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Nursing HomeMedicaid Investigative

California Post Acute

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

909 S Lake Street, Westlake · Los Angeles, CA 9000666 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 20 Google reviews

5
4
3
2
1
California Post Acute Nursing Home in Los Angeles, CA — Street View
Street View

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8/ 10
critical 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 (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (39 vs median 13.0)
  • High RN turnover (71%)

Below average in CA · Critically understaffed (RN) · $245,616 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While some families find the facility clean and the admissions staff helpful, the presence of multiple, severe allegations regarding patient abuse and hygiene neglect is a major red flag. If you choose this facility, you must perform frequent, unannounced visits to personally verify the sanitary conditions and the quality of care being provided.

Google Reviews

Google Reviews

20 reviews on Google
Families should approach this facility with significant caution due to severe allegations of patient neglect, including unmanaged pressure sores and lack of hygiene. While some recent visitors praise the cleanliness and the kindness of the admissions and nursing staff, there are deeply concerning reports of physical abuse and poor sanitary conditions.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean3.0ActivitiesN/AMedsN/AMemoryN/AComms5.0Value5.0

Strengths

  • Clean and odor-free environment (noted by some)
  • Kind and attentive nursing staff
  • Helpful and informative admissions process
  • Affordable pricing

Concerns

  • Severe patient neglect and hygiene issues (mentioned by 2 reviewers)
  • Allegations of patient abuse (mentioned by 2 reviewers)
  • Overcrowded patient rooms

Rating Trends

Tap a year to see what changed

2345.0'14(1)5.01.5'17(2)3.01.3'23(3)3.44.1'25(7)5.0'26(8)

Distribution · 29 analyzed

5
18
4
2
3
0
2
2
1
7

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed some families have mentioned how clean and odor-free the facility feels; what specific cleaning protocols do you have in place to maintain that standard for all residents?
  • 2With the recent state inspections, what specific steps has the leadership team taken to address the noted deficiencies and improve the overall quality of care?
  • 3How do you ensure that every resident receives consistent, attentive care, especially during busy shifts when the nursing staff is stretched thin?
  • 4Can you walk me through your protocol for handling medical emergencies or sudden changes in a resident's condition during the night?
  • 5What kind of daily activities or social engagement programs do you offer to keep the residents active and connected with one another?
  • 6How do you manage room assignments to ensure that residents have enough personal space and don't feel overcrowded?

Personalized based on this facility's data


Key Review Excerpts

First time I visited my relative I was amazed that there was no stench, my relative looked and smelled clean. The facility was clean and no stench was detected at all no matter where I walked

Relative's visitor · 2025★★★★★

The smells, the overwhelming stench of urine, old facility that has multiple coats of paint. The staff is underpaid, which explains why it is in the condition it is.

Relative's family member · 2024☆☆☆☆

I have been a witness to abuse of patients. My father was laying in feces infecting his pressure sores and I believe he died prematurely because of this place.

Deceased patient's son · 2023☆☆☆☆
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
38%
Registered nurses for medical care
Total Nursing
4.02hrs
98%
All nurses + aides combined
Staff Turnover
48%
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 · 16 measures

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
15.3%
CA
10.5%
Los angeles
9.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
19.5%
CA
13.7%
Los angeles
10.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.0%
Worse than Avg
Here
22.0%
US
19.4%
CA
10.7%
Los angeles
9.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.6%
Better than Avg
Here
4.6%
US
14.4%
CA
10.4%
Los angeles
12.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility91.4%
Worse than Avg
Here
91.4%
US
95.5%
CA
98.2%
Los angeles
97.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.1%
Mixed vs Avgs
Here
97.1%
US
93.4%
CA
98.6%
Los angeles
99.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.0%
Mixed vs Avgs
Here
84.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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

33deficiencies
9penalties
Well above state avg (15.4)
68 complaint-triggered
$245,616 in fines

This facility has serious recurring safety problems, with families filing 68 complaints that triggered federal investigations. The most frequent issues involve accident prevention and resident safety, medication management, and food service quality. Abuse and neglect violations appear repeatedly across multiple surveys, along with persistent problems maintaining safe environments and proper pharmaceutical services. While the facility corrects violations when cited, the pattern of recurring deficiencies in critical care areas suggests ongoing operational challenges that families should carefully consider.

Feb 6, 2026Complaint
2
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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jan 21, 2026Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Dec 18, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Nov 17, 2025Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Nov 13, 2025Complaint
1
0770Potential for harm · IsolatedCorrected

Administration Deficiencies

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

Aug 11, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Federal Penalties

Fine

Jul 26, 2025

$34,239

Payment Denial

Jul 26, 2025

9-day denial

Fine

Dec 3, 2024

$105,240

Payment Denial

Dec 3, 2024

35-day denial

Fine

Apr 19, 2024

$11,825

Fine

Dec 6, 2023

$24,102

Payment Denial

Dec 6, 2023

4-day denial

Fine

Jul 29, 2023

$51,774

Payment Denial

Jul 29, 2023

33-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

California Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Serrano Group

Chain Size

11 facilities nationwide

Chain avg rating: 2.3/5 · Rank 8 of 11

Ownership & Management

Owners

Jacobs, Dov

Owner

50%

Key personnel

Jacobs, DovW-2 Managing EmployeeJacobs, DovOfficer / DirectorLanda, BenjaminOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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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