CareSentinel

Compiled from official CMS federal data

VILLA SERENA HEALTHCARE CENTER, LONG BEACH, CA — Violations & Inspection Reports

CCN 055329 · 723 E 9TH STREET, LONG BEACH, CA, 90813

Record as of Jun 2026 · Updated monthly from CMS

Does VILLA SERENA HEALTHCARE CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), VILLA SERENA HEALTHCARE CENTER (CCN 055329), in LONG BEACH, CA, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 13 deficiencies; the most severe is rated E — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2026-02-09. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $26,685 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 Apr 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 Apr 2026.
  • 1 citation for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent May 2024.
  • 1 pressure-ulcer care citation (F686) — the consumer term is "bedsores"; most recent Jan 2025.
  • 1 nutrition and hydration citation (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Jan 2024.
  • 10 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

CMS has $26,685 in civil money penalties on file against this facility.

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

$26,685

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 ↓

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

2025-01-18
HISTORICAL
F600S/S J

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

2025-01-18
HISTORICAL
F678S/S J

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2026-02-09
CURRENT CYCLE
F755S/S E

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

46 more citations on file — Abuse & neglect 1 · Accidents & supervision 1 · Pressure ulcers 1 · Nutrition & hydration 1 · Medication & pharmacy 5 · Resident rights 6 · Other citations 28 (expand)
2026-04-29
CURRENT CYCLE
F658S/S D

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

2026-04-29
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.

2026-04-07
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2026-04-07
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2026-02-09
CURRENT CYCLE
F814S/S E

Dispose of garbage and refuse properly.

2026-02-09
CURRENT CYCLE
F730S/S D

Observe each nurse aide's job performance and give regular training.

2026-02-09
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.

2026-02-09
CURRENT CYCLE
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2026-02-09
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2026-02-09
CURRENT CYCLE
F912S/S B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

2026-02-09
CURRENT CYCLE
F911S/S B

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

2025-11-25
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-03-28
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-01-18
HISTORICAL
F887S/S F

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

2025-01-18
HISTORICAL
F912S/S F

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

2025-01-18
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2025-01-18
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.

2025-01-18
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2025-01-18
HISTORICAL
F881S/S E

Implement a program that monitors antibiotic use.

2025-01-18
HISTORICAL
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.

2025-01-18
HISTORICAL
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.

2025-01-18
HISTORICAL
F686S/S E

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

2025-01-18
HISTORICAL
F812S/S E

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

2025-01-18
HISTORICAL
F836S/S E

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

2025-01-18
HISTORICAL
F911S/S E

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

2025-01-18
HISTORICAL
F698S/S E

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

2025-01-18
HISTORICAL
F578S/S D

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.

2025-01-18
HISTORICAL
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2025-01-18
HISTORICAL
F755S/S D

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

2025-01-18
HISTORICAL
F554S/S D

Allow residents to self-administer drugs if determined clinically appropriate.

2025-01-18
HISTORICAL
F773S/S D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

2025-01-18
HISTORICAL
F800S/S D

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

2025-01-18
HISTORICAL
F805S/S D

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

2024-05-31
HISTORICAL
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.

2024-05-31
HISTORICAL
F689S/S D

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

2024-05-06
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2024-01-21
HISTORICAL
F908S/S F

Keep all essential equipment working safely.

2024-01-21
HISTORICAL
F812S/S F

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

2024-01-21
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-01-21
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-01-21
HISTORICAL
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2024-01-21
HISTORICAL
F692S/S D

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

2024-01-21
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-01-21
HISTORICAL
F770S/S D

Provide timely, quality laboratory services/tests to meet the needs of residents.

2024-01-21
HISTORICAL
F911S/S B

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

2024-01-21
HISTORICAL
F912S/S B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Overall CMS star rating

This facility: 5  ·  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

VILLA SERENA HEALTHCARE CENTER — Federal Record

CMS overall 5/5 · 13 current-cycle deficiencies


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SECTION 7 — CASE CONTEXT

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What happened

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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?

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