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Briarcrest Nursing Center at a glance: owner, beds and ratings
* 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 ↗
Briarcrest Nursing Center 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.
| Date | Source | Finding | Record |
|---|---|---|---|
| May 7, 2026 | State (CDPH) | Class B citation (Patient Rights), penalty $3,400 | Government record (CDPH) ↗ |
| January 20, 2026 | Federal (CMS-2567), Complaint | F607 – Develop/Implement Abuse/Neglect Policies, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| November 14, 2025 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| April 24, 2025 | State (CDPH) | Class A citation (Patient Care), penalty $21,250, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| April 2, 2025 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| March 10, 2025 | Federal (CMS-2567), Certification | F689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents) Falls / supervision › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| February 26, 2025 | Federal (CMS-2567), Complaint | F689 – Free of Accident Hazards/Supervision/Devices, severity J (immediate jeopardy, one or a few residents) Falls / supervision › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| January 30, 2025 | State (CDPH) | Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000 | Government record (CDPH) ↗ |
| January 29, 2025 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| December 30, 2024 | Federal (CMS-2567), Complaint | F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| December 23, 2024 | State (CDPH) | Class A citation (Patient Care), penalty $25,000, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| December 11, 2024 | State (CDPH) | Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000 | Government record (CDPH) ↗ |
Show 5 older findings
| Date | Source | Finding | Record |
|---|---|---|---|
| November 5, 2024 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) F689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents) AbuseFalls / supervision › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| August 8, 2024 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| June 25, 2024 | Federal (CMS-2567), Complaint | F584 – Safe/Clean/Comfortable/Homelike Environment, severity K (immediate jeopardy, a pattern) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| March 6, 2023 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| February 14, 2023 | Federal (CMS-2567), Complaint | F610 – Investigate/Prevent/Correct Alleged Violation, severity E (no actual harm, potential for more than minimal harm, pattern) Abuse | Government record (CDPH) ↗ |
What inspectors found at Briarcrest Nursing Center
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 slid off the bed during one-person care and broke both thighbones
According to the citation, CDPH identified this problem during an unannounced annual recertification survey on 3/10/2025. Resident 23 was a 77-year-old woman with morbid obesity, muscle contractures (shortened, stiff muscles), functional quadriplegia (inability to move the arms and legs) and dementia. Her assessment showed she depended on staff for toileting hygiene and personal care and needed substantial or maximal help to roll from side to side in bed.
CDPH found CNA 4 did not use a two-person assist while giving Resident 23 perineal care (washing of the genital and anal area) and repositioning her, and the facility did not implement its safety and supervision policy. On 12/31/2024 at 9:30 a.m., while CNA 4 was changing her and turned her onto her right side, she reached for the call light, slid off the bed and landed on her back. X-rays showed displaced fractures of the upper left femur (thighbone), including a subtrochanteric fracture (a break just below the hip), and a fracture of the middle of the right femur. At the hospital her blood pressure was 53/39. The citation states she had fractures of both femurs and hypovolemic shock (poor circulation caused by loss of blood or fluid), and needed surgery and three blood transfusions.
According to the citation, CDPH issued a Class A citation with a $25,000 penalty. State records list an appeal and a final penalty of $21,250. The 2567 report states the facility was cited under F689, Free of Accident Hazards/Supervision/Devices, at severity G. The report also found that another resident, Resident 66, did not have the call light within reach or fall mats in place.
February 2025: F689 (severity J) after a resident at risk for wandering left through a back exit door
According to the 2567 report from a February 2025 complaint survey, inspectors found the facility failed to keep Resident 1, a man at risk for wandering, safe. His assessment showed moderately impaired cognition and wandering behaviors, and his diagnoses included difficulty walking. His physical exam record said he could make his needs known but could not make medical decisions.
Inspectors found that on 2/24/2025 at 7:43 p.m., Resident 1 set off the front lobby exit door alarm. CNA 1 told inspectors he redirected Resident 1 back to the hallway but did not report it to the charge nurse so the exit doors could be watched more closely. The 2567 report states staff did not monitor the front and back exits after the alarm, did not closely track where Resident 1 was, did not talk with him about the risks of leaving, and did not make sure the back exit door alarm was turned on. Four minutes later, at 7:47 p.m., Resident 1 left through the back exit door. The registered nurse on duty said no one told him about the front door alarm. A search of the building and nearby streets with local police began at 9:30 p.m.
The 2567 report states an Immediate Jeopardy was called on 2/28/2025, and the facility was cited under F689, Free of Accident Hazards/Supervision/Devices, at severity J. The facility submitted an acceptable removal plan on 3/1/2025, and the Immediate Jeopardy was removed that afternoon. The plan included reassessing all residents for elopement risk, retraining staff, counseling the two CNAs involved, daily checks and logs of the back exit door, working alarms on all exit doors, and regular elopement drills and audits.
December 2024: Class A citation, F689 (severity G) and F600 (severity D) after a one-person Hoyer lift transfer ended in a neck fracture
According to the citation, CDPH received a facility-reported incident on 11/4/2024 alleging that Resident 1 fell and broke a bone during a Hoyer lift transfer (a mechanical lift) from his bed to a geri-chair (a padded chair), and visited on 11/5/2024. Resident 1 was a 39-year-old man with quadriplegia (paralysis of the arms and legs). His assessment showed he was totally dependent on staff, with a two-person physical assist, for transfers.
CDPH found CNA 1 did not provide the two-person assist when moving Resident 1 with the Hoyer lift on 11/3/2024. CNA 1 told inspectors she was alone, lifted him about four feet from the ground, and he fell to the ground and the lift tipped over onto him. She said she was rushing to finish care for her other residents and did not ask for help, and that the fall could have been avoided if she had. A hospital CT scan showed an acute fracture of the C5 vertebra (a bone in the neck), and he was given a cervical collar and a neurosurgery follow-up. He returned to the facility that evening, reported pain of 10 out of 10 and tingling in his arms and legs, and went back to the hospital, where he stayed until 11/10/2024.
According to the citation, CDPH issued a Class A citation with a $25,000 penalty, and state records list the citation as appealed. The 2567 report states the facility was cited under F689, Free of Accident Hazards/Supervision/Devices, at severity G. The same report also lists F600, Free from Abuse and Neglect, at severity D. The excerpt does not describe that finding. The full narrative is in the linked report.
June 2024: F584 (severity K) after resident rooms overheated when the air conditioning failed
According to the 2567 report from a June 2024 complaint survey, inspectors found the facility did not keep room temperatures between 71 and 81 degrees Fahrenheit in nine resident rooms after the air conditioning unit stopped working on 6/22/2024. The report states the facility did not put its contingency plan into effect and did not use cooling measures for 10 residents over three days. Inspectors found this put residents in the affected rooms at risk for dehydration and heat stroke and had the potential to affect 34 residents.
Inspectors found that on 6/25/2024, Resident 1, who was nonverbal and fully dependent on staff, had dry, cracked lips. A CNA said the room was hot. A family member said the room had been hotter than usual in the afternoons for the past seven days and that she had not seen staff offer water or cool foods to the residents in that room. Resident 1's roommate, Resident 2, told inspectors the air conditioning had not worked since the week before and that around 5 p.m. each day it was so humid she could not breathe. Another resident said it felt too hot and he had been uncomfortable.
The 2567 report states an Immediate Jeopardy was called on 6/25/2024, and the facility was cited under F584, Safe/Clean/Comfortable/Homelike Environment, at severity K. The facility's first removal plan on 6/26/2024 was not accepted. The plan accepted on 6/27/2024 included eight portable air conditioners and 11 fans, hydration stations, temporary room changes, hourly room temperature checks, and checks for signs of dehydration every two hours while the air conditioning repair was pending.
Complaints against Briarcrest Nursing Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 38 | 23 | 15 | 23 |
| 2024 | 36 | 21 | 15 | 20 |
| 2025 | 36 | 25 | 11 | 17 |
| 2026 | 24 | 17 | 7 | 1 |
Cal Health Find lists 134 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 61 of them. 48 intakes involved an allegation in CDPH’s abuse category, and 10 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.
Sexual abuse reports at Briarcrest Nursing Center
Cal Health Find lists 4 intakes for Briarcrest Nursing Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (1 from complaints and 3 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.
| Year | Intakes with a sexual abuse allegation | Substantiated |
|---|---|---|
| 2023 | 1 | 0 |
| 2024 | 1 | 0 |
| 2025 | 1 | 0 |
| 2026 | 1 | 0 |
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 →
Staffing at Briarcrest Nursing Center
Payroll records Briarcrest Nursing Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.40 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.57 hours per resident per day (California average 0.68). Staffing averaged 4.11 hours on weekends and 4.52 on weekdays.
CMS reports nursing staff turnover of 42.9% at this facility (California average 36.6%) and RN turnover of 41.2% (California average 37.8%).
California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Briarcrest Nursing Center was below 3.5 on 0 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.
| Briarcrest Nursing Center | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 4.40 | 4.32 | 4.54 |
| RN hours per resident per day | 0.57 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 4.11 | 3.89 | 4.10 |
| Nursing staff turnover | 42.9% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Who owns Briarcrest Nursing Center
The owners and operators below are listed for Briarcrest Nursing Center in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.
| Owner or operator | Role | Share | Since |
|---|---|---|---|
| Win Win Enterprises, LLC | 5% or greater direct ownership | 40% | December 10, 2002 |
| Cambridge Healthcare Services LLC | Operational or managerial control | – | June 11, 2018 |
| Professional Directions for Health Care | Operational or managerial control | – | May 23, 2013 |
| Liberty Bueno | Operational or managerial control | – | June 4, 2025 |
| Julie Butenko | Operational or managerial control | – | July 24, 2023 |
| Heidi Capela | Operational or managerial control | – | April 3, 2023 |
| Joel Guron | Operational or managerial control | – | August 30, 2024 |
| Lance Hassell | Operational or managerial control | – | April 25, 2022 |
| June Johnsonbaugh | Operational or managerial control | – | April 23, 2024 |
| Kristina Kuizon | Operational or managerial control | – | April 1, 2025 |
| Linda Lutz | Operational or managerial control | – | February 1, 2012 |
| Cesar Palana | Operational or managerial control | – | June 2, 2025 |
| Paulina Salazar | Operational or managerial control | – | December 14, 2020 |
| Ira Smedra | Operational or managerial control | – | December 10, 2002 |
| Jacob Wintner | Operational or managerial control | – | December 10, 2002 |
In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending December 31, 2025, the facility listed $2.0 million in payments to related companies (businesses that share owners or management with the facility): $1.0 million to Gotham Street Real Estate Co, LLC for lease/building rent; $982,291 to Cambridge Healthcare Services, LLC for a&g – professional fees: management. Payments to related companies are legal; California requires nursing homes to disclose them.
Briarcrest Nursing Center finances
Briarcrest Nursing Center reported $19.6 million in health care revenue and a net loss of $258,586 for the year ending December 31, 2025, a margin of -1.3%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 84% of resident days. Salaries for RNs, LVNs and nurse aides came to $6.3 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023 | $17.0 million | -$1.9 million | -11.0% | 91% | – |
| 2024 | $16.4 million | -$1.9 million | -11.8% | 91% | 86% |
| 2025 | $19.6 million | -$258,586 | -1.3% | 97% | 84% |
Federal fines and penalties: Briarcrest Nursing Center
CMS lists 2 federal fines totaling $78,684 and 2 Medicare payment denials for Briarcrest Nursing Center in the roughly three years its penalty file covers.
| Date | Penalty | Amount or length |
|---|---|---|
| March 1, 2025 | Fine | $44,623 |
| March 1, 2025 | Payment denial | 18 days |
| June 25, 2024 | Fine | $34,061 |
| June 25, 2024 | Payment denial | 47 days |
Briarcrest Nursing Center lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for Briarcrest Nursing Center and its licensee and found no public criminal case or civil lawsuit we could tie to this facility as of October 30, 2026. Many civil cases settle quietly or are not covered by the press, so this is not a complete court search.
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.
What to do now
- If someone is in danger, call 911.
- File a complaint with CDPH about Briarcrest Nursing Center: CDPH complaint form ↗
- Contact the long-term care ombudsman, the state-funded advocate for nursing home residents: California Long-Term Care Ombudsman ↗
- Ask the facility in writing for a copy of the resident’s chart, and write down dates, names of staff on shift, and photos of any injury.
- Talk to a Los Angeles nursing home abuse lawyer →
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Questions families ask
Has Briarcrest Nursing Center been cited by the State of California?
Cal Health Find lists 6 state citations for Briarcrest Nursing Center since 2023, including 0 Class AA and 2 Class A. Each one is listed in the timeline above with a link to the CDPH record.
How many complaints have been filed against Briarcrest Nursing Center?
From 2023 through October 30, 2026, Cal Health Find lists 134 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 61 of them.
Does Medicare flag Briarcrest Nursing Center for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for Briarcrest Nursing Center. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at Briarcrest Nursing Center?
Cal Health Find lists 4 complaint or facility-reported incident intakes at Briarcrest Nursing Center 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 Briarcrest Nursing Center?
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 Briarcrest Nursing Center have?
Briarcrest Nursing Center is licensed by CDPH for 135 beds and has a CMS overall rating of 2 out of 5 stars.
Who owns or operates Briarcrest Nursing Center?
CDPH lists the licensee as 5648 EAST GOTHAM STREET, LLC. CMS lists the facility under the chain or affiliated entity Cambridge Healthcare Services. According to the CMS ownership file, Win Win Enterprises, LLC holds 40% as a direct owner. The full list of owners and operators CMS reports is in the ownership section of this page.
How many nursing hours does Briarcrest Nursing Center provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 4.40 total nursing hours per resident per day, including 0.57 RN hours. The California average is 4.54.
My parent was hurt at Briarcrest Nursing Center. 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 Briarcrest Nursing Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Bell Convalescent Hospital | Bell | 1.0 mi | 1/5 | 3 | 3 |
| Villa del Rio | Bell Gardens | 2.1 mi | 1/5 | 4 | 5 |
| Maywood Skilled Nursing & Wellness Centre | Maywood | 2.1 mi | 1/5 | 4 | 5 |
| Downey Community Health Center | Downey | 2.6 mi | 3/5 | 0 | 0 |
| Greenfield Care Center of South Gate | South Gate | 2.6 mi | 2/5 | 2 | 3 |
| California Post-Acute Care | Lynwood | 3.0 mi | 1/5 | 4 | 4 |
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
- Cal Health Find – Briarcrest Nursing Center
- Medicare Care Compare – Briarcrest Nursing Center
- CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
- CMS – Nursing home Provider Information (staffing, turnover)
- CMS – Nursing home Ownership
- CMS – Nursing home Penalties
- HCAI – Long-Term Care Facility Financial Data
- CDPH – State Enforcement Actions (open data)
- 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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