Starfile

Starfile / California

LA BREA REHABILITATION CENTER

505 N. LA BREA AVENUE, LOS ANGELES, CA 90036 · CCN 056195

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
141
Avg residents/day
139.0
Phone
3239374860

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
12025-06-193015.69.5+14.4 worse
22024-05-233817.49.8+20.6 worse
32021-12-093617.19.3+18.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care7
Resident assessment and care planning8
Resident rights5
Nutrition and dietary2
Pharmacy service5
Environmental2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1538.3%
RN staffing (reported)0.3136.4%
Total nurse staffing (adjusted)4.22

Fines & penalties

Total fines
$33,091
Number of fines
1
Number of penalties
1
Payment denials
0

Inspection citations (104)6 actual harm

  1. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-12-17 · Health · corrected 2026-02-21

    Potential for more than minimal harm

  2. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-17 · Health · corrected 2026-01-15

    Potential for more than minimal harm

  3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-17 · Health · corrected 2026-01-15

    Actual harm

  4. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-09-11 · Health · corrected 2025-09-30

    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.2025-09-11 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  6. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-15 · Health · corrected 2025-08-06

    Potential for more than minimal harm

  7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  8. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  9. DF0641Ensure each resident receives an accurate assessment.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  12. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  14. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  15. 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.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  16. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  17. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  18. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  19. EF0759Ensure medication error rates are not 5 percent or greater.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  20. 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.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  21. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  22. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  23. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  24. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-06-19 · Health · corrected 2025-07-14

    Potential for more than minimal harm

  25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-19 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  26. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-05-15 · Health · corrected 2025-06-09

    Potential for more than minimal harm

  27. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-26 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-26 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-26 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  30. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-26 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  31. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-26 · Health · corrected 2025-01-20

    Potential for more than minimal harm

  32. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-27 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  33. EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-11-27 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  34. 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.2024-11-09 · Health · corrected 2024-12-04

    Potential for more than minimal harm

  35. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-06 · Health · corrected 2024-11-29

    Potential for more than minimal harm

  36. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-06 · Health · corrected 2024-11-29

    Potential for more than minimal harm

  37. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-09-18 · Health · corrected 2024-10-10

    Potential for more than minimal harm

  38. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-09-12 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  39. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-12 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  40. 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.2024-08-14 · Health · corrected 2024-09-09

    Potential for more than minimal harm

  41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-14 · Health · corrected 2024-09-09

    Potential for more than minimal harm

  42. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-14 · Health · corrected 2024-09-09

    Potential for more than minimal harm

  43. EF0880Provide and implement an infection prevention and control program.2024-08-14 · Health · corrected 2024-09-09

    Potential for more than minimal harm

  44. DF0732Post nurse staffing information every day.2024-08-02 · Health · corrected 2024-08-27

    Potential for more than minimal harm

  45. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-02 · Health · corrected 2024-08-27

    Potential for more than minimal harm

  46. EF0760Ensure that residents are free from significant medication errors.2024-08-02 · Health · corrected 2024-08-27

    Potential for more than minimal harm

  47. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-05-23 · Health · corrected 2024-06-20

    Potential for more than minimal harm

  48. 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.2024-05-23 · Health · corrected 2024-06-20

    Potential for more than minimal harm

  49. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-23 · Health · corrected 2024-06-20

    Potential for more than minimal harm

  50. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-05-23 · Health · corrected 2024-06-20

    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.2024-05-23 · Health · corrected 2024-05-23

    Potential for more than minimal harm

  52. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-23 · Health · corrected 2024-06-20

    Potential for more than minimal harm

  53. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-23 · Health · corrected 2024-06-20

    Potential for more than minimal harm

  54. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-23 · Health · corrected 2024-05-23

    Potential for more than minimal harm

  55. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-05-23 · Health · corrected 2024-06-20

    Potential for more than minimal harm

  56. DF0692Provide enough food/fluids to maintain a resident's health.2024-05-23 · Health · corrected 2024-06-20

    Potential for more than minimal harm

  57. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-05-23 · Health · corrected 2024-06-20

    Actual harm

  58. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-23 · Health · corrected 2024-05-23

    Potential for more than minimal harm

  59. DF0880Provide and implement an infection prevention and control program.2024-05-23 · Health · corrected 2024-06-20

    Potential for more than minimal harm

  60. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  61. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-23 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  62. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  63. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  64. DF0610Respond appropriately to all alleged violations.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  65. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  66. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  67. DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2024-03-28 · Health · corrected 2024-04-25

    Potential for more than minimal harm

  68. EF0730Observe each nurse aide's job performance and give regular training.2024-03-28 · Health · corrected 2024-04-25

    Potential for more than minimal harm

  69. DF0880Provide and implement an infection prevention and control program.2024-02-07 · Health · corrected 2024-02-27

    Potential for more than minimal harm

  70. DF0584Honor 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.2023-11-22 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  71. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-22 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  72. 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.2023-11-22 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  73. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-21 · Health · corrected 2023-12-20

    Actual harm

  74. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2023-11-16 · Health · corrected 2023-12-16

    Potential for more than minimal harm

  75. DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-26 · Health · corrected 2023-11-27

    Potential for more than minimal harm

  76. DF0760Ensure that residents are free from significant medication errors.2023-10-26 · Health · corrected 2023-11-27

    Potential for more than minimal harm

  77. GF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-08-22 · Health · corrected 2023-09-20

    Actual harm

  78. GF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-22 · Health · corrected 2023-09-20

    Actual harm

  79. GF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-08-22 · Health · corrected 2023-09-20

    Actual harm

  80. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-08-22 · Health · corrected 2023-09-20

    Potential for more than minimal harm

  81. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-05 · Health · corrected 2023-08-14

    Potential for more than minimal harm

  82. EF0558Reasonably accommodate the needs and preferences of each resident.2023-06-23 · Health · corrected 2023-07-23

    Potential for more than minimal harm

  83. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-23 · Health · corrected 2023-07-23

    Potential for more than minimal harm

  84. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-06-23 · Health · corrected 2023-07-23

    Potential for more than minimal harm

  85. DF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2023-06-23 · Health · corrected 2023-07-23

    Potential for more than minimal harm

  86. DF0558Reasonably accommodate the needs and preferences of each resident.2023-05-12 · Health · corrected 2023-06-11

    Potential for more than minimal harm

  87. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-05-12 · Health · corrected 2023-06-11

    Potential for more than minimal harm

  88. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-10 · Health · corrected 2023-06-10

    Potential for more than minimal harm

  89. DF0685Assist a resident in gaining access to vision and hearing services.2023-03-08 · Health · corrected 2023-04-08

    Potential for more than minimal harm

  90. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  91. EF0558Reasonably accommodate the needs and preferences of each resident.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  92. 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.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  93. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  94. DF0637Assess the resident when there is a significant change in condition2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  95. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  96. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  97. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  98. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  99. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  100. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  101. 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.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  102. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  103. DF0880Provide and implement an infection prevention and control program.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

  104. EF0886Perform COVID19 testing on residents and staff.2021-12-09 · Health · corrected 2022-01-05

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SR INVESTMENTS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST60%2016-03-08
LA BREA SNF LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST40%2016-03-08
LA BREA SNF HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST40%2016-03-08
BERGER, RUTHIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2016-06-01
BERGER, STEVENIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2016-06-01
PASUMBAL, JASPERIndividualOPERATIONAL/MANAGERIAL CONTROL2023-10-26
SAADAT, ELIASIndividualOPERATIONAL/MANAGERIAL CONTROL2016-07-16
BERGER, STEVENIndividualCORPORATE OFFICER2016-06-01
CITRUS ADMINISTRATIVE SERVICES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL2015-03-01
DOMINGUEZ, SAMUELIndividualOPERATIONAL/MANAGERIAL CONTROL2016-06-01
GOMONIT, CONSUELOIndividualOPERATIONAL/MANAGERIAL CONTROL2020-07-06
HAKIMI, MEIRIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-12

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.