Federal inspection record · CMS data as of October 1, 2026

Oceana Healthcare Center

1516 Sawtelle Blvd., Los Angeles, CA · (310) 477-5501

  • Cited for abuse (CMS abuse icon)

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
116
Residents per day
108
Ownership
For-Profit
Chain
The Mandelbaum Family
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 23, 1985

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among California homes

Oceana Healthcare Center carries 209 inspection points. That is fewer than 9% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 209 pts · 1★

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

119 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 92 4 pts
E 24 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

Harm and immediate-jeopardy citations (3)

  1. G

    Provide safe, appropriate pain management for a resident who requires such services.

    May 28, 2025 · Complaint inspection · Quality of Life and Care · F697 · Corrected June 23, 2025

  2. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 24, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected July 17, 2024

  3. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 24, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 17, 2024

Everything else, by area of care

Quality of Life and Care26E
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 13, 2026 · Complaint · F677 · Corrected March 25, 2026

  2. D

    Provide or get specialized rehabilitative services as required for a resident.

    March 13, 2026 · Complaint · F825 · Corrected March 25, 2026

  3. D

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

    February 18, 2026 · Complaint · F686 · Corrected March 12, 2026

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 18, 2026 · Complaint · F689 · Corrected March 12, 2026

  5. E

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

    February 6, 2026 · Standard · F684 · Corrected February 27, 2026

  6. D

    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.

    February 6, 2026 · Standard · F688 · Corrected February 27, 2026

  7. D

    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.

    February 6, 2026 · Standard · F693 · Corrected February 27, 2026

  8. D

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

    January 9, 2026 · Complaint · F684 · Corrected January 30, 2026

  9. D

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

    August 20, 2025 · Complaint · F684 · Corrected September 16, 2025

  10. D

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

    June 5, 2025 · Complaint · F684 · Corrected June 23, 2025

  11. D

    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.

    December 5, 2024 · Standard · F688 · Corrected December 27, 2024

  12. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 5, 2024 · Standard · F689 · Corrected December 27, 2024

  13. D

    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.

    December 5, 2024 · Standard · F693 · Corrected December 27, 2024

  14. D

    Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

    October 24, 2024 · Complaint · F826 · Corrected November 7, 2024

  15. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 9, 2024 · Complaint · F689 · Corrected October 17, 2024

  16. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 6, 2024 · Complaint · F689 · Corrected September 27, 2024

  17. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    September 6, 2024 · Complaint · F740 · Corrected September 27, 2024

  18. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 23, 2024 · Complaint · F689 · Corrected September 13, 2024

  19. D

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

    June 4, 2024 · Complaint · F684 · Corrected June 21, 2024

  20. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 25, 2024 · Complaint · F677 · Corrected February 17, 2024

  21. E

    Provide safe, appropriate pain management for a resident who requires such services.

    January 12, 2024 · Complaint · F697 · Corrected January 28, 2024

  22. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 1, 2023 · Standard · F677 · Corrected December 22, 2023

  23. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 1, 2023 · Standard · F689 · Corrected December 22, 2023

  24. D

    Provide safe, appropriate pain management for a resident who requires such services.

    December 1, 2023 · Standard · F697 · Corrected December 22, 2023

  25. D

    Provide care or services that was trauma informed and/or culturally competent.

    December 1, 2023 · Standard · F699 · Corrected December 22, 2023

  26. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    December 1, 2023 · Standard · F742 · Corrected December 22, 2023

Resident Rights20E
  1. D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    June 2, 2026 · Complaint · F573 · Corrected June 11, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    April 27, 2026 · Complaint · F580 · Corrected May 19, 2026

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 16, 2026 · Complaint · F580 · Corrected March 4, 2026

  4. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    February 6, 2026 · Standard · F628 · Corrected February 27, 2026

  5. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    December 2, 2025 · Complaint · F552 · Corrected December 31, 2025

  6. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 25, 2025 · Complaint · F580 · Corrected July 3, 2025

  7. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    May 16, 2025 · Complaint · F550 · Corrected June 11, 2025

  8. 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.

    March 10, 2025 · Complaint · F584 · Corrected March 25, 2025

  9. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    December 5, 2024 · Standard · F585 · Corrected December 27, 2024

  10. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 5, 2024 · Standard · F550 · Corrected December 27, 2024

  11. D

    Keep residents' personal and medical records private and confidential.

    December 5, 2024 · Standard · F583 · Corrected December 27, 2024

  12. 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.

    December 5, 2024 · Standard · F584 · Corrected December 27, 2024

  13. D

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    October 8, 2024 · Complaint · F565 · Corrected October 21, 2024

  14. 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.

    October 8, 2024 · Complaint · F578 · Corrected October 21, 2024

  15. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    August 24, 2024 · Complaint · F557 · Corrected September 13, 2024

  16. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    June 4, 2024 · Complaint · F550 · Corrected June 21, 2024

  17. D

    Prepare residents for a safe transfer or discharge from the nursing home.

    June 4, 2024 · Complaint · F624 · Corrected June 21, 2024

  18. D

    Reasonably accommodate the needs and preferences of each resident.

    February 16, 2024 · Complaint · F558 · Corrected March 1, 2024

  19. 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.

    January 12, 2024 · Complaint · F584 · Corrected January 28, 2024

  20. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 1, 2023 · Standard · F550 · Corrected December 22, 2023

Resident Assessment and Care Planning17E
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    April 27, 2026 · Complaint · F842 · Corrected May 19, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 16, 2026 · Complaint · F656 · Corrected March 4, 2026

  3. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    February 6, 2026 · Standard · F842 · Corrected February 27, 2026

  4. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    February 6, 2026 · Standard · F640 · Corrected February 27, 2026

  5. D

    Ensure each resident receives an accurate assessment.

    February 6, 2026 · Standard · F641 · Corrected February 27, 2026

  6. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    February 6, 2026 · Standard · F645 · Corrected March 2, 2026

  7. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    June 5, 2025 · Complaint · F656 · Corrected June 23, 2025

  8. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 8, 2025 · Complaint · F842 · Corrected May 23, 2025

  9. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 5, 2024 · Standard · F656 · Corrected December 27, 2024

  10. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 8, 2024 · Complaint · F656 · Corrected October 21, 2024

  11. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 20, 2024 · Complaint · F656 · Corrected October 11, 2024

  12. D

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

    August 23, 2024 · Complaint · F660 · Corrected September 13, 2024

  13. D

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

    July 25, 2024 · Complaint · F658 · Corrected August 16, 2024

  14. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 21, 2024 · Complaint · F656 · Corrected April 13, 2024

  15. D

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

    March 21, 2024 · Complaint · F658 · Corrected April 13, 2024

  16. D

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

    February 16, 2024 · Complaint · F658 · Corrected March 1, 2024

  17. D

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

    January 12, 2024 · Complaint · F658 · Corrected January 28, 2024

Pharmacy Service12E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 6, 2026 · Standard · F755 · Corrected February 27, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    February 6, 2026 · Standard · F760 · Corrected February 27, 2026

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    May 16, 2025 · Complaint · F755 · Corrected June 10, 2025

  4. E

    Ensure that residents are free from significant medication errors.

    September 20, 2024 · Complaint · F760 · Corrected October 11, 2024

  5. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    July 25, 2024 · Complaint · F755 · Corrected August 16, 2024

  6. 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.

    May 29, 2024 · Complaint · F761 · Corrected June 20, 2024

  7. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 16, 2024 · Complaint · F755 · Corrected March 1, 2024

  8. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 12, 2024 · Complaint · F755 · Corrected January 28, 2024

  9. 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.

    January 12, 2024 · Complaint · F761 · Corrected January 28, 2024

  10. E

    Ensure medication error rates are not 5 percent or greater.

    December 1, 2023 · Standard · F759 · Corrected December 22, 2023

  11. E

    Ensure that residents are free from significant medication errors.

    December 1, 2023 · Standard · F760 · Corrected December 22, 2023

  12. 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.

    December 1, 2023 · Standard · F761 · Corrected December 22, 2023

Infection Control10E
  1. E

    Provide and implement an infection prevention and control program.

    February 18, 2026 · Complaint · F880 · Corrected March 12, 2026

  2. E

    Provide and implement an infection prevention and control program.

    February 6, 2026 · Standard · F880 · Corrected February 27, 2026

  3. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    February 6, 2026 · Standard · F883 · Corrected February 27, 2026

  4. D

    Provide and implement an infection prevention and control program.

    December 2, 2025 · Complaint · F880 · Corrected December 31, 2025

  5. D

    Provide and implement an infection prevention and control program.

    September 18, 2025 · Complaint · F880 · Corrected October 3, 2025

  6. D

    Provide and implement an infection prevention and control program.

    December 5, 2024 · Standard · F880 · Corrected December 27, 2024

  7. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    December 5, 2024 · Standard · F883 · Corrected December 27, 2024

  8. E

    Provide and implement an infection prevention and control program.

    August 24, 2024 · Complaint · F880 · Corrected September 13, 2024

  9. D

    Implement a program that monitors antibiotic use.

    January 25, 2024 · Complaint · F881 · Corrected February 17, 2024

  10. D

    Provide and implement an infection prevention and control program.

    December 1, 2023 · Standard · F880 · Corrected December 22, 2023

Nursing and Physician Services9E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    February 18, 2026 · Complaint · F725 · Corrected March 12, 2026

  2. E

    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.

    February 6, 2026 · Standard · F726 · Corrected February 27, 2026

  3. 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.

    May 16, 2025 · Complaint · F726 · Corrected June 10, 2025

  4. 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.

    January 7, 2025 · Complaint · F726 · Corrected January 24, 2025

  5. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    September 20, 2024 · Complaint · F725 · Corrected October 11, 2024

  6. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    July 1, 2024 · Complaint · F725 · Corrected July 19, 2024

  7. D

    Post nurse staffing information every day.

    July 1, 2024 · Complaint · F732 · Corrected July 19, 2024

  8. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    June 4, 2024 · Complaint · F725 · Corrected June 21, 2024

  9. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    February 16, 2024 · Complaint · F725 · Corrected March 1, 2024

Freedom from Abuse, Neglect, and Exploitation8E
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 24, 2026 · Complaint · F600 · Corrected March 13, 2026

  2. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    June 25, 2025 · Complaint · F602 · Corrected July 3, 2025

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    December 18, 2024 · Complaint · F609 · Corrected January 11, 2025

  4. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    November 5, 2024 · Complaint · F600 · Corrected November 22, 2024

  5. D

    Respond appropriately to all alleged violations.

    November 5, 2024 · Complaint · F610 · Corrected November 22, 2024

  6. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    September 6, 2024 · Complaint · F602 · Corrected September 27, 2024

  7. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 6, 2024 · Complaint · F609 · Corrected September 27, 2024

  8. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    May 29, 2024 · Complaint · F607 · Corrected June 20, 2024

Environmental7E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    February 18, 2026 · Complaint · F921 · Corrected March 12, 2026

  2. D

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    February 6, 2026 · Standard · F914 · Corrected February 27, 2026

  3. D

    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

    February 6, 2026 · Standard · F917 · Corrected February 27, 2026

  4. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    February 6, 2026 · Standard · F919 · Corrected February 27, 2026

  5. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    February 6, 2026 · Standard · F921 · Corrected February 27, 2026

  6. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    May 14, 2024 · Complaint · F921 · Corrected May 26, 2024

  7. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    December 1, 2023 · Standard · F919 · Corrected December 22, 2023

Nutrition and Dietary6E
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 6, 2026 · Standard · F812 · Corrected February 27, 2026

  2. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 5, 2024 · Standard · F812 · Corrected December 27, 2024

  3. E

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    October 8, 2024 · Complaint · F813 · Corrected October 21, 2024

  4. E

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    December 1, 2023 · Standard · F801 · Corrected December 22, 2023

  5. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 1, 2023 · Standard · F812 · Corrected December 22, 2023

  6. D

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    December 1, 2023 · Standard · F813 · Corrected December 22, 2023

Administration1E
  1. E

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    December 1, 2023 · Standard · F851 · Corrected December 22, 2023

Inspection history

  1. 2026-02-06

    34 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

  2. 2024-12-05

    33 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Rights (9 deficiencies)

  3. 2023-12-01

    52 health deficiencies · 0 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 5 h 36 min of nursing staff time a day, 44 min of it from a registered nurse.

This home

5 h 36 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 58% of nursing staff and 70% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$45,818 in federal fines on record over the past three years.

DatePenaltyAmount
2025-05-08Fine$17,940
2024-06-24Payment Denial · 29 day denial$0
2023-12-11Fine$13,762
2023-11-20Fine$4,235
2023-11-13Fine$3,882
2023-11-06Fine$3,529
2023-10-17Fine$2,470

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1 pts better1.22.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better0.81.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts worse94.6%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts worse92.3%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse2.2%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms5.2 pts better2.4%7.6%13.5%
Percentage of long-stay residents who lose too much weight2.4 pts better1.7%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts better5.5%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.5 pts better4.8%12.3%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.3%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.1 pts better4.8%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better8.1%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse1.2%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts better7.6%9.8%18.3%
Percentage of long-stay residents with pressure ulcers4.8 pts worse9.1%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts worse78.6%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts better9.0%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse2.0%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine36.9 pts worse56.2%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts better16.1%22.6%23.4%

·

Who owns and runs it

15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Southern California Holdings, LLC5% Or Greater Direct Ownership Interest · Organization65%2 facilities
Barber Family Trust5% Or Greater Indirect Ownership Interest · Organization35%2 facilities
New Vista Pac Hb Operator LLC5% Or Greater Direct Ownership Interest · Organization35%1 facilities
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 25% Or Greater Indirect Ownership Interest · Organization33%10 facilities
Mandelbaum, Janet5% Or Greater Indirect Ownership Interest · Individual13%18 facilities
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 25% Or Greater Indirect Ownership Interest · Organization10%10 facilities
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 25% Or Greater Indirect Ownership Interest · Organization9%9 facilities
Barber, HymanOperational/Managerial Control · Individual0%2 facilities
Barber, HymanAdp Of The SNF · Individual0%2 facilities
Hart, RachelleOperational/Managerial Control · Individual0%1 facilities
Hart, RachelleAdp Of The SNF · Individual0%1 facilities
Kelley, ConnorOperational/Managerial Control · Individual0%2 facilities
Kelley, ConnorAdp Of The SNF · Individual0%2 facilities
Niknam, JamshidOperational/Managerial Control · Individual0%2 facilities
Niknam, JamshidAdp Of The SNF · Individual0%2 facilities

·

Fire safety

15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 6, 2026 · K353 · Corrected March 4, 2026

  2. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 6, 2026 · K321 · Corrected March 4, 2026

  3. D

    Construct fire resistant interior walls.

    February 6, 2026 · K331 · Corrected March 4, 2026

  4. D

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    February 6, 2026 · K342 · Corrected March 4, 2026

  5. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 5, 2024 · K321 · Corrected December 27, 2024

  6. D

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    December 5, 2024 · K342 · Corrected December 27, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    February 6, 2026 · K914 · Corrected March 4, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 6, 2026 · K918 · Corrected March 4, 2026

  3. F

    Ensure proper usage of power strips and extension cords.

    February 6, 2026 · K920 · Corrected March 4, 2026

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    February 6, 2026 · K712 · Corrected March 4, 2026

  2. E

    Have simulated fire drills held at unexpected times.

    December 5, 2024 · K712 · Corrected December 27, 2024

Egress2D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    February 6, 2026 · K211 · Corrected March 4, 2026

  2. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    December 5, 2024 · K211 · Corrected December 27, 2024

Services2D
  1. D

    Have properly installed electrical wiring and gas equipment.

    February 6, 2026 · K511 · Corrected March 4, 2026

  2. D

    Have properly installed electrical wiring and gas equipment.

    December 5, 2024 · K511 · Corrected December 27, 2024

·

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