Heritage Rehabilitation Center
21414 S. Vermont Avenue · Torrance, CA · 90502 · 3103208714
161 certified beds For profit - Limited Liability company Chain: Charis Trust Dtd 12/22/16
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 5 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
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.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 4.29 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 3 · $38,687 |
Inspection citations (59 in the current record)
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Potential for harm · D July 24, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 8, 2025 · Resident Rights
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Potential for harm · D July 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 13, 2025 · Quality of Life and Care
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Actual harm · G June 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 13, 2025 · Quality of Life and Care
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Potential for harm · E June 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 13, 2025 · Resident Rights
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Potential for harm · D June 13, 2025
Ensure each resident receives an accurate assessment.
Corrected July 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 13, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025
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.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 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 July 13, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 13, 2025 · Quality of Life and Care
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Potential for harm · E June 13, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 13, 2025 · Quality of Life and Care
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Potential for harm · E June 13, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 8, 2025 · Pharmacy Service
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Potential for harm · D June 13, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 13, 2025 · Pharmacy Service
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Potential for harm · D June 13, 2025
Ensure that residents are free from significant medication errors.
Corrected July 13, 2025 · Pharmacy Service
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Potential for harm · E June 13, 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 July 13, 2025 · Pharmacy Service
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Potential for harm · E June 13, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected July 13, 2025 · Quality of Life and Care
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Potential for harm · F June 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 13, 2025 · Nutrition and Dietary
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Potential for harm · D June 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · F June 13, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected July 13, 2025 · Administration
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Potential for harm · D June 13, 2025
Provide and implement an infection prevention and control program.
Corrected August 8, 2025 · Infection Control
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Potential for harm · F June 13, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 13, 2025 · Environmental
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Potential for harm · D May 7, 2025 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected May 25, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 13, 2024 | Fine | $29,234 |
| June 13, 2024 | Payment Denial | 2 days |
| October 26, 2023 | Fine | $3,728 |
| October 26, 2023 | Fine | $5,725 |
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 056308 · certified since July 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.