BIXBY TOWERS POST-ACUTE REHAB
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-04-03 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2025-08-01 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-10-13 — IMMEDIATE JEOPARDY (tag F0742, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
2024-10-13 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-08-15 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-12-26 — ACTUAL HARM (tag F0695, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe and appropriate respiratory care for a resident when needed.
Staffing, from payroll records
Nursing hours / resident / day
3.92
state median 3.94
Weekend staffing gap
+1%
more nursing hours on weekends · state median −5%
RN hours / resident / day
0.23
registered nurses only
Contract (agency) staff
5%
share of all nursing hours
Nursing staff turnover
54%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $114,270 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-04-03 | Fine | $25,490 |
| 2025-08-01 | Fine | $36,767 |
| 2024-10-03 | Fine | $33,501 |
| 2024-07-12 | Fine | $18,512 |
| 2024-07-12 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the ASPEN SKILLED HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- THE REHABILITATION CENTER AT THE PALAZZO (PHOENIX, AZ) —
- SOUTH MARIN HEALTH & WELLNESS CENTER (GREENBRAE, CA) —
- BERKLEY WEST HEALTHCARE CENTER (SANTA MONICA, CA) —
- OCEAN POINTE HEALTHCARE CENTER (SANTA MONICA, CA) —
- WOODLANDS HEALTHCARE CENTER (LOS GATOS, CA) —
- STONEBROOK HEALTH AND REHABILITATION (LOS GATOS, CA) —
- THE AVENUES TRANSITIONAL CARE CENTER (SAN FRANCISCO, CA) —
- PETALUMA POST-ACUTE REHABILITATION (PETALUMA, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-27 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-27 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-05-22 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-03 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-04-03 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-08-01 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-01 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-08-01 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-01 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-01 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-08-01 | F0688 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-08-01 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-08-01 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-01 | F0825 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-08-01 | F0867 | Administration Deficiencies | D | not recorded |
| 2025-08-01 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-08-01 | F0908 | Environmental Deficiencies | E | not recorded |
| 2025-06-25 | F0557 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-25 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-25 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-25 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-16 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-05-16 | F0919 | Environmental Deficiencies | D | not recorded |
| 2025-05-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-16 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-16 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-04-16 | F0908 | Environmental Deficiencies | D | not recorded |
| 2025-03-10 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-10-21 | F0626 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-13 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-10-13 | F0711 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-10-13 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-10-13 | F0742 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-10-13 | F0868 | Administration Deficiencies | E | not recorded |
| 2024-10-13 | F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-10-13 | F0949 | Administration Deficiencies | E | not recorded |
| 2024-10-03 | F0825 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-15 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-08-15 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-12 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-12 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-12 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-12 | F0582 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-12 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-12 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-07-12 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-07-12 | F0814 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-07-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-07-12 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2024-04-08 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-08 | F0580 | Resident Rights Deficiencies | E | not recorded |
| 2024-04-08 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-08 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-08 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-05 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-26 | F0695 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-12-07 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2023-12-07 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-07 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-11-02 | F0626 | Resident Rights Deficiencies | D | not recorded |
| 2021-10-20 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2021-10-20 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-10-20 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-20 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-20 | F0711 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2021-10-20 | F0730 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2021-10-20 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2021-10-20 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2021-10-20 | F0802 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2021-10-20 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2021-10-20 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2021-10-20 | F0865 | Administration Deficiencies | D | not recorded |
| 2021-10-20 | F0883 | Infection Control Deficiencies | E | not recorded |