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NURSING HOME INSPECTION REPORT

Oceana Healthcare Center in Los Angeles: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
1516 Sawtelle Blvd, Los Angeles · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 13 state citations for Oceana Healthcare 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 (Patient Care), penalty $25,000, issued July 11, 2025. The federal Medicare Care Compare site shows its abuse icon for this facility as of our data date. Cal Health Find also lists 6 complaint or incident reports since 2023 that included a sexual abuse allegation; CDPH substantiated 0.

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Oceana Healthcare Center at a glance: owner, beds and ratings

Address
1516 Sawtelle Blvd, Los Angeles, CA 90025
CDPH license / facility ID
910000018 / 910000019
Medicare CCN
055473
Licensed beds
116
Licensee (CDPH)
NEW VISTA PAC OPERATOR, LLC
Chain / affiliated entity (CMS)
The Mandelbaum Family (chain or affiliated entity listed by CMS)
Administrator of record
Kelley, Connor P
CMS overall rating
2 of 5 stars
CMS staffing rating
3 of 5 stars
Nurse staffing (CMS)
5.60 reported nurse hours per resident per day*
CMS fines (last 3 years)
$45,818
CMS abuse icon
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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Oceana Healthcare 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
March 11, 2026State (CDPH)Class B citation (Physical Environment), penalty $3,000Government record (CDPH) ↗
November 20, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
July 11, 2025State (CDPH)Class A citation (Patient Care), penalty $25,000Government record (CDPH) ↗
June 20, 2025Federal (CMS-2567), ComplaintF602 – Free from Misappropriation/Exploitation, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
May 27, 2025Federal (CMS-2567), ComplaintF697 – Pain Management, severity G (actual harm, one or a few residents)Government record (CDPH) ↗
February 28, 2025State (CDPH)Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000Government record (CDPH) ↗
December 24, 2024State (CDPH)Class B citation (Patient Care), penalty $3,000Government record (CDPH) ↗
December 20, 2024State (CDPH)Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000Government record (CDPH) ↗
December 17, 2024State (CDPH)Class WMF>$1000 citation (Willful Material Falsification), penalty $3,500Government record (CDPH) ↗
December 10, 2024Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
November 4, 2024Federal (CMS-2567), ComplaintF600 – Free from Abuse and Neglect, 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) ↗
October 30, 2024State (CDPH)Class WMF>$1000 citation (Willful Material Falsification), penalty $3,500Government record (CDPH) ↗
Show 7 older findings
DateSourceFindingRecord
October 29, 2024State (CDPH)Class WMF>$1000 citation (Willful Material Falsification), penalty $3,500Government record (CDPH) ↗
October 1, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
August 30, 2024Federal (CMS-2567), ComplaintF602 – Free from Misappropriation/Exploitation, 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) ↗
August 1, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
June 24, 2024Federal (CMS-2567), ComplaintF600 – Free from Abuse and Neglect, severity G (actual harm, one or a few residents)
F689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
AbuseFalls / supervision ›
Government record (CDPH) ↗
May 25, 2024Federal (CMS-2567), ComplaintF607 – Develop/Implement Abuse/Neglect Policies, severity E (no actual harm, potential for more than minimal harm, pattern)
Abuse
Government record (CDPH) ↗
March 2, 2023Federal (CMS-2567), ComplaintF610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗

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Complaints against Oceana Healthcare Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20233427717
202461481332
20254631159
2026372987

Cal Health Find lists 178 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 65 of them. 54 intakes involved an allegation in CDPH’s abuse category, and 11 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 Oceana Healthcare Center

Cal Health Find lists 6 intakes for Oceana Healthcare Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (6 from complaints and 0 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
202430
202510
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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Staffing at Oceana Healthcare Center

Payroll records Oceana Healthcare Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 5.61 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 0.73 hours per resident per day (California average 0.68). Staffing averaged 4.84 hours on weekends and 5.91 on weekdays.

CMS reports nursing staff turnover of 57.9% at this facility (California average 36.6%) and RN turnover of 70.4% (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, Oceana Healthcare 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.

Oceana Healthcare CenterLA County medianCalifornia average
Total nursing hours per resident per day5.614.324.54
RN hours per resident per day0.730.460.68
Weekend nursing hours per resident per day4.843.894.10
Nursing staff turnover57.9%34.1%36.6%

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

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Who owns Oceana Healthcare Center

The owners and operators below are listed for Oceana Healthcare 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
Southern California Holdings, LLC5% or greater direct ownership65%April 29, 2025
New Vista Pac Hb Operator LLC5% or greater direct ownership35%April 29, 2025
Barber Family Trust5% or greater indirect ownership35%April 29, 2025
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 25% or greater indirect ownership33%April 29, 2025
Janet Mandelbaum5% or greater indirect ownership13%April 29, 2025
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 25% or greater indirect ownership10%April 29, 2025
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 25% or greater indirect ownership9%April 29, 2025
Hyman BarberOperational or managerial control–April 29, 2025
Rachelle HartOperational or managerial control–October 7, 2025
Connor KelleyOperational or managerial control–July 7, 2025
Jamshid NiknamOperational or managerial control–May 1, 2025

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 $1.4 million in payments to related companies (businesses that share owners or management with the facility): $559,091 to New Vista Pac Owner LLC for lease – building 1/1-4/30; $361,369 to New Vista Health Services for management fee 1/1-4/30; $334,786 to Us Skilled Serve for administrative fee 5/1-12/31; $139,984 to Skilled Nursing Pharmacy for pharmacy – iv. Payments to related companies are legal; California requires nursing homes to disclose them.

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Oceana Healthcare Center finances

Oceana Healthcare Center reported $20.4 million in health care revenue and a net loss of $1.4 million for the year ending December 31, 2025, a margin of -7.0%, 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 75% of resident days. Salaries for RNs, LVNs and nurse aides came to $6.1 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$21.1 million-$1.4 million-6.6%93%–
2024$20.3 million-$3.4 million-16.8%95%77%
2025$20.4 million-$1.4 million-7.0%92%75%

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Federal fines and penalties: Oceana Healthcare Center

CMS lists 6 federal fines totaling $45,818 and 1 Medicare payment denial for Oceana Healthcare Center in the roughly three years its penalty file covers.

DatePenaltyAmount or length
May 8, 2025Fine$17,940
June 24, 2024Payment denial29 days
December 11, 2023Fine$13,762
November 20, 2023Fine$4,235
November 13, 2023Fine$3,882
November 6, 2023Fine$3,529
October 17, 2023Fine$2,470

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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 Oceana Healthcare Center been cited by the State of California?

Cal Health Find lists 13 state citations for Oceana Healthcare 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 Oceana Healthcare Center?

From 2023 through October 30, 2026, Cal Health Find lists 178 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 65 of them.

Does Medicare flag Oceana Healthcare Center for abuse?

Yes. As of our data date, Medicare Care Compare shows its abuse icon for Oceana Healthcare Center. CMS uses the icon for facilities cited for abuse that harmed a resident in the past year, or cited for abuse with potential harm in each of the past two years.

Have there been sexual abuse reports at Oceana Healthcare Center?

Cal Health Find lists 6 complaint or facility-reported incident intakes at Oceana Healthcare 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 Oceana Healthcare 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 Oceana Healthcare Center have?

Oceana Healthcare Center is licensed by CDPH for 116 beds and has a CMS overall rating of 2 out of 5 stars.

Who owns or operates Oceana Healthcare Center?

CDPH lists the licensee as NEW VISTA PAC OPERATOR, LLC. CMS lists the facility under the chain or affiliated entity The Mandelbaum Family. According to the CMS ownership file, New Vista Pac Hb Operator LLC holds 35% 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 Oceana Healthcare Center provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 5.61 total nursing hours per resident per day, including 0.73 RN hours. The California average is 4.54.

My parent was hurt at Oceana Healthcare 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 Oceana Healthcare Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Westwood Post Acute CareLos Angeles1.0 mi2/522
Veterans Home of California – West Los AngelesLos Angeles1.1 mi3/500
Brentwood Health Care CenterSanta Monica1.3 mi3/500
Ocean Park HealthcareSanta Monica1.7 mi3/511
Sunset Park HealthcareSanta Monica1.7 mi2/501
Berkley East Healthcare CenterSanta Monica2.2 mi2/537

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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 – Oceana Healthcare Center
  2. Medicare Care Compare – Oceana Healthcare 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. CMS – Nursing home Penalties
  7. HCAI – Long-Term Care Facility Financial Data
  8. CDPH – State Enforcement Actions (open data)
  9. 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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