Starfile / California

Terrace Post Acute

7447 SEPULVEDA BLVD, VAN NUYS, CA 91405 · CCN 555738

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

$94,094

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

WINDSOR

Facilities in chain

19

Chain avg overall

2.30 / 5

Inspection citations (99)3 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.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

2. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

4. DF0692Provide enough food/fluids to maintain a resident's health.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

5. DF0695Provide safe and appropriate respiratory care for a resident when needed.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

6. EF0697Provide safe, appropriate pain management for a resident who requires such services.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

7. DF0730Observe each nurse aide's job performance and give regular training.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

8. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

9. EF0759Ensure medication error rates are not 5 percent or greater.2026-01-15 · Health · corrected 2026-01-20

   Potential for more than minimal harm

10. 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.2026-01-15 · Health · corrected 2026-01-20

    Potential for more than minimal harm

11. 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.2026-01-15 · Health · corrected 2026-01-20

    Potential for more than minimal harm

12. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2026-01-15 · Health · corrected 2026-01-20

    Potential for more than minimal harm

13. DF0814Dispose of garbage and refuse properly.2026-01-15 · Health · corrected 2026-01-20

    Potential for more than minimal harm

14. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-15 · Health · corrected 2026-01-20

    Potential for more than minimal harm

15. DF0880Provide and implement an infection prevention and control program.2026-01-15 · Health · corrected 2026-01-20

    Potential for more than minimal harm

16. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-26 · Health · corrected 2025-08-27

    Potential for more than minimal harm

17. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-08-19 · Health · corrected 2025-08-22

    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.2025-05-19 · Health · corrected 2025-05-30

    Potential for more than minimal harm

19. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-06 · Health · corrected 2025-05-12

    Potential for more than minimal harm

20. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-06 · Health · corrected 2025-05-12

    Potential for more than minimal harm

21. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-03-07 · Health · corrected 2025-03-17

    Potential for more than minimal harm

22. DF0880Provide and implement an infection prevention and control program.2025-02-08 · Health · corrected 2025-02-20

    Potential for more than minimal harm

23. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-01-30 · Health · corrected 2025-02-03

    Potential for more than minimal harm

24. DF0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.2025-01-30 · Health · corrected 2025-02-03

    Potential for more than minimal harm

25. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-17 · Health · corrected 2024-12-20

    Potential for more than minimal harm

26. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-06 · Health · corrected 2024-12-19

    Potential for more than minimal harm

27. 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.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

28. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

29. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

30. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

31. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

34. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

35. EF0758Implement 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.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

36. EF0760Ensure that residents are free from significant medication errors.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

37. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2024-11-21 · Health · corrected 2024-12-05

    Potential for more than minimal harm

39. DF0880Provide and implement an infection prevention and control program.2024-11-14 · Health · corrected 2024-11-18

    Potential for more than minimal harm

40. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-25 · Health · corrected 2024-11-08

    Potential for more than minimal harm

41. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-10-04 · Health · corrected 2024-10-16

    Potential for more than minimal harm

42. DF0558Reasonably accommodate the needs and preferences of each resident.2024-09-18 · Health · corrected 2024-09-30

    Potential for more than minimal harm

43. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-18 · Health · corrected 2024-09-30

    Potential for more than minimal harm

44. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-18 · Health · corrected 2024-09-30

    Potential for more than minimal harm

45. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-11 · Health · corrected 2024-09-30

    Potential for more than minimal harm

46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-05 · Health · corrected 2024-09-15

    Potential for more than minimal harm

47. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-25 · Health · corrected 2024-08-13

    Potential for more than minimal harm

48. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-05 · Health · corrected 2024-07-09

    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.2024-05-28 · Health · corrected 2024-06-13

    Potential for more than minimal harm

50. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-17 · Health · corrected 2024-06-01

    Potential for more than minimal harm

51. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-07 · Health · corrected 2024-05-29

    Potential for more than minimal harm

52. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-05-07 · Health · corrected 2024-05-29

    Potential for more than minimal harm

53. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

54. 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.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

55. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

56. BF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-12-01 · Health · corrected 2023-12-26

    Potential for minimal harm

57. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

58. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

59. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

60. DF0687Provide appropriate foot care.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

61. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

62. GF0692Provide enough food/fluids to maintain a resident's health.2023-12-01 · Health · corrected 2023-12-26

    Actual harm

63. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

64. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

65. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

66. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

67. EF0760Ensure that residents are free from significant medication errors.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

68. 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.2023-12-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

69. EF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

70. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

71. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

72. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

73. EF0880Provide and implement an infection prevention and control program.2023-12-01 · Health · corrected 2024-02-12

    Potential for more than minimal harm

74. DF0881Implement a program that monitors antibiotic use.2023-12-01 · Health · corrected 2023-12-26

    Potential for more than minimal harm

75. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-22 · Health · corrected 2023-12-13

    Potential for more than minimal harm

76. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

77. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-18 · Health · corrected 2023-11-13

    Actual harm

78. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

79. GF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-18 · Health · corrected 2023-11-13

    Actual harm

80. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-31 · Health · corrected 2023-10-02

    Potential for more than minimal harm

81. DF0880Provide and implement an infection prevention and control program.2023-08-31 · Health · corrected 2023-10-02

    Potential for more than minimal harm

82. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-08-17 · Health · corrected 2023-09-14

    Potential for more than minimal harm

83. DF0760Ensure that residents are free from significant medication errors.2023-08-17 · Health · corrected 2023-09-14

    Potential for more than minimal harm

84. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-31 · Health · corrected 2023-08-29

    Potential for more than minimal harm

85. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-31 · Health · corrected 2023-08-29

    Potential for more than minimal harm

86. 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.2023-06-28 · Health · corrected 2023-07-20

    Potential for more than minimal harm

87. EF0760Ensure that residents are free from significant medication errors.2023-06-06 · Health · corrected 2023-07-05

    Potential for more than minimal harm

88. EF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-05-15 · Health · corrected 2023-06-14

    Potential for more than minimal harm

89. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-15 · Health · corrected 2023-06-14

    Potential for more than minimal harm

90. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-12 · Health · corrected 2023-05-09

    Potential for more than minimal harm

91. EF0760Ensure that residents are free from significant medication errors.2023-04-12 · Health · corrected 2023-05-09

    Potential for more than minimal harm

92. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-05 · Health · corrected 2023-04-27

    Potential for more than minimal harm

93. 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.2023-04-05 · Health · corrected 2023-04-27

    Potential for more than minimal harm

94. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-04-05 · Health · corrected 2023-04-27

    Potential for more than minimal harm

95. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-05 · Health · corrected 2023-04-27

    Potential for more than minimal harm

96. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-24 · Health · corrected 2023-04-12

    Potential for more than minimal harm

97. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-03-20 · Health · corrected 2023-04-04

    Potential for more than minimal harm

98. DF0558Reasonably accommodate the needs and preferences of each resident.2023-03-10 · Health · corrected 2023-03-27

    Potential for more than minimal harm

99. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-10 · Health · corrected 2023-03-27

    Potential for more than minimal harm

Ownership

Other facilities in VAN NUYS

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