| 020018580Issued 2021-02-03 Β· violation 2017-12-26Source rows 17721, 38271 | Administrative PenaltyAP - Breach (HSC 1280.15)Deliberate breach of PHI by health care worker | ClosedAppealed: NoEvent 3W1T11 Β· death-related: UNKNOWN | $25,000 due$18,750 collected Β· $0 balance |
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| 020014492Issued 2018-10-31 Β· violation 2017-03-27Source rows 17703, 38253 | Failure to Report PenaltyFailure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission | ClosedAppealed: NoEvent NYN511 Β· death-related: N | $500 due$500 collected Β· $0 balance |
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| 020014046Issued 2018-04-18 Β· violation 2016-11-26Source rows 17695, 38245 | Administrative PenaltyAP - Non-Immediate Jeopardy (HSC 1280.3)Other Non-Immediate Jeopardy (not an AE) | ClosedAppealed: NoEvent 2F1U11 Β· death-related: N | $4,162 due$4,162 collected Β· $0 balance |
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| 020013943Issued 2018-02-28 Β· violation 2016-04-29Source rows 17692, 38242 | Administrative PenaltyAP - Breach (HSC 1280.15)Deliberate breach by person other than a h/c worker | ClosedAppealed: NoEvent 98KR11 Β· death-related: UNKNOWN | $10,000 due$7,500 collected Β· $0 balance |
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| 020013070Issued 2017-09-07 Β· violation 2015-02-06Source rows 17682, 38232 | Administrative PenaltyAP - Non-Immediate Jeopardy (HSC 1280.3)Other Non-Immediate Jeopardy (not an AE) | ClosedAppealed: NoEvent ORBG11 Β· death-related: N | $12,487 due$12,487 collected Β· $0 balance |
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| 020009895Issued 2013-05-14 Β· violation 2010-12-17Source rows 17672, 38222 | Failure to Report PenaltyFailure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach by h/c worker within facility/hc system | ClosedAppealed: NoEvent T3ZO11 Β· death-related: UNKNOWN | $1,300 due$1,300 collected Β· $0 balance |
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| 020009894Issued 2013-05-14 Β· violation 2010-12-17Source rows 17671, 38221 | Failure to Report PenaltyFailure to Report Breach to Resident (HSC 1280.15(b)(2))Breach by h/c worker within facility/hc system | ClosedAppealed: NoEvent T3ZO11 Β· death-related: UNKNOWN | $1,300 due$1,300 collected Β· $0 balance |
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| 020007393Issued 2010-07-21 Β· violation 2009-05-23Source rows 17592, 38142 | Failure to Report PenaltyFailure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | ClosedAppealed: NoEvent X9RK11 Β· death-related: UNKNOWN | $900 due$675 collected Β· $0 balance |
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| 020007392Issued 2010-07-21 Β· violation 2009-05-14Source rows 17591, 38141 | Failure to Report PenaltyFailure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | ClosedAppealed: NoEvent X9RK11 Β· death-related: UNKNOWN | $2,700 due$2,025 collected Β· $0 balance |
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| 020007391Issued 2010-07-21 Β· violation 2009-01-19Source rows 17590, 38140 | Failure to Report PenaltyFailure to Report Breach to CDPH (HSC 1280.15(b)(1))Breach to person/entity outside facility/hc system | ClosedAppealed: NoEvent X9RK11 Β· death-related: UNKNOWN | $9,400 due$7,050 collected Β· $0 balance |
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| 020004575Issued 2008-01-10 Β· violation 2007-07-11Source rows 17502, 38052 | Failure to Report PenaltyFailure to Report Adverse Events to CDPH (HSC 1280.4)AE17 - Stage 3 or 4 ulcer acquired after admission | ClosedAppealed: NoEvent JW7G11 Β· death-related: N | $700 due$700 collected Β· $0 balance |
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