HIGHLANDS MANOR INC

9811 BELMAR AVE, Northridge CA 91324

Facility 197609675 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jan 26, 2026Licensed

Additional info
Licensee
HIGHLANDS MANOR INC
Administrator
LEVIN, RUSLAN
Contact
LEVIN, RUSLAN
License first date
Jan 14, 2019
License effective date
Jan 14, 2019
District office
WOODLAND HILLS S.RO · (818) 596-4334
Regional office
31
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 10 Type B deficiencies for this facility.

Most recent inspection
Jan 26, 2026
Most recent deficiency
Jan 26, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 0 Type A and 10 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

More than the typical 4

1 in the last 12 months

Recorded deficiencies
10

Well above the typical 1

4 in the last 12 months

Type A deficiencies
0

Most this size also have none

0 in the last 12 months

Type B deficiencies
10

Most this size have none

4 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
2

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Incident reportingType B
Official classification
Type B
Official code
87211(a)(1)(A)
Regulation authority
CCR

What the official deficiency says

a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. (A) Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation,interview and record review, the licensee did not comply with the section cited above. Administraor failed to submit Death reports for R5 and R6 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/26/2026 Plan of Correction During the visit, Administrator had completed Death Reports for R5 and R6.

Corrective action observedRecorded in report dated Jan 26, 2026
Plan of correction recorded
View official report
Medical and dental careType B
Official classification
Type B
Official code
87465(d)(3)
Regulation authority
CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. R1 through R4 had inconsisent Medical records which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2026 Plan of Correction Administrator agreed to provide a complete and accurate medications records by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87456(a)(3)
Regulation authority
CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. R1, R2 and R3 did not have a recent medical assessment which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2026 Plan of Correction Administraror agreed to provide updated medical assessment by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. R1, R2 and R3 did not have an upated appraisal needs and services plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2026 Plan of Correction Administrator agreed to provide an updated appraisal needs and services plan for R1, R2 and R3 by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(a)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. S2 and S3 are missing LIC 503 forms which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/01/2025 Plan of Correction Administrator agreed to provide LIC 503 for S2 and S3 by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType B
Official classification
Type B
Official code
87465(d)(2)
Regulation authority
CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) The date and time of each contact with the physician, and the physician's directions, shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review the licensee did not comply with the section cited above. LPA observed medication records for 5 out 5 residents were inconsistent which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/01/2025 Plan of Correction The administrator agreed to audit medications to ensure consistency in the medication records. Administrator will email LPA proof of medication audit by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87506(b)(15)
Regulation authority
CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the licensee did not comply with the section cited above. LPA observed that R3 has incomplete admission agreement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/01/2025 Plan of Correction Administrator will provide completed Admission Agreement by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(c)(1)
Regulation authority
CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the licensee did not comply with the section cited above. LPA observed R4 and R5 do not have updated medical assessment which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/01/2025 Plan of Correction Administrator will provide updated medical assessment for R4 and R5 by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. LPA observed R3 does not have appraisal needs and services plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/01/2025 Plan of Correction Administrator will provide an appraisal needs and services plan for R3 by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medical and dental careType B
Official classification
Type B
Official code
87465(a)(5)
Regulation authority
CCR

What the official deficiency says

Incidential Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on medications review and interview, the licensee did not comply with the section cited above, as the LPA could not complete an accurate medication count, which poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 04/29/2024 Plan of Correction Administrator has agreed to conducted medication audit for all the residents and submit complete medications forms to LPA by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology