Villa Serena Healthcare Center
723 E 9th Street · Long Beach, CA · 90813 · 5624372797
52 certified beds For profit - Limited Liability company Chain: Aaron Mayer
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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
0.27 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: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.90 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | 1 · $26,685 |
Inspection citations (49 in the current record)
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Potential for harm · D April 29, 2026 · 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.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 29, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 7, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 7, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 9, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D February 9, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2026
Observe each nurse aide's job performance and give regular training.
Corrected February 27, 2026 · Nursing and Physician Services
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Potential for harm · E February 9, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 27, 2026 · Pharmacy Service
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Potential for harm · D February 9, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 27, 2026 · Pharmacy Service
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Potential for harm · E February 9, 2026
Dispose of garbage and refuse properly.
Corrected February 27, 2026 · Nutrition and Dietary
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No harm found · B February 9, 2026
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected February 27, 2026 · Environmental
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No harm found · B February 9, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected February 27, 2026 · Environmental
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Potential for harm · D November 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 5, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 18, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 18, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 12, 2025 · Quality of Life and Care
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Potential for harm · D January 18, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 12, 2025 · Resident Rights
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Potential for harm · D January 18, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 12, 2025 · Resident Rights
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Potential for harm · D January 18, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 18, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 12, 2025 · Quality of Life and Care
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Potential for harm · E January 18, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 12, 2025 · Quality of Life and Care
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Potential for harm · D January 18, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 12, 2025 · Pharmacy Service
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Potential for harm · E January 18, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 12, 2025 · Pharmacy Service
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Potential for harm · E January 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 12, 2025 · Pharmacy Service
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Potential for harm · E January 18, 2025
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 February 12, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 18, 2025 | Fine | $26,685 |
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 055329 · certified since July 1, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.