Federal inspection record · CMS data as of October 1, 2026
Pacific Villa, Inc
3501 Cedar Avenue, Long Beach, CA · (562) 595-1731
- Cited for abuse (CMS abuse icon)
- Certified beds
- 95
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- Rollins-Nelson Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 13, 1972
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.
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
Pacific Villa, Inc carries 145 inspection points. That is fewer than 20% 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
79 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.
Harm and immediate-jeopardy citations (2)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care16E
- E
Provide routine and 24-hour emergency dental care for each resident.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide activities to meet all resident's needs.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
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.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide routine and 24-hour emergency dental care for each resident.
- D
Assist a resident in gaining access to vision and hearing services.
- 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.
- D
Provide care or services that was trauma informed and/or culturally competent.
Freedom from Abuse, Neglect, and Exploitation15E
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights12E
- 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.
- E
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.
- D
Reasonably accommodate the needs and preferences of each 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
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to choose his or her attending physician.
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service10E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- 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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure that residents are free from significant medication errors.
- 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
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.
Resident Assessment and Care Planning8E
- 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
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 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.
- B
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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control6F
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- 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
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services3D
- 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.
- 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.
- 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.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-02-27
22 health deficiencies · 13 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2024-12-20
28 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-01-05
29 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
4 h 9 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 40% 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
Fines and payment denials
$29,170 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-28 | Fine | $23,473 |
| 2024-02-20 | Fine | $2,279 |
| 2024-01-22 | Fine | $3,418 |
6
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 days1.4 pts worse | 3.6 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.5 | 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 vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 1.2% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts better | 0.0% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication20.9 pts worse | 34.6% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication68.2 pts worse | 80.5% | 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 worsened3.8 pts worse | 12.7% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.6 pts worse | 21.8% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.3% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2 pts worse | 11.8% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 1.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts worse | 88.3% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better | 7.5% | 11.1% | 11.8% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.1 pts worse | 86.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts worse | 28.4% | 22.6% | 23.4% |
·
Who owns and runs it
21 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 |
|---|---|---|---|
| Anderson, Trevor | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Anderson, Trevor | Adp Of The SNF · Individual | 0% | 2 facilities |
| Buted, Lina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Buted, Lina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nelson, William | Direct Ownership Interest · Individual | 0% | 9 facilities |
| Nelson, William | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Nelson, William | 5% Or Greater Mortgage Interest · Individual | 0% | 9 facilities |
| Nelson, William | 5% Or Greater Security Interest · Individual | 0% | 9 facilities |
| Nelson, William | Corporate Director · Individual | 0% | 9 facilities |
| Nelson, William | Corporate Officer · Individual | 0% | 9 facilities |
| Nelson, William | Adp Of The SNF · Individual | 0% | 9 facilities |
| Pacific Villa Inc | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Philipp, Ronald | Adp Of The SNF · Individual | 0% | 3 facilities |
| Rollins, Vicki | Direct Ownership Interest · Individual | 0% | 8 facilities |
| Rollins, Vicki | Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Rollins, Vicki | 5% Or Greater Mortgage Interest · Individual | 0% | 8 facilities |
| Rollins, Vicki | 5% Or Greater Security Interest · Individual | 0% | 8 facilities |
| Rollins, Vicki | Corporate Director · Individual | 0% | 8 facilities |
| Rollins, Vicki | Corporate Officer · Individual | 0% | 8 facilities |
| Rollins, Vicki | Adp Of The SNF · Individual | 0% | 8 facilities |
| The Palms Real Estate, LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous4E
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of highly flammable decorations.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- C
Ensure proper usage of power strips and extension cords.
Emergency Preparedness3F
- F
Conduct testing and exercise requirements.
- C
Create arrangements with other facilities to receive patients.
- C
Implement emergency and standby power systems.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
·
Other homes nearby
-
Long Beach Healthcare Center
Long Beach, CA · Serrano Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 3 min
- Fines
- $75,038
-
Pacific Care Nursing Center
Long Beach, CA · The Mandelbaum Family
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 53 min
- Fines
- $57,712
-
Bixby Towers Post-Acute Rehab
Long Beach, CA · Aspen Skilled Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 34 min
- Fines
- $123,145