01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-09 | 8 | 2025-05-09 | 5 |
| Cycle 2 | 2024-05-06 | 17 | 2024-05-06 | 2 |
| Cycle 3 | 2021-11-19 | 11 | 2021-11-19 | 6 |
CMS CCN 5550302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
College Vista Post-Acute
4681 Eagle Rock Blvd. · Los Angeles, CA 90041 · Los Angeles County
Certified beds49CMS provider file
Recent citation rows49current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
49 rows in the current release
3 rows carry G–L scope/severity codes; 3 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-09 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · HEALTHF0847Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · FIREK0232Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-09 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-04-03 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-04-25 · complaint2025-03-07 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2025-03-28 · complaint2025-03-07 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-03-28 · complaint2024-09-17 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-10-04 · complaint2024-08-27 · HEALTHF0660Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-03 · HEALTHF0603Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Correction field: Deficient, Provider has date of correction · 2024-08-25 · complaint2024-08-03 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-08-25 · complaint2024-08-03 · HEALTHF0926Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Have policies on smoking.
Correction field: Deficient, Provider has date of correction · 2024-08-25 · complaint2024-07-22 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2024-08-01 · complaint2024-05-06 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-05-06 · HEALTHF0558Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-05-2903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-07-22 | Fine | $15,536 | 0 |
| 2024-05-06 | Fine | $28,032 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- COLLEGE VISTA LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/09/2015
- RUSSAKOFF, RICHARDIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST20% · since 07/19/2015
- DEHGHANMANESH, ADRIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2021
- COLLEGE VISTA LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/05/2016
- AREVALO, ARMANDOIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/15/2024
- BASSUK, PABLOIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2021
- DEHGHANMANESH, ADRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2021
- JOHNSON, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/19/2015
- KOCHEK, JOSHUAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2022
- MARTINEZ, VANESSAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/25/2024
- OXFORD, MICHEALIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/03/2022
- 4681 EAGLE ROCK, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/18/1992
- COLLEGE VISTA LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/05/2016
- SUN MAR MANAGEMENT SERVICESOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/12/1989
- AREVALO, ARMANDOIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/15/2024
- BASSUK, PABLOIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2021
- DEHGHANMANESH, ADRIANIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2021
- FARRALES, MARYIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.37per resident day
RN hours0.21per resident day
Weekend nurse hours3.91per resident day
Staff turnover46.4%CMS reported field
06 / LOCAL RECORDS
Open the Los Angeles ledger →Other published facilities nearby
Alcott Rehabilitation Hospital121 beds · CMS overall 5/562 citation rowsAlden Terrace Convalescent Hospital210 beds · CMS overall 5/556 citation rowsAlexandria Care Center177 beds · CMS overall 1/5137 citation rowsAlta View Post Acute99 beds · CMS overall 1/568 citation rowsAlvarado Care Center72 beds · CMS overall 2/585 citation rowsAngels Nursing Health Center49 beds · CMS overall 5/554 citation rowsArarat Convalescent Hospital42 beds · CMS overall 4/545 citation rowsAvalon Villa Care Center131 beds · CMS overall 1/5172 citation rows