Alamitos West Health & Rehabilitation

Nursing Home · Los Alamitos, CA

CMS overall rating 3/5 For profit - Individual

CMS certification number056169

Contact & location

3902 Katella Avenue
Los Alamitos, CA 90720
Orange County
Phone
(562) 596-5561
ZIP code
90720 – all care providers

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Facility details

Certified beds
150
Residents per day
138.3 (92% occupied)
Ownership
For profit - Individual
Legal name
Malcolm Healthcare, INC.
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
May 1, 1978
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.3
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.20 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.35 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.27 (state 1.20 · U.S. 0.86)
Nurse aides
2.59 (state 2.65 · U.S. 2.32)
Weekend total
3.84 (state 4.09 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—
Administrators who left
1 in the last year

Inspections

Last standard inspection
November 19, 2025
Health deficiencies (last cycle)
34.0 (state 15.7 · U.S. 9.3)
From complaints
13
Citations on record (3 years)
73 health · 7 fire safety
DateCitationSeverityStatus
2026-06-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-06-10 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-06-10 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
F0710 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-06-10 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-21 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-10
2026-04-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-10
2026-03-20 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-10
2026-02-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-13
2026-02-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2026-02-13
2025-11-19 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-11-19 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-10
2025-11-19 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.
F0578 · Resident Rights Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-10
2025-11-19 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-10
2025-11-19 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-10
2025-11-19 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-10
2025-11-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-10
2025-11-19 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-10
2025-08-22 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Deficient, Provider has no plan of correction
2025-08-22 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Deficient, Provider has no plan of correction
2025-08-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Deficient, Provider has no plan of correction
2025-08-22 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Deficient, Provider has no plan of correction
2025-07-09 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-31
2025-07-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-31
2025-04-03 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
F0909 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-03 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-04-16
2025-04-03 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-04-16
2025-01-24 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-19
2025-01-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-19
2025-01-24 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-02-19
2024-12-12 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-08
2024-12-12 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-08
2024-12-12 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-01-08
2024-12-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-01-08
2024-12-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-01-08
2024-12-12 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-01-08
2024-11-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-29
2024-11-06 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2024-11-29

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ayele, Etsegenet (individual)Administrator · NOT APPLICABLE
Cluff, Casey (individual)Administrator · NOT APPLICABLE
Willits, Adam (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Looper, William (individual)Corporate Officer · NOT APPLICABLE
Sato, Ami (individual)Corporate Officer · NOT APPLICABLE
Willits, Adam (individual)Corporate Officer · NOT APPLICABLE
Cluff, Casey (individual)Managing Control - Governing Body · NOT APPLICABLE
Ayele, Etsegenet (individual)Operational/managerial Control · NOT APPLICABLE
Cluff, Casey (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Alamitos West Health & Rehabilitation?

Alamitos West Health & Rehabilitation has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Alamitos West Health & Rehabilitation have?

It has 150 certified beds and cares for about 138 residents per day.

Has Alamitos West Health & Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Alamitos West Health & Rehabilitation?

It is part of The Ensign Group and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Alamitos West Health & Rehabilitation?

(562) 596-5561. The facility is located at 3902 Katella Avenue, Los Alamitos, CA 90720.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.