California › Los Angeles County › Sylmar
Maclay Healthcare Center
12831 Maclay Street, Sylmar, CA 91342
CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Maclay Healthcare Center, in Sylmar, California, is certified for 141 beds under for-profit, limited liability company ownership and belongs to the Serrano Group chain.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.
Inspectors recorded 181 health deficiencies across the three most recent survey cycles (48, 63, 70 by cycle, most recent first), 11 of them at the actual-harm or immediate-jeopardy level. That is 128.4 per 100 beds, more than the state median of 51.1.
CMS lists 12 penalties in the period covered: fines totalling $361K and 5 payment denials.
Reported nurse staffing is 4.1 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 43.5%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
181health deficiencies, 3 survey cycles11 at actual harm or worse
$361Kfines listed by CMS12 penalties in period
4.1nurse hours per resident per daystate median 4.2
90%occupancy (residents ÷ beds)127 residents a day
Compared with county, state and nation
| Measure | This facility | Los Angeles Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 181 | 61 | 44 | 28.7 |
| Citations per 100 beds | 128.4 | 69.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 43.5% | 34.4% | 36.4% | 45.8% |
| Fines listed | $361,118 | $12,831 | $0 | — |
County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Jan 2026, 11 Oct 2024.
Severity mix: J ×6 K ×1 G ×4 D ×99 E ×70 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 29 Jun 2026 |
| 9 Jun 2026 | F0761 | 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. | D | Complaint investigation | 29 Jun 2026 |
| 9 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Jun 2026 |
| 14 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 24 Apr 2026 |
| 14 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 24 Apr 2026 |
| 14 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 24 Apr 2026 |
| 14 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 24 Apr 2026 |
| 14 Apr 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 24 Apr 2026 |
| 3 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 27 Mar 2026 |
| 3 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 27 Mar 2026 |
| 3 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 27 Mar 2026 |
| 16 Jan 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0584 | 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. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 25 Mar 2026 |
| 16 Jan 2026 | F0803 | 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. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 25 Mar 2026 |
| 16 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0578 | 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. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0693 | 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. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 12 Feb 2026 |
| 16 Jan 2026 | F0761 | 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. | D | Standard survey | 12 Feb 2026 |
| 15 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Oct 2025 |
| 28 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 19 Sep 2025 |
| 28 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Sep 2025 |
| 9 Jul 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 12 Aug 2025 |
| 3 Jun 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 27 Jun 2025 |
| 3 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 27 Jun 2025 |
| 3 Jun 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 27 Jun 2025 |
| 3 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 27 Jun 2025 |
| 28 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 9 May 2025 |
| 22 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 18 Apr 2025 |
| 22 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 Apr 2025 |
| 22 Mar 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 18 Apr 2025 |
| 22 Mar 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | 18 Apr 2025 |
| 22 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 18 Apr 2025 |
| 22 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Apr 2025 |
| 22 Mar 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 18 Apr 2025 |
| 28 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 12 Feb 2025 |
| 28 Jan 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 12 Feb 2025 |
| 16 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Feb 2025 |
| 24 Dec 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 9 Jan 2025 |
| 24 Dec 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 9 Jan 2025 |
| 24 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 9 Jan 2025 |
| 24 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Jan 2025 |
| 24 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 Jan 2025 |
| 18 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Dec 2024 |
| 31 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Nov 2024 |
| 31 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 11 Nov 2024 |
| 24 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 8 Nov 2024 |
| 24 Oct 2024 | F0584 | 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. | E | Complaint investigation | 8 Nov 2024 |
| 11 Oct 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | J | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0700 | 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. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 6 Dec 2024 |
| 11 Oct 2024 | F0803 | 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. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0887 | 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. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 18 Nov 2024 |
| 11 Oct 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 18 Nov 2024 |
| 10 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Sep 2024 |
| 10 Sep 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 26 Sep 2024 |
| 21 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 16 Sep 2024 |
| 5 Aug 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 23 Sep 2024 |
| 5 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 Aug 2024 |
| 5 Aug 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Aug 2024 |
| 5 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 Sep 2024 |
| 18 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Aug 2024 |
| 7 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Jul 2024 |
| 7 Jun 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Complaint investigation | 15 Jul 2024 |
| 10 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 27 Apr 2024 |
| 10 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Apr 2024 |
| 23 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Mar 2024 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Feb 2024 |
| 25 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Feb 2024 |
| 25 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Feb 2024 |
| 25 Jan 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 16 Feb 2024 |
| 25 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Feb 2024 |
| 25 Jan 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 16 Feb 2024 |
| 4 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 24 Dec 2023 |
| 14 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 14 Dec 2023 |
| 25 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Nov 2023 |
| 6 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0584 | 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. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0578 | 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. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Oct 2023 |
| 6 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0688 | 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. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0761 | 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. | D | Standard survey | 30 Oct 2023 |
| 6 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 30 Oct 2023 |
| 29 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 13 Oct 2023 |
| 27 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 31 Oct 2023 |
| 27 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 31 Oct 2023 |
| 27 Sep 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 31 Oct 2023 |
| 27 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 31 Oct 2023 |
| 27 Sep 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 31 Oct 2023 |
| 22 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Oct 2023 |
| 7 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 31 Oct 2023 |
| 7 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 31 Oct 2023 |
| 7 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 31 Oct 2023 |
| 7 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 31 Oct 2023 |
| 7 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 31 Oct 2023 |
| 7 Sep 2023 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint investigation | 31 Oct 2023 |
| 7 Sep 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 31 Oct 2023 |
| 1 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 Sep 2023 |
| 23 Aug 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Complaint investigation | 8 Sep 2023 |
| 23 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Sep 2023 |
| 14 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 21 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Apr 2026 | Fine | $19,610 | |
| 16 Jan 2026 | Payment denial | — | 38 days |
| 16 Jan 2026 | Fine | $43,755 | |
| 22 Mar 2025 | Payment denial | — | 20 days |
| 22 Mar 2025 | Fine | $52,142 | |
| 11 Oct 2024 | Payment denial | — | 14 days |
| 11 Oct 2024 | Fine | $112,506 | |
| 11 Oct 2024 | Fine | $17,660 | |
| 7 Jun 2024 | Payment denial | — | 6 days |
| 7 Jun 2024 | Fine | $86,623 | |
| 23 Aug 2023 | Payment denial | — | 31 days |
| 23 Aug 2023 | Fine | $28,822 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 43.5%, RNs 61.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.1% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.5% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.4% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.7% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Maclay Healthcare Llc. Chain: Serrano Group (11 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lory Lynn LLC | 5% or greater direct ownership interest | 17% | 11/01/2015 |
| Maclay Partners LLC | 5% or greater direct ownership interest | 17% | 11/01/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Los Angeles County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alcott Rehabilitation Hospital | Los Angeles | 121 | 5 | 4 | 4 | 42 | 34.7 | $9K | 23 Dec 2025 |
| Alden Terrace Convalescent Hospital | Los Angeles | 210 | 5 | 4 | 4 | 35 | 16.7 | — | 20 Nov 2025 |
| Angels Nursing Health Center | Los Angeles | 49 | 5 | 4 | 4 | 37 | 75.5 | $72K | 11 Jun 2026 |
| Ararat Post Acute | Glendale | 28 | 5 | 4 | 5 | 30 | 107.1 | $42K | 23 Jan 2026 |
| Atherton Baptist Home | Alhambra | 113 | 5 | 4 | 4 | 28 | 24.8 | — | 16 Jan 2026 |
| Atlantic Memorial Healthcare Center | Long Beach | 104 | 5 | 5 | 4 | 25 | 24.0 | — | 16 Jun 2026 |
| Beachside Post Acute | Torrance | 110 | 5 | 4 | 4 | 31 | 28.2 | — | 19 Dec 2025 |
| Beacon Healthcare Center | West Covina | 54 | 5 | 4 | 3 | 32 | 59.3 | — | 14 May 2026 |
All 369 facilities in Los Angeles County
Questions and answers
How many deficiencies has Maclay Healthcare Center been cited for?
181 health deficiencies across the three most recent survey cycles, 11 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Maclay Healthcare Center been fined?
Yes. CMS lists fines totalling $361K in the period covered, plus 5 payment denials.
How does staffing at Maclay Healthcare Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Maclay Healthcare Center?
It is part of the Serrano Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Lory Lynn LLC and Maclay Partners LLC. Individual owners and managers are not listed on this site.
When was Maclay Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 16 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.