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 New Vista Post-Acute Care Center are:
F-0697 · May 28, 2025 · Grade G — Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Found during a complaint investigation. Status: Deficient, Provider has plan of correction · correction date June 23, 2025
F-0600 · June 24, 2024 · Grade G — Actual harm
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 17, 2024
F-0689 · June 24, 2024 · Grade G — Actual harm
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 July 17, 2024
K-0353 · February 6, 2026 · Grade F — Potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Status: Deficient, Provider has date of correction · correction date March 4, 2026
K-0712 · February 6, 2026 · Grade F — Potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Status: Deficient, Provider has date of correction · correction date March 4, 2026
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 New Vista Post-Acute Care Center, 15 subject areas appear across health and fire-safety inspections.
Quality of life and daily care
28 citations between December 1, 2023 and March 13, 2026. The most serious was graded G — actual harm, affecting one or a very small number of residents. Surveyors found that a resident was actually harmed by the failure, though it was not classed as immediate jeopardy. 17 of these citations came out of complaint investigations. Correction record: 28 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-0697 · May 28, 2025 · Grade G — Provide safe, appropriate pain management for a resident who requires such services.
F-0689 · June 24, 2024 · Grade G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0684 · February 6, 2026 · Grade E — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from abuse, neglect, and exploitation
9 citations between May 29, 2024 and February 24, 2026. The most serious was graded G (actual harm). 9 of these citations came out of complaint investigations. Correction record: 9 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 · June 24, 2024 · Grade G — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0607 · May 29, 2024 · Grade E — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F-0600 · February 24, 2026 · Grade D — 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
6 citations between December 5, 2024 and February 6, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 6 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-0353 · February 6, 2026 · Grade F — Inspect, test, and maintain automatic sprinkler systems.
K-0321 · February 6, 2026 · Grade D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-0331 · February 6, 2026 · Grade D — Construct fire resistant interior walls.
Gas, Vacuum, and Electrical Systems
3 citations between February 6, 2026 and February 6, 2026. The most serious was graded F (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-0914 · February 6, 2026 · Grade F — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K-0918 · February 6, 2026 · Grade F — Have generator or other power source capable of supplying service within 10 seconds.
K-0920 · February 6, 2026 · Grade F — Ensure proper usage of power strips and extension cords.
Miscellaneous
2 citations between December 5, 2024 and February 6, 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 · February 6, 2026 · Grade F — Have simulated fire drills held at unexpected times.
K-0712 · December 5, 2024 · Grade E — Have simulated fire drills held at unexpected times.
Resident rights
21 citations between September 14, 2023 and June 2, 2026. The most serious was graded E (potential for more than minimal harm). 15 of these citations came out of complaint investigations. Correction record: 20 citations show a recorded correction date; 1 had a plan of correction on file at the last data release.
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-0585 · December 5, 2024 · Grade E — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F-0573 · June 2, 2026 · Grade D — Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F-0580 · April 27, 2026 · Grade D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Assessments and care planning
17 citations between January 12, 2024 and April 27, 2026. The most serious was graded E (potential for more than minimal harm). 12 of these citations came out of complaint investigations. Correction record: 17 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 · February 6, 2026 · Grade E — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0842 · April 27, 2026 · Grade D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0656 · February 16, 2026 · Grade D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Medication and pharmacy services
12 citations between December 1, 2023 and February 6, 2026. The most serious was graded E (potential for more than minimal harm). 7 of these citations came out of complaint investigations. Correction record: 12 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-0760 · September 20, 2024 · Grade E — Ensure that residents are free from significant medication errors.
F-0761 · May 29, 2024 · Grade E — 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.
F-0755 · January 12, 2024 · Grade E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection prevention and control
10 citations between December 1, 2023 and February 18, 2026. The most serious was graded E (potential for more than minimal harm). 5 of these citations came out of complaint investigations. Correction record: 10 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 · February 18, 2026 · Grade E — Provide and implement an infection prevention and control program.
F-0880 · February 6, 2026 · Grade E — Provide and implement an infection prevention and control program.
F-0883 · February 6, 2026 · Grade E — Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services
9 citations between February 16, 2024 and February 18, 2026. The most serious was graded E (potential for more than minimal harm). 8 of these citations came out of complaint investigations. Correction record: 9 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-0725 · February 18, 2026 · Grade E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F-0726 · February 6, 2026 · 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.
F-0725 · July 1, 2024 · Grade E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Physical environment and safety
7 citations between December 1, 2023 and February 18, 2026. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 7 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 · February 18, 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-0919 · December 1, 2023 · Grade E — Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0914 · February 6, 2026 · Grade D — Provide bedrooms that don't allow residents to see each other when privacy is needed.
Food, nutrition, and hydration
6 citations between December 1, 2023 and February 6, 2026. The most serious was graded E (potential for more than minimal harm). 1 of these citations came out of complaint investigations. Correction record: 6 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-0813 · October 8, 2024 · Grade E — Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F-0801 · December 1, 2023 · Grade E — Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F-0812 · February 6, 2026 · Grade D — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration and leadership
1 citation between December 1, 2023 and December 1, 2023. The most serious was graded E (potential for more than minimal harm). Correction record: 1 citation shows 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-0851 · December 1, 2023 · Grade E — Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Egress
2 citations between December 5, 2024 and February 6, 2026. The most serious was graded D (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 · February 6, 2026 · Grade D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0211 · December 5, 2024 · Grade D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services
2 citations between December 5, 2024 and February 6, 2026. The most serious was graded D (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 · February 6, 2026 · Grade D — Have properly installed electrical wiring and gas equipment.
K-0511 · December 5, 2024 · Grade D — Have properly installed electrical wiring and gas equipment.
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
New Vista Post-Acute Care Center appears in CMS data on 42 survey dates between September 14, 2023 and June 2, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
June 2, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
April 27, 2026
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
March 13, 2026
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
February 24, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
February 18, 2026
Complaint health survey — 5 citations, worst grade E (potential for more than minimal harm)
February 16, 2026
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
February 6, 2026
Standard health survey — 18 citations, worst grade E (potential for more than minimal harm)
February 6, 2026
Fire-safety survey — 10 citations, worst grade F (potential for more than minimal harm)
January 9, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
December 2, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
September 18, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
August 20, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
June 25, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
June 5, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
May 28, 2025
Complaint health survey — 1 citation, worst grade G (actual harm)
May 16, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
May 8, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 10, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
January 7, 2025
Complaint health survey — 1 citation, 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)
December 5, 2024
Standard health survey — 11 citations, worst grade E (potential for more than minimal harm)
December 5, 2024
Fire-safety survey — 5 citations, worst grade E (potential for more than minimal harm)
November 5, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
October 24, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 9, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 8, 2024
Complaint health survey — 4 citations, worst grade E (potential for more than minimal harm)
September 20, 2024
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
September 6, 2024
Complaint health survey — 4 citations, worst grade D (potential for more than minimal harm)
August 24, 2024
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
August 23, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
July 25, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
July 1, 2024
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
June 24, 2024
Complaint health survey — 2 citations, worst grade G (actual harm)
June 4, 2024
Complaint health survey — 4 citations, worst grade E (potential for more than minimal harm)
May 29, 2024
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
May 14, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 21, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
February 16, 2024
Complaint health survey — 4 citations, worst grade D (potential for more than minimal harm)
January 25, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
January 12, 2024
Complaint health survey — 5 citations, worst grade E (potential for more than minimal harm)
December 1, 2023
Standard health survey — 15 citations, worst grade E (potential for more than minimal harm)
September 14, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
Penalties imposed
May 8, 2025 — Fine of $17,940
June 24, 2024 — Payment denial · Medicare/Medicaid payments denied for 29 days from July 18, 2024
December 11, 2023 — Fine of $13,762
November 20, 2023 — Fine of $4,235
November 13, 2023 — Fine of $3,882
November 6, 2023 — Fine of $3,529
October 17, 2023 — Fine of $2,470
October 10, 2023 — Fine of $2,117
September 18, 2023 — Fine of $4,194
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. New Vista Post-Acute Care Center has 1 denial period on record totalling 29 days.
How New Vista Post-Acute Care Center compares with peer homes
Raw citation counts mean more in context. The table below compares New Vista Post-Acute Care 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, New Vista Post-Acute Care Center sits above 86% 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
120
84
74
Citations from complaint investigations
76
31
27
Citations at actual-harm level or worse
3
3
2
Immediate-jeopardy citations
0
1
0
Total fines in CMS penalty records
$52,129
$57,906
$43,467
Penalty records (fines + payment denials)
9
3
2
What families should ask New Vista Post-Acute Care Center
- Ask why CMS flags New Vista Post-Acute Care 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 quality of life and daily care citations — most recently F-0689 on June 24, 2024 — 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 June 24, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the resident rights citations — most recently F-0585 on December 5, 2024 — 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 February 6, 2026 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 8 totalling $52,129, the most recent dated May 8, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at New Vista Post-Acute Care Center first document the change?
- Were recent complaint-related citations at New Vista Post-Acute Care 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
055473
Legal business name
NEW VISTA PAC OPERATOR, LLC
Ownership type
For profit - Limited Liability company
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
September 23, 1985
Chain name
THE MANDELBAUM FAMILY
Certified beds
116
Average residents per day
104.2
Overall CMS rating
2 star
Health inspection rating
1 star
Staffing rating
2 star
Reported nurse staffing hours per resident day
5.06019
Total nursing staff turnover
67.9%
Public records are a starting point, not a conclusion
This profile of New Vista Post-Acute Care Center uses official CMS provider data as a research starting point. It does not state that New Vista Post-Acute Care 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 New Vista Post-Acute Care 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.