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Nursing HomeMedicaid Investigative

Vernon Healthcare Center

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

1037 W. Vernon Avenue, South Los Angeles · Los Angeles, CA 9003799 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 34 Google reviews

5
4
3
2
1
Vernon Healthcare Center Nursing Home in Los Angeles, CA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (23 vs median 13.0)
  • High RN turnover (56%)

Bottom 25% in CA · Critically understaffed (RN) · Worst in PACIFIC HEALTHCARE HOLDINGS chain · $197,553 in fines · Abuse citation

Source: Medicare data

What this means for your family

While the physical therapy department has been praised by some families, the facility has a troubling pattern of hygiene issues and unresponsive staff. If you choose this facility, you must implement a rigorous visiting schedule to personally verify cleanliness and ensure medication safety.

Google Reviews

Google Reviews

34 reviews on Google
Families should approach this facility with significant caution due to recurring reports of poor hygiene, including strong odors of urine and unclean floors. While some reviewers praise the physical therapy and specific staff members like Liana, there are frequent and serious allegations regarding medication mismanagement, unresponsive call lights, and unprofessional administrative behavior.

Quality Themes

Tap a score for details
Food3.0Staff2.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Quality physical therapy and rehab services
  • Helpful and attentive certain staff members
  • Professionalism noted in certain periods

Concerns

  • Unresponsive call lights and staff neglect (mentioned by 3 reviewers)
  • Unprofessional or rude administrative/nursing staff (mentioned by 6 reviewers)
  • Poor facility cleanliness and odors (mentioned by 3 reviewers)
  • Medication management and safety issues (mentioned by 2 reviewers)
  • Poor communication with family members (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(6)'19(4)'21(2)'23(3)'25(4)'26(2)

Distribution · 37 analyzed

5
10
4
5
3
3
2
0
1
19

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed some great feedback regarding your physical therapy and rehab services; could you tell me more about how that program supports residents' mobility?
  • 2How do you ensure that call lights are answered promptly and that residents receive timely assistance throughout the day?
  • 3What specific protocols are in place to ensure medication is administered safely and accurately every time?
  • 4Could you describe your process for keeping the resident living areas and dining spaces clean and well-maintained?
  • 5How does the nursing and administrative team keep family members updated on any changes in a resident's health or daily well-being?
  • 6What is the protocol for handling medical emergencies or urgent health changes during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

My dad was a patient at this facility and I think patients and their families should should know that these folks are TOP NOTCH! They really CARE about the patients and provided quality care for my dad while he did physical therapy.

Rehab patient's family · 2023★★★★★

The most unprofessional skilled nursing facility that I have ever been in. They have some of the most rude nurses, and they do not even answer the help alarm that patients press when they need help often.

Resident · 2020☆☆☆☆

The facility often smells strongly of urine. Staff frequently do not greet visitors or appear engaged.

Long-term resident's family · 2026☆☆☆☆
Source: 34 Google reviews

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility49.2%
Worse than Avg
Here
49.2%
US
15.5%
CA
11.7%
Los angeles
10.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
12.1%
CA
7.0%
Los angeles
8.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
14.4%
CA
10.4%
Los angeles
12.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
19.5%
CA
13.7%
Los angeles
10.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
15.3%
CA
10.5%
Los angeles
9.5%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility11.7%
Worse than Avg
Here
11.7%
US
5.3%
CA
4.1%
Los angeles
4.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
CA
94.2%
Los angeles
94.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
79.8%
CA
93.2%
Los angeles
92.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility7.4%
Worse than Avg
Here
7.4%
US
1.6%
CA
1.5%
Los angeles
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
5penalties
Above state avg (15.4)
61 complaint-triggered
$197,553 in fines

Vernon Healthcare Center has significant ongoing problems with families filing numerous complaints triggering 65 federal deficiencies across protection from abuse and neglect, medication management, and resident assessment/care planning. Issues persist across surveys with repeated violations in the same areas, including one recent nursing competency deficiency without a correction plan, indicating systemic challenges in maintaining basic care standards.

Jan 28, 2026Complaint
1
0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Jan 9, 2026Routine
16
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

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.

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

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.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0025Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0032Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

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.

Dec 9, 2025Complaint
3
0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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.

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.

Sep 12, 2025Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Aug 1, 2025Complaint
3
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0605Potential for harm · IsolatedCorrected

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.

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 6, 2025Complaint
1
0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Federal Penalties

Fine

Apr 10, 2025

$17,345

Fine

Jul 31, 2024

$107,454

Payment Denial

Jul 31, 2024

45-day denial

Fine

May 24, 2024

$53,639

Payment Denial

May 24, 2024

24-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Vernon Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Pacific Healthcare Holdings

Chain Size

15 facilities nationwide

Chain avg rating: 2.3/5 · Rank 13 of 15 (Worst)

Ownership & Management

Owners

Pacific Healthcare Holdings, INC.

Owner · Organization

90%

Key personnel

Rechnitz, ShlomoOfficer / DirectorRockport Administrative Services, LLCManagerCarlin, AndreaManagerOfoegbu, KingsleyManagerRechnitz, ShlomoManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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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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