Complaint Investigation

Vernon Healthcare Center

September 12, 2025 · Los Angeles, CA · 1037 W. Vernon Avenue

Citations 1

CMS Rating 1/5

Beds 99

Provider ID 055167

Healthcare Facility

Vernon Healthcare Center

Los Angeles, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

VERNON HEALTHCARE CENTER in LOS ANGELES, CA — inspection on September 12, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0627

Resident Rights Deficiencies

Potential for More Than Minimal Harm

During an interview on 9/12/2025 at 10:41 a.m., with the Director of Nursing (DON), the DON stated Resident 1 was transferred to the GACH on 8/15/2025 and Resident 1's last day of bed hold (a resident's right to keep a bed vacant and available for seven days after their transfer to the hospital in anticipation of their return to the facility) was 8/21/2025.

The DON stated Resident 1 should have been allowed to come back to the facility even after the seven days bed hold for Resident 1's continuity of care and to prevent Resident 1 from feeling abandoned and social isolation.

The DON stated the facility could meet the needs of Resident 1 and there was no reason to deny Resident 1's readmission to the facility.

During an interview on 9/12/2025 at 11:15 a.m., with the ADM, the ADM stated she accepted the responsibility by not allowing Resident 1's return to the facility.

The ADM stated the risk of denying readmission to a resident could result in violation of resident's rights.

During a review of the facility's policy and procedure (P&P) titled, Readmission, dated 10/1/2023, the P&P indicated, The facility will allow residents who were previously residents of the facility to be readmitted to the facility.During a review of the facility's P&P titled, Bed Hold, dated 7/2017, the P&P indicated, In the event that the resident is in the hospital for more than seven (7) days, meets the standards for skilled nursing care, and is Medi-Cal/Medicaid eligible, the facility will readmit the resident to his/her previous room or the first available bed in a semi-private room.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LOS ANGELES, CA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from VERNON HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.