Pacific Villa, Inc
3501 Cedar Avenue · Long Beach, CA · 90807 · 5625951731
95 certified beds For profit - Individual Chain: Rollins-Nelson Healthcare Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $36,112 in fines in the last 24 months.
- 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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.22 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: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.73 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 3 · $41,809 |
Inspection citations (79 in the current record)
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Potential for harm · D February 27, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Respond appropriately to all alleged violations.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide activities to meet all resident's needs.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
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 March 25, 2026 · Nursing and Physician Services
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Potential for harm · D February 27, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 25, 2026 · Pharmacy Service
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Potential for harm · E February 27, 2026
Provide routine and 24-hour emergency dental care for each resident.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · E February 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · D February 27, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · F February 27, 2026
Provide and implement an infection prevention and control program.
Corrected March 25, 2026 · Infection Control
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Potential for harm · D February 27, 2026
Implement a program that monitors antibiotic use.
Corrected March 25, 2026 · Infection Control
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Potential for harm · D December 16, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 8, 2026 · Resident Rights
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Potential for harm · D December 16, 2025 · 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 January 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 11, 2025 · Infection Control
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Potential for harm · D November 19, 2025 · 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 December 11, 2025 · Resident Rights
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Potential for harm · E November 19, 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 December 11, 2025 · Environmental
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Potential for harm · D May 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2025 · found via complaint
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 June 11, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 28, 2025 | Fine | $36,112 |
| February 20, 2024 | Fine | $2,279 |
| January 22, 2024 | Fine | $3,418 |
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 056313 · certified since March 13, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.