Starfile

Starfile / California

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.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-05-081615.69.5+0.4 worse
22024-05-162617.49.8+8.6 worse
32022-03-252617.19.3+8.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care4
Resident assessment and care planning3
Resident rights4
Pharmacy service4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.0337.2%
RN staffing (reported)0.2320.0%
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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-08 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  8. 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

  9. 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

  10. DF0641Ensure each resident receives an accurate assessment.2025-05-08 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. EF0760Ensure that residents are free from significant medication errors.2025-05-08 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  17. 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

  18. 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

  19. GF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-11-06 · Health · corrected 2024-12-05

    Actual harm

  20. 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

  21. DF0558Reasonably accommodate the needs and preferences of each resident.2024-08-27 · Health · corrected 2024-09-20

    Potential for more than minimal harm

  22. 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

  23. EF0880Provide and implement an infection prevention and control program.2024-08-13 · Health · corrected 2024-09-09

    Potential for more than minimal harm

  24. 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

  25. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-16 · Health · corrected 2024-06-10

    Potential for more than minimal harm

  26. EF0641Ensure each resident receives an accurate assessment.2024-05-16 · Health · corrected 2024-06-10

    Potential for more than minimal harm

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. DF0814Dispose of garbage and refuse properly.2024-05-16 · Health · corrected 2024-06-10

    Potential for more than minimal harm

  40. 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

  41. 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

  42. EF0880Provide and implement an infection prevention and control program.2024-05-16 · Health · corrected 2024-06-10

    Potential for more than minimal harm

  43. 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

  44. 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

  45. DF0880Provide and implement an infection prevention and control program.2023-08-03 · Health · corrected 2023-08-23

    Potential for more than minimal harm

  46. 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

  47. 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

  48. EF0558Reasonably accommodate the needs and preferences of each resident.2022-03-25 · Health · corrected 2022-04-20

    Potential for more than minimal harm

  49. 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

  50. 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

  51. 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

  52. 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

  53. 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

  54. 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

  55. 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

  56. 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

  57. 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

  58. 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

  59. EF0759Ensure medication error rates are not 5 percent or greater.2022-03-25 · Health · corrected 2022-04-20

    Potential for more than minimal harm

  60. 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

  61. 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

  62. 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

  63. 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

  64. 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

  65. 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

  66. EF0880Provide and implement an infection prevention and control program.2022-03-25 · Health · corrected 2022-04-20

    Potential for more than minimal harm

  67. EF0881Implement a program that monitors antibiotic use.2022-03-25 · Health · corrected 2022-04-20

    Potential for more than minimal harm

  68. 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

OwnerTypeRolePercentSince
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-30
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-01-01
APT, FREDERICKIndividualCORPORATE OFFICER2024-01-01
HANCOCK, MARKIndividualCORPORATE OFFICER2024-01-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-01-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-01-01
ALBOUIDANI, MOHAMADIndividualCONTRACTED MANAGING EMPLOYEE2022-08-01
SISCO, MATTHEWIndividualW-2 MANAGING EMPLOYEE2023-09-01

Other facilities in LOS ANGELES

NameOverallBeds
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.