Vallejo, CA

Heartwood Avenue Healthcare

4-star overall rating with 3-star inspections with $16,988 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

1044 Heartwood Ave., Vallejo, CA

(707) 643-2267

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

57

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bvhc, LLC

Operator or chain grouping

Approved since

1985-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.44

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.53

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

3.95

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.65

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

4.31

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,930

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9864

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.43

Baseline 19.01% · Performance 18.92% · Measure score 5.43 · Achievement 5.43 · Improvement 0

Healthcare-associated infections

1.01

Baseline 6.53% · Performance 7.53% · Measure score 1.01 · Achievement 1.01 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

2.95

Baseline 4.93 hours · Performance 3.92 hours · Measure score 2.95 · Achievement 2.95 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.41%
10.72%
0.7 pts worse
No Different than the National Rate · Eligible stays 61 · Observed rate 13.11% · Lower 95% interval 7.65%
Discharge to community 48.6%
50.57%
2 pts worse
No Different than the National Rate · Eligible stays 47 · Observed rate 42.55% · Lower 95% interval 34.94%
Medicare spending per beneficiary 1.2
1.02
0.2 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 85 · Denominator 85
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 85
Discharge self-care score 38.46%
53.69%
15.2 pts worse
Numerator 20 · Denominator 52
Discharge mobility score 38.46%
50.94%
12.5 pts worse
Numerator 20 · Denominator 52
Pressure ulcers or injuries, new or worsened 1.18%
2.29%
1.1 pts better
Numerator 1 · Denominator 85 · Adjusted rate 0.87%
Healthcare-associated infections requiring hospitalization 7.53%
7.12%
0.4 pts worse
No Different than the National Rate · Eligible stays 60 · Observed rate 8.33% · Lower 95% interval 4.73%
Staff COVID-19 vaccination coverage 24.29%
8.2%
16.1 pts better
Numerator 17 · Denominator 70
Staff flu vaccination coverage 80.88%
42%
38.9 pts better
Numerator 110 · Denominator 136
Discharge function score 50%
56.45%
6.5 pts worse
Numerator 26 · Denominator 52
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 20 · Denominator 20
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 38 · Denominator 38
Resident COVID-19 vaccinations up to date 26.79%
25.2%
1.6 pts better
Numerator 15 · Denominator 56

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
2.3
About the same
1.9
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.9 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.6
0.2 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.5%
1.6%
1.1 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
6.8%
6.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 7.9%
4.1%
3.8 pts worse
5.4%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 5.1% · Q3 5.1% · Q4 8.2% · 4Q avg 7.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.8%
13.7%
2.1 pts worse
19.6%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 18.2% · Q3 13.0% · Q4 20.0% · 4Q avg 15.8%
Percentage of long-stay residents who received an antipsychotic medication 3.6%
14.2%
10.6 pts better
16.7%
13.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 4.3% · Q3 3.1% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 11.3%
11.0%
0.3 pts worse
16.3%
5 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 11.3%
10.7%
0.6 pts worse
14.9%
3.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 7.5% · Q3 11.6% · Q4 14.9% · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.0%
1 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.2%
1.2 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 9.1%
10.9%
1.8 pts better
19.8%
10.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 12.1% · Q3 6.9% · Q4 11.5% · 4Q avg 9.1%
Percentage of long-stay residents with pressure ulcers 2.1%
4.7%
2.6 pts better
5.1%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.3% · Q3 0.0% · Q4 3.5% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit 9.6%
11.2%
1.6 pts better
12.0%
2.4 pts better
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 10.8% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
93.2%
6.8 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.5%
23.2%
3.3 pts worse
23.9%
2.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 31.3% · Expected 28.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-02-09 · Fire 2023-02-09

14 health deficiencies

Top issue: Infection Control (3 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2019-09-05 · Fire 2019-09-05

19 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-03-17

D · Potential for more than minimal harm 2025-02-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-27

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-02-27

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-27

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-03-17

C · Minimal harm 2025-02-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-03-17

C · Minimal harm 2025-02-27

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-03-17

C · Minimal harm 2025-02-27

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-03-17

C · Minimal harm 2025-02-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-17

E · Potential for more than minimal harm 2023-02-09

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-08

D · Potential for more than minimal harm 2019-09-05

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2019-10-29

D · Potential for more than minimal harm 2019-09-05

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2019-10-29

D · Potential for more than minimal harm 2019-09-05

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2019-10-29

D · Potential for more than minimal harm 2019-09-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-10-29

D · Potential for more than minimal harm 2019-09-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-29

D · Potential for more than minimal harm 2019-09-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-10-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-11-06

D · Potential for more than minimal harm 2025-08-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-02

E · Potential for more than minimal harm 2025-02-27

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-11

E · Potential for more than minimal harm 2025-02-27

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-03-11

E · Potential for more than minimal harm 2025-02-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-11

D · Potential for more than minimal harm 2025-02-27

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-11

D · Potential for more than minimal harm 2025-02-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-03-11

D · Potential for more than minimal harm 2025-02-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-20

E · Potential for more than minimal harm 2024-06-04

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-07-02

G · Actual harm 2024-05-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-15

D · Potential for more than minimal harm 2024-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-16

G · Actual harm 2024-01-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-01-22

G · Actual harm 2024-01-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-22

E · Potential for more than minimal harm 2024-01-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-22

E · Potential for more than minimal harm 2024-01-09

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-01-22

E · Potential for more than minimal harm 2024-01-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-22

F · Potential for more than minimal harm 2023-02-09

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-03-13

E · Potential for more than minimal harm 2023-02-09

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-03-13

E · Potential for more than minimal harm 2023-02-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-02-09

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-02-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-02-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-02-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-02-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-02-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-02-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-13

F · Potential for more than minimal harm 2019-09-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-11-14

F · Potential for more than minimal harm 2019-09-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-11-14

E · Potential for more than minimal harm 2019-09-05

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2019-11-14

E · Potential for more than minimal harm 2019-09-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-09-05

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2019-11-14

Penalties and ownership

What sits behind the stars

$8,970 2024-05-03

Fine

Fine · fine $8,970

Fine

$8,018 2024-01-09

Fine

Fine · fine $8,018

Fine

Ownership

Bvhc, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2023-02-01
Boehrer, Bryan

5% Or Greater Indirect Ownership Interest · Individual

50% 12 facilities 2023-02-01
Martin, Richard

5% Or Greater Indirect Ownership Interest · Individual

50% 15 facilities 2023-02-01
Basconcillo, Loisangelica

Operational/Managerial Control · Individual

0% 1 facilities 2024-07-08
Boehrer, Bryan

Operational/Managerial Control · Individual

0% 12 facilities 2023-02-01
Calabazaron, Redentor

Operational/Managerial Control · Individual

0% 4 facilities 2022-02-14
Dhugga, Gurpreet

Operational/Managerial Control · Individual

0% 24 facilities 2023-01-01
Dizon, Ma. Therese

Operational/Managerial Control · Individual

0% 1 facilities 2024-07-08
Martin, Richard

Operational/Managerial Control · Individual

0% 15 facilities 2023-02-01
Taylor, Ryan

Operational/Managerial Control · Individual

0% 1 facilities 2023-05-08
Thapa, Nischal

Operational/Managerial Control · Individual

0% 4 facilities 2024-08-06

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Other facilities in reach

#1

Springs Road Healthcare

Vallejo, CA

5-star overall rating with 4-star inspections with $41,517 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$41,517
#2

Solano Post Acute

Vallejo, CA

2-star overall rating with 1-star inspections with $73,177 in total fines with 17 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$73,177
#3

Alhambra Post Acute

Martinez, CA

4-star overall rating with 3-star inspections with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$0

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