Cottage Crest Post Acute

12350 Rosecrans · Norwalk, CA · 90650 · 5629216624

59 certified beds For profit - Limited Liability company Chain: David Johnson

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

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

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 76
Staffing 20% 81
Federal penalties 15% 40
Trend 10% 90
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: 4 of 5

Total nurse hours / resident-day4.503.48 min · 4.1 strong
RN hours / resident-day0.640.55–0.75
Weekend hours / resident-day3.96≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)3 · $66,245

Inspection citations (66 in the current record)

  • Potential for harm · D March 16, 2026 · found via complaint

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

    Corrected March 24, 2026 · Resident Rights

  • Potential for harm · D February 24, 2026 · 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 March 17, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 24, 2026 · found via complaint

    Provide activities to meet all resident's needs.

    Corrected March 17, 2026 · Quality of Life and Care

  • Potential for harm · D February 24, 2026 · found via complaint

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

    Corrected March 17, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D May 30, 2025

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

    Corrected June 20, 2025 · Resident Rights

  • Potential for harm · E May 30, 2025

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

    Corrected June 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 30, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected June 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 30, 2025

    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 June 20, 2025 · Quality of Life and Care

  • Potential for harm · D May 30, 2025

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

    Corrected June 20, 2025 · Pharmacy Service

  • Potential for harm · D May 30, 2025

    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 June 20, 2025 · Pharmacy Service

  • Potential for harm · E May 30, 2025

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

    Corrected June 20, 2025 · Nutrition and Dietary

  • Potential for harm · E May 30, 2025

    Implement a program that monitors antibiotic use.

    Corrected June 20, 2025 · Infection Control

  • Potential for harm · E May 30, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 20, 2025 · Infection Control

  • No harm found · B May 30, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected June 20, 2025 · Environmental

  • Potential for harm · D February 10, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 27, 2025 · Resident Rights

  • Potential for harm · D December 10, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 11, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 11, 2024 · 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 November 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 11, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 1, 2024 · Quality of Life and Care

  • Immediate jeopardy · K June 11, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 8, 2024 · Pharmacy Service

  • Potential for harm · E June 11, 2024

    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.

    Corrected July 8, 2024 · Resident Rights

  • Potential for harm · D June 11, 2024

    Assess the resident when there is a significant change in condition

    Corrected July 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E June 11, 2024

    Ensure each resident receives an accurate assessment.

    Corrected July 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected July 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected July 8, 2024 · Resident Assessment and Care Planning

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

Federal penalties

DateTypeAmount / length
June 11, 2024Fine$42,354
January 9, 2024Fine$16,445
October 9, 2023Fine$7,446

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055758 · certified since October 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.