WOODS HEALTH SERVICES
2600 A STREET, LA VERNE, CA 91750 · CCN 056083
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 74
- Avg residents/day
- 46.4
- Phone
- 9095934917
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-04 | 20 | 15.6 | 9.5 | +4.4 worse |
| 2 | 2024-03-29 | 22 | 17.4 | 9.8 | +4.6 worse |
| 3 | 2022-01-14 | 16 | 17.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 6 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.87 | 51.3% |
| RN staffing (reported) | 0.54 | — |
| Total nurse staffing (adjusted) | 5.18 | — |
Fines & penalties
- Total fines
- $8,190
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Inspection citations (58)3 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-18 · Health · corrected 2026-01-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-18 · Health · corrected 2026-01-14
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-19 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-20 · Health · corrected 2025-07-17
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-19 · Health · corrected 2025-05-22
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-19 · Health · corrected 2025-05-22
Actual harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-19 · Health · corrected 2025-06-05
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-04-04 · Health · corrected 2025-04-07
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-04 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-04-04 · Health · corrected 2025-04-21
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-04-04 · Health · corrected 2025-04-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-04 · Health · corrected 2025-04-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-04 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-04 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2025-04-04 · Health · corrected 2025-04-14
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-04-04 · Health · corrected 2025-04-14
Potential for more than minimal harm
- 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.2025-04-04 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-04 · Health · corrected 2025-04-09
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-04 · Health · corrected 2025-04-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-04-04 · Health · corrected 2025-04-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-31 · Health · corrected 2025-02-18
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-27 · Health · corrected 2025-01-23
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-12-27 · Health · corrected 2025-01-22
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-05 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-05 · Health · corrected 2024-09-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-05 · Health · corrected 2024-09-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-05 · Health · corrected 2024-08-23
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- 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.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- 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.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-03-29 · Health · corrected 2024-04-19
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-11 · Health · corrected 2024-03-26
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-13 · Health · corrected 2024-01-04
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-25 · Health · corrected 2023-09-13
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-27 · Health · corrected 2023-08-04
Potential for more than minimal harm
- 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.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2022-01-14 · Health · corrected 2022-02-17
Potential for minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-01-14 · Health · corrected 2022-02-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BRETHREN HILLCREST HOMES | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1969-05-29 |
| ALLISON, THOMAS | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| BLICKENSTAFF, JON | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| DOUD, JACQUELINE | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| DUNCAN, KATHLEEN | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| GARVEY, KATHLEEN | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| HESS, DOROTHY | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| JOHNSTON, ROBERT | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| LANE, DAN | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| MATTESON, RUSS | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| MCMULLIN, EDWARD | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| MEEK, CHRISTINE | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| REDMAN, DONNA | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| SADDLEMIRE, LINDA | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| SMYTHE, BARBARA | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| STANLEY, DALE | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| TENORIO, SUSAN | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| WANG, TINA | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| WELCH, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| BROUWER, JOEL | Individual | CORPORATE OFFICER | — | 2023-03-20 |
| KASIN, KEITH | Individual | CORPORATE OFFICER | — | 1966-09-21 |
| NEELEY, MATTHEW | Individual | CORPORATE OFFICER | — | 2005-01-03 |
| NEELEY, MATTHEW | Individual | W-2 MANAGING EMPLOYEE | — | 2005-01-03 |
Other facilities in LA VERNE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.