Nursing HomeMedicaid

Palazzo Post Acute

Strong Medicare quality ratings; families often praise exceptional rehabilitation and physical therapy teams. Still worth an in-person visit.

5400 Fountain Ave, Little Armenia · Los Angeles, CA 90029|99 beds|Licensed & Active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

3.5/5

based on 38 Google reviews

(323) 461-4301 Directions Website

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What this means for your family

While the rehabilitation and respiratory therapy teams appear to be significant assets for physical recovery, the facility has alarming reports of medical negligence and poor nursing responsiveness. If you choose this facility, you must implement a rigorous daily check-in routine to ensure hygiene and medical needs are being met.

Google Reviews

38 reviews on Google

“Families should exercise extreme caution due to severe allegations of medical negligence, lack of communication, and inadequate hygiene care. While some patients report life-changing success with the rehabilitation and respiratory therapy teams, multiple reviewers describe life-threatening delays in care and poor responsiveness from nursing staff.”

Quality Themes

Tap a score for details

Strengths

Exceptional rehabilitation and physical therapy teams
Supportive respiratory therapy department
Friendly and attentive CNAs in some units
Positive outcomes for post-surgical recovery

Concerns

Severe medical negligence and delayed response to emergencies (mentioned by 2 reviewers)
Poor communication from administration and nursing staff (mentioned by 4 reviewers)
Inadequate hygiene care and neglected patient needs (mentioned by 2 reviewers)
High staff turnover and lack of consistent social workers

Rating Trends

Tap a year to see what changed

Distribution · 38 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1We've heard wonderful things about your rehabilitation and physical therapy teams; can you tell us more about how they support residents during their recovery?
2How does the nursing staff ensure that medical emergencies are addressed immediately, especially during shift changes or overnight?
3What specific steps are in place to ensure consistent communication between the nursing staff and family members regarding daily care updates?
4Could you describe the daily activity schedule and how you ensure residents stay engaged with social events and community outings?
5What protocols do you have in place to maintain high standards of cleanliness and personal hygiene for all residents?
6With the recent focus on improving care, what specific steps is the administration taking to ensure staff consistency and reduce turnover?

Personalized based on this facility's data

Key Review Excerpts

“I was referred to this skilled nursing facility by Harbor UCLA Hospital after breaking my ankle, and I can honestly say it saved my life. Without their exceptional care, I could have faced a more difficult recovery.”

Rehab patient · 2025★★★★★

“DO NOT TRUST THIS FACILITY TO CARE FOR YOUR LOVED ONES! This facility is disgraceful, disgusting and the NURSES and CNAs do NOT know what they are doing. My mother was actively having symptoms of a STROKE for 2+ HOURS and when we brought it to their attention... my mother is now DEAD”

Long-term resident's family · 2025★☆☆☆☆

“The Respiratory Therapy Department is incredibly helpful, caring, and supportive!”

Patient/Family · 2025★★★★★

Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.29hrs

39%

Registered nurses for medical care

Total Nursing

4.37hrs

All nurses + aides combined

Staff Turnover

33%

Lower is better (< 30% = good)

RN Turnover

17%

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

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.7%

Better than Avg

Here

0.7%

12.1%

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 anti-anxiety or sleep medication

↓ Lower is better

This Facility9.1%

Better than Avg

Here

9.1%

19.5%

13.7%

Los angeles

10.8%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility10.1%

Mixed vs Avgs

Here

10.1%

19.4%

10.7%

Los angeles

9.7%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility6.5%

Better than Avg

Here

6.5%

15.4%

11.6%

Los angeles

11.4%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

98.6%

Los angeles

99.1%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility8.9%

Better than Avg

Here

8.9%

15.3%

10.5%

Los angeles

9.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

79.7%

93.2%

Los angeles

92.5%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility99.5%

Better than Avg

Here

99.5%

81.8%

94.2%

Los angeles

94.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.3%

Better than Avg

Here

1.3%

1.6%

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

Near state avg (15.4)

20 complaint-triggered

Palazzo Post Acute shows a concerning pattern with 18 complaint-triggered deficiencies where families filed reports about serious issues including resident abuse and neglect. Recurring problems involve safety supervision to prevent accidents, medication management, and care planning, with these issues persisting across multiple recent surveys through 2025, suggesting ongoing challenges with correcting fundamental care quality problems.

Mar 12, 2026Complaint1 finding

0729Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Dec 16, 2025Complaint1 finding

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.

Sep 16, 2025Complaint2 findings

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

Jun 17, 2025Complaint1 finding

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.

Jun 5, 2025Routine11 findings

0531Potential for harm · PatternCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

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.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

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.

0690Potential for harm · IsolatedCorrected

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.

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.

Apr 21, 2025Complaint2 findings

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.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Palazzo Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Serrano Group

Chain Size

11 facilities nationwide

Chain avg rating: 2.3/5 · Rank 1 of 11 (Best)

Ownership & Management

Owners

Serrano Licensee 1 LLC

Owner · Organization

100%

Bin Mendel LLC