Bonnie Brae Skilled Nursing

Name: Bonnie Brae Skilled Nursing
Address: 420 SOUTH BONNIE BRAE ST., Los Angeles, CA, 90057, US
Telephone: 2134838144

420 South Bonnie Brae St., Los Angeles, CA 90057 · Los Angeles County · 59 certified beds · avg 43 residents/day · certified since Jan 1, 1967

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.73

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (32)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 5, 2026	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint
Jan 8, 2026	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 8, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life.
Jan 8, 2026	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Jul 28, 2025	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Dec 17, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Nov 27, 2024	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Nov 27, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 27, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 27, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 27, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Nov 27, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 27, 2024	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Nov 27, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Nov 27, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Nov 27, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Nov 27, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 27, 2024	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Feb 5, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 11, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 11, 2024	D · Potential for harm, one-off	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (12 → 7).

Year	Citations	Worst severity that year
2024	23	E
2025	1	E
2026	8	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.73	4.31	3.95	top 21% in California; top 18% in the U.S.
Registered Nurse hours	0.58	0.61	0.69	top 35% in California; bottom 49% in the U.S.
Weekend total nurse staffing	4.49	3.90	3.50	top 15% in California; top 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.51	0.48	bottom 28% in California; bottom 27% in the U.S.
Total nursing staff turnover (%)	0.0	36.7	45.8	—
RN turnover (%)	0.0	38.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.19, RN 0.51, weekend 3.98. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bonnie Brae Convalescent Hospital INC.	Organization	5% or Greater Direct Ownership Interest	100%	01/12/2008
Cayton, Marlo	Individual	5% or Greater Indirect Ownership Interest	45%	12/27/2020
Cayton, Michelle	Individual	5% or Greater Indirect Ownership Interest	45%	12/27/2020
Bonnie Brae Convalescent Hospital INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/12/2008
Cayton, Marlo	Individual	Contracted Managing Employee	NOT APPLICABLE	01/12/2008
Cayton, Marlo	Individual	Corporate Director	NOT APPLICABLE	01/12/2008
Cayton, Marlo	Individual	Corporate Officer	NOT APPLICABLE	05/15/2018
Cayton, Marlo	Individual	Operational/Managerial Control	NOT APPLICABLE	01/12/2008
Cayton, Michelle	Individual	W-2 Managing Employee	NOT APPLICABLE	01/12/2008
Cayton, Michelle	Individual	Corporate Officer	NOT APPLICABLE	01/12/2008
Cayton, Michelle	Individual	Operational/Managerial Control	NOT APPLICABLE	01/12/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What mental health services do you provide on-site, and who delivers them?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who provides social services here, and how would they support my family member's emotional and social needs?"
"Can I see the actual room my family member would live in before we decide?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Angels Nursing Health Center	0.1 mi	Los Angeles, CA	★★★★★	4/5
Westlake Convalescent Hospital	0.1 mi	Los Angeles, CA	★★★★☆	3/5
The Rehabilitation Center of Los Angeles	0.1 mi	Los Angeles, CA	★☆☆☆☆	1/5
Mid-Wilshire Health Care CNTR	0.3 mi	Los Angeles, CA	★☆☆☆☆	1/5
Pih Health Good Samaritan Hospital D/P SNF	0.5 mi	Los Angeles, CA	★★★★★	5/5
Burlington Convalescent Hospital	0.5 mi	Los Angeles, CA	★★★★☆	4/5
Grand Park Convalescent Hospital	0.7 mi	Los Angeles, CA	★★★★☆	4/5
Alta View Post Acute	0.7 mi	Los Angeles, CA	★☆☆☆☆	1/5
California Post Acute	0.7 mi	Los Angeles, CA	★☆☆☆☆	1/5	SFF
Temple Park Convalescent Hospital	0.8 mi	Los Angeles, CA	★☆☆☆☆	2/5
Olympia Convalescent Hospital	0.9 mi	Los Angeles, CA	★★☆☆☆	2/5
Alvarado Care Center	1.0 mi	Los Angeles, CA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 055538.

The Care File

Visit checklist — Bonnie Brae Skilled Nursing

420 South Bonnie Brae St., Los Angeles, CA 90057 · 2134838144

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What mental health services do you provide on-site, and who delivers them?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who provides social services here, and how would they support my family member's emotional and social needs?"
☐ "Can I see the actual room my family member would live in before we decide?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055538 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)