College Vista Post-Acute
4681 Eagle Rock Blvd., Los Angeles, CA 90041 · Los Angeles County · 49 certified beds · avg 42 residents/day · certified since Jul 2, 1976
Part of chain: DAVID JOHNSON (48 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Aug 3, 2024 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 25, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 6, 2024 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 29, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 6, 2024 · F-0695
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.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 29, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (36)
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 9, 2025 | E · Potential for harm, repeated | 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. |
| May 9, 2025 | 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. |
| May 9, 2025 | 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. |
| May 9, 2025 | 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. |
| May 9, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| May 9, 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. |
| May 9, 2025 | 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. |
| May 9, 2025 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Mar 7, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Sep 17, 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 |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Aug 3, 2024 | ▲ J · Immediate jeopardy, 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 |
| Aug 3, 2024 | D · Potential for harm, one-off | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint |
| Aug 3, 2024 | D · Potential for harm, one-off | The facility did not have policies on smoking. · from a complaint |
| Jul 22, 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. · from a complaint |
| May 6, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| May 6, 2024 | ▲ J · Immediate jeopardy, 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. |
| May 6, 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. |
| May 6, 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. |
| May 6, 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. |
| May 6, 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. |
| May 6, 2024 | D · Potential for harm, one-off | 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. |
| May 6, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 6, 2024 | 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. |
| Feb 14, 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. · from a complaint |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Nov 19, 2021 | E · Potential for harm, repeated | 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 19, 2021 | 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 19, 2021 | 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. |
| Nov 19, 2021 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Nov 19, 2021 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Nov 19, 2021 | 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. |
| Nov 19, 2021 | 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. |
| Nov 19, 2021 | D · Potential for harm, one-off | The facility did not have policies on smoking. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 8 | 0 | E |
| 2023 | 1 | 0 | D |
| 2024 | 16 | 3 | J ▲ |
| 2025 | 11 | 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)
2 fines totaling $43,568.
| Date | Type | Amount / length |
|---|---|---|
| Jul 22, 2024 | Fine | $15,536 |
| May 6, 2024 | Fine | $28,032 |
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) | 4.31 | 4.31 | 3.95 | top 38% in California; top 29% in the U.S. |
| Registered Nurse hours | 0.20 | 0.61 | 0.69 | bottom 1% in California; bottom 3% in the U.S. |
| Weekend total nurse staffing | 3.85 | 3.90 | 3.50 | top 42% in California; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.51 | 0.48 | bottom 11% in California; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 46.4 | 36.7 | 45.8 | bottom 21% in California; bottom 46% in the U.S. |
| 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 4.37, RN 0.21, weekend 3.91. 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: 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 |
|---|---|---|---|---|
| College Vista LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/09/2015 |
| Russakoff, Richard | Individual | 5% or Greater Indirect Ownership Interest | 20% | 07/19/2015 |
| 4681 Eagle Rock, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/18/1992 |
| Arevalo, Armando | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/15/2024 |
| Arevalo, Armando | Individual | ADP of the SNF | NOT APPLICABLE | 01/15/2024 |
| Bassuk, Pablo | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Bassuk, Pablo | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| College Vista LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/05/2016 |
| College Vista LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/05/2016 |
| Dehghanmanesh, Adrian | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2021 |
| Dehghanmanesh, Adrian | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
| Dehghanmanesh, Adrian | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Farrales, Mary | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Johnson, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/19/2015 |
| Kochek, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Kochek, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2022 |
| Martinez, Vanessa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/25/2024 |
| Martinez, Vanessa | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2024 |
| Oxford, Micheal | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2022 |
| Oxford, Micheal | Individual | ADP of the SNF | NOT APPLICABLE | 01/03/2022 |
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?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "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 |
|---|---|---|---|---|---|
| Solheim Senior Community | 0.6 mi | Los Angeles, CA | ★★☆☆☆ | 2/5 | |
| Ararat Convalescent Hospital | 0.7 mi | Los Angeles, CA | ★★★★☆ | 3/5 | |
| Ararat Post Acute | 1.3 mi | Glendale, CA | ★★★★★ | 4/5 | |
| Glendale Adventist Medical Center DP/SNF | 1.5 mi | Glendale, CA | ★★★★★ | 5/5 | |
| Leisure Glen Post Acute Care Center | 1.7 mi | Glendale, CA | ★★★★☆ | 4/5 | |
| Glendale Post Acute Center | 1.8 mi | Glendale, CA | ★☆☆☆☆ | 1/5 | |
| Highland Park Skilled Nursing and Wellness Center | 1.9 mi | Los Angeles, CA | ★★☆☆☆ | 3/5 | |
| York Healthcare & Wellness Centre | 1.9 mi | Los Angeles, CA | ★★☆☆☆ | 2/5 | |
| Autumn Hills Health Care Center | 1.9 mi | Glendale, CA | ★★★☆☆ | 2/5 | |
| Montecito Heights Healthcare & Wellness Centre, LP | 2.3 mi | Los Angeles, CA | ★★☆☆☆ | 2/5 | |
| Glendale Healthcare Center | 2.3 mi | Glendale, CA | ★★★★☆ | 4/5 | |
| Glenhaven Healthcare | 2.3 mi | Glendale, CA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
All facilities in Los Angeles →
Facility data as of CMS processing date 2026-08-01. CCN 555030.