Starfile / California

Cheviot Hills Post Acute

3533 Motor Avenue, Los Angeles, CA 90034 · CCN 056451

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$70,421

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

WINDSOR

Facilities in chain

19

Chain avg overall

2.30 / 5

Inspection citations (84)2 immediate jeopardy1 actual harm

1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-14 · Health · corrected 2026-01-21

   Potential for more than minimal harm

2. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2026-01-14 · Health · corrected 2026-01-21

   Potential for more than minimal harm

3. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-18 · Health · corrected 2025-12-26

   Potential for more than minimal harm

4. DF0641Ensure each resident receives an accurate assessment.2025-05-28 · Health · corrected 2025-05-30

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-28 · Health · corrected 2025-05-30

   Potential for more than minimal harm

6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-03 · Health · corrected 2025-04-05

   Potential for more than minimal harm

7. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-03 · Health · corrected 2025-04-05

   Potential for more than minimal harm

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-12 · Health · corrected 2024-12-18

   Potential for more than minimal harm

9. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-12-12 · Health · corrected 2024-12-18

   Potential for more than minimal harm

10. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

11. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

12. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

13. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

15. FF0803Ensure 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.2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

16. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

18. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-12-12 · Health · corrected 2024-12-18

    Potential for more than minimal harm

19. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-08 · Health · corrected 2024-11-11

    Potential for more than minimal harm

20. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-08 · Health · corrected 2024-11-11

    Actual harm

21. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-10-16 · Health · corrected 2024-10-24

    Potential for more than minimal harm

22. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-08 · Health · corrected 2024-04-12

    Potential for more than minimal harm

23. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-04-08 · Health · corrected 2024-04-12

    Potential for more than minimal harm

24. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-12-26 · Health · corrected 2024-01-08

    Potential for more than minimal harm

25. DF0558Reasonably accommodate the needs and preferences of each resident.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

26. EF0578Honor 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.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

27. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

28. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

29. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

32. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

33. DF0732Post nurse staffing information every day.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

34. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

35. EF0759Ensure medication error rates are not 5 percent or greater.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

36. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

37. DF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

39. DF0881Implement a program that monitors antibiotic use.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

40. DF0908Keep all essential equipment working safely.2023-11-17 · Health · corrected 2023-12-14

    Potential for more than minimal harm

41. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-11-02 · Health · corrected 2023-12-01

    Potential for more than minimal harm

42. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-08 · Health · corrected 2023-10-08

    Potential for more than minimal harm

43. JF0803Ensure 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.2023-09-08 · Health · corrected 2023-10-08

    Immediate jeopardy

44. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-09-08 · Health · corrected 2023-10-08

    Potential for more than minimal harm

45. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-08 · Health · corrected 2023-10-08

    Potential for more than minimal harm

46. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-09-08 · Health · corrected 2023-10-08

    Potential for more than minimal harm

47. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-29 · Health · corrected 2023-09-29

    Potential for more than minimal harm

48. DF0692Provide enough food/fluids to maintain a resident's health.2023-08-29 · Health · corrected 2023-09-29

    Potential for more than minimal harm

49. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-08 · Health · corrected 2023-09-01

    Potential for more than minimal harm

50. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-07-19 · Health · corrected 2023-08-19

    Potential for more than minimal harm

51. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-24 · Health · corrected 2023-04-10

    Potential for more than minimal harm

52. DF0791Provide or obtain dental services for each resident.2023-03-24 · Health · corrected 2023-04-10

    Potential for more than minimal harm

53. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-24 · Health · corrected 2023-04-10

    Potential for more than minimal harm

54. DF0558Reasonably accommodate the needs and preferences of each resident.2023-03-22 · Health · corrected 2023-04-22

    Potential for more than minimal harm

55. LF0584Honor 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.2023-03-17 · Health · corrected 2023-04-16

    Immediate jeopardy

56. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-03-17 · Health · corrected 2023-04-16

    Potential for more than minimal harm

57. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

58. DF0583Keep residents' personal and medical records private and confidential.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

59. EF0584Honor 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.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

60. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

61. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

62. DF0637Assess the resident when there is a significant change in condition2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

63. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

64. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

65. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

66. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

67. DF0687Provide appropriate foot care.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

68. EF0688Provide 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.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

69. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

70. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

71. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

72. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

73. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

74. EF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

75. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

76. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

77. DF0760Ensure that residents are free from significant medication errors.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

78. EF0761Ensure 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.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

79. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

80. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

81. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

82. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

83. FF0880Provide and implement an infection prevention and control program.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

84. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2021-04-30 · Health · corrected 2021-05-25

    Potential for more than minimal harm

Ownership

Other facilities in Los Angeles

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.