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Facility profile · CCN 056377

The Rehabilitation Center On Pico

64 federal citations on record , including 1 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $193,710.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
64
Total citations
48
Last 3 years
4
Actual harm+
6
Federal penalties
$193,710
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

64 on record
SurveyF-TagViolationSeveritySource
Jan 14, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jul 2, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jul 2, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Apr 4, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 27, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Feb 27, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Feb 27, 2025F880Provide and implement an infection prevention and control program.DStandard
Feb 27, 2025F814Dispose of garbage and refuse properly.DStandard
Feb 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 27, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Feb 27, 2025F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard
Feb 27, 2025F760Ensure that residents are free from significant medication errors.LStandard
Feb 27, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Feb 27, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Feb 27, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Feb 27, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Feb 27, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 27, 2025F584Honor 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.DStandard
Jan 28, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 28, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Oct 10, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Oct 10, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint
Sep 6, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 6, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Apr 17, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 15, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Apr 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 23, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Feb 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Feb 23, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Feb 23, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Feb 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 23, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Feb 23, 2024F578Honor 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.DStandard
Feb 23, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 20, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Dec 20, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Sep 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 12, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 11, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Jun 12, 2023F880Provide and implement an infection prevention and control program.EComplaint
May 21, 2021F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
May 21, 2021F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BStandard
May 21, 2021F880Provide and implement an infection prevention and control program.DStandard
May 21, 2021F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
May 21, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 21, 2021F761Ensure 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.DStandard
May 21, 2021F732Post nurse staffing information every day.DStandard
May 21, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 21, 2021F693Ensure 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.EStandard
May 21, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
May 21, 2021F685Assist a resident in gaining access to vision and hearing services.EStandard
May 21, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 21, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 21, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 21, 2021F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
May 21, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 4 civil money penalties totaling $193,710 and 2 payment-denial actions spanning 73 days.

DateTypeFinePayment denial
Feb 27, 2025Fine$26,611
Feb 27, 2025Payment DenialMar 28, 2025 · 37 days
Sep 6, 2024Fine$106,821
Sep 6, 2024Payment DenialOct 4, 2024 · 36 days
Mar 29, 2024Fine$44,863
Feb 23, 2024Fine$15,415
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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