Bay Crest Care Center
A nursing home in Torrance, California 90503
3750 Garnet Street, Torrance, California 90503. (310) 371-2431.
- A candidate for CMS’s special focus list
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 41 health citations at the latest inspection cycle California average: 15.7
- 3.93 nurse hours per resident per day California average: 4.54
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
41 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Mar 13, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Nov 9, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
117 citations in 23 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 118 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 79 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 25, 2026: complaint inspection3 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Mar 18, 2026: complaint inspection2 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 13, 2026: standard inspection13 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide activities to meet all resident’s needs.
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Assist a resident in gaining access to vision and hearing services.
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Ensure that residents are free from significant medication errors.
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Ensure 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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Provide and implement an infection prevention and control program.
Mar 6, 2026: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Try 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.
Feb 23, 2026: complaint inspection2 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jan 30, 2026: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Dec 17, 2025: complaint inspection1 citation
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
Dec 12, 2025: complaint inspection4 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure that residents are free from significant medication errors.
Nov 9, 2025: complaint inspection5 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide doctor’s orders for the resident’s immediate care at the time the resident was admitted.
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Ensure each resident receives an accurate assessment.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Have a plan that describes the process for conducting QAPI and QAA activities.
Nov 3, 2025: complaint inspection3 citations
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Ensure that residents are free from significant medication errors.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Oct 17, 2025: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Oct 15, 2025: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Sep 17, 2025: complaint inspection1 citation
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Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.
Sep 3, 2025: complaint inspection4 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Keep all essential equipment working safely.
Aug 19, 2025: complaint inspection5 citations
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Have a plan that describes the process for conducting QAPI and QAA activities.
Jul 11, 2025: complaint inspection5 citations
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Reasonably accommodate the needs and preferences of each resident.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide 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.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Jun 3, 2025: complaint inspection1 citation
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Ensure 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.
May 16, 2025: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that residents are free from significant medication errors.
Mar 28, 2025: complaint inspection2 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 31, 2025: standard inspection18 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Reasonably accommodate the needs and preferences of each resident.
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Keep residents’ personal and medical records private and confidential.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Ensure medication error rates are not 5 percent or greater.
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Ensure 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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
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Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Jan 31, 2025: standard and complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Dec 30, 2024: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 30, 2024: complaint inspection1 citation
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Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Sep 30, 2024: complaint inspection1 citation
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Post nurse staffing information every day.
Sep 10, 2024: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 21, 2024: complaint inspection2 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 21, 2024: complaint inspection2 citations
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Honor 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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
May 6, 2024: complaint inspection5 citations
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Reasonably accommodate the needs and preferences of each resident.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide 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.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Feb 9, 2024: complaint inspection3 citations
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Provide safe, appropriate pain management for a resident who requires such services.
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Obtain a doctor’s order to admit a resident and ensure the resident is under a doctor’s care.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 31, 2024: complaint inspection4 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Provide safe, appropriate pain management for a resident who requires such services.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 12, 2024: standard inspection8 citations
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Provide enough food/fluids to maintain a resident’s health.
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Allow residents to self-administer drugs if determined clinically appropriate.
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Ensure 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.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Jan 12, 2024: standard and complaint inspection5 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Reasonably accommodate the needs and preferences of each resident.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Provide and implement an infection prevention and control program.
Dec 21, 2023: complaint inspection1 citation
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 7, 2023: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 15, 2023: complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 1, 1980.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $124,336 in all.
- 3 Medicare payment denials in the last three years.
- 79 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 3, 2025 | Medicare payment denial | Not given |
| Nov 3, 2025 | Fine | $44,256 |
| Oct 15, 2025 | Fine | $12,425 |
| Aug 19, 2025 | Medicare payment denial | Not given |
| Aug 19, 2025 | Fine | $16,149 |
| Dec 7, 2023 | Medicare payment denial | Not given |
| Dec 7, 2023 | Fine | $51,506 |
Who does the caring?
3.93 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 3.93 | 4.54 |
| Of which registered nurses | 0.41 | 0.68 |
| At weekends | 3.64 | 4.10 |
| Nursing staff turnover | 56.4% | 36.6% |
| Registered nurse turnover | 80% | 37.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Bq Operations Holdings LLC owns 100% directly since Feb 1, 2021.
- 4 owners or officers are people: Aaron H Robin (owns 5% or more through other companies, 50%); Avrohom L Tress (owns 5% or more through other companies, 25%); Pamela Shaw (runs it (operational or managerial control)); Pamela Shaw (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Genesis Healthcare (183 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Bold Quail Holdings LLC | Owns 5% or more through other companies | 100% | Feb 1, 2021 |
| Bq Operations Holdings LLC | Owns 5% or more directly | 100% | Feb 1, 2021 |
| 9560 Pico LLC | Owns 5% or more through other companies | 50% | Feb 1, 2021 |
| Pico AR LLC | Owns 5% or more through other companies | 50% | Feb 1, 2021 |
| Newgen LLC | Owns 5% or more through other companies | 50% | Feb 1, 2021 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 5, 2025 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 3.6 miles, this one had the 1st most health citations at the latest inspection cycle (41; the middle value was 18).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Bay Crest Care Center This nursing home | 41 | |
| Driftwood Healthcare Center | 0.6 | 16 |
| The Earlwood | 0.6 | 27 |
| Providence Little Co of Mary Transitional Care Ctr | 0.6 | 8 |
| Torrance Care Center West, Inc. | 0.7 | 33 |
| Del Amo Gardens Care Center | 1.4 | 7 |
| Beachside Post Acute | 1.5 | 8 |
| Torrance Memorial Med Ctr SNF/DP | 2.2 | 3 |
| Heritage Rehabilitation Center | 3.5 | 20 |
| Harbor Post Acute Care Center | 3.5 | 16 |
| Lawndale Healthcare & Wellness Centre LLC | 3.6 | 23 |
| Vermont Healthcare Center | 3.6 | 31 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.