Terrace Post Acute

VAN NUYS, CA • CMS Certification: 555738

  • Date Updated: May 01, 2026
  • Overall Rating: 2 Stars
  • Address: 7447 SEPULVEDA BLVD, VAN NUYS CA 91405
  • Phone: 8187873400

About Terrace Post Acute

Terrace Post Acute, located in VAN NUYS, CA, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Terrace Post Acute

  • More Nursing Time: Staff spends 3.89 hours per resident daily (National Avg: 3.87).

Key Performance Indicators

  • CMS Overall Rating 2 Stars
  • Nursing Hours 3.89 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the WINDSOR network. This chain operates 23 facilities.

Chain Performance Overview

Inspection
2.0
Staffing
3.1
Quality
4.2

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Mixed Staffing Levels

Terrace Post Acute provides less care hours than the state average and more than the national average.

Registered Nurses (RN)

0.42 hrs/day
State: 0.67 US: 0.68
Case Mix Adj: 0.67
Quality Adj: 0.42

Licensed Practical Nurses

1.41 hrs/day
State: 1.88 US: 1.54
Case Mix Adj: 0.85
Quality Adj: 0.99

Certified Assistants

2.48 hrs/day
State: 2.65 US: 2.33
Case Mix Adj: 2.30
Quality Adj: 2.49

CMS Quality Ratings

Category Rating Stars
Overall Rating 2
Health Inspection 2
Quality Measures 4
Staffing 3

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 112 Jan 15, 2026
Weighted Average 152 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 21.8%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 10.0%
Number of hospitalizations per 1000 long-stay resident days (QM551) 3.1%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 2.5%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 6.5%
Percentage of long-stay residents who lose too much weight (QM404) 8.2%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.2%
Percentage of long-stay residents with a urinary tract infection (QM407) 0.5%
Percentage of long-stay residents who have depressive symptoms (QM408) 7.6%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 0.2%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 100.0%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 98.2%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 2.4%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 5.3%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 13.4%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 99.1%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 91.0%
Percentage of long-stay residents with pressure ulcers (QM479) 3.3%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 8.8%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 8.0%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 15 complaints
  • 2024: 17 complaints
  • 2025: 9 complaints
  • 2026: 2 complaints
  • Total: 43 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Mar 13, 2026 Provide and implement an infection prevention and control program.
Jan 20, 2026 Provide enough food/fluids to maintain a resident's health.
Aug 27, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Aug 22, 2025 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
May 30, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 12, 2025 Provide safe, appropriate pain management for a resident who requires such services.
May 12, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 17, 2025 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Feb 20, 2025 Provide and implement an infection prevention and control program.
Feb 03, 2025 Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Feb 03, 2025 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Dec 20, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 19, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 05, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nov 18, 2024 Provide and implement an infection prevention and control program.
Nov 08, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 16, 2024 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Sep 30, 2024 Provide safe, appropriate pain management for a resident who requires such services.
Sep 30, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Sep 30, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 30, 2024 Reasonably accommodate the needs and preferences of each resident.
Sep 15, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 13, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 09, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 13, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jun 01, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 29, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 29, 2024 Make sure that a working call system is available in each resident's bathroom and bathing area.
Dec 13, 2023 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 13, 2023 Provide safe and appropriate respiratory care for a resident when needed.
Nov 13, 2023 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nov 13, 2023 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nov 13, 2023 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Oct 02, 2023 Provide and implement an infection prevention and control program.
Oct 02, 2023 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 14, 2023 Ensure that residents are free from significant medication errors.
Sep 14, 2023 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Aug 29, 2023 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Aug 29, 2023 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 20, 2023 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.
Jul 05, 2023 Ensure that residents are free from significant medication errors.
Jun 14, 2023 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Jun 14, 2023 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

WINDSOR TERRACE HEALTHCARE LLC

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in VAN NUYS, CA

Compare Terrace Post Acute to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Terrace Post Acute has a 2-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 3.89 hours per resident daily, compared to the national average of 3.87 hours.

Terrace Post Acute is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 133 certified beds.

Terrace Post Acute accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Terrace Post Acute directly at 8187873400. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Terrace Post Acute, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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