Terrace Post Acute, Van Nuys, CA: Nursing home

Overall2★★☆☆☆

Inspections2★★☆☆☆

Staffing4★★★★☆

Quality4★★★★☆

Federal fines$94,0941 fine

Inspection citations

27’23

28’24

9’25

20’26

Year

84 shown

Date	Severity	What inspectors found	Visit
Jun 4, 2026	D · potential	Provide or get specialized rehabilitative services as required for a resident.	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	E · potential	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	Complaint
Apr 8, 2026	D · potential	Keep residents' personal and medical records private and confidential.	Complaint
Mar 6, 2026	D · potential	Provide and implement an infection prevention and control program.	Complaint
Jan 15, 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 15, 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.	Routine
Jan 15, 2026	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Jan 15, 2026	D · potential	Provide enough food/fluids to maintain a resident's health.	Complaint
Jan 15, 2026	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Jan 15, 2026	E · potential	Provide safe, appropriate pain management for a resident who requires such services.	Routine
Jan 15, 2026	D · potential	Observe each nurse aide's job performance and give regular training.	Routine
Jan 15, 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 15, 2026	E · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Jan 15, 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
Jan 15, 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 15, 2026	D · potential	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	Routine
Jan 15, 2026	D · potential	Dispose of garbage and refuse properly.	Routine
Jan 15, 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 15, 2026	D · potential	Provide and implement an infection prevention and control program.	Routine
Aug 26, 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	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.	Complaint
May 19, 2025	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
May 6, 2025	D · potential	Provide safe, appropriate pain management for a resident who requires such services.	Complaint
May 6, 2025	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Mar 7, 2025	D · potential	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	Complaint
Feb 8, 2025	D · potential	Provide and implement an infection prevention and control program.	Complaint
Jan 30, 2025	D · potential	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	Complaint
Jan 30, 2025	D · potential	Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.	Complaint
Dec 17, 2024	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Dec 6, 2024	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Nov 21, 2024	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
Nov 21, 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 21, 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
Nov 21, 2024	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
Nov 21, 2024	D · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Routine
Nov 21, 2024	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Nov 21, 2024	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Nov 21, 2024	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Nov 21, 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
Nov 21, 2024	E · potential	Ensure that residents are free from significant medication errors.	Routine
Nov 21, 2024	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Nov 21, 2024	E · potential	Provide and implement an infection prevention and control program.	Routine
Nov 14, 2024	D · potential	Provide and implement an infection prevention and control program.	Complaint
Oct 25, 2024	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Oct 4, 2024	D · potential	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	Complaint
Sep 18, 2024	D · potential	Reasonably accommodate the needs and preferences of each resident.	Complaint
Sep 18, 2024	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
Sep 18, 2024	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Sep 11, 2024	D · potential	Provide safe, appropriate pain management for a resident who requires such services.	Complaint
Sep 5, 2024	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Jul 25, 2024	E · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Jul 5, 2024	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
May 28, 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
May 17, 2024	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
May 7, 2024	D · potential	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	Complaint
May 7, 2024	E · potential	Make sure that a working call system is available in each resident's bathroom and bathing area.	Complaint
Dec 1, 2023	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Dec 1, 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 1, 2023	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
Dec 1, 2023	B · minimal	Assure that each resident’s assessment is updated at least once every 3 months.	Routine
Dec 1, 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 1, 2023	D · potential	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	Routine
Dec 1, 2023	D · potential	Provide care and assistance to perform activities of daily living for any resident who is unable.	Routine
Dec 1, 2023	D · potential	Provide appropriate foot care.	Routine
Dec 1, 2023	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Dec 1, 2023	G · harm	Provide enough food/fluids to maintain a resident's health.	Routine
Dec 1, 2023	D · potential	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	Routine
Dec 1, 2023	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Dec 1, 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 1, 2023	E · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Routine
Dec 1, 2023	E · potential	Ensure that residents are free from significant medication errors.	Routine
Dec 1, 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 1, 2023	E · potential	Provide timely, quality laboratory services/tests to meet the needs of residents.	Routine
Dec 1, 2023	D · potential	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	Routine
Dec 1, 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 1, 2023	D · potential	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	Routine
Dec 1, 2023	E · potential	Provide and implement an infection prevention and control program.	Routine
Dec 1, 2023	D · potential	Implement a program that monitors antibiotic use.	Routine
Nov 22, 2023	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Oct 18, 2023	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
Oct 18, 2023	G · harm	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	Complaint
Oct 18, 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
Oct 18, 2023	G · harm	Provide safe and appropriate respiratory care for a resident when needed.	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

Terrace Post Acute
7447 Sepulveda Blvd, Van Nuys, CA 91405 · (818) 787-3400

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): 555738
Certified beds: 133
Legal owner: Windsor Terrace Healthcare LLC
Part of: Windsor

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

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Terrace Post Acute

Inspection citations

Questions to ask on a visit

Record on file

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