Harbor Villa Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 54 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (36 vs median 13.0)
Below average in CA · Critically understaffed (RN) · Below chain average · $8,824 in fines
What this means for your family
While the physical therapy team is frequently cited as a major strength, the facility has a pattern of alarming reports regarding medical neglect and understaffing. If you choose this facility, you must implement 24/7 monitoring or frequent unannounced visits to ensure medication is administered correctly and hygiene standards are met.
Google Reviews
Google Reviews
54 reviews on Google“Families considering Harbor Villa Care Center will find a deeply polarized environment. While many reviewers praise the physical therapy team and specific nursing staff for being compassionate and skilled, there are severe, recurring allegations of medical neglect, understaffing, and poor hygiene. Decisions should be made with extreme caution due to multiple reports of serious medical complications like sepsis and malnutrition occurring under the facility's care.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab team
- Compassionate and friendly CNAs and nurses
- Effective communication from administration/admissions
- Professional and knowledgeable rehabilitation staff
Concerns
- Severe medical neglect and patient decline (mentioned by 4 reviewers)
- Understaffing and slow response times (mentioned by 3 reviewers)
- Poor facility cleanliness and hygiene issues (mentioned by 3 reviewers)
- Inadequate medication management (mentioned by 2 reviewers)
- Unpleasant food quality and nutrition (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 55 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your rehab and physical therapy team; could you tell us more about how they work with residents to maintain mobility?
- 2With the recent focus on improving facility standards, what specific steps is the administration taking to ensure the highest levels of cleanliness and hygiene in the resident rooms?
- 3How does the nursing team manage medication schedules and ensure there are no gaps in care or administration?
- 4Could you describe the dining experience, specifically how the menu is planned to ensure nutritious and appetizing meals for everyone?
- 5What is the protocol for handling medical emergencies or sudden changes in a resident's condition during the night?
- 6How do you ensure that communication remains consistent and timely between the nursing staff and family members?
Personalized based on this facility's data
Key Review Excerpts
“The rehab team was amazing, the nursing staff was kind and attentive, and the DON made sure we were satisfied with the care.”
“My father was left to rot in a bed and lost over 70 pounds due to malnourishment. Less than 2 weeks after suffering a stroke he was walking with assistance. After 3 months at this facility, the staff said he needed a lift to move out of bed.”
“The rehabilitation department at Harbor Villa is excellent. I am extremely happy with the therapist and the treatment my Mother received.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
3
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has an extremely concerning pattern of repeated family complaints and persistent safety problems. With 99 deficiencies across frequent surveys, families have filed reports about accident hazards, medication management, and protection from abuse - areas that continue to appear in violations. While the facility claims corrections each time, the recurring nature of complaints about basic safety supervision and medication errors suggests systemic problems that haven't been resolved despite repeated citations.
Apr 10, 2026Routine23
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Environmental Deficiencies
Keep all essential equipment working safely.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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.
Jan 23, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 1, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 12, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
Apr 10, 2025Complaint1
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Mar 27, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Jun 28, 2023
$8,824
Ownership & Operations
Who Operates This Facility
Harbor Villa Care Center
for profit
Chain Affiliation
Cambridge Healthcare Services
32 facilities nationwide
Chain avg rating: 2.6/5 · Rank 22 of 31
Ownership & Management
Owners
Win Win Enterprises, LLC
Owner · Organization
Daniel Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020
Owner (parent company) · Organization
Elizabeth Wintner 2020 Irrevocable Gift Trust Dated November 23,2020
Owner (parent company) · Organization
Jeremy Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020
Owner (parent company) · Organization
Mark Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020
Owner (parent company) · Organization
Phillip Wintner 2020 Irrevocable Gift Trust Dated November 23, 2020
Owner (parent company) · Organization
Sherry Latt Lowy Living Trust Utd July 31, 1992
Owner (parent company) · Organization
Wintner, Daniel
Owner (parent company)
Wintner, Elizabeth
Owner (parent company)
Wintner, Jeremy
Owner (parent company)
Wintner, Mark
Owner (parent company)
Wintner, Phillip
Owner (parent company)
Wintner, Francine
Owner (parent company)
Wintner, Jacob
Owner (parent company)
Hassell, Lance
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
54 reviews from families & visitors
Official Website
Visit harborvillacares.com
Medicare data downloads
Original nursing home datasets
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