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Home / California / Los Angeles

Flower Villa, Inc

1480 S. La Cienega Bl, Los Angeles, CA 90035 · Los Angeles County · (310) 652-3030

41 certified beds, about 36 residents a day · For profit - Corporation · Medicare and Medicaid since 1974

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 056438 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 12, 2026, inspectors cited 11 health deficiencies (the California average is 15.6, the national average 9.2).

Of 40 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $17,745 in the last three years; the largest was $17,745, and the latest is dated June 28, 2024.

Nurses and nurse aides worked 4.21 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.

44.7% of nursing staff left within the year CMS measured (California average 36.7%).

CMS links it to Rollins-Nelson Healthcare Management, an affiliated group of 8 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
20D
15E
1F
Potential for minimal harm
0A
3B
0C
April 12, 2026Standard inspection · 11 citations
  1. E
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one out of one sampled resident (Resident 9) was free from unnecessary physical restraint (any manual method, physical or mechanical device, material, or equipment attached to a patient's body that restricts freedom of movement or normal access to their body, which they cannot easily remove), by failing to 1. Justify medical indications for applying mittens (padded, glove-like medical device considered a form of physical restraint) on Resident 9. 2. Obtain a doctor's order prior to application of physical restraints on Resident 9. [...]
  2. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on interview and record review, the facility failed to accurately code the Minimum Data Set (MDS - a resident assessment tool) to reflect the Level II (two) Preadmission Screening and Resident Review (PASRR - a federal assessment requirement to help ensure that individuals who have a mental disorder or intellectual disabilities are placed in facilities that can provide the appropriate care) for two of five sampled residents (Resident 2 and Resident 7) according to the facility's the facility's policy and procedures (P&P) titled, Minimum Data Set 3.0 Assessment Completion, Transmission and Validation, dated 1/2026. This deficient practice had the potential to incorrectly reflect the residents' plan of care and care and services received by the residents.
  3. E
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement the facility's policy and procedures (P&P) titled Enteral feeding- Safety Precautions dated 01/2026 for three of three sampled residents (Residents 4, 9, and 12), by failing to ensure: Resident 12 received the correct amount of gastrostomy tube (G-tube) feeding (a medical device inserted through the abdominal wall directly into the stomach to deliver nutrition, fluids, and medications, bypassing the mouth and esophagus [throat]). The facility nursing staff changed Residents 4 and 9 feeding tube every 24 hours. These deficient practices had the potential to cause infection and/or possible hospitalization, unintended weight loss manifested by malnutrition and dehydration, and the potential to result in severe nutrient deficiencies, weakened immunity, and electrolyte imbalances for the residents.
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and preparation practices in the kitchen when:1. A container with fresh garlic gloves with use by date of 4/3/2026 was stored in the refrigerator past its use by date.2. Tuna salad with use by date of 4/8/2026 was stored in the refrigerator past its use by date.3. The dry storage room did not contain a dented can section. 4. An ice scoop did not have a date that the facility cleaned it or any documentation that the facility cleaned the ice scoop. These deficient practices had the potential to result in harmful bacteria growth and cross contamination (transfer of harmful bacteria from one place to another) that could lead to foodborne illness in 32 out of 35 residents who received food from the facility.
  5. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure facility verify informed consent (a principle in medical ethics and medical law that a patient should have sufficient information before making their own free decisions about their medical care) form was given to the physician prior to administering Ativan (a psychotropic medication [a substance that act on the central nervous system to affect brain function, resulting in changes to mood, perception, consciousness, and behavior] medication that is potentially life-threatening medication that treats psychosis) for one of five sampled residents (Resident 19). This deficient practice had the potential for Resident 19 to not be able to exercise his right to know what medications the facility is administering to the resident.
  6. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure that a copy of the residents notice of transfer for medical reason was sent to the office of the Ombudsman (an advocate for residents of nursing homes, board and care centers, and assisted living facilities) as soon as practicable according to the facility's Policy & Procedure (P&P) titled Transfer and Discharge (Including AMA) dated 1/2026 for two of two sampled residents, (Resident 5 and Resident 38). This deficient practice resulted in the ombudsman's office not being aware of Residents 5 and 38's whereabouts for safety reasons during their emergency medical reason transfer to general acute care hospital (GACH).
  7. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to implement one of one sampled resident's (Resident 7) communication care plan interventions by not providing/applying Resident 7 his hearing aid (a device worn in or behind the ear designed to amplify sound for individuals who have difficulty hearing) daily according to the facility's policy and procedures titled, Care of Hearing Aid, dated 1/2026. Resident 7 had decreased hearing. This deficient practice had the potential to result in a delay in communication for Resident 7.
  8. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a care plan (a document outlining a detailed approach to care customized to an individual resident's need) with measurable goals and interventions to address care and treatment of a resident with dementia (a progressive state of decline in mental abilities) for one of one sampled residents (Resident 19). This deficient practice had the potential to negatively affect the delivery of services.
  9. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation interview and record review, the facility failed to provide appropriate monitoring for the targeted behavior of Ativan (an anti-anxiety medication) for one of five sampled residents (Resident 19) according to the facility's policy and procedures titled, Behavior Assessment and Monitoring, dated 1/2026, indicated. This deficient practice had the potential to result in delayed provision of necessary care and services. Findings; A review of Resident 19's admission Record indicated the resident was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included anxiety disorder (a mental health condition with feeling of worry, anxiety, or fear interfering with one`s daily activities) and encephalopathy (brain damage that causes severe confusion and forgetfulness). [...]
  10. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a safe, sanitary, compliant environment with properly maintained and disposed of garbage according to their facility's policy and procedures (P&P) tiled, Kitchen Garbage and Trash, dated 1/2026, when one of four trash bins in the kitchen did not have a lid on it. This deficient practice had the potential to attract insects and rodents in the kitchen.
  11. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · no revisit needed
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 18 of 21 resident rooms ( Rooms 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 14, 15, 16, 18, 19, 21, 23 and 25) met the are footage requirements of 80 square feet (sq ft) per resident. This deficient practice had the potential to result in inadequate space to provide safe nursing care and privacy for 31 Residents.
January 27, 2026Complaint inspection · 1 citation
  1. E
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on interview and record review the facility failed to employ an Infection Preventionist Nurse (IPN- a healthcare professional who works to prevent the spread of infections in healthcare facilities) at least part time, to oversee the infection prevention and control program outlined in the Facility Assessment Tool (the facility's self-evaluation of its resident population and identification of the resources needed to provide the necessary person-centered care and services the residents require) dated 1/8/2026. This deficient practice had the potential for a delay in implementing and practicing infection prevention and control measures that could lead to increased risk of infection for the residents in the facility.
December 15, 2025Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on interview and record review, the facility staff failed to assess and notify the physician immediately when the resident had a change of condition with severe weakness, unable to eat, and unable to speak on 12/11/2025 AM shift for one of three sampled residents (Resident 3). This failure resulted in Resident 3 declining further and requiring a transfer to General Acute Care Hospital (GACH) via 911 (a telephone number used to reach emergency medical, fire, and police services) for further evaluation and treatment. [...]
March 9, 2025Standard inspection · 17 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a Registered Nurse (RN) worked onsite for at least 8 consecutive hours a day, seven days a week. This deficient practice had the potential for the facility's inability to manage and oversee nursing services provided to 31 residents including resident assessments, consulting with physicians, and administering intravenous fluids or medications.
  2. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide the Notice of Medicare Non-Coverage (NOMNC - notification of termination of covered care) at least two days prior to the last covered day for three of three selected residents (Residents 7, 11, and 18). This deficient practice had the potential to result in residents losing their right to appeal the decision of termination of covered care.
  3. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable and home-life environment in three of seven residents' rooms (Rooms 1, 16 and 20). These deficient practices had the potential to negatively impact the quality of life and increased risk for physical discomfort for residents residing in the facility.
  4. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to: 1. Ensure residents' notice of proposed transfer/discharge's notification was sent to the Office of the State Long-Term Care Ombudsman (public advocate) for four of 10 sampled residents, (Resident 35, 11, 19 and 30) 2. Ensure the documentation was completed and recorded the reasons for the transfer or discharge in the resident's medical record for Resident 35 These deficient practices denied the residents additional protections from being inappropriately discharged for and an incomplete documentation of the discharge process.
  5. E
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the actual nursing hours worked by licensed and unlicensed nursing staffing directly responsible for resident care per shift were posted for three of three sampled days (3/7/2025, 3/8/2025 and 3/9/2025). This deficient practice resulted in the actual staffing information not being readily accessible and available to residents and visitors and had the potential to cause inadequate staffing.
  6. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow food safety, labeling, and kitchen sanitation policies and procedures. These deficient practices had the potential to result in compromised food qualities, harmful bacteria growth could lead to foodborne illness in medically compromised residents living in the facility.
  7. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed ensure the medical record for four of five residents (Residents 11, 19, 27 and 30) was accurate and compete for: 1. Resident 27's Physician Orders for Life Sustaining Life (POLST- a portable medical order that communicates a patient's wishes for end-of-life care and treatment interventions, particularly during a medical emergency, and is intended for people with serious illnesses) and Advance Directive were filled out accurately, 2. Residents 11, 19 & 30's Notice of Proposed Transfer / Discharge form was signed by the residents or representative. This failure resulted in an inaccurate and incomplete forms in the medical record and had the potential to affect the delivery of care.
  8. E
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure their Payroll Based Journal (PBJ - information of the provider's daily staffing hours for the appropriate care of the residents) complete and accurate data had been submitted to the Center for Medicare and Medicaid Services (CMS) for three of four required quarters (1st fiscal quarter: 10/2023 - 12/2023, 2nd fiscal quarter: 1/2024 - 3/31/2024, and 4th fiscal quarter: 7/2024 - 9/2024) in 2024. This deficient practice had the potential to place 41 facility residents (bed capacity) as risk for delay in care, treatment, and services necessary to maintain physical and emotional wellbeing.
  9. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure one of one Hoyer Lift (a mechanical device used to lift and/or transfer a person from place to place) was properly maintained for a safe and effective operation with safety regulations. This deficient practice has a potential to cause incidental accidents to the residents while using the equipment.
  10. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on interview and record review the facility failed to create a care plan (a document outlining a detailed approach to care customized to an individual resident's need) for psychotropic (a medication that affects behavior, mood, thoughts, or perception) medication and the resident's anxiety for one of five residents (Resident 16). This deficient practice had the potential for Resident 16 to not receive the appropriate care and experience adverse (harmful) side effects which could result in injury.
  11. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide respiratory care services for one out of 23 sample residents (Resident 13) by failing to auscultate (listen to) lung sound after nebulized medication Albuterol/Ipratropium inhalation solution (aka Duoneb - a medication used to treat breathing problems) treatment per the physicians' order. This deficient practice had the potential for Resident 13 to not have effective respiratory therapy care.
  12. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure to label an open date of ipratropium-albuterol inhalation solution (used to prevent and treat difficulty breathing, wheezing, shortness of breath, coughing, and chest tightness) inhalation solution for one of five residents (Resident 13) that can expire once opened with an open date according to manufacturer guidelines. This deficient practice had the potential to compromise the therapeutic effectiveness of the stored medications and unintended complications related to the management of medications.
  13. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure facility verify informed consent (a principle in medical ethics and medical law that a patient should have sufficient information before making their own free decisions about their medical care) form was given to the physician prior to administering the psychotropic medication Seroquel (a potentially life-threatening medication that treats psychosis) for one of five sampled residents (Resident 16). This deficient practice had the potential for Resident 16 to not be able to exercise his right to know what medications the facility is administering to the resident.
  14. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain a medication error rate below 5% (percent-unit of measurement). This failure resulted in three medication errors observed for one of three sampled residents (Resident 27). There was a total of 28 medication opportunities out of which three were observed given incorrectly, which resulted in a medication error rate of 10.71%.
  15. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed administer medications without error to one of five sampled residents (Resident 27). This failure resulted in three medications being crushed and administered together, which had the potential to result in therapeutic failure, and unpredictable chemical and physical interactions of the medications.
  16. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a routine dental visit to one of five residents (Resident 15). This failure had the potential to affect the resident's self-esteem and quality of life.
  17. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 18 of 21 resident rooms (Rooms 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 14, 15, 16, 18, 19, 21, 23 and 25) met the are footage requirements of 80 square feet (sq ft) per resident. This deficient practice had the potential to result in inadequate space to provide safe nursing care and privacy for 31 Residents.
June 28, 2024Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one of four sampled residents (Resident 1), who are at high risk of fracture (break in the bone) and who required maximum assistance with at least two-people assist during repositioning and perineal (involves washing the genital and rectal areas of the body) care was provided an environment to prevent accident, by failing to: 1. Properly reposition Resident 1 with at least two- three persons assist on 6/10/2024 during perineal care and utilizing according to Resident 1's plan of care dated 7/16/2023 2. Implement the facility's policy and procedures (P&P) titled, Refusal of Treatment to not force a resident on any medical treatment, to document detailed information relating to the refusal and to notify the supervisors if resident refuses care. 3. [...]
March 1, 2024Standard inspection · 8 citations
  1. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 22, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that a Registered Nurse (RN), worked onsite for at least 8 consecutive hours a day seven days a week. This deficient practice had the potential for the facility not to manage and oversee nursing services provided to 35 residents including resident assessments, consulting with physicians, and administering intravenous fluids or medications.
  2. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents' medical records were updated to show accurate documentation that advance directives (written statement of a person's wishes regarding medical treatment made to ensure those wishes are carried out should the person be unable to communicate them to a doctor) were provided to the residents and/or responsible parties for two of five sampled residents (Resident 2 and Resident 10 ). This deficient practice violated the residents' and/or the representatives' right to be fully informed of the option to formulate their advance directives and had the potential to cause conflict with the residents' wishes regarding health care for Resident 2 and Resident 10.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to immediately notify a physician regarding a left eye infection for one (1) of five (5) sample residents (Resident 8). This deficient practice could have resulted in a delay of care and treatment for Resident 8.
  4. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents' Minimum Data Set (MDS- standardized assessment and care screening tool) assessments were transmitted to Centers for Medicare and Medicaid Services within 14 days after completion for four out of four sampled residents (Residents 2, 5, 27, and 33). This deficient practice resulted in 14 days delayed transmission of MDS assessments for Residents 2, 5, 27, and 33.
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to develop and/or implement an individualized person-centered plan of care with measurable objectives, timeframe, and interventions for a left eye infection for one out five sampled residents (Resident 8). These deficient practices had the potential to negatively affect the delivery of necessary care and services for Resident 8.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice for one (1) of five (5) sample residents (Resident 8) by: Failing to follow facility's policy on Resident Change of Condition for Resident 8's left eye infection. This deficient practice could have resulted in a delay of care and treatment for Resident 8.
  7. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2024
    Inspectors wroteBased on interview and record review, the facility failed to implement an antibiotic stewardship program (a coordinated program that promotes the appropriate use of drugs used to treat infections, including antibiotics), for antibiotic use protocol to ensure that residents received the right antibiotic for the right indication, dose, and duration for one of two sampled residents (Resident 22) in 1/2024. This deficient practice had the potential not to optimize the treatment of infections while reducing the adverse events associated with antibiotic use for Resident 22.
  8. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 22, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 18 of 21 resident rooms (1, 2, 3, 4, 5,6,7,9,10,11,14,15,16,18,19,21,23 and 25) met the square footage requirement of 80 square feet (Sq. Ft.) per resident. This deficient practice had the potential to result in inadequate space for nursing care and privacy and safety of residents.
September 12, 2023Complaint inspection · 1 citation
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on observation, interview and record review the failed to ensure Licensed Vocational Nurse 1 (LVN 1) wore appropriate personal protective equipment (not limited gown, mask, gloves, eye protection) before entering a transmission based airborne precaution isolation (used to help stop the spread of germs from one person with known or suspected infection to another) room for three of three residents (Residents 1, 2, and 3) in accordance with the facility's policies and procedures titled, Infection prevention and control programs, Covid-19, and Personal Protective Equipment-Using gowns. Residents 1, 2, and 3 tested positive for COVID-19 (an acute disease caused by coronavirus characterized by fever and cough and is capable of progressing to severe symptoms and in some cases death). [...]

Fire safety inspections

17 fire safety citations on file: 6 on April 12, 2026, 9 on March 9, 2025, 2 on March 1, 2024.

Every fire safety citation17 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 12, 2026 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 12, 2026 · Corrected (the home has a date of correction)
  3. D
    Provide properly protected cooking facilities.
    K 324 · April 12, 2026 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 12, 2026 · Corrected (the home has a date of correction)
  5. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 12, 2026 · Corrected (the home has a date of correction)
  6. D
    Have proper medical gas storage and administration areas.
    K 923 · April 12, 2026 · Corrected (the home has a date of correction)
  7. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 9, 2025 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 9, 2025 · Corrected (the home has a date of correction)
  9. E
    Install an approved automatic sprinkler system.
    K 351 · March 9, 2025 · Corrected (the home has a date of correction)
  10. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 9, 2025 · Corrected (the home has a date of correction)
  11. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 9, 2025 · Corrected (the home has a date of correction)
  12. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 9, 2025 · Corrected (the home has a date of correction)
  13. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 9, 2025 · Corrected (the home has a date of correction)
  14. D
    Have proper medical gas storage and administration areas.
    K 923 · March 9, 2025 · Corrected (the home has a date of correction)
  15. C
    Establish policies and procedures including evacuation.
    E 20 · March 9, 2025 · Corrected (the home has a date of correction)
  16. E
    Construct fire resistant interior walls.
    K 331 · March 1, 2024 · Corrected (the home has a date of correction)
  17. C
    Provide emergency officials' contact information.
    E 31 · March 1, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 28, 2024Fine $17,745

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeCaliforniaUnited States
All nursing staff (RN, LPN and aides)4.214.523.86
Registered nurses0.250.670.69
All nursing staff on weekends4.124.093.42
Nurse aides2.69
Licensed practical nurses1.27
Nursing staff turnover (share who left in a year)44.7%36.7%45.8%
Registered nurse turnovernot reported38.1%42.9%
Administrators who leftnot reported

CMS expects 3.66 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.25 on weekdays and 4.12 on weekends, 3% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.86 in April to June 2025 to 4.21 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.210.254.254.12 12.8%0 of 9036
Oct to Dec 20254.240.244.284.15 13.9%0 of 9237
Jul to Sep 20254.200.234.293.97 15.7%2 of 9237
Apr to Jun 20252.860.162.912.74 19.7%21 of 9138
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
California, Jan to Mar 20264.360.594.523.972.3%0.5% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for California

JobMedianMiddle halfEmployed
California, all employers
CNAs (nursing assistants)$22.90$22.04 to $26.35110,060
LPNs and LVNs$38.34$35.98 to $45.0682,850
Registered nurses$67.44$58.87 to $83.25338,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Flower Villa, Inc. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
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Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeCaliforniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.810.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.81.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.01.63.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.89.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.04.34.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
10.022.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.611.212.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Flower Villa, Inc's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · California: 301 better, 190 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 4 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · California: 10 better, 22 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 44 eligible stays.

Infections that led to a hospital stay

6.9% this home

No different from the national rate

US median of homes 7.1% · California: 8 better, 48 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.

Self-care and mobility at discharge

45.0% this home

Median of homes: California59.2% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 20 residents counted.

Falls with major injury

0.0% this home

Median of homes: California0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 26 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: California0.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 26 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: California96.2% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: FLOWER VILLA, INC.. CMS links this home to Rollins-Nelson Healthcare Management, a group of 8 nursing homes averaging 2.6 stars overall.

NameRoleTypeShareSince
Flower Villa, Inc.5% or greater direct ownership interestOrganization100%11/01/2007
Nelson, WilliamDirect ownership interestIndividual11/01/2007
Rollins, VickiDirect ownership interestIndividual11/01/2007
Rubins Brierwood Terrace Convalescent Hospital5% or greater mortgage interestOrganization11/01/2007
Nelson, WilliamCorporate directorIndividual11/01/2007
Rollins, VickiCorporate directorIndividual11/01/2007
Nelson, WilliamCorporate officerIndividual11/01/2007
Rollins, VickiCorporate officerIndividual11/01/2007
Flower Villa, Inc.Operational/managerial controlOrganization12/24/2024
Brent, DaleOperational/managerial controlIndividual01/01/2015
Hernandez, AlejandroOperational/managerial controlIndividual04/22/2024
Siregar, ChristopherOperational/managerial controlIndividual03/21/2022
Rubins Brierwood Terrace Convalescent HospitalAdp of the SNFOrganization01/23/2025
Brent, DaleAdp of the SNFIndividual01/01/2015
Hernandez, AlejandroAdp of the SNFIndividual04/22/2024
Siregar, ChristopherAdp of the SNFIndividual03/21/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on April 12, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on April 12, 2026: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on April 12, 2026: "Ensure each resident receives an accurate assessment."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on April 12, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."

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Assisted living in California

California contacts for a concern about a nursing home

These are the official offices in California. NursingHomeClear cannot take or act on complaints.

Common questions

What is Flower Villa, Inc's Medicare star rating?
CMS rates Flower Villa, Inc 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Flower Villa, Inc get at its last inspection?
11 health deficiencies at the standard inspection on April 12, 2026. The California average is 15.6.
Has Flower Villa, Inc been fined?
Yes. CMS lists 1 fine totaling $17,745 in the last three years.
Does Flower Villa, Inc accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Flower Villa, Inc?
CMS lists 16 owners and managers, and links the home to Rollins-Nelson Healthcare Management. Legal business name: FLOWER VILLA, INC..

Sources

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