Bell Gardens, CA

Briarcrest Nursing Center

1-star overall rating with 1-star inspections with $78,684 in total fines with 33 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

5648 East Gotham Street, Bell Gardens, CA

(562) 927-2641

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

135

Certified beds

Average residents

126

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cambridge Healthcare Services

Operator or chain grouping

Approved since

1970-09-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing

LPN hours / resident day

1.33

Licensed practical nurse staffing

Aide hours / resident day

2.48

Nurse aide staffing

Weekend hours

4.04

Weekend nurse staffing

RN turnover

65%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 5.2
2.3
2.9 pts worse
1.9
3.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
1.6
0.1 pts worse
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.0%
1.6%
1.4 pts worse
3.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 8.1%
6.8%
1.3 pts worse
11.4%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.9%
4.1%
3.2 pts better
5.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.7%
13.7%
4 pts better
19.6%
9.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.9%
14.2%
0.3 pts better
16.7%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 3.2%
11.0%
7.8 pts better
16.3%
13.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.3%
10.7%
3.4 pts better
14.9%
7.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5%
1.0%
0.5 pts worse
1.0%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.2%
1.2%
1 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 3.1%
10.9%
7.8 pts better
19.8%
16.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.8%
4.7%
3.1 pts worse
5.1%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.4%
11.2%
6.8 pts better
12.0%
7.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.5%
0.3 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.2%
93.2%
6 pts better
79.7%
19.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 14.5%
23.2%
8.7 pts better
23.9%
9.4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

34 health deficiencies

Top issue: Quality of Life and Care (13 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-03-07 · Fire 2024-03-07

34 health deficiencies

Top issue: Quality of Life and Care (12 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-12-22 · Fire 2021-12-22

37 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-04-10

C · Minimal harm 2025-03-13

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-04-10

F · Potential for more than minimal harm 2024-03-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-09

E · Potential for more than minimal harm 2024-03-07

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-09

E · Potential for more than minimal harm 2024-03-07

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-04-09

E · Potential for more than minimal harm 2024-03-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-09

E · Potential for more than minimal harm 2024-03-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-09

E · Potential for more than minimal harm 2024-03-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-09

D · Potential for more than minimal harm 2024-03-07

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-04-09

D · Potential for more than minimal harm 2024-03-07

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-04-09

D · Potential for more than minimal harm 2024-03-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-09

F · Potential for more than minimal harm 2021-12-22

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2022-01-04

F · Potential for more than minimal harm 2021-12-22

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-01-04

F · Potential for more than minimal harm 2021-12-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-01-04

E · Potential for more than minimal harm 2021-12-22

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-01-04

D · Potential for more than minimal harm 2021-12-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-01-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-21

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-21

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-21

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-21

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-05

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-05

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-30

D · Potential for more than minimal harm 2025-11-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-10

D · Potential for more than minimal harm 2025-11-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-12-10

D · Potential for more than minimal harm 2025-11-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-10

D · Potential for more than minimal harm 2025-08-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-27

D · Potential for more than minimal harm 2025-06-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-07-14

D · Potential for more than minimal harm 2025-05-24

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-04-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-09

G · Actual harm 2025-03-13

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-03-13

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-03-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-04-10

J · Immediate jeopardy 2025-03-01

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-02-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-25

D · Potential for more than minimal harm 2024-12-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-12-30

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-12-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-27

D · Potential for more than minimal harm 2024-12-11

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-12-27

G · Actual harm 2024-11-13

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-08-20

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-13

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-07-11

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-07-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-07-11

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-07-30

K · Immediate jeopardy 2024-06-25

F584 · Resident Rights Deficiencies

Health

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 2024-07-24

E · Potential for more than minimal harm 2024-06-25

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-07-24

E · Potential for more than minimal harm 2024-06-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-24

D · Potential for more than minimal harm 2024-06-25

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-24

E · Potential for more than minimal harm 2024-03-07

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-07

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-07

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-07

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-07

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-07

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-07

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-07

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-07

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-01-24

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-23

D · Potential for more than minimal harm 2024-01-24

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-02-23

E · Potential for more than minimal harm 2024-01-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-08

E · Potential for more than minimal harm 2023-11-09

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-10-17

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-17

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-07-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-21

E · Potential for more than minimal harm 2023-05-15

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-06-14

D · Potential for more than minimal harm 2023-05-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-14

E · Potential for more than minimal harm 2023-04-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-04-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-04-05

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-28

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-28

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-04-18

L · Immediate jeopardy 2021-12-22

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-02-07

K · Immediate jeopardy 2021-12-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-02-07

J · Immediate jeopardy 2021-12-22

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-02-07

J · Immediate jeopardy 2021-12-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-02-07

F · Potential for more than minimal harm 2021-12-22

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2022-02-07

F · Potential for more than minimal harm 2021-12-22

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-02-07

E · Potential for more than minimal harm 2021-12-22

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2022-02-07

E · Potential for more than minimal harm 2021-12-22

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-01-21

D · Potential for more than minimal harm 2021-12-22

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2022-02-07

D · Potential for more than minimal harm 2021-12-22

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-02-07

Penalties and ownership

What sits behind the stars

$44,623 2025-03-01

Fine

Fine · fine $44,623

Fine

$0 2025-03-01

Payment Denial

Payment Denial · denial start 2025-03-29 · 18 days

18 day denial

$34,061 2024-06-25

Fine

Fine · fine $34,061

Fine

$0 2024-06-25

Payment Denial

Payment Denial · denial start 2024-07-27 · 47 days

47 day denial

Ownership

Win Win Enterprises, LLC

5% Or Greater Direct Ownership Interest · Organization

40% 28 facilities 2002-12-10
Shersher LP

5% Or Greater Direct Ownership Interest · Organization

23% 6 facilities 2002-12-10
Ira E Smedra Living Trust

5% Or Greater Direct Ownership Interest · Organization

22% 17 facilities 2002-12-10
Smedra, Ira

5% Or Greater Indirect Ownership Interest · Individual

22% 98 facilities 2002-12-10
Bueno, Liberty

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-04
Butenko, Julie

Operational/Managerial Control · Individual

0% 20 facilities 2023-07-24
Cambridge Healthcare Services LLC

Operational/Managerial Control · Organization

0% 20 facilities 2018-06-11
Capela, Heidi

Operational/Managerial Control · Individual

0% 20 facilities 2023-04-03
Guron, Joel

Operational/Managerial Control · Individual

0% 1 facilities 2024-08-30
Hassell, Lance

Operational/Managerial Control · Individual

0% 37 facilities 2022-04-25
Johnsonbaugh, June

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-23
Kuizon, Kristina

Operational/Managerial Control · Individual

0% 4 facilities 2025-04-01
Lutz, Linda

Operational/Managerial Control · Individual

0% 20 facilities 2012-02-01
Palana, Cesar

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-02
Professional Directions For Health Care

Operational/Managerial Control · Organization

0% 2 facilities 2013-05-23
Salazar, Paulina

Operational/Managerial Control · Individual

0% 25 facilities 2020-12-14
Smedra, Ira

Operational/Managerial Control · Individual

0% 98 facilities 2002-12-10
Smedra, Ira

Corporate Officer · Individual

0% 98 facilities 2002-12-10
Wintner, Jacob

Operational/Managerial Control · Individual

0% 35 facilities 2002-12-10
Wintner, Jacob

Corporate Officer · Individual

0% 35 facilities 2002-12-10

Nearby options

Other facilities in reach

#1

Bell Convalescent Hospital

Bell, CA

1-star overall rating with 1-star inspections with $93,980 in total fines with 24 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$93,980
#2

Villa Del Rio

Bell Gardens, CA

1-star overall rating with 1-star inspections with Special Focus status with $155,218 in total fines with 34 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$155,218
#3

Maywood Skilled Nursing & Wellness Centre

Maywood, CA

2-star overall rating with 2-star inspections with $37,385 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$37,385

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