PACIFIC VILLA, INC

CMS abuse icon · CCN 056313 · PACIFIC VILLA INC · For profit - Individual · ROLLINS-NELSON HEALTHCARE MANAGEMENT chain · 95 certified beds · Los Angeles · CA


PACIFIC VILLA, INC is a 95-bed nursing home in LONG BEACH, California. CMS has certified it for Medicare and Medicaid since 1972-03-13. It averages 85.2 residents a day.

What harm was found in the violations cited at PACIFIC VILLA, INC?

CMS lists 79 health-inspection deficiencies for PACIFIC VILLA, INC, all 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 2026-02-27.

Survey dateTagDeficiencySeverity
2026-02-27F0880Provide and implement an infection prevention and control program.F
2026-02-27F0790, F0812Provide routine and 24-hour emergency dental care for each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-02-27F0605, F0607, F0609, F0610, F0676, F0679, F0685, F0697, F0726, F0757, F0842, F0881Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Provide safe, appropriate pain management for a resident who requires such services. / 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 each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Implement a program that monitors antibiotic use.D
2025-12-16F0580, F0656Immediately 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.D
2025-12-04F0600, F0609, F0880Protect 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. / Provide and implement an infection prevention and control program.D
2025-11-19F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-11-19F0584Honor 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.D
2025-05-16F0609, F0610, F0726Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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
2025-04-28F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-04-28F0684, F0867, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program.D
2025-03-14F0814Dispose of garbage and refuse properly.F
2025-02-19F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-12-20F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-12-20F0578, F0644, F0688, F0880Honor 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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. / Provide and implement an infection prevention and control program.E
2024-12-20F0558, F0584, F0656, F0677, F0684, F0726, F0755, F0758, F0759, F0761, F0842Reasonably 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-12-20F0641Ensure each resident receives an accurate assessment.B
2024-10-17F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D
2024-02-02F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-02-01F0610, F0656Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-01-05F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-01-05F0607, F0609, F0610, F0688, F0689, F0695, F0755, F0759, F0760, F0761, F0790Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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 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 safe and appropriate respiratory care 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. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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 routine and 24-hour emergency dental care for each resident.E
2024-01-05F0580, F0600, F0685, F0693, F0699, F0758, F0883, F0919Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Assist a resident in gaining access to vision and hearing services. / 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 care or services that was trauma informed and/or culturally competent. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-12-11F0552, F0555, F0573, F0580, F0623, F0657Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to choose his or her attending physician. / Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D

Why was PACIFIC VILLA, INC fined 3 times?

DateTypeAmount
2025-04-28Fine$23,473
2024-02-20Fine$2,279
2024-01-22Fine$3,418

How is PACIFIC VILLA, INC staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.063074.51570
Total nursing staff turnover (%)36.736.7
Average number of residents per day85.287.9

Who owns PACIFIC VILLA, INC, and what chain is it in?

PACIFIC VILLA, INC is registered with CMS as For profit - Individual, operates under the legal business name PACIFIC VILLA INC and belongs to the ROLLINS-NELSON HEALTHCARE MANAGEMENT chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPACIFIC VILLA INC, THE PALMS REAL ESTATE, LLCsince 12/08/2014
DIRECT OWNERSHIP INTERESTNELSON, WILLIAM, ROLLINS, VICKIsince 12/08/2014
INDIRECT OWNERSHIP INTERESTNELSON, WILLIAM, ROLLINS, VICKIsince 04/28/2026
5% OR GREATER MORTGAGE INTERESTNELSON, WILLIAM, ROLLINS, VICKIsince 12/08/2014
5% OR GREATER SECURITY INTERESTNELSON, WILLIAM, ROLLINS, VICKIsince 12/08/2014
CORPORATE DIRECTORNELSON, WILLIAM, ROLLINS, VICKIsince 12/08/2014
CORPORATE OFFICERNELSON, WILLIAM, ROLLINS, VICKIsince 12/08/2014
OPERATIONAL/MANAGERIAL CONTROLANDERSON, TREVOR, BUTED, LINAsince 04/01/2024
ADP OF THE SNFANDERSON, TREVOR, BUTED, LINA, NELSON, WILLIAM, PHILIPP, RONALD, ROLLINS, VICKIsince 04/01/2024

Were you or a family member harmed at PACIFIC VILLA, INC?