Avalon Villa Care Center, Los Angeles, CA: Nursing home

Overall1★☆☆☆☆

Inspections1★☆☆☆☆

Staffing2★★☆☆☆

Quality4★★★★☆

Federal fines$86,7822 fines

Inspection citations

26’23

4’24

68’25

30’26

Year

128 shown

Date	Severity	What inspectors found	Visit
Jun 6, 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 30, 2026	D · potential	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	Complaint
Apr 30, 2026	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Mar 12, 2026	D · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Complaint
Jan 27, 2026	D · potential	Provide care and assistance to perform activities of daily living for any resident who is unable.	Complaint
Jan 8, 2026	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Jan 8, 2026	D · potential	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	Routine
Jan 8, 2026	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Jan 8, 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.	Routine
Jan 8, 2026	D · potential	Ensure each resident receives an accurate assessment.	Routine
Jan 8, 2026	E · potential	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	Routine
Jan 8, 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
Jan 8, 2026	D · potential	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	Routine
Jan 8, 2026	D · potential	Provide care and assistance to perform activities of daily living for any resident who is unable.	Routine
Jan 8, 2026	E · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Jan 8, 2026	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Jan 8, 2026	G · harm	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
Jan 8, 2026	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Jan 8, 2026	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Jan 8, 2026	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
Jan 8, 2026	E · potential	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.	Routine
Jan 8, 2026	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Jan 8, 2026	D · 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
Jan 8, 2026	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
Jan 8, 2026	E · potential	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	Routine
Jan 8, 2026	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Jan 8, 2026	D · potential	Provide or get specialized rehabilitative services as required for a resident.	Routine
Jan 8, 2026	E · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Jan 8, 2026	E · potential	Provide and implement an infection prevention and control program.	Routine
Jan 8, 2026	D · potential	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	Routine
Dec 23, 2025	D · potential	Ensure that residents are fully informed and understand their health status, care and treatments.	Complaint
Dec 23, 2025	D · potential	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	Complaint
Dec 23, 2025	D · potential	Provide enough space and equipment to meet each resident's needs	Complaint
Dec 12, 2025	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Complaint
Dec 12, 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
Dec 12, 2025	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
Dec 12, 2025	D · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Complaint
Dec 12, 2025	D · potential	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.	Complaint
Dec 12, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Nov 21, 2025	D · potential	Provide safe, appropriate dialysis care/services for a resident who requires such services.	Complaint
Sep 19, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Sep 19, 2025	D · potential	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	Complaint
Sep 11, 2025	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Complaint
Sep 11, 2025	D · potential	Reasonably accommodate the needs and preferences of each resident.	Complaint
Sep 11, 2025	F · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Complaint
Sep 11, 2025	F · potential	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	Complaint
Aug 19, 2025	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Aug 19, 2025	D · potential	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	Complaint
Aug 19, 2025	D · potential	Employ staff that are licensed, certified, or registered in accordance with state laws.	Complaint
Aug 6, 2025	D · potential	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	Complaint
Aug 6, 2025	D · potential	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	Complaint
Aug 6, 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
Aug 6, 2025	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.	Complaint
Jul 29, 2025	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Jul 29, 2025	D · potential	Provide and implement an infection prevention and control program.	Complaint
Jun 17, 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
Jun 17, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Jun 6, 2025	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Complaint
Jun 6, 2025	D · potential	Ensure that residents are free from significant medication errors.	Complaint
May 21, 2025	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
May 21, 2025	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Complaint
Apr 16, 2025	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.	Complaint
Apr 16, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Feb 25, 2025	D · potential	Reasonably accommodate the needs and preferences of each resident.	Complaint
Feb 25, 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
Feb 25, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Feb 25, 2025	D · potential	Ensure that residents are free from significant medication errors.	Complaint
Feb 25, 2025	D · potential	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	Complaint
Jan 31, 2025	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Jan 31, 2025	D · potential	Ensure that residents are fully informed and understand their health status, care and treatments.	Routine
Jan 31, 2025	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Jan 31, 2025	D · potential	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	Routine
Jan 31, 2025	F · 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
Jan 31, 2025	F · potential	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Routine
Jan 31, 2025	D · potential	Ensure each resident receives an accurate assessment.	Routine
Jan 31, 2025	D · potential	PASARR screening for Mental disorders or Intellectual Disabilities	Routine
Jan 31, 2025	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
Jan 31, 2025	D · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Routine
Jan 31, 2025	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Jan 31, 2025	J · harm	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Jan 31, 2025	D · potential	Provide enough food/fluids to maintain a resident's health.	Routine
Jan 31, 2025	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Jan 31, 2025	D · potential	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	Routine
Jan 31, 2025	D · potential	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	Routine
Jan 31, 2025	F · 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
Jan 31, 2025	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Jan 31, 2025	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Routine
Jan 31, 2025	D · 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
Jan 31, 2025	D · 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
Jan 31, 2025	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
Jan 31, 2025	E · potential	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Routine
Jan 31, 2025	D · potential	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	Routine
Jan 31, 2025	D · potential	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	Routine
Jan 31, 2025	D · potential	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	Routine
Jan 31, 2025	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Jan 31, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Jan 31, 2025	D · potential	Hire a qualified full-time social worker in a facility with more than 120 beds.	Routine
Jan 31, 2025	F · potential	Provide and implement an infection prevention and control program.	Routine
Mar 6, 2024	D · potential	Provide and implement an infection prevention and control program.	Complaint
Jan 24, 2024	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
Jan 24, 2024	D · potential	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	Complaint
Jan 24, 2024	G · harm	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
Dec 29, 2023	E · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Complaint
Dec 29, 2023	D · potential	Reasonably accommodate the needs and preferences of each resident.	Complaint
Dec 29, 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.	Complaint
Dec 29, 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.	Complaint
Dec 29, 2023	D · potential	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	Complaint
Dec 29, 2023	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Dec 29, 2023	D · potential	Assist a resident in gaining access to vision and hearing services.	Complaint
Dec 29, 2023	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
Dec 29, 2023	E · 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
Dec 29, 2023	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Dec 29, 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 29, 2023	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Complaint
Dec 29, 2023	E · potential	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	Complaint
Dec 29, 2023	D · 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.	Complaint
Dec 29, 2023	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.	Complaint
Dec 29, 2023	E · potential	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Complaint
Dec 29, 2023	D · potential	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	Complaint
Dec 29, 2023	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Complaint
Dec 29, 2023	F · potential	Have a plan that describes the process for conducting QAPI and QAA activities.	Complaint
Dec 29, 2023	E · potential	Provide and implement an infection prevention and control program.	Complaint
Dec 29, 2023	D · potential	Develop and implement policies and procedures for flu and pneumonia vaccinations.	Complaint
Dec 19, 2023	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
Dec 1, 2023	D · potential	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	Complaint
Nov 1, 2023	D · potential	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	Complaint
Oct 19, 2023	D · potential	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	Complaint
Oct 16, 2023	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

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

Avalon Villa Care Center
12029 Avalon Blvd, Los Angeles, CA 90061 · (323) 756-8191

Visit date: ____________ Spoke with: ______________________

How many nurses and aides work each shift, including nights and weekends?
How do you handle the most recent citations on your record?
Do you accept Medi-Cal if private funds run out?
Who will be the main contact for the family?
How do you prevent falls, pressure sores and infections?

Record on file

Certification: Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN): 056023
Certified beds: 131
Legal owner: Avalon Villa Health Care LLC

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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