The Ellison John Transitional Care Center
43830 10th Street West · Lancaster, CA · 93534 · 6614948600
170 certified beds For profit - Individual Chain: Pursue Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $141,155 in fines in the last 24 months.
- 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.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$141,155 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: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 4.45 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 3 · $205,171 |
Inspection citations (115 in the current record)
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Potential for harm · E March 25, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D March 20, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · D March 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 April 17, 2026 · Resident Rights
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Potential for harm · E March 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 April 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 20, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 17, 2026 · Pharmacy Service
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Potential for harm · D March 20, 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 April 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 5, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 22, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 22, 2026 · Pharmacy Service
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Potential for harm · D December 30, 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 31, 2025 · Pharmacy Service
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Potential for harm · E December 26, 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 29, 2025 · Pharmacy Service
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Potential for harm · D December 1, 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 December 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 1, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 11, 2025 · Quality of Life and Care
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Potential for harm · E December 1, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 11, 2025 · Pharmacy Service
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Potential for harm · D December 1, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected December 11, 2025 · Administration
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Potential for harm · D December 1, 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 11, 2025 · Resident Assessment and Care Planning
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Actual harm · G November 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 4, 2025 · Quality of Life and Care
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Potential for harm · D November 12, 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 December 4, 2025 · Resident Rights
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Potential for harm · D November 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 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 September 25, 2025 · Resident Rights
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Potential for harm · D September 11, 2025 · found via complaint
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 September 25, 2025 · Pharmacy Service
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Potential for harm · D July 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 1, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected May 12, 2025 · Administration
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Potential for harm · D April 22, 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 May 9, 2025 · Resident Rights
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Potential for harm · D April 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 9, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 12, 2025 | Fine | $15,935 |
| November 20, 2024 | Fine | $125,220 |
| November 20, 2024 | Payment Denial | 17 days |
| December 17, 2023 | Fine | $64,016 |
| December 17, 2023 | Payment Denial | 4 days |
Better-scoring options nearby
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 555904 · certified since September 19, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.