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ICF/DD-N (Nursing)License activeMedi-Cal certified

GREENFIELDS I ICF-DDN

ICF/DD-N (Nursing) · 6 licensed beds · Vallejo, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

GREENFIELDS I ICF-DDN219 TORREY PINES CTVallejo, CA 94591 · Solano County

Phone: (707) 558-8149

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
JASMINE BADILLO & TERESITA REYES · Partnership
Administrator
REYES, TERESITA
CDPH facility ID
010000860
License number
010000325
First licensed
September 22, 1997
Current license
Mar 22, 2026 to Mar 21, 2027
CDPH district office
Sacramento

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G133
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
October 3, 1997
Last certification survey
April 23, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.25 · LVN/LPN 0.25 · direct care 7.85 · all employees 8.35

State citations and penalties (CDPH)

CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained

No state citations or penalties on record for this facility in CDPH's enforcement data (July 1998 to date).

Federal inspections (CMS-2567)

20 surveys since 2018 · CMS data through Oct 12, 2026

CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Recertification

    Event CII521 · 2 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event CII511 · 5 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event G4VV21 · 7 deficiencies

    Official 2567 ↗
  4. · Complaint, Recertification

    Event G4VV11 · 4 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event 7VMG11 · 1 deficiency

    Official 2567 ↗
  6. · Complaint

    Event 82E411 · 1 deficiency

    Official 2567 ↗
  7. · Complaint

    Event PH6H11 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event 12U011 · no deficiencies cited

    Official 2567 ↗
  9. · Recertification

    Event H6PH21 · 4 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event H6PH11 · 4 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event LDJS11 · 1 deficiency

    Official 2567 ↗
  12. · Complaint

    Event BX7911 · no deficiencies cited

    Official 2567 ↗

From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.

Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

21 events, newest first

Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.

  1. ReportFederal survey (recertification): 2 deficiencies(state record)

    See this survey →
  2. ReportFederal survey (recertification): 5 deficiencies(state record)

    See this survey →
  3. ReportFederal survey (recertification): 7 deficiencies(state record)

    See this survey →
  4. ReportFederal survey (complaint, recertification): 4 deficiencies(state record)

    See this survey →
  5. ReportFederal survey (complaint): 1 deficiency(state record)

    See this survey →
  6. ReportFederal survey (complaint): 1 deficiency(state record)

    See this survey →
  7. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  8. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  9. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  10. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.