11 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Lynwood, CA
3-star overall rating with 4-star inspections with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3565 E Imperial Hwy, Lynwood, CA
(310) 638-9377
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
98
Certified beds
Average residents
94
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-04-14
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
0.31
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.24
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.06
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.74
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
0.15
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
70%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
11,217
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.65
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.69% · Performance 21.94% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.49% · Performance 9.29% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.51
Baseline 38.14% · Performance 45.26% · Measure score 4.51 · Achievement 4.51 · Improvement 0
Adjusted total nurse staffing
2.56
Baseline 4.07 hours · Performance 3.80 hours · Measure score 2.56 · Achievement 2.56 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.69% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 154 · Observed rate 12.34% · Lower 95% interval 7.9% |
| Discharge to community | 34.88% |
50.57%
15.7 pts worse
|
Worse than the National Rate · Eligible stays 119 · Observed rate 25.21% · Lower 95% interval 26.87% |
| Medicare spending per beneficiary | 1.6 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 99.6% |
95.27%
4.3 pts better
|
Numerator 252 · Denominator 253 |
| Falls with major injury | 0.4% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 253 |
| Discharge self-care score | 57.66% |
53.69%
4 pts better
|
Numerator 64 · Denominator 111 |
| Discharge mobility score | 54.05% |
50.94%
3.1 pts better
|
Numerator 60 · Denominator 111 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 253 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.29% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 148 · Observed rate 13.51% · Lower 95% interval 6.64% |
| Staff COVID-19 vaccination coverage | 7.24% |
8.2%
1 pts worse
|
Numerator 11 · Denominator 152 |
| Staff flu vaccination coverage | 46.9% |
42%
4.9 pts better
|
Numerator 68 · Denominator 145 |
| Discharge function score | 54.05% |
56.45%
2.4 pts worse
|
Numerator 60 · Denominator 111 |
| Transfer of health information to provider | 98.45% |
95.95%
2.5 pts better
|
Numerator 127 · Denominator 129 |
| Transfer of health information to patient | 89.66% |
96.28%
6.6 pts worse
|
Numerator 26 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 84.09% |
25.2%
58.9 pts better
|
Numerator 111 · Denominator 132 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.0 |
2.3
1.7 pts worse
|
1.9
2.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 8.9 · Expected 4.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.6 · Expected 2.5 · 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 | 98.9% |
98.2%
0.7 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
1.6%
0.1 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 2.4% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 17.4% |
6.8%
10.6 pts worse
|
11.4%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 20.3% · Q3 10.7% · Q4 15.8% · 4Q avg 17.4% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
4.1%
0.1 pts worse
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 7.3% · Q3 4.9% · Q4 1.6% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.8% |
13.7%
3.1 pts worse
|
19.6%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 17.5% · Q3 19.3% · Q4 16.0% · 4Q avg 16.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.5% |
14.2%
10.3 pts worse
|
16.7%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 25.5% · Q3 26.5% · Q4 28.0% · 4Q avg 24.5% · 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 | 15.6% |
11.0%
4.6 pts worse
|
16.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 10.2% · Q3 18.4% · Q4 10.3% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.8% |
10.7%
18.1 pts worse
|
14.9%
13.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 35.7% · Q3 30.7% · Q4 31.1% · 4Q avg 28.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
1.0%
1.9 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 4.0% · Q4 1.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.2%
0.8 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.2% |
10.9%
7.7 pts better
|
19.8%
16.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 3.2% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
4.7%
3.3 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.9% · Q3 10.2% · Q4 10.8% · 4Q avg 8.0% · 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 | 10.3% |
11.2%
0.9 pts better
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 12.6% · Expected 13.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.4% |
1.5%
1.9 pts worse
|
1.6%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.6% · Q3 2.7% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.1% |
93.2%
9.1 pts worse
|
79.7%
4.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.6% |
23.2%
5.4 pts worse
|
23.9%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.6% · Observed 36.8% · Expected 30.7% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Nutrition and Dietary (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-15
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-04-15
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-15
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 2024-04-12
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-12-10
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-12-10
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-05
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-09-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-15
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-04-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-15
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-04-15
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 2025-03-17
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 2025-03-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-30
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-08-28
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-04-19
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2024-04-19
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-04-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-19
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 2024-04-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-19
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-19
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-19
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 2024-04-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-19
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 2024-04-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-19
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-04-19
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 2024-02-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-12-13
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 2021-12-13
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 2021-12-13
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2021-12-13
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2021-12-13
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2021-12-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-12-13
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 2021-12-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-12-13
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 2021-12-13
Penalties and ownership
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
General Partnership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Individual
Limited Partnership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Individual
Limited Partnership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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