Burlington Convalescent Hospital

Name: Burlington Convalescent Hospital
Address: 845 S.BURLINGTON AVENUE, Los Angeles, CA, 90057, US
Telephone: 2133815585

845 S.Burlington Avenue, Los Angeles, CA 90057 · Los Angeles County · 124 certified beds · avg 116 residents/day · certified since Aug 1, 1974

Part of chain: LONGWOOD MANAGEMENT CORPORATION (38 facilities, chain avg rating 2.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

$8,278

Fines, last 3 years

4.48

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: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 21, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 14, 2025 (Deficient, Provider has date of correction)

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 21, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
May 21, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
May 21, 2026	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
May 14, 2026	E · Potential for harm, repeated	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.
May 14, 2026	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.
May 14, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
May 14, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 14, 2026	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
May 14, 2026	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.
May 14, 2026	D · Potential for harm, one-off	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.
May 14, 2026	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.
May 14, 2026	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jun 12, 2025	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. · from a complaint
Feb 21, 2025	▲ G · Actual 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. · from a complaint
Feb 21, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Feb 21, 2025	E · Potential for harm, repeated	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.
Feb 21, 2025	E · Potential for harm, repeated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Feb 21, 2025	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.
Feb 21, 2025	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.
Feb 21, 2025	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 9, 2024	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Feb 9, 2024	E · Potential for harm, repeated	The facility did not keep the required 15 months of resident assessments in each resident's active medical record.
Feb 9, 2024	E · Potential for harm, repeated	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.
Feb 9, 2024	E · Potential for harm, repeated	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.
Feb 9, 2024	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Feb 9, 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.
Feb 9, 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.
Dec 21, 2023	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. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	0	D
2024	7	0	E
2025	12	1	G ▲
2026	12	0	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)

1 fine totaling $8,278.

Date	Type	Amount / length
Feb 21, 2025	Fine	$8,278

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)	4.48	4.31	3.95	top 29% in California; top 24% in the U.S.
Registered Nurse hours	0.49	0.61	0.69	top 48% in California; bottom 37% in the U.S.
Weekend total nurse staffing	4.16	3.90	3.50	top 25% in California; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.51	0.48	bottom 35% in California; bottom 32% in the U.S.
Total nursing staff turnover (%)	27.9	36.7	45.8	top 23% in California; top 11% in the U.S.
RN turnover (%)	33.3	38.1	42.9	top 40% in California; top 33% in the U.S.

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 4.01, RN 0.44, weekend 3.72. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Aaron Friedman Group a Business Assets Trust	Organization	5% or Greater Indirect Ownership Interest	20%	06/30/2023
Devorah Danziger Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Elka Kaplan Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Esther Hoff Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Friedman, Ira	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Ira David Friedman Group a Business Assets Trust	Organization	5% or Greater Indirect Ownership Interest	20%	06/30/2023
Libby Care Center LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/26/2000
Libby Friedman Lehmann Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Mordechai Notis Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Rachel Notis Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Ruchel Friedman Klavan Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Sarah Dunner Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Yehoshua Notis Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Yisroel Notis Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Aaron Friedman Group a Business Assets Trust	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2023
Burlington Convalescent Investments II, LP	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2023
Devorah Danziger Group a Business Assets Trust	Organization	ADP of the SNF	NOT APPLICABLE	09/18/2025
Friedman Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	09/18/2025
Friedman, Aaron	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/18/2025
Friedman, Aaron	Individual	ADP of the SNF	NOT APPLICABLE	06/30/2023

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"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
Pih Health Good Samaritan Hospital D/P SNF	0.0 mi	Los Angeles, CA	★★★★★	5/5
Mid-Wilshire Health Care CNTR	0.2 mi	Los Angeles, CA	★☆☆☆☆	1/5
Angels Nursing Health Center	0.5 mi	Los Angeles, CA	★★★★★	4/5
Bonnie Brae Skilled Nursing	0.5 mi	Los Angeles, CA	★★★★★	4/5
California Post Acute	0.6 mi	Los Angeles, CA	★☆☆☆☆	1/5	SFF
Alta View Post Acute	0.6 mi	Los Angeles, CA	★☆☆☆☆	1/5
Olympia Convalescent Hospital	0.6 mi	Los Angeles, CA	★★☆☆☆	2/5
Grand Park Convalescent Hospital	0.6 mi	Los Angeles, CA	★★★★☆	4/5
Alvarado Care Center	0.6 mi	Los Angeles, CA	★★☆☆☆	2/5
Alden Terrace Convalescent Hospital	0.6 mi	Los Angeles, CA	★★★★★	4/5
Westlake Convalescent Hospital	0.7 mi	Los Angeles, CA	★★★★☆	3/5
The Rehabilitation Center of Los Angeles	0.7 mi	Los Angeles, CA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Los Angeles →

Facility data as of CMS processing date 2026-08-01. CCN 056326.

The Care File

Visit checklist — Burlington Convalescent Hospital

845 S.Burlington Avenue, Los Angeles, CA 90057 · 2133815585

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $8,278

Most serious findings on record:

▲ Feb 21, 2025 (F-0689, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "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 056326 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)