Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
26’23
44’24
13’25
68’26
151 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 23, 2026 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jul 23, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jul 23, 2026 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Jul 23, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jul 17, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Complaint |
| Jul 17, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 23, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jun 23, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jun 23, 2026 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 23, 2026 | D · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Complaint |
| Jun 23, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 11, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Complaint |
| Jun 11, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| May 12, 2026 | D · potential | Protect each resident from the wrongful use of the resident's belongings or money. | Complaint |
| May 12, 2026 | E · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| May 12, 2026 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Apr 24, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Apr 24, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 24, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Apr 24, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Apr 24, 2026 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 21, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Apr 21, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Complaint |
| Apr 21, 2026 | D · potential | Implement a program that monitors antibiotic use. | Complaint |
| Apr 8, 2026 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Apr 6, 2026 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Complaint |
| Mar 16, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Mar 12, 2026 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 12, 2026 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Mar 12, 2026 | E · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Mar 12, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Mar 12, 2026 | D · potential | 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. | Routine |
| Mar 12, 2026 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Mar 12, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Mar 12, 2026 | D · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Mar 12, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Mar 12, 2026 | E · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Mar 12, 2026 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 12, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Mar 12, 2026 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Mar 12, 2026 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Mar 12, 2026 | D · potential | 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. | Routine |
| Mar 12, 2026 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Mar 12, 2026 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Mar 12, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Mar 12, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Mar 12, 2026 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Routine |
| Mar 12, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 12, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 12, 2026 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Mar 12, 2026 | E · potential | 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. | Routine |
| Mar 12, 2026 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Mar 12, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 12, 2026 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Mar 12, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 12, 2026 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Mar 12, 2026 | E · potential | Keep all essential equipment working safely. | Routine |
| Mar 12, 2026 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Mar 4, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 4, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Jan 31, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jan 31, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 31, 2026 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Jan 31, 2026 | J · harm | Provide and implement an infection prevention and control program. | Complaint |
| Jan 14, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 14, 2026 | D · potential | 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. | Complaint |
| Jan 14, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 14, 2026 | E · potential | Implement a program that monitors antibiotic use. | Complaint |
| Dec 9, 2025 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Complaint |
| Dec 9, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Dec 9, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Dec 8, 2025 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Dec 8, 2025 | B · minimal | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Dec 8, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 20, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Apr 10, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 10, 2025 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Apr 10, 2025 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Apr 10, 2025 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Apr 10, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 31, 2025 | J · harm | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Dec 20, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Dec 20, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Dec 20, 2024 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Dec 20, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Dec 20, 2024 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Routine |
| Dec 20, 2024 | B · minimal | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Dec 20, 2024 | B · minimal | Ensure each resident receives an accurate assessment. | Routine |
| Dec 20, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Dec 20, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Dec 20, 2024 | D · potential | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Routine |
| Dec 20, 2024 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Dec 20, 2024 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Dec 20, 2024 | D · potential | 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. | Routine |
| Dec 20, 2024 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Dec 20, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Dec 20, 2024 | D · potential | 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. | Routine |
| Dec 20, 2024 | D · potential | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Routine |
| Dec 20, 2024 | D · potential | 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. | Routine |
| Dec 20, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Dec 20, 2024 | E · potential | 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. | Routine |
| Dec 20, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Dec 20, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Dec 20, 2024 | E · potential | 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. | Routine |
| Dec 20, 2024 | E · potential | 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. | Routine |
| Dec 20, 2024 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Dec 20, 2024 | E · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Dec 20, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 20, 2024 | E · potential | 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. | Routine |
| Dec 20, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 20, 2024 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Aug 12, 2024 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Aug 12, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jun 20, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jun 20, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 20, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| May 22, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Complaint |
| May 22, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Complaint |
| May 7, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| May 7, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| May 7, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Apr 17, 2024 | G · harm | Plan the resident's discharge to meet the resident's goals and needs. | Complaint |
| Apr 17, 2024 | F · potential | Hire a qualified full-time social worker in a facility with more than 120 beds. | Complaint |
| Jan 22, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 19, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 29, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 29, 2023 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Dec 28, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Dec 28, 2023 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Dec 28, 2023 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 14, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Dec 14, 2023 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Dec 14, 2023 | E · potential | 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. | Routine |
| Dec 14, 2023 | D · potential | Assess the resident when there is a significant change in condition | Routine |
| Dec 14, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Dec 14, 2023 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Dec 14, 2023 | D · potential | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Routine |
| Dec 14, 2023 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Dec 14, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Dec 14, 2023 | D · potential | 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. | Routine |
| Dec 14, 2023 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Dec 14, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Dec 14, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Dec 14, 2023 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Dec 14, 2023 | E · potential | 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. | Routine |
| Dec 14, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 14, 2023 | D · potential | Keep all essential equipment working safely. | Routine |
| Dec 14, 2023 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Nov 6, 2023 | D · potential | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Complaint |
| Oct 30, 2023 | D · potential | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Complaint |
| Oct 5, 2023 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Burbank Healthcare & Rehab
1041 S. Main St., Burbank, CA 91506 · (818) 843-2330
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056129
- Certified beds
- 188
- Legal owner
- Burbank Healthcare LLC
- Part of
- Longwood Management Corporation
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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