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Nursing HomeMedicaid Investigative

Cottage Crest Post Acute

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

12350 Rosecrans, Norwalk, CA 9065059 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 31 Google reviews

5
4
3
2
1
Cottage Crest Post Acute Nursing Home in Norwalk, CA — Street View
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2/ 10
low Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Worst in DAVID & FRANK JOHNSON chain · $69,390 in fines

Source: Medicare data

What this means for your family

The facility appears to have undergone a significant management and quality improvement, with recent reviews highly praising the cleanliness and staff kindness. However, because of past reports of serious dietary errors and neglect, families should perform a site visit and specifically ask how they ensure strict adherence to physician-ordered dietary restrictions.

Google Reviews

Google Reviews

31 reviews on Google
Recent reviews from 2024 suggest a significant positive turnaround, with many families praising the cleanliness and the friendly, professional nature of the nursing staff. However, historical reviews contain extremely serious allegations regarding patient neglect, lack of compassion, and dietary mismanagement that should be investigated.

Quality Themes

Tap a score for details
Food1.0Staff7.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Friendly and professional nursing staff
  • Clean and well-maintained facility
  • Effective rehabilitation and therapy services
  • Easy communication with family members

Concerns

  • Serious allegations of patient neglect and lack of compassion (mentioned by 2 reviewers)
  • Inadequate dietary management/dietary non-compliance
  • Poor communication regarding patient health changes

Rating Trends

Tap a year to see what changed

234'12(1)'16(5)'18(3)'20(2)'22(2)'24(6)'25(1)

Distribution · 35 analyzed

5
14
4
8
3
2
2
3
1
8

How They Respond to Reviews

23%response rate
Generic

The owner uses templated responses that vary slightly based on star rating but lack specific engagement with the content of the reviews. Negative reviews are met with a standardized redirection to a specific phone number for the regional vice president.

Questions for Your Tour

  • 1I've heard wonderful things about how professional and friendly the nursing staff is here; how do they typically keep family members updated on any changes in a resident's health?
  • 2With the focus on rehabilitation services mentioned by others, how does the therapy team work with residents to help them regain their independence?
  • 3Can you tell me more about the dining experience and how the facility ensures that specific dietary needs and meal plans are strictly followed?
  • 4How does the facility ensure that every resident receives attentive, compassionate care and that no detail of their daily routine is overlooked?
  • 5What is the protocol for handling medical emergencies or sudden changes in health during the overnight hours?
  • 6How do you keep the facility clean and well-maintained on a daily basis to ensure a comfortable environment?

Personalized based on this facility's data


Key Review Excerpts

My husband died 2 weeks after coming here. He literally starved to death. The lack of compassion that Rubina shows, is horrible!

Family of deceased resident · 2022☆☆☆☆

The therapist an therapy was very helpful an almost back to where I can be on my own again.

Rehab patient · 2021★★★★

Cottage crest was awesome! The staff is very friendly and the facility is very clean! Staff are easy to communicate and are helpful to the resident as well as family members.

Long-term resident's family · 2024★★★★★
Source: 31 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.64hrs
85%
Registered nurses for medical care
Total Nursing
4.50hrs
OK
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

5

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
19.4%
CA
10.7%
Los angeles
9.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
15.4%
CA
11.6%
Los angeles
11.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.9%
Mixed vs Avgs
Here
18.9%
US
19.5%
CA
13.7%
Los angeles
10.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
14.4%
CA
10.4%
Los angeles
12.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.7%
Mixed vs Avgs
Here
9.7%
US
15.3%
CA
10.5%
Los angeles
9.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility12.3%
Worse than Avg
Here
12.3%
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.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
79.7%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.0%
Mixed vs Avgs
Here
87.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
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

14deficiencies
3penalties
Near state avg (15.4)
24 complaint-triggered
$69,390 in fines

Cottage Crest Post Acute shows concerning patterns with families filing multiple complaints about resident safety and inadequate nursing staffing. The facility has persistent issues across medication management, care planning, and accident prevention that recur across surveys. While all identified deficiencies show correction dates, the frequency of complaints (22 out of 83 total deficiencies) and repeated problems in core care areas suggest ongoing quality challenges that families should carefully evaluate.

Mar 16, 2026Complaint
1
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Feb 24, 2026Complaint
3
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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

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.

May 30, 2025Routine
13
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0656Potential for harm · PatternCorrected

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.

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0912Minimal · PatternCorrected

Environmental Deficiencies

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

May 30, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 10, 2025Complaint
1
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Dec 10, 2024Complaint
1
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.

Federal Penalties

Fine

Jun 11, 2024

$42,354

Fine

Jan 9, 2024

$16,445

Fine

Oct 9, 2023

$7,446

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cottage Crest Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

David Johnson

Chain Size

47 facilities nationwide

Chain avg rating: 3.2/5 · Rank 41 of 45 (Worst)

Ownership & Management

Owners

Norwalk Post Acute LLC

Owner · Organization

Johnson, Frank

Owner

Key personnel

Urbina, ChristianW-2 Managing EmployeeDehghanmanesh, AdrianOfficer / 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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