College Vista Post-Acute
4681 Eagle Rock Blvd. · Los Angeles, CA · 90041 · 3232578151
49 certified beds For profit - Corporation Chain: David Johnson
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 4.04 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | 2 · $43,568 |
Inspection citations (36 in the current record)
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Potential for harm · D May 9, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D May 9, 2025
Ensure each resident receives an accurate assessment.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 9, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · D May 9, 2025
Ensure that residents are free from significant medication errors.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · E May 9, 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 May 30, 2025 · Pharmacy Service
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Potential for harm · D May 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · D May 9, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected May 30, 2025 · Administration
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Potential for harm · D April 3, 2025 · 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 April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025 · found via complaint
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.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · D March 7, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 4, 2024 · Quality of Life and Care
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Potential for harm · D August 27, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected September 16, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 25, 2024 · Quality of Life and Care
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Potential for harm · D August 3, 2024 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected August 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 3, 2024 · found via complaint
Have policies on smoking.
Corrected August 25, 2024 · Environmental
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Potential for harm · D July 22, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 1, 2024 · Resident Rights
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Immediate jeopardy · J May 6, 2024
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 May 29, 2024 · Quality of Life and Care
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Immediate jeopardy · J May 6, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · D May 6, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 29, 2024 · Resident Rights
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Potential for harm · E May 6, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 29, 2024 · Resident Rights
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Potential for harm · D May 6, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · E May 6, 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 May 29, 2024 · Nursing and Physician Services
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Potential for harm · D May 6, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 29, 2024 · Pharmacy Service
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Potential for harm · D May 6, 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 May 29, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 22, 2024 | Fine | $15,536 |
| May 6, 2024 | Fine | $28,032 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555030 · certified since July 2, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.