Starfile

Starfile / California

PACIFIC VILLA, INC

3501 CEDAR AVENUE, LONG BEACH, CA 90807 · CCN 056313

Abuse icon

Ratings

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

Facility

Ownership type
For profit - Individual
Certified beds
95
Avg residents/day
86.7
Phone
5625951731

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
12024-12-203315.69.5+17.4 worse
22024-01-052217.49.8+4.6 worse
32023-02-163417.19.3+16.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation5
Quality of life and care5
Resident assessment and care planning5
Nursing and physician services2
Resident rights5
Nutrition and dietary2
Pharmacy service4
Environmental1
Administration1
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9639.1%
RN staffing (reported)0.22—
Total nurse staffing (adjusted)4.19—

Fines & penalties

Total fines
$53,797
Number of fines
3
Number of penalties
4
Payment denials
1

Chain

Chain
ROLLINS-NELSON HEALTHCARE MANAGEMENT
Facilities in chain
10
Chain avg overall
2.10 / 5

Inspection citations (89)2 actual harm

  1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-16 · Health · corrected 2026-01-08

    Potential for more than minimal harm

  2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-16 · Health · corrected 2026-01-08

    Potential for more than minimal harm

  3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-04 · Health · corrected 2025-12-11

    Potential for more than minimal harm

  4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-04 · Health · corrected 2025-12-11

    Potential for more than minimal harm

  5. DF0880Provide and implement an infection prevention and control program.2025-12-04 · Health · corrected 2025-12-11

    Potential for more than minimal harm

  6. 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.2025-11-19 · Health · corrected 2025-12-11

    Potential for more than minimal harm

  7. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-11-19 · Health · corrected 2025-12-11

    Potential for more than minimal harm

  8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-16 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  9. DF0610Respond appropriately to all alleged violations.2025-05-16 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  10. 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.2025-05-16 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  11. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-28 · Health · corrected 2025-06-25

    Actual harm

  12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-28 · Health · corrected 2025-06-25

    Potential for more than minimal harm

  13. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-28 · Health · corrected 2025-05-21

    Actual harm

  14. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-04-28 · Health · corrected 2025-06-25

    Potential for more than minimal harm

  15. DF0880Provide and implement an infection prevention and control program.2025-04-28 · Health · corrected 2025-06-25

    Potential for more than minimal harm

  16. FF0814Dispose of garbage and refuse properly.2025-03-14 · Health · corrected 2025-03-31

    Potential for more than minimal harm

  17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-19 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  18. DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  19. 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.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  20. 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.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  21. BF0641Ensure each resident receives an accurate assessment.2024-12-20 · Health · corrected 2025-01-30

    Potential for minimal harm

  22. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  24. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  25. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  26. 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.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  27. 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.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  28. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  29. DF0758Implement 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.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  30. DF0759Ensure medication error rates are not 5 percent or greater.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  31. 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.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  32. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  33. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  34. EF0880Provide and implement an infection prevention and control program.2024-12-20 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  35. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-10-17 · Health · corrected 2024-11-07

    Potential for more than minimal harm

  36. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-02 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  37. DF0610Respond appropriately to all alleged violations.2024-02-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

  38. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

  39. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  40. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  41. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  42. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  43. EF0610Respond appropriately to all alleged violations.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  44. DF0685Assist a resident in gaining access to vision and hearing services.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  45. 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.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  46. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  47. 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.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  48. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  49. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  50. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  51. DF0758Implement 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.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  52. EF0759Ensure medication error rates are not 5 percent or greater.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  53. EF0760Ensure that residents are free from significant medication errors.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  54. 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.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  55. EF0790Provide routine and 24-hour emergency dental care for each resident.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  56. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  57. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  58. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-01-05 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  59. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-12-11 · Health · corrected 2024-01-17

    Potential for more than minimal harm

  60. DF0555Honor the resident's right to choose his or her attending physician.2023-12-11 · Health · corrected 2024-01-17

    Potential for more than minimal harm

  61. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-12-11 · Health · corrected 2024-01-17

    Potential for more than minimal harm

  62. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-11 · Health · corrected 2024-01-17

    Potential for more than minimal harm

  63. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-12-11 · Health · corrected 2024-01-17

    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.2023-12-11 · Health · corrected 2024-01-17

    Potential for more than minimal harm

  65. EF0880Provide and implement an infection prevention and control program.2023-03-28 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  66. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  67. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  68. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  69. DF0558Reasonably accommodate the needs and preferences of each resident.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  70. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  71. 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.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  72. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  73. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  74. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  75. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  76. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  77. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  78. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  79. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  80. DF0692Provide enough food/fluids to maintain a resident's health.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  81. 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.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  82. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  83. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  84. 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.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  85. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  86. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  87. EF0880Provide and implement an infection prevention and control program.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  88. EF0888Ensure staff are vaccinated for COVID-192023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  89. EF0908Keep all essential equipment working safely.2023-02-16 · Health · corrected 2023-03-09

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PACIFIC VILLA INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST—2014-12-08
NELSON, WILLIAMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST—2014-12-08
ROLLINS, VICKIIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST—2014-12-08
PACIFIC VILLA INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2014-12-08
ROLLINS, VICKIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2014-12-08
PACIFIC VILLA INCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2014-12-08
ANDERSON, TREVORIndividualOPERATIONAL/MANAGERIAL CONTROL—2024-04-01
ESTAVILLO, EVANGELINEIndividualOPERATIONAL/MANAGERIAL CONTROL—2017-07-16
PHILIPP, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL—2014-12-08
ROLLINS, VICKIIndividualOPERATIONAL/MANAGERIAL CONTROL—2014-12-08
NELSON, WILLIAMIndividualCORPORATE DIRECTOR—2014-12-08
ROLLINS, VICKIIndividualCORPORATE DIRECTOR—2014-12-08
NELSON, WILLIAMIndividualCORPORATE OFFICER—2014-12-08
ROLLINS, VICKIIndividualCORPORATE OFFICER—2014-12-08
NELSON, WILLIAMIndividual5% OR GREATER SECURITY INTEREST—2014-12-08
ROLLINS, VICKIIndividual5% OR GREATER SECURITY INTEREST—2014-12-08
THE PALMS REAL ESTATE, LLCOrganization5% OR GREATER MORTGAGE INTEREST—2014-12-08
NELSON, WILLIAMIndividual5% OR GREATER MORTGAGE INTEREST—2014-12-08
ROLLINS, VICKIIndividual5% OR GREATER MORTGAGE INTEREST—2014-12-08

Other facilities in LONG BEACH

NameOverallBeds
ATLANTIC MEMORIAL HEALTHCARE CENTER★★★★★104
LONG BEACH POST ACUTE★★★★★78
BEACHSIDE POST ACUTE★★★★☆90
VILLA SERENA HEALTHCARE CENTER★★★★☆52
ALAMITOS BELMONT HEALTH AND REHABILITATION★★★★☆94

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