Laurel Park Behavioral Health Center
1425 Laurel Avenue · Pomona, CA · 91768 · 9096221069
43 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- 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).
- No federal fines or payment denials in CMS’s 3-year window.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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 9 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.78 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.44 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (48 in the current record)
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Potential for harm · D November 14, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 18, 2025 · Resident Rights
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Potential for harm · D November 14, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected November 18, 2025 · Resident Rights
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Potential for harm · D November 14, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected November 18, 2025 · Resident Rights
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Potential for harm · E November 14, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 14, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 14, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 18, 2025 · Quality of Life and Care
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No harm found · B November 14, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected November 18, 2025 · Environmental
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Immediate jeopardy · J August 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D June 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 15, 2025 · Quality of Life and Care
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Potential for harm · E December 20, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 13, 2025 · Resident Rights
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Potential for harm · D December 20, 2024
Ensure each resident receives an accurate assessment.
Corrected January 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 20, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 20, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 20, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · D December 20, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 13, 2025 · Nursing and Physician Services
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Potential for harm · D December 20, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected January 13, 2025 · Nursing and Physician Services
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Potential for harm · E December 20, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 13, 2025 · Pharmacy Service
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Potential for harm · D December 20, 2024
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.
Corrected January 13, 2025 · Pharmacy Service
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Potential for harm · D December 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 13, 2025 · Nutrition and Dietary
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Potential for harm · D December 20, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected January 13, 2025 · Administration
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Potential for harm · D December 20, 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 January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · B December 20, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected January 13, 2025 · Environmental
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Potential for harm · E December 5, 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 December 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 30, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 18, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 05A137 · certified since February 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.