Inspections
The latest standard inspection on Feb 10, 2026 cited 4 deficiencies.
View inspection evidenceFacility record
CHILDRENS HC ORG NO CA SARATOGA PEDIATRIC SUBACUTE has 37 certified beds in SARATOGA, California. The CMS overall rating is 5 of 5, compared with the California average of 3.2. The CMS health inspection rating is 4 of 5, compared with the California average of 2.8. The latest standard health survey on Feb 10, 2026 lists 4 deficiencies, compared with the California average of 11.3.
Nearby facilities
- SARATOGA RETIREMENT COMMUNITY HEALTH CENTER SARATOGA
- THE VILLAS AT SARATOGA SKILLED NSG & ASSISTED LVG SARATOGA
- A GRACE SUB ACUTE & SKILLED CARE SAN JOSE
- ALMADEN HEALTH AND REHABILITATION CENTER SAN JOSE
- BAYWOOD POST ACUTE CAMPBELL
- CAMDEN POSTACUTE CARE, INC CAMPBELL
- CAMINO RIDGE POST-ACUTE MOUNTAIN VIEW
- CANYON SPRINGS POST-ACUTE SAN JOSE
- CEDAR CREST NURSING AND REHABILITATION CENTER SUNNYVALE
- CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF CAMPBELL
CMS nursing home
CHILDRENS HC ORG NO CA SARATOGA PEDIATRIC SUBACUTE
SARATOGA, CA
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 555204.
At a glance
CMS research snapshot
CMS overall rating
5 of 5
CMS health inspection rating
5 of 5
CMS quality-measure rating
5 of 5
CMS ownership-change history
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- INNOVATIONS HEALTH SYSTEMS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- INNOVATIONS HEALTH SYSTEMS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- MCGUIRE, KENNETHIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
- MCGUIRE, KENNETHIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
- NICCUM, DANIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
- NICCUM, DANIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
Operators
- BARRETT, ROBERTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- BARRETT, ROBERTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DICARLO, JOSEPHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DICARLO, JOSEPHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- STUKOV, SAMUELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- STUKOV, SAMUELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- BARRETT, ROBERTIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- BARRETT, ROBERTIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- DICARLO, JOSEPHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- DICARLO, JOSEPHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- STUKOV, SAMUELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- STUKOV, SAMUELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- CHILDRENS RECOVERY CENTER 2 LLCOrganization · CURRENTMedicare-enrolled legal organization
- CHILDRENS RECOVERY CENTER 2 LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- INNOVATIONS HEALTH SYSTEMS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- INNOVATIONS HEALTH SYSTEMS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- MCGUIRE, KENNETHIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
- MCGUIRE, KENNETHIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
- NICCUM, DANIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
- NICCUM, DANIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
Ownership change history
CMS ownership-change records
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 37
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 4083788875CMS Provider Information
State regulatory evidence
State License & Oversight
California Department of Public Health is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
California Department of Public Health
- State license
- 220000426
- License status
- ACTIVE
- License type
- SNF
- State licensed capacity
- 37 bedsCMS certified beds: 37
- Licensee
- CHILDREN'S RECOVERY CENTER 2, LLCLegal entity holding the state license — not automatically the owner or chain
- Administrator
- STUKOV, SAMUEL ANamed on the state license record
State regulatory data · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1033219019 · enrollment O20170330000568
- NPI 1033219019 · enrollment O20170330000568
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 95.967742
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 96.666667
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 1.904762
- Percentage of long-stay residents who lose too much weight (Long Stay): 2.439024
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 34.146341
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.806452
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.612903 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 0.000000
- Percentage of long-stay residents with pressure ulcers (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 9
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 9
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2026-02-10 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2026-02-10 · tag 0363 · scope/severity F — Install corridor and hallway doors that block smoke.
- 2026-02-10 · tag 0919 · scope/severity F — Meet requirements for the use of electrical equipment.
- 2024-07-23 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
- 2024-07-23 · tag 0006 · scope/severity D — Conduct risk assessment and an All-Hazards approach.
- 2024-07-23 · tag 0030 · scope/severity D — List the names and contact information of those in the facility.
- 2024-07-23 · tag 0353 · scope/severity D — Inspect, test, and maintain automatic sprinkler systems.
- 2020-01-23 · tag 0161 · scope/severity E — Use approved construction type or materials.
- 2020-01-23 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
- 2020-01-23 · tag 0920 · scope/severity E — Ensure proper usage of power strips and extension cords.
- 2020-01-23 · tag 0355 · scope/severity D — Properly select, install, inspect, or maintain portable fire extinguishes.
- 2020-01-23 · tag 0918 · scope/severity D — Have generator or other power source capable of supplying service within 10 seconds.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Ownership
CMS-published records list 21 ownership or control parties.
View ownership evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Licensee
- CHILDREN'S RECOVERY CENTER 2, LLCCalifornia Department of Public Health
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- a state licensee
- 2 CMS-reported ownership organizations
- CMS reports 18 individual ownership interests
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 21
- Organizations shown
- 3
- Individuals shown
- 18
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
INNOVATIONS HEALTH SYSTEMS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 17, 2016
Other facilities connected through this exact CMS organization identity: 0 across CA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MCGUIRE, KENNETH
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Oct 17, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
NICCUM, DAN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Oct 17, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BARRETT, ROBERT
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DICARLO, JOSEPH
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
STUKOV, SAMUEL
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 3, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MCGUIRE, KENNETH
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BARRETT, ROBERT
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DICARLO, JOSEPH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
STUKOV, SAMUEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 3, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
INNOVATIONS HEALTH SYSTEMS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 17, 2016
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across CA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MCGUIRE, KENNETH
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Oct 17, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
NICCUM, DAN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Oct 17, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BARRETT, ROBERT
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DICARLO, JOSEPH
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
STUKOV, SAMUEL
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 3, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MCGUIRE, KENNETH
Individual · CORPORATE OFFICER
Published ownership percentage: 50%
Association date reported to CMS: Sep 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BARRETT, ROBERT
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DICARLO, JOSEPH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
STUKOV, SAMUEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 3, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CHILDRENS RECOVERY CENTER 2 LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across CA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS records connect INNOVATIONS HEALTH SYSTEMS LLC to 2 facilities. Which policies and staffing decisions are managed centrally versus locally?
Inspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Jun 26, 2026
- Survey type
- Health Complaint
- Linked findings
- 1
- Highest linked CMS classification
- D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:132606:ccn:555204
Jun 26, 2026 — Health Complaint — 1 linked finding
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 8, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375484:ccn:555204
Feb 10, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Feb 10, 2026 — Health Standard — 4 linked findings
F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375485:ccn:555204
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375486:ccn:555204
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375487:ccn:555204
F0761 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375488:ccn:555204
Mar 17, 2025 — Health Complaint — 1 linked finding
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 10, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375489:ccn:555204
Jul 23, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jul 23, 2024 — Health Standard — 6 linked findings
F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375493:ccn:555204
F0700 — Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375490:ccn:555204
F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375494:ccn:555204
F0761 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375495:ccn:555204
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375491:ccn:555204
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375492:ccn:555204
Jan 23, 2020 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 23, 2020 — Health Standard — 6 linked findings
F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 12, 2020)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375497:ccn:555204
F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 12, 2020)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375498:ccn:555204
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 12, 2020)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375499:ccn:555204
F0761 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 12, 2020)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375500:ccn:555204
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 12, 2020)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375496:ccn:555204
F0921 — Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 12, 2020)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 555204
- Source record locator
- csv-row:375501:ccn:555204
Tags appearing across inspections
- F0761 appears in 3 linked inspections.
- F0607 appears in 2 linked inspections.
- F0755 appears in 2 linked inspections.
- F0759 appears in 2 linked inspections.
- F0880 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Questions generated from the evidence above
- CMS records show F0761 in 3 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0607 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0755 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0759 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
4 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Health inspection completed4 deficiencies were recorded.
2026
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2025
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2020
- Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
Payroll-Based Journal staffing
No matched PBJ Daily Nurse Staffing quarter is currently loaded for this provider.
What we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 5-star overall rating.
- CMS reports a 4-star health inspection rating.
- CMS did not publish a staffing star rating for this provider in this release.
- CMS reports a 5-star quality-measure rating.
Trust participation
See something that needs correction?
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
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How corrections workSource register
See where this record came from
Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Licensed and Certified Healthcare Facility Listing
- Source organization
- California Department of Public Health
- Dataset identifier
- state-regulator:ca
- Coverage
- State license 220000426
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- state license, license status, license type, state licensed capacity, licensee, and administrator. Separate from CMS certification, ratings, and ownership.
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