Federal inspection record · CMS data as of October 1, 2026
Brookfield Healthcare Center
9300 Telegraph Road, Downey, CA · (562) 869-2567
- CMS high-performer trophy
- Certified beds
- 70
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1971
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Brookfield Healthcare Center carries 35 inspection points. That is fewer than 88% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning7D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service6E
- E
Ensure that residents are free from significant medication errors.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care5D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary2E
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2025-12-05
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-10-18
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-10-13
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 5 min of nursing staff time a day, 49 min of it from a registered nurse.
This home
4 h 5 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.3 pts worse | 3.5 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.6 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts better | 7.1% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 2.0% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts better | 10.6% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.7 pts better | 1.6% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts worse | 9.2% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.2 pts worse | 15.4% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.3% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 0.7% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts better | 7.7% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 2.0% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 99.6% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts better | 9.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.1 pts better | 99.2% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.9 pts better | 17.7% | 22.6% | 23.4% |
·
Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Burnam, Soon | Managing Control - Governing Body · Individual | 0% | 353 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Caretrust Gp LLC | Adp Of The SNF · Organization | 0% | 95 facilities |
| Caretrust Reit Inc | Adp Of The SNF · Organization | 0% | 102 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Frischer, Alan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Frischer, Alan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Frischer, Alan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Howell, David | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Howell, David | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Howell, David | Adp Of The SNF · Individual | 0% | 2 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Kim, Jesse | Corporate Officer · Individual | 0% | 11 facilities |
| Port, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 203 facilities |
| The Ensign Group Inc | Adp Of The SNF · Organization | 0% | 135 facilities |
| Trousdale Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- D
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
·
Other homes nearby
-
Riviera Healthcare Center
Pico Rivera, CA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 5 min
- Fines
- $9,110
-
Colonial Gardens Nursing Home
Pico Rivera, CA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 15 min
- Fines
- $36,700
-
Villa Del Rio Gardens
Bell Gardens, CA
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- —
- Fines
- $0