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NURSING HOME INSPECTION REPORT

Burlington Convalescent Hospital in Los Angeles: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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845 S Burlington Ave, Los Angeles · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 3 state citations for Burlington Convalescent Hospital since 2023, including 0 Class AA and 1 Class A, and 1 federal deficiency that inspectors rated at the actual-harm level or higher (G through L). The most serious state action was a Class A citation (Patient Care), penalty $25,000, appealed by the facility, issued April 3, 2025. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date. Cal Health Find also lists 2 complaint or incident reports since 2023 that included a sexual abuse allegation; CDPH substantiated 0.

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Burlington Convalescent Hospital at a glance: owner, beds and ratings

Address
845 S Burlington Ave, Los Angeles, CA 90057
CDPH license / facility ID
970000063 / 970000127
Medicare CCN
056326
Licensed beds
124
Licensee (CDPH)
BURLINGTON CONVALESCENT HOSPITAL LLC
Chain / affiliated entity (CMS)
Longwood Management Corporation (chain or affiliated entity listed by CMS)
Administrator of record
Huang, Jeffrey J
CMS overall rating
4 of 5 stars
CMS staffing rating
4 of 5 stars
Nurse staffing (CMS)
4.13 reported nurse hours per resident per day*
CMS fines (last 3 years)
$8,278
CMS abuse icon
Not shown

* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.

Records: Cal Health Find ↗ · Medicare Care Compare ↗

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Burlington Convalescent Hospital citations and inspection findings

Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.

DateSourceFindingRecord
March 5, 2026State (CDPH)Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000Government record (CDPH) ↗
April 3, 2025State (CDPH)Class A citation (Patient Care), penalty $25,000, appealed by the facility
Read what inspectors found ↓
Government record (CDPH) ↗
February 18, 2025Federal (CMS-2567), CertificationF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗
April 12, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
March 14, 2023Federal (CMS-2567), CertificationF609 – Reporting of Alleged Violations, severity E (no actual harm, potential for more than minimal harm, pattern)
Abuse
Government record (CDPH) ↗
January 27, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗

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What inspectors found at Burlington Convalescent Hospital

Tap a finding to read the summary. Each one is written from the government report linked under it.

·
April 2025: Class A citation and F689 (severity G) after a resident fell again and fractured his hip

On February 18, 2025, CDPH made an unannounced visit to investigate a facility-reported fall and to conduct an annual recertification survey. According to the citation, Resident 165 was a 92-year-old man with dementia, peripheral vascular disease (narrowed blood flow to the arms and legs), osteoarthritis and a history of falls. He used a walker, lacked the capacity to understand and make decisions, and scored 22 on a January 2025 fall risk assessment, which meant high risk.

CDPH found the facility did not revise his fall care plan with new interventions after he fell on the smoking patio on December 28, 2024. According to the citation, the interventions in his fall care plan, such as frequent visual checks and safety instructions, had been in place since October 2019, and his care plan for fracture risk had not been updated since February 2022.

According to the citation, on February 3, 2025, Resident 165 was again found sitting on the smoking patio floor, with pain of 7 out of 10 in his buttocks and both thighs. An x-ray on February 4 showed a left hip fracture, and he was taken to a hospital on February 5. The 2567 report states he had open reduction and internal fixation surgery (ORIF, a repair that holds the bone together with screws, plates or rods) on February 16, 2025. CDPH issued a Class A citation with a $25,000 penalty, and the federal survey cited F689 at severity G, meaning actual harm.

↑ Back to this finding in the timeline

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Complaints against Burlington Convalescent Hospital

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
2023132118
202411471
2025155104
2026199101

Cal Health Find lists 58 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 14 of them. 25 intakes involved an allegation in CDPH’s abuse category, and 3 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.

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Sexual abuse reports at Burlington Convalescent Hospital

Cal Health Find lists 2 intakes for Burlington Convalescent Hospital from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (0 from complaints and 2 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 0 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.

YearIntakes with a sexual abuse allegationSubstantiated
202310
202610

Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →

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Burlington Convalescent Hospital lawsuits and criminal cases

Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Burlington Convalescent Hospital is not finished yet. This section will be updated when it is; until then, do not read the absence of a case here as a finding that none exists.

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What this record means for your family

California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.

Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.

Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.

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What to do now

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Questions families ask

Has Burlington Convalescent Hospital been cited by the State of California?

Cal Health Find lists 3 state citations for Burlington Convalescent Hospital since 2023, including 0 Class AA and 1 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Burlington Convalescent Hospital?

From 2023 through October 30, 2026, Cal Health Find lists 58 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 14 of them.

Does Medicare flag Burlington Convalescent Hospital for abuse?

As of our data date, Medicare Care Compare does not show its abuse icon for Burlington Convalescent Hospital. The icon is only one signal; read the citations above.

Have there been sexual abuse reports at Burlington Convalescent Hospital?

Cal Health Find lists 2 complaint or facility-reported incident intakes at Burlington Convalescent Hospital since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 0. The section above breaks them down by year.

Where can I read reviews and complaints about Burlington Convalescent Hospital?

Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.

How many beds does Burlington Convalescent Hospital have?

Burlington Convalescent Hospital is licensed by CDPH for 124 beds and has a CMS overall rating of 4 out of 5 stars.

Who owns or operates Burlington Convalescent Hospital?

CDPH lists the licensee as BURLINGTON CONVALESCENT HOSPITAL LLC. CMS lists the facility under the chain or affiliated entity Longwood Management Corporation.

My parent was hurt at Burlington Convalescent Hospital. What should I do?

Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.

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Other nursing homes near Burlington Convalescent Hospital

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Mid-Wilshire Health Care CenterLos Angeles0.3 mi1/514
California Post AcuteLos Angeles0.3 mi2/5511
Alta View Post AcuteLos Angeles0.3 mi1/539
Olympia Convalescent HospitalLos Angeles0.3 mi2/522
Grand Park Convalescent HospitalLos Angeles0.4 mi3/510
Alvarado Care CenterLos Angeles0.4 mi2/512

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Methodology and sources

We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.

Sources

  1. Cal Health Find – Burlington Convalescent Hospital
  2. Medicare Care Compare – Burlington Convalescent Hospital
  3. CDPH – State Enforcement Actions (open data)
  4. CMS Provider Data Catalog – Nursing homes

Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.

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