Is your loved one at The Ellison John Transitional Care Center?
If they fell, developed a bed sore, lost weight, were hurt or abused at The Ellison John Transitional Care Center, leave your name and phone. We call back today, request the chart and the full inspection file, and tell you plainly whether there is a case. Free, confidential, English or Spanish.
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The Ellison John Transitional Care 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 ↗
The Ellison John Transitional Care 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 |
|---|---|---|---|
| December 24, 2025 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| November 5, 2025 | Federal (CMS-2567), Complaint | F689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) AbuseFalls / supervision › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| January 8, 2025 | State (CDPH) | Class AA citation (Patient Care), penalty $120,000, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| November 16, 2024 | Federal (CMS-2567), Complaint | F580 – Notify of Changes (Injury/Decline/Room, etc.), severity J (immediate jeopardy, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| September 5, 2024 | State (CDPH) | Class B Trebled citation (Abuse/Facility Not Self Reported), penalty $9,000 Abuse | Government record (CDPH) ↗ |
| July 26, 2024 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| February 1, 2024 | State (CDPH) | Class B Trebled citation (Abuse/Facility Not Self Reported), penalty $9,000 Abuse | Government record (CDPH) ↗ |
| December 5, 2023 | Federal (CMS-2567), Complaint | F760 – Residents are Free of Significant Med Errors, severity J (immediate jeopardy, one or a few residents) F600 – Free from Abuse and Neglect, severity J (immediate jeopardy, one or a few residents) F610 – Unusual Occurrences, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| September 22, 2023 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| August 10, 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) ↗ |
| March 17, 2023 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| January 30, 2023 | Federal (CMS-2567), Certification | F686 – Treatment/Svcs to Prevent/Heal Pressure Ulcer, severity G (actual harm, one or a few residents) Pressure injury › Read what inspectors found ↓ | Government record (CDPH) ↗ |
What inspectors found at The Ellison John Transitional Care Center
Tap a finding to read the summary. Each one is written from the government report linked under it.
December 2025: Class A citation, F689 (severity G) and F609 (severity D) after an unwitnessed fall with a broken arm
CDPH investigated a complaint in November 2025 about a fall with injury. According to the citation, Resident 1, a 94-year-old woman admitted in August 2025 with a hip fracture, had dementia, a history of falls and a physician's order for a bed pad alarm (a sensor that sounds when a resident gets up). Her family had hired a companion to sit with her. On the evening of August 26, 2025, the companion told LVN 3 that the resident kept trying to get out of bed.
Inspectors found LVN 3 told the companion to watch the resident, did not check the pad alarm, did not ask a CNA to help and did not tell the registered nurse before continuing his medication pass. The companion stepped out to make a phone call, and at 9:21 p.m. the resident had an unwitnessed fall. Staff found her face down with the alarm unplugged; the director of nursing said CNA 3 had left it off after giving care. LVN 3 and two CNAs moved her back to bed before a registered nurse assessed her, which facility procedure does not allow. At an acute care hospital she was diagnosed with a displaced fracture of the upper arm near the elbow that needed surgery with metal hardware, plus head trauma and swelling around the left eye.
CDPH issued a Class A citation with a $25,000 penalty. The federal 2567 report cited F689 (accident hazards and supervision) at severity G. The report also cited F609 at severity D because the facility did not report an allegation of staff-to-resident abuse involving a second resident to the ombudsman, as its abuse policy requires.
January 2025: Class AA citation and F580 (severity J) after a resident's low blood pressure was not reported
CDPH visited the facility on November 16, 2024, to investigate a complaint about a resident's death. According to the citation, Resident 1, a 48-year-old man with a traumatic brain injury, was on a ventilator, had a tracheostomy (a breathing tube through the neck) and received tube feeding. He had a diagnosis of low blood pressure on admission, but the department found the facility did not develop and implement a care plan for it.
Inspectors found that at 1:00 a.m. on November 3, 2024, CNA 1 reported a blood pressure of 89/54, down from 118/75 the evening before. LVN 1 told inspectors she raised his feet and got a normal reading, but she did not complete a change of condition form, did not tell the registered nurse or the physician and did not monitor his blood pressure again until the end of her shift. Two physicians said they were not told of the 1:00 a.m. reading, and one said vital signs should have been checked every 15 to 30 minutes. At about 6:17 a.m. a respiratory therapist found dark brown, coffee-ground discharge while suctioning his airway. He later had blood in his stool, and by 10:15 a.m. his blood pressure was 38/28. He was sent to an acute care hospital, where, according to the citation, he died on November 13, 2024.
CDPH issued a Class AA citation and assessed a $120,000 penalty, which the facility appealed. The 2567 report cited F580 (notification of changes) at severity J and states the facility's immediate jeopardy removal plan included re-educating licensed nurses on documenting and reporting changes in condition and abnormal blood pressure readings.
March 2023: Class A citation and F686 (severity G) after a pressure injury worsened to stage 4
During a January 2023 recertification survey, CDPH found the facility did not give a resident the care needed to prevent a pressure injury (bed sore) from forming and getting worse. According to the citation, Resident 93, a 70-year-old woman with a traumatic brain injury and diabetes, had no wound on her sacrococcyx (the area at the base of the spine and tailbone) when admitted in 2021. A stage 3 pressure injury there was recorded in September 2022. She depended on two staff for bed mobility.
Inspectors found her wound treatment order ran out in late December 2022 and no one called the physician for a new one, so she received no wound treatment from December 27, 2022, until January 2, 2023. Weekly wound assessments were missed on December 30 and January 6, and CNAs did not do skin checks on four shower days. The director of nursing said no one had been auditing the weekly assessments. By January 16, 2023, the wound measured 8.5 by 8.5 centimeters and 4 centimeters deep with exposed muscle and tendon, and it was reclassified as stage 4. The wound nurse later found a fever, odor and signs of infection. The registered dietitian told inspectors she was never notified that the wound had worsened.
CDPH issued a Class A citation with a $25,000 penalty, finding the resident developed a facility-acquired stage 3 pressure injury that progressed to stage 4. The federal 2567 report cited F686 (treatment and services to prevent and heal pressure ulcers) at severity G.
Complaints against The Ellison John Transitional Care Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 63 | 45 | 18 | 16 |
| 2024 | 58 | 45 | 13 | 12 |
| 2025 | 64 | 50 | 14 | 13 |
| 2026 | 45 | 34 | 11 | 0 |
Cal Health Find lists 230 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 41 of them. 49 intakes involved an allegation in CDPH’s abuse category, and 5 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 The Ellison John Transitional Care Center
Cal Health Find lists 10 intakes for The Ellison John Transitional Care Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (1 from complaints and 9 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 1 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 | 5 | 1 |
| 2026 | 5 | 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 The Ellison John Transitional Care Center
Payroll records The Ellison John Transitional Care Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.96 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 0.62 hours per resident per day (California average 0.68). Staffing averaged 4.47 hours on weekends and 5.15 on weekdays.
CMS reports nursing staff turnover of 36.2% at this facility (California average 36.6%) and RN turnover of 33.3% (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, The Ellison John Transitional Care 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.
| The Ellison John Transitional Care Center | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 4.96 | 4.32 | 4.54 |
| RN hours per resident per day | 0.62 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 4.47 | 3.89 | 4.10 |
| Nursing staff turnover | 36.2% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Who owns The Ellison John Transitional Care Center
The owners and operators below are listed for The Ellison John Transitional Care 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 |
|---|---|---|---|
| Pursue Health LLC | Operational or managerial control | – | January 1, 2021 |
| Shane Carlson | Operational or managerial control | – | December 29, 2018 |
| Jose Lynch | Operational or managerial control | – | June 1, 2016 |
| Shahid Siddiqui | Operational or managerial control | – | January 1, 2024 |
In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending March 31, 2025, the facility listed $5.9 million in payments to related companies (businesses that share owners or management with the facility): $3.6 million to Eretz Lancaster for lease lease expense – facility; $1.6 million to Pursue Hc for management fee admin service fee; $624,116 to Twinmed LLC for various; $76,764 to Sr Capital for interest income/expense interest expense – sr loan. Payments to related companies are legal; California requires nursing homes to disclose them.
The Ellison John Transitional Care Center finances
The Ellison John Transitional Care Center reported $29.3 million in health care revenue and a net loss of $3,750 for the year ending March 31, 2025, a margin of -0.0%, 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 63% of resident days. Salaries for RNs, LVNs and nurse aides came to $8.2 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023 | $26.2 million | -$478,954 | -1.8% | 85% | – |
| 2024 | $28.4 million | -$513,785 | -1.8% | 89% | 63% |
| 2025 | $29.3 million | -$3,750 | -0.0% | 90% | 63% |
Federal fines and penalties: The Ellison John Transitional Care Center
CMS lists 3 federal fines totaling $199,594 and 2 Medicare payment denials for The Ellison John Transitional Care Center in the roughly three years its penalty file covers.
| Date | Penalty | Amount or length |
|---|---|---|
| November 12, 2025 | Fine | $10,358 |
| November 20, 2024 | Fine | $125,220 |
| November 20, 2024 | Payment denial | 17 days |
| December 17, 2023 | Fine | $64,016 |
| December 17, 2023 | Payment denial | 4 days |
The Ellison John Transitional Care Center lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for The Ellison John Transitional Care 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 The Ellison John Transitional Care 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 The Ellison John Transitional Care Center been cited by the State of California?
Cal Health Find lists 7 state citations for The Ellison John Transitional Care Center since 2023, including 1 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 The Ellison John Transitional Care Center?
From 2023 through October 30, 2026, Cal Health Find lists 230 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 41 of them.
Does Medicare flag The Ellison John Transitional Care Center for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for The Ellison John Transitional Care Center. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at The Ellison John Transitional Care Center?
Cal Health Find lists 10 complaint or facility-reported incident intakes at The Ellison John Transitional Care Center since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 1. The section above breaks them down by year.
Where can I read reviews and complaints about The Ellison John Transitional Care 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 The Ellison John Transitional Care Center have?
The Ellison John Transitional Care Center is licensed by CDPH for 170 beds and has a CMS overall rating of 2 out of 5 stars.
Who owns or operates The Ellison John Transitional Care Center?
CDPH lists the licensee as PREMIERE REHABILITATION & WELLNESS CENTER OF LANCASTER, LP. CMS lists the facility under the chain or affiliated entity Pursue Health. The CMS ownership file lists Pursue Health LLC among the owners or operators. The full list is in the ownership section of this page.
How many nursing hours does The Ellison John Transitional Care Center provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 4.96 total nursing hours per resident per day, including 0.62 RN hours. The California average is 4.54.
My parent was hurt at The Ellison John Transitional Care 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 The Ellison John Transitional Care Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Mirage Post Acute | Lancaster | 1.0 mi | 1/5 | 3 | 6 |
| Desert Canyon Post Acute, LLC | Lancaster | 1.0 mi | 2/5 | 2 | 4 |
| Antelope Valley Care Center | Lancaster | 1.1 mi | 1/5 | 10 | 8 |
| Mountain View Convalescent Hospital | Sylmar | 29.8 mi | 2/5 | 1 | 1 |
| Santa Clarita Post-Acute Care Center | Newhall | 29.9 mi | 1/5 | 4 | 5 |
| Maclay Healthcare Center | Sylmar | 30.0 mi | 2/5 | 7 | 13 |
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 – The Ellison John Transitional Care Center
- Medicare Care Compare – The Ellison John Transitional Care 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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