Cycle 1
Health 2025-05-25 · Fire 2025-05-25
30 health deficiencies
Top issue: Resident Rights (6 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Santa Monica, CA
Sunset Park Healthcare
2-star overall rating with 2-star inspections with 30 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2250 29th Street, Santa Monica, CA
(310) 450-7694
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
44
Certified beds
Average residents
42
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Abraham Bak & Menachem Gastwirth
Operator or chain grouping
Approved since
1967-05-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.25
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.50
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.14
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.88
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.81
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.24
CMS adjusted RN staffing hours
Adjusted total hours
4.75
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
31%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,964
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9884
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.97
Baseline 19.14% · Performance 20.52% · Measure score 1.97 · Achievement 1.97 · Improvement 0
Healthcare-associated infections
2.93
Baseline 8.27% · Performance 7.15% · Measure score 2.93 · Achievement 2.29 · Improvement 2.93
Total nurse turnover
5.53
Performance 41.07% · Measure score 5.53 · Achievement 5.53 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.34
Baseline 3.29 hours · Performance 4.03 hours · Measure score 3.34 · Achievement 3.34 · Improvement 2.45
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.31% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 117 · Observed rate 12.82% · Lower 95% interval 8.17% |
| Discharge to community | 40.3% |
50.57%
10.3 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 25.93% · Lower 95% interval 28.6% |
| Medicare spending per beneficiary | 1.28 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 110 · Denominator 110 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 110 |
| Discharge self-care score | 68% |
53.69%
14.3 pts better
|
Numerator 34 · Denominator 50 |
| Discharge mobility score | 52% |
50.94%
1.1 pts better
|
Numerator 26 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 2.73% |
2.29%
0.4 pts worse
|
Numerator 3 · Denominator 110 · Adjusted rate 2.94% |
| Healthcare-associated infections requiring hospitalization | 7.15% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 57 · Observed rate 8.77% · Lower 95% interval 4% |
| Staff COVID-19 vaccination coverage | 10.81% |
8.2%
2.6 pts better
|
Numerator 8 · Denominator 74 |
| Staff flu vaccination coverage | 13.51% |
42%
28.5 pts worse
|
Numerator 10 · Denominator 74 |
| Discharge function score | 70% |
56.45%
13.5 pts better
|
Numerator 35 · Denominator 50 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 48 · Denominator 48 |
| Transfer of health information to patient | 90.48% |
96.28%
5.8 pts worse
|
Numerator 19 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 34.85% |
25.2%
9.7 pts better
|
Numerator 23 · Denominator 66 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.3
0.1 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 3.7 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.6
0.6 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.8 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
98.5%
0.8 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.4% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
1.6%
1.8 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.9% · Q3 2.8% · Q4 2.6% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.8% |
6.8%
13 pts worse
|
11.4%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 20.7% · Q3 24.2% · Q4 16.1% · 4Q avg 19.8% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
4.1%
0.9 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.7% · Q3 6.5% · Q4 0.0% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.5% |
13.7%
0.2 pts better
|
19.6%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 18.2% · Q3 14.7% · Q4 13.5% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 48.3% |
14.2%
34.1 pts worse
|
16.7%
31.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.7% · Q3 50.0% · Q4 47.6% · 4Q avg 48.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.3% |
11.0%
1.7 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 3.8% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% |
10.7%
2.5 pts worse
|
14.9%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 17.9% · Q3 18.5% · Q4 3.2% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.0%
0.2 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
1.2%
1.1 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.1% · Q3 0.0% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.4% |
10.9%
10.5 pts worse
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.7% · Q2 14.9% · Q3 20.8% · Q4 8.4% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
4.7%
0.6 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 9.9% · Q3 5.3% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.1% |
94.0%
2.9 pts worse
|
81.7%
9.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 87.0% · Q3 87.8% · Q4 92.7% · 4Q avg 91.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.3% |
11.2%
0.9 pts better
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 12.2% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 20.4% |
1.5%
18.9 pts worse
|
1.6%
18.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 20.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.1% |
93.2%
4.1 pts worse
|
79.7%
9.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% |
23.2%
0.9 pts worse
|
23.9%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 23.5% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-27 · Fire 2024-05-27
8 health deficiencies
Top issue: Environmental (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-01-27 · Fire 2022-01-27
21 health deficiencies
Top issue: Resident Rights (5 deficiencies)
16 fire-safety deficiencies
Top issue: Egress (5 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-05-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-13
E · Potential for more than minimal harm
2024-05-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-05-27
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-05-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-21
F · Potential for more than minimal harm
2022-01-27
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-02-25
F · Potential for more than minimal harm
2022-01-27
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-02-25
F · Potential for more than minimal harm
2022-01-27
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-02-25
F · Potential for more than minimal harm
2022-01-27
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-02-25
E · Potential for more than minimal harm
2022-01-27
K111 · Construction Deficiencies
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2022-02-25
E · Potential for more than minimal harm
2022-01-27
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-02-25
E · Potential for more than minimal harm
2022-01-27
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-02-25
E · Potential for more than minimal harm
2022-01-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-02-25
E · Potential for more than minimal harm
2022-01-27
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-02-25
E · Potential for more than minimal harm
2022-01-27
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-02-25
D · Potential for more than minimal harm
2022-01-27
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-02-25
D · Potential for more than minimal harm
2022-01-27
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-02-25
D · Potential for more than minimal harm
2022-01-27
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-02-25
D · Potential for more than minimal harm
2022-01-27
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 2022-02-25
D · Potential for more than minimal harm
2022-01-27
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-02-25
D · Potential for more than minimal harm
2022-01-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-02-25
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-10-03
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-10-09
D · Potential for more than minimal harm
2025-06-17
F563 · Resident Rights Deficiencies
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2025-07-07
D · Potential for more than minimal harm
2025-06-17
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 2025-07-07
E · Potential for more than minimal harm
2025-05-25
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 2025-06-13
E · Potential for more than minimal harm
2025-05-25
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-06-13
E · Potential for more than minimal harm
2025-05-25
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-06-13
E · Potential for more than minimal harm
2025-05-25
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-06-13
E · Potential for more than minimal harm
2025-05-25
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-06-13
E · Potential for more than minimal harm
2025-05-25
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 2025-06-13
E · Potential for more than minimal harm
2025-05-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-13
E · Potential for more than minimal harm
2025-05-25
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-06-13
E · Potential for more than minimal harm
2025-05-25
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
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 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-25
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-06-13
B · Minimal harm
2025-05-25
F911 · Environmental Deficiencies
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-07
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-04-15
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 2025-05-06
D · Potential for more than minimal harm
2025-04-04
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-27
D · Potential for more than minimal harm
2025-04-04
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-27
D · Potential for more than minimal harm
2024-11-22
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 2024-12-19
D · Potential for more than minimal harm
2024-11-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-19
D · Potential for more than minimal harm
2024-08-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-13
D · Potential for more than minimal harm
2024-06-18
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-06-18
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-05-27
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 2024-06-14
B · Minimal harm
2024-05-27
F911 · Environmental Deficiencies
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2024-06-14
B · Minimal harm
2024-05-27
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-06-14
D · Potential for more than minimal harm
2023-10-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-01
G · Actual harm
2023-10-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-10-05
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 2023-10-27
D · Potential for more than minimal harm
2023-09-12
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-30
D · Potential for more than minimal harm
2023-05-22
F573 · Resident Rights Deficiencies
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-06-06
D · Potential for more than minimal harm
2023-05-22
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-06-06
D · Potential for more than minimal harm
2023-05-22
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-06-06
E · Potential for more than minimal harm
2022-01-27
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-02-24
E · Potential for more than minimal harm
2022-01-27
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-02-24
E · Potential for more than minimal harm
2022-01-27
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-02-24
E · Potential for more than minimal harm
2022-01-27
F802 · Nutrition and Dietary Deficiencies
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-02-24
E · Potential for more than minimal harm
2022-01-27
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2022-02-24
E · Potential for more than minimal harm
2022-01-27
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-02-24
E · Potential for more than minimal harm
2022-01-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-24
D · Potential for more than minimal harm
2022-01-27
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2022-02-24
D · Potential for more than minimal harm
2022-01-27
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 2022-02-24
D · Potential for more than minimal harm
2022-01-27
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 2022-02-24
D · Potential for more than minimal harm
2022-01-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-02-24
D · Potential for more than minimal harm
2022-01-27
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-02-24
B · Minimal harm
2022-01-27
F911 · Environmental Deficiencies
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2022-02-24
B · Minimal harm
2022-01-27
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2022-02-24
Penalties and ownership
What sits behind the stars
Ownership
Lehmann, Kenneth
5% Or Greater Direct Ownership Interest · Individual
Bak, Abraham
5% Or Greater Direct Ownership Interest · Individual
Gastwirth, Menachem
5% Or Greater Direct Ownership Interest · Individual
Moas, Aaron
5% Or Greater Direct Ownership Interest · Individual
Am Holdco, LLC
5% Or Greater Direct Ownership Interest · Organization
Gastwirth, Menachem
5% Or Greater Indirect Ownership Interest · Individual
Gewirtz, Chonoch
5% Or Greater Direct Ownership Interest · Individual
Oscherowitz, Avishai
5% Or Greater Direct Ownership Interest · Individual
Bak, Abraham
5% Or Greater Indirect Ownership Interest · Individual
Bak, Abraham
Operational/Managerial Control · Individual
Bak, Abraham
Corporate Officer · Individual
Filart, Marcel
Operational/Managerial Control · Individual
Gastwirth, Menachem
Operational/Managerial Control · Individual
Lehmann, Kenneth
Operational/Managerial Control · Individual
Montag, Memphis
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Ocean Park Healthcare
Santa Monica, CA
2-star overall rating with 2-star inspections with $12,735 in total fines with 20 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Westwood Post Acute Care
Los Angeles, CA
2-star overall rating with 2-star inspections with $128,644 in total fines with 26 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Brentwood Health Care Center
Santa Monica, CA
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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