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Nursing HomeMedicaid Investigative

La Brea Rehabilitation Center

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

505 N. La Brea Avenue, Beverly Grove · Los Angeles, CA 90036141 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.9/5

based on 79 Google reviews

5
4
3
2
1
La Brea Rehabilitation Center Nursing Home in Los Angeles, CA — Street View
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3/ 10
moderate 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)
  • Above-median deficiencies (30 vs median 13.0)

Bottom 25% in CA · Critically understaffed (RN) · Above recommended total nurse staffing · $33,091 in fines

Source: Medicare data

What this means for your family

This facility is an exceptional choice for families seeking specialized memory care, as the staff's dedication to dignity and engagement is widely documented. While the community is overwhelmingly positive, you should verify the facility's current protocols regarding communication during medical emergencies and property security to address the concerns raised by a previous reviewer.

Google Reviews

Google Reviews

79 reviews on Google
Silverado Beverly Place is highly regarded by families for its specialized, compassionate approach to memory care and dementia support. Reviewers consistently praise the attentive, kind staff and the wide variety of engaging activities, such as music therapy and holiday events. While the vast majority of feedback is glowing, one reviewer raised serious allegations regarding theft and lack of communication, which should be investigated.

Quality Themes

Tap a score for details
Food9.0Staff9.5Clean9.0Activities10.0MedsN/AMemory10.0Comms8.0ValueN/A

Strengths

  • Compassionate and specialized memory care staff
  • Engaging activities including music therapy and holiday events
  • Strong focus on resident dignity and individual needs
  • Clean and well-maintained environment
  • Excellent communication with family members

Concerns

  • Allegations of theft and poor communication during medical emergencies

Rating Trends

Tap a year to see what changed

234'18(1)'20(1)'22(3)'24(5)'26(6)

Distribution · 85 analyzed

5
80
4
3
3
0
2
0
1
2

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about the music therapy and holiday celebrations here; could you tell us more about the types of activities planned for the month?
  • 2How does the team ensure that each resident's individual dignity and personal preferences are respected in their daily care routine?
  • 3What specific protocols are in place to ensure family members are notified immediately and kept informed during a medical emergency?
  • 4With the recent health inspections, what specific steps is the facility taking to address and resolve the identified deficiencies?
  • 5How do you manage the security of residents' personal belongings to ensure everything stays safe and accounted for?
  • 6How would you describe the communication style between the nursing staff and families regarding day-to-day changes in a resident's health?

Personalized based on this facility's data


Key Review Excerpts

Silverado Beverly Place provides quality care and support for people living with dementia and has a wide variety of activities such as music therapy, art, or news reading that keep residents engaged and part of a kind, loving community.

Memory care family member · 2025★★★★★

The staff are so kind and attentive to my dad’s care with emails and phone calls too. After hearing stories about different facilities, we are so grateful to have found the most amazing place to take us care of our precious Dad.

Long-term resident's family · 2021★★★★★

The facility is superb, clean, and organized. I wouldn't change a thing. My mother's room is always organized. Memory care requires a special skill set and training - not all communities actually have those skills - but Silverado Beverly Place is the gold standard in memory care.

Long-term resident's family · 2025★★★★★
Source: 79 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
43%
Registered nurses for medical care
Total Nursing
4.40hrs
OK
All nurses + aides combined
Staff Turnover
32%
Lower is better (< 30% = good)
RN Turnover
33%
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
2/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.4%
Better than Avg
Here
3.4%
US
19.4%
CA
10.7%
Los angeles
9.7%
😔

Residents with depression symptoms

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

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
15.4%
CA
11.6%
Los angeles
11.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
15.3%
CA
10.5%
Los angeles
9.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
93.4%
CA
98.6%
Los angeles
99.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.9%
Mixed vs Avgs
Here
15.9%
US
19.5%
CA
13.7%
Los angeles
10.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.3%
Better than Avg
Here
96.3%
US
81.8%
CA
94.2%
Los angeles
94.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.5%
Better than Avg
Here
93.5%
US
79.7%
CA
93.2%
Los angeles
92.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.2%
Worse than Avg
Here
3.2%
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

27deficiencies
1penalties
Well above state avg (15.4)
58 complaint-triggered
$33,091 in fines

La Brea Rehabilitation Center has faced numerous complaints from families, with nearly half of its 125 deficiencies triggered by family reports. The facility repeatedly struggles with medication management, care planning, and accident prevention, with the same issues appearing across multiple surveys throughout the inspection period. While the facility corrects violations when cited, the persistent pattern of recurring problems in core care areas suggests ongoing quality concerns that families should carefully consider.

Mar 9, 2026Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 17, 2025Complaint
3
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Sep 11, 2025Complaint
2
0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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.

Jul 15, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Jun 19, 2025Routine
22
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

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.

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.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

May 19, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

May 23, 2024

$33,091

Ownership & Operations

Who Operates This Facility

Owner / Operator

La Brea Rehabilitation Center

Organization Type

for profit

Ownership & Management

Owners

La Brea Snf Holdings LLC

Owner · Organization

40%

Sr Investments LLC

Owner · Organization

60%

La Brea Snf LLC

Owner (parent company) · Organization

40%

Berger, Ruth

Owner (parent company)

30%

Berger, Steven

Owner (parent company)

30%

Key personnel

Berger, StevenOfficer / DirectorCitrus Administrative Services, INC.ManagerDominguez, SamuelManagerGomonit, ConsueloManagerHakimi, MeirManager
Source: Medicare provider data

Contact

Get in Touch

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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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