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Nursing HomeMedicaid Investigative

Santa Clarita Post-Acute Care Center

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

23801 Newhall Avenue, Newhall · Newhall, CA 9132199 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 76 Google reviews

5
4
3
2
1
Santa Clarita Post-Acute Care Center Nursing Home in Newhall, 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 (34 vs median 13.0)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Worst in ABRAHAM BAK & MENACHEM GASTWIRTH chain · $118,170 in fines

Source: Medicare data

What this means for your family

This facility offers an excellent rehabilitation program and highly skilled wound care nurses that many families find life-changing. However, you must be extremely vigilant regarding medical oversight, specifically checking that diabetic protocols and medication schedules are strictly followed, as multiple families have reported dangerous lapses in care.

Google Reviews

Google Reviews

76 reviews on Google
Families considering Santa Clarita Post-Acute Care Center will find a highly polarized environment. While many reviewers praise the exceptional rehabilitation therapy, skilled wound care, and a kind, attentive nursing staff, there are serious, recurring allegations regarding medical negligence, including failure to manage insulin/glucose levels and the development of pressure sores. The facility is frequently commended for its rehab outcomes but criticized for significant lapses in communication during emergencies and hygiene concerns.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean3.0Activities5.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Exceptional rehabilitation and physical therapy teams
  • Skilled wound care nursing
  • Kind and professional nursing staff
  • Effective social work and transition assistance

Concerns

  • Medical negligence regarding diabetic/glucose management (mentioned by 2 reviewers)
  • Development of bedsores and pressure ulcers (mentioned by 2 reviewers)
  • Lack of communication regarding emergency hospital transfers (mentioned by 2 reviewers)
  • Unresponsive call lights and slow assistance (mentioned by 2 reviewers)
  • Facility cleanliness and hygiene issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02015(2)4.12024(32)3.42025(21)5.02026(5)

Distribution · 60 analyzed

5
43
4
2
3
0
2
1
1
14

How They Respond to Reviews

43%response rate
Generic

The owner relies heavily on repetitive, templated responses. Positive reviews receive standardized 'thank you' messages, while negative reviews are met with brief, non-committal apologies and a redirection to a phone number.

Questions for Your Tour

  • 1We've heard wonderful things about your rehabilitation and physical therapy teams; could you tell us more about how they work with residents to regain their strength?
  • 2How does the nursing team manage daily medication schedules and monitor glucose levels to ensure everything stays on track?
  • 3In the event of a medical emergency that requires a hospital transfer, what is your specific process for notifying the family immediately?
  • 4What steps are currently being taken to ensure the facility remains clean and that call lights are answered promptly for resident needs?
  • 5Could you describe the dining experience and how the meal service is organized for the residents throughout the day?
  • 6What kind of daily activities or social programs do you have in place to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The treatment nurse Keyaira has done some kind of wizardry with the wounds I have (yes I call her The Wizard) and has me nearly back to 100%.

Rehab patient · 2024☆☆☆☆

My grandmother is diabetic. She was not given insulin while she was there... My grandmother was rushed to the emergency room because her sugar levels were dangerously high that caused her to have seizures.

Long-term resident's family · 2024☆☆☆☆

The rehab team was outstanding—patient, encouraging, and skilled at helping residents regain independence.

Memory care family member · 2025★★★★★
Source: 76 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
65%
Registered nurses for medical care
Total Nursing
4.28hrs
OK
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
20%
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
3/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.9%
Worse than Avg
Here
24.9%
US
19.5%
CA
13.7%
Los angeles
10.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
14.4%
CA
10.4%
Los angeles
12.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
15.3%
CA
10.5%
Los angeles
9.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.8%
Mixed vs Avgs
Here
11.8%
US
19.4%
CA
10.7%
Los angeles
9.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
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 Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

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

34deficiencies
4penalties
Well above state avg (15.4)
26 complaint-triggered
$118,170 in fines

This facility shows concerning patterns of repeated deficiencies, particularly in medication management, care planning, and infection control, with families filing 24 complaints that triggered inspections. The facility has struggled with the same core issues across multiple surveys - medication errors appear in records from 2023 through 2025, and infection control problems persist despite corrections. While all 117 deficiencies show correction dates, the recurring nature of problems in essential care areas suggests ongoing systemic challenges that families should carefully consider.

Feb 11, 2026Complaint
1
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.

Dec 9, 2025Complaint
1
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Sep 2, 2025Complaint
5
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

Aug 12, 2025Complaint
1
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Apr 2, 2025Complaint
2
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.

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.

Feb 14, 2025Routine
31
0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0584Potential for harm · PatternCorrected

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.

0604Potential for harm · PatternCorrected

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 · 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.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0577Minimal · PatternCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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.

Federal Penalties

Fine

Jul 2, 2024

$84,568

Payment Denial

Jul 2, 2024

17-day denial

Fine

Feb 1, 2024

$16,801

Fine

Feb 1, 2024

$16,801

Ownership & Operations

Who Operates This Facility

Owner / Operator

Santa Clarita Post-Acute Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Abraham Bak & Menachem Gastwirth

Chain Size

16 facilities nationwide

Chain avg rating: 2.4/5 · Rank 15 of 16 (Worst)

Ownership & Management

Owners

Gastwirth, Menachem

Owner

26%

Lehmann, Kenneth

Owner

27%

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem

Owner · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec

Owner · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem

Owner · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem

Owner · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem

Owner · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec

Owner · Organization

Key personnel

Bak, AbrahamOfficer / DirectorBak, AbrahamManagerGastwirth, MenachemManagerPerez, GenovevaManagerRuber, NuritManager
Source: Medicare provider data

Contact

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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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