California Post Acute
909 S Lake Street · Los Angeles, CA · 90006 · 2133857301
66 certified beds For profit - Individual Chain: Serrano Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $139,479 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$139,479 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.02 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.80 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 5 · $227,180 |
Inspection citations (130 in the current record)
-
Potential for harm · D February 6, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 21, 2026 · found via complaint
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 February 5, 2026 · Resident Rights
-
Potential for harm · D December 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 9, 2026 · Environmental
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Potential for harm · D November 17, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 20, 2025 · Resident Rights
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Potential for harm · D November 13, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected November 27, 2025 · Administration
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Potential for harm · D August 11, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 1, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J July 26, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected August 22, 2025 · Quality of Life and Care
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Immediate jeopardy · J July 26, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 22, 2025 · Quality of Life and Care
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Actual harm · G July 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · D July 26, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · D July 26, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · E July 26, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 26, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 26, 2025
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 August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 26, 2025
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 August 22, 2025 · Quality of Life and Care
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Potential for harm · E July 26, 2025
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 August 22, 2025 · Nursing and Physician Services
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Potential for harm · E July 26, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · E July 26, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · E July 26, 2025
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 August 22, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 26, 2025 | Fine | $34,239 |
| July 26, 2025 | Payment Denial | 9 days |
| December 3, 2024 | Fine | $105,240 |
| December 3, 2024 | Payment Denial | 35 days |
| April 19, 2024 | Fine | $11,825 |
| December 6, 2023 | Fine | $24,102 |
| December 6, 2023 | Payment Denial | 4 days |
| July 29, 2023 | Fine | $51,774 |
| July 29, 2023 | Payment Denial | 33 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055461 · certified since July 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.