Cycle 1
Health 2024-11-24 · Fire 2024-11-24
12 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Los Angeles, CA
Los Angeles Comm Hospital
3-star overall rating with 4-star inspections with $4,938 in total fines with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
4081 East Olympic Blvd, Los Angeles, CA
(323) 267-0477
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
39
Certified beds
Average residents
38
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-06-09
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
Hours and turnover
RN hours / resident day
1.54
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
2.75
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
6.66
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
4.29
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
6.15
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
1.26
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
2.51
CMS adjusted total nurse staffing hours
Case-mix index
3.63
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · Newly certified or not enough cases to report. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 24.07% |
8.2%
15.9 pts better
|
Numerator 13 · Denominator 54 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 63 · Denominator 63 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 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 who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.1%
4.1 pts better
|
5.4%
5.4 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 received an antianxiety or hypnotic medication | 17.4% |
13.7%
3.7 pts worse
|
19.6%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 16.7% · Q3 12.5% · Q4 17.9% · 4Q avg 17.4% |
| Percentage of long-stay residents who were physically restrained | 15.2% |
0.4%
14.8 pts worse
|
0.1%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 10.0% · Q3 15.6% · Q4 17.9% · 4Q avg 15.2% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 14.3% |
1.0%
13.3 pts worse
|
1.0%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 13.9% · Q3 12.7% · Q4 14.7% · 4Q avg 14.3% · 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 | 0.0% |
10.9%
10.9 pts better
|
19.8%
19.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents with pressure ulcers | 34.8% |
4.7%
30.1 pts worse
|
5.1%
29.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 36.3% · Q3 33.2% · Q4 34.5% · 4Q avg 34.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.7% |
94.0%
3.3 pts worse
|
81.7%
9 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 90.7% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.5% |
93.2%
2.3 pts better
|
79.7%
15.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-29 · Fire 2023-11-29
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-11-04 · Fire 2022-11-04
10 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-11-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-11
D · Potential for more than minimal harm
2024-11-24
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-11
D · Potential for more than minimal harm
2024-11-24
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-11
E · Potential for more than minimal harm
2022-11-04
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 2022-11-22
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-11-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-24
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-24
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-24
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-24
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 2024-12-12
D · Potential for more than minimal harm
2024-11-24
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 2024-12-12
D · Potential for more than minimal harm
2024-11-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-24
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-24
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 2024-12-12
D · Potential for more than minimal harm
2024-11-24
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-24
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 2024-12-12
B · Minimal harm
2024-11-24
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-12-12
E · Potential for more than minimal harm
2023-11-29
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 2023-12-08
D · Potential for more than minimal harm
2023-11-29
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-12-08
D · Potential for more than minimal harm
2023-11-29
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-08
D · Potential for more than minimal harm
2023-11-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-08
B · Minimal harm
2023-11-29
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-12-08
D · Potential for more than minimal harm
2023-07-06
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 2023-07-19
F · Potential for more than minimal harm
2022-11-04
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-12-13
F · Potential for more than minimal harm
2022-11-04
F803 · Nutrition and Dietary Deficiencies
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 2022-12-13
F · Potential for more than minimal harm
2022-11-04
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 2022-12-13
E · Potential for more than minimal harm
2022-11-04
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-13
E · Potential for more than minimal harm
2022-11-04
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 2022-12-13
E · Potential for more than minimal harm
2022-11-04
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-13
E · Potential for more than minimal harm
2022-11-04
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 2022-12-13
D · Potential for more than minimal harm
2022-11-04
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 2022-12-13
D · Potential for more than minimal harm
2022-11-04
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-12-13
Penalties and ownership
What sits behind the stars
$1,764
2023-08-21
Fine
Fine · fine $1,764
Fine
$3,174
2023-07-31
Fine
Fine · fine $3,174
Fine
Ownership
Alta Hospitals System LLC
5% Or Greater Direct Ownership Interest · Organization
Chamber Inc
5% Or Greater Indirect Ownership Interest · Organization
David & Alexa Topper Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Elders, Robert
Corporate Officer · Individual
Gorenstein, William
Corporate Officer · Individual
Hernandez, Hector
W-2 Managing Employee · Individual
Ivy Holdings Inc
5% Or Greater Indirect Ownership Interest · Organization
Ivy Intermediate Holding Inc
5% Or Greater Indirect Ownership Interest · Organization
James, Carmelo
W-2 Managing Employee · Individual
Johnson, Mark
Corporate Officer · Individual
Jp Morgan Chase, N.a.
5% Or Greater Security Interest · Organization
Lee, Sang Bum
5% Or Greater Indirect Ownership Interest · Individual
Lee, Sang Bum
Corporate Director · Individual
Lee, Sang Bum
Corporate Officer · Individual
Mpt Of Bellflower Pmh, L.p.
5% Or Greater Indirect Ownership Interest · Organization
Mpt Of Los Angeles Pmh, L.p.
5% Or Greater Indirect Ownership Interest · Organization
Mpt Of Norwalk Pmh, L.p.
5% Or Greater Indirect Ownership Interest · Organization
Prospect Medical Holdings Inc
5% Or Greater Indirect Ownership Interest · Organization
Sabillo, Alfredo
Corporate Officer · Individual
Samuels, Eric
Corporate Officer · Individual
Topper, David
Corporate Director · Individual
Topper, David
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Costa Del Sol Healthcare
Los Angeles, CA
3-star overall rating with 2-star inspections with $38,181 in total fines with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
East Los Angeles Doctors Hosp
Los Angeles, CA
5-star overall rating with 5-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Infinity Care Of East Los Angeles
Los Angeles, CA
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $65,583 in total fines with 37 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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