Palazzo Post Acute
A nursing home in Los Angeles, California 90029
5400 Fountain Ave, Los Angeles, California 90029. (323) 461-4301.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 16 health citations at the latest inspection cycle California average: 15.7
- 4.16 nurse hours per resident per day California average: 4.54
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- 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.
- 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?
16 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Jun 25, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
44 citations in 14 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (D). 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 45 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. 19 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 22, 2026: complaint inspection2 citations
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Keep residents’ personal and medical records private and confidential.
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Provide and implement an infection prevention and control program.
Jun 25, 2026: standard inspection8 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Dispose of garbage and refuse properly.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Jun 25, 2026: standard and complaint inspection1 citation
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
May 29, 2026: complaint inspection3 citations
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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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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Provide and implement an infection prevention and control program.
Mar 12, 2026: complaint inspection1 citation
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Verify that a nurse aide has been trained; and if they haven’t worked as a nurse aide for 2 years, receive retraining.
Dec 16, 2025: complaint inspection1 citation
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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 16, 2025: complaint inspection2 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 17, 2025: complaint inspection1 citation
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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.
Jun 5, 2025: standard inspection9 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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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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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 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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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.
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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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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.
Apr 21, 2025: 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 12, 2024: complaint inspection1 citation
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Post nurse staffing information every day.
Jul 18, 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.
Jun 26, 2024: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 9, 2024: standard inspection9 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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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Ensure that residents are free from significant medication errors.
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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.
May 9, 2024: standard and complaint inspection1 citation
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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.
Apr 25, 2024: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 29, 2024: complaint inspection1 citation
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Honor the resident’s right to manage his or her financial affairs.
Nov 21, 2023: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 4, 1975.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 99 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 19 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
4.16 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 | 4.16 | 4.54 |
| Of which registered nurses | 0.44 | 0.68 |
| At weekends | 3.84 | 4.10 |
| Nursing staff turnover | 34.8% | 36.6% |
| Registered nurse turnover | 16.7% | 37.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Serrano Licensee 1 LLC owns 100% directly since Jan 1, 2016.
- Serrano Licensee 1 LLC runs it.
- 9 owners or officers are people: Dov E Jacobs (corporate officer, 100%); Rolando F Cuaresma (runs it (operational or managerial control), 100%); Dov E Jacobs (owns 5% or more through other companies, 40%); Benjamin Landa (owns 5% or more through other companies, 17.67%); Judah Taub (owns 5% or more through other companies, 17.67%); Howard Fensterman (owns 5% or more through other companies, 17.67%); Robert Fensterman (owns 5% or more through other companies, 5%); Jordan Fensterman (owns 5% or more through other companies, 2.5%); Staci Leibson (owns 5% or more through other companies, 1.5%).
- Part of Serrano Group (11 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 |
|---|---|---|---|
| Serrano Licensee 1 LLC | Owns 5% or more directly | 100% | Jan 1, 2016 |
| Serrano Licensee 1 LLC | Runs it (operational or managerial control) | 100% | Jan 1, 2016 |
| Serrano Group LLC | Owns 5% or more through other companies | 60% | Jan 1, 2016 |
| Yaame LLC | Owns 5% or more through other companies | 40% | Jan 1, 2016 |
| Serrano Partners LLC | Owns 5% or more through other companies | 17.67% | Jan 1, 2016 |
| Bin Mendel LLC | Owns 5% or more through other companies | 17.67% | Jan 1, 2016 |
| Bl CALI Partners LLC | Owns 5% or more through other companies | 17.67% | Jan 1, 2016 |
| Js Fenton LLC | Owns 5% or more through other companies | 6.67% | Jan 1, 2016 |
| Rgf Consulting LLC | Owns 5% or more through other companies | 3% | Jan 1, 2016 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 2.8 miles, this one had the 10th most health citations at the latest inspection cycle (16; the middle value was 28).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Palazzo Post Acute This nursing home | 16 | |
| Hollywood Premier Healthcare Center | 0.0 | 20 |
| Fountain View Subacute and Nursing Center | 0.0 | 32 |
| The Meadows on Sunset Post Acute | 0.6 | 45 |
| Alexandria Care Center | 0.6 | 40 |
| Hollywood Presbyterian Medical Center D/P SNF | 1.1 | 14 |
| Virgil Rehabilitation & Skilled Nursing Center | 1.2 | 20 |
| Garden Crest Rehabilitation Center | 1.9 | 8 |
| La Brea Rehabilitation Center | 2.0 | 33 |
| Los Feliz Healthcare & Wellness Center, LP | 2.5 | 46 |
| Skyline Healthcare Center - La | 2.5 | 33 |
| Los Angeles Post Acute | 2.8 | 24 |
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
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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).
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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
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Paid listing
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