COSTA DEL SOL HEALTHCARE
1016 S. RECORD ST., LOS ANGELES, CA 90023 · CCN 055697
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 87.6
- Phone
- 3232680106
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-08 | 16 | 15.6 | 9.5 | +0.4 worse |
| 2 | 2024-05-16 | 26 | 17.4 | 9.8 | +8.6 worse |
| 3 | 2022-03-25 | 26 | 17.1 | 9.3 | +8.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Resident rights | 4 |
| Pharmacy service | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.03 | 37.2% |
| RN staffing (reported) | 0.23 | 20.0% |
| Total nurse staffing (adjusted) | 3.77 | — |
Fines & penalties
- Total fines
- $38,181
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (68)1 actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-21 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-17 · Health · corrected 2025-11-26
Potential for more than minimal harm
- DF0761Ensure 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.2025-11-17 · Health · corrected 2025-11-26
Potential for more than minimal harm
- DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-07-02 · Health · corrected 2025-07-28
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-15 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-05-08 · Health · corrected 2025-06-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-23 · Health · corrected 2025-02-09
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-10 · Health · corrected 2025-01-10
Potential for more than minimal harm
- GF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-11-06 · Health · corrected 2024-12-05
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-09 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-08-27 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0693Ensure 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.2024-08-27 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-08-13 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-29 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- 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.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0693Ensure 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.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-05-16 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-08 · Health · corrected 2024-01-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-04 · Health · corrected 2023-12-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-08-03 · Health · corrected 2023-08-23
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-23 · Health · corrected 2023-04-28
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- DF0578Honor 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.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- 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.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- 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.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0803Ensure 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.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-03-25 · Health · corrected 2022-04-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-01-01 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| ALBOUIDANI, MOHAMAD | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-08-01 |
| SISCO, MATTHEW | Individual | W-2 MANAGING EMPLOYEE | — | 2023-09-01 |
Other facilities in LOS ANGELES
| Name | Overall | Beds |
|---|---|---|
| BURLINGTON CONVALESCENT HOSPITAL | ★★★★★ | 124 |
| ST ANDREWS | ★★★★★ | 59 |
| ALDEN TERRACE CONVALESCENT HOSPITAL | ★★★★★ | 210 |
| WESTLAKE CONVALESCENT HOSPITAL | ★★★★★ | 114 |
| EAST LOS ANGELES DOCTORS HOSP | ★★★★★ | 25 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.