CareSentinel

Compiled from official CMS federal data

ALVARADO CARE CENTER, LOS ANGELES, CA — Violations & Inspection Reports

CCN 056157 · 1154 S.ALVARADO ST, LOS ANGELES, CA, 90006

Record as of Jun 2026 · Updated monthly from CMS

Does ALVARADO CARE CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), ALVARADO CARE CENTER (CCN 056157), in LOS ANGELES, CA, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 29 deficiencies; the most severe is rated J, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. The latest standard health inspection on file is dated 2026-01-23. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $90,600 in civil money penalties on file against the facility. The record also includes 2 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Jan 2026). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 2 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Jan 2026.
  • 3 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Jan 2026.
  • 3 pressure-ulcer care citations (F686) — the consumer term is "bedsores"; most recent Jan 2026.
  • 1 nutrition and hydration citation (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Sep 2025.
  • 26 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

At its most recent federal inspection, CMS cited this facility at the Immediate Jeopardy level — the most serious category CMS uses, for situations it found likely to cause serious harm or death.

Below is this facility's federal inspection record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$90,600

CMS also records 2 days of payment denial.

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 63 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2025-08-22
CURRENT CYCLE
F686S/S J

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2026-01-23
CURRENT CYCLE
F605S/S E

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

2026-01-23
CURRENT CYCLE
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

57 more citations on file — Abuse & neglect 1 · Accidents & supervision 2 · Pressure ulcers 2 · Nutrition & hydration 1 · Medication & pharmacy 8 · Resident rights 8 · Other citations 34 (expand)
2026-04-20
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2026-04-20
CURRENT CYCLE
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2026-04-20
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2026-01-23
CURRENT CYCLE
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2026-01-23
CURRENT CYCLE
F760S/S E

Ensure that residents are free from significant medication errors.

2026-01-23
CURRENT CYCLE
F761S/S E

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.

2026-01-23
CURRENT CYCLE
F803S/S E

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.

2026-01-23
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2026-01-23
CURRENT CYCLE
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2026-01-23
CURRENT CYCLE
F805S/S E

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

2026-01-23
CURRENT CYCLE
F641S/S E

Ensure each resident receives an accurate assessment.

2026-01-23
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2026-01-23
CURRENT CYCLE
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2026-01-23
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2026-01-23
CURRENT CYCLE
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2026-01-23
CURRENT CYCLE
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-12-09
CURRENT CYCLE
F760S/S D

Ensure that residents are free from significant medication errors.

2025-12-09
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-09-05
CURRENT CYCLE
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-09-05
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-09-05
CURRENT CYCLE
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2025-09-05
CURRENT CYCLE
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-07-10
CURRENT CYCLE
F835S/S D

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2025-06-27
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-06-27
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-06-27
CURRENT CYCLE
F551S/S D

Give the resident's representative the ability to exercise the resident's rights.

2024-12-15
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-12-15
HISTORICAL
F758S/S E

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.

2024-12-15
HISTORICAL
F813S/S E

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

2024-12-15
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-12-15
HISTORICAL
F640S/S D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

2024-12-15
HISTORICAL
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2024-12-15
HISTORICAL
F638S/S D

Assure that each resident’s assessment is updated at least once every 3 months.

2024-12-15
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-12-15
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-12-15
HISTORICAL
F761S/S D

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.

2024-12-15
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-11-15
HISTORICAL
F688S/S D

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.

2024-09-19
HISTORICAL
F745S/S D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2024-09-19
HISTORICAL
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2024-09-19
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-07-10
HISTORICAL
F758S/S D

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.

2024-07-10
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-07-10
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-06-26
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-06-26
HISTORICAL
F584S/S D

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.

2024-06-26
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-06-26
HISTORICAL
F551S/S D

Give the resident's representative the ability to exercise the resident's rights.

2024-03-26
HISTORICAL
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2024-01-26
HISTORICAL
F805S/S E

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

2024-01-26
HISTORICAL
F578S/S E

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.

2024-01-26
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-01-26
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-01-26
HISTORICAL
F685S/S D

Assist a resident in gaining access to vision and hearing services.

2024-01-26
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-01-26
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-01-26
HISTORICAL
F582S/S D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.2

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

ALVARADO CARE CENTER — Federal Record

CMS overall 1/5 · 29 current-cycle deficiencies


Section 7 — Case Context

Your answers below fill this section.

  • Relationship:
  • What happened:
  • When:
  • Outcome:
  • Documentation:
  • Statement:

SECTION 7 — CASE CONTEXT

Add what you saw at ALVARADO CARE CENTER to this record

No call centers, no auctions. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. The federal record is a point-in-time inspection record and may understate what actually occurred. CareSentinel is operated by Nodal Logics LLC.

Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

What happened

What happened? Tap a category to see options — select all that apply. 'Other / I'm not sure' is fine.

No personal details on this step.

If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

Compare this facility on CMS’s own Care Compare →

Download the full federal record (PDF) →