The nursing home failed to keep medication mistakes below the allowed level. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: K
Nursing home report
COTTAGE CREST POST ACUTE
NORWALK, CA · Medicare-certified · 59 beds
Needs attention
For-profitChain member
1 of 5 overall
COTTAGE CREST POST ACUTE (NORWALK, CA) has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and a recent federal penalty with $42,354 in fines over the last 24 months. Staffing is rated 3 stars, with reported nurse staffing at 4.50 hours per resident day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.5003 hrs/resident/day
Quality measures
Last inspection: March 16, 2026Penalties, last 24 months: $42,354recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5003.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 1.27
- Nurse aides
- 2.59
- Weekend nursing
- 3.96
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 43%
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
0%4%Worsening
Residents with a fall causing major injury
0%2.4%Worsening
Residents with pressure ulcers (bedsores)
4%4.4%No change
Residents with a urinary tract infection
8.6%0%Improving
Residents who lost too much weight
6.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.8%7.9%Improving
Residents whose ability to walk got worse
—9.7%—
Long-stay residents on antianxiety or sleep medication
12.8%24.4%Worsening
Short-stay residents newly given an antipsychotic
1.7%0%Improving
Residents with a long-term catheter
0%2.3%Worsening
Residents with new or worsening incontinence
22.6%26.7%Worsening
Residents with depressive symptoms
13.5%11.4%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
—100%—
Long-stay residents given the pneumonia vaccine
100%92.9%Worsening
Short-stay residents given the seasonal flu vaccine
—97.9%—
Short-stay residents given the pneumonia vaccine
98.9%78.7%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $42,354 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $66,245 in total fines.
- $42,354
Federal fine
Jun 11, 2024
- $16,445
Federal fine
Jan 9, 2024
- $7,446
Federal fine
Oct 9, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of DAVID JOHNSON · 47 homes · 3.3 stars avg
- Occupancy
- 54.8 residents on an average day (93% of 59 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.