Is your loved one at The Springs Post-Acute?
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The Springs Post-Acute 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 Springs Post-Acute 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 |
|---|---|---|---|
| July 23, 2026 | State (CDPH) | Administrative Penalty (DHPPD: 1 Day (No Penalty)), penalty $0 | Government record (CDPH) ↗ |
| May 29, 2026 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| November 19, 2025 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,450 Abuse | Government record (CDPH) ↗ |
| September 25, 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) ↗ |
| April 4, 2025 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| March 26, 2025 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| March 20, 2025 | State (CDPH) | Class AA citation (Patient Care), penalty $120,000, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| February 21, 2025 | Federal (CMS-2567), Complaint | F689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents) Falls / supervision › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| February 4, 2025 | Federal (CMS-2567), Certification | F688 – Increase/Prevent Decrease in ROM/Mobility, severity G (actual harm, one or a few residents) F600 – Free from Abuse and Neglect, severity E (no actual harm, potential for more than minimal harm, pattern) Abuse Read what inspectors found ↓ | Government record (CDPH) ↗ |
| January 28, 2025 | Federal (CMS-2567), Complaint | F684 – Quality of Care, severity J (immediate jeopardy, one or a few residents) F580 – Notify of Changes (Injury/Decline/Room, etc.), severity J (immediate jeopardy, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| January 22, 2025 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| September 26, 2024 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
Show 5 older findings
| Date | Source | Finding | Record |
|---|---|---|---|
| September 13, 2024 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| August 13, 2024 | Federal (CMS-2567), Complaint | 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) F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| August 9, 2024 | State (CDPH) | Class B citation (Other), penalty $3,000 | Government record (CDPH) ↗ |
| July 31, 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) ↗ |
| March 16, 2023 | State (CDPH) | Class A citation (Patient Rights), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
What inspectors found at The Springs Post-Acute
Tap a finding to read the summary. Each one is written from the government report linked under it.
April 2025: Class A citation and F689 (severity G) after a resident's forearm was fractured during a one-person turn
According to the citation, CDPH made an unannounced visit on February 21, 2025, to investigate a facility-reported incident. Resident 1 was a 79-year-old woman with anoxic brain damage (brain injury from lack of oxygen), osteoporosis (brittle bones) and contractures (stiff, shortened joints). She was rarely or never understood and was totally dependent on staff to roll in bed. Her care plan required two people to turn and reposition her.
CDPH found that on February 8, 2025, CNA 1 turned Resident 1 by himself while changing her. He told inspectors the other CNAs were busy, the licensed nurse was passing medications and no one was available to help, so he felt confident he could do it alone. He said he heard a loud cracking sound as he turned her toward her left side. An X-ray showed an acute fracture of the left forearm, and she was sent to an acute care hospital by 911, where a splint was applied and she was admitted for observation. CNA 1 said this was not the first time he could not get help to turn her. CNA 2 told inspectors that when everyone was busy, staff sometimes did the work alone.
CDPH determined the facility failed to keep Resident 1 as free of accident hazards as possible, to make sure CNA 1 followed her care plan, and to have enough staff with the right skills available. The department issued a Class A citation with a $25,000 penalty. The related 2567 report cited F689 (free of accident hazards, supervision and devices) at severity G.
March 2025: Class AA citation, F684 and F580 (severity J) after a delayed hospital transfer for a resident with a high fever who died
According to the citation, CDPH received a complaint on January 27, 2025, that the facility did not act promptly when Resident 1 had a temperature of 103.8°F and a heart rate of 130 late on January 7, 2025. Resident 1 had a tracheostomy, one-sided paralysis and neurogenic bladder (a bladder that does not empty normally). A physician's order for sepsis prevention required nurses to call the doctor if his temperature went above 99°F or his heart rate above 90.
CDPH found nurses did not notify the physician of a 99.8°F temperature on January 5 or of the high fever and fast heart rate on January 7, and LVN 1 did not monitor his vital signs after blood was found in his urine on January 6. LVN 1 told inspectors she used a fan and cold towels and did not think it was an infection. No vital signs were recorded again until 6 a.m. on January 8, when his blood pressure was 72/40 and his level of consciousness was altered. There was no care plan for his bladder condition. His physician told inspectors he would have sent Resident 1 to the hospital sooner. Resident 1 was taken to a hospital by 911, diagnosed with septic shock (infection with very low blood pressure), and died that evening.
CDPH issued a Class AA citation with a $120,000 penalty and determined the violations were a substantial factor in the death of Resident 1. The related 2567 report cited F684 (quality of care) and F580 (notification of changes), both at severity J. The report states the facility's removal plan included training licensed nurses on notifying physicians.
February 2025: F688 (severity G) and F600 (severity E) over lost range of motion and a resident-to-resident altercation
According to the 2567 report from a February 2025 recertification survey, inspectors found the facility did not provide range of motion (ROM, how far a joint can move) services to five of 13 sampled residents. Resident 76 had full ROM in all joints when admitted in April 2024. Physical therapy evaluations in August and September 2024 found declines in his ankles and right knee and said he could benefit from therapy, but the services were not provided. A therapist said his health insurance did not authorize them.
The report states later joint screenings in October 2024 and January 2025 recorded full ROM even though the declines had been found. In February 2025 a physician told inspectors Resident 76 had contractures (stiff, shortened joints) in both ankles that could have been prevented with exercises and splints, and a therapist said a right knee contracture was developing. Inspectors also found missed quarterly screenings, splints applied without an evaluation, and exercises not given to other residents. This was cited as F688 (increase or prevent decrease in range of motion and mobility) at severity G.
Inspectors also found the facility did not separate Resident 50 from Resident 197 after an argument on January 24, 2025. According to the report, Resident 197 threatened to knock Resident 50 out and, after a registered nurse left the room, threw tissue boxes at him. Resident 197 was then moved to a room sharing a patio with Resident 50. The director of nursing said staff should have kept Resident 197 from having access to Resident 50. This was cited as F600 (freedom from abuse and neglect) at severity E.
March 2023: Class A citation after a resident pressed a pillow over another resident's face
According to the citation, CDPH received a complaint on December 19, 2022, alleging that a CNA threw a pillow at Resident 1 and told her to shut up. CDPH began an unannounced investigation the next day. Resident 1 was an 84-year-old woman with intact cognition who depended on staff for daily care.
Resident 1 told inspectors that while she was calling loudly for a nurse, a man came into her room, told her to shut up and pressed her pillow hard on her face. She said she was scared for her life. Her responsible party told inspectors she found Resident 1 upset and trembling, with the pillow on the floor. Inspectors reviewed video with the administrator. According to the citation, it showed Resident 7, a 77-year-old man, going to Resident 1's room and closing her door at 11:07 a.m., and the door stayed closed until her responsible party arrived 20 minutes later. Resident 7 shared a bathroom with Resident 1 and her roommate and told inspectors he would shout "shut up" at Resident 1 from it. The administrator said she did not review video during abuse investigations.
CDPH determined the facility failed to protect Resident 1 from verbal and physical abuse by Resident 7, failed to follow its abuse prevention policy, did not review the available video during its investigation, and did not protect Resident 1's privacy from a male resident with access to her room through the shared bathroom. The department issued a Class A citation with a $25,000 penalty, finding the violations presented imminent danger or a substantial probability of death or serious physical harm to Resident 1.
Complaints against The Springs Post-Acute
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 23 | 19 | 4 | 7 |
| 2024 | 38 | 34 | 4 | 9 |
| 2025 | 33 | 19 | 14 | 10 |
| 2026 | 15 | 5 | 10 | 0 |
Cal Health Find lists 109 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 26 of them. 39 intakes involved an allegation in CDPH’s abuse category, and 3 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 Springs Post-Acute
Cal Health Find lists 7 intakes for The Springs Post-Acute from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (5 from complaints and 2 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 | 2 | 0 |
| 2024 | 3 | 1 |
| 2025 | 2 | 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 Springs Post-Acute
Payroll records The Springs Post-Acute filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 5.04 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 0.61 hours per resident per day (California average 0.68). Staffing averaged 4.54 hours on weekends and 5.24 on weekdays.
CMS reports nursing staff turnover of 29.6% at this facility (California average 36.6%) and RN turnover of 0.0% (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 Springs Post-Acute 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 Springs Post-Acute | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 5.04 | 4.32 | 4.54 |
| RN hours per resident per day | 0.61 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 4.54 | 3.89 | 4.10 |
| Nursing staff turnover | 29.6% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Who owns The Springs Post-Acute
The owners and operators below are listed for The Springs Post-Acute 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 |
|---|---|---|---|
| Links Healthcare Group LLC | Operational or managerial control | – | June 30, 2023 |
| Links Support Services, LLC | Operational or managerial control | – | June 30, 2023 |
| Mary Beardsley | Operational or managerial control | – | June 30, 2023 |
| Victoria Bernholz | Operational or managerial control | – | June 30, 2023 |
| Melissa Carter | Operational or managerial control | – | June 30, 2023 |
| Kyle Darby | Operational or managerial control | – | June 30, 2023 |
| Antonette Frojelin | Operational or managerial control | – | June 30, 2023 |
| Dennis Guinto | Operational or managerial control | – | June 30, 2023 |
| Shivanand Pole | Operational or managerial control | – | June 30, 2023 |
| Curtis Rodriguez | Operational or managerial control | – | June 30, 2023 |
| Toby Tilford | Operational or managerial control | – | June 30, 2023 |
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 $1.2 million in payments to related companies (businesses that share owners or management with the facility): $1.2 million to Links Healthcare Group LLC for management fee; $13,648 to Links Online Support Service for links online support markup. Payments to related companies are legal; California requires nursing homes to disclose them.
The Springs Post-Acute finances
The Springs Post-Acute reported $23.1 million in health care revenue and net income of $1.6 million for the year ending December 31, 2025, a margin of 7.1%, 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 60% of resident days. Salaries for RNs, LVNs and nurse aides came to $5.1 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023* | $8.9 million | -$761,927 | -8.5% | 89% | – |
| 2024 | $20.5 million | $578,823 | 2.8% | 94% | 69% |
| 2025 | $23.1 million | $1.6 million | 7.1% | 92% | 60% |
* More than one report was filed that year, usually after a change of ownership; the table shows the longest reporting period.
Federal fines and penalties: The Springs Post-Acute
CMS lists 1 federal fine totaling $66,866 and 1 Medicare payment denial for The Springs Post-Acute in the roughly three years its penalty file covers.
| Date | Penalty | Amount or length |
|---|---|---|
| January 2, 2025 | Fine | $66,866 |
| January 2, 2025 | Payment denial | 5 days |
The Springs Post-Acute lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for The Springs Post-Acute 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 Springs Post-Acute: 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 Springs Post-Acute been cited by the State of California?
Cal Health Find lists 11 state citations for The Springs Post-Acute 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 Springs Post-Acute?
From 2023 through October 30, 2026, Cal Health Find lists 109 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 26 of them.
Does Medicare flag The Springs Post-Acute for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for The Springs Post-Acute. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at The Springs Post-Acute?
Cal Health Find lists 7 complaint or facility-reported incident intakes at The Springs Post-Acute 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 Springs Post-Acute?
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 Springs Post-Acute have?
The Springs Post-Acute is licensed by CDPH for 99 beds and has a CMS overall rating of 2 out of 5 stars.
Who owns or operates The Springs Post-Acute?
CDPH lists the licensee as VENICE BEACH HOLDINGS LLC. CMS lists the facility under the chain or affiliated entity Links Healthcare Group. The CMS ownership file lists Links Healthcare Group LLC among the owners or operators. The full list is in the ownership section of this page.
How many nursing hours does The Springs Post-Acute provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 5.04 total nursing hours per resident per day, including 0.61 RN hours. The California average is 4.54.
My parent was hurt at The Springs Post-Acute. 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 Springs Post-Acute
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Studebaker Healthcare Center | Norwalk | 0.7 mi | 1/5 | 1 | 1 |
| Intercommunity Healthcare & Rehabilitation Center | Norwalk | 0.9 mi | 1/5 | 1 | 2 |
| Norwalk Skilled Nursing & Wellness Centre | Norwalk | 1.4 mi | 2/5 | 4 | 7 |
| Southland | Norwalk | 1.5 mi | 2/5 | 1 | 3 |
| Villa del Sol Post Acute | Bellflower | 1.8 mi | 2/5 | 1 | 1 |
| Lakewood Healthcare Center | Downey | 2.0 mi | 1/5 | 2 | 4 |
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 Springs Post-Acute
- Medicare Care Compare – The Springs Post-Acute
- 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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