Heritage Rehabilitation Center, Torrance, CA: Nursing home

Overall1★☆☆☆☆

Inspections1★☆☆☆☆

Staffing4★★★★☆

Quality4★★★★☆

Federal fines$147,1155 fines

Inspection citations

2’23

16’24

25’25

20’26

Year

63 shown

Date	Severity	What inspectors found	Visit
Aug 28, 2026	D · potential	Provide safe, appropriate pain management for a resident who requires such services.	Complaint
Aug 28, 2026	D · potential	Provide medically-related social services to help each resident achieve the highest possible quality of life.	Complaint
Jul 23, 2026	D · potential	Ensure that residents are fully informed and understand their health status, care and treatments.	Complaint
Jul 23, 2026	D · potential	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	Routine
Jul 23, 2026	E · potential	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	Routine
Jul 23, 2026	D · potential	Ensure each resident receives an accurate assessment.	Routine
Jul 23, 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.	Routine
Jul 23, 2026	E · potential	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	Routine
Jul 23, 2026	G · harm	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Jul 23, 2026	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Jul 23, 2026	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Jul 23, 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
Jul 23, 2026	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Jul 23, 2026	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Routine
Jul 23, 2026	D · potential	Ensure that residents are free from significant medication errors.	Routine
Jul 23, 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
Jul 23, 2026	D · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Jul 23, 2026	D · potential	Have a plan that describes the process for conducting QAPI and QAA activities.	Routine
Jul 23, 2026	E · potential	Provide and implement an infection prevention and control program.	Routine
Jul 23, 2026	D · potential	Implement a program that monitors antibiotic use.	Routine
Jul 24, 2025	D · potential	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	Complaint
Jul 23, 2025	D · potential	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	Complaint
Jul 23, 2025	D · potential	Respond appropriately to all alleged violations.	Complaint
Jun 13, 2025	E · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Jun 13, 2025	D · potential	Ensure each resident receives an accurate assessment.	Routine
Jun 13, 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.	Routine
Jun 13, 2025	D · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Routine
Jun 13, 2025	G · harm	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Jun 13, 2025	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Jun 13, 2025	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
Jun 13, 2025	G · harm	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Jun 13, 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.	Routine
Jun 13, 2025	D · potential	Provide enough food/fluids to maintain a resident's health.	Routine
Jun 13, 2025	E · potential	Provide safe, appropriate pain management for a resident who requires such services.	Routine
Jun 13, 2025	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Jun 13, 2025	D · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Jun 13, 2025	D · potential	Ensure that residents are free from significant medication errors.	Routine
Jun 13, 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.	Routine
Jun 13, 2025	E · potential	Provide routine and 24-hour emergency dental care for each resident.	Routine
Jun 13, 2025	F · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Jun 13, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Jun 13, 2025	F · potential	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	Routine
Jun 13, 2025	D · potential	Provide and implement an infection prevention and control program.	Routine
Jun 13, 2025	F · potential	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	Routine
May 7, 2025	D · potential	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	Complaint
Oct 22, 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.	Complaint
Aug 26, 2024	D · potential	Provide and implement an infection prevention and control program.	Complaint
Jun 13, 2024	E · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Jun 13, 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
Jun 13, 2024	D · potential	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	Routine
Jun 13, 2024	D · potential	PASARR screening for Mental disorders or Intellectual Disabilities	Routine
Jun 13, 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
Jun 13, 2024	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
Jun 13, 2024	G · harm	Provide enough food/fluids to maintain a resident's health.	Routine
Jun 13, 2024	G · harm	Provide safe, appropriate pain management for a resident who requires such services.	Routine
Jun 13, 2024	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.	Routine
Jun 13, 2024	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Jun 13, 2024	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
Jun 13, 2024	E · potential	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	Routine
Jun 13, 2024	F · potential	Provide and implement an infection prevention and control program.	Routine
Apr 3, 2024	E · potential	Provide and implement an infection prevention and control program.	Complaint
Nov 6, 2023	D · potential	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	Complaint
Oct 26, 2023	G · harm	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	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

Heritage Rehabilitation Center
21414 S. Vermont Avenue, Torrance, CA 90502 · (310) 320-8714

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): 056308
Certified beds: 161
Legal owner: Heritage Care, LLC
Part of: Charis Trust Dtd 12/22/16

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

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