01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-12 | 13 | 2026-04-12 | 6 |
| Cycle 2 | 2025-03-09 | 17 | 2025-03-09 | 9 |
| Cycle 3 | 2024-03-01 | 10 | 2024-03-01 | 2 |
CMS CCN 0564382026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Flower Villa, Inc
1480 S. La Cienega Bl · Los Angeles, CA 90035 · Los Angeles County
Certified beds41CMS provider file
Recent citation rows57current CMS citation release
Penalty rows1current 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
57 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-12 · 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 · 2026-04-232026-04-12 · HEALTHF0604Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2026-04-232026-04-12 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-04-232026-04-12 · HEALTHF0641Severity E · pattern; 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 · 2026-04-232026-04-12 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-04-232026-04-12 · HEALTHF0693Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-232026-04-12 · HEALTHF0744Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Correction field: Deficient, Provider has date of correction · 2026-04-232026-04-12 · 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 · 2026-04-232026-04-12 · HEALTHF0812Severity E · pattern; 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 · 2026-04-232026-04-12 · HEALTHF0814Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2026-04-232026-04-12 · HEALTHF0912Severity B · pattern; potential for minimal harm
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Correction field: No revisit needed2026-04-12 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-292026-04-12 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-05-032026-04-12 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-292026-04-12 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-04-292026-04-12 · 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 · 2026-04-292026-04-12 · 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 · 2026-04-292026-01-27 · HEALTHF0882Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2026-02-12 · complaint2025-12-15 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-12-31 · complaint2025-03-09 · FIREE0020Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-03-09 · HEALTHF0582Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-03-282025-03-09 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-282025-03-09 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-03-282025-03-09 · HEALTHF0656Severity D · isolated; 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 · 2025-03-2803 / 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 |
|---|---|---|---|
| 2024-06-28 | Fine | $17,745 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FLOWER VILLA, INC.Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/01/2007
- NELSON, WILLIAMIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2007
- ROLLINS, VICKIIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2007
- RUBINS BRIERWOOD TERRACE CONVALESCENT HOSPITALOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 11/01/2007
- NELSON, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2007
- ROLLINS, VICKIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2007
- NELSON, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2007
- ROLLINS, VICKIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2007
- FLOWER VILLA, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/24/2024
- BRENT, DALEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2015
- HERNANDEZ, ALEJANDROIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/22/2024
- SIREGAR, CHRISTOPHERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/21/2022
- RUBINS BRIERWOOD TERRACE CONVALESCENT HOSPITALOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/23/2025
- BRENT, DALEIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2015
- HERNANDEZ, ALEJANDROIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/22/2024
- SIREGAR, CHRISTOPHERIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/21/2022
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 hours4.21per resident day
RN hours0.25per resident day
Weekend nurse hours4.12per resident day
Staff turnover44.7%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