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Nursing HomeMedicaid Investigative

Astoria Healthcare Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

14040 Astoria Street, Sylmar · Sylmar, CA 91342218 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 15 Google reviews

5
4
3
2
1
Astoria Healthcare Center Nursing Home in Sylmar, CA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (51 vs median 13.0)

Bottom 25% in CA · Critically understaffed (RN) · $16,820 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While some residents report a caring environment and clean facilities, the presence of a severe allegation regarding abuse and reports of unprofessional night-shift behavior is deeply concerning. If you consider this facility, you must perform your own rigorous inspection of care standards and hygiene.

Google Reviews

Google Reviews

15 reviews on Google
Families should exercise extreme caution due to a highly serious allegation of physical abuse and neglect from a former friend of a resident. While some long-term residents and their families praise the friendly staff and clean environment, there are conflicting reports regarding the quality of food and the conduct of night shift nursing staff.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean5.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Friendly and caring nursing staff
  • Clean and well-maintained building
  • Responsive administration

Concerns

  • Allegations of patient abuse and neglect
  • Poor food quality (mentioned by 2 reviewers)
  • Unprofessional behavior by night shift staff

Rating Trends

Tap a year to see what changed

2341.02018(3)3.02019(1)5.02020(3)5.02021(3)3.72023(9)4.32025(7)

Distribution · 26 analyzed

5
14
4
5
3
1
2
0
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about how friendly and caring the nursing staff is; how do you ensure that same level of warmth is maintained during the night shifts?
  • 2Since we noticed the administration is very responsive to feedback, what is the best way for our family to stay in regular communication with the care team regarding daily updates?
  • 3How does the facility manage nutritional needs and meal variety to ensure residents are enjoying their dining experience every day?
  • 4With the recent health inspections, what specific steps is the facility taking to address past deficiencies and improve the overall care environment?
  • 5What is the protocol for handling medical emergencies or sudden changes in health status during the late-night or early-morning hours?
  • 6Can you tell us about the daily activities and social programs available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

In the five years that I have lived at the facility, I have found the staff to be friendly, capable, and caring.

Long-term resident · 2025★★★★

A dear friend of mine was in the care of this facility and she's was terribly abused, neglected and deprived of medical attention not to me to mention left in unsanitary condition.

Family of former resident · 2023☆☆☆☆

My husband Robert Cervantes has been in this facility for oround a year and half know so far his successfuly completed some of r goals with the help of his nurse and staff there

Spouse of resident · 2023★★★★★
Source: 15 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
3.93hrs
96%
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
27%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
19.4%
CA
10.7%
Los angeles
9.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
CA
7.0%
Los angeles
8.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.3%
CA
10.5%
Los angeles
9.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
14.4%
CA
10.4%
Los angeles
12.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.2%
Mixed vs Avgs
Here
13.2%
US
19.5%
CA
13.7%
Los angeles
10.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
79.7%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.0%
Worse than Avg
Here
2.0%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

50deficiencies
Well above state avg (15.4)
40 complaint-triggered
$16,820 in fines

This facility shows serious concerns with frequent family complaints across multiple care areas. Families have filed 41 complaints triggering inspections, revealing recurring problems in care planning, medication management, and infection control that persist across surveys. The facility has faced deficiencies in abuse prevention and neglect protocols, with issues appearing repeatedly despite corrections. All deficiencies are reportedly corrected, but the pattern of recurring problems in core care areas suggests ongoing quality challenges families should carefully consider.

Mar 18, 2026Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jan 8, 2026Complaint
2
0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 26, 2025Complaint
5
0656Immediate jeopardy · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0698Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0838Potential for harm · PatternCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Dec 5, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 21, 2025Complaint
4
0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Sep 11, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Astoria Healthcare Center

Organization Type

for profit

Ownership & Management

Owners

Agoniollo, Jose Antonio

Owner

Mercado, Grace

Owner

Key personnel

Agoniollo, Jose AntonioOfficer / DirectorMercado, GraceOfficer / DirectorSambile, YolandaOfficer / DirectorSaint Cabrini Healthcare Services LLCManagerAgoniollo, Jose AntonioManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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