00:00:00 050006937 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2009-03-01 00:00:00 2009-03-01 00:00:00 No 2010-02-16 00:00:00 None FTR BR None 300 300 0 300 0 None 9LXL11 None CA00180537 B SFY2009-10
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2010-05-04 00:00:00 050007189 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-09-02 00:00:00 2009-09-02 00:00:00 No 2010-05-25 00:00:00 None FTR AE None 100 100 0 100 0 None NS5E11 N CA00201165 C SFY2009-10
050000030 SANTA YNEZ VALLEY COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2010-06-04 00:00:00 050007290 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-12-07 00:00:00 2009-12-07 00:00:00 No 2010-06-28 00:00:00 None FTR AE None 400 400 0 400 0 None DZG011 N CA00212168 C SFY2009-10
050000039 VENTURA COUNTY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2011-03-29 00:00:00 050008090 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE23 - Death/disab assoc with use of restraints/bedrails None 2010-08-18 00:00:00 2010-08-18 00:00:00 Yes 2011-04-20 00:00:00 2011-04-06 00:00:00 FTR AE FTR AE 2200 1540 0 1540 0 None 4H9W11 N CA00241493 C SFY2010-11
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2011-04-27 00:00:00 050008196 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE25 - Abduction of a patient of any age None 2009-01-17 00:00:00 2009-01-17 00:00:00 No 2011-12-30 00:00:00 None AP IJ None 50000 50000 0 50000 0 None XEH111 N CA00179445 B SFY2010-11
050000039 VENTURA COUNTY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2011-05-19 00:00:00 050008264 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-06-03 00:00:00 2009-06-03 00:00:00 No 2011-12-30 00:00:00 None AP IJ None 50000 50000 0 50000 0 None K28H11 N CA00192993 C SFY2010-11
050000455 ADVENTIST HEALTH SIMI VALLEY Non-LTC GACH General Acute Care Hospital Ventura 2012-05-24 00:00:00 050008986 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-09-16 00:00:00 2011-09-16 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 50000 50000 0 50000 0 None IDQ711 N CA00284784 C SFY2011-12
050000455 ADVENTIST HEALTH SIMI VALLEY Non-LTC GACH General Acute Care Hospital Ventura 2012-05-24 00:00:00 050008988 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2007-11-29 00:00:00 2007-11-29 00:00:00 No 2012-09-20 00:00:00 None AP IJ None 25000 25000 0 25000 0 None DYY611 N CA00289851 C SFY2011-12
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2016-08-16 00:00:00 050010656 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2014-02-18 00:00:00 2014-02-18 00:00:00 Yes 2018-01-30 00:00:00 2018-01-12 00:00:00 AP BR AP BR 250000 50000 0 50000 0 None RU5L11 None CA00391015 B SFY2016-17
050000037 TENET HEALTH CENTRAL COAST TWIN CITIES COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2015-04-27 00:00:00 050010738 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2013-11-05 00:00:00 2013-11-05 00:00:00 Yes 2016-02-19 00:00:00 2016-02-05 00:00:00 AP IJ AP IJ 50000 37500 0 37500 0 None 8CUR11 N CA00376465 C SFY2014-15
050000021 MARIAN REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2016-01-13 00:00:00 050011277 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-04-22 00:00:00 2014-04-22 00:00:00 No 2016-02-04 00:00:00 None AP IJ None 28500 28500 0 28500 0 None EGCF11 N CA00405547 B SFY2015-16
050000192 VENTURA COUNTY MEDICAL CENTER INPATIENT D/P APH Non-LTC APH Acute Psychiatric Hospital Ventura 2015-06-18 00:00:00 050011568 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2014-02-03 00:00:00 2014-02-03 00:00:00 No 2016-02-19 00:00:00 None AP IJ None 50000 50000 0 50000 0 None HIHZ11 Y CA00386548 B SFY2014-15
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2017-04-20 00:00:00 050011624 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2015-01-02 00:00:00 2015-01-02 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 75000 75000 0 75000 0 None RJ0K11 Y CA00426645 B SFY2016-17
050000014 COMMUNITY MEMORIAL HOSPITAL - VENTURA Non-LTC GACH General Acute Care Hospital Ventura 2017-04-20 00:00:00 050011630 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2015-02-11 00:00:00 2015-02-11 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 75000 75000 0 75000 0 None NFRB11 Y CA00431346, CA00431439 B, B SFY2016-17
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2017-08-07 00:00:00 050011810 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2015-08-07 00:00:00 2015-08-07 00:00:00 No 2017-08-28 00:00:00 None AP IJ None 100000 100000 0 100000 0 None D5YI11 Y CA00454294, CA00454294 A, A SFY2017-18
050000035 ST JOHNS REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2018-08-09 00:00:00 050011879 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-12-19 00:00:00 2014-12-19 00:00:00 No 2018-12-28 00:00:00 None AP IJ None 40400 40400 0 40400 0 None 30V911 N CA00450055 B SFY2018-19
050000041 AURORA VISTA DEL MAR HOSPITAL Non-LTC APH Acute Psychiatric Hospital Ventura 2017-04-20 00:00:00 050011995 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2015-10-11 00:00:00 2015-10-11 00:00:00 Yes 2017-05-11 00:00:00 2017-04-27 00:00:00 AP IJ AP IJ 75000 56250 0 56250 0 None J2UP11 Y CA00461741 A SFY2016-17
050000035 ST JOHNS REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2018-02-22 00:00:00 050012274 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE05 - Death during or up to 24 hours after surgery None 2015-11-04 00:00:00 2015-11-04 00:00:00 No 2018-03-15 00:00:00 None AP IJ None 75000 75000 0 75000 0 None WYM111 Y CA00465023 B SFY2017-18
050000016 FRENCH HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2017-08-29 00:00:00 050012336 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-09-01 00:00:00 2011-09-01 00:00:00 No 2017-09-20 00:00:00 None AP IJ None 50000 50000 0 50000 0 None C7SF11 N CA00433908 B SFY2017-18
050000039 VENTURA COUNTY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2018-02-20 00:00:00 050012448 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2016-03-09 00:00:00 2016-03-09 00:00:00 No 2018-03-13 00:00:00 None AP IJ None 87412.5 87412.5 0 87412.5 0 None NX9811 N CA00479941 A SFY2017-18
050000021 MARIAN REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2017-08-11 00:00:00 050012515 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-07-07 00:00:00 2015-07-07 00:00:00 No 2017-09-01 00:00:00 None AP IJ None 44400 44400 0 44400 0 None 4QW011 N CA00479796 B SFY2017-18
050000039 VENTURA COUNTY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2018-02-20 00:00:00 050012764 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2015-10-21 00:00:00 2015-10-21 00:00:00 No 2018-03-13 00:00:00 None AP IJ None 69930 69930 0 69930 0 None 95VX11 N CA00462955 A SFY2017-18
050000021 MARIAN REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2017-08-28 00:00:00 050012784 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2012-01-18 00:00:00 2012-01-18 00:00:00 No 2017-09-19 00:00:00 None AP IJ None 50000 50000 0 50000 0 None UW3R11 N CA00501103 B SFY2017-18
050000014 COMMUNITY MEMORIAL HOSPITAL - VENTURA Non-LTC GACH General Acute Care Hospital Ventura 2019-01-04 00:00:00 050013599 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-05-20 00:00:00 2017-05-20 00:00:00 No 2019-04-11 00:00:00 None AP IJ None 69930 69930 0 69930 0 None E65911 N CA00540695, CA00540695 B, B SFY2018-19
050000455 ADVENTIST HEALTH SIMI VALLEY Non-LTC GACH General Acute Care Hospital Ventura 2019-01-03 00:00:00 050013779 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-10-11 00:00:00 2017-10-11 00:00:00 No 2019-04-11 00:00:00 None AP IJ None 45315 45315 0 45315 0 None 63VD11 N CA00556765, CA00556765 B, B SFY2018-19
050000018 LOMPOC VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2019-10-29 00:00:00 050015436 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2019-04-26 00:00:00 2019-04-26 00:00:00 No 2019-11-19 00:00:00 None AP NON-IJ None 11362.5 11362.5 0 0 11362.5 None X9R011 N CA00636003 A SFY2019-20
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2021-06-11 00:00:00 050016493 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2021-02-04 00:00:00 2021-02-04 00:00:00 No 2021-07-02 00:00:00 None AP NON-IJ None 12120 12120 0 12120 0 None XLYD11 N CA00724494, CA00724494 A, A SFY2020-21
050000455 ADVENTIST HEALTH SIMI VALLEY Non-LTC GACH General Acute Care Hospital Ventura 2022-03-24 00:00:00 050017500 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2021-09-21 00:00:00 2021-09-21 00:00:00 No 2022-04-15 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None Q08V11 N CA00752344, CA00752344, CA00752344, CA00752344 B, B, B, B SFY2021-22
050000280 SANTA BARBARA COTTAGE HOSPITAL Non-LTC GACH General Acute Care Hospital Ventura 2022-10-13 00:00:00 050017831 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-12-04 00:00:00 2019-12-04 00:00:00 No 2022-11-03 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None BT5611 N CA00731952 A SFY2022-23
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2022-09-29 00:00:00 050017891 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2022-05-11 00:00:00 2022-05-11 00:00:00 No 2022-10-20 00:00:00 None AP NON-IJ None 13515 13515 0 13515 0 None DMBZ11 N CA00736471, CA00736471 A, A SFY2022-23
050000035 ST JOHNS REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2022-09-06 00:00:00 050017950 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-01-16 00:00:00 2022-01-16 00:00:00 No 2022-09-27 00:00:00 None AP NON-IJ None 12487.5 12487.5 0 12487.5 0 None V40011 Y CA00769427, CA00769427 B, B SFY2022-23
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2023-03-09 00:00:00 050018491 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2022-06-01 00:00:00 2022-06-01 00:00:00 No 2023-03-30 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None QNIT11 N CA00791930, CA00792472 B, B SFY2022-23
050000041 AURORA VISTA DEL MAR HOSPITAL Non-LTC APH Acute Psychiatric Hospital Ventura 2023-05-01 00:00:00 050018679 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-05-04 00:00:00 2022-05-04 00:00:00 No 2023-05-22 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 0WK311 Y CA00783550, CA00783550, CA00784021, CA00784021, CA00785118, CA00785118 A, A, B, B, B, B SFY2022-23
050000016 FRENCH HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2023-05-17 00:00:00 050018755 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2022-10-20 00:00:00 2022-10-20 00:00:00 No 2023-06-08 00:00:00 None AP NON-IJ None 11362.5 11362.5 0 11362.5 0 None QWI411 N CA00808777, CA00808777 A, A SFY2022-23
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2023-05-24 00:00:00 050018785 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2022-07-20 00:00:00 2022-07-20 00:00:00 No 2023-06-15 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None 9HT211 N CA00795483, CA00795483 A, A SFY2022-23
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2023-06-23 00:00:00 050018827 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2023-01-11 00:00:00 2023-01-11 00:00:00 No 2023-07-17 00:00:00 None AP NON-IJ None 18020 18020 0 18020 0 None WLW011 N CA00821450, CA00821450 A, A SFY2022-23
050000041 AURORA VISTA DEL MAR HOSPITAL Non-LTC APH Acute Psychiatric Hospital Ventura 2023-06-14 00:00:00 050018852 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-07-14 00:00:00 2022-07-14 00:00:00 No 2023-07-06 00:00:00 None AP NON-IJ None 18000 18000 0 18000 0 None 5QE811 N CA00811031, CA00811031 B, B SFY2022-23
050000018 LOMPOC VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2023-05-30 00:00:00 050019424 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-07-12 00:00:00 2021-07-12 00:00:00 Yes 2024-01-18 00:00:00 2024-01-05 00:00:00 AP BR None 20000 20000 0 20000 0 None 9VTS11 None CA00744655 D SFY2022-23
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2024-03-13 00:00:00 050019833 Closed Administrative Penalty None A11 - Medical/Surgical Care None 2023-06-27 00:00:00 2023-06-27 00:00:00 No 2024-03-23 00:00:00 None NP None 30000 30000 0 30000 0 None N6U511 N CA00848059, CA00848059, CA00851128, CA00852716, CA00852716 B, B, B, B, B SFY2023-24
050000031 TENET HEALTH CENTRAL COAST SIERRA VISTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2024-04-24 00:00:00 050020048 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2023-10-08 00:00:00 2023-10-08 00:00:00 No 2024-05-15 00:00:00 None AP NON-IJ None 11875 11875 0 11875 0 None Z0KW11 N CA00865149, CA00865149 B, B SFY2023-24
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2024-05-17 00:00:00 050020197 Closed Administrative Penalty None A1 - Critical Care None 2023-12-01 00:00:00 2023-12-01 00:00:00 No 2024-05-27 00:00:00 None NP None 30000 30000 0 30000 0 None XST411 N CA00881869, CA00881869 B, B SFY2023-24
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2024-05-22 00:00:00 050020219 Closed Administrative Penalty None A11 - Medical/Surgical Care None 2023-10-23 00:00:00 2023-10-23 00:00:00 No 2024-06-01 00:00:00 None NP None 30000 30000 0 30000 0 None ZCHF11 N CA00870239, CA00870253, CA00870255, CA00874578 B, B, B, B SFY2023-24
050000020 LOS ROBLES HOSPITAL & MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Ventura 2024-05-22 00:00:00 050020220 Closed Administrative Penalty None A11 - Medical/Surgical Care None 2023-11-05 00:00:00 2023-11-05 00:00:00 No 2024-06-01 00:00:00 None NP None 30000 30000 0 30000 0 None XLRK11 N CA00870251, CA00878347 B, B SFY2023-24
060000035 MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2007-10-22 00:00:00 060004255 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-02-28 00:00:00 2007-02-28 00:00:00 No 2007-11-13 00:00:00 None AP IJ None 25000 25000 0 25000 0 None RZNI11 N CA00118694 A SFY2007-08
060000035 MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2007-10-22 00:00:00 060004256 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-05-09 00:00:00 2007-05-09 00:00:00 No 2007-11-13 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 7NNQ11 N None None SFY2007-08
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2007-10-22 00:00:00 060004258 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-03-18 00:00:00 2007-03-18 00:00:00 No 2007-11-13 00:00:00 None AP IJ None 25000 25000 0 25000 0 None VIF711 N None None SFY2007-08
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-04-09 00:00:00 060004888 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-11-01 00:00:00 2007-11-01 00:00:00 No 2008-04-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 8ZUT11 Y CA00132263 A SFY2007-08
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004893 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-10-01 00:00:00 2007-10-01 00:00:00 No 2008-05-01 00:00:00 None FTR AE None 900 900 0 900 0 None EW2J11 N CA00129314 A SFY2007-08
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004894 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-10-01 00:00:00 2007-10-01 00:00:00 No 2008-05-01 00:00:00 None AP IJ None 25000 25000 0 25000 0 None EW2J11 Y CA00129314 A SFY2007-08
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004896 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2007-10-08 00:00:00 2007-10-08 00:00:00 No 2008-05-01 00:00:00 None AP IJ None 25000 25000 0 25000 0 None VOOU11 Y CA00130348 B SFY2007-08
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-04-09 00:00:00 060004899 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-08-03 00:00:00 2007-08-03 00:00:00 No 2008-04-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None VIF711 Y CA00123170 C SFY2007-08
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004904 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-02 00:00:00 2008-01-02 00:00:00 No 2008-05-01 00:00:00 None FTR AE None 5300 5300 0 5300 0 None FQW011 N CA00142665 A SFY2007-08
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004905 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-01 00:00:00 2007-10-01 00:00:00 No 2008-05-01 00:00:00 None FTR AE None 14600 14600 0 14600 0 None FQW011 N CA00142665 A SFY2007-08
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004908 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-09-13 00:00:00 2007-09-13 00:00:00 No 2008-05-01 00:00:00 None FTR AE None 16400 16400 0 16400 0 None FQW011 N CA00142665 A SFY2007-08
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004910 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-11 00:00:00 2007-12-11 00:00:00 No 2008-05-01 00:00:00 None FTR AE None 7500 7500 0 7500 0 None FQW011 N CA00142665 A SFY2007-08
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004911 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-11 00:00:00 2007-12-11 00:00:00 No 2008-05-01 00:00:00 None FTR AE None 8800 8800 0 8800 0 None FQW011 N CA00142665 A SFY2007-08
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004912 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-08-02 00:00:00 2007-08-02 00:00:00 No 2008-05-01 00:00:00 None FTR AE None 20600 20600 0 20600 0 None FQW011 N CA00142665 A SFY2007-08
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-04-10 00:00:00 060004913 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE14 - Maternal death/disab due to labor/del/post None 2007-09-25 00:00:00 2007-09-25 00:00:00 No 2008-05-01 00:00:00 None FTR AE None 1600 1600 0 1600 0 None XT8211 N CA00129480 A SFY2007-08
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2008-04-24 00:00:00 060004961 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2008-02-15 00:00:00 2008-02-15 00:00:00 No 2008-05-15 00:00:00 None AP IJ None 25000 25000 0 25000 0 None BOCI11 N CA00141168 A SFY2007-08
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-06-04 00:00:00 060005071 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2007-08-24 00:00:00 2007-08-24 00:00:00 No 2008-06-25 00:00:00 None AP IJ None 25000 25000 0 25000 0 None Z8QR11 N CA00136330 B SFY2007-08
060000025 UCI HEALTH-LOS ALAMITOS Non-LTC GACH General Acute Care Hospital Orange 2008-06-04 00:00:00 060005073 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2008-02-22 00:00:00 2008-02-22 00:00:00 Yes 2008-06-25 00:00:00 2008-08-25 00:00:00 AP IJ AP IJ 25000 15000 0 15000 0 None D8L511 Y CA00142374 A SFY2007-08
060000001 ANAHEIM COMMUNITY HOSPITAL, LLC Non-LTC GACH General Acute Care Hospital Orange 2008-06-03 00:00:00 060005075 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-02-21 00:00:00 2008-02-21 00:00:00 No 2008-06-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None RJYK11 N CA00152236 A SFY2007-08
060000001 ANAHEIM COMMUNITY HOSPITAL, LLC Non-LTC GACH General Acute Care Hospital Orange 2008-06-03 00:00:00 060005076 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-02-22 00:00:00 2008-02-22 00:00:00 No 2008-06-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None VFYN11 N CA00152233 A SFY2007-08
060000001 ANAHEIM COMMUNITY HOSPITAL, LLC Non-LTC GACH General Acute Care Hospital Orange 2008-06-03 00:00:00 060005077 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-02-20 00:00:00 2008-02-20 00:00:00 No 2008-06-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 6Y6P11 N CA00152227 A SFY2007-08
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2008-06-04 00:00:00 060005104 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-04-14 00:00:00 2008-04-14 00:00:00 No 2008-06-25 00:00:00 None AP IJ None 25000 25000 0 25000 0 None WKO611 N CA00147573 A SFY2007-08
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2008-06-20 00:00:00 060005138 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-04-01 00:00:00 2008-04-01 00:00:00 Yes 2008-07-17 00:00:00 2008-08-27 00:00:00 AP IJ AP IJ 25000 15000 0 15000 0 None SKNG11 N CA00146510 B SFY2007-08
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-06-13 00:00:00 060005140 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-11-18 08:00:00 2007-11-18 08:00:00 No 2008-07-11 00:00:00 None FTR AE None 1000 1000 0 1000 0 None IEFE11 N CA00134451 C SFY2007-08
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-06-20 00:00:00 060005155 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2008-01-28 00:00:00 2008-01-28 00:00:00 No 2008-07-16 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 1UG711 N CA00140183 A SFY2007-08
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-07-01 00:00:00 060005194 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2008-06-01 00:00:00 2008-06-01 00:00:00 No 2008-07-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None MNCF11 Y CA00152603 A SFY2008-09
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-07-11 00:00:00 060005218 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-05-26 00:00:00 2008-05-26 00:00:00 Yes 2008-08-04 00:00:00 2008-08-27 00:00:00 AP IJ AP IJ 25000 15625 0 15625 0 None 80UL11 N CA00152441 B SFY2008-09
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-07-22 00:00:00 060005246 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2007-12-26 00:00:00 2007-12-26 00:00:00 Yes 2011-12-30 00:00:00 2011-12-19 00:00:00 AP IJ None 25000 25000 0 25000 0 None LCK011 N CA00140041 A SFY2008-09
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-07-22 00:00:00 060005247 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-12 08:00:00 2008-06-12 08:00:00 No 2008-08-18 00:00:00 None FTR AE None 300 300 0 300 0 None 3VMM11 N CA00154469 B SFY2008-09
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-08-18 00:00:00 060005340 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-06 08:00:00 2008-06-06 08:00:00 No 2008-09-12 00:00:00 None FTR AE None 600 600 0 600 0 None R3ZV11 N CA00154066 B SFY2008-09
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-08-25 00:00:00 060005362 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE27 - Death/injury from a physical assault None 2007-11-18 00:00:00 2007-11-18 00:00:00 Yes 2008-09-17 00:00:00 2009-03-06 00:00:00 AP IJ AP IJ 25000 10000 0 10000 0 None IEFE11 N CA00134451 C SFY2008-09
060000008 COLLEGE HOSPITAL COSTA MESA Non-LTC GACH General Acute Care Hospital Orange 2008-12-09 00:00:00 060005529 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-08-08 08:00:00 2008-08-08 08:00:00 No 2009-01-07 00:00:00 None FTR AE None 200 200 0 200 0 None XXCW11 N CA00160001 A SFY2008-09
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-12-09 00:00:00 060005651 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-07-30 00:00:00 2008-07-30 00:00:00 No 2009-01-07 00:00:00 None AP IJ None 25000 25000 0 25000 0 None EUCH11 N CA00158947 B SFY2008-09
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2008-12-12 00:00:00 060005668 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE02 - Wrong patient surgery None 2008-07-23 08:00:00 2008-07-23 08:00:00 No 2009-01-05 00:00:00 None FTR AE None 700 700 0 700 0 None NXMW11 N CA00159256 B SFY2008-09
060000008 COLLEGE HOSPITAL COSTA MESA Non-LTC GACH General Acute Care Hospital Orange 2008-12-09 00:00:00 060005683 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2008-08-08 00:00:00 2008-08-08 00:00:00 Yes 2009-01-06 00:00:00 2009-03-06 00:00:00 AP IJ AP IJ 25000 12500 0 12500 0 None XXCW11 N CA00160001 A SFY2008-09
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-12-12 00:00:00 060005695 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2007-09-15 00:00:00 2007-09-15 00:00:00 No 2009-01-06 00:00:00 None AP IJ None 25000 25000 0 25000 0 None H3OT11 N CA00160389 B SFY2008-09
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-12-19 00:00:00 060005700 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2008-06-11 00:00:00 2008-06-11 00:00:00 No 2009-01-14 00:00:00 None AP IJ None 25000 25000 0 25000 0 None MC8G11 N CA00153734 B SFY2008-09
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2008-12-22 00:00:00 060005724 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-01 08:00:00 2008-06-01 08:00:00 No 2008-12-19 00:00:00 None FTR AE None 13200 13200 0 13200 0 None CKCU11 N CA00153756 C SFY2008-09
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2008-12-29 00:00:00 060005744 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-05-01 00:00:00 2008-05-01 00:00:00 Yes 2009-01-21 00:00:00 2009-03-09 00:00:00 AP IJ AP IJ 25000 18750 0 18750 0 None 8WFQ11 N CA00150933 A SFY2008-09
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2008-12-30 00:00:00 060005746 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2008-09-07 00:00:00 2008-09-07 00:00:00 No 2009-01-23 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 8RCU11 N CA00164872 B SFY2008-09
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-02-19 00:00:00 060005883 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2008-09-26 00:00:00 2008-09-26 00:00:00 No 2009-03-13 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 4US211 N CA00164904 B SFY2008-09
060000007 CHILDREN'S HOSPITAL OF ORANGE COUNTY Non-LTC GACH General Acute Care Hospital Orange 2009-03-05 00:00:00 060005933 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE05 - Death during or up to 24 hours after surgery None 2008-11-06 00:00:00 2008-11-06 00:00:00 No 2009-03-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None M2J811 N CA00169178 B SFY2008-09
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-03-12 00:00:00 060005950 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-06-22 00:00:00 2008-06-22 00:00:00 No 2009-04-06 00:00:00 None AP IJ None 25000 25000 0 25000 0 None Z17311 N CA00157362 B SFY2008-09
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2009-03-12 00:00:00 060005951 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2008-12-30 00:00:00 2008-12-30 00:00:00 No 2009-04-06 00:00:00 None AP IJ None 25000 25000 0 25000 0 None V22111 N CA00173787 B SFY2008-09
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2009-04-07 00:00:00 060006059 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-01-12 00:00:00 2009-01-12 00:00:00 No 2009-04-29 00:00:00 None AP IJ None 50000 50000 0 50000 0 None ZBBT11 N CA00176128 C SFY2008-09
060000066 PROVIDENCE MISSION HOSPITAL - LAGUNA BEACH Non-LTC GACH General Acute Care Hospital Orange 2009-04-08 00:00:00 060006063 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2007-06-06 00:00:00 2007-06-06 00:00:00 No 2009-04-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None JJZZ11 N CA00168546 C SFY2008-09
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-05-05 00:00:00 060006161 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-02-03 00:00:00 2009-02-03 00:00:00 No 2009-05-27 00:00:00 None AP IJ None 50000 50000 0 50000 0 None C0IX11 N CA00177085 B SFY2008-09
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-05-18 00:00:00 060006198 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-03-18 00:00:00 2009-03-18 00:00:00 Yes 2009-06-09 00:00:00 2010-01-25 00:00:00 AP IJ AP IJ 50000 20000 0 20000 0 None 2N0911 N CA00182943 B SFY2008-09
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-06-02 00:00:00 060006239 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-12-12 00:00:00 2008-12-12 00:00:00 No 2009-06-25 00:00:00 None AP IJ None 25000 25000 0 25000 0 None JDVO11 N CA00172310 B SFY2008-09
060000028 LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-08-03 00:00:00 060006433 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-26 08:00:00 2008-12-26 08:00:00 No 2009-08-25 00:00:00 None FTR AE None 600 600 0 600 0 None BDCI11 N CA00174252 B SFY2009-10
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-09-02 00:00:00 060006524 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2009-04-26 00:00:00 2009-04-26 00:00:00 No 2009-09-29 00:00:00 None AP IJ None 50000 50000 0 50000 0 None MGK711 N CA00189688 B SFY2009-10
060000006 CHAPMAN GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-09-02 00:00:00 060006525 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2009-03-29 00:00:00 2009-03-29 00:00:00 Yes 2009-09-29 00:00:00 2009-11-23 00:00:00 AP IJ AP IJ 50000 37500 0 37500 0 None MQ3I11 N CA00184334 B SFY2009-10
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-10-02 00:00:00 060006598 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-03-05 08:00:00 2009-03-05 08:00:00 No 2009-10-27 00:00:00 None FTR AE None 1300 1300 0 1300 0 None H58T11 N CA00182667 B SFY2009-10
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-10-02 00:00:00 060006599 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-26 08:00:00 2008-12-26 08:00:00 No 2009-10-27 00:00:00 None FTR AE None 3300 3300 0 3300 0 None 7RJL11 N CA00177067 B SFY2009-10
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-10-20 00:00:00 060006638 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-02-02 08:00:00 2009-02-02 08:00:00 No 2009-11-17 00:00:00 None FTR AE None 300 300 0 300 0 None LGC111 N CA00177582 B SFY2009-10
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-11-16 00:00:00 060006716 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-05-24 00:00:00 2009-05-24 00:00:00 No 2009-12-10 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 10I711 Y CA00191426 B SFY2009-10
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2009-11-16 00:00:00 060006717 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-03-05 00:00:00 2009-03-05 00:00:00 No 2009-12-10 00:00:00 None AP IJ None 50000 50000 0 50000 0 None LTC511 Y CA00182037 B SFY2009-10
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-12-15 00:00:00 060006784 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Rights None 2009-03-30 08:00:00 2009-03-30 08:00:00 No 2010-01-07 00:00:00 None FTR BR None 1300 1300 0 1300 0 None 2NUL11 None CA00185947 C SFY2009-10
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-12-16 00:00:00 060006803 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-07-20 08:00:00 2009-07-20 08:00:00 No 2010-01-11 00:00:00 None FTR AE None 2500 2500 0 2500 0 None 7V6411 N CA00199300 B SFY2009-10
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-12-16 00:00:00 060006805 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-07-16 08:00:00 2009-07-16 08:00:00 No 2010-01-13 00:00:00 None FTR AE None 2900 2900 0 2900 0 None HPJP11 N CA00199295 B SFY2009-10
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2009-12-29 00:00:00 060006848 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-08-04 08:00:00 2009-08-04 08:00:00 No 2010-01-26 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 6OV311 N CA00211821 B SFY2009-10
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2010-01-08 00:00:00 060006902 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-02-26 08:00:00 2009-02-26 08:00:00 No 2010-02-03 00:00:00 None FTR AE None 300 300 0 300 0 None XG3311 N CA00181336 B SFY2009-10
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2010-03-03 00:00:00 060007018 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-08 00:00:00 2008-05-08 00:00:00 No 2010-03-29 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 8YKF11 N CA00160741 B SFY2009-10
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2010-03-16 00:00:00 060007048 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2009-07-24 00:00:00 2009-07-24 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 50000 50000 0 50000 0 None H1GX11 N CA00197340 B SFY2009-10
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2010-03-24 00:00:00 060007055 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2009-11-17 00:00:00 2009-11-17 00:00:00 Yes 2010-04-21 00:00:00 2010-11-17 00:00:00 AP IJ AP IJ 75000 50000 0 50000 0 None PQM611 N None None SFY2009-10
060001097 ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN Non-LTC GACH General Acute Care Hospital Orange 2010-04-27 00:00:00 060007170 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-07-23 08:00:00 2009-07-23 08:00:00 Yes 2010-05-20 00:00:00 2010-05-05 00:00:00 FTR AE FTR AE 19800 9900 0 9900 0 None VHBI11 N CA00215620 C SFY2009-10
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2010-04-30 00:00:00 060007178 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2009-04-04 00:00:00 2009-04-04 00:00:00 Yes 2010-05-24 00:00:00 2010-05-28 00:00:00 AP IJ AP IJ 50000 35000 0 35000 0 None GF1711 N CA00186058 C SFY2009-10
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2010-05-07 00:00:00 060007197 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-11-16 08:00:00 2009-11-16 08:00:00 No 2010-06-01 00:00:00 None FTR AE None 9400 9400 0 9400 0 None NF5F11 N CA00219779 C SFY2009-10
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2010-05-10 00:00:00 060007200 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-15 08:00:00 2008-05-15 08:00:00 No 2010-06-01 00:00:00 None FTR AE None 15000 15000 0 15000 0 None 8YKF11 N CA00160741 B SFY2009-10
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2010-05-10 00:00:00 060007202 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-07 08:00:00 2008-06-07 08:00:00 No 2010-06-07 00:00:00 None FTR AE None 12700 12700 0 12700 0 None 8YKF11 N CA00160741 B SFY2009-10
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2010-05-10 00:00:00 060007203 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-12 08:00:00 2008-06-12 08:00:00 No 2010-06-07 00:00:00 None FTR AE None 12200 12200 0 12200 0 None 8YKF11 N CA00160741 B SFY2009-10
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2010-05-10 00:00:00 060007204 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-23 08:00:00 2008-06-23 08:00:00 No 2010-06-07 00:00:00 None FTR AE None 11100 11100 0 11100 0 None 8YKF11 N CA00160741 B SFY2009-10
060000016 WEST ANAHEIM MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2010-07-21 00:00:00 060007417 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-01-19 08:00:00 2010-01-19 08:00:00 No 2010-08-16 00:00:00 None FTR AE None 13100 13100 0 13100 0 None 72U011 N CA00217593 C SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2010-07-29 00:00:00 060007449 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-08-13 00:00:00 2009-08-13 00:00:00 No 2010-08-24 00:00:00 None AP IJ None 75000 75000 0 75000 0 None XEEU11 N CA00198377 A SFY2010-11
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2010-08-03 00:00:00 060007457 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2009-04-07 08:00:00 2009-04-07 08:00:00 No 2010-08-24 00:00:00 None FTR RES None 1500 1500 0 1500 0 None V8S911 N CA00187057 B SFY2010-11
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2010-09-23 00:00:00 060007595 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-30 08:00:00 2008-06-30 08:00:00 No 2010-10-18 00:00:00 None FTR AE None 12400 12400 0 12400 0 None 1F9Q11 N CA00167613 B SFY2010-11
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2010-09-23 00:00:00 060007596 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-11 08:00:00 2008-07-11 08:00:00 No 2010-10-18 00:00:00 None FTR AE None 11300 11300 0 11300 0 None 1F9Q11 N CA00167613 B SFY2010-11
060000007 CHILDREN'S HOSPITAL OF ORANGE COUNTY Non-LTC GACH General Acute Care Hospital Orange 2010-12-10 00:00:00 060007712 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-02-25 00:00:00 2009-02-25 00:00:00 No 2010-12-31 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None F2DY11 None CA00181664 C SFY2010-11
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2010-12-29 00:00:00 060007772 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2009-01-17 00:00:00 2009-01-17 00:00:00 Yes 2011-12-30 00:00:00 2011-12-15 00:00:00 AP IJ AP IJ 75000 75000 0 75000 0 None MRC011 N CA00212243 B SFY2010-11
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-02-15 00:00:00 060007930 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-06-08 00:00:00 2010-06-08 00:00:00 No 2012-09-20 00:00:00 None AP IJ None 75000 75000 0 75000 0 None IU0F11 N CA00232028 B SFY2010-11
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-02-28 00:00:00 060007973 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2009-11-18 00:00:00 2009-11-18 00:00:00 No 2011-03-21 00:00:00 None FTR AE None 1600 1600 0 1600 0 None MRC011 N CA00212243 B SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-03-24 00:00:00 060008066 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-01-08 08:00:00 2010-01-08 08:00:00 No 2011-04-15 00:00:00 None FTR AE None 8300 8300 0 8300 0 None GNY811 N CA00225145 B SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-03-25 00:00:00 060008072 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-01-08 00:00:00 2010-01-08 00:00:00 Yes 2011-12-30 00:00:00 2011-12-14 00:00:00 AP IJ AP IJ 100000 30000 0 30000 0 None GNY811 N CA00225145 B SFY2010-11
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-03-25 00:00:00 060008076 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2009-09-11 00:00:00 2009-09-11 00:00:00 No 2011-10-07 00:00:00 None AP IJ None 50000 50000 0 50000 0 None KEE811 N CA00204312 B SFY2010-11
060000018 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW Non-LTC GACH General Acute Care Hospital Orange 2011-05-09 00:00:00 060008124 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-06-22 08:00:00 2009-06-22 08:00:00 No 2011-05-31 00:00:00 None FTR AE None 13200 13200 0 13200 0 None NWTG11 N CA00208222 B SFY2010-11
060000018 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW Non-LTC GACH General Acute Care Hospital Orange 2011-05-09 00:00:00 060008125 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-06-22 08:00:00 2009-06-22 08:00:00 No 2011-05-31 00:00:00 None FTR AE None 13200 13200 0 13200 0 None NWTG11 N CA00208222 B SFY2010-11
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-05-11 00:00:00 060008232 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-13 08:00:00 2010-08-13 08:00:00 No 2011-06-02 00:00:00 None FTR BR None 1100 1100 -275 825 0 None PLRV11 None CA00242534 D SFY2010-11
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-05-11 00:00:00 060008233 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-13 08:00:00 2010-08-13 08:00:00 No 2011-06-02 00:00:00 None FTR BR None 2700 2700 -675 2025 0 None PLRV11 None CA00242534 D SFY2010-11
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-05-11 00:00:00 060008234 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-13 08:00:00 2010-08-13 08:00:00 No 2011-06-02 00:00:00 None FTR BR None 2500 2500 -625 1875 0 None PLRV11 None CA00242534 D SFY2010-11
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-06-09 00:00:00 060008242 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-08-02 08:00:00 2010-08-02 08:00:00 No 2011-06-30 00:00:00 None FTR BR None 900 900 -225 675 0 None 0C1D11 None CA00241343 C SFY2010-11
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-06-09 00:00:00 060008243 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-08-02 08:00:00 2010-08-02 08:00:00 No 2011-06-30 00:00:00 None FTR BR None 900 900 -225 675 0 None 0C1D11 None CA00241343 C SFY2010-11
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-06-08 00:00:00 060008244 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-05 08:00:00 2010-08-05 08:00:00 No 2011-06-29 00:00:00 None FTR BR None 600 600 -150 450 0 None 564N11 None CA00241352 E SFY2010-11
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-06-08 00:00:00 060008246 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-05 08:00:00 2010-08-05 08:00:00 No 2011-06-29 00:00:00 None FTR BR None 8900 8900 -2225 6675 0 None 564N11 None CA00241352 E SFY2010-11
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-06-07 00:00:00 060008288 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2009-09-09 00:00:00 2009-09-09 00:00:00 Yes 2011-10-18 00:00:00 2011-10-03 00:00:00 AP IJ AP IJ 75000 50000 0 50000 0 None 5RGX11 N CA00203594 B SFY2010-11
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-06-07 00:00:00 060008289 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2008-01-18 00:00:00 2008-01-18 00:00:00 Yes 2011-09-29 00:00:00 2011-07-11 00:00:00 AP IJ AP IJ 25000 18750 0 18750 0 None KSRI11 N CA00210033 C SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-06-16 00:00:00 060008311 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-02-02 08:00:00 2010-02-02 08:00:00 No 2011-07-08 00:00:00 None FTR BR None 600 600 -150 450 0 None NPKE11 None CA00219706 C SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-06-24 00:00:00 060008329 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-01-15 08:00:00 2010-01-15 08:00:00 No 2011-07-18 00:00:00 None FTR BR None 100 100 -25 75 0 None XS2E11 None CA00216439 D SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-06-29 00:00:00 060008344 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-01-20 08:00:00 2010-01-20 08:00:00 No 2011-07-21 00:00:00 None FTR BR None 100 100 -25 75 0 None KMRR11 None CA00216915 C SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-06-29 00:00:00 060008347 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-01-15 08:00:00 2010-01-15 08:00:00 No 2011-07-21 00:00:00 None FTR BR None 200 200 -50 150 0 None DLNR11 None CA00269902 C SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-06-29 00:00:00 060008350 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-02-01 08:00:00 2010-02-01 08:00:00 No 2011-07-21 00:00:00 None FTR AE None 900 900 0 900 0 None DWEK11 N CA00218882 B SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-06-30 00:00:00 060008354 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-05-12 08:00:00 2011-05-12 08:00:00 No 2011-07-22 00:00:00 None FTR BR None 100 100 -25 75 0 None O08711 None CA00271302 E SFY2010-11
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-06-30 00:00:00 060008355 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-05-12 08:00:00 2011-05-12 08:00:00 No 2011-07-22 00:00:00 None FTR BR None 100 100 -25 75 0 None O08711 None CA00271302 E SFY2010-11
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-09-14 00:00:00 060008534 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-11-10 08:00:00 2010-11-10 08:00:00 No 2011-10-06 00:00:00 None FTR BR None 600 600 0 600 0 None LDUF11 None CA00253560 B SFY2011-12
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-09-14 00:00:00 060008560 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-11-22 08:00:00 2010-11-22 08:00:00 No 2011-10-06 00:00:00 None FTR BR None 6500 6500 0 6500 0 None LDUF11 None CA00253556 E SFY2011-12
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-09-14 00:00:00 060008561 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-09-23 08:00:00 2010-09-23 08:00:00 No 2011-10-06 00:00:00 None FTR BR None 3200 3200 0 3200 0 None LDUF11 None CA00246323 E SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-09-28 00:00:00 060008584 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-07-11 08:00:00 2010-07-11 08:00:00 No 2011-10-19 00:00:00 None FTR AE None 1300 1300 0 1300 0 None KHFM11 N CA00237767 B SFY2011-12
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-12-01 00:00:00 060008597 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-02-24 08:00:00 2011-02-24 08:00:00 No 2011-12-22 00:00:00 None FTR BR None 700 700 0 700 0 None RJ2811 None CA00261698 C SFY2011-12
060000062 UCI HEALTH-PLACENTIA LINDA Non-LTC GACH General Acute Care Hospital Orange 2011-09-28 00:00:00 060008598 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2011-03-18 08:00:00 2011-03-18 08:00:00 No 2011-10-19 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 2PIL11 N CA00265360 B SFY2011-12
060000062 UCI HEALTH-PLACENTIA LINDA Non-LTC GACH General Acute Care Hospital Orange 2011-09-28 00:00:00 060008600 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2011-03-18 08:00:00 2011-03-18 08:00:00 No 2011-10-19 00:00:00 None FTR AE None 1600 1600 0 1600 0 None 2PIL11 N CA00265360 B SFY2011-12
060000062 UCI HEALTH-PLACENTIA LINDA Non-LTC GACH General Acute Care Hospital Orange 2011-09-28 00:00:00 060008604 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2011-03-18 00:00:00 2011-03-18 00:00:00 Yes 2013-02-26 00:00:00 2013-02-06 00:00:00 AP IJ AP IJ 50000 40000 0 40000 0 None 2PIL11 N CA00265360 B SFY2011-12
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-11-10 00:00:00 060008609 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-11-08 08:00:00 2010-11-08 08:00:00 No 2011-12-06 00:00:00 None FTR BR None 1600 1600 0 1600 0 None FE2311 None CA00266803 C SFY2011-12
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-11-10 00:00:00 060008610 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-11-08 08:00:00 2010-11-08 08:00:00 No 2011-12-06 00:00:00 None FTR BR None 1600 1600 0 1600 0 None FE2311 None CA00266803 C SFY2011-12
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-10-06 00:00:00 060008623 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-07-27 08:00:00 2010-07-27 08:00:00 No 2011-10-27 00:00:00 None FTR AE None 900 900 0 900 0 None YNHQ11 N CA00239463 B SFY2011-12
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2011-12-14 00:00:00 060008630 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-12-07 08:00:00 2010-12-07 08:00:00 No 2012-01-06 00:00:00 None FTR BR None 600 600 0 600 0 None 4IGU11 None CA00254322 E SFY2011-12
060000025 UCI HEALTH-LOS ALAMITOS Non-LTC GACH General Acute Care Hospital Orange 2011-10-24 00:00:00 060008648 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-03-01 08:00:00 2010-03-01 08:00:00 No 2011-11-15 00:00:00 None FTR AE None 2700 2700 0 2700 0 None V89P11 N CA00224443 B SFY2011-12
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2011-10-25 00:00:00 060008662 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-11-01 08:00:00 2010-11-01 08:00:00 No 2011-11-16 00:00:00 None FTR AE None 400 400 0 400 0 None TMYS11 N CA00253058 B SFY2011-12
060000007 CHILDREN'S HOSPITAL OF ORANGE COUNTY Non-LTC GACH General Acute Care Hospital Orange 2011-11-09 00:00:00 060008684 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-12-01 08:00:00 2010-12-01 08:00:00 No 2011-12-05 00:00:00 None FTR BR None 2600 2600 0 2600 0 None XHL311 None CA00254561 C SFY2011-12
060000007 CHILDREN'S HOSPITAL OF ORANGE COUNTY Non-LTC GACH General Acute Care Hospital Orange 2011-11-09 00:00:00 060008686 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-12-01 08:00:00 2010-12-01 08:00:00 No 2011-12-05 00:00:00 None FTR BR None 2600 2600 0 2600 0 None XHL311 None CA00254561 C SFY2011-12
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-11-08 00:00:00 060008691 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-06-22 08:00:00 2011-06-22 08:00:00 No 2011-12-02 00:00:00 None FTR BR None 200 200 0 200 0 None WT4Z11 None CA00235244 E SFY2011-12
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2011-11-10 00:00:00 060008695 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-06-21 08:00:00 2011-06-21 08:00:00 No 2011-12-06 00:00:00 None FTR BR None 100 100 0 100 0 None H7MV11 None CA00274699 E SFY2011-12
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2011-11-10 00:00:00 060008696 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-06-21 08:00:00 2011-06-21 08:00:00 No 2011-12-06 00:00:00 None FTR BR None 100 100 0 100 0 None H7MV11 None CA00274699 E SFY2011-12
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2011-12-14 00:00:00 060008700 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-12-07 08:00:00 2010-12-07 08:00:00 No 2012-01-06 00:00:00 None FTR BR None 300 300 0 300 0 None 4IGU11 None CA00254322 E SFY2011-12
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2011-11-08 00:00:00 060008719 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-03-17 08:00:00 2010-03-17 08:00:00 No 2011-12-02 00:00:00 None FTR BR None 500 500 0 500 0 None YX7M11 None CA00224919 C SFY2011-12
060000064 SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEMENTE Non-LTC GACH General Acute Care Hospital Orange 2011-11-29 00:00:00 060008769 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-09 19:34:00 2011-03-09 19:34:00 No 2011-12-20 00:00:00 None FTR BR None 400 400 0 400 0 None 8IGJ11 None CA00272297 E SFY2011-12
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-01-04 00:00:00 060008787 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-06-08 08:00:00 2011-06-08 08:00:00 No 2012-01-26 00:00:00 None FTR AE None 1800 1800 0 1800 0 None N4CC11 N CA00275345 B SFY2011-12
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-12-08 00:00:00 060008803 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-07-20 08:00:00 2011-07-20 08:00:00 No 2011-12-30 00:00:00 None FTR BR None 1300 1300 -325 975 0 None PUFG11 None CA00279077 E SFY2011-12
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-12-14 00:00:00 060008806 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-07-20 08:00:00 2011-07-20 08:00:00 No 2012-01-06 00:00:00 None FTR BR None 700 700 -175 525 0 None PUFG11 None CA00279077 E SFY2011-12
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-12-13 00:00:00 060008807 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-05-04 08:00:00 2010-05-04 08:00:00 No 2012-01-05 00:00:00 None FTR BR None 1700 1700 -425 1275 0 None 9EDI11 None CA00230853 C SFY2011-12
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2011-12-13 00:00:00 060008815 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-05-04 08:00:00 2010-05-04 08:00:00 No 2012-01-05 00:00:00 None FTR BR None 1700 1700 -425 1275 0 None 9EDI11 None CA00230853 C SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-01-23 00:00:00 060008858 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-12-09 08:00:00 2009-12-09 08:00:00 No 2012-02-13 00:00:00 None FTR BR None 400 400 0 400 0 None YX9B11 None CA00213007 E SFY2011-12
060000006 CHAPMAN GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-01-25 00:00:00 060008883 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2010-02-12 00:00:00 2010-02-12 00:00:00 Yes 2012-06-22 00:00:00 2012-06-08 00:00:00 AP IJ AP IJ 75000 45000 0 45000 0 None QI2411 N CA00219506 B SFY2011-12
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-01-25 00:00:00 060008885 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-06-17 00:00:00 2010-06-17 00:00:00 Yes 2012-09-20 00:00:00 2012-08-31 00:00:00 AP IJ AP IJ 100000 45000 0 45000 0 None WRJH11 N CA00242778 B SFY2011-12
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-02-28 00:00:00 060008907 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-06-23 08:00:00 2010-06-23 08:00:00 No 2012-03-20 00:00:00 None FTR BR None 8900 8900 -2225 6675 0 None 79S911 None CA00245079 E SFY2011-12
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-02-27 00:00:00 060008911 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-06-23 08:00:00 2010-06-23 08:00:00 No 2012-03-19 00:00:00 None FTR BR None 11900 11900 -2975 8925 0 None 79S911 None CA00245079 E SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-01-30 00:00:00 060008927 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-10-11 08:00:00 2010-10-11 08:00:00 No 2012-02-21 00:00:00 None FTR BR None 100 100 0 100 0 None GDDR11 None CA00246652 E SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-01-25 00:00:00 060008943 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-12-29 08:00:00 2010-12-29 08:00:00 No 2012-02-15 00:00:00 None FTR BR None 100 100 0 100 0 None 4MP811 None CA00255368 E SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-01-25 00:00:00 060008951 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-12-29 08:00:00 2010-12-29 08:00:00 No 2012-02-15 00:00:00 None FTR BR None 1200 1200 0 1200 0 None 4MP811 None CA00255368 E SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-01-30 00:00:00 060008958 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-09-19 08:00:00 2010-09-19 08:00:00 No 2012-02-21 00:00:00 None FTR BR None 300 300 0 300 0 None 2E2O11 None CA00244396 C SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-02-24 00:00:00 060008959 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-10-22 08:00:00 2010-10-22 08:00:00 No 2012-03-16 00:00:00 None FTR BR None 1100 1100 -275 825 0 None RH2911 None CA00252976 E SFY2011-12
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-02-03 00:00:00 060008962 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-07-20 08:00:00 2010-07-20 08:00:00 No 2012-02-27 00:00:00 None FTR AE None 500 500 0 500 0 None F8TP11 N None None SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-02-14 00:00:00 060008975 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-06-24 08:00:00 2010-06-24 08:00:00 No 2012-03-07 00:00:00 None FTR BR None 500 500 -125 375 0 None ET3Z11 None CA00235269 D SFY2011-12
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2012-02-17 00:00:00 060008984 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-10-07 08:00:00 2009-10-07 08:00:00 No 2012-03-12 00:00:00 None FTR AE None 4500 4500 0 4500 0 None L7JO11 N CA00211320 B SFY2011-12
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2012-02-17 00:00:00 060008990 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-09-19 08:00:00 2011-09-19 08:00:00 No 2012-03-12 00:00:00 None FTR AE None 6600 6600 0 6600 0 None DKUC11 N CA00285225 B SFY2011-12
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-08 00:00:00 060009050 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-08-04 08:00:00 2011-08-04 08:00:00 No 2012-03-29 00:00:00 None FTR BR None 1100 1100 -275 825 0 None YLJP11 None CA00283579 E SFY2011-12
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-08 00:00:00 060009051 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-08-04 08:00:00 2011-08-04 08:00:00 No 2012-03-29 00:00:00 None FTR BR None 800 800 -200 600 0 None YLJP11 None CA00283579 E SFY2011-12
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-14 00:00:00 060009067 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-04-04 08:00:00 2011-04-04 08:00:00 No 2012-04-04 00:00:00 None FTR BR None 300 300 0 300 0 None 08O111 None CA00267219 C SFY2011-12
060000074 ANAHEIM GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-14 00:00:00 060009074 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-09-20 08:00:00 2010-09-20 08:00:00 No 2012-04-04 00:00:00 None FTR BR None 700 700 -175 525 0 None GX7I11 None CA00245783 E SFY2011-12
060000074 ANAHEIM GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-14 00:00:00 060009077 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-09-20 08:00:00 2010-09-20 08:00:00 No 2012-04-04 00:00:00 None FTR BR None 700 700 -175 525 0 None GX7I11 None CA00245783 E SFY2011-12
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-21 00:00:00 060009079 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-11-05 08:00:00 2010-11-05 08:00:00 No 2012-04-11 00:00:00 None FTR BR None 300 300 -225 75 0 None QW2O11 None CA00253118 E SFY2011-12
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-15 00:00:00 060009083 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-18 08:00:00 2011-03-18 08:00:00 No 2012-04-05 00:00:00 None FTR BR None 3500 3500 -875 2625 0 None V82Y11 None CA00265313 E SFY2011-12
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-15 00:00:00 060009091 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-18 08:00:00 2011-03-18 08:00:00 No 2012-04-05 00:00:00 None FTR BR None 600 600 -150 450 0 None V82Y11 None CA00265313 E SFY2011-12
060000018 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW Non-LTC GACH General Acute Care Hospital Orange 2012-03-22 00:00:00 060009105 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-03-04 08:00:00 2009-03-04 08:00:00 No 2012-04-12 00:00:00 None FTR AE None 4500 4500 0 4500 0 None BEMU11 N CA00195103 C SFY2011-12
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-19 00:00:00 060009107 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-29 08:00:00 2011-03-29 08:00:00 No 2012-04-09 00:00:00 None FTR BR None 700 700 -175 525 0 None 147Y11 None CA00266506 E SFY2011-12
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-19 00:00:00 060009108 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-29 08:00:00 2011-03-29 08:00:00 No 2012-04-09 00:00:00 None FTR BR None 700 700 -175 525 0 None 147Y11 None CA00266506 E SFY2011-12
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2012-03-14 00:00:00 060009125 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-07-19 00:00:00 2008-07-19 00:00:00 Yes 2012-09-20 00:00:00 2012-08-31 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None FC6Q11 N CA00186021 C SFY2011-12
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-22 00:00:00 060009143 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-15 11:23:00 2011-03-15 11:23:00 No 2012-04-12 00:00:00 None FTR BR None 200 200 -50 150 0 None 313P11 None CA00264790 E SFY2011-12
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-22 00:00:00 060009145 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-15 11:23:00 2011-03-15 11:23:00 No 2012-04-12 00:00:00 None FTR BR None 200 200 -50 150 0 None 313P11 None CA00264790 E SFY2011-12
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-04-09 00:00:00 060009150 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-05-16 08:00:00 2011-05-16 08:00:00 No 2012-04-30 00:00:00 None FTR BR None 400 400 -100 300 0 None QER011 None CA00272511 E SFY2011-12
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-04-09 00:00:00 060009158 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-05-16 08:00:00 2011-05-16 08:00:00 No 2012-04-30 00:00:00 None FTR BR None 600 600 -150 450 0 None 30OW11 None CA00272511 E SFY2011-12
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-22 00:00:00 060009167 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-03-18 08:00:00 2011-03-18 08:00:00 No 2012-04-12 00:00:00 None FTR AE None 600 600 0 600 0 None LD9211 N CA00264318 B SFY2011-12
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-03-22 00:00:00 060009173 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-02-03 08:00:00 2011-02-03 08:00:00 No 2012-04-12 00:00:00 None FTR AE None 5400 5400 0 5400 0 None TEFX11 N CA00266505 B SFY2011-12
060000008 COLLEGE HOSPITAL COSTA MESA Non-LTC GACH General Acute Care Hospital Orange 2012-03-26 00:00:00 060009185 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2009-11-25 00:00:00 2009-11-25 00:00:00 No 2012-11-02 00:00:00 None AP IJ None 50000 50000 0 50000 0 None IHGI11 N CA00211991 A SFY2011-12
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2012-04-09 00:00:00 060009199 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-01-04 08:00:00 2011-01-04 08:00:00 No 2012-04-30 00:00:00 None FTR AE None 1100 1100 0 1100 0 None B5OE11 N CA00257273 B SFY2011-12
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-04-09 00:00:00 060009203 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-01-22 08:00:00 2011-01-22 08:00:00 No 2012-04-30 00:00:00 None FTR BR None 1300 1300 -325 975 0 None QMIL11 None CA00258765 D SFY2011-12
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-05-07 00:00:00 060009204 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-01-28 08:00:00 2011-01-28 08:00:00 No 2013-05-29 00:00:00 None FTR AE None 5200 5200 0 5200 0 None XLER11 N CA00264897 B SFY2012-13
060000018 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW Non-LTC GACH General Acute Care Hospital Orange 2012-04-13 00:00:00 060009229 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-04-12 08:00:00 2011-04-12 08:00:00 No 2012-05-04 00:00:00 None FTR AE None 500 500 0 500 0 None GBQM11 N CA00269168 B SFY2011-12
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-06-14 00:00:00 060009249 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-07-13 00:00:00 2010-07-13 00:00:00 No 2012-07-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None DLGF11 N CA00242591 B SFY2011-12
060000074 ANAHEIM GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-06-14 00:00:00 060009316 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2010-05-16 00:00:00 2010-05-16 00:00:00 No 2013-05-07 00:00:00 None AP IJ None 50000 50000 0 50000 0 None RZHU11 Y CA00237384 B SFY2011-12
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2012-06-14 00:00:00 060009347 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2010-10-27 00:00:00 2010-10-27 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 100000 100000 0 100000 0 None NDLF11 N CA00253352 B SFY2011-12
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2012-06-14 00:00:00 060009348 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2012-02-07 00:00:00 2012-02-07 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 4PPX11 N CA00300836 B SFY2011-12
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2012-07-27 00:00:00 060009422 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-09-27 00:00:00 2010-09-27 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 100000 100000 0 100000 0 None CEVI11 N CA00245251 B SFY2012-13
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-02-25 00:00:00 060009755 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-09-07 00:00:00 2012-09-07 00:00:00 No 2015-06-03 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None 4WSM11 None CA00326686 B SFY2012-13
060000062 UCI HEALTH-PLACENTIA LINDA Non-LTC GACH General Acute Care Hospital Orange 2013-07-29 00:00:00 060010029 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-01-19 00:00:00 2011-01-19 00:00:00 No 2013-08-19 00:00:00 None FTR AE None 4900 4900 0 4900 0 None MGPW11 N CA00264160 B SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-07-29 00:00:00 060010037 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2010-03-14 00:00:00 2010-03-14 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 100000 100000 0 100000 0 None Y2D211 N CA00222416, CA00225807 B, B SFY2013-14
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2013-07-29 00:00:00 060010038 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-03-18 00:00:00 2011-03-18 00:00:00 No 2013-08-19 00:00:00 None FTR AE None 4500 4500 0 4500 0 None NFVC11 N CA00264197 B SFY2013-14
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2013-07-29 00:00:00 060010039 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-03-06 00:00:00 2011-03-06 00:00:00 Yes 2013-11-14 00:00:00 2013-11-01 00:00:00 AP IJ AP IJ 100000 66150 0 66150 0 None W7TU11 N CA00263331 B SFY2013-14
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-07-29 00:00:00 060010040 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2011-08-05 00:00:00 2011-08-05 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 50000 50000 0 50000 0 None Y0U911 N CA00282925 B SFY2013-14
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2013-07-29 00:00:00 060010041 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-07-29 00:00:00 2011-07-29 00:00:00 No 2013-08-19 00:00:00 None FTR AE None 800 800 0 800 0 None G74Y11 N CA00280522 B SFY2013-14
060000025 UCI HEALTH-LOS ALAMITOS Non-LTC GACH General Acute Care Hospital Orange 2013-08-02 00:00:00 060010050 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-01-30 00:00:00 2012-01-30 00:00:00 No 2013-08-23 00:00:00 None FTR AE None 7900 7900 0 7900 0 None 9CBS11 N CA00318865 B SFY2013-14
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2013-08-02 00:00:00 060010051 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-04-17 00:00:00 2012-04-17 00:00:00 No 2013-08-23 00:00:00 None FTR AE None 300 300 0 300 0 None U54211 N CA00319238 B SFY2013-14
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2013-09-12 00:00:00 060010139 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-12-31 00:00:00 2012-12-31 00:00:00 No 2013-10-03 00:00:00 None FTR AE None 900 900 0 900 0 None O1KI11 N CA00345331 B SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-09-12 00:00:00 060010140 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-02-18 00:00:00 2011-02-18 00:00:00 No 2013-10-03 00:00:00 None FTR RES None 1800 1800 0 1800 0 None IY1L11 None CA00261815 D SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-09-12 00:00:00 060010142 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2011-05-25 00:00:00 2011-05-25 00:00:00 No 2013-10-03 00:00:00 None FTR RES None 800 800 0 800 0 None D2W911 None CA00272500 E SFY2013-14
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-09-23 00:00:00 060010154 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-08-17 00:00:00 2011-08-17 00:00:00 No 2013-10-14 00:00:00 None FTR BR None 700 700 -175 525 0 None LRVV11 None CA00283752 D SFY2013-14
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-09-24 00:00:00 060010157 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-08-17 00:00:00 2011-08-17 00:00:00 No 2013-10-15 00:00:00 None FTR RES None 700 700 -175 525 0 None LRVV11 None CA00283752 D SFY2013-14
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-09-24 00:00:00 060010158 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-08-24 00:00:00 2011-08-24 00:00:00 No 2013-10-15 00:00:00 None FTR RES None 500 500 -125 375 0 None VU5Z11 None CA00283910 E SFY2013-14
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-09-24 00:00:00 060010159 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-08-24 00:00:00 2011-08-24 00:00:00 No 2013-10-15 00:00:00 None FTR BR None 500 500 -125 375 0 None VU5Z11 None CA00283910 E SFY2013-14
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-10-07 00:00:00 060010180 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2012-02-08 00:00:00 2012-02-08 00:00:00 Yes 2014-02-21 00:00:00 2017-12-08 00:00:00 AP IJ AP IJ 50000 50000 0 50000 0 None 7RCT11 Y CA00340189 C SFY2013-14
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2013-10-07 00:00:00 060010184 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-11-05 00:00:00 2011-11-05 00:00:00 Yes 2014-02-21 00:00:00 2014-02-10 00:00:00 AP IJ AP IJ 50000 37000 0 37000 0 None LQXV11 Y CA00292251 A SFY2013-14
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2013-10-07 00:00:00 060010186 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE14 - Maternal death/disab due to labor/del/post None 2012-06-30 00:00:00 2012-06-30 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 50000 50000 0 50000 0 None OT9X11 Y CA00317257 B SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-10-16 00:00:00 060010207 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2013-02-09 00:00:00 2013-02-09 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 7WFH11 N CA00354600 C SFY2013-14
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-10-16 00:00:00 060010210 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2011-07-25 00:00:00 2011-07-25 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 75000 75000 0 75000 0 None BIJ611 N CA00277868 B SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-10-28 00:00:00 060010238 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-07-29 00:00:00 2012-07-29 00:00:00 No 2013-11-19 00:00:00 None FTR RES None 1700 1700 -425 1275 0 None RZUD11 None CA00343513 E SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-10-28 00:00:00 060010239 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-07-29 00:00:00 2012-07-29 00:00:00 No 2013-11-19 00:00:00 None FTR RES None 1300 1300 -325 975 0 None O55Y11 None CA00343531 E SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2013-10-28 00:00:00 060010240 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-07-30 00:00:00 2012-07-30 00:00:00 No 2013-11-19 00:00:00 None FTR RES None 1300 1300 -325 975 0 None SZ4W11 None CA00343532 E SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-01-09 00:00:00 060010365 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-08-07 00:00:00 2011-08-07 00:00:00 No 2014-01-31 00:00:00 None FTR BR None 900 900 -225 675 0 None YGOO11 None CA00338683 E SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-01-09 00:00:00 060010366 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-08-03 00:00:00 2011-08-03 00:00:00 No 2014-01-31 00:00:00 None FTR BR None 1200 1200 -300 900 0 None 4KZ211 None CA00283784 E SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-01-09 00:00:00 060010367 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-04-07 00:00:00 2011-04-07 00:00:00 No 2014-01-31 00:00:00 None FTR RES None 1400 1400 -350 1050 0 None GQ0M11 None CA00268019 E SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-01-09 00:00:00 060010368 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-11-20 00:00:00 2011-11-20 00:00:00 No 2014-01-31 00:00:00 None FTR RES None 700 700 -175 525 0 None 2F9V11 None CA00338661 E SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-01-09 00:00:00 060010369 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-11-20 00:00:00 2011-11-20 00:00:00 No 2014-01-31 00:00:00 None FTR BR None 700 700 -175 525 0 None 2F9V11 None CA00338661 E SFY2013-14
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-01-27 00:00:00 060010400 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-08-22 00:00:00 2012-08-22 00:00:00 No 2014-02-18 00:00:00 None FTR RES None 2800 2800 -700 2100 0 None YZ0P11 None CA00344363 E SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-02-04 00:00:00 060010425 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-05-15 00:00:00 2011-05-15 00:00:00 No 2014-02-26 00:00:00 None FTR BR None 800 800 -200 600 0 None PR3G11 None CA00372627 E SFY2013-14
060000062 UCI HEALTH-PLACENTIA LINDA Non-LTC GACH General Acute Care Hospital Orange 2014-02-04 00:00:00 060010426 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-08-02 00:00:00 2011-08-02 00:00:00 No 2014-02-26 00:00:00 None FTR RES None 1000 1000 -250 750 0 None BT4911 None CA00283052 D SFY2013-14
060000062 UCI HEALTH-PLACENTIA LINDA Non-LTC GACH General Acute Care Hospital Orange 2014-02-04 00:00:00 060010427 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-08-02 00:00:00 2011-08-02 00:00:00 No 2014-02-26 00:00:00 None FTR BR None 1000 1000 -250 750 0 None BT4911 None CA00283052 D SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-02-04 00:00:00 060010428 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-07-09 00:00:00 2012-07-09 00:00:00 No 2014-02-26 00:00:00 None FTR RES None 3900 3900 -975 2925 0 None G1ES11 None CA00343500 E SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-02-04 00:00:00 060010429 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-07-09 00:00:00 2012-07-09 00:00:00 No 2014-02-26 00:00:00 None FTR BR None 1500 1500 -375 1125 0 None G1ES11 None CA00343500 E SFY2013-14
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2014-02-18 00:00:00 060010460 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-05-22 00:00:00 2012-05-22 00:00:00 No 2014-03-11 00:00:00 None FTR RES None 1400 1400 -350 1050 0 None BJSC11 None CA00362508 E SFY2013-14
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2014-02-18 00:00:00 060010461 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-05-22 00:00:00 2012-05-22 00:00:00 No 2014-03-11 00:00:00 None FTR BR None 1900 1900 -475 1425 0 None BJSC11 None CA00362508 E SFY2013-14
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2014-02-18 00:00:00 060010462 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-04-29 00:00:00 2012-04-29 00:00:00 No 2014-03-11 00:00:00 None FTR RES None 7000 7000 -1750 5250 0 None 74LE11 None CA00362512 E SFY2013-14
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2014-02-18 00:00:00 060010463 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-04-29 00:00:00 2012-04-29 00:00:00 No 2014-03-11 00:00:00 None FTR BR None 7300 7300 -1825 5475 0 None 74LE11 None CA00362512 E SFY2013-14
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2014-02-18 00:00:00 060010464 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-05-11 00:00:00 2012-05-11 00:00:00 No 2014-03-11 00:00:00 None FTR RES None 700 700 -175 525 0 None C8LP11 None CA00362505 E SFY2013-14
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2014-02-18 00:00:00 060010465 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-05-11 00:00:00 2012-05-11 00:00:00 No 2014-03-11 00:00:00 None FTR BR None 1100 1100 -275 825 0 None C8LP11 None CA00362505 E SFY2013-14
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2014-02-28 00:00:00 060010508 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2012-10-03 00:00:00 2012-10-03 00:00:00 No 2014-03-21 00:00:00 None FTR BR None 500 500 0 500 0 None MUCW11 None CA00330794 D SFY2013-14
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2014-02-28 00:00:00 060010509 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-09-27 00:00:00 2012-09-27 00:00:00 No 2014-03-21 00:00:00 None FTR RES None 500 500 -125 375 0 None 9GNW11 None CA00331265 C SFY2013-14
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2014-02-28 00:00:00 060010510 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-09-27 00:00:00 2012-09-27 00:00:00 No 2014-03-21 00:00:00 None FTR BR None 500 500 -125 375 0 None 9GNW11 None CA00331265 C SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-03-11 00:00:00 060010529 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-07-22 00:00:00 2012-07-22 00:00:00 No 2014-04-02 00:00:00 None FTR RES None 2300 2300 -575 1725 0 None GRNH11 None CA00343503 E SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-03-11 00:00:00 060010530 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-07-22 00:00:00 2012-07-22 00:00:00 No 2014-04-02 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None GRNH11 None CA00343503 E SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-03-11 00:00:00 060010534 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-08-09 00:00:00 2011-08-09 00:00:00 No 2014-04-02 00:00:00 None FTR RES None 600 600 -150 450 0 None IUDR11 None CA00283560 E SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-03-11 00:00:00 060010535 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-08-09 00:00:00 2011-08-09 00:00:00 No 2014-04-02 00:00:00 None FTR BR None 700 700 -175 525 0 None IUDR11 None CA00283560 E SFY2013-14
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-03-11 00:00:00 060010536 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-07-27 00:00:00 2012-07-27 00:00:00 No 2014-04-02 00:00:00 None FTR RES None 1900 1900 -475 1425 0 None QWVZ11 None CA00343510 E SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-04-03 00:00:00 060010586 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-01 00:00:00 2013-04-01 00:00:00 No 2014-04-24 00:00:00 None FTR RES None 1500 1500 0 1500 0 None WMQG11 None CA00359972 E SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-04-03 00:00:00 060010588 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-01 00:00:00 2013-04-01 00:00:00 No 2014-04-24 00:00:00 None FTR BR None 1900 1900 0 1900 0 None WMQG11 None CA00359972 E SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-04-03 00:00:00 060010589 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-03-06 00:00:00 2013-03-06 00:00:00 No 2014-04-24 00:00:00 None FTR RES None 1700 1700 0 1700 0 None 9T2T11 None CA00359906 E SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-04-03 00:00:00 060010590 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-03-16 00:00:00 2013-03-16 00:00:00 No 2014-04-24 00:00:00 None FTR BR None 2100 2100 0 2100 0 None 9T2T11 None CA00359906 E SFY2013-14
060000018 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW Non-LTC GACH General Acute Care Hospital Orange 2014-04-02 00:00:00 060010595 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-08-03 00:00:00 2010-08-03 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 50000 50000 0 50000 0 None E6TS11 N CA00239949 D SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-04-17 00:00:00 060010635 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-18 00:00:00 2013-04-18 00:00:00 No 2014-05-08 00:00:00 None FTR RES None 600 600 0 600 0 None QOJ911 None CA00360486 E SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-04-17 00:00:00 060010636 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-18 00:00:00 2013-04-18 00:00:00 No 2014-05-08 00:00:00 None FTR BR None 600 600 0 600 0 None QOJ911 None CA00360486 E SFY2013-14
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-04-17 00:00:00 060010637 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-03-11 00:00:00 2011-03-11 00:00:00 No 2014-05-08 00:00:00 None FTR BR None 300 300 -75 225 0 None NCGY11 None CA00338597 E SFY2013-14
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-05-13 00:00:00 060010715 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2012-02-08 00:00:00 2012-02-08 00:00:00 Yes 2014-06-04 00:00:00 2014-05-22 00:00:00 FTR AE Dismissed by Court 30400 0 0 0 0 None 7RCT11 N CA00340189 C SFY2013-14
060000001 ANAHEIM COMMUNITY HOSPITAL, LLC Non-LTC GACH General Acute Care Hospital Orange 2014-05-15 00:00:00 060010724 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2012-11-22 00:00:00 2012-11-22 00:00:00 No 2014-06-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 386W11 N CA00334068 A SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-05-16 00:00:00 060010731 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-03-08 00:00:00 2013-03-08 00:00:00 No 2014-06-09 00:00:00 None FTR BR None 600 600 0 600 0 None 6M0J11 None CA00360731 E SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-05-16 00:00:00 060010732 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-24 00:00:00 2013-04-24 00:00:00 No 2014-06-09 00:00:00 None FTR RES None 200 200 0 200 0 None QPOM11 None CA00360645 E SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-05-16 00:00:00 060010733 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-24 00:00:00 2013-04-24 00:00:00 No 2014-06-09 00:00:00 None FTR BR None 100 100 0 100 0 None QPOM11 None CA00360645 E SFY2013-14
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-07-02 00:00:00 060010841 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-05 00:00:00 2013-04-05 00:00:00 No 2014-07-24 00:00:00 None FTR RES None 1400 1400 -350 1050 0 None XJ7D11 None CA00360015 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-07-02 00:00:00 060010842 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-05 00:00:00 2013-04-05 00:00:00 No 2014-07-24 00:00:00 None FTR BR None 1800 1800 -450 1350 0 None XJ7D11 None CA00360015 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-07-02 00:00:00 060010843 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-04 00:00:00 2013-04-04 00:00:00 No 2014-07-24 00:00:00 None FTR RES None 1500 1500 -375 1125 0 None JWKM11 None CA00360007 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-07-02 00:00:00 060010845 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-04 00:00:00 2013-04-04 00:00:00 No 2014-07-24 00:00:00 None FTR BR None 1900 1900 -475 1425 0 None JWKM11 None CA00360007 E SFY2014-15
630012891 HOAG ORTHOPEDIC INSTITUTE Non-LTC GACH General Acute Care Hospital Orange 2014-07-29 00:00:00 060010890 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-09-27 00:00:00 2012-09-27 00:00:00 No 2014-08-19 00:00:00 None FTR BR None 1100 1100 0 1100 0 None 8JV411 None CA00401968 E SFY2014-15
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-07-29 00:00:00 060010892 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-12-02 00:00:00 2011-12-02 00:00:00 No 2014-08-19 00:00:00 None FTR RES None 700 700 -175 525 0 None UPEL11 None CA00307454 C SFY2014-15
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-07-29 00:00:00 060010893 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-12-02 00:00:00 2011-12-02 00:00:00 No 2014-08-19 00:00:00 None FTR BR None 1200 1200 -300 900 0 None UPEL11 None CA00307454 C SFY2014-15
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-07-30 00:00:00 060010897 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2012-03-20 00:00:00 2012-03-20 00:00:00 No 2014-08-20 00:00:00 None FTR AE None 15800 15800 0 15800 0 None YB4T11 N CA00324530 B SFY2014-15
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-07-30 00:00:00 060010898 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2012-05-22 00:00:00 2012-05-22 00:00:00 No 2014-08-20 00:00:00 None FTR AE None 9600 9600 0 9600 0 None HPDH11 N CA00324733 B SFY2014-15
060000018 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW Non-LTC GACH General Acute Care Hospital Orange 2014-08-07 00:00:00 060010916 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-09-24 00:00:00 2013-09-24 00:00:00 No 2014-08-28 00:00:00 None FTR RES None 5400 5400 0 5400 0 None FF5611 None CA00378499 B SFY2014-15
060000018 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW Non-LTC GACH General Acute Care Hospital Orange 2014-08-07 00:00:00 060010917 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-09-24 00:00:00 2013-09-24 00:00:00 No 2014-08-28 00:00:00 None FTR BR None 5100 5100 0 5100 0 None FF5611 None CA00378499 B SFY2014-15
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2014-08-07 00:00:00 060010918 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-03-14 00:00:00 2014-03-14 00:00:00 No 2014-08-28 00:00:00 None FTR RES None 600 600 0 600 0 None SIPN11 None CA00396348 E SFY2014-15
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2014-08-21 00:00:00 060010947 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-02-20 00:00:00 2013-02-20 00:00:00 No 2014-09-12 00:00:00 None FTR AE None 1200 1200 0 1200 0 None OFRS11 N CA00351485 D SFY2014-15
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-08-21 00:00:00 060010953 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-06-14 00:00:00 2013-06-14 00:00:00 No 2014-09-12 00:00:00 None FTR AE None 2500 2500 0 2500 0 None KV3R11 N CA00362906 D SFY2014-15
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-10-24 00:00:00 060011024 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-12-08 00:00:00 2011-12-08 00:00:00 No 2014-11-17 00:00:00 None FTR BR None 1700 1700 -425 1275 0 None 9T2P11 None CA00409234 E SFY2014-15
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-10-24 00:00:00 060011025 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-12-08 00:00:00 2011-12-08 00:00:00 No 2014-11-17 00:00:00 None FTR RES None 1500 1500 -375 1125 0 None 9T2P11 None CA00409234 E SFY2014-15
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-10-24 00:00:00 060011026 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-07-14 00:00:00 2011-07-14 00:00:00 No 2014-11-17 00:00:00 None FTR BR None 1100 1100 -275 825 0 None 141Z11 None CA00279028 E SFY2014-15
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2014-10-24 00:00:00 060011036 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-03-24 00:00:00 2014-03-24 00:00:00 No 2014-11-17 00:00:00 None FTR AE None 4400 4400 0 4400 0 None 0Y0X11 N CA00399078 D SFY2014-15
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-10-30 00:00:00 060011097 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-02-06 00:00:00 2012-02-06 00:00:00 No 2014-11-21 00:00:00 None FTR AE None 200 200 0 200 0 None 72X311 N CA00301485 B SFY2014-15
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-10-30 00:00:00 060011098 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-04-08 00:00:00 2013-04-08 00:00:00 No 2014-11-21 00:00:00 None FTR AE None 2300 2300 0 2300 0 None 8VY511 N CA00354578 C SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-11-06 00:00:00 060011109 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-06-09 00:00:00 2012-06-09 00:00:00 No 2014-12-02 00:00:00 None FTR BR None 1300 1300 0 1300 0 None 444O11 None CA00372078 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-11-06 00:00:00 060011110 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-25 00:00:00 2013-04-25 00:00:00 No 2014-12-02 00:00:00 None FTR BR None 500 500 0 500 0 None SPW411 None CA00360716 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-03-27 00:00:00 060011111 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-23 00:00:00 2013-04-23 00:00:00 No 2015-04-20 00:00:00 None FTR RES None 300 300 -75 225 0 None MJD511 None CA00360642 E SFY2014-15
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2014-11-06 00:00:00 060011112 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-04-15 00:00:00 2013-04-15 00:00:00 No 2014-12-02 00:00:00 None FTR AE None 800 800 0 800 0 None PUFY11 N CA00354480 D SFY2014-15
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2014-12-23 00:00:00 060011199 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2012-08-29 00:00:00 2012-08-29 00:00:00 No 2015-06-09 00:00:00 None AP IJ None 75000 75000 0 75000 0 None DDWG11 N CA00325325 B SFY2014-15
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-02-04 00:00:00 060011253 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-10-30 00:00:00 2012-10-30 00:00:00 No 2015-02-26 00:00:00 None FTR AE None 400 400 0 400 0 None ONS511 N CA00336999 B SFY2014-15
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2015-02-04 00:00:00 060011254 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2014-03-05 00:00:00 2014-03-05 00:00:00 No 2015-02-26 00:00:00 None FTR AE None 300 300 0 300 0 None Z8GT11 N CA00392024 B SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-03-27 00:00:00 060011352 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-23 00:00:00 2013-04-23 00:00:00 No 2015-04-20 00:00:00 None FTR BR None 200 200 -50 150 0 None MJD511 None CA00360642 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-03-27 00:00:00 060011353 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-11 00:00:00 2013-04-11 00:00:00 No 2015-04-20 00:00:00 None FTR RES None 800 800 -200 600 0 None E1OU11 None CA00360053 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-03-27 00:00:00 060011354 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-11 00:00:00 2013-04-11 00:00:00 No 2015-04-20 00:00:00 None FTR BR None 1200 1200 -300 900 0 None E1OU11 None CA00360053 E SFY2014-15
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-03-30 00:00:00 060011363 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-11-13 00:00:00 2011-11-13 00:00:00 No 2015-04-21 00:00:00 None FTR BR None 2600 2600 -650 1950 0 None S38N11 None CA00412403 E SFY2014-15
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-03-30 00:00:00 060011364 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-07-02 00:00:00 2012-07-02 00:00:00 No 2015-04-21 00:00:00 None FTR BR None 600 600 -150 450 0 None CJR111 None CA00412438 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-04-15 00:00:00 060011392 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-18 00:00:00 2013-04-18 00:00:00 No 2015-05-06 00:00:00 None FTR RES None 500 500 -125 375 0 None S9O411 None CA00360491 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-04-15 00:00:00 060011393 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-18 00:00:00 2013-04-18 00:00:00 No 2015-05-06 00:00:00 None FTR BR None 600 600 -150 450 0 None S9O411 None CA00360491 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-04-15 00:00:00 060011394 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-20 00:00:00 2013-04-20 00:00:00 No 2015-05-06 00:00:00 None FTR RES None 700 700 -175 525 0 None ABUQ11 None CA00360529 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-04-15 00:00:00 060011397 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-20 00:00:00 2013-04-20 00:00:00 No 2015-05-06 00:00:00 None FTR BR None 1100 1100 -275 825 0 None ABUQ11 None CA00360529 E SFY2014-15
060001097 ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN Non-LTC GACH General Acute Care Hospital Orange 2015-05-14 00:00:00 060011472 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-07-01 00:00:00 2014-07-01 00:00:00 No 2015-06-05 00:00:00 None FTR AE None 4500 4500 0 4500 0 None PSSO11 N CA00405723 D SFY2014-15
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-06-15 00:00:00 060011544 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2014-04-30 00:00:00 2014-04-30 00:00:00 No 2015-07-09 00:00:00 None AP NON-IJ None 12375 12375 0 12375 0 None X7Z911 N CA00398477 B SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-06-15 00:00:00 060011559 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-17 00:00:00 2013-04-17 00:00:00 No 2015-07-06 00:00:00 None FTR RES None 500 500 -125 375 0 None 2L2111 None CA00360071 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-06-15 00:00:00 060011560 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-17 00:00:00 2013-04-17 00:00:00 No 2015-07-06 00:00:00 None FTR BR None 600 600 -150 450 0 None 2L2111 None CA00360071 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-06-15 00:00:00 060011561 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-19 00:00:00 2013-04-19 00:00:00 No 2015-07-06 00:00:00 None FTR RES None 700 700 -175 525 0 None 227E11 None CA00360524 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-06-15 00:00:00 060011562 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-19 00:00:00 2013-04-19 00:00:00 No 2015-07-06 00:00:00 None FTR BR None 1000 1000 -250 750 0 None 227E11 None CA00360524 E SFY2014-15
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-09 00:00:00 060011601 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-05-05 00:00:00 2014-05-05 00:00:00 No 2015-07-31 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None 1ZIO11 N CA00403058 B SFY2015-16
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-09 00:00:00 060011602 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2014-04-30 00:00:00 2014-04-30 00:00:00 No 2015-07-30 00:00:00 None FTR AE None 7900 7900 0 7900 0 None 1ZIO11 N CA00403058 B SFY2015-16
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-28 00:00:00 060011632 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2014-08-29 00:00:00 2014-08-29 00:00:00 No 2015-08-18 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None 6YQT11 N CA00411125 B SFY2015-16
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-27 00:00:00 060011634 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-16 00:00:00 2013-04-16 00:00:00 No 2015-08-17 00:00:00 None FTR RES None 600 600 -150 450 0 None 45IS11 None CA00360068 E SFY2015-16
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-28 00:00:00 060011635 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-16 00:00:00 2013-04-16 00:00:00 No 2015-08-18 00:00:00 None FTR BR None 700 700 -175 525 0 None 45IS11 None CA00360068 E SFY2015-16
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-27 00:00:00 060011636 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-17 00:00:00 2013-04-17 00:00:00 No 2015-08-17 00:00:00 None FTR RES None 900 900 0 900 0 None R6WS11 None CA00360070 E SFY2015-16
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-27 00:00:00 060011637 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-17 00:00:00 2013-04-17 00:00:00 No 2015-08-17 00:00:00 None FTR BR None 800 800 0 800 0 None R6WS11 None CA00360070 E SFY2015-16
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-28 00:00:00 060011639 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-07-28 00:00:00 2013-07-28 00:00:00 No 2015-08-18 00:00:00 None FTR RES None 300 300 -75 225 0 None T1RX11 None CA00412447 E SFY2015-16
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-07-28 00:00:00 060011640 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-07-28 00:00:00 2013-07-28 00:00:00 No 2015-08-18 00:00:00 None FTR BR None 300 300 -75 225 0 None T1RX11 None CA00412447 E SFY2015-16
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2015-08-31 00:00:00 060011697 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-06-10 00:00:00 2014-06-10 00:00:00 No 2015-09-22 00:00:00 None FTR AE None 500 500 0 500 0 None JRTP11 N CA00451495 D SFY2015-16
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-09-24 00:00:00 060011737 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-05-20 00:00:00 2014-05-20 00:00:00 No 2015-10-23 00:00:00 None AP NON-IJ None 14025 14025 0 14025 0 None K6FQ11 N CA00400688 B SFY2015-16
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2015-09-30 00:00:00 060011757 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2014-04-09 00:00:00 2014-04-09 00:00:00 No 2015-10-22 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None 8MVC11 N CA00395049 B SFY2015-16
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2015-09-30 00:00:00 060011759 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2014-05-25 00:00:00 2014-05-25 00:00:00 No 2015-10-22 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None SQ0R11 N CA00401179 B SFY2015-16
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-12-14 00:00:00 060011887 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2015-02-14 00:00:00 2015-02-14 00:00:00 No 2016-01-05 00:00:00 None AP IJ None 47025 47025 0 47025 0 None GPK911 N CA00431780 A SFY2015-16
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2015-12-17 00:00:00 060011900 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2014-01-13 00:00:00 2014-01-13 00:00:00 Yes 2016-01-11 00:00:00 2017-01-13 00:00:00 AP IJ AP IJ 50000 35000 0 35000 0 None 3YBR11 N CA00384317, CA00403027 B, B SFY2015-16
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2015-12-22 00:00:00 060011902 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2014-08-08 00:00:00 2014-08-08 00:00:00 No 2016-01-14 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None 5YS311 N CA00409856 B SFY2015-16
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2016-01-19 00:00:00 060011950 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2015-01-13 00:00:00 2015-01-13 00:00:00 No 2016-02-09 00:00:00 None AP IJ None 66000 66000 0 66000 0 None GG0911 N CA00427098 B SFY2015-16
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2016-02-10 00:00:00 060012002 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2014-11-30 00:00:00 2014-11-30 00:00:00 No 2016-03-03 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None 5LLV11 N CA00422873 B SFY2015-16
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-02-10 00:00:00 060012007 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-06-20 00:00:00 2011-06-20 00:00:00 No 2016-03-03 00:00:00 None AP BR None 18000 18000 0 18000 0 None 5CUM11 None CA00436907 C SFY2015-16
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-04-06 00:00:00 060012155 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2015-08-09 00:00:00 2015-08-09 00:00:00 No 2016-04-27 00:00:00 None FTR AE None 2900 2900 0 2900 0 None PJ6J11 N CA00457245 B SFY2015-16
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-06-29 00:00:00 060012362 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-04-30 00:00:00 2015-04-30 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 47025 47025 0 47025 0 None XXZ111 N CA00446587 B SFY2015-16
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-09-13 00:00:00 060012570 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-01-29 00:00:00 2016-01-29 00:00:00 No 2016-10-04 00:00:00 None FTR AE None 2100 2100 0 2100 0 None RRSB11 N CA00478684 B SFY2016-17
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-09-27 00:00:00 060012594 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2015-11-16 00:00:00 2015-11-16 00:00:00 No 2016-10-18 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None GS2D11 N CA00470648 B SFY2016-17
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-10-05 00:00:00 060012605 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-12-18 00:00:00 2015-12-18 00:00:00 No 2016-10-26 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None CULN11 N CA00470235 B SFY2016-17
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-10-06 00:00:00 060012622 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE14 - Maternal death/disab due to labor/del/post None 2014-03-09 00:00:00 2014-03-09 00:00:00 Yes 2017-05-11 00:00:00 2017-04-28 00:00:00 AP IJ AP IJ 75000 50000 0 50000 0 None QPYB11 Y CA00392062 B SFY2016-17
630013929 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Non-LTC GACH General Acute Care Hospital Orange 2016-10-17 00:00:00 060012639 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2014-01-20 00:00:00 2014-01-20 00:00:00 No 2016-11-07 00:00:00 None FTR RES None 3700 3700 -925 2775 0 None 62KL11 None CA00395101 C SFY2016-17
630013929 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Non-LTC GACH General Acute Care Hospital Orange 2016-10-17 00:00:00 060012646 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2014-01-20 00:00:00 2014-01-20 00:00:00 No 2016-11-07 00:00:00 None FTR BR None 3700 3700 -925 2775 0 None 62KL11 None CA00395101 C SFY2016-17
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2016-12-01 00:00:00 060012782 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-01-30 00:00:00 2016-01-30 00:00:00 No 2016-12-22 00:00:00 None FTR AE None 2800 2800 0 2800 0 None 6VLK11 N CA00479189 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-12-14 00:00:00 060012816 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2016-08-08 00:00:00 2016-08-08 00:00:00 No 2017-01-06 00:00:00 None FTR AE None 500 500 0 500 0 None YP7A11 N CA00499783 B SFY2016-17
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-12-22 00:00:00 060012833 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2016-04-19 00:00:00 2016-04-19 00:00:00 No 2017-01-17 00:00:00 None FTR BR None 300 300 0 300 0 None CPFY11 None CA00488802 B SFY2016-17
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2016-12-22 00:00:00 060012835 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach of IT system theft/loss of edevice/med rec None 2016-04-19 00:00:00 2016-04-19 00:00:00 No 2017-01-17 00:00:00 None FTR RES None 300 300 0 300 0 None CPFY11 None CA00488802 B SFY2016-17
060000016 WEST ANAHEIM MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-01-05 00:00:00 060012853 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-03-12 00:00:00 2016-03-12 00:00:00 No 2017-01-27 00:00:00 None FTR AE None 400 400 0 400 0 None BLK411 N CA00481246 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-01-11 00:00:00 060012875 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-11-16 00:00:00 2015-11-16 00:00:00 No 2017-02-02 00:00:00 None FTR AE None 34000 34000 0 34000 0 None G6CD11 N CA00508991 D SFY2016-17
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-02-10 00:00:00 060012957 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-11-16 00:00:00 2015-11-16 00:00:00 No 2017-03-06 00:00:00 None AP NON-IJ None 13387 13387 0 13387 0 None 23M211 N CA00466915 B SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-02-16 00:00:00 060012971 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-05-29 00:00:00 2015-05-29 00:00:00 No 2017-03-10 00:00:00 None FTR AE None 51300 51300 0 51300 0 None 8WLW11 N CA00509161 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-02-16 00:00:00 060012972 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-06-28 00:00:00 2016-06-28 00:00:00 No 2017-03-10 00:00:00 None FTR AE None 12100 12100 0 12100 0 None TMPI11 N CA00510426 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-02-16 00:00:00 060012973 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-12-14 00:00:00 2015-12-14 00:00:00 No 2017-03-10 00:00:00 None FTR AE None 31200 31200 0 31200 0 None 275M11 N CA00508986 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-04-10 00:00:00 060013090 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-11-17 00:00:00 2014-11-17 00:00:00 No 2017-05-01 00:00:00 None FTR AE None 73900 73900 0 73900 0 None 4MQD11 N CA00512772 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-04-10 00:00:00 060013103 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-11-10 00:00:00 2015-11-10 00:00:00 No 2017-05-01 00:00:00 None FTR AE None 38100 38100 0 38100 0 None 5MPH11 N CA00512788 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-04-10 00:00:00 060013104 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-01-26 00:00:00 2015-01-26 00:00:00 No 2017-05-01 00:00:00 None FTR AE None 66900 66900 0 66900 0 None CK6411 N CA00512780 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-04-10 00:00:00 060013105 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-04-24 00:00:00 2015-04-24 00:00:00 No 2017-05-01 00:00:00 None FTR AE None 58100 58100 0 58100 0 None VKDZ11 N CA00512783 D SFY2016-17
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-04-10 00:00:00 060013107 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-09-14 00:00:00 2016-09-14 00:00:00 No 2017-05-01 00:00:00 None FTR AE None 2300 2300 0 2300 0 None K9XV11 N CA00506906 D SFY2016-17
060000035 MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2017-08-03 00:00:00 060013359 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-11-29 00:00:00 2016-11-29 00:00:00 No 2017-08-24 00:00:00 None FTR AE None 1200 1200 0 1200 0 None ZPBD11 N CA00515390 D SFY2017-18
060000058 GARDEN GROVE HOSPITAL AND MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-07-27 00:00:00 060013360 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE14 - Maternal death/disab due to labor/del/post None 2016-01-05 00:00:00 2016-01-05 00:00:00 Yes 2017-08-17 00:00:00 2018-04-25 00:00:00 AP IJ AP IJ 100000 85000 0 85000 0 None 7PX111 Y CA00472561 B SFY2017-18
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2017-08-03 00:00:00 060013364 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2016-01-21 00:00:00 2016-01-21 00:00:00 No 2017-08-24 00:00:00 None FTR BR None 15900 15900 0 15900 0 None QPCX11 None CA00506303 D SFY2017-18
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2017-08-03 00:00:00 060013365 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2016-01-21 00:00:00 2016-01-21 00:00:00 No 2017-08-24 00:00:00 None FTR RES None 15800 15800 0 15800 0 None QPCX11 None CA00506303 D SFY2017-18
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-08-03 00:00:00 060013367 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-01-03 00:00:00 2017-01-03 00:00:00 No 2017-08-24 00:00:00 None FTR AE None 5300 5300 0 5300 0 None K96H11 N CA00520304 D SFY2017-18
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2017-07-27 00:00:00 060013368 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-04-18 00:00:00 2017-04-18 00:00:00 No 2017-08-17 00:00:00 None FTR AE None 800 800 0 800 0 None DZC511 N CA00533508 D SFY2017-18
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-08-22 00:00:00 060013437 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2015-09-11 00:00:00 2015-09-11 00:00:00 No 2017-09-13 00:00:00 None FTR RES None 2100 2100 0 2100 0 None RZMI11 None CA00543705 D SFY2017-18
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-08-22 00:00:00 060013439 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2015-09-11 00:00:00 2015-09-11 00:00:00 No 2017-09-13 00:00:00 None FTR BR None 2100 2100 0 2100 0 None RZMI11 None CA00543705 D SFY2017-18
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2017-08-22 00:00:00 060013442 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2016-09-14 00:00:00 2016-09-14 00:00:00 No 2017-09-13 00:00:00 None FTR RES None 900 900 0 900 0 None R4CB11 None CA00543793 D SFY2017-18
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2017-08-22 00:00:00 060013443 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2016-10-07 00:00:00 2016-10-07 00:00:00 No 2017-09-13 00:00:00 None FTR BR None 900 900 0 900 0 None Y26811 None CA00529710 D SFY2017-18
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2017-08-22 00:00:00 060013445 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2016-10-07 00:00:00 2016-10-07 00:00:00 No 2017-09-13 00:00:00 None FTR RES None 900 900 0 900 0 None Y26811 None CA00529710 D SFY2017-18
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-12-13 00:00:00 060013687 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-03-07 00:00:00 2017-03-07 00:00:00 No 2018-01-04 00:00:00 None FTR AE None 3300 3300 0 3300 0 None KGDY11 N CA00531803 D SFY2017-18
060000035 MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2018-01-04 00:00:00 060013710 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-06-20 00:00:00 2017-06-20 00:00:00 No 2018-01-25 00:00:00 None FTR AE None 500 500 0 500 0 None SKCI11 N CA00541956 B SFY2017-18
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-01-04 00:00:00 060013712 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-10-23 00:00:00 2017-10-23 00:00:00 No 2018-01-25 00:00:00 None FTR AE None 2400 2400 0 2400 0 None UF9711 N CA00558512 D SFY2017-18
060000002 AHMC ANAHEIM REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-01-10 00:00:00 060013718 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-03-16 00:00:00 2017-03-16 00:00:00 No 2018-02-06 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None SYOS11 N CA00529205 B SFY2017-18
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-01-18 00:00:00 060013744 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-06-06 00:00:00 2017-06-06 00:00:00 No 2018-02-12 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None 9V6211 N CA00542113 B SFY2017-18
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2017-12-01 00:00:00 060013801 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2017-02-08 00:00:00 2017-02-08 00:00:00 Yes 2018-10-01 00:00:00 2018-09-13 00:00:00 AP BR AP BR 250000 75000 0 75000 0 None 0J2711 None CA00525872 D SFY2017-18
060000013 FOOTHILL REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-03-14 00:00:00 060013901 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2016-03-13 00:00:00 2016-03-13 00:00:00 Yes 2018-04-06 00:00:00 2018-03-26 00:00:00 AP NON-IJ AP NON-IJ 13200 10000 0 10000 0 None G3OS11 N CA00480627, CA00480627, CA00480627 B, B, B SFY2017-18
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-04-16 00:00:00 060013994 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-12-01 00:00:00 2017-12-01 00:00:00 No 2018-05-07 00:00:00 None FTR AE None 900 900 0 900 0 None N1VG11 N CA00566496 D SFY2017-18
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-05-08 00:00:00 060014062 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2017-10-25 00:00:00 2017-10-25 00:00:00 No 2018-05-30 00:00:00 None FTR AE None 1700 1700 0 1700 0 None K55Y11 N CA00561405 B SFY2017-18
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2018-05-22 00:00:00 060014099 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-12-30 00:00:00 2017-12-30 00:00:00 No 2018-06-13 00:00:00 None FTR AE None 4100 4100 0 4100 0 None D19I11 N CA00574011 D SFY2017-18
630013929 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Non-LTC GACH General Acute Care Hospital Orange 2018-06-07 00:00:00 060014132 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2018-01-06 00:00:00 2018-01-06 00:00:00 No 2018-06-28 00:00:00 None FTR AE None 700 700 0 700 0 None MIXC11 Y CA00571227 B SFY2017-18
630013929 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Non-LTC GACH General Acute Care Hospital Orange 2018-06-07 00:00:00 060014133 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2018-01-06 00:00:00 2018-01-06 00:00:00 No 2018-12-28 00:00:00 None AP IJ None 75000 75000 0 75000 0 None MIXC11 Y CA00571227 B SFY2017-18
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2018-07-02 00:00:00 060014212 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-10-10 00:00:00 2017-10-10 00:00:00 No 2018-07-24 00:00:00 None FTR AE None 5100 5100 0 5100 0 None 1TZ511 N CA00563752 D SFY2018-19
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-08-01 00:00:00 060014289 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-12-10 00:00:00 2017-12-10 00:00:00 No 2018-08-22 00:00:00 None FTR AE None 600 600 0 600 0 None EOGW11 N CA00567481 D SFY2018-19
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2018-09-26 00:00:00 060014434 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-03-21 00:00:00 2018-03-21 00:00:00 No 2018-10-17 00:00:00 None FTR AE None 800 800 0 800 0 None FVZC11 N CA00581016 D SFY2018-19
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2018-09-27 00:00:00 060014437 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-07-10 00:00:00 2018-07-10 00:00:00 No 2018-10-18 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 6YU511 N CA00596917 D SFY2018-19
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-10-03 00:00:00 060014443 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2017-11-14 00:00:00 2017-11-14 00:00:00 No 2018-10-24 00:00:00 None FTR AE None 2300 2300 0 2300 0 None WQ3611 N CA00562668 B SFY2018-19
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-10-03 00:00:00 060014445 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2017-11-14 00:00:00 2017-11-14 00:00:00 No 2019-03-01 00:00:00 None AP IJ None 47025 47025 0 47025 0 None WQ3611 N CA00562668 B SFY2018-19
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2018-10-03 00:00:00 060014452 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-07-23 00:00:00 2017-07-23 00:00:00 No 2019-02-28 00:00:00 None AP IJ None 71250 71250 0 71250 0 None 4UMY11 Y CA00545275 B SFY2018-19
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2018-11-27 00:00:00 060014581 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2018-05-16 00:00:00 2018-05-16 00:00:00 No 2018-12-18 00:00:00 None AP NON-IJ None 12375 12375 0 12375 0 None TOXQ11 N CA00588316 B SFY2018-19
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2019-01-14 00:00:00 060014705 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2018-06-11 00:00:00 2018-06-11 00:00:00 No 2019-02-06 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None J5CY11 N CA00593506 B SFY2018-19
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2019-02-21 00:00:00 060014826 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2018-03-09 00:00:00 2018-03-09 00:00:00 No 2019-03-14 00:00:00 None FTR AE None 6900 6900 0 6900 0 None 48NI11 N CA00589391 B SFY2018-19
060000074 ANAHEIM GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2019-05-16 00:00:00 060015068 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2018-08-12 00:00:00 2018-08-12 00:00:00 Yes 2019-08-30 00:00:00 2019-08-12 00:00:00 AP IJ AP IJ 75000 56250 0 56250 0 None 18C311 Y CA00606397, CA00606397 B, B SFY2018-19
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2019-07-15 00:00:00 060015231 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2019-02-26 00:00:00 2019-02-26 00:00:00 No 2019-08-05 00:00:00 None FTR AE None 5100 5100 0 5100 0 None KIIO11 N CA00637542 B SFY2019-20
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2019-08-08 00:00:00 060015281 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2019-01-03 00:00:00 2019-01-03 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 45450 45450 0 45450 0 None H1UP11 N CA00631969, CA00631969, CA00631969, CA00631969 B, B, B, B SFY2019-20
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2020-01-02 00:00:00 060015641 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2019-04-15 00:00:00 2019-04-15 00:00:00 No 2020-01-23 00:00:00 None AP NON-IJ None 13387.5 13387.5 0 13387.5 0 None F8MF11 N CA00634807, CA00634807 B, B SFY2019-20
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2020-01-02 00:00:00 060015651 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-07-17 00:00:00 2019-07-17 00:00:00 No 2020-01-23 00:00:00 None FTR AE None 5800 5800 0 5800 0 None CC2T11 N CA00649641 B SFY2019-20
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2020-01-02 00:00:00 060015653 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-07-25 00:00:00 2018-07-25 00:00:00 No 2020-01-23 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None UCCT11 Y CA00602183 B SFY2019-20
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2020-02-11 00:00:00 060015717 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-11-10 00:00:00 2019-11-10 00:00:00 No 2020-03-03 00:00:00 None FTR AE None 2100 2100 0 2100 0 None XWT311 N CA00667887 D SFY2019-20
630011745 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Non-LTC GACH General Acute Care Hospital Orange 2020-03-23 00:00:00 060015816 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-01-14 00:00:00 2020-01-14 00:00:00 No 2020-04-13 00:00:00 None FTR AE None 4800 4800 0 4800 0 None ZDQX11 N CA00679713 B SFY2019-20
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2020-04-15 00:00:00 060015835 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2019-11-11 00:00:00 2019-11-11 00:00:00 No 2020-05-06 00:00:00 None AP IJ None 66000 66000 0 66000 0 None 3WTU11 N CA00665328, CA00665328 B, B SFY2019-20
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2020-04-10 00:00:00 060015844 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-01-23 00:00:00 2020-01-23 00:00:00 No 2020-05-01 00:00:00 None FTR AE None 1000 1000 0 1000 0 None UTUX11 N CA00675873 D SFY2019-20
060000074 ANAHEIM GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2020-04-24 00:00:00 060015858 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-02-22 00:00:00 2020-02-22 00:00:00 No 2020-05-15 00:00:00 None FTR AE None 600 600 0 600 0 None NVTW11 N CA00679349 D SFY2019-20
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2020-06-19 00:00:00 060015906 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-02-03 00:00:00 2020-02-03 00:00:00 Yes 2020-07-10 00:00:00 2020-06-30 00:00:00 FTR AE None 9000 9000 0 9000 0 None VD4K11 N CA00688097 D SFY2019-20
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2020-08-26 00:00:00 060015994 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2020-07-24 00:00:00 2020-07-24 00:00:00 No 2020-09-17 00:00:00 None AP IJ None 33000 33000 0 33000 0 None G1WZ11 Y CA00648466, CA00648466 B, B SFY2020-21
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2020-08-27 00:00:00 060015996 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-05-12 00:00:00 2020-05-12 00:00:00 No 2020-09-18 00:00:00 None FTR AE None 2600 2600 0 2600 0 None Y6OO11 N CA00693031 D SFY2020-21
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2020-08-27 00:00:00 060015998 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-05-15 00:00:00 2020-05-15 00:00:00 No 2020-09-18 00:00:00 None FTR AE None 900 900 0 900 0 None ZLUZ11 N CA00690661 D SFY2020-21
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2020-09-11 00:00:00 060016029 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-04-26 00:00:00 2020-04-26 00:00:00 No 2020-10-02 00:00:00 None FTR AE None 1000 1000 0 1000 0 None MFQ811 N CA00688651 D SFY2020-21
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2020-09-11 00:00:00 060016030 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-05-25 00:00:00 2020-05-25 00:00:00 No 2020-10-02 00:00:00 None FTR AE None 1800 1800 0 1800 0 None PWCS11 N CA00693128 D SFY2020-21
060000007 CHILDREN'S HOSPITAL OF ORANGE COUNTY Non-LTC GACH General Acute Care Hospital Orange 2021-05-06 00:00:00 060016472 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-03-30 00:00:00 2021-03-30 00:00:00 No 2021-05-27 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 0Z1U11 N CA00733024 D SFY2020-21
060000038 LAC/OLIVE VIEW-UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2021-07-10 00:00:00 060016657 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-03-17 00:00:00 2021-03-17 00:00:00 No 2021-07-30 00:00:00 None FTR AE None 1600 1600 -1600 0 0 None X8ZP11 Y CA00732094 D SFY2021-22
060000006 CHAPMAN GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2021-07-01 00:00:00 060016660 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-02 00:00:00 2020-12-02 00:00:00 No 2021-07-22 00:00:00 None FTR AE None 4600 4600 0 4600 0 None UCZL11 N CA00722588 D SFY2021-22
060000006 CHAPMAN GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2021-07-01 00:00:00 060016661 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-01-12 00:00:00 2021-01-12 00:00:00 No 2021-07-22 00:00:00 None FTR AE None 500 500 0 500 0 None B56L11 N CA00722586 D SFY2021-22
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2021-07-01 00:00:00 060016663 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-24 00:00:00 2020-11-24 00:00:00 No 2021-07-22 00:00:00 None FTR AE None 300 300 0 300 0 None EMZU11 Y CA00718118 D SFY2021-22
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2021-07-01 00:00:00 060016672 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-01-25 00:00:00 2021-01-25 00:00:00 No 2021-07-22 00:00:00 None FTR AE None 300 300 0 300 0 None YFCP11 Y CA00723915, CA00723915 D, D SFY2021-22
060000025 UCI HEALTH-LOS ALAMITOS Non-LTC GACH General Acute Care Hospital Orange 2021-08-12 00:00:00 060016815 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-01-21 00:00:00 2021-01-21 00:00:00 No 2021-09-02 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 5FZQ11 N CA00724905 D SFY2021-22
060000025 UCI HEALTH-LOS ALAMITOS Non-LTC GACH General Acute Care Hospital Orange 2021-08-12 00:00:00 060016816 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-01-28 00:00:00 2021-01-28 00:00:00 No 2021-09-02 00:00:00 None FTR AE None 700 700 0 700 0 None Y67Q11 N CA00724913 D SFY2021-22
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2021-09-01 00:00:00 060016874 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-07-01 00:00:00 2021-07-01 00:00:00 No 2021-09-23 00:00:00 None FTR AE None 800 800 0 800 0 None UJBW11 N CA00744141 D SFY2021-22
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2021-10-05 00:00:00 060016984 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2021-04-09 00:00:00 2021-04-09 00:00:00 No 2021-10-26 00:00:00 None FTR AE None 7800 7800 0 7800 0 None 2H3411 N CA00742530 B SFY2021-22
060000073 ORANGE COUNTY GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2021-10-14 00:00:00 060017009 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2021-06-30 00:00:00 2021-06-30 00:00:00 No 2021-11-04 00:00:00 None FTR AE None 1000 1000 0 1000 0 None STVW11 N CA00744330 B SFY2021-22
060000060 PROVIDENCE MISSION HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2021-11-16 00:00:00 060017099 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2021-07-12 00:00:00 2021-07-12 00:00:00 No 2021-12-09 00:00:00 None FTR AE None 600 600 0 600 0 None IZKF11 N CA00746133 B SFY2021-22
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2021-12-07 00:00:00 060017147 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2021-01-20 00:00:00 2021-01-20 00:00:00 No 2021-12-31 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None 3CWV11 N CA00725268 B SFY2021-22
060000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2021-12-28 00:00:00 060017226 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-11-16 00:00:00 2021-11-16 00:00:00 No 2022-01-19 00:00:00 None FTR AE None 1200 1200 0 1200 0 None C3VM11 N CA00763848 D SFY2021-22
060000071 UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-01-04 00:00:00 060017247 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-10-18 00:00:00 2021-10-18 00:00:00 No 2022-01-26 00:00:00 None FTR AE None 2400 2400 0 2400 0 None S74B11 N CA00761400 D SFY2021-22
060000074 ANAHEIM GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-04-04 00:00:00 060017541 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2021-09-07 00:00:00 2021-09-07 00:00:00 No 2022-04-25 00:00:00 None FTR AE None 1000 1000 0 1000 0 None MCZT11 Y CA00754443 B SFY2021-22
060000007 CHILDREN'S HOSPITAL OF ORANGE COUNTY Non-LTC GACH General Acute Care Hospital Orange 2022-04-25 00:00:00 060017592 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2022-03-01 00:00:00 2022-03-01 00:00:00 No 2022-05-16 00:00:00 None FTR AE None 900 900 0 900 0 None DE1F11 N CA00777044 B SFY2021-22
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2022-05-02 00:00:00 060017612 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-01-10 00:00:00 2022-01-10 00:00:00 No 2022-05-23 00:00:00 None FTR AE None 600 600 0 600 0 None 89JM11 N CA00771713 D SFY2021-22
060000063 MEMORIALCARE SADDLEBACK MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-05-19 00:00:00 060017646 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2022-01-04 00:00:00 2022-01-04 00:00:00 No 2022-06-10 00:00:00 None FTR AE None 1300 1300 0 1300 0 None B2NO11 Y CA00775227 B SFY2021-22
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2022-06-01 00:00:00 060017670 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2021-12-27 00:00:00 2021-12-27 00:00:00 No 2022-06-22 00:00:00 None AP NON-IJ None 15675 15675 0 15675 0 None 091O11 N CA00769620 B SFY2021-22
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-06-02 00:00:00 060017683 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2021-07-16 00:00:00 2021-07-16 00:00:00 No 2022-06-23 00:00:00 None FTR AE None 12500 12500 0 12500 0 None JDR111 N CA00783259 B SFY2021-22
060000208 MEMORIALCARE ORANGE COAST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-06-28 00:00:00 060017719 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2022-02-03 00:00:00 2022-02-03 00:00:00 No 2022-07-20 00:00:00 None AP NON-IJ None 11812.5 11812.5 0 11812.5 0 None 303H11 N CA00772482 B SFY2021-22
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2022-06-27 00:00:00 060017738 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-05-01 00:00:00 2022-05-01 00:00:00 No 2022-07-19 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 588R11 N CA00785119 D SFY2021-22
060000035 MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2022-06-27 00:00:00 060017741 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-04-16 00:00:00 2022-04-16 00:00:00 No 2022-07-19 00:00:00 None FTR AE None 2700 2700 0 2700 0 None L62B11 N CA00785389 B SFY2021-22
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2022-07-05 00:00:00 060017759 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-02-14 00:00:00 2021-02-14 00:00:00 No 2022-07-26 00:00:00 None AP IJ None 31350 31350 0 31350 0 None XHTC11 Y CA00725805, CA00725805 B, B SFY2022-23
060000017 KINDRED HOSPITAL WESTMINSTER Non-LTC GACH General Acute Care Hospital Orange 2022-07-12 00:00:00 060017771 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-04-26 00:00:00 2022-04-26 00:00:00 No 2022-08-02 00:00:00 None FTR AE None 1500 1500 0 1500 0 None 6U2Y11 N CA00785134 D SFY2022-23
060000068 PROVIDENCE ST. JUDE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-08-02 00:00:00 060017834 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2022-03-11 00:00:00 2022-03-11 00:00:00 No 2022-08-23 00:00:00 None AP IJ None 75000 75000 0 75000 0 None IKLB11 Y CA00777042 B SFY2022-23
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-08-30 00:00:00 060017922 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2022-01-26 00:00:00 2022-01-26 00:00:00 Yes 2022-09-21 00:00:00 2023-01-09 00:00:00 AP IJ None 42750 42750 0 0 42750 None HEGL11 Y CA00770908 A SFY2022-23
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-09-08 00:00:00 060017956 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-07-02 00:00:00 2022-07-02 00:00:00 No 2022-09-29 00:00:00 None AP NON-IJ None 11812.5 11812.5 0 11812.5 0 None UJYQ11 Y CA00792567 B SFY2022-23
060000006 CHAPMAN GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2022-09-15 00:00:00 060017987 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-08-04 00:00:00 2022-08-04 00:00:00 No 2022-10-06 00:00:00 None FTR AE None 200 200 0 200 0 None 230I11 N CA00798976 D SFY2022-23
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2022-12-27 00:00:00 060018259 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-10-22 00:00:00 2022-10-22 00:00:00 No 2023-01-19 00:00:00 None FTR AE None 1100 1100 0 1100 0 None 7Y7611 N CA00810634 D SFY2022-23
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2021-12-03 00:00:00 060018364 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-08-31 00:00:00 2018-08-31 00:00:00 No 2023-03-02 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None 6BBO11 None CA00554732 D SFY2021-22
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2023-04-05 00:00:00 060018610 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2022-02-25 00:00:00 2022-02-25 00:00:00 No 2023-04-26 00:00:00 None FTR AE None 400 400 0 400 0 None F2UU11 N CA00818244 B SFY2022-23
060000027 LAC/HARBOR UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2023-04-14 00:00:00 060018626 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2023-03-01 00:00:00 2023-03-01 00:00:00 No 2023-05-05 00:00:00 None FTR AE None 900 900 0 900 0 None GRGU11 N CA00833321, CA00833321 B, B SFY2022-23
060000074 ANAHEIM GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2023-05-02 00:00:00 060018699 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2023-01-05 00:00:00 2023-01-05 00:00:00 Yes 2023-05-23 00:00:00 2023-07-11 00:00:00 AP IJ AP IJ 75000 63750 0 21250 42500 None ASW911 Y CA00831524 B SFY2022-23
060000011 UCI HEALTH-FOUNTAIN VALLEY Non-LTC GACH General Acute Care Hospital Orange 2023-05-16 00:00:00 060018753 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-03-14 00:00:00 2023-03-14 00:00:00 No 2023-06-07 00:00:00 None FTR AE None 500 500 0 500 0 None F44H11 N CA00833249 D SFY2022-23
060000021 SOUTH COAST GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2023-05-22 00:00:00 060018770 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2022-09-04 00:00:00 2022-09-04 00:00:00 No 2023-06-13 00:00:00 None AP IJ None 66000 66000 0 66000 0 None QJYX11 Y CA00831516 B SFY2022-23
630013929 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Non-LTC GACH General Acute Care Hospital Orange 2023-05-19 00:00:00 060018775 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2022-12-22 00:00:00 2022-12-22 00:00:00 No 2023-06-12 00:00:00 None FTR AE None 5100 5100 0 5100 0 None S8RX11 N None None SFY2022-23
060000016 WEST ANAHEIM MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2023-05-26 00:00:00 060018795 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-04-02 00:00:00 2023-04-02 00:00:00 No 2023-06-19 00:00:00 None FTR AE None 1400 1400 0 1400 0 None D94Y11 N CA00837757 D SFY2022-23
060001360 KINDRED HOSPITAL BREA Non-LTC GACH General Acute Care Hospital Orange 2023-07-20 00:00:00 060018977 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-06-06 00:00:00 2023-06-06 00:00:00 No 2023-08-10 00:00:00 None FTR AE None 2500 2500 0 2500 0 None EULW11 N CA00847068 D SFY2023-24
060000015 HUNTINGTON BEACH HOSPITAL Non-LTC GACH General Acute Care Hospital Orange 2023-07-25 00:00:00 060018996 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2023-03-02 00:00:00 2023-03-02 00:00:00 No 2023-08-15 00:00:00 None FTR AE None 11300 11300 0 11300 0 None DPI311 N CA00845910 B SFY2023-24
630013929 KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Non-LTC GACH General Acute Care Hospital Orange 2023-08-16 00:00:00 060019063 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2023-02-03 00:00:00 2023-02-03 00:00:00 No 2023-09-07 00:00:00 None FTR AE None 15900 15900 0 15900 0 None T8V911 N CA00852184 B SFY2023-24
060000014 HOAG MEMORIAL HOSPITAL PRESBYTERIAN Non-LTC GACH General Acute Care Hospital Orange 2023-08-29 00:00:00 060019571 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-08-10 00:00:00 2022-08-10 00:00:00 No 2024-02-14 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None 67MN11 None CA00807025 D SFY2023-24
060000040 LOS ANGELES GENERAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Orange 2024-05-29 00:00:00 060020224 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2024-03-10 00:00:00 2024-03-10 00:00:00 No 2024-06-19 00:00:00 None AP NON-IJ None 11812.5 11812.5 0 11812.5 0 None STVB11 N CA00890715 B SFY2023-24
060000007 CHILDREN'S HOSPITAL OF ORANGE COUNTY Non-LTC GACH General Acute Care Hospital Orange 2024-06-12 00:00:00 060020305 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2024-05-10 00:00:00 2024-05-10 00:00:00 No 2024-07-03 00:00:00 None FTR AE None 400 400 0 400 0 None 97BN11 N CA00901664 B SFY2023-24
060000007 CHILDREN'S HOSPITAL OF ORANGE COUNTY Non-LTC GACH General Acute Care Hospital Orange 2024-06-24 00:00:00 060020351 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2021-04-06 00:00:00 2021-04-06 00:00:00 No 2024-07-16 00:00:00 None FTR AE None 108900 108900 0 0 108900 None OF7Z11 N CA00896567 B SFY2023-24
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2007-07-23 00:00:00 070004109 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-02-07 00:00:00 2007-02-07 00:00:00 No 2007-08-13 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 2XXM11 Y CA00108314 B SFY2007-08
070000145 NATIVIDAD MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2007-11-27 00:00:00 070004423 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-09-07 00:00:00 2007-09-07 00:00:00 No 2007-12-18 00:00:00 None AP IJ None 25000 25000 0 25000 0 None NBDP11 N CA00126268 C SFY2007-08
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2008-01-10 00:00:00 070004472 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-10-16 00:00:00 2007-10-16 00:00:00 No 2008-02-01 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 9EQ811 N CA00131082 B SFY2007-08
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2007-11-28 00:00:00 070004475 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE20 - Line contaminated or use for wrong gas None 2007-10-16 08:00:00 2007-10-16 08:00:00 No 2007-12-19 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 9EQ811 N CA00131082 B SFY2007-08
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2008-01-11 00:00:00 070004535 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2007-11-15 00:00:00 2007-11-15 00:00:00 No 2008-02-04 00:00:00 None AP IJ None 25000 25000 0 25000 0 None QQGN11 N CA00133286, CA00134333 B, A SFY2007-08
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2007-12-21 00:00:00 070004536 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE02 - Wrong patient surgery None 2007-11-15 08:00:00 2007-11-15 08:00:00 No 2008-01-15 00:00:00 None FTR AE None 2000 2000 0 2000 0 None QQGN11 N CA00133286, CA00134333 B, A SFY2007-08
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2007-10-11 00:00:00 070004558 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-09-19 08:00:00 2007-09-19 08:00:00 No 2007-11-01 00:00:00 None FTR AE None 900 900 0 900 0 None D72011 N CA00128317 A SFY2007-08
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2008-01-04 00:00:00 070004559 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-24 08:00:00 2007-10-24 08:00:00 No 2008-01-28 00:00:00 None FTR AE None 2300 2300 0 2300 0 None 1IMP11 N CA00132808 B SFY2007-08
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2008-01-07 00:00:00 070004562 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-04 08:00:00 2007-12-04 08:00:00 No 2008-01-29 00:00:00 None FTR AE None 100 100 0 100 0 None 7C2D11 N CA00134442 B SFY2007-08
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2008-01-07 00:00:00 070004564 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-06 08:00:00 2007-12-06 08:00:00 No 2008-01-29 00:00:00 None FTR AE None 800 800 0 800 0 None 7C2D11 N CA00135478 B SFY2007-08
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2008-02-26 00:00:00 070004717 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-31 08:00:00 2008-01-31 08:00:00 No 2008-03-18 00:00:00 None FTR AE None 200 200 0 200 0 None Y9LE11 N CA00140347 B SFY2007-08
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2008-04-09 00:00:00 070004859 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-03-06 00:00:00 2008-03-06 00:00:00 No 2008-04-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 45EC11 N CA00143985 B SFY2007-08
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2008-04-04 00:00:00 070004860 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-03-06 08:00:00 2008-03-06 08:00:00 No 2008-04-25 00:00:00 None FTR AE None 700 700 0 700 0 None 45EC11 N CA00143985 B SFY2007-08
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2008-07-15 00:00:00 070005238 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-15 08:00:00 2008-05-15 08:00:00 No 2008-08-05 00:00:00 None FTR AE None 2700 2700 0 2700 0 None MDK611 N CA00153433 B SFY2008-09
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2008-07-15 00:00:00 070005239 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-19 08:00:00 2008-03-19 08:00:00 No 2008-08-05 00:00:00 None FTR AE None 9000 9000 0 9000 0 None OYNY11 N CA00153292 B SFY2008-09
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2008-09-04 00:00:00 070005398 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2008-07-22 00:00:00 2008-07-22 00:00:00 No 2008-09-25 00:00:00 None AP IJ None 25000 25000 0 25000 0 None FEQU11 N CA00157964 B SFY2008-09
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2008-11-03 00:00:00 070005574 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE06 -Use of contaminated drug, device, or biologic None 2008-09-02 08:00:00 2008-09-02 08:00:00 No 2008-11-25 00:00:00 None FTR AE None 4100 4100 -4100 0 0 None E5JZ11 N CA00166115 B SFY2008-09
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2008-11-17 00:00:00 070005618 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-09-12 08:00:00 2008-09-12 08:00:00 No 2008-12-10 00:00:00 None FTR AE None 1500 1500 0 1500 0 None CFZB11 N CA00165255 B SFY2008-09
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2008-11-17 00:00:00 070005619 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2008-06-30 08:00:00 2008-06-30 08:00:00 No 2008-12-10 00:00:00 None FTR AE None 9300 9300 0 9300 0 None 009L11 N CA00165531 B SFY2008-09
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2008-12-17 00:00:00 070005708 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-11-26 08:00:00 2008-11-26 08:00:00 No 2009-01-08 00:00:00 None FTR AE None 300 300 0 300 0 None QCHB11 N CA00171179 B SFY2008-09
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2009-01-22 00:00:00 070005822 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-29 08:00:00 2008-12-29 08:00:00 No 2009-02-13 00:00:00 None FTR AE None 500 500 0 500 0 None 8UGT11 N CA00174150 B SFY2008-09
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2009-02-24 00:00:00 070005904 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system Privacy Breach 2009-01-09 08:00:00 2009-01-09 08:00:00 No 2009-03-17 00:00:00 None FTR BR None 200 200 0 200 0 None LZW011 None CA00174972 B SFY2008-09
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2009-02-24 00:00:00 070005905 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system Privacy Breach 2009-01-09 08:00:00 2009-01-09 08:00:00 No 2009-03-17 00:00:00 None FTR BR None 1200 1200 0 1200 0 None LZW011 None CA00174972 B SFY2008-09
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-03-13 00:00:00 070005971 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system Privacy Breach 2009-01-15 08:00:00 2009-01-15 08:00:00 No 2009-04-06 00:00:00 None FTR BR None 4200 4200 0 4200 0 None X1VH11 None CA00180048 B SFY2008-09
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2009-05-28 00:00:00 070006222 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient Privacy Breach 2008-12-26 10:14:00 2008-12-26 10:14:00 No 2009-06-18 00:00:00 None FTR AE None 4900 4900 0 4900 0 None PKGQ11 N CA00178161 B SFY2008-09
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2009-06-09 00:00:00 070006276 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission Failure to Report 2009-02-26 08:00:00 2009-02-26 08:00:00 No 2009-06-30 00:00:00 None FTR AE None 800 800 0 800 0 None XIFQ11 N CA00180818 B SFY2008-09
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2009-06-25 00:00:00 070006327 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error Failure to Report 2009-05-22 08:00:00 2009-05-22 08:00:00 No 2009-07-16 00:00:00 None FTR AE None 900 900 0 900 0 None 0M3V11 N CA00190565 B SFY2008-09
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-07-06 00:00:00 070006358 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system Privacy Breach 2009-04-23 08:00:00 2009-04-23 08:00:00 No 2009-07-27 00:00:00 None FTR BR None 600 600 0 600 0 None G14511 None CA00187337 C SFY2009-10
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-07-06 00:00:00 070006363 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach by person other than a h/c worker None 2009-04-16 08:00:00 2009-04-16 08:00:00 No 2009-07-27 00:00:00 None FTR BR None 1400 1400 0 1400 0 None G14511 None CA00187125 C SFY2009-10
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-07-06 00:00:00 070006366 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-04-21 08:00:00 2009-04-21 08:00:00 No 2009-07-27 00:00:00 None FTR BR None 800 800 0 800 0 None G14511 None CA00187328 C SFY2009-10
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-07-13 00:00:00 070006372 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2009-04-06 00:00:00 2009-04-06 00:00:00 No 2009-08-03 00:00:00 None AP IJ None 50000 50000 0 50000 0 None TCX511 Y CA00184152 A SFY2009-10
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2009-07-16 00:00:00 070006393 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission Failure to Report 2009-03-16 08:00:00 2009-03-16 08:00:00 No 2009-08-06 00:00:00 None FTR AE None 9500 9500 0 9500 0 None RPXP11 N CA00193051 E SFY2009-10
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-07-20 00:00:00 070006395 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error Failure to Report 2008-11-09 08:00:00 2008-11-09 08:00:00 No 2009-08-10 00:00:00 None FTR AE None 7200 7200 0 7200 0 None R9G211 N CA00175422 B SFY2009-10
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-07-20 00:00:00 070006396 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error Failure to Report 2008-12-22 08:00:00 2008-12-22 08:00:00 No 2009-08-10 00:00:00 None FTR AE None 2900 2900 0 2900 0 None R9G211 N CA00175008 B SFY2009-10
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-09-22 00:00:00 070006572 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system Failure to Report 2009-06-11 08:00:00 2009-06-11 08:00:00 No 2009-10-14 00:00:00 None FTR BR None 300 300 -75 225 0 None 869011 None CA00192544 B SFY2009-10
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-09-22 00:00:00 070006573 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system Failure to Report 2009-06-11 08:00:00 2009-06-11 08:00:00 No 2009-10-14 00:00:00 None FTR BR None 600 600 -150 450 0 None 869011 None CA00192544 B SFY2009-10
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2009-10-13 00:00:00 070006616 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-06-11 08:00:00 2009-06-11 08:00:00 No 2009-11-03 00:00:00 None FTR BR None 300 300 -75 225 0 None TB1B11 None CA00190949 B SFY2009-10
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-10-15 00:00:00 070006625 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-04-02 08:00:00 2008-04-02 08:00:00 Yes 2009-11-05 00:00:00 2009-10-21 00:00:00 FTR AE FTR AE 52800 45000 0 45000 0 None 1M9G11 N CA00202129 B SFY2009-10
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-12-14 00:00:00 070006772 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-02-15 08:00:00 2009-02-15 08:00:00 No 2010-01-06 00:00:00 None FTR BR None 2800 2800 0 2800 0 None OH9O11 None CA00202985 B SFY2009-10
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2009-12-14 00:00:00 070006773 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-02-15 08:00:00 2009-02-15 08:00:00 No 2010-01-06 00:00:00 None FTR BR None 7200 7200 0 7200 0 None OH9O11 None CA00202985 B SFY2009-10
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2009-12-21 00:00:00 070006825 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient Failure to Report 2009-06-02 08:00:00 2009-06-02 08:00:00 No 2010-01-13 00:00:00 None FTR AE None 14500 14500 0 14500 0 None QHIU11 N CA00204338, CA00204641, CA00204811 B, B, B SFY2009-10
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2009-12-29 00:00:00 070006865 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-09-14 08:00:00 2009-09-14 08:00:00 No 2010-01-22 00:00:00 None FTR AE None 900 900 0 900 0 None EC4211 N CA00203191 E SFY2009-10
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2010-01-06 00:00:00 070006889 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error Failure to Report 2008-11-04 08:00:00 2008-11-04 08:00:00 No 2010-01-29 00:00:00 None FTR AE None 40400 40400 0 40400 0 None Z0OD11 N None None SFY2009-10
070000145 NATIVIDAD MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2010-01-13 00:00:00 070006911 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-06-16 08:00:00 2009-06-16 08:00:00 No 2010-02-05 00:00:00 None FTR AE None 8200 8200 0 8200 0 None SK6V11 N None None SFY2009-10
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2010-01-27 00:00:00 070006945 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission Failure to Report 2009-09-14 08:00:00 2009-09-14 08:00:00 No 2010-02-17 00:00:00 None FTR AE None 1300 1300 0 1300 0 None YUVN11 N CA00203845 E SFY2009-10
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2010-02-10 00:00:00 070006981 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-11-18 08:00:00 2009-11-18 08:00:00 No 2010-03-03 00:00:00 None FTR AE None 1600 1600 0 1600 0 None 4KO711 N CA00211123 E SFY2009-10
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2010-02-10 00:00:00 070006982 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-11-17 08:00:00 2009-11-17 08:00:00 No 2010-03-03 00:00:00 None FTR AE None 1700 1700 0 1700 0 None 4KO711 N CA00211121 E SFY2009-10
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2010-02-11 00:00:00 070006992 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2009-10-01 08:00:00 2009-10-01 08:00:00 No 2010-03-04 00:00:00 None FTR BR None 9400 9400 -4900 4500 0 None Z92O11 None CA00214099 B SFY2009-10
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2010-03-19 00:00:00 070007061 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission Failure to Report 2009-08-31 08:00:00 2009-08-31 08:00:00 No 2010-04-12 00:00:00 None FTR AE None 9000 9000 0 9000 0 None OE5R11 N CA00210398 B SFY2009-10
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2010-04-23 00:00:00 070007162 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2010-02-01 08:00:00 2010-02-01 08:00:00 Yes 2010-05-14 00:00:00 2010-05-06 00:00:00 FTR BR FTR BR 1100 1100 0 1100 0 None 5O7F11 None CA00219008 B SFY2009-10
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2010-04-23 00:00:00 070007168 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach of IT system theft/loss of edevice/med rec None 2010-02-01 08:00:00 2010-02-01 08:00:00 Yes 2010-05-14 00:00:00 2010-05-10 00:00:00 FTR RES FTR RES 0 0 0 0 0 None 5O7F11 None CA00219008 B SFY2009-10
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2010-04-30 00:00:00 070007181 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-10-26 08:00:00 2009-10-26 08:00:00 Yes 2010-05-21 00:00:00 2010-05-19 00:00:00 FTR BR None 11700 11700 -11700 0 0 None WH8T11 None CA00206153 B SFY2009-10
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2010-05-20 00:00:00 070007216 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-12-16 00:00:00 2009-12-16 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 50000 50000 0 50000 0 None YDEJ11 Y CA00211822 B SFY2009-10
070000145 NATIVIDAD MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2010-05-25 00:00:00 070007254 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-04-11 08:00:00 2010-04-11 08:00:00 No 2010-06-16 00:00:00 None FTR AE None 700 700 0 700 0 None XYI711 N CA00226528 B SFY2009-10
070000959 SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ Non-LTC GACH General Acute Care Hospital San Jose 2010-05-25 00:00:00 070007256 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-01-15 08:00:00 2010-01-15 08:00:00 No 2010-06-16 00:00:00 None FTR AE None 8600 8600 0 8600 0 None GEJX11 N CA00225630 B SFY2009-10
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2010-05-27 00:00:00 070007265 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-01-07 08:00:00 2010-01-07 08:00:00 No 2010-06-18 00:00:00 None FTR AE None 4500 4500 0 4500 0 None MVYE11 N CA00219858 E SFY2009-10
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2010-06-04 00:00:00 070007289 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-12-13 08:00:00 2009-12-13 08:00:00 No 2010-06-25 00:00:00 None FTR AE None 400 400 0 400 0 None GYTF11 N CA00212446 B SFY2009-10
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2010-12-16 00:00:00 070007370 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-02-01 08:00:00 2010-02-01 08:00:00 Yes 2011-01-06 00:00:00 2010-12-23 00:00:00 FTR BR None 9800 9800 0 9800 0 None F5MS11 None CA00229685 B SFY2010-11
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2010-07-09 00:00:00 070007371 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-04-24 08:00:00 2010-04-24 08:00:00 Yes 2010-07-30 00:00:00 2010-07-20 00:00:00 FTR BR FTR BR 1500 1500 0 1500 0 None JZTN11 None CA00229372 B SFY2010-11
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2010-07-09 00:00:00 070007372 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-04-24 08:00:00 2010-04-24 08:00:00 Yes 2010-07-30 00:00:00 2010-07-20 00:00:00 FTR RES FTR RES 1500 1500 0 1500 0 None JZTN11 None CA00229372 B SFY2010-11
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2010-07-13 00:00:00 070007373 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-04-20 08:00:00 2010-04-20 08:00:00 No 2010-08-03 00:00:00 None FTR AE None 800 800 0 800 0 None ET3U11 N CA00227353 C SFY2010-11
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2010-07-27 00:00:00 070007419 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-05-25 08:00:00 2010-05-25 08:00:00 No 2010-08-17 00:00:00 None FTR RES None 100000 100000 -25000 75000 0 None STRK11 None CA00229760, CA00230456 B, B SFY2010-11
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2010-08-04 00:00:00 070007466 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-10-29 08:00:00 2009-10-29 08:00:00 No 2010-08-25 00:00:00 None FTR AE None 14900 14900 0 14900 0 None IWWH11 N CA00223848 B SFY2010-11
070000635 ST. LOUISE REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2010-08-11 00:00:00 070007487 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-12-23 08:00:00 2009-12-23 08:00:00 No 2010-09-01 00:00:00 None FTR AE None 800 800 0 800 0 None 52KB11 N CA00213729 E SFY2010-11
070000635 ST. LOUISE REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2010-08-11 00:00:00 070007488 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-12-01 08:00:00 2009-12-01 08:00:00 No 2010-09-01 00:00:00 None FTR AE None 2200 2200 0 2200 0 None 52KB11 N CA00212916 C SFY2010-11
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2010-09-10 00:00:00 070007563 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-06-16 08:00:00 2010-06-16 08:00:00 No 2010-10-04 00:00:00 None FTR AE None 1700 1700 0 1700 0 None LB8C11 N CA00234930 B SFY2010-11
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2010-09-10 00:00:00 070007564 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-04-26 08:00:00 2010-04-26 08:00:00 No 2010-10-01 00:00:00 None FTR AE None 900 900 0 900 0 None 4DFE11 N CA00228167 E SFY2010-11
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2010-09-10 00:00:00 070007565 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-05-10 08:00:00 2010-05-10 08:00:00 No 2010-10-01 00:00:00 None FTR AE None 400 400 0 400 0 None 4DFE11 N CA00229276 B SFY2010-11
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2010-10-27 00:00:00 070007679 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-03-12 08:00:00 2010-03-12 08:00:00 No 2010-11-18 00:00:00 None FTR AE None 6500 6500 0 6500 0 None 5VSM11 N CA00229652 E SFY2010-11
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2010-10-27 00:00:00 070007680 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-09-01 08:00:00 2010-09-01 08:00:00 No 2010-11-18 00:00:00 None FTR AE None 100 100 -100 0 0 None O9CF11 N CA00241818 C SFY2010-11
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2010-11-02 00:00:00 070007693 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-07-14 08:00:00 2010-07-14 08:00:00 No 2010-11-24 00:00:00 None FTR AE None 1100 1100 0 1100 0 None F9U711 N CA00237722 C SFY2010-11
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2010-11-19 00:00:00 070007722 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2010-06-10 00:00:00 2010-06-10 00:00:00 Yes 2012-09-21 00:00:00 2012-09-07 00:00:00 AP IJ AP IJ 50000 25000 0 25000 0 None ZU9211 N CA00233606 B SFY2010-11
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2010-11-24 00:00:00 070007733 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-09-24 08:00:00 2010-09-24 08:00:00 No 2010-12-17 00:00:00 None FTR AE None 1300 1300 0 1300 0 None BI1E11 N CA00245663 C SFY2010-11
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2010-11-30 00:00:00 070007738 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-08-25 08:00:00 2010-08-25 08:00:00 No 2010-12-21 00:00:00 None FTR AE None 1000 1000 0 1000 0 None YMBM11 N CA00242043 C SFY2010-11
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2010-12-13 00:00:00 070007770 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-09-10 08:00:00 2010-09-10 08:00:00 No 2011-01-03 00:00:00 None FTR AE None 700 700 0 700 0 None DTSO11 N CA00243633 C SFY2010-11
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2011-01-10 00:00:00 070007834 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-09-21 08:00:00 2010-09-21 08:00:00 No 2011-02-01 00:00:00 None FTR BR None 1000 1000 0 1000 0 None 01XE11 None CA00245471 C SFY2010-11
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-01-10 00:00:00 070007836 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-01-20 08:00:00 2010-01-20 08:00:00 No 2011-02-01 00:00:00 None FTR AE None 1700 1700 0 1700 0 None ELMF11 N CA00218172 E SFY2010-11
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-01-10 00:00:00 070007838 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-03-15 08:00:00 2010-03-15 08:00:00 No 2011-02-01 00:00:00 None FTR AE None 2300 2300 0 2300 0 None ELMF11 N CA00225044 E SFY2010-11
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2011-01-13 00:00:00 070007856 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-11-11 00:00:00 2010-11-11 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 6WBH11 Y CA00249262 C SFY2010-11
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2011-01-26 00:00:00 070007863 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-10-22 08:00:00 2010-10-22 08:00:00 No 2011-02-16 00:00:00 None FTR BR None 200 200 0 200 0 None 1R9C11 None CA00248072 C SFY2010-11
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2011-01-26 00:00:00 070007864 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-10-22 08:00:00 2010-10-22 08:00:00 No 2011-02-16 00:00:00 None FTR RES None 200 200 0 200 0 None 1R9C11 None CA00248072 C SFY2010-11
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-01-31 00:00:00 070007896 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-10-19 08:00:00 2010-10-19 08:00:00 No 2011-02-22 00:00:00 None FTR BR None 1700 1700 0 1700 0 None R22611 None CA00249173 D SFY2010-11
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-01-31 00:00:00 070007897 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-10-19 08:00:00 2010-10-19 08:00:00 No 2011-02-22 00:00:00 None FTR RES None 1700 1700 0 1700 0 None R22611 None CA00249173 D SFY2010-11
070000142 HAZEL HAWKINS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-02-16 00:00:00 070007943 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-05-20 08:00:00 2010-05-20 08:00:00 No 2011-03-10 00:00:00 None FTR AE None 17800 17800 0 17800 0 None PKXN11 N CA00249934 C SFY2010-11
070000142 HAZEL HAWKINS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-02-16 00:00:00 070007944 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2010-11-07 08:00:00 2010-11-07 08:00:00 No 2011-03-10 00:00:00 None FTR BR None 200 200 -50 150 0 None PKXN11 None CA00249917 C SFY2010-11
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2011-02-16 00:00:00 070007948 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-11-29 08:00:00 2010-11-29 08:00:00 No 2011-03-10 00:00:00 None FTR AE None 4500 4500 0 4500 0 None F1WM11 N CA00255925 C SFY2010-11
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2011-02-22 00:00:00 070007959 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-01-05 08:00:00 2011-01-05 08:00:00 No 2011-03-15 00:00:00 None FTR AE None 1500 1500 0 1500 0 None CDNF11 N CA00256906 C SFY2010-11
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-09-07 00:00:00 070008003 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-10-04 00:00:00 2010-10-04 00:00:00 No 2011-09-29 00:00:00 None AP IJ None 75000 75000 0 75000 0 None P5I611 N CA00246476, CA00247514 C, C SFY2011-12
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2011-03-17 00:00:00 070008040 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-02-14 08:00:00 2011-02-14 08:00:00 No 2011-04-08 00:00:00 None FTR AE None 900 900 0 900 0 None YTU111 N CA00260802 C SFY2010-11
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2011-03-24 00:00:00 070008068 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-01-10 08:00:00 2011-01-10 08:00:00 No 2011-04-15 00:00:00 None FTR BR None 3000 3000 0 3000 0 None 1UHF11 None CA00259032 C SFY2010-11
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2011-04-20 00:00:00 070008181 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-05-14 08:00:00 2010-05-14 08:00:00 No 2011-05-11 00:00:00 None FTR AE None 31400 31400 0 31400 0 None WBZP11 N CA00263985 C SFY2010-11
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2011-05-16 00:00:00 070008248 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-04-01 08:00:00 2011-04-01 08:00:00 No 2011-06-07 00:00:00 None FTR AE None 700 700 0 700 0 None YCFK11 N CA00265935 C SFY2010-11
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2011-06-08 00:00:00 070008297 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-09-29 08:00:00 2010-09-29 08:00:00 No 2011-06-29 00:00:00 None FTR AE None 20000 20000 0 20000 0 None ZQDQ11 N CA00266947 C SFY2010-11
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2011-06-16 00:00:00 070008308 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-10-25 00:00:00 2010-10-25 00:00:00 Yes 2011-12-30 00:00:00 2011-12-16 00:00:00 AP IJ AP IJ 50000 30000 0 30000 0 None Q2P411 N CA00247777 C SFY2010-11
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-06-23 00:00:00 070008330 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-04-01 08:00:00 2011-04-01 08:00:00 No 2011-07-15 00:00:00 None FTR AE None 700 700 0 700 0 None 7WAU11 N CA00265936 C SFY2010-11
070000700 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency San Jose 2011-07-11 00:00:00 070008372 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-05-28 08:00:00 2011-05-28 08:00:00 No 2011-08-01 00:00:00 None FTR BR None 500 500 -125 375 0 None 6JGO11 None CA00272037 C SFY2011-12
070000700 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency San Jose 2011-07-11 00:00:00 070008373 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-05-28 08:00:00 2011-05-28 08:00:00 No 2011-08-01 00:00:00 None FTR RES None 500 500 -125 375 0 None 6JGO11 None CA00272037 C SFY2011-12
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2011-08-10 00:00:00 070008462 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-02-28 08:00:00 2011-02-28 08:00:00 No 2011-08-31 00:00:00 None FTR AE None 2400 2400 0 2400 0 None 99PY11 N CA00260061 C SFY2011-12
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2011-09-06 00:00:00 070008543 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-05-06 08:00:00 2011-05-06 08:00:00 No 2011-09-28 00:00:00 None FTR AE None 1200 1200 0 1200 0 None T84Y11 N CA00270246 C SFY2011-12
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2011-09-15 00:00:00 070008574 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-08-06 08:00:00 2011-08-06 08:00:00 No 2011-10-06 00:00:00 None FTR AE None 800 800 0 800 0 None JP5111 N CA00280346 C SFY2011-12
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2011-09-21 00:00:00 070008585 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2011-07-05 08:00:00 2011-07-05 08:00:00 No 2011-10-12 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 1XKY11 N CA00276535 C SFY2011-12
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2011-10-07 00:00:00 070008628 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-07-20 08:00:00 2011-07-20 08:00:00 No 2011-10-28 00:00:00 None FTR BR None 1400 1400 -350 1050 0 None 5MPJ11 None CA00279042 C SFY2011-12
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2011-10-27 00:00:00 070008681 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-06-30 08:00:00 2011-06-30 08:00:00 No 2011-11-18 00:00:00 None FTR BR None 4400 4400 -1100 3300 0 None YHDR11 None CA00283106 C SFY2011-12
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2011-11-09 00:00:00 070008738 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-09-08 08:00:00 2011-09-08 08:00:00 No 2011-12-05 00:00:00 None FTR BR None 1300 1300 -325 975 0 None NKCT11 None CA00284869 C SFY2011-12
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2011-11-09 00:00:00 070008739 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-09-17 08:00:00 2011-09-17 08:00:00 No 2011-12-05 00:00:00 None FTR BR None 800 800 0 800 0 None 0RE111 None CA00285662 C SFY2011-12
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2011-11-10 00:00:00 070008746 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-09-15 08:00:00 2011-09-15 08:00:00 No 2011-12-06 00:00:00 None FTR AE None 2300 2300 0 2300 0 None R5TZ11 N CA00286562 C SFY2011-12
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2011-11-10 00:00:00 070008747 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-08-29 08:00:00 2011-08-29 08:00:00 No 2011-12-06 00:00:00 None FTR AE None 4100 4100 0 4100 0 None R5TZ11 N CA00286751 C SFY2011-12
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2012-01-03 00:00:00 070008880 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2011-03-27 08:00:00 2011-03-27 08:00:00 No 2012-01-25 00:00:00 None FTR AE None 19700 19700 0 19700 0 None 7JQR11 N CA00287556 C SFY2011-12
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2012-01-05 00:00:00 070008889 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-07-20 00:00:00 2011-07-20 00:00:00 No 2013-02-26 00:00:00 None AP IJ None 100000 100000 0 100000 0 None XVHK11 N CA00280742 C SFY2011-12
070000145 NATIVIDAD MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2012-01-05 00:00:00 070008892 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-15 08:00:00 2011-03-15 08:00:00 No 2012-01-27 00:00:00 None FTR BR None 21300 21300 -5325 15975 0 None 2RSW11 None CA00287668 C SFY2011-12
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2012-01-19 00:00:00 070008931 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-11-19 08:00:00 2011-11-19 08:00:00 No 2012-02-09 00:00:00 None FTR AE None 600 600 0 600 0 None IR5H11 N CA00291324 C SFY2011-12
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2012-01-19 00:00:00 070008932 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-10-15 08:00:00 2011-10-15 08:00:00 No 2012-02-09 00:00:00 None FTR BR None 300 300 0 300 0 None UZJF11 None CA00288076 E SFY2011-12
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2012-01-19 00:00:00 070008933 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-10-15 08:00:00 2011-10-15 08:00:00 No 2012-02-09 00:00:00 None FTR RES None 100 100 0 100 0 None UZJF11 None CA00288076 E SFY2011-12
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2012-02-14 00:00:00 070009011 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-02-15 08:00:00 2011-02-15 08:00:00 No 2012-03-07 00:00:00 None FTR BR None 600 600 -150 450 0 None GWU111 None CA00262956 C SFY2011-12
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2012-03-02 00:00:00 070009070 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-01-13 08:00:00 2012-01-13 08:00:00 No 2012-03-23 00:00:00 None FTR AE None 500 500 0 500 0 None KPZ511 N CA00296917 C SFY2011-12
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2012-03-02 00:00:00 070009072 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE07 - Use of device other than as intended None 2011-07-20 08:00:00 2011-07-20 08:00:00 No 2012-03-23 00:00:00 None FTR AE None 800 800 0 800 0 None 8X1R11 N CA00277197 C SFY2011-12
070000142 HAZEL HAWKINS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2012-03-27 00:00:00 070009191 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-12-30 08:00:00 2011-12-30 08:00:00 No 2012-04-17 00:00:00 None FTR BR None 200 200 -50 150 0 None BFDS11 None CA00295986 C SFY2011-12
070000142 HAZEL HAWKINS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2012-03-27 00:00:00 070009193 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2011-12-30 08:00:00 2011-12-30 08:00:00 No 2012-04-17 00:00:00 None FTR RES None 200 200 -50 150 0 None BFDS11 None CA00295986 C SFY2011-12
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2012-04-05 00:00:00 070009210 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-03-29 08:00:00 2011-03-29 08:00:00 No 2012-04-26 00:00:00 None FTR BR None 100 100 0 100 0 None 499B11 None CA00296792 C SFY2011-12
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2012-04-06 00:00:00 070009211 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-02-03 08:00:00 2012-02-03 08:00:00 No 2012-04-27 00:00:00 None FTR AE None 1300 1300 0 1300 0 None PJ4411 N CA00300410 C SFY2011-12
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2012-04-20 00:00:00 070009232 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE20 - Line contaminated or use for wrong gas None 2012-02-10 00:00:00 2012-02-10 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 50000 50000 0 50000 0 None P6IE11 N CA00299325 B SFY2011-12
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2012-06-21 00:00:00 070009373 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2012-04-05 00:00:00 2012-04-05 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 100000 100000 0 100000 0 None GRDT11 N CA00305889, CA00305893 C, C SFY2011-12
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2012-09-11 00:00:00 070009457 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2012-05-03 08:00:00 2012-05-03 08:00:00 No 2012-10-02 00:00:00 None FTR BR None 800 800 -200 600 0 None EZRF11 None CA00311115 C SFY2012-13
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2012-08-27 00:00:00 070009460 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-02-25 08:00:00 2009-02-25 08:00:00 No 2012-09-18 00:00:00 None FTR AE None 7800 7800 0 7800 0 None Y2MJ11 N CA00306684 C SFY2012-13
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2012-08-28 00:00:00 070009461 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-07-26 08:00:00 2012-07-26 08:00:00 No 2012-09-19 00:00:00 None FTR BR None 1400 1400 0 1400 0 None S2TQ11 None CA00321968 C SFY2012-13
070000145 NATIVIDAD MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2012-09-12 00:00:00 070009494 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-06-14 08:00:00 2012-06-14 08:00:00 No 2012-10-03 00:00:00 None FTR BR None 3300 3300 -825 2475 0 None SOXY11 None CA00319075 C SFY2012-13
070000145 NATIVIDAD MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2012-09-12 00:00:00 070009496 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-06-14 08:00:00 2012-06-14 08:00:00 No 2012-10-03 00:00:00 None FTR BR None 5700 5700 -1425 4275 0 None SOXY11 None CA00319075 C SFY2012-13
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2012-09-20 00:00:00 070009516 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-11-23 08:00:00 2010-11-23 08:00:00 No 2012-10-11 00:00:00 None FTR AE None 1700 1700 0 1700 0 None D4N011 N CA00314930 C SFY2012-13
070001307 VITAS HEALTHCARE CORPORATION OF CALIFORNIA Non-LTC HOSPICE Hospice San Jose 2012-11-13 00:00:00 070009600 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2012-08-06 08:00:00 2012-08-06 08:00:00 No 2012-12-06 00:00:00 None FTR BR None 400 400 0 400 0 None VYXG11 None CA00321998 C SFY2012-13
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2012-12-14 00:00:00 070009678 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-07-22 00:00:00 2009-07-22 00:00:00 No 2013-07-26 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None VWQV11 None CA00315460 D SFY2012-13
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2012-12-27 00:00:00 070009690 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2012-01-11 08:00:00 2012-01-11 08:00:00 No 2013-01-18 00:00:00 None FTR RES None 200 200 0 200 0 None 2Y8T11 None None None SFY2012-13
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2013-01-22 00:00:00 070009711 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-08-14 08:00:00 2012-08-14 08:00:00 No 2013-02-12 00:00:00 None FTR AE None 200 200 0 200 0 None DU5F11 N CA00322804 C SFY2012-13
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2013-01-29 00:00:00 070009722 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2012-09-15 08:00:00 2012-09-15 08:00:00 No 2013-02-20 00:00:00 None FTR BR None 200 200 0 200 0 None TXDV11 None CA00327178 C SFY2012-13
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2013-02-11 00:00:00 070009739 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2012-11-05 08:00:00 2012-11-05 08:00:00 No 2013-03-05 00:00:00 None FTR RES None 800 800 0 800 0 None BFVP11 None CA00333510 C SFY2012-13
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2013-02-28 00:00:00 070009763 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-09-24 08:00:00 2012-09-24 08:00:00 No 2013-03-21 00:00:00 None FTR BR None 1000 1000 0 1000 0 None 5HZL11 None CA00327413 C SFY2012-13
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2013-04-22 00:00:00 070009851 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Patient Care Retention of Foreign Obje 2012-07-16 08:00:00 2012-07-16 08:00:00 No 2013-05-13 00:00:00 None FTR RES None 400 400 0 400 0 None WMBC11 None CA00345100, CA00347821 C, C SFY2012-13
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2013-06-05 00:00:00 070009933 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-11-05 08:00:00 2012-11-05 08:00:00 No 2013-06-26 00:00:00 None FTR AE None 200 200 0 200 0 None WUO911 N CA00332733 C SFY2012-13
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2013-04-18 00:00:00 070009984 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2013-01-09 00:00:00 2013-01-09 00:00:00 Yes 2015-11-12 00:00:00 2015-10-30 00:00:00 AP BR AP BR 250000 0 0 0 0 None S44611 None CA00339975 C SFY2012-13
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2013-04-18 00:00:00 070009985 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2012-11-30 00:00:00 2012-11-30 00:00:00 Yes 2015-11-12 00:00:00 2015-10-30 00:00:00 AP BR AP BR 250000 0 0 0 0 None WZNE11 None CA00335546 C SFY2012-13
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2013-09-20 00:00:00 070010155 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-12-13 08:00:00 2012-12-13 08:00:00 No 2013-10-11 00:00:00 None FTR AE None 200 200 0 200 0 None IE7711 N CA00337149 C SFY2013-14
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2013-10-24 00:00:00 070010235 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-12-20 08:00:00 2012-12-20 08:00:00 No 2013-11-15 00:00:00 None FTR AE None 2000 2000 0 2000 0 None 48LM11 N CA00339521 C SFY2013-14
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2013-12-23 00:00:00 070010341 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach by person other than a h/c worker None 2012-07-17 08:00:00 2012-07-17 08:00:00 No 2014-01-15 00:00:00 None FTR RES None 2400 2400 -600 1800 0 None 7Y9Y11 None CA00356738 C SFY2013-14
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2013-12-23 00:00:00 070010342 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2012-07-17 00:00:00 2012-07-17 00:00:00 Yes 2015-06-03 00:00:00 2015-05-22 00:00:00 AP BR AP BR 247600 136180 0 136180 0 None 7Y9Y11 None CA00356738 C SFY2013-14
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2013-12-19 00:00:00 070010349 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-01-22 00:00:00 2013-01-22 00:00:00 No 2014-01-13 00:00:00 None FTR AE None 500 500 0 500 0 None 7MFF11 N CA00341989 C SFY2013-14
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2014-02-06 00:00:00 070010447 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2013-05-19 00:00:00 2013-05-19 00:00:00 Yes 2015-11-09 00:00:00 2015-10-28 00:00:00 AP BR AP BR 25000 0 0 0 0 None TQ4N11 None CA00355653 C SFY2013-14
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2014-02-06 00:00:00 070010448 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2012-11-30 00:00:00 2012-11-30 00:00:00 Yes 2015-06-03 00:00:00 2015-05-22 00:00:00 AP BR AP BR 50000 0 0 0 0 None 4IQX11 None CA00335411 C SFY2013-14
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2014-02-18 00:00:00 070010478 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2013-10-16 00:00:00 2013-10-16 00:00:00 No 2015-06-09 00:00:00 None AP IJ None 50000 50000 0 50000 0 None GS1B11 N CA00375500 C SFY2013-14
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-02-25 00:00:00 070010500 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-02-06 08:00:00 2013-02-06 08:00:00 No 2014-03-18 00:00:00 None FTR AE None 400 400 0 400 0 None OJKL11 N CA00343832 C SFY2013-14
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2014-02-25 00:00:00 070010501 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2012-03-19 00:00:00 2012-03-19 00:00:00 Yes 2015-06-03 00:00:00 2015-05-22 00:00:00 AP BR AP BR 250000 0 0 0 0 None OT1411 None CA00304291 C SFY2013-14
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2014-03-05 00:00:00 070010519 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-05-07 00:00:00 2013-05-07 00:00:00 Yes 2018-01-30 00:00:00 2018-01-12 00:00:00 AP BR None 50250 50250 0 0 50250 None ZLT311 None CA00354477 C SFY2013-14
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2014-03-05 00:00:00 070010520 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2013-04-22 00:00:00 2013-04-22 00:00:00 Yes 2018-01-30 00:00:00 2018-01-12 00:00:00 AP BR None 22500 22500 0 0 22500 None RKGO11 None CA00354842 C SFY2013-14
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2014-02-20 00:00:00 070010558 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-10-02 00:00:00 2012-10-02 00:00:00 No 2015-11-09 00:00:00 None AP BR None 42500 42500 0 42500 0 None FN7O11 None None None SFY2013-14
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-03-26 00:00:00 070010689 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2013-10-29 00:00:00 2013-10-29 00:00:00 No 2016-08-01 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None B53O11 None CA00375470 C SFY2013-14
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-05-13 00:00:00 070010726 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-02-11 08:00:00 2013-02-11 08:00:00 No 2014-06-04 00:00:00 None FTR AE None 600 600 0 600 0 None 8HOG11 N CA00344844 C SFY2013-14
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-04-29 00:00:00 070010730 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2013-02-08 00:00:00 2013-02-08 00:00:00 No 2014-05-20 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None T24011 None CA00343663 C SFY2013-14
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2014-06-11 00:00:00 070010751 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-03-21 08:00:00 2013-03-21 08:00:00 No 2014-07-02 00:00:00 None FTR AE None 200 200 0 200 0 None 88BH11 N CA00348887 C SFY2013-14
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2014-06-16 00:00:00 070010817 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-09-17 08:00:00 2013-09-17 08:00:00 No 2014-07-08 00:00:00 None FTR AE None 100 100 0 100 0 None ICYZ11 N CA00370806 C SFY2013-14
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-06-12 00:00:00 070010836 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2013-02-19 00:00:00 2013-02-19 00:00:00 No 2016-08-01 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None UX7L11 None CA00344957 C SFY2013-14
070000155 WATSONVILLE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-06-24 00:00:00 070010837 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-05-31 08:00:00 2013-05-31 08:00:00 No 2014-07-16 00:00:00 None FTR AE None 200 200 0 200 0 None H5FB11 N CA00358712 C SFY2013-14
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2014-07-15 00:00:00 070010866 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-01-29 08:00:00 2014-01-29 08:00:00 No 2014-08-05 00:00:00 None FTR AE None 400 400 0 400 0 None 0QMX11 N CA00387140 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-07-22 00:00:00 070010879 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-09 00:00:00 2013-04-09 00:00:00 No 2014-08-12 00:00:00 None FTR BR None 700 700 -175 525 0 None EGUY11 None CA00352058 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-07-22 00:00:00 070010880 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-09 00:00:00 2013-04-09 00:00:00 No 2014-08-12 00:00:00 None FTR RES None 700 700 -175 525 0 None EGUY11 None CA00352058 C SFY2014-15
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2014-08-05 00:00:00 070010912 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-01-15 00:00:00 2014-01-15 00:00:00 No 2014-08-26 00:00:00 None FTR AE None 8500 8500 0 8500 0 None 1N7L11 N CA00395085 C SFY2014-15
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2014-08-13 00:00:00 070010934 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-03-29 00:00:00 2014-03-29 00:00:00 No 2014-09-04 00:00:00 None FTR BR None 200 200 0 200 0 None 2Y5W11 None CA00394466 C SFY2014-15
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2014-08-13 00:00:00 070010935 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-03-29 00:00:00 2014-03-29 00:00:00 No 2014-09-04 00:00:00 None FTR RES None 200 200 0 200 0 None 2Y5W11 None CA00394466 C SFY2014-15
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2014-08-20 00:00:00 070010949 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-03-10 00:00:00 2014-03-10 00:00:00 No 2014-09-11 00:00:00 None FTR AE None 1100 1100 0 1100 0 None JH1H11 N CA00392933 C SFY2014-15
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2014-08-20 00:00:00 070010950 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-01-21 00:00:00 2014-01-21 00:00:00 No 2014-09-11 00:00:00 None FTR AE None 900 900 0 900 0 None RS6611 N CA00386748 C SFY2014-15
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2014-08-20 00:00:00 070010951 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-04-09 00:00:00 2014-04-09 00:00:00 No 2014-09-11 00:00:00 None FTR AE None 900 900 0 900 0 None BMYF11 N CA00396352 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-09-02 00:00:00 070010974 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-06-10 00:00:00 2013-06-10 00:00:00 No 2014-09-23 00:00:00 None FTR BR None 200 200 -50 150 0 None KSC411 None CA00359188 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-09-02 00:00:00 070010975 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-06-10 00:00:00 2013-06-10 00:00:00 No 2014-09-23 00:00:00 None FTR RES None 200 200 -50 150 0 None KSC411 None CA00359188 C SFY2014-15
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2014-09-16 00:00:00 070010994 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-03-27 00:00:00 2013-03-27 00:00:00 No 2014-10-07 00:00:00 None FTR AE None 14500 14500 0 14500 0 None MNSQ11 N CA00367452 C SFY2014-15
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-08-19 00:00:00 070011014 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-06-25 00:00:00 2013-06-25 00:00:00 No 2014-09-10 00:00:00 None AP BR None 7500 7500 0 7500 0 None MR1311 None CA00360429 C SFY2014-15
070000700 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency San Jose 2014-10-03 00:00:00 070011045 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-07-22 00:00:00 2014-07-22 00:00:00 No 2014-10-24 00:00:00 None FTR BR None 100 100 0 100 0 None 1X8E11 None CA00407704 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-10-09 00:00:00 070011065 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-09-28 00:00:00 2013-09-28 00:00:00 No 2014-10-30 00:00:00 None FTR BR None 1100 1100 -275 825 0 None Z2I411 None CA00373385 C SFY2014-15
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-10-02 00:00:00 070011070 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-07-30 00:00:00 2013-07-30 00:00:00 No 2014-10-23 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None 1OZ711 None CA00364244 C SFY2014-15
070000155 WATSONVILLE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-10-16 00:00:00 070011079 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-07-18 00:00:00 2014-07-18 00:00:00 No 2014-11-06 00:00:00 None FTR AE None 800 800 -200 600 0 None 86TM11 N CA00407944 C SFY2014-15
070000142 HAZEL HAWKINS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-11-04 00:00:00 070011105 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-08-15 00:00:00 2013-08-15 00:00:00 No 2014-11-26 00:00:00 None FTR BR None 1400 1400 -350 1050 0 None 21JG11 None CA00368792 C SFY2014-15
070000142 HAZEL HAWKINS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-11-04 00:00:00 070011106 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-08-15 00:00:00 2013-08-15 00:00:00 No 2014-11-26 00:00:00 None FTR RES None 1400 1400 -350 1050 0 None 21JG11 None CA00368792 C SFY2014-15
070000105 CENTRAL COAST VNA & HOSPICE, INC. Non-LTC HHA Home Health Agency San Jose 2014-10-22 00:00:00 070011117 Closed Administrative Penalty AP - Breach (HSC 1280.15) Patient Rights None 2014-06-19 00:00:00 2014-06-19 00:00:00 No 2014-11-13 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None HPLU11 None CA00403613 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-10-21 00:00:00 070011124 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2013-08-06 00:00:00 2013-08-06 00:00:00 No 2014-11-12 00:00:00 None AP BR None 85000 85000 -21250 63750 0 None 80V211 None CA00364764 C SFY2014-15
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-12-04 00:00:00 070011160 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-08-27 00:00:00 2014-08-27 00:00:00 No 2014-12-26 00:00:00 None FTR BR None 700 700 -175 525 0 None 7W5I11 None CA00413776 C SFY2014-15
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2014-12-04 00:00:00 070011161 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-08-27 00:00:00 2014-08-27 00:00:00 No 2014-12-26 00:00:00 None FTR RES None 700 700 -175 525 0 None 7W5I11 None CA00413776 C SFY2014-15
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-12-04 00:00:00 070011162 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-05-23 00:00:00 2014-05-23 00:00:00 No 2014-12-26 00:00:00 None FTR BR None 400 400 0 400 0 None PDUQ11 None CA00401141 C SFY2014-15
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-12-04 00:00:00 070011163 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-05-23 00:00:00 2014-05-23 00:00:00 No 2014-12-26 00:00:00 None FTR RES None 400 400 0 400 0 None PDUQ11 None CA00401141 C SFY2014-15
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2014-11-18 00:00:00 070011166 Open Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2014-07-16 00:00:00 2014-07-16 00:00:00 Yes 2018-01-30 00:00:00 2018-01-12 00:00:00 AP BR None 120000 120000 0 0 120000 None UUVD11 None CA00406465 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2014-11-18 00:00:00 070011167 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2014-06-12 00:00:00 2014-06-12 00:00:00 No 2014-12-11 00:00:00 None AP BR None 145000 145000 -36250 108750 0 None B0DT11 None CA00402475 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2015-01-12 00:00:00 070011226 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-12-02 00:00:00 2013-12-02 00:00:00 No 2015-02-03 00:00:00 None FTR BR None 400 400 -100 300 0 None 8WRK11 None CA00380420 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2015-01-12 00:00:00 070011227 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-12-02 00:00:00 2013-12-02 00:00:00 No 2015-02-03 00:00:00 None FTR RES None 400 400 -100 300 0 None 8WRK11 None CA00380420 C SFY2014-15
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2015-02-03 00:00:00 070011256 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2014-04-23 00:00:00 2014-04-23 00:00:00 No 2015-02-25 00:00:00 None FTR AE None 2000 2000 0 2000 0 None GUL611 N CA00402885 C SFY2014-15
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2014-11-18 00:00:00 070011282 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2013-03-25 00:00:00 2013-03-25 00:00:00 Yes 2015-11-12 00:00:00 2015-10-30 00:00:00 AP BR AP BR 250000 0 0 0 0 None QDKM11 None CA00349367 C SFY2014-15
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2015-02-19 00:00:00 070011325 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2014-12-29 00:00:00 2014-12-29 00:00:00 No 2015-03-12 00:00:00 None AP BR None 90000 90000 0 90000 0 None YF5W11 None CA00425475 C SFY2014-15
070000155 WATSONVILLE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2015-02-19 00:00:00 070011372 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2014-10-20 00:00:00 2014-10-20 00:00:00 No 2015-03-12 00:00:00 None AP BR None 22500 22500 -5625 16875 0 None 8S0K11 None CA00418062 C SFY2014-15
070000155 WATSONVILLE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2015-02-19 00:00:00 070011373 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2014-06-02 00:00:00 2014-06-02 00:00:00 No 2016-08-01 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None 6LCN11 None CA00401449 C SFY2014-15
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2015-03-20 00:00:00 070011480 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2014-10-24 00:00:00 2014-10-24 00:00:00 No 2015-04-13 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None XBJX11 None CA00418594 C SFY2014-15
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2015-06-05 00:00:00 070011526 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-08-25 00:00:00 2014-08-25 00:00:00 No 2015-06-26 00:00:00 None FTR AE None 1800 1800 0 1800 0 None 451311 N CA00413644 C SFY2014-15
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2015-06-05 00:00:00 070011527 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-01-27 00:00:00 2015-01-27 00:00:00 No 2015-06-26 00:00:00 None FTR AE None 3200 3200 0 3200 0 None W60111 N CA00433883 C SFY2014-15
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2015-05-01 00:00:00 070011528 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-07-29 00:00:00 2014-07-29 00:00:00 Yes 2018-01-30 00:00:00 2018-01-12 00:00:00 AP BR None 150000 150000 0 0 150000 None L3SZ11 None CA00408636 C SFY2014-15
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2015-06-11 00:00:00 070011554 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-02-24 00:00:00 2015-02-24 00:00:00 No 2015-07-02 00:00:00 None AP BR None 7500 7500 0 7500 0 None ZE7611 None CA00435091 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2015-06-16 00:00:00 070011565 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2014-09-04 00:00:00 2014-09-04 00:00:00 No 2015-07-07 00:00:00 None FTR AE None 700 700 0 700 0 None 3QKZ11 N CA00413752 C SFY2014-15
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2015-07-21 00:00:00 070011628 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2014-11-15 00:00:00 2014-11-15 00:00:00 Yes 2015-08-11 00:00:00 2016-02-19 00:00:00 FTR AE None 2400 2400 0 2400 0 None THV111 N CA00423865 B SFY2015-16
070001307 VITAS HEALTHCARE CORPORATION OF CALIFORNIA Non-LTC HOSPICE Hospice San Jose 2015-07-29 00:00:00 070011666 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2015-02-02 00:00:00 2015-02-02 00:00:00 Yes 2018-01-30 00:00:00 2018-01-18 00:00:00 AP BR AP BR 67500 34072.5 0 34072.5 0 None HNHG11 None CA00430257 B SFY2015-16
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2015-03-20 00:00:00 070011702 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-08-21 00:00:00 2014-08-21 00:00:00 Yes 2015-11-09 00:00:00 2015-10-28 00:00:00 AP BR AP BR 42500 42500 0 42500 0 None YVF311 None CA00411253 C SFY2014-15
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2015-09-10 00:00:00 070011863 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2015-03-25 00:00:00 2015-03-25 00:00:00 No 2015-10-01 00:00:00 None AP BR None 55000 55000 -13750 41250 0 None GG6P11 None CA00438860, CA00446380 C, C SFY2015-16
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2015-12-01 00:00:00 070011878 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-05-02 00:00:00 2015-05-02 00:00:00 No 2015-12-22 00:00:00 None FTR AE None 12700 12700 0 12700 0 None X6QP11 N CA00457894 B SFY2015-16
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2015-11-23 00:00:00 070011945 Open Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2015-05-27 00:00:00 2015-05-27 00:00:00 Yes 2018-01-30 00:00:00 2018-01-12 00:00:00 AP BR None 7500 7500 0 0 7500 None K8LZ11 None CA00446171 C SFY2015-16
070000141 GEORGE L. MEE MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2016-02-24 00:00:00 070012045 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-03-24 00:00:00 2015-03-24 00:00:00 No 2016-03-16 00:00:00 None AP NON-IJ None 8943.75 8943.75 0 8943.75 0 None H9M711 N CA00436589 B SFY2015-16
070000635 ST. LOUISE REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2016-03-08 00:00:00 070012062 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part Surgery-Wrong Body Part 2015-10-06 00:00:00 2015-10-06 00:00:00 No 2016-03-29 00:00:00 None FTR AE None 400 400 0 400 0 None 3IHI11 N CA00462098 C SFY2015-16
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2016-04-14 00:00:00 070012188 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-05-26 00:00:00 2015-05-26 00:00:00 No 2016-05-05 00:00:00 None FTR AE None 800 800 0 800 0 None DH9911 N CA00445902 C SFY2015-16
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2016-04-14 00:00:00 070012189 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-11-05 00:00:00 2015-11-05 00:00:00 No 2016-05-05 00:00:00 None FTR AE None 1500 1500 0 1500 0 None 5RFP11 N CA00466902 C SFY2015-16
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2016-04-14 00:00:00 070012190 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-11-03 00:00:00 2015-11-03 00:00:00 No 2016-05-05 00:00:00 None FTR AE None 1700 1700 0 1700 0 None 3EJY11 N CA00466897 B SFY2015-16
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2016-04-14 00:00:00 070012191 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-08-06 00:00:00 2015-08-06 00:00:00 No 2016-05-05 00:00:00 None FTR AE None 300 300 0 300 0 None P0UI11 N CA00454605 C SFY2015-16
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2016-04-14 00:00:00 070012192 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-08-06 00:00:00 2015-08-06 00:00:00 No 2016-05-05 00:00:00 None FTR AE None 200 200 0 200 0 None I7CU11 N CA00454486 C SFY2015-16
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2016-04-14 00:00:00 070012193 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-07-27 00:00:00 2015-07-27 00:00:00 No 2016-05-05 00:00:00 None FTR AE None 1200 1200 0 1200 0 None I7CU11 N CA00454486 C SFY2015-16
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2016-05-27 00:00:00 070012350 Open Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2015-11-20 00:00:00 2015-11-20 00:00:00 Yes 2018-01-30 00:00:00 2018-01-12 00:00:00 AP BR None 7500 7500 0 0 7500 None 1KE711 None CA00470059 B SFY2015-16
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2016-08-22 00:00:00 070012532 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-05-24 00:00:00 2016-05-24 00:00:00 No 2016-09-13 00:00:00 None FTR AE None 400 400 0 400 0 None WGDC11 N CA00490260 C SFY2016-17
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2016-08-23 00:00:00 070012537 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-10-14 00:00:00 2015-10-14 00:00:00 No 2016-09-14 00:00:00 None FTR AE None 2400 2400 0 2400 0 None RV2M11 N CA00465238 B SFY2016-17
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2016-08-31 00:00:00 070012553 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-09-30 00:00:00 2015-09-30 00:00:00 No 2016-09-22 00:00:00 None FTR AE None 4900 4900 0 4900 0 None 7O4S11 N CA00466561 C SFY2016-17
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2016-12-08 00:00:00 070012876 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2015-10-02 00:00:00 2015-10-02 00:00:00 No 2016-12-30 00:00:00 None AP BR None 15000 15000 0 15000 0 None 0JEC11 None CA00461371 C SFY2016-17
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2017-01-13 00:00:00 070012964 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-02-22 00:00:00 2016-02-22 00:00:00 Yes 2017-02-06 00:00:00 2017-09-11 00:00:00 AP IJ AP IJ 33390 13515 0 13515 0 None IGGC11 Y CA00478561 B SFY2016-17
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2016-12-21 00:00:00 070013187 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Retention of Foreign Obje 2014-05-06 00:00:00 2014-05-06 00:00:00 No 2017-01-13 00:00:00 None AP NON-IJ None 4040 4040 0 4040 0 None 1Q1411 N CA00397882 C SFY2016-17
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2016-12-21 00:00:00 070013188 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Retention of Foreign Obje 2014-07-11 00:00:00 2014-07-11 00:00:00 No 2017-01-13 00:00:00 None AP NON-IJ None 4040 4040 0 4040 0 None 5MBF11 N CA00405536 C SFY2016-17
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2017-05-31 00:00:00 070013239 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE14 - Maternal death/disab due to labor/del/post None 2017-04-10 00:00:00 2017-04-10 00:00:00 No 2017-06-21 00:00:00 None FTR AE None 2000 2000 0 2000 0 None W1S211 N CA00534028 B SFY2016-17
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2017-06-16 00:00:00 070013293 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2017-03-22 00:00:00 2017-03-22 00:00:00 No 2017-07-10 00:00:00 None AP IJ None 33300 33300 0 33300 0 None MQ1611 N None None SFY2016-17
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2017-10-24 00:00:00 070013567 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-10-18 00:00:00 2016-10-18 00:00:00 No 2017-11-15 00:00:00 None FTR AE None 2900 2900 0 2900 0 None CLJ511 N CA00511486 C SFY2017-18
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2018-01-09 00:00:00 070013722 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-06-02 00:00:00 2016-06-02 00:00:00 No 2018-01-30 00:00:00 None FTR AE None 600 600 0 600 0 None WD5611 N CA00491810 C SFY2017-18
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2018-02-21 00:00:00 070013835 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-12-06 00:00:00 2017-12-06 00:00:00 No 2018-03-14 00:00:00 None FTR AE None 700 700 0 700 0 None JZT811 N CA00515287 B SFY2017-18
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2018-02-27 00:00:00 070013856 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Retention of Object 2016-06-12 00:00:00 2016-06-12 00:00:00 No 2018-03-20 00:00:00 None AP NON-IJ None 11362 11362 0 11362 0 None 986511 N None None SFY2017-18
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2018-04-27 00:00:00 070014085 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2016-12-13 00:00:00 2016-12-13 00:00:00 No 2018-05-18 00:00:00 None AP NON-IJ None 11362 11362 0 11362 0 None KPUO11 N CA00515300, CA00515300 B, B SFY2017-18
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2018-06-06 00:00:00 070014134 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-12-15 00:00:00 2016-12-15 00:00:00 No 2018-06-27 00:00:00 None AP NON-IJ None 13515 13515 0 0 13515 None BZXH11 N CA00515367 B SFY2017-18
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2018-05-29 00:00:00 070014161 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2018-04-05 00:00:00 2018-04-05 00:00:00 No 2018-06-19 00:00:00 None AP NON-IJ None 4750 4750 0 0 4750 None VHGU11 N CA00582269 A SFY2017-18
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2018-08-31 00:00:00 070014375 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2018-05-19 00:00:00 2018-05-19 00:00:00 No 2018-09-24 00:00:00 None AP NON-IJ None 3787.5 3787.5 0 3787.5 0 None M8QU11 N CA00588885 A SFY2018-19
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2018-09-13 00:00:00 070014410 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-07-10 00:00:00 2017-07-10 00:00:00 No 2018-10-04 00:00:00 None FTR AE None 600 600 0 600 0 None 5JNE11 N CA00545135 B SFY2018-19
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2018-11-20 00:00:00 070014597 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2017-09-04 00:00:00 2017-09-04 00:00:00 No 2018-12-13 00:00:00 None FTR AE None 38000 38000 0 38000 0 None MGVR11 N CA00585565 B SFY2018-19
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2018-12-05 00:00:00 070014631 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-04-14 00:00:00 2017-04-14 00:00:00 No 2018-12-27 00:00:00 None AP NON-IJ None 11925 11925 0 11925 0 None JG3K11 N CA00607084 B SFY2018-19
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2019-01-25 00:00:00 070014766 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2018-04-25 00:00:00 2018-04-25 00:00:00 No 2019-02-15 00:00:00 None AP NON-IJ None 11812.5 11812.5 0 0 11812.5 None 7I2I11 N CA00607088 B SFY2018-19
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2019-03-27 00:00:00 070014916 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-01-19 00:00:00 2017-01-19 00:00:00 No 2019-04-17 00:00:00 None FTR AE None 600 600 0 600 0 None WTEB11 N CA00617423 C SFY2018-19
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2019-05-07 00:00:00 070014917 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-01-16 00:00:00 2017-01-16 00:00:00 No 2019-05-28 00:00:00 None FTR AE None 900 900 0 900 0 None TG8F11 N CA00617422 C SFY2018-19
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2019-05-08 00:00:00 070014918 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-03-10 00:00:00 2017-03-10 00:00:00 No 2019-05-29 00:00:00 None FTR AE None 200 200 0 200 0 None STXU11 N CA00527046 B SFY2018-19
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2019-04-23 00:00:00 070014920 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-03-14 00:00:00 2018-03-14 00:00:00 No 2019-05-14 00:00:00 None FTR AE None 800 800 0 800 0 None X8DG11 N CA00580079 C SFY2018-19
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2019-04-29 00:00:00 070015005 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-02-17 00:00:00 2017-02-17 00:00:00 No 2019-05-20 00:00:00 None FTR AE None 2300 2300 0 2300 0 None EQ7T11 Y CA00617749 B SFY2018-19
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015019 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-03-28 00:00:00 2018-03-28 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 1000 1000 0 1000 0 None I5YV11 N CA00582564 C SFY2018-19
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015020 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-02-02 00:00:00 2018-02-02 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 6500 6500 0 6500 0 None J8P511 N CA00582575 B SFY2018-19
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015022 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-08-06 00:00:00 2018-08-06 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 500 500 0 500 0 None VK8C11 N CA00600104 C SFY2018-19
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015023 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-02-18 00:00:00 2018-02-18 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 700 700 0 700 0 None PWXY11 N CA00576361 C SFY2018-19
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015024 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-02-06 00:00:00 2017-02-06 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 400 400 0 400 0 None 17IR11 N CA00522802 B SFY2018-19
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015025 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-03-23 00:00:00 2018-03-23 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 600 600 0 600 0 None QWRP11 N CA00580921 C SFY2018-19
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015026 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-10-20 00:00:00 2017-10-20 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 700 700 0 700 0 None WN8511 N CA00559275 C SFY2018-19
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015027 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-01-04 00:00:00 2018-01-04 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 1500 1500 0 1500 0 None CX1N11 N CA00570722 C SFY2018-19
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015028 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-11-05 00:00:00 2018-11-05 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 400 400 0 400 0 None FZUL11 N CA00612004 B SFY2018-19
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015029 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-04-12 00:00:00 2018-04-12 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 300 300 0 300 0 None 2C3E11 N CA00583588 C SFY2018-19
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2019-04-30 00:00:00 070015031 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-03-17 00:00:00 2018-03-17 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 600 600 0 600 0 None 8OGR11 N CA00580305 C SFY2018-19
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2019-05-03 00:00:00 070015038 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-11-05 00:00:00 2018-11-05 00:00:00 No 2019-05-24 00:00:00 None FTR AE None 600 600 0 600 0 None PEB411 N CA00612523 B SFY2018-19
070000147 SALINAS VALLEY HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2019-05-10 00:00:00 070015065 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-09-30 00:00:00 2018-09-30 00:00:00 No 2019-05-31 00:00:00 None FTR AE None 300 300 0 300 0 None CRCI11 N CA00607341 C SFY2018-19
070000146 O'CONNOR HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2019-06-18 00:00:00 070015169 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-04-08 00:00:00 2019-04-08 00:00:00 No 2019-07-09 00:00:00 None FTR AE None 2700 2700 0 2700 0 None MRKR11 N CA00637202 C SFY2018-19
070001351 EL CAMINO HEALTH Non-LTC GACH General Acute Care Hospital San Jose 2019-06-18 00:00:00 070015171 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-06-13 00:00:00 2017-06-13 00:00:00 No 2019-07-09 00:00:00 None FTR AE None 3700 3700 0 3700 0 None 8K0S11 N CA00545713 C SFY2018-19
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2019-06-28 00:00:00 070015208 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-06-17 00:00:00 2018-06-17 00:00:00 No 2019-07-19 00:00:00 None FTR AE None 700 700 0 700 0 None WDUK11 N CA00593403 B SFY2018-19
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2019-07-08 00:00:00 070015221 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-02-15 00:00:00 2019-02-15 00:00:00 No 2019-07-29 00:00:00 None FTR AE None 2200 2200 0 2200 0 None KET311 N CA00628649 C SFY2019-20
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2019-07-09 00:00:00 070015222 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-04-15 00:00:00 2016-04-15 00:00:00 No 2019-07-30 00:00:00 None FTR AE None 33600 33600 0 33600 0 None CY6N11 N CA00527895 B SFY2019-20
070001355 KAISER FOUNDATION HOSPITAL-SANTA CLARA Non-LTC GACH General Acute Care Hospital San Jose 2019-07-16 00:00:00 070015233 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-03-09 00:00:00 2019-03-09 00:00:00 No 2019-08-06 00:00:00 None FTR AE None 5600 5600 0 5600 0 None NZDB11 N CA00637046 C SFY2019-20
070000139 DOMINICAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2019-07-30 00:00:00 070015258 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-07-10 00:00:00 2018-07-10 00:00:00 No 2019-08-20 00:00:00 None FTR AE None 800 800 0 800 0 None 8B9N11 N CA00596691 B SFY2019-20
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2019-07-30 00:00:00 070015259 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-06-16 00:00:00 2017-06-16 00:00:00 No 2019-08-20 00:00:00 None FTR AE None 2000 2000 0 2000 0 None VKC111 N CA00543451 B SFY2019-20
070000137 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA Non-LTC GACH General Acute Care Hospital San Jose 2019-07-30 00:00:00 070015260 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-03-06 00:00:00 2019-03-06 00:00:00 No 2019-08-20 00:00:00 None FTR AE None 2500 2500 0 2500 0 None 06UQ11 N CA00632202 C SFY2019-20
070000150 KAISER FOUNDATION HOSPITAL-SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2019-08-21 00:00:00 070015332 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2016-11-18 00:00:00 2016-11-18 00:00:00 No 2019-09-11 00:00:00 None FTR AE None 1900 1900 0 1900 0 None M3MO11 N CA00616699 B SFY2019-20
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2019-12-19 00:00:00 070015625 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-11-21 00:00:00 2019-11-21 00:00:00 No 2020-01-09 00:00:00 None FTR AE None 700 700 0 700 0 None BZCD11 N CA00665983 C SFY2019-20
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2020-02-10 00:00:00 070015699 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-07-09 00:00:00 2017-07-09 00:00:00 No 2020-03-03 00:00:00 None AP IJ None 71250 71250 0 71250 0 None VPDF11 Y CA00548968 B SFY2019-20
070000153 GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2020-03-02 00:00:00 070015780 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-07-18 00:00:00 2019-07-18 00:00:00 No 2020-03-23 00:00:00 None FTR AE None 19200 19200 0 19200 0 None 5T4311 N CA00674178 C SFY2019-20
070001349 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD Non-LTC GACH General Acute Care Hospital San Jose 2020-08-21 00:00:00 070015989 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE08 - Death/disability due to intravascular air embolism None 2017-02-08 00:00:00 2017-02-08 00:00:00 No 2020-09-14 00:00:00 None AP IJ None 49500 49500 0 49500 0 None 3W6H11 N CA00522120 B SFY2020-21
070000133 REGIONAL MEDICAL CENTER OF SAN JOSE Non-LTC GACH General Acute Care Hospital San Jose 2021-09-21 00:00:00 070016942 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-05-02 00:00:00 2020-05-02 00:00:00 No 2021-10-12 00:00:00 None FTR AE None 4900 4900 0 4900 0 None 5WSJ11 N CA00694927, CA00694927 B, B SFY2021-22
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2021-12-13 00:00:00 070017185 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-08-07 00:00:00 2020-08-07 00:00:00 No 2022-01-03 00:00:00 None FTR AE None 2700 2700 0 2700 0 None 1TO711 N CA00704118 C SFY2021-22
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2022-02-17 00:00:00 070017364 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-09-17 00:00:00 2020-09-17 00:00:00 No 2022-03-11 00:00:00 None FTR AE None 8000 8000 0 8000 0 None S4LU11 N CA00716437 B SFY2021-22
070001357 STANFORD HEALTH CARE Non-LTC GACH General Acute Care Hospital San Jose 2023-12-04 00:00:00 070019439 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2023-02-21 00:00:00 2023-02-21 00:00:00 No 2023-12-26 00:00:00 None AP NON-IJ None 3750 3750 0 3750 0 None 077I11 N CA00829863 B SFY2023-24
070000142 HAZEL HAWKINS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2023-08-15 00:00:00 070019602 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-11-02 00:00:00 2021-11-02 00:00:00 No 2023-09-06 00:00:00 None AP BR None 125000 125000 -31250 93750 0 None B4YJ11 None CA00766496 D SFY2023-24
070000142 HAZEL HAWKINS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Jose 2023-08-15 00:00:00 070019606 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-08-25 00:00:00 2022-08-25 00:00:00 No 2024-02-14 00:00:00 None AP BR None 125000 125000 -31250 93750 0 None NFVO11 None CA00802061 D SFY2023-24
070000149 SANTA CLARA VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Jose 2023-05-02 00:00:00 070019973 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-05-26 00:00:00 2021-05-26 00:00:00 No 2024-05-22 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None VJ7M11 None CA00740799 C SFY2022-23
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2008-03-24 00:00:00 080004300 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE27 - Death/injury from a physical assault None 2007-08-30 00:00:00 2007-08-30 00:00:00 No 2008-04-15 00:00:00 None AP IJ None 25000 25000 0 25000 0 None BM3P11 N CA00124894 A SFY2007-08
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2007-12-27 00:00:00 080004534 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-11-09 11:40:00 2007-11-09 11:40:00 No 2008-01-22 00:00:00 None FTR AE None 2200 2200 0 2200 0 None VUTV11 N CA00134159 C SFY2007-08
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2008-03-07 00:00:00 080004760 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-11-09 00:00:00 2007-11-09 00:00:00 No 2008-03-28 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 1DCK11 N CA00133082 A SFY2007-08
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2008-04-18 00:00:00 080004762 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-11-09 00:00:00 2007-11-09 00:00:00 No 2008-05-09 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 1DCK11 N CA00133082 A SFY2007-08
080000147 PALOMAR MEDICAL CENTER POWAY Non-LTC GACH General Acute Care Hospital San Diego 2008-03-27 00:00:00 080004811 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-02-23 01:04:00 2008-02-23 01:04:00 No 2008-04-21 00:00:00 None FTR AE None 200 200 0 200 0 None 7DYX11 N CA00142346 C SFY2007-08
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-03-24 00:00:00 080004815 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE06 -Use of contaminated drug, device, or biologic None 2007-11-20 00:00:00 2007-11-20 00:00:00 No 2008-04-15 00:00:00 None AP IJ None 25000 25000 0 25000 0 None ZSKG11 N None None SFY2007-08
080000903 SAN DIEGO HOSPICE & PALLIATIVE CARE-ACUTE CARE CTR Non-LTC SPHOSP General Acute Care Hospital San Diego 2008-05-06 00:00:00 080004985 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2007-11-01 17:00:00 2007-11-01 17:00:00 No 2008-05-29 00:00:00 None FTR AE None 12700 12700 0 12700 0 None 11ZN11 Y CA00139905 C SFY2007-08
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-05-30 00:00:00 080005093 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE07 - Use of device other than as intended None 2008-03-21 00:00:00 2008-03-21 00:00:00 No 2008-06-20 00:00:00 None AP IJ None 25000 25000 0 25000 0 None IGWW11 Y CA00145843 A SFY2007-08
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-05-30 00:00:00 080005094 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events Death - General 2008-03-21 00:00:00 2008-03-21 00:00:00 No 2008-06-23 00:00:00 None FTR AE None 1400 1400 0 1400 0 None IGWW11 Y CA00145843 A SFY2007-08
080000147 PALOMAR MEDICAL CENTER POWAY Non-LTC GACH General Acute Care Hospital San Diego 2008-06-05 00:00:00 080005103 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE07 - Use of device other than as intended None 2008-03-28 00:00:00 2008-03-28 00:00:00 No 2008-06-26 00:00:00 None AP IJ None 25000 25000 0 25000 0 None XO3B11 N CA00145575 A SFY2007-08
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2008-06-09 00:00:00 080005124 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-04-15 16:00:00 2008-04-15 16:00:00 No 2008-06-30 00:00:00 None FTR AE None 1300 1300 0 1300 0 None RXHP11 N CA00149049 C SFY2007-08
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-06-20 00:00:00 080005158 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-03-26 00:00:00 2008-03-26 00:00:00 No 2008-07-14 00:00:00 None AP IJ None 25000 25000 0 25000 0 None HJZE11 N CA00146060 A SFY2007-08
080000147 PALOMAR MEDICAL CENTER POWAY Non-LTC GACH General Acute Care Hospital San Diego 2008-06-27 00:00:00 080005187 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-02-23 01:00:00 2008-02-23 01:00:00 No 2008-07-21 00:00:00 None FTR AE None 200 200 0 200 0 None 6MOX11 N CA00142346 C SFY2007-08
080000142 PALOMAR HEALTH DOWNTOWN CAMPUS Non-LTC GACH General Acute Care Hospital San Diego 2008-07-16 00:00:00 080005232 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-05-15 10:45:00 2008-05-15 10:45:00 No 2008-08-06 00:00:00 None FTR AE None 200 200 0 200 0 None PMUB11 N CA00151252 A SFY2008-09
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-07-16 00:00:00 080005233 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2008-03-11 23:55:00 2008-03-11 23:55:00 No 2008-08-06 00:00:00 None FTR AE None 8200 8200 0 8200 0 None ZHPL11 N CA00151777 C SFY2008-09
080000142 PALOMAR HEALTH DOWNTOWN CAMPUS Non-LTC GACH General Acute Care Hospital San Diego 2008-10-16 00:00:00 080005401 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-28 16:10:00 2008-07-28 16:10:00 No 2008-11-10 00:00:00 None FTR AE None 300 300 0 300 0 None P6J711 N CA00159108 B SFY2008-09
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-10-16 00:00:00 080005405 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-06-04 00:00:00 2008-06-04 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None PE4311 Y CA00153342 A SFY2008-09
080000150 SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Non-LTC GACH General Acute Care Hospital San Diego 2008-10-20 00:00:00 080005538 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-21 09:30:00 2008-07-21 09:30:00 No 2008-11-12 00:00:00 None FTR AE None 6600 6600 0 6600 0 None ACKC11 N CA00163894 B SFY2008-09
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2008-12-13 00:00:00 080005699 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-09-19 09:00:00 2008-09-19 09:00:00 No 2009-01-09 00:00:00 None FTR AE None 3100 3100 0 3100 0 None 0CNL11 N CA00166231 B SFY2008-09
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2009-01-30 00:00:00 080005848 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-12 11:58:00 2008-12-12 11:58:00 No 2009-02-25 00:00:00 None FTR AE None 3700 3700 0 3700 0 None 36N811 N CA00175536 B SFY2008-09
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-03-03 00:00:00 080005918 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2008-12-08 00:00:00 2008-12-08 00:00:00 No 2009-03-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None UBM311 Y CA00171976 A SFY2008-09
630008921 SHARP MESA VISTA HOSPITAL Non-LTC APH Acute Psychiatric Hospital San Diego 2009-03-12 00:00:00 080005956 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-11-13 00:00:00 2008-11-13 00:00:00 No 2009-04-03 00:00:00 None AP IJ None 25000 25000 0 25000 0 None ZETD11 N CA00169617 A SFY2008-09
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-04-08 00:00:00 080006052 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-01-29 00:00:00 2009-01-29 00:00:00 No 2009-04-29 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 45EN11 N CA00176590 B SFY2008-09
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-04-03 00:00:00 080006055 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2009-01-16 00:00:00 2009-01-16 00:00:00 No 2009-04-24 00:00:00 None AP IJ None 50000 50000 0 50000 0 None WM0T11 N CA00175238 B SFY2008-09
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-04-10 00:00:00 080006078 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE05 - Death during or up to 24 hours after surgery None 2008-04-02 06:25:00 2008-04-02 06:25:00 No 2009-05-01 00:00:00 None FTR AE None 32700 32700 0 32700 0 None 3YXE11 Y CA00179317 B SFY2008-09
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-05-28 00:00:00 080006215 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-02-11 20:00:00 2009-02-11 20:00:00 No 2009-06-18 00:00:00 None FTR AE None 7000 7000 0 7000 0 None 7PUU11 N CA00186262 B SFY2008-09
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-06-11 00:00:00 080006259 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-02-13 08:40:00 2008-02-13 08:40:00 Yes 2009-07-02 00:00:00 2009-06-18 00:00:00 FTR AE FTR AE 46000 17500 0 17500 0 None 379X11 N CA00189411 B SFY2008-09
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-06-11 00:00:00 080006262 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-03-06 00:00:00 2008-03-06 00:00:00 Yes 2009-07-02 00:00:00 2009-06-18 00:00:00 FTR AE FTR AE 43800 17500 0 17500 0 None 761U11 N CA00189414 B SFY2008-09
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2009-06-19 00:00:00 080006278 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-03-13 22:50:00 2009-03-13 22:50:00 No 2009-07-08 00:00:00 None FTR AE None 2800 2800 0 2800 0 None 6H2M11 N CA00184962 B SFY2008-09
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-07-15 00:00:00 080006354 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2009-02-13 16:00:00 2009-02-13 16:00:00 No 2009-08-05 00:00:00 None FTR AE None 8400 8400 0 8400 0 None EW4511 N CA00188300 B SFY2009-10
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-10-15 00:00:00 080006618 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-07-24 19:59:00 2009-07-24 19:59:00 No 2009-11-09 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 2GBV11 N CA00198200 B SFY2009-10
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-11-25 00:00:00 080006733 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-04-29 00:00:00 2009-04-29 00:00:00 No 2009-12-18 00:00:00 None AP IJ None 50000 50000 0 50000 0 None E9YS11 N CA00187039 B SFY2009-10
080000147 PALOMAR MEDICAL CENTER POWAY Non-LTC GACH General Acute Care Hospital San Diego 2009-11-25 00:00:00 080006735 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2009-06-20 00:00:00 2009-06-20 00:00:00 Yes 2009-12-18 00:00:00 2010-06-01 00:00:00 AP IJ None 50000 50000 0 50000 0 None JPM711 Y CA00193150 C SFY2009-10
080000023 RADY CHILDREN'S HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2009-12-18 00:00:00 080006822 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2009-05-14 00:00:00 2009-05-14 00:00:00 No 2010-01-12 00:00:00 None AP IJ None 50000 50000 0 50000 0 None H6O611 N CA00183430 A SFY2009-10
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2010-01-06 00:00:00 080006885 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-08-10 16:53:00 2009-08-10 16:53:00 No 2010-01-29 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 43RE11 N CA00200146 C SFY2009-10
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2010-01-11 00:00:00 080006905 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2009-09-08 00:00:00 2009-09-08 00:00:00 Yes 2010-02-03 00:00:00 2010-05-20 00:00:00 AP IJ None 50000 50000 0 50000 0 None NFHP11 N CA00201143 A SFY2009-10
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2010-02-03 00:00:00 080006957 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE06 -Use of contaminated drug, device, or biologic None 2008-08-01 00:00:00 2008-08-01 00:00:00 Yes 2010-02-24 00:00:00 2010-06-01 00:00:00 AP IJ Drop>Deficiency 75000 40000 0 40000 0 None ML0U11 Y CA00197618 B SFY2009-10
080000142 PALOMAR HEALTH DOWNTOWN CAMPUS Non-LTC GACH General Acute Care Hospital San Diego 2010-05-24 00:00:00 080007241 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-02-09 00:00:00 2010-02-09 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 75000 75000 0 75000 0 None YNCK11 N CA00218239 A SFY2009-10
080000142 PALOMAR HEALTH DOWNTOWN CAMPUS Non-LTC GACH General Acute Care Hospital San Diego 2010-05-26 00:00:00 080007259 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-12-29 00:00:00 2009-12-29 00:00:00 No 2010-06-17 00:00:00 None AP IJ None 50000 50000 0 50000 0 None GZ3P11 N CA00213140 A SFY2009-10
080000147 PALOMAR MEDICAL CENTER POWAY Non-LTC GACH General Acute Care Hospital San Diego 2010-05-26 00:00:00 080007260 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2010-01-31 00:00:00 2010-01-31 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 75000 75000 0 75000 0 None LQQ711 Y CA00217096 C SFY2009-10
080000150 SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Non-LTC GACH General Acute Care Hospital San Diego 2010-07-21 00:00:00 080007414 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-04-16 00:00:00 2010-04-16 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 50000 50000 0 50000 0 None BHUS11 N CA00225644 C SFY2010-11
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2010-08-10 00:00:00 080007456 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-12-18 00:00:00 2009-12-18 00:00:00 Yes 2010-08-31 00:00:00 2010-11-30 00:00:00 AP IJ AP IJ 50000 35000 0 35000 0 None GYGH11 N CA00224687 B SFY2010-11
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2007-09-12 00:00:00 080008014 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-08-15 00:00:00 2007-08-15 00:00:00 No 2007-10-03 00:00:00 None FTR AE None 700 700 0 700 0 None TGOZ11 N None None SFY2007-08
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2007-11-07 00:00:00 080008015 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-09-26 16:53:00 2007-09-26 16:53:00 No 2007-12-03 00:00:00 None FTR AE None 200 200 0 200 0 None 591E11 N CA00128303 C SFY2007-08
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2007-10-06 00:00:00 080008017 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-07-14 00:00:00 2007-07-14 00:00:00 No 2007-10-29 00:00:00 None FTR AE None 7400 7400 0 7400 0 None 98YN11 N CA00128300 C SFY2007-08
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2011-04-26 00:00:00 080008195 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-04-21 00:00:00 2009-04-21 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 75000 75000 0 75000 0 None KW5R11 N CA00189315 B SFY2010-11
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2011-05-05 00:00:00 080008219 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2010-12-18 00:00:00 2010-12-18 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 75000 75000 0 75000 0 None NDLD11 N CA00253183 B SFY2010-11
080000665 AURORA SAN DIEGO Non-LTC APH Acute Psychiatric Hospital San Diego 2011-06-28 00:00:00 080008332 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2010-07-19 00:00:00 2010-07-19 00:00:00 Yes 2012-11-02 00:00:00 2012-10-15 00:00:00 AP IJ None 50000 50000 0 50000 0 None U2NC11 Y CA00236003 A SFY2010-11
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2011-07-27 00:00:00 080008426 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-06-16 09:26:00 2011-06-16 09:26:00 No 2011-08-17 00:00:00 None FTR AE None 800 800 0 800 0 None 4ONK11 N CA00274603 B SFY2011-12
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2011-07-07 00:00:00 080008437 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Other Failure to Report 2009-10-19 00:00:00 2009-10-19 00:00:00 No 2011-07-28 00:00:00 None FTR BR None 500 500 0 500 0 None DFIN11 None CA00262328 C SFY2011-12
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2011-08-03 00:00:00 080008440 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-05-13 13:05:00 2011-05-13 13:05:00 No 2011-08-24 00:00:00 None FTR AE None 600 600 0 600 0 None V3FT11 N CA00270250 B SFY2011-12
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2011-08-09 00:00:00 080008456 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-10-28 00:00:00 2010-10-28 00:00:00 No 2011-12-30 00:00:00 None AP IJ None 100000 100000 0 100000 0 None CZBS11 N CA00247732 B SFY2011-12
080000142 PALOMAR HEALTH DOWNTOWN CAMPUS Non-LTC GACH General Acute Care Hospital San Diego 2011-09-13 00:00:00 080008567 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-10-24 13:30:00 2010-10-24 13:30:00 No 2011-10-05 00:00:00 None FTR AE None 4900 4900 0 4900 0 None N9WG11 N CA00252661 B SFY2011-12
080000147 PALOMAR MEDICAL CENTER POWAY Non-LTC GACH General Acute Care Hospital San Diego 2011-09-16 00:00:00 080008577 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-06-09 00:00:00 2011-06-09 00:00:00 No 2011-10-07 00:00:00 None FTR AE None 400 400 0 400 0 None ER2Q11 N CA00273337, CA00273601 , SFY2011-12
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2011-11-08 00:00:00 080008720 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2011-04-12 00:00:00 2011-04-12 00:00:00 Yes 2013-06-26 00:00:00 2013-06-11 00:00:00 AP IJ None 75000 75000 0 75000 0 None H4FM11 Y CA00265925, CA00271149 B, SFY2011-12
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2011-12-12 00:00:00 080008811 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-04-28 00:00:00 2009-04-28 00:00:00 Yes 2012-06-22 00:00:00 2012-06-12 00:00:00 AP IJ AP IJ 50000 30000 0 30000 0 None VIJR11 N CA00241706 B SFY2011-12
080000043 FALLBROOK HOSPITAL DISTRICT Non-LTC GACH General Acute Care Hospital San Diego 2011-01-10 00:00:00 080008896 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2011-01-05 00:00:00 2011-01-05 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 7G7611 N CA00254765 B SFY2010-11
080000873 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency San Diego 2012-02-09 00:00:00 080008987 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2011-10-29 17:00:00 2011-10-29 17:00:00 No 2012-03-02 00:00:00 None FTR BR None 2000 2000 -500 1500 0 None 3OZK11 None CA00291761 E SFY2011-12
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2012-03-01 00:00:00 080009057 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-12-07 13:30:00 2011-12-07 13:30:00 No 2012-03-22 00:00:00 None FTR BR None 700 700 0 700 0 None OO2F11 None CA00293701 E SFY2011-12
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2012-05-10 00:00:00 080009297 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-12-12 09:00:00 2011-12-12 09:00:00 No 2012-06-01 00:00:00 None FTR BR None 800 800 0 800 0 None G77T11 None CA00294586 E SFY2011-12
080000130 ACCENTCARE HOME HEALTH OF CALIFORNIA, INC Non-LTC HHA Home Health Agency San Diego 2012-06-27 00:00:00 080009381 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-04-21 12:00:00 2011-04-21 12:00:00 No 2012-07-19 00:00:00 None FTR BR None 2100 2100 -525 1575 0 None C3B511 None CA00305750 E SFY2011-12
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2012-08-08 00:00:00 080009432 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-12-08 00:00:00 2011-12-08 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 75000 75000 0 75000 0 None ZGPR11 N CA00292560 B SFY2012-13
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2012-08-17 00:00:00 080009445 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2012-01-19 00:00:00 2012-01-19 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 94UE11 N CA00296958 A SFY2012-13
080000142 PALOMAR HEALTH DOWNTOWN CAMPUS Non-LTC GACH General Acute Care Hospital San Diego 2012-12-07 00:00:00 080009665 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall Death due to a fall 2011-09-16 00:00:00 2011-09-16 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 51G011 Y CA00284117 A SFY2012-13
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2013-05-02 00:00:00 080009871 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-01-10 18:50:00 2013-01-10 18:50:00 No 2013-05-23 00:00:00 None FTR AE None 800 800 0 800 0 None 0JG211 N CA00340653 B SFY2012-13
080000665 AURORA SAN DIEGO Non-LTC APH Acute Psychiatric Hospital San Diego 2013-06-18 00:00:00 080009953 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2012-11-19 00:00:00 2012-11-19 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 75000 75000 0 75000 0 None WGHG11 Y CA00333809 A SFY2012-13
080000147 PALOMAR MEDICAL CENTER POWAY Non-LTC GACH General Acute Care Hospital San Diego 2013-08-23 00:00:00 080010092 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-05-09 20:00:00 2013-05-09 20:00:00 No 2013-09-16 00:00:00 None FTR AE None 600 600 0 600 0 None UNC911 N CA00355359 B SFY2013-14
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2013-10-30 00:00:00 080010191 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-06-18 10:30:00 2013-06-18 10:30:00 No 2013-11-21 00:00:00 None FTR AE None 4400 4400 0 4400 0 None H4YN11 N CA00364708 B SFY2013-14
080000150 SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Non-LTC GACH General Acute Care Hospital San Diego 2014-03-14 00:00:00 080010539 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2014-01-08 16:32:00 2014-01-08 16:32:00 No 2014-04-07 00:00:00 None FTR BR None 2700 2700 0 2700 0 None 72NW11 None CA00387750 D SFY2013-14
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2014-03-27 00:00:00 080010577 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2012-12-07 00:00:00 2012-12-07 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 100000 100000 0 100000 0 None MIPH11 N CA00335919 B SFY2013-14
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2014-04-02 00:00:00 080010587 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2013-02-07 00:00:00 2013-02-07 00:00:00 No 2015-03-05 00:00:00 None AP IJ None 50000 50000 0 50000 0 None L6DU11 N CA00342790 B SFY2013-14
080000268 VISTA COMMUNITY CLINIC Non-LTC COMTYC Primary Care Clinic San Diego 2014-04-03 00:00:00 080010596 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-03-07 04:00:00 2014-03-07 04:00:00 No 2014-04-24 00:00:00 None FTR BR None 1000 1000 0 1000 0 None 1ZWM11 None CA00392398 E SFY2013-14
080000150 SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Non-LTC GACH General Acute Care Hospital San Diego 2014-04-07 00:00:00 080010600 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-10-26 16:00:00 2013-10-26 16:00:00 No 2014-04-28 00:00:00 None FTR BR None 4900 4900 -1225 3675 0 None NB1F11 None CA00391653 D SFY2013-14
080000043 FALLBROOK HOSPITAL DISTRICT Non-LTC GACH General Acute Care Hospital San Diego 2014-04-25 00:00:00 080010663 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2014-03-28 09:00:00 2014-03-28 09:00:00 No 2014-05-16 00:00:00 None FTR BR None 1200 1200 0 1200 0 None OEK911 None CA00395210 D SFY2013-14
080000043 FALLBROOK HOSPITAL DISTRICT Non-LTC GACH General Acute Care Hospital San Diego 2014-04-25 00:00:00 080010665 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-03-28 10:45:00 2014-03-28 10:45:00 No 2014-05-16 00:00:00 None FTR BR None 1100 1100 0 1100 0 None HMY511 None CA00395212 D SFY2013-14
080000268 VISTA COMMUNITY CLINIC Non-LTC COMTYC Primary Care Clinic San Diego 2014-05-08 00:00:00 080010710 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2014-03-06 17:00:00 2014-03-06 17:00:00 No 2014-05-30 00:00:00 None FTR BR None 2100 2100 0 2100 0 None Z1CE11 None CA00393560 D SFY2013-14
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2014-09-09 00:00:00 080010987 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-03-16 00:00:00 2014-03-16 00:00:00 No 2014-09-30 00:00:00 None FTR BR None 100 100 -25 75 0 None W7M511 None CA00395840 D SFY2014-15
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2014-11-07 00:00:00 080011119 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2013-10-31 00:00:00 2013-10-31 00:00:00 Yes 2015-06-09 00:00:00 2015-05-27 00:00:00 AP IJ AP IJ 75000 57500 0 57500 0 None L5BR11 N CA00374224 B SFY2014-15
080000150 SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Non-LTC GACH General Acute Care Hospital San Diego 2015-03-11 00:00:00 080011272 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-10-21 00:00:00 2014-10-21 00:00:00 No 2015-04-02 00:00:00 None FTR BR None 1500 1500 -375 1125 0 None I7X411 None CA00419991 E SFY2014-15
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2015-04-29 00:00:00 080011423 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-12-23 00:00:00 2014-12-23 00:00:00 No 2015-05-20 00:00:00 None AP IJ None 47025 47025 0 47025 0 None VGTZ11 N CA00425153 B SFY2014-15
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2015-05-13 00:00:00 080011467 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2014-09-24 00:00:00 2014-09-24 00:00:00 No 2015-06-04 00:00:00 None FTR BR None 200 200 -50 150 0 None SNE011 None CA00415687 E SFY2014-15
080000147 PALOMAR MEDICAL CENTER POWAY Non-LTC GACH General Acute Care Hospital San Diego 2015-05-21 00:00:00 080011491 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-03-18 00:00:00 2014-03-18 00:00:00 No 2015-06-12 00:00:00 None FTR BR None 19900 19900 -4975 14925 0 None TSMI11 None CA00416812 D SFY2014-15
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2015-05-21 00:00:00 080011493 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-09-10 00:00:00 2014-09-10 00:00:00 No 2015-06-12 00:00:00 None FTR BR None 1000 1000 -250 750 0 None QO7G11 None CA00418163 E SFY2014-15
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2015-05-26 00:00:00 080011500 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-09-30 00:00:00 2014-09-30 00:00:00 No 2015-06-16 00:00:00 None FTR BR None 200 200 -50 150 0 None S6GP11 None CA00418139 E SFY2014-15
080000142 PALOMAR HEALTH DOWNTOWN CAMPUS Non-LTC GACH General Acute Care Hospital San Diego 2015-06-15 00:00:00 080011555 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-02-22 00:00:00 2014-02-22 00:00:00 No 2015-07-06 00:00:00 None AP BR None 247500 247500 -247500 0 0 None J15511 None CA00393317 D SFY2014-15
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2015-09-04 00:00:00 080011706 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2015-08-10 00:00:00 2015-08-10 00:00:00 No 2015-09-28 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None WX8T11 None CA00409247 C SFY2015-16
080000023 RADY CHILDREN'S HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2015-11-02 00:00:00 080011817 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2012-07-01 00:00:00 2012-07-01 00:00:00 No 2016-08-01 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None LZG911 None CA00401886, CA00402445, CA00403150, CA00403287 B, B, E, D SFY2015-16
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2015-12-09 00:00:00 080011873 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-05-27 00:00:00 2014-05-27 00:00:00 No 2015-12-31 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None E4IL11 N CA00409042 B SFY2015-16
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2016-04-15 00:00:00 080012194 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-06-15 00:00:00 2015-06-15 00:00:00 Yes 2016-05-06 00:00:00 2016-05-03 00:00:00 FTR AE B 11600 11600 0 11600 0 None HD1J11 N CA00462090 B SFY2015-16
080000023 RADY CHILDREN'S HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2016-06-21 00:00:00 080012341 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-06-02 00:00:00 2015-06-02 00:00:00 No 2016-07-13 00:00:00 None AP NON-IJ None 4125 4125 0 4125 0 None WNU211 N CA00447543 A SFY2015-16
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2016-06-23 00:00:00 080012348 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-05-22 00:00:00 2015-05-22 00:00:00 No 2016-07-15 00:00:00 None AP NON-IJ None 11812 11812 0 11812 0 None W9D311 N CA00484751 B SFY2015-16
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2016-07-12 00:00:00 080012386 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-11-18 00:00:00 2014-11-18 00:00:00 No 2016-08-02 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None LYZZ11 N CA00422658 B SFY2016-17
080000149 SCRIPPS MEMORIAL HOSPITAL - LA JOLLA Non-LTC GACH General Acute Care Hospital San Diego 2016-08-19 00:00:00 080012517 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Retention Foreign Object 2015-12-29 00:00:00 2015-12-29 00:00:00 No 2016-09-12 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None SI0411 N CA00473415 B SFY2016-17
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2016-10-21 00:00:00 080012670 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-06-21 00:00:00 2016-06-21 00:00:00 No 2016-11-14 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None JFU011 N CA00492192 B SFY2016-17
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2016-10-26 00:00:00 080012682 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2016-03-24 00:00:00 2016-03-24 00:00:00 No 2016-11-17 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None I5S011 N CA00482418 B SFY2016-17
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2016-12-21 00:00:00 080012830 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2015-12-08 00:00:00 2015-12-08 00:00:00 No 2017-01-13 00:00:00 None AP NON-IJ None 12375 12375 0 12375 0 None OZXK11 N CA00467466, CA00511168 B, B SFY2016-17
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2017-01-05 00:00:00 080012859 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Retained Foreign Object 2016-04-13 00:00:00 2016-04-13 00:00:00 No 2017-01-27 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None XJER11 N CA00486039 B SFY2016-17
080000036 SHARP MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2017-02-01 00:00:00 080012929 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-10-08 00:00:00 2014-10-08 00:00:00 No 2017-02-23 00:00:00 None AP IJ None 86625 86625 0 86625 0 None 0IGF11 N CA00424919 B SFY2016-17
080000156 ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM Non-LTC APH Acute Psychiatric Hospital San Diego 2017-04-26 00:00:00 080013155 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-12-07 00:00:00 2016-12-07 00:00:00 No 2017-05-17 00:00:00 None AP NON-IJ None 3787 3787 0 3787 0 None 5P3311 N CA00513828, CA00514049 B, B SFY2016-17
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2017-05-16 00:00:00 080013205 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2016-04-21 00:00:00 2016-04-21 00:00:00 No 2017-06-07 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None A9C911 N CA00485353 B SFY2016-17
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2017-05-25 00:00:00 080013228 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-11-05 00:00:00 2016-11-05 00:00:00 No 2017-06-16 00:00:00 None FTR AE None 600 600 0 600 0 None DXEE11 N CA00511007 C SFY2016-17
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2018-03-23 00:00:00 080014057 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2016-09-16 00:00:00 2016-09-16 00:00:00 No 2018-04-13 00:00:00 None AP BR None 0 0 0 0 0 None BKSM11 None CA00505775 D SFY2017-18
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2021-11-24 00:00:00 080014506 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-08-13 00:00:00 2016-08-13 00:00:00 No 2021-12-20 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None FS2R11 None CA00499417, CA00499420 C, C SFY2021-22
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2021-11-24 00:00:00 080014515 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-07-14 00:00:00 2016-07-14 00:00:00 No 2021-12-17 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None R5EP11 None CA00498477 D SFY2021-22
080000152 TRI-CITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2021-12-17 00:00:00 080014534 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-06-08 00:00:00 2017-06-08 00:00:00 No 2022-01-07 00:00:00 None AP BR None 20000 20000 0 20000 0 None 813611 None CA00538667 D SFY2021-22
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2008-05-02 00:00:00 090004732 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-09-18 00:00:00 2007-09-18 00:00:00 No 2008-05-29 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 01Q711 N CA00121965 B SFY2007-08
090000155 PROMISE HOSPITAL OF SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2008-06-12 00:00:00 090005130 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-03-25 00:00:00 2008-03-25 00:00:00 Yes 2008-07-03 00:00:00 2008-08-28 00:00:00 AP IJ AP IJ 25000 13500 0 13500 0 None PKSY11 N CA00141559 B SFY2007-08
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-08-21 00:00:00 090005348 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-02-29 00:00:00 2008-02-29 00:00:00 No 2008-09-12 00:00:00 None AP IJ None 25000 25000 0 25000 0 None N64L11 N CA00142762 B SFY2008-09
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2008-12-10 00:00:00 090005663 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-06-19 00:00:00 2008-06-19 00:00:00 No 2009-01-02 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 0ELU11 N CA00163972 B SFY2008-09
090000145 PARADISE VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-12-03 00:00:00 090005665 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-05 22:00:00 2008-08-05 22:00:00 No 2008-12-24 00:00:00 None FTR AE None 1600 1600 0 1600 0 None HI7711 N CA00161242 B SFY2008-09
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2008-12-09 00:00:00 090005669 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE07 - Use of device other than as intended None 2008-09-01 00:00:00 2008-09-01 00:00:00 No 2008-12-31 00:00:00 None AP IJ None 25000 25000 0 25000 0 None YI8311 N CA00162209 A SFY2008-09
090000155 PROMISE HOSPITAL OF SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2009-01-08 00:00:00 090005767 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-27 14:00:00 2008-05-27 14:00:00 No 2009-01-30 00:00:00 None FTR AE None 11100 11100 0 11100 0 None 0FG411 N CA00164059 B SFY2008-09
090000155 PROMISE HOSPITAL OF SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2009-01-08 00:00:00 090005768 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-05 19:00:00 2008-06-05 19:00:00 No 2009-01-30 00:00:00 None FTR AE None 10100 10100 0 10100 0 None 0FG411 N CA00164059 B SFY2008-09
090000155 PROMISE HOSPITAL OF SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2009-01-08 00:00:00 090005769 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-06 10:00:00 2008-08-06 10:00:00 No 2009-01-30 00:00:00 None FTR AE None 4000 4000 0 4000 0 None 0FG411 N CA00164059 B SFY2008-09
090000155 PROMISE HOSPITAL OF SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2009-01-14 00:00:00 090005790 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-28 15:00:00 2008-08-28 15:00:00 No 2009-02-05 00:00:00 None FTR AE None 2500 2500 0 2500 0 None 56C411 N CA00164720 B SFY2008-09
090000155 PROMISE HOSPITAL OF SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2009-01-14 00:00:00 090005791 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-09-16 15:00:00 2008-09-16 15:00:00 No 2009-02-05 00:00:00 None FTR AE None 600 600 0 600 0 None 56C411 N CA00164720 B SFY2008-09
090000155 PROMISE HOSPITAL OF SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2009-01-27 00:00:00 090005805 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-11-18 15:00:00 2008-11-18 15:00:00 No 2009-02-19 00:00:00 None FTR AE None 900 900 0 900 0 None 56C411 N CA00170836 B SFY2008-09
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-03-12 00:00:00 090005957 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-27 12:00:00 2008-12-27 12:00:00 No 2009-04-03 00:00:00 None FTR AE None 3300 3300 0 3300 0 None 6KNI11 N CA00176500 B SFY2008-09
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-03-12 00:00:00 090005965 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-23 00:00:00 2008-12-23 00:00:00 No 2009-04-03 00:00:00 None FTR AE None 400 400 0 400 0 None NL7011 N CA00173429 B SFY2008-09
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-03-12 00:00:00 090005966 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-22 00:00:00 2008-12-22 00:00:00 No 2009-04-03 00:00:00 None FTR AE None 1800 1800 0 1800 0 None IY2S11 N CA00174554 B SFY2008-09
090000146 PIONEERS MEMORIAL HEALTHCARE DISTRICT Non-LTC GACH General Acute Care Hospital San Diego 2009-03-19 00:00:00 090005998 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-01-14 17:00:00 2009-01-14 17:00:00 No 2009-04-10 00:00:00 None FTR AE None 700 700 0 700 0 None 2INP11 N CA00175983 B SFY2008-09
090000048 KINDRED HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2009-04-07 00:00:00 090006054 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-01-19 12:00:00 2009-01-19 12:00:00 No 2009-04-28 00:00:00 None FTR AE None 300 300 0 300 0 None ERY611 N CA00175928 B SFY2008-09
090000021 SHARP CHULA VISTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-04-09 00:00:00 090006071 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-12-22 00:00:00 2008-12-22 00:00:00 No 2009-04-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None UTL511 N CA00173475 B SFY2008-09
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-04-10 00:00:00 090006086 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-01-21 00:00:00 2009-01-21 00:00:00 No 2009-05-01 00:00:00 None AP IJ None 50000 50000 0 50000 0 None P9GG11 N CA00175878 B SFY2008-09
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-05-28 00:00:00 090006226 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-04-16 10:00:00 2009-04-16 10:00:00 No 2009-06-18 00:00:00 None FTR AE None 700 700 0 700 0 None 7I6C11 N CA00186256 B SFY2008-09
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2009-07-17 00:00:00 090006398 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-05-08 00:00:00 2009-05-08 00:00:00 No 2009-08-07 00:00:00 None FTR AE None 700 700 0 700 0 None HJPC11 N CA00189042 C SFY2009-10
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-08-07 00:00:00 090006449 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-06-02 00:00:00 2008-06-02 00:00:00 No 2009-08-28 00:00:00 None FTR AE None 36700 36700 0 36700 0 None P3AI11 N CA00190784 C SFY2009-10
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2009-12-01 00:00:00 090006744 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2007-12-14 00:00:00 2007-12-14 00:00:00 No 2009-12-22 00:00:00 None AP IJ None 25000 25000 0 25000 0 None GXX711 N CA00190528 B SFY2009-10
090000021 SHARP CHULA VISTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2010-11-30 00:00:00 090007664 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-04-17 00:00:00 2009-04-17 00:00:00 Yes 2012-10-01 00:00:00 2012-09-21 00:00:00 AP BR AP BR 250000 127500 0 127500 0 None JQ5311 None CA00185222 B SFY2010-11
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2010-11-30 00:00:00 090007665 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2009-06-30 00:00:00 2009-06-30 00:00:00 No 2012-10-01 00:00:00 None AP BR None 25000 25000 0 25000 0 None OEFL11 None CA00193487 B SFY2010-11
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2011-04-14 00:00:00 090008155 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system BREACH 2009-05-04 00:00:00 2009-05-04 00:00:00 Yes 2012-10-01 00:00:00 2012-09-18 00:00:00 AP BR AP BR 50000 25000 0 25000 0 None DN7E11 None CA00187699 B SFY2010-11
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2011-12-13 00:00:00 090008816 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-03-24 00:00:00 2010-03-24 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 75000 75000 0 75000 0 None BI7X11 N CA00258021 A SFY2011-12
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2011-12-13 00:00:00 090008817 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2011-02-02 00:00:00 2011-02-02 00:00:00 No 2012-11-02 00:00:00 None AP IJ None 100000 100000 0 100000 0 None BI7X11 Y CA00254543 C SFY2011-12
090000013 UC SAN DIEGO HEALTH - EAST CAMPUS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2013-09-13 00:00:00 090009942 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2012-02-05 00:00:00 2012-02-05 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 50000 50000 0 50000 0 None C7SP11 Y CA00298850 B SFY2013-14
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2014-03-28 00:00:00 090010580 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE10 - Death/disability due to disappearance None 2013-05-27 00:00:00 2013-05-27 00:00:00 No 2015-03-06 00:00:00 None AP IJ None 100000 100000 0 100000 0 None MLMR11 Y CA00357013 B SFY2013-14
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2014-10-10 00:00:00 090011048 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2013-07-01 00:00:00 2013-07-01 00:00:00 No 2015-06-09 00:00:00 None AP IJ None 50000 50000 0 50000 0 None M5S711 Y CA00360799 B SFY2014-15
090000159 SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL Non-LTC APH Acute Psychiatric Hospital San Diego 2015-01-13 00:00:00 090011229 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE23 - Death/disab assoc with use of restraints/bedrails None 2013-06-25 00:00:00 2013-06-25 00:00:00 No 2015-06-09 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 5LUQ11 N CA00359931 B SFY2014-15
090000977 SELECT SPECIALTY HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2015-03-18 00:00:00 090011343 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2014-05-04 00:00:00 2014-05-04 00:00:00 No 2016-02-19 00:00:00 None AP IJ None 47025 47025 0 47025 0 None 4CDM11 Y CA00397517 A SFY2014-15
090000021 SHARP CHULA VISTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2015-06-22 00:00:00 090011576 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-04-23 00:00:00 2015-04-23 00:00:00 No 2015-07-13 00:00:00 None FTR AE None 600 600 0 600 0 None 6VVM11 N CA00442165 C SFY2014-15
090000180 INNERCARE - BRAWLEY Non-LTC COMTYC Primary Care Clinic San Diego 2015-06-24 00:00:00 090011577 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2014-01-21 00:00:00 2014-01-21 00:00:00 No 2015-07-15 00:00:00 None FTR BR None 5600 5600 0 5600 0 None JC9U11 None CA00392581 E SFY2014-15
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2015-09-29 00:00:00 090011626 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2014-05-11 00:00:00 2014-05-11 00:00:00 Yes 2015-10-20 00:00:00 2017-01-13 00:00:00 AP IJ AP IJ 100000 70000 0 70000 0 None T9ZQ11 Y CA00397967 A SFY2015-16
090000145 PARADISE VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2015-12-02 00:00:00 090011815 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Pharmacy 2015-08-17 00:00:00 2015-08-17 00:00:00 Yes 2015-12-23 00:00:00 2015-12-14 00:00:00 AP NON-IJ AP NON-IJ 17500 12500 0 12500 0 None VMJ111 N None None SFY2015-16
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2016-02-04 00:00:00 090012014 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-07-09 00:00:00 2014-07-09 00:00:00 No 2016-02-26 00:00:00 None AP BR None 7500 7500 0 7500 0 None RX6X11 None CA00405996 B SFY2015-16
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2016-06-23 00:00:00 090012315 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-12-13 00:00:00 2015-12-13 00:00:00 No 2016-07-15 00:00:00 None AP NON-IJ None 5550 5550 0 5550 0 None FFUM11 N CA00468924 A SFY2015-16
090000180 INNERCARE - BRAWLEY Non-LTC COMTYC Primary Care Clinic San Diego 2016-09-30 00:00:00 090012359 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-11-07 00:00:00 2013-11-07 00:00:00 No 2018-01-30 00:00:00 None AP BR None 12500 12500 -3125 9375 0 None JC9U11 None CA00392581 E SFY2016-17
090000033 SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER Non-LTC GACH General Acute Care Hospital San Diego 2017-01-12 00:00:00 090012800 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-09-24 00:00:00 2015-09-24 00:00:00 No 2017-02-03 00:00:00 None AP IJ None 47025 47025 0 47025 0 None QNPJ11 N CA00459867 A SFY2016-17
090000977 SELECT SPECIALTY HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2017-02-06 00:00:00 090012927 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2015-09-29 00:00:00 2015-09-29 00:00:00 No 2017-02-28 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 0T6G11 Y CA00460462, CA00460756 A, B SFY2016-17
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2017-02-07 00:00:00 090012951 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-09-08 00:00:00 2015-09-08 00:00:00 No 2017-03-01 00:00:00 None AP IJ None 44000 44000 0 44000 0 None V2I611 N CA00457925 B SFY2016-17
090000021 SHARP CHULA VISTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2018-01-26 00:00:00 090013937 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-01-16 00:00:00 2016-01-16 00:00:00 No 2018-10-01 00:00:00 None AP BR None 5000 5000 0 5000 0 None 92TL11 None CA00473662 D SFY2017-18
090001511 CHASE AVENUE FAMILY HEALTH CENTER Non-LTC COMTYC Primary Care Clinic San Diego 2018-02-16 00:00:00 090013940 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2016-08-01 00:00:00 2016-08-01 00:00:00 No 2018-03-09 00:00:00 None AP BR None 0 0 0 0 0 None 6WLF11 None CA00506192 D SFY2017-18
090000040 EL CENTRO REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2018-01-29 00:00:00 090013941 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-07-26 00:00:00 2016-07-26 00:00:00 No 2018-10-01 00:00:00 None AP BR None 22500 22500 -5625 16875 0 None EVVW11 None CA00548572 C SFY2017-18
090000040 EL CENTRO REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2018-03-20 00:00:00 090014020 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-02-01 00:00:00 2016-02-01 00:00:00 No 2018-10-01 00:00:00 None AP BR None 37500 37500 -9375 28125 0 None PY0N11 None CA00487250 D SFY2017-18
090000033 SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER Non-LTC GACH General Acute Care Hospital San Diego 2018-05-17 00:00:00 090014126 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-07-11 00:00:00 2016-07-11 00:00:00 No 2019-04-12 00:00:00 None AP BR None 12750 12750 -3187.5 9562.5 0 None 12PC11 None CA00499366 C SFY2017-18
090000040 EL CENTRO REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2018-06-25 00:00:00 090014178 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-09-07 00:00:00 2015-09-07 00:00:00 No 2019-07-09 00:00:00 None AP IJ None 31350 31350 0 31350 0 None J8M411 N CA00464104 C SFY2017-18
090000183 SAN YSIDRO HEALTH CHC - OCEAN VIEW Non-LTC COMTYC Primary Care Clinic San Diego 2018-09-21 00:00:00 090014505 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2017-02-02 00:00:00 2017-02-02 00:00:00 No 2018-10-12 00:00:00 None AP BR None 0 0 0 0 0 None 760U11 None CA00521901 E SFY2018-19
090000145 PARADISE VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2021-12-17 00:00:00 090014544 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-06-03 00:00:00 2016-06-03 00:00:00 No 2022-01-07 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None T7VC11 None CA00500404, CA00500404 D, D SFY2021-22
090000257 PLANNED PARENTHOOD ASSOCIATION OF SAN DIEGO COUNTY Non-LTC COMTYC Primary Care Clinic San Diego 2021-11-24 00:00:00 090014546 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2017-05-13 00:00:00 2017-05-13 00:00:00 Yes 2021-12-17 00:00:00 2021-12-24 00:00:00 AP BR AP BR 15000 15000 0 15000 0 None BFI711 None CA00538208 C SFY2021-22
090000021 SHARP CHULA VISTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2018-10-29 00:00:00 100014691 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-01-01 00:00:00 2015-01-01 00:00:00 No 2019-04-12 00:00:00 None AP BR None 5000 5000 -1250 3750 0 None BYL311 None CA00434541 D SFY2018-19
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2018-09-10 00:00:00 100014749 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-06-01 00:00:00 2016-06-01 00:00:00 No 2018-10-01 00:00:00 None AP BR None 0 0 0 0 0 None BOM511 None CA00492573, CA00492573 D, D SFY2018-19
090000021 SHARP CHULA VISTA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2018-10-09 00:00:00 100014752 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-07-12 00:00:00 2015-07-12 00:00:00 No 2019-04-12 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None EVJC11 None CA00452824 D SFY2018-19
080000023 RADY CHILDREN'S HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2022-01-28 00:00:00 100015016 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-01-23 00:00:00 2017-01-23 00:00:00 No 2022-02-22 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None YRQP11 None CA00583450 D SFY2021-22
080000045 GROSSMONT HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2021-01-29 00:00:00 100016381 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2015-11-11 00:00:00 2015-11-11 00:00:00 No 2021-04-23 00:00:00 None AP BR None 105000 105000 -26250 78750 0 None SO5011 None CA00487750, CA00487750 D, D SFY2020-21
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2022-01-28 00:00:00 100017266 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-07-28 00:00:00 2016-07-28 00:00:00 No 2022-02-22 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None V1FU11 None CA00501210 D SFY2021-22
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2021-02-05 00:00:00 100018567 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-02-18 00:00:00 2018-02-18 00:00:00 No 2023-05-03 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None 6V7211 None CA00578333 D SFY2020-21
090000202 SAN YSIDRO HEALTH NATIONAL CITY Non-LTC COMTYC Primary Care Clinic San Diego 2022-02-04 00:00:00 100018582 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-08-24 00:00:00 2018-08-24 00:00:00 No 2022-02-28 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None 4UMP11 None CA00676868 D SFY2021-22
090000145 PARADISE VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2024-04-16 00:00:00 100018956 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-03-03 00:00:00 2016-03-03 00:00:00 No 2024-05-07 00:00:00 None AP IJ None 75000 75000 0 0 75000 None 0NFJ11 Y CA00478789, CA00478789, CA00478789 B, B, B SFY2023-24
080000023 RADY CHILDREN'S HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2023-05-16 00:00:00 100019008 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2020-01-30 00:00:00 2020-01-30 00:00:00 No 2023-08-30 00:00:00 None AP BR None 20000 20000 -5000 15000 0 None DKYF11 None CA00678060 C SFY2022-23
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2021-03-25 00:00:00 100019172 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-08-13 00:00:00 2017-08-13 00:00:00 Yes 2023-10-18 00:00:00 2023-10-04 00:00:00 AP BR None 10000 10000 0 0 10000 None QHOD11 None CA00549571 D SFY2020-21
080000144 KAISER FOUNDATION HOSPITAL - ZION Non-LTC GACH General Acute Care Hospital San Diego 2022-06-17 00:00:00 100019334 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-07-20 00:00:00 2018-07-20 00:00:00 No 2023-12-20 00:00:00 None AP BR None 12500 12500 0 12500 0 None KSZC11 None CA00598984 D SFY2021-22
090000040 EL CENTRO REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2023-08-15 00:00:00 100019420 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-03-01 00:00:00 2018-03-01 00:00:00 Yes 2024-01-23 00:00:00 2024-01-10 00:00:00 AP BR AP BR 12500 6250 0 6250 0 None K32O11 None CA00579361 D SFY2023-24
090000183 SAN YSIDRO HEALTH CHC - OCEAN VIEW Non-LTC COMTYC Primary Care Clinic San Diego 2022-12-06 00:00:00 100019423 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-10-11 00:00:00 2019-10-11 00:00:00 No 2024-01-19 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None NJLU11 None CA00660648 D SFY2022-23
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2023-10-03 00:00:00 100019707 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-10-11 00:00:00 2021-10-11 00:00:00 No 2024-03-13 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None S72811 None CA00771837 D SFY2023-24
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2023-08-07 00:00:00 100019709 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-05-18 00:00:00 2022-05-18 00:00:00 No 2024-03-13 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None O7JZ11 None CA00787594 C SFY2023-24
090000025 SCRIPPS MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2023-09-19 00:00:00 100019713 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-02-07 00:00:00 2022-02-07 00:00:00 No 2024-03-13 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None LKZR11 None CA00810345 D SFY2023-24
080000150 SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Non-LTC GACH General Acute Care Hospital San Diego 2022-08-23 00:00:00 100019715 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-08-29 00:00:00 2019-08-29 00:00:00 No 2024-03-13 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None PO9O11 None CA00657960 D SFY2022-23
090000264 SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER Non-LTC COMTYC Primary Care Clinic San Diego 2022-12-06 00:00:00 100019770 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2019-02-01 00:00:00 2019-02-01 00:00:00 No 2024-04-10 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None YTNX11 None CA00650815 D SFY2022-23
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2023-08-15 00:00:00 100019778 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-08-07 00:00:00 2017-08-07 00:00:00 No 2024-04-10 00:00:00 None AP BR None 125000 125000 -31250 93750 0 None KG8911 None CA00583330 C SFY2023-24
630013873 PALOMAR MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2023-09-06 00:00:00 100019779 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-07-26 00:00:00 2017-07-26 00:00:00 No 2024-04-10 00:00:00 None AP BR None 125000 125000 -31250 93750 0 None CIL911 None CA00579576 C SFY2023-24
080000022 SCRIPPS GREEN HOSPITAL Non-LTC GACH General Acute Care Hospital San Diego 2023-10-24 00:00:00 100020132 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2021-05-01 00:00:00 2021-05-01 00:00:00 Yes 2024-06-19 00:00:00 2024-06-07 00:00:00 AP BR None 250000 250000 0 0 250000 None T0YX11 None CA00735078 C SFY2023-24
080000023 RADY CHILDREN'S HOSPITAL - SAN DIEGO Non-LTC GACH General Acute Care Hospital San Diego 2023-11-28 00:00:00 100020134 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-11-24 00:00:00 2022-11-24 00:00:00 No 2024-06-19 00:00:00 None AP BR None 45000 45000 -11250 33750 0 None LGQ611 None CA00820259 D SFY2023-24
090000154 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Diego 2023-12-27 00:00:00 100020135 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-11-24 00:00:00 2022-11-24 00:00:00 No 2024-06-19 00:00:00 None AP BR None 15000 15000 0 15000 0 None DDKM11 None CA00817497 D SFY2023-24
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-01-30 00:00:00 110004629 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-09-04 18:44:00 2007-09-04 18:44:00 No 2008-02-22 00:00:00 None FTR AE None 2500 2500 0 2500 0 None DQQ711 N CA00128424 A SFY2007-08
110000070 ADVENTIST HEALTH UKIAH VALLEY Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-02-19 00:00:00 110004701 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2007-10-01 01:19:00 2007-10-01 01:19:00 No 2008-03-11 00:00:00 None FTR AE None 700 700 0 700 0 None TEJW11 N CA00129108 B SFY2007-08
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2008-05-01 00:00:00 110004799 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-10-19 00:00:00 2007-10-19 00:00:00 Yes 2008-05-28 00:00:00 2008-05-29 00:00:00 AP IJ AP IJ 25000 25000 0 25000 0 None E3CR11 N None None SFY2007-08
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-04-22 00:00:00 110004948 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-23 13:30:00 2008-01-23 13:30:00 No 2008-05-15 00:00:00 None FTR AE None 200 200 0 200 0 None 8B8T11 N CA00139407 B SFY2007-08
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-07-25 00:00:00 110005259 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-12 15:00:00 2007-12-12 15:00:00 No 2008-08-15 00:00:00 None FTR AE None 300 300 0 300 0 None 4EU511 N CA00135475 B SFY2008-09
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 110005316 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE15 - Death/disability directly related to hypoglycemia None 2007-09-03 00:00:00 2007-09-03 00:00:00 No 2008-09-04 00:00:00 None FTR AE None 3800 3800 0 3800 0 None ND1I11 Y CA00128997 A SFY2008-09
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 110005317 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE15 - Death/disability directly related to hypoglycemia None 2007-09-03 00:00:00 2007-09-03 00:00:00 Yes 2008-09-04 00:00:00 2008-08-28 00:00:00 AP IJ AP IJ 25000 25000 0 25000 0 None ND1I11 N CA00128997 A SFY2008-09
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 110005319 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE08 - Death/disability due to intravascular air embolism None 2007-09-11 00:00:00 2007-09-11 00:00:00 Yes 2008-09-04 00:00:00 2008-08-28 00:00:00 AP IJ AP IJ 25000 25000 0 25000 0 None YJK611 N CA00128610 A SFY2008-09
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2008-08-11 00:00:00 110005320 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE08 - Death/disability due to intravascular air embolism None 2007-09-11 00:00:00 2007-09-11 00:00:00 No 2008-09-04 00:00:00 None FTR AE None 2400 2400 0 2400 0 None YJK611 Y CA00128610 A SFY2008-09
110000378 NORTHBAY VACAVALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-11-24 00:00:00 110005579 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events Fall with hip fracture 2007-12-24 02:45:00 2007-12-24 02:45:00 No 2008-12-17 00:00:00 None FTR AE None 1000 1000 0 1000 0 None LY4G11 N None None SFY2008-09
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-11-24 00:00:00 110005580 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-23 00:00:00 2008-02-23 00:00:00 No 2008-12-17 00:00:00 None FTR AE None 500 500 0 500 0 None DTMH11 N None None SFY2008-09
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-12-01 00:00:00 110005581 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-02 00:00:00 2008-06-02 00:00:00 No 2008-12-22 00:00:00 None FTR AE None 600 600 0 600 0 None J0H411 N CA00154016, CA00154016 B, B SFY2008-09
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-12-01 00:00:00 110005582 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2007-12-20 00:00:00 2007-12-20 00:00:00 No 2008-12-22 00:00:00 None FTR AE None 700 700 0 700 0 None 61GR11 N CA00136269 A SFY2008-09
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-12-03 00:00:00 110005584 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-09 00:00:00 2008-02-09 00:00:00 No 2008-12-24 00:00:00 None FTR AE None 800 800 0 800 0 None 1X2211 N CA00141440 B SFY2008-09
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-12-04 00:00:00 110005585 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-05-22 00:00:00 2008-05-22 00:00:00 No 2008-12-26 00:00:00 None FTR AE None 200 200 0 200 0 None PO5B11 N CA00152010, CA00152010 A, A SFY2008-09
110000378 NORTHBAY VACAVALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-12-04 00:00:00 110005589 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-01-03 00:00:00 2008-01-03 00:00:00 No 2008-12-26 00:00:00 None FTR AE None 3200 3200 0 3200 0 None D4YO11 N CA00140307 B SFY2008-09
110000070 ADVENTIST HEALTH UKIAH VALLEY Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-12-04 00:00:00 110005634 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-26 05:45:00 2008-01-26 05:45:00 No 2008-12-26 00:00:00 None FTR AE None 4100 4100 0 4100 0 None WFRQ11 N CA00143513 B SFY2008-09
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-12-03 00:00:00 110005641 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2007-12-09 00:00:00 2007-12-09 00:00:00 No 2008-12-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 61GR11 N CA00136269 A SFY2008-09
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2009-01-15 00:00:00 110005656 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-15 00:00:00 2008-05-15 00:00:00 No 2009-02-06 00:00:00 None FTR AE None 1500 1500 0 1500 0 None KTLC11 N CA00152563 B SFY2008-09
110000378 NORTHBAY VACAVALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2008-12-04 00:00:00 110005667 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2008-01-03 00:00:00 2008-01-03 00:00:00 No 2008-12-26 00:00:00 None AP IJ None 25000 25000 0 25000 0 None D4YO11 N CA00140307 B SFY2008-09
110000068 SUTTER SOLANO MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-02-11 00:00:00 110005745 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-13 19:15:00 2008-08-13 19:15:00 No 2009-03-06 00:00:00 None FTR AE None 400 400 0 400 0 None 7ZUI11 N CA00161112, CA00161112 C, C SFY2008-09
110000044 ADVENTIST HEALTH CLEARLAKE Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-01-26 00:00:00 110005747 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-02-04 18:50:00 2008-02-04 18:50:00 No 2009-02-18 00:00:00 None FTR AE None 1600 1600 0 1600 0 None JES711 N CA00141923 B SFY2008-09
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-01-28 00:00:00 110005788 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-03-01 10:21:00 2008-03-01 10:21:00 No 2009-02-23 00:00:00 None FTR AE None 1900 1900 0 1900 0 None M54J11 N CA00144835 B SFY2008-09
110000049 SUTTER COAST HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-01-28 00:00:00 110005802 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-14 11:30:00 2008-04-14 11:30:00 No 2009-02-20 00:00:00 None FTR AE None 700 700 0 700 0 None F62411 N CA00147984 B SFY2008-09
110000049 SUTTER COAST HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-01-28 00:00:00 110005829 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-17 12:15:00 2008-04-17 12:15:00 No 2009-02-20 00:00:00 None FTR AE None 300 300 0 300 0 None F62411 N CA00147982, CA00147982 B, B SFY2008-09
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-02-11 00:00:00 110005874 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-05-31 12:00:00 2008-05-31 12:00:00 No 2009-03-10 00:00:00 None FTR AE None 800 800 0 800 0 None 5KPC11 N None None SFY2008-09
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-02-17 00:00:00 110005882 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-25 15:30:00 2008-08-25 15:30:00 No 2009-03-12 00:00:00 None FTR AE None 1300 1300 0 1300 0 None UE3911 N CA00163142 C SFY2008-09
110000019 SUTTER LAKESIDE HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-03-17 00:00:00 110005967 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-05-21 00:00:00 2008-05-21 00:00:00 No 2009-04-09 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 8JR811 N CA00152420, CA00152420 B, B SFY2008-09
110000044 ADVENTIST HEALTH CLEARLAKE Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-04-24 00:00:00 110006130 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-10-28 00:00:00 2008-10-28 00:00:00 Yes 2009-09-23 00:00:00 2009-09-10 00:00:00 AP IJ None 25000 25000 0 25000 0 None I3NU11 N CA00168577 B SFY2008-09
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-05-14 00:00:00 110006191 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-11-07 00:00:00 2008-11-07 00:00:00 No 2009-09-23 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 5TF011 N CA00171025 B SFY2008-09
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-07-08 00:00:00 110006376 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-03-03 11:59:00 2009-03-03 11:59:00 No 2009-07-29 00:00:00 None FTR AE None 400 400 0 400 0 None 4J8G11 N CA00180919 C SFY2009-10
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-07-27 00:00:00 110006405 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-16 10:35:00 2008-04-16 10:35:00 No 2009-08-17 00:00:00 None FTR AE None 400 400 0 400 0 None F4JO11 N CA00147871 B SFY2009-10
110000045 PROVIDENCE REDWOOD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-09-22 00:00:00 110006427 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-09-08 00:00:00 2008-09-08 00:00:00 Yes 2009-10-14 00:00:00 2009-10-02 00:00:00 AP IJ AP IJ 25000 16500 0 16500 0 None SDQ311 N CA00163279 C SFY2009-10
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2009-09-03 00:00:00 110006529 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-03-24 11:30:00 2009-03-24 11:30:00 No 2009-09-25 00:00:00 None FTR BR None 1100 1100 0 1100 0 None ZNJ911 None CA00184285 C SFY2009-10
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-01-20 00:00:00 110006656 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-07-13 01:30:00 2009-07-13 01:30:00 No 2010-02-10 00:00:00 None FTR AE None 1100 1100 0 1100 0 None KK2C11 Y CA00196641 B SFY2009-10
110000019 SUTTER LAKESIDE HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-01-28 00:00:00 110006925 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-07-10 00:00:00 2009-07-10 00:00:00 Yes 2010-02-18 00:00:00 2010-02-03 00:00:00 FTR BR None 2100 2100 0 2100 0 None MH0X11 None CA00202279 C SFY2009-10
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-02-11 00:00:00 110006927 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-03-05 00:00:00 2009-03-05 00:00:00 No 2010-03-04 00:00:00 None FTR BR None 200 200 0 200 0 None 28KT11 None CA00180922 C SFY2009-10
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-01-28 00:00:00 110006928 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-09-18 00:00:00 2009-09-18 00:00:00 No 2010-02-19 00:00:00 None AP IJ None 50000 50000 0 50000 0 None V1HU11 N CA00202782 B SFY2009-10
110000056 SONOMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-01-18 00:00:00 110006939 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-02-24 00:00:00 2009-02-24 00:00:00 No 2010-02-08 00:00:00 None FTR BR None 800 800 0 800 0 None ZT5J11 None CA00180494, CA00180494 C, C SFY2009-10
110000056 SONOMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-02-18 00:00:00 110006940 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-02-25 00:00:00 2009-02-25 00:00:00 No 2010-03-12 00:00:00 None FTR BR None 800 800 0 800 0 None ZT5J11 None CA00180494 C SFY2009-10
110000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-03-11 00:00:00 110006943 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-06-19 06:30:00 2009-06-19 06:30:00 No 2010-04-02 00:00:00 None FTR AE None 700 700 0 700 0 None UFPL11 N CA00193486, CA00193486 B, B SFY2009-10
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-02-11 00:00:00 110006946 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-03-13 00:00:00 2009-03-13 00:00:00 Yes 2010-03-04 00:00:00 2010-03-01 00:00:00 FTR BR None 700 700 0 0 700 None 28KT11 None CA00182614 C SFY2009-10
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-02-18 00:00:00 110006947 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-02-19 11:45:00 2009-02-19 11:45:00 No 2010-03-11 00:00:00 None FTR AE None 1700 1700 0 1700 0 None FC8Y11 N CA00180931 C SFY2009-10
110001223 MENDOCINO COMMUNITY HEALTH CLINIC-LITTLE LAKE CLINIC Non-LTC COMTYC Primary Care Clinic Santa Rosa 2010-03-26 00:00:00 110007052 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Rights None 2009-04-06 00:00:00 2009-04-06 00:00:00 No 2010-04-19 00:00:00 None FTR BR None 700 700 -175 525 0 None 69HS11 None CA00185251 C SFY2009-10
110000608 MENDOCINO COMMUNITY HEALTH CLINIC, INC. Non-LTC COMTYC Primary Care Clinic Santa Rosa 2010-03-26 00:00:00 110007053 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Rights None 2009-03-06 00:00:00 2009-03-06 00:00:00 No 2010-04-19 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None 1UWW11 None CA00184027 C SFY2009-10
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-09-10 00:00:00 110007431 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-06-10 13:51:00 2009-06-10 13:51:00 No 2010-10-01 00:00:00 None FTR BR None 300 300 0 300 0 None B7A411 None CA00191721, CA00193099, CA00193459 B, C, C SFY2010-11
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-11-15 00:00:00 110007569 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-09-28 00:00:00 2009-09-28 00:00:00 No 2010-12-08 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 3JA211 N CA00203471 B SFY2010-11
110001204 DOCTORS MEDICAL CENTER - SAN PABLO Non-LTC GACH General Acute Care Hospital East Bay 2010-10-20 00:00:00 110007636 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-02-08 14:00:00 2010-02-08 14:00:00 No 2010-11-10 00:00:00 None FTR AE None 400 400 0 400 0 None J05S11 N CA00216918, CA00218408 B, C SFY2010-11
110000073 ADVENTIST HEALTH VALLEJO Non-LTC APH Acute Psychiatric Hospital Santa Rosa 2010-12-01 00:00:00 110007675 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events AE or Series of AE 2009-05-04 00:00:00 2009-05-04 00:00:00 No 2010-12-22 00:00:00 None FTR AE None 400 400 0 400 0 None JM5J11 N CA00187794 A SFY2010-11
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-12-22 00:00:00 110007711 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2009-04-28 00:00:00 2009-04-28 00:00:00 No 2011-09-29 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 59SC11 N CA00187028 B SFY2010-11
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2010-12-22 00:00:00 110007721 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-04-28 00:00:00 2009-04-28 00:00:00 No 2011-01-12 00:00:00 None FTR AE None 100 100 0 100 0 None 59SC11 N CA00187028 B SFY2010-11
110000023 ADVENTIST HEALTH MENDOCINO COAST Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-01-11 00:00:00 110007728 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker Malicious breach of PHI 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2012-10-04 00:00:00 None AP BR None 42500 42500 -35500 7000 0 None CCJZ11 None CA00192541 C SFY2010-11
110000049 SUTTER COAST HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-26 00:00:00 110007776 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-17 00:00:00 2010-05-17 00:00:00 No 2011-05-17 00:00:00 None FTR BR None 300 300 -75 225 0 None F05411 None CA00220983, CA00221929, CA00231150, CA00231154 C, C, C, C SFY2010-11
110000049 SUTTER COAST HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-26 00:00:00 110007777 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-17 00:00:00 2010-05-17 00:00:00 No 2011-05-17 00:00:00 None FTR BR None 300 300 -75 225 0 None F05411 None CA00220983, CA00221929, CA00231150, CA00231154 C, C, C, C SFY2010-11
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-06-16 00:00:00 110007822 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-02-05 00:00:00 2009-02-05 00:00:00 No 2011-07-08 00:00:00 None FTR AE None 2300 2300 0 2300 0 None HJ8S11 N CA00180083 B SFY2010-11
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-07 00:00:00 110007885 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-07-22 00:00:00 2009-07-22 00:00:00 No 2011-03-28 00:00:00 None FTR BR None 200 200 0 200 0 None 0RWS11 None CA00196844 C SFY2010-11
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-05-12 00:00:00 110007886 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-01-14 00:00:00 2009-01-14 00:00:00 No 2013-03-08 00:00:00 None AP BR None 42500 42500 0 42500 0 None VDX511 None CA00217965 C SFY2010-11
110000049 SUTTER COAST HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-09 00:00:00 110007894 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-29 00:00:00 2009-10-29 00:00:00 No 2011-03-30 00:00:00 None FTR BR None 200 200 -50 150 0 None 11WC11 None CA00207374 C SFY2010-11
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-07 00:00:00 110007899 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-03-15 00:00:00 2010-03-15 00:00:00 No 2011-03-28 00:00:00 None FTR BR None 100 100 0 100 0 None 28CZ11 None CA00222542 B SFY2010-11
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-24 00:00:00 110007910 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-07-12 00:00:00 2010-07-12 00:00:00 No 2011-04-15 00:00:00 None FTR BR None 100 100 0 100 0 None O18M11 None CA00236204 C SFY2010-11
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-09 00:00:00 110007913 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-06-05 00:00:00 2010-06-05 00:00:00 No 2011-03-30 00:00:00 None FTR BR None 1000 1000 0 1000 0 None PQ0U11 None CA00233434 C SFY2010-11
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-09 00:00:00 110007914 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-06-05 00:00:00 2010-06-05 00:00:00 No 2011-03-30 00:00:00 None FTR BR None 400 400 0 400 0 None PQ0U11 None CA00233434 C SFY2010-11
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-24 00:00:00 110007926 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-07-12 00:00:00 2010-07-12 00:00:00 No 2011-04-15 00:00:00 None FTR BR None 100 100 0 100 0 None O18M11 None CA00236204 C SFY2010-11
110000019 SUTTER LAKESIDE HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-01-11 00:00:00 110007927 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-12-06 00:00:00 2009-12-06 00:00:00 No 2012-02-02 00:00:00 None FTR BR None 8900 8900 0 8900 0 None FG3S11 None CA00221286 C SFY2011-12
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-25 00:00:00 110007940 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-06-19 00:00:00 2009-06-19 00:00:00 No 2011-04-18 00:00:00 None FTR AE None 300 300 -300 0 0 None T4XC11 N CA00193233 B SFY2010-11
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-24 00:00:00 110007945 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-06-19 00:00:00 2009-06-19 00:00:00 No 2011-04-15 00:00:00 None FTR AE None 300 300 0 300 0 None T4XC11 N CA00193233 B SFY2010-11
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-26 00:00:00 110007971 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2010-09-03 00:00:00 2010-09-03 00:00:00 No 2012-10-04 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None DOWG11 None CA00207226 C SFY2010-11
110000049 SUTTER COAST HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-09 00:00:00 110007974 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-02 00:00:00 2009-10-02 00:00:00 No 2011-03-30 00:00:00 None FTR BR None 500 500 -125 375 0 None U08Y11 None CA00203018, CA00204752, CA00204762 C, C, C SFY2010-11
110000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-03-18 00:00:00 110008002 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2010-01-05 00:00:00 2010-01-05 00:00:00 No 2013-03-08 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None JGQO11 None CA00214133 D SFY2010-11
010000956 SUTTER VISITING NURSES ASSOCIATION Non-LTC HHA Home Health Agency Santa Rosa 2011-04-07 00:00:00 110008028 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-06-09 00:00:00 2010-06-09 00:00:00 No 2011-04-28 00:00:00 None FTR BR None 100 100 0 100 0 None JG8N11 None CA00232571 B SFY2010-11
110000058 ADVENTIST HEALTH ST. HELENA Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-07 00:00:00 110008034 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-10-22 00:00:00 2010-10-22 00:00:00 No 2011-04-28 00:00:00 None FTR BR None 100 100 0 100 0 None 9UFU11 None CA00248962 C SFY2010-11
110000058 ADVENTIST HEALTH ST. HELENA Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-08 00:00:00 110008036 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2010-10-22 00:00:00 2010-10-22 00:00:00 No 2011-04-29 00:00:00 None FTR RES None 100 100 0 100 0 None 9UFU11 None CA00248962 C SFY2010-11
110000944 KAISER FOUNDATION HOSPITAL - SAN RAFAEL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-08 00:00:00 110008054 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-08-13 08:40:00 2009-08-13 08:40:00 No 2011-04-29 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None JCVZ11 None CA00201515 A SFY2010-11
110000045 PROVIDENCE REDWOOD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-27 00:00:00 110008081 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2011-01-04 09:00:00 2011-01-04 09:00:00 No 2011-05-18 00:00:00 None FTR AE None 400 400 0 400 0 None O0ED11 N CA00255416 B SFY2010-11
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-27 00:00:00 110008091 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-25 00:00:00 2010-05-25 00:00:00 No 2011-05-18 00:00:00 None FTR BR None 14700 14700 0 14700 0 None BOO211 None CA00244004, CA00244254, CA00244542, CA00247302, CA00247569 C, C, C, E, C SFY2010-11
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-04-27 00:00:00 110008093 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-05-25 00:00:00 2010-05-25 00:00:00 No 2011-05-18 00:00:00 None FTR RES None 14700 14700 0 14700 0 None BOO211 None CA00244004, CA00244254, CA00244542, CA00247302, CA00247569 C, C, C, E, C SFY2010-11
110000129 PLANNED PARENTHOOD - VALLEJO CENTER Non-LTC COMTYC Primary Care Clinic Santa Rosa 2011-06-16 00:00:00 110008104 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-09-02 00:00:00 2010-09-02 00:00:00 No 2011-07-08 00:00:00 None FTR BR None 300 300 -75 225 0 None PLCT11 None CA00243148, CA00264986 C, C SFY2010-11
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-05-02 00:00:00 110008148 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-02-03 00:00:00 2011-02-03 00:00:00 No 2011-05-23 00:00:00 None FTR BR None 100 100 0 100 0 None WDJ111 None CA00258741 C SFY2010-11
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-05-02 00:00:00 110008183 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2010-11-15 00:00:00 2010-11-15 00:00:00 No 2011-05-23 00:00:00 None FTR BR None 2300 2300 0 2300 0 None S90J11 None CA00252262 C SFY2010-11
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-05-02 00:00:00 110008188 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-02-03 00:00:00 2011-02-03 00:00:00 No 2011-05-23 00:00:00 None FTR BR None 100 100 0 100 0 None WDJ111 None CA00258741 C SFY2010-11
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-05-02 00:00:00 110008204 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2010-11-15 00:00:00 2010-11-15 00:00:00 No 2011-05-23 00:00:00 None FTR BR None 2300 2300 0 2300 0 None S90J11 None CA00252262 C SFY2010-11
110000009 HEALDSBURG HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-05-12 00:00:00 110008213 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-02-16 00:00:00 2011-02-16 00:00:00 No 2011-06-03 00:00:00 None FTR BR None 500 500 0 500 0 None 0KE211 None CA00260533 C SFY2010-11
110000129 PLANNED PARENTHOOD - VALLEJO CENTER Non-LTC COMTYC Primary Care Clinic Santa Rosa 2011-06-16 00:00:00 110008265 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-09-02 00:00:00 2010-09-02 00:00:00 No 2011-07-08 00:00:00 None FTR RES None 600 600 -150 450 0 None PLCT11 None CA00243148, CA00264986 C, C SFY2010-11
110000946 KENTFIELD HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-06-16 00:00:00 110008268 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-08-02 19:00:00 2010-08-02 19:00:00 Yes 2011-07-08 00:00:00 2011-06-22 00:00:00 FTR AE FTR AE 1600 900 0 900 0 None G49311 N CA00240128 C SFY2010-11
110000068 SUTTER SOLANO MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-08-04 00:00:00 110008357 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-08-05 00:00:00 2009-08-05 00:00:00 No 2011-12-30 00:00:00 None AP IJ None 50000 50000 0 50000 0 None JELV11 N CA00203797 B SFY2011-12
110000944 KAISER FOUNDATION HOSPITAL - SAN RAFAEL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-08-27 00:00:00 110008500 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-07-07 00:00:00 2010-07-07 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 50000 50000 0 50000 0 None RFUY11 N CA00244476 B SFY2011-12
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-09-07 00:00:00 110008547 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-02-01 10:00:00 2010-02-01 10:00:00 No 2011-09-29 00:00:00 None FTR AE None 2100 2100 0 2100 0 None UNE411 N CA00219927 C SFY2011-12
110000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-10-07 00:00:00 110008611 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-07-27 00:00:00 2011-07-27 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 50000 50000 0 50000 0 None ZXNK11 N CA00277671 C SFY2011-12
110000049 SUTTER COAST HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-10-28 00:00:00 110008657 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2010-12-02 00:00:00 2010-12-02 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 10000 10000 0 10000 0 None XCVV11 N CA00251304, CA00252647, CA00252989 C, C, C SFY2011-12
110000045 PROVIDENCE REDWOOD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-05-10 00:00:00 110008762 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2010-12-07 00:00:00 2010-12-07 00:00:00 No 2014-02-10 00:00:00 None AP BR None 5000 5000 0 5000 0 None 11W711 None CA00253265 C SFY2011-12
110000021 MAD RIVER COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-12-07 00:00:00 110008764 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-09-27 00:00:00 2010-09-27 00:00:00 Yes 2012-06-22 00:00:00 2012-06-11 00:00:00 AP IJ AP IJ 50000 20000 0 20000 0 None SDPK11 N CA00245459 B SFY2011-12
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2011-12-07 00:00:00 110008767 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-08-11 00:00:00 2011-08-11 00:00:00 No 2011-12-29 00:00:00 None FTR BR None 100 100 0 100 0 None IZ1U11 None CA00280281 C SFY2011-12
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-01-11 00:00:00 110008897 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-01-20 00:00:00 2011-01-20 00:00:00 No 2012-02-02 00:00:00 None FTR BR None 300 300 0 300 0 None GQ6V11 None CA00257121 C SFY2011-12
110000007 SUTTER SANTA ROSA REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-02-22 00:00:00 110008923 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-06-29 00:00:00 2010-06-29 00:00:00 No 2012-03-14 00:00:00 None FTR BR None 400 400 0 400 0 None 180M11 None CA00234953 C SFY2011-12
110000007 SUTTER SANTA ROSA REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-02-21 00:00:00 110008924 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-06-28 00:00:00 2010-06-28 00:00:00 No 2012-03-13 00:00:00 None FTR BR None 300 300 0 300 0 None 1L6211 None CA00234677 C SFY2011-12
110000007 SUTTER SANTA ROSA REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-02-22 00:00:00 110008926 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-06-17 00:00:00 2010-06-17 00:00:00 No 2012-03-14 00:00:00 None FTR BR None 500 500 0 500 0 None CW0811 None CA00233786 C SFY2011-12
110001203 MARIN COMMUNITY CLINIC Non-LTC COMTYC Primary Care Clinic Santa Rosa 2012-02-17 00:00:00 110008935 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-10-12 00:00:00 2010-10-12 00:00:00 No 2012-03-12 00:00:00 None FTR BR None 900 900 -225 675 0 None TY9I11 None CA00250264 C SFY2011-12
110001203 MARIN COMMUNITY CLINIC Non-LTC COMTYC Primary Care Clinic Santa Rosa 2012-02-17 00:00:00 110008937 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-10-12 00:00:00 2010-10-12 00:00:00 No 2012-03-12 00:00:00 None FTR RES None 900 900 -225 675 0 None TY9I11 None CA00250264 C SFY2011-12
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-04-12 00:00:00 110009180 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-12-05 00:00:00 2011-12-05 00:00:00 No 2012-05-03 00:00:00 None FTR RES None 100 100 0 100 0 None 5TE811 None CA00292562 C SFY2011-12
630009861 SUTTER COAST COMMUNITY CLINIC Non-LTC COMTYC Primary Care Clinic Santa Rosa 2012-05-23 00:00:00 110009268 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-03-22 00:00:00 2011-03-22 00:00:00 No 2012-06-14 00:00:00 None FTR BR None 4200 4200 -1050 3150 0 None W5OI11 None CA00269011 C SFY2011-12
630009861 SUTTER COAST COMMUNITY CLINIC Non-LTC COMTYC Primary Care Clinic Santa Rosa 2012-05-23 00:00:00 110009287 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-03-22 00:00:00 2011-03-22 00:00:00 No 2012-06-14 00:00:00 None FTR RES None 4200 4200 -1050 3150 0 None W5OI11 None CA00269011 C SFY2011-12
110000946 KENTFIELD HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-05-09 00:00:00 110009288 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission FTR/AE Stage III P/U 2011-05-25 00:00:00 2011-05-25 00:00:00 No 2012-05-31 00:00:00 None FTR AE None 400 400 0 400 0 None FB4X11 N CA00271623 B SFY2011-12
110000070 ADVENTIST HEALTH UKIAH VALLEY Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-05-17 00:00:00 110009313 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-10-04 13:00:00 2011-10-04 13:00:00 No 2012-06-08 00:00:00 None FTR BR None 1300 1300 0 1300 0 None KMPM11 None CA00292068 C SFY2011-12
100001790 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Non-LTC HOSPICE Hospice Santa Rosa 2012-05-31 00:00:00 110009342 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-04-06 12:00:00 2011-04-06 12:00:00 No 2012-06-21 00:00:00 None FTR BR None 200 200 0 200 0 None UOL111 None CA00266533 C SFY2011-12
110000608 MENDOCINO COMMUNITY HEALTH CLINIC, INC. Non-LTC COMTYC Primary Care Clinic Santa Rosa 2013-02-23 00:00:00 110009375 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-10-11 00:00:00 2011-10-11 00:00:00 No 2013-03-15 00:00:00 None FTR BR None 700 700 0 700 0 None E3FO11 None CA00287583 C SFY2012-13
110000608 MENDOCINO COMMUNITY HEALTH CLINIC, INC. Non-LTC COMTYC Primary Care Clinic Santa Rosa 2013-02-23 00:00:00 110009376 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-10-11 00:00:00 2011-10-11 00:00:00 No 2013-03-15 00:00:00 None FTR RES None 600 600 0 600 0 None E3FO11 None CA00287583 C SFY2012-13
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-08-22 00:00:00 110009396 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-01-26 00:00:00 2012-01-26 00:00:00 No 2012-09-13 00:00:00 None FTR AE None 5200 5200 0 5200 0 None GJGN11 N CA00304045 C SFY2012-13
100001790 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Non-LTC HOSPICE Hospice Santa Rosa 2012-07-31 00:00:00 110009397 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-09-01 00:00:00 2010-09-01 00:00:00 No 2012-08-21 00:00:00 None FTR RES None 500 500 0 500 0 None 0N4311 None CA00242518 C SFY2012-13
100001790 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Non-LTC HOSPICE Hospice Santa Rosa 2012-07-31 00:00:00 110009398 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-09-01 00:00:00 2010-09-01 00:00:00 No 2012-08-21 00:00:00 None FTR BR None 500 500 0 500 0 None 0N4311 None CA00242518 C SFY2012-13
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-08-21 00:00:00 110009435 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-12-06 00:00:00 2011-12-06 00:00:00 No 2012-09-12 00:00:00 None FTR BR None 400 400 0 400 0 None C5OO11 None CA00293099, CA00293108 C, C SFY2012-13
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-08-21 00:00:00 110009438 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-12-06 00:00:00 2011-12-06 00:00:00 No 2012-09-12 00:00:00 None FTR RES None 400 400 0 400 0 None C5OO11 None CA00293099, CA00293108 C, C SFY2012-13
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-09-08 00:00:00 110009479 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-07-25 00:00:00 2011-07-25 00:00:00 No 2012-09-28 00:00:00 None FTR BR None 800 800 0 800 0 None MFZ811 None CA00289900 D SFY2012-13
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-12-12 00:00:00 110009669 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2010-08-27 00:00:00 2010-08-27 00:00:00 No 2013-01-04 00:00:00 None FTR RES None 700 700 0 700 0 None DUBO11 None CA00241860 C SFY2012-13
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-12-12 00:00:00 110009671 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2010-08-27 00:00:00 2010-08-27 00:00:00 No 2014-06-20 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None DUBO11 None CA00241860 C SFY2012-13
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2012-12-12 00:00:00 110009672 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-08-31 00:00:00 2010-08-31 00:00:00 No 2013-01-04 00:00:00 None FTR RES None 700 700 0 700 0 None DUBO11 None CA00241863 C SFY2012-13
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2013-01-30 00:00:00 110009707 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2011-02-16 00:00:00 2011-02-16 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 2HZX11 N CA00275191 A SFY2012-13
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-02-11 00:00:00 110009710 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-10-24 00:00:00 2010-10-24 00:00:00 No 2016-02-19 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 5B0511 N CA00247797 B SFY2014-15
110000608 MENDOCINO COMMUNITY HEALTH CLINIC, INC. Non-LTC COMTYC Primary Care Clinic Santa Rosa 2013-07-16 00:00:00 110009856 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-12-13 17:00:00 2011-12-13 17:00:00 No 2013-08-06 00:00:00 None FTR RES None 100 100 0 100 0 None Z7GM11 None CA00293584 C SFY2013-14
110000057 JEROLD PHELPS COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-06-25 00:00:00 110009857 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-06-26 11:25:00 2012-06-26 11:25:00 No 2014-07-17 00:00:00 None FTR BR None 700 700 -175 525 0 None SOJN11 None CA00317815 C SFY2013-14
110000057 JEROLD PHELPS COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-06-25 00:00:00 110009858 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-06-26 11:25:00 2012-06-26 11:25:00 No 2014-07-17 00:00:00 None FTR RES None 700 700 -175 525 0 None SOJN11 None CA00317815 C SFY2013-14
110000812 PETALUMA HEALTH CENTER Non-LTC COMTYC Primary Care Clinic Santa Rosa 2013-09-13 00:00:00 110009859 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-08-23 00:00:00 2011-08-23 00:00:00 No 2013-10-04 00:00:00 None FTR RES None 1600 1600 0 1600 0 None FQP711 None CA00281063 C SFY2013-14
110000812 PETALUMA HEALTH CENTER Non-LTC COMTYC Primary Care Clinic Santa Rosa 2013-09-13 00:00:00 110009860 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-08-23 00:00:00 2011-08-23 00:00:00 No 2013-10-04 00:00:00 None FTR RES None 1600 1600 0 1600 0 None FQP711 None CA00281063 C SFY2013-14
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2013-05-20 00:00:00 110009905 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-10-29 00:00:00 2010-10-29 00:00:00 No 2013-06-11 00:00:00 None FTR RES None 1400 1400 0 1400 0 None Q2JB11 None CA00247716 C SFY2012-13
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2013-08-22 00:00:00 110009906 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-12 00:00:00 2010-11-12 00:00:00 No 2013-09-13 00:00:00 None FTR RES None 7400 7400 0 7400 0 None C42L11 None CA00249438 C SFY2013-14
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2013-05-31 00:00:00 110009908 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2011-05-05 00:00:00 2011-05-05 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 100000 100000 0 100000 0 None LHIM11 N CA00269065, CA00274284, CA00276079 B, A, A SFY2012-13
110000381 MENDOCINO COAST CLINICS, INC. Non-LTC COMTYC Primary Care Clinic Santa Rosa 2013-11-22 00:00:00 110010119 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-08-14 00:00:00 2012-08-14 00:00:00 Yes 2013-12-17 00:00:00 2013-12-05 00:00:00 FTR RES FTR RES 18800 10000 0 10000 0 None EQ3811 None CA00322024 C SFY2013-14
110000128 PLANNED PARENTHOOD NAPA CENTER Non-LTC COMTYC Primary Care Clinic Santa Rosa 2014-03-11 00:00:00 110010302 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-08-10 00:00:00 2012-08-10 00:00:00 No 2015-06-03 00:00:00 None AP BR None 2500 2500 -625 1875 0 None BEOX11 None None None SFY2013-14
110000812 PETALUMA HEALTH CENTER Non-LTC COMTYC Primary Care Clinic Santa Rosa 2013-12-12 00:00:00 110010314 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-10-04 00:00:00 2010-10-04 00:00:00 Yes 2014-01-06 00:00:00 2013-12-23 00:00:00 FTR RES None 2300 2300 0 2300 0 None SDW011 None CA00250887 C SFY2013-14
110000812 PETALUMA HEALTH CENTER Non-LTC COMTYC Primary Care Clinic Santa Rosa 2013-12-17 00:00:00 110010316 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-10-04 00:00:00 2010-10-04 00:00:00 Yes 2014-01-09 00:00:00 2013-12-23 00:00:00 FTR BR None 5400 5400 0 5400 0 None SDW011 None CA00250887 C SFY2013-14
110001143 FRESENIUS MEDICAL CARE OF EUREKA Non-LTC ESRD/CDC Chronic Dialysis Clinic Santa Rosa 2014-02-07 00:00:00 110010330 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Other Loss of Medical Records 2012-12-11 00:00:00 2012-12-11 00:00:00 No 2014-03-03 00:00:00 None FTR RES None 3000 3000 -750 2250 0 None CXY311 None CA00341245 C SFY2013-14
110001143 FRESENIUS MEDICAL CARE OF EUREKA Non-LTC ESRD/CDC Chronic Dialysis Clinic Santa Rosa 2014-03-11 00:00:00 110010333 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Other Loss of Medical Record 2012-12-11 00:00:00 2012-12-11 00:00:00 No 2014-04-02 00:00:00 None FTR BR None 4100 4100 -1025 3075 0 None CXY311 None CA00341245 C SFY2013-14
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-11-14 00:00:00 110010347 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-04-04 00:00:00 2011-04-04 00:00:00 Yes 2015-06-03 00:00:00 2015-05-20 00:00:00 AP BR AP BR 77500 54250 0 54250 0 None SLLZ11 None CA00265628 C SFY2014-15
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-11-14 00:00:00 110010348 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2011-04-04 00:00:00 2011-04-04 00:00:00 Yes 2014-12-09 00:00:00 2014-12-03 00:00:00 FTR RES None 64400 64400 0 64400 0 None SLLZ11 None CA00265628 C SFY2014-15
100001790 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Non-LTC HOSPICE Hospice Santa Rosa 2014-02-06 00:00:00 110010436 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-10-16 00:00:00 2013-10-16 00:00:00 No 2014-02-28 00:00:00 None FTR RES None 100 100 0 100 0 None E7MT11 None CA00374646 E SFY2013-14
100001790 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Non-LTC HOSPICE Hospice Santa Rosa 2014-02-06 00:00:00 110010438 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-10-16 00:00:00 2013-10-16 00:00:00 No 2014-02-28 00:00:00 None FTR BR None 100 100 0 100 0 None E7MT11 None CA00374646 E SFY2013-14
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-09-13 00:00:00 110010856 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2014-02-07 09:13:00 2014-02-07 09:13:00 No 2014-10-03 00:00:00 None FTR AE None 500 500 0 500 0 None 5LSM11 N CA00388219 B SFY2014-15
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-09-15 00:00:00 110010937 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-06-03 00:00:00 2013-06-03 00:00:00 No 2014-10-06 00:00:00 None FTR AE None 300 300 0 300 0 None 0RYZ11 N CA00358416 B SFY2014-15
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-10-17 00:00:00 110010940 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-04-24 00:00:00 2012-04-24 00:00:00 No 2014-11-07 00:00:00 None FTR BR None 200 200 0 200 0 None HXHV11 None CA00309127 C SFY2014-15
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-11-17 00:00:00 110010941 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-07-24 00:00:00 2012-07-24 00:00:00 No 2014-12-10 00:00:00 None FTR BR None 100 100 0 100 0 None HXHV11 None CA00319934 D SFY2014-15
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-05-13 00:00:00 110010943 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-09-18 00:00:00 2013-09-18 00:00:00 No 2015-06-04 00:00:00 None FTR BR None 2600 2600 -650 1950 0 None 564611 None CA00374178 E SFY2014-15
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-05-13 00:00:00 110010944 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-09-18 00:00:00 2013-09-18 00:00:00 No 2015-06-04 00:00:00 None FTR RES None 2900 2900 -725 2175 0 None 564611 None CA00374178 E SFY2014-15
110000044 ADVENTIST HEALTH CLEARLAKE Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-11-14 00:00:00 110011005 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2010-12-07 00:00:00 2010-12-07 00:00:00 No 2016-08-01 00:00:00 None AP BR None 2500 2500 -625 1875 0 None 7X4W11 None CA00251830 C SFY2014-15
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-01-16 00:00:00 110011010 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-10-18 00:00:00 2012-10-18 00:00:00 No 2015-02-09 00:00:00 None FTR RES None 400 400 0 400 0 None PFQ311 None CA00331295 E SFY2014-15
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-01-16 00:00:00 110011011 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-10-18 00:00:00 2012-10-18 00:00:00 No 2015-02-09 00:00:00 None FTR BR None 500 500 0 500 0 None PFQ311 None CA00331295 E SFY2014-15
110001146 SILVERADO DIALYSIS Non-LTC ESRD/CDC Chronic Dialysis Clinic Santa Rosa 2014-10-03 00:00:00 110011012 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-05-31 00:00:00 2012-05-31 00:00:00 No 2014-10-24 00:00:00 None FTR RES None 800 800 0 800 0 None Q5WE11 None CA00329002 E SFY2014-15
110001146 SILVERADO DIALYSIS Non-LTC ESRD/CDC Chronic Dialysis Clinic Santa Rosa 2014-10-03 00:00:00 110011013 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-05-31 00:00:00 2012-05-31 00:00:00 No 2014-10-24 00:00:00 None FTR BR None 1200 1200 0 1200 0 None Q5WE11 None CA00329002 E SFY2014-15
110000056 SONOMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-06-18 00:00:00 110011032 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2012-01-04 00:00:00 2012-01-04 00:00:00 No 2016-02-19 00:00:00 None AP IJ None 37500 37500 0 37500 0 None 8MMR11 N CA00296060 B SFY2014-15
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-11-14 00:00:00 110011046 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2013-08-12 00:00:00 2013-08-12 00:00:00 No 2015-06-09 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 6BL111 N CA00367325 C SFY2014-15
110000070 ADVENTIST HEALTH UKIAH VALLEY Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-01-14 00:00:00 110011049 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-09-11 00:00:00 2012-09-11 00:00:00 No 2015-02-05 00:00:00 None FTR RES None 500 500 0 500 0 None OVPU11 None CA00325924 C SFY2014-15
110000044 ADVENTIST HEALTH CLEARLAKE Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-01-16 00:00:00 110011072 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-04-30 00:00:00 2013-04-30 00:00:00 No 2015-02-09 00:00:00 None FTR RES None 800 800 0 800 0 None V2VO11 None CA00354887 E SFY2014-15
110000044 ADVENTIST HEALTH CLEARLAKE Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-01-16 00:00:00 110011073 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-04-30 00:00:00 2013-04-30 00:00:00 No 2015-02-09 00:00:00 None FTR BR None 800 800 0 800 0 None V2VO11 None CA00354887 E SFY2014-15
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-01-20 00:00:00 110011074 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-11-13 00:00:00 2011-11-13 00:00:00 No 2015-02-10 00:00:00 None FTR BR None 1000 1000 0 1000 0 None K8DP11 None CA00292169 C SFY2014-15
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-01-20 00:00:00 110011075 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2011-11-13 00:00:00 2011-11-13 00:00:00 No 2015-02-10 00:00:00 None FTR RES None 1000 1000 0 1000 0 None K8DP11 None CA00292169 C SFY2014-15
110000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2017-02-14 00:00:00 110011306 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2014-04-29 00:00:00 2014-04-29 00:00:00 No 2017-03-08 00:00:00 None AP IJ None 40000 40000 0 40000 0 None 4Q1D11 N CA00399624 B SFY2016-17
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-05-12 00:00:00 110011390 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2015-06-03 00:00:00 None FTR RES None 500 500 -125 375 0 None 5CGQ11 None CA00299299 D SFY2014-15
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-05-12 00:00:00 110011391 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2015-06-03 00:00:00 None FTR BR None 200 200 -50 150 0 None 5CGQ11 None CA00299299 D SFY2014-15
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-05-12 00:00:00 110011401 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2015-06-03 00:00:00 None FTR BR None 200 200 -50 150 0 None DNDF11 None CA00299298 C SFY2014-15
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-05-12 00:00:00 110011402 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2015-06-03 00:00:00 None FTR RES None 500 500 -125 375 0 None DNDF11 None CA00299298 C SFY2014-15
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-07-24 00:00:00 110011404 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2013-10-06 00:00:00 2013-10-06 00:00:00 Yes 2017-05-11 00:00:00 2017-04-24 00:00:00 AP IJ AP IJ 100000 100000 0 100000 0 None EWKP11 N CA00372443, CA00372887 A, A SFY2015-16
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-07-24 00:00:00 110011421 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2013-04-23 00:00:00 2013-04-23 00:00:00 Yes 2017-05-11 00:00:00 2017-04-24 00:00:00 AP IJ AP IJ 50000 50000 0 50000 0 None HP5D11 N CA00353131 B SFY2015-16
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-07-24 00:00:00 110011422 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2013-05-24 00:00:00 2013-05-24 00:00:00 Yes 2017-05-11 00:00:00 2017-04-24 00:00:00 AP IJ AP IJ 75000 45000 0 45000 0 None KO8Q11 N CA00363220 B SFY2015-16
100001730 HEARTLAND HOSPICE SERVICES Non-LTC HOSPICE Hospice Santa Rosa 2015-07-08 00:00:00 110011548 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-08-12 00:00:00 2014-08-12 00:00:00 No 2015-07-29 00:00:00 None FTR BR None 200 200 -50 150 0 None EUZR11 None CA00411593 E SFY2015-16
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-06-17 00:00:00 110011552 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2013-10-30 00:00:00 2013-10-30 00:00:00 No 2015-07-10 00:00:00 None AP BR None 7500 7500 0 7500 0 None X0UO11 None CA00380234 C SFY2014-15
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-07-10 00:00:00 110011553 Open Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach of IT system theft/loss of edevice/med rec None 2014-06-02 00:00:00 2014-06-02 00:00:00 No 2015-07-31 00:00:00 None FTR RES None 300 300 75 225 150 None GAH111 None CA00401448, CA00403983, CA00406425 B, B, C SFY2015-16
110000056 SONOMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2015-07-10 00:00:00 110011605 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-02-14 00:00:00 2013-02-14 00:00:00 No 2015-07-31 00:00:00 None FTR RES None 600 600 0 600 0 None J3F011 None CA00351858, CA00355704, CA00359379 B, B, B SFY2015-16
010001142 MAXIM HEALTHCARE SERVICES Non-LTC HHA Home Health Agency Santa Rosa 2016-01-14 00:00:00 110011952 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-10-26 00:00:00 2011-10-26 00:00:00 No 2016-02-05 00:00:00 None FTR BR None 200 200 0 200 0 None ZCGD11 None CA00288855 C SFY2015-16
010001142 MAXIM HEALTHCARE SERVICES Non-LTC HHA Home Health Agency Santa Rosa 2016-01-14 00:00:00 110011953 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-10-28 00:00:00 2011-10-28 00:00:00 No 2016-02-05 00:00:00 None FTR BR None 300 300 0 300 0 None JYOG11 None CA00289010 D SFY2015-16
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2016-05-12 00:00:00 110011964 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-11-14 00:00:00 2010-11-14 00:00:00 No 2016-06-03 00:00:00 None FTR RES None 800 800 0 800 0 None K24P11 None CA00250935 C SFY2015-16
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2016-05-12 00:00:00 110011965 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-11-14 00:00:00 2010-11-14 00:00:00 No 2016-06-03 00:00:00 None FTR BR None 700 700 0 700 0 None K24P11 None CA00250935 C SFY2015-16
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2017-03-14 00:00:00 110011976 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-03-01 00:00:00 2015-03-01 00:00:00 No 2017-04-05 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None 3CLQ11 N CA00434106 B SFY2016-17
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2017-03-14 00:00:00 110012063 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2014-12-01 00:00:00 2014-12-01 00:00:00 No 2017-04-05 00:00:00 None FTR AE None 300 300 0 300 0 None I5UH11 N CA00423277 B SFY2016-17
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2017-03-14 00:00:00 110012067 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-01-17 00:00:00 2015-01-17 00:00:00 No 2017-04-05 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None UT2M11 N CA00438648 B SFY2016-17
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-06-11 00:00:00 110012068 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-06-16 00:00:00 2012-06-16 00:00:00 Yes 2019-07-02 00:00:00 2019-06-21 00:00:00 FTR RES FTR RES 5200 3900 0 3900 0 None 9GH711 None CA00322517, CA00322517, CA00322523, CA00322523 C, C, C, C SFY2018-19
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-06-11 00:00:00 110012070 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-06-16 00:00:00 2012-06-16 00:00:00 Yes 2019-07-02 00:00:00 2019-06-21 00:00:00 FTR BR FTR BR 5200 3900 0 3900 0 None 9GH711 None CA00322517, CA00322523 C, C SFY2018-19
110000073 ADVENTIST HEALTH VALLEJO Non-LTC APH Acute Psychiatric Hospital Santa Rosa 2016-03-16 00:00:00 110012074 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-02-01 00:00:00 2013-02-01 00:00:00 No 2016-04-07 00:00:00 None FTR RES None 300 300 0 300 0 None SBCX11 None CA00345403 E SFY2015-16
110000073 ADVENTIST HEALTH VALLEJO Non-LTC APH Acute Psychiatric Hospital Santa Rosa 2016-03-16 00:00:00 110012075 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-02-01 00:00:00 2013-02-01 00:00:00 No 2016-04-07 00:00:00 None FTR BR None 300 300 0 300 0 None SBCX11 None CA00345403 E SFY2015-16
110000008 ADVENTIST HEALTH HOWARD MEMORIAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-07-20 00:00:00 110012080 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-07-19 00:00:00 2012-07-19 00:00:00 No 2018-08-10 00:00:00 None AP BR None 25000 25000 -25000 0 0 None TVIR11 None CA00319835 C SFY2018-19
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-06-11 00:00:00 110012096 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-06-16 00:00:00 2012-06-16 00:00:00 Yes 2019-07-02 00:00:00 2019-06-21 00:00:00 FTR RES FTR RES 5200 3900 0 3900 0 None 9GH711 None CA00322517, CA00322523 C, C SFY2018-19
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-07-03 00:00:00 110012106 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission AE report to the Dept. 2014-09-19 00:00:00 2014-09-19 00:00:00 No 2018-07-25 00:00:00 None FTR AE None 900 900 0 900 0 None X0TC11 N CA00415616 B SFY2018-19
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-06-14 00:00:00 110012482 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-07-22 00:00:00 2014-07-22 00:00:00 No 2018-07-06 00:00:00 None FTR RES None 100 100 0 100 0 None 0ZS511 None CA00412592 E SFY2017-18
110000007 SUTTER SANTA ROSA REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-01 00:00:00 110013821 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient FTR-AE 2017-02-21 00:00:00 2017-02-21 00:00:00 No 2018-03-22 00:00:00 None FTR AE None 200 200 0 200 0 None 19Q211 N CA00524400 C SFY2017-18
110000019 SUTTER LAKESIDE HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-01 00:00:00 110013823 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-03-10 00:00:00 2011-03-10 00:00:00 No 2018-03-22 00:00:00 None FTR BR None 900 900 -225 675 0 None EFF311 None CA00264308 D SFY2017-18
110000019 SUTTER LAKESIDE HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-01 00:00:00 110013825 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-03-10 00:00:00 2011-03-10 00:00:00 No 2018-03-22 00:00:00 None FTR BR None 400 400 -100 300 0 None EFF311 None CA00264308 D SFY2017-18
110000378 NORTHBAY VACAVALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-04-24 00:00:00 110013826 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-11-13 00:00:00 2013-11-13 00:00:00 No 2018-05-15 00:00:00 None FTR BR None 500 500 0 500 0 None 9IPR11 None CA00378347 E SFY2017-18
110000378 NORTHBAY VACAVALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-04-24 00:00:00 110013827 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-11-13 00:00:00 2013-11-13 00:00:00 No 2018-05-15 00:00:00 None FTR BR None 200 200 0 200 0 None 9IPR11 None CA00378347 E SFY2017-18
630012364 KAISER FOUNDATION HOSPITAL - VACAVILLE Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-07-02 00:00:00 110013830 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-03-21 00:00:00 2013-03-21 00:00:00 No 2019-04-12 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None WBQV11 None CA00350262 B SFY2018-19
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-04-19 00:00:00 110013831 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2014-01-01 00:00:00 2014-01-01 00:00:00 No 2018-05-10 00:00:00 None FTR BR None 800 800 0 800 0 None VZT211 None CA00390486 C SFY2017-18
110000056 SONOMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-05 00:00:00 110013833 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-03-14 00:00:00 2014-03-14 00:00:00 No 2018-03-26 00:00:00 None FTR BR None 700 700 0 700 0 None RSZ811 None CA00393461 E SFY2017-18
110000056 SONOMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-05 00:00:00 110013834 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-03-14 00:00:00 2014-03-14 00:00:00 No 2018-03-26 00:00:00 None FTR BR None 700 700 0 700 0 None RSZ811 None CA00393461 E SFY2017-18
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-07 00:00:00 110013839 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-08-22 00:00:00 2014-08-22 00:00:00 No 2018-03-28 00:00:00 None FTR AE None 1300 1300 0 1300 0 None MXGF11 N CA00412527 B SFY2017-18
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-05-24 00:00:00 110013841 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-01-23 00:00:00 2015-01-23 00:00:00 No 2018-06-15 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None DEVG11 N None None SFY2017-18
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-06 00:00:00 110013842 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Abuse - Nursing P & P 2015-04-20 00:00:00 2015-04-20 00:00:00 No 2018-03-27 00:00:00 None AP NON-IJ None 17600 17600 0 17600 0 None TD7911 N CA00441302 A SFY2017-18
110000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-05-23 00:00:00 110013849 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-06-02 00:00:00 2015-06-02 00:00:00 No 2018-06-14 00:00:00 None AP NON-IJ None 12750 12750 0 12750 0 None 1X7W11 N CA00450672 B SFY2017-18
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-12-17 00:00:00 110013858 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-02-10 00:00:00 2016-02-10 00:00:00 No 2019-01-08 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None GBK011 N CA00476463 B SFY2018-19
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-05-23 00:00:00 110013866 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-01-03 00:00:00 2016-01-03 00:00:00 No 2018-06-14 00:00:00 None AP NON-IJ None 4250 4250 0 4250 0 None LRHL11 N CA00470930 B SFY2017-18
110000007 SUTTER SANTA ROSA REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-19 00:00:00 110013883 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-05-05 00:00:00 2017-05-05 00:00:00 No 2018-04-09 00:00:00 None FTR AE None 1300 1300 0 1300 0 None KFJG11 N CA00536666 C SFY2017-18
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-07 00:00:00 110013884 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient Physical Care 2017-01-25 00:00:00 2017-01-25 00:00:00 No 2018-03-28 00:00:00 None FTR AE None 1600 1600 0 1600 0 None NRZ011 N CA00522971, CA00522971 B, B SFY2017-18
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-05-24 00:00:00 110013885 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Physical care - retained 2017-04-14 00:00:00 2017-04-14 00:00:00 No 2018-06-15 00:00:00 None AP NON-IJ None 5000 5000 0 5000 0 None X98711 N CA00536093 C SFY2017-18
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-15 00:00:00 110013886 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient Physical care - retained 2017-04-14 00:00:00 2017-04-14 00:00:00 No 2018-04-05 00:00:00 None FTR AE None 2300 2300 0 2300 0 None X98711 N CA00536093 C SFY2017-18
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-09-05 00:00:00 110013889 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Patient Environment 2015-09-01 00:00:00 2015-09-01 00:00:00 No 2018-09-26 00:00:00 None AP NON-IJ None 10625 10625 0 10625 0 None GO6N11 N CA00461759 B SFY2018-19
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-09-05 00:00:00 110013891 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Infection Control 2015-09-01 00:00:00 2015-09-01 00:00:00 No 2018-09-26 00:00:00 None AP NON-IJ None 10625 10625 0 10625 0 None GO6N11 N CA00461759 B SFY2018-19
110000946 KENTFIELD HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-16 00:00:00 110013916 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2017-10-20 00:00:00 2017-10-20 00:00:00 No 2018-04-06 00:00:00 None FTR BR None 3100 3100 0 3100 0 None MPED11 None CA00565821 E SFY2017-18
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-03-21 00:00:00 110013918 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-10-03 00:00:00 2014-10-03 00:00:00 No 2018-04-11 00:00:00 None FTR AE None 1300 1300 0 1300 0 None TQ8L11 N CA00417689 B SFY2017-18
630012364 KAISER FOUNDATION HOSPITAL - VACAVILLE Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-05-24 00:00:00 110014105 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-04-14 00:00:00 2016-04-14 00:00:00 No 2018-06-15 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None WTQ811 N CA00491366 B SFY2017-18
110000058 ADVENTIST HEALTH ST. HELENA Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-06-18 00:00:00 110014168 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-10-07 00:00:00 2015-10-07 00:00:00 No 2018-07-10 00:00:00 None FTR AE None 700 700 0 700 0 None 550C11 N CA00462529 C SFY2017-18
110000058 ADVENTIST HEALTH ST. HELENA Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-06-18 00:00:00 110014169 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-09-01 00:00:00 2015-09-01 00:00:00 No 2018-07-10 00:00:00 None FTR AE None 200 200 0 200 0 None 550C11 N CA00457208, CA00457208 C, C SFY2017-18
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-10-05 00:00:00 110014462 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-02-01 00:00:00 2018-02-01 00:00:00 No 2018-10-26 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None DLKZ11 N CA00588811 B SFY2018-19
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2018-11-06 00:00:00 110014488 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-05-08 00:00:00 2018-05-08 00:00:00 No 2018-11-30 00:00:00 None AP NON-IJ None 13387.5 13387.5 0 13387.5 0 None 8U2211 N CA00588230 B SFY2018-19
110000073 ADVENTIST HEALTH VALLEJO Non-LTC APH Acute Psychiatric Hospital Santa Rosa 2018-12-11 00:00:00 110014634 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2017-09-01 00:00:00 2017-09-01 00:00:00 No 2019-01-02 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None TJF011 N CA00552016, CA00552016 B, B SFY2018-19
110000067 PROVIDENCE ST. JOSEPH HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-01-22 00:00:00 110014743 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-08-29 00:00:00 2018-08-29 00:00:00 No 2019-02-12 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None YG9C11 N CA00468194 B SFY2018-19
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-04-10 00:00:00 110014913 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-07-26 00:00:00 2011-07-26 00:00:00 No 2019-05-01 00:00:00 None FTR AE None 900 900 0 900 0 None WXR011 Y CA00278833, CA00278833 A, A SFY2018-19
110000040 PETALUMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-06-11 00:00:00 110015048 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-06-16 00:00:00 2012-06-16 00:00:00 Yes 2019-07-02 00:00:00 2019-06-21 00:00:00 FTR BR FTR BR 5200 3900 0 3900 0 None 9GH711 None CA00322517, CA00322523 C, C SFY2018-19
110000056 SONOMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-07-31 00:00:00 110015241 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-05-21 00:00:00 2015-05-21 00:00:00 No 2019-08-21 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None TIXQ11 N CA00444440, CA00444440, CA00444440 B, B, B SFY2019-20
110000953 MARINHEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2022-01-14 00:00:00 110015339 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2015-01-31 00:00:00 2015-01-31 00:00:00 No 2022-02-22 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None 7XE411 None CA00433228, CA00478450 D, C SFY2021-22
110000058 ADVENTIST HEALTH ST. HELENA Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-09-23 00:00:00 110015382 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2019-05-08 00:00:00 2019-05-08 00:00:00 No 2019-10-14 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None SIDV11 N CA00637288, CA00637288, CA00637288 C, C, C SFY2019-20
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-09-18 00:00:00 110015390 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-12-03 00:00:00 2018-12-03 00:00:00 No 2019-10-09 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None Y1IH11 N CA00615745 B SFY2019-20
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-09-26 00:00:00 110015391 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2019-02-12 00:00:00 2019-02-12 00:00:00 No 2019-10-17 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None YZJE11 N CA00624882 B SFY2019-20
110000073 ADVENTIST HEALTH VALLEJO Non-LTC APH Acute Psychiatric Hospital Santa Rosa 2019-09-23 00:00:00 110015392 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-10-16 00:00:00 2018-10-16 00:00:00 No 2019-10-14 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None EF4H11 N CA00608020, CA00638713 A, C SFY2019-20
110000011 KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-10-15 00:00:00 110015453 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2016-02-01 00:00:00 2016-02-01 00:00:00 No 2019-11-05 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None FZ0U11 N CA00475470, CA00475470 A, A SFY2019-20
110000058 ADVENTIST HEALTH ST. HELENA Non-LTC GACH General Acute Care Hospital Santa Rosa 2019-12-19 00:00:00 110015455 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2019-04-24 00:00:00 2019-04-24 00:00:00 No 2020-01-10 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None FD1Y11 N CA00636313 B SFY2019-20
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-01-24 00:00:00 110015581 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-06-14 00:00:00 2019-06-14 00:00:00 No 2020-02-14 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None 51E511 N CA00642546, CA00642546, CA00642546 B, B, B SFY2019-20
110000056 SONOMA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-02-13 00:00:00 110015645 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2019-08-20 00:00:00 2019-08-20 00:00:00 No 2020-03-05 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None H70311 N CA00652173 B SFY2019-20
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-02-21 00:00:00 110015751 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-10-24 00:00:00 2014-10-24 00:00:00 No 2020-03-13 00:00:00 None FTR BR None 300 300 0 300 0 None 7NK711 None CA00421579 D SFY2019-20
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-02-21 00:00:00 110015752 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-10-24 00:00:00 2014-10-24 00:00:00 No 2020-03-13 00:00:00 None FTR RES None 300 300 0 300 0 None 7NK711 None CA00421579 D SFY2019-20
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-03-16 00:00:00 110015763 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-10-27 00:00:00 2015-10-27 00:00:00 No 2020-04-06 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None BYEJ11 N CA00463891 B SFY2019-20
110000508 KAISER FOUNDATION HOSPITAL - SANTA ROSA Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-10-14 00:00:00 110015770 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2019-03-04 00:00:00 2019-03-04 00:00:00 No 2020-11-04 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None ZMO811 N CA00628822, CA00628822, CA00628822, CA00628822 B, B, B, B SFY2020-21
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-09-08 00:00:00 110015932 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-03-05 00:00:00 2014-03-05 00:00:00 No 2020-09-29 00:00:00 None FTR BR None 800 800 -200 600 0 None 621711 None CA00392171 E SFY2020-21
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-09-08 00:00:00 110015933 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-03-05 00:00:00 2014-03-05 00:00:00 No 2020-09-29 00:00:00 None FTR RES None 800 800 -200 600 0 None 621711 None CA00392171, CA00392171 E, E SFY2020-21
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-09-21 00:00:00 110015936 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2014-04-06 00:00:00 2014-04-06 00:00:00 No 2020-10-12 00:00:00 None FTR RES None 400 400 0 400 0 None Z54211 None CA00395036 E SFY2020-21
110000982 NOVATO COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-09-21 00:00:00 110015937 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-04-06 00:00:00 2014-04-06 00:00:00 No 2020-10-12 00:00:00 None FTR BR None 400 400 0 400 0 None Z54211 None CA00395036 E SFY2020-21
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2020-10-28 00:00:00 110016098 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-09-01 00:00:00 2016-09-01 00:00:00 No 2020-11-19 00:00:00 None FTR AE None 2400 2400 0 2400 0 None 3NYQ11 N CA00505170 B SFY2020-21
110000946 KENTFIELD HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-02-03 00:00:00 110016255 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-10-14 00:00:00 2016-10-14 00:00:00 No 2021-02-25 00:00:00 None FTR AE None 2900 2900 0 2900 0 None 096K11 N CA00511191 B SFY2020-21
110000007 SUTTER SANTA ROSA REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-03-29 00:00:00 110016308 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-10-02 00:00:00 2020-10-02 00:00:00 No 2021-04-20 00:00:00 None FTR AE None 600 600 0 600 0 None DGLZ11 Y CA00708878, CA00708878, CA00708878 B, B, B SFY2020-21
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-03-25 00:00:00 110016366 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2021-04-16 00:00:00 None FTR BR None 200 200 0 200 0 None U08B11 None CA00299277 C SFY2020-21
110000041 PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-03-25 00:00:00 110016367 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2021-04-16 00:00:00 None FTR RES None 500 500 0 500 0 None U08B11 None CA00299277 C SFY2020-21
110000045 PROVIDENCE REDWOOD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-11-22 00:00:00 110017076 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2017-05-22 00:00:00 2017-05-22 00:00:00 No 2021-12-15 00:00:00 None FTR BR None 600 600 0 600 0 None IZB511 None CA00545842, CA00545842 D, D SFY2021-22
110000045 PROVIDENCE REDWOOD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-11-22 00:00:00 110017077 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2017-05-22 00:00:00 2017-05-22 00:00:00 No 2021-12-15 00:00:00 None FTR BR None 600 600 0 600 0 None IZB511 None CA00545842, CA00545842 D, D SFY2021-22
630012364 KAISER FOUNDATION HOSPITAL - VACAVILLE Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-11-16 00:00:00 110017079 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2020-05-21 00:00:00 2020-05-21 00:00:00 No 2021-12-09 00:00:00 None AP IJ None 75000 75000 0 75000 0 None T83011 Y CA00691332, CA00691332, CA00691341, CA00691341, CA00691345 A, A, A, A, A SFY2021-22
140001268 PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-11-16 00:00:00 110017090 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-11-27 00:00:00 2018-11-27 00:00:00 No 2021-12-09 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None GCR211 N CA00616297 B SFY2021-22
110000010 NORTHBAY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Santa Rosa 2021-11-29 00:00:00 110017135 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-06-24 00:00:00 2018-06-24 00:00:00 No 2021-12-20 00:00:00 None AP NON-IJ None 3750 3750 0 3750 0 None TDW411 N CA00593583, CA00593583 C, C SFY2021-22
110000058 ADVENTIST HEALTH ST. HELENA Non-LTC GACH General Acute Care Hospital Santa Rosa 2022-06-30 00:00:00 110017751 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2019-01-03 00:00:00 2019-01-03 00:00:00 No 2022-07-22 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 6XNR11 Y CA00618518, CA00618518 B, B SFY2021-22
110000038 SONOMA SPECIALTY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2022-09-15 00:00:00 110017942 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2021-09-02 00:00:00 2021-09-02 00:00:00 No 2022-10-06 00:00:00 None AP NON-IJ None 13200 13200 0 0 13200 None UNUK11 Y CA00752094, CA00752094 B, B SFY2022-23
110000049 SUTTER COAST HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2023-02-07 00:00:00 110019009 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-01-08 00:00:00 2021-01-08 00:00:00 No 2023-08-31 00:00:00 None AP BR None 17500 17500 0 17500 0 None P4PX11 None CA00727033 D SFY2022-23
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2007-08-20 00:00:00 120004201 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2007-08-14 00:00:00 2007-08-14 00:00:00 No 2007-09-11 00:00:00 None AP IJ None 25000 25000 0 25000 0 None JBX111 Y CA00123066 A SFY2007-08
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2008-10-22 00:00:00 120005296 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE07 - Use of device other than as intended None 2008-03-10 00:00:00 2008-03-10 00:00:00 Yes 2008-11-13 00:00:00 2009-03-09 00:00:00 AP IJ None 25000 25000 0 25000 0 None SYXF11 N CA00144287 B SFY2008-09
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2008-04-08 00:00:00 120005297 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-03-10 00:00:00 2008-03-10 00:00:00 No 2008-04-29 00:00:00 None FTR AE None 900 900 0 900 0 None SYXF11 N CA00144287 B SFY2007-08
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2008-09-29 00:00:00 120005364 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-20 00:00:00 2008-06-20 00:00:00 No 2008-10-21 00:00:00 None FTR AE None 900 900 0 900 0 None DEOK11 N CA00155774 C SFY2008-09
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2008-09-15 00:00:00 120005403 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-12-12 00:00:00 2007-12-12 00:00:00 No 2008-10-06 00:00:00 None FTR AE None 400 400 0 400 0 None SRV611 N CA00135523 B SFY2008-09
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2008-09-15 00:00:00 120005404 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-16 00:00:00 2007-11-16 00:00:00 No 2008-10-06 00:00:00 None FTR AE None 3000 3000 0 3000 0 None SRV611 N CA00135523 B SFY2008-09
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2008-09-29 00:00:00 120005449 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-27 00:00:00 2008-05-27 00:00:00 No 2008-10-21 00:00:00 None FTR AE None 1300 1300 0 1300 0 None JKXB11 N CA00153657 B SFY2008-09
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2008-11-17 00:00:00 120005558 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-05 00:00:00 2008-07-05 00:00:00 No 2008-12-10 00:00:00 None FTR AE None 700 700 0 700 0 None Y43811 N CA00157022 B SFY2008-09
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2008-11-17 00:00:00 120005562 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-27 00:00:00 2008-08-27 00:00:00 No 2008-12-10 00:00:00 None FTR AE None 300 300 0 300 0 None G3VZ11 N CA00162128 B SFY2008-09
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2009-02-06 00:00:00 120005845 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-21 00:00:00 2008-08-21 00:00:00 No 2009-03-03 00:00:00 None FTR AE None 200 200 0 200 0 None E73511 N CA00161494 B SFY2008-09
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2009-02-03 00:00:00 120005849 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-28 00:00:00 2008-07-28 00:00:00 No 2009-02-26 00:00:00 None FTR AE None 8100 8100 0 8100 0 None LXTV11 N CA00166884 B SFY2008-09
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2009-04-07 00:00:00 120005917 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2008-12-06 00:00:00 2008-12-06 00:00:00 Yes 2009-09-28 00:00:00 2009-09-18 00:00:00 AP IJ AP IJ 25000 16250 0 16250 0 None V7Z011 N CA00171339 A SFY2008-09
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2009-04-07 00:00:00 120006009 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-12 00:00:00 2008-10-12 00:00:00 No 2009-05-11 00:00:00 None FTR AE None 500 500 0 500 0 None GBEF11 N CA00167106 B SFY2008-09
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2009-06-22 00:00:00 120006256 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-02-28 00:00:00 2009-02-28 00:00:00 No 2009-07-14 00:00:00 None FTR AE None 500 500 0 500 0 None X1X011 N CA00180450 B SFY2008-09
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2009-10-27 00:00:00 120006623 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-07-31 13:10:00 2009-07-31 13:10:00 No 2009-11-18 00:00:00 None FTR AE None 2800 2800 0 2800 0 None 5SO611 N CA00166884 B SFY2009-10
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2010-06-07 00:00:00 120006658 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2009-07-31 00:00:00 2009-07-31 00:00:00 No 2010-07-01 00:00:00 None AP BR None 25000 25000 0 25000 0 None 9E5U11 None CA00197270 B SFY2009-10
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2010-01-07 00:00:00 120006678 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-01-26 02:54:00 2009-01-26 02:54:00 No 2010-02-01 00:00:00 None FTR AE None 20200 20200 0 20200 0 None WFBM11 N CA00199264 B SFY2009-10
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2010-02-04 00:00:00 120006809 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-07-27 15:50:00 2009-07-27 15:50:00 No 2010-02-25 00:00:00 None FTR AE None 400 400 0 400 0 None 4XC011 N CA00197569 B SFY2009-10
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2010-01-21 00:00:00 120006810 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-21 09:10:00 2008-12-21 09:10:00 No 2010-02-17 00:00:00 None FTR AE None 18200 18200 0 18200 0 None 6CWG11 N CA00193142 B SFY2009-10
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2010-01-21 00:00:00 120006811 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-01-19 08:15:00 2009-01-19 08:15:00 No 2010-02-17 00:00:00 None FTR AE None 15300 15300 0 15300 0 None 6CWG11 N CA00193143 C SFY2009-10
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2010-01-21 00:00:00 120006812 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-09-11 08:20:00 2009-09-11 08:20:00 No 2010-02-11 00:00:00 None FTR AE None 1300 1300 0 1300 0 None OL5F11 N CA00203406 B SFY2009-10
120001464 SIERRA VIEW MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2010-01-21 00:00:00 120006813 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-10-02 00:00:00 2009-10-02 00:00:00 No 2010-02-11 00:00:00 None FTR AE None 900 900 0 900 0 None DVCI11 N CA00205106 C SFY2009-10
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2010-09-23 00:00:00 120006892 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-09-15 00:00:00 2009-09-15 00:00:00 No 2010-12-15 00:00:00 None AP BR None 60000 60000 -15000 45000 0 None 2BWN11 None CA00200065 B SFY2010-11
120000336 ADVENTIST HEALTH DELANO Non-LTC GACH General Acute Care Hospital Bakersfield 2010-09-23 00:00:00 120007267 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-10-14 00:00:00 2009-10-14 00:00:00 No 2010-12-15 00:00:00 None AP BR None 60000 60000 -15000 45000 0 None LOL411 None CA00207243 B SFY2010-11
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2010-09-23 00:00:00 120007268 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2009-10-31 00:00:00 2009-10-31 00:00:00 No 2010-10-14 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None WOYN11 None CA00209743 B SFY2010-11
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2010-05-28 00:00:00 120007270 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach of IT system theft/loss of edevice/med rec None 2009-10-31 00:00:00 2009-10-31 00:00:00 No 2010-06-21 00:00:00 None FTR RES None 2000 2000 -500 1500 0 None WOYN11 None CA00209743 B SFY2009-10
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2011-07-21 00:00:00 120008400 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE14 - Maternal death/disab due to labor/del/post None 2010-12-17 00:00:00 2010-12-17 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 50000 50000 0 50000 0 None E81511 Y CA00253068 C SFY2011-12
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2011-07-21 00:00:00 120008406 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE15 - Death/disability directly related to hypoglycemia None 2011-04-18 00:00:00 2011-04-18 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 81GR11 N CA00267654 C SFY2011-12
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2013-09-23 00:00:00 120009442 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE07 - Use of device other than as intended None 2010-03-16 00:00:00 2010-03-16 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 50000 50000 0 50000 0 None FDOJ11 Y CA00221802 B SFY2013-14
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2015-06-08 00:00:00 120011533 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2014-04-16 00:00:00 2014-04-16 00:00:00 No 2015-06-29 00:00:00 None AP NON-IJ None 5000 5000 0 5000 0 None 9O8411 N CA00437543 B SFY2014-15
120001467 ADVENTIST HEALTH TULARE Non-LTC GACH General Acute Care Hospital Bakersfield 2015-08-18 00:00:00 120011674 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2015-05-05 00:00:00 2015-05-05 00:00:00 No 2015-09-11 00:00:00 None AP NON-IJ None 11812 11812 0 11812 0 None 7V2Q11 N CA00442091 B SFY2015-16
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2015-09-17 00:00:00 120011727 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2011-12-04 00:00:00 2011-12-04 00:00:00 No 2015-10-08 00:00:00 None FTR AE None 2700 2700 0 2700 0 None SVN211 N CA00295152 B SFY2015-16
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2015-09-28 00:00:00 120011748 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-08-11 00:00:00 2010-08-11 00:00:00 No 2015-10-19 00:00:00 None FTR AE None 2700 2700 0 2700 0 None 55PT11 N CA00359400 B SFY2015-16
120000426 PHYSICIANS PLAZA SURGICAL CENTER Non-LTC ASC Surgical Clinic Bakersfield 2015-09-30 00:00:00 120011763 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2013-01-24 00:00:00 2013-01-24 00:00:00 Yes 2015-10-21 00:00:00 2015-10-09 00:00:00 FTR AE None 13500 13500 -500 13000 0 None 2RQ311 N CA00358859 B SFY2015-16
120000409 RIDGECREST REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2016-01-11 00:00:00 120011845 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-01-04 00:00:00 2014-01-04 00:00:00 No 2016-02-02 00:00:00 None AP BR None 2550 2550 -637.5 1912.5 0 None 16ZQ11 None CA00390447 B SFY2015-16
120000409 RIDGECREST REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2016-01-11 00:00:00 120011846 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2014-01-04 00:00:00 2014-01-04 00:00:00 No 2016-02-02 00:00:00 None FTR BR None 1600 1600 0 1600 0 None 16ZQ11 None CA00390447 B SFY2015-16
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2016-01-11 00:00:00 120011848 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-12-07 00:00:00 2014-12-07 00:00:00 Yes 2016-02-02 00:00:00 2018-01-18 00:00:00 AP BR AP BR 7500 5625 0 5625 0 None NB6U11 None CA00423333 B SFY2015-16
120001471 FAMILY HEALTHCARE NETWORK Non-LTC COMTYC Primary Care Clinic Bakersfield 2016-02-03 00:00:00 120011851 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-08-11 00:00:00 2014-08-11 00:00:00 No 2016-02-25 00:00:00 None AP BR None 12750 12750 -3187.5 9562.5 0 None 97E311 None CA00409572 B SFY2015-16
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2016-01-11 00:00:00 120011852 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-04-08 00:00:00 2015-04-08 00:00:00 No 2016-02-02 00:00:00 None AP BR None 12750 12750 -3187.5 9562.5 0 None LRT811 None CA00438945, CA00440954 B, B SFY2015-16
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2016-04-06 00:00:00 120012168 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2014-12-19 00:00:00 2014-12-19 00:00:00 Yes 2016-04-27 00:00:00 2016-04-19 00:00:00 AP NON-IJ AP NON-IJ 15750 11000 0 11000 0 None KSFD11 N CA00467713 C SFY2015-16
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2016-05-18 00:00:00 120012269 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-02-04 00:00:00 2016-02-04 00:00:00 No 2016-06-09 00:00:00 None AP NON-IJ None 15000 15000 0 15000 0 None 9YPN11 N CA00475632 B SFY2015-16
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2016-06-02 00:00:00 120012306 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-02-01 00:00:00 2016-02-01 00:00:00 No 2016-06-23 00:00:00 None AP NON-IJ None 17250 17250 0 17250 0 None 1UZN11 N CA00478148 B SFY2015-16
120001467 ADVENTIST HEALTH TULARE Non-LTC GACH General Acute Care Hospital Bakersfield 2016-06-21 00:00:00 120012342 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-02-03 00:00:00 2016-02-03 00:00:00 No 2016-07-13 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None 2JW311 N CA00486248 B SFY2015-16
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2016-08-02 00:00:00 120012483 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-03-12 00:00:00 2016-03-12 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 75000 75000 0 75000 0 None L94R11 N CA00480900 A SFY2016-17
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2016-09-27 00:00:00 120012587 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2016-06-22 00:00:00 2016-06-22 00:00:00 No 2016-10-20 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None 2RIF11 N CA00493273 B SFY2016-17
120001467 ADVENTIST HEALTH TULARE Non-LTC GACH General Acute Care Hospital Bakersfield 2016-10-04 00:00:00 120012616 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-09-16 00:00:00 2015-09-16 00:00:00 No 2016-10-25 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None 8VWF11 N CA00488455 B SFY2016-17
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2016-10-12 00:00:00 120012649 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-06-22 00:00:00 2016-06-22 00:00:00 No 2016-11-02 00:00:00 None AP NON-IJ None 14025 14025 0 14025 0 None UCJ811 N CA00493511 B SFY2016-17
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2017-01-30 00:00:00 120012925 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE07 - Use of device other than as intended None 2016-11-29 00:00:00 2016-11-29 00:00:00 No 2017-02-21 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None 5WYU11 N CA00513448 B SFY2016-17
120001467 ADVENTIST HEALTH TULARE Non-LTC GACH General Acute Care Hospital Bakersfield 2017-03-02 00:00:00 120013012 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-09-16 00:00:00 2015-09-16 00:00:00 No 2017-03-23 00:00:00 None FTR AE None 21900 21900 0 21900 0 None 8VWF11 N CA00488455 B SFY2016-17
120001653 FAMILY HEALTHCARE NETWORK Non-LTC COMTYC Primary Care Clinic Bakersfield 2017-06-14 00:00:00 120013016 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2016-06-23 00:00:00 2016-06-23 00:00:00 No 2017-07-07 00:00:00 None AP BR None 25000 25000 -25000 0 0 None WBIM11 None CA00497267 C SFY2016-17
120001467 ADVENTIST HEALTH TULARE Non-LTC GACH General Acute Care Hospital Bakersfield 2017-04-20 00:00:00 120013140 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-09-29 00:00:00 2016-09-29 00:00:00 No 2017-05-11 00:00:00 None AP NON-IJ None 16537 16537 0 16537 0 None 5S0P11 N CA00507101 B SFY2016-17
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2017-06-05 00:00:00 120013253 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Surgical Error - RFO 2017-02-04 00:00:00 2017-02-04 00:00:00 No 2017-06-26 00:00:00 None AP NON-IJ None 12375 12375 0 12375 0 None TQQO11 N CA00529170 B SFY2016-17
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2017-06-06 00:00:00 120013262 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient RFO 2017-03-17 00:00:00 2017-03-17 00:00:00 Yes 2017-06-27 00:00:00 2017-06-19 00:00:00 AP NON-IJ AP NON-IJ 14025 10000 0 10000 0 None S5C411 N CA00527601 B SFY2016-17
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2017-06-13 00:00:00 120013279 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Retained Foreign Object 2017-03-01 00:00:00 2017-03-01 00:00:00 Yes 2017-07-05 00:00:00 2017-06-23 00:00:00 AP NON-IJ AP NON-IJ 11250 9000 0 9000 0 None GTRJ11 N CA00532765 B SFY2016-17
120000336 ADVENTIST HEALTH DELANO Non-LTC GACH General Acute Care Hospital Bakersfield 2018-03-14 00:00:00 120013904 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-05-22 00:00:00 2008-05-22 00:00:00 No 2018-04-04 00:00:00 None FTR AE None 11700 11700 0 11700 0 None BYDW11 N CA00546313 B SFY2017-18
630016214 FAMILY HEALTHCARE NETWORK Non-LTC COMTYC Primary Care Clinic Bakersfield 2018-03-29 00:00:00 120014037 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-09-30 00:00:00 2017-09-30 00:00:00 No 2019-04-12 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None XT5H11 None CA00560339 D SFY2017-18
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2018-07-10 00:00:00 120014229 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE27 - Death/injury from a physical assault None 2018-02-27 00:00:00 2018-02-27 00:00:00 No 2018-12-28 00:00:00 None AP IJ None 51975 51975 0 51975 0 None 3JEQ11 N CA00576420 A SFY2018-19
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2018-08-03 00:00:00 120014314 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-12-02 00:00:00 2017-12-02 00:00:00 No 2018-12-28 00:00:00 None AP IJ None 31350 31350 0 31350 0 None Z6DS11 N CA00565272 B SFY2018-19
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2018-12-06 00:00:00 120014635 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-07-26 00:00:00 2018-07-26 00:00:00 No 2018-12-28 00:00:00 None AP NON-IJ None 12120 12120 0 12120 0 None QVFV11 N CA00597776, CA00597776 B, B SFY2018-19
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2018-12-28 00:00:00 120014695 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-04-03 00:00:00 2018-04-03 00:00:00 No 2019-04-11 00:00:00 None AP IJ None 34650 34650 0 34650 0 None SE7U11 N CA00584143 B SFY2018-19
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2019-05-03 00:00:00 120015039 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2018-08-16 00:00:00 2018-08-16 00:00:00 No 2019-07-09 00:00:00 None AP IJ None 83250 83250 0 83250 0 None NL2W11 N CA00600791 B SFY2018-19
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2019-05-07 00:00:00 120015042 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2018-07-26 00:00:00 2018-07-26 00:00:00 No 2019-05-28 00:00:00 None AP NON-IJ None 4040 4040 0 4040 0 None 6OST11 N CA00598271 B SFY2018-19
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2019-05-10 00:00:00 120015062 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-11-13 00:00:00 2018-11-13 00:00:00 No 2019-05-31 00:00:00 None AP NON-IJ None 5250 5250 0 5250 0 None DQDU11 N CA00612431 B SFY2018-19
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2019-07-01 00:00:00 120015210 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-10-15 00:00:00 2018-10-15 00:00:00 No 2019-07-22 00:00:00 None AP NON-IJ None 15000 15000 0 15000 0 None D1NZ11 N CA00609147 A SFY2019-20
120001464 SIERRA VIEW MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2019-09-04 00:00:00 120015364 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE14 - Maternal death/disab due to labor/del/post None 2019-02-06 00:00:00 2019-02-06 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 71962.5 71962.5 0 71962.5 0 None O5ZX11 Y CA00625350 B SFY2019-20
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2019-09-30 00:00:00 120015423 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-02-26 00:00:00 2019-02-26 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 44400 44400 0 44400 0 None Q4UT11 N CA00631677 B SFY2019-20
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2019-11-06 00:00:00 120015518 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-09-13 00:00:00 2019-09-13 00:00:00 Yes 2019-11-27 00:00:00 2019-12-02 00:00:00 AP NON-IJ None 15000 15000 0 0 15000 None Y6LE11 N CA00655647 B SFY2019-20
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2020-01-21 00:00:00 120015700 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-06-17 00:00:00 2019-06-17 00:00:00 No 2020-02-11 00:00:00 None AP IJ None 31350 31350 0 31350 0 None MPSC11 N CA00642727 B SFY2019-20
120001330 BAKERSFIELD HEART HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2020-11-03 00:00:00 120016133 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-07-10 00:00:00 2019-07-10 00:00:00 No 2020-11-25 00:00:00 None AP IJ None 47025 47025 0 47025 0 None N3RT11 N CA00655161, CA00655161 B, B SFY2020-21
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2020-12-10 00:00:00 120016191 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2020-01-09 00:00:00 2020-01-09 00:00:00 No 2021-01-04 00:00:00 None AP IJ None 86650 86650 0 86650 0 None IPCB11 N CA00671664 B SFY2020-21
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2021-03-18 00:00:00 120016353 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2019-12-28 00:00:00 2019-12-28 00:00:00 Yes 2021-04-09 00:00:00 2021-03-31 00:00:00 AP IJ None 72000 72000 0 72000 0 None COXR11 Y CA00670703, CA00672301 B, A SFY2020-21
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2021-05-28 00:00:00 120016555 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-03-05 00:00:00 2020-03-05 00:00:00 No 2021-06-21 00:00:00 None AP NON-IJ None 13200 13200 0 0 13200 None 3E8611 N CA00680161 B SFY2020-21
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2021-07-21 00:00:00 120016738 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2020-07-01 00:00:00 2020-07-01 00:00:00 No 2021-08-11 00:00:00 None FTR AE None 13000 13000 0 13000 0 None 0LTJ11 Y CA00712358 B SFY2021-22
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2021-09-02 00:00:00 120016823 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2020-01-17 00:00:00 2020-01-17 00:00:00 No 2021-09-24 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None Y3VM11 Y CA00672290, CA00673507 B, A SFY2021-22
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2022-03-17 00:00:00 120017502 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2020-09-11 00:00:00 2020-09-11 00:00:00 No 2022-04-08 00:00:00 None AP IJ None 66600 66600 0 66600 0 None IZ4M11 N CA00714930, CA00736699 B, B SFY2021-22
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2022-07-01 00:00:00 120017758 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2021-11-11 00:00:00 2021-11-11 00:00:00 No 2022-07-25 00:00:00 None AP IJ None 57750 57750 0 57750 0 None WCK411 N CA00765460, CA00770995 B, B SFY2022-23
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2022-10-10 00:00:00 120018068 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2022-01-25 00:00:00 2022-01-25 00:00:00 No 2022-10-31 00:00:00 None AP NON-IJ None 12000 12000 0 0 12000 None ETF011 N CA00771379 B SFY2022-23
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2022-10-13 00:00:00 120018077 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2020-07-01 00:00:00 2020-07-01 00:00:00 No 2022-11-03 00:00:00 None AP IJ None 49500 49500 0 49500 0 None Y37B11 N CA00774271 B SFY2022-23
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2022-10-19 00:00:00 120018097 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2022-01-29 00:00:00 2022-01-29 00:00:00 No 2022-11-09 00:00:00 None AP IJ None 66000 66000 0 66000 0 None ZWWM11 N CA00771956 B SFY2022-23
120001464 SIERRA VIEW MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2021-03-12 00:00:00 120018559 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-10-26 00:00:00 2017-10-26 00:00:00 Yes 2023-05-03 00:00:00 2023-04-17 00:00:00 AP BR None 15000 15000 0 15000 0 None YWPM11 None CA00563413 D SFY2020-21
120000409 RIDGECREST REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2021-01-28 00:00:00 120018734 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-09-01 00:00:00 2017-09-01 00:00:00 No 2023-06-08 00:00:00 None AP BR None 82500 82500 -20625 61875 0 None QZU011 None CA00565537 C SFY2020-21
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2023-05-17 00:00:00 120018754 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2022-02-05 00:00:00 2022-02-05 00:00:00 No 2023-06-08 00:00:00 None AP IJ None 31635 31635 0 31635 0 None JWD711 N CA00790107 B SFY2022-23
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2023-05-17 00:00:00 120018762 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2022-02-05 00:00:00 2022-02-05 00:00:00 No 2023-06-08 00:00:00 None FTR AE None 13800 13800 0 13800 0 None JWD711 N CA00790107 B SFY2022-23
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-05-26 00:00:00 120018798 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-09-13 00:00:00 2022-09-13 00:00:00 No 2023-06-19 00:00:00 None AP IJ None 44887.5 44887.5 0 44887.5 0 None QFMO11 N CA00805322 B SFY2022-23
120000409 RIDGECREST REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2023-06-14 00:00:00 120018859 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-11-17 00:00:00 2022-11-17 00:00:00 Yes 2023-07-06 00:00:00 2023-07-06 00:00:00 AP IJ Drop>Deficiency 49500 25000 0 25000 0 None NM5C11 N CA00812467, CA00812467 B, B SFY2022-23
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2023-07-03 00:00:00 120018880 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-02-27 00:00:00 2023-02-27 00:00:00 No 2023-07-25 00:00:00 None AP NON-IJ None 15000 15000 0 0 15000 None O4Q711 N CA00828942 B SFY2023-24
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2023-05-16 00:00:00 120018967 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2020-11-11 00:00:00 2020-11-11 00:00:00 No 2023-08-16 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None MWXT11 None CA00728403 D SFY2022-23
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2023-08-10 00:00:00 120019045 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-01-06 00:00:00 2022-01-06 00:00:00 Yes 2023-08-31 00:00:00 2023-11-07 00:00:00 AP IJ None 125000 125000 0 0 125000 None CJTV11 Y CA00769103, CA00769103 B, B SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-08-28 00:00:00 120019103 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2023-02-24 00:00:00 2023-02-24 00:00:00 No 2023-09-20 00:00:00 None AP NON-IJ None 16500 16500 0 0 16500 None UV3L11 N CA00828339 B SFY2023-24
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2023-10-03 00:00:00 120019215 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2023-02-27 00:00:00 2023-02-27 00:00:00 No 2023-10-24 00:00:00 None AP IJ None 75750 75750 0 75750 0 None 0R8T11 N CA00829673 B SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-10-06 00:00:00 120019236 Closed Administrative Penalty None A1 - Critical Care None 2023-06-02 00:00:00 2023-06-02 00:00:00 Yes 2023-10-16 00:00:00 2023-11-27 00:00:00 NP None 15000 15000 0 15000 0 None F12L11 N CA00845493, CA00848660, CA00848768 B, B, B SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-10-17 00:00:00 120019259 Closed Administrative Penalty None A1 - Critical Care None 2023-06-10 00:00:00 2023-06-10 00:00:00 Yes 2023-10-27 00:00:00 2023-11-27 00:00:00 NP None 30000 30000 0 30000 0 None W4B211 N CA00846765, CA00846767, CA00848717, CA00853168 B, B, B, B SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-10-31 00:00:00 120019322 Closed Administrative Penalty None A1 - Critical Care None 2023-06-28 00:00:00 2023-06-28 00:00:00 Yes 2023-11-10 00:00:00 2023-11-27 00:00:00 NP None 30000 30000 0 30000 0 None NU4Q11 N CA00848210, CA00848214 B, B SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-11-03 00:00:00 120019340 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-07-22 00:00:00 2023-07-22 00:00:00 Yes 2023-11-29 00:00:00 2023-11-27 00:00:00 AP IJ None 30000 30000 0 30000 0 None GBN111 N CA00851870 B SFY2023-24
120001444 KAWEAH HEALTH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-11-08 00:00:00 120019343 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-04-18 00:00:00 2023-04-18 00:00:00 No 2023-12-04 00:00:00 None AP NON-IJ None 14250 14250 0 14250 0 None 4WS711 N CA00837559 B SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-11-17 00:00:00 120019384 Closed Administrative Penalty None A1 - Critical Care None 2023-04-09 00:00:00 2023-04-09 00:00:00 Yes 2023-11-27 00:00:00 2023-11-27 00:00:00 NP None 30000 30000 0 30000 0 None QOFM11 N CA00835679 B SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-11-17 00:00:00 120019386 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-01-09 00:00:00 2023-01-09 00:00:00 Yes 2023-12-12 00:00:00 2023-11-27 00:00:00 AP NON-IJ AP NON-IJ 16500 14850 0 14850 0 None VHCW11 N CA00829272 B SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-11-28 00:00:00 120019413 Closed Administrative Penalty None A1 - Critical Care None 2023-07-13 00:00:00 2023-07-13 00:00:00 Yes 2023-12-08 00:00:00 2023-12-01 00:00:00 NP None 30000 30000 0 30000 0 None G84211 N CA00849532, CA00851652, CA00851652 B, A, A SFY2023-24
120000342 KERN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Bakersfield 2023-12-08 00:00:00 120019455 Closed Administrative Penalty None A5 - Combined Labor/Delivery/Postpartum None 2023-07-01 00:00:00 2023-07-01 00:00:00 Yes 2023-12-18 00:00:00 2023-12-11 00:00:00 NP None 30000 30000 0 30000 0 None BIS911 N CA00849540 B SFY2023-24
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2024-01-10 00:00:00 120019585 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-08-26 00:00:00 2022-08-26 00:00:00 No 2024-01-31 00:00:00 None AP IJ None 58875 58875 0 58875 0 None 9SG811 Y CA00800754 B SFY2023-24
120000338 BAKERSFIELD MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2024-02-02 00:00:00 120019692 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2023-08-01 00:00:00 2023-08-01 00:00:00 No 2024-02-23 00:00:00 None AP NON-IJ None 15750 15750 0 15750 0 None 706611 N CA00854481 B SFY2023-24
120000411 ADVENTIST HEALTH BAKERSFIELD Non-LTC GACH General Acute Care Hospital Bakersfield 2023-11-21 00:00:00 120019992 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2020-03-01 00:00:00 2020-03-01 00:00:00 No 2024-05-22 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None CM0E11 None CA00707914 C SFY2023-24
120000404 MERCY HOSPITAL Non-LTC GACH General Acute Care Hospital Bakersfield 2024-05-10 00:00:00 120020159 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-08-29 00:00:00 2023-08-29 00:00:00 No 2024-06-03 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None MDEH11 N CA00859013 B SFY2023-24
170001888 CALIFORNIA MENS COLONY Non-LTC GACH General Acute Care Hospital State Facilities Section 2011-04-21 00:00:00 150008180 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2009-10-20 00:00:00 2009-10-20 00:00:00 Yes 2011-09-30 00:00:00 2011-09-16 00:00:00 AP IJ AP IJ 50000 30000 0 30000 0 None XQR411 N CA00213590, CA00213591, CA00213591 C, C, C SFY2010-11
930000089 KINDRED HOSPITAL - LA MIRADA Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-05-04 00:00:00 150012223 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-09-04 00:00:00 2015-09-04 00:00:00 No 2016-05-25 00:00:00 None AP NON-IJ None 12500 12500 0 12500 0 None YJHE11 N CA00457624 B SFY2015-16
170001873 LA COUNTY SHERIFF'S DEPT TWIN TOWERS CTC Non-LTC CTC Correctional Treatment Center State Facilities Section 2012-02-24 00:00:00 170008792 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2010-09-23 00:00:00 2010-09-23 00:00:00 No 2013-07-26 00:00:00 None AP BR None 42500 42500 0 42500 0 None R0M711 None CA00247036 C SFY2011-12
170001873 LA COUNTY SHERIFF'S DEPT TWIN TOWERS CTC Non-LTC CTC Correctional Treatment Center State Facilities Section 2012-02-24 00:00:00 170008794 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2010-09-23 00:00:00 2010-09-23 00:00:00 No 2012-03-16 00:00:00 None FTR BR None 2500 2500 0 2500 0 None R0M711 None CA00247036 C SFY2011-12
170001873 LA COUNTY SHERIFF'S DEPT TWIN TOWERS CTC Non-LTC CTC Correctional Treatment Center State Facilities Section 2012-02-24 00:00:00 170008795 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2010-09-23 00:00:00 2010-09-23 00:00:00 No 2012-03-16 00:00:00 None FTR RES None 2600 2600 0 2600 0 None R0M711 None CA00247036 C SFY2011-12
930000026 HUNTINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-08-04 00:00:00 170012356 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE06 -Use of contaminated drug, device, or biologic None 2015-07-16 00:00:00 2015-07-16 00:00:00 No 2016-08-25 00:00:00 None FTR AE None 29800 29800 0 29800 0 None NJ4C11 N CA00455049 A SFY2016-17
170001858 DEPARTMENT OF STATE HOSPITALS - METROPOLITAN Non-LTC APH Acute Psychiatric Hospital State Facilities Section 2017-08-16 00:00:00 170013440 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-07-29 00:00:00 2016-07-29 00:00:00 No 2017-09-07 00:00:00 None AP NON-IJ None 4797 4797 0 4797 0 None O75T11 N CA00499071 C SFY2017-18
630014470 CALIFORNIA HEALTH CARE FACILITY - STOCKTON Non-LTC CTC Correctional Treatment Center State Facilities Section 2021-12-03 00:00:00 170018982 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2019-04-26 00:00:00 2019-04-26 00:00:00 Yes 2023-08-30 00:00:00 2023-08-17 00:00:00 AP BR AP BR 25000 25000 0 25000 0 None 3G4211 None CA00635723 D SFY2021-22
630014470 CALIFORNIA HEALTH CARE FACILITY - STOCKTON Non-LTC CTC Correctional Treatment Center State Facilities Section 2022-09-06 00:00:00 170019069 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-03-10 00:00:00 2019-03-10 00:00:00 Yes 2023-09-14 00:00:00 2023-08-29 00:00:00 AP BR AP BR 25000 0 0 0 0 None 681Z11 None CA00630905 C SFY2022-23
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2024-05-10 00:00:00 170020128 Closed Administrative Penalty None A10 - Telemetry None 2023-11-29 00:00:00 2023-11-29 00:00:00 No 2024-05-20 00:00:00 None NP None 30000 30000 0 30000 0 None PLZE11 N CA00865440, CA00871989, CA00873312, CA00875565, CA00876905 B, B, B, B, B SFY2023-24
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2007-11-09 00:00:00 220004453 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-09-21 00:00:00 2007-09-21 00:00:00 No 2007-12-05 00:00:00 None AP IJ None 25000 25000 0 25000 0 None HJ6K11 N CA00109900, CA00118497 H, A SFY2007-08
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2008-04-30 00:00:00 220004977 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-01-28 00:00:00 2008-01-28 00:00:00 No 2008-05-21 00:00:00 None FTR AE None 600 600 0 600 0 None FHEK11 N CA00140151 B SFY2007-08
220000010 KAISER FOUNDATION HOSPITAL - REDWOOD CITY Non-LTC GACH General Acute Care Hospital San Francisco 2008-03-19 00:00:00 220005008 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE22 - Death associated with a fall None 2008-01-21 00:00:00 2008-01-21 00:00:00 No 2008-04-10 00:00:00 None FTR AE None 1000 1000 0 1000 0 None EDOK11 N CA00140040 A SFY2007-08
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2008-04-28 00:00:00 220005032 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-17 00:00:00 2008-01-17 00:00:00 No 2008-05-19 00:00:00 None FTR AE None 2300 2300 0 2300 0 None NZPR11 N CA00140785 B SFY2007-08
220000010 KAISER FOUNDATION HOSPITAL - REDWOOD CITY Non-LTC GACH General Acute Care Hospital San Francisco 2008-07-10 00:00:00 220005223 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-04 00:00:00 2007-10-04 00:00:00 No 2008-07-31 00:00:00 None FTR AE None 15600 15600 0 15600 0 None 2TOH11 N None None SFY2008-09
220000009 KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2008-07-14 00:00:00 220005229 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-12 00:00:00 2008-04-12 00:00:00 Yes 2008-08-04 00:00:00 2008-07-21 00:00:00 FTR AE None 3600 3600 0 3600 0 None C8D311 N CA00153572 B SFY2008-09
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2008-07-28 00:00:00 220005267 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-05-19 00:00:00 2008-05-19 00:00:00 No 2008-08-18 00:00:00 None FTR AE None 3500 3500 0 3500 0 None I2EV11 N CA00155114 B SFY2008-09
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2008-07-30 00:00:00 220005279 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-06-12 00:00:00 2008-06-12 00:00:00 No 2008-08-20 00:00:00 None FTR AE None 2500 2500 0 2500 0 None NITE11 N CA00156958 B SFY2008-09
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2008-10-22 00:00:00 220005546 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-20 08:00:00 2008-08-20 08:00:00 No 2008-11-13 00:00:00 None FTR AE None 900 900 0 900 0 None WCBL11 N CA00162293 B SFY2008-09
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2008-10-27 00:00:00 220005553 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-31 08:00:00 2008-07-31 08:00:00 No 2008-11-18 00:00:00 None FTR AE None 5800 5800 0 5800 0 None 3P3C11 N CA00165421 B SFY2008-09
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2008-10-28 00:00:00 220005555 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-19 08:00:00 2008-08-19 08:00:00 No 2008-11-19 00:00:00 None FTR AE None 300 300 0 300 0 None 099311 N CA00161635 B SFY2008-09
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2008-11-14 00:00:00 220005606 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-08-04 08:00:00 2008-08-04 08:00:00 Yes 2008-12-09 00:00:00 2008-11-24 00:00:00 FTR AE Drop>Deficiency 300 0 0 0 0 None 60JR11 N CA00159999 B SFY2008-09
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2008-11-14 00:00:00 220005607 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-31 08:00:00 2008-07-31 08:00:00 No 2008-12-09 00:00:00 None FTR AE None 200 200 0 200 0 None 60JR11 N CA00159552 B SFY2008-09
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2008-11-14 00:00:00 220005611 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-07-17 08:00:00 2008-07-17 08:00:00 Yes 2008-12-09 00:00:00 2008-11-24 00:00:00 FTR AE FTR AE 1400 500 0 500 0 None 60JR11 N CA00159407 B SFY2008-09
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2008-11-14 00:00:00 220005613 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-09-26 08:00:00 2008-09-26 08:00:00 No 2008-12-09 00:00:00 None FTR AE None 1900 1900 0 1900 0 None KCQR11 N CA00166894 B SFY2008-09
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2008-12-31 00:00:00 220005753 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-03-31 00:00:00 2008-03-31 00:00:00 No 2009-01-23 00:00:00 None AP IJ None 25000 25000 0 25000 0 None LTWW11 N CA00145949 B SFY2008-09
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2009-01-15 00:00:00 220005799 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-11-17 08:00:00 2008-11-17 08:00:00 No 2009-02-06 00:00:00 None FTR AE None 900 900 0 900 0 None ITNL11 N CA00170855 B SFY2008-09
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2009-01-15 00:00:00 220005800 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-04-30 08:00:00 2008-04-30 08:00:00 No 2009-02-06 00:00:00 None FTR AE None 21800 21800 0 21800 0 None ITNL11 N CA00171685 B SFY2008-09
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2009-01-21 00:00:00 220005814 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-11-04 08:00:00 2008-11-04 08:00:00 No 2009-02-11 00:00:00 None FTR AE None 1200 1200 0 1200 0 None VS0J11 N CA00170110 B SFY2008-09
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2009-01-21 00:00:00 220005815 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-11-24 08:00:00 2008-11-24 08:00:00 No 2009-02-11 00:00:00 None FTR AE None 500 500 0 500 0 None WK1W11 N CA00171166 B SFY2008-09
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2009-01-21 00:00:00 220005816 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-11-13 08:00:00 2008-11-13 08:00:00 No 2009-02-11 00:00:00 None FTR AE None 1300 1300 0 1300 0 None WK1W11 N CA00170730 B SFY2008-09
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2009-03-19 00:00:00 220006001 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-02-01 08:00:00 2009-02-01 08:00:00 No 2009-04-10 00:00:00 None FTR AE None 1400 1400 0 1400 0 None HPVQ11 N CA00178426 B SFY2008-09
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2009-05-26 00:00:00 220006216 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-04-29 08:00:00 2009-04-29 08:00:00 No 2009-06-16 00:00:00 None FTR AE None 400 400 0 400 0 None SRM011 N CA00187643 C SFY2008-09
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2009-07-23 00:00:00 220006416 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-12-20 12:00:00 2008-12-20 12:00:00 No 2009-08-14 00:00:00 None FTR AE None 300 300 0 300 0 None LTNL11 N CA00136169 B SFY2009-10
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2009-09-10 00:00:00 220006545 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-09-08 00:00:00 2008-09-08 00:00:00 No 2009-10-01 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 1TVD11 N CA00172409 B SFY2009-10
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2009-10-30 00:00:00 220006673 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2008-09-24 00:00:00 2008-09-24 00:00:00 No 2009-11-23 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 6LE511 N CA00164578 B SFY2009-10
220000025 SEQUOIA HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2009-12-23 00:00:00 220006775 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-07-09 08:00:00 2009-07-09 08:00:00 No 2010-01-19 00:00:00 None FTR BR None 3800 3800 -950 2850 0 None GP7W11 None CA00199522 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2009-12-16 00:00:00 220006799 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-27 08:00:00 2009-10-27 08:00:00 No 2010-01-08 00:00:00 None FTR BR None 100 100 0 100 0 None D6DY11 None CA00206935 C SFY2009-10
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2010-01-20 00:00:00 220006845 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-11-26 08:00:00 2009-11-26 08:00:00 No 2010-02-10 00:00:00 None FTR AE None 300 300 0 300 0 None 1OCE11 N CA00210434 C SFY2009-10
220000025 SEQUOIA HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2009-12-24 00:00:00 220006852 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-08-13 08:00:00 2009-08-13 08:00:00 No 2010-01-20 00:00:00 None FTR BR None 300 300 -75 225 0 None MSKF11 None CA00199518 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-01-13 00:00:00 220006913 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-12 08:00:00 2009-11-12 08:00:00 No 2010-02-05 00:00:00 None FTR BR None 3000 3000 -750 2250 0 None 61LX11 None CA00211967 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-01-14 00:00:00 220006918 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-08 08:00:00 2009-10-08 08:00:00 No 2010-02-08 00:00:00 None FTR BR None 300 300 -75 225 0 None B5K211 None CA00205218 C SFY2009-10
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2010-03-08 00:00:00 220006962 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-04-14 00:00:00 2009-04-14 00:00:00 No 2010-12-08 00:00:00 None AP IJ None 50000 50000 0 50000 0 None HW5G11 N CA00191275 C SFY2009-10
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2010-03-08 00:00:00 220006963 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-07-15 00:00:00 2009-07-15 00:00:00 No 2010-12-08 00:00:00 None AP IJ None 75000 75000 0 75000 0 None ACMC11 N CA00198637 C SFY2009-10
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-04-07 00:00:00 220007107 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-12-14 00:00:00 2009-12-14 00:00:00 Yes 2011-06-24 00:00:00 2011-06-06 00:00:00 AP IJ AP IJ 50000 35000 0 35000 0 None IVRX11 N CA00213018 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-04-19 00:00:00 220007140 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-01-04 08:00:00 2010-01-04 08:00:00 No 2010-05-10 00:00:00 None FTR BR None 400 400 -100 300 0 None TSBN11 None CA00215069 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-04-20 00:00:00 220007143 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE15 - Death/disability directly related to hypoglycemia None 2009-05-18 08:00:00 2009-05-18 08:00:00 No 2010-05-13 00:00:00 None FTR AE None 2500 2500 0 2500 0 None U8RI11 N CA00192277 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-04-27 00:00:00 220007163 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-05-21 08:00:00 2008-05-21 08:00:00 No 2010-05-18 00:00:00 None FTR AE None 7300 7300 0 7300 0 None SSKO11 N CA00160164 B SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-04-29 00:00:00 220007165 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-05-19 00:00:00 2008-05-19 00:00:00 Yes 2010-05-20 00:00:00 2010-11-22 00:00:00 AP IJ AP IJ 25000 25000 0 25000 0 None SSKO11 N CA00160164 B SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-05-12 00:00:00 220007198 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-10-08 00:00:00 2008-10-08 00:00:00 Yes 2010-06-01 00:00:00 2010-11-22 00:00:00 AP IJ AP IJ 25000 25000 0 25000 0 None YRHG11 N CA00166278 B SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-05-13 00:00:00 220007219 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-08-24 08:00:00 2009-08-24 08:00:00 No 2010-06-07 00:00:00 None FTR BR None 3000 3000 -750 2250 0 None 70C911 None CA00203283 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-05-13 00:00:00 220007220 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-05 08:00:00 2009-10-05 08:00:00 No 2010-06-07 00:00:00 None FTR BR None 200 200 -50 150 0 None 70C911 None CA00204735 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-05-13 00:00:00 220007221 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-19 08:00:00 2009-11-19 08:00:00 No 2010-06-07 00:00:00 None FTR BR None 1300 1300 -325 975 0 None VV6K11 None CA00210637 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-05-28 00:00:00 220007269 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-03-15 08:00:00 2009-03-15 08:00:00 No 2010-06-21 00:00:00 None FTR AE None 1400 1400 0 1400 0 None L6OC11 N CA00183546 B SFY2009-10
220000026 AHMC SETON MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-01 00:00:00 220007275 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-01-22 08:00:00 2009-01-22 08:00:00 No 2010-06-22 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 026G11 N CA00177116 B SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-01 00:00:00 220007276 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-12-11 08:00:00 2009-12-11 08:00:00 Yes 2010-06-22 00:00:00 2010-06-11 00:00:00 FTR BR FTR BR 4900 4900 0 4900 0 None O5WT11 None CA00220643 C SFY2009-10
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-02 00:00:00 220007277 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-01-05 08:00:00 2010-01-05 08:00:00 No 2010-06-25 00:00:00 None FTR BR None 2300 2300 0 2300 0 None H0YF11 None CA00217148 C SFY2009-10
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-09 00:00:00 220007288 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-01-01 00:00:00 2009-01-01 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 50000 50000 0 50000 0 None RTK611 N CA00173737 B SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-09 00:00:00 220007306 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-02-02 08:00:00 2010-02-02 08:00:00 No 2010-07-01 00:00:00 None FTR BR None 300 300 -75 225 0 None FDZS11 None CA00218400 C SFY2009-10
220000030 ST. MARY'S MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-15 00:00:00 220007311 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-05-26 08:00:00 2009-05-26 08:00:00 No 2010-07-06 00:00:00 None FTR AE None 200 200 0 200 0 None EWKZ11 N CA00190494 C SFY2009-10
220000030 ST. MARY'S MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-17 00:00:00 220007315 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-02-12 08:00:00 2009-02-12 08:00:00 No 2010-07-08 00:00:00 None FTR AE None 5900 5900 0 5900 0 None ZXW511 N CA00185285 C SFY2009-10
220000007 SAN MATEO MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-22 00:00:00 220007320 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2010-03-30 00:00:00 2010-03-30 00:00:00 No 2013-05-09 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 6QEU11 N CA00223807 A SFY2009-10
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2010-06-23 00:00:00 220007331 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-03-03 00:00:00 2009-03-03 00:00:00 Yes 2010-07-14 00:00:00 2010-12-09 00:00:00 AP BR AP BR 250000 187500 0 187500 0 None XKVN11 None CA00179966 C SFY2009-10
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-07-01 00:00:00 220007352 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-15 08:00:00 2010-05-15 08:00:00 No 2010-07-22 00:00:00 None FTR BR None 300 300 -75 225 0 None FFEK11 None CA00230550 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-07-15 00:00:00 220007386 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-05-31 08:00:00 2010-05-31 08:00:00 No 2010-08-05 00:00:00 None FTR AE None 500 500 0 500 0 None 554U11 N CA00231964 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-07-14 00:00:00 220007387 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-25 08:00:00 2010-05-25 08:00:00 No 2010-08-05 00:00:00 None FTR BR None 800 800 -200 600 0 None 554U11 None CA00231970 C SFY2010-11
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2010-07-16 00:00:00 220007396 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-03-29 08:00:00 2010-03-29 08:00:00 No 2010-08-09 00:00:00 None FTR BR None 200 200 -50 150 0 None MOKH11 None CA00224616 B SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-06-27 00:00:00 220007398 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2009-12-11 00:00:00 2009-12-11 00:00:00 Yes 2012-10-01 00:00:00 2012-09-13 00:00:00 AP BR AP IJ 245100 95100 0 95100 0 None O5WT11 None CA00220643 C SFY2010-11
220000033 LANGLEY PORTER PSYCHIATRIC INSTITUTE Non-LTC APH Acute Psychiatric Hospital San Francisco 2010-07-19 00:00:00 220007404 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-17 08:00:00 2010-05-17 08:00:00 No 2010-08-10 00:00:00 None FTR BR None 100 100 0 100 0 None 345P11 None CA00230074 C SFY2010-11
220000009 KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2010-08-16 00:00:00 220007416 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2009-08-24 00:00:00 2009-08-24 00:00:00 No 2011-12-30 00:00:00 None AP IJ None 50000 50000 0 50000 0 None XMV011 N None None SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-08-04 00:00:00 220007467 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-02-19 00:00:00 2010-02-19 00:00:00 Yes 2011-10-03 00:00:00 2011-09-14 00:00:00 AP IJ AP IJ 50000 37500 0 37500 0 None UN0V11 N CA00218897 C SFY2010-11
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2010-08-24 00:00:00 220007517 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-04-09 08:00:00 2010-04-09 08:00:00 No 2010-09-28 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 1ZDW11 N CA00226695 B SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-09-03 00:00:00 220007519 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-19 08:00:00 2010-05-19 08:00:00 No 2010-09-28 00:00:00 None FTR BR None 100 100 -25 75 0 None Y6UY11 None CA00230531 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-10-20 00:00:00 220007653 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-07-09 08:00:00 2010-07-09 08:00:00 No 2010-11-10 00:00:00 None FTR BR None 3200 3200 0 3200 0 None M3OY11 None CA00239647 B SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-10-20 00:00:00 220007654 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-18 08:00:00 2010-08-18 08:00:00 No 2010-11-10 00:00:00 None FTR BR None 100 100 -25 75 0 None M3OY11 None CA00240849 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-10-28 00:00:00 220007683 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-04-08 08:00:00 2010-04-08 08:00:00 No 2010-11-19 00:00:00 None FTR AE None 600 600 0 600 0 None 66FR11 N CA00225884 B SFY2010-11
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2010-11-03 00:00:00 220007701 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-04-13 08:00:00 2010-04-13 08:00:00 No 2010-11-29 00:00:00 None FTR AE None 1900 1900 0 1900 0 None P0L411 N CA00228205 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-11-03 00:00:00 220007703 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-01-20 08:00:00 2010-01-20 08:00:00 No 2010-11-29 00:00:00 None FTR BR None 800 800 0 800 0 None OMQ211 None CA00217356 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2010-11-04 00:00:00 220007705 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-01-20 08:00:00 2010-01-20 08:00:00 No 2010-11-30 00:00:00 None FTR BR None 900 900 0 900 0 None OMQ211 None CA00217356 C SFY2010-11
220000003 CHINESE HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2011-01-26 00:00:00 220007873 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2010-11-19 08:00:00 2010-11-19 08:00:00 No 2011-02-16 00:00:00 None FTR AE None 200 200 0 200 0 None HCUX11 N CA00250924 C SFY2010-11
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-01-27 00:00:00 220007881 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-09-03 08:00:00 2010-09-03 08:00:00 No 2011-02-17 00:00:00 None FTR BR None 1400 1400 0 1400 0 None XMUU11 None CA00244587 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-02-04 00:00:00 220007903 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-08-25 08:00:00 2010-08-25 08:00:00 No 2011-02-28 00:00:00 None FTR BR None 600 600 0 600 0 None TOUM11 None CA00244189 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-02-01 00:00:00 220007908 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-09-08 08:00:00 2010-09-08 08:00:00 No 2011-02-23 00:00:00 None FTR AE None 1600 1600 0 1600 0 None VGPM11 N CA00244514 B SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-08-11 00:00:00 220007923 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-11-05 17:54:00 2010-11-05 17:54:00 No 2011-09-01 00:00:00 None FTR BR None 5300 5300 -1325 3975 0 None MENF11 None CA00254967 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-02-18 00:00:00 220007956 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-12-24 08:00:00 2010-12-24 08:00:00 No 2011-03-14 00:00:00 None FTR AE None 600 600 0 600 0 None 3KVS11 N CA00254437 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-02-18 00:00:00 220007957 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-12-27 08:00:00 2010-12-27 08:00:00 No 2011-03-14 00:00:00 None FTR AE None 400 400 0 400 0 None 3KVS11 N CA00254439 C SFY2010-11
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-21 00:00:00 220007960 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-02-06 00:00:00 2010-02-06 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 75000 75000 0 75000 0 None K96B11 N CA00217978 C SFY2011-12
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2011-03-04 00:00:00 220008001 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2011-01-03 00:00:00 2011-01-03 00:00:00 No 2014-02-10 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None IV7511 None CA00255005 C SFY2010-11
220000030 ST. MARY'S MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-03-07 00:00:00 220008008 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-01-12 08:00:00 2011-01-12 08:00:00 No 2011-03-28 00:00:00 None FTR BR None 800 800 0 800 0 None S85T11 None CA00257400 C SFY2010-11
220000010 KAISER FOUNDATION HOSPITAL - REDWOOD CITY Non-LTC GACH General Acute Care Hospital San Francisco 2007-08-30 00:00:00 220008033 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-08-16 08:00:00 2007-08-16 08:00:00 No 2007-09-21 00:00:00 None FTR AE None 700 700 0 700 0 None SWFX11 N CA00124772 C SFY2007-08
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2007-10-19 00:00:00 220008035 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-08-04 08:00:00 2007-08-04 08:00:00 No 2007-11-09 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 9C1I11 N CA00140785 B SFY2007-08
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2007-08-22 00:00:00 220008043 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-08-08 08:00:00 2007-08-08 08:00:00 No 2007-09-13 00:00:00 None FTR AE None 400 400 0 400 0 None IXG211 N CA00123755 B SFY2007-08
220000018 CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN Non-LTC GACH General Acute Care Hospital San Francisco 2007-10-31 00:00:00 220008045 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-09-21 08:00:00 2007-09-21 08:00:00 No 2007-11-26 00:00:00 None FTR AE None 900 900 0 900 0 None I1C211 N CA00128604 C SFY2007-08
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2007-11-20 00:00:00 220008047 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-10-18 08:00:00 2007-10-18 08:00:00 No 2007-12-13 00:00:00 None FTR AE None 300 300 0 300 0 None 04ZL11 N CA00130473 C SFY2007-08
220000018 CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN Non-LTC GACH General Acute Care Hospital San Francisco 2007-10-31 00:00:00 220008048 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-09-25 08:00:00 2007-09-25 08:00:00 No 2007-11-26 00:00:00 None FTR AE None 500 500 0 500 0 None I1C211 N CA00128609 C SFY2007-08
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2011-03-28 00:00:00 220008051 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE15 - Death/disability directly related to hypoglycemia None 2010-06-12 00:00:00 2010-06-12 00:00:00 No 2012-09-20 00:00:00 None AP IJ None 100000 100000 0 100000 0 None KLLX11 Y CA00235034 B SFY2010-11
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2011-03-22 00:00:00 220008055 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-06-12 08:00:00 2010-06-12 08:00:00 No 2011-04-13 00:00:00 None FTR AE None 2200 2200 0 2200 0 None KLLX11 N CA00235034 B SFY2010-11
220000003 CHINESE HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2011-03-23 00:00:00 220008062 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-02-09 00:00:00 2010-02-09 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 0GW211 Y CA00217996 B SFY2010-11
220000030 ST. MARY'S MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-04-04 00:00:00 220008079 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE05 - Death during or up to 24 hours after surgery None 2010-05-17 00:00:00 2010-05-17 00:00:00 No 2012-09-20 00:00:00 None AP IJ None 50000 50000 0 50000 0 None ZZ2C11 N CA00232109 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-05-17 00:00:00 220008249 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-03-15 08:00:00 2011-03-15 08:00:00 No 2011-06-08 00:00:00 None FTR AE None 100 100 0 100 0 None R3LT11 N CA00263199 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-05-17 00:00:00 220008252 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-03-07 08:00:00 2011-03-07 08:00:00 No 2011-06-08 00:00:00 None FTR BR None 700 700 -175 525 0 None R3LT11 None CA00263204 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-05-17 00:00:00 220008253 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-03-21 09:45:00 2011-03-21 09:45:00 No 2011-06-08 00:00:00 None FTR AE None 400 400 0 400 0 None R3LT11 N CA00264320 C SFY2010-11
220000009 KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2011-06-14 00:00:00 220008309 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-08-30 00:00:00 2010-08-30 00:00:00 No 2012-09-21 00:00:00 None AP IJ None 75000 75000 0 75000 0 None XO0N11 N CA00258737 B SFY2010-11
220000716 MENLO PARK SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2011-06-23 00:00:00 220008327 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-07-02 08:00:00 2009-07-02 08:00:00 No 2011-07-15 00:00:00 None FTR AE None 800 800 0 800 0 None XOIW11 N CA00195291 C SFY2010-11
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-06-29 00:00:00 220008345 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-03-10 08:00:00 2011-03-10 08:00:00 No 2011-07-21 00:00:00 None FTR AE None 600 600 0 600 0 None CW9Y11 N CA00263189 C SFY2010-11
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-01 00:00:00 220008356 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2009-10-05 00:00:00 2009-10-05 00:00:00 No 2011-12-30 00:00:00 None AP IJ None 50000 50000 0 50000 0 None X2W211 N CA00204986 B SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-01 00:00:00 220008358 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-03-10 00:00:00 2011-03-10 00:00:00 Yes 2013-02-26 00:00:00 2013-02-07 00:00:00 AP IJ AP IJ 100000 45500 0 45500 0 None CW9Y11 N CA00263189 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-08-01 00:00:00 220008397 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-02-23 08:00:00 2010-02-23 08:00:00 No 2011-08-22 00:00:00 None FTR BR None 1400 1400 0 1400 0 None NWDS11 None CA00221858 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-20 00:00:00 220008399 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-10-25 08:00:00 2010-10-25 08:00:00 No 2011-08-10 00:00:00 None FTR BR None 400 400 -100 300 0 None N8OP11 None CA00248523 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-21 00:00:00 220008407 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-11-04 08:00:00 2010-11-04 08:00:00 No 2011-08-11 00:00:00 None FTR BR None 500 500 0 500 0 None 8CDC11 None CA00249685 B SFY2011-12
220000716 MENLO PARK SURGICAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2011-12-01 00:00:00 220008409 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-07-02 00:00:00 2009-07-02 00:00:00 No 2012-09-20 00:00:00 None AP IJ None 50000 50000 0 50000 0 None XOIW11 N CA00195291 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-27 00:00:00 220008418 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-01-31 08:00:00 2011-01-31 08:00:00 No 2011-08-17 00:00:00 None FTR BR None 200 200 -50 150 0 None DWJ111 None CA00258604 B SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-26 00:00:00 220008419 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-01-26 08:00:00 2011-01-26 08:00:00 No 2011-08-16 00:00:00 None FTR BR None 700 700 -175 525 0 None DWJ111 None CA00258608 B SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-27 00:00:00 220008421 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-02-02 08:00:00 2011-02-02 08:00:00 No 2011-08-17 00:00:00 None FTR AE None 200 200 0 200 0 None DWJ111 N CA00258611 B SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-27 00:00:00 220008422 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-01-28 08:00:00 2011-01-28 08:00:00 No 2011-08-17 00:00:00 None FTR BR None 500 500 -125 375 0 None DWJ111 None CA00258612 B SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-26 00:00:00 220008423 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-01-26 08:00:00 2011-01-26 08:00:00 No 2011-08-16 00:00:00 None FTR BR None 700 700 -175 525 0 None DWJ111 None CA00258615 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-07-27 00:00:00 220008425 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-02-04 08:00:00 2011-02-04 08:00:00 No 2011-08-17 00:00:00 None FTR AE None 700 700 0 700 0 None DWJ111 N CA00259415 C SFY2011-12
220000030 ST. MARY'S MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-10-26 00:00:00 220008594 Closed Administrative Penalty AP - Breach (HSC 1280.15) Immediate Jeopardy None 2010-12-14 00:00:00 2010-12-14 00:00:00 Yes 2014-02-10 00:00:00 2014-01-24 00:00:00 AP BR None 250000 250000 -250000 0 0 None I8K811 None CA00259080 B SFY2011-12
220000030 ST. MARY'S MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-11-14 00:00:00 220008743 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-07-26 00:00:00 2011-07-26 00:00:00 Yes 2013-02-26 00:00:00 2013-02-08 00:00:00 AP IJ None 100000 100000 -100000 0 0 None ZSFP11 Y CA00280120 B SFY2011-12
220000030 ST. MARY'S MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-11-17 00:00:00 220008757 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-02-11 00:00:00 2011-02-11 00:00:00 No 2013-02-26 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 59J911 N CA00259468 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2011-12-20 00:00:00 220008837 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2010-02-23 00:00:00 2010-02-23 00:00:00 No 2013-03-11 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None NWDS11 None CA00221858 C SFY2011-12
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2011-12-22 00:00:00 220008844 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-09-15 00:00:00 2010-09-15 00:00:00 Yes 2012-01-17 00:00:00 2013-07-03 00:00:00 AP BR AP BR 25000 13000 0 13000 0 None FZ6911 None CA00243460 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-01-12 00:00:00 220008908 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-06-09 00:00:00 2011-06-09 00:00:00 No 2013-02-26 00:00:00 None AP IJ None 100000 100000 0 100000 0 None V65C11 N CA00273112 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-03-06 00:00:00 220009080 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-06-06 08:00:00 2011-06-06 08:00:00 No 2012-03-27 00:00:00 None FTR BR None 5400 5400 -1500 3900 0 None E30B11 None CA00278358 C SFY2011-12
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2012-03-06 00:00:00 220009087 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-10-28 08:00:00 2011-10-28 08:00:00 No 2012-03-27 00:00:00 None FTR AE None 3600 3600 0 3600 0 None 6TIG11 N CA00292326 B SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-03-06 00:00:00 220009094 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-11-05 08:00:00 2011-11-05 08:00:00 No 2012-03-27 00:00:00 None FTR BR None 300 300 -75 225 0 None ISG211 None CA00290380 C SFY2011-12
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2012-03-09 00:00:00 220009104 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-10-14 00:00:00 2010-10-14 00:00:00 Yes 2012-09-20 00:00:00 2012-09-08 00:00:00 AP IJ None 50000 50000 0 0 50000 None 1GDJ11 N CA00254601 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-03-11 00:00:00 220009111 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-11-22 08:00:00 2010-11-22 08:00:00 No 2012-03-30 00:00:00 None FTR AE None 3200 3200 0 3200 0 None E2DJ11 N CA00253999 B SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-03-12 00:00:00 220009114 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-11-22 00:00:00 2010-11-22 00:00:00 Yes 2013-01-11 00:00:00 2012-12-20 00:00:00 AP IJ AP IJ 75000 49500 0 49500 0 None E2DJ11 N CA00253999 B SFY2011-12
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2012-03-14 00:00:00 220009126 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-03-08 00:00:00 2011-03-08 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 100000 100000 0 100000 0 None Q4JH11 N CA00263993 C SFY2011-12
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2012-03-27 00:00:00 220009190 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-05-03 00:00:00 2011-05-03 00:00:00 No 2015-02-24 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None T1JO11 None CA00268593 B SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-04-10 00:00:00 220009219 Open Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2011-08-25 00:00:00 2011-08-25 00:00:00 Yes 2014-06-20 00:00:00 2014-06-09 00:00:00 AP BR None 25000 25000 0 0 25000 None SD4X11 None CA00283181 C SFY2011-12
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2012-04-10 00:00:00 220009223 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-09-28 08:00:00 2010-09-28 08:00:00 No 2012-05-01 00:00:00 None FTR AE None 900 900 0 900 0 None WKV611 N CA00245844 C SFY2011-12
220000018 CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN Non-LTC GACH General Acute Care Hospital San Francisco 2012-04-19 00:00:00 220009240 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-06-10 00:00:00 2011-06-10 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 6BX411 N CA00272808 B SFY2011-12
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2012-04-24 00:00:00 220009255 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2010-03-12 00:00:00 2010-03-12 00:00:00 No 2013-07-22 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None LDDD11 None CA00224352 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-05-21 00:00:00 220009320 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-11-22 08:00:00 2011-11-22 08:00:00 No 2012-06-12 00:00:00 None FTR AE None 900 900 0 900 0 None Z8VQ11 N CA00292018 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-05-23 00:00:00 220009331 Open Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2011-11-05 00:00:00 2011-11-05 00:00:00 Yes 2014-06-20 00:00:00 2014-06-09 00:00:00 AP BR None 249700 249700 0 0 249700 None ISG211 None CA00290380 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-05-25 00:00:00 220009341 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-02-13 08:00:00 2011-02-13 08:00:00 No 2012-06-18 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 3VI311 N CA00260985 C SFY2011-12
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-07-25 00:00:00 220009419 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-05-02 08:00:00 2012-05-02 08:00:00 No 2012-08-15 00:00:00 None FTR BR None 200 200 -50 150 0 None 06X911 None CA00310304 C SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-07-26 00:00:00 220009420 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-02-14 08:00:00 2011-02-14 08:00:00 No 2012-08-16 00:00:00 None FTR AE None 600 600 0 600 0 None WBFC11 N CA00260501 C SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-08-09 00:00:00 220009437 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-01-31 08:00:00 2012-01-31 08:00:00 No 2012-08-30 00:00:00 None FTR BR None 1600 1600 -400 1200 0 None 6CDF11 None CA00300759 C SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-08-13 00:00:00 220009439 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-02-07 08:00:00 2012-02-07 08:00:00 No 2012-09-04 00:00:00 None FTR BR None 1400 1400 -350 1050 0 None 1JNV11 None CA00301331 C SFY2012-13
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2012-08-24 00:00:00 220009458 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2009-12-09 00:00:00 2009-12-09 00:00:00 No 2013-07-22 00:00:00 None AP BR None 100000 100000 -25000 75000 0 None Y71G11 None CA00211950 C SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-08-30 00:00:00 220009463 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-04-19 08:00:00 2012-04-19 08:00:00 No 2012-09-21 00:00:00 None FTR BR None 4300 4300 -1075 3225 0 None PYXY11 None CA00314418 C SFY2012-13
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2012-10-15 00:00:00 220009554 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-05-02 00:00:00 2011-05-02 00:00:00 No 2014-06-20 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None K8RT11 None CA00269988 C SFY2012-13
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2012-10-15 00:00:00 220009555 Open Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2012-03-20 00:00:00 2012-03-20 00:00:00 Yes 2014-06-24 00:00:00 2014-06-12 00:00:00 AP BR None 125000 125000 0 0 125000 None GHF611 None CA00304405 C SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2012-10-25 00:00:00 220009573 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-06-18 08:00:00 2012-06-18 08:00:00 No 2012-11-16 00:00:00 None FTR BR None 1800 1800 -450 1350 0 None LSOM11 None CA00317619 C SFY2012-13
220000417 HEALTH AT HOME Non-LTC HHA Home Health Agency San Francisco 2013-05-20 00:00:00 220009915 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2013-01-09 00:00:00 2013-01-09 00:00:00 No 2015-11-09 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None S8SE11 None CA00339503 C SFY2012-13
220000025 SEQUOIA HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2013-06-06 00:00:00 220009934 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-08-30 08:00:00 2012-08-30 08:00:00 No 2013-06-27 00:00:00 None FTR BR None 1100 1100 0 1100 0 None PJDT11 None CA00326018 C SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2013-06-07 00:00:00 220009941 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-05-18 08:00:00 2012-05-18 08:00:00 No 2013-06-28 00:00:00 None FTR BR None 2800 2800 -700 2100 0 None Q23911 None CA00312005 C SFY2012-13
220001110 SURGERY CENTER MOUNTAIN VIEW Non-LTC ASC/SURGC Surgical Clinic San Jose 2013-06-11 00:00:00 220009945 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-02-21 08:00:00 2013-02-21 08:00:00 No 2013-07-02 00:00:00 None FTR BR None 4100 4100 0 4100 0 None TXJS11 None CA00350385 C SFY2012-13
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2013-06-12 00:00:00 220009949 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-10-31 08:00:00 2012-10-31 08:00:00 No 2013-07-03 00:00:00 None FTR AE None 400 400 0 400 0 None RW3011 N CA00332772 C SFY2012-13
220000025 SEQUOIA HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2013-06-13 00:00:00 220009951 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-09-26 08:00:00 2012-09-26 08:00:00 No 2013-07-05 00:00:00 None FTR BR None 600 600 -150 450 0 None XEPN11 None CA00328727 C SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2013-06-14 00:00:00 220009952 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-08-07 08:00:00 2012-08-07 08:00:00 No 2013-07-08 00:00:00 None FTR BR None 1600 1600 -400 1200 0 None WDD811 None CA00324106 D SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2013-06-14 00:00:00 220009954 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-05-30 08:00:00 2012-05-30 08:00:00 No 2013-07-08 00:00:00 None FTR BR None 8600 8600 -2150 6450 0 None SFHJ11 None CA00324148 C SFY2012-13
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2013-06-17 00:00:00 220009956 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-08-23 08:00:00 2012-08-23 08:00:00 No 2013-07-09 00:00:00 None FTR BR None 1200 1200 -300 900 0 None KJ9P11 None CA00325336 C SFY2012-13
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2013-07-08 00:00:00 220010000 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-03-01 08:00:00 2013-03-01 08:00:00 No 2013-07-29 00:00:00 None FTR AE None 500 500 0 500 0 None M8F411 N CA00346788 C SFY2013-14
220000662 ACCENTCARE HOME HEALTH OF CALIFORNIA, INC. Non-LTC HHA Home Health Agency San Francisco 2013-08-13 00:00:00 220010064 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-10-22 00:00:00 2012-10-22 00:00:00 Yes 2015-02-24 00:00:00 2015-02-06 00:00:00 AP BR AP BR 150000 75000 0 75000 0 None 4FIG11 None CA00330806 C SFY2013-14
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2013-08-26 00:00:00 220010120 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-04-19 08:00:00 2012-04-19 08:00:00 No 2013-09-17 00:00:00 None FTR BR None 1800 1800 -450 1350 0 None 67N811 None CA00310312 C SFY2013-14
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2013-09-09 00:00:00 220010138 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-08-01 08:00:00 2012-08-01 08:00:00 No 2013-09-30 00:00:00 None FTR BR None 500 500 0 500 0 None NMFJ11 None CA00323952 C SFY2013-14
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2013-09-10 00:00:00 220010143 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-11-06 08:00:00 2012-11-06 08:00:00 No 2013-10-01 00:00:00 None FTR BR None 700 700 -175 525 0 None 5FT911 None CA00333808 C SFY2013-14
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2014-01-10 00:00:00 220010374 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-10-21 00:00:00 2013-10-21 00:00:00 No 2014-02-07 00:00:00 None AP BR None 38750 38750 -9687.5 29062.5 0 None GBVG11 None CA00374966 B SFY2013-14
220000026 AHMC SETON MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-02-24 00:00:00 220010496 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-08-01 08:00:00 2013-08-01 08:00:00 No 2014-03-17 00:00:00 None FTR AE None 300 300 0 300 0 None 34IU11 N CA00365543 C SFY2013-14
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2014-04-18 00:00:00 220010623 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2013-10-31 08:00:00 2013-10-31 08:00:00 No 2014-05-09 00:00:00 None FTR BR None 1200 1200 0 1200 0 None EI8111 None CA00377475 B SFY2013-14
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2014-04-18 00:00:00 220010643 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE10 - Death/disability due to disappearance None 2013-10-08 00:00:00 2013-10-08 00:00:00 No 2015-01-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 49D811 Y CA00372499 B SFY2013-14
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-05-02 00:00:00 220010695 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-10-30 08:00:00 2013-10-30 08:00:00 No 2014-05-23 00:00:00 None FTR BR None 200 200 -50 150 0 None WFY011 None CA00376326 C SFY2013-14
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-05-02 00:00:00 220010696 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-10-28 08:00:00 2013-10-28 08:00:00 No 2014-05-23 00:00:00 None FTR BR None 300 300 -75 225 0 None WFY011 None CA00376330 C SFY2013-14
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-05-02 00:00:00 220010697 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-10-29 08:00:00 2013-10-29 08:00:00 No 2014-05-23 00:00:00 None FTR BR None 100 100 -25 75 0 None WFY011 None CA00376377 C SFY2013-14
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-05-02 00:00:00 220010698 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-10-30 08:00:00 2013-10-30 08:00:00 No 2014-05-23 00:00:00 None FTR BR None 200 200 -50 150 0 None WFY011 None CA00376382 C SFY2013-14
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-05-02 00:00:00 220010699 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-11-01 08:00:00 2013-11-01 08:00:00 No 2014-05-23 00:00:00 None FTR BR None 400 400 -100 300 0 None WFY011 None CA00376629 C SFY2013-14
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-07-15 00:00:00 220010867 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-05-12 08:00:00 2014-05-12 08:00:00 No 2014-08-05 00:00:00 None FTR BR None 1000 1000 -250 750 0 None J2QP11 None CA00400275 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-08-13 00:00:00 220010927 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-04-25 00:00:00 2014-04-25 00:00:00 No 2014-09-04 00:00:00 None FTR BR None 1100 1100 -275 825 0 None THEB11 None CA00398405 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-08-13 00:00:00 220010930 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-05-19 00:00:00 2014-05-19 00:00:00 No 2014-09-04 00:00:00 None FTR BR None 200 200 -50 150 0 None THEB11 None CA00400173 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-08-19 00:00:00 220010933 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-12-04 00:00:00 2013-12-04 00:00:00 No 2014-09-10 00:00:00 None FTR BR None 500 500 -125 375 0 None V29J11 None CA00381383 C SFY2014-15
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2014-08-25 00:00:00 220010954 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2012-11-05 00:00:00 2012-11-05 00:00:00 No 2014-09-16 00:00:00 None FTR BR None 300 300 -75 225 0 None JJKG11 None CA00333545 C SFY2014-15
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2014-08-26 00:00:00 220010960 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2013-05-30 00:00:00 2013-05-30 00:00:00 No 2015-06-09 00:00:00 None AP IJ None 75000 75000 0 75000 0 None DS6111 N CA00358159 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-09-24 00:00:00 220011027 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2014-10-15 00:00:00 None FTR BR None 1300 1300 -325 975 0 None KE6Z11 None CA00374447 C SFY2014-15
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2014-09-25 00:00:00 220011031 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2012-08-28 00:00:00 2012-08-28 00:00:00 No 2015-06-03 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None 0J8011 None CA00325831 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-09-26 00:00:00 220011034 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2011-05-09 00:00:00 2011-05-09 00:00:00 No 2015-03-06 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 8QMY11 N CA00281816 B SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-11-06 00:00:00 220011114 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-07-16 00:00:00 2014-07-16 00:00:00 No 2014-12-02 00:00:00 None FTR BR None 800 800 -200 600 0 None CYNO11 None CA00407918 D SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-11-06 00:00:00 220011115 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2014-01-02 00:00:00 2014-01-02 00:00:00 No 2014-12-02 00:00:00 None FTR BR None 1800 1800 -450 1350 0 None 6O3N11 None CA00385420 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-12-03 00:00:00 220011149 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-10-15 00:00:00 2013-10-15 00:00:00 No 2014-12-24 00:00:00 None FTR BR None 200 200 0 200 0 None O0Y911 None CA00374612 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-12-04 00:00:00 220011150 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-10-15 00:00:00 2013-10-15 00:00:00 No 2014-12-26 00:00:00 None FTR BR None 200 200 0 200 0 None O0Y911 None CA00374618 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-12-04 00:00:00 220011155 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-10-07 00:00:00 2013-10-07 00:00:00 No 2014-12-26 00:00:00 None FTR BR None 400 400 0 400 0 None O0Y911 None CA00373828 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-12-04 00:00:00 220011157 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-10-04 00:00:00 2013-10-04 00:00:00 No 2014-12-26 00:00:00 None FTR BR None 400 400 0 400 0 None H67G11 None CA00374244 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-12-29 00:00:00 220011206 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-09-05 00:00:00 2014-09-05 00:00:00 No 2015-01-21 00:00:00 None FTR BR None 1000 1000 -250 750 0 None FV4P11 None CA00414178 D SFY2014-15
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2014-12-29 00:00:00 220011208 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-05-22 00:00:00 2012-05-22 00:00:00 No 2015-01-21 00:00:00 None FTR AE None 1300 1300 0 1300 0 None M0HJ11 N CA00314000 C SFY2014-15
220000025 SEQUOIA HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2014-12-29 00:00:00 220011209 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-09-24 00:00:00 2014-09-24 00:00:00 No 2015-01-21 00:00:00 None FTR BR None 100 100 -25 75 0 None 5WD311 None CA00415424 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2014-12-30 00:00:00 220011211 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-08-21 00:00:00 2014-08-21 00:00:00 No 2015-01-22 00:00:00 None FTR BR None 800 800 0 800 0 None KE6D11 None CA00412923 C SFY2014-15
220000026 AHMC SETON MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-02-26 00:00:00 220011292 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2012-07-24 00:00:00 2012-07-24 00:00:00 Yes 2015-03-19 00:00:00 2015-05-20 00:00:00 AP IJ AP IJ 50000 10000 -9670 330 0 None KJCR11 N CA00320085 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-02 00:00:00 220011295 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-09-13 00:00:00 2013-09-13 00:00:00 No 2015-03-23 00:00:00 None FTR BR None 400 400 -100 300 0 None 4GQD11 None CA00371121 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-02 00:00:00 220011298 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-09-06 00:00:00 2013-09-06 00:00:00 No 2015-03-23 00:00:00 None FTR BR None 1200 1200 -300 900 0 None 4GQD11 None CA00371137 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-03 00:00:00 220011299 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-01-07 00:00:00 2014-01-07 00:00:00 No 2015-03-24 00:00:00 None FTR BR None 300 300 -75 225 0 None G2CM11 None CA00384340 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-03 00:00:00 220011300 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-01-07 00:00:00 2014-01-07 00:00:00 No 2015-03-24 00:00:00 None FTR BR None 300 300 -75 225 0 None G2CM11 None CA00384393 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-03 00:00:00 220011301 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-01-02 00:00:00 2014-01-02 00:00:00 No 2015-03-24 00:00:00 None FTR BR None 400 400 -100 300 0 None G2CM11 None CA00383816 C SFY2014-15
220000025 SEQUOIA HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-05 00:00:00 220011303 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2014-07-03 00:00:00 2014-07-03 00:00:00 No 2015-03-26 00:00:00 None FTR BR None 800 800 -200 600 0 None EHGW11 None CA00406634 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-04 00:00:00 220011304 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-11-25 00:00:00 2013-11-25 00:00:00 No 2015-03-25 00:00:00 None FTR BR None 200 200 -50 150 0 None EUPH11 None CA00379613 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-10 00:00:00 220011313 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-12-10 00:00:00 2014-12-10 00:00:00 No 2015-04-01 00:00:00 None FTR BR None 100 100 -25 75 0 None D6DQ11 None CA00424146 D SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-10 00:00:00 220011314 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-12-09 00:00:00 2014-12-09 00:00:00 No 2015-04-01 00:00:00 None FTR BR None 200 200 -50 150 0 None D6DQ11 None CA00424151 D SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-23 00:00:00 220011356 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2014-08-19 00:00:00 2014-08-19 00:00:00 Yes 2015-04-17 00:00:00 2018-01-16 00:00:00 AP BR None 12500 12500 0 12500 0 None LGNQ11 None CA00410134 B SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-23 00:00:00 220011357 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2014-06-09 00:00:00 2014-06-09 00:00:00 Yes 2015-04-17 00:00:00 2018-01-16 00:00:00 AP BR AP BR 250000 125000 0 125000 0 None 27M311 None CA00407173 C SFY2014-15
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2015-03-24 00:00:00 220011358 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2012-10-16 00:00:00 2012-10-16 00:00:00 No 2015-11-09 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None 8WR811 None CA00330488 C SFY2014-15
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2015-05-06 00:00:00 220011451 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2014-02-26 00:00:00 2014-02-26 00:00:00 No 2015-06-05 00:00:00 None AP BR None 21250 21250 -5312.5 15937.5 0 None 2NUH11 None CA00389501 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-06-18 00:00:00 220011571 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2014-01-13 00:00:00 2014-01-13 00:00:00 No 2015-07-09 00:00:00 None FTR BR None 600 600 -150 450 0 None II8T11 None CA00385469 C SFY2014-15
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-11-16 00:00:00 220011587 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-07-15 00:00:00 2014-07-15 00:00:00 Yes 2015-12-09 00:00:00 2018-01-16 00:00:00 AP BR None 21250 21250 0 21250 0 None QKPO11 None CA00406756 C SFY2015-16
630013450 NORTH EAST MEDICAL SERVICES - EASTMOOR Non-LTC COMTYC Primary Care Clinic San Francisco 2015-07-03 00:00:00 220011596 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-12-19 00:00:00 2013-12-19 00:00:00 No 2015-07-24 00:00:00 None FTR BR None 300 300 -75 225 0 None CZC111 None CA00382442 C SFY2015-16
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-07-03 00:00:00 220011597 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-10-15 00:00:00 2013-10-15 00:00:00 No 2015-07-24 00:00:00 None FTR BR None 800 800 -200 600 0 None XLRG11 None CA00376085 C SFY2015-16
220000026 AHMC SETON MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-10-22 00:00:00 220011794 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-07-07 00:00:00 2015-07-07 00:00:00 No 2015-11-13 00:00:00 None FTR AE None 900 900 0 900 0 None 3GX311 N CA00451639 C SFY2015-16
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2015-11-04 00:00:00 220011819 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-11-17 00:00:00 2014-11-17 00:00:00 No 2015-11-30 00:00:00 None FTR BR None 2900 2900 -725 2175 0 None YUPG11 None CA00424740 D SFY2015-16
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2015-11-24 00:00:00 220011871 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2013-09-09 00:00:00 2013-09-09 00:00:00 No 2015-12-17 00:00:00 None FTR BR None 1500 1500 -375 1125 0 None OUW811 None CA00371774 A SFY2015-16
220000025 SEQUOIA HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2015-12-23 00:00:00 220011923 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-10-01 00:00:00 2015-10-01 00:00:00 No 2016-01-15 00:00:00 None FTR AE None 800 800 0 800 0 None TZC311 N CA00462007 C SFY2015-16
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2016-05-10 00:00:00 220012220 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2012-01-20 00:00:00 2012-01-20 00:00:00 No 2016-06-01 00:00:00 None FTR AE None 4700 4700 0 4700 0 None MNU511 N CA00302802 C SFY2015-16
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2016-05-23 00:00:00 220012283 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2015-07-27 00:00:00 2015-07-27 00:00:00 No 2016-06-14 00:00:00 None FTR BR None 1000 1000 -250 750 0 None OEDD11 None CA00456226 E SFY2015-16
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2016-05-23 00:00:00 220012284 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2015-07-27 00:00:00 2015-07-27 00:00:00 No 2016-06-14 00:00:00 None AP BR None 36000 36000 -9000 27000 0 None OEDD11 None CA00456226 E SFY2015-16
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2016-09-07 00:00:00 220012544 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE07 - Use of device other than as intended None 2015-12-06 00:00:00 2015-12-06 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 47025 47025 0 47025 0 None 083D11 N CA00471877 B SFY2016-17
220000025 SEQUOIA HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2016-09-21 00:00:00 220012590 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2016-02-08 00:00:00 2016-02-08 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 47452 47452 0 47452 0 None EIIK11 N CA00477434 C SFY2016-17
220000030 ST. MARY'S MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2016-10-05 00:00:00 220012628 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2014-10-08 00:00:00 2014-10-08 00:00:00 No 2016-10-26 00:00:00 None FTR AE None 2000 2000 0 2000 0 None 9W0211 N CA00421347 C SFY2016-17
220000018 CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN Non-LTC GACH General Acute Care Hospital San Francisco 2016-12-05 00:00:00 220012793 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2015-04-08 00:00:00 2015-04-08 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 47452 47452 0 47452 0 None MSA311 N CA00438717, CA00439028 C, C SFY2016-17
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2016-12-14 00:00:00 220012820 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2015-01-29 00:00:00 2015-01-29 00:00:00 No 2017-01-06 00:00:00 None FTR BR None 6000 6000 0 6000 0 None RI6B11 None CA00439776 E SFY2016-17
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2016-12-23 00:00:00 220012842 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-04-12 00:00:00 2016-04-12 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 100000 100000 0 100000 0 None J0DX11 Y CA00484762, CA00493807 C, C SFY2016-17
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2016-12-28 00:00:00 220012850 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-04-04 00:00:00 2016-04-04 00:00:00 No 2017-01-20 00:00:00 None AP NON-IJ None 12750 12750 0 12750 0 None NY0W11 N CA00483599 C SFY2016-17
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2016-12-29 00:00:00 220012851 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2015-04-30 00:00:00 2015-04-30 00:00:00 No 2017-01-23 00:00:00 None FTR BR None 600 600 0 600 0 None DOSF11 None CA00444661 E SFY2016-17
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2017-02-06 00:00:00 220012878 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-06-24 00:00:00 2015-06-24 00:00:00 No 2017-02-28 00:00:00 None FTR AE None 7100 7100 0 7100 0 None 16LQ11 N CA00458532 C SFY2016-17
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2017-02-08 00:00:00 220012955 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2014-04-25 00:00:00 2014-04-25 00:00:00 No 2017-03-02 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None SO9611 N CA00398410 B SFY2016-17
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2017-02-08 00:00:00 220012959 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Surgical Error 2016-06-29 00:00:00 2016-06-29 00:00:00 No 2017-03-02 00:00:00 None AP NON-IJ None 12750 12750 0 12750 0 None OMGR11 N CA00495281 B SFY2016-17
220000023 CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2017-04-19 00:00:00 220013123 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2015-02-13 00:00:00 2015-02-13 00:00:00 No 2017-05-10 00:00:00 None AP IJ None 47452 47452 0 47452 0 None SCSI11 Y CA00432057 C SFY2016-17
220000023 CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2017-05-17 00:00:00 220013211 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2016-05-01 00:00:00 2016-05-01 00:00:00 No 2017-06-08 00:00:00 None AP IJ None 66600 66600 0 66600 0 None O5C311 Y CA00500940 C SFY2016-17
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2017-05-31 00:00:00 220013238 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2016-07-15 00:00:00 2016-07-15 00:00:00 No 2017-06-21 00:00:00 None FTR BR None 1000 1000 0 1000 0 None E78Y11 None CA00499261 E SFY2016-17
220000029 SAINT FRANCIS MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Francisco 2017-05-31 00:00:00 220013243 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-06-16 00:00:00 2016-06-16 00:00:00 No 2017-06-21 00:00:00 None FTR AE None 900 900 0 900 0 None BVD311 N CA00494001 C SFY2016-17
220000010 KAISER FOUNDATION HOSPITAL - REDWOOD CITY Non-LTC GACH General Acute Care Hospital San Francisco 2017-06-01 00:00:00 220013246 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2014-11-01 00:00:00 2014-11-01 00:00:00 No 2017-06-22 00:00:00 None FTR BR None 4100 4100 0 4100 0 None 56VR11 None CA00425544 E SFY2016-17
220000008 KAISER FOUNDATION HOSPITAL - SAN FRANCISCO Non-LTC GACH General Acute Care Hospital San Francisco 2017-07-12 00:00:00 220013339 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE07 - Use of device other than as intended None 2015-12-06 00:00:00 2015-12-06 00:00:00 No 2017-08-02 00:00:00 None FTR AE None 11700 11700 0 11700 0 None SUIM11 N CA00483304 C SFY2017-18
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2018-10-22 00:00:00 220014102 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2016-04-28 00:00:00 2016-04-28 00:00:00 No 2018-11-13 00:00:00 None AP NON-IJ None 15817.5 15817.5 0 15817.5 0 None 24TS11 N CA00536665 B SFY2018-19
220000017 MILLS-PENINSULA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2018-10-22 00:00:00 220014520 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2016-04-28 00:00:00 2016-04-28 00:00:00 No 2018-11-13 00:00:00 None FTR AE None 35500 35500 0 35500 0 None 24TS11 N CA00536665 B SFY2018-19
220000010 KAISER FOUNDATION HOSPITAL - REDWOOD CITY Non-LTC GACH General Acute Care Hospital San Francisco 2019-10-31 00:00:00 220015501 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-02-06 00:00:00 2018-02-06 00:00:00 No 2019-11-21 00:00:00 None AP NON-IJ None 4750 4750 0 4750 0 None 1L0W11 N CA00647387, CA00647387 C, C SFY2019-20
220000019 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM Non-LTC GACH General Acute Care Hospital San Francisco 2020-02-05 00:00:00 220015726 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2018-11-02 00:00:00 2018-11-02 00:00:00 No 2020-02-26 00:00:00 None AP NON-IJ None 4040 4040 0 4040 0 None 8RKY11 Y CA00613997 B SFY2019-20
220000010 KAISER FOUNDATION HOSPITAL - REDWOOD CITY Non-LTC GACH General Acute Care Hospital San Francisco 2020-03-03 00:00:00 220015728 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2019-05-03 00:00:00 2019-05-03 00:00:00 No 2020-03-24 00:00:00 None AP NON-IJ None 13320 13320 0 13320 0 None 9OCE11 N CA00637830 B SFY2019-20
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2023-06-02 00:00:00 220018820 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2022-08-13 00:00:00 2022-08-13 00:00:00 No 2023-06-23 00:00:00 None AP IJ None 75000 75000 0 75000 0 None GTYI11 Y CA00807008 B SFY2022-23
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2022-02-25 00:00:00 220018992 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2019-06-07 00:00:00 2019-06-07 00:00:00 Yes 2023-08-30 00:00:00 2023-08-17 00:00:00 AP BR None 250000 250000 0 250000 0 None FYM911 None CA00644165 C SFY2021-22
220000018 CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN Non-LTC GACH General Acute Care Hospital San Francisco 2023-08-15 00:00:00 220019212 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-04-22 00:00:00 2022-04-22 00:00:00 No 2023-11-16 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None WGR411 None CA00786732 D SFY2023-24
220000031 UCSF MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Francisco 2023-06-13 00:00:00 220019425 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-06-12 00:00:00 2022-06-12 00:00:00 No 2024-01-18 00:00:00 None AP BR None 10000 10000 0 10000 0 None MZOT11 None CA00798921 D SFY2022-23
220000022 CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS Non-LTC GACH General Acute Care Hospital San Francisco 2024-02-13 00:00:00 220020307 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2023-03-19 00:00:00 2023-03-19 00:00:00 No 2024-03-06 00:00:00 None FTR BR None 3200 3200 0 0 3200 None QF8211 None CA00841258 D SFY2023-24
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2007-10-22 00:00:00 230004129 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-04-05 00:00:00 2007-04-05 00:00:00 No 2007-11-13 00:00:00 None AP IJ None 25000 25000 0 25000 0 None VS2712 N None None SFY2007-08
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2007-08-03 00:00:00 230004144 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-06-18 00:00:00 2007-06-18 00:00:00 Yes 2007-08-24 00:00:00 2007-11-02 00:00:00 AP IJ AP IJ 25000 12500 0 12500 0 None R6O111 N None None SFY2007-08
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2007-08-03 00:00:00 230004145 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-06-18 00:00:00 2007-06-18 00:00:00 Yes 2007-08-24 00:00:00 2007-11-02 00:00:00 AP IJ AP IJ 25000 12500 0 12500 0 None R6O111 N None None SFY2007-08
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2007-11-16 00:00:00 230004368 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-08-26 00:00:00 2007-08-26 00:00:00 No 2007-12-11 00:00:00 None AP IJ None 25000 25000 0 25000 0 None ZL2G11 N CA00124962 A SFY2007-08
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2008-04-16 00:00:00 230004897 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2007-12-19 10:30:00 2007-12-19 10:30:00 Yes 2008-05-07 00:00:00 2008-05-19 00:00:00 FTR AE FTR AE 8800 6600 0 6600 0 None K9Q911 N CA00144518 A SFY2007-08
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2007-12-07 00:00:00 230004898 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2007-08-05 11:45:00 2007-08-05 11:45:00 No 2007-12-31 00:00:00 None FTR AE None 1000 1000 0 1000 0 None NQJT11 N CA00123862 A SFY2007-08
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2008-05-16 00:00:00 230005053 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-04-21 10:40:00 2008-04-21 10:40:00 No 2008-06-09 00:00:00 None FTR AE None 600 600 0 600 0 None M1X811 N CA00149114 B SFY2007-08
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2009-02-05 00:00:00 230005605 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission FTR ADVERSE EVENT 2008-06-30 09:50:00 2008-06-30 09:50:00 No 2009-03-02 00:00:00 None FTR AE None 8800 8800 0 8800 0 None MH5I11 N CA00164986 B SFY2008-09
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2008-12-22 00:00:00 230005691 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-16 00:00:00 2008-10-16 00:00:00 No 2009-01-13 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 8BCJ11 N CA00168029 B SFY2008-09
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2009-08-31 00:00:00 230005828 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-07-31 00:00:00 2008-07-31 00:00:00 Yes 2009-09-22 00:00:00 2009-09-10 00:00:00 AP IJ None 25000 25000 0 25000 0 None WD3L11 N CA00159362 A SFY2009-10
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2009-02-20 00:00:00 230005893 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-03 00:00:00 2008-12-03 00:00:00 No 2009-03-13 00:00:00 None FTR AE None 200 200 0 200 0 None 78TF11 N CA00171713 A SFY2008-09
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2009-11-05 00:00:00 230006624 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-01-23 00:00:00 2009-01-23 00:00:00 No 2009-12-01 00:00:00 None AP BR None 50000 50000 0 50000 0 None 5U1K11 None CA00194379 D SFY2009-10
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2010-06-07 00:00:00 230006665 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-08-17 00:00:00 2009-08-17 00:00:00 Yes 2010-06-28 00:00:00 2010-06-17 00:00:00 AP BR AP BR 130000 25000 0 25000 0 None DZJS11 None CA00199623 C SFY2009-10
230000422 VIBRA HOSPITAL OF NORTHERN CALIFORNIA Non-LTC GACH General Acute Care Hospital Chico 2010-08-20 00:00:00 230006782 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2009-10-18 00:00:00 2009-10-18 00:00:00 No 2010-09-15 00:00:00 None FTR BR None 600 600 -150 450 0 None PF3Y11 None CA00206650 E SFY2010-11
230000001 ORCHARD HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2009-12-15 00:00:00 230006786 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-03-31 00:00:00 2009-03-31 00:00:00 No 2010-12-15 00:00:00 None AP BR None 5000 5000 0 5000 0 None K9TZ11 None CA00183575 D SFY2009-10
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2009-07-01 00:00:00 230006795 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-05-20 00:00:00 2009-05-20 00:00:00 No 2012-10-04 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None XR5711 None CA00189266 B SFY2009-10
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-06-28 00:00:00 230006819 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-10-08 00:00:00 2009-10-08 00:00:00 No 2010-07-19 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None WJGW11 None CA00175360 B SFY2009-10
230000020 ST. ELIZABETH COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-03-16 00:00:00 230006830 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-04-07 00:00:00 2009-04-07 00:00:00 No 2010-04-07 00:00:00 None FTR AE None 1100 1100 0 1100 0 None F02211 N CA00185991 A SFY2009-10
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-08-13 00:00:00 230006831 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-10-27 00:00:00 2009-10-27 00:00:00 No 2010-09-10 00:00:00 None FTR BR None 300 300 0 300 0 None 43F311 None CA00207179 E SFY2010-11
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2010-12-06 00:00:00 230006891 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-03-13 00:00:00 2009-03-13 00:00:00 No 2012-09-28 00:00:00 None AP BR None 100000 100000 -25000 75000 0 None IXB911 None CA00181586 C SFY2010-11
230000020 ST. ELIZABETH COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-12-08 00:00:00 230006965 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-18 00:00:00 2009-11-18 00:00:00 No 2010-12-29 00:00:00 None FTR BR None 1400 1400 0 1400 0 None FL7W11 None CA00210582 E SFY2010-11
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-03-26 00:00:00 230006967 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-12-03 00:00:00 2009-12-03 00:00:00 No 2010-04-19 00:00:00 None FTR AE None 3600 3600 0 3600 0 None RXDN11 N CA00214750 C SFY2009-10
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2010-02-04 00:00:00 230006969 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2009-01-23 00:00:00 2009-01-23 00:00:00 No 2010-09-07 00:00:00 None FTR BR None 700 700 -175 525 0 None RZZ111 None CA00176965 C SFY2009-10
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2010-08-10 00:00:00 230007037 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system FTR Timely 2010-01-22 00:00:00 2010-01-22 00:00:00 No 2010-09-01 00:00:00 None FTR BR None 1000 1000 -250 750 0 None ER3911 None CA00217659 E SFY2010-11
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-03-26 00:00:00 230007042 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission FTR AE timely 2009-12-03 00:00:00 2009-12-03 00:00:00 No 2010-04-19 00:00:00 None FTR AE None 3600 3600 0 3600 0 None A3BH11 N CA00214751 C SFY2009-10
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2010-03-26 00:00:00 230007043 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient FTR AE TIMELY 2010-01-26 00:00:00 2010-01-26 00:00:00 No 2010-04-19 00:00:00 None FTR AE None 500 500 0 500 0 None PXD811 N CA00217647 C SFY2009-10
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2010-03-26 00:00:00 230007044 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient FTR AE Timely 2009-11-20 00:00:00 2009-11-20 00:00:00 No 2010-04-20 00:00:00 None FTR AE None 7700 7700 0 7700 0 None 403Q11 N CA00218031 B SFY2009-10
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2010-08-23 00:00:00 230007251 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-02-26 00:00:00 2010-02-26 00:00:00 No 2010-09-17 00:00:00 None FTR BR None 3300 3300 -825 2475 0 None K46L11 None CA00224586 E SFY2010-11
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2010-08-05 00:00:00 230007433 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-04-15 00:00:00 2010-04-15 00:00:00 No 2010-09-14 00:00:00 None FTR BR None 1400 1400 -350 1050 0 None SW4E11 None CA00228022 E SFY2010-11
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2010-08-20 00:00:00 230007434 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-04-12 00:00:00 2010-04-12 00:00:00 No 2010-09-14 00:00:00 None FTR AE None 300 300 0 300 0 None LMCM11 N CA00225942 C SFY2010-11
230000423 HOME HEALTH CARE MANAGEMENT, INC. Non-LTC HHA Home Health Agency Chico 2010-08-19 00:00:00 230007435 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-02-06 00:00:00 2010-02-06 00:00:00 No 2010-09-13 00:00:00 None FTR BR None 5100 5100 -1275 3825 0 None WIPL11 None CA00226132 E SFY2010-11
230000089 FEATHER RIVER TRIBAL HEALTH, INC. Non-LTC COMTYC Primary Care Clinic Chico 2010-08-20 00:00:00 230007469 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2010-05-06 00:00:00 2010-05-06 00:00:00 No 2010-09-14 00:00:00 None FTR BR None 700 700 0 700 0 None M6LV11 None CA00229590 E SFY2010-11
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2011-01-04 00:00:00 230007479 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2009-06-12 19:00:00 2009-06-12 19:00:00 No 2011-01-26 00:00:00 None FTR AE None 18300 18300 0 18300 0 None 7UFF11 N CA00212059 B SFY2010-11
230000422 VIBRA HOSPITAL OF NORTHERN CALIFORNIA Non-LTC GACH General Acute Care Hospital Chico 2011-02-07 00:00:00 230007481 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2009-11-26 03:30:00 2009-11-26 03:30:00 No 2011-03-01 00:00:00 None FTR AE None 9400 9400 0 9400 0 None XOUU11 N CA00220003 B SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-12-06 00:00:00 230007667 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-01-16 17:00:00 2009-01-16 17:00:00 No 2010-12-27 00:00:00 None FTR BR None 900 900 -225 675 0 None R40011 None CA00177057 C SFY2010-11
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2010-12-13 00:00:00 230007688 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-03-08 00:00:00 2010-03-08 00:00:00 No 2012-09-28 00:00:00 None AP BR None 60000 60000 -15000 45000 0 None 6X4611 None CA00221420 B SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-12-06 00:00:00 230007697 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-01-16 17:00:00 2009-01-16 17:00:00 No 2010-12-27 00:00:00 None FTR BR None 700 700 -175 525 0 None R40011 None CA00177058 C SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-12-06 00:00:00 230007698 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-01-16 17:00:00 2009-01-16 17:00:00 No 2010-12-27 00:00:00 None FTR BR None 700 700 -175 525 0 None R40011 None CA00177059 C SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-12-06 00:00:00 230007699 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-01-16 17:00:00 2009-01-16 17:00:00 No 2010-12-27 00:00:00 None FTR BR None 900 900 -225 675 0 None R40011 None CA00177061 C SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-12-09 00:00:00 230007717 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-03-09 15:00:00 2010-03-09 15:00:00 No 2010-12-30 00:00:00 None FTR BR None 2800 2800 -700 2100 0 None M6FZ11 None CA00225172 E SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2011-01-04 00:00:00 230007718 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-28 18:00:00 2009-11-28 18:00:00 No 2011-01-26 00:00:00 None FTR BR None 17500 17500 -4375 13125 0 None YSEY11 None CA00230466 E SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-12-21 00:00:00 230007719 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-05-06 15:30:00 2010-05-06 15:30:00 No 2011-01-11 00:00:00 None FTR BR None 100 100 -25 75 0 None 8L4J11 None CA00228880 E SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2010-12-21 00:00:00 230007720 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-06-02 10:20:00 2010-06-02 10:20:00 No 2011-01-11 00:00:00 None FTR BR None 1900 1900 -475 1425 0 None B4UO11 None CA00233773 E SFY2010-11
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2011-02-03 00:00:00 230007806 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-03-06 17:00:00 2009-03-06 17:00:00 No 2011-02-25 00:00:00 None FTR BR None 300 300 -75 225 0 None K42S11 None CA00181578 B SFY2010-11
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2011-01-27 00:00:00 230007867 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-07-23 07:52:00 2010-07-23 07:52:00 No 2011-02-17 00:00:00 None FTR AE None 1400 1400 0 1400 0 None F20711 N CA00238767 B SFY2010-11
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2011-03-15 00:00:00 230007874 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2010-06-10 00:00:00 2010-06-10 00:00:00 No 2013-07-26 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None W1XC11 None CA00234147 B SFY2010-11
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2011-04-18 00:00:00 230008018 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-03-07 00:00:00 2009-03-07 00:00:00 No 2012-09-28 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None U4U811 None CA00254921, CA00255535 B, B SFY2010-11
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2011-03-17 00:00:00 230008027 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2010-10-18 00:00:00 2010-10-18 00:00:00 Yes 2013-07-26 00:00:00 2013-07-09 00:00:00 AP BR AP BR 250000 115000 0 115000 0 None NZFC11 None CA00246991 B SFY2010-11
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2007-12-11 00:00:00 230008050 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-16 00:00:00 2007-10-16 00:00:00 No 2008-01-03 00:00:00 None FTR AE None 300 300 0 300 0 None IEIH11 N CA00130221 B SFY2007-08
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2011-04-27 00:00:00 230008126 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-01-18 04:42:00 2011-01-18 04:42:00 No 2011-05-18 00:00:00 None FTR AE None 2500 2500 0 2500 0 None EY2611 N CA00259489 B SFY2010-11
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2011-12-07 00:00:00 230008138 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-12-20 13:56:00 2010-12-20 13:56:00 No 2011-12-29 00:00:00 None FTR AE None 5600 5600 0 5600 0 None ZI0C11 N CA00259741 B SFY2011-12
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2011-05-26 00:00:00 230008245 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2010-12-13 00:00:00 2010-12-13 00:00:00 No 2014-02-10 00:00:00 None AP BR None 5000 5000 0 5000 0 None Q6J411 None CA00255981 B SFY2010-11
230000089 FEATHER RIVER TRIBAL HEALTH, INC. Non-LTC COMTYC Primary Care Clinic Chico 2011-05-24 00:00:00 230008247 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-04-06 00:00:00 2011-04-06 00:00:00 No 2014-02-14 00:00:00 None AP BR None 5000 5000 -1250 3750 0 None 8MK111 None CA00265525 D SFY2010-11
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2011-06-08 00:00:00 230008279 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-04-04 03:20:00 2011-04-04 03:20:00 No 2011-06-29 00:00:00 None FTR AE None 300 300 0 300 0 None 463N11 N CA00265585 B SFY2010-11
230000265 TAHOE FOREST HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2012-01-19 00:00:00 230008326 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient FTR Timely 2011-04-19 13:31:00 2011-04-19 13:31:00 No 2012-02-09 00:00:00 None FTR AE None 200 200 0 200 0 None 05TE11 N CA00267672 B SFY2011-12
230000367 SHASTA COMMUNITY HEALTH CENTER Non-LTC COMTYC Primary Care Clinic Chico 2011-07-11 00:00:00 230008369 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Patient Rights None 2011-04-27 09:00:00 2011-04-27 09:00:00 No 2011-08-01 00:00:00 None FTR RES None 600 600 0 600 0 None 2HJX11 None CA00267737 E SFY2011-12
230000004 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS Non-LTC GACH General Acute Care Hospital Chico 2012-05-23 00:00:00 230008484 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-12-22 00:00:00 2010-12-22 00:00:00 No None None AP BR None 2500 2500 -625 1875 0 None 1RMH11 None CA00254717 B SFY2011-12
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2012-04-04 00:00:00 230008490 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-05-25 00:00:00 2011-05-25 00:00:00 Yes 2014-06-20 00:00:00 2014-06-09 00:00:00 AP BR AP IJ 50000 50000 0 50000 0 None H14W11 None CA00273375 B SFY2011-12
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2012-04-04 00:00:00 230008491 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-05-25 08:23:00 2011-05-25 08:23:00 No 2012-04-25 00:00:00 None FTR BR None 1500 1500 -375 1125 0 None H14W11 None CA00273375 B SFY2011-12
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2012-04-04 00:00:00 230008493 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2011-05-25 08:23:00 2011-05-25 08:23:00 No 2012-04-25 00:00:00 None FTR RES None 1500 1500 -375 1125 0 None H14W11 None CA00273375 B SFY2011-12
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2012-01-12 00:00:00 230008644 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2011-08-09 00:00:00 2011-08-09 00:00:00 No 2012-02-03 00:00:00 None FTR AE None 300 300 0 300 0 None 7W4I11 N CA00281362 B SFY2011-12
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2012-02-15 00:00:00 230008682 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-02-22 09:30:00 2011-02-22 09:30:00 No 2012-03-08 00:00:00 None FTR AE None 6100 6100 0 6100 0 None 5JCJ11 N CA00267994 B SFY2011-12
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2011-11-28 00:00:00 230008717 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2011-04-04 14:12:00 2011-04-04 14:12:00 No 2011-12-19 00:00:00 None FTR AE None 1400 1400 0 1400 0 None IURP11 N CA00267110 B SFY2011-12
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2012-02-21 00:00:00 230008775 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-06-16 16:45:00 2011-06-16 16:45:00 No 2012-03-13 00:00:00 None FTR AE None 3400 3400 0 3400 0 None SB9E11 N CA00277139 B SFY2011-12
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2011-12-07 00:00:00 230008777 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-07-15 08:00:00 2011-07-15 08:00:00 No 2011-12-29 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 02HB11 N CA00277771 B SFY2011-12
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2012-02-23 00:00:00 230008783 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-09-09 00:00:00 2011-09-09 00:00:00 No 2012-03-15 00:00:00 None FTR BR None 3700 3700 -925 2775 0 None M1JE11 None CA00287847 E SFY2011-12
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2012-02-23 00:00:00 230008784 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-08-22 00:00:00 2011-08-22 00:00:00 No 2012-03-15 00:00:00 None FTR BR None 4800 4800 -1200 3600 0 None M1JE11 None CA00287851 E SFY2011-12
630012204 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency Chico 2012-03-22 00:00:00 230008797 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Care None 2011-07-08 11:20:00 2011-07-08 11:20:00 No 2012-04-12 00:00:00 None FTR BR None 3200 3200 -800 2400 0 None H8T811 None CA00279565 E SFY2011-12
630012204 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency Chico 2012-03-22 00:00:00 230008799 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Patient Care None 2011-07-08 11:20:00 2011-07-08 11:20:00 No 2012-04-12 00:00:00 None FTR RES None 2900 2900 -725 2175 0 None H8T811 None CA00279565 E SFY2011-12
230000367 SHASTA COMMUNITY HEALTH CENTER Non-LTC COMTYC Primary Care Clinic Chico 2012-02-14 00:00:00 230008878 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-07-27 00:00:00 2011-07-27 00:00:00 No 2014-06-20 00:00:00 None AP BR None 5000 5000 -1250 3750 0 None CIYE11 None CA00286832 B SFY2011-12
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2012-11-16 00:00:00 230008906 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2009-01-01 00:00:00 2009-01-01 00:00:00 No 2013-07-26 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None IYSR11 None CA00239471, CA00242628 C, B SFY2012-13
630012204 MAXIM HEALTHCARE SERVICES, INC. Non-LTC HHA Home Health Agency Chico 2012-03-02 00:00:00 230009005 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Care None 2011-10-25 07:35:00 2011-10-25 07:35:00 No 2012-03-23 00:00:00 None FTR BR None 400 400 -100 300 0 None FF3E11 None CA00288930 E SFY2011-12
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2012-04-23 00:00:00 230009013 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-12-17 00:00:00 2011-12-17 00:00:00 No 2012-05-14 00:00:00 None FTR BR None 300 300 0 300 0 None M21F11 None CA00294178 E SFY2011-12
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2012-04-23 00:00:00 230009014 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-12-17 16:58:00 2011-12-17 16:58:00 No 2012-05-14 00:00:00 None FTR RES None 300 300 0 300 0 None M21F11 None CA00294178 E SFY2011-12
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2012-04-30 00:00:00 230009023 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-11-01 10:00:00 2011-11-01 10:00:00 No 2012-05-21 00:00:00 None FTR BR None 1000 1000 0 1000 0 None ID4L11 None CA00290214 E SFY2011-12
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2012-04-30 00:00:00 230009025 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-11-01 10:00:00 2011-11-01 10:00:00 No 2012-05-21 00:00:00 None FTR RES None 900 900 0 900 0 None ID4L11 None CA00290214 E SFY2011-12
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2012-04-16 00:00:00 230009149 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-12-13 00:00:00 2011-12-13 00:00:00 Yes 2012-12-05 00:00:00 2012-11-19 00:00:00 AP BR AP BR 95000 77500 0 77500 0 None UCFP11 None CA00295004 B SFY2011-12
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2012-04-12 00:00:00 230009151 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-12-13 17:16:00 2011-12-13 17:16:00 Yes 2012-05-03 00:00:00 2012-04-27 00:00:00 FTR BR FTR BR 1600 1300 0 1300 0 None UCFP11 None CA00295004 B SFY2011-12
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2012-04-12 00:00:00 230009157 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2011-12-13 17:16:00 2011-12-13 17:16:00 Yes 2012-05-03 00:00:00 2012-04-27 00:00:00 FTR RES FTR RES 1500 1200 0 1200 0 None UCFP11 None CA00295004 B SFY2011-12
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2012-11-14 00:00:00 230009178 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-11-28 00:00:00 2011-11-28 00:00:00 Yes 2015-11-09 00:00:00 2015-10-26 00:00:00 AP BR None 60000 60000 0 0 60000 None 0QL211 None CA00294876 E SFY2012-13
230000499 ADVENTIST HEALTH HOME CARE SERVICES Non-LTC HHA Home Health Agency Chico 2012-05-21 00:00:00 230009187 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-09-07 16:40:00 2011-09-07 16:40:00 No 2012-06-12 00:00:00 None FTR RES None 2000 2000 0 2000 0 None HFUN11 None CA00283331 B SFY2011-12
230000259 COLUSA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2013-07-17 00:00:00 230009234 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-05-15 00:00:00 2011-05-15 00:00:00 No None None AP BR None 5000 5000 0 5000 0 None O0KY11 None CA00275802 B SFY2013-14
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2013-06-28 00:00:00 230009235 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-09-16 00:00:00 2011-09-16 00:00:00 No 2014-06-20 00:00:00 None AP BR None 5000 5000 -1250 3750 0 None 0QO711 None CA00282653 B SFY2012-13
230000259 COLUSA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2013-07-17 00:00:00 230009236 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-07-05 00:00:00 2011-07-05 00:00:00 No 2015-02-24 00:00:00 None AP BR None 6000 6000 0 6000 0 None O0KY11 None CA00275784 B SFY2013-14
230000265 TAHOE FOREST HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2012-04-23 00:00:00 230009237 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-01-18 14:40:00 2012-01-18 14:40:00 No 2012-05-14 00:00:00 None FTR RES None 1300 1300 0 1300 0 None UGHG11 None CA00296918 E SFY2011-12
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2012-11-06 00:00:00 230009238 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-09-22 17:10:00 2011-09-22 17:10:00 No 2012-11-30 00:00:00 None FTR AE None 700 700 0 700 0 None F9HP11 N CA00285932 B SFY2012-13
230000004 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS Non-LTC GACH General Acute Care Hospital Chico 2012-04-23 00:00:00 230009242 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2011-12-30 00:00:00 2011-12-30 00:00:00 No 2012-05-14 00:00:00 None FTR BR None 600 600 0 600 0 None 4D2H11 None None None SFY2011-12
230000004 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS Non-LTC GACH General Acute Care Hospital Chico 2012-04-23 00:00:00 230009243 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2011-12-30 00:00:00 2011-12-30 00:00:00 No 2012-05-14 00:00:00 None FTR RES None 600 600 0 600 0 None 4D2H11 None CA00296109 E SFY2011-12
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2012-06-22 00:00:00 230009270 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-01-29 00:00:00 2012-01-29 00:00:00 Yes 2012-12-05 00:00:00 2012-11-19 00:00:00 AP BR AP BR 25000 18750 0 18750 0 None JBYM11 None CA00300148 B SFY2011-12
230000092 PLANNED PARENTHOOD OF THE NORTH VALLEY - CHICO CTR. Non-LTC COMTYC Primary Care Clinic Chico 2012-11-09 00:00:00 230009277 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-12-21 00:00:00 2011-12-21 00:00:00 No 2015-06-03 00:00:00 None AP BR None 2500 2500 -625 1875 0 None R8M211 None CA00294738 B SFY2012-13
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2013-01-17 00:00:00 230009337 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2011-10-10 20:30:00 2011-10-10 20:30:00 No 2013-02-08 00:00:00 None FTR BR None 3100 3100 -775 2325 0 None XZ2Y11 None CA00289915 B SFY2012-13
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2012-05-25 00:00:00 230009338 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2011-10-10 20:30:00 2011-10-10 20:30:00 No 2012-06-18 00:00:00 None FTR RES None 2500 2500 -625 1875 0 None XZ2Y11 None CA00289915 B SFY2011-12
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2013-04-02 00:00:00 230009339 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-10-10 00:00:00 2011-10-10 00:00:00 Yes 2014-06-20 00:00:00 2014-06-09 00:00:00 AP BR AP BR 42500 42500 0 42500 0 None XZ2Y11 None CA00289915 B SFY2012-13
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2012-07-10 00:00:00 230009359 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-12-28 09:30:00 2011-12-28 09:30:00 No 2012-07-31 00:00:00 None FTR BR None 100 100 -25 75 0 None 3SWH11 None CA00295183 B SFY2012-13
230000012 MERCY MEDICAL CENTER MT. SHASTA Non-LTC GACH General Acute Care Hospital Chico 2014-01-10 00:00:00 230009865 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-02-05 00:00:00 2013-02-05 00:00:00 No 2015-11-09 00:00:00 None AP BR None 2500 2500 -625 1875 0 None 94OM11 None CA00343448 D SFY2013-14
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2013-07-17 00:00:00 230010014 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2012-03-19 16:28:00 2012-03-19 16:28:00 No 2013-08-07 00:00:00 None FTR BR None 800 800 -200 600 0 None X7T911 None CA00309476 B SFY2013-14
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2013-12-18 00:00:00 230010015 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-03-19 00:00:00 2012-03-19 00:00:00 No 2015-11-10 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None X7T911 None CA00309476 B SFY2013-14
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2013-08-28 00:00:00 230010104 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-04-12 16:26:00 2012-04-12 16:26:00 No 2013-09-19 00:00:00 None FTR BR None 2200 2200 -550 1650 0 None L3UL11 None CA00310285 C SFY2013-14
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2013-08-28 00:00:00 230010106 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-04-12 16:26:00 2012-04-12 16:26:00 No 2013-09-19 00:00:00 None FTR RES None 2200 2200 -550 1650 0 None L3UL11 None CA00310285 C SFY2013-14
230000006 GLENN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2014-01-21 00:00:00 230010262 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2013-09-29 00:00:00 2013-09-29 00:00:00 Yes 2015-06-09 00:00:00 2015-05-26 00:00:00 AP IJ None 37500 37500 0 37500 0 None HEBL11 N CA00372036 A SFY2013-14
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2013-11-27 00:00:00 230010283 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-01-07 09:30:00 2012-01-07 09:30:00 No 2013-12-20 00:00:00 None FTR AE None 600 600 0 600 0 None F61O11 N CA00296394 B SFY2013-14
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2014-06-18 00:00:00 230010362 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2012-09-15 00:00:00 2012-09-15 00:00:00 No 2015-03-05 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 6WVT11 N CA00327421 A SFY2013-14
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2014-06-18 00:00:00 230010363 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2012-09-15 07:30:00 2012-09-15 07:30:00 No 2014-07-10 00:00:00 None FTR AE None 800 800 0 800 0 None 6WVT11 N CA00327421 A SFY2013-14
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2014-06-25 00:00:00 230010364 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-03-14 13:00:00 2013-03-14 13:00:00 No 2014-07-17 00:00:00 None FTR AE None 3600 3600 0 3600 0 None WL2011 N CA00368845 B SFY2013-14
630011844 SUTTER SURGICAL HOSPITAL - NORTH VALLEY Non-LTC GACH General Acute Care Hospital Chico 2014-05-16 00:00:00 230010720 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-09-27 14:45:00 2012-09-27 14:45:00 No 2014-06-09 00:00:00 None FTR AE None 900 900 0 900 0 None INPQ11 N CA00329163 B SFY2013-14
230000259 COLUSA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2014-11-24 00:00:00 230010957 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-04-12 00:00:00 2013-04-12 00:00:00 No 2014-12-17 00:00:00 None AP BR None 6750 6750 -6750 0 0 None 6SO711 None CA00351185 B SFY2014-15
230000004 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS Non-LTC GACH General Acute Care Hospital Chico 2014-08-26 00:00:00 230010958 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-01-07 00:00:00 2013-01-07 00:00:00 No 2014-09-17 00:00:00 None FTR BR None 1000 1000 -250 750 0 None UB8K11 None CA00341287 E SFY2014-15
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2014-11-24 00:00:00 230010997 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-02-25 00:00:00 2012-02-25 00:00:00 Yes 2015-11-09 00:00:00 2015-10-26 00:00:00 AP BR None 25000 25000 0 0 25000 None 2B5111 None CA00302697 D SFY2014-15
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2014-09-30 00:00:00 230011004 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2013-10-18 00:00:00 2013-10-18 00:00:00 No 2014-10-21 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 137B11 N CA00376101 B SFY2014-15
230000008 BANNER LASSEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2014-12-15 00:00:00 230011028 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-10-25 00:00:00 2012-10-25 00:00:00 No 2015-01-07 00:00:00 None FTR BR None 800 800 0 800 0 None G3HP11 None CA00333072 E SFY2014-15
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2014-12-05 00:00:00 230011058 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-10-03 00:00:00 2013-10-03 00:00:00 No 2014-12-29 00:00:00 None FTR AE None 800 800 0 800 0 None UH4R11 N CA00374047 B SFY2014-15
230000008 BANNER LASSEN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2014-12-15 00:00:00 230011164 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-10-25 00:00:00 2012-10-25 00:00:00 No 2015-01-06 00:00:00 None FTR RES None 800 800 0 800 0 None G3HP11 None CA00333072 E SFY2014-15
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2015-08-31 00:00:00 230011168 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-03-14 00:00:00 2011-03-14 00:00:00 Yes 2016-10-13 00:00:00 2016-07-18 00:00:00 AP BR None 42500 42500 0 0 42500 None 7YG311 None CA00352699 D SFY2015-16
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2014-12-10 00:00:00 230011169 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-07-26 00:00:00 2013-07-26 00:00:00 Yes 2016-08-01 00:00:00 2016-07-18 00:00:00 AP BR None 75000 75000 0 0 75000 None R6ZF11 None CA00363574 D SFY2014-15
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2015-10-12 00:00:00 230011753 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-07-03 00:00:00 2015-07-03 00:00:00 No 2015-11-02 00:00:00 None AP NON-IJ AP NON-IJ 11875 8906.25 0 8906.25 0 None FMSW11 N None None SFY2015-16
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2015-10-12 00:00:00 230011755 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-06-22 00:00:00 2015-06-22 00:00:00 No 2015-11-02 00:00:00 None AP NON-IJ AP NON-IJ 14250 10687.5 0 10687.5 0 None FMSW11 N None None SFY2015-16
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2015-10-12 00:00:00 230011756 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-07-28 00:00:00 2015-07-28 00:00:00 No 2015-11-02 00:00:00 None AP NON-IJ AP NON-IJ 5225 3918.75 0 3918.75 0 None FMSW11 N None None SFY2015-16
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2015-11-03 00:00:00 230011823 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-08-04 00:00:00 2013-08-04 00:00:00 No 2015-11-25 00:00:00 None FTR AE None 400 400 0 400 0 None 2DJO11 N CA00365821 B SFY2015-16
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2015-11-05 00:00:00 230011826 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-12-30 00:00:00 2013-12-30 00:00:00 No 2015-12-01 00:00:00 None FTR AE None 300 300 0 300 0 None HGJK11 N CA00383088 B SFY2015-16
230000265 TAHOE FOREST HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2015-12-10 00:00:00 230011867 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-09-22 00:00:00 2013-09-22 00:00:00 No 2016-01-04 00:00:00 None FTR AE None 1100 1100 0 1100 0 None T10J11 N CA00372508, CA00375899 B, B SFY2015-16
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2016-02-24 00:00:00 230011933 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2014-04-17 00:00:00 2014-04-17 00:00:00 No 2016-03-22 00:00:00 None AP NON-IJ None 14250 14250 0 14250 0 None 9XYZ11 N CA00400301 B SFY2015-16
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2016-02-24 00:00:00 230011938 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2014-04-17 00:00:00 2014-04-17 00:00:00 No 2016-01-26 00:00:00 None FTR AE None 1700 1700 0 1700 0 None 9XYZ11 N CA00400301 B SFY2015-16
230000001 ORCHARD HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2016-03-03 00:00:00 230012059 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-10-30 00:00:00 2013-10-30 00:00:00 No 2016-03-24 00:00:00 None FTR AE None 600 600 0 600 0 None H4ZS11 N CA00377279 B SFY2015-16
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2016-03-24 00:00:00 230012140 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-04-03 00:00:00 2013-04-03 00:00:00 No 2016-04-15 00:00:00 None FTR BR None 1500 1500 0 1500 0 None KKFH11 None CA00352268 D SFY2015-16
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2016-03-30 00:00:00 230012141 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-12-02 00:00:00 2013-12-02 00:00:00 No 2016-04-21 00:00:00 None FTR AE None 1100 1100 0 1100 0 None 67F811 N CA00380910 B SFY2015-16
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2016-03-24 00:00:00 230012142 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-08-15 00:00:00 2014-08-15 00:00:00 No 2016-04-15 00:00:00 None FTR AE None 1200 1200 0 1200 0 None CB1N11 N CA00422216 B SFY2015-16
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2016-05-18 00:00:00 230012262 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-06-24 00:00:00 2014-06-24 00:00:00 No 2016-06-09 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 6VO911 N CA00405267 B SFY2015-16
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2016-07-15 00:00:00 230012310 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-07-25 00:00:00 2014-07-25 00:00:00 No 2016-08-05 00:00:00 None FTR AE None 500 500 0 500 0 None OBEY11 N CA00407693, CA00408010 A, A SFY2016-17
230000001 ORCHARD HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2016-07-27 00:00:00 230012474 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Infection Control 2016-06-30 00:00:00 2016-06-30 00:00:00 No 2016-08-17 00:00:00 None AP NON-IJ AP NON-IJ 16625 12468.75 0 12468.75 0 None RRPG11 N None None SFY2016-17
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2016-09-16 00:00:00 230012582 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-06-04 00:00:00 2012-06-04 00:00:00 No 2016-10-07 00:00:00 None FTR AE None 300 300 0 300 0 None 7QPI11 Y CA00313985 B SFY2016-17
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2016-09-22 00:00:00 230012593 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-11-21 00:00:00 2012-11-21 00:00:00 No 2016-10-13 00:00:00 None FTR AE None 7700 7700 0 7700 0 None O13C11 N CA00396805 B SFY2016-17
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2016-10-18 00:00:00 230012630 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-03-23 00:00:00 2014-03-23 00:00:00 No 2016-11-08 00:00:00 None FTR AE None 400 400 0 400 0 None FCQI11 N CA00393336 B SFY2016-17
230000422 VIBRA HOSPITAL OF NORTHERN CALIFORNIA Non-LTC GACH General Acute Care Hospital Chico 2016-12-08 00:00:00 230012779 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-09-10 00:00:00 2016-09-10 00:00:00 No 2016-12-30 00:00:00 None AP NON-IJ None 4750 4750 0 4750 0 None ITU711 N None None SFY2016-17
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2017-04-28 00:00:00 230013156 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-11-24 00:00:00 2015-11-24 00:00:00 No 2017-05-19 00:00:00 None FTR AE None 200 200 0 200 0 None 1EML11 N CA00467460 B SFY2016-17
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2017-06-20 00:00:00 230013295 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-03-13 00:00:00 2013-03-13 00:00:00 No 2017-07-12 00:00:00 None FTR AE None 7200 7200 0 7200 0 None O6D611 N CA00356497 B SFY2016-17
630011844 SUTTER SURGICAL HOSPITAL - NORTH VALLEY Non-LTC GACH General Acute Care Hospital Chico 2017-07-06 00:00:00 230013329 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-07-10 00:00:00 2015-07-10 00:00:00 No 2017-07-27 00:00:00 None FTR AE None 100 100 0 100 0 None IBDS11 N CA00450925 B SFY2017-18
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2017-07-06 00:00:00 230013331 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-08-11 00:00:00 2015-08-11 00:00:00 No 2017-07-27 00:00:00 None FTR AE None 200 200 0 200 0 None V2W411 N CA00454934 B SFY2017-18
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2017-08-24 00:00:00 230013453 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2016-05-12 00:00:00 2016-05-12 00:00:00 No 2017-09-15 00:00:00 None FTR AE None 200 200 0 200 0 None 6C5N11 N CA00488834 B SFY2017-18
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2018-05-08 00:00:00 230013601 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2016-09-13 00:00:00 2016-09-13 00:00:00 No 2018-10-01 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None ZCXP11 None CA00516302, CA00516302 D, D SFY2017-18
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2017-11-28 00:00:00 230013621 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2017-01-06 00:00:00 2017-01-06 00:00:00 No 2017-12-19 00:00:00 None FTR AE None 700 700 0 700 0 None JC5D11 N CA00518695 C SFY2017-18
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2018-07-18 00:00:00 230013715 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2017-11-29 00:00:00 2017-11-29 00:00:00 No 2018-08-08 00:00:00 None AP IJ None 30000 30000 0 30000 0 None GBJ511 N CA00563555 B SFY2018-19
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2018-03-15 00:00:00 230013716 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-11-11 00:00:00 2017-11-11 00:00:00 No 2018-04-05 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None GBJ511 N CA00561708 B SFY2017-18
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2018-02-27 00:00:00 230013739 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2017-04-17 00:00:00 2017-04-17 00:00:00 No 2018-03-20 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None 3EEJ11 N CA00535417 C SFY2017-18
230000004 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS Non-LTC GACH General Acute Care Hospital Chico 2018-01-19 00:00:00 230013799 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-07-11 00:00:00 2016-07-11 00:00:00 No 2018-10-01 00:00:00 None AP BR None 9000 9000 -2250 6750 0 None KMCT11 None CA00496789 C SFY2017-18
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2017-11-21 00:00:00 230013800 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2016-02-10 00:00:00 2016-02-10 00:00:00 No 2017-12-14 00:00:00 None AP BR None 0 0 0 0 0 None 8ZOL11 None CA00478893 E SFY2017-18
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2017-11-17 00:00:00 230013803 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-08-12 00:00:00 2016-08-12 00:00:00 Yes 2018-10-01 00:00:00 2018-09-18 00:00:00 AP BR AP BR 7500 6000 0 6000 0 None KPFF11 None CA00499726 D SFY2017-18
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2017-12-06 00:00:00 230013812 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-11-02 00:00:00 2016-11-02 00:00:00 No 2019-04-12 00:00:00 None AP BR None 7500 7500 0 7500 0 None IFMZ11 None CA00510712 D SFY2017-18
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2018-01-11 00:00:00 230013844 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-08-02 00:00:00 2016-08-02 00:00:00 No 2018-10-01 00:00:00 None AP BR None 22500 22500 -22500 0 0 None EOET11 None CA00499677 D SFY2017-18
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2018-01-11 00:00:00 230013846 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-06-14 00:00:00 2016-06-14 00:00:00 No 2018-10-01 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None 2MT011 None None None SFY2017-18
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2018-01-11 00:00:00 230013867 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2016-12-14 00:00:00 2016-12-14 00:00:00 No 2019-04-12 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None 5HZE11 None CA00516759 E SFY2017-18
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2018-06-19 00:00:00 230013906 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-09-29 00:00:00 2017-09-29 00:00:00 No 2019-02-28 00:00:00 None AP IJ None 47500 47500 0 47500 0 None UC3E11 Y CA00555480 B SFY2017-18
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2018-01-11 00:00:00 230013936 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-07-31 00:00:00 2016-07-31 00:00:00 Yes 2018-10-01 00:00:00 2018-09-18 00:00:00 AP BR AP BR 7500 6000 0 6000 0 None WWNC11 None CA00497873 D SFY2017-18
230000265 TAHOE FOREST HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2018-04-24 00:00:00 230014082 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-01-19 00:00:00 2017-01-19 00:00:00 No 2018-10-01 00:00:00 None AP BR None 750 750 -187.5 562.5 0 None 5FFX11 None CA00525285 D SFY2017-18
230000005 ADVENTIST HEALTH FEATHER RIVER Non-LTC GACH General Acute Care Hospital Chico 2019-04-16 00:00:00 230014356 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-02-04 00:00:00 2018-02-04 00:00:00 No 2019-05-07 00:00:00 None FTR AE None 8300 8300 0 8300 0 None 7H8X11 N CA00585546 C SFY2018-19
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-03-15 00:00:00 230014946 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-02-28 00:00:00 2014-02-28 00:00:00 No 2019-04-05 00:00:00 None AP BR None 0 0 0 0 0 None 5VGR11 None CA00406466 D SFY2018-19
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-04-18 00:00:00 230014967 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2016-07-11 00:00:00 2016-07-11 00:00:00 No 2019-07-09 00:00:00 None AP IJ None 75000 75000 0 75000 0 None R8ZM11 Y CA00495562 C SFY2018-19
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-05-07 00:00:00 230014969 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-10-17 00:00:00 2016-10-17 00:00:00 No 2019-05-28 00:00:00 None FTR AE None 5900 5900 0 5900 0 None 4OS611 N CA00515240 C SFY2018-19
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-05-06 00:00:00 230015013 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-05-16 00:00:00 2018-05-16 00:00:00 No 2019-05-27 00:00:00 None FTR AE None 900 900 0 900 0 None 7BQO11 N CA00589213 B SFY2018-19
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-04-30 00:00:00 230015021 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2016-12-05 00:00:00 2016-12-05 00:00:00 No 2019-05-21 00:00:00 None FTR AE None 300 300 0 300 0 None 5C7Q11 N CA00514182 C SFY2018-19
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-05-06 00:00:00 230015030 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2018-04-03 00:00:00 2018-04-03 00:00:00 No 2019-05-27 00:00:00 None FTR AE None 300 300 0 300 0 None JJIU11 N CA00582356 C SFY2018-19
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2019-05-07 00:00:00 230015032 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2018-02-22 00:00:00 2018-02-22 00:00:00 No 2019-05-28 00:00:00 None FTR AE None 600 600 0 600 0 None KROZ11 N CA00576792 C SFY2018-19
230000444 PATIENTS' HOSPITAL OF REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-06-04 00:00:00 230015061 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-01-03 00:00:00 2017-01-03 00:00:00 No 2019-06-25 00:00:00 None AP NON-IJ None 12120 12120 0 0 12120 None NZU811 N CA00519244 C SFY2018-19
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-08-08 00:00:00 230015101 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2016-05-24 00:00:00 2016-05-24 00:00:00 No 2019-08-30 00:00:00 None AP IJ None 100000 100000 0 100000 0 None KVSI11 Y CA00489884 B SFY2019-20
230000262 SIERRA NEVADA MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2019-07-17 00:00:00 230015126 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2016-07-22 00:00:00 2016-07-22 00:00:00 No 2019-08-07 00:00:00 None AP NON-IJ None 13200 13200 0 0 13200 None 6GTE11 Y CA00496760 C SFY2019-20
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-10-29 00:00:00 230015294 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE08 - Death/disability due to intravascular air embolism None 2017-10-06 00:00:00 2017-10-06 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 52250 52250 0 52250 0 None SMTB11 Y CA00556323 B SFY2019-20
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2022-01-03 00:00:00 230015296 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-01-15 00:00:00 2018-01-15 00:00:00 No 2022-01-25 00:00:00 None AP NON-IJ None 15000 15000 0 15000 0 None I69B11 N CA00570164 B SFY2021-22
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-10-29 00:00:00 230015375 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2018-05-09 00:00:00 2018-05-09 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 118750 118750 0 118750 0 None R75X11 Y CA00589555 B SFY2019-20
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2019-12-06 00:00:00 230015385 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2017-01-01 00:00:00 2017-01-01 00:00:00 No 2019-12-27 00:00:00 None AP NON-IJ None 15000 15000 0 15000 0 None 1FJY11 N CA00518155, CA00520860 B, B SFY2019-20
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2019-10-29 00:00:00 230015425 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2018-07-29 00:00:00 2018-07-29 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 30000 30000 0 30000 0 None GVKH11 N CA00598230 B SFY2019-20
230000012 MERCY MEDICAL CENTER MT. SHASTA Non-LTC GACH General Acute Care Hospital Chico 2019-12-06 00:00:00 230015562 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2017-08-25 00:00:00 2017-08-25 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 30000 30000 0 30000 0 None 8R9H11 Y CA00550356 B SFY2019-20
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2020-05-08 00:00:00 230015730 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2018-07-02 00:00:00 2018-07-02 00:00:00 No 2020-06-01 00:00:00 None AP NON-IJ None 15000 15000 0 15000 0 None J1QB11 Y CA00621865, CA00621865 B, B SFY2019-20
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2020-05-15 00:00:00 230015762 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2014-10-15 00:00:00 2014-10-15 00:00:00 Yes 2020-06-08 00:00:00 2020-05-26 00:00:00 AP NON-IJ AP NON-IJ 19190 15320 0 15320 0 None YNJ511 N CA00418022, CA00418022, CA00418774 B, B, B SFY2019-20
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2021-12-02 00:00:00 230015779 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-11-16 00:00:00 2015-11-16 00:00:00 No 2021-12-23 00:00:00 None AP NON-IJ None 12120 12120 0 12120 0 None IUWI11 N CA00466442, CA00466442 B, B SFY2021-22
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2020-04-30 00:00:00 230015861 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-01-12 00:00:00 2019-01-12 00:00:00 No 2020-05-21 00:00:00 None FTR AE None 800 800 0 800 0 None J1QB11 N CA00621865 B SFY2019-20
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2020-05-15 00:00:00 230015862 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2014-10-15 00:00:00 2014-10-15 00:00:00 No 2020-06-05 00:00:00 None FTR AE None 300 300 0 300 0 None YNJ511 N CA00418022, CA00418022, CA00418022, CA00418774, CA00418774 B, B, B, B, B SFY2019-20
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2021-12-16 00:00:00 230016554 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-04-26 00:00:00 2016-04-26 00:00:00 No 2022-01-06 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 5FSE11 Y None None SFY2021-22
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2021-11-22 00:00:00 230017109 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-08-09 00:00:00 2019-08-09 00:00:00 No 2021-12-15 00:00:00 None FTR AE None 200 200 0 200 0 None SIBT11 N CA00650912 B SFY2021-22
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2021-11-22 00:00:00 230017112 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-11-13 00:00:00 2019-11-13 00:00:00 No 2021-12-15 00:00:00 None FTR AE None 200 200 0 200 0 None 3CBF11 N CA00664613 B SFY2021-22
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2021-11-22 00:00:00 230017113 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-11-20 00:00:00 2019-11-20 00:00:00 No 2021-12-15 00:00:00 None FTR AE None 700 700 0 700 0 None M0NP11 N CA00665908 B SFY2021-22
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2021-11-29 00:00:00 230017116 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-02-11 00:00:00 2019-02-11 00:00:00 No 2021-12-20 00:00:00 None FTR AE None 400 400 0 400 0 None JPAF11 N CA00626323 B SFY2021-22
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2021-11-23 00:00:00 230017123 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE21 - Death/disability due to a burn None 2017-01-02 00:00:00 2017-01-02 00:00:00 No 2021-12-16 00:00:00 None FTR AE None 2600 2600 0 2600 0 None 1FJY11 N CA00518155, CA00520860 B, B SFY2021-22
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2021-12-13 00:00:00 230017128 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-16 00:00:00 2020-11-16 00:00:00 No 2022-01-03 00:00:00 None FTR AE None 900 900 0 900 0 None VUYN11 N CA00712759, CA00712759, CA00714911 B, B, B SFY2021-22
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2021-12-30 00:00:00 230017172 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2020-10-04 00:00:00 2020-10-04 00:00:00 No 2022-01-21 00:00:00 None AP NON-IJ None 4250 4250 0 4250 0 None UZQC11 N CA00708505 B SFY2021-22
230000010 MERCY MEDICAL CENTER REDDING Non-LTC GACH General Acute Care Hospital Chico 2021-12-30 00:00:00 230017218 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE07 - Use of device other than as intended None 2021-01-26 00:00:00 2021-01-26 00:00:00 No 2022-01-21 00:00:00 None AP NON-IJ None 12877.5 12877.5 0 12877.5 0 None 3KFI11 N CA00723735 C SFY2021-22
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2022-03-09 00:00:00 230017239 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-11-11 00:00:00 2020-11-11 00:00:00 No 2022-03-30 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 5VL811 Y CA00713080 C SFY2021-22
230000020 ST. ELIZABETH COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2022-03-30 00:00:00 230017474 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2019-08-18 00:00:00 2019-08-18 00:00:00 No 2022-04-21 00:00:00 None AP NON-IJ None 15675 15675 0 15675 0 None 57GH11 Y CA00651165 B SFY2021-22
230000422 VIBRA HOSPITAL OF NORTHERN CALIFORNIA Non-LTC GACH General Acute Care Hospital Chico 2022-03-30 00:00:00 230017482 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-03-08 00:00:00 2020-03-08 00:00:00 No 2022-04-21 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None F0G011 Y CA00683544, CA00683858, CA00684027 B, B, B SFY2021-22
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2022-06-09 00:00:00 230017635 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2020-12-03 00:00:00 2020-12-03 00:00:00 No 2022-06-30 00:00:00 None AP IJ None 100000 100000 0 100000 0 None JKW711 Y CA00725751 B SFY2021-22
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2022-11-29 00:00:00 230017827 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2021-04-24 00:00:00 2021-04-24 00:00:00 No 2022-12-20 00:00:00 None AP NON-IJ None 12720 12720 0 12720 0 None NCSU11 N CA00739214 C SFY2022-23
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2022-12-08 00:00:00 230017990 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-07-27 00:00:00 2022-07-27 00:00:00 No 2022-12-29 00:00:00 None AP IJ None 125000 125000 0 125000 0 None XLME11 Y CA00795932, CA00796230, CA00796287 B, B, B SFY2022-23
630011844 SUTTER SURGICAL HOSPITAL - NORTH VALLEY Non-LTC GACH General Acute Care Hospital Chico 2022-01-12 00:00:00 230018148 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2022-01-12 00:00:00 2022-01-12 00:00:00 No 2022-02-03 00:00:00 None AP IJ None 29925 29925 0 29925 0 None IOLI11 N CA00772143 B SFY2021-22
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2021-04-09 00:00:00 230018537 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-07-03 00:00:00 2017-07-03 00:00:00 No 2023-05-03 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None BZS411 None CA00549397 D SFY2020-21
230000367 SHASTA COMMUNITY HEALTH CENTER Non-LTC COMTYC Primary Care Clinic Chico 2021-12-03 00:00:00 230018542 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-09-13 00:00:00 2012-09-13 00:00:00 No 2023-05-03 00:00:00 None AP BR None 5000 5000 -1250 3750 0 None Q7MF11 None CA00449090 D SFY2021-22
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2021-03-19 00:00:00 230018553 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-06-18 00:00:00 2017-06-18 00:00:00 No 2023-05-03 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None U2X911 None CA00559747 D SFY2020-21
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2021-03-26 00:00:00 230018558 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-07-10 00:00:00 2017-07-10 00:00:00 No 2023-05-03 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None E9ZD11 None CA00543831 D SFY2020-21
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2022-02-25 00:00:00 230018570 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-07-26 00:00:00 2017-07-26 00:00:00 No 2023-05-03 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None 2WHO11 None CA00547003 D SFY2021-22
230000092 PLANNED PARENTHOOD OF THE NORTH VALLEY - CHICO CTR. Non-LTC COMTYC Primary Care Clinic Chico 2021-02-12 00:00:00 230018572 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-04-01 00:00:00 2018-04-01 00:00:00 No 2023-05-03 00:00:00 None AP BR None 7500 7500 0 7500 0 None TGX611 None CA00583861 C SFY2020-21
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2023-08-15 00:00:00 230018591 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-01-16 00:00:00 2023-01-16 00:00:00 No 2023-09-06 00:00:00 None AP IJ None 125000 125000 0 125000 0 None ORER11 Y CA00823123 A SFY2023-24
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2023-05-30 00:00:00 230018979 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-09-13 00:00:00 2018-09-13 00:00:00 No 2023-08-16 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None NDFZ11 None CA00606926 D SFY2022-23
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2023-05-02 00:00:00 230019007 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-10-06 00:00:00 2017-10-06 00:00:00 Yes 2023-08-30 00:00:00 2023-08-10 00:00:00 AP BR None 30000 30000 0 0 30000 None 9GVH11 None CA00625401 D SFY2022-23
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2024-01-12 00:00:00 230019020 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-03-12 00:00:00 2023-03-12 00:00:00 No 2024-02-02 00:00:00 None AP IJ None 94500 94500 0 94500 0 None HXX211 Y CA00831256, CA00831256, CA00831256 B, B, B SFY2023-24
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2023-11-02 00:00:00 230019043 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-03-19 00:00:00 2023-03-19 00:00:00 No 2023-11-28 00:00:00 None AP IJ None 90562 90562 0 90562 0 None MM1G11 N CA00831920 B SFY2023-24
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2023-11-16 00:00:00 230019202 Closed Administrative Penalty None A10 - Telemetry None 2022-07-18 00:00:00 2022-07-18 00:00:00 No 2023-11-26 00:00:00 None NP None 15000 15000 0 15000 0 None 2L1Y11 N CA00794229, CA00794229, CA00798348, CA00798348, CA00801315, CA00801315 B, B, B, B, B, B SFY2023-24
230000367 SHASTA COMMUNITY HEALTH CENTER Non-LTC COMTYC Primary Care Clinic Chico 2023-08-15 00:00:00 230019207 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-02-14 00:00:00 2017-02-14 00:00:00 No 2023-11-16 00:00:00 None AP BR None 12500 12500 -3125 9375 0 None T2AN11 None CA00523650 D SFY2023-24
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2024-05-06 00:00:00 230019214 Closed Administrative Penalty None A10 - Telemetry None 2023-01-05 00:00:00 2023-01-05 00:00:00 No 2024-05-16 00:00:00 None NP None 30000 30000 0 30000 0 None ETZ311 N CA00838783, CA00842716 B, B SFY2023-24
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2023-11-16 00:00:00 230019290 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-12-15 00:00:00 2022-12-15 00:00:00 No 2023-12-11 00:00:00 None AP NON-IJ None 12120 12120 0 12120 0 None H2JX11 N CA00817409, CA00828463, CA00828463 B, B, B SFY2023-24
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2024-02-02 00:00:00 230019325 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2023-08-04 00:00:00 2023-08-04 00:00:00 No 2024-02-26 00:00:00 None AP IJ None 60375 60375 0 60375 0 None ZMJ011 N CA00854291 B SFY2023-24
230000261 ADVENTIST HEALTH AND RIDEOUT Non-LTC GACH General Acute Care Hospital Chico 2023-10-01 00:00:00 230019734 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2022-07-08 00:00:00 2022-07-08 00:00:00 No 2024-03-13 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None 9D6211 None CA00793575 D SFY2023-24
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2023-08-15 00:00:00 230019786 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-04-30 00:00:00 2018-04-30 00:00:00 No 2024-04-10 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None WBJM11 None CA00587680 D SFY2023-24
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2024-01-30 00:00:00 230019978 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-05-23 00:00:00 2019-05-23 00:00:00 No 2024-05-22 00:00:00 None AP BR None 12500 12500 -3125 9375 0 None J1IC11 None CA00642279 D SFY2023-24
230000014 OROVILLE HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2024-02-13 00:00:00 230019980 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-12-14 00:00:00 2022-12-14 00:00:00 No 2024-05-22 00:00:00 None AP BR None 20000 20000 -5000 15000 0 None 72Z411 None CA00817816 D SFY2023-24
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2024-05-06 00:00:00 230020107 Closed Administrative Penalty None A10 - Telemetry None 2023-10-13 00:00:00 2023-10-13 00:00:00 No 2024-05-16 00:00:00 None NP None 30000 30000 0 30000 0 None RL3B11 N CA00867356, CA00867356, CA00867497, CA00867497, CA00884933, CA00884933, CA00885455, CA00885455 C, C, C, C, B, B, B, B SFY2023-24
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2024-05-06 00:00:00 230020108 Closed Administrative Penalty None A10 - Telemetry None 2024-01-07 00:00:00 2024-01-07 00:00:00 No 2024-05-16 00:00:00 None NP None 30000 30000 0 30000 0 None FEKP11 N CA00879158, CA00879158 C, C SFY2023-24
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2024-05-15 00:00:00 230020141 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2023-10-12 00:00:00 2023-10-12 00:00:00 No 2024-06-06 00:00:00 None AP NON-IJ None 15750 15750 0 15750 0 None RL3B11 N CA00867356, CA00867356, CA00867497, CA00867497 C, C, C, C SFY2023-24
230000016 SHASTA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Chico 2024-05-21 00:00:00 230020201 Closed Administrative Penalty None A10 - Telemetry None 2023-12-16 00:00:00 2023-12-16 00:00:00 No 2024-05-31 00:00:00 None NP None 30000 30000 0 30000 0 None ZBDW11 N CA00875170, CA00875176, CA00875234, CA00875383, CA00875945, CA00876903, CA00882065 B, B, B, B, B, B, B SFY2023-24
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2008-05-16 00:00:00 240005045 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-01-12 00:00:00 2008-01-12 00:00:00 No 2008-06-09 00:00:00 None AP IJ None 25000 25000 0 25000 0 None CLVS11 N CA00138220 B SFY2007-08
240000103 ST. BERNARDINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2009-07-02 00:00:00 240006288 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2008-08-20 22:30:00 2008-08-20 22:30:00 No 2009-07-23 00:00:00 None FTR AE None 100 100 0 100 0 None BUKL11 N CA00161205 C SFY2009-10
240000100 ARROWHEAD REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2009-06-30 00:00:00 240006311 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-11-29 00:00:00 2008-11-29 00:00:00 No 2009-07-21 00:00:00 None AP IJ None 25000 25000 0 25000 0 None IGQU11 N CA00172830 C SFY2008-09
240000040 KINDRED HOSPITAL ONTARIO Non-LTC GACH General Acute Care Hospital San Bernardino 2009-07-03 00:00:00 240006313 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2008-04-22 00:00:00 2008-04-22 00:00:00 No 2009-07-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 9B1T11 N CA00147759 C SFY2009-10
240000100 ARROWHEAD REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2009-07-03 00:00:00 240006359 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-10-16 00:00:00 2008-10-16 00:00:00 No 2009-07-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 72CP11 N CA00170371 C SFY2009-10
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2009-07-03 00:00:00 240006364 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-08-15 00:00:00 2008-08-15 00:00:00 No 2009-07-24 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 9D5611 N CA00161487 B SFY2009-10
240000082 COMMUNITY HOSPITAL OF SAN BERNARDINO Non-LTC GACH General Acute Care Hospital San Bernardino 2009-10-21 00:00:00 240006635 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-03-10 00:00:00 2009-03-10 00:00:00 No 2009-11-12 00:00:00 None AP BR None 75000 75000 -18750 56250 0 None 7UP111 None CA00181838 B SFY2009-10
240000082 COMMUNITY HOSPITAL OF SAN BERNARDINO Non-LTC GACH General Acute Care Hospital San Bernardino 2009-10-22 00:00:00 240006643 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-02-28 00:00:00 2009-02-28 00:00:00 No 2009-11-13 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None OI8G11 None CA00179753 C SFY2009-10
240000014 HI-DESERT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2009-11-24 00:00:00 240006736 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2009-05-22 00:00:00 2009-05-22 00:00:00 Yes 2009-12-17 00:00:00 2010-05-27 00:00:00 AP IJ AP IJ 50000 15000 0 15000 0 None 7NZN11 N CA00189824, CA00190039 C, E SFY2009-10
240000103 ST. BERNARDINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2009-12-09 00:00:00 240006762 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-03-09 00:00:00 2009-03-09 00:00:00 Yes 2009-12-31 00:00:00 2010-04-16 00:00:00 AP IJ Drop>Deficiency 50000 10000 0 10000 0 None 9WXJ11 N CA00181368 E SFY2009-10
240000024 KAISER FOUNDATION HOSPITAL FONTANA Non-LTC GACH General Acute Care Hospital San Bernardino 2009-12-22 00:00:00 240006804 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2008-09-16 00:00:00 2008-09-16 00:00:00 Yes 2010-01-14 00:00:00 2010-04-20 00:00:00 AP IJ None 25000 25000 0 25000 0 None 59SQ11 N CA00167812 E SFY2009-10
240000103 ST. BERNARDINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2009-12-22 00:00:00 240006823 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-05-22 00:00:00 2009-05-22 00:00:00 No 2012-10-01 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None 1EJN11 None CA00190082 E SFY2009-10
240000104 PROVIDENCE ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2013-12-02 00:00:00 240006904 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-04-30 00:00:00 2009-04-30 00:00:00 No 2014-06-20 00:00:00 None AP BR None 5000 5000 0 5000 0 None UTI011 None CA00187117 E SFY2013-14
240001330 DESERT VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2012-01-12 00:00:00 240008899 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-10-03 00:00:00 2011-10-03 00:00:00 Yes 2013-09-06 00:00:00 2013-08-22 00:00:00 AP IJ AP IJ 50000 37500 0 37500 0 None 999999 N CA00285592 E SFY2011-12
240000104 PROVIDENCE ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2013-12-02 00:00:00 240010286 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-04-27 00:00:00 2009-04-27 00:00:00 No 2014-06-20 00:00:00 None AP BR None 5000 5000 0 5000 0 None G29011 None CA00187710 C SFY2013-14
240000104 PROVIDENCE ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2014-03-26 00:00:00 240010575 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-04-20 00:00:00 2010-04-20 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 8QNP11 N CA00228810 B SFY2013-14
240000104 PROVIDENCE ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2014-05-22 00:00:00 240010640 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2010-02-26 00:00:00 2010-02-26 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 50000 50000 0 50000 0 None GCN311 N CA00224633 C SFY2013-14
240000100 ARROWHEAD REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2014-04-18 00:00:00 240010641 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2011-10-07 00:00:00 2011-10-07 00:00:00 No 2015-02-24 00:00:00 None AP BR None 95000 95000 0 95000 0 None W6BR11 None CA00292182 E SFY2013-14
240000103 ST. BERNARDINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2014-05-14 00:00:00 240010645 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2011-01-14 00:00:00 2011-01-14 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 50000 50000 0 50000 0 None DDGE11 N CA00256145 E SFY2013-14
240000046 REDLANDS COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2014-05-14 00:00:00 240010648 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-03-24 00:00:00 2010-03-24 00:00:00 No 2015-02-24 00:00:00 None AP BR None 92500 92500 -23125 69375 0 None OG3Z11 None CA00224842 B SFY2013-14
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2014-06-11 00:00:00 240010749 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-01-04 00:00:00 2010-01-04 00:00:00 No 2015-03-05 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 7KW911 Y CA00214803 E SFY2013-14
240000778 CANYON RIDGE HOSPITAL Non-LTC APH Acute Psychiatric Hospital San Bernardino 2014-09-03 00:00:00 240010965 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2011-07-31 00:00:00 2011-07-31 00:00:00 No 2014-09-24 00:00:00 None FTR AE None 1400 1400 0 1400 0 None RNC811 N CA00280327 E SFY2014-15
240000778 CANYON RIDGE HOSPITAL Non-LTC APH Acute Psychiatric Hospital San Bernardino 2014-08-27 00:00:00 240010966 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2011-07-31 00:00:00 2011-07-31 00:00:00 Yes 2015-01-06 00:00:00 2014-12-23 00:00:00 AP IJ AP IJ 50000 30000 0 30000 0 None RNC811 N CA00280327 E SFY2014-15
240000103 ST. BERNARDINE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2014-09-03 00:00:00 240010971 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-03-28 00:00:00 2012-03-28 00:00:00 No 2014-09-24 00:00:00 None FTR AE None 18000 18000 0 18000 0 None ZZAL11 N CA00304250 E SFY2014-15
240000104 PROVIDENCE ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2014-09-03 00:00:00 240010973 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-02-06 00:00:00 2012-02-06 00:00:00 No 2014-09-24 00:00:00 None FTR AE None 900 900 0 900 0 None U2S011 N CA00301084 B SFY2014-15
240000024 KAISER FOUNDATION HOSPITAL FONTANA Non-LTC GACH General Acute Care Hospital San Bernardino 2014-09-03 00:00:00 240010978 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2014-05-08 00:00:00 2014-05-08 00:00:00 No 2016-02-19 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 0ZUN11 Y CA00398884 B SFY2014-15
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2014-11-19 00:00:00 240011132 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-09-18 00:00:00 2012-09-18 00:00:00 No 2014-12-12 00:00:00 None FTR AE None 100 100 0 100 0 None TLGN11 N CA00327805 C SFY2014-15
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2015-01-14 00:00:00 240011231 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-08-07 00:00:00 2012-08-07 00:00:00 Yes 2015-02-05 00:00:00 2015-01-30 00:00:00 FTR AE None 200 200 0 200 0 None HEOH11 N CA00322086 E SFY2014-15
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2015-01-14 00:00:00 240011232 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-09-14 00:00:00 2012-09-14 00:00:00 Yes 2015-02-05 00:00:00 2015-01-30 00:00:00 FTR AE None 36600 36600 0 36600 0 None LZ5511 N CA00322070 E SFY2014-15
240000100 ARROWHEAD REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2015-01-14 00:00:00 240011233 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-02-01 00:00:00 2012-02-01 00:00:00 No 2015-02-05 00:00:00 None FTR AE None 7200 7200 0 7200 0 None BOTG11 N CA00307680 E SFY2014-15
240001330 DESERT VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2015-01-16 00:00:00 240011238 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2011-06-15 00:00:00 2011-06-15 00:00:00 Yes 2015-06-09 00:00:00 2015-05-20 00:00:00 AP IJ Drop>Deficiency 50000 37500 0 37500 0 None V9FG11 N CA00273525, CA00273525 E, E SFY2014-15
240000053 SAN ANTONIO REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2015-03-02 00:00:00 240011291 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-02-08 00:00:00 2012-02-08 00:00:00 No 2015-03-23 00:00:00 None FTR AE None 32900 32900 0 32900 0 None NX4N11 N CA00300028 E SFY2014-15
240000046 REDLANDS COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2015-03-12 00:00:00 240011324 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2013-08-14 00:00:00 2013-08-14 00:00:00 No 2015-06-09 00:00:00 None AP IJ None 50000 50000 0 50000 0 None L42I11 N CA00388156 E SFY2014-15
240000052 MOUNTAINS COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2015-04-14 00:00:00 240011379 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-10-11 00:00:00 2012-10-11 00:00:00 No 2015-05-05 00:00:00 None FTR BR None 400 400 0 400 0 None TN1V11 None CA00331092 C SFY2014-15
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2015-05-11 00:00:00 240011458 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-08-08 00:00:00 2012-08-08 00:00:00 No 2015-06-02 00:00:00 None FTR AE None 900 900 0 900 0 None BCUJ11 N CA00323738 C SFY2014-15
240000100 ARROWHEAD REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2015-05-11 00:00:00 240011459 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2012-03-03 00:00:00 2012-03-03 00:00:00 No 2015-06-02 00:00:00 None FTR AE None 600 600 0 600 0 None S5KS11 N CA00303297 E SFY2014-15
240000104 PROVIDENCE ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2015-07-10 00:00:00 240011621 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-07-29 00:00:00 2009-07-29 00:00:00 No 2015-11-09 00:00:00 None AP BR None 4250 4250 0 4250 0 None B41911 None CA00201179 E SFY2015-16
240000037 NORTHERN INYO HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2015-08-25 00:00:00 240011692 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2010-08-05 00:00:00 2010-08-05 00:00:00 No 2016-08-01 00:00:00 None AP BR None 6750 6750 -1687.5 5062.5 0 None YHYI11 None CA00371852 E SFY2015-16
240000082 COMMUNITY HOSPITAL OF SAN BERNARDINO Non-LTC GACH General Acute Care Hospital San Bernardino 2015-10-02 00:00:00 240011769 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Rights None 2014-12-26 00:00:00 2014-12-26 00:00:00 No 2015-10-23 00:00:00 None FTR BR None 3800 3800 -950 2850 0 None SZYG11 None CA00432320 C SFY2015-16
240000100 ARROWHEAD REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2016-01-15 00:00:00 240011971 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2014-05-18 00:00:00 2014-05-18 00:00:00 No 2018-01-30 00:00:00 None AP BR None 7500 7500 0 7500 0 None 8LH211 None CA00410428 C SFY2015-16
240000100 ARROWHEAD REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2016-05-17 00:00:00 240012178 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-02-27 00:00:00 2013-02-27 00:00:00 No 2016-06-08 00:00:00 None FTR AE None 700 700 0 700 0 None DMDU11 N CA00347383 E SFY2015-16
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2016-09-13 00:00:00 240012576 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2013-03-20 00:00:00 2013-03-20 00:00:00 No 2016-10-04 00:00:00 None FTR AE None 700 700 0 700 0 None 6I5P11 N CA00350272 E SFY2016-17
240001330 DESERT VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2021-12-03 00:00:00 240017867 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2018-08-09 00:00:00 2018-08-09 00:00:00 No 2022-09-15 00:00:00 None AP BR None 15000 15000 0 15000 0 None WZXZ11 None CA00601876 D SFY2021-22
240000002 BEAR VALLEY COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2021-12-03 00:00:00 240018358 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-03-07 00:00:00 2019-03-07 00:00:00 No 2023-03-02 00:00:00 None AP BR None 5000 5000 -1250 3750 0 None 3TS711 None CA00631039 D SFY2021-22
240000053 SAN ANTONIO REGIONAL HOSPITAL Non-LTC GACH General Acute Care Hospital San Bernardino 2021-12-03 00:00:00 240018578 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-06-26 00:00:00 2018-06-26 00:00:00 Yes 2023-05-03 00:00:00 2023-04-14 00:00:00 AP BR None 15000 15000 0 0 15000 None 82MN11 None CA00596986 D SFY2021-22
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2021-12-03 00:00:00 240018972 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2018-06-27 00:00:00 2018-06-27 00:00:00 No 2023-08-16 00:00:00 None AP BR None 12500 12500 -3125 9375 0 None 5OP811 None CA00598293, CA00598293 D, D SFY2021-22
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2022-02-25 00:00:00 240018981 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-03-08 00:00:00 2019-03-08 00:00:00 No 2023-08-16 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None E7II11 None CA00632135 D SFY2021-22
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2022-08-23 00:00:00 240019333 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach of IT system theft/loss of edevice/med rec None 2021-05-24 00:00:00 2021-05-24 00:00:00 No 2023-12-20 00:00:00 None AP BR None 105000 105000 -26250 78750 0 None M39811 None CA00738910 D SFY2022-23
240000027 LOMA LINDA UNIVERSITY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital San Bernardino 2023-09-19 00:00:00 240019792 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-04-02 00:00:00 2018-04-02 00:00:00 No 2024-04-10 00:00:00 None AP BR None 12500 12500 0 12500 0 None AHHF11 None CA00584119 D SFY2023-24
240000024 KAISER FOUNDATION HOSPITAL FONTANA Non-LTC GACH General Acute Care Hospital San Bernardino 2023-11-28 00:00:00 240020137 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-08-18 00:00:00 2022-08-18 00:00:00 No 2024-06-19 00:00:00 None AP BR None 20000 20000 -5000 15000 0 None 62OG11 None CA00811990 D SFY2023-24
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2007-12-18 00:00:00 250004254 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-05-30 00:00:00 2007-05-30 00:00:00 Yes 2008-01-10 00:00:00 2007-10-29 00:00:00 AP IJ AP IJ 25000 5000 0 5000 0 None 4HCU11 N None None SFY2007-08
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2008-03-12 00:00:00 250004483 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-10-02 00:00:00 2007-10-02 00:00:00 Yes 2008-04-03 00:00:00 2008-03-21 00:00:00 AP IJ AP IJ 25000 5000 0 5000 0 None 8QOU11 N None None SFY2007-08
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2008-03-17 00:00:00 250004852 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-12-12 00:00:00 2007-12-12 00:00:00 No 2008-04-08 00:00:00 None FTR AE None 3100 3100 0 3100 0 None PGC711 N CA00138106 B SFY2007-08
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2008-03-17 00:00:00 250004891 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-01-11 00:00:00 2008-01-11 00:00:00 No 2008-04-08 00:00:00 None FTR AE None 900 900 0 900 0 None B9XZ11 N CA00139016 C SFY2007-08
250000101 SAN GORGONIO MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2008-08-18 00:00:00 250005108 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-01-24 00:00:00 2008-01-24 00:00:00 Yes 2008-09-09 00:00:00 2008-08-22 00:00:00 AP IJ AP IJ 25000 18750 0 18750 0 None 1B2U11 N CA00138472, CA00138472 C, C SFY2008-09
250000101 SAN GORGONIO MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2008-08-18 00:00:00 250005109 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2008-02-28 00:00:00 2008-02-28 00:00:00 Yes 2008-09-09 00:00:00 2008-08-22 00:00:00 AP IJ AP IJ 25000 18750 0 18750 0 None 1B2U11 N CA00138472 C SFY2008-09
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2008-11-04 00:00:00 250005570 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-12-02 00:00:00 2007-12-02 00:00:00 No 2008-11-26 00:00:00 None FTR AE None 18100 18100 0 18100 0 None OD8C11 N CA00152201 C SFY2008-09
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2008-11-04 00:00:00 250005572 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-05-05 00:00:00 2008-05-05 00:00:00 No 2008-11-26 00:00:00 None FTR AE None 8300 8300 0 8300 0 None RRTR11 N CA00158799 C SFY2008-09
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2008-11-04 00:00:00 250005578 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-07-05 00:00:00 2008-07-05 00:00:00 No 2008-11-26 00:00:00 None FTR AE None 100 100 0 100 0 None SWVR11 N CA00156646 C SFY2008-09
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2008-11-07 00:00:00 250005595 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2007-11-19 00:00:00 2007-11-19 00:00:00 No 2008-12-03 00:00:00 None FTR AE None 22700 22700 0 22700 0 None 3TZ111 N CA00141059 C SFY2008-09
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-08-31 00:00:00 250006195 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) Staffing 2008-06-06 00:00:00 2008-06-06 00:00:00 Yes 2009-09-22 00:00:00 2009-09-03 00:00:00 AP IJ AP IJ 25000 5000 0 5000 0 None WJMG11 N CA00146788 C SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-09-16 00:00:00 250006559 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2008-08-04 00:00:00 2008-08-04 00:00:00 Yes 2009-10-07 00:00:00 2010-01-28 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None 96D811 N CA00158812, CA00158976 B, C SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-09-16 00:00:00 250006564 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-08-04 00:00:00 2008-08-04 00:00:00 Yes 2009-10-07 00:00:00 2010-01-28 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None 96D811 N CA00158812, CA00159980 B, C SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-09-16 00:00:00 250006565 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-08-04 00:00:00 2008-08-04 00:00:00 Yes 2009-10-07 00:00:00 2010-01-28 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None 96D811 N CA00158812 B SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-09-16 00:00:00 250006566 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2008-08-04 00:00:00 2008-08-04 00:00:00 Yes 2009-10-07 00:00:00 2010-01-28 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None 96D811 N CA00158812 B SFY2009-10
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2009-12-08 00:00:00 250006761 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2009-07-14 00:00:00 2009-07-14 00:00:00 No 2009-12-30 00:00:00 None AP IJ None 50000 50000 0 50000 0 None UR9O11 N CA00195114 C SFY2009-10
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2010-01-05 00:00:00 250006888 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2009-10-28 00:00:00 2009-10-28 00:00:00 Yes 2010-01-28 00:00:00 2010-04-22 00:00:00 AP IJ AP IJ 100000 100000 0 100000 0 None E4O411 N CA00206439 B SFY2009-10
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2010-01-14 00:00:00 250006921 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2009-08-12 00:00:00 2009-08-12 00:00:00 Yes 2010-02-08 00:00:00 2010-04-22 00:00:00 AP IJ AP IJ 50000 50000 0 50000 0 None DLPF11 N CA00196406, CA00196406, CA00196406 C, C, C SFY2009-10
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2010-01-14 00:00:00 250006922 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2009-09-03 00:00:00 2009-09-03 00:00:00 Yes 2010-02-08 00:00:00 2010-04-22 00:00:00 AP IJ AP IJ 75000 75000 0 75000 0 None UNQN11 N CA00200713 B SFY2009-10
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2010-03-09 00:00:00 250007028 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-08-08 00:00:00 2009-08-08 00:00:00 No 2010-03-30 00:00:00 None FTR AE None 100 100 0 100 0 None W8EN11 N CA00198553 C SFY2009-10
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-04-16 00:00:00 250007134 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-05-21 00:00:00 2008-05-21 00:00:00 No 2009-05-07 00:00:00 None AP IJ None 25000 25000 0 25000 0 None CWRH11 N CA00151535 C SFY2008-09
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2010-05-14 00:00:00 250007223 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-09-04 00:00:00 2008-09-04 00:00:00 No 2010-06-07 00:00:00 None FTR AE None 5600 5600 0 5600 0 None HGU011 N CA00167548, CA00168523 C, C SFY2009-10
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2010-05-14 00:00:00 250007224 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-08-29 00:00:00 2008-08-29 00:00:00 Yes 2010-06-07 00:00:00 2010-05-27 00:00:00 FTR AE None 3500 3500 0 3500 0 None 8CT311 N CA00165807 C SFY2009-10
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2010-06-17 00:00:00 250007318 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-11-27 00:00:00 2008-11-27 00:00:00 No 2010-07-08 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 23ZE11 N CA00171381 C SFY2009-10
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2010-06-17 00:00:00 250007319 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-12-05 00:00:00 2008-12-05 00:00:00 No 2010-07-08 00:00:00 None FTR AE None 500 500 0 500 0 None 23ZE11 N CA00171381 C SFY2009-10
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2010-07-16 00:00:00 250007399 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-12-02 00:00:00 2008-12-02 00:00:00 No 2010-08-09 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 41GT11 N CA00172529 C SFY2010-11
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2010-07-20 00:00:00 250007412 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-11-03 00:00:00 2008-11-03 00:00:00 No 2010-08-10 00:00:00 None FTR AE None 3200 3200 0 3200 0 None N27711 N CA00171903 C SFY2010-11
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2010-07-21 00:00:00 250007415 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-06-29 00:00:00 2009-06-29 00:00:00 No 2010-08-11 00:00:00 None FTR AE None 200 200 0 200 0 None K9H811 N CA00194167 C SFY2010-11
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2010-07-21 00:00:00 250007418 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-12-17 00:00:00 2008-12-17 00:00:00 Yes 2010-08-11 00:00:00 2010-07-29 00:00:00 FTR AE None 1400 1400 0 1400 0 None D96711 N CA00173887 C SFY2010-11
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2011-03-21 00:00:00 250008053 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-06-22 00:00:00 2009-06-22 00:00:00 No 2011-09-29 00:00:00 None AP IJ None 50000 50000 0 50000 0 None QJ0911 N CA00201465, CA00205916 C, C SFY2010-11
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2011-04-07 00:00:00 250008127 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-11-16 00:00:00 2009-11-16 00:00:00 No 2011-04-28 00:00:00 None FTR AE None 400 400 0 400 0 None 682H11 N CA00207916 C SFY2010-11
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2010-04-15 00:00:00 250008160 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-07-09 00:00:00 2009-07-09 00:00:00 No 2010-05-06 00:00:00 None FTR AE None 200 200 0 200 0 None 6DFB11 N CA00195325 C SFY2009-10
250000048 PACIFIC GROVE HOSPITAL Non-LTC APH Acute Psychiatric Hospital Riverside 2010-04-15 00:00:00 250008161 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-09-30 00:00:00 2008-09-30 00:00:00 No 2010-05-06 00:00:00 None FTR AE None 1600 1600 0 1600 0 None EJQ911 N CA00167005 C SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2011-05-18 00:00:00 250008263 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-10-07 00:00:00 2009-10-07 00:00:00 No 2011-06-09 00:00:00 None FTR AE None 100 100 0 100 0 None RBQI11 N CA00204865 C SFY2010-11
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2011-06-09 00:00:00 250008303 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-03-19 00:00:00 2008-03-19 00:00:00 Yes 2011-06-30 00:00:00 2011-06-22 00:00:00 FTR AE None 2400 2400 0 0 2400 None JSZZ11 Y CA00147125 C SFY2010-11
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2011-06-14 00:00:00 250008305 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-09-28 00:00:00 2010-09-28 00:00:00 No 2011-07-06 00:00:00 None FTR AE None 100 100 0 100 0 None 3LS811 N CA00244986 C SFY2010-11
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2011-06-14 00:00:00 250008307 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-08-06 00:00:00 2010-08-06 00:00:00 No 2011-07-06 00:00:00 None FTR AE None 300 300 0 300 0 None II3G11 N CA00238993 E SFY2010-11
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2011-07-21 00:00:00 250008402 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-10-19 00:00:00 2008-10-19 00:00:00 No 2011-08-11 00:00:00 None FTR AE None 1100 1100 0 1100 0 None N75V11 N CA00168573 C SFY2011-12
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2011-08-01 00:00:00 250008432 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-11-06 00:00:00 2009-11-06 00:00:00 Yes 2011-08-22 00:00:00 2011-08-09 00:00:00 FTR AE None 1900 1900 0 1900 0 None PDZ011 N CA00209628 C SFY2011-12
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2011-09-07 00:00:00 250008553 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-08-06 00:00:00 2010-08-06 00:00:00 No 2011-09-29 00:00:00 None FTR BR None 300 300 0 300 0 None II3G11 None CA00238993 E SFY2011-12
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2011-10-25 00:00:00 250008663 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-10-22 00:00:00 2010-10-22 00:00:00 No 2011-11-16 00:00:00 None FTR BR None 1000 1000 0 1000 0 None SQIV11 None CA00248574 C SFY2011-12
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2011-10-25 00:00:00 250008664 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-10-22 00:00:00 2010-10-22 00:00:00 No 2011-11-16 00:00:00 None FTR RES None 1000 1000 -250 750 0 None SQIV11 None CA00248574 C SFY2011-12
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2011-01-11 00:00:00 250008905 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-04-19 00:00:00 2010-04-19 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 100000 100000 0 100000 0 None LID811 Y CA00226479, CA00250406 B, C SFY2010-11
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2012-02-13 00:00:00 250009015 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2010-10-29 00:00:00 2010-10-29 00:00:00 Yes 2012-09-20 00:00:00 2012-09-04 00:00:00 AP IJ AP IJ 50000 35000 0 35000 0 None X0XG11 N CA00247960 C SFY2011-12
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2013-03-13 00:00:00 250009787 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-09-14 00:00:00 2011-09-14 00:00:00 No 2013-04-04 00:00:00 None FTR AE None 200 200 0 200 0 None QC1O11 N CA00284226 C SFY2012-13
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2013-03-13 00:00:00 250009788 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-07-22 00:00:00 2011-07-22 00:00:00 No 2013-04-04 00:00:00 None FTR AE None 1600 1600 0 1600 0 None VK2011 N CA00279353 C SFY2012-13
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2013-03-13 00:00:00 250009790 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-08-16 00:00:00 2011-08-16 00:00:00 No 2013-04-04 00:00:00 None FTR AE None 100 100 0 100 0 None HYO511 N CA00280542 C SFY2012-13
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2013-05-01 00:00:00 250009869 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-07-31 00:00:00 2009-07-31 00:00:00 No 2013-05-22 00:00:00 None FTR AE None 600 600 0 600 0 None G8JE11 N CA00198214 C SFY2012-13
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2013-05-01 00:00:00 250009870 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-07-31 00:00:00 2009-07-31 00:00:00 No 2013-05-22 00:00:00 None FTR BR None 500 500 0 500 0 None G8JE11 None CA00198214 C SFY2012-13
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2013-05-02 00:00:00 250009873 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-04-15 00:00:00 2009-04-15 00:00:00 No 2013-05-23 00:00:00 None FTR AE None 300 300 0 300 0 None 1XBQ11 N CA00185910 C SFY2012-13
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2013-05-02 00:00:00 250009875 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-03-23 00:00:00 2009-03-23 00:00:00 No 2013-05-23 00:00:00 None FTR BR None 1100 1100 0 1100 0 None 5EJ511 None CA00184208 C SFY2012-13
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2013-05-02 00:00:00 250009876 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-03-23 00:00:00 2009-03-23 00:00:00 No 2013-05-23 00:00:00 None FTR BR None 1200 1200 0 1200 0 None 5EJ511 None CA00184208 C SFY2012-13
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2013-06-20 00:00:00 250009960 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2011-04-15 00:00:00 2011-04-15 00:00:00 No 2014-02-10 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None PF6Y11 None CA00267889 C SFY2012-13
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2013-07-10 00:00:00 250010004 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-11-14 00:00:00 2011-11-14 00:00:00 Yes 2013-07-31 00:00:00 2013-07-22 00:00:00 FTR AE None 1900 1900 0 1900 0 None G7K011 N CA00292296 C SFY2013-14
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2013-07-17 00:00:00 250010017 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-11-09 00:00:00 2012-11-09 00:00:00 No 2013-08-07 00:00:00 None FTR AE None 6200 6200 0 6200 0 None 0ZQJ11 N CA00339767 C SFY2013-14
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2013-07-23 00:00:00 250010022 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-01-07 00:00:00 2012-01-07 00:00:00 No 2013-08-13 00:00:00 None FTR AE None 100 100 0 100 0 None UQ4211 N CA00296420 C SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2013-07-24 00:00:00 250010025 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-08-16 00:00:00 2011-08-16 00:00:00 No 2013-08-14 00:00:00 None FTR AE None 100 100 0 100 0 None 1OMG11 N CA00280536 C SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-01-24 00:00:00 250010027 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-02-11 00:00:00 2011-02-11 00:00:00 No 2014-02-14 00:00:00 None FTR AE None 10700 10700 0 10700 0 None OC7H11 N CA00271610 C SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2013-07-24 00:00:00 250010031 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-07-25 00:00:00 2011-07-25 00:00:00 No 2013-08-14 00:00:00 None FTR AE None 1800 1800 0 1800 0 None SODO11 N CA00280452 C SFY2013-14
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2013-10-04 00:00:00 250010033 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-02-01 00:00:00 2013-02-01 00:00:00 No 2013-10-25 00:00:00 None FTR BR None 300 300 -75 225 0 None 493I11 None CA00343125 C SFY2013-14
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2013-07-25 00:00:00 250010034 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-01-03 00:00:00 2012-01-03 00:00:00 No 2013-08-15 00:00:00 None FTR AE None 400 400 0 400 0 None JOSS11 N CA00295944 C SFY2013-14
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2013-07-29 00:00:00 250010046 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-11-21 00:00:00 2012-11-21 00:00:00 No 2013-08-19 00:00:00 None FTR AE None 1100 1100 0 1100 0 None 099011 N CA00335708 C SFY2013-14
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2013-10-09 00:00:00 250010056 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-02-11 00:00:00 2013-02-11 00:00:00 No 2013-10-30 00:00:00 None FTR BR None 200 200 0 200 0 None HJCI11 None CA00344111 C SFY2013-14
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2013-10-07 00:00:00 250010108 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-02-01 00:00:00 2013-02-01 00:00:00 No 2013-10-28 00:00:00 None FTR BR None 300 300 -75 225 0 None 493I11 None CA00343125 C SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2013-10-03 00:00:00 250010182 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-09-21 00:00:00 2011-09-21 00:00:00 No 2013-10-24 00:00:00 None FTR AE None 12100 12100 0 12100 0 None Q6PY11 N CA00296116 C SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2013-10-03 00:00:00 250010185 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-09-19 00:00:00 2011-09-19 00:00:00 No 2013-10-24 00:00:00 None FTR AE None 11100 11100 0 11100 0 None Q6PY11 N CA00296116 C SFY2013-14
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2013-10-09 00:00:00 250010194 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2013-02-11 00:00:00 2013-02-11 00:00:00 No 2013-10-30 00:00:00 None FTR RES None 300 300 0 300 0 None HJCI11 None CA00344111 C SFY2013-14
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2013-10-11 00:00:00 250010200 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-09-20 00:00:00 2012-09-20 00:00:00 Yes 2013-11-01 00:00:00 2013-10-24 00:00:00 FTR BR None 2900 2900 0 0 2900 None G4X111 None None None SFY2013-14
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2013-10-14 00:00:00 250010205 Open Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-09-20 00:00:00 2012-09-20 00:00:00 Yes 2013-11-04 00:00:00 2013-10-24 00:00:00 FTR RES None 2900 2900 0 0 2900 None G4X111 None CA00331058 C SFY2013-14
250000101 SAN GORGONIO MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-01-15 00:00:00 250010378 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2012-11-28 00:00:00 2012-11-28 00:00:00 No 2014-02-06 00:00:00 None FTR AE None 400 400 0 400 0 None N1FW11 Y CA00335502 B SFY2013-14
250000727 MENIFEE GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-01-23 00:00:00 250010384 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-01-23 00:00:00 2012-01-23 00:00:00 No 2014-02-13 00:00:00 None FTR BR None 400 400 0 400 0 None 3VH211 None CA00298137 C SFY2013-14
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-02-05 00:00:00 250010444 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2012-10-15 00:00:00 2012-10-15 00:00:00 No 2014-02-27 00:00:00 None FTR RES None 900 900 0 900 0 None MTK811 None CA00331182 E SFY2013-14
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-03-07 00:00:00 250010454 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2012-10-15 00:00:00 2012-10-15 00:00:00 No 2014-03-28 00:00:00 None FTR BR None 900 900 0 900 0 None MTK811 None CA00331182 E SFY2013-14
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-03-06 00:00:00 250010522 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2010-09-29 00:00:00 2010-09-29 00:00:00 No 2014-05-22 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 05XK11 Y CA00244689 C SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-03-06 00:00:00 250010524 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2010-08-21 00:00:00 2010-08-21 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 100000 100000 0 100000 0 None SJW411 N CA00240375 B SFY2013-14
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-03-21 00:00:00 250010565 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2013-07-11 00:00:00 2013-07-11 00:00:00 Yes 2014-04-14 00:00:00 2014-04-04 00:00:00 FTR BR None 100 100 0 0 100 None MC3H11 None CA00362726 D SFY2013-14
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-03-21 00:00:00 250010566 Open Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-07-11 00:00:00 2013-07-11 00:00:00 Yes 2014-04-14 00:00:00 2014-04-04 00:00:00 FTR RES None 100 100 0 0 100 None MC3H11 None CA00362726 D SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-04-03 00:00:00 250010599 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2010-08-19 00:00:00 2010-08-19 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 100000 100000 0 100000 0 None 0F9311 N CA00240276, CA00240382 B, B SFY2013-14
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-04-09 00:00:00 250010608 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-09-14 00:00:00 2013-09-14 00:00:00 No 2014-04-30 00:00:00 None FTR BR None 300 300 0 300 0 None CP0L11 None CA00370963 D SFY2013-14
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-04-09 00:00:00 250010609 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-09-14 00:00:00 2013-09-14 00:00:00 No 2014-04-30 00:00:00 None FTR RES None 200 200 0 200 0 None CP0L11 None CA00370963 D SFY2013-14
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-04-09 00:00:00 250010611 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2013-06-18 00:00:00 2013-06-18 00:00:00 No 2014-04-30 00:00:00 None FTR BR None 1500 1500 0 1500 0 None YDT911 None CA00361453 D SFY2013-14
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-04-09 00:00:00 250010612 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2013-06-18 00:00:00 2013-06-18 00:00:00 No 2014-04-30 00:00:00 None FTR RES None 2400 2400 0 2400 0 None YDT911 None CA00361453 D SFY2013-14
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-04-10 00:00:00 250010613 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-06-05 00:00:00 2013-06-05 00:00:00 No 2014-05-01 00:00:00 None FTR BR None 900 900 -225 675 0 None HIWI11 None CA00359526 D SFY2013-14
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-04-10 00:00:00 250010614 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2013-06-05 00:00:00 2013-06-05 00:00:00 No 2014-05-01 00:00:00 None FTR RES None 900 900 -225 675 0 None HIWI11 None CA00359526 D SFY2013-14
630014442 TEMECULA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-04-10 00:00:00 250010616 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2013-12-23 00:00:00 2013-12-23 00:00:00 No 2014-05-01 00:00:00 None FTR RES None 900 900 0 900 0 None 8E2N11 None CA00381459 D SFY2013-14
250000727 MENIFEE GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-08-07 00:00:00 250010630 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2012-01-23 00:00:00 2012-01-23 00:00:00 No 2014-08-28 00:00:00 None FTR RES None 400 400 -100 300 0 None 3VH211 None CA00298137 C SFY2014-15
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-05-06 00:00:00 250010709 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2010-10-10 00:00:00 2010-10-10 00:00:00 Yes 2014-08-15 00:00:00 2014-07-31 00:00:00 AP IJ AP IJ 75000 80000 0 80000 0 None Z89711 N CA00245659 B SFY2013-14
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2014-05-07 00:00:00 250010712 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-04-29 00:00:00 2011-04-29 00:00:00 Yes 2014-08-15 00:00:00 2014-08-01 00:00:00 AP IJ Drop>Deficiency 50000 15000 0 15000 0 None MH3U11 N CA00268068 C SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-05-08 00:00:00 250010718 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2012-01-01 00:00:00 2012-01-01 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 100000 100000 0 100000 0 None EKED11 N CA00298458 C SFY2013-14
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-05-09 00:00:00 250010721 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2011-02-18 00:00:00 2011-02-18 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 100000 100000 0 100000 0 None BGKC11 Y CA00259865, CA00260367 C, C SFY2013-14
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-07-24 00:00:00 250010729 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2012-03-19 00:00:00 2012-03-19 00:00:00 Yes 2014-08-15 00:00:00 2014-07-31 00:00:00 AP IJ AP IJ 100000 45000 0 45000 0 None EGKN11 N CA00309249 C SFY2014-15
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-06-26 00:00:00 250010834 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2013-10-13 00:00:00 2013-10-13 00:00:00 No 2014-07-18 00:00:00 None FTR RES None 600 600 -150 450 0 None FYY511 None CA00374781 D SFY2013-14
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-07-08 00:00:00 250010853 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-10-13 00:00:00 2013-10-13 00:00:00 No 2014-07-29 00:00:00 None FTR BR None 600 600 -150 450 0 None FYY511 None CA00374781 D SFY2014-15
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-08-08 00:00:00 250010925 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2011-01-15 00:00:00 2011-01-15 00:00:00 No 2015-03-05 00:00:00 None AP IJ None 100000 100000 0 100000 0 None LCRP11 N CA00283972 B SFY2014-15
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-08-11 00:00:00 250010926 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-10-06 00:00:00 2011-10-06 00:00:00 Yes 2015-03-05 00:00:00 2015-02-23 00:00:00 AP IJ AP IJ 100000 77250 0 77250 0 None YXPK11 Y CA00286109 B SFY2014-15
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-08-15 00:00:00 250010938 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach of IT system theft/loss of edevice/med rec None 2010-05-20 00:00:00 2010-05-20 00:00:00 No 2014-09-08 00:00:00 None FTR RES None 2000 2000 0 2000 0 None J0OH11 None CA00221959, CA00223859, CA00230105, CA00230112 C, C, C, C SFY2014-15
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-08-27 00:00:00 250010939 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-06-11 00:00:00 2009-06-11 00:00:00 No 2014-09-18 00:00:00 None FTR AE None 1200 1200 0 1200 0 None NV5S11 N CA00193661 C SFY2014-15
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-10-01 00:00:00 250011042 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-03-26 00:00:00 2008-03-26 00:00:00 No 2014-10-22 00:00:00 None FTR AE None 35400 35400 0 35400 0 None VLCJ11 N CA00182159 B SFY2014-15
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2014-10-24 00:00:00 250011088 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-02-04 00:00:00 2009-02-04 00:00:00 No 2014-11-17 00:00:00 None FTR BR None 15000 15000 -3750 11250 0 None 4XMO11 None CA00194629 C SFY2014-15
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2014-10-24 00:00:00 250011089 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2009-02-04 00:00:00 2009-02-04 00:00:00 No 2014-11-17 00:00:00 None FTR RES None 14400 14400 -3600 10800 0 None 4XMO11 None CA00194629 C SFY2014-15
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-10-28 00:00:00 250011095 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-07-18 00:00:00 2013-07-18 00:00:00 No 2014-11-19 00:00:00 None FTR BR None 600 600 0 600 0 None OOXU11 None CA00364451 D SFY2014-15
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-10-28 00:00:00 250011096 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2013-07-18 00:00:00 2013-07-18 00:00:00 No 2014-11-19 00:00:00 None FTR RES None 600 600 0 600 0 None OOXU11 None CA00364451 D SFY2014-15
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2015-02-19 00:00:00 250011136 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events Pressure ulcer 2009-03-30 00:00:00 2009-03-30 00:00:00 No 2015-03-12 00:00:00 None FTR AE None 1000 1000 0 1000 0 None X2ML11 N CA00184723 C SFY2014-15
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2015-03-03 00:00:00 250011197 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-05-29 00:00:00 2013-05-29 00:00:00 No 2015-03-24 00:00:00 None FTR AE None 1500 1500 0 1500 0 None RFDN11 N CA00359108 C SFY2014-15
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2015-03-13 00:00:00 250011198 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-05-20 00:00:00 2013-05-20 00:00:00 No 2015-04-06 00:00:00 None FTR AE None 2400 2400 0 2400 0 None RFDN11 N CA00359108 C SFY2014-15
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2014-12-23 00:00:00 250011201 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-06-30 00:00:00 2013-06-30 00:00:00 No 2015-01-15 00:00:00 None FTR BR None 5000 5000 0 5000 0 None XLVP11 None CA00369310 D SFY2014-15
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2015-01-08 00:00:00 250011218 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach of IT system theft/loss of edevice/med rec None 2012-12-11 00:00:00 2012-12-11 00:00:00 No 2015-01-30 00:00:00 None FTR BR None 300 300 0 300 0 None IAKR11 None CA00337247 C SFY2014-15
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2015-01-12 00:00:00 250011228 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2012-12-11 00:00:00 2012-12-11 00:00:00 No 2015-02-03 00:00:00 None FTR RES None 300 300 0 300 0 None IAKR11 None CA00337247 C SFY2014-15
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-04-24 00:00:00 250011419 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2013-06-30 00:00:00 2013-06-30 00:00:00 No 2015-05-15 00:00:00 None FTR RES None 5000 5000 0 5000 0 None XLVP11 None CA00369310 D SFY2014-15
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-04-24 00:00:00 250011420 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2014-07-29 00:00:00 2014-07-29 00:00:00 No 2015-05-15 00:00:00 None FTR BR None 1000 1000 -250 750 0 None WX9U11 None CA00409626 D SFY2014-15
630014442 TEMECULA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-06 00:00:00 250011444 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2013-10-27 00:00:00 2013-10-27 00:00:00 No 2015-05-28 00:00:00 None FTR BR None 2000 2000 0 2000 0 None 370Y11 None CA00377895 D SFY2014-15
630014442 TEMECULA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-06 00:00:00 250011445 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2013-10-27 00:00:00 2013-10-27 00:00:00 No 2015-05-28 00:00:00 None FTR RES None 1800 1800 0 1800 0 None 370Y11 None CA00377895 D SFY2014-15
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-06 00:00:00 250011446 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-02-15 00:00:00 2014-02-15 00:00:00 No 2015-05-28 00:00:00 None FTR AE None 600 600 0 600 0 None H2L511 N CA00389250 D SFY2014-15
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-06 00:00:00 250011448 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-01-14 00:00:00 2008-01-14 00:00:00 No 2015-05-28 00:00:00 None FTR AE None 31800 31800 0 31800 0 None Z4M611 N CA00267796 C SFY2014-15
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-06 00:00:00 250011449 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-02-19 00:00:00 2014-02-19 00:00:00 No 2015-05-28 00:00:00 None FTR AE None 8000 8000 0 8000 0 None ZDAD11 N CA00398669 C SFY2014-15
250000727 MENIFEE GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-05-06 00:00:00 250011450 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-05-02 00:00:00 2014-05-02 00:00:00 No 2015-05-28 00:00:00 None FTR AE None 4400 4400 0 4400 0 None N7NS11 N CA00396417 C SFY2014-15
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-06 00:00:00 250011454 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2014-01-20 00:00:00 2014-01-20 00:00:00 No 2015-05-28 00:00:00 None FTR BR None 4400 4400 -1100 3300 0 None 0CBJ11 None CA00391038 D SFY2014-15
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-06 00:00:00 250011455 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2014-01-20 00:00:00 2014-01-20 00:00:00 No 2015-05-28 00:00:00 None FTR RES None 4400 4400 -1100 3300 0 None 0CBJ11 None CA00391038 D SFY2014-15
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2015-05-07 00:00:00 250011456 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-09-16 00:00:00 2009-09-16 00:00:00 No 2015-05-29 00:00:00 None FTR AE None 800 800 0 800 0 None 3P4511 N CA00203451 C SFY2014-15
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2015-05-07 00:00:00 250011457 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-12-03 00:00:00 2014-12-03 00:00:00 No 2015-05-29 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 29QG11 N CA00424188 C SFY2014-15
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2015-05-13 00:00:00 250011474 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-05-29 00:00:00 2014-05-29 00:00:00 No 2015-06-04 00:00:00 None FTR AE None 800 800 0 800 0 None 5MWU11 N CA00401603 C SFY2014-15
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-05-13 00:00:00 250011475 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-02-07 00:00:00 2013-02-07 00:00:00 No 2015-06-04 00:00:00 None FTR AE None 3000 3000 0 3000 0 None F9L411 N CA00347163 C SFY2014-15
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-19 00:00:00 250011483 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-07-01 00:00:00 2014-07-01 00:00:00 No 2015-06-10 00:00:00 None FTR AE None 1100 1100 0 1100 0 None 61YE11 N CA00406042 C SFY2014-15
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-05-19 00:00:00 250011484 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-05-08 00:00:00 2014-05-08 00:00:00 No 2015-06-10 00:00:00 None FTR AE None 1400 1400 0 1400 0 None 45SH11 N CA00399716 C SFY2014-15
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2015-05-19 00:00:00 250011485 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-04-29 00:00:00 2014-04-29 00:00:00 No 2015-06-10 00:00:00 None FTR AE None 400 400 0 400 0 None BLFL11 N CA00397790 C SFY2014-15
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-05-20 00:00:00 250011486 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2013-12-18 00:00:00 2013-12-18 00:00:00 No 2015-06-11 00:00:00 None FTR AE None 1000 1000 0 1000 0 None 261H11 N CA00382322 C SFY2014-15
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2015-05-19 00:00:00 250011487 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2011-07-08 00:00:00 2011-07-08 00:00:00 Yes 2015-06-10 00:00:00 2015-06-05 00:00:00 FTR AE FTR AE 85200 60000 0 60000 0 None 1ZI411 N CA00376547 C SFY2014-15
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-05-19 00:00:00 250011488 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-06-11 00:00:00 2014-06-11 00:00:00 No 2015-06-10 00:00:00 None FTR AE None 6000 6000 0 6000 0 None HK5Q11 N CA00409642 C SFY2014-15
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-05-19 00:00:00 250011489 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-07-08 00:00:00 2014-07-08 00:00:00 No 2015-06-10 00:00:00 None FTR AE None 6100 6100 0 6100 0 None JYLO11 N CA00412997 C SFY2014-15
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-05-20 00:00:00 250011490 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2014-12-29 00:00:00 2014-12-29 00:00:00 No 2015-06-11 00:00:00 None FTR AE None 1100 1100 0 1100 0 None GB2U11 N CA00427150 C SFY2014-15
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2015-05-20 00:00:00 250011492 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2015-01-08 00:00:00 2015-01-08 00:00:00 No 2015-06-11 00:00:00 None FTR BR None 1400 1400 -350 1050 0 None 18VJ11 None CA00432023 C SFY2014-15
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-05-20 00:00:00 250011496 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2014-09-25 00:00:00 2014-09-25 00:00:00 No 2015-06-11 00:00:00 None FTR RES None 6000 6000 0 6000 0 None I2CT11 None CA00418458 D SFY2014-15
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-05-20 00:00:00 250011497 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2014-09-25 00:00:00 2014-09-25 00:00:00 No 2015-06-11 00:00:00 None FTR BR None 2600 2600 0 2600 0 None I2CT11 None CA00418458 D SFY2014-15
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2015-05-20 00:00:00 250011498 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2015-01-08 00:00:00 2015-01-08 00:00:00 No 2015-06-11 00:00:00 None FTR RES None 1400 1400 -350 1050 0 None ZM5F11 None CA00431363 B SFY2014-15
630010561 MAGNOLIA WEST DIALYSIS Non-LTC ESRD/CDC Chronic Dialysis Clinic Riverside 2015-05-20 00:00:00 250011499 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2014-05-16 00:00:00 2014-05-16 00:00:00 No 2015-06-11 00:00:00 None FTR BR None 300 300 -75 225 0 None EXAW11 None CA00400177 D SFY2014-15
630011694 CANYON SPRINGS DIALYSIS Non-LTC ESRD/CDC Chronic Dialysis Clinic Riverside 2015-05-21 00:00:00 250011501 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2014-05-16 00:00:00 2014-05-16 00:00:00 No 2015-06-12 00:00:00 None FTR BR None 300 300 -75 225 0 None 7L9U11 None CA00400172, CA00400172 D, D SFY2014-15
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-07-09 00:00:00 250011610 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2009-03-28 00:00:00 2009-03-28 00:00:00 No 2015-07-30 00:00:00 None FTR BR None 2000 2000 -500 1500 0 None PDWZ11 None CA00185963 C SFY2015-16
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-07-09 00:00:00 250011612 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-02-22 00:00:00 2010-02-22 00:00:00 No 2015-07-30 00:00:00 None FTR AE None 300 300 0 300 0 None FTUF11 N CA00220162 B SFY2015-16
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-07-09 00:00:00 250011616 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-05-26 00:00:00 2010-05-26 00:00:00 No 2015-07-30 00:00:00 None FTR AE None 200 200 0 200 0 None 5VQ011 N CA00231003 C SFY2015-16
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-07-09 00:00:00 250011619 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-06-15 00:00:00 2010-06-15 00:00:00 No 2015-07-30 00:00:00 None FTR AE None 200 200 0 200 0 None R32N11 N CA00233237 C SFY2015-16
250000048 PACIFIC GROVE HOSPITAL Non-LTC APH Acute Psychiatric Hospital Riverside 2015-08-25 00:00:00 250011691 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2012-05-31 00:00:00 2012-05-31 00:00:00 No 2015-09-16 00:00:00 None FTR BR None 1300 1300 -1300 0 0 None WIEX11 None CA00314988 C SFY2015-16
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-09-03 00:00:00 250011708 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-03-26 00:00:00 2015-03-26 00:00:00 No 2015-09-25 00:00:00 None FTR AE None 600 600 0 600 0 None AL0F11 N CA00437783 C SFY2015-16
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-09-03 00:00:00 250011709 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-04-20 00:00:00 2015-04-20 00:00:00 No 2015-09-25 00:00:00 None FTR AE None 500 500 0 500 0 None VHQO11 N CA00441167 C SFY2015-16
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-09-04 00:00:00 250011711 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-02-19 00:00:00 2015-02-19 00:00:00 No 2015-09-28 00:00:00 None FTR AE None 100 100 0 100 0 None BPBI11 N CA00432937 C SFY2015-16
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-09-11 00:00:00 250011718 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-06-02 00:00:00 2009-06-02 00:00:00 No 2015-10-02 00:00:00 None FTR AE None 300 300 0 300 0 None 87U411 N CA00191455 C SFY2015-16
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-09-11 00:00:00 250011719 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2010-11-04 00:00:00 2010-11-04 00:00:00 No 2015-10-02 00:00:00 None FTR AE None 3500 3500 0 3500 0 None MYSW11 N CA00252225 C SFY2015-16
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2015-09-17 00:00:00 250011729 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-05-20 00:00:00 2015-05-20 00:00:00 No 2015-10-08 00:00:00 None FTR AE None 700 700 0 700 0 None 36FI11 N CA00444960 C SFY2015-16
250000048 PACIFIC GROVE HOSPITAL Non-LTC APH Acute Psychiatric Hospital Riverside 2015-09-18 00:00:00 250011731 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2012-05-31 00:00:00 2012-05-31 00:00:00 No 2015-10-09 00:00:00 None FTR RES None 600 600 -600 0 0 None WIEX11 None CA00314988 C SFY2015-16
250000042 PALO VERDE HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-09-18 00:00:00 250011732 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2013-12-26 00:00:00 2013-12-26 00:00:00 No 2015-10-09 00:00:00 None FTR BR None 6100 6100 -1525 4575 0 None YH7E11 None CA00389818, CA00390076 D, D SFY2015-16
250000042 PALO VERDE HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-09-18 00:00:00 250011734 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2013-12-26 00:00:00 2013-12-26 00:00:00 No 2015-10-09 00:00:00 None FTR RES None 5400 5400 -1350 4050 0 None YH7E11 None CA00389818, CA00390076 D, D SFY2015-16
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-09-22 00:00:00 250011744 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-07-06 00:00:00 2015-07-06 00:00:00 No 2015-10-13 00:00:00 None FTR AE None 1300 1300 0 1300 0 None VNWV11 N CA00451850 C SFY2015-16
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-09-24 00:00:00 250011745 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-05-21 00:00:00 2015-05-21 00:00:00 No 2015-10-15 00:00:00 None FTR AE None 200 200 0 200 0 None 90PN11 N CA00444643 C SFY2015-16
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2015-09-29 00:00:00 250011764 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-08-13 00:00:00 2015-08-13 00:00:00 No 2015-10-20 00:00:00 None FTR AE None 1600 1600 0 1600 0 None X0RO11 N CA00454719 C SFY2015-16
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2015-09-29 00:00:00 250011765 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2014-09-23 00:00:00 2014-09-23 00:00:00 No 2015-10-20 00:00:00 None FTR AE None 10200 10200 0 10200 0 None RMKE11 N CA00423152 C SFY2015-16
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-10-02 00:00:00 250011770 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2014-07-19 00:00:00 2014-07-19 00:00:00 No 2015-10-23 00:00:00 None FTR AE None 14100 14100 0 14100 0 None WC1011 N CA00423535 C SFY2015-16
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-10-06 00:00:00 250011772 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-01-23 00:00:00 2009-01-23 00:00:00 Yes 2015-10-27 00:00:00 2015-10-15 00:00:00 FTR BR None 5800 5800 0 0 5800 None I7N711 None CA00183084 C SFY2015-16
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2015-10-07 00:00:00 250011775 Open Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2009-01-23 00:00:00 2009-01-23 00:00:00 Yes 2015-10-28 00:00:00 2015-10-15 00:00:00 FTR RES None 5800 5800 0 0 5800 None I7N711 None CA00183084 C SFY2015-16
250000101 SAN GORGONIO MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2015-10-20 00:00:00 250011789 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach by h/c worker within facility/hc system None 2011-01-06 00:00:00 2011-01-06 00:00:00 No 2015-11-10 00:00:00 None FTR RES None 16500 16500 0 16500 0 None 9EKK11 None CA00255039 C SFY2015-16
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2016-02-24 00:00:00 250012039 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-03-17 00:00:00 2011-03-17 00:00:00 No 2018-01-30 00:00:00 None AP BR None 20000 20000 0 20000 0 None E58F11 None CA00266625 B SFY2015-16
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2016-02-23 00:00:00 250012040 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-11-19 00:00:00 2015-11-19 00:00:00 No 2016-03-15 00:00:00 None FTR AE None 2400 2400 0 2400 0 None YK0Y11 N CA00469358 C SFY2015-16
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2016-02-23 00:00:00 250012041 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-08-26 00:00:00 2015-08-26 00:00:00 No 2016-03-15 00:00:00 None FTR AE None 400 400 0 400 0 None ZC3R11 N CA00457160 C SFY2015-16
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-02-24 00:00:00 250012042 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-04-06 00:00:00 2015-04-06 00:00:00 No 2016-03-16 00:00:00 None FTR AE None 16400 16400 0 16400 0 None PRE411 N CA00459119 C SFY2015-16
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-02-25 00:00:00 250012050 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-02-27 00:00:00 2015-02-27 00:00:00 No 2016-03-17 00:00:00 None FTR AE None 20200 20200 0 20200 0 None RVOX11 N CA00459146 C SFY2015-16
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-03-18 00:00:00 250012128 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-09-09 00:00:00 2015-09-09 00:00:00 No 2016-04-11 00:00:00 None FTR AE None 1500 1500 0 1500 0 None RLK911 N CA00460112 C SFY2015-16
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2016-03-21 00:00:00 250012131 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-09-30 00:00:00 2015-09-30 00:00:00 No 2016-04-12 00:00:00 None FTR AE None 200 200 0 200 0 None SQ1L11 N CA00460964 C SFY2015-16
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2016-05-26 00:00:00 250012294 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2016-02-21 00:00:00 2016-02-21 00:00:00 No 2016-06-17 00:00:00 None FTR BR None 100 100 -25 75 0 None H9T311 None CA00480624 D SFY2015-16
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2016-05-31 00:00:00 250012295 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2016-02-21 00:00:00 2016-02-21 00:00:00 No 2016-06-21 00:00:00 None FTR RES None 100 100 -25 75 0 None H9T311 None CA00480624 D SFY2015-16
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-05-26 00:00:00 250012296 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2015-06-14 00:00:00 2015-06-14 00:00:00 Yes 2016-06-17 00:00:00 2016-06-09 00:00:00 FTR AE None 9100 9100 0 0 9100 None 8XMT11 N CA00458866 C SFY2015-16
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2016-06-22 00:00:00 250012325 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-09-13 00:00:00 2011-09-13 00:00:00 No 2018-01-30 00:00:00 None AP BR None 17500 17500 0 17500 0 None J6EG11 None CA00286637 C SFY2015-16
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-06-30 00:00:00 250012346 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2016-01-23 00:00:00 2016-01-23 00:00:00 No 2016-07-22 00:00:00 None FTR BR None 700 700 -175 525 0 None 1PL411 None CA00477515 D SFY2015-16
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-06-22 00:00:00 250012347 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2016-01-23 00:00:00 2016-01-23 00:00:00 No 2016-07-14 00:00:00 None FTR RES None 700 700 -175 525 0 None 1PL411 None CA00477515 D SFY2015-16
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2016-06-22 00:00:00 250012349 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2011-06-03 00:00:00 2011-06-03 00:00:00 No 2016-07-14 00:00:00 None FTR BR None 2000 2000 -500 1500 0 None J6EG11 None CA00286637 C SFY2015-16
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-07-27 00:00:00 250012479 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-01-06 00:00:00 2015-01-06 00:00:00 No 2016-08-17 00:00:00 None FTR AE None 25400 25400 0 25400 0 None IG8L11 N CA00459154 C SFY2016-17
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-07-27 00:00:00 250012480 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-03-16 00:00:00 2015-03-16 00:00:00 No 2016-08-17 00:00:00 None FTR AE None 18500 18500 0 18500 0 None CNC011 N CA00459141 C SFY2016-17
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-07-27 00:00:00 250012481 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-03-11 00:00:00 2015-03-11 00:00:00 No 2016-08-17 00:00:00 None FTR AE None 19000 19000 0 19000 0 None VHX611 N CA00459132 C SFY2016-17
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2016-08-23 00:00:00 250012534 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-08-02 00:00:00 2015-08-02 00:00:00 No 2016-09-14 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None GTYZ11 N CA00453351 B SFY2016-17
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-08-24 00:00:00 250012539 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-11-27 00:00:00 2015-11-27 00:00:00 No 2016-09-15 00:00:00 None AP NON-IJ None 11250 11250 0 11250 0 None H3FY11 N CA00467815 C SFY2016-17
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-10-13 00:00:00 250012651 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE08 - Death/disability due to intravascular air embolism None 2014-08-05 00:00:00 2014-08-05 00:00:00 Yes 2017-05-11 00:00:00 2017-04-28 00:00:00 AP IJ AP IJ 100000 70000 0 70000 0 None 2C5711 Y CA00408725 C SFY2016-17
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-10-13 00:00:00 250012652 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2014-05-22 00:00:00 2014-05-22 00:00:00 No 2016-11-03 00:00:00 None AP NON-IJ None 17325 17325 0 17325 0 None K5DW11 N CA00407187 C SFY2016-17
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2016-10-20 00:00:00 250012669 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-08-31 00:00:00 2016-08-31 00:00:00 No 2016-11-10 00:00:00 None FTR AE None 100 100 0 100 0 None CHUK11 N CA00501963 C SFY2016-17
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2017-02-02 00:00:00 250012926 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-09-06 00:00:00 2016-09-06 00:00:00 No 2017-02-24 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None GZNS11 N CA00501984 C SFY2016-17
250000048 PACIFIC GROVE HOSPITAL Non-LTC APH Acute Psychiatric Hospital Riverside 2017-02-09 00:00:00 250012962 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-02-25 00:00:00 2016-02-25 00:00:00 No 2017-03-03 00:00:00 None AP NON-IJ None 5000 5000 0 5000 0 None T2UX11 N CA00477926 B SFY2016-17
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2017-02-21 00:00:00 250012985 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE21 - Death/disability due to a burn None 2014-04-29 00:00:00 2014-04-29 00:00:00 No 2017-03-14 00:00:00 None FTR AE None 400 400 -400 0 0 None BLFL11 N CA00397790 C SFY2016-17
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2017-02-28 00:00:00 250013009 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2014-04-29 00:00:00 2014-04-29 00:00:00 No 2017-03-21 00:00:00 None AP IJ None 42750 42750 0 42750 0 None BLFL11 N CA00397790 C SFY2016-17
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-03-17 00:00:00 250013059 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-03-05 00:00:00 2016-03-05 00:00:00 No 2017-04-10 00:00:00 None AP NON-IJ None 14250 14250 0 14250 0 None YBCV11 N CA00498396 C SFY2016-17
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-04-26 00:00:00 250013161 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-04-30 00:00:00 2016-04-30 00:00:00 No 2017-05-17 00:00:00 None AP NON-IJ None 15750 15750 0 15750 0 None E50511 N CA00486392 B SFY2016-17
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2017-06-07 00:00:00 250013263 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-02-06 00:00:00 2017-02-06 00:00:00 No 2017-06-28 00:00:00 None FTR AE None 2000 2000 0 2000 0 None PIVL11 N CA00524908 C SFY2016-17
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-06-09 00:00:00 250013273 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE13 - Hemolytic reaction None 2014-10-18 00:00:00 2014-10-18 00:00:00 No 2017-06-30 00:00:00 None AP IJ None 82500 82500 0 82500 0 None RROL11 N CA00420048, CA00422608 B, C SFY2016-17
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-06-09 00:00:00 250013275 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE13 - Hemolytic reaction None 2014-10-18 00:00:00 2014-10-18 00:00:00 No 2017-06-30 00:00:00 None FTR AE None 1300 1300 0 1300 0 None RROL11 N CA00420048 B SFY2016-17
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2017-06-14 00:00:00 250013290 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2016-12-15 00:00:00 2016-12-15 00:00:00 No 2017-07-06 00:00:00 None FTR AE None 200 200 0 200 0 None 2LUF11 N CA00515556 C SFY2016-17
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-06-26 00:00:00 250013315 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2016-01-30 00:00:00 2016-01-30 00:00:00 Yes 2017-07-18 00:00:00 2017-07-11 00:00:00 AP NON-IJ AP NON-IJ 15675 11800 0 11800 0 None 0PZH11 N CA00486558 C SFY2016-17
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-06-26 00:00:00 250013317 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2016-01-30 00:00:00 2016-01-30 00:00:00 Yes 2017-07-18 00:00:00 2017-07-10 00:00:00 FTR AE FTR AE 9700 7231.25 0 7231.25 0 None 0PZH11 N CA00486558 C SFY2016-17
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2017-07-11 00:00:00 250013335 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2014-12-04 00:00:00 2014-12-04 00:00:00 No 2017-08-01 00:00:00 None AP IJ None 31500 31500 0 31500 0 None G1XF11 N CA00422666 D SFY2017-18
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-07-25 00:00:00 250013373 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-04-01 00:00:00 2015-04-01 00:00:00 Yes 2017-08-15 00:00:00 2018-04-28 00:00:00 AP IJ AP IJ 125000 90000 0 90000 0 None TZYX11 N CA00438857 C SFY2017-18
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-09-07 00:00:00 250013480 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-10-08 00:00:00 2015-10-08 00:00:00 Yes 2017-09-28 00:00:00 2018-04-28 00:00:00 AP IJ AP IJ 125000 90000 0 90000 0 None UF3811 N CA00462998 B SFY2017-18
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2017-09-19 00:00:00 250013506 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2016-09-11 00:00:00 2016-09-11 00:00:00 No 2017-10-10 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None VP2K11 N CA00503875 C SFY2017-18
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-09-21 00:00:00 250013513 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-07-31 00:00:00 2017-07-31 00:00:00 No 2017-10-12 00:00:00 None FTR AE None 400 400 0 400 0 None TNLL11 N CA00547769 C SFY2017-18
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2017-10-26 00:00:00 250013577 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-07-12 00:00:00 2016-07-12 00:00:00 No 2017-11-17 00:00:00 None FTR AE None 9300 9300 0 9300 0 None 1GQP11 N CA00506126 C SFY2017-18
250000727 MENIFEE GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-11-13 00:00:00 250013614 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2017-01-24 00:00:00 2017-01-24 00:00:00 No 2017-12-06 00:00:00 None AP NON-IJ None 3750 3750 0 3750 0 None QXS511 N CA00519549, CA00519594 A, A SFY2017-18
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2017-11-13 00:00:00 250013616 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2017-05-03 00:00:00 2017-05-03 00:00:00 No 2017-12-06 00:00:00 None AP NON-IJ None 11812 11812 0 11812 0 None G3I511 N CA00534537 C SFY2017-18
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2017-11-14 00:00:00 250013623 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE24 - Care by impersonating licensed provider None 2015-07-21 00:00:00 2015-07-21 00:00:00 No 2017-12-07 00:00:00 None AP IJ None 51975 51975 0 51975 0 None IOAR11 N CA00451429, CA00451880 C, C SFY2017-18
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2017-12-08 00:00:00 250013682 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-12-13 00:00:00 2016-12-13 00:00:00 No 2018-01-01 00:00:00 None AP NON-IJ None 15675 15675 0 15675 0 None ZVS211 N CA00514168, CA00514175 B, B SFY2017-18
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-02-13 00:00:00 250013809 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2016-12-04 00:00:00 2016-12-04 00:00:00 No 2018-03-07 00:00:00 None AP IJ None 75000 75000 0 75000 0 None JQ6F11 Y CA00513631 B SFY2017-18
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-03-01 00:00:00 250013868 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-08-03 00:00:00 2016-08-03 00:00:00 No 2018-03-22 00:00:00 None AP IJ None 75000 75000 0 75000 0 None EMIL11 Y CA00514989 C SFY2017-18
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-03-01 00:00:00 250013869 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2015-08-15 00:00:00 2015-08-15 00:00:00 No 2018-03-22 00:00:00 None AP NON-IJ None 4312 4312 0 4312 0 None 05EN11 N CA00456243 B SFY2017-18
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2018-03-01 00:00:00 250013870 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2016-07-20 00:00:00 2016-07-20 00:00:00 No 2018-03-22 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None SZQR11 N CA00497318 C SFY2017-18
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-03-02 00:00:00 250013873 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2016-12-02 00:00:00 2016-12-02 00:00:00 No 2018-03-23 00:00:00 None AP IJ None 75000 75000 0 75000 0 None CSZL11 Y CA00513419 B SFY2017-18
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-03-08 00:00:00 250013893 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2017-10-25 00:00:00 2017-10-25 00:00:00 No 2018-03-29 00:00:00 None FTR AE None 800 800 0 800 0 None GLVH11 N CA00560034 C SFY2017-18
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-03-19 00:00:00 250013919 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-08-26 00:00:00 2015-08-26 00:00:00 No 2018-04-09 00:00:00 None AP IJ None 44887.5 44887.5 0 44887.5 0 None OF7711 N CA00455976 A SFY2017-18
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-03-20 00:00:00 250013925 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-06-05 00:00:00 2016-06-05 00:00:00 No 2018-04-10 00:00:00 None AP IJ None 49500 49500 0 49500 0 None M4W611 N CA00491050 C SFY2017-18
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-03-20 00:00:00 250013926 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2017-11-01 00:00:00 2017-11-01 00:00:00 No 2018-04-10 00:00:00 None FTR AE None 400 400 0 400 0 None LKZY11 N CA00560448 B SFY2017-18
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-03-27 00:00:00 250013944 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-12-14 00:00:00 2016-12-14 00:00:00 Yes 2018-04-17 00:00:00 2018-08-24 00:00:00 AP IJ AP IJ 49500 37125 0 37125 0 None 5MVL11 N CA00514753 C SFY2017-18
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2018-04-12 00:00:00 250013996 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-03-06 00:00:00 2018-03-06 00:00:00 No 2018-05-03 00:00:00 None FTR AE None 500 500 0 500 0 None 2QXD11 N CA00578549 C SFY2017-18
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2018-04-13 00:00:00 250013998 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2017-06-28 00:00:00 2017-06-28 00:00:00 No 2018-05-04 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None FA4Q11 N CA00541828 C SFY2017-18
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2018-04-16 00:00:00 250014001 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2016-09-24 00:00:00 2016-09-24 00:00:00 No 2018-05-07 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None 048611 Y CA00505497 C SFY2017-18
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2018-04-17 00:00:00 250014004 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2016-09-25 00:00:00 2016-09-25 00:00:00 No 2018-05-08 00:00:00 None FTR AE None 300 300 0 300 0 None 048611 Y CA00505497 C SFY2017-18
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-04-25 00:00:00 250014028 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2017-07-10 00:00:00 2017-07-10 00:00:00 No 2018-05-16 00:00:00 None AP NON-IJ None 12375 12375 0 12375 0 None 9RZ711 N CA00543313 C SFY2017-18
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-05-08 00:00:00 250014063 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE24 - Care by impersonating licensed provider None 2017-06-30 00:00:00 2017-06-30 00:00:00 No 2018-05-29 00:00:00 None AP NON-IJ None 17106.25 17106.25 0 17106.25 0 None 5TGV11 N CA00541955 B SFY2017-18
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-05-08 00:00:00 250014065 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE24 - Care by impersonating licensed provider None 2017-08-30 00:00:00 2017-08-30 00:00:00 No 2018-05-29 00:00:00 None AP NON-IJ None 17106.25 17106.25 0 17106.25 0 None N1DF11 N CA00550659 B SFY2017-18
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-05-10 00:00:00 250014074 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-03-04 00:00:00 2018-03-04 00:00:00 No 2018-06-01 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 3MMT11 N CA00579176 C SFY2017-18
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-05-23 00:00:00 250014103 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-10-07 00:00:00 2017-10-07 00:00:00 Yes 2018-06-14 00:00:00 2018-06-11 00:00:00 AP NON-IJ AP NON-IJ 15750 13388 0 13388 0 None 44ZQ11 N CA00556071, CA00558482 C, C SFY2017-18
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2018-06-12 00:00:00 250014148 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-09-05 00:00:00 2017-09-05 00:00:00 Yes 2018-07-03 00:00:00 2018-08-21 00:00:00 AP IJ None 75000 75000 0 0 75000 None ENQQ11 Y CA00552371 B SFY2017-18
250000042 PALO VERDE HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2018-06-13 00:00:00 250014158 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-03-24 00:00:00 2018-03-24 00:00:00 No 2018-07-05 00:00:00 None FTR AE None 300 300 0 300 0 None LPJT11 N CA00582245 C SFY2017-18
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2022-01-14 00:00:00 250014222 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2017-11-10 00:00:00 2017-11-10 00:00:00 No 2022-02-04 00:00:00 None FTR RES None 2900 2900 0 2900 0 None 8E7E11 None CA00568406 E SFY2021-22
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2018-07-13 00:00:00 250014239 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-05-04 00:00:00 2018-05-04 00:00:00 No 2018-08-03 00:00:00 None FTR AE None 200 200 0 200 0 None 7XZ011 N CA00586546 B SFY2018-19
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-09-07 00:00:00 250014392 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2017-04-14 00:00:00 2017-04-14 00:00:00 No 2018-09-28 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None JJT611 Y CA00531590 C SFY2018-19
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2018-10-10 00:00:00 250014480 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2018-07-05 00:00:00 2018-07-05 00:00:00 No 2018-10-31 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None 2ETM11 N CA00594166 B SFY2018-19
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2018-10-11 00:00:00 250014483 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-10-06 00:00:00 2017-10-06 00:00:00 No 2018-11-01 00:00:00 None FTR AE None 15200 15200 0 15200 0 None MLW611 N CA00572059 C SFY2018-19
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-10-19 00:00:00 250014513 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2018-05-17 00:00:00 2018-05-17 00:00:00 No 2018-11-09 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None EW4Q11 N CA00590297 C SFY2018-19
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-10-24 00:00:00 250014528 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2018-02-01 00:00:00 2018-02-01 00:00:00 No 2018-11-15 00:00:00 None FTR AE None 2900 2900 0 2900 0 None YJ4811 N CA00577078 C SFY2018-19
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-11-20 00:00:00 250014577 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-07-20 00:00:00 2017-07-20 00:00:00 No 2019-02-28 00:00:00 None AP IJ None 49500 49500 0 49500 0 None 4IN011 N CA00575944 C SFY2018-19
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2018-11-21 00:00:00 250014600 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2017-07-20 00:00:00 2017-07-20 00:00:00 Yes 2018-12-14 00:00:00 2018-12-03 00:00:00 FTR AE None 2900 2900 0 2900 0 None 4IN011 N CA00575944, CA00575944 C, C SFY2018-19
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2019-03-12 00:00:00 250014872 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2018-08-20 00:00:00 2018-08-20 00:00:00 Yes 2019-04-02 00:00:00 2019-04-03 00:00:00 FTR AE None 6100 6100 0 6100 0 None NFZU11 N CA00605844 B SFY2018-19
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2019-03-12 00:00:00 250014874 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2018-09-09 00:00:00 2018-09-09 00:00:00 No 2019-04-02 00:00:00 None FTR AE None 1400 1400 0 1400 0 None NFZU11 N CA00605844 B SFY2018-19
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2019-03-12 00:00:00 250014875 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2018-09-06 00:00:00 2018-09-06 00:00:00 Yes 2019-04-02 00:00:00 2019-04-03 00:00:00 FTR AE None 4400 4400 0 4400 0 None NFZU11 N CA00605844 B SFY2018-19
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2019-05-21 00:00:00 250015093 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2018-11-03 00:00:00 2018-11-03 00:00:00 No 2019-06-11 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None EQC711 Y CA00611362 B SFY2018-19
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-05-22 00:00:00 250015099 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-01-02 00:00:00 2019-01-02 00:00:00 No 2019-06-12 00:00:00 None FTR AE None 200 200 0 200 0 None 693R11 N CA00619435 B SFY2018-19
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-05-22 00:00:00 250015100 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-01-30 00:00:00 2019-01-30 00:00:00 No 2019-06-12 00:00:00 None FTR AE None 1100 1100 0 1100 0 None JSMJ11 N CA00624720 C SFY2018-19
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-06-26 00:00:00 250015197 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-01-02 00:00:00 2019-01-02 00:00:00 No 2019-07-17 00:00:00 None FTR AE None 200 200 0 200 0 None 4PDO11 N CA00619444 B SFY2018-19
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-06-26 00:00:00 250015198 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-01-01 00:00:00 2019-01-01 00:00:00 No 2019-07-17 00:00:00 None FTR AE None 300 300 0 300 0 None 4PDO11 N CA00619444 B SFY2018-19
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2019-06-27 00:00:00 250015206 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-03-18 00:00:00 2019-03-18 00:00:00 Yes 2019-07-18 00:00:00 2019-07-12 00:00:00 FTR AE FTR AE 4700 4700 0 4700 0 None 4BV311 N CA00633410 C SFY2018-19
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-07-01 00:00:00 250015214 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-10-31 00:00:00 2018-10-31 00:00:00 No 2019-07-22 00:00:00 None AP NON-IJ None 17325 17325 0 17325 0 None KDCK11 N CA00610541 B SFY2019-20
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2019-07-26 00:00:00 250015252 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-02-26 00:00:00 2019-02-26 00:00:00 No 2019-08-16 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None H1G811 N CA00628061 C SFY2019-20
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2019-07-29 00:00:00 250015253 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2019-04-01 00:00:00 2019-04-01 00:00:00 Yes 2019-08-19 00:00:00 2019-08-08 00:00:00 FTR AE None 1300 1300 0 1300 0 None 52ZQ11 N CA00634222 C SFY2019-20
630014442 TEMECULA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-08-16 00:00:00 250015321 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-05-20 00:00:00 2019-05-20 00:00:00 No 2019-09-06 00:00:00 None FTR AE None 2500 2500 0 2500 0 None 6ZJQ11 N CA00642509 C SFY2019-20
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-08-27 00:00:00 250015356 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2009-11-03 00:00:00 2009-11-03 00:00:00 No 2019-09-17 00:00:00 None FTR AE None 48900 48900 0 48900 0 None YG1U11 N CA00627031 C SFY2019-20
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-08-28 00:00:00 250015358 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-11-03 00:00:00 2017-11-03 00:00:00 No 2019-09-18 00:00:00 None AP NON-IJ None 14962.5 14962.5 0 14962.5 0 None YG1U11 N CA00627031 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-09-19 00:00:00 250015403 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-07-22 00:00:00 2019-07-22 00:00:00 No 2019-10-10 00:00:00 None FTR AE None 500 500 0 500 0 None 0SE811 N CA00648611 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-09-25 00:00:00 250015414 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-04-24 00:00:00 2019-04-24 00:00:00 No 2019-10-16 00:00:00 None FTR AE None 1000 1000 0 1000 0 None DHRE11 N CA00636921 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-09-27 00:00:00 250015422 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-04-19 00:00:00 2019-04-19 00:00:00 No 2019-10-18 00:00:00 None FTR AE None 500 500 0 500 0 None 1Z9F11 N CA00635571 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-10-10 00:00:00 250015448 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2019-03-21 00:00:00 2019-03-21 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 598Q11 Y CA00627929 B SFY2019-20
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-10-23 00:00:00 250015472 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2019-08-05 00:00:00 2019-08-05 00:00:00 No 2019-11-13 00:00:00 None FTR AE None 1100 1100 0 1100 0 None G5B211 N CA00651469 C SFY2019-20
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2019-11-19 00:00:00 250015530 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2019-05-26 00:00:00 2019-05-26 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 66150 66150 0 66150 0 None CLXJ11 N CA00639821 B SFY2019-20
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2019-11-25 00:00:00 250015554 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2019-03-13 00:00:00 2019-03-13 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 100000 100000 0 100000 0 None VZEI11 N CA00624837 B SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-12-03 00:00:00 250015565 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-05-20 00:00:00 2019-05-20 00:00:00 No 2019-12-24 00:00:00 None FTR AE None 2000 2000 0 2000 0 None TY1C11 N CA00641834 C SFY2019-20
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2019-12-04 00:00:00 250015573 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2019-07-21 00:00:00 2019-07-21 00:00:00 No 2019-12-25 00:00:00 None FTR AE None 1700 1700 0 1700 0 None PBUP11 N CA00650095 C SFY2019-20
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2019-12-23 00:00:00 250015630 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2019-01-23 00:00:00 2019-01-23 00:00:00 No 2020-01-13 00:00:00 None AP IJ None 75000 75000 0 75000 0 None O3W211 Y CA00621526 B SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-01-07 00:00:00 250015670 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-10-05 00:00:00 2019-10-05 00:00:00 No 2020-01-28 00:00:00 None FTR AE None 2100 2100 0 2100 0 None 81Q511 N CA00661690 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-01-16 00:00:00 250015694 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-10-24 00:00:00 2019-10-24 00:00:00 No 2020-02-06 00:00:00 None FTR AE None 2100 2100 0 2100 0 None C07811 N CA00664243 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-01-16 00:00:00 250015695 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-10-29 00:00:00 2019-10-29 00:00:00 No 2020-02-06 00:00:00 None FTR AE None 1600 1600 0 1600 0 None C07811 N CA00664243 C SFY2019-20
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2020-01-28 00:00:00 250015719 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2019-12-10 00:00:00 2019-12-10 00:00:00 No 2020-02-18 00:00:00 None FTR AE None 300 300 0 300 0 None IUH711 N CA00668140 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-03-10 00:00:00 250015794 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-09-29 00:00:00 2019-09-29 00:00:00 No 2020-03-31 00:00:00 None FTR AE None 8000 8000 0 8000 0 None F7X411 N CA00663498 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-03-10 00:00:00 250015799 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-09-29 00:00:00 2019-09-29 00:00:00 No 2020-03-31 00:00:00 None FTR AE None 4000 4000 0 4000 0 None F7X411 N CA00663498 C SFY2019-20
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-03-20 00:00:00 250015818 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-09-09 00:00:00 2019-09-09 00:00:00 No 2020-04-10 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 12DV11 N CA00656776 C SFY2019-20
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2020-05-12 00:00:00 250015879 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2019-09-05 00:00:00 2019-09-05 00:00:00 No 2020-06-02 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None 96M911 N CA00654165 C SFY2019-20
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2020-09-02 00:00:00 250016017 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-03-18 00:00:00 2020-03-18 00:00:00 No 2020-09-24 00:00:00 None FTR AE None 3200 3200 0 3200 0 None YS0111 N CA00686412 B SFY2020-21
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2020-09-14 00:00:00 250016024 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-01-20 00:00:00 2020-01-20 00:00:00 No 2020-10-05 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None TQ0611 Y CA00673114 B SFY2020-21
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-09-14 00:00:00 250016037 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-02-29 00:00:00 2020-02-29 00:00:00 No 2020-10-05 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None X5BM11 Y CA00679420, CA00679420 B, B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-09-17 00:00:00 250016038 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2019-10-25 00:00:00 2019-10-25 00:00:00 No 2020-10-08 00:00:00 None AP NON-IJ None 25000 25000 0 25000 0 None 7OLP11 N CA00661548 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2020-11-30 00:00:00 250016171 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-02-25 00:00:00 2020-02-25 00:00:00 No 2020-12-21 00:00:00 None FTR AE None 200 200 0 200 0 None QPWF11 N CA00678997 B SFY2020-21
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-01-07 00:00:00 250016234 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-02-24 00:00:00 2020-02-24 00:00:00 Yes 2021-01-29 00:00:00 2021-01-27 00:00:00 FTR AE None 8900 8900 0 8900 0 None NUVH11 N CA00677558 B SFY2020-21
630014442 TEMECULA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-01-19 00:00:00 250016243 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2020-04-03 00:00:00 2020-04-03 00:00:00 No 2021-02-09 00:00:00 None FTR BR None 500 500 0 500 0 None K9XB11 None CA00687713 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-02-01 00:00:00 250016259 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-04-23 00:00:00 2020-04-23 00:00:00 No 2021-02-23 00:00:00 None FTR AE None 3000 3000 0 3000 0 None ZHF711 N CA00690452, CA00690452 B, B SFY2020-21
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2021-02-04 00:00:00 250016264 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-03-30 00:00:00 2020-03-30 00:00:00 No 2021-02-26 00:00:00 None FTR AE None 500 500 0 500 0 None ATS711 N CA00684788 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-02-24 00:00:00 250016298 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-06-23 00:00:00 2020-06-23 00:00:00 No 2021-03-17 00:00:00 None FTR AE None 2400 2400 0 2400 0 None 7HRV11 N CA00698101 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-02-24 00:00:00 250016299 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-06-30 00:00:00 2020-06-30 00:00:00 No 2021-03-17 00:00:00 None FTR AE None 1700 1700 0 1700 0 None 7HRV11 N CA00698101 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-02-24 00:00:00 250016301 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-07-15 00:00:00 2020-07-15 00:00:00 No 2021-03-17 00:00:00 None FTR AE None 200 200 0 200 0 None 7HRV11 N CA00698101 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-02-24 00:00:00 250016303 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-07-16 00:00:00 2020-07-16 00:00:00 No 2021-03-17 00:00:00 None FTR AE None 100 100 0 100 0 None 7HRV11 N CA00698101 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-02-26 00:00:00 250016317 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-08-06 00:00:00 2020-08-06 00:00:00 No 2021-03-19 00:00:00 None FTR AE None 2000 2000 0 2000 0 None EPOV11 Y CA00703377 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-03-15 00:00:00 250016348 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-09 00:00:00 2020-12-09 00:00:00 No 2021-04-06 00:00:00 None FTR AE None 100 100 0 100 0 None 2TUL11 N CA00716966 B SFY2020-21
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2021-03-15 00:00:00 250016349 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-05-19 00:00:00 2020-05-19 00:00:00 No 2021-04-06 00:00:00 None FTR AE None 200 200 0 200 0 None JL0N11 N CA00690112 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-03-29 00:00:00 250016387 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-10-07 00:00:00 2019-10-07 00:00:00 No 2021-04-20 00:00:00 None FTR AE None 36200 36200 0 36200 0 None 50IE11 N CA00693390 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-03-29 00:00:00 250016388 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-10-07 00:00:00 2019-10-07 00:00:00 No 2021-04-20 00:00:00 None FTR AE None 25100 25100 0 25100 0 None 50IE11 N CA00693390 B SFY2020-21
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-04-01 00:00:00 250016391 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-09-11 00:00:00 2020-09-11 00:00:00 No 2021-04-22 00:00:00 None FTR AE None 1900 1900 0 1900 0 None 1SHF11 N CA00703373, CA00707707 B, C SFY2020-21
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-04-05 00:00:00 250016400 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-09-17 00:00:00 2020-09-17 00:00:00 No 2021-04-26 00:00:00 None FTR AE None 5900 5900 0 5900 0 None 1SHF11 N CA00703373, CA00707707 B, C SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-04-22 00:00:00 250016436 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-05-31 00:00:00 2020-05-31 00:00:00 No 2021-05-13 00:00:00 None FTR AE None 4400 4400 0 4400 0 None VUGK11 N CA00697493 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-04-26 00:00:00 250016442 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-06-01 00:00:00 2020-06-01 00:00:00 No 2021-05-17 00:00:00 None FTR AE None 4300 4300 0 4300 0 None VUGK11 N CA00697493 B SFY2020-21
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-04-28 00:00:00 250016448 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-09-21 00:00:00 2020-09-21 00:00:00 No 2021-05-19 00:00:00 None FTR AE None 300 300 0 300 0 None 6WUY11 N CA00707053 C SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-04-30 00:00:00 250016449 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-08-26 00:00:00 2020-08-26 00:00:00 No 2021-05-21 00:00:00 None FTR AE None 100 100 0 100 0 None 04RT11 N CA00703489 B SFY2020-21
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-04-29 00:00:00 250016455 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-24 00:00:00 2020-11-24 00:00:00 No 2021-05-20 00:00:00 None FTR AE None 200 200 0 200 0 None 9OHW11 N CA00714762 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-05-04 00:00:00 250016468 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-27 00:00:00 2020-11-27 00:00:00 No 2021-05-25 00:00:00 None FTR AE None 600 600 0 600 0 None PMC711 N CA00715856 B SFY2020-21
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-05-04 00:00:00 250016470 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-11-19 00:00:00 2020-11-19 00:00:00 No 2021-05-25 00:00:00 None FTR AE None 700 700 0 700 0 None 0RZ111 N CA00714591 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-05-05 00:00:00 250016475 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-28 00:00:00 2020-11-28 00:00:00 No 2021-05-26 00:00:00 None FTR AE None 500 500 0 500 0 None 7IQY11 N CA00715845 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-05-07 00:00:00 250016482 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-17 00:00:00 2020-11-17 00:00:00 No 2021-05-28 00:00:00 None FTR AE None 300 300 0 300 0 None QXPO11 N CA00712427, CA00715286 B, B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-05-10 00:00:00 250016483 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-19 00:00:00 2020-11-19 00:00:00 No 2021-06-01 00:00:00 None FTR AE None 100 100 0 100 0 None QXPO11 N CA00712427, CA00715286 B, B SFY2020-21
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-05-14 00:00:00 250016502 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-08-07 00:00:00 2020-08-07 00:00:00 No 2021-06-07 00:00:00 None FTR AE None 3000 3000 0 3000 0 None SEEO11 N CA00704917 C SFY2020-21
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-05-20 00:00:00 250016534 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2020-05-08 00:00:00 2020-05-08 00:00:00 No 2021-06-15 00:00:00 None AP NON-IJ None 10000 10000 0 10000 0 None YFKJ11 N CA00688490 B SFY2020-21
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-05-24 00:00:00 250016535 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2020-06-26 00:00:00 2020-06-26 00:00:00 No 2021-06-15 00:00:00 None AP NON-IJ None 8500 8500 0 8500 0 None 597N11 N CA00696525 B SFY2020-21
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-05-26 00:00:00 250016543 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2020-04-18 00:00:00 2020-04-18 00:00:00 No 2021-06-17 00:00:00 None AP IJ None 47025 47025 0 47025 0 None PLYE11 Y CA00685809 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-06-09 00:00:00 250016589 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-09-27 00:00:00 2020-09-27 00:00:00 No 2021-06-30 00:00:00 None FTR AE None 20200 20200 0 20200 0 None D27D11 N CA00702477 B SFY2020-21
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-06-11 00:00:00 250016603 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-11 00:00:00 2020-11-11 00:00:00 No 2021-07-02 00:00:00 None FTR AE None 1500 1500 0 1500 0 None BW1611 N CA00714861 B SFY2020-21
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-06-11 00:00:00 250016604 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-09-29 00:00:00 2020-09-29 00:00:00 No 2021-07-02 00:00:00 None FTR AE None 100 100 0 100 0 None C22I11 N CA00707726 C SFY2020-21
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-06-11 00:00:00 250016605 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-10-08 00:00:00 2020-10-08 00:00:00 No 2021-07-02 00:00:00 None FTR AE None 15600 15600 0 15600 0 None C22I11 N CA00707726 C SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-07-01 00:00:00 250016615 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-08-14 00:00:00 2020-08-14 00:00:00 No 2021-07-22 00:00:00 None FTR AE None 200 200 0 200 0 None RO0N11 N CA00702542 B SFY2021-22
250000048 PACIFIC GROVE HOSPITAL Non-LTC APH Acute Psychiatric Hospital Riverside 2021-06-17 00:00:00 250016619 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE26 - Sexual assault on a patient None 2020-09-04 00:00:00 2020-09-04 00:00:00 No 2021-07-08 00:00:00 None FTR AE None 900 900 0 900 0 None 364Y11 N CA00705671 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-06-18 00:00:00 250016623 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-26 00:00:00 2020-11-26 00:00:00 No 2021-07-09 00:00:00 None FTR AE None 700 700 0 700 0 None BXRB11 N CA00715847 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-06-18 00:00:00 250016624 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-24 00:00:00 2020-11-24 00:00:00 No 2021-07-09 00:00:00 None FTR AE None 900 900 0 900 0 None BXRB11 N CA00715847 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-06-21 00:00:00 250016629 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-10-09 00:00:00 2020-10-09 00:00:00 No 2021-07-12 00:00:00 None FTR AE None 200 200 0 200 0 None 3CV611 N CA00709208 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-06-22 00:00:00 250016631 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-10-10 00:00:00 2020-10-10 00:00:00 No 2021-07-13 00:00:00 None FTR AE None 100 100 0 100 0 None 3CV611 N CA00709208 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-06-22 00:00:00 250016632 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-24 00:00:00 2020-11-24 00:00:00 No 2021-07-13 00:00:00 None FTR AE None 900 900 0 900 0 None 1J4J11 N CA00715859 B SFY2020-21
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-06-25 00:00:00 250016647 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2020-07-22 00:00:00 2020-07-22 00:00:00 No 2021-07-16 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None F8TD11 N CA00700203 B SFY2020-21
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-07-06 00:00:00 250016697 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-09-17 00:00:00 2020-09-17 00:00:00 No 2021-07-27 00:00:00 None FTR AE None 200 200 0 200 0 None REFE11 N CA00706439 C SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-07-07 00:00:00 250016698 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-09-17 00:00:00 2020-09-17 00:00:00 No 2021-07-28 00:00:00 None FTR AE None 3800 3800 0 3800 0 None REFE11 N CA00706439 C SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-07-08 00:00:00 250016700 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-07-25 00:00:00 2020-07-25 00:00:00 No 2021-07-29 00:00:00 None FTR AE None 11200 11200 0 11200 0 None O8FN11 N CA00703474 B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-07-13 00:00:00 250016717 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-02-05 00:00:00 2021-02-05 00:00:00 No 2021-08-03 00:00:00 None FTR AE None 2700 2700 0 2700 0 None FYEU11 N CA00722568 C SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-07-21 00:00:00 250016750 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-24 00:00:00 2020-11-24 00:00:00 No 2021-08-11 00:00:00 None FTR AE None 900 900 0 900 0 None WN3G11 N CA00715857 B SFY2021-22
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2021-08-02 00:00:00 250016786 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-01-08 00:00:00 2021-01-08 00:00:00 No 2021-08-23 00:00:00 None FTR AE None 200 200 0 200 0 None WIIR11 N CA00721533, CA00721533 B, B SFY2021-22
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-08-06 00:00:00 250016798 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-29 00:00:00 2020-12-29 00:00:00 No 2021-08-27 00:00:00 None FTR AE None 1200 1200 0 1200 0 None UG8H11 N CA00721536 B SFY2021-22
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-08-18 00:00:00 250016828 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-25 00:00:00 2020-12-25 00:00:00 No 2021-09-09 00:00:00 None FTR AE None 2700 2700 0 2700 0 None OS7P11 N CA00722998, CA00722998 B, B SFY2021-22
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-08-18 00:00:00 250016829 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-02-13 00:00:00 2021-02-13 00:00:00 No 2021-09-09 00:00:00 None FTR AE None 1200 1200 0 1200 0 None 8JQY11 N CA00727477, CA00727477 C, C SFY2021-22
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-08-24 00:00:00 250016848 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-12-30 00:00:00 2020-12-30 00:00:00 No 2021-09-15 00:00:00 None FTR AE None 1100 1100 0 1100 0 None PWEO11 N CA00721562 B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-09-01 00:00:00 250016878 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-03-29 00:00:00 2021-03-29 00:00:00 No 2021-09-23 00:00:00 None FTR AE None 600 600 0 600 0 None 8UG811 N CA00732366 B SFY2021-22
630011959 KAISER FOUNDATION HOSPITAL-MORENO VALLEY Non-LTC GACH General Acute Care Hospital Riverside 2021-09-08 00:00:00 250016901 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-01-14 00:00:00 2021-01-14 00:00:00 No 2021-09-29 00:00:00 None FTR AE None 300 300 0 300 0 None 604U11 N CA00722505 C SFY2021-22
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2021-09-10 00:00:00 250016905 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-08-28 00:00:00 2020-08-28 00:00:00 No 2021-10-01 00:00:00 None AP IJ None 100000 100000 0 100000 0 None LTYW11 Y CA00703483, CA00703546 B, B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-09-22 00:00:00 250016948 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-09-27 00:00:00 2020-09-27 00:00:00 No 2021-10-13 00:00:00 None AP IJ None 100000 100000 0 100000 0 None YF7W11 Y CA00706872, CA00707475 B, C SFY2021-22
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-09-30 00:00:00 250016970 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-03-19 00:00:00 2021-03-19 00:00:00 No 2021-10-21 00:00:00 None FTR AE None 200 200 0 200 0 None FDR911 N CA00730724 B SFY2021-22
250000507 SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-10-22 00:00:00 250017031 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE05 - Death during or up to 24 hours after surgery None 2020-10-02 00:00:00 2020-10-02 00:00:00 No 2021-11-15 00:00:00 None AP IJ None 49500 49500 0 49500 0 None GG5011 Y CA00708083, CA00711912 C, B SFY2021-22
250000101 SAN GORGONIO MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-11-05 00:00:00 250017080 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-16 00:00:00 2020-11-16 00:00:00 No 2021-12-01 00:00:00 None FTR AE None 8700 8700 0 8700 0 None XSYF11 N CA00720475 C SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-11-19 00:00:00 250017114 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-05 00:00:00 2020-11-05 00:00:00 No 2021-12-14 00:00:00 None FTR AE None 2800 2800 0 2800 0 None LB5311 N CA00715739 B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-11-19 00:00:00 250017119 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-11-07 00:00:00 2020-11-07 00:00:00 No 2021-12-14 00:00:00 None FTR AE None 2600 2600 0 2600 0 None LB5311 N CA00715739 B SFY2021-22
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2021-11-23 00:00:00 250017133 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2020-08-08 00:00:00 2020-08-08 00:00:00 No 2021-12-16 00:00:00 None AP IJ None 100500 100500 0 100500 0 None QB1C11 Y CA00700992 B SFY2021-22
250000101 SAN GORGONIO MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-12-06 00:00:00 250017155 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-02-02 00:00:00 2021-02-02 00:00:00 No 2021-12-27 00:00:00 None FTR AE None 15800 15800 0 15800 0 None 9YMQ11 N CA00726021, CA00726021 B, B SFY2021-22
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-12-06 00:00:00 250017157 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-03-09 00:00:00 2021-03-09 00:00:00 No 2021-12-27 00:00:00 None FTR AE None 100 100 0 100 0 None WYDT11 N CA00729188, CA00729188 B, B SFY2021-22
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-01-20 00:00:00 250017280 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2020-11-20 00:00:00 2020-11-20 00:00:00 No 2022-02-10 00:00:00 None AP IJ None 75000 75000 0 75000 0 None OPWP11 Y CA00715397 B SFY2021-22
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-01-27 00:00:00 250017298 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2020-11-20 00:00:00 2020-11-20 00:00:00 No 2022-02-17 00:00:00 None FTR AE None 900 900 0 900 0 None OPWP11 Y CA00715397 B SFY2021-22
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-02-01 00:00:00 250017305 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2020-12-10 00:00:00 2020-12-10 00:00:00 No 2022-02-23 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None ISYC11 N CA00720582 C SFY2021-22
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-02-04 00:00:00 250017321 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-05-11 00:00:00 2021-05-11 00:00:00 No 2022-02-28 00:00:00 None FTR AE None 400 400 0 400 0 None USO211 N CA00737297, CA00737297 B, B SFY2021-22
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-02-04 00:00:00 250017322 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-09-10 00:00:00 2021-09-10 00:00:00 No 2022-02-28 00:00:00 None FTR AE None 100 100 0 100 0 None FS1J11 N CA00753205, CA00753205 B, B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-02-10 00:00:00 250017337 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-02-10 00:00:00 2021-02-10 00:00:00 No 2022-03-04 00:00:00 None AP NON-IJ None 13387.5 13387.5 0 13387.5 0 None F7I111 N CA00725428, CA00725428 B, B SFY2021-22
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-02-14 00:00:00 250017342 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-01-29 00:00:00 2021-01-29 00:00:00 No 2022-03-08 00:00:00 None AP NON-IJ None 3937.5 3937.5 0 3937.5 0 None NL9Y11 N CA00723528 C SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-02-14 00:00:00 250017354 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-05-27 00:00:00 2021-05-27 00:00:00 No 2022-03-08 00:00:00 None FTR AE None 1000 1000 0 1000 0 None L1QV11 N CA00740059 B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-02-15 00:00:00 250017358 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-05-04 00:00:00 2021-05-04 00:00:00 No 2022-03-09 00:00:00 None FTR AE None 3300 3300 0 3300 0 None L1QV11 N CA00740059 B SFY2021-22
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2022-02-17 00:00:00 250017365 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2021-04-03 00:00:00 2021-04-03 00:00:00 No 2022-03-11 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 7E8111 Y CA00731531, CA00731538, CA00731543, CA00731905, CA00732277, CA00732277 B, B, B, B, B, B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-02-25 00:00:00 250017448 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-10-02 00:00:00 2021-10-02 00:00:00 No 2022-03-18 00:00:00 None FTR AE None 300 300 0 300 0 None 0FVB11 N CA00756475, CA00756475 B, B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-03-04 00:00:00 250017466 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-09-08 00:00:00 2021-09-08 00:00:00 No 2022-03-25 00:00:00 None FTR AE None 10500 10500 0 10500 0 None 538V11 N CA00752419, CA00752419 B, B SFY2021-22
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2022-03-17 00:00:00 250017512 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2021-09-06 00:00:00 2021-09-06 00:00:00 No 2022-04-08 00:00:00 None FTR AE None 1700 1700 0 1700 0 None 33Z511 N CA00754935 B SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-05-25 00:00:00 250017667 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-01-01 00:00:00 2022-01-01 00:00:00 No 2022-06-16 00:00:00 None FTR AE None 400 400 0 0 400 None 8S9P11 N CA00768306, CA00768306 B, B SFY2021-22
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-05-27 00:00:00 250017676 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-12-26 00:00:00 2021-12-26 00:00:00 No 2022-06-20 00:00:00 None FTR AE None 400 400 0 400 0 None E7WW11 N CA00767647, CA00767647 B, B SFY2021-22
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-06-09 00:00:00 250017700 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2021-04-22 00:00:00 2021-04-22 00:00:00 No 2022-06-30 00:00:00 None AP NON-IJ None 3800 3800 0 3800 0 None IDOT11 N CA00734759, CA00734759 B, B SFY2021-22
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2022-06-21 00:00:00 250017716 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-01-03 00:00:00 2022-01-03 00:00:00 No 2022-07-13 00:00:00 None FTR AE None 900 900 0 900 0 None T1T111 N CA00769391, CA00769391 B, B SFY2021-22
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2022-07-22 00:00:00 250017816 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-08-26 00:00:00 2021-08-26 00:00:00 No 2022-08-12 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None KKMU11 N CA00750904, CA00750904 B, B SFY2022-23
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-07-25 00:00:00 250017819 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-01-25 00:00:00 2022-01-25 00:00:00 No 2022-08-15 00:00:00 None FTR AE None 400 400 0 400 0 None TRNM11 N CA00771945, CA00771945 B, B SFY2022-23
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-08-03 00:00:00 250017871 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-07-20 00:00:00 2021-07-20 00:00:00 No 2022-08-24 00:00:00 None AP IJ None 42000 42000 0 42000 0 None CEYQ11 Y CA00744999 A SFY2022-23
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-08-19 00:00:00 250017912 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-05-02 00:00:00 2022-05-02 00:00:00 No 2022-09-12 00:00:00 None AP IJ None 69300 69300 0 69300 0 None HW8M11 N CA00783807 B SFY2022-23
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-09-07 00:00:00 250017958 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-06-18 00:00:00 2021-06-18 00:00:00 No 2022-09-28 00:00:00 None AP IJ None 75000 75000 0 75000 0 None D5T011 Y CA00741467, CA00741467 B, B SFY2022-23
250000008 DESERT REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-09-22 00:00:00 250018010 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-12-17 00:00:00 2021-12-17 00:00:00 No 2022-10-13 00:00:00 None AP IJ None 55000 55000 0 55000 0 None TWOY11 N CA00765797 B SFY2022-23
630012971 LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA Non-LTC GACH General Acute Care Hospital Riverside 2022-11-03 00:00:00 250018139 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2022-03-09 00:00:00 2022-03-09 00:00:00 No 2022-11-29 00:00:00 None AP IJ None 86625 86625 0 86625 0 None 8JJ211 Y CA00776541 B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-11-09 00:00:00 250018149 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-03-24 00:00:00 2022-03-24 00:00:00 No 2022-12-05 00:00:00 None FTR AE None 300 300 0 300 0 None PV7C11 N CA00779123 B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-12-01 00:00:00 250018194 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-05-08 00:00:00 2022-05-08 00:00:00 No 2022-12-22 00:00:00 None FTR AE None 2000 2000 0 2000 0 None TNH911 N CA00787398 B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-12-01 00:00:00 250018197 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-04-30 00:00:00 2022-04-30 00:00:00 No 2022-12-22 00:00:00 None FTR AE None 2800 2800 0 2800 0 None TNH911 N CA00787398 B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-12-01 00:00:00 250018199 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-05-07 00:00:00 2022-05-07 00:00:00 No 2022-12-22 00:00:00 None FTR AE None 2100 2100 0 2100 0 None TNH911 N CA00787398, CA00787398, CA00787398 B, B, B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-12-02 00:00:00 250018208 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-06-23 00:00:00 2022-06-23 00:00:00 No 2022-12-23 00:00:00 None FTR AE None 1000 1000 0 1000 0 None SUSS11 N CA00792735, CA00792735 B, B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-12-02 00:00:00 250018210 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-05-27 00:00:00 2022-05-27 00:00:00 No 2022-12-23 00:00:00 None FTR AE None 600 600 0 600 0 None J6ZJ11 N CA00788115, CA00788115 B, B SFY2022-23
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2022-12-09 00:00:00 250018231 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-05-23 00:00:00 2022-05-23 00:00:00 Yes 2022-12-30 00:00:00 2022-12-19 00:00:00 FTR AE FTR AE 1000 750 0 750 0 None XNWD11 N CA00788141, CA00788141 B, B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-12-15 00:00:00 250018246 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-05-31 00:00:00 2022-05-31 00:00:00 No 2023-01-06 00:00:00 None FTR AE None 1000 1000 0 1000 0 None NUE611 N CA00789189, CA00789189 B, B SFY2022-23
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2023-01-06 00:00:00 250018285 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2021-12-21 00:00:00 2021-12-21 00:00:00 No 2023-01-30 00:00:00 None AP IJ None 47025 47025 0 47025 0 None 2LUW11 N CA00765962 B SFY2022-23
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2023-01-06 00:00:00 250018287 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-05-26 00:00:00 2022-05-26 00:00:00 No 2023-01-30 00:00:00 None FTR AE None 700 700 0 700 0 None T7SL11 N CA00788142, CA00788142 B, B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2023-02-10 00:00:00 250018403 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-07-20 00:00:00 2022-07-20 00:00:00 No 2023-03-06 00:00:00 None FTR AE None 200 200 0 200 0 None 3CMC11 N CA00795885, CA00795885 B, B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2023-02-10 00:00:00 250018404 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-07-21 00:00:00 2022-07-21 00:00:00 No 2023-03-06 00:00:00 None FTR AE None 100 100 0 100 0 None 3CMC11 N CA00795885 B SFY2022-23
250000012 HEMET GLOBAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2023-04-13 00:00:00 250018633 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2023-03-22 00:00:00 2023-03-22 00:00:00 No 2023-05-04 00:00:00 None AP NON-IJ None 11812.5 11812.5 0 11812.5 0 None 3DZD11 N CA00778332, CA00778332 B, B SFY2022-23
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2023-05-24 00:00:00 250018769 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2022-06-24 00:00:00 2022-06-24 00:00:00 No 2023-06-15 00:00:00 None AP NON-IJ None 11812.5 11812.5 0 11812.5 0 None MQ0611 N CA00790769, CA00790769 B, B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2023-06-02 00:00:00 250018821 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2022-08-24 00:00:00 2022-08-24 00:00:00 No 2023-06-23 00:00:00 None FTR AE None 1500 1500 0 1500 0 None 30N811 N CA00803350, CA00803350 B, B SFY2022-23
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2023-06-29 00:00:00 250018905 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2022-10-01 00:00:00 2022-10-01 00:00:00 No 2023-07-21 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None 460X11 N CA00807775 B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2023-06-29 00:00:00 250018911 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-07-12 00:00:00 2022-07-12 00:00:00 No 2023-07-21 00:00:00 None AP NON-IJ None 13387.5 13387.5 0 13387.5 0 None NY2J11 N CA00797655 B SFY2022-23
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2023-07-05 00:00:00 250018927 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2022-09-12 00:00:00 2022-09-12 00:00:00 No 2023-07-26 00:00:00 None FTR AE None 300 300 0 300 0 None TOZC11 N CA00803972, CA00803972 B, B SFY2023-24
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2021-12-13 00:00:00 250018969 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-03-05 00:00:00 2019-03-05 00:00:00 Yes 2023-08-16 00:00:00 2023-08-07 00:00:00 AP BR None 25000 25000 0 25000 0 None 94BJ11 None CA00630429 D SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2023-07-28 00:00:00 250018985 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2022-05-22 00:00:00 2022-05-22 00:00:00 No 2023-08-21 00:00:00 None AP IJ None 125000 125000 0 125000 0 None 3YC311 Y CA00786644 B SFY2023-24
250000006 CORONA REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2023-07-25 00:00:00 250018998 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2022-04-15 00:00:00 2022-04-15 00:00:00 No 2023-08-15 00:00:00 None AP IJ None 100000 100000 0 100000 0 None VG3Z11 Y CA00782420, CA00782420 A, A SFY2023-24
250000011 EISENHOWER MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2023-08-04 00:00:00 250019023 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2022-07-13 00:00:00 2022-07-13 00:00:00 No 2023-08-25 00:00:00 None AP IJ None 75000 75000 0 75000 0 None TTD111 Y CA00795474 B SFY2023-24
630014442 TEMECULA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2021-12-03 00:00:00 250019146 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-02-19 00:00:00 2018-02-19 00:00:00 No 2023-10-18 00:00:00 None AP BR None 12500 12500 -3125 9375 0 None MO8C11 None CA00620455 D SFY2021-22
630014442 TEMECULA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-06-20 00:00:00 250019153 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Deliberate breach of PHI by health care worker None 2018-02-19 00:00:00 2018-02-19 00:00:00 No 2022-07-12 00:00:00 None FTR RES None 6800 6800 -1700 5100 0 None MO8C11 None CA00620455, CA00620455 D, D SFY2021-22
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2023-09-22 00:00:00 250019160 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2022-08-24 00:00:00 2022-08-24 00:00:00 No 2023-10-13 00:00:00 None AP IJ None 82687.5 82687.5 0 82687.5 0 None 30N811 N CA00803350, CA00803350, CA00803350 B, B, B SFY2023-24
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2023-09-15 00:00:00 250019164 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2022-09-22 00:00:00 2022-09-22 00:00:00 No 2023-10-06 00:00:00 None AP IJ None 63000 63000 0 63000 0 None O3DO11 N CA00804606 B SFY2023-24
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2021-03-19 00:00:00 250019171 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2017-08-09 00:00:00 2017-08-09 00:00:00 Yes 2023-10-18 00:00:00 2023-10-06 00:00:00 AP BR AP BR 125000 62500 0 62500 0 None NDUF11 None CA00550534 E SFY2020-21
630014442 TEMECULA VALLEY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-08-23 00:00:00 250019235 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2018-04-08 00:00:00 2018-04-08 00:00:00 No 2023-11-16 00:00:00 None AP BR None 12500 12500 -3125 9375 0 None ZLEC11 None CA00589205 D SFY2022-23
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2023-12-07 00:00:00 250019448 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-09-21 00:00:00 2023-09-21 00:00:00 No 2023-12-29 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None 7FDW11 N CA00804608 B SFY2023-24
250000050 RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER Non-LTC GACH General Acute Care Hospital Riverside 2023-08-15 00:00:00 250019569 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-12-06 00:00:00 2021-12-06 00:00:00 No 2024-02-14 00:00:00 None AP BR None 7500 7500 -1875 5625 0 None 644K11 None CA00765315 D SFY2023-24
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-02-09 00:00:00 250019670 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2022-10-11 00:00:00 2022-10-11 00:00:00 No 2024-03-04 00:00:00 None AP NON-IJ None 13387.5 13387.5 0 13387.5 0 None 5TI011 N CA00807584 B SFY2023-24
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-02-09 00:00:00 250019716 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-01-10 00:00:00 2023-01-10 00:00:00 No 2024-03-01 00:00:00 None AP NON-IJ None 4462.5 4462.5 0 4462.5 0 None S9RE11 N CA00821224 B SFY2023-24
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-02-13 00:00:00 250019725 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-03-28 00:00:00 2023-03-28 00:00:00 No 2024-03-06 00:00:00 None AP NON-IJ None 4200 4200 0 4200 0 None UJKM11 N CA00834146 B SFY2023-24
250000004 KINDRED HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2024-02-14 00:00:00 250019740 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2022-06-20 00:00:00 2022-06-20 00:00:00 No 2024-03-07 00:00:00 None FTR AE None 14500 14500 0 14500 0 None N93T11 N CA00806557, CA00811849, CA00811849 B, B, B SFY2023-24
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-05-01 00:00:00 250020079 Closed Administrative Penalty None A1 - Critical Care None 2023-08-28 00:00:00 2023-08-28 00:00:00 No 2024-05-11 00:00:00 None NP None 15000 15000 0 15000 0 None QJ1F11 N CA00859616, CA00859616 B, B SFY2023-24
250000044 DOCTORS HOSPITAL OF RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2024-05-07 00:00:00 250020124 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2021-02-04 00:00:00 2021-02-04 00:00:00 No 2024-05-29 00:00:00 None FTR AE None 70200 70200 0 70200 0 None XM7911 N CA00816620, CA00816620 B, B SFY2023-24
250000707 KAISER FOUNDATION HOSPITAL RIVERSIDE Non-LTC GACH General Acute Care Hospital Riverside 2023-10-03 00:00:00 250020138 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2022-01-19 00:00:00 2022-01-19 00:00:00 No 2023-10-24 00:00:00 None FTR BR None 2600 2600 -650 1950 0 None YNKK11 None CA00812088 D SFY2023-24
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-02-01 00:00:00 250020152 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-04-10 00:00:00 2021-04-10 00:00:00 No 2024-06-19 00:00:00 None AP BR None 20000 20000 0 0 20000 None Z71W11 None CA00736640 D SFY2023-24
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-02-01 00:00:00 250020189 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2021-04-10 00:00:00 2021-04-10 00:00:00 No 2024-02-23 00:00:00 None FTR BR None 800 800 0 0 800 None Z71W11 None CA00736640 D SFY2023-24
250000049 RIVERSIDE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-06-18 00:00:00 250020335 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2024-01-03 00:00:00 2024-01-03 00:00:00 No 2024-07-10 00:00:00 None FTR AE None 400 400 0 400 0 None 75Q611 N CA00879792, CA00879792, CA00879792 B, B, B SFY2023-24
230000265 TAHOE FOREST HOSPITAL Non-LTC GACH General Acute Care Hospital Chico 2017-07-12 00:00:00 800013606 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2016-08-22 00:00:00 2016-08-22 00:00:00 No 2018-10-01 00:00:00 None AP BR None 750 750 -187.5 562.5 0 None 5UE911 None CA00503084 D SFY2017-18
230000013 ENLOE HEALTH Non-LTC GACH General Acute Care Hospital Chico 2017-07-12 00:00:00 800013607 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2015-11-25 00:00:00 2015-11-25 00:00:00 Yes 2018-10-01 00:00:00 2018-09-18 00:00:00 AP BR AP BR 50000 40000 0 40000 0 None CD4M11 None CA00469431 D SFY2017-18
930000093 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2007-08-13 00:00:00 930004221 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-05-31 00:00:00 2007-05-31 00:00:00 No 2007-09-04 00:00:00 None AP IJ None 25000 25000 0 25000 0 None CSNW11 N None None SFY2007-08
930000004 CEDARS-SINAI MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-01-08 00:00:00 930004565 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2007-11-20 00:00:00 2007-11-20 00:00:00 No 2008-02-01 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 7BS511 N CA00132637 A SFY2007-08
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-02-07 00:00:00 930004675 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-07-10 00:00:00 2007-07-10 00:00:00 No 2008-03-03 00:00:00 None FTR AE None 12700 12700 0 12700 0 None TVFX11 N None None SFY2007-08
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-02-07 00:00:00 930004676 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-10-17 00:00:00 2007-10-17 00:00:00 No 2008-03-03 00:00:00 None FTR AE None 2800 2800 0 2800 0 None TVFX11 N None None SFY2007-08
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-02-07 00:00:00 930004677 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-08-28 00:00:00 2007-08-28 00:00:00 No 2008-03-03 00:00:00 None FTR AE None 7800 7800 0 7800 0 None TVFX11 N None None SFY2007-08
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-02-07 00:00:00 930004678 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-07-11 00:00:00 2007-07-11 00:00:00 No 2008-03-03 00:00:00 None FTR AE None 12600 12600 0 12600 0 None TVFX11 N None None SFY2007-08
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-02-07 00:00:00 930004679 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-09-08 00:00:00 2007-09-08 00:00:00 No 2008-03-03 00:00:00 None FTR AE None 6700 6700 0 6700 0 None TVFX11 N None None SFY2007-08
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-02-07 00:00:00 930004680 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-08-01 00:00:00 2007-08-01 00:00:00 No 2008-03-03 00:00:00 None FTR AE None 10500 10500 0 10500 0 None TVFX11 N None None SFY2007-08
930000123 POMONA VALLEY HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-04-23 00:00:00 930004956 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-03-13 00:00:00 2008-03-13 00:00:00 No 2008-05-14 00:00:00 None AP IJ None 25000 25000 0 25000 0 None AHB211 Y CA00143523 A SFY2007-08
930000015 SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-10-16 00:00:00 930005530 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-09-15 00:00:00 2008-09-15 00:00:00 No 2008-11-06 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 0R5U11 N CA00163007 C SFY2008-09
930000128 ST. FRANCIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-10-16 00:00:00 930005533 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-09-17 00:00:00 2008-09-17 00:00:00 No 2008-11-06 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 1CDQ11 Y None None SFY2008-09
930000151 WHITTIER HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-12-10 00:00:00 930005686 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2008-10-14 00:00:00 2008-10-14 00:00:00 No 2009-01-02 00:00:00 None AP IJ None 25000 25000 0 25000 0 None Y61911 N CA00166431 B SFY2008-09
930000065 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2008-12-11 00:00:00 930005690 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE13 - Hemolytic reaction None 2008-10-29 00:00:00 2008-10-29 00:00:00 No 2009-01-05 00:00:00 None AP IJ None 25000 25000 0 25000 0 None K78W11 Y None None SFY2008-09
930000038 COAST PLAZA HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-02-20 00:00:00 930005890 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-12-05 00:00:00 2008-12-05 00:00:00 No 2009-03-13 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 3MHS11 N CA00173807 B SFY2008-09
930000100 SAINT JOHN'S HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-02-25 00:00:00 930005906 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2008-12-09 00:00:00 2008-12-09 00:00:00 No 2009-03-18 00:00:00 None AP IJ None 25000 25000 0 25000 0 None O99G11 N CA00172164 B SFY2008-09
930000002 CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-04-29 00:00:00 930006146 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2009-03-02 00:00:00 2009-03-02 00:00:00 No 2009-05-20 00:00:00 None AP IJ None 50000 50000 0 50000 0 None OQD311 N None None SFY2008-09
930000074 KAISER FOUNDATION HOSPITAL-DOWNEY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-05-14 00:00:00 930006192 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker Breach 2009-02-05 00:00:00 2009-02-05 00:00:00 Yes 2009-06-05 00:00:00 2009-05-22 00:00:00 AP BR None 250000 250000 -62500 187500 0 None V1TI11 None CA00176960 A SFY2008-09
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-06-11 00:00:00 930006283 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2007-09-24 00:00:00 2007-09-24 00:00:00 No 2009-07-02 00:00:00 None AP IJ None 25000 25000 0 25000 0 None EYIJ11 N CA00143480 C SFY2008-09
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-06-26 00:00:00 930006308 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE02 - Wrong patient surgery None 2007-09-24 00:00:00 2007-09-24 00:00:00 Yes 2009-07-17 00:00:00 2009-07-10 00:00:00 FTR AE FTR AE 30300 19695 0 19695 0 None 5N6E11 N CA00143480 C SFY2008-09
930000015 SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-06-26 00:00:00 930006322 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-12-13 00:00:00 2008-12-13 00:00:00 No 2009-07-17 00:00:00 None FTR AE None 10900 10900 0 10900 0 None BN3J11 N None None SFY2008-09
930000074 KAISER FOUNDATION HOSPITAL-DOWNEY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-06-29 00:00:00 930006335 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker Medical Record Breach 2009-01-26 00:00:00 2009-01-26 00:00:00 No 2009-08-05 00:00:00 None AP BR None 187500 187500 -46875 140625 0 None 5E7211 None CA00186764 B SFY2008-09
930000085 LOS ANGELES COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-08-07 00:00:00 930006451 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2009-05-05 00:00:00 2009-05-05 00:00:00 Yes 2009-08-28 00:00:00 2010-01-27 00:00:00 AP IJ AP IJ 50000 35000 0 35000 0 None MRZ511 Y CA00188181 C SFY2009-10
930000044 CEDARS-SINAI MARINA DEL REY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-09-18 00:00:00 930006567 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2007-03-29 00:00:00 2007-03-29 00:00:00 No 2009-10-09 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 7K7E11 N CA00202141 E SFY2009-10
930000039 KINDRED HOSPITAL SOUTH BAY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2009-12-04 00:00:00 930006751 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-10-25 00:00:00 2008-10-25 00:00:00 Yes 2009-12-28 00:00:00 2009-12-14 00:00:00 FTR AE FTR AE 25300 5060 0 5060 0 None QFQ211 N CA00179984 E SFY2009-10
930000146 DEL AMO BEHAVIORAL HEALTH SYSTEM Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2009-12-09 00:00:00 930006764 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2009-10-15 00:00:00 2009-10-15 00:00:00 Yes 2009-12-31 00:00:00 2010-04-15 00:00:00 AP IJ None 50000 50000 0 50000 0 None GLQX11 Y CA00205159 A SFY2009-10
930000065 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-01-13 00:00:00 930006910 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-04-17 00:00:00 2009-04-17 00:00:00 No 2010-02-05 00:00:00 None FTR BR None 1900 1900 0 1900 0 None SXS311 None CA00208513 C SFY2009-10
930000162 RONALD REAGAN UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-02-03 00:00:00 930006941 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-08-03 00:00:00 2009-08-03 00:00:00 No 2010-06-30 00:00:00 None AP BR None 95000 95000 -23750 71250 0 None DV6T11 None CA00198352 B SFY2009-10
930000114 COLLEGE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-02-16 00:00:00 930006980 Open Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2009-06-29 00:00:00 2009-06-29 00:00:00 Yes 2010-12-15 00:00:00 2010-11-19 00:00:00 AP BR None 225000 225000 0 0 225000 None 9WRL11 None CA00207376 B SFY2009-10
930000015 SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-04-14 00:00:00 930007124 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-02-25 00:00:00 2010-02-25 00:00:00 No 2010-05-05 00:00:00 None FTR AE None 2200 2200 0 2200 0 None J37P11 N CA00224968 C SFY2009-10
930000070 EMANATE HEALTH INTER-COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-06-23 00:00:00 930007328 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2008-08-01 00:00:00 2008-08-01 00:00:00 No 2010-07-14 00:00:00 None AP IJ None 25000 25000 0 25000 0 None 47YU11 N CA00179980 C SFY2009-10
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-08-17 00:00:00 930007498 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-02-05 00:00:00 2010-02-05 00:00:00 No 2010-09-08 00:00:00 None AP IJ None 50000 50000 0 50000 0 None J71311 N CA00219553 C SFY2010-11
930000003 PROMISE HOSP OF EAST LOS ANGELES-EAST L.A. CAMPUS Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-09-23 00:00:00 930007587 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-03-24 00:00:00 2010-03-24 00:00:00 No 2011-06-24 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 349C11 N CA00223727 C SFY2010-11
930000127 TORRANCE MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-10-25 00:00:00 930007666 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-06-11 00:00:00 2009-06-11 00:00:00 No 2011-09-29 00:00:00 None AP IJ None 50000 50000 0 50000 0 None LQL611 N CA00224338 C SFY2010-11
930000002 CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2010-10-25 00:00:00 930007668 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2010-05-21 00:00:00 2010-05-21 00:00:00 Yes 2013-03-08 00:00:00 2013-02-25 00:00:00 AP BR AP BR 250000 125000 0 125000 0 None TN4J11 None CA00230463 C SFY2010-11
930000086 LOS ANGELES METROPOLITAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-03-01 00:00:00 930007961 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2010-05-13 00:00:00 2010-05-13 00:00:00 No 2011-10-18 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 97EE11 Y CA00229144 A SFY2010-11
930001543 KAISER FOUNDATION HOSPITAL - BALDWIN PARK Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-03-28 00:00:00 930008107 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2009-03-09 00:00:00 2009-03-09 00:00:00 No 2012-10-01 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None G6D211 None CA00235038 C SFY2010-11
930000109 MOTION PICTURE & TELEVISION HOSPITAL Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2011-04-04 00:00:00 930008108 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-03-10 00:00:00 2010-03-10 00:00:00 Yes 2013-03-08 00:00:00 2013-02-22 00:00:00 AP BR AP BR 112500 56250 0 56250 0 None S8PM11 None CA00223532 B SFY2010-11
930000103 ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-04-19 00:00:00 930008172 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2010-04-09 00:00:00 2010-04-09 00:00:00 No 2012-10-04 00:00:00 None AP BR None 112500 112500 0 112500 0 None M3Q311 None CA00228561 H SFY2010-11
930000015 SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-04-20 00:00:00 930008177 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2009-04-18 00:00:00 2009-04-18 00:00:00 Yes 2011-09-29 00:00:00 2011-09-19 00:00:00 AP IJ AP IJ 50000 25000 0 25000 0 None GOYC11 N CA00231733 B SFY2010-11
930000127 TORRANCE MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-04-29 00:00:00 930008210 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-11-21 00:00:00 2009-11-21 00:00:00 No 2011-12-30 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 7QX611 N CA00212417 C SFY2010-11
930000109 MOTION PICTURE & TELEVISION HOSPITAL Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2011-05-27 00:00:00 930008275 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-01-29 00:00:00 2010-01-29 00:00:00 No 2012-06-22 00:00:00 None AP IJ None 50000 50000 0 50000 0 None QCRU11 N CA00228605 C SFY2010-11
930000063 HENRY MAYO NEWHALL HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-06-03 00:00:00 930008290 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-01-15 00:00:00 2010-01-15 00:00:00 Yes 2011-12-30 00:00:00 2011-12-14 00:00:00 AP IJ AP IJ 50000 25000 0 25000 0 None DE4C11 N None None SFY2010-11
930000101 PROVIDENCE SAINT JOSEPH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-07-08 00:00:00 930008310 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-06-20 00:00:00 2010-06-20 00:00:00 Yes 2013-07-22 00:00:00 2013-07-09 00:00:00 AP BR None 25000 25000 0 25000 0 None P97011 None CA00234923 C SFY2011-12
930000085 LOS ANGELES COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-06-30 00:00:00 930008346 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2010-10-25 00:00:00 2010-10-25 00:00:00 No 2011-07-22 00:00:00 None FTR AE None 3000 3000 0 3000 0 None 6QZH11 N CA00250946 C SFY2010-11
930000072 KAISER FOUNDATION HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-10-15 00:00:00 930008619 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE23 - Death/disab assoc with use of restraints/bedrails None 2010-06-19 00:00:00 2010-06-19 00:00:00 No 2012-09-20 00:00:00 None AP IJ None 50000 50000 0 50000 0 None RSQI11 Y CA00233429 B SFY2011-12
930000052 PIH HEALTH DOWNEY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-11-10 00:00:00 930008728 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-11-16 00:00:00 2010-11-16 00:00:00 No 2014-02-10 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None YYBK11 None CA00251578 C SFY2011-12
930000074 KAISER FOUNDATION HOSPITAL-DOWNEY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-11-10 00:00:00 930008730 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-04-12 00:00:00 2010-04-12 00:00:00 No 2013-03-08 00:00:00 None AP BR None 42500 42500 0 42500 0 None 1LOF11 None CA00257715 C SFY2011-12
930000071 KAISER FOUNDATION HOSPITAL - SOUTH BAY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-11-08 00:00:00 930008731 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2010-07-16 00:00:00 2010-07-16 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 50000 50000 0 50000 0 None SSN011 Y CA00236462 B SFY2011-12
930000101 PROVIDENCE SAINT JOSEPH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-11-28 00:00:00 930008770 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2010-03-15 00:00:00 2010-03-15 00:00:00 Yes 2013-03-08 00:00:00 2013-02-21 00:00:00 AP BR None 42500 42500 0 42500 0 None PCGF11 None CA00223538 B SFY2011-12
930000034 CHILDREN'S HOSPITAL LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-11-30 00:00:00 930008774 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2011-07-21 00:00:00 2011-07-21 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 01O011 N CA00281069 C SFY2011-12
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-12-21 00:00:00 930008841 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-05-19 00:00:00 2010-05-19 00:00:00 No 2012-06-25 00:00:00 None AP IJ None 75000 75000 0 75000 0 None T13T11 N CA00230939 C SFY2011-12
930000002 CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-12-27 00:00:00 930008852 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-02-02 06:10:00 2011-02-02 06:10:00 No 2012-01-19 00:00:00 None FTR AE None 5200 5200 0 5200 0 None ZWR111 N CA00268189 C SFY2011-12
930000002 CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2012-01-03 00:00:00 930008879 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2010-06-08 00:00:00 2010-06-08 00:00:00 No 2012-09-20 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 0H5J11 N CA00233103 B SFY2011-12
930000070 EMANATE HEALTH INTER-COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2012-02-10 00:00:00 930008998 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2011-03-24 00:00:00 2011-03-24 00:00:00 No 2012-11-02 00:00:00 None AP IJ None 50000 50000 0 50000 0 None ZL2P11 Y CA00263599 B SFY2011-12
930000096 USC ARCADIA HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2012-05-29 00:00:00 930009343 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-03-24 00:00:00 2010-03-24 00:00:00 No 2013-01-11 00:00:00 None AP IJ None 50000 50000 0 50000 0 None FPJ311 N CA00240013 C SFY2011-12
930000035 L.A. DOWNTOWN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2012-12-19 00:00:00 930009679 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2011-09-01 00:00:00 2011-09-01 00:00:00 Yes 2013-05-07 00:00:00 2013-04-24 00:00:00 AP IJ AP IJ 50000 20000 0 20000 0 None 8HVK11 N CA00285839 B SFY2012-13
930000049 SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-02-12 00:00:00 930009745 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2009-03-23 00:00:00 2009-03-23 00:00:00 No 2013-06-26 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 7PQR11 N CA00185841 C SFY2012-13
930000065 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-03-12 00:00:00 930009781 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2012-01-10 00:00:00 2012-01-10 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None YJVP11 Y CA00315502 C SFY2012-13
930000041 SAN GABRIEL VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-04-01 00:00:00 930009793 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2012-11-06 00:00:00 2012-11-06 00:00:00 Yes 2015-11-09 00:00:00 2015-10-23 00:00:00 AP BR None 250000 250000 -62500 187500 0 None OSSD11 None CA00343755 C SFY2012-13
930000014 BARLOW RESPIRATORY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-06-07 00:00:00 930009938 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2011-11-19 00:00:00 2011-11-19 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 85GM11 Y CA00298992 C SFY2012-13
930000085 LOS ANGELES COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-06-07 00:00:00 930009940 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2013-01-08 00:00:00 2013-01-08 00:00:00 Yes 2014-02-21 00:00:00 2014-02-03 00:00:00 AP IJ AP IJ 50000 30000 0 30000 0 None 4KHV11 N CA00340450 C SFY2012-13
930000162 RONALD REAGAN UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-07-09 00:00:00 930010001 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-07-29 00:00:00 2011-07-29 00:00:00 No 2013-09-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 30L311 N CA00281298 C SFY2013-14
930000008 ANTELOPE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-08-14 00:00:00 930010095 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2010-03-10 00:00:00 2010-03-10 00:00:00 No 2013-11-14 00:00:00 None AP IJ None 50000 50000 0 50000 0 None T0WF11 N CA00235788 C SFY2013-14
930000127 TORRANCE MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-09-06 00:00:00 930010130 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2011-11-08 00:00:00 2011-11-08 00:00:00 No 2015-02-24 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None WS4711 None CA00297295 B SFY2013-14
930000133 PACIFICA HOSPITAL OF THE VALLEY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-10-18 00:00:00 930010221 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2011-06-26 00:00:00 2011-06-26 00:00:00 Yes 2014-02-21 00:00:00 2014-02-18 00:00:00 AP IJ None 50000 50000 0 0 50000 None ING911 Y CA00274380 B SFY2013-14
930000026 HUNTINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2011-11-28 00:00:00 930010241 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2011-09-28 00:00:00 2011-09-28 00:00:00 Yes 2015-02-24 00:00:00 2015-02-12 00:00:00 AP BR AP BR 250000 150000 0 150000 0 None LFT811 None CA00303677 C SFY2011-12
930000162 RONALD REAGAN UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2013-11-15 00:00:00 930010269 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2011-05-31 00:00:00 2011-05-31 00:00:00 No 2014-02-21 00:00:00 None AP IJ None 75000 75000 0 75000 0 None KFG211 N CA00278023 C SFY2013-14
930000111 NORTHRIDGE HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2014-04-17 00:00:00 930010399 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2010-08-18 00:00:00 2010-08-18 00:00:00 No 2014-08-15 00:00:00 None AP IJ None 50000 50000 0 50000 0 None XNEF11 N CA00243994 C SFY2013-14
930000034 CHILDREN'S HOSPITAL LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2014-04-17 00:00:00 930010639 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2013-07-24 00:00:00 2013-07-24 00:00:00 No 2015-01-06 00:00:00 None AP IJ None 75000 75000 0 75000 0 None UFIU11 N CA00363690 A SFY2013-14
930000290 KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2014-04-23 00:00:00 930010642 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2013-05-28 00:00:00 2013-05-28 00:00:00 No 2015-03-05 00:00:00 None AP IJ None 50000 50000 0 50000 0 None MG8711 N CA00357973 B SFY2013-14
930000137 AURORA LAS ENCINAS HOSPITAL Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2014-07-15 00:00:00 930010868 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2013-10-07 00:00:00 2013-10-07 00:00:00 No 2015-01-06 00:00:00 None AP IJ None 50000 50000 0 50000 0 None YYR511 N CA00374420 B SFY2014-15
930000012 ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2014-12-09 00:00:00 930011165 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2012-09-29 00:00:00 2012-09-29 00:00:00 Yes 2015-03-05 00:00:00 2015-02-20 00:00:00 AP IJ AP IJ 50000 32500 0 32500 0 None D0PK11 N CA00340949 C SFY2014-15
930000085 LOS ANGELES COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2015-12-22 00:00:00 930011849 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2013-01-03 00:00:00 2013-01-03 00:00:00 Yes 2016-01-14 00:00:00 2017-01-12 00:00:00 AP IJ AP IJ 75000 38500 0 38500 0 None 3JXN11 N CA00341616 C SFY2015-16
930000058 GARFIELD MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2015-12-21 00:00:00 930011917 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2012-11-07 00:00:00 2012-11-07 00:00:00 Yes 2016-01-13 00:00:00 2017-01-05 00:00:00 AP IJ None 50000 50000 0 50000 0 None 7GFR11 N CA00333414 C SFY2015-16
930000008 ANTELOPE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-01-06 00:00:00 930011944 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2010-03-16 00:00:00 2010-03-16 00:00:00 Yes 2016-08-01 00:00:00 2016-07-21 00:00:00 AP BR None 25000 25000 0 25000 0 None DR7511 None CA00222831 C SFY2015-16
930000064 SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-01-08 00:00:00 930011946 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE10 - Death/disability due to disappearance None 2013-06-10 00:00:00 2013-06-10 00:00:00 Yes 2016-02-01 00:00:00 2017-01-09 00:00:00 AP IJ AP IJ 50000 35000 0 35000 0 None XH6I11 N CA00358774 C SFY2015-16
930000100 SAINT JOHN'S HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-09-09 00:00:00 930011949 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-07-02 00:00:00 2015-07-02 00:00:00 No 2016-09-30 00:00:00 None FTR AE None 2000 2000 0 2000 0 None ZYEC11 N CA00452995 B SFY2016-17
930000196 COLLEGE HOSPITAL Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2016-01-11 00:00:00 930011951 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2012-05-25 00:00:00 2012-05-25 00:00:00 No 2016-02-02 00:00:00 None AP IJ None 75000 75000 0 75000 0 None DV3411 N CA00313278 C SFY2015-16
930000129 VALLEY PRESBYTERIAN HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-01-15 00:00:00 930011973 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE21 - Death/disability due to a burn None 2011-02-08 00:00:00 2011-02-08 00:00:00 Yes 2016-02-08 00:00:00 2017-01-13 00:00:00 AP IJ AP IJ 50000 30000 0 30000 0 None DQGB11 N CA00262114 B SFY2015-16
930000004 CEDARS-SINAI MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-01-22 00:00:00 930011980 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2013-06-18 00:00:00 2013-06-18 00:00:00 Yes 2016-08-01 00:00:00 2016-07-22 00:00:00 AP BR None 250000 250000 0 0 250000 None 490711 None CA00360373 B SFY2015-16
930000111 NORTHRIDGE HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-01-21 00:00:00 930011987 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-08-29 00:00:00 2010-08-29 00:00:00 No 2016-08-01 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None Q4SL11 None CA00246430 C SFY2015-16
930000111 NORTHRIDGE HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-01-21 00:00:00 930011988 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2010-08-22 00:00:00 2010-08-22 00:00:00 No 2016-08-01 00:00:00 None AP BR None 25000 25000 -6250 18750 0 None WRY811 None CA00243986 C SFY2015-16
930000103 ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-02-09 00:00:00 930012008 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2013-07-20 00:00:00 2013-07-20 00:00:00 No 2016-03-02 00:00:00 None AP IJ None 50000 50000 0 50000 0 None GEX711 N CA00363083 B SFY2015-16
930000196 COLLEGE HOSPITAL Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2016-02-09 00:00:00 930012013 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2012-04-10 00:00:00 2012-04-10 00:00:00 No 2016-03-02 00:00:00 None AP IJ None 50000 50000 0 50000 0 None 97GK11 N CA00307558 A SFY2015-16
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-02-16 00:00:00 930012019 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2013-01-11 00:00:00 2013-01-11 00:00:00 No 2016-03-08 00:00:00 None AP IJ None 100000 100000 0 100000 0 None DRLY11 N CA00340877 C SFY2015-16
930000133 PACIFICA HOSPITAL OF THE VALLEY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-03-08 00:00:00 930012060 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2013-08-11 00:00:00 2013-08-11 00:00:00 No 2016-03-29 00:00:00 None AP IJ None 75000 75000 0 75000 0 None N96211 N CA00365892 B SFY2015-16
930000096 USC ARCADIA HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-03-29 00:00:00 930012154 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach by h/c worker within facility/hc system None 2014-02-15 00:00:00 2014-02-15 00:00:00 No 2016-04-20 00:00:00 None AP BR None 28500 28500 0 28500 0 None HOCU11 None CA00389732 C SFY2015-16
930000191 ADVENTIST HEALTH WHITE MEMORIAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-04-11 00:00:00 930012167 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2013-01-07 00:00:00 2013-01-07 00:00:00 No 2017-05-11 00:00:00 None AP IJ None 50000 50000 0 50000 0 None U5H511 N CA00341956, CA00348213 C, C SFY2015-16
930000089 KINDRED HOSPITAL - LA MIRADA Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-08-26 00:00:00 930012279 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-10-05 00:00:00 2015-10-05 00:00:00 No 2016-09-19 00:00:00 None FTR AE None 600 600 0 600 0 None DO2W11 N CA00462215 B SFY2016-17
930000162 RONALD REAGAN UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-06-24 00:00:00 930012288 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-03-04 00:00:00 2015-03-04 00:00:00 No 2016-07-18 00:00:00 None FTR AE None 22100 22100 0 22100 0 None 49IM11 N CA00462571 B SFY2015-16
930000140 SHERMAN OAKS HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-06-24 00:00:00 930012289 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE05 - Death during or up to 24 hours after surgery None 2015-11-19 00:00:00 2015-11-19 00:00:00 No 2016-07-18 00:00:00 None FTR AE None 100 100 0 100 0 None QDLP11 Y CA00466959 B SFY2015-16
930000089 KINDRED HOSPITAL - LA MIRADA Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-06-16 00:00:00 930012290 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-09-23 00:00:00 2015-09-23 00:00:00 No 2016-07-08 00:00:00 None FTR AE None 1700 1700 0 1700 0 None CGZR11 N CA00462180 B SFY2015-16
930000063 HENRY MAYO NEWHALL HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-06-09 00:00:00 930012321 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2015-07-14 00:00:00 2015-07-14 00:00:00 No 2016-06-30 00:00:00 None AP NON-IJ None 12375 12375 0 12375 0 None FB0V11 Y CA00453376 B SFY2015-16
930000052 PIH HEALTH DOWNEY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-06-09 00:00:00 930012322 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-09-28 00:00:00 2015-09-28 00:00:00 Yes 2017-05-11 00:00:00 2017-04-26 00:00:00 AP IJ None 47025 47025 0 47025 0 None S4SI11 Y CA00460600 B SFY2015-16
930000072 KAISER FOUNDATION HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-07-18 00:00:00 930012415 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2012-05-01 00:00:00 2012-05-01 00:00:00 No 2016-08-08 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 2ID011 N CA00309142 A SFY2016-17
930000008 ANTELOPE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-08-19 00:00:00 930012522 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-05-17 00:00:00 2016-05-17 00:00:00 No 2016-09-12 00:00:00 None FTR AE None 1500 1500 0 1500 0 None MPD511 N CA00491055 C SFY2016-17
930000049 SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-10-06 00:00:00 930012631 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-05-23 00:00:00 2015-05-23 00:00:00 No 2016-10-27 00:00:00 None FTR AE None 32600 32600 0 32600 0 None T48S11 N CA00475364, CA00475364 B, B SFY2016-17
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-10-06 00:00:00 930012632 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2014-06-24 00:00:00 2014-06-24 00:00:00 Yes 2016-10-27 00:00:00 2016-10-17 00:00:00 FTR AE FTR AE 71700 45000 0 45000 0 None G25E11 N CA00484548 B SFY2016-17
930000095 MEMORIALCARE LONG BEACH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-10-12 00:00:00 930012645 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-05-03 00:00:00 2016-05-03 00:00:00 No 2016-11-02 00:00:00 None FTR AE None 400 400 0 400 0 None VGOF11 N CA00487948 C SFY2016-17
930000196 COLLEGE HOSPITAL Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2016-10-26 00:00:00 930012681 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-10-03 00:00:00 2015-10-03 00:00:00 No 2016-11-17 00:00:00 None AP NON-IJ None 12375 12375 0 12375 0 None PC3711 N CA00460604 B SFY2016-17
930000133 PACIFICA HOSPITAL OF THE VALLEY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-10-26 00:00:00 930012687 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) Patient Safety 2016-03-30 00:00:00 2016-03-30 00:00:00 No 2016-11-17 00:00:00 None AP NON-IJ None 4000 4000 0 4000 0 None L7CN11 N CA00482489 B SFY2016-17
930000014 BARLOW RESPIRATORY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-11-29 00:00:00 930012778 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE26 - Sexual assault on a patient None 2015-06-18 00:00:00 2015-06-18 00:00:00 Yes 2016-12-20 00:00:00 2018-04-30 00:00:00 AP IJ None 59850 59850 0 0 59850 None RLKY11 N CA00447980 A SFY2016-17
930000039 KINDRED HOSPITAL SOUTH BAY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-12-07 00:00:00 930012795 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE06 -Use of contaminated drug, device, or biologic None 2015-03-02 00:00:00 2015-03-02 00:00:00 No 2016-12-29 00:00:00 None AP IJ None 71250 71250 0 71250 0 None YIF311 N CA00433321 A SFY2016-17
930000027 MISSION COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2016-12-22 00:00:00 930012837 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2014-02-09 00:00:00 2014-02-09 00:00:00 No 2017-01-17 00:00:00 None AP IJ None 50000 50000 0 50000 0 None FDMQ11 N CA00387972, CA00474816 C, B SFY2016-17
930000082 COMMUNITY HOSPITAL LONG BEACH Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2017-03-13 00:00:00 930012993 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-05-01 00:00:00 2016-05-01 00:00:00 No 2017-04-04 00:00:00 None FTR AE None 2500 2500 0 2500 0 None 7EEN11 N CA00490055 C SFY2016-17
930000036 CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2017-06-27 00:00:00 930013057 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-12-31 00:00:00 2015-12-31 00:00:00 No 2017-07-19 00:00:00 None FTR AE None 600 600 0 600 0 None P5DY11 N CA00472027 B SFY2016-17
930000036 CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2017-03-23 00:00:00 930013066 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Retain forgein object dur 2016-01-22 00:00:00 2016-01-22 00:00:00 No 2017-04-14 00:00:00 None AP NON-IJ None 16650 16650 0 16650 0 None YC0I11 N CA00479523 B SFY2016-17
930000076 KAISER FOUNDATION HOSPITAL-WEST LA Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2017-06-15 00:00:00 930013255 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-11-23 00:00:00 2015-11-23 00:00:00 No 2017-07-07 00:00:00 None FTR AE None 200 200 0 200 0 None Q83J11 N CA00467263 B SFY2016-17
930000077 PALMDALE REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2017-07-06 00:00:00 930013312 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2016-03-09 00:00:00 2016-03-09 00:00:00 Yes 2017-07-27 00:00:00 2018-01-04 00:00:00 AP IJ AP IJ 49500 39600 0 39600 0 None 3Y2E11 N CA00480191, CA00482818, CA00482818, CA00482818 B, B, B, B SFY2017-18
930000093 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2017-10-31 00:00:00 930013320 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-06-11 00:00:00 2016-06-11 00:00:00 No 2017-11-22 00:00:00 None FTR AE None 500 500 0 500 0 None PHWU11 N CA00492638 B SFY2017-18
930000036 CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2017-08-28 00:00:00 930013454 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-10-31 00:00:00 2016-10-31 00:00:00 No 2017-09-19 00:00:00 None FTR AE None 5500 5500 0 5500 0 None 5I8311 N CA00516344 B SFY2017-18
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-01-04 00:00:00 930013647 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-11-25 00:00:00 2015-11-25 00:00:00 No 2018-01-26 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None JV9011 N CA00468143 B SFY2017-18
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-02-06 00:00:00 930013717 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-06-21 00:00:00 2016-06-21 00:00:00 No 2018-02-28 00:00:00 None FTR AE None 300 300 0 300 0 None XZZ511 N CA00493809 B SFY2017-18
930000065 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-01-29 00:00:00 930013724 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-04-19 00:00:00 2017-04-19 00:00:00 No 2018-02-20 00:00:00 None FTR AE None 200 200 0 200 0 None E9NX11 N CA00533106 B SFY2017-18
930000157 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-11-13 00:00:00 930013733 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2016-07-11 00:00:00 2016-07-11 00:00:00 No 2019-07-09 00:00:00 None AP IJ None 27075 27075 0 27075 0 None YWV711 N CA00495270 A SFY2018-19
930000008 ANTELOPE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-02-22 00:00:00 930013746 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2012-11-03 00:00:00 2012-11-03 00:00:00 No 2018-03-16 00:00:00 None AP IJ None 75000 75000 0 75000 0 None W6Y611 Y CA00333458, CA00451789, CA00451789 C, C, C SFY2017-18
930000004 CEDARS-SINAI MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-02-22 00:00:00 930013836 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient Surgical Error 2016-04-28 00:00:00 2016-04-28 00:00:00 No 2018-03-15 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None VSK811 N CA00487016 B SFY2017-18
930000162 RONALD REAGAN UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-02-27 00:00:00 930013843 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-09-22 00:00:00 2016-09-22 00:00:00 No 2018-03-20 00:00:00 None FTR AE None 3100 3100 0 3100 0 None MHX411 N CA00508700 B SFY2017-18
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-04-05 00:00:00 930013965 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE01 - Surgery performed on a wrong body part None 2016-11-15 00:00:00 2016-11-15 00:00:00 No 2018-04-26 00:00:00 None FTR AE None 300 300 0 300 0 None LIV211 N CA00511801 B SFY2017-18
930000047 UCI HEALTH-LAKEWOOD Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-04-11 00:00:00 930013966 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-11-29 00:00:00 2015-11-29 00:00:00 No 2018-05-02 00:00:00 None FTR AE None 1100 1100 0 1100 0 None 94K611 N CA00469040, CA00469040 B, B SFY2017-18
930000162 RONALD REAGAN UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-04-11 00:00:00 930013981 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-10-04 00:00:00 2016-10-04 00:00:00 No 2018-05-02 00:00:00 None FTR AE None 1900 1900 0 1900 0 None 68PE11 N CA00508706 B SFY2017-18
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-04-10 00:00:00 930013990 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-11-02 00:00:00 2017-11-02 00:00:00 No 2018-05-01 00:00:00 None FTR AE None 700 700 0 700 0 None R1QW11 N CA00561032, CA00561032 B, B SFY2017-18
930000062 GREATER EL MONTE COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-05-03 00:00:00 930014038 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-10-01 00:00:00 2017-10-01 00:00:00 No 2018-05-24 00:00:00 None FTR AE None 3800 3800 0 3800 0 None KTWR11 N CA00560741 B SFY2017-18
930000072 KAISER FOUNDATION HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-05-03 00:00:00 930014048 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-01-22 00:00:00 2016-01-22 00:00:00 No 2018-05-24 00:00:00 None AP NON-IJ None 14250 14250 0 14250 0 None RWLY11 N CA00473930 B SFY2017-18
930000127 TORRANCE MEMORIAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-05-04 00:00:00 930014053 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-09-22 00:00:00 2016-09-22 00:00:00 No 2018-05-25 00:00:00 None AP NON-IJ None 15675 15675 0 15675 0 None O7B911 N CA00507028 B SFY2017-18
930000004 CEDARS-SINAI MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-04-16 00:00:00 930014058 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-08-31 00:00:00 2016-08-31 00:00:00 No 2019-04-12 00:00:00 None AP BR None 7500 7500 0 7500 0 None Q23111 None CA00504242 E SFY2017-18
930000104 SAINT VINCENT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-05-09 00:00:00 930014070 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2016-12-02 00:00:00 2016-12-02 00:00:00 No 2018-05-31 00:00:00 None AP IJ None 71250 71250 0 71250 0 None GQK011 Y CA00513129 B SFY2017-18
930000153 RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2018-05-11 00:00:00 930014175 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2016-11-22 00:00:00 2016-11-22 00:00:00 Yes 2018-10-03 00:00:00 2018-09-13 00:00:00 AP BR AP BR 75000 75000 0 0 75000 None P41T11 None CA00512901, CA00512901 C, C SFY2017-18
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-07-18 00:00:00 930014183 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-11-14 00:00:00 2016-11-14 00:00:00 No 2018-08-08 00:00:00 None FTR AE None 400 400 0 400 0 None 71Y711 N CA00511840 B SFY2018-19
930001543 KAISER FOUNDATION HOSPITAL - BALDWIN PARK Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-07-18 00:00:00 930014185 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-11-20 00:00:00 2017-11-20 00:00:00 No 2018-08-08 00:00:00 None FTR AE None 200 200 0 200 0 None NHD911 N CA00562386 B SFY2018-19
930000151 WHITTIER HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-07-16 00:00:00 930014208 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2015-08-10 00:00:00 2015-08-10 00:00:00 No 2018-08-06 00:00:00 None AP NON-IJ None 4750 4750 0 4750 0 None KJ4511 N CA00454852 B SFY2018-19
930000151 WHITTIER HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-07-19 00:00:00 930014238 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2015-08-07 00:00:00 2015-08-07 00:00:00 No 2018-08-09 00:00:00 None FTR AE None 200 200 0 200 0 None KJ4511 N CA00454852 B SFY2018-19
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-07-18 00:00:00 930014241 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-02-17 00:00:00 2017-02-17 00:00:00 No 2018-08-08 00:00:00 None FTR AE None 200 200 0 200 0 None 2N9I11 N CA00523944 B SFY2018-19
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-07-18 00:00:00 930014242 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-12-06 00:00:00 2016-12-06 00:00:00 No 2018-08-08 00:00:00 None FTR AE None 400 400 0 400 0 None R88311 N CA00514725 B SFY2018-19
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-07-20 00:00:00 930014243 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-11-18 00:00:00 2016-11-18 00:00:00 No 2018-08-10 00:00:00 None FTR AE None 600 600 0 600 0 None 4K3011 N CA00512249 B SFY2018-19
930000103 ST. MARY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-08-08 00:00:00 930014256 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-08-22 00:00:00 2016-08-22 00:00:00 No 2018-08-29 00:00:00 None FTR AE None 300 300 0 300 0 None 9F2511 N CA00501220 C SFY2018-19
930000100 SAINT JOHN'S HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-07-27 00:00:00 930014277 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2016-06-03 00:00:00 2016-06-03 00:00:00 No 2018-08-17 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None MUF711 N CA00491116 C SFY2018-19
930000162 RONALD REAGAN UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-10-26 00:00:00 930014535 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-12-23 00:00:00 2016-12-23 00:00:00 No 2018-11-19 00:00:00 None FTR AE None 800 800 0 800 0 None 8KK311 N CA00516975, CA00516975 B, B SFY2018-19
930000157 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-11-01 00:00:00 930014553 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-10-25 00:00:00 2017-10-25 00:00:00 No 2018-11-27 00:00:00 None FTR AE None 400 400 0 400 0 None SVXV11 N CA00559780 B SFY2018-19
930000129 VALLEY PRESBYTERIAN HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-11-01 00:00:00 930014554 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-06-20 00:00:00 2016-06-20 00:00:00 No 2018-11-27 00:00:00 None FTR AE None 400 400 0 400 0 None B4ME11 N CA00493846 B SFY2018-19
930000026 HUNTINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-11-26 00:00:00 930014603 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2017-05-02 00:00:00 2017-05-02 00:00:00 No 2018-12-17 00:00:00 None AP NON-IJ None 11812.5 11812.5 0 11812.5 0 None HCJN11 N CA00534500 B SFY2018-19
930000026 HUNTINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-11-29 00:00:00 930014614 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-08-20 00:00:00 2017-08-20 00:00:00 No 2018-12-20 00:00:00 None AP NON-IJ None 5250 5250 0 5250 0 None 75M711 N CA00549590 B SFY2018-19
930000162 RONALD REAGAN UCLA MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-11-29 00:00:00 930014616 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2015-12-15 00:00:00 2015-12-15 00:00:00 No 2018-12-20 00:00:00 None FTR AE None 9400 9400 0 9400 0 None JW8011 N CA00482186 B SFY2018-19
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-11-30 00:00:00 930014618 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2016-03-14 00:00:00 2016-03-14 00:00:00 No 2018-12-21 00:00:00 None AP NON-IJ None 15675 15675 0 15675 0 None 041511 N CA00480758 B SFY2018-19
930000114 COLLEGE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-12-03 00:00:00 930014622 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2016-11-14 00:00:00 2016-11-14 00:00:00 No 2018-12-24 00:00:00 None FTR AE None 1300 1300 0 1300 0 None UZZH11 Y CA00513678 B SFY2018-19
930000114 COLLEGE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-12-03 00:00:00 930014623 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2016-11-14 00:00:00 2016-11-14 00:00:00 Yes 2018-12-24 00:00:00 2018-12-18 00:00:00 AP NON-IJ AP NON-IJ 14962 11000 0 11000 0 None UZZH11 Y CA00513678 B SFY2018-19
930000065 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-01-02 00:00:00 930014680 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2016-09-13 00:00:00 2016-09-13 00:00:00 No 2019-01-24 00:00:00 None AP NON-IJ None 15675 15675 0 15675 0 None SLTY11 N CA00503979 B SFY2018-19
930000050 KAISER FOUNDATION HOSPITAL - PANORAMA CITY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-01-02 00:00:00 930014681 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-06-08 00:00:00 2016-06-08 00:00:00 No 2019-01-23 00:00:00 None FTR AE None 800 800 0 800 0 None OSXS11 N CA00492815 B SFY2018-19
930000036 CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-01-02 00:00:00 930014682 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-09-05 00:00:00 2016-09-05 00:00:00 No 2019-01-24 00:00:00 None FTR AE None 400 400 0 400 0 None XHEX11 N CA00503067 C SFY2018-19
930000036 CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-01-02 00:00:00 930014683 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-09-25 00:00:00 2016-09-25 00:00:00 No 2019-01-23 00:00:00 None FTR AE None 1100 1100 0 1100 0 None EMPH11 N CA00506647 C SFY2018-19
930000063 HENRY MAYO NEWHALL HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2018-11-13 00:00:00 930014828 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-09-14 00:00:00 2017-09-14 00:00:00 No 2019-07-09 00:00:00 None AP IJ None 53000 53000 0 53000 0 None SHHG11 N CA00543798 B SFY2018-19
930000065 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-03-27 00:00:00 930014857 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2015-03-17 00:00:00 2015-03-17 00:00:00 No 2020-10-19 00:00:00 None AP IJ None 75000 75000 0 75000 0 None SJNV11 Y CA00435760 C SFY2018-19
930000012 ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-03-20 00:00:00 930014893 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-12-09 00:00:00 2017-12-09 00:00:00 Yes 2019-04-11 00:00:00 2021-10-26 00:00:00 AP IJ None 47025 47025 0 0 47025 None QGCR11 Y CA00564973 B SFY2018-19
930000151 WHITTIER HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-23 00:00:00 930014980 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-04-11 00:00:00 2016-04-11 00:00:00 No 2019-05-14 00:00:00 None FTR AE None 1200 1200 0 1200 0 None NOPC11 N CA00486134 B SFY2018-19
930000049 SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-23 00:00:00 930014982 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-12-06 00:00:00 2016-12-06 00:00:00 No 2019-05-14 00:00:00 None FTR AE None 1800 1800 0 1800 0 None ED2N11 N CA00516236 B SFY2018-19
930000026 HUNTINGTON HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-24 00:00:00 930014983 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-04-08 00:00:00 2016-04-08 00:00:00 No 2019-05-15 00:00:00 None FTR AE None 1200 1200 0 1200 0 None GVG311 N CA00485597 B SFY2018-19
930000040 COMMUNITY HOSPITAL OF HUNTINGTON PARK Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-23 00:00:00 930014984 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2016-05-04 00:00:00 2016-05-04 00:00:00 No 2019-05-14 00:00:00 None FTR AE None 25500 25500 0 25500 0 None PSB311 Y CA00488796 B SFY2018-19
930000100 SAINT JOHN'S HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-26 00:00:00 930014985 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2016-10-25 00:00:00 2016-10-25 00:00:00 No 2019-05-17 00:00:00 None AP NON-IJ None 12600 12600 0 12600 0 None 2L8Q11 Y CA00510760, CA00510760, CA00510760 B, B, B SFY2018-19
930000108 MONTEREY PARK HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-25 00:00:00 930014986 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE15 - Death/disability directly related to hypoglycemia None 2016-09-24 00:00:00 2016-09-24 00:00:00 No 2019-05-16 00:00:00 None AP NON-IJ None 15675 15675 0 15675 0 None R8NS11 Y CA00504650 B SFY2018-19
930000022 CENTINELA HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-26 00:00:00 930014987 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-07-11 00:00:00 2017-07-11 00:00:00 No 2019-05-17 00:00:00 None FTR AE None 13400 13400 0 13400 0 None 0VFU11 N CA00559489 B SFY2018-19
930000129 VALLEY PRESBYTERIAN HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-25 00:00:00 930014988 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2016-12-22 00:00:00 2016-12-22 00:00:00 No 2019-05-16 00:00:00 None FTR AE None 13200 13200 0 13200 0 None 42XX11 N CA00538487 B SFY2018-19
930001543 KAISER FOUNDATION HOSPITAL - BALDWIN PARK Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-25 00:00:00 930014989 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE14 - Maternal death/disab due to labor/del/post None 2017-10-05 00:00:00 2017-10-05 00:00:00 No 2019-05-16 00:00:00 None FTR AE None 1000 1000 0 1000 0 None Y62711 Y CA00557097 B SFY2018-19
930000104 SAINT VINCENT MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-26 00:00:00 930014991 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE03 - Wrong surgical procedure performed on a patient None 2018-01-19 00:00:00 2018-01-19 00:00:00 No 2019-05-17 00:00:00 None AP NON-IJ None 14250 14250 0 14250 0 None SNIN11 N CA00570711 B SFY2018-19
930000100 SAINT JOHN'S HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-26 00:00:00 930014992 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-08-30 00:00:00 2017-08-30 00:00:00 No 2019-05-17 00:00:00 None AP NON-IJ None 14250 14250 0 14250 0 None 6HTT11 N CA00551659 B SFY2018-19
930000008 ANTELOPE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-04-25 00:00:00 930014995 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2017-05-18 00:00:00 2017-05-18 00:00:00 No 2019-05-16 00:00:00 None FTR AE None 2900 2900 0 2900 0 None 8JX911 N CA00540839 B SFY2018-19
930000128 ST. FRANCIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-05-13 00:00:00 930015067 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-11-14 00:00:00 2018-11-14 00:00:00 No 2019-06-03 00:00:00 None FTR AE None 9100 9100 0 9100 0 None BWOD11 N CA00625253 B SFY2018-19
930000004 CEDARS-SINAI MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-06-18 00:00:00 930015168 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-05-29 00:00:00 2018-05-29 00:00:00 No 2019-07-09 00:00:00 None FTR AE None 32500 32500 0 32500 0 None R7SR11 N CA00589540 B SFY2018-19
930000123 POMONA VALLEY HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-06-19 00:00:00 930015173 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE05 - Death during or up to 24 hours after surgery None 2019-02-01 00:00:00 2019-02-01 00:00:00 No 2019-07-11 00:00:00 None FTR AE None 700 700 0 700 0 None TQGZ11 Y CA00624561 B SFY2018-19
930000033 KINDRED HOSPITAL PARAMOUNT Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-07-23 00:00:00 930015243 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-06-06 00:00:00 2017-06-06 00:00:00 No 2019-08-13 00:00:00 None FTR AE None 400 400 0 400 0 None EN3M11 N CA00539823 B SFY2019-20
930000002 CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-08-02 00:00:00 930015273 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2017-08-27 00:00:00 2017-08-27 00:00:00 No 2019-08-23 00:00:00 None AP IJ None 75000 75000 0 75000 0 None ZYBY11 Y CA00551568, CA00587570, CA00587570 B, B, B SFY2019-20
930000039 KINDRED HOSPITAL SOUTH BAY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-08-26 00:00:00 930015348 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-05-01 00:00:00 2019-05-01 00:00:00 No 2019-09-17 00:00:00 None FTR AE None 3000 3000 0 3000 0 None UJB311 N CA00640497 B SFY2019-20
930000059 ADVENTIST HEALTH GLENDALE Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-09-11 00:00:00 930015381 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2017-07-18 00:00:00 2017-07-18 00:00:00 No 2019-10-02 00:00:00 None AP NON-IJ None 13200 13200 0 13200 0 None X49P11 N CA00549227 B SFY2019-20
930000125 SAN DIMAS COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-10-14 00:00:00 930015454 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-06-25 00:00:00 2018-06-25 00:00:00 No 2019-11-04 00:00:00 None FTR AE None 3900 3900 0 3900 0 None HRE611 N CA00598803 B SFY2019-20
930000047 UCI HEALTH-LAKEWOOD Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-10-22 00:00:00 930015470 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-09-08 00:00:00 2017-09-08 00:00:00 Yes 2019-11-13 00:00:00 2019-10-30 00:00:00 FTR AE FTR AE 57300 5700 0 5700 0 None VGUK11 N CA00552647 B SFY2019-20
930000100 SAINT JOHN'S HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2019-11-14 00:00:00 930015532 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE10 - Death/disability due to disappearance None 2017-11-25 00:00:00 2017-11-25 00:00:00 No 2019-12-09 00:00:00 None AP IJ None 75000 75000 0 75000 0 None ZNES11 Y CA00562612 B SFY2019-20
930000031 CALIFORNIA REHABILITATION INSTITUTE, LLC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-02 00:00:00 930015655 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-11-08 00:00:00 2018-11-08 00:00:00 No 2020-01-24 00:00:00 None FTR AE None 23800 23800 0 23800 0 None 2PXT11 N CA00645489 B SFY2019-20
930000068 PIH HEALTH GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-06 00:00:00 930015662 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-06-24 00:00:00 2019-06-24 00:00:00 No 2020-01-27 00:00:00 None FTR AE None 1300 1300 0 1300 0 None 1W7811 N CA00645710 B SFY2019-20
930000068 PIH HEALTH GOOD SAMARITAN HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-06 00:00:00 930015664 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-07-31 00:00:00 2018-07-31 00:00:00 No 2020-01-27 00:00:00 None FTR AE None 2200 2200 0 2200 0 None 049911 N CA00601283 B SFY2019-20
930000108 MONTEREY PARK HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-06 00:00:00 930015666 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-01-21 00:00:00 2018-01-21 00:00:00 No 2020-01-28 00:00:00 None FTR AE None 8200 8200 0 8200 0 None XEOO11 N CA00582008 B SFY2019-20
930000065 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-10 00:00:00 930015677 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-09-30 00:00:00 2019-09-30 00:00:00 No 2020-01-31 00:00:00 None FTR AE None 500 500 0 500 0 None 6MD011 N CA00660013 B SFY2019-20
930000063 HENRY MAYO NEWHALL HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-10 00:00:00 930015682 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-07-19 00:00:00 2018-07-19 00:00:00 No 2020-01-31 00:00:00 None FTR AE None 1700 1700 0 1700 0 None VGGR11 N CA00599273 B SFY2019-20
930000129 VALLEY PRESBYTERIAN HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-15 00:00:00 930015686 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-07-08 00:00:00 2019-07-08 00:00:00 No 2020-02-05 00:00:00 None FTR AE None 600 600 0 600 0 None XHE311 N CA00646718 B SFY2019-20
930000040 COMMUNITY HOSPITAL OF HUNTINGTON PARK Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-15 00:00:00 930015687 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-10-07 00:00:00 2019-10-07 00:00:00 No 2020-02-05 00:00:00 None FTR AE None 400 400 0 400 0 None 6STN11 N CA00659671, CA00659671 B, B SFY2019-20
930000064 SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-16 00:00:00 930015688 Open Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-11-28 00:00:00 2018-11-28 00:00:00 Yes 2020-02-06 00:00:00 2020-01-24 00:00:00 FTR AE None 14300 14300 0 0 14300 None 8IL411 N CA00635113 B SFY2019-20
930000031 CALIFORNIA REHABILITATION INSTITUTE, LLC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-17 00:00:00 930015689 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-02-21 00:00:00 2019-02-21 00:00:00 No 2020-02-07 00:00:00 None FTR AE None 13300 13300 0 13300 0 None 3Z4R11 N CA00645493 B SFY2019-20
930000031 CALIFORNIA REHABILITATION INSTITUTE, LLC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-16 00:00:00 930015690 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-04-01 00:00:00 2019-04-01 00:00:00 No 2020-02-06 00:00:00 None FTR AE None 9400 9400 0 9400 0 None 804G11 N CA00645504 B SFY2019-20
930000031 CALIFORNIA REHABILITATION INSTITUTE, LLC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-16 00:00:00 930015691 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2018-07-15 00:00:00 2018-07-15 00:00:00 No 2020-02-07 00:00:00 None FTR AE None 35400 35400 0 35400 0 None LKT911 N CA00645188 B SFY2019-20
930000123 POMONA VALLEY HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-01-20 00:00:00 930015696 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2018-11-09 00:00:00 2018-11-09 00:00:00 No 2020-02-10 00:00:00 None FTR AE None 28900 28900 0 28900 0 None VNEQ11 N CA00652890 B SFY2019-20
930000153 RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2020-03-02 00:00:00 930015776 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2017-03-19 00:00:00 2017-03-19 00:00:00 No 2020-03-24 00:00:00 None AP IJ None 71250 71250 0 0 71250 None V3W911 Y CA00527503, CA00527503 B, B SFY2019-20
930000092 MEMORIAL HOSPITAL OF GARDENA Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-03-10 00:00:00 930015796 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-09-05 00:00:00 2019-09-05 00:00:00 No 2020-03-31 00:00:00 None FTR AE None 7600 7600 0 7600 0 None 73I311 N CA00662534 B SFY2019-20
930000077 PALMDALE REGIONAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-09-24 00:00:00 930016043 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2017-12-11 00:00:00 2017-12-11 00:00:00 No 2020-10-15 00:00:00 None FTR AE None 6100 6100 0 6100 0 None 2V1S11 N CA00574121, CA00574121 B, B SFY2020-21
930000290 KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2020-12-04 00:00:00 930016178 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-07-16 00:00:00 2019-07-16 00:00:00 No 2020-12-28 00:00:00 None FTR AE None 1600 1600 0 1600 0 None W6TS11 N CA00649911 B SFY2020-21
930000032 PACIFIC GARDENS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-06-14 00:00:00 930016300 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2021-02-04 00:00:00 2021-02-04 00:00:00 Yes 2021-07-06 00:00:00 2021-07-21 00:00:00 AP IJ AP IJ 31350 21957.5 0 21957.5 0 None R1HU11 N CA00724209 A SFY2020-21
930000912 KECK HOSPITAL OF USC Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-04-07 00:00:00 930016395 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-01-06 00:00:00 2020-01-06 00:00:00 No 2021-04-28 00:00:00 None FTR AE None 8800 8800 0 8800 0 None WDQJ11 N CA00683946 B SFY2020-21
930000095 MEMORIALCARE LONG BEACH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-04-07 00:00:00 930016397 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2019-04-13 00:00:00 2019-04-13 00:00:00 No 2021-04-28 00:00:00 None AP NON-IJ None 14250 14250 0 14250 0 None JUBG11 N CA00633641 B SFY2020-21
930000049 SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-04-07 00:00:00 930016399 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2018-11-14 00:00:00 2018-11-14 00:00:00 No 2021-04-28 00:00:00 None AP IJ None 75000 75000 0 75000 0 None 53RN11 Y CA00612408 B SFY2020-21
930000004 CEDARS-SINAI MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-04-19 00:00:00 930016426 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2020-01-24 00:00:00 2020-01-24 00:00:00 No 2021-05-10 00:00:00 None FTR AE None 1600 1600 0 1600 0 None 72B111 N CA00676585 B SFY2020-21
930001607 KINDRED HOSPITAL - SANTA ANA Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-04-21 00:00:00 930016427 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-04-22 00:00:00 2020-04-22 00:00:00 No 2021-05-12 00:00:00 None FTR AE None 6400 6400 0 6400 0 None 40EP11 N CA00694980 B SFY2020-21
930001709 MEMORIALCARE MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-05-10 00:00:00 930016478 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-01-05 00:00:00 2019-01-05 00:00:00 No 2021-06-01 00:00:00 None FTR AE None 13900 13900 0 13900 0 None LK3811 N CA00639562 B SFY2020-21
930000071 KAISER FOUNDATION HOSPITAL - SOUTH BAY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-05-12 00:00:00 930016490 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE12 - Medication error None 2019-10-04 00:00:00 2019-10-04 00:00:00 No 2021-06-03 00:00:00 None FTR AE None 700 700 0 700 0 None M0L211 N CA00659677 B SFY2020-21
930000071 KAISER FOUNDATION HOSPITAL - SOUTH BAY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-05-12 00:00:00 930016492 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2019-10-04 00:00:00 2019-10-04 00:00:00 No 2021-06-03 00:00:00 None AP NON-IJ None 16650 16650 0 16650 0 None M0L211 Y CA00659677 B SFY2020-21
930000032 PACIFIC GARDENS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-06-14 00:00:00 930016497 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-04-19 00:00:00 2021-04-19 00:00:00 Yes 2021-07-05 00:00:00 2021-07-21 00:00:00 AP IJ AP IJ 100000 70255.5 0 70255.5 0 None ILEI11 Y CA00733845, CA00734308 A, A SFY2020-21
930000032 PACIFIC GARDENS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-07-12 00:00:00 930016563 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-05-26 00:00:00 2021-05-26 00:00:00 Yes 2021-08-03 00:00:00 2021-07-21 00:00:00 AP IJ AP IJ 57750 40258.5 0 40258.5 0 None 2M2I11 N CA00737855 A SFY2021-22
930000032 PACIFIC GARDENS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-07-12 00:00:00 930016614 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2021-05-28 00:00:00 2021-05-28 00:00:00 Yes 2021-07-06 00:00:00 2021-07-21 00:00:00 AP IJ AP IJ 86625 60678.5 0 60678.5 0 None RTIE11 N CA00738383 A SFY2021-22
930000109 MOTION PICTURE & TELEVISION HOSPITAL Non-LTC APH Acute Psychiatric Hospital LA Acute/Ancillary 2021-06-29 00:00:00 930016655 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2019-12-03 00:00:00 2019-12-03 00:00:00 No 2021-07-20 00:00:00 None FTR AE None 1100 1100 0 1100 0 None KGKK11 N CA00668242 B SFY2020-21
930000041 SAN GABRIEL VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-06-30 00:00:00 930016659 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE04 - Retention of a foreign object in a patient None 2018-06-02 00:00:00 2018-06-02 00:00:00 No 2021-07-21 00:00:00 None AP NON-IJ None 12000 12000 0 12000 0 None 4EVV11 N CA00590590 B SFY2020-21
930001543 KAISER FOUNDATION HOSPITAL - BALDWIN PARK Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-06-30 00:00:00 930016662 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2020-06-28 00:00:00 2020-06-28 00:00:00 No 2021-07-21 00:00:00 None AP NON-IJ None 17100 17100 0 17100 0 None Q9QT11 N CA00694972 B SFY2020-21
930000111 NORTHRIDGE HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-06-30 00:00:00 930016665 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2019-11-26 00:00:00 2019-11-26 00:00:00 No 2021-07-21 00:00:00 None AP NON-IJ None 16500 16500 0 16500 0 None LCZJ11 Y CA00665411, CA00665411 B, B SFY2020-21
930000064 SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-07-13 00:00:00 930016711 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2019-02-02 00:00:00 2019-02-02 00:00:00 Yes 2021-08-03 00:00:00 2021-07-30 00:00:00 AP NON-IJ AP NON-IJ 12487.5 11238.75 0 0 11238.75 None 7YGM11 Y CA00623672 B SFY2021-22
930000050 KAISER FOUNDATION HOSPITAL - PANORAMA CITY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-08-27 00:00:00 930016857 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2019-03-20 00:00:00 2019-03-20 00:00:00 Yes 2021-09-20 00:00:00 2021-09-10 00:00:00 FTR AE FTR AE 37400 31790 0 31790 0 None JYJP11 N CA00683318 B SFY2021-22
930000033 KINDRED HOSPITAL PARAMOUNT Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-09-14 00:00:00 930016918 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-04-28 00:00:00 2020-04-28 00:00:00 No 2021-10-05 00:00:00 None FTR AE None 4700 4700 0 4700 0 None HEJY11 N CA00693414 B SFY2021-22
930000114 COLLEGE MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-09-15 00:00:00 930016924 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE27 - Death/injury from a physical assault None 2020-01-31 00:00:00 2020-01-31 00:00:00 Yes 2021-10-07 00:00:00 2022-02-10 00:00:00 AP IJ AP IJ 47452.5 42706.8 0 42706.8 0 None O23R11 Y CA00674279, CA00676018, CA00676018, CA00676018, CA00676018 A, A, A, A, A SFY2021-22
930000101 PROVIDENCE SAINT JOSEPH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-10-26 00:00:00 930017038 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2020-06-09 00:00:00 2020-06-09 00:00:00 No 2021-11-17 00:00:00 None AP NON-IJ None 4750 4750 0 4750 0 None YQ6611 N CA00692994 B SFY2021-22
930000004 CEDARS-SINAI MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2022-04-26 00:00:00 930017285 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2021-02-23 00:00:00 2021-02-23 00:00:00 Yes 2022-05-17 00:00:00 2022-05-03 00:00:00 AP IJ Drop>Deficiency 75000 75000 0 75000 0 None TTF811 Y CA00747849, CA00747849 B, B SFY2021-22
930000123 POMONA VALLEY HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2022-02-03 00:00:00 930017316 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-02-06 00:00:00 2020-02-06 00:00:00 No 2022-02-25 00:00:00 None FTR AE None 14200 14200 0 14200 0 None GMIR11 N CA00695551 B SFY2021-22
930000008 ANTELOPE VALLEY MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2022-02-16 00:00:00 930017361 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-05-03 00:00:00 2020-05-03 00:00:00 No 2022-03-10 00:00:00 None FTR AE None 300 300 0 300 0 None MKVP11 N CA00688347 B SFY2021-22
930000070 EMANATE HEALTH INTER-COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2022-04-21 00:00:00 930017587 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE22 - Death associated with a fall None 2021-04-09 00:00:00 2021-04-09 00:00:00 Yes 2022-05-12 00:00:00 2022-06-27 00:00:00 AP IJ None 75000 75000 0 75000 0 None 6CF811 Y CA00733607, CA00733607 B, B SFY2021-22
930000095 MEMORIALCARE LONG BEACH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2022-10-13 00:00:00 930018045 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2022-02-04 00:00:00 2022-02-04 00:00:00 No 2022-11-03 00:00:00 None AP NON-IJ None 4400 4400 0 4400 0 None 03EH11 Y CA00777824, CA00777824, CA00777824, CA00777824, CA00777824, CA00777824 A, A, A, A, A, A SFY2022-23
930000128 ST. FRANCIS MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-04-13 00:00:00 930018625 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2020-04-08 00:00:00 2020-04-08 00:00:00 No 2023-05-04 00:00:00 None FTR AE None 1400 1400 -1400 0 0 None GEE611 N CA00686466 B SFY2022-23
930000034 CHILDREN'S HOSPITAL LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2021-12-10 00:00:00 930018733 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-10-03 00:00:00 2018-10-03 00:00:00 No 2023-06-08 00:00:00 None AP BR None 15000 15000 0 15000 0 None GFS411 None CA00609432 D SFY2021-22
930000022 CENTINELA HOSPITAL MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-07-10 00:00:00 930018887 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE14 - Maternal death/disab due to labor/del/post None 2023-01-10 00:00:00 2023-01-10 00:00:00 No 2023-07-31 00:00:00 None AP IJ None 75000 75000 0 75000 0 None ZB2911 Y CA00823922, CA00823922 A, A SFY2023-24
930000002 CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-09-26 00:00:00 930018976 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE14 - Maternal death/disab due to labor/del/post None 2023-03-02 00:00:00 2023-03-02 00:00:00 No 2023-10-17 00:00:00 None AP IJ None 75000 75000 0 75000 0 None HKIP11 Y CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00834236, CA00834236, CA00834236, CA00834236, CA00834236 A, A, A, A, A, A, A, B, B, B, B, B SFY2023-24
930000088 KINDRED HOSPITAL - LOS ANGELES Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-12-20 00:00:00 930019196 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2023-08-03 00:00:00 2023-08-03 00:00:00 No 2024-01-11 00:00:00 None AP IJ None 49950 49950 0 49950 0 None 901O11 N CA00852936, CA00853296, CA00853778 B, B, B SFY2023-24
930000093 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-05-30 00:00:00 930019328 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2018-09-25 00:00:00 2018-09-25 00:00:00 No 2023-12-21 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None GD7O11 None CA00608287 D SFY2022-23
930000004 CEDARS-SINAI MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-08-08 00:00:00 930019368 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-08-04 00:00:00 2022-08-04 00:00:00 No 2023-08-29 00:00:00 None AP BR None 10000 10000 -2500 7500 0 None ZV3U11 None CA00799784 C SFY2023-24
930000093 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2022-10-05 00:00:00 930019422 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2019-04-09 00:00:00 2019-04-09 00:00:00 No 2024-01-18 00:00:00 None AP BR None 30000 30000 -7500 22500 0 None V6DB11 None CA00635858 D SFY2022-23
930000063 HENRY MAYO NEWHALL HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-11-21 00:00:00 930019706 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-01-14 00:00:00 2022-01-14 00:00:00 Yes 2024-03-13 00:00:00 2024-03-02 00:00:00 AP BR None 170000 170000 0 0 170000 None UDB811 None CA00772425 D SFY2023-24
930000095 MEMORIALCARE LONG BEACH MEDICAL CENTER Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-08-15 00:00:00 930019771 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2022-09-02 00:00:00 2022-09-02 00:00:00 Yes 2024-04-10 00:00:00 2024-03-27 00:00:00 AP BR None 20000 20000 0 0 20000 None K5TO11 None CA00810014 D SFY2023-24
930000129 VALLEY PRESBYTERIAN HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-10-24 00:00:00 930019974 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-03-02 00:00:00 2022-03-02 00:00:00 No 2024-05-22 00:00:00 None AP BR None 125000 125000 -31250 93750 0 None 1CJ911 None CA00777415 C SFY2023-24
930000129 VALLEY PRESBYTERIAN HOSPITAL Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2023-04-11 00:00:00 930019977 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2022-01-08 00:00:00 2022-01-08 00:00:00 No 2024-05-22 00:00:00 None AP BR None 250000 250000 -62500 187500 0 None 2TCN11 None CA00799417 C SFY2022-23
930000133 PACIFICA HOSPITAL OF THE VALLEY Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2024-04-24 00:00:00 930020061 Open Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2024-01-15 00:00:00 2024-01-15 00:00:00 Yes 2024-05-15 00:00:00 2024-06-04 00:00:00 AP NON-IJ AP NON-IJ 4040 3636 0 0 3636 None DELK11 N CA00880498 B SFY2023-24
930001543 KAISER FOUNDATION HOSPITAL - BALDWIN PARK Non-LTC GACH General Acute Care Hospital LA Acute/Ancillary 2024-03-12 00:00:00 930020290 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2022-10-05 00:00:00 2022-10-05 00:00:00 No 2024-04-03 00:00:00 None FTR BR None 1600 1600 0 0 1600 None 9U8U11 None CA00812332 D SFY2023-24