West Covina Medical Center D/P SNF

Nursing Home · West Covina, CA

CMS overall rating 4/5 For profit - Corporation

CMS certification number555649

Contact & location

725 S. Orange Avenue
West Covina, CA 91790
Los Angeles County
Phone
(626) 338-8481
ZIP code
91790 – all care providers

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Facility details

Certified beds
33
Residents per day
20.2 (61% occupied)
Ownership
For profit - Corporation
Legal name
L a Downtown Medical Center LLC
Chain
Rollins-Nelson Healthcare Management (8 facilities, avg 2.4★)
Medicare certified since
October 12, 1995
Participates in
Medicare and Medicaid

CMS star ratings

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

Staffing

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

Total nurse staffing
8.47 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
1.49 (state 0.67 · U.S. 0.69)
Licensed practical nurses
2.94 (state 1.20 · U.S. 0.86)
Nurse aides
4.05 (state 2.65 · U.S. 2.32)
Weekend total
6.93 (state 4.09 · U.S. 3.42)
Nursing staff turnover
29.3 (state 36.7 · U.S. 45.8)%
RN turnover
33.3 (state 38.1 · U.S. 42.9)%

Inspections

Last standard inspection
December 18, 2025
Health deficiencies (last cycle)
13.0 (state 15.7 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
35 health · 13 fire safety
DateCitationSeverityStatus
2026-07-01 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		 Deficient, Provider has no plan of correction
2025-12-23 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-15
2025-12-18 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-12-18 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-12-18 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-12-18 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-12-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-12-18 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-12-18 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-12-18 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 2025-12-19
2025-12-18 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-12-18 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 2025-12-19
2025-12-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2024-10-18 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 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.
F0693 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 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 2024-11-07
2024-10-18 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-18 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2023-11-22 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16
2023-11-22 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16
2023-11-22 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16
2023-11-22 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.
F0693 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16
2023-11-22 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16
2023-11-22 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.
F0726 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16
2023-11-22 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.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16
2023-11-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16
2023-11-22 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-16

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
L a Downtown Medical Center LLC (organization)5%+ Direct Ownership Interest · 100%
West Covina Property Holding, LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Besharat, Farid (individual)Administrator · NOT APPLICABLE
Francisco, Ann (individual)Administrator · NOT APPLICABLE
Nelson, William (individual)Administrator · NOT APPLICABLE
Siregar, Christopher (individual)Administrator · NOT APPLICABLE
West Covina Property Holding, LLC (organization)Administrator · NOT APPLICABLE
Besharat, Farid (individual)Corporate Director · NOT APPLICABLE
Francisco, Ann (individual)Corporate Director · NOT APPLICABLE
Siregar, Christopher (individual)Corporate Director · NOT APPLICABLE
Nelson, William (individual)Corporate Officer · NOT APPLICABLE
Rollins, Vicki (individual)Corporate Officer · NOT APPLICABLE
Besharat, Farid (individual)Operational/managerial Control · NOT APPLICABLE
Francisco, Ann (individual)Operational/managerial Control · NOT APPLICABLE
Nelson, William (individual)Operational/managerial Control · NOT APPLICABLE
Rollins, Vicki (individual)Operational/managerial Control · NOT APPLICABLE
Siregar, Christopher (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of West Covina Medical Center D/P SNF?

West Covina Medical Center D/P SNF has a 4-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 West Covina Medical Center D/P SNF have?

It has 33 certified beds and cares for about 20 residents per day.

Has West Covina Medical Center D/P SNF been fined?

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

Who owns West Covina Medical Center D/P SNF?

It is part of Rollins-Nelson Healthcare Management and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of West Covina Medical Center D/P SNF?

(626) 338-8481. The facility is located at 725 S. Orange Avenue, West Covina, CA 91790.

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