Elder Care Record

California › Los Angeles County › Van Nuys

Terrace Post Acute

7447 Sepulveda Blvd, Van Nuys, CA 91405

CCN 555738 · For-profit, corporation · 133 certified beds · chain Windsor

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.

Terrace Post Acute, in Van Nuys, California, is certified for 133 beds under for-profit, corporation ownership and belongs to the Windsor chain.

CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.

Inspectors recorded 88 health deficiencies across the three most recent survey cycles (22, 29, 37 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 66.2 per 100 beds, more than the state median of 51.1.

CMS lists 2 penalties in the period covered: fines totalling $94K and 1 payment denial.

Reported nurse staffing is 3.9 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 25.7%.

88health deficiencies, 3 survey cycles3 at actual harm or worse
$94Kfines listed by CMS2 penalties in period
3.9nurse hours per resident per daystate median 4.2
90%occupancy (residents ÷ beds)120 residents a day

Compared with county, state and nation

MeasureThis facilityLos Angeles Co. medianCalifornia medianUS average
Overall star rating1233.0
Health citations, 3 cycles88614428.7
Citations per 100 beds66.269.151.126.8
Total nurse hours per resident day3.94.34.23.9
RN hours per resident day0.40.40.50.7
Nursing staff turnover25.7%34.4%36.4%45.8%
Fines listed$94,094$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

Cycle 1 (latest)22
Cycle 229
Cycle 337

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Jan 2026, 21 Nov 2024.

Severity mix: G ×3 D ×58 E ×26 B ×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 dateTagWhat the tag requiresSeverityTypeCorrected
4 Jun 2026F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation11 Jun 2026
21 Apr 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint investigation23 Apr 2026
21 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation23 Apr 2026
8 Apr 2026F0583Keep residents' personal and medical records private and confidential.DComplaint investigation15 Apr 2026
6 Mar 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation13 Mar 2026
15 Jan 2026F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey20 Jan 2026
15 Jan 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey20 Jan 2026
15 Jan 2026F0759Ensure medication error rates are not 5 percent or greater.EStandard survey20 Jan 2026
15 Jan 2026F0761Ensure 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.EStandard survey20 Jan 2026
15 Jan 2026F0803Ensure 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.EStandard survey20 Jan 2026
15 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey20 Jan 2026
15 Jan 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey20 Jan 2026
15 Jan 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey20 Jan 2026
15 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey20 Jan 2026
15 Jan 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation20 Jan 2026
15 Jan 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey20 Jan 2026
15 Jan 2026F0730Observe each nurse aide's job performance and give regular training.DStandard survey20 Jan 2026
15 Jan 2026F0809Ensure 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.DStandard survey20 Jan 2026
15 Jan 2026F0814Dispose of garbage and refuse properly.DStandard survey20 Jan 2026
15 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey20 Jan 2026
26 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation27 Aug 2025
19 Aug 2025F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint investigation22 Aug 2025
19 May 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation30 May 2025
6 May 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation12 May 2025
6 May 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation12 May 2025
7 Mar 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation17 Mar 2025
8 Feb 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation20 Feb 2025
30 Jan 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation3 Feb 2025
30 Jan 2025F0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.DComplaint investigation3 Feb 2025
17 Dec 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation20 Dec 2024
6 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation19 Dec 2024
21 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey5 Dec 2024
21 Nov 2024F0758Implement 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.EStandard survey5 Dec 2024
21 Nov 2024F0760Ensure that residents are free from significant medication errors.EStandard survey5 Dec 2024
21 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey5 Dec 2024
21 Nov 2024F0880Provide and implement an infection prevention and control program.EStandard survey5 Dec 2024
21 Nov 2024F0578Honor 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.DStandard survey5 Dec 2024
21 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation5 Dec 2024
21 Nov 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey5 Dec 2024
21 Nov 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey5 Dec 2024
21 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey5 Dec 2024
21 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey5 Dec 2024
21 Nov 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey5 Dec 2024
14 Nov 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation18 Nov 2024
25 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Nov 2024
4 Oct 2024F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint investigation16 Oct 2024
18 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation30 Sep 2024
18 Sep 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation30 Sep 2024
18 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation30 Sep 2024
11 Sep 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation30 Sep 2024
5 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Sep 2024
25 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation13 Aug 2024
5 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation9 Jul 2024
28 May 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation13 Jun 2024
17 May 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation1 Jun 2024
7 May 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation29 May 2024
7 May 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation29 May 2024
1 Dec 2023F0692Provide enough food/fluids to maintain a resident's health.GStandard survey26 Dec 2023
1 Dec 2023F0578Honor 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.EStandard survey26 Dec 2023
1 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey12 Feb 2024
1 Dec 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey26 Dec 2023
1 Dec 2023F0760Ensure that residents are free from significant medication errors.EStandard survey26 Dec 2023
1 Dec 2023F0761Ensure 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.EStandard survey12 Feb 2024
1 Dec 2023F0770Provide timely, quality laboratory services/tests to meet the needs of residents.EStandard survey26 Dec 2023
1 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey12 Feb 2024
1 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey12 Feb 2024
1 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey12 Feb 2024
1 Dec 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey26 Dec 2023
1 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey26 Dec 2023
1 Dec 2023F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey26 Dec 2023
1 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Feb 2024
1 Dec 2023F0687Provide appropriate foot care.DStandard survey26 Dec 2023
1 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey26 Dec 2023
1 Dec 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey26 Dec 2023
1 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Feb 2024
1 Dec 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey26 Dec 2023
1 Dec 2023F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey26 Dec 2023
1 Dec 2023F0881Implement a program that monitors antibiotic use.DStandard survey26 Dec 2023
1 Dec 2023F0638Assure that each resident’s assessment is updated at least once every 3 months.BStandard survey26 Dec 2023
22 Nov 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation13 Dec 2023
18 Oct 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation13 Nov 2023
18 Oct 2023F0695Provide safe and appropriate respiratory care for a resident when needed.GComplaint investigation13 Nov 2023
18 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation13 Nov 2023
18 Oct 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation13 Nov 2023
31 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation2 Oct 2023
31 Aug 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation2 Oct 2023
17 Aug 2023F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation14 Sep 2023
17 Aug 2023F0760Ensure that residents are free from significant medication errors.DComplaint investigation14 Sep 2023

Penalties

DateTypeAmountDetail
18 Oct 2023Payment denial—44 days
18 Oct 2023Fine$94,094

Staffing

Total nursing3.87 h
Nurse aides2.49 h
LPN0.95 h
RN0.43 h
Weekend total3.67 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 25.7%, RNs 35.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay4.1%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.2%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.2%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.5%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.4%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.4%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.8%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, corporation. Legal business name: Windsor Terrace Healthcare Llc. Chain: Windsor (22 facilities).

OrganisationRole in the CMS recordInterestSince
Antelope Holdings I, LLC5% or greater direct ownership interestNO PERCENTAGE PROVIDED06/30/2023
Antelope Realty Holdings I, LLC5% or greater direct ownership interestNO PERCENTAGE PROVIDED08/02/2023
Newgen Administrative Services, LLCOperational/managerial controlNOT APPLICABLE06/30/2023
Newgen Administrative Services, LLCAdp of the snfNOT APPLICABLE09/26/2025

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Alcott Rehabilitation HospitalLos Angeles1215444234.7$9K23 Dec 2025
Alden Terrace Convalescent HospitalLos Angeles2105443516.7—20 Nov 2025
Angels Nursing Health CenterLos Angeles495443775.5$72K11 Jun 2026
Ararat Post AcuteGlendale2854530107.1$42K23 Jan 2026
Atherton Baptist HomeAlhambra1135442824.8—16 Jan 2026
Atlantic Memorial Healthcare CenterLong Beach1045542524.0—16 Jun 2026
Beachside Post AcuteTorrance1105443128.2—19 Dec 2025
Beacon Healthcare CenterWest Covina545433259.3—14 May 2026

All 369 facilities in Los Angeles County

Questions and answers

How many deficiencies has Terrace Post Acute been cited for?

88 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Terrace Post Acute been fined?

Yes. CMS lists fines totalling $94K in the period covered, plus 1 payment denial.

How does staffing at Terrace Post Acute compare?

Reported total nurse staffing is 3.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Terrace Post Acute?

It is part of the Windsor chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Antelope Holdings I, LLC, Antelope Realty Holdings I, LLC and Newgen Administrative Services, LLC. Individual owners and managers are not listed on this site.

When was Terrace Post Acute last inspected?

The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 15 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.