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
13’23
50’24
10’25
35’26
108 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Apr 27, 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 2, 2026 | D · potential | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Complaint |
| Apr 2, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Feb 20, 2026 | E · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Feb 20, 2026 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Feb 20, 2026 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Routine |
| Feb 20, 2026 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Feb 20, 2026 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Feb 20, 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 |
| Feb 20, 2026 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Feb 20, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Feb 20, 2026 | 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. | Routine |
| Feb 20, 2026 | E · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Feb 20, 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 |
| Feb 20, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Feb 20, 2026 | 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 |
| Feb 20, 2026 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Feb 20, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 20, 2026 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Feb 20, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 20, 2026 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Feb 20, 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 |
| Feb 20, 2026 | D · potential | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Routine |
| Feb 20, 2026 | D · 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 |
| Feb 20, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 20, 2026 | F · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Feb 20, 2026 | F · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Feb 20, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 20, 2026 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Feb 20, 2026 | E · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Feb 20, 2026 | E · potential | 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. | Routine |
| Feb 20, 2026 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Feb 5, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Feb 5, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 5, 2026 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Dec 2, 2025 | D · potential | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Complaint |
| Dec 2, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Sep 10, 2025 | 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 |
| Sep 10, 2025 | E · 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 |
| Sep 10, 2025 | D · potential | Provide or arrange emergency care by a doctor 24 hours a day. | Complaint |
| May 9, 2025 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| May 9, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| May 9, 2025 | 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 |
| May 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 |
| Jan 31, 2025 | 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. | Complaint |
| Dec 20, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Dec 20, 2024 | 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 20, 2024 | D · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| Dec 20, 2024 | D · potential | 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. | 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 | 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 | 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 |
| Dec 20, 2024 | E · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Dec 20, 2024 | D · potential | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | 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 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | 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 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 | F · 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 | Provide and implement an infection prevention and control program. | Routine |
| Dec 12, 2024 | D · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
| Nov 18, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Nov 4, 2024 | 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. | Complaint |
| Oct 23, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 23, 2024 | D · potential | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Complaint |
| Oct 23, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Oct 23, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Sep 9, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Aug 20, 2024 | E · potential | 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. | Complaint |
| Jun 18, 2024 | E · potential | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Complaint |
| May 13, 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 |
| Feb 23, 2024 | 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 23, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 20, 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 |
| Feb 20, 2024 | 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 20, 2024 | J · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 19, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jan 19, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jan 19, 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 19, 2024 | E · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Jan 19, 2024 | E · potential | Respond appropriately to all alleged violations. | Routine |
| Jan 19, 2024 | E · potential | Provide activities to meet all resident's needs. | Routine |
| Jan 19, 2024 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jan 19, 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 |
| Jan 19, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jan 19, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jan 19, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 19, 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 |
| Jan 19, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 19, 2024 | F · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Jan 19, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 19, 2024 | E · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Jan 19, 2024 | F · potential | Keep all essential equipment working safely. | Routine |
| Jan 19, 2024 | E · potential | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Routine |
| Dec 4, 2023 | 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 |
| Dec 4, 2023 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 4, 2023 | E · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Complaint |
| Dec 4, 2023 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 4, 2023 | D · potential | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Complaint |
| Dec 3, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Dec 3, 2023 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Dec 3, 2023 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 3, 2023 | D · potential | Implement a program that monitors antibiotic use. | Complaint |
| Dec 3, 2023 | E · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Complaint |
| Dec 3, 2023 | E · potential | 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. | Complaint |
| Oct 28, 2023 | F · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 27, 2023 | D · potential | Keep residents' personal and medical records private and confidential. | 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
Studebaker Healthcare Center
13226 Studebaker Rd, Norwalk, CA 90650 · (562) 868-0591
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056425
- Certified beds
- 99
- Legal owner
- Studebaker Healthcare Center LLC
- Part of
- Aaron Mayer
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
Is this your business, or is something wrong? Request a correction. It's free, and we never charge to be listed.
Other nursing homes in Norwalk
- The Springs Post-Acute2 of 5 stars overall
- Intercommunity Healthcare & Rehabilitation Center1 of 5 stars overall
- Cottage Crest Post Acute3 of 5 stars overall
- Southland2 of 5 stars overall
- Norwalk Skilled Nursing & Wellness Centre, LLC2 of 5 stars overall
- Dept of State Hospitals - Metropolitan SNF2 of 5 stars overall
Nursing homes near Norwalk
- Nursing homes in Norwalk
- Nursing homes in Los Angeles 78
- Nursing homes in Long Beach 25
- Nursing homes in Glendale 13
- Nursing homes in Pasadena 13
- Nursing homes in Santa Monica 12
- Nursing homes in Torrance 12
- Nursing homes in El Monte 11
- Nursing homes in Pomona 9
- Nursing homes in Gardena 8
- Nursing homes in North Hollywood 7
- Nursing homes in San Gabriel 7
- Nursing homes in Whittier 7
- Search near Norwalk on a map
- All senior living and care in Norwalk