23 health deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Downey, CA
1-star overall rating with 2-star inspections with 22 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
8425 Iowa Street, Downey, CA
(562) 862-6506
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
198
Certified beds
Average residents
175
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1980-03-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.54
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.46
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.70
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.70
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.00
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.28
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
4.81
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
20%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
560
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
67.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0210
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.85
Baseline 24.23% · Performance 19.66% · Measure score 5.85 · Achievement 3.83 · Improvement 5.85
Healthcare-associated infections
4.19
Baseline 9.96% · Performance 7.63% · Measure score 4.19 · Achievement 0.68 · Improvement 4.19
Total nurse turnover
9.46
Baseline 28.66% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9
Adjusted total nurse staffing
7.49
Baseline 4.22 hours · Performance 5.21 hours · Measure score 7.49 · Achievement 7.49 · Improvement 5.85
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.27% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 330 · Observed rate 6.06% · Lower 95% interval 7.03% |
| Discharge to community | 38.28% |
50.57%
12.3 pts worse
|
Worse than the National Rate · Eligible stays 103 · Observed rate 29.13% · Lower 95% interval 30.83% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.69% |
95.27%
4.4 pts better
|
Numerator 318 · Denominator 319 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 319 |
| Discharge self-care score | 39.46% |
53.69%
14.2 pts worse
|
Numerator 88 · Denominator 223 |
| Discharge mobility score | 69.96% |
50.94%
19 pts better
|
Numerator 156 · Denominator 223 |
| Pressure ulcers or injuries, new or worsened | 0.63% |
2.29%
1.7 pts better
|
Numerator 2 · Denominator 319 · Adjusted rate 0.6% |
| Healthcare-associated infections requiring hospitalization | 7.63% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 267 · Observed rate 5.99% · Lower 95% interval 5.3% |
| Staff COVID-19 vaccination coverage | 10.59% |
8.2%
2.4 pts better
|
Numerator 25 · Denominator 236 |
| Staff flu vaccination coverage | 39.83% |
42%
2.2 pts worse
|
Numerator 94 · Denominator 236 |
| Discharge function score | 42.15% |
56.45%
14.3 pts worse
|
Numerator 94 · Denominator 223 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 75 · Denominator 75 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 67.05% |
25.2%
41.8 pts better
|
Numerator 118 · Denominator 176 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 5.7 |
2.3
3.4 pts worse
|
1.9
3.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.7 · Observed 7.9 · Expected 2.6 · 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 1.2 · Expected 2.3 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
1.6%
0.2 pts worse
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.6% · Q3 1.3% · Q4 2.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 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 who lose too much weight | 5.5% |
4.1%
1.4 pts worse
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.7% · Q3 6.0% · Q4 11.3% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.5% |
13.7%
4.2 pts better
|
19.6%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.1% · Q3 8.1% · Q4 8.7% · 4Q avg 9.5% |
| 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 | 23.0% |
11.0%
12 pts worse
|
16.3%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 27.8% · Q3 26.6% · Q4 6.4% · 4Q avg 23.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.7% |
10.7%
16 pts worse
|
14.9%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 32.6% · Q3 28.5% · Q4 20.6% · 4Q avg 26.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.0%
0.8 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.1% |
10.9%
5.8 pts better
|
19.8%
14.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 5.5% · Q3 5.1% · Q4 7.8% · 4Q avg 5.1% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
4.7%
2.1 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.4% · Q3 2.4% · Q4 4.8% · 4Q avg 2.6% · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.9% |
11.2%
6.3 pts better
|
12.0%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 5.5% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.1% · Q3 1.6% · Q4 1.8% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.2%
6.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
23.2%
1.4 pts worse
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 19.2% · Expected 18.6% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
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 2025-04-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-23
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 2024-04-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-23
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-04-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-04-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-04-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-04-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-04-01
Inspection history
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 2025-09-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-10
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-05-07
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-05-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-07
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-05-07
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-07
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-07
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 2025-05-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-07
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-07
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-07
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-07
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-05-07
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-07
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-05-07
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-05
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-10-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-01
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 2024-05-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-01
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-01
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-05-01
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-05-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-01
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-01
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-05-01
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-02
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-08-21
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2022-03-30
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 2022-03-30
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-03-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-30
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-03-30
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 2022-03-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-03-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-30
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2022-03-30
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2022-03-30
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-03-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-03-30
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-03-30
Health
Assess the resident when there is a significant change in condition
Corrected 2022-03-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-03-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-03-30
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 2022-03-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-30
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-03-30
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 2022-03-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-30
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 2022-03-30
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-30
Health
Implement a program that monitors antibiotic use.
Corrected 2022-03-30
Health
Keep all essential equipment working safely.
Corrected 2022-03-30
Penalties and ownership
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
General Partnership Interest · Individual
5% Or Greater Mortgage Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
General Partnership Interest · Individual
5% Or Greater Mortgage Interest · Individual
Nearby options
Downey, CA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $41,526 in total fines with 53 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Norwalk, CA
2-star overall rating with 1-star inspections with $38,376 in total fines with 37 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Downey, CA
4-star overall rating with 3-star inspections with $13,575 in total fines with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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