Cycle 1
Health 2025-12-04 · Fire 2025-12-04
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Los Angeles, CA
Pih Health Good Samaritan Hospital D/P SNF
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1225 Wilshire Blvd, Los Angeles, CA
(213) 202-7050
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
28
Certified beds
Average residents
37
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2022-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
2.98
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.34
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
6.27
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
4.32
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
5.53
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
2.34
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.34
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
2.65
CMS adjusted RN staffing hours
Adjusted total hours
5.57
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,152
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 22.04% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.57
Performance 6.47% · Measure score 4.57 · Achievement 4.57 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0.9
Performance 60.00% · Measure score 0.9 · Achievement 0.9 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Performance 2.11 hours · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.35% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 6.59% · Lower 95% interval 6.74% |
| Discharge to community | 45.35% |
50.57%
5.2 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 37.5% · Lower 95% interval 35.57% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 85.33% |
95.27%
9.9 pts worse
|
Numerator 64 · Denominator 75 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 75 |
| Discharge self-care score | 8% |
53.69%
45.7 pts worse
|
Numerator 4 · Denominator 50 |
| Discharge mobility score | 6% |
50.94%
44.9 pts worse
|
Numerator 3 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 75 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 4.84% · Lower 95% interval 3.83% |
| Staff COVID-19 vaccination coverage | 21.05% |
8.2%
12.9 pts better
|
Numerator 12 · Denominator 57 |
| Staff flu vaccination coverage | 71.25% |
42%
29.2 pts better
|
Numerator 57 · Denominator 80 |
| Discharge function score | 6% |
56.45%
50.5 pts worse
|
Numerator 3 · Denominator 50 |
| Transfer of health information to provider | 96.97% |
95.95%
1 pts better
|
Numerator 64 · Denominator 66 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 7.89% |
25.2%
17.3 pts worse
|
Numerator 3 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.8% |
94.0%
3.2 pts worse
|
81.7%
9.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 90.1% · Q3 92.7% · Q4 91.2% · 4Q avg 90.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
11.2%
4.5 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 7.7% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.5%
0.4 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 2.3% · Q4 1.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.0% |
93.2%
3.2 pts worse
|
79.7%
10.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.2% |
23.2%
11 pts worse
|
23.9%
10.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.2% · Observed 40.4% · Expected 28.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-04 · Fire 2024-10-04
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-10-06 · Fire 2023-10-06
11 health deficiencies
Top issue: Administration (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-12-17
E · Potential for more than minimal harm
2024-10-04
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-17
E · Potential for more than minimal harm
2024-10-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-17
D · Potential for more than minimal harm
2024-10-04
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-10-17
D · Potential for more than minimal harm
2024-10-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-17
D · Potential for more than minimal harm
2024-10-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-17
D · Potential for more than minimal harm
2024-10-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-17
F · Potential for more than minimal harm
2023-10-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-12
F · Potential for more than minimal harm
2023-10-06
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-07
F · Potential for more than minimal harm
2023-10-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-10-06
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-13
D · Potential for more than minimal harm
2023-10-06
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-10-12
D · Potential for more than minimal harm
2023-10-06
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-12
D · Potential for more than minimal harm
2023-10-06
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-07
D · Potential for more than minimal harm
2023-10-06
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-04
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-12-22
D · Potential for more than minimal harm
2025-12-04
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-12-22
D · Potential for more than minimal harm
2025-07-01
F627 · Resident Rights Deficiencies
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Not marked corrected
F · Potential for more than minimal harm
2024-10-04
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-10-25
E · Potential for more than minimal harm
2024-10-04
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-04
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-04
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-04
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-04
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-25
F · Potential for more than minimal harm
2023-10-06
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-10-06
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-10-06
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-10-06
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-10-06
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-10-06
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-10-06
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-10-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-06
D · Potential for more than minimal harm
2023-10-06
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-10-06
D · Potential for more than minimal harm
2023-10-06
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-11-08
D · Potential for more than minimal harm
2023-10-06
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-11-07
Penalties and ownership
What sits behind the stars
Ownership
Pih Health Good Samaritan Hospital
5% Or Greater Direct Ownership Interest · Organization
Alvarez, Alex
Corporate Director · Individual
Atwood, J
Corporate Director · Individual
Barendse, Thurso
Corporate Director · Individual
Batiste, Melanie
Corporate Director · Individual
Coppinger, Noel
Operational/Managerial Control · Individual
Goldberg, Marissa
Corporate Director · Individual
Greaney, Peter
Corporate Director · Individual
Hamar, Hamilton
Corporate Director · Individual
Khorsandi, Moez
Corporate Director · Individual
Kpmg Llp
Operational/Managerial Control · Organization
Krog, Scott
Corporate Director · Individual
Leonard, Anna
Operational/Managerial Control · Individual
Mahalingamshivaraman, Vidhyashankaran
Operational/Managerial Control · Individual
Mahalingamshivaraman, Vidhyashankaran
Corporate Officer · Individual
Medrano, Deborah
Corporate Director · Individual
Monroe, Patrick
Corporate Director · Individual
Necke, Shelly
Operational/Managerial Control · Individual
Pih Health Good Samaritan Hospital
Operational/Managerial Control · Organization
Pih Health Whittier Hospital
Operational/Managerial Control · Organization
Ponce, Susanne
Operational/Managerial Control · Individual
Pratt, Andrew
Operational/Managerial Control · Individual
Rahnema, Gudars
Operational/Managerial Control · Individual
Roth, William
Corporate Director · Individual
Saraliev, Tracea
Corporate Director · Individual
Southron, Scott
Corporate Director · Individual
Syda-Lawton, Regine
Corporate Director · Individual
Treinen, Paul
Corporate Director · Individual
Vazquez, Cindy
Operational/Managerial Control · Individual
Weaver, Charlotte
Corporate Director · Individual
West, James
Operational/Managerial Control · Individual
West, James
Corporate Officer · Individual
Woods, Kenton
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Burlington Convalescent Hospital
Los Angeles, CA
5-star overall rating with 4-star inspections with $8,278 in total fines with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Mid-Wilshire Health Care Cntr
Los Angeles, CA
2-star overall rating with 2-star inspections with $54,237 in total fines with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Angels Nursing Health Center
Los Angeles, CA
4-star overall rating with 4-star inspections with $71,566 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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