Is your loved one at All Saints Healthcare?
If they fell, developed a bed sore, lost weight, were hurt or abused at All Saints Healthcare, 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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All Saints Healthcare 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 ↗
All Saints Healthcare 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 |
|---|---|---|---|
| March 13, 2026 | State (CDPH) | Class A citation (Patient Care), penalty $15,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| January 26, 2026 | 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) ↗ |
| December 24, 2025 | State (CDPH) | Class A citation (Patient Care), penalty $20,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| October 31, 2025 | Federal (CMS-2567), Complaint | F689 – Free of Accident Hazards/Supervision/Devices, severity J (immediate jeopardy, one or a few residents) Falls / supervision › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| May 15, 2025 | 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) ↗ |
| May 2, 2025 | 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) ↗ |
| January 24, 2025 | State (CDPH) | Class B Trebled citation (Abuse/Facility Not Self Reported), penalty $9,000 Abuse | Government record (CDPH) ↗ |
| December 12, 2024 | 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) ↗ |
| July 24, 2024 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| June 19, 2024 | 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) ↗ |
| October 16, 2023 | Federal (CMS-2567), Certification | F759 – Free of Medication Error Rts 5 Prcnt or More, severity K (immediate jeopardy, a pattern) F760 – Residents are Free of Significant Med Errors, severity K (immediate jeopardy, a pattern) Read what inspectors found ↓ | Government record (CDPH) ↗ |
What inspectors found at All Saints Healthcare
Tap a finding to read the summary. Each one is written from the government report linked under it.
March 2026: Class A citation and F686 (severity G) after a resident developed a stage 2 pressure ulcer
According to the citation, CDPH identified during a survey that Resident 18 had moisture-associated skin damage (MASD, skin irritation or breakdown from long contact with urine, stool or sweat) on the left buttock when readmitted on October 28, 2025. Resident 18 had a history of bleeding in the brain, a stroke and chronic respiratory failure, had severely impaired cognition, depended on staff to turn in bed and was incontinent. Assessments rated Resident 18 at risk for pressure ulcers (bed sores).
CDPH found the facility failed to make sure licensed nurses and treatment nurses evaluated and documented the skin damage at least weekly. Inspectors found Treatment Nurse 1 did not report the wounds to the resident's physician or to the wound care physician at readmission and did not obtain treatment orders, and CNAs did not reposition Resident 18 every two hours. According to the citation, the facility also did not follow its own decubitus ulcer prevention policy. The wound care physician identified a facility-acquired pressure ulcer on January 20, 2026, and later that month found it had become a stage 2 pressure ulcer (a shallow open sore with partial loss of skin) on the left buttock.
The department issued a Class A citation for patient care with a $15,000 penalty. The federal 2567 report from the same survey cited F686, the rule on preventing and treating pressure ulcers, at severity G, which means actual harm. That report states inspectors also found pressure ulcer prevention problems for four other residents, including missed wound treatments, air mattresses not set to the resident's weight and heel protectors that were not applied.
December 2025: Class A citation and F689 (severity J) after a two-year-old resident fell from an adult-sized shower bed
According to the citation, CDPH made an unannounced visit on October 31, 2025 to investigate a facility-reported fall. Resident 1 was a two-year-old boy with chronic respiratory failure who used a tracheostomy and a ventilator, had a liver transplant and a feeding tube, could not communicate his needs and depended on staff for all daily care. His care plan said staff would not leave him unattended with side rails down.
CDPH found that at 8:15 a.m. on October 24, 2025, CNA 1 moved him from his crib to an adult-sized shower bed whose side rails had gaps 8 inches high and 22.5 inches wide, then turned her back and left him unattended. According to the citation, he fell 28 inches to the floor on his right side and had a 1-centimeter discoloration on his right cheek. Inspectors found the facility had not assessed whether an adult shower bed was safe for a child, did not use a pediatric shower bed, did not update his fall risk assessment after the fall, and did not follow the equipment manual, which said a caregiver should be present at all times.
The department issued a Class A citation for patient care with a $20,000 penalty. The federal 2567 report cited F689, the rule on accident hazards and supervision, at severity J, the immediate jeopardy level. According to that report, the state survey agency called an immediate jeopardy on November 6, 2025 and removed it on November 8 after verifying the facility's plan, which included retraining staff never to leave pediatric residents unattended during bathing and buying pediatric shower beds.
October 2023: F759 and F760 (severity K) after a 42.3 percent medication error rate during tube feeding medication passes
The 2567 report states that on October 18, 2023, inspectors observed medication administration and found 11 errors out of 26 opportunities, a medication error rate of 42.3 percent. The errors involved Residents 22, 43 and 68, who received medications through a gastrostomy tube (a feeding tube placed into the stomach), and were made by LVNs 1, 2 and 3.
According to the report, LVN 1 mixed three of Resident 22's medications together, including two seizure medications (Keppra and Dilantin) and potassium chloride, instead of giving them one at a time as facility policy required. Inspectors found LVN 2 did not flush Resident 43's tube with water before and between medications, including the blood thinner Xarelto, and did not let them flow by gravity. LVN 3 left significant undissolved residue of crushed medications in the cup, so Resident 68 did not get a full dose of Robinul, which reduces saliva and airway secretions. The report states these errors put the residents at risk of more seizures, irregular heartbeat, aspiration pneumonia, shortness of breath, hospitalization or death.
The 2567 report cited F759 (medication error rate of 5 percent or more) and F760 (significant medication errors), both at severity K, the immediate jeopardy level for a pattern. According to the report, the state survey agency called an immediate jeopardy on October 18 and removed it on October 20 after verifying the facility's plan. The plan included retraining LVNs 1, 2 and 3 before they returned to duty, checking residents they had medicated in the past seven days for side effects, and re-educating all licensed nurses on giving medications by tube.
Complaints against All Saints Healthcare
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 30 | 22 | 8 | 6 |
| 2024 | 15 | 12 | 3 | 4 |
| 2025 | 19 | 10 | 9 | 4 |
| 2026 | 6 | 4 | 2 | 0 |
Cal Health Find lists 70 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 14 of them. 11 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.
Sexual abuse reports at All Saints Healthcare
Cal Health Find lists 4 intakes for All Saints Healthcare from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (1 from complaints and 3 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.
| Year | Intakes with a sexual abuse allegation | Substantiated |
|---|---|---|
| 2025 | 4 | 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 All Saints Healthcare
Payroll records All Saints Healthcare filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 10.45 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 2.44 hours per resident per day (California average 0.68). Staffing averaged 9.57 hours on weekends and 10.80 on weekdays.
CMS reports nursing staff turnover of 29.1% at this facility (California average 36.6%) and RN turnover of 29.2% (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, All Saints Healthcare 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.
| All Saints Healthcare | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 10.45 | 4.32 | 4.54 |
| RN hours per resident per day | 2.44 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 9.57 | 3.89 | 4.10 |
| Nursing staff turnover | 29.1% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Who owns All Saints Healthcare
The owners and operators below are listed for All Saints Healthcare 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 |
|---|---|---|---|
| Darbun Enterprises Incorporated | 5% or greater direct ownership | NO PERCENTAGE PROVIDED | March 23, 1976 |
| Daniel Bunn | 5% or greater direct ownership | NO PERCENTAGE PROVIDED | March 23, 1976 |
| Darbun Enterprises Incorporated | Operational or managerial control | – | March 23, 1976 |
| Elliot Goldman | Operational or managerial control | – | January 1, 1997 |
| John Sensibile | Operational or managerial control | – | August 20, 1996 |
In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending June 30, 2025, the facility listed $1.3 million in payments to related companies (businesses that share owners or management with the facility): $1.2 million to Aq Single Asset Holding Trust for lease – building; $34,048 to Aq Single Asset Holding Trust for interest – aqsaht. Payments to related companies are legal; California requires nursing homes to disclose them.
All Saints Healthcare finances
All Saints Healthcare reported $39.8 million in health care revenue and net income of $81,599 for the year ending June 30, 2025, a margin of 0.2%, 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 98% of resident days. Salaries for RNs, LVNs and nurse aides came to $15.5 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023 | $35.8 million | $761,441 | 2.1% | 82% | – |
| 2024 | $39.8 million | $2.6 million | 6.6% | 88% | 97% |
| 2025 | $39.8 million | $81,599 | 0.2% | 90% | 98% |
Federal fines and penalties: All Saints Healthcare
CMS lists 3 federal fines totaling $99,938 and 1 Medicare payment denial for All Saints Healthcare in the roughly three years its penalty file covers.
| Date | Penalty | Amount or length |
|---|---|---|
| January 29, 2026 | Fine | $35,133 |
| November 8, 2025 | Fine | $30,693 |
| November 8, 2025 | Payment denial | 43 days |
| October 20, 2023 | Fine | $34,112 |
All Saints Healthcare lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for All Saints Healthcare 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 All Saints Healthcare: 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 →
Free nursing home case review
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Questions families ask
Has All Saints Healthcare been cited by the State of California?
Cal Health Find lists 5 state citations for All Saints Healthcare 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 All Saints Healthcare?
From 2023 through October 30, 2026, Cal Health Find lists 70 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 14 of them.
Does Medicare flag All Saints Healthcare for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for All Saints Healthcare. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at All Saints Healthcare?
Cal Health Find lists 4 complaint or facility-reported incident intakes at All Saints Healthcare 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 All Saints Healthcare?
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 All Saints Healthcare have?
All Saints Healthcare is licensed by CDPH for 128 beds and has a CMS overall rating of 2 out of 5 stars.
Who owns or operates All Saints Healthcare?
CDPH lists the licensee as DARBUN ENTERPRISES INC.. CMS does not list a chain for this facility. According to the CMS ownership file, Darbun Enterprises Incorporated holds NO PERCENTAGE PROVIDED 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 All Saints Healthcare provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 10.45 total nursing hours per resident per day, including 2.44 RN hours. The California average is 4.54.
My parent was hurt at All Saints Healthcare. 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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Hurt at All Saints Healthcare? — Beverly Law
If your loved one was hurt at All Saints Healthcare, talk to a California elder abuse attorney. Free, confidential, English or Spanish. You pay no fees and no costs unless we win.
Other nursing homes near All Saints Healthcare
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Valley Palms Care Center | North Hollywood | 2.0 mi | 1/5 | 0 | 2 |
| Valley Village Care Center | North Hollywood | 2.1 mi | 2/5 | 0 | 0 |
| Valley Vista Nursing and Transitional Care, LLC. | North Hollywood | 2.1 mi | 1/5 | 0 | 2 |
| Villa Scalabrini Special Care Unit | Sun Valley | 2.2 mi | 5/5 | 0 | 0 |
| Grand Valley Health Care Center | Van Nuys | 2.2 mi | 1/5 | 2 | 2 |
| Pacifica Hospital of the Valley D/P SNF | Sun Valley | 2.3 mi | 1/5 | 0 | 1 |
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 – All Saints Healthcare
- Medicare Care Compare – All Saints Healthcare
- 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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