Cedar Pine Post Acute
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2025-08-28 — ACTUAL HARM (tag F0690, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2025-04-19 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
3.73
state median 3.94
Weekend staffing gap
−2%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.33
registered nurses only
Contract (agency) staff
3%
share of all nursing hours
Nursing staff turnover
35%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $9,113 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-19 | Fine | $9,113 |
Ownership
Ownership type: For profit - Corporation. Part of the EVA CARE GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Greenfield Care Center of Fairfield (Fairfield, CA) —
- Montclair Manor Care Center (Montclair, CA) —
- EMPRESS CARE CENTER, LLC (SAN JOSE, CA) —
- GREENFIELD CARE CENTER OF FULLERTON, LLC (FULLERTON, CA) —
- KIT CARSON NURSING & REHABILITATION CENTER (JACKSON, CA) —
- Medical Center Convalescent Hospital (San Bernardino, CA) —
- GREENFIELD CARE CENTER OF SOUTH GATE (SOUTH GATE, CA) —
- Greenfield Care Center of Fillmore, LLC (Fillmore, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-06 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-23 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-23 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-14 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-14 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-12-23 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-12-19 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-09 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-11-26 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-28 | F0690 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-08-15 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-30 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-23 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-05-23 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-23 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-23 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-23 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-05-23 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-23 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-23 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-23 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-23 | F0790 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-23 | F0804 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-05-23 | F0810 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-05-23 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-05-23 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-05-23 | F0919 | Environmental Deficiencies | D | not recorded |
| 2025-04-19 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-04-19 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-25 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-02-13 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-05 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-03 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-01-03 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-03 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-01-03 | F0825 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-03 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-01-03 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-06-14 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-14 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-14 | F0561 | Resident Rights Deficiencies | E | not recorded |
| 2024-06-14 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-14 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-06-14 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-14 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-06-14 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-06-14 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-14 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-14 | F0686 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-06-14 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-14 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-06-14 | F0700 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-06-14 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-06-14 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-06-14 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-06-14 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-06-14 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-06-14 | F0810 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-06-14 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-06-14 | F0813 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-06-14 | F0848 | Administration Deficiencies | E | not recorded |
| 2024-06-14 | F0849 | Administration Deficiencies | E | not recorded |
| 2024-06-14 | F0868 | Administration Deficiencies | D | not recorded |
| 2024-06-14 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-06-14 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-01-05 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-12-08 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-08 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-07 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-07 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-25 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-08-10 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-06-29 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2023-06-29 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-29 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-29 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-29 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-29 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-06-29 | F0801 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-06-29 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-06-29 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-06-29 | F0919 | Environmental Deficiencies | D | not recorded |
| 2023-06-29 | F0926 | Environmental Deficiencies | D | not recorded |