Alvarado Care Center

1154 S.Alvarado St · Los Angeles, CA · 90006 · 2133851715

72 certified beds For profit - Limited Liability company

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $49,200 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 26
Serious harm & abuse 20% 70
Staffing 20% 74
Federal penalties 15% 30
Trend 10% 32
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.983.48 min · 4.1 strong
RN hours / resident-day0.440.55–0.75
Weekend hours / resident-day3.63≈ weekday level
Nursing turnover / year24%median 45%
Fines (3-yr window)2 · $90,600

Inspection citations (63 in the current record)

  • Potential for harm · D April 20, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 7, 2026 · Resident Rights

  • Potential for harm · D April 20, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 20, 2026 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected May 7, 2026 · Environmental

  • Potential for harm · D January 23, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 13, 2026 · Resident Rights

  • Potential for harm · D January 23, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 13, 2026 · Resident Rights

  • Potential for harm · E January 23, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 23, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 13, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected February 13, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 23, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 13, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 23, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 13, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · E January 23, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · D January 23, 2026

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · E January 23, 2026

    Ensure that residents are free from significant medication errors.

    Corrected February 13, 2026 · Pharmacy Service

  • Potential for harm · E January 23, 2026

    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.

    Corrected February 13, 2026 · Pharmacy Service

  • Potential for harm · E January 23, 2026

    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.

    Corrected February 13, 2026 · Nutrition and Dietary

  • Potential for harm · E January 23, 2026

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected February 13, 2026 · Nutrition and Dietary

  • Potential for harm · E January 23, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 13, 2026 · Nutrition and Dietary

  • Potential for harm · D December 9, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 26, 2025 · Pharmacy Service

  • Potential for harm · D December 9, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected December 26, 2025 · Pharmacy Service

  • Potential for harm · D September 5, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 5, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 5, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · D September 5, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 25, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J August 22, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 16, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 22, 2025Fine$49,200
August 22, 2025Payment Denial2 days
June 26, 2024Fine$41,400

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056157 · certified since May 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.