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Nursing homeFAID #13711

West Covina Medical Center D/p Snf

725 S. ORANGE AVENUE, WEST COVINA, CA, 91790

(626) 338-8481

33 licensed beds

CMS rates West Covina Medical Center D/p Snf 4 out of 5 overall. Federal inspectors issued 48 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

725 S. Orange Avenue

West Covina, CA 91790

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

555649

Care type

Nursing home

County

Los Angeles

Facility name

West Covina Medical Center D/p Snf

Street address

725 S. ORANGE AVENUE

City / state / ZIP

West Covina, CA 91790

Phone

(626) 338-8481

About this facility — West Covina Medical Center D/p Snf

West Covina Medical Center D/p Snf is a Medicare/Medicaid-certified skilled nursing facility in West Covina, California. It is licensed for 33 beds — well below the median for skilled nursing facilities in California (98 beds).

It is one of 42 senior care facilities in West Covina and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited West Covina Medical Center D/p Snf 48 times across 8 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Rollins-nelson Healthcare Management

Ownership type

For profit - Corporation

Registered owners & officers

L a Downtown Medical Center Llc

Direct owner — 100% stake — since 2019

Besharat, Farid

Director · Operational control · Additional disclosable party — since 2019

Francisco, Ann

Director · Operational control · Additional disclosable party — since 2019

Nelson, William

Officer · Operational control · Additional disclosable party — since 2019

Rollins, Vicki

Officer · Operational control — since 2017

Siregar, Christopher

Director · Operational control · Additional disclosable party — since 2019

West Covina Property Holding, Llc

Mortgage holder · Additional disclosable party — since 2019

Regulatory standing

Federal court records

1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1995-10-12

CMS overall rating

4 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-12-18

Nurse staffing

8.4 hours per resident per day

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-01Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-08-26

2025-12-23Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-15

6 earlier / fire-safety inspections (46 citations)

2025-12-18Health inspection11 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-19

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-12-19

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-12-19

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-12-19

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-12-19

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-12-19

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-12-19

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-12-19

F-0761

D · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-12-19

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-12-19

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-12-19

2024-10-18Health inspection13 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-07

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-11-07

F-0578

E · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-11-07

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-11-07

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-07

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-11-07

F-0693

E · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-11-07

F-0694

D · No harm found

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-11-07

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-07

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-11-07

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-07

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-07

F-0921

D · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-11-07

2023-11-22Health inspection9 citations

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-12-16

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-16

F-0690

E · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-12-16

F-0693

E · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-12-16

F-0694

E · No harm found

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-12-16

F-0726

E · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-12-16

F-0758

E · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-12-16

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-12-16

F-0908

D · No harm found

Keep all essential equipment working safely.

Corrected 2023-12-16

2025-12-18Fire-safety inspection3 citations

K-0232

D · No harm found

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2026-01-08

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-01-08

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-01-08

2024-10-18Fire-safety inspection4 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-11-07

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-07

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-07

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-07

2023-11-22Fire-safety inspection6 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-12-16

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2023-12-16

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-16

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-12-16

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-12-16

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-12-16

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555649.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 24% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

8.4

Higher than 98% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

25%

Higher than 16% of nursing homes in the state

State median: 36%

Resident outcomes

On 12 federal quality measures, this facility does better than the California average on 8 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Lose too much weight	1.3%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	7.0%	0.7%	0.7%	Worse than state
With a urinary tract infection	2.6%	1.2%	1.5%	Worse than state
Have depressive symptoms	0.0%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	98.7%	98.7%	93.7%	Near state average
Received an antianxiety or hypnotic medication	7.8%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	3.1%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	2.5%	9.8%	18.3%	Better than state
Received an antipsychotic medication	9.1%	12.3%	15.4%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0690 2 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-0756 2 inspections. Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0363 2 inspections. Install corridor and hallway doors that block smoke.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Emanate Health Inter-community Hospital, about 3.0 miles. CMS rating 1 of 5.
Aurora Charter Oak, about 4.6 miles.
San Dimas Community Hospital, about 6.3 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Merrill Gardens At West Covina, West Covina, about 0.2 miles. 11 state visits on record.
West Haven Healthcare, West Covina, about 0.2 miles. CMS rating 4 of 5.
West Covina Healthcare Center, West Covina, about 0.6 miles. CMS rating 2 of 5.
Clara Baldwin Stocker Home for Women, West Covina, about 0.7 miles. CMS rating 3 of 5.
Victoria Care Center, Baldwin Park, about 0.7 miles. CMS rating 5 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 48 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered