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WEST COVINA MEDICAL CENTER D/P SNF

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WEST COVINA MEDICAL CENTER D/P SNF is a for profit - corporation facility in WEST COVINA, CA with 33 certified beds and a 3-star overall CMS rating. The facility has 34 deficiency records on file. Total penalties: $7K.

725 S. ORANGE AVENUE, WEST COVINA, CA 91790

Phone: 6263388481

Overall Rating

3/5

Health Inspection

4/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
555649
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
33
Residents
22
In Hospital
Yes
County
Los Angeles
Last Inspection
Dec 18, 2025

Staffing Data

RN Hours
1.22 (nat'l avg: 0.68)
LPN Hours
2.93
CNA Hours
3.65
Total Nursing Hours
7.80 (nat'l avg: 3.89)
PT Hours
0.00

What the CMS Record Reveals About WEST COVINA MEDICAL CENTER D/P SNF

WEST COVINA MEDICAL CENTER D/P SNF operates 33 certified beds in WEST COVINA, CA with approximately 22 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (1★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $7K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 7.80 total nursing hours per resident day (national average 3.89), with RN coverage at 1.22 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, WEST COVINA MEDICAL CENTER D/P SNF falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

D — Isolated - Minimal harm Dec 23, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 15, 2026

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 19, 2025

E — Pattern - Minimal harm Dec 18, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 19, 2025

E — Pattern - Minimal harm Dec 18, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Dec 19, 2025

D — Isolated - Minimal harm Oct 18, 2024 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 18, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 7, 2024

E — Pattern - Minimal harm Oct 18, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 18, 2024 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Nov 7, 2024

E — Pattern - Minimal harm Oct 18, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 18, 2024 Tag: 0694

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2024

E — Pattern - Minimal harm Oct 18, 2024 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 18, 2024 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 18, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 18, 2024 Tag: 0623

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

Category: Resident Rights Deficiencies

Corrected: Nov 7, 2024

E — Pattern - Minimal harm Oct 18, 2024 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Nov 7, 2024

E — Pattern - Minimal harm Oct 18, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Oct 18, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Nov 22, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Dec 16, 2023

E — Pattern - Minimal harm Nov 22, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 16, 2023

E — Pattern - Minimal harm Nov 22, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 16, 2023

E — Pattern - Minimal harm Nov 22, 2023 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 16, 2023

E — Pattern - Minimal harm Nov 22, 2023 Tag: 0694

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 16, 2023

E — Pattern - Minimal harm Nov 22, 2023 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 16, 2023

E — Pattern - Minimal harm Nov 22, 2023 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 16, 2023

E — Pattern - Minimal harm Nov 22, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2023

E — Pattern - Minimal harm Nov 22, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 16, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 14.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 1.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 2.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.6% Yes

Penalty History 3 penalties totaling $7K

Date Type Amount
Jun 26, 2023 Fine $2K
Jun 20, 2023 Fine $2K
May 30, 2023 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for WEST COVINA MEDICAL CENTER D/P SNF?
WEST COVINA MEDICAL CENTER D/P SNF has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (3★).
What are the staffing levels at WEST COVINA MEDICAL CENTER D/P SNF?
WEST COVINA MEDICAL CENTER D/P SNF reports 7.80 total nursing hours per resident day (national average: 3.89). RN hours are 1.22 per resident day (national average: 0.68).
How many beds does WEST COVINA MEDICAL CENTER D/P SNF have?
WEST COVINA MEDICAL CENTER D/P SNF has 33 certified beds with approximately 22 residents. The facility is located at 725 S. ORANGE AVENUE, WEST COVINA, CA 91790.
Does WEST COVINA MEDICAL CENTER D/P SNF have any deficiencies on record?
Yes, WEST COVINA MEDICAL CENTER D/P SNF has 34 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has WEST COVINA MEDICAL CENTER D/P SNF received any fines or penalties?
Yes, WEST COVINA MEDICAL CENTER D/P SNF has received 3 penalties totaling $7K.
Who owns WEST COVINA MEDICAL CENTER D/P SNF?
WEST COVINA MEDICAL CENTER D/P SNF is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was WEST COVINA MEDICAL CENTER D/P SNF last inspected?
The most recent health inspection for WEST COVINA MEDICAL CENTER D/P SNF was on Dec 18, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for WEST COVINA MEDICAL CENTER D/P SNF?
WEST COVINA MEDICAL CENTER D/P SNF is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial