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NURSING HOME INSPECTION REPORT

Covina Rehabilitation Center in Covina: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
261 W Badillo St, Covina · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 7 state citations for Covina Rehabilitation Center since 2023, including 0 Class AA and 1 Class A, and 3 federal deficiencies that inspectors rated at the actual-harm level or higher (G through L). The most serious state action was a Class A citation (Other), penalty $25,000, issued July 11, 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 4 complaint or incident reports since 2023 that included a sexual abuse allegation; CDPH substantiated 0.

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Covina Rehabilitation Center at a glance: owner, beds and ratings

Address
261 W Badillo St, Covina, CA 91723
CDPH license / facility ID
950000047 / 950000014
Medicare CCN
055449
Licensed beds
99
Licensee (CDPH)
COVINA CARE CENTER, INC.
Chain / affiliated entity (CMS)
Longwood Management Corporation (chain or affiliated entity listed by CMS)
Administrator of record
Carrillo, Lizet
CMS overall rating
2 of 5 stars
CMS staffing rating
3 of 5 stars
Nurse staffing (CMS)
4.84 reported nurse hours per resident per day*
CMS fines (last 3 years)
$29,228
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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Covina Rehabilitation 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.

DateSourceFindingRecord
July 11, 2025State (CDPH)Class A citation (Other), penalty $25,000
Read what inspectors found ↓
Government record (CDPH) ↗
May 29, 2025State (CDPH)Class B citation (Patient Care), penalty $3,000Government record (CDPH) ↗
May 28, 2025Federal (CMS-2567), ComplaintF689 – 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 15, 2025Federal (CMS-2567), CertificationF760 – Residents are Free of Significant Med Errors, severity K (immediate jeopardy, a pattern)
Read what inspectors found ↓
Government record (CDPH) ↗
March 13, 2025State (CDPH)Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000Government record (CDPH) ↗
October 10, 2024State (CDPH)Class B citation (Patient Care), penalty $3,000Government record (CDPH) ↗
October 10, 2024State (CDPH)Class B citation (Patient Care), penalty $3,000Government record (CDPH) ↗
September 13, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
July 31, 2024Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
January 10, 2024Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity E (no actual harm, potential for more than minimal harm, pattern)
Abuse
Government record (CDPH) ↗
November 28, 2023Federal (CMS-2567), ComplaintF684 – Quality of Care, severity J (immediate jeopardy, one or a few residents)
Read what inspectors found ↓
Government record (CDPH) ↗

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What inspectors found at Covina Rehabilitation Center

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

·
July 2025: Class A citation and F689 (severity G) after a resident fell from a mechanical lift

CDPH made an unannounced visit on May 28, 2025, to investigate a complaint about quality of care. According to the citation, Resident 1 was a 67-year-old man who depended on staff for transfers and bathing. He told inspectors two staff normally helped him with the Hoyer lift (a mechanical lift for moving residents).

CDPH found that at 9:45 a.m. on May 26, 2025, CNA 4 tried to move Resident 1 from his bed to a shower gurney with the Hoyer lift without a second person, although facility policy called for two-person assistance. According to the citation, the lift tilted onto its side, its top caught on the gurney, and Resident 1 fell. The back of his head and neck hit the floor, and his right lower leg was pinned between the gurney and the lift. Resident 1 told inspectors CNA 4 said the facility was short-staffed.

According to the citation, he was sent to an acute care hospital that day and monitored for a closed head injury, leg swelling and blunt trauma to the neck. Because he took blood thinners, the emergency physician ordered a full workup for possible brain bleeding, fractures and spinal injury. A head CT scan showed no bleeding around the brain, and he was discharged in stable condition that evening. CDPH issued a Class A citation with a $25,000 penalty, and the related federal 2567 report cited F689 at severity G.

↑ Back to this finding in the timeline

April 2025: F760 (severity K) after two residents received extra doses of an anemia medication

Inspectors conducted a certification survey at the facility in April 2025. The 2567 report states that physician orders for Residents 35 and 89 said to hold their Epogen injections (epoetin alfa, a medication for anemia, or too few red blood cells) when their hemoglobin was above 10 grams per deciliter.

According to the report, Resident 35 received 19 unnecessary doses between February 18 and April 17, 2025, with a hemoglobin level of 11.5, and Resident 89 received three unnecessary doses in January and February 2025, with levels of 12.3 and 12.9. Inspectors found the facility had no system to make sure the hold orders were followed. The report states this put both residents at risk of side effects such as an abnormally high red blood cell count, blood clots, stroke and heart attack, with the potential for serious harm or death.

The 2567 report states inspectors called an Immediate Jeopardy on April 18, 2025, and removed it on April 19 after verifying the facility's removal plan. Under the plan, the director of nursing assessed both residents, who showed no distress or signs of an adverse reaction, and their physicians and the pharmacist were notified. Resident 35's order was clarified so Epogen would be given at the dialysis center based on lab results. Licensed nurses were trained on following medication parameters, and the nurses involved received one-on-one training following disciplinary action. The survey cited F760 (freedom from significant medication errors) at severity K.

↑ Back to this finding in the timeline

November 2023: F684 (severity J) after a resident missed insulin and an anti-rejection drug for eight days

Inspectors investigated a complaint at the facility in November 2023. The 2567 report states Resident 1 had type 2 diabetes and a history of kidney and pancreas transplants, and was readmitted from an acute care hospital on November 22, 2023. The hospital discharge summary called for continuing insulin aspart on a sliding scale, a dose based on the blood sugar reading.

According to the report, RN 2 did not reconcile (check against the hospital orders) Resident 1's insulin or tacrolimus, a drug that keeps the body from rejecting a transplanted organ, at readmission, and the primary care physician and nurse practitioner did not review the discharge summary. Inspectors found Resident 1 received neither medication from November 22 to November 29, eight days. The report states this could have led to hospitalization for uncontrolled blood sugar, rejection of the transplanted kidney and pancreas, or death.

The 2567 report states inspectors identified an Immediate Jeopardy on November 30, 2023, and removed it on December 1 after accepting the facility's removal plan. Under the plan, staff called the physician on November 29, reconciled the orders and restarted the insulin, and tacrolimus resumed on November 30. The facility also ordered monitoring for signs of graft rejection every shift for 14 days, retrained RN 2 one-on-one, and set up daily review of medication orders for admissions and readmissions. The survey cited F684 (quality of care) at severity J.

↑ Back to this finding in the timeline

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Complaints against Covina Rehabilitation Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20232519612
20242722519
20259450
202613850

Cal Health Find lists 74 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 31 of them. 14 intakes involved an allegation in CDPH’s abuse category, and 1 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 Covina Rehabilitation Center

Cal Health Find lists 4 intakes for Covina Rehabilitation Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (2 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
202330
202410

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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Covina Rehabilitation Center lawsuits and criminal cases

Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Covina Rehabilitation Center 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 Covina Rehabilitation Center been cited by the State of California?

Cal Health Find lists 7 state citations for Covina Rehabilitation Center 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 Covina Rehabilitation Center?

From 2023 through October 30, 2026, Cal Health Find lists 74 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 31 of them.

Does Medicare flag Covina Rehabilitation Center for abuse?

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

Have there been sexual abuse reports at Covina Rehabilitation Center?

Cal Health Find lists 4 complaint or facility-reported incident intakes at Covina Rehabilitation 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 Covina Rehabilitation 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 Covina Rehabilitation Center have?

Covina Rehabilitation Center is licensed by CDPH for 99 beds and has a CMS overall rating of 2 out of 5 stars.

Who owns or operates Covina Rehabilitation Center?

CDPH lists the licensee as COVINA CARE CENTER, INC.. CMS lists the facility under the chain or affiliated entity Longwood Management Corporation.

My parent was hurt at Covina Rehabilitation 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 Covina Rehabilitation Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
The RowlandCovina0.6 mi2/502
Glendora Grand, Inc.Glendora1.7 mi1/568
Gladstone Sub-Acute and Rehab CenterGlendora2.3 mi1/511
Beacon Healthcare CenterWest Covina2.3 mi5/500
Clara Baldwin Stocker Home for WomenWest Covina2.4 mi3/501
West Haven HealthcareWest Covina3.0 mi4/510

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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 – Covina Rehabilitation Center
  2. Medicare Care Compare – Covina Rehabilitation Center
  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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