LA BREA REHABILITATION CENTER

Continuing care retirement community · CCN 056195 · LA BREA REHABILITATION CENTER LLC · For profit - Corporation · 141 certified beds · Los Angeles · CA


LA BREA REHABILITATION CENTER is a 141-bed nursing home in LOS ANGELES, California. CMS has certified it for Medicare and Medicaid since 1978-10-01. It averages 133.2 residents a day.

What harm was found in the violations cited at LA BREA REHABILITATION CENTER?

CMS lists 97 health-inspection deficiencies for LA BREA REHABILITATION CENTER since 2021-12-09, 82 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-29.

Survey dateTagDeficiencySeverity
2026-05-29F0697Provide safe, appropriate pain management for a resident who requires such services.D
2026-05-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-03-09F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-12-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-12-17F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-09-11F0604, F0656Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-07-15F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-06-19F0658, F0686, F0755, F0759, F0761, F0812, F0925Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-06-19F0550, F0554, F0641, F0656, F0657, F0684, F0693, F0698, F0757, F0806, F0919Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Ensure each resident receives an accurate assessment. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-05-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-05-15F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D
2025-03-26F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-03-26F0580, F0656, F0686Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 pressure ulcer care and prevent new ulcers from developing.D
2024-12-26F0695Provide safe and appropriate respiratory care for a resident when needed.D
2024-11-27F0697Provide safe, appropriate pain management for a resident who requires such services.E
2024-11-27F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2024-11-09F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D
2024-11-06F0600, F0656Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-09-18F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D
2024-09-12F0655, F0686Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2024-08-14F0656, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program.E
2024-08-14F0578, F0609Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-08-02F0755, F0760Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors.E
2024-08-02F0732Post nurse staffing information every day.D
2024-05-23F0697Provide safe, appropriate pain management for a resident who requires such services.G
2024-05-23F0578, F0812Honor 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-05-23F0561, F0582, F0625, F0656, F0657, F0684, F0686, F0691, F0692, F0880Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide enough food/fluids to maintain a resident's health. / Provide and implement an infection prevention and control program.D
2024-04-23F0694, F0755Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-04-22F0600, F0609, F0610, F0684, F0755Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-03-28F0730Observe each nurse aide's job performance and give regular training.E
2024-03-28F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.D
2024-02-07F0880Provide and implement an infection prevention and control program.D
2023-11-22F0584, F0656, F0726Honor 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. / 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
2023-11-21F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-11-16F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D
2023-10-26F0558, F0760Reasonably accommodate the needs and preferences of each resident. / Ensure that residents are free from significant medication errors.D
2023-08-22F0622, F0623, F0624Not 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. / Prepare residents for a safe transfer or discharge from the nursing home.G
2023-08-22F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D
2021-12-09F0558, F0584, F0686, F0689, F0761, F0812, F0886Reasonably accommodate the needs and preferences of each resident. / 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. / 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. / 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. / Perform COVID19 testing on residents and staff.E
2021-12-09F0550, F0602, F0637, F0640, F0656, F0694, F0756, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from the wrongful use of the resident's belongings or money. / Assess the resident when there is a significant change in condition / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program.D

Why was LA BREA REHABILITATION CENTER fined?

DateTypeAmount
2024-05-23Fine$33,091

How is LA BREA REHABILITATION CENTER staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.545484.51570
Total nursing staff turnover (%)30.636.7
Average number of residents per day133.287.9

Who owns LA BREA REHABILITATION CENTER?

LA BREA REHABILITATION CENTER is registered with CMS as For profit - Corporation, operates under the legal business name LA BREA REHABILITATION CENTER LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLA BREA SNF HOLDINGS LLC, SR INVESTMENTS LLCsince 03/08/2016
5% OR GREATER INDIRECT OWNERSHIP INTERESTLA BREA SNF LLC, BERGER, RUTH, BERGER, STEVENsince 03/08/2016
CORPORATE OFFICERBERGER, STEVENsince 06/01/2016
OPERATIONAL/MANAGERIAL CONTROLCITRUS ADMINISTRATIVE SERVICES, INC., DOMINGUEZ, SAMUEL, GOMONIT, CONSUELO, HAKIMI, MEIR, PASUMBAL, JASPER, SAADAT, ELIASsince 03/01/2015
ADP OF THE SNFCITRUS ADMINISTRATIVE SERVICES, INC., LA BREA MASTER TENANT LLC, DOMINGUEZ, SAMUEL, GOMONIT, CONSUELO, HAKIMI, MEIR, PASUMBAL, JASPER, SAADAT, ELIASsince 03/31/2025

Were you or a family member harmed at LA BREA REHABILITATION CENTER?