Safety Report: California Post-Acute Care
Official ratings
Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.
Stars are calculated by CMS, not by us. We do not create our own safety score.
Serious documented violations
Citations by topic
Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.
Is it getting better or worse?
Fewer citations in the most recent cycle (65) than in the cycle before (76).
An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.
Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.
Repeat findings
These requirements were cited on more than one inspection date in the last three cycles.
| Requirement | Times cited | Inspection dates |
|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F656) | 10 | August 17, 2026; June 23, 2026; May 21, 2026; April 16, 2026; September 5, 2025; June 30, 2025; June 11, 2025; May 13, 2025; February 28, 2025; February 23, 2024 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F842) | 10 | July 23, 2026; June 23, 2026; May 21, 2026; February 3, 2026; September 5, 2025; July 25, 2025; May 13, 2025; February 28, 2025; February 7, 2025; October 25, 2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F689) | 9 | August 20, 2026; May 21, 2026; April 16, 2026; June 11, 2025; April 2, 2025; February 28, 2025; January 16, 2025; November 14, 2024; February 23, 2024 |
| Provide and implement an infection prevention and control program. (F880) | 6 | August 20, 2026; June 15, 2026; May 21, 2026; January 6, 2026; February 28, 2025; February 23, 2024 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F812) | 6 | May 21, 2026; March 11, 2026; September 16, 2025; July 11, 2025; February 28, 2025; February 23, 2024 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F584) | 5 | August 30, 2026; August 17, 2026; May 21, 2026; February 19, 2026; September 16, 2025 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F580) | 5 | July 23, 2026; May 21, 2026; May 29, 2025; February 28, 2025; January 16, 2025 |
| Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F684) | 5 | July 8, 2026; May 21, 2026; September 5, 2025; June 11, 2025; June 6, 2025 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F657) | 5 | June 23, 2026; September 5, 2025; February 28, 2025; February 7, 2025; November 14, 2024 |
| Ensure services provided by the nursing facility meet professional standards of quality. (F658) | 4 | August 20, 2026; December 12, 2025; February 28, 2025; February 7, 2025 |
| Respond appropriately to all alleged violations. (F610) | 4 | July 23, 2026; June 23, 2026; December 12, 2025; February 28, 2025 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (F677) | 4 | June 23, 2026; May 21, 2026; July 17, 2024; February 23, 2024 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F755) | 4 | May 21, 2026; February 28, 2025; October 25, 2024; February 23, 2024 |
| Ensure that residents are fully informed and understand their health status, care and treatments. (F552) | 4 | May 21, 2026; February 28, 2025; February 7, 2025; December 11, 2024 |
| Ensure each resident receives an accurate assessment. (F641) | 4 | April 16, 2026; December 12, 2025; May 29, 2025; February 23, 2024 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F600) | 4 | September 5, 2025; May 29, 2025; November 14, 2024; May 23, 2024 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F550) | 4 | August 27, 2025; June 11, 2025; February 28, 2025; February 23, 2024 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (F761) | 3 | May 21, 2026; February 28, 2025; February 23, 2024 |
| Provide safe and appropriate respiratory care for a resident when needed. (F695) | 3 | May 21, 2026; February 28, 2025; February 23, 2024 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F690) | 3 | May 21, 2026; February 28, 2025; February 23, 2024 |
| PASARR screening for Mental disorders or Intellectual Disabilities (F645) | 3 | May 21, 2026; April 16, 2025; February 28, 2025 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F609) | 3 | May 21, 2026; December 12, 2025; February 28, 2025 |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F726) | 3 | December 12, 2025; October 25, 2024; February 23, 2024 |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (F803) | 3 | July 9, 2025; February 28, 2025; February 23, 2024 |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (F741) | 2 | June 23, 2026; September 5, 2025 |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F604) | 2 | June 23, 2026; February 23, 2024 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F686) | 2 | June 15, 2026; February 28, 2025 |
| Keep residents' personal and medical records private and confidential. (F583) | 2 | May 21, 2026; June 11, 2025 |
| Ensure medication error rates are not 5 percent or greater. (F759) | 2 | May 21, 2026; February 28, 2025 |
| Ensure each resident’s drug regimen must be free from unnecessary drugs. (F757) | 2 | May 21, 2026; February 28, 2025 |
| Make sure that a working call system is available in each resident's bathroom and bathing area. (F919) | 2 | May 21, 2026; December 12, 2025 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F925) | 2 | March 11, 2026; July 11, 2025 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F725) | 2 | August 27, 2025; October 25, 2024 |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F676) | 2 | June 11, 2025; February 23, 2024 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (F758) | 2 | February 28, 2025; December 11, 2024 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. (F698) | 2 | February 28, 2025; November 1, 2023 |
Fines and enforcement
| Date | Type | Amount / length |
|---|---|---|
| May 21, 2026 | Fine | $14,380 |
| May 21, 2026 | Fine | $14,380 |
| May 13, 2025 | Fine | $33,120 |
Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.
Complete inspection history
August 30, 2026 — 1 citation · complaint investigation
August 20, 2026 — 3 citations · complaint investigation
August 17, 2026 — 4 citations · complaint investigation
July 23, 2026 — 3 citations · complaint investigation
July 8, 2026 — 1 citation (includes serious) · complaint investigation
June 23, 2026 — 8 citations · complaint investigation
June 15, 2026 — 3 citations (includes serious) · complaint investigation
May 21, 2026 — 24 citations
April 16, 2026 — 4 citations · complaint investigation
March 11, 2026 — 3 citations · complaint investigation
February 19, 2026 — 1 citation · complaint investigation
February 3, 2026 — 2 citations · complaint investigation
January 19, 2026 — 1 citation · complaint investigation
January 6, 2026 — 1 citation · complaint investigation
December 12, 2025 — 6 citations · complaint investigation
September 16, 2025 — 2 citations · complaint investigation
September 5, 2025 — 6 citations · complaint investigation
August 27, 2025 — 2 citations · complaint investigation
July 25, 2025 — 1 citation · complaint investigation
July 11, 2025 — 3 citations · complaint investigation
July 9, 2025 — 1 citation · complaint investigation
June 30, 2025 — 1 citation · complaint investigation
June 11, 2025 — 6 citations · complaint investigation
June 6, 2025 — 1 citation · complaint investigation
May 29, 2025 — 3 citations (includes serious) · complaint investigation
May 13, 2025 — 2 citations · complaint investigation
April 16, 2025 — 3 citations · complaint investigation
April 2, 2025 — 1 citation · complaint investigation
February 28, 2025 — 28 citations
February 7, 2025 — 4 citations · complaint investigation
January 16, 2025 — 2 citations · complaint investigation
December 11, 2024 — 2 citations · complaint investigation
November 14, 2024 — 3 citations · complaint investigation
October 25, 2024 — 5 citations · complaint investigation
July 17, 2024 — 1 citation · complaint investigation
May 23, 2024 — 1 citation · complaint investigation
February 23, 2024 — 22 citations (includes serious)
November 1, 2023 — 1 citation · complaint investigation
Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare