The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
DOWNEY POST ACUTE
DOWNEY, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
4 of 5 overall
DOWNEY POST ACUTE has an overall rating of 4 out of 5 stars, with stronger quality measures (5/5) than its staffing and health inspection ratings (both 3/5). It reports 4.33 nurse staffing hours per resident per day, slightly above the federal benchmark of 4.1, and has had $13,575 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.3254 hrs/resident/day
Quality measures
Last inspection: March 13, 2026Penalties, last 24 months: $13,575recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3254.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 1.26
- Nurse aides
- 2.64
- Weekend nursing
- 3.93
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 0%
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
2.9%5.1%Worsening
Residents with a fall causing major injury
1.6%3.2%Worsening
Residents with pressure ulcers (bedsores)
8.1%9.7%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
17%21.8%Worsening
Residents whose ability to walk got worse
8.6%10.8%Worsening
Long-stay residents on antianxiety or sleep medication
7.9%12.9%Worsening
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
3.9%17.4%Worsening
Residents with depressive symptoms
65.5%80.4%Worsening
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
—94.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95%—
Short-stay residents given the pneumonia vaccine
99.5%100%Improving
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: E
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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $13,575 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $13,575 in total fines.
- $13,575
Federal fine
Aug 9, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 88.8 residents on an average day (90% of 99 beds)
- Medicare history
- Certified for 48 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.