Starfile / California

SKYLINE HEALTHCARE CENTER - LA

3032 ROWENA AVE, LOS ANGELES, CA 90039 · CCN 555117

SFF Candidate Abuse icon

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

$304,460

Number of fines

7

Number of penalties

10

Payment denials

3

Inspection citations (124)3 immediate jeopardy4 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-20 · Health · corrected 2026-02-10

   Potential for more than minimal harm

2. DF0697Provide safe, appropriate pain management for a resident who requires such services.2026-01-20 · Health · corrected 2026-02-10

   Potential for more than minimal harm

3. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-20 · Health · corrected 2026-02-10

   Potential for more than minimal harm

4. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-02 · Health · corrected 2025-09-19

   Potential for more than minimal harm

5. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-09-02 · Health · corrected 2025-09-19

   Potential for more than minimal harm

6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-02 · Health · corrected 2025-09-19

   Potential for more than minimal harm

7. DF0610Respond appropriately to all alleged violations.2025-09-02 · Health · corrected 2025-09-19

   Potential for more than minimal harm

8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-02 · Health · corrected 2025-09-19

   Potential for more than minimal harm

9. DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-09 · Health · corrected 2025-08-31

   Potential for more than minimal harm

10. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-09 · Health · corrected 2025-08-31

    Immediate jeopardy

11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-09 · Health · corrected 2025-09-23

    Potential for more than minimal harm

12. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-09 · Health · corrected 2025-08-31

    Immediate jeopardy

13. 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.2025-08-09 · Health · corrected 2025-08-31

    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.2025-08-09 · Health · corrected 2025-08-31

    Potential for more than minimal harm

15. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-09 · Health · corrected 2025-08-31

    Potential for more than minimal harm

16. DF0880Provide and implement an infection prevention and control program.2025-08-09 · Health · corrected 2025-08-31

    Potential for more than minimal harm

17. 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.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

18. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

19. 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.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

20. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

21. DF0637Assess the resident when there is a significant change in condition2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

22. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-05-22 · Health · corrected 2025-06-15

    Potential for minimal harm

23. BF0641Ensure each resident receives an accurate assessment.2025-05-22 · Health · corrected 2025-06-15

    Potential for minimal harm

24. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

25. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

26. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

27. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

28. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

29. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

31. DF0732Post nurse staffing information every day.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

32. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

33. DF0759Ensure medication error rates are not 5 percent or greater.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

34. EF0760Ensure that residents are free from significant medication errors.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

35. 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.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

36. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

37. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-05-22 · Health · corrected 2025-06-15

    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.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

39. EF0814Dispose of garbage and refuse properly.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

40. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

41. EF0880Provide and implement an infection prevention and control program.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

42. EF0881Implement a program that monitors antibiotic use.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

43. DF0908Keep all essential equipment working safely.2025-05-22 · Health · corrected 2025-06-15

    Potential for more than minimal harm

44. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2025-05-22 · Health · corrected 2025-06-15

    Potential for minimal harm

45. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-05-22 · Health · corrected 2025-06-15

    Potential for minimal harm

46. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-05-06 · Health · corrected 2025-05-29

    Potential for more than minimal harm

47. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-06 · Health · corrected 2025-05-29

    Actual harm

48. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-06 · Health · corrected 2025-05-29

    Potential for more than minimal harm

49. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-14 · Health · corrected 2025-05-02

    Potential for more than minimal harm

50. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-04-14 · Health · corrected 2025-05-02

    Potential for more than minimal harm

51. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-14 · Health · corrected 2025-05-02

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-02 · Health · corrected 2025-04-18

    Potential for more than minimal harm

53. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-01 · Health · corrected 2025-04-24

    Actual harm

54. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-01 · Health · corrected 2025-04-24

    Potential for more than minimal harm

55. DF0574The resident has the right to receive notices in a format and a language he or she understands.2025-02-24 · Health · corrected 2025-03-14

    Potential for more than minimal harm

56. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-24 · Health · corrected 2025-03-14

    Potential for more than minimal harm

57. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-01-03 · Health · corrected 2025-01-23

    Potential for more than minimal harm

58. EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-01 · Health · corrected 2024-09-20

    Potential for more than minimal harm

59. KF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-01 · Health · corrected 2024-09-20

    Immediate jeopardy

60. 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.2024-09-01 · Health · corrected 2024-09-20

    Potential for more than minimal harm

61. EF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-09-01 · Health · corrected 2024-09-20

    Potential for more than minimal harm

62. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-01 · Health · corrected 2024-09-20

    Potential for more than minimal harm

63. EF0880Provide and implement an infection prevention and control program.2024-09-01 · Health · corrected 2024-09-20

    Potential for more than minimal harm

64. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

65. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

66. 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.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

67. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

68. 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.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

69. 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.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

70. EF0641Ensure each resident receives an accurate assessment.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

71. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

72. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

73. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

74. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

75. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

76. DF0679Provide activities to meet all resident's needs.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

77. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

78. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

79. GF0688Provide 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.2024-06-13 · Health · corrected 2024-07-06

    Actual harm

80. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

81. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

82. EF0693Ensure 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.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

83. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

84. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

85. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

86. DF0730Observe each nurse aide's job performance and give regular training.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

87. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

88. EF0759Ensure medication error rates are not 5 percent or greater.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

89. EF0760Ensure that residents are free from significant medication errors.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

90. 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.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

91. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

92. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

93. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

94. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

95. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

96. EF0880Provide and implement an infection prevention and control program.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

97. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

98. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-06-13 · Health · corrected 2024-07-06

    Potential for more than minimal harm

99. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2024-06-13 · Health · corrected 2024-07-06

    Potential for minimal harm

100. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-06-13 · Health · corrected 2024-07-06

     Potential for minimal harm

101. EF0760Ensure that residents are free from significant medication errors.2024-04-04 · Health · corrected 2024-04-16

     Potential for more than minimal harm

102. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-08 · Health · corrected 2024-02-05

     Potential for more than minimal harm

103. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-08 · Health · corrected 2024-02-05

     Actual harm

104. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-14 · Health · corrected 2023-11-29

     Potential for more than minimal harm

105. DF0732Post nurse staffing information every day.2023-11-14 · Health · corrected 2023-11-29

     Potential for more than minimal harm

106. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-06-27 · Health · corrected 2023-07-19

     Potential for more than minimal harm

107. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-27 · Health · corrected 2023-07-19

     Potential for more than minimal harm

108. DF0610Respond appropriately to all alleged violations.2023-06-27 · Health · corrected 2023-07-19

     Potential for more than minimal harm

109. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-06-27 · Health · corrected 2023-07-19

     Potential for more than minimal harm

110. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-24 · Health · corrected 2023-06-24

     Potential for more than minimal harm

111. DF0880Provide and implement an infection prevention and control program.2023-05-24 · Health · corrected 2023-06-24

     Potential for more than minimal harm

112. DF0558Reasonably accommodate the needs and preferences of each resident.2023-03-13 · Health · corrected 2023-04-13

     Potential for more than minimal harm

113. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

114. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

115. 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.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

116. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

117. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

118. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

119. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

120. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

121. DF0760Ensure that residents are free from significant medication errors.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

122. EF0880Provide and implement an infection prevention and control program.2021-10-22 · Health · corrected 2021-11-16

     Potential for more than minimal harm

123. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2021-10-22 · Health · corrected 2021-11-16

     Potential for minimal harm

124. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2021-10-22 · Health · corrected 2022-05-13

     Potential for 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.