Skyline Healthcare Center – Los Angeles
- Reviewed By
Anthony C. Lanzone, Founding Partner
Skyline Healthcare Center in Los Angeles has a poor track record of resident safety and quality of care. During the last three years, this facility has been cited for serious violations, including failure to prevent abuse, inadequate resident supervision, and failure to prevent falls. Before you trust this facility to take care of your loved one, learn all you can about its ratings, reviews, and violation history.
Skyline Healthcare Center in Los Angeles has a documented history of serious violations, low ratings, and negative reviews by former residents and concerned family members. Here is what you should be aware of before placing a loved one in this facility:
- Its listing on the Medicare.gov website has the red-hand icon indicating abuse citations.
- Medicare has given it a one-star rating both overall and for health inspections—the lowest rating available.
- Skyline Healthcare Center paid $217,000 in fines for violations from July 11, 2022, through April 1, 2025
- In 2025, Skyline Healthcare Center received two citations for separate complaints for failure to prevent resident-on-resident violence. Residents’ injuries included a broken nose and a severe scratch.
- Multiple Yelp reviewers warned families to avoid this facility when selecting a nursing home, citing unsanitary conditions, unanswered call buttons, rude staff, and poor quality of care.
Skyline Healthcare Center LA’s History of Low Ratings
Skyline Healthcare Center LA is located at 3032 Rowena Avenue. Medicare has flagged this facility with the red hand icon to indicate it has been cited for abuse. It has received a one-star rating—indicating below-average performance—both overall and for health inspections.
Numerous Yelp reviewers have expressed concerns about limited staffing and alleged that disturbing patterns of neglect and unsafe conditions are common at Skyline Healthcare Center in LA. These reviews include descriptions of the following:
- Urine and feces on floors, walls, and shower areas
- Residents left in dirty diapers for hours
- Unanswered call buttons
- Malnourished patients
- Pressure sores resulting from poor care
- Cold, stale food with dietary preferences ignored
- Rude staff, including staff threatening to put residents out on the street
Violations and Complaints Against Skyline Healthcare Center LA
Medicare’s Care Compare tool provides public access to health and complaint inspection reports for the last year. You can view older inspection reports through ProPublica, a nonprofit investigative journalism organization.
A review of Skyline Healthcare Center LA’s inspection history shows an alarming pattern of serious violations related to neglect, abuse, safety, and poor quality of care. This facility has received $217,000 in fines and two payment suspensions from July 11, 2022, through April 1, 2025. Details about the most concerning violations are provided below.
May 2025: Resident-on-Resident Assault
During a complaint inspection, inspectors found that a resident punched another resident twice in the face, resulting in one-sided facial swelling and a broken, displaced nasal bone. A nurse was present during the attack. Inspectors found that staff failed to follow the aggressor’s care plan and document his aggressive tendencies or monitor mood swings and outbursts. Staff also did not document the incident properly.
April 2025: Unreported Abuse
While investigating a complaint, state surveyors determined that Skyline Healthcare Center failed to prevent another resident assault. According to the report, a resident with dementia and a documented history of aggressive behavior scratched her roommate’s foot with a remote control and left a 10-centimeter scratch that required first aid.
Just before the incident, the resident became agitated, yelled at staff, and swung the remote control at a CNA. Staff allowed the resident to walk past her roommate’s bed with the remote control while she was still agitated, rather than immediately removing her from the room.
The facility also failed to report the incident within the mandatory 24-hour timeframe. It received a $60,270 fine for the incident.
September 2024: Pain Medication Withheld and Controlled Substances Missing
A complaint inspection revealed that a resident reported pain with a severity of eight out of ten. The resident had a prescription for hydrocodone-acetaminophen, but staff only offered acetaminophen. This was inadequate to treat the resident’s pain.
Inspectors also discovered that the facility failed to lock the medicine cart drawer containing controlled substances. Inspectors found 20 opioid tablets missing and found residents to be in immediate jeopardy. The facility was fined $56,140.
December 2023: Preventable Fall Results in Fractured Femur
A complaint inspection revealed that a resident with a high fall risk suffered a fractured left femur and needed surgery after a CNA violated the resident’s care plan. The resident fell out of bed when the CNA turned him. The care plan required two-person assistance for bed mobility to prevent falls. The CNA admitted to being aware of the two-person requirement but claimed there were not enough staff available to assist.
June 2023: Failure to Report Sexual Abuse Allegation
While responding to a complaint, state inspectors found that a resident told an RN that a licensed vocational nurse inappropriately touched his buttocks. The RN failed to report it to the nursing home administrator, remove the accused nurse from care, or notify the California Department of Health. The administrator only became aware of the incident when the resident filed a formal grievance six days later.
November 2022: Resident Fall Due To Lack of Supervision
According to a complaint inspection report, a resident with dementia fell out of bed after a CNA turned the resident without a second person to help and left them unattended. This resident required two-person assistance and extra fall prevention interventions due to being on blood thinners. The facility also failed to notify the physician immediately after the fall, as required by orders.
The resident suffered significant injuries but was not assessed until over 24 hours later. The injuries included a fractured clavicle, fractured rib, and multiple bruises. The resident reported a pain level of six out of ten and required an arm sling and pain medication for seven days.
How To Protect Your Loved One When You Suspect Nursing Home Abuse
If you see signs of nursing home abuse or your gut tells you something is wrong, trust your instincts. There is no need to wait for proof before taking action, and you shouldn’t. Evidence can fade, and your loved one faces increased danger of harm the longer you wait.
You have multiple avenues to report nursing home abuse in California:
- Contact the California Department of Public Health at (800) 554-0354.
- Call the Long-Term Care Ombudsman 24-hour CRISIS Line at (800) 231-4024.
- If you suspect physical or sexual assault or financial exploitation, or you believe your loved one is in immediate danger, call 911 and dispatch the Los Angeles Police Department..
Our experienced California nursing home abuse attorneys can investigate your loved one’s care, help you report abuse, and hold the care facility accountable through a nursing home abuse lawsuit.
Start Your Journey to Justice Today with Lanzone Morgan, LLP
At Lanzone Morgan, LLP, nursing home abuse is all we do, so we can offer a depth of experience and support you will not find anywhere else. With over 75 years of combined experience, our Los Angeles nursing home abuse attorneys have a proven track record of holding nursing homes accountable. We have recovered over $200 million in compensation for nursing home abuse victims and grieving families.
The following are just a few examples of our nursing home abuse settlements and verdicts:
- $3 million settlement for a nursing home resident who developed an infected bedsore
- $2.3 million verdict against Country Villa Wilshire Convalescent Center for abuse and neglect of a resident
$1.2 million settlement against a doctor and a nursing home that allowed a resident to starve to death
Contact Us
We take on cases involving all types of nursing home abuse and neglect, including falls, fractures, infections, bedsores, sexual assault, malnutrition, overmedication, wandering, and wrongful death. We handle cases across the entire state of California, including all of Los Angeles and the surrounding areas. We charge no upfront fees, and you pay nothing unless we win. Contact us online or call 888-887-8777 for a free consultation.
Disclaimer: The inspection information provided above comes from public sources. Lanzone Morgan, LLP cannot ensure that this page reflects the most current data or complete findings. For the latest information, visit https://projects.propublica.org/ or medicare.gov. Deficiencies listed may have been corrected since the inspection date and the time of publication. This page is a legal advertisement and informational resource. It is not endorsed by the named facility or any government agency. Lanzone Morgan, LLP, is not affiliated with the facility discussed.
- Fact-Checked
This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.
VIEW SOURCES
Department of Health Care Access and Information. (2025, October 29). Skyline Healthcare Center-Los Angeles – HCAI. HCAI. https://hcai.ca.gov/facility/skyline-healthcare-center-los-angeles/
Find healthcare providers: Compare care near you | Medicare. (n.d.). https://www.medicare.gov/care-compare/
Talbot, R., Groeger, L. V., & Ornstein, C. (2012, August 14). Skyline Healthcare Center LA in California | Nursing Home Records | ProPublica – Nursing Home Inspect. ProPublica. https://projects.propublica.org/nursing-homes/homes/h-555117/
- Fact-Checked
This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.
VIEW SOURCES
Department of Health Care Access and Information. (2025, October 29). Skyline Healthcare Center-Los Angeles – HCAI. HCAI. https://hcai.ca.gov/facility/skyline-healthcare-center-los-angeles/
Find healthcare providers: Compare care near you | Medicare. (n.d.). https://www.medicare.gov/care-compare/
Talbot, R., Groeger, L. V., & Ornstein, C. (2012, August 14). Skyline Healthcare Center LA in California | Nursing Home Records | ProPublica – Nursing Home Inspect. ProPublica. https://projects.propublica.org/nursing-homes/homes/h-555117/