Park Avenue Healthcare & Wellness Center
1550 North Park Avenue · Pomona, CA · 91768 · 9096230791
231 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $56,049 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- 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.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$56,049 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $151,463 |
Inspection citations (139 in the current record)
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Potential for harm · D February 5, 2026 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected February 24, 2026 · Resident Rights
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Potential for harm · D February 5, 2026 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected February 24, 2026 · Resident Rights
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Potential for harm · D February 5, 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 February 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 5, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 24, 2026 · Quality of Life and Care
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Potential for harm · E December 11, 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 December 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025 · found via complaint
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 December 31, 2025 · Resident Rights
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Potential for harm · D December 9, 2025 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected December 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected December 29, 2025 · Nutrition and Dietary
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Potential for harm · D July 25, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 14, 2025 · Resident Rights
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Potential for harm · D July 25, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 13, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
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 · E July 25, 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 August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Observe each nurse aide's job performance and give regular training.
Corrected August 14, 2025 · Nursing and Physician Services
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Potential for harm · D July 25, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 14, 2025 · Pharmacy Service
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Potential for harm · E July 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 14, 2025 · Nutrition and Dietary
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Potential for harm · D July 25, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 25, 2025
Provide and implement an infection prevention and control program.
Corrected August 14, 2025 · Infection Control
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Potential for harm · E July 25, 2025
Keep all essential equipment working safely.
Corrected August 14, 2025 · Environmental
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Potential for harm · D July 25, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected August 13, 2025 · Environmental
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Potential for harm · E June 3, 2025 · 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 June 23, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 28, 2025 | Fine | $32,646 |
| January 16, 2025 | Fine | $23,403 |
| February 7, 2024 | Fine | $28,009 |
| July 19, 2023 | Fine | $67,405 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555852 · certified since September 8, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.