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NURSING HOME INSPECTION REPORT

Lynwood Post Acute Care Center in Lynwood: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
3611 E Imperial Hwy, Lynwood · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 6 state citations for Lynwood Post Acute Care Center since 2023, including 0 Class AA and 0 Class A, and 0 federal deficiencies that inspectors rated at the actual-harm level or higher (G through L). The most serious state action was a Class B citation (Patient Care), penalty $3,000, issued July 24, 2026. 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 1 complaint or incident report since 2023 that included a sexual abuse allegation; CDPH substantiated 0.

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Lynwood Post Acute Care Center at a glance: owner, beds and ratings

Address
3611 E Imperial Hwy, Lynwood, CA 90262
CDPH license / facility ID
940000045 / 940000036
Medicare CCN
056415
Licensed beds
99
Licensee (CDPH)
AG LYNWOOD, LLC
Chain / affiliated entity (CMS)
Cambridge Healthcare Services (chain or affiliated entity listed by CMS)
Administrator of record
Pease, Allison S
CMS overall rating
2 of 5 stars
CMS staffing rating
3 of 5 stars
Nurse staffing (CMS)
4.01 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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Lynwood Post Acute 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.

DateSourceFindingRecord
July 24, 2026State (CDPH)Class B citation (Patient Care), penalty $3,000Government record (CDPH) ↗
April 7, 2026State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
March 18, 2026Federal (CMS-2567), ComplaintF610 – 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) ↗
July 31, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
July 31, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
July 8, 2025Federal (CMS-2567), ComplaintF602 – Free from Misappropriation/Exploitation, 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)
F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
February 27, 2025State (CDPH)Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000Government record (CDPH) ↗
September 5, 2023Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
January 18, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗

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Complaints against Lynwood Post Acute Care Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
202324141011
20241610611
202511474
202613581

Cal Health Find lists 64 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 27 of them. 23 intakes involved an allegation in CDPH’s abuse category, and 6 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 Lynwood Post Acute Care Center

Cal Health Find lists 1 intake for Lynwood Post Acute Care Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (0 from complaints and 1 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

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 Lynwood Post Acute Care Center

Payroll records Lynwood Post Acute Care Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.01 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 0.47 hours per resident per day (California average 0.68). Staffing averaged 3.67 hours on weekends and 4.14 on weekdays.

CMS reports nursing staff turnover of 40.4% at this facility (California average 36.6%) and RN turnover of 44.4% (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, Lynwood Post Acute Care Center was below 3.5 on 3 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.

Lynwood Post Acute Care CenterLA County medianCalifornia average
Total nursing hours per resident per day4.014.324.54
RN hours per resident per day0.470.460.68
Weekend nursing hours per resident per day3.673.894.10
Nursing staff turnover40.4%34.1%36.6%

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

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Who owns Lynwood Post Acute Care Center

The owners and operators below are listed for Lynwood Post Acute 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 operatorRoleShareSince
Ag Facilities Operations, LLC5% or greater direct ownership100%August 11, 2003
Ira E Smedra Living Trust5% or greater indirect ownership48%August 11, 2003
Win Win Enterprises, LLC5% or greater indirect ownership48%August 11, 2003
Cambridge Healthcare Services LLCOperational or managerial control–October 1, 2013
Julie ButenkoOperational or managerial control–July 24, 2023
Heidi CapelaOperational or managerial control–April 3, 2023
Lance HassellOperational or managerial control–April 25, 2022
Kristina KuizonOperational or managerial control–April 1, 2025
Linda LutzOperational or managerial control–February 1, 2012
Allison PeaseOperational or managerial control–March 28, 2023
Manuel SacapanoOperational or managerial control–March 28, 2019
Paulina SalazarOperational or managerial control–December 14, 2020
Ira SmedraOperational or managerial control–August 11, 2003
Edson TorresOperational or managerial control–March 23, 2023
Jacob WintnerOperational or managerial control–August 11, 2003

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): $944,793 to Cambridge Healthcare Services, LLC for a&g – professional fees: management; $423,496 to 3611 E Imperial , LLC for lease/building rent. Payments to related companies are legal; California requires nursing homes to disclose them.

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Lynwood Post Acute Care Center finances

Lynwood Post Acute Care Center reported $17.2 million in health care revenue and net income of $2.7 million for the year ending December 31, 2025, a margin of 15.7%, 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 68% of resident days. Salaries for RNs, LVNs and nurse aides came to $3.7 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$13.8 million$465,7593.4%94%–
2024$15.2 million$1.5 million9.6%93%71%
2025$17.2 million$2.7 million15.7%95%68%

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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 Lynwood Post Acute Care Center been cited by the State of California?

Cal Health Find lists 6 state citations for Lynwood Post Acute Care Center since 2023, including 0 Class AA and 0 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Lynwood Post Acute Care Center?

From 2023 through October 30, 2026, Cal Health Find lists 64 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 27 of them.

Does Medicare flag Lynwood Post Acute Care Center for abuse?

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

Have there been sexual abuse reports at Lynwood Post Acute Care Center?

Cal Health Find lists 1 complaint or facility-reported incident intake at Lynwood Post Acute Care 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 Lynwood Post Acute 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 Lynwood Post Acute Care Center have?

Lynwood Post Acute Care Center is licensed by CDPH for 99 beds and has a CMS overall rating of 2 out of 5 stars.

Who owns or operates Lynwood Post Acute Care Center?

CDPH lists the licensee as AG LYNWOOD, LLC. CMS lists the facility under the chain or affiliated entity Cambridge Healthcare Services. According to the CMS ownership file, Ag Facilities Operations, LLC 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 Lynwood Post Acute Care Center provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 4.01 total nursing hours per resident per day, including 0.47 RN hours. The California average is 4.54.

My parent was hurt at Lynwood Post Acute 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 Lynwood Post Acute Care Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
California Post-Acute CareLynwood0.0 mi1/544
Granada Post AcuteLynwood0.1 mi2/500
Santa Fe Heights Healthcare Center LLCCompton1.4 mi1/524
Lighthouse Healthcare CenterLos Angeles1.7 mi1/523
Greenfield Care Center of South GateSouth Gate2.0 mi2/523
Downey Post AcuteDowney2.9 mi4/511

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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 – Lynwood Post Acute Care Center
  2. Medicare Care Compare – Lynwood Post Acute Care 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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