Starfile / California

THE ELLISON JOHN TRANSITIONAL CARE CENTER

43830 10TH STREET WEST, LANCASTER, CA 93534 · CCN 555904

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$189,236

Number of fines

2

Number of penalties

4

Payment denials

2

Chain

Chain

ABBY GL, LLC

Facilities in chain

6

Chain avg overall

2.20 / 5

Inspection citations (108)3 immediate jeopardy2 actual harm

1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-30 · Health · corrected 2025-12-31

   Potential for more than minimal harm

2. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-26 · Health · corrected 2025-12-29

   Potential for more than minimal harm

3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-01 · Health · corrected 2025-12-11

   Potential for more than minimal harm

4. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-01 · Health · corrected 2025-12-11

   Potential for more than minimal harm

5. EF0760Ensure that residents are free from significant medication errors.2025-12-01 · Health · corrected 2025-12-11

   Potential for more than minimal harm

6. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-12-01 · Health · corrected 2025-12-11

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-01 · Health · corrected 2025-12-11

   Potential for more than minimal harm

8. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-12 · Health · corrected 2025-12-04

   Potential for more than minimal harm

9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-12 · Health · corrected 2025-12-04

   Potential for more than minimal harm

10. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-12 · Health · corrected 2025-12-04

    Actual harm

11. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-11 · Health · corrected 2025-09-25

    Potential for more than minimal harm

12. DF0761Ensure 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.2025-09-11 · Health · corrected 2025-09-25

    Potential for more than minimal harm

13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-22 · Health · corrected 2025-08-01

    Potential for more than minimal harm

14. DF0692Provide enough food/fluids to maintain a resident's health.2025-05-05 · Health · corrected 2025-05-12

    Potential for more than minimal harm

15. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-05-05 · Health · corrected 2025-05-12

    Potential for more than minimal harm

16. DF0584Honor 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.2025-04-22 · Health · corrected 2025-05-09

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-22 · Health · corrected 2025-05-09

    Potential for more than minimal harm

18. DF0880Provide and implement an infection prevention and control program.2025-04-22 · Health · corrected 2025-05-09

    Potential for more than minimal harm

19. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

20. DF0584Honor 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.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

21. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

22. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-02-28 · Health · corrected 2025-03-25

    Potential for minimal harm

23. BF0641Ensure each resident receives an accurate assessment.2025-02-28 · Health · corrected 2025-03-25

    Potential for minimal harm

24. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

25. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

26. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

27. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

28. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

30. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

31. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

32. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

33. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

34. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

35. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

36. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

37. EF0758Implement 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.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

38. EF0760Ensure that residents are free from significant medication errors.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

39. DF0791Provide or obtain dental services for each resident.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

40. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

41. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

42. DF0880Provide and implement an infection prevention and control program.2025-02-28 · Health · corrected 2025-03-25

    Potential for more than minimal harm

43. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-21 · Health · corrected 2025-03-13

    Potential for more than minimal harm

44. EF0880Provide and implement an infection prevention and control program.2025-01-15 · Health · corrected 2025-02-05

    Potential for more than minimal harm

45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-23 · Health · corrected 2025-01-10

    Potential for more than minimal harm

46. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-12-23 · Health · corrected 2025-01-10

    Potential for more than minimal harm

47. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-23 · Health · corrected 2025-01-10

    Potential for more than minimal harm

48. EF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2024-12-23

    Potential for more than minimal harm

49. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-22 · Health · corrected 2024-11-25

    Immediate jeopardy

50. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-22 · Health · corrected 2024-11-25

    Potential for more than minimal harm

51. DF0693Ensure 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.2024-11-22 · Health · corrected 2024-11-25

    Potential for more than minimal harm

52. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-11-20 · Health · corrected 2024-12-11

    Potential for more than minimal harm

53. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-26 · Health · corrected 2024-08-20

    Potential for more than minimal harm

54. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

55. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

56. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

57. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

58. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-02-23 · Health · corrected 2024-03-22

    Potential for minimal harm

59. BF0641Ensure each resident receives an accurate assessment.2024-02-23 · Health · corrected 2024-03-22

    Potential for minimal harm

60. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

61. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

62. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

63. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

64. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

65. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

66. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

67. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

68. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

69. EF0758Implement 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.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

70. EF0760Ensure that residents are free from significant medication errors.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

71. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

72. EF0880Provide and implement an infection prevention and control program.2024-02-23 · Health · corrected 2024-03-22

    Potential for more than minimal harm

73. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-01-21 · Health · corrected 2024-01-21

    Potential for more than minimal harm

74. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-21 · Health · corrected 2024-01-21

    Potential for more than minimal harm

75. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-21 · Health · corrected 2024-01-21

    Potential for more than minimal harm

76. DF0880Provide and implement an infection prevention and control program.2024-01-21 · Health · corrected 2024-01-21

    Potential for more than minimal harm

77. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-12-28 · Health · corrected 2024-01-13

    Potential for more than minimal harm

78. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-17 · Health · corrected 2024-01-12

    Potential for more than minimal harm

79. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-17 · Health · corrected 2024-01-12

    Immediate jeopardy

80. DF0610Respond appropriately to all alleged violations.2023-12-17 · Health · corrected 2024-01-12

    Potential for more than minimal harm

81. JF0760Ensure that residents are free from significant medication errors.2023-12-17 · Health · corrected 2024-01-12

    Immediate jeopardy

82. EF0880Provide and implement an infection prevention and control program.2023-11-16 · Health · corrected 2023-12-08

    Potential for more than minimal harm

83. DF0881Implement a program that monitors antibiotic use.2023-09-19 · Health · corrected 2023-10-11

    Potential for more than minimal harm

84. DF0880Provide and implement an infection prevention and control program.2023-08-31 · Health · corrected 2023-09-27

    Potential for more than minimal harm

85. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-08-15 · Health · corrected 2023-09-08

    Potential for more than minimal harm

86. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-15 · Health · corrected 2023-09-08

    Potential for more than minimal harm

87. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-15 · Health · corrected 2023-09-08

    Potential for more than minimal harm

88. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-15 · Health · corrected 2023-09-08

    Potential for more than minimal harm

89. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-15 · Health · corrected 2023-09-08

    Potential for more than minimal harm

90. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-08-15 · Health · corrected 2023-09-08

    Potential for more than minimal harm

91. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-07 · Health · corrected 2023-07-26

    Potential for more than minimal harm

92. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

93. DF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2023-04-30 · Health · corrected 2023-05-29

    Potential for more than minimal harm

94. DF0558Reasonably accommodate the needs and preferences of each resident.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

95. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-02-03 · Health · corrected 2023-03-05

    Potential for more than minimal harm

96. DF0583Keep residents' personal and medical records private and confidential.2023-02-03 · Health · corrected 2023-03-05

    Potential for more than minimal harm

97. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-02-03 · Health · corrected 2023-03-05

    Potential for more than minimal harm

98. DF0679Provide activities to meet all resident's needs.2023-02-03 · Health · corrected 2023-03-05

    Potential for more than minimal harm

99. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-03 · Health · corrected 2023-03-05

    Actual harm

100. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-03 · Health · corrected 2023-03-05

     Potential for more than minimal harm

101. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-02-03 · Health · corrected 2023-03-05

     Potential for more than minimal harm

102. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-03 · Health · corrected 2023-03-05

     Potential for more than minimal harm

103. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-02-03 · Health · corrected 2023-03-05

     Potential for more than minimal harm

104. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-02-03 · Health · corrected 2023-03-05

     Potential for more than minimal harm

105. EF0761Ensure 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.2023-02-03 · Health · corrected 2023-03-05

     Potential for more than minimal harm

106. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-02-03 · Health · corrected 2023-03-05

     Potential for more than minimal harm

107. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-02-03 · Health · corrected 2023-03-05

     Potential for more than minimal harm

108. DF0880Provide and implement an infection prevention and control program.2023-02-03 · Health · corrected 2023-04-05

     Potential for more than minimal harm

Ownership

Other facilities in LANCASTER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.