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Nursing HomeMedicaid Investigative

Terrace Post Acute

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

7447 Sepulveda Blvd, Van Nuys · Van Nuys, CA 91405133 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 100 Google reviews

5
4
3
2
1
Terrace Post Acute Nursing Home in Van Nuys, CA — Street View
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4/ 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 (21 vs median 13.0)
  • High RN turnover (54%)

Bottom 25% in CA · Critically understaffed (RN) · Low staff turnover (stable workforce) · Worst in WINDSOR chain · $94,094 in fines

Source: Medicare data

What this means for your family

This facility offers highly skilled rehabilitation therapists and a very helpful admissions team, which can make the transition into care much smoother. However, the recent trend of reviews highlights significant risks regarding hygiene, medication delays, and staff responsiveness. If you choose this facility, we strongly recommend frequent, unannounced visits and maintaining a close eye on your loved one's personal hygiene and medication schedules.

Google Reviews

Google Reviews

100 reviews on Google
Families considering Terrace Post Acute (often referred to as Windsor Terrace) will find a polarizing environment. While many long-term patients and their families praise the rehabilitation therapists and specific administrative staff for being compassionate and professional, there are serious, recurring allegations regarding medical neglect, hygiene issues, and understaffing. Prospective families should be aware of significant discrepancies between the facility's marketing and the lived experiences of some residents regarding cleanliness and responsiveness.

Quality Themes

Tap a score for details
Food7.0Staff4.0Clean3.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate rehabilitation and physical therapy teams
  • Professional and helpful admissions and marketing staff
  • Friendly and attentive CNA and nursing staff in certain units
  • Good variety of food and dining options

Concerns

  • Medical neglect and delayed medication administration (mentioned by 3 reviewers)
  • Inadequate hygiene and cleanliness of patient rooms (mentioned by 4 reviewers)
  • Understaffing leading to slow response times (mentioned by 4 reviewers)
  • Difficulty contacting the facility by phone (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'19(7)'21(18)'23(26)'25(8)'26(3)

Distribution · 105 analyzed

5
61
4
5
3
4
2
6
1
29

How They Respond to Reviews

7%response rate
Generic

The owner uses highly templated, formulaic responses for almost all reviews. While they attempt to personalize by using the reviewer's name, the core message remains a repetitive request to move the conversation to a private channel via specific management contacts.

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?
  • 2What specific protocols do you have in place to ensure medications are administered accurately and on a strict schedule?
  • 3How does the housekeeping and cleaning schedule work to ensure that resident rooms and common areas are kept consistently tidy?
  • 4In the event of a medical emergency during the night, what is the immediate process for getting a nurse or doctor to a resident's bedside?
  • 5What kind of daily activities or social events do you organize to keep the residents engaged and active in the community?
  • 6What is the best way for our family to stay in regular contact with the nursing staff if we have questions about our loved one's care?

Personalized based on this facility's data


Key Review Excerpts

The nurses were kind and worked hard and treated me with dignity. They took pride in their work. I would go there again in a heartbeat.

Rehab patient · 2025★★★★★

The facility is clean and constantly being cleaned. We are very grateful for his care and to have our dad home again.

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

The place is dirty, they ignore the patients. The lighting, tv's and other equipment is broken. They abuse and scare the patients.

Family member · 2022☆☆☆☆
Source: 100 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
56%
Registered nurses for medical care
Total Nursing
3.89hrs
95%
All nurses + aides combined
Staff Turnover
32%
Lower is better (< 30% = good)
RN Turnover
36%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
19.4%
CA
10.7%
Los angeles
9.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.3%
Better than Avg
Here
5.3%
US
15.3%
CA
10.5%
Los angeles
9.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
14.4%
CA
10.4%
Los angeles
12.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
15.5%
CA
11.7%
Los angeles
11.4%
💉

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 on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.4%
Mixed vs Avgs
Here
13.4%
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 Facility98.2%
Better than Avg
Here
98.2%
US
81.8%
CA
94.2%
Los angeles
94.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.0%
Mixed vs Avgs
Here
91.0%
US
79.8%
CA
93.2%
Los angeles
92.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
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

21deficiencies
2penalties
Above state avg (15.4)
44 complaint-triggered
$94,094 in fines

Terrace Post Acute has substantial quality concerns with 123 deficiencies across 36 surveys, including numerous family complaints that triggered investigations. Persistent problems appear in medication management, infection control, and care planning, with these issues recurring across multiple surveys despite reported corrections. The facility has faced repeated citations for medication errors, inadequate infection prevention, and incomplete care plans, suggesting ongoing systemic challenges in fundamental resident care and safety protocols.

Apr 21, 2026Complaint
2
0756Potential for harm · PatternCorrected

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.

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.

Apr 8, 2026Complaint
1
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Mar 6, 2026Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 15, 2026Routine
19
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0697Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

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.

0803Potential for harm · PatternCorrected

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.

0842Potential for harm · PatternCorrected

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.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0809Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Jan 15, 2026Complaint
1
0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Aug 26, 2025Complaint
1
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.

Federal Penalties

Fine

Oct 18, 2023

$94,094

Payment Denial

Oct 18, 2023

44-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Terrace Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Windsor

Chain Size

23 facilities nationwide

Chain avg rating: 2.3/5 · Rank 13 of 19 (Worst)

Ownership & Management

Owners

Antelope Holdings I, LLC

Owner · Organization

Antelope Realty Holdings I, LLC

Owner · Organization

9560 Pico LLC

Owner (parent company) · Organization

Pico Ar LLC

Owner (parent company) · Organization

Robin, Aaron

Owner (parent company)

Tress, Avrohom

Owner (parent company)

Key personnel

Robin, AaronOfficer / DirectorTress, AvrohomOfficer / DirectorNewgen Administrative Services, LLCManagerBhardwaj, AshwaniManagerScantlebury, IngridManager
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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