The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Maclay Healthcare Center are:
F-0805 · January 16, 2026 · Grade K — Immediate jeopardy
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Status: Deficient, Provider has date of correction · correction date February 12, 2026
F-0600 · March 22, 2025 · Grade J — Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 18, 2025
F-0689 · March 22, 2025 · Grade J — Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date April 18, 2025
F-0806 · October 11, 2024 · Grade J — Immediate jeopardy
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Status: Deficient, Provider has date of correction · correction date November 18, 2024
F-0600 · June 7, 2024 · Grade J — Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date July 15, 2024
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Maclay Healthcare Center, 16 subject areas appear across health and fire-safety inspections.
Food, nutrition, and hydration
18 citations between September 27, 2023 and January 16, 2026. The most serious was graded K — immediate jeopardy, affecting a pattern across residents. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 1 of these citations came out of complaint investigations. Correction record: 18 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0805 · January 16, 2026 · Grade K — Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F-0806 · October 11, 2024 · Grade J — Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F-0800 · January 16, 2026 · Grade E — Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Quality of life and daily care
34 citations between September 7, 2023 and July 21, 2026. The most serious was graded J (immediate jeopardy). 15 of these citations came out of complaint investigations. Correction record: 34 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0689 · March 22, 2025 · Grade J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0689 · September 7, 2023 · Grade J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0689 · July 21, 2026 · Grade G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from abuse, neglect, and exploitation
23 citations between September 7, 2023 and March 3, 2026. The most serious was graded J (immediate jeopardy). 20 of these citations came out of complaint investigations. Correction record: 23 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · March 22, 2025 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · June 7, 2024 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0600 · September 7, 2023 · Grade J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Fire, smoke, and emergency safety
8 citations between October 6, 2023 and January 16, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 8 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0345 · January 16, 2026 · Grade F — Have approved installation, maintenance and testing program for fire alarm systems.
K-0353 · January 16, 2026 · Grade E — Inspect, test, and maintain automatic sprinkler systems.
K-0355 · January 16, 2026 · Grade E — Properly select, install, inspect, or maintain portable fire extinguishes.
Services
2 citations between October 11, 2024 and January 16, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0511 · January 16, 2026 · Grade F — Have properly installed electrical wiring and gas equipment.
K-0511 · October 11, 2024 · Grade D — Have properly installed electrical wiring and gas equipment.
Miscellaneous
2 citations between October 11, 2024 and January 16, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0712 · January 16, 2026 · Grade F — Have simulated fire drills held at unexpected times.
K-0712 · October 11, 2024 · Grade E — Have simulated fire drills held at unexpected times.
Assessments and care planning
35 citations between September 7, 2023 and April 29, 2026. The most serious was graded E (potential for more than minimal harm). 20 of these citations came out of complaint investigations. Correction record: 35 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0842 · April 29, 2026 · Grade E — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0656 · April 14, 2026 · Grade E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0842 · March 3, 2026 · Grade E — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident rights
28 citations between September 7, 2023 and April 14, 2026. The most serious was graded E (potential for more than minimal harm). 13 of these citations came out of complaint investigations. Correction record: 28 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0583 · January 16, 2026 · Grade E — Keep residents' personal and medical records private and confidential.
F-0584 · January 16, 2026 · Grade E — Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0583 · March 22, 2025 · Grade E — Keep residents' personal and medical records private and confidential.
Medication and pharmacy services
21 citations between September 27, 2023 and June 9, 2026. The most serious was graded E (potential for more than minimal harm). 10 of these citations came out of complaint investigations. Correction record: 21 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0759 · January 16, 2026 · Grade E — Ensure medication error rates are not 5 percent or greater.
F-0760 · January 16, 2026 · Grade E — Ensure that residents are free from significant medication errors.
F-0760 · October 11, 2024 · Grade E — Ensure that residents are free from significant medication errors.
Infection prevention and control
11 citations between September 1, 2023 and June 9, 2026. The most serious was graded E (potential for more than minimal harm). 6 of these citations came out of complaint investigations. Correction record: 11 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · January 16, 2026 · Grade E — Provide and implement an infection prevention and control program.
F-0881 · January 16, 2026 · Grade E — Implement a program that monitors antibiotic use.
F-0880 · April 28, 2025 · Grade E — Provide and implement an infection prevention and control program.
Physical environment and safety
5 citations between October 6, 2023 and January 16, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 5 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0921 · January 16, 2026 · Grade E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0925 · January 16, 2026 · Grade E — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-0925 · October 11, 2024 · Grade E — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nursing and Physician Services
5 citations between September 7, 2023 and March 22, 2025. The most serious was graded E (potential for more than minimal harm). 5 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0712 · March 22, 2025 · Grade E — Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F-0712 · June 7, 2024 · Grade E — Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F-0726 · June 7, 2024 · Grade E — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Administration and leadership
3 citations between October 6, 2023 and January 16, 2026. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0849 · January 16, 2026 · Grade E — Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F-0849 · October 6, 2023 · Grade E — Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F-0838 · June 7, 2024 · Grade C — Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Gas, Vacuum, and Electrical Systems
3 citations between October 11, 2024 and January 16, 2026. The most serious was graded E (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0920 · January 16, 2026 · Grade E — Ensure proper usage of power strips and extension cords.
K-0926 · January 16, 2026 · Grade D — Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
K-0920 · October 11, 2024 · Grade D — Ensure proper usage of power strips and extension cords.
Egress
2 citations between October 6, 2023 and October 6, 2023. The most serious was graded E (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0211 · October 6, 2023 · Grade E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0293 · October 6, 2023 · Grade D — Have properly located and lighted "Exit" signs.
Fire, smoke, and emergency safety
1 citation between October 11, 2024 and October 11, 2024. The most serious was graded C (minimal or no harm potential). Correction record: 1 citation shows a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0031 · October 11, 2024 · Grade C — Provide emergency officials' contact information.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Maclay Healthcare Center appears in CMS data on 39 survey dates between September 1, 2023 and July 21, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
July 21, 2026
Complaint health survey — 1 citation, worst grade G (actual harm)
June 9, 2026
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
April 29, 2026
Complaint health survey — 4 citations, worst grade G (actual harm)
April 14, 2026
Complaint health survey — 5 citations, worst grade E (potential for more than minimal harm)
March 3, 2026
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
January 16, 2026
Standard health survey — 34 citations, worst grade K (immediate jeopardy)
January 16, 2026
Fire-safety survey — 9 citations, worst grade F (potential for more than minimal harm)
September 15, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
August 28, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
July 9, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 3, 2025
Complaint health survey — 4 citations, worst grade D (potential for more than minimal harm)
April 28, 2025
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
March 22, 2025
Complaint health survey — 7 citations, worst grade J (immediate jeopardy)
January 28, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
January 16, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
December 24, 2024
Complaint health survey — 5 citations, worst grade D (potential for more than minimal harm)
December 18, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 31, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
October 24, 2024
Complaint health survey — 2 citations, worst grade G (actual harm)
October 11, 2024
Standard health survey — 30 citations, worst grade J (immediate jeopardy)
October 11, 2024
Fire-safety survey — 6 citations, worst grade E (potential for more than minimal harm)
September 10, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
August 21, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
August 5, 2024
Complaint health survey — 4 citations, worst grade D (potential for more than minimal harm)
July 18, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 7, 2024
Complaint health survey — 10 citations, worst grade J (immediate jeopardy)
April 10, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
February 23, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
January 25, 2024
Complaint health survey — 6 citations, worst grade E (potential for more than minimal harm)
December 4, 2023
Complaint health survey — 1 citation, worst grade G (actual harm)
November 14, 2023
Complaint health survey — 1 citation, worst grade G (actual harm)
October 25, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 6, 2023
Health survey including complaint investigations — 29 citations, worst grade E (potential for more than minimal harm)
October 6, 2023
Fire-safety survey — 3 citations, worst grade E (potential for more than minimal harm)
September 29, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
September 27, 2023
Complaint health survey — 5 citations, worst grade G (actual harm)
September 22, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
September 7, 2023
Complaint health survey — 7 citations, worst grade J (immediate jeopardy)
September 1, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
Penalties imposed
July 21, 2026 — Fine of $22,895
April 29, 2026 — Fine of $19,610
January 16, 2026 — Fine of $43,755
January 16, 2026 — Payment denial · Medicare/Medicaid payments denied for 38 days from February 17, 2026
March 22, 2025 — Fine of $52,142
March 22, 2025 — Payment denial · Medicare/Medicaid payments denied for 20 days from April 19, 2025
October 11, 2024 — Fine of $17,660
October 11, 2024 — Fine of $112,506
October 11, 2024 — Payment denial · Medicare/Medicaid payments denied for 14 days from November 22, 2024
June 7, 2024 — Fine of $86,623
June 7, 2024 — Payment denial · Medicare/Medicaid payments denied for 6 days from July 9, 2024
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. Maclay Healthcare Center has 4 denial periods on record totalling 78 days.
How Maclay Healthcare Center compares with peer homes
Raw citation counts mean more in context. The table below compares Maclay Healthcare Center with the median reviewed facility in Los Angeles County (181 homes in this research set) and across California (350 homes), using the same CMS data. On health citations alone, Maclay Healthcare Center sits above 98% of its reviewed county peers — near the top of the county for citation volume.
Measure
This home
Los Angeles Co. median
California median
Health citations on record
183
84
74
Citations from complaint investigations
91
31
27
Citations at actual-harm level or worse
13
3
2
Immediate-jeopardy citations
7
1
0
Total fines in CMS penalty records
$355,191
$57,906
$43,467
Penalty records (fines + payment denials)
11
3
2
What families should ask Maclay Healthcare Center
- Ask why CMS flags Maclay Healthcare Center with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the food, nutrition, and hydration citations — most recently F-0805 on January 16, 2026 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on September 7, 2023 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on September 7, 2023 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the assessments and care planning citations — most recently F-0842 on September 7, 2023 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 7 totalling $355,191, the most recent dated July 21, 2026 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Maclay Healthcare Center first document the change?
- Were recent complaint-related citations at Maclay Healthcare Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
555583
Legal business name
MACLAY HEALTHCARE LLC
Ownership type
For profit - Limited Liability company
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
December 1, 1993
Chain name
SERRANO GROUP
Certified beds
141
Average residents per day
122.4
Overall CMS rating
2 star
Health inspection rating
1 star
Staffing rating
3 star
Reported nurse staffing hours per resident day
4.20212
Total nursing staff turnover
47.7%
Public records are a starting point, not a conclusion
This profile of Maclay Healthcare Center uses official CMS provider data as a research starting point. It does not state that Maclay Healthcare Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Sources for Maclay Healthcare Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.