Vernon Healthcare Center

1037 W. Vernon Avenue · Los Angeles, CA · 90037 · 3232324895

99 certified beds For profit - Limited Liability company Chain: Pacific Healthcare Holdings

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: $124,799 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation 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.

$124,799 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 31
Serious harm & abuse 20% 66
Staffing 20% 20
Federal penalties 15% 0
Trend 10% 89
Context 5% 75

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: 4 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)3 · $178,438

Inspection citations (98 in the current record)

  • Potential for harm · D January 28, 2026 · found via complaint

    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 February 13, 2026 · Nursing and Physician Services

  • Potential for harm · D January 9, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 21, 2026 · Resident Rights

  • Potential for harm · D January 9, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected January 21, 2026 · Resident Rights

  • Potential for harm · D January 9, 2026

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

    Corrected January 21, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 21, 2026 · Quality of Life and Care

  • Potential for harm · D January 9, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 21, 2026 · Quality of Life and Care

  • Potential for harm · D January 9, 2026

    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 January 21, 2026 · Pharmacy Service

  • Potential for harm · D January 9, 2026

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected January 21, 2026 · Administration

  • Potential for harm · E January 9, 2026

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

    Corrected January 21, 2026 · Nutrition and Dietary

  • Potential for harm · D January 9, 2026

    Provide and implement an infection prevention and control program.

    Corrected January 21, 2026 · Infection Control

  • No harm found · B January 9, 2026

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

    Corrected January 21, 2026 · Environmental

  • Potential for harm · D December 9, 2025 · found via complaint

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected December 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 9, 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 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 9, 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

  • Potential for harm · D September 12, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected September 18, 2025 · Resident Rights

  • Potential for harm · D August 1, 2025 · found via complaint

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

    Corrected August 18, 2025 · Resident Rights

  • Potential for harm · D August 1, 2025 · found via complaint

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected August 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 1, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 6, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected June 30, 2025 · Quality of Life and Care

  • Immediate jeopardy · J May 5, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected May 6, 2025 · Resident Rights

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 25, 2025 · Quality of Life and Care

  • Potential for harm · D March 13, 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 March 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 20, 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 March 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 20, 2025 · found via complaint

    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 March 5, 2025 · Pharmacy Service

  • Potential for harm · D January 10, 2025

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected January 27, 2025 · Resident Rights

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

Federal penalties

DateTypeAmount / length
April 10, 2025Fine$17,345
July 31, 2024Fine$107,454
July 31, 2024Payment Denial45 days
May 24, 2024Fine$53,639
May 24, 2024Payment Denial24 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055167 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.