Highland Park Skilled Nursing and Wellness Center

5125 Monte Vista St. · Los Angeles, CA · 90042 · 3232546125

59 certified beds For profit - Corporation Chain: Pacific Healthcare Holdings

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 63
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (53 in the current record)

  • Potential for harm · D March 12, 2026

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

    Corrected March 17, 2026 · Resident Rights

  • Potential for harm · D March 12, 2026

    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 March 17, 2026 · Resident Rights

  • Potential for harm · D March 12, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 12, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 17, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 12, 2026

    Assist a resident in gaining access to vision and hearing services.

    Corrected March 17, 2026 · Quality of Life and Care

  • Potential for harm · D March 12, 2026

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

    Corrected March 17, 2026 · Quality of Life and Care

  • Potential for harm · D March 12, 2026

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 17, 2026 · Quality of Life and Care

  • Potential for harm · E March 12, 2026

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

    Corrected March 17, 2026 · Pharmacy Service

  • Potential for harm · E March 12, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 17, 2026 · Pharmacy Service

  • Potential for harm · D March 12, 2026

    Ensure that residents are free from significant medication errors.

    Corrected March 17, 2026 · Pharmacy Service

  • Potential for harm · D March 12, 2026

    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 March 17, 2026 · Pharmacy Service

  • Potential for harm · E March 12, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 17, 2026 · Nutrition and Dietary

  • Potential for harm · E March 12, 2026

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected March 17, 2026 · Nutrition and Dietary

  • Potential for harm · D March 12, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 17, 2026 · Infection Control

  • Potential for harm · D March 12, 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 March 17, 2026 · Resident Assessment and Care Planning

  • No harm found · B March 12, 2026

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected March 17, 2026 · Environmental

  • Potential for harm · D January 8, 2026 · found via complaint

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

    Corrected January 27, 2026 · Quality of Life and Care

  • Potential for harm · D November 20, 2025 · found via complaint

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 26, 2025 · found via complaint

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

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 26, 2025 · found via complaint

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

    Corrected March 14, 2025 · Quality of Life and Care

  • No harm found · B February 26, 2025 · found via complaint

    Post nurse staffing information every day.

    Corrected March 14, 2025 · Nursing and Physician Services

  • Potential for harm · E February 13, 2025

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

    Corrected February 15, 2025 · Resident Rights

  • Potential for harm · E February 13, 2025

    Ensure each resident receives an accurate assessment.

    Corrected February 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

    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 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 15, 2025 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555165 · certified since February 13, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.