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Astoria Healthcare 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 ↗
Astoria 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.
| Date | Source | Finding | Record |
|---|---|---|---|
| August 27, 2026 | State (CDPH) | Class B citation (Physical Environment), penalty $3,000 | Government record (CDPH) ↗ |
| June 11, 2026 | State (CDPH) | Class B citation (Patient Rights), penalty $2,000 | Government record (CDPH) ↗ |
| June 3, 2026 | 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) ↗ |
| April 30, 2026 | 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) ↗ |
| February 11, 2026 | State (CDPH) | Class B citation (Other), penalty $3,000 | Government record (CDPH) ↗ |
| February 11, 2026 | State (CDPH) | Class AA citation (Patient Care), penalty $120,000, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| December 19, 2025 | Federal (CMS-2567), Complaint | F698 – Dialysis, severity G (actual harm, one or a few residents) F656 – Develop/Implement Comprehensive Care Plan, severity G (actual harm, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| November 14, 2025 | Federal (CMS-2567), Complaint | F607 – Develop/Implement Abuse/Neglect Policies, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| October 24, 2025 | State (CDPH) | Class B citation (Administration), penalty $3,000 | Government record (CDPH) ↗ |
| September 10, 2025 | State (CDPH) | Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000 | Government record (CDPH) ↗ |
| August 18, 2025 | Federal (CMS-2567), Complaint | F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| March 19, 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) ↗ |
Show 2 older findings
| Date | Source | Finding | Record |
|---|---|---|---|
| January 23, 2024 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| December 12, 2023 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity G (actual harm, one or a few residents) Abuse Read what inspectors found ↓ | Government record (CDPH) ↗ |
What inspectors found at Astoria Healthcare Center
Tap a finding to read the summary. Each one is written from the government report linked under it.
February 2026: Class AA citation, F698 (severity G) and F656 (severity G) after a resident was found bleeding from her dialysis access site
According to the citation, CDPH made an unannounced visit on December 19, 2025, to investigate a complaint about a resident's death. Resident 1, a 72-year-old woman with end-stage kidney disease, received hemodialysis through an AV fistula (a surgically created connection between an artery and a vein) in her left upper arm. She had anemia and took Eliquis, a blood thinner that raises the risk of bleeding. The citation states that on September 16, 2025, she removed her pressure dressing early and bled for more than an hour, and her care plan then called for staff to keep the bandage on at least four hours after dialysis and check the site for bleeding when she returned.
CDPH found that when Resident 1 returned from dialysis on October 30, 2025, at about 7:10 p.m., staff did not do a post-dialysis assessment or check that the fistula site was not bleeding, and did not carry out her care plan. CDPH also found the facility did not follow its dialysis care policies, which did not clearly define nurses' duties before and after dialysis.
According to the citation, at about 7:50 p.m. CNA 1 found Resident 1 unresponsive at the edge of her bed, bleeding from the fistula site with no pressure dressing in place and blood on the bed and floor. Paramedics pronounced her dead in the facility at 8:15 p.m. CDPH issued a Class AA citation and assessed a $120,000 penalty, which the facility appealed. The federal survey cited F698 (dialysis) and F656 (care plans), both at severity G.
December 2023: F600 (severity G) after two residents in wheelchairs punched each other
The 2567 report states the facility did not prevent physical and verbal abuse between two residents. According to the report, on December 3, 2023, around 7:00 p.m., Resident 2 bumped his wheelchair into Resident 1's wheelchair in a hallway while Resident 1 was talking with CNA 1. The two men swore at each other and then punched each other in the face with closed fists several times. Both used wheelchairs, and Resident 2 had weakness on his left side from a stroke.
Inspectors found CNA 1 tried to separate the residents but could not, and called for help while staying with them. A licensed vocational nurse and other staff came and separated them. CNA 1 told inspectors the incident was unpredictable and happened fast. The nurse told inspectors both men were punching each other with closed fists and he could not tell how many times they hit each other. The two residents gave inspectors different accounts of who struck first.
According to the report, Resident 1 had redness on his left cheek and refused first aid. Resident 2 had swelling on his left cheek and was given a cold compress. Resident 2 told inspectors he felt defenseless during the assault and could not protect himself because of limited movement in his left arm and leg. The facility was cited under F600 (freedom from abuse and neglect) at severity G.
Complaints against Astoria Healthcare Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 38 | 26 | 12 | 19 |
| 2024 | 20 | 9 | 11 | 5 |
| 2025 | 45 | 35 | 10 | 4 |
| 2026 | 32 | 27 | 5 | 1 |
Cal Health Find lists 135 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 29 of them. 21 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 Astoria Healthcare Center
Cal Health Find lists 5 intakes for Astoria Healthcare Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (1 from complaints and 4 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 | 3 | 0 |
| 2026 | 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 Astoria Healthcare Center
Payroll records Astoria Healthcare Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.16 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 0.42 hours per resident per day (California average 0.68). Staffing averaged 3.89 hours on weekends and 4.27 on weekdays.
CMS reports nursing staff turnover of 31.0% at this facility (California average 36.6%) and RN turnover of 30.0% (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, Astoria 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.
| Astoria Healthcare Center | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 4.16 | 4.32 | 4.54 |
| RN hours per resident per day | 0.42 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 3.89 | 3.89 | 4.10 |
| Nursing staff turnover | 31.0% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Who owns Astoria Healthcare Center
The owners and operators below are listed for Astoria 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 operator | Role | Share | Since |
|---|---|---|---|
| Ahm Trust | 5% or greater direct ownership | 90% | June 1, 2025 |
| Michael Smilow | 5% or greater direct ownership | 10% | June 1, 2025 |
| Eduardo Martinez-Razo | Operational or managerial control | – | June 1, 2025 |
| Aaron Mayer | Operational or managerial control | – | June 1, 2025 |
| Edmond Melikterminas | Operational or managerial control | – | June 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): $1.4 million to Pacificare Health Management for admin expense>management fee. Payments to related companies are legal; California requires nursing homes to disclose them.
Astoria Healthcare Center finances
Astoria Healthcare Center reported $19.5 million in health care revenue and net income of $1.9 million for the year ending December 31, 2025, a margin of 9.6%, 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 72% of resident days. Salaries for RNs, LVNs and nurse aides came to $4.9 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023 | $24.3 million | $1.0 million | 4.1% | 77% | – |
| 2024 | $24.2 million | -$805,875 | -3.3% | 81% | 80% |
| 2025* | $19.5 million | $1.9 million | 9.6% | 94% | 72% |
* 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: Astoria Healthcare Center
CMS lists Astoria Healthcare Center as a candidate for its Special Focus Facility program. CMS created the program for nursing homes with a history of serious quality problems; candidates are facilities whose inspection record qualifies them, and states choose which ones enter the program for closer oversight.
CMS lists 1 federal fine totaling $29,620 and 0 Medicare payment denials for Astoria Healthcare Center in the roughly three years its penalty file covers.
| Date | Penalty | Amount or length |
|---|---|---|
| November 21, 2025 | Fine | $29,620 |
Astoria Healthcare Center lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for Astoria Healthcare 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 Astoria Healthcare 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 Astoria Healthcare Center been cited by the State of California?
Cal Health Find lists 7 state citations for Astoria Healthcare Center since 2023, including 1 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 Astoria Healthcare Center?
From 2023 through October 30, 2026, Cal Health Find lists 135 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 29 of them.
Does Medicare flag Astoria Healthcare Center for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for Astoria Healthcare Center. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at Astoria Healthcare Center?
Cal Health Find lists 5 complaint or facility-reported incident intakes at Astoria 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 Astoria 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 Astoria Healthcare Center have?
Astoria Healthcare Center is licensed by CDPH for 218 beds and has a CMS overall rating of 1 out of 5 stars.
Who owns or operates Astoria Healthcare Center?
CDPH lists the licensee as ASTORIA HEALTHCARE CENTER LLC. CMS lists the facility under the chain or affiliated entity Aaron Mayer. According to the CMS ownership file, Ahm Trust holds 90% 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 Astoria Healthcare Center provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 4.16 total nursing hours per resident per day, including 0.42 RN hours. The California average is 4.54.
My parent was hurt at Astoria 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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Hurt at Astoria Healthcare Center? — Beverly Law
If your loved one was hurt at Astoria Healthcare 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 Astoria Healthcare Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Mountain View Convalescent Hospital | Sylmar | 0.8 mi | 2/5 | 1 | 1 |
| The Grove Post-Acute Care Center | Sylmar | 0.9 mi | 2/5 | 0 | 1 |
| Maclay Healthcare Center | Sylmar | 1.5 mi | 2/5 | 7 | 13 |
| Ararat Nursing Facility | Mission Hills | 2.3 mi | 1/5 | 11 | 16 |
| Providence Holy Cross Medical Center D/P SNF | Mission Hills | 2.3 mi | 1/5 | 1 | 4 |
| Golden Legacy Care Center | Sylmar | 2.8 mi | – | 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 – Astoria Healthcare Center
- Medicare Care Compare – Astoria Healthcare Center
- 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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