COLUSA MEDICAL CENTER - SNF
199 E WEBSTER STREET
COLUSA, CA, 95932
5306910800
CCN: 555909
4
Overall5
Health1
Staffing—
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (4)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
COAST MEDICAL SUPPLY
1128b8
Excluded 2002-04-18
FAIRFIELD MEDICAL CENTER, INC
1128b8
Excluded 2015-06-18
MEDICAL REPAIR CENTER, INC
1128b8
Excluded 2001-01-18
PAIN RELIEF MEDICAL CENTER
1128b8
Excluded 2005-03-20
Ownership
| Name | Role | % |
|---|---|---|
| COLUSA MEDICAL CENTER, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| RANDHAWA, GURPREET | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SMITH, GIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| THOMPSON, TAMMY | CORPORATE DIRECTOR | NOT APPLICABLE |
| SMITH, GIA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| THOMPSON, TAMMY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-01-30 | Fine | $5K |
Health Deficiencies (14)
2025-05-28 · Health
E
F584 · Resident Rights Deficiencies
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.
2025-04-04 · Health
F
F727 · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-03-21 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2021-11-04 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
F
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F584 · Resident Rights Deficiencies
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.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
7.93
RN Hrs/Resident/Day0.54
0.70
LPN Hrs/Resident/Day0.81
3.38
CNA Hrs/Resident/Day2.33
3.85
PT Hrs/Resident/Day0.12
0.00
Data as of 2026-03-01