Catalina Island Health
Avalon, California · CCN 555187
13 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 106
- Surveys
- 13
- Harm or worse
- 1
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 8
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Los Angeles
- Medicare-certified since
- 1985
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- —
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 71 not-for-profit facilities with fewer than 66 beds in California.
Last survey on record
Jun 11, 2026
151 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1350.0% | E1038.5% | F27.7% |
| No harm, potential for minimal | A— | B— | C13.8% |
Most frequently cited here
In CMS’s current monthly file.
- F8124×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F7302×
Observe each nurse aide's job performance and give regular training.
- F7612×
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.
- F8512×
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
In the surveyor’s words
From the most serious findings on record at Catalina Island Health, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF851Jun 11, 2026
Based on interview and record review, the facility failed to submit complete and verifiable Payroll-Based Journal ([PBJ] a mandatory, auditable data system used by the Centers for Medicare & Medicaid Services {CMS}) staffing data to CMS for quarter 2 of 2026 (1/1/2026, through 3/31/2026).The facility's failure to submit required staffing information had the potential to affect CMS oversight of nursing staffing levels and the facility's ability to demonstrate compliance with federal staffing reporting requirements, which could impact the care and services provided to residents.Findings:During a review of the facility's PBJ staffing data report dated 06/05/2026, the PBJ staffing data report indicated no staffing data had been submitted to CMS for quarter 2 of 2026 (1/1/2026, through… […]
- No harm, potential for more than minimal, widespreadF851May 8, 2025
Based on interview and record review the facility failed to submit Payroll Based Journal (PBJ- auditable and verifiable staffing data from nursing facilities) staffing data to the Centers for Medicare & Medicaid Services (CMS). This failure had the potential to affect the care and services of the residents. Findings: During a review of the facility's PBJ staffing data report dated 5/2/2025, the PBJ indicated that no data had been reported for the month October 1 through December 31. During an interview on 5/8/25 at 8:51 a.m., with the Director of Nursing (DON), the DON stated the facility updated their firewall ( a physical structure or network security system designed to prevent the spread of unauthorized access) year 2024. […]
- No harm, potential for more than minimal, patternF812Jun 11, 2026
Based on observation, interview, and record review, the facility failed to store food in a safe and sanitary manner. The facility had four residents receiving an oral diet. The facility failed to:1.Ensure open bags of frozen french fries and frozen ravioli were labeled with open dates.2.Ensure open containers of hot sauce, ground white pepper, dash original seasoning, chili powder, cayenne pepper, corn tortillas, white bread, dry pasta, cheese and garlic croutons, vanilla wafers, and shortbread cookies were labeled with open dates.3.Ensure an open container of liquid whole eggs and a clear plastic tub of peaches stored in the refrigerator were labeled with open dates.These failures had the potential to place residents at risk for developing foodborne illnesses (illnesses resulting from… […]
- No harm, potential for more than minimal, patternF726May 8, 2025
Based on interview and record review the facility failed to ensure annual skills competencies (a measurable pattern of knowledge, skills, abilities, behaviors, and other characteristics in performing that an individual need to perform work roles or occupational functions successfully) were completed for four facility staff (Certified Nursing Assists (CNA) CNA 1, CNA 2, Licensed Vocational Nurse (LVN), LVN 1 and Registered Nurse (RN), RN 3). This deficient practice had the potential for the facility not to be able to assess the skills necessary to provide nursing services to assure resident safety and to ensure facility staff will be performed within the acceptable standards of practice. Findings: During a concurrent interview and record review on 5/7/2025 at 1:33 p.m. […]
- No harm, potential for more than minimal, patternF757May 8, 2025
Based on interview and record review, the facility failed to ensure two of two sampled residents (Resident 1 and Resident 2) were free of unnecessary medicines by failing to: 1. Monitor adverse effects of Aspirin( medicine used to reduce pain, fever and help prevent blood clots by thinning out the blood) for Resident 1. 2.Ensure behavior monitoring was done for the use of Lexapro ( medication used to treat depression) for Resident 2. These failures had the potential to result in Resident 1 and Resident 2 developing an adverse reaction ( unwanted and undesirable effects ) to the medications unrecognized and not identified by staff. Findings: 1. […]
Read 21 findings in full →The most serious and the most recent: 21 of 106 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 11, 2026Standard7 findings
- May 8, 2025Standard8 findings
- May 10, 2024Standard3 findings
- May 19, 2023Standard8 findings
- Mar 28, 2019Standard12 findings
- Mar 7, 2018Standard5 findings
- Apr 6, 2017Standard10 findings
- Jan 14, 2016Standard7 findings · 1 harm
Show the 5 earlier surveys
- Oct 2, 2014Standard11 findings
- Jul 26, 2013—10 findings
- Jan 14, 2013—2 findings
- Jun 28, 2012—17 findings
- Jul 15, 2011—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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