B
LONG BEACH POST ACUTE
73/100 score
0.42 hrs RN staffing
4 deficiencies
VILLA SERENA HEALTHCARE CENTER
723 E 9TH STREET, LONG BEACH, CA 90813
F
Facility Assessment
22 federal violations at this facility remain unresolved. Inspectors recorded 2 citations at the actual-harm level or worse in the last three survey cycles. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Below the repealed 0.55 hr RN benchmark — review inspection history before visiting.
Quality Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.27 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
45
Outstanding
22
Actual harm or worse (G–L)
2
|
|
CMS Ratings
Overall and Staffing quality ratings from CMS (1-5 stars).
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Quality: ★★★★☆ (4/5)
Staffing: ★★★☆☆ (3/5)
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NursingHomeGrade Score
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17/100 |
Loaded into NursingHomeGrade on April 12, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
2 immediate jeopardy issues found among 45 total deficiencies. 23 corrected. — 22 still outstanding
Most recent inspection (February 9, 2026)
B
No harm — pattern
F0911
Status: Corrected
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies — Deficient, Provider has date of correction, corrected February 27, 2026
B
No harm — pattern
F0912
Status: Corrected
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies — Deficient, Provider has date of correction, corrected February 27, 2026
D
Potential harm — isolated
F0730
Status: Corrected
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected February 27, 2026
E
Potential harm — pattern
F0814
Status: Corrected
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected February 27, 2026
E
Potential harm — pattern
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected February 27, 2026
D
Potential harm — isolated
F0757
Status: Corrected
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected February 27, 2026
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected December 5, 2025
D
Potential harm — isolated
F0656
Status: Corrected
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected February 27, 2026
D
Potential harm — isolated
F0550
Status: Corrected
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected February 27, 2026
Inspection cycle 2 (January 18, 2025)
D
Potential harm — isolated
F0773
Status: Outstanding — Plan Filed
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0836
Status: Outstanding — Plan Filed
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Administration Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0911
Status: Outstanding — Plan Filed
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
F
Potential harm — widespread
F0912
Status: Outstanding — Plan Filed
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
J
Immediate jeopardy — isolated
F0600
Status: Outstanding — Plan Filed
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
F
Potential harm — widespread
F0880
Status: Outstanding — Plan Filed
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0881
Status: Outstanding — Plan Filed
Implement a program that monitors antibiotic use.
Infection Control Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
F
Potential harm — widespread
F0887
Status: Outstanding — Plan Filed
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.
Infection Control Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
D
Potential harm — isolated
F0800
Status: Outstanding — Plan Filed
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0803
Status: Outstanding — Plan Filed
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.
Nutrition and Dietary Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
D
Potential harm — isolated
F0805
Status: Outstanding — Plan Filed
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0812
Status: Outstanding — Plan Filed
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
D
Potential harm — isolated
F0755
Status: Outstanding — Plan Filed
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0758
Status: Outstanding — Plan Filed
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.
Pharmacy Service Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0759
Status: Outstanding — Plan Filed
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0761
Status: Outstanding — Plan Filed
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.
Pharmacy Service Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
J
Immediate jeopardy — isolated
F0678
Status: Outstanding — Plan Filed
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0686
Status: Outstanding — Plan Filed
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
E
Potential harm — pattern
F0698
Status: Outstanding — Plan Filed
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
D
Potential harm — isolated
F0644
Status: Outstanding — Plan Filed
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
D
Potential harm — isolated
F0554
Status: Outstanding — Plan Filed
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
D
Potential harm — isolated
F0578
Status: Outstanding — Plan Filed
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.
Resident Rights Deficiencies — Deficient, Provider has plan of correction, corrected February 12, 2025
F
Potential harm — widespread
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected May 24, 2024
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 16, 2025
D
Potential harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2024
D
Potential harm — isolated
F0657
Status: Corrected
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2024
Inspection cycle 3 (January 21, 2024)
D
Potential harm — isolated
F0770
Status: Corrected
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2024
F
Potential harm — widespread
F0908
Status: Corrected
Keep all essential equipment working safely.
Environmental Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2024
B
No harm — pattern
F0911
Status: Corrected
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies — Waiver has been granted, corrected February 20, 2024
B
No harm — pattern
F0912
Status: Corrected
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies — Waiver has been granted, corrected February 20, 2024
F
Potential harm — widespread
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2024
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2024
D
Potential harm — isolated
F0692
Status: Corrected
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2024
D
Potential harm — isolated
F0645
Status: Corrected
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2024
E
Potential harm — pattern
F0550
Status: Corrected
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2024
D
Potential harm — isolated
F0558
Status: Corrected
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2024
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