Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

August 28, 2025 Complaint Investigation

August 20, 2025 Complaint Investigation

Fines and Penalties by Year

2021 1 penalties totaling $650

$650
Jul 19, 2021

Fine

2018 1 penalties totaling $6,633

$6,633
Dec 6, 2018

Fine

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Health Violations by Year

2025 4 violations

Tag 0609 D May 28, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 17, 2025
Tag 0627 D May 16, 2025

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

✓ Corrected: May 23, 2025
Tag 0603 D Feb 12, 2025

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

✓ Corrected: Mar 5, 2025
Tag 0880 E Feb 3, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 14, 2025

2024 6 violations

Tag 0726 D Jul 30, 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: Aug 20, 2024
Tag 0880 E Jul 30, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 20, 2024
Tag 0726 D Apr 23, 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: May 16, 2024
Tag 0755 E Apr 23, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 16, 2024
Tag 0656 D Apr 9, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 22, 2024
Tag 0880 E Jan 12, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 31, 2024

2023 20 violations

Tag 0550 D Nov 16, 2023

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

✓ Corrected: Jan 12, 2024
Tag 0558 D Nov 16, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 12, 2024
Tag 0623 D Nov 16, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jan 12, 2024
Tag 0689 G Nov 16, 2023

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

✓ Corrected: Jan 12, 2024
Tag 0693 D Nov 16, 2023

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: Jan 12, 2024
Tag 0695 D Nov 16, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 12, 2024
Tag 0758 D Nov 16, 2023

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: Jan 12, 2024
Tag 0759 E Nov 16, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jan 12, 2024
Tag 0761 D Nov 16, 2023

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: Jan 12, 2024
Tag 0812 E Nov 16, 2023

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

✓ Corrected: Jan 12, 2024
Tag 0912 E Nov 16, 2023

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

✓ Corrected: Jan 12, 2024
Tag 0657 D Sep 22, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Oct 22, 2023
Tag 0609 D Aug 23, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 14, 2023
Tag 0610 D Aug 23, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Sep 14, 2023
Tag 0689 G Aug 23, 2023

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

✓ Corrected: Sep 14, 2023
Tag 0812 D Jul 12, 2023

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

✓ Corrected: Jul 28, 2023
Tag 0600 G May 12, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 30, 2023
Tag 0609 D May 12, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 30, 2023
Tag 0607 D Mar 1, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Mar 10, 2023
Tag 0712 D Mar 1, 2023

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

✓ Corrected: Mar 10, 2023

2022 19 violations

Tag 0558 D Dec 16, 2022

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 19, 2023
Tag 0578 D Dec 16, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jan 19, 2023
Tag 0638 E Dec 16, 2022

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Jan 19, 2023
Tag 0686 D Dec 16, 2022

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

✓ Corrected: Jan 19, 2023
Tag 0689 D Dec 16, 2022

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

✓ Corrected: Jan 19, 2023
Tag 0693 D Dec 16, 2022

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: Jan 19, 2023
Tag 0695 E Dec 16, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 19, 2023
Tag 0732 E Dec 16, 2022

Post nurse staffing information every day.

✓ Corrected: Jan 19, 2023
Tag 0812 E Dec 16, 2022

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

✓ Corrected: Jan 19, 2023
Tag 0880 E Dec 16, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 19, 2023
Tag 0908 D Dec 16, 2022

Keep all essential equipment working safely.

✓ Corrected: Jan 19, 2023
Tag 0912 B Dec 16, 2022

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

Tag 0880 D Nov 29, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 6, 2023
Tag 0609 D Sep 19, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 24, 2022
Tag 0760 D Aug 18, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 2, 2022
Tag 0880 E Aug 10, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 24, 2022
Tag 0880 E Apr 7, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 18, 2022
Tag 0880 E Mar 2, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 15, 2022
Tag 0880 E Feb 3, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 11, 2022

2021 5 violations

Tag 0880 D Sep 14, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 30, 2021
Tag 0609 D Jul 10, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 20, 2021
Tag 0610 D Jul 10, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Jul 20, 2021
Tag 0758 D Jul 10, 2021

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: Jul 20, 2021
Tag 0842 D Jul 10, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jul 20, 2021

2020 1 violations

Tag 0689 D Mar 2, 2020

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

✓ Corrected: Mar 10, 2020

2019 22 violations

Tag 0554 D Oct 17, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Oct 28, 2019
Tag 0804 D Sep 18, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Sep 24, 2019
Tag 0806 D Sep 18, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Sep 24, 2019
Tag 0812 E Sep 18, 2019

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

✓ Corrected: Sep 24, 2019
Tag 0558 D Jul 16, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Aug 8, 2019
Tag 0583 D Jul 16, 2019

Keep residents' personal and medical records private and confidential.

✓ Corrected: Aug 8, 2019
Tag 0655 D Jul 16, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Aug 8, 2019
Tag 0657 D Jul 16, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 8, 2019
Tag 0686 D Jul 16, 2019

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

✓ Corrected: Aug 8, 2019
Tag 0689 D Jul 16, 2019

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

✓ Corrected: Aug 8, 2019
Tag 0694 D Jul 16, 2019

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Aug 8, 2019
Tag 0695 D Jul 16, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 8, 2019
Tag 0726 D Jul 16, 2019

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: Aug 8, 2019
Tag 0756 D Jul 16, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Aug 8, 2019
Tag 0761 E Jul 16, 2019

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: Aug 8, 2019
Tag 0812 E Jul 16, 2019

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

✓ Corrected: Aug 8, 2019
Tag 0880 D Jul 16, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 8, 2019
Tag 0912 B Jul 16, 2019

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

Tag 0602 D Mar 5, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Mar 15, 2019
Tag 0620 D Mar 5, 2019

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

✓ Corrected: Mar 15, 2019

2018 12 violations

Tag 0689 G Dec 6, 2018

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

✓ Corrected: Jan 23, 2019
Tag 0550 D Jul 13, 2018

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

✓ Corrected: Aug 8, 2018
Tag 0577 B Jul 13, 2018

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

✓ Corrected: Aug 8, 2018
Tag 0578 E Jul 13, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Aug 8, 2018
Tag 0658 E Jul 13, 2018

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

✓ Corrected: Aug 8, 2018
Tag 0677 E Jul 13, 2018

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

✓ Corrected: Aug 8, 2018
Tag 0695 E Jul 13, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 8, 2018
Tag 0759 E Jul 13, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 8, 2018
Tag 0880 D Jul 13, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 8, 2018
Tag 0912 B Jul 13, 2018

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

Tag 0600 D Jul 9, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 16, 2018
Tag 0241 D Feb 5, 2018

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Feb 12, 2018

2017 28 violations

Tag 0154 D Jul 11, 2017

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

✓ Corrected: Aug 11, 2017
Tag 0155 D Jul 11, 2017

Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

✓ Corrected: Aug 11, 2017
Tag 0156 B Jul 11, 2017

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Aug 11, 2017
Tag 0167 B Jul 11, 2017

Allow residents to easily view the results of the nursing home's most recent inspection.

✓ Corrected: Aug 11, 2017
Tag 0170 E Jul 11, 2017

Send unopened mail from residents and promptly deliver unopened mail to residents.

✓ Corrected: Aug 11, 2017
Tag 0176 D Jul 11, 2017

Allow residents to self-administer drugs if determined safe.

✓ Corrected: Aug 11, 2017
Tag 0241 D Jul 11, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Aug 11, 2017
Tag 0250 D Jul 11, 2017

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Aug 11, 2017
Tag 0252 D Jul 11, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Aug 11, 2017
Tag 0257 D Jul 11, 2017

Maintain comfortable and safe temperature levels.

✓ Corrected: Aug 11, 2017
Tag 0278 D Jul 11, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Aug 11, 2017
Tag 0279 D Jul 11, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 11, 2017
Tag 0309 D Jul 11, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Aug 11, 2017
Tag 0314 E Jul 11, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Aug 11, 2017
Tag 0315 D Jul 11, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Aug 11, 2017
Tag 0318 D Jul 11, 2017

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Aug 11, 2017
Tag 0323 D Jul 11, 2017

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

✓ Corrected: Aug 11, 2017
Tag 0325 D Jul 11, 2017

Ensure residents maintain acceptable nutritional status.

✓ Corrected: Aug 11, 2017
Tag 0329 D Jul 11, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Aug 11, 2017
Tag 0334 B Jul 11, 2017

Develop policies and procedures for influenza and pneumococcal immunizations.

✓ Corrected: Aug 11, 2017
🏥 Facility Summary

GARDEN CREST REHABILITATION CENTER is a 3-star nursing home in LOS ANGELES, CA with 72 beds.

Most recent inspection: Data not available. No current violations on record.

📞 3236638281
📍 909 LUCILE AVE., LOS ANGELES, CA
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About GARDEN CREST REHABILITATION CENTER

What violations has GARDEN CREST REHABILITATION CENTER received?
GARDEN CREST REHABILITATION CENTER has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of GARDEN CREST REHABILITATION CENTER?
GARDEN CREST REHABILITATION CENTER has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
When was GARDEN CREST REHABILITATION CENTER last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is GARDEN CREST REHABILITATION CENTER safe?
Safety at GARDEN CREST REHABILITATION CENTER should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact GARDEN CREST REHABILITATION CENTER?
Phone: 3236638281. Address: 909 LUCILE AVE., LOS ANGELES, CA. For visiting hours and admission information, call the facility directly.
What services does GARDEN CREST REHABILITATION CENTER offer?
GARDEN CREST REHABILITATION CENTER is a skilled nursing facility with 72 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near LOS ANGELES, CA?
Compare GARDEN CREST REHABILITATION CENTER with other nursing homes in LOS ANGELES, CA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.