Nursing homes › California › Pacific Villa, Inc
3501 Cedar Avenue, Long Beach, CA 90807 · 5625951731 · 95 certified beds
Per CMS filings, this facility is affiliated with Rollins-Nelson Healthcare Management, a group operating 10 facilities in 1 states. Group record: average rating 2.3/5, 4 abuse citation icons, 1 facilities on the Special Focus list, $493,191 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 4.06 (California median: 4.24). RN hours: 0.22. Weekend total: 3.73. Nursing staff turnover: 37%.
All-time on record: 79 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-27 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-03-25 |
| 2026-02-27 | Provide routine and 24-hour emergency dental care for each resident. | E | Health | corrected 2026-03-25 |
| 2026-02-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-25 |
| 2026-02-27 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Respond appropriately to all alleged violations. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Provide activities to meet all resident's needs. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | 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. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-03-25 |
| 2026-02-27 | Implement a program that monitors antibiotic use. | D | Health | corrected 2026-03-25 |
| 2025-12-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-01-08 |
| 2025-12-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-01-08 |
| 2025-12-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-12-11 |
| 2025-12-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-11 |
| 2025-12-04 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-12-11 |
| 2025-11-19 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2025-12-11 |
| 2025-11-19 | 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. | D | complaint | corrected 2025-12-11 |
| 2025-05-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-11 |
| 2025-05-16 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-06-11 |
| 2025-05-16 | 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. | D | complaint | corrected 2025-06-11 |
| 2025-04-28 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-06-25 |
| 2025-04-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-05-21 |
| 2025-04-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-06-25 |
| 2025-04-28 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | complaint | corrected 2025-06-25 |
| 2025-04-28 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-06-25 |
| 2025-03-14 | Dispose of garbage and refuse properly. | F | complaint | corrected 2025-03-31 |
| 2025-02-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-03-12 |
| 2024-12-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-01-30 |
| 2024-12-20 | 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. | E | Health | corrected 2025-01-30 |
| 2024-12-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | corrected 2025-01-30 |
| 2024-12-20 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Health | corrected 2025-01-30 |
| 2024-12-20 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-01-30 |
| 2024-12-20 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-01-30 |
| 2024-12-20 | 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. | D | Health | corrected 2025-01-30 |
| 2024-12-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-01-30 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-28 | Fine | $36,112 |
| 2024-02-20 | Fine | $2,279 |
| 2024-01-22 | Fine | $3,418 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PACIFIC VILLA INC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/08/2014 |
| THE PALMS REAL ESTATE, LLC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/08/2014 |
| NELSON, WILLIAM | Direct Ownership Interest | Individual | NOT APPLICABLE | since 12/08/2014 |
| ROLLINS, VICKI | Direct Ownership Interest | Individual | NOT APPLICABLE | since 12/08/2014 |
| NELSON, WILLIAM | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/08/2014 |
| ROLLINS, VICKI | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 04/28/2026 |
| NELSON, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 12/08/2014 |
| ROLLINS, VICKI | Corporate Director | Individual | NOT APPLICABLE | since 12/08/2014 |
| NELSON, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 12/08/2014 |
| ROLLINS, VICKI | Corporate Officer | Individual | NOT APPLICABLE | since 12/08/2014 |
| ANDERSON, TREVOR | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2024 |
| BUTED, LINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2026 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056313. Corrections: data@carerecords.org.