SNF

WEST COVINA MEDICAL CENTER D/P SNF

CCN: 555649 · WEST COVINA, CA 91790 · Los Angeles County

ℹ Hospital-based

Overview

Address
725 S. ORANGE AVENUE, WEST COVINA, CA 91790
Phone
6263388481
Certified beds
33
Avg daily residents
22 (65% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1995-10-12
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.
★★★★★ 4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 3/5
Short-Stay Quality Measures — Data not available.

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
 7.80 9.57 3.15 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.22 1.67 0.49 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 2.93 2.12 1.18 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.65 5.77 1.47 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 4.15 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

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)
6.67
hrs / resident / day
RN (weekend)
0.91
hrs / resident / day
Total nurse (adjusted, weekend)
2.69
hrs / resident / day

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

Resident acuity

Nursing Case-Mix Index
3.39
higher acuity than avg
Case-Mix Index Ratio
2.46
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) 2025-12-18 12 11 1 56 1 56
Cycle 2/3 (prior) 2024-10-18 13 13 0 72 1 72
Total weighted health score
60.0
lower is better

Deficiencies (34)

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).

34 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-12-23 2026-01-15
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-12-18 2025-12-19
0637 Assess the resident when there is a significant change in condition D 2025-12-18 2025-12-19
0641 Ensure each resident receives an accurate assessment. D 2025-12-18 2025-12-19
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 2025-12-18 2025-12-19
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. D 2025-12-18 2025-12-19
0692 Provide enough food/fluids to maintain a resident's health. D 2025-12-18 2025-12-19
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-12-18 2025-12-19
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-12-18 2025-12-19
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. D 2025-12-18 2025-12-19
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-12-18 2025-12-19
0880 Provide and implement an infection prevention and control program. D 2025-12-18 2025-12-19
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-10-18 2024-11-07
0558 Reasonably accommodate the needs and preferences of each resident. E 2024-10-18 2024-11-07
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. E 2024-10-18 2024-11-07
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2024-10-18 2024-11-07
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-10-18 2024-11-07
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. D 2024-10-18 2024-11-07
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. E 2024-10-18 2024-11-07
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2024-10-18 2024-11-07
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2024-10-18 2024-11-07
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-10-18 2024-11-07
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-10-18 2024-11-07
0880 Provide and implement an infection prevention and control program. D 2024-10-18 2024-11-07
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2024-10-18 2024-11-07
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2023-11-22 2023-12-16
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-11-22 2023-12-16
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. E 2023-11-22 2023-12-16
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. E 2023-11-22 2023-12-16
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. E 2023-11-22 2023-12-16
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. E 2023-11-22 2023-12-16
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. E 2023-11-22 2023-12-16
0880 Provide and implement an infection prevention and control program. E 2023-11-22 2023-12-16
0908 Keep all essential equipment working safely. D 2023-11-22 2023-12-16

Penalties (3)

Fines issued
3
last 3 years
Total fines
$7,026
Date Type Fine amount
2023-06-20 Fine $1,764
2023-06-26 Fine $2,117
2023-05-30 Fine $3,145

Source: CMS Nursing Home Penalties.

Ownership & Corporate Structure

Chain: ROLLINS-NELSON HEALTHCARE MANAGEMENT

Chain ID
456
Facilities in chain
10
Legal business name
WEST COVINA MEDICAL CENTER INC
Chain-average star ratings (for peer context)
Overall
2.1
Health
2.0
Staffing
2.8
QM
3.9

Owner / manager organizations (3)

Organization Role Association
WEST COVINA MEDICAL CENTER INC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/04/2015
WEST COVINA MEDICAL CENTER INC OPERATIONAL/MANAGERIAL CONTROL since 04/04/2015
WEST COVINA PROPERTY HOLDING, LLC 5% OR GREATER MORTGAGE INTEREST since 04/04/2015

Owner / manager individuals (13)

Name Role Association
NELSON, WILLIAM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/04/2015
ROLLINS, VICKI 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/04/2015
BESHARAT, FARID OPERATIONAL/MANAGERIAL CONTROL since 03/15/2022
BROOKS, MARK OPERATIONAL/MANAGERIAL CONTROL since 01/01/2025
FRANCISCO, ANN OPERATIONAL/MANAGERIAL CONTROL since 09/06/2022
ROLLINS, VICKI OPERATIONAL/MANAGERIAL CONTROL since 04/04/2015
NELSON, WILLIAM CORPORATE DIRECTOR since 04/04/2015
ROLLINS, VICKI CORPORATE DIRECTOR since 04/04/2015
NELSON, WILLIAM CORPORATE OFFICER since 04/04/2015
ROLLINS, VICKI CORPORATE OFFICER since 04/04/2015
ROLLINS, VICKI 5% OR GREATER SECURITY INTEREST since 04/04/2015
NELSON, WILLIAM 5% OR GREATER MORTGAGE INTEREST since 04/04/2015
ROLLINS, VICKI 5% OR GREATER MORTGAGE INTEREST since 04/04/2015

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

Facility Features

CCRC
No
Hospital-based
Yes
Resident / family council
None
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 99 rows
Source Metric Value Raw key
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.18191 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.47197 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.49242 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.14630 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.69095 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 21.6 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 2.12425 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 5.77325 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 1.67438 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 9.57188 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 8.43660 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.8 Chain Average Staffing Rating
Provider Information Chain ID 456 Chain ID
Provider Information Chain Name ROLLINS-NELSON HEALTHCARE MANAGEMENT Chain Name
Provider Information City/Town WEST COVINA City/Town
Provider Information CMS Certification Number (CCN) 555649 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1995-10-12 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 34.071 Latitude
Provider Information Legal Business Name WEST COVINA MEDICAL CENTER INC Legal Business Name
Provider Information Location 725 S. ORANGE AVENUE,WEST COVINA,CA,91790 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -117.94 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 33 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 10 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 3.39089 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 2.46136 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For 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 725 S. ORANGE AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WEST COVINA MEDICAL CENTER D/P SNF Provider Name
Provider Information Provider Resides in Hospital Y 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 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 56 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 1 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 11 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-12-18 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 56 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 12 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-10-18 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 72 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 0 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 72 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.91275 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover — Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 26 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 4.15093 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 2.93014 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.64926 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00252 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.22079 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 7.80020 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 6263388481 Telephone Number
Provider Information Total Amount of Fines in Dollars 7026.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 6.67132 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover — Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 60.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 91790 ZIP Code