Hawthorne, CA

Camino Healthcare

2-star overall rating with 2-star inspections with $9,110 in total fines with 31 recent health deficiencies

13922 Cerise Avenue, Hawthorne, CA

(310) 675-3304

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

89

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1971-02-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.34

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.62

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.28

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.67

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.69

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

3.97

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,446

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.74

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 22.54% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

0

Baseline 7.27% · Performance 9.56% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.60

Baseline 50.72% · Performance 48.98% · Measure score 3.60 · Achievement 3.60 · Improvement 0.17

Adjusted total nurse staffing

3.1

Baseline 3.59 hours · Performance 3.96 hours · Measure score 3.1 · Achievement 3.1 · Improvement 1.17

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13.62%
10.72%
2.9 pts worse
No Different than the National Rate · Eligible stays 58 · Observed rate 25.86% · Lower 95% interval 9.26%
Discharge to community 30.32%
50.57%
20.2 pts worse
Worse than the National Rate · Eligible stays 59 · Observed rate 15.25% · Lower 95% interval 21.74%
Medicare spending per beneficiary 1.53
1.02
0.5 pts worse
Drug regimen review with follow-up 96.25%
95.27%
1 pts better
Numerator 77 · Denominator 80
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 80
Discharge self-care score 50%
53.69%
3.7 pts worse
Numerator 14 · Denominator 28
Discharge mobility score 35.71%
50.94%
15.2 pts worse
Numerator 10 · Denominator 28
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 80 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 9.56%
7.12%
2.4 pts worse
No Different than the National Rate · Eligible stays 46 · Observed rate 21.74% · Lower 95% interval 6.32%
Staff COVID-19 vaccination coverage 10%
8.2%
1.8 pts better
Numerator 17 · Denominator 170
Staff flu vaccination coverage 25.53%
42%
16.5 pts worse
Numerator 60 · Denominator 235
Discharge function score 50%
56.45%
6.5 pts worse
Numerator 14 · Denominator 28
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 46 · Denominator 46
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 26%
25.2%
0.8 pts better
Numerator 13 · Denominator 50

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
2.3
1 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 2.1 · Expected 3.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.6
0.8 pts better
1.8
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.1 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.0%
98.5%
2.5 pts worse
93.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 87.8% · Q3 100.0% · Q4 100.0% · 4Q avg 96.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.0%
98.2%
10.2 pts worse
95.5%
7.5 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.7%
1.6%
0.9 pts better
3.3%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 16.1%
6.8%
9.3 pts worse
11.4%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.9% · Q3 29.7% · Q4 18.3% · 4Q avg 16.1%
Percentage of long-stay residents who lose too much weight 2.8%
4.1%
1.3 pts better
5.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 1.5% · Q3 4.3% · Q4 0.0% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 2.4%
13.7%
11.3 pts better
19.6%
17.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 2.8% · Q4 2.5% · 4Q avg 2.4%
Percentage of long-stay residents who received an antipsychotic medication 2.9%
14.2%
11.3 pts better
16.7%
13.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 2.9% · Q4 4.9% · 4Q avg 2.9% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 16.4%
11.0%
5.4 pts worse
16.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 19.7% · Q3 9.8% · Q4 17.1% · 4Q avg 16.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.8%
10.7%
4.1 pts worse
14.9%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 16.4% · Q3 4.9% · Q4 19.1% · 4Q avg 14.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.3%
1.0%
0.3 pts worse
1.0%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.0% · Q3 1.1% · Q4 2.2% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.7%
1.2%
0.5 pts worse
1.7%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 0.0% · Q4 2.7% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.5%
10.9%
9.6 pts worse
19.8%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 24.8% · Q3 26.4% · Q4 15.8% · 4Q avg 20.5%
Percentage of long-stay residents with pressure ulcers 10.6%
4.7%
5.9 pts worse
5.1%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 10.9% · Q3 9.6% · Q4 7.7% · 4Q avg 10.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.4%
94.0%
0.6 pts worse
81.7%
11.7 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 84.6% · Q3 92.6% · Q4 99.1% · 4Q avg 93.4%
Percentage of short-stay residents who had an outpatient emergency department visit 10.6%
11.2%
0.6 pts better
12.0%
1.4 pts better
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 13.1% · Expected 13.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.8%
1.5%
2.3 pts worse
1.6%
2.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.3% · Q3 4.4% · Q4 6.3% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.5%
93.2%
4.7 pts worse
79.7%
8.8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.2%
23.2%
3 pts worse
23.9%
2.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 33.3% · Expected 30.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-20 · Fire 2024-12-20

31 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-12-15 · Fire 2023-12-15

14 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2022-12-09 · Fire 2022-12-09

16 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-12-15

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-01-16

E · Potential for more than minimal harm 2023-12-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-12-15

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-12-15

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-12-15

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-01-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-09-10

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 2025-09-25

D · Potential for more than minimal harm 2025-09-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-10

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 2025-09-25

G · Actual harm 2025-08-07

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 2025-09-03

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

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 2025-09-03

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

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-01

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

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 2025-06-01

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-01

D · Potential for more than minimal harm 2025-04-30

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 2025-05-15

D · Potential for more than minimal harm 2025-04-14

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 2025-04-30

D · Potential for more than minimal harm 2025-04-01

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 2025-04-08

D · Potential for more than minimal harm 2025-04-01

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-04-08

E · Potential for more than minimal harm 2024-12-20

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 2025-01-08

E · Potential for more than minimal harm 2024-12-20

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 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

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 2025-01-08

D · Potential for more than minimal harm 2024-12-20

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 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F694 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

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 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

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 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

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 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-20

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-05

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-11-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-11-30

D · Potential for more than minimal harm 2024-10-23

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-09

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 2024-10-24

D · Potential for more than minimal harm 2024-07-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-19

D · Potential for more than minimal harm 2024-02-13

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-02-26

E · Potential for more than minimal harm 2023-12-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-12-30

E · Potential for more than minimal harm 2023-12-15

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 2023-12-30

E · Potential for more than minimal harm 2023-12-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-30

D · Potential for more than minimal harm 2023-12-15

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2023-12-30

D · Potential for more than minimal harm 2023-12-15

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 2023-12-30

D · Potential for more than minimal harm 2023-12-15

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-12-30

D · Potential for more than minimal harm 2023-12-15

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 2023-12-30

D · Potential for more than minimal harm 2023-12-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-30

E · Potential for more than minimal harm 2023-12-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-07

D · Potential for more than minimal harm 2023-11-17

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-07

D · Potential for more than minimal harm 2023-11-14

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 2023-11-29

D · Potential for more than minimal harm 2023-11-14

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 2023-11-29

D · Potential for more than minimal harm 2023-11-14

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-11-29

G · Actual harm 2023-08-24

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 2023-09-14

D · Potential for more than minimal harm 2023-07-06

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 2023-07-29

E · Potential for more than minimal harm 2023-06-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-07-10

D · Potential for more than minimal harm 2023-06-22

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-10

D · Potential for more than minimal harm 2023-05-17

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-06-09

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-03-13

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 2023-03-23

E · Potential for more than minimal harm 2022-12-09

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-09

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-01-20

D · Potential for more than minimal harm 2022-12-09

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2023-01-20

Penalties and ownership

What sits behind the stars

$9,110 2025-08-07

Fine

Fine · fine $9,110

Fine

Ownership

Flagstone Healthcare South LLC

5% Or Greater Direct Ownership Interest · Organization

100% 41 facilities 2018-10-31
The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2018-10-31
Burnam, Soon

Corporate Officer · Individual

0% 323 facilities 2018-10-31
Forsgren, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2021-01-01
Keetch, Chad

Corporate Officer · Individual

0% 176 facilities 2011-03-01
Kim, Jesse

Corporate Officer · Individual

0% 9 facilities 2024-09-20
Patel, Paryus

Operational/Managerial Control · Individual

0% 4 facilities 2021-01-01
Sato, Ami

Corporate Officer · Individual

0% 101 facilities 2024-09-09
Willits, Adam

Corporate Director · Individual

0% 69 facilities 2018-10-31

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Other facilities in reach

#1

Las Flores Convalescent Hospital

Gardena, CA

1-star overall rating with 1-star inspections with $77,271 in total fines with 31 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$77,271
#2

Lawndale Healthcare & Wellness Centre LLC

Lawndale, CA

1-star overall rating with 1-star inspections with abuse icon flag with $62,004 in total fines with 26 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
4 / 5
Fines
$62,004
#3

Memorial Hospital Of Gardena D/P SNF

Gardena, CA

4-star overall rating with 4-star inspections with $12,831 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$12,831

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