C72

WEST COVINA MEDICAL CENTER D/P SNF

Grade C 72/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
3/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

33

Ownership

For profit - Corporation

Total Fines

$7,026

Last Survey

N/A

725 S. ORANGE AVENUE, WEST COVINA, CA 91790
6263388481

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.49h
LPN
1.18h
CNA
1.47h
Total
3.15h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WEST COVINA MEDICAL CENTER INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2015

NELSON, WILLIAM

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2015

ROLLINS, VICKI

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2015

WEST COVINA MEDICAL CENTER INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2015

BESHARAT, FARID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2022

BROOKS, MARK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

FRANCISCO, ANN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2022

ROLLINS, VICKI

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2015

NELSON, WILLIAM

IndividualCORPORATE DIRECTORSince Apr 2015

ROLLINS, VICKI

IndividualCORPORATE DIRECTORSince Apr 2015

NELSON, WILLIAM

IndividualCORPORATE OFFICERSince Apr 2015

ROLLINS, VICKI

IndividualCORPORATE OFFICERSince Apr 2015

ROLLINS, VICKI

Individual5% OR GREATER SECURITY INTERESTSince Apr 2015

WEST COVINA PROPERTY HOLDING, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Apr 2015

NELSON, WILLIAM

Individual5% OR GREATER MORTGAGE INTERESTSince Apr 2015

ROLLINS, VICKI

Individual5% OR GREATER MORTGAGE INTERESTSince Apr 2015

Penalties & Fines (3)

$7,026total fines
DateTypeDescriptionAmount
Jun 26, 2023Fine$2,117
Jun 20, 2023Fine$1,764
May 30, 2023Fine$3,145

Health Inspection Deficiencies (32)

October 18, 2024Health13 deficiencies
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Nov 7, 2024
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Nov 7, 2024
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Nov 7, 2024
0578EMinimal harm, Pattern

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Nov 7, 2024
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Nov 7, 2024
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 7, 2024
0688DMinimal harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Nov 7, 2024
0693EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Nov 7, 2024
0694DMinimal harm, Isolated

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Nov 7, 2024
0756DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Nov 7, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 7, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 7, 2024
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Nov 7, 2024
November 22, 2023Health9 deficiencies
0607EMinimal harm, Pattern

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 16, 2023
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2023
0690EMinimal harm, Pattern

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2023
0693EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2023
0694EMinimal harm, Pattern

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2023
0726EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Dec 16, 2023
0758EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Dec 16, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 16, 2023
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Dec 16, 2023
January 3, 2023Health3 deficiencies
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 19, 2023
0777DMinimal harm, Isolated

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Administration Deficiencies

Corrected Jan 19, 2023
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Jan 19, 2023
December 9, 2022Health7 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 6, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 6, 2023
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 6, 2023
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 6, 2023
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jan 6, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 6, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 6, 2023

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Frequently Asked Questions

What is the CareGrader rating for WEST COVINA MEDICAL CENTER D/P SNF?

WEST COVINA MEDICAL CENTER D/P SNF in WEST COVINA, California has a CareGrader grade of C (Average), with a composite score of 71.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WEST COVINA MEDICAL CENTER D/P SNF?

WEST COVINA MEDICAL CENTER D/P SNF has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WEST COVINA MEDICAL CENTER D/P SNF have?

WEST COVINA MEDICAL CENTER D/P SNF has 32 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has WEST COVINA MEDICAL CENTER D/P SNF been fined?

Yes. WEST COVINA MEDICAL CENTER D/P SNF has $7,026 in total fines from CMS enforcement actions across 3 penalties.

How many beds does WEST COVINA MEDICAL CENTER D/P SNF have?

WEST COVINA MEDICAL CENTER D/P SNF has 33 certified beds with approximately 21 current residents (64% occupancy). The facility is located at 725 S. ORANGE AVENUE, WEST COVINA, California 91790. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.