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

BLAISDELL HOME

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

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

Address

BLAISDELL HOME581 BLAISDELL DRClaremont, CA 91711 · Los Angeles County

Phone: (909) 445-0051

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
RSCR CALIFORNIA, INC. · Profit Corp
Administrator
MARTIN, KARLA
CDPH facility ID
960002326
License number
960001075
First licensed
May 13, 1999
Current license
May 13, 2026 to May 12, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G288
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 23, 1999
Last certification survey
December 11, 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 1 · LVN/LPN 2 · direct care 4 · all employees 7

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 BPatient Care

    Citation - B · Violations: 483.460(a)(3) · Violation Aug 29, 2025 · Penalty #960022731 · Survey JD3E11

    Status: Closed

    $2,400

    initially $2,000

    Citation document ↗
  • Class APatient Care

    Citation - A · Violations: 483.420(d)(1), HSC 1275.3(d), 483.410(b), 483.420(a)(5), W&I 4502(b)(8) · Violation Jul 14, 2025 · Penalty #960022391 · Survey XVLE11

    Status: Closed

  • Class BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Sep 6, 2018 · Penalty #960014573 · Survey O3TR11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Oct 15, 2003 · Penalty #960001038

    Status: Closed · Appealed (received Nov 23, 2003)

    $0

    initially $900

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Sep 13, 2002 · Penalty #960000988

    Status: Closed · Not appealed

    $800

Federal inspections (CMS-2567)

46 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. · Complaint

    Event 3430EE-H1 · 1 deficiency

    Official 2567 ↗
  2. · Complaint

    Event 342B9B-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 2CFB26-H1 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 235C03-H1 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 22BF98-H1 · 1 deficiency

    Official 2567 ↗
  6. · Complaint

    Event 22V511 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event MUS911 · 1 deficiency

    Official 2567 ↗
  8. · Recertification

    Event N14E21 · 4 deficiencies

    Official 2567 ↗
  9. · Recertification

    Event N14E11 · 5 deficiencies

    Official 2567 ↗
  10. · Complaint

    Event DYM011 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event JD3E11 · 2 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event 37GZ11 · 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

52 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 (complaint): 1 deficiency(state record)

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

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

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

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

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

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

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

    See this survey →
  9. ReportFederal survey (recertification): 5 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.