Studebaker Healthcare Center
13226 Studebaker Rd · Norwalk, CA · 90650 · 5628680591
99 certified beds For profit - Limited Liability company Chain: Aaron Mayer
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
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 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 3.87 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $27,378 |
Inspection citations (108 in the current record)
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Potential for harm · D April 27, 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 May 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2026 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 1, 2026 · Nursing and Physician Services
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Potential for harm · D April 2, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · E February 20, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · D February 20, 2026
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · D February 20, 2026
Keep residents' personal and medical records private and confidential.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · D February 20, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 20, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · E February 20, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · E February 20, 2026
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 March 24, 2026 · Quality of Life and Care
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Potential for harm · E February 20, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · D February 20, 2026
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 March 24, 2026 · Quality of Life and Care
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Potential for harm · D February 20, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · F February 20, 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 24, 2026 · Nursing and Physician Services
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Potential for harm · D February 20, 2026
Observe each nurse aide's job performance and give regular training.
Corrected March 24, 2026 · Nursing and Physician Services
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Potential for harm · D February 20, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 24, 2026 · Pharmacy Service
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Potential for harm · D February 20, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 24, 2026 · Pharmacy Service
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Potential for harm · E February 20, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 24, 2026 · Pharmacy Service
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Potential for harm · D February 20, 2026
Ensure that residents are free from significant medication errors.
Corrected March 24, 2026 · Pharmacy Service
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Potential for harm · E February 20, 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 24, 2026 · Pharmacy Service
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Potential for harm · D February 20, 2026
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected March 24, 2026 · Administration
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Potential for harm · D February 20, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 24, 2026 · Nutrition and Dietary
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Potential for harm · E February 20, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 24, 2026 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 19, 2024 | Fine | $27,378 |
| January 19, 2024 | Payment Denial | 3 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 056425 · certified since April 5, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.