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Landmark Medical Center 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 ↗
Landmark Medical 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.
| Date | Source | Finding | Record |
|---|---|---|---|
| May 29, 2026 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity E (no actual harm, potential for more than minimal harm, pattern) Abuse | Government record (CDPH) ↗ |
| December 24, 2025 | State (CDPH) | Class B citation (Patient Record), penalty $3,000 | Government record (CDPH) ↗ |
| December 5, 2025 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity E (no actual harm, potential for more than minimal harm, pattern) Abuse | Government record (CDPH) ↗ |
| October 29, 2025 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| August 18, 2025 | Federal (CMS-2567), Certification | F600 – Free from Abuse and Neglect, severity E (no actual harm, potential for more than minimal harm, pattern) Abuse | Government record (CDPH) ↗ |
| November 5, 2024 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| September 20, 2024 | Federal (CMS-2567), Complaint | F678 – Cardio-Pulmonary Resuscitation (CPR), severity J (immediate jeopardy, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| September 20, 2024 | State (CDPH) | Class B citation (Other), penalty $3,000 | Government record (CDPH) ↗ |
| August 30, 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 E (no actual harm, potential for more than minimal harm, pattern) Abuse | Government record (CDPH) ↗ |
| August 23, 2024 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| August 17, 2024 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| August 14, 2024 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
Show 5 older findings
| Date | Source | Finding | Record |
|---|---|---|---|
| August 5, 2024 | Federal (CMS-2567), Certification | F600 – Free from Abuse and Neglect, severity E (no actual harm, potential for more than minimal harm, pattern) F755 – Pharmacy Srvcs/Procedures/Pharmacist/Records, severity K (immediate jeopardy, a pattern) Abuse Read what inspectors found ↓ | Government record (CDPH) ↗ |
| June 6, 2024 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity E (no actual harm, potential for more than minimal harm, pattern) F609 – Reporting of Alleged Violations, severity E (no actual harm, potential for more than minimal harm, pattern) Abuse | Government record (CDPH) ↗ |
| May 21, 2024 | 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) ↗ |
| July 19, 2023 | 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 24, 2023 | 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) ↗ |
What inspectors found at Landmark Medical Center
Tap a finding to read the summary. Each one is written from the government report linked under it.
September 2024: F678 (severity J) after staff did not start CPR immediately for an unresponsive resident
The 2567 report states that Resident 1 was admitted in April 2022. A July 2024 assessment found Resident 1's thinking was intact and he could understand and be understood. Resident 1 had full code status, meaning all lifesaving measures, including CPR, were to be provided if his heart or breathing stopped.
Inspectors found that in September 2024, CNA 1, Licensed Psychiatric Technician 1 and LVN 1 did not give CPR immediately when Resident 1 was found unresponsive in Resident 1's room, as the facility's advance directive and emergency response policies required. According to the 2567 report, paramedics performed CPR without success, and Resident 1 was pronounced dead at 6:49 a.m. The facility's own root cause analysis found staff lacked a clear understanding of their role in starting CPR and that there was not enough emphasis on acting right away in emergencies. The full narrative is in the linked report.
The 2567 report states the federal deficiency was F678 (cardiopulmonary resuscitation) at severity J, and CDPH identified an Immediate Jeopardy. According to the 2567 report, the removal plan included CPR protocol training for nursing staff, a check that all 75 floor nursing staff were CPR certified, a review of code status for all 94 residents, an updated emergency policy requiring any staff member who finds an unresponsive resident to alert a nurse and stay with the resident, random quarterly code blue drills, and weekly staff knowledge audits for three months.
August 2024: F755 (severity K) and F600 (severity E) after controlled medications were not secured or accounted for
The 2567 report states the facility did not have a system to safeguard prescribed medications, including controlled medications (drugs with a high potential for misuse), affecting 17 sampled residents. Inspectors found the facility did not keep accountability records for controlled drugs that were disposed of or destroyed from January through early August 2024, and did not use each resident's individual controlled drug record for six residents. The drugs included lorazepam and clonazepam for anxiety, zolpidem for sleep, and lacosamide and clobazam for seizures.
Inspectors found medication carts at both nursing stations were left unlocked or unattended, the same keys opened both controlled and other medications, keys were stored inside the carts, and keys were left in an unlocked cart at the East Nursing Station. According to the 2567 report, this was a facility-wide failure that put residents at risk of medication errors, receiving more or less medication than prescribed, harmful reactions such as falls, and the facility being unable to detect loss or diversion (theft or misuse) of controlled drugs.
The 2567 report states the federal deficiency for this finding was F755 (pharmacy services, procedures, pharmacist and records) at severity K, and CDPH identified an Immediate Jeopardy. The removal plan included locking controlled drugs in a locked box inside each cart, individual count sheets, two-nurse sign-off for wasted or refused doses, shift-change counts, charge nurses keeping narcotic keys on their person, and a full inventory. The same survey also cited F600 (freedom from abuse and neglect) at severity E. The full narrative is in the linked report.
May 2024: F689 (severity J) after a resident on 15-minute checks left a locked facility over the roof
The 2567 report states that Resident 1 was assessed as at risk for elopement (leaving without notice) from the locked facility, and a physician's order required staff to check on him every 15 minutes. Inspectors found CNA 1 and CNA 2 did not keep Resident 1 in clear, direct line of sight every 15 minutes and did not accurately document where he was, as the facility's 15-minute monitoring policy required.
According to the 2567 report, one morning in May 2024, Resident 1 entered the facility's unlocked recreation room without supervision. About 17 minutes later, he went out to the patio, stacked chairs on a table, climbed onto the roof, walked to a front corner of the building, climbed down using the facility's fencing and walked away down the street. The 2567 report states he had not been found. Inspectors found this put him at risk of serious harm because he was not receiving his psychotropic medications (drugs that affect mood and behavior), lacked food and shelter, and could be exposed to cold weather at night.
The 2567 report states the federal deficiency was F689 (accident hazards, supervision and devices) at severity J, and inspectors called an Immediate Jeopardy. According to the 2567 report, the facility searched a one-mile area and the roof, filed a missing person report, called hospitals daily and kept in touch with the county public guardian. It also installed self-locking hardware on the recreation room, roof access and other doors, updated its monitoring policy to require staff to see residents in person, retrained 85 staff, and suspended both CNAs, firing CNA 1 and scheduling CNA 2's termination.
Complaints against Landmark Medical Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 84 | 1 | 83 | 74 |
| 2024 | 80 | 3 | 77 | 60 |
| 2025 | 42 | 3 | 39 | 20 |
| 2026 | 21 | 0 | 21 | 4 |
Cal Health Find lists 227 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 158 of them. 213 intakes involved an allegation in CDPH’s abuse category, and 151 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 Landmark Medical Center
Cal Health Find lists 17 intakes for Landmark Medical Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (3 from complaints and 14 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 4 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 | 3 | 1 |
| 2024 | 9 | 3 |
| 2025 | 4 | 0 |
| 2026 | 1 | 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 Landmark Medical Center
Payroll records Landmark Medical Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 3.55 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 0.20 hours per resident per day (California average 0.68). Staffing averaged 3.16 hours on weekends and 3.70 on weekdays.
CMS reports nursing staff turnover of 19.4% at this facility (California average 36.6%).
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, Landmark Medical Center was below 3.5 on 51 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.
| Landmark Medical Center | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 3.55 | 4.32 | 4.54 |
| RN hours per resident per day | 0.20 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 3.16 | 3.89 | 4.10 |
| Nursing staff turnover | 19.4% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Landmark Medical Center finances
Landmark Medical Center reported $11.6 million in health care revenue and net income of $269,598 for the year ending May 31, 2025, a margin of 2.3%, 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. Salaries for RNs, LVNs and nurse aides came to $3.4 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023 | $10.9 million | $2.1 million | 19.3% | 100% | – |
| 2024 | $11.3 million | $1.7 million | 15.0% | 100% | – |
| 2025 | $11.6 million | $269,598 | 2.3% | 99% | – |
Landmark Medical Center lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for Landmark Medical Center 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 Landmark Medical Center: 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
We read the inspection record and the chart with you and tell you plainly whether there is a case. You pay no fees and no costs unless we win.
Questions families ask
Has Landmark Medical Center been cited by the State of California?
Cal Health Find lists 6 state citations for Landmark Medical 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 Landmark Medical Center?
From 2023 through October 30, 2026, Cal Health Find lists 227 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 158 of them.
Does Medicare flag Landmark Medical Center for abuse?
Yes. As of our data date, Medicare Care Compare shows its abuse icon for Landmark Medical 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 Landmark Medical Center?
Cal Health Find lists 17 complaint or facility-reported incident intakes at Landmark Medical Center since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 4. The section above breaks them down by year.
Where can I read reviews and complaints about Landmark Medical 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 Landmark Medical Center have?
Landmark Medical Center is licensed by CDPH for 95 beds and has a CMS overall rating of 3 out of 5 stars.
Who owns or operates Landmark Medical Center?
CDPH lists the licensee as LANDMARK MEDICAL SERVICES, INC.. CMS does not list a chain for this facility.
How many nursing hours does Landmark Medical Center provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 3.55 total nursing hours per resident per day, including 0.20 RN hours. The California average is 4.54.
My parent was hurt at Landmark Medical 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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Hurt at Landmark Medical Center? — Beverly Law
If your loved one was hurt at Landmark Medical Center, 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 Landmark Medical Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Inland Valley Care and Rehabilitation Center | Pomona | 0.5 mi | 1/5 | 3 | 6 |
| Park Avenue Healthcare & Wellness Center | Pomona | 0.7 mi | 1/5 | 2 | 4 |
| Country Oaks Care Center | Pomona | 1.3 mi | 2/5 | 0 | 1 |
| Pomona Vista Care Center | Pomona | 1.3 mi | 3/5 | 2 | 2 |
| Mount San Antonio Gardens | Pomona | 1.4 mi | 5/5 | 0 | 0 |
| Claremont Care Center | Pomona | 1.7 mi | 5/5 | 0 | 0 |
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 – Landmark Medical Center
- Medicare Care Compare – Landmark Medical Center
- CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
- CMS – Nursing home Provider Information (staffing, turnover)
- CMS – Nursing home Ownership
- 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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