Coulterville Rehab & Hcc

Penalties

• Apr 7, 2026 — Fine ($113,818)

Inspection findings

1. Apr 7, 2026 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Apr 9, 2026 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 9, 2026 · CMS health inspection

2. Dec 15, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0584 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.

     Corrected Dec 31, 2025 · CMS health inspection

3. Aug 30, 2024 Health · 3 findings
   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Sep 20, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 20, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Oct 1, 2024 · CMS fire safety

4. Jul 21, 2023 Health · 8 findings
   • Not serious Scope/severity D

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Aug 15, 2023 · CMS health inspection

   • Serious Scope/severity G

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Aug 15, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0727 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.

     Corrected Aug 15, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Aug 15, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 15, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0881 Infection Control Deficiencies

     Implement a program that monitors antibiotic use.

     Corrected Aug 15, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Aug 15, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Aug 15, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BLOOM, RANDALL — adp of the snf, NOT APPLICABLE, since 04/25/2017
• BLOOM, RANDALL — operational/managerial control, NOT APPLICABLE, since 11/04/2004
• BROOKS, KILEY — adp of the snf, NOT APPLICABLE, since 07/01/2019
• BROOKS, KILEY — operational/managerial control, NOT APPLICABLE, since 07/01/2019
• HIPSKIND, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 05/01/2025
• HIPSKIND, TIMOTHY — adp of the snf, NOT APPLICABLE, since 05/01/2025
• THORSON, ANGELA — operational/managerial control, NOT APPLICABLE, since 05/01/2025
• THORSON, ANGELA — adp of the snf, NOT APPLICABLE, since 05/01/2025
• TUTERA, JOSEPH — adp of the snf, NOT APPLICABLE, since 04/25/2017
• TUTERA, JOSEPH — operational/managerial control, NOT APPLICABLE, since 04/25/2017
• WAGNER, ALISA — adp of the snf, NOT APPLICABLE, since 05/01/2025
• WAGNER, ALISA — operational/managerial control, NOT APPLICABLE, since 05/01/2025
• DOMINIC FRANK TUTERA 2016 IRRV TR — indirect ownership interest, NOT APPLICABLE, since 07/18/2015
• HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST — indirect ownership interest, NOT APPLICABLE, since 11/20/2013
• JCT FAMILY LIMITED PARTNERSHIP — direct ownership interest, NOT APPLICABLE, since 11/20/2013
• JCT INVESTMENTS, LLC — direct ownership interest, NOT APPLICABLE, since 11/20/2013
• JOSEPH CHARLES TUTERA JR 2019 IRRV TR — indirect ownership interest, NOT APPLICABLE, since 06/27/2019
• LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST — indirect ownership interest, NOT APPLICABLE, since 11/20/2013
• TI-COULTERVILLE, LLC — adp of the snf, NOT APPLICABLE, since 01/31/2017
• TUTERA INVESTMENTS, LLC — indirect ownership interest, NOT APPLICABLE, since 12/31/2023
• WALNUT CREEK MANAGEMENT COMPANY LLC — adp of the snf, NOT APPLICABLE, since 04/07/2025
• WALNUT CREEK MANAGEMENT COMPANY LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2014