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California Post Acute, Los Angeles, California
- 125
- Citations from health inspectionsCalifornia average: 50 a home
- 12
- Residents harmed or put in dangerCalifornia average: 1.2 a home
- $164,203
- Fines from the federal governmentCalifornia average: $23,986 a home
- 1 out of 5
- Overall rating in starsCalifornia average: 3.2
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
38 inspection visits produced 125 citations. Residents were in immediate danger in five findings. Residents were found hurt in seven cases. Federal fines came to $164,203 (three fines). Three times, Medicare stopped paying for new admissions.
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 2 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 4.03 hours each dayThe California average is 4.52 hours
- Time from registered nurses
- 0.28 hours each dayThe California average is 0.67 hours
- Nursing staff who left during one year
- 47.6%against the California average of 36.7%
- Beds that are certified
- 66
- Ownership
- Individual (for profit)
- Chain
- Serrano Group, with 11 homes
- Street address
- 909 S Lake Street, Los Angeles, California 90006
- County
- Los Angeles
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated May 20, 2026
- F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Feb. 6, 2026
One citation dated Jan. 21, 2026
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 18, 2025
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 17, 2025
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 13, 2025
- F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Aug. 11, 2025
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
24 citations dated July 26, 2025
- F912 Minimum Bedroom Size per Resident: minimal risk to residents, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents.
- F698 Dialysis Care: immediate danger to residents, one or a few residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents.
- F678 CPR and Basic Life Support: immediate danger to residents, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, a pattern, several residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
One citation dated July 1, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated May 20, 2025
Three citations dated May 9, 2025
- F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated March 20, 2025
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Jan. 16, 2025
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated Jan. 10, 2025
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Jan. 7, 2025
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
Two citations dated Dec. 19, 2024
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Dec. 5, 2024
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 3, 2024
One citation dated Oct. 28, 2024
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Oct. 24, 2024
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Oct. 8, 2024
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated Sept. 30, 2024
One citation dated Aug. 30, 2024
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated Aug. 15, 2024
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F573 Right to See and Copy Records: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Aug. 7, 2024
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Aug. 1, 2024
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated July 19, 2024
- F745 Medically Related Social Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
13 citations dated July 5, 2024
- F912 Minimum Bedroom Size per Resident: risk of harm, no one found hurt, a pattern, several residents.
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Two citations dated May 1, 2024
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated April 26, 2024
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated April 19, 2024
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Dec. 20, 2023
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 7, 2023
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, widespread, found on a complaint visit.
Three citations dated Dec. 6, 2023
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 2, 2023
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 1, 2023
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Four citations dated Sept. 13, 2023
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
- F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
25 citations dated March 14, 2022
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents.
- F912 Minimum Bedroom Size per Resident: minimal risk to residents, a pattern, several residents.
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F760 Significant Medication Errors: immediate danger to residents, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: immediate danger to residents, a pattern, several residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, a pattern, several residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, a pattern, several residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F675 Honor Resident Preferences, Values, and Beliefs: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| July 26, 2025 | Fine | $34,772 |
| July 26, 2025 | Payment denial for new admissions | nine days |
| Dec. 3, 2024 | Fine | $105,329 |
| Dec. 3, 2024 | Payment denial for new admissions | 35 days |
| Dec. 6, 2023 | Fine | $24,102 |
| Dec. 6, 2023 | Payment denial for new admissions | four days |
Ownership and Management of the Home
One person with an ownership stake is also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 055461. Other homes in Los Angeles.