Lynwood Post Acute Care Center

    3611 E Imperial Hwy, Lynwood, CA, 90262
    3.4 · 59 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglectful unsanitary dishonest care facility

    I placed my relative here and it was awful - the building reeked of cigarettes and mildew, no air conditioning, awful half-cooked/cold food, and poor air circulation. Staff responsiveness and management were incompetent and dishonest: call lights ignored, residents left soiled, items went missing, personal info sent to the wrong people, exposed meds and fungus in pitchers - my relative even died during the stay. That said, a few nurses and therapists were genuinely caring and worked hard, but they were overwhelmed. I would not recommend this facility.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.36 · 59 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.3
    • Meals

      2.3
    • Amenities

      2.3
    • Value

      1.0

    Pros

    • Compassionate, caring, and dedicated nursing staff
    • Helpful and supportive nurses and caregivers
    • Strong rehabilitation and skilled nursing services (physical therapy)
    • Wound care and skilled nursing reported positively by some
    • Timely medication administration (reported by some)
    • Clean facility and well-stocked linen carts (reported by some)
    • Outstanding meals and positive dining experiences (reported by some)
    • Friendly, communicative administration and social services
    • Follow-up calls after discharge and continuity of care
    • Bilingual staff / Spanish speaking staff available
    • Welcoming staff members called out by name (e.g., Carmen)
    • Patients/residents appearing happy and comfortable in some reports
    • Safe and comfortable environment reported by some family members

    Cons

    • Foul odors and poor air circulation; reports of no air conditioning
    • Dirty conditions with urine and feces left on residents; allegations of neglect and abuse
    • Unresponsive call lights and inattentive staff at times
    • Theft or missing personal items (clothes, shoes) reported
    • Privacy and data breaches: personal information sent to wrong recipients and repeatedly forwarded
    • Infection concerns: fungus in water pitcher and exposed medication cream
    • Inconsistent food quality: old or half-cooked meals and unexplained puree diets
    • Doctors unavailable or infrequent physician visits; long waits for medical attention
    • Rude or dishonest administration/DON; reports of lying and fraudulent tours
    • Cigarette smell throughout facility and unmasked staff in some instances
    • Highly variable quality of care — reports range from excellent to deplorable
    • Pressure to leave positive reviews reported
    • Serious adverse events including resident deaths and near-death conditions during stay
    • Visiting restrictions (by appointment only) and poor communication about care changes

    Summary review

    Overall sentiment in the reviews for Lynwood Post Acute Care Center is highly polarized, with a substantial number of reports praising individual staff, rehabilitation services, and certain aspects of facility operation, while an equally substantial number of reports describe serious concerns about neglect, hygiene, safety, and management practices. Many reviewers emphasize compassionate, hardworking nurses and therapists who provide excellent rehabilitation, wound care, and bedside attention; other reviewers describe the facility as dangerous, unsanitary, and poorly managed. This pattern suggests inconsistent performance across shifts, units, or time periods rather than uniformly good or uniformly bad care.

    Care quality and clinical services show a clear split. Positive comments repeatedly highlight skilled nursing, effective physical therapy, and good wound care, along with timely medication administration and follow-up after discharge. Several family members explicitly recommend the facility for rehab or skilled nursing stays and credit staff with helping their loved ones recover. Conversely, a number of reviews contain severe criticisms: residents allegedly left in urine or feces, call lights ignored, near‑death conditions, family members forced to feed patients themselves, and accusations of elder abuse and neglect. Multiple reviewers also stated that doctors either do not come to the facility regularly or are difficult to reach, resulting in long waits for medical attention. These contrasting reports indicate inconsistent supervision, resourcing, or staff training that leads to highly variable resident outcomes.

    Staff and management comments are similarly mixed. Many reviewers praise individual caregivers, nurses, social workers, and administrators as compassionate, communicative, and attentive — with specific staff members and bilingual capabilities (Spanish-speaking staff) mentioned positively. There are reports of staff going “above and beyond” and providing follow-up calls after discharge. At the same time, other reviewers accuse management and the Director of Nursing of being rude, unhelpful, dishonest about admissions or tours, and even of actively discouraging complaints. Reports of staff being pressured, appearing sad or demoralized, and allegations of pressure to leave positive reviews point to morale and leadership issues that could explain inconsistent care.

    Facility, hygiene, and environmental concerns are among the most serious recurring themes. Multiple reviewers report foul odors, poor air circulation, and lack of air conditioning, with patients bringing fans or complaining about cigarette smoke throughout the facility. There are direct reports of unsanitary conditions — fungus in a water pitcher, exposed medication cream that could pose an infection risk, and instances where rooms or residents were described as dirty with urine and feces. Yet other reviewers describe the facility as impeccably clean with well-stocked linens. The juxtaposition of these descriptions again suggests variability by unit or timeframe, but the presence of infection-risk observations and sanitation complaints are red flags for families and regulators.

    Dining and nutrition feedback is mixed as well. Some reviewers call meals “outstanding,” whereas others describe old, half-cooked, or cold food; specific complaints include unexplained puree diets and lack of communication about diet changes. Personal items theft — missing clothes and shoes — is another recurring concern that affects residents’ dignity and family trust. Privacy and data security issues are also noted: reviewers reported personal information sent to incorrect recipients and repeated forwarding of clients’ information, which raises legal and ethical concerns.

    A number of reviews describe deeply distressing events, including resident deaths during stays and accounts that suggest serious lapses in care. These reports are accompanied by calls to shut the facility down or pursue legal action by some reviewers. Such allegations — when combined with the hygiene, staffing, and management concerns — point to potential systemic problems that warrant investigation by families and regulatory authorities. Others counter with statements that the facility provided excellent, compassionate care and helped their loved ones recover, underscoring how variable the experiences can be.

    In summary, Lynwood Post Acute Care Center elicits strongly divergent impressions. Strengths include committed frontline staff, notable rehabilitation and skilled nursing successes, and positive interactions with certain administrators and social services. Weaknesses include reports of neglect, sanitation problems, environmental odors/ventilation issues, food quality inconsistency, theft, privacy breaches, and inconsistent physician availability. This pattern of extremes suggests that outcomes may depend heavily on which staff are on duty, which unit the resident is placed in, and the timing of the stay. Families considering this facility should probe specific concerns during tours (cleanliness, staffing ratios, physician coverage, infection control policies, incident reporting procedures, and how personal items are protected), verify recent inspection and compliance records, and monitor care closely if choosing to admit a loved one. If serious neglect, hygiene, or privacy violations are suspected, reviewers’ accounts indicate grounds to escalate to facility leadership, the state long-term care ombudsman, and licensing/regulatory agencies.

    Location

    Map showing location of Lynwood Post Acute Care Center

    About Lynwood Post Acute Care Center

    Lynwood Post Acute Care Center sits at 3611 East Imperial Hwy, Lynwood, CA, and has a total of 99 certified beds serving short-term and long-term residents with an average of 90 residents daily, providing skilled nursing care twenty-four hours a day, and you'll notice it in the way an experienced team of nurses, therapists, and support staff offer help with many different needs, whether someone needs assisted living, memory care for Alzheimer's or dementia, skilled nursing, or even temporary respite care so caregivers can get some relief. The center's got a rehab gym and communal spaces so people can take part in therapy and other activities together, and there's a focus on helping each person regain as much independence as possible, especially for those recovering from illness or injury, because there are dedicated rehab staff giving physical therapy, occupational therapy to build strength in hands and legs for day-to-day tasks, and speech therapy if someone has trouble talking or swallowing. Residents at Lynwood get regular nutritional checks and advice, since a registered dietitian works with doctors' orders to make sure meals meet each person's needs, and individualized care plans help the staff focus on what's right for each resident, while personal skilled care goes on round the clock.

    The facility allows ECards for patients, lets folks schedule tours or visits between 8 am and 8 pm, and tries to keep things feeling home-like with emphasis on dignity and comfort, but it's important to know Lynwood has had some issues, with 88 total documented deficiencies in inspection reports, and 13 of those were about infection control-federal inspectors even noted problems there in January 2025-and there are some deficiencies in how pharmacy services were handled and how food got sourced and managed. The nurse turnover rate, which at 37.9% is a bit better than California's average, and nurse hours per resident, which average 3.84 per day (below the state average), might give some sense of staff stability and workload, and while ownership ties back to Cambridge Healthcare Services and a network of trusts and LLCs, people like Ira Smedra and Jacob Wintner have managed things since 2003. At Lynwood, each resident gets a care plan built around their medical and emotional needs, and though it's a busy place with its share of inspection challenges, the staff's reputation remains centered on providing support and specialized rehab to help folks recover or adjust to day-to-day life, whatever the length of their stay.

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