| 07/2020 | Stockton Nursing Home Resident Walks Off and Killed by Train On 8/3/2019, a male resident of Stockton Nursing Center was found dead after being struck by a train one day after he left the facility unsupervised. The facility was formerly known as Golden Living Center – Hy-Pana and had recently been taken over by Eduro Healthcare when the resident was killed. The State’s COVID-19 nursing home website shows Golden Living Center – Hy-Pana has had 48 residents infected with COVID-19 and 14 residents die as of July 13, 2020. Read More… |
| 04/2020 | Mentally Ill Solorzano Nursing Home Resident Injured While Left Unsupervised On 9/17/2019, during an investigation of an unrelated complaint, a 59 year old male resident with mental illness was observed in the facility pacing with bleeding from the left side of his face and body. The resident had been left unsupervised on a patio for smoking and fell while trying to pick up discarded cigarette butts. Read More… |
| 03/2020 | Nursing Home Resident Dies after Solorzano Nursing Home Dumps him Into a No Care Home A 61 year old male wheelchair-bound resident with blood clots and a colostomy was found dead in an unlicensed care facility on 8/12/19 after being discharged by the nursing facility on 7/10/19. The resident’s death was discovered while the nursing facility was being investigated for discharging residents “because it only wanted Medicare residents.” Read More… |
| 02/2020 | Solorzano Nursing Home Dumps Four Residents Into a No Care Home Hyde Park Healthcare Center, a nursing home in Los Angeles owned by Crystal Solorzano, was recently found to have dumped four residents, all of whom had extensive care needs, into an unlicensed care facility in April, May, and June of 2019. Read More… |
| 01/2020 | LA Nursing Home Makes Habit of Dumping Residents The residents of Vernon Healthcare Center may be happy to say goodbye to 2019 after the facility spent much of the year getting citations for illegally dumping residents into inappropriate settings unfit to meet their care needs. Read More… |
| 12/2019 | Resident Dies From Foul-Ups, Failures, and a Bad Fall at Lawndale Healthcare & Wellness An 82 year old female resident with partial paralysis, muscle weakness, and cognitive impairments fell from her bed on 7/17/19 and sustained significant injuries that put her in a persistent vegetative state. Read More… |
| 11/2019 | Elderly Resident Suffering from Dementia Sexually Abused at Bellflower Post Acute A 75-year-old resident with dementia was sexually abused by a 60-year-old male resident who had been exhibiting inappropriate sexual behavior and demanding other residents to have sex with him. Read More… |
| 09/2019 | Maclay Healthcare Center in Sylmar Cited for Severe Neglect Which Led to Live Maggots in Resident’s Mouth The facility failed to provide mouth care to a resident who was totally dependent on staff for activities of daily living. As a result, on 11/11/18 the resident had several live maggots in his mouth. Read More… |
| 07/2019 | Mass Drugging and Mass Violations in Lomita Nursing Home A review of the drug regimens for 27 residents at Palos Verdes Health Care Center revealed inappropriate use of psychotropic drugs to control the behavior of many residents in the facility. Read More… |
| 06/2019 | Long Beach Healthcare Center Cited for Severe Neglect in Death of Resident On February 1, 2019, the California Department of Public Health issued a Class AA citation to Long Beach Healthcare Center and fined it $100,000 for neglect that led to the death of a long-time resident on September 11, 2018. The rare Class AA citation was triggered by a complaint that the resident had been neglected and was not brought to the hospital timely. Read More… |
| 05/2019 | Choking Resident Dies After Delayed Response at Anberry Nursing and Rehabilitation Center A 70 year old male resident was admitted to Anberry Nursing and Rehabilitation Center in April 2017 with diagnoses that included dysphagia (trouble swallowing). During the resident’s stay, he had multiple teeth extractions, exacerbating his risk of choking, but no changes were made to his care plan. Read more… |
| 04/2019 | “We Didn’t Check Anything.” Madera County Facility Dumps Resident in Unlicensed Home. On February 1, 2019, Alice Manor, a nursing home in Fowler, discharged a 54 year old male resident with diabetes, dysphagia, schizophrenia, and memory loss to an unlicensed room and board home. Read More… |
| 01/2019 | Sacramento Assisted Living Facility Staff Stuff Socks into Resident’s Mouth. Staff members at Greenhaven Estates, a Residential Care Facility for the Elderly (RCFE) in Sacramento, were found to be stuffing socks or towels into a female resident’s mouth to prevent her from spitting or biting. Read More… |
| 12/2018 | Resident Dragged to Bed, Hits Head, Dies Three Days Later At Evergreen Lakeport Healthcare, a staff person grabbed a 90-year-old male resident by his ankles, against his will, and dragged him and his wheelchair for 20 feet, causing him to fall and hit his head on the ground. The resident died three days later. Read More |
| 11/2018 | Dumping Resident in Hospital for Two Years Nets Paltry $2,000 Fine On 10/1/2016, Windsor Care Center of Sacramento transferred a resident with dementia to a local hospital for striking out at other residents. Ten days later, he was cleared for readmission by the hospital doctors but he was not readmitted. Read More Download the pdf of this citation HERE. |
| 09/2018 | Staff Person “Snaps” Video of Resident’s Genitals and Enjoys a Laugh A nursing aid at Monterey Palms in Palm Desert used a cell phone to record and post a social media video clip of an apparently sleeping resident’s genitals. Read More Download the pdf of this citation HERE. |
| 08/2018 | DPH Waits Over Four Years to Issue Tiny Fine After Two Residents of Windsor Terrace Healthcare Center Are Sexually Assaulted Two female residents were sexually assaulted on March 28, 2014 when a male certified nursing assistant (CNA) penetrated their vaginas with his finger while providing personal care. Read More Read the full citation HERE. |
| 07/2018 | CNA Disregards NH Resident’s Wishes and Strips Her of Her Dignity A CNA violated a direct request from both a resident and her family member and her cut the resident’s braided hair off, without her permission. Read More Read the full citation HERE. |
| 06/2018 | Glendale Nursing Home Dumps Resident at Train Station. Resident Found Six Days Later Naked in the Streets. Griffith Park Healthcare Center, a one-star nursing home in Glendale was issued a citation after its administrator dropped off a mentally ill resident at a train station. Read More |
| 05/2018 | Chronic Understaffing at Novato Healthcare Yields Two Weak Deficiencies A complaint investigation found widespread concern from residents and staff about chronic understaffing at Novato Healthcare Center. Read More |
| 04/2018 | Bakersfield Nursing Home Shamelessly Dumps Two Residents DPH has issued citations to The Rehabilitation Center of Bakersfield for dumping residents under horrible circumstances. Read More |
| 03/2018 | No Heat and Shivering Residents Nets Berkeley Nursing Home a Slap on the Wrist Kyakameena Care Center, a Berkeley nursing home, lost its heat in December and went at least 45 days without heat through the dead of winter. Temperatures dipped into the low 60s and residents were observed bundled up in coats and blankets to ward off the cold. Read More… |
| 08/2017 | Fresno Nursing Home Sets Resident on Sidewalk, Calls 911, and Leaves A 78 year old female resident was illegally evicted from the facility on 11/7/2016 when the staff called 911 and left her at the sidewalk of her former home when the police and fire departments arrived. Read More… |
| 07/2017 | Plum Healthcare Nursing Home Cypress Ridge Sends Three Residents Packing Cypress Ridge, a Monterey facility that is part of the Plum Healthcare nursing home chain, was recently cited for shipping three residents off to another nursing home over 200 miles away. Read More… |
| 06/2017 | Resident Tied to Wheelchair with a Sheet and Restraint Belt On 7/9/2011 a 61 year old female resident diagnosed with dementia was tied to her wheelchair with a sheet and restraint belt for five hours at night by an employee of the facility. Read More… |
| 04/2017 | Resident Dies after Multiple Falls and Use of Chemical Restraints at Bethel Lutheran Home In May of 2016, a female resident died due to injuries sustained from multiple consecutive falls at Bethel Lutheran Home in Selma, CA. The resident had dementia, and despite her high risk for falls, she was left unsupervised and allowed to fall while walking alone into her room on 5/16/16, resulting in multiple facial fractures, bleeding to the brain, and stitches on her scalp. Read More… |
| 01/2017 | Riverside Behavioral Healthcare Center Fined $2,000 for Suicide Deaths Following the tragic deaths of two young residents who died from suicide, the Department of Public Health (DPH) issued an outrageously small fine of $2,000 to the Riverside nursing home where they had lived. On November 10, 2016, DPH issued a $2,000 Class B citation to the Riverside Behavioral Healthcare Center, a skilled nursing facility in Riverside. Read More… |
| 08/2016 | Bedsores, Wounds, and Necrotic Tissue in Mission Viejo RCFE Using its new enhanced penalties (up to $15,000) for assisted living facilities for just the second time, Community Care Licensing has cited Golden Coast Senior Living #7, a Residential Care Facilities for the Elderly (RCFE) in Orange County, for tragically neglecting a resident in 2015. Read More… |
| 07/2016 | Kindred Nursing Home in San Francisco Cited for Illegally Evicting Residents on Medi-Cal In March 2016, Kindred Transitional Care and Rehabilitation, Lawton – A Medicare and Medi-Cal certified nursing home in San Francisco – illegally transferred two residents and sought to transfer two other residents after their Medicare or other insurance coverage ended. Read More… |
| 06/2016 | Windsor Chico Creek Resident Dies From Lack of Oxygen On 4/19/13, a resident died after the facility failed to keep the resident’s oxygen level greater or equal to 90% per his physician’s order. Multiple nurses failed to evaluate or report the resident’s acute respiratory emergency and rapid deterioration to a physician and registered nurse (RN). Read More… |
| 04/2016 | Not Much Activity in Courtyard Health Care Center’s Activities During a recent DPH survey at Courtyard Health Care Center in Davis, investigators compared the activities calendar with the actual activities taking place in the facility’s activity room. They found barely any residents participating in any activities and barely any life to the activities that were scheduled throughout the day. Read More… |
| 03/2016 | Dozens of Deficiencies for Clairemont Health in San Diego A recent inspection of Clairemont Healthcare & Wellness Centre in San Diego found dozens of deficiencies, several of which caused harm to residents, ranging from resident mistreatment to unsafely dumping residents into assisted living facilities. Read More… |
| 02/2016 | Verdugo Valley Skilled Nursing & Wellness Centre Falsifies Records of Resident Who Did Not Have a Primary Physician for Over a Year From June 2013 to June 2014, the Verdugo Valley Skilled Nursing & Wellness Centre willfully falsified a resident’s medical records by documenting physician’s orders from a physician who did not give the orders or serve as the resident’s physician. Read More… |
| 10/2015 | Tujunga Nursing Home Treats Resident’s Cries for Help by Piling on Psych Drugs A female resident of Oakpark Healthcare Center died on 1/27/2013 from an infected and gangrenous foot wound. Read More… |
| 08/2015 | Male Residents Subjected to Multiple Instances of Sexual Abuse by CNAs Three male residents were subjected to multiple observed instances of having their nipples rubbed and twisted by two CNAs. Read More… |
| 06/2015 | Gridley Healthcare & Wellness Centre Residents Subjected to Extreme Humiliation Via Videos Posted on Snapchat Five certified nursing assistants (CNAs) were fired after taking and sharing illicit photos and videos of residents in a manner that humiliated and abused them. Read More… |
| 04/2015 | Resident at the Chino Valley Health Care Center Killed by Roommate with Psychiatric Problems A 91 year old resident died on 12/4/2010, eleven days after being assaulted by his 46 year old roommate while in bed. Read More… |
| 02/2015 | Clairemont Healthcare Dumps Resident to her Trailer, Risking her Life A Clairemont Healthcare & Wellness Centre resident who was totally dependent on staff for her care was dropped off by taxi to her trailer without a discharge plan, putting her life at risk. Read More… |
| 01/2015 | Petaluma Nursing Home Drugs Resident Into Oblivion. DPH Issues Citation (Over Two Years Later) EmpRes PostAcute Rehabilitation was recently issued a Class A citation from the Dpeartment of Public Health for its part in heavily drugging a male resident with dementia. The resident was drugged with three antipsychotic drugs to restrain him from alleged physical aggression. Read More… |
| 11/2014 | Fresno Facility Ordered Shut-Down Over Horrible Conditions Wish-I-Ah Skilled Nursing and Wellness Center, a nursing home in Auberry (Fresno County) was ordered shut-down by the state Department of Public Health after an investigation revealed terrible care and crumbling facilities. Read More… |
| 09/2014 | LA Nursing Home Hit with 68 Citations for Illegally Transferring Residents The Western Convalescent Hospital, a skilled nursing facility located in Los Angeles, received 68 Class B citations for unlawfully transferring residents from the facility without proper notice in April 2014. Read More… |
| 08/2014 | Resident Illegally Pinned Down During Care at an RCFE Nazareth Agua Caliente Villa, a Residential Care Facility for the Elderly in Sonoma, was cited for multiple regulatory violations after several staff members routinely restrained a resident by holding his hands and legs down while he was given personal care. Read More… |
| 07/2014 | Nursing Home Residents’ Money Stolen by Facility Supervisor A former business office manager (BOM) at Miravilla Care Center in Cherry Valley, CA stole a total of $38,115.49 from the trust funds of 45 residents during her employment between September 1, 2011 and August 17, 2013. Read More… |
| 06/2014 | Horrific Cut Scrotum Case Raises Big Questions A resident was hospitalized with a cut and de-gloved (skin injury with shearing) scrotum. Read More… |
| 05/2014 | Nursing Home Goes to Casino and Gambles with a Resident’s Life A female resident who required an oxygen tank went on a trip to a casino. When her oxygen tank began to run low, none of the staff members knew how to attach the flow regulator to her new tank. Read More… |
| 04/2014 | Resident Dies After Facility Fails to Notify His Doctor of Critical Laboratory Results On 4/19/13, a 75-year old resident died after Glenwood Gardens SNF, a skilled nursing facility in Bakersfield, failed to notify his doctor of critical laboratory results. Read More… |
| 03/2014 | Facility uses chemical restraints to sedate resident, who falls and breaks arm A 78 year old male resident with a diagnosis of dementia and high risk of falls was receiving Ativan and Risperdal, two psychotropic drugs often used to sedate residents and that increase fall risks. On 9/18/12, the resident was given extra doses of Ativan to further chemically restrain him. That night, the resident fell and broke his arm. Read More… |
| 02/2014 | Facility Fails to Monitor Blood Thinning Medication, Resident Bleeds to Death A female resident who was admitted on 8/15/12 was on Coumadin, a blood thinning medication requiring close monitoring to prevent severe bleeding episodes. A lab report showed the resident had blood clotting time six times the normal range. Read More… |
| 12/2013 | Palos Verdes Health Care Center Resident Sexually Assaulted by Nurse On 10/3/13, the California Department of Public Health issued a $20,000 fine against the Palos Verdes Health Care Center in Lomita, California for failing to protect a resident from sexual abuse. A CNA reported the resident was crying and furious and that the nurse “looked guilty and his body language said it more.” Read More… |
| 09/2013 | CPMC East Campus Resident Dies a Nightmare Death An 88 year old resident admitted following hip surgery was noted to have a poor appetite and lost over 21 pounds in the two weeks after her admission. The resident’s family indicated that the resident’s stomach had grown so large it appeared she was pregnant. Read More… |
| 08/2013 | Hilltop Care Center Chains Resident to the Wall for Years Hilltop Care Center, a nursing home in Hayward, was found to be regularly chaining a resident to the wall of his room during the day and then strapping him to his bed at night. Read More… |
| 07/2013 | Hayward Nursing Home Puts Resident in the Street – Literally The California Department of Public Health (DPH) recently cited Driftwood Healthcare Center, a nursing home in Hayward, for violating the rights of a resident when it was found to have engaged in an illegal unplanned and dangerous late-night discharge. Read More… |
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