West Covina, CA

West Haven Healthcare

3-star overall rating with 2-star inspections with 19 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1495 West Cameron Ave., West Covina, CA

(626) 962-4461

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1970-07-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.41

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.25

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.72

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.37

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.66

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.86

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.40

CMS adjusted RN staffing hours

Adjusted total hours

4.27

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,843

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.55

Composite VBP score used to determine payment impact.

Payment multiplier

0.9866

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.41

Baseline 18.06% · Performance 20.78% · Measure score 1.41 · Achievement 1.41 · Improvement 0

Healthcare-associated infections

Baseline 8.12% · Performance 9.17% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

7.97

Baseline 44.05% · Performance 31.11% · Measure score 7.97 · Achievement 7.97 · Improvement 6.24

Adjusted total nurse staffing

3.24

Baseline 4.17 hours · Performance 4 hours · Measure score 3.24 · Achievement 3.24 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.08%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 112 · Observed rate 8.04% · Lower 95% interval 7.31%
Discharge to community	50.91%	50.57% 0.3 pts better	No Different than the National Rate · Eligible stays 79 · Observed rate 46.84% · Lower 95% interval 41.3%
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 72 · Denominator 72
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 72
Discharge self-care score	54.55%	53.69% 0.9 pts better	Numerator 24 · Denominator 44
Discharge mobility score	47.73%	50.94% 3.2 pts worse	Numerator 21 · Denominator 44
Pressure ulcers or injuries, new or worsened	1.39%	2.29% 0.9 pts better	Numerator 1 · Denominator 72 · Adjusted rate 0.9%
Healthcare-associated infections requiring hospitalization	9.17%	7.12% 2 pts worse	No Different than the National Rate · Eligible stays 83 · Observed rate 12.05% · Lower 95% interval 5.57%
Staff COVID-19 vaccination coverage	11%	8.2% 2.8 pts better	Numerator 11 · Denominator 100
Staff flu vaccination coverage	26.32%	42% 15.7 pts worse	Numerator 30 · Denominator 114
Discharge function score	56.82%	56.45% 0.4 pts better	Numerator 25 · Denominator 44
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 35 · Denominator 35
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	40%	25.2% 14.8 pts better	Numerator 14 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	2.3 0.6 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.7 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.4	1.6 1.2 pts better	1.8 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	98.5% 1.5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	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	1.5%	1.6% 0.1 pts better	3.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 1.5% · Q4 1.6% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.5%	6.8% 2.3 pts better	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.2% · Q3 6.5% · Q4 7.1% · 4Q avg 4.5%
Percentage of long-stay residents who lose too much weight	4.8%	4.1% 0.7 pts worse	5.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.2% · Q3 6.3% · Q4 8.8% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	3.0%	13.7% 10.7 pts better	19.6% 16.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 3.0% · Q4 6.7% · 4Q avg 3.0%
Percentage of long-stay residents who received an antipsychotic medication	16.3%	14.2% 2.1 pts worse	16.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 11.9% · Q3 19.1% · Q4 15.4% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.4% 0.4 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.2%	11.0% 1.8 pts better	16.3% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 4.9% · Q3 0.0% · Q4 15.1% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.0%	10.7% 0.3 pts worse	14.9% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 13.2% · Q3 7.0% · Q4 11.5% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.2%	1.0% 2.2 pts worse	1.0% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.5% · Q3 2.1% · Q4 2.8% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	1.2% About the same	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 3.4% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	1.3%	10.9% 9.6 pts better	19.8% 18.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents with pressure ulcers	4.4%	4.7% 0.3 pts better	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.3% · Q3 1.4% · Q4 5.6% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	94.0% 5.8 pts better	81.7% 18.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of short-stay residents who had an outpatient emergency department visit	5.6%	11.2% 5.6 pts better	12.0% 6.4 pts better	Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 6.1% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.5% About the same	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.1% · Q4 0.8% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	93.2% 6.8 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.7%	23.2% 1.5 pts better	23.9% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 21.2% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-24 · Fire 2025-01-24

19 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-01-19 · Fire 2024-01-19

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-02-04 · Fire 2022-02-04

13 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-24

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-01-24

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-01-24

K342 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-01-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-10

D · Potential for more than minimal harm 2025-01-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-10

E · Potential for more than minimal harm 2024-01-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-01-23

E · Potential for more than minimal harm 2024-01-19

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2024-01-23

E · Potential for more than minimal harm 2024-01-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-16

F · Potential for more than minimal harm 2022-02-04

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2022-02-27

F · Potential for more than minimal harm 2022-02-04

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-02-27

F · Potential for more than minimal harm 2022-02-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-02-27

D · Potential for more than minimal harm 2022-02-04

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 2022-02-27

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-17

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 2025-08-01

E · Potential for more than minimal harm 2025-07-17

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-08-01

E · Potential for more than minimal harm 2025-07-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-08-01

E · Potential for more than minimal harm 2025-03-14

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-04-03

E · Potential for more than minimal harm 2025-03-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-01-24

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-01-24

F640 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-01-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-15

E · Potential for more than minimal harm 2025-01-24

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 2025-01-25

E · Potential for more than minimal harm 2025-01-24

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2025-02-13

D · Potential for more than minimal harm 2025-01-24

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-24

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-24

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-13

D · Potential for more than minimal harm 2025-01-24

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-24

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-24

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-02-10

D · Potential for more than minimal harm 2025-01-24

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 2025-02-14

D · Potential for more than minimal harm 2025-01-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-25

D · Potential for more than minimal harm 2025-01-24

F921 · Environmental Deficiencies

Health

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

Corrected 2025-02-12

D · Potential for more than minimal harm 2024-12-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-20

D · Potential for more than minimal harm 2024-05-03

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-05-27

E · Potential for more than minimal harm 2024-03-12

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-29

E · Potential for more than minimal harm 2024-01-19

F552 · Resident Rights Deficiencies

Health

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

Corrected 2024-02-19

E · Potential for more than minimal harm 2024-01-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-02-19

E · Potential for more than minimal harm 2024-01-19

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-02-19

E · Potential for more than minimal harm 2024-01-19