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

GREENFIELDS II ICF-DDN

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

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

Address

GREENFIELDS II ICF-DDN2673 VISTA BONITAFairfield, CA 94534 · Solano County

Phone: (707) 429-9774

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
010000907
License number
010000345
First licensed
January 26, 1999
Current license
Jan 26, 2026 to Jan 25, 2027
CDPH district office
Sacramento

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G237
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
February 10, 1999
Last certification survey
July 8, 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 2 · LVN/LPN 2 · direct care 6 · all employees 10

State citations and penalties (CDPH)

5 penalties, newest first

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

  • Class APatient Care

    Citation A (HSC 1424) · Violation Oct 29, 2007 · Penalty #110005432 · Survey DD7L11

    Status: Closed · Not appealed

    $5,850

    initially $9,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Jan 2, 2007 · Penalty #110003651 · Survey K24711

    Status: Closed · Not appealed

    $1,000

  • Class BOther (C,f)

    Citation B (HSC 1424) · Violation Dec 20, 2004 – Dec 23, 2004 · Penalty #010002143

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Mar 20, 2002 – Mar 25, 2002 · Penalty #010001954

    Status: Closed · Appealed (received Jun 19, 2002)

    $2,400

    initially $800

  • Class BPatient Care

    Citation B (HSC 1424) · Violation May 27, 2001 · Penalty #010001913

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

16 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 TKQ821 · 2 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event TKQ811 · 8 deficiencies

    Official 2567 ↗
  3. · Complaint

    Event BPD311 · no deficiencies cited

    Official 2567 ↗
  4. · Recertification

    Event 2UP321 · 5 deficiencies

    Official 2567 ↗
  5. · Complaint, Recertification

    Event 2UP311 · 7 deficiencies

    Official 2567 ↗
  6. · Complaint

    Event KIGD11 · 2 deficiencies

    Official 2567 ↗
  7. · Complaint

    Event T2PU11 · no deficiencies cited

    Official 2567 ↗
  8. · Recertification

    Event KKAI21 · 4 deficiencies

    Official 2567 ↗
  9. · Recertification

    Event KKAI11 · 6 deficiencies

    Official 2567 ↗
  10. · Complaint

    Event TGHZ11 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event ZD6Q11 · no deficiencies cited

    Official 2567 ↗
  12. · Focused Infection Control, Other-Fed

    Event 1FRB11 · 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

22 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): 8 deficiencies(state record)

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

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

    See this survey →
  5. ReportFederal survey (complaint, recertification): 7 deficiencies(state record)

    See this survey →
  6. ReportFederal survey (complaint): 2 deficiencies(state record)

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

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

    See this survey →
  9. ReportFederal survey (recertification): 6 deficiencies(state record)

    See this survey →
  10. ReportFederal survey (complaint): no 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.