Federal inspection record · CMS data as of October 1, 2026
Lynwood Post Acute Care Center
3611 East Imperial Highway, Lynwood, CA · (310) 537-2500
- Certified beds
- 99
- Residents per day
- 90
- Ownership
- For-Profit
- Chain
- Cambridge Healthcare Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 27, 1973
1
How this home got 2 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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Lynwood Post Acute Care Center carries 119 inspection points. That is fewer than 30% 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
69 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care14D
- 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 care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- 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
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning10E
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights9E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
- E
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service9E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
- E
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.
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
Freedom from Abuse, Neglect, and Exploitation8D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary6F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control6E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental4E
- E
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Nursing and Physician Services2E
- D
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.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Administration1D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspection history
2026-04-23
30 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2025-01-16
20 health deficiencies · 9 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2024-01-25
19 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h of nursing staff time a day, 29 min of it from a registered nurse.
This home
4 h
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 44% 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 days2.5 pts worse | 4.7 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.8 | 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 vaccine1 pts better | 98.9% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 3.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms13.1 pts worse | 20.7% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 3.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8 pts better | 5.7% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts better | 4.4% | 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 worsened4.8 pts better | 4.1% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts better | 10.1% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.5 pts worse | 21.3% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 6.0% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts better | 95.1% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.1 pts better | 8.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.3 pts worse | 91.8% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts worse | 25.2% | 22.6% | 23.4% |
·
Who owns and runs it
32 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 |
|---|---|---|---|
| Ag Facilities Operations, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Ira E Smedra Living Trust | 5% Or Greater Indirect Ownership Interest · Organization | 48% | 13 facilities |
| Win Win Enterprises, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 48% | 28 facilities |
| 3611 E. Imperial, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Butenko, Julie | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Butenko, Julie | Adp Of The SNF · Individual | 0% | 32 facilities |
| Cambridge Healthcare Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Cambridge Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Capela, Heidi | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Capela, Heidi | Adp Of The SNF · Individual | 0% | 32 facilities |
| Hassell, Lance | Operational/Managerial Control · Individual | 0% | 38 facilities |
| Hassell, Lance | Adp Of The SNF · Individual | 0% | 38 facilities |
| Kuizon, Kristina | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Kuizon, Kristina | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Kuizon, Kristina | Adp Of The SNF · Individual | 0% | 8 facilities |
| Lutz, Linda | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Lutz, Linda | Adp Of The SNF · Individual | 0% | 31 facilities |
| Pease, Allison | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Pease, Allison | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pease, Allison | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sacapano, Manuel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sacapano, Manuel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Salazar, Paulina | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Salazar, Paulina | Adp Of The SNF · Individual | 0% | 32 facilities |
| Smedra, Ira | Corporate Officer · Individual | 0% | 31 facilities |
| Smedra, Ira | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Smedra, Ira | Adp Of The SNF · Individual | 0% | 31 facilities |
| Torres, Edson | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Win Win Enterprises, LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Wintner, Jacob | Corporate Officer · Individual | 0% | 35 facilities |
| Wintner, Jacob | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Wintner, Jacob | Adp Of The SNF · Individual | 0% | 35 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install an approved automatic sprinkler system.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
Egress2F
- F
Have exits that are accessible at all times.
- D
Have exits that are accessible at all times.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services2E
- D
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness2C
- C
Create arrangements with other facilities to receive patients.
- C
Address subsistence needs for staff and patients.
·
Other homes nearby
-
California Post-Acute Care
Lynwood, CA · Rmg Capital Partners · Special Focus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 42 min
- Fines
- $61,880
-
Granada Post Acute
Lynwood, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Downey Post Acute
Downey, CA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 19 min
- Fines
- $13,575