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Pavilion on Pico Healthcare & Wellness Centre, LP

5916 W. Pico Boulevard, Los Angeles, CA 90035 · Los Angeles County · (323) 939-3184

59 certified beds, about 54 residents a day · For profit - Partnership · Medicare and Medicaid since 1967

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 055160 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 22, 2026, inspectors cited 15 health deficiencies (the California average is 15.6, the national average 9.2).

None of its 44 health citations since October 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

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 0.46 of those hours.

CMS links it to Corporate Interface Services, an affiliated group of 40 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 44 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
26D
12E
0F
Potential for minimal harm
0A
6B
0C
March 26, 2026Complaint inspection · 1 citation
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to ensure the policy and procedures for post dialysis (a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney(s) have failed) treatment evaluation was competed, for one of two sampled residents (Resident 2). This failure resulted in an incomplete medical record for Resident 2 and had the potential to affect the delivery care and services. [...]
January 22, 2026Standard inspection · 15 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure:Proper resident identification prior to medication administration (MedPass) when licensed vocational nurse (LVN) 1did not check identification (ID) band before MedPass for one of four sampled resident (Resident 66). The physician's orders for pain medication were clarified and accurately implemented for one of one sampled resident (Resident 66.)Controlled substances were separated and secured in accordance with regulatory standards when lorazepam (medication that helps calm anxiety, relax muscles and help with sleep) 2mg/ml oral solution was found in refrigerator in medication room [ROOM NUMBER] stored next to other medications. [...]
  2. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure safe provisions of pharmaceuticals services by: Failing to ensure that the medication label matched the physician order for Resident 14. Failing to label medications with expiration dates including two compounded vancomycin HCl (a powerful antibiotic used to treat severe infections caused by bacteria that are resistant to other drugs) intravenous (IV) infusion bags for Resident 42 were not labeled with expiration date and escitalopram (medication to treat depression) for Resident 63 was not labeled with expiration date. These deficient practices had the potential to result in administration of expired medications, reduced therapeutic effectiveness and compromised resident safety and medication errors.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure standard infection prevention control practices (a set of practices that prevent or stop the spread of infections or diseases in the healthcare setting) were followed when:Eight of 16 sampled bleach wipe containers' lids were not kept close when not in use. [...]
  4. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 13, 2026
    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 (official procedure or system of rules) for two of three sample residents (Resident 47 and 14) by failing to ensure Resident 47 and 14 met the urinary tract infection ([UTI]- infection in the urine) criteria (a standard by which something may be decided) prior to starting an antibiotic. This deficient practice had the potential to cause adverse side effects and placed Resident 47 and 14 at risk for antibiotic resistance (when bacteria/germs change in some way that reduces or eliminates the effectiveness of drugs, chemicals, or other agents designed to cure or prevent infections) associated with the use of inappropriate antibiotic therapy.
  5. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure to provide documented evidence for two of four sample employees (Medical Director and Infection Prevention Nurse (IPN)) Corona virus ([COVID-19] - contagious infectious disease) vaccination status and the provision of education on benefits and potential side effects. This failure had the potential to result in staff and residents contracting COVID-19 which can cause serious illness, hospitalization, and death.
  6. 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) February 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to obtain written informed consent (voluntary agreement to accept treatment and/or procedures after receiving education regarding the risks, benefits, and alternatives offered) for the use of psychotropic medication (chemical substances that affect the brain, modifying mood, thought, emotions and behavior to treat mental illnesses) prior to administering Divalproex (a mood stabilizer medication used for aggression, disruptive behaviors and mood episodes) for one of one sampled resident (Resident 3). This failure resulted in a violation of Resident 3's right to make an informed decision before taking Divalproex and receiving 22 doses of Divalproex.
  7. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one of three sampled resident (Resident 7) was not offered a gradual dose reduction (GDR, stepwise tapering of a dose to determine if symptoms, conditions, or risks can be managed by a lower dose or if the dose or medication can be discontinued) when taking antipsychotic (prescription medications used to treat psychosis) medication to be free from unnecessary medications. This failure had the potential to result in Resident 7 to receive antipsychotic medication without GRD or ongoing evaluation of continued need and placing the resident at risk for adverse medication effects.
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure Minimum Data Set(MDS- a resident assessment tool) assessment accurately reflect resident status for one of five sampled residents (Resident 19). This failure had the potential to result in inaccurate assessment of the resident's condition, leading to inappropriate care planning, monitoring and interventions.
  9. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to meet professional standards of quality for one of four sample residents (Resident 14) when Licensed Vocational Nurse (LVN) 2 was observed crushing medications without a physician's order. This failure had a potential to result in medication ineffectiveness, compromised therapeutic outcomes, and adverse health effects for Resident 14.
  10. 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) February 13, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one of three sampled residents (Resident 19) care was not delayed when transportation failed to pick up Resident 19 on 10/28/25 per physician's orders. This failure had the potential to place the resident at risk for delayed treatment and care.
  11. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow the physician's order for fluid restriction (limits total daily liquid intake) for one of one sampled resident (Resident 4). This failure had the potential to result in inaccurate fluid intake documentation leading to fluid overload (too much fluid in the body) and hospitalization for Resident 4. Findings; [...]
  12. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the following for one of five sampled residents (Resident 21): 1. Resident 21 was assessed for risk of entrapment from bed rails prior to installation.2. Nursing staff implemented physician orders to maintain resident safety for seizure precautions. 3. Resident 21's bed dimensions were appropriate for the resident's size and weight.4. Staff obtained proper consent prior to using bilateral upper and lower side rails for Resident 21. These failures had the potential to result in serious physical injury, including entrapment, restricted movement during a seizure, or falls with injury, due to the use of four side rails (a device that attaches to the side of the bed).
  13. 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) February 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that medication error rate was less than five percent (5%). Two (2) medication errors out of twenty-six (26) opportunities resulted in an overall error rate of 7.69%, affecting two of four residents (Residents 14 and 45) observed during medication administration (MedPass) when:The physician order for levofloxacin (a strong, broad-spectrum antibiotic used to treat bacterial infections) for Resident 14 in electronic medical records (EMR) did not match the medication dose and directions listed on the bubble pack label. Licensed Vocational Nurse (LVN) 2 was unable to locate the prescribed strength of Vitamin D3 (supplement that supports bone health) for Resident 45 in medication cart 1, LVN 2 failed to follow up with the physician to clarify the discrepancy and obtain further instructions. [...]
  14. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · no revisit needed
    Inspectors wroteBased on observation, interview and record review, the facility failed to meet the requirements of no more than four residents per room for 2 of 20 resident rooms (rooms [ROOM NUMBERS]). This failure had the potential to result in inadequate space to provide sufficient nursing care and privacy for the residents.
  15. 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 provide at least 80 square feet (sq. ft. -unit of measurement for space) per resident in their bedroom for 17 of 20 resident rooms, (Rooms 4, 5, 6, 7, 8, 9, 10,11, 14, 15, 16, 17, 18, 19, 20, 21, and 22). This failure had the potential to result in inadequate useable living space for all the residents and working space for the health caregivers, which could affect the quality of life for the residents.
March 26, 2025Complaint inspection · 3 citations
  1. D
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · 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) April 17, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide a sufficient preparation and orientation for one of four sampled residents, (Resident) 1 with a safe and orderly discharge planning by failing to: 1. Complete an Interdisciplinary Team (IDT - a group of dedicated healthcare professionals who work to bring knowledge together to help residents receive the care they need) meeting regarding Resident 1's discharge planning. 2. Ensure the discharge planning was necessary, not because Resident 1 demanded of wanting to get up early and requested of laundry services. 3. Honor Resident 1's rights to be treated with kindness, respect and dignity. These deficient practices resulted in incomplete and ineffective discharge planning that may lead to lack of necessary care after discharge.
  2. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review, facility failed to provide necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care to one of four sampled resident (Resident 1), by failing to address behavioral health care needs and implementing a person-centered care plan when Resident 1 unrealistic demands according to facility's policy and procedure (P&P) titled, Behavior/Psychotropic Drug Management . This deficient practice had the potential to negatively affect the delivery of behavioral health care and services to Resident 1.
  3. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide medically-related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being to one out of four sampled residents (Resident 1), by failing to promote individualized, non-pharmacological approaches to care that meet the mental and psychosocial needs. This deficient practice placed Resident 1 in psychosocial distress.
November 17, 2024Standard inspection · 14 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to promote care for residents in a manner and in an environment that maintains or enhances each resident's dignity in full recognition of his or her individuality when two (2) of 13 sampled residents (Resident 2 and Resident 42) did not get their meals at the dining table at the same time. This failure had the potential to result in psychosocial distress and frustration for Resident 2 and Resident 42.
  2. E
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow the menu and did not meet nutritional needs of five of 54 residents on puree texture diets (diets consisted of food with smooth and pudding like consistency) received scrambled eggs instead of Florentine torta per facility menu spreadsheet. This failure had the potential to result in decrease of nutrient intake resulting to unintended (not done on purpose) weight loss.
  3. E
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to prepare foods in a form designed to meet individual needs when: a. Residents on pureed International Dysphagia Standardization Initiative ([IDDSI] global framework that provides standardized descriptors and testing methods for texture-modified foods and thickened liquids for people with difficulty in swallowing) level 4 (diet consisted of food that are soft with pudding like consistency) received oatmeal with lumps. b. Residents on soft mechanical diet (diet consisted of food that are soft and chopped) received toasted bread with hard bread edges. This failure had the potential to result in coughing, choking (to keep from breathing the normal way) and death for six (6) of 54 residents on puree diet and 16 of 54 residents on soft mechanical diet.
  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) December 3, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and food preparation practices in the kitchen when: a. Trash can in the handwashing sink room was not covered when it was not actively used. b. Staff did not perform hand hygiene. 1. Staff did not wash their hands after touching the lids of the garbage can then touched the clean resident's tray. 2. Staff loaded the dirty dishes in the dishmachine then proceeded to putting away the clean plates without washing their hands nor changing their gloves. c. Frozen raw chicken was stored on top of ground beef and cooked chicken was stored on the bottom of the raw fish. d. [NAME] racks had dust and rust in Refrigerator 2. 2. Freezer 3's gasket had dirt debris and buildup. 3. Freezer 4's gasket was torn and had dust buildup. 4. Preparation table roof had food dried buildup. 5. [...]
  5. E
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to dispose garbage and refuse properly by a. Not maintaining the garbage area free from dirty, plastics, mask on the floor and surroundings. b. Not maintaining one (1) of the dumpster's (a large trash metal container designed to be emptied into a truck) lid close and not overflowing with trashes. This failure had the potential to result in attracting birds, flies, insects, pest and possibly spread infection to 53 of 54 facility residents.
  6. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain sanitary conditions in the food services department when six (6) flies (a type of insect) were observed in the kitchen. This deficient practice had a potential to result in 53 of 54 residents, who received food from the kitchen, to acquire food borne illnesses (illness caused by consuming contaminated foods or beverages) by consuming potentially contaminated food.
  7. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to document in the resident's medical record a change in the resident's condition in accordance with the facility's policy and procedure (P&P) titled Change of condition Notification revised 6/28/2024 for one of ten sampled residents (Resident 2). This deficient practice resulted in Resident 2's attending physician and resident representative not being promptly notified of Resident 2's change of condition.
  8. 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) December 3, 2024
    Inspectors wroteBases on interview and record review, the facility failed to notify the physician of the laboratory testing finding in accordance with the facility's policy and procedure (P&P) titled Laboratory Services revised 6/28/2024 for one of ten sampled residents when: 1. Resident 2's lab results report dated 8/23/2024, indicated thyroid stimulating hormone (TSH -a hormone that is produced by the pituitary gland [small pea size gland found at the base of the brain] releases to trigger the thyroid to produce and release its own hormone) 27.71 micro-internation units (uIU -metric unit of measurement for volume) per milliliter (ml -metric unit of measurement for volume, normal range is 0.45 % to 5.33 %) 2. Resident 2's refused to have the TSH laboratory draw done on 10/10/2024 that was ordered on 8/29/2024.
  9. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the Low air loss (LAL -a pressure relieving mattress for the management or prevention of pressure sores) Mattress setting was appropriately set for one of ten sampled residents (Resident 205). This deficient practice had the potential to result in the redevelopment of pressure ulcers (a localized injury to the skin and/or underlying tissue usually over a bony prominence due to pressure, or pressure in combination with shear) and possible hospitalization. Findings; [...]
  10. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on observation, interview and record review, the facility staff failed to ensure one of three sampled residents (Resident 16) received appropriate treatment and services to prevent urinary tract infections (UTI-an infection in any part of your urinary system your kidneys, ureters, bladder, and urethra) by failing to: 1. Place a securement device/anchor on Resident 16's indwelling urinary catheter (a flexible plastic tube inserted into the bladder that remains there to always provide continuous urinary drainage) to secure the catheter below the level of the bladder at all times. 2. Assess and monitor the catheter for proper placement and drainage, and to ensure no leaking was present as per the resident's care plan (a plan of care that summarizes a resident's health conditions, specific care needs, and current treatments) titled Assess urinary drainage created on 4/28/2024. [...]
  11. 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) December 3, 2024
    Inspectors wroteBased on observation, interview and record review the Licensed Vocational Nurse (LVN) 4 failed to hold a Amlodipine (blood pressure medication) per the physician's order for one of two sampled residents (Resident 32). This deficient practice placed Resident 1 at risk for a further decrease in heart rate.
  12. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 3, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain the correct temperature in one of two medication storage rooms, Medication storage room [ROOM NUMBER]. This deficient practice put the medications at risk of losing their efficacy before they expire.
  13. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · Waiver December 3, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to meet the requirements of no more than four residents per room for two of 20 resident rooms (rooms [ROOM NUMBERS]). This deficient practice had the potential to result in inadequate space to provide sufficient nursing care and privacy for the residents.
  14. 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 · Waiver December 3, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide at least 80 square feet (sq. ft. -unit of measurement for space) per resident in multiple resident bedrooms for 17 of 20 resident rooms, (Rooms 4, 5, 6, 7, 8, 9, 10,11, 14, 15, 16, 17, 18, 19, 20, 21, and 22). This deficient practice had the potential to result in inadequate useable living space for all the residents and working space for the health caregivers, which could affect the quality of life for the residents.
July 9, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Ensure staff monitored, supervised, and were aware of the location of one of two residents with wandering behaviors for safety and prevent elopement (leaving the facility unsupervised and without staff knowledge). This deficient practices resulted in Resident 1, eloping (an unauthorized departure of a patient from an around-the-clock care setting) via the facility ' s front reception area doors during the afternoon on 7/3/2024 at 2 pm. Resident 1 was located the same day (7/3/24) at the resident's previous address 3.5 miles away from the facility and Resident 2 leaving the facility, increasing the risk for injury and harm related to accidents. 2. [...]
January 30, 2024Complaint inspection · 1 citation
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure one of three sampled residents (Resident 4), had a wound care consultation follow up for pressure injury (refers to localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) prevention initiated in a timely manner. This failure resulted Resident 4 ' s wound care treatments to be ordered 10 days after admission to the facility which, had the potential to result in Resident 4 ' s pressure injury on the sacrum (bony structure at the base of the spine) and bilateral (both sides) lateral (outer) ankle arterial ulcers (wound located on lower leg or foot due to poor circulation) to worsen.
October 20, 2023Standard inspection, Complaint inspection · 9 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on interview and record review the facility failed to provide adequate supervision for Resident 44 who was identified as exhibiting wandering behavior. As a result, Resident 44 eloped from the facility on 10/14/2023. A friend to Resident 44's Family Member (FM) found Resident 44 on unknown date and time.
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on observation, interview, and record review for two of 21 sampled residents (Resident 45 and Resident 148), the facility failed to ensure the call button was within reach of Resident 45 and to ensure there was a functioning call light for Resident 148. Those deficient practices had the potential to result in the needs of residents not being met, and to cause incidents leading to injuries.
  3. 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) November 9, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents' clinical records were updated about 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) for five one of five sampled residents (Resident 14) by failing to maintain documentation of the residents' advance directives in the residents' clinical records. This deficient practice had the potential to cause conflict with the residents' wishes regarding health care (Resident 14).
  4. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow through with the Preadmission Screening and Resident Review (PASRR) recommendation to obtain a PASRR level II evaluation for two of two sampled residents (Resident 4 and Resident 17). This deficient practice had the potential to result in inappropriate placement and unidentified specialized services for Resident 1.
  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) November 9, 2023
    Inspectors wroteBased on intervention and record review the facility failed to initiate and implement a care plan for Continuous positive airway pressure (CPAP-is a common treatment for obstructive sleep apnea) therapy as ordered by a medical doctor (MD) for one of two sampled residents (Resident 99). This deficient practice had the potential to not provide person-centered, comprehensive, and interdisciplinary care that reflets best practice standards for meeting health, safety, psychosocial, behavioral, and environmental needs of residents in order to obtain or maintain the highest physical, mental and psychosocial well-being for Resident 99.
  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) November 9, 2023
    Inspectors wroteBased on interview, and record review for one of six sampled residents (Resident 31), the facility failed to follow, transcribe physicians' orders for a surgical (cutting into the skin) wound care in accordance with the facility's policy and procedures (P&P) titled Physicians Orders revised on 8/21/2020, . This deficient had the potential to result in infection and hospitalization for Resident 31.
  7. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on intervention and record review the facility failed to follow up and make arrangements after a medical doctor's recommendation for cataract (clouding or loss of transparency of the lens in the eye as a result of tissue breakdown and protein clumping) surgery (a procedure to remove the lens of the eye and replaces with an artificial lens) for one of one sampled resident (Resident 39) in accordance with the facility's policy and procedures titled, Referrals to Outside Services dated 12/01/2013. As a result, Resident 39 was concerned that his vision was getting worse.
  8. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · Waiver November 9, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to meet the requirement of no more than four resident per for room for two of 20 resident rooms (rooms [ROOM NUMBERS]). This deficient practice had the potential to result in inadequate space to provide sufficient nursing care and privacy for the residents.
  9. 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 · Waiver November 9, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that 18 of 20 resident rooms, (Rooms 4, 5, 6, 7, 8, 9, 10, 11, 14, 15, 16, 17, 18, 19, 20, 21, 22, and 24) met the square footage requirement of 80 square feet (sq.ft.) per resident in multiple resident rooms. This deficient practice had the potential for inadequate space for resident care and mobility due to the demonstrations of the resident room space being less than 80 sq.ft.

Fire safety inspections

20 fire safety citations on file: 11 on January 22, 2026, 4 on November 17, 2024, 5 on October 20, 2023.

Every fire safety citation20 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 22, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 22, 2026 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 22, 2026 · Corrected (the home has a date of correction)
  4. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 22, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 22, 2026 · Corrected (the home has a date of correction)
  6. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · January 22, 2026 · Corrected (the home has a date of correction)
  7. D
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · January 22, 2026 · Corrected (the home has a date of correction)
  8. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 22, 2026 · Corrected (the home has a date of correction)
  9. D
    Have simulated fire drills held at unexpected times.
    K 712 · January 22, 2026 · Corrected (the home has a date of correction)
  10. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 22, 2026 · Corrected (the home has a date of correction)
  11. C
    Implement emergency and standby power systems.
    E 41 · January 22, 2026 · Corrected (the home has a date of correction)
  12. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 17, 2024 · Corrected (the home has a date of correction)
  13. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 17, 2024 · Corrected (the home has a date of correction)
  14. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 17, 2024 · Corrected (the home has a date of correction)
  15. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 17, 2024 · Corrected (the home has a date of correction)
  16. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · October 20, 2023 · Corrected (the home has a date of correction)
  17. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 20, 2023 · Corrected (the home has a date of correction)
  18. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 20, 2023 · Corrected (the home has a date of correction)
  19. D
    Install an approved automatic sprinkler system.
    K 351 · October 20, 2023 · Corrected (the home has a date of correction)
  20. D
    Have proper medical gas storage and administration areas.
    K 923 · October 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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 nurses0.460.670.69
All nursing staff on weekends3.764.093.42
Nurse aides2.48
Licensed practical nurses1.28
Nursing staff turnover (share who left in a year)not reported36.7%45.8%
Registered nurse turnovernot reported38.1%42.9%
Administrators who leftnot reported

CMS expects 4.77 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 4.40 on weekdays and 3.76 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 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 20264.210.464.403.76 0.0%0 of 9054
Jul to Sep 20254.150.534.323.71 0.0%0 of 9254
Apr to Jun 20254.140.594.303.74 0.0%0 of 9154
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 Pavilion on Pico Healthcare & Wellness Centre, LP. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
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Usual shift
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
17.910.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.71.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.61.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.89.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
11.04.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.212.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
12.722.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.411.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.62.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pavilion on Pico Healthcare & Wellness Centre, LP's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

50.4% this home

No different from the national rate

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. 57 eligible stays.

Potentially preventable readmissions

9.7% 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. 82 eligible stays.

Infections that led to a hospital stay

7.9% 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. 81 eligible stays.

Self-care and mobility at discharge

60.6% 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. 71 residents counted.

Falls with major injury

0.7% 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. 143 residents counted.

New or worsened pressure ulcers

0.5% 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. 143 residents counted.

Medication list given at discharge

92.7% this home

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. 55 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: PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE LP. CMS links this home to Corporate Interface Services, a group of 40 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Corporate Interface Services LLCOperational/managerial controlOrganization03/18/2024
Rockport Administrative Services, LLCOperational/managerial controlOrganization10/31/2014
Uomoto, KirkOperational/managerial controlIndividual01/01/2019
Weiss, MeshulemOperational/managerial controlIndividual03/04/2024
Pavilion on Pico Wellness Gp LLCGeneral partnership interestOrganization08/01/2014
Rechnitz, ShlomoLimited partnership interestIndividual08/01/2014
Corporate Interface Services LLCAdp of the SNFOrganization05/12/2025
Pavilion-Let LLCAdp of the SNFOrganization04/04/2025
Rockport Administrative Services, LLCAdp of the SNFOrganization05/12/2025
Uomoto, KirkAdp of the SNFIndividual01/01/2019
Weiss, MeshulemAdp of the SNFIndividual03/04/2024

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on January 22, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 7 problems in this area, most recently on January 22, 2026: "Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on March 26, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on January 22, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.76 hours per resident per day, below the California average of 4.09.

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Common questions

What is Pavilion on Pico Healthcare & Wellness Centre, LP's Medicare star rating?
CMS rates Pavilion on Pico Healthcare & Wellness Centre, LP 3 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pavilion on Pico Healthcare & Wellness Centre, LP get at its last inspection?
15 health deficiencies at the standard inspection on January 22, 2026. The California average is 15.6.
Has Pavilion on Pico Healthcare & Wellness Centre, LP been fined?
CMS lists no fines in the last three years.
Does Pavilion on Pico Healthcare & Wellness Centre, LP 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 Pavilion on Pico Healthcare & Wellness Centre, LP?
CMS lists 11 owners and managers, and links the home to Corporate Interface Services. Legal business name: PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE LP.

Sources

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