AVALON VILLA CARE CENTER

Special Focus Facility candidate · Los Angeles · CA · For profit - Limited Liability company · 131 certified beds · CCN 056023 · AVALON VILLA HEALTH CARE LLC


AVALON VILLA CARE CENTER operates 131 certified beds in LOS ANGELES, California. Its Medicare and Medicaid certification dates to 1968-11-22. It averages 121.1 residents a day.

What harm was found in the violations cited at AVALON VILLA CARE CENTER?

CMS lists 133 health-inspection deficiencies for AVALON VILLA CARE CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-06.

Survey dateTagDeficiencySeverity
2026-06-06F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2026-04-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-04-30F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D
2026-03-12F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2026-01-27F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2026-01-08F0688Provide 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.G
2026-01-08F0644, F0656, F0684, F0742, F0755, F0803, F0805, F0812, F0842, F0880Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2026-01-08F0550, F0557, F0558, F0580, F0641, F0676, F0677, F0686, F0689, F0695, F0726, F0761, F0825, F0882Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / Provide or get specialized rehabilitative services as required for a resident. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D
2025-12-23F0552, F0605, F0907Ensure that residents are fully informed and understand their health status, care and treatments. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide enough space and equipment to meet each resident's needsD
2025-12-12F0550, F0656, F0657, F0658, F0710, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-11-21F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2025-09-19F0684, F0805Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2025-09-11F0812, F0925Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-09-11F0550, F0558Honor 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.D
2025-08-19F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-08-19F0835, F0839Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Employ staff that are licensed, certified, or registered in accordance with state laws.D
2025-08-06F0605, F0609, F0656, F0726Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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.D
2025-07-29F0689, F0880Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program.D
2025-06-17F0656, F0842Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-06-06F0550, F0760Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are free from significant medication errors.D
2025-05-21F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-05-21F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-04-16F0726, F0842Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-02-25F0558, F0656, F0684, F0760, F0921Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2025-01-31F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-01-31F0622, F0623, F0726, F0880Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide and implement an infection prevention and control program.F
2025-01-31F0656, F0803, F0804, F0812Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-01-31F0550, F0552, F0558, F0609, F0641, F0645, F0658, F0686, F0692, F0695, F0700, F0712, F0755, F0757, F0758, F0761, F0805, F0806, F0810, F0842, F0850Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement 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. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Hire a qualified full-time social worker in a facility with more than 120 beds.D
2024-03-06F0880Provide and implement an infection prevention and control program.D
2024-01-24F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G
2024-01-24F0580, F0609Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-12-29F0865Have a plan that describes the process for conducting QAPI and QAA activities.F
2023-12-29F0550, F0578, F0688, F0689, F0725, F0803, F0804, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor 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. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2023-12-29F0558, F0656, F0676, F0684, F0685, F0686, F0690, F0695, F0761, F0806, F0883Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2023-12-19F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2023-12-01F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2023-11-01F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-10-19F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2023-10-16F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2023-09-01F0880Provide and implement an infection prevention and control program.D
2023-08-21F0552, F0697Ensure that residents are fully informed and understand their health status, care and treatments. / Provide safe, appropriate pain management for a resident who requires such services.D
2023-08-16F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D

Why was AVALON VILLA CARE CENTER fined 3 times?

DateTypeAmount
2025-11-21Fine$45,325
2025-01-31Fine$41,457
2023-10-16Fine$25,155

Has AVALON VILLA CARE CENTER had payment denied by Medicare more than once?

Payment denial startLength in days
2026-02-075
2025-03-0124
2024-01-1638

How is AVALON VILLA CARE CENTER staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.809934.51570
Total nursing staff turnover (%)49.336.7
Average number of residents per day121.187.9

Who owns AVALON VILLA CARE CENTER?

AVALON VILLA CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name AVALON VILLA HEALTH CARE LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTJACOBS, HARRYsince 06/09/2015
CORPORATE OFFICERJACOBS, HARRYsince 06/09/2015
OPERATIONAL/MANAGERIAL CONTROLJACOBS, HARRYsince 06/09/2015

Were you or a family member harmed at AVALON VILLA CARE CENTER?