Welcome to the State of California 


Date: 11/29/2007 

Number: PH07-62 

Contact: Suanne Buggy or Ken August  (916) 440-7259 


Citrus Nursing Center in San Bernardino County has received a "AA" citation, the most severe penalty under state law, and a $100,000 fine, the highest fine under state law, from the state of California after an investigation concluded that inadequate care led to the death of a resident, announced Dr. Mark Horton, director of the California Department of Public Health (CDPH).

(Read the Citrus Nursing Center citation.)  

CDPH determined that the facility failed to provide patient safety by not implementing its policy and resident care plan using a portable lifting machine when transferring this patient. As a result, the resident fell sustaining an injury that led to the patient’s death.

All nursing facilities in California are required to be in compliance with applicable state and federal laws and regulations governing health care facilities. Facilities are required to comply with these standards to ensure quality of care.

California has the statutory authority to impose fines against nursing facilities it licenses as part of enforcement remedies for poor care. State citations that require a civil monetary penalty be imposed are categorized as Class B, A or AA. The associated fines range from $100 to $1,000 for Class B, $2,000 to $20,000 for Class A and $25,000 to $100,000 for Class AA.  The citation class and amount of the fine depend upon the significance and severity of the substantiated violation, as prescribed and defined in California law.

By providing nursing facilities it licenses with consequences for substantiated violations, CDPH strives to protect the health and safety of vulnerable individuals. The citation process is part of CDPH’s ongoing enforcement efforts in improving the quality of care provided to residents of the state's approximately 1,400 skilled nursing facilities.

Last modified on: 6/2/2009 11:26 AM