Berger, INC. DBA Aveanna Healthcare
West Covina · 0.1 mi
CitationsNoneSubstantiated0
West Covina Medical Center D/P SNF
725 S. ORANGE AVENUE, West Covina, CA, 91790
Nursing home33 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 12 deficiencies against West Covina Medical Center D/P SNF in West Covina, California at its most recent standard inspection on 2025-12-18, 1 of them arising from complaints. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
33certified beds
12deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.34
Potential for minimal harmThe least serious band.0
Most recentDEEDDDDDDDDDEEEEEDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-12-23 · from a complaint · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure 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.
Pharmacy Service Deficiencies · F0761 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Honor 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.
Resident Rights Deficiencies · F0578 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure 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.
Quality of Life and Care Deficiencies · F0693 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · F0623 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS8.47494
Nursing staff turnoverShare of nursing staff who left in a year29.3%
Ownership
Who owns West Covina Medical Center D/P SNF
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| L A DOWNTOWN MEDICAL CENTER LLC | Organization | 100% | since 03/01/2019 |
| WEST COVINA PROPERTY HOLDING, LLC | Organization | NOT APPLICABLE | since 03/01/2019 |
| BESHARAT, FARID | Individual | NOT APPLICABLE | since 03/15/2022 |
| FRANCISCO, ANN | Individual | NOT APPLICABLE | since 03/01/2019 |
| SIREGAR, CHRISTOPHER | Individual | NOT APPLICABLE | since 03/01/2019 |
| NELSON, WILLIAM | Individual | NOT APPLICABLE | since 01/01/2023 |
| ROLLINS, VICKI | Individual | NOT APPLICABLE | since 08/28/2017 |
| BESHARAT, FARID | Individual | NOT APPLICABLE | since 03/01/2019 |
| FRANCISCO, ANN | Individual | NOT APPLICABLE | since 03/01/2019 |
| NELSON, WILLIAM | Individual | NOT APPLICABLE | since 03/01/2019 |
| ROLLINS, VICKI | Individual | NOT APPLICABLE | since 03/01/2019 |
| SIREGAR, CHRISTOPHER | Individual | NOT APPLICABLE | since 03/01/2019 |
Part of the ROLLINS-NELSON HEALTHCARE MANAGEMENT group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
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Contact
Ask West Covina Medical Center D/P SNF a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 555649.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction