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NURSING HOME INSPECTION REPORT

Garden Crest Rehabilitation Center in Los Angeles: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
909 Lucile Ave, Los Angeles · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 8 state citations for Garden Crest Rehabilitation Center since 2023, including 0 Class AA and 2 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 Trebled citation (Patient Care), penalty $75,000, issued December 28, 2023. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date.

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Garden Crest Rehabilitation Center at a glance: owner, beds and ratings

Address
909 Lucile Ave, Los Angeles, CA 90026
CDPH license / facility ID
970000031 / 970000062
Medicare CCN
055161
Licensed beds
72
Licensee (CDPH)
GARDEN CREST CONVALESCENT HOSPITAL, INC.
Chain / affiliated entity (CMS)
None listed by CMS
Administrator of record
De Jesus Villegas, Mary Anne
CMS overall rating
3 of 5 stars
CMS staffing rating
3 of 5 stars
Nurse staffing (CMS)
3.58 reported nurse hours per resident per day*
CMS fines (last 3 years)
$0
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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Garden Crest 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
January 14, 2026State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
December 15, 2025Federal (CMS-2567), CertificationF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
June 25, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,200
Abuse
Government record (CDPH) ↗
May 28, 2025Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
February 11, 2025Federal (CMS-2567), ComplaintF603 – Free from Involuntary Seclusion, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
January 29, 2025State (CDPH)Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000Government record (CDPH) ↗
December 28, 2023State (CDPH)Class A Trebled citation (Patient Care), penalty $75,000Government record (CDPH) ↗
November 13, 2023Federal (CMS-2567), CertificationF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Government record (CDPH) ↗
October 5, 2023State (CDPH)Class A citation (Patient Care), penalty $25,000Government record (CDPH) ↗
October 4, 2023State (CDPH)Class B Trebled citation (Abuse/Facility Not Self Reported), penalty $9,000
Abuse
Government record (CDPH) ↗
August 17, 2023Federal (CMS-2567), ComplaintF610 – Investigate/Prevent/Correct Alleged Violation, 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)
F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
AbuseFalls / supervision ›
Government record (CDPH) ↗
June 6, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
Show 3 older findings
DateSourceFindingRecord
June 6, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
May 10, 2023Federal (CMS-2567), ComplaintF600 – Free from Abuse and Neglect, 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)
Abuse
Government record (CDPH) ↗
February 1, 2023Federal (CMS-2567), ComplaintF607 – Develop/Implement Abuse/Neglect Policies, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗

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Complaints against Garden Crest Rehabilitation Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
2023141049
202411656
202513856
20266240

Cal Health Find lists 44 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 21 of them. 11 intakes involved an allegation in CDPH’s abuse category, and 4 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 Garden Crest Rehabilitation Center

Cal Health Find lists no complaint or facility-reported incident for Garden Crest Rehabilitation Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse. That covers only what was reported to the state; if you suspect sexual abuse, report it even if nothing appears here.

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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Staffing at Garden Crest Rehabilitation Center

Payroll records Garden Crest Rehabilitation Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 3.58 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 0.31 hours per resident per day (California average 0.68). Staffing averaged 3.34 hours on weekends and 3.67 on weekdays.

CMS reports nursing staff turnover of 35.5% at this facility (California average 36.6%) and RN turnover of 55.6% (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, Garden Crest Rehabilitation Center was below 3.5 on 67 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.

On 2 days the payroll data show no RN hours at all. Federal rules require a registered nurse on duty at least 8 consecutive hours a day, 7 days a week, unless CMS grants a waiver (42 CFR 483.35(b)).

Garden Crest Rehabilitation CenterLA County medianCalifornia average
Total nursing hours per resident per day3.584.324.54
RN hours per resident per day0.310.460.68
Weekend nursing hours per resident per day3.343.894.10
Nursing staff turnover35.5%34.1%36.6%

Compare staffing, profits and fines across Los Angeles County nursing homes →

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Who owns Garden Crest Rehabilitation Center

The owners and operators below are listed for Garden Crest Rehabilitation 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 operatorRoleShareSince
Paul Barron5% or greater direct ownership100%May 30, 1980

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 $699,485 in payments to related companies (businesses that share owners or management with the facility): $691,905 to Garden LLC for rent / lease; $7,580 to Paul Barron for interest. Payments to related companies are legal; California requires nursing homes to disclose them.

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Garden Crest Rehabilitation Center finances

Garden Crest Rehabilitation Center reported $9.5 million in health care revenue and a net loss of $1.0 million for the year ending December 31, 2025, a margin of -10.6%, 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 73% of resident days. Salaries for RNs, LVNs and nurse aides came to $2.7 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$11.3 million$885,4697.9%86%–
2024$9.2 million-$642,600-7.0%87%66%
2025$9.5 million-$1.0 million-10.6%82%73%

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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 Garden Crest Rehabilitation Center been cited by the State of California?

Cal Health Find lists 8 state citations for Garden Crest Rehabilitation 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 Garden Crest Rehabilitation Center?

From 2023 through October 30, 2026, Cal Health Find lists 44 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 21 of them.

Does Medicare flag Garden Crest Rehabilitation Center for abuse?

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

Have there been sexual abuse reports at Garden Crest Rehabilitation Center?

Cal Health Find lists no complaint or incident at Garden Crest Rehabilitation Center since 2023 that included an allegation CDPH classified as sexual abuse. That reflects only what was reported to the state.

Where can I read reviews and complaints about Garden Crest 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 Garden Crest Rehabilitation Center have?

Garden Crest Rehabilitation Center is licensed by CDPH for 72 beds and has a CMS overall rating of 3 out of 5 stars.

Who owns or operates Garden Crest Rehabilitation Center?

CDPH lists the licensee as GARDEN CREST CONVALESCENT HOSPITAL, INC.. CMS does not list a chain for this facility. According to the CMS ownership file, Barron, Paul holds 100% 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 Garden Crest Rehabilitation Center provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 3.58 total nursing hours per resident per day, including 0.31 RN hours. The California average is 4.54.

My parent was hurt at Garden Crest 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 Garden Crest Rehabilitation Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Virgil Rehabilitation and Skilled Nursing CenterLos Angeles0.3 mi3/533
Hollywood Presbyterian Medical Center D/P SNFLos Angeles0.8 mi3/500
Temple Park Convalescent HospitalLos Angeles1.1 mi1/532
Alexandria Care CenterLos Angeles1.3 mi1/500
The Meadows on Sunset Post AcuteLos Angeles1.4 mi1/523
Fountain View Subacute and Nursing CenterLos Angeles1.4 mi2/501

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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 – Garden Crest Rehabilitation Center
  2. Medicare Care Compare – Garden Crest Rehabilitation Center
  3. CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
  4. CMS – Nursing home Provider Information (staffing, turnover)
  5. CMS – Nursing home Ownership
  6. HCAI – Long-Term Care Facility Financial Data
  7. CDPH – State Enforcement Actions (open data)
  8. 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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