Vermont Healthcare Center
22035 S. Vermont Avenue · Torrance, CA · 90502 · 3103280812
200 certified beds For profit - Limited Liability company
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $131,654 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
$131,654 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
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: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 4.01 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 5 · $158,506 |
Inspection citations (100 in the current record)
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Potential for harm · D April 24, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected May 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2026
Ensure each resident receives an accurate assessment.
Corrected May 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · D April 24, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · D April 24, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · D April 24, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · D April 24, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · D April 24, 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 May 24, 2026 · Quality of Life and Care
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Potential for harm · D April 24, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · D April 24, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · D April 24, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 20, 2026 · Quality of Life and Care
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Potential for harm · E April 24, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 20, 2026 · Pharmacy Service
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Potential for harm · D April 24, 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 May 20, 2026 · Pharmacy Service
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Potential for harm · D April 24, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 20, 2026 · Pharmacy Service
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Potential for harm · D April 24, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected May 20, 2026 · Pharmacy Service
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Potential for harm · D April 24, 2026
Ensure that residents are free from significant medication errors.
Corrected May 20, 2026 · Pharmacy Service
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Potential for harm · E April 24, 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 May 20, 2026 · Pharmacy Service
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Potential for harm · D April 24, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 20, 2026 · Nutrition and Dietary
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Potential for harm · D April 24, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 24, 2026
Provide and implement an infection prevention and control program.
Corrected May 20, 2026 · Infection Control
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Immediate jeopardy · J February 6, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 3, 2026 · Resident Rights
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Potential for harm · D December 17, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 7, 2026 · Resident Rights
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Potential for harm · D December 17, 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 January 7, 2026 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 6, 2026 | Fine | $16,149 |
| October 30, 2025 | Fine | $31,031 |
| May 1, 2025 | Fine | $12,438 |
| February 5, 2025 | Fine | $72,036 |
| February 5, 2025 | Payment Denial | 33 days |
| March 8, 2024 | Fine | $26,852 |
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 056433 · certified since May 21, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.