01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-20 | 26 | 2026-02-20 | 13 |
| Cycle 2 | 2025-01-10 | 52 | 2025-01-10 | 6 |
| Cycle 3 | 2023-12-28 | 37 | 2023-12-28 | 2 |
CMS CCN 5554382026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Kei-Ai Los Angeles Healthcare Center
2221 Lincoln Park Ave · Los Angeles, CA 90031 · Los Angeles County
Certified beds300CMS provider file
Recent citation rows136current 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
136 rows in the current release
5 rows carry G–L scope/severity codes; 1 carry J–L. 28 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-24 · HEALTHF0552Severity E · pattern; 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 · 2026-04-16 · complaint2026-03-24 · HEALTHF0600Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-04-16 · complaint2026-02-27 · 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 · 2026-03-23 · complaint2026-02-27 · 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 · 2026-03-23 · complaint2026-02-20 · 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 · 2026-03-132026-02-20 · 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 · 2026-03-132026-02-20 · 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 · 2026-03-132026-02-20 · 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 · 2026-03-132026-02-20 · 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 · 2026-03-132026-02-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
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 · 2026-03-132026-02-20 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-20 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-20 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-20 · HEALTHF0760Severity E · pattern; 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 · 2026-03-132026-02-20 · HEALTHF0761Severity D · isolated; 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 · 2026-03-132026-02-20 · 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 · 2026-03-132026-02-20 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-20 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-02-20 · FIREK0223Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2026-03-182026-02-20 · FIREK0225Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-02-20 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-02-20 · FIREK0345Severity D · isolated; 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 · 2026-03-202026-02-20 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-02-20 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-03-2503 / 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 |
|---|---|---|---|
| 2024-05-31 | Fine | $68,445 | 0 |
| 2023-11-28 | Fine | $116,544 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ALAL LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/09/2015
- JACARANDA HEALTHCARE GROUP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2023
- BRADSHAW, PETERIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/07/2023
- ELSNER, ERICIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/21/2016
- KIRKWOOD, JAREDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2019
- ORGILL, CRAIGIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2019
- PARTI, RAJESHIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/21/2016
- PARTI, SHRUTYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/21/2016
- PAXMAN, MARCUSIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- ASPEN SKILLED HEALTHCARE INCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 05/04/2021
- CASLMON, TIMOTHYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2023
- THOMPSON, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2023
- ALAL LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/21/2016
- CASLMON, TIMOTHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- COLLINS, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/18/2024
- HEAP, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/16/2025
- MA, LISAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2001
- THOMPSON, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT 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 hours4.45per resident day
RN hours0.48per resident day
Weekend nurse hours4.21per resident day
Staff turnover40.1%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