| West Covina Medical Center D/p SNF | |
| 725 S. Orange Avenue, West Covina, California 91790 | |
| (626) 338-8481 | |
| Name | West Covina Medical Center D/p SNF |
|---|---|
| Location | 725 S. Orange Avenue, West Covina, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 33 |
| Occupancy Rate | 61.21% |
| Medicare ID (CCN) | 555649 |
| Legal Business Name | L a Downtown Medical Center LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Rollins-nelson Healthcare Management (8 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1780183335 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | L. A. Downtown Medical Center, LLC. |
| Address | 1711 W Temple St, Los Angeles, CA 90026 |
| Phone Number | 213-989-6100 |
| NPI Number | 1013925072 |
| Match | Possible same name, address or phone number |
| Organization Name | Doctors Hospital of West Covina, Inc. |
| Doing Business As | Doctors Hospital of West Covina |
| Address | 725 S Orange Ave, West Covina, CA 91790 |
| Phone Number | 626-338-8481 |
| NPI Number | 1255723490 |
| Match | Possible same name, address or phone number |
| Organization Name | West Covina Medical Center, Inc. |
| Address | 725 S Orange Ave, West Covina, CA 91790 |
| Phone Number | 626-338-8481 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 8.47 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.49 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 2.94 | 0.86 |
| Nurse aide hours per resident per day | 4.05 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 6.93 | 3.42 |
| RN hours per resident per day on the weekend | 1.11 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 29.3% | 45.8% |
| Registered nurse turnover | 33.3% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 1, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Dec 23, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 15, 2026 |
| Dec 18, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 18, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Oct 18, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2024 |
| Oct 18, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2024 |
| Nov 22, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Dec 16, 2023 |
| Nov 22, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 16, 2023 |
| Nov 22, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Dec 16, 2023 |
| Nov 22, 2023 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Dec 16, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Not Available | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 11.75 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.95 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.68 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.89 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.22 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.29 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.9 | 15.38 |
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