Terrace Post Acute
7447 Sepulveda Blvd · Van Nuys, CA · 91405 · 8187873400
133 certified beds For profit - Corporation Chain: Windsor
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- 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
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.
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 | 3.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.65 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 1 · $94,094 |
Inspection citations (91 in the current record)
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Potential for harm · D April 21, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 23, 2026 · Pharmacy Service
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Potential for harm · E April 21, 2026 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 23, 2026 · Pharmacy Service
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Potential for harm · D April 8, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D March 6, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 13, 2026 · Infection Control
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Potential for harm · D January 15, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · D January 15, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D January 15, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · E January 15, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D January 15, 2026
Observe each nurse aide's job performance and give regular training.
Corrected January 20, 2026 · Nursing and Physician Services
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Potential for harm · E January 15, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 20, 2026 · Pharmacy Service
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Potential for harm · E January 15, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected January 20, 2026 · Pharmacy Service
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Potential for harm · E January 15, 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 January 20, 2026 · Pharmacy Service
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Potential for harm · E January 15, 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 January 20, 2026 · Nutrition and Dietary
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Potential for harm · D January 15, 2026
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · D January 15, 2026
Dispose of garbage and refuse properly.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · E January 15, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2026
Provide and implement an infection prevention and control program.
Corrected January 20, 2026 · Infection Control
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Potential for harm · D January 15, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · E August 26, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 27, 2025 · Pharmacy Service
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Potential for harm · D August 19, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected August 22, 2025 · Nursing and Physician Services
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Potential for harm · D May 19, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · D May 6, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 12, 2025 · Pharmacy Service
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Potential for harm · D March 7, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 17, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 18, 2023 | Fine | $94,094 |
| October 18, 2023 | Payment Denial | 44 days |
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 555738 · certified since July 8, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.