Bonnie Brae Skilled Nursing
420 South Bonnie Brae St. · Los Angeles, CA · 90057 · 2134838144
59 certified beds For profit - Corporation
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.94 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D January 8, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 4, 2026 · Resident Rights
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Potential for harm · D January 8, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2026
Ensure each resident receives an accurate assessment.
Corrected February 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 4, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected February 4, 2026 · Quality of Life and Care
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No harm found · B January 8, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected February 4, 2026 · Environmental
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Potential for harm · E July 28, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 15, 2025 · Environmental
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Potential for harm · D December 17, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 27, 2024
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 December 27, 2024 · Resident Rights
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Potential for harm · D November 27, 2024
Ensure each resident receives an accurate assessment.
Corrected December 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 27, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D November 27, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · E November 27, 2024
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 December 27, 2024 · Nursing and Physician Services
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Potential for harm · D November 27, 2024
Observe each nurse aide's job performance and give regular training.
Corrected December 27, 2024 · Nursing and Physician Services
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Potential for harm · D November 27, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 27, 2024 · Pharmacy Service
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Potential for harm · D November 27, 2024
Ensure that residents are free from significant medication errors.
Corrected December 27, 2024 · Pharmacy Service
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Potential for harm · E November 27, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 27, 2024 · Pharmacy Service
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Potential for harm · D November 27, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 27, 2024 · Administration
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Potential for harm · D November 27, 2024
Provide and implement an infection prevention and control program.
Corrected December 27, 2024 · Infection Control
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No harm found · B November 27, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected December 27, 2024 · Environmental
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Potential for harm · D February 5, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 23, 2024 · Quality of Life and Care
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Potential for harm · D January 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 11, 2024 · Resident Rights
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Potential for harm · D January 11, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 11, 2024 · Resident Rights
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Potential for harm · D January 11, 2024
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 February 11, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055538 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.