Terrace Post Acute

Nursing Home · Van Nuys, CA

CMS overall rating 1/5 For profit - Corporation

CMS certification number555738

Contact & location

7447 Sepulveda Blvd
Van Nuys, CA 91405
Los Angeles County
Phone
(818) 787-3400
ZIP code
91405 – all care providers

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Facility details

Certified beds
133
Residents per day
120.2 (90% occupied)
Ownership
For profit - Corporation
Legal name
Windsor Terrace Healthcare LLC
Chain
Windsor (22 facilities, avg 2.4★)
Medicare certified since
July 8, 1999
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

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

Total nurse staffing
3.87 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.43 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.95 (state 1.20 · U.S. 0.86)
Nurse aides
2.49 (state 2.65 · U.S. 2.32)
Weekend total
3.67 (state 4.09 · U.S. 3.42)
Nursing staff turnover
25.7 (state 36.7 · U.S. 45.8)%
RN turnover
35.7 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 15, 2026
Health deficiencies (last cycle)
22.0 (state 15.7 · U.S. 9.3)
From complaints
8
Infection control citations
2
Citations on record (3 years)
67 health · 13 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-04 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-04-21 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 · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-23
2026-04-21 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-23
2026-04-08 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-15
2026-03-06 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 2026-03-13
2026-01-15 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 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 2026-01-20
2026-01-15 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2026-01-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2025-08-26 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-27
2025-08-19 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-22
2025-05-19 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2025-05-06 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-12
2025-05-06 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-12
2025-03-07 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-02-08 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 2025-02-20
2025-01-30 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-03
2025-01-30 Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
F0772 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-03
2024-12-17 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 2024-12-20
2024-12-06 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-19
2024-11-21 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 2024-12-05
2024-11-21 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 2024-12-05
2024-11-21 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-05
2024-11-21 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 2024-12-05
2024-11-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-05
2024-11-21 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-05
2024-11-21 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-05
2024-11-21 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-05
2024-11-21 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-05
2024-11-21 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 2024-12-05
2024-11-21 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 2024-12-05
2024-11-21 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-05
2024-11-14 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 2024-11-18
2024-10-25 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-08
2024-10-04 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-16
2024-09-18 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-30
2024-09-18 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-30
2024-09-18 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 2024-09-30
2024-09-11 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-30

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

2 penalties in the last three years, including $94,094 in fines.

DateTypeAmount
2023-10-18Payment Denial44 days payment denial
2023-10-18Fine$94,094

Ownership & management

NameRoleSince
Antelope Holdings I, LLC (organization)5%+ Direct Ownership Interest
Antelope Realty Holdings I, LLC (organization)5%+ Direct Ownership Interest
Robin, Aaron (individual)5%+ Indirect Ownership Interest · 50%
Tress, Avrohom (individual)5%+ Indirect Ownership Interest · 50%
Bhardwaj, Ashwani (individual)Administrator · NOT APPLICABLE
Newgen Administrative Services, LLC (organization)Administrator · NOT APPLICABLE
Scantlebury, Ingrid (individual)Administrator · NOT APPLICABLE
Shaw, Pamela (individual)Administrator · NOT APPLICABLE
Robin, Aaron (individual)Corporate Officer · NOT APPLICABLE
Tress, Avrohom (individual)Corporate Officer · NOT APPLICABLE
Bhardwaj, Ashwani (individual)Operational/managerial Control · NOT APPLICABLE
Newgen Administrative Services, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Scantlebury, Ingrid (individual)Operational/managerial Control · NOT APPLICABLE
Shaw, Pamela (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Terrace Post Acute?

Terrace Post Acute has a 1-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 Terrace Post Acute have?

It has 133 certified beds and cares for about 120 residents per day.

Has Terrace Post Acute been fined?

Yes. CMS lists 2 penalties totaling $94,094 in the last three years.

Who owns Terrace Post Acute?

It is part of Windsor 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 Terrace Post Acute?

(818) 787-3400. The facility is located at 7447 Sepulveda Blvd, Van Nuys, CA 91405.

Other nursing homes in Van Nuys

Compare all nursing homes in Van Nuys, CA →

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