East Terrace Rehab: COVID Outbreak Unreported to State - CA
Later never came.
The facility never notified the California Department of Public Health about the outbreak, according to a complaint inspection completed August 12, 2025. The lapse sat undiscovered for more than a year.
A licensed vocational nurse identified in the inspection report as LVN 1 described what happened when the cases emerged. The Director of Nursing was told about the outbreak and instructed staff to handle it the way it should be handled, without specifying what that meant. When the cases were brought to the administrator, the response was the same: I will report it later. LVN 1 told inspectors the cases were never reported to CDPH. LVN 1 also told inspectors why that mattered: CDPH can investigate the outbreak.
East Terrace had logged the COVID-19 cases in the County of Los Angeles Public Health's online reporting system on July 30, 2024, at 5:37 p.m. That entry exists. The call to the state never happened.
The facility's own policies required it. A procedure titled Unusual Occurrence Reporting, updated as recently as June 12, 2024, stated the facility must report any disease outbreak by phone and in writing to the appropriate state and federal agencies. A second policy on communicable disease outbreaks, in place since 2012, defined an outbreak as a single case of a highly communicable infection and required that such outbreaks be promptly identified and reported.
COVID-19 qualifies. The facility's own staff said so.
During the August 12 inspection, a registered nurse reviewed the unusual occurrence policy with inspectors and confirmed it required reporting disease outbreaks to CDPH. The RN said reporting mattered because the state can do a deeper investigation of the outbreak.
The administrator did not dispute the failure. When inspectors sat down with the administrator that same afternoon, the administrator acknowledged the facility should have reported the COVID-19 cases to the state licensing agency. The administrator said CDPH would investigate an outbreak and make sure the facility followed guidelines to provide proper resident care.
That investigation never happened, because the call was never made.
The inspection cited the violation under F0880, the federal tag governing infection prevention and control. Inspectors rated the level of harm as minimal harm or potential for actual harm, and noted few residents were affected. Those characterizations reflect the regulatory floor for how the deficiency is categorized, not a finding that nothing went wrong for the people living in the building during an active COVID outbreak.
What the inspection does not contain is any account of what happened to residents while the outbreak went unreported, whether it spread, or how many people were sick. The record shows only that cases existed, that the state was never called, and that the people who knew about it, from the charge nurse on shift to the director of nursing to the administrator, either deferred to someone else or said they would get to it.
Nobody did.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for East Terrace Rehabilitation & Wellness Centre, Lp from 2025-08-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP in LOS ANGELES, CA was cited for violations during a health inspection on August 12, 2025.
The facility never notified the California Department of Public Health about the outbreak, according to a complaint inspection completed August 12, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.