SNF

WOODS HEALTH SERVICES

CCN: 056083 · LA VERNE, CA 91750 · Los Angeles County

ℹ CCRC

Overview

Address
2600 A STREET, LA VERNE, CA 91750
Phone
9095934917
Certified beds
74
Avg daily residents
46 (63% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1969-05-29
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.87 3.63 5.18 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.54 0.64 0.57 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.28 0.81 1.36 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.06 2.19 3.25 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.82 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.17 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.40
hrs / resident / day
RN (weekend)
0.42
hrs / resident / day
Total nurse (adjusted, weekend)
4.67
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
51.3%
annual
RN turnover
Staffing penalized (missing PBJ submission).
Administrators departed
New facility — insufficient data.

Resident acuity

Nursing Case-Mix Index
1.29
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-04 20 13 7 112 1 112
Cycle 2/3 (prior) 2024-03-29 25 14 11 168 1 168
Total weighted health score
126.0
lower is better

Deficiencies (58)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
54 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-12-18 2026-01-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-12-18 2026-01-14
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-11-19 2025-12-12
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-06-20 2025-07-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-05-19 2025-05-22
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-05-19 2025-05-22
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-05-19 2025-06-05
0552 Ensure that residents are fully informed and understand their health status, care and treatments. E 2025-04-04 2025-04-07
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-04-04 2025-04-14
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2025-04-04 2025-04-21
0641 Ensure each resident receives an accurate assessment. D 2025-04-04 2025-04-21
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-04-04 2025-04-09
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-04-04 2025-04-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-04-04 2025-04-14
0732 Post nurse staffing information every day. D 2025-04-04 2025-04-14
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2025-04-04 2025-04-14
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. D 2025-04-04 2025-04-14
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2025-04-04 2025-04-09
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-04-04 2025-04-04
0880 Provide and implement an infection prevention and control program. E 2025-04-04 2025-04-14
0880 Provide and implement an infection prevention and control program. E 2025-01-31 2025-02-18
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-12-27 2025-01-23
0880 Provide and implement an infection prevention and control program. E 2024-12-27 2025-01-22
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-09-05 2024-09-26
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-09-05 2024-09-25
0880 Provide and implement an infection prevention and control program. D 2024-09-05 2024-09-26
0880 Provide and implement an infection prevention and control program. D 2024-08-05 2024-08-23
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-03-29 2024-04-19
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-03-29 2024-04-19
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. D 2024-03-29 2024-04-19
0638 Assure that each resident’s assessment is updated at least once every 3 months. D 2024-03-29 2024-04-19
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-03-29 2024-04-19
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2024-03-29 2024-04-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-03-29 2024-04-19
0691 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. D 2024-03-29 2024-04-19
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-03-29 2024-04-19
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-03-29 2024-04-19
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. D 2024-03-29 2024-04-19
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-03-29 2024-04-19
0880 Provide and implement an infection prevention and control program. E 2024-03-29 2024-04-19
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. D 2024-03-29 2024-04-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-03-11 2024-03-26
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-12-13 2024-01-04
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-08-25 2023-09-13
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-07-27 2023-08-04
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. D 2022-01-14 2022-02-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-01-14 2022-02-17
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2022-01-14 2022-02-17
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2022-01-14 2022-02-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2022-01-14 2022-02-17

Showing 50 most recent of 58. See the All Data CSV for the full list.

Penalties (2)

Fines issued
1
last 3 years
Total fines
$8,190
Payment denials
1
Date Type Fine amount
2023-12-13 Fine $8,190
2024-03-11 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 3.1% Medicaid 14.2% Other 82.8%

Operating performance

Operating Margin
-60.8%
Total Margin
15.2%
Occupancy Rate
78.5%
Cost per Resident Day
$32

Revenue & costs

Net Patient Revenue
$20.1M
Total Costs
$1.2M
Net Income
$5.8M

Balance sheet

Total Assets
$151.4M
Total Liabilities
$117.8M
Fund Balance
$33.6M
Current Ratio
0.11

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (1)

Organization Role Association
BRETHREN HILLCREST HOMES OPERATIONAL/MANAGERIAL CONTROL since 05/29/1969

Owner / manager individuals (22)

Name Role Association
ALLISON, THOMAS CORPORATE DIRECTOR since 01/01/2023
BLICKENSTAFF, JON CORPORATE DIRECTOR since 01/01/2017
DOUD, JACQUELINE CORPORATE DIRECTOR since 01/01/2023
DUNCAN, KATHLEEN CORPORATE DIRECTOR since 01/01/2023
GARVEY, KATHLEEN CORPORATE DIRECTOR since 01/01/2023
HESS, DOROTHY CORPORATE DIRECTOR since 01/01/2023
JOHNSTON, ROBERT CORPORATE DIRECTOR since 01/01/2023
LANE, DAN CORPORATE DIRECTOR since 01/01/2023
MATTESON, RUSS CORPORATE DIRECTOR since 01/01/2017
MCMULLIN, EDWARD CORPORATE DIRECTOR since 01/01/2023
MEEK, CHRISTINE CORPORATE DIRECTOR since 01/01/2023
REDMAN, DONNA CORPORATE DIRECTOR since 01/01/2023
SADDLEMIRE, LINDA CORPORATE DIRECTOR since 01/01/2023
SMYTHE, BARBARA CORPORATE DIRECTOR since 01/01/2023
STANLEY, DALE CORPORATE DIRECTOR since 01/01/2023
TENORIO, SUSAN CORPORATE DIRECTOR since 01/01/2023
WANG, TINA CORPORATE DIRECTOR since 01/01/2023
WELCH, MICHAEL CORPORATE DIRECTOR since 01/01/2023
BROUWER, JOEL CORPORATE OFFICER since 03/20/2023
KASIN, KEITH CORPORATE OFFICER since 09/21/1966
NEELEY, MATTHEW CORPORATE OFFICER since 01/03/2005
NEELEY, MATTHEW W-2 MANAGING EMPLOYEE since 01/03/2005

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $32 metrics.cost_per_resident_day
Cost Report Current Ratio 0.11 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 14.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.1% metrics.medicare_day_share
Cost Report Net Income ($) $5,809,135 metrics.net_income
Cost Report Net Patient Revenue ($) $20,092,764 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 78.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -60.8% metrics.operating_margin
Cost Report Total Assets ($) $151,399,591 metrics.total_assets
Cost Report Total Costs ($) $1,218,517 metrics.total_costs
Cost Report Total Fund Balances ($) $33,601,668 metrics.fund_balance
Cost Report Total Liabilities ($) $117,797,923 metrics.total_liabilities
Cost Report Total Margin (%) 15.2% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.36036 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.25006 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.56991 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.18032 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.67112 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 46.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.80633 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.19144 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.63557 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.63334 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.20241 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town LA VERNE City/Town
Provider Information CMS Certification Number (CCN) 056083 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1969-05-29 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 34.1049 Latitude
Provider Information Legal Business Name BRETHREN HILLCREST HOMES Legal Business Name
Provider Information Location 2600 A STREET,LA VERNE,CA,91750 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -117.78 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home — Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 74 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.28713 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.93430 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 2600 A STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WOODS HEALTH SERVICES Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 112 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 7 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 13 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 112 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 20 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 14 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-03-29 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 168 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 11 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 168 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 25 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.41926 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover — Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 27 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.81648 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.28017 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.05848 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.16898 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.53631 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.87496 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 9095934917 Telephone Number
Provider Information Total Amount of Fines in Dollars 8190.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.39578 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 51.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 126.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 91750 ZIP Code