The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
BROOKFIELD HEALTHCARE CENTER
DOWNEY, CA · Medicare-certified · 70 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
BROOKFIELD HEALTHCARE CENTER in Downey has a 5-star overall rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reported 4.02 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $0 in fines in the last 24 months, and recent inspection citations related to accident hazards, medication errors, and unnecessary drugs.
Facility ratings
Health inspections
Staffing
4.0221 hrs/resident/day
Quality measures
Last inspection: December 5, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0221.
Staffing detail
- Registered nurses
- 0.93
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.33
- Weekend nursing
- 3.70
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 22%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.5%5.6%Improving
Residents with a fall causing major injury
2.3%0%Improving
Residents with pressure ulcers (bedsores)
0%2.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%14.3%Improving
Residents whose ability to walk got worse
—8.6%—
Long-stay residents on antianxiety or sleep medication
18.6%9.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
25%5.3%Improving
Residents with depressive symptoms
12.8%7.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.9%—
Short-stay residents given the pneumonia vaccine
100%99.1%Worsening
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 757 — 42 CFR §483.45(d) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 63.3 residents on an average day (90% of 70 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.