Santa Monica Rehabilitation Center

Santa Monica, California

Skilled nursing facility in Santa Monica, CA with 144 certified beds and a 1-star CMS overall rating.

Attendant Homes
Attendant Homes Published October 29, 2026

Santa Monica Rehabilitation Center is a skilled nursing facility in Santa Monica, California (Los Angeles County), with 144 Medicare/Medicaid-certified beds.

Address: 1338 20th Street, Santa Monica, CA 90404. Phone: (310) 255-2800.

Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has both a resident and family council.

CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 2, quality measures 4.

Address

1338 20th Street
Santa Monica, CA 90404
Get directions →

Levels of care

  • Skilled nursing

Facility details

Street address
1338 20th Street
City
Santa Monica
State
California
ZIP code
90404
Phone
(310) 255-2800
Levels of care
Skilled nursing
Payment options accepted
Medicare, Medicaid
Cms Ccn
555808
County
Los Angeles
Ownership Type
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Certified Beds
144
Avg Daily Residents
138.6
Continuing Care Community
No
Resident Family Council
Both
Sprinklers All Areas
Yes
Medicare Medicaid Approved Date
2004-06-29
Overall Rating
1
Health Inspection Rating
1
Staffing Rating
2
Quality Measure Rating
4
Special Focus Facility
SFF Candidate
Total Nurse Hours Per Resident Day
4.02371
Rn Hours Per Resident Day
0.43814
Latitude
34.0295
Longitude
-118.48

Medicare & Medicaid quality data

Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 555808. Ratings compare this home with other nursing homes; they are not a pass or fail.

How does it compare in Santa Monica? · Lowest-rated in California

CMS overall rating

1 / 5

Much below average
Certified beds
144
Residents per day
135
Ownership
For profit - Limited Liability company
Health citations (latest)
57
Fines
3 ($143,164)

Star ratings

CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.

Overall rating

Much below average

The headline score, from 1 to 5 stars.

1 of 5
1.0

✗ Worse than the state average. State 3.2 · National 3.0

How is this scored?

Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]

Health inspections

Much below average

How the home did in recent state inspections and complaint investigations.

1 of 5
1.0

✗ Worse than the state average. State 2.8 · National 2.8

How is this scored?

Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]

Staffing

Below average

How many nurses care for each resident, and how stable the nursing team is.

2 of 5
2.0

✗ Worse than the state average. State 3.3 · National 3.0

How is this scored?

Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]

Quality measures

Average

How residents are actually doing.

3 of 5
3.0

✗ Worse than the state average. State 4.2 · National 3.7

How is this scored?

Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]

This home State average National average

Long-stay quality
Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
Short-stay quality
Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.

Flags CMS attaches to this home

  • ⚑ Special Focus Facility: SFF Candidate. CMS's program for homes with a history of serious quality problems. Homes currently in it get no star ratings; candidates are rated but may be added to the program. [11]
How to read the numbers on this page
Star ratings — 1 to 5 (no stars = not rated)
5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
Health inspection score — 0 and up, lower is better
Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
Quality measure percentages — 0 to 100%
The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
Nurse hours per resident per day — Hours, higher is better
Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
Staff turnover — 0 to 100%, lower is better
The share of nursing staff who left during the year. High turnover can mean less continuity of care.
Case-mix index — Around 1.0 is typical
How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
Fines — Dollars; payment denials in days
Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.

Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]

Staffing & turnover

More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.

Nurse hours per resident per day, by role

A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.

Reported4.04 hrs

RN 0.35 · LPN 1.16 · Nurse aide 2.53. What the home's payroll records show.

Expected for its residents3.76 hrs

RN 0.67 · LPN 0.83 · Nurse aide 2.26. What CMS predicts a home with these residents' needs would staff.

Adjusted to a typical resident mix4.17 hrs

RN 0.36 · LPN 1.19 · Nurse aide 2.61. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.

Compared with CA and the nation

This home State average National average

Total nurse hours (hrs/resident/day, higher is better)
4.04

✗ Worse than the state average. State 4.54 · National 3.90

Registered nurse (RN) hours (hrs/resident/day, higher is better)
0.35

✗ Worse than the state average. State 0.68 · National 0.69

Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
1.51

✗ Worse than the state average. State 1.88 · National 1.55

Nurse aide hours (hrs/resident/day, higher is better)
2.53

✗ Worse than the state average. State 2.66 · National 2.35

Weekend total nurse hours (hrs/resident/day, higher is better)
3.53

✗ Worse than the state average. State 4.10 · National 3.43

Weekend RN hours (hrs/resident/day, higher is better)
0.21

✗ Worse than the state average. State 0.52 · National 0.48

Physical therapist hours (hrs/resident/day, higher is better)
0.00

✗ Worse than the state average. State 0.10 · National 0.07

Nursing staff turnover (%, lower is better)
59.8%

✗ Worse than the state average. State 36.6% · National 45.3%

RN turnover (%, lower is better)
64.3%

✗ Worse than the state average. State 37.8% · National 42.5%

Nursing case-mix index (index)
1.36

State 1.51 · National 1.41

Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.

Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]

Inspections

State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.

Health inspection score

434.5 points — in CA that earns (Much below average).

Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]

Score needed for each star in CA [10]

5 ★
0.000-33.000
4 ★
33.001-66.000
3 ★
66.001-96.000
2 ★
96.001-146.000
1 ★ (this home)
>146.000
Where the points come from
PeriodInspectionCitations (complaint)Citation pointsRevisitsRevisit pointsTotal
Most recent cycle May 22, 2026 53 (35) 264 1 0 264
Prior cycles (2 and 3) Feb 6, 2025 120 (108) 946 1 0 946

Health citations per inspection

Latest
May 22, 2026
Cycle 2
Feb 6, 2025
Cycle 3
Jan 25, 2024

State average for that cycle. Fewer is better.

Fire-safety citations per inspection

Latest
May 22, 2026
Cycle 2
Feb 6, 2025
Cycle 3
Jan 25, 2024

State average for that cycle. Fewer is better.

What the latest health inspection cited

  • Resident Rights 15
  • Quality of Life and Care 14
  • Resident Assessment and Care Planning 13
  • Nutrition and Dietary 4
  • Nursing and Physician Services 3
  • Freedom from Abuse and Neglect and Exploitation 2
  • Pharmacy Service 2
  • Infection Control 2
  • Environmental 1
  • Administration 1

What the latest fire-safety inspection cited

  • Smoke 2
  • Gas and Vacuum and Electrical Systems 1

How serious were the citations?

Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]

Isolated (a few residents)Pattern (some residents)Widespread (many residents)
Immediate jeopardy to resident health or safety J · 50 pts 2 K · 100 pts 1 L · 150 pts 0
Actual harm, not immediate jeopardy G · 20 pts 4 H · 35 pts 0 I · 45 pts 0
No actual harm, potential for more than minimal harm D · 4 pts 126 E · 8 pts 39 F · 16 pts 5
No actual harm, potential for minimal harm only A · 0 pts 0 B · 0 pts 0 C · 0 pts 0

Darker cells mean more citations. Counts cover every health citation CMS lists for this home.

All health citations (177) [2]
Inspection on Aug 31, 2026 · 3 citations
  • E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction · From a complaint

  • E

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    F0850 · Administration Deficiencies · Deficient, Provider has no plan of correction · From a complaint

  • D

    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.

    F0585 · Resident Rights Deficiencies · Deficient, Provider has no plan of correction · From a complaint

Inspection on Jul 30, 2026 · 4 citations
  • D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    F0552 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 17, 2026) · From a complaint

  • D

    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.

    F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 17, 2026) · From a complaint

  • D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    F0557 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 17, 2026) · From a complaint

  • D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Aug 17, 2026) · From a complaint

Inspection on Jul 22, 2026 · 1 citation
  • D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    F0925 · Environmental Deficiencies · Deficient, Provider has date of correction (Aug 10, 2026) · From a complaint

Inspection on Jul 16, 2026 · 2 citations
  • D

    Ensure each resident receives an accurate assessment.

    F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 2, 2026) · From a complaint

  • D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 2, 2026) · From a complaint

Inspection on Jul 3, 2026 · 2 citations
  • E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026) · From a complaint

  • D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    F0627 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026) · From a complaint

Inspection on Jun 30, 2026 · 1 citation
  • D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 24, 2026) · From a complaint

Inspection on Jun 24, 2026 · 2 citations
  • D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 17, 2026) · From a complaint

  • D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    F0557 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 17, 2026) · From a complaint

Inspection on Jun 17, 2026 · 1 citation
  • D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 12, 2026) · From a complaint

Inspection on Jun 4, 2026 · 4 citations
  • D

    Assess the resident when there is a significant change in condition

    F0637 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint

  • D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint

  • D

    Ensure each resident receives an accurate assessment.

    F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint

  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 28, 2026) · From a complaint

Inspection on May 22, 2026 · 22 citations
  • E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    F0805 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    F0557 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • E

    Provide safe and appropriate respiratory care for a resident when needed.

    F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    F0636 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Keep residents' personal and medical records private and confidential.

    F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Provide or get specialized rehabilitative services as required for a resident.

    F0825 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    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.

    F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Ensure each resident receives an accurate assessment.

    F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    F0676 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Reasonably accommodate the needs and preferences of each resident.

    F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    PASARR screening for Mental disorders or Intellectual Disabilities

    F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Ensure that residents are free from significant medication errors.

    F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    F0640 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

  • D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 15, 2026)

Inspection on May 21, 2026 · 1 citation
  • D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 30, 2026) · From a complaint

Inspection on Mar 24, 2026 · 4 citations
  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026) · From a complaint

  • E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026) · From a complaint

  • D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026) · From a complaint

  • E

    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.

    F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026) · From a complaint

Inspection on Mar 11, 2026 · 2 citations
  • D

    Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

    F0811 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 27, 2026) · From a complaint

  • E

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 27, 2026) · From a complaint

Inspection on Feb 25, 2026 · 1 citation
  • D

    Ensure that residents are free from significant medication errors.

    F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 20, 2026) · From a complaint

Inspection on Feb 17, 2026 · 1 citation
  • E

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint

Inspection on Jan 15, 2026 · 1 citation
  • D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 13, 2026) · From a complaint

Inspection on Jan 6, 2026 · 1 citation
  • E

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 23, 2026) · From a complaint

Inspection on Jan 5, 2026 · 1 citation
  • E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026) · From a complaint

Inspection on Dec 11, 2025 · 2 citations
  • D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    F0745 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 10, 2026) · From a complaint

  • D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 10, 2026) · From a complaint

Inspection on Dec 9, 2025 · 1 citation
  • D

    Reasonably accommodate the needs and preferences of each resident.

    F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 27, 2025) · From a complaint

Inspection on Sep 16, 2025 · 1 citation
  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 13, 2025) · From a complaint

Inspection on Sep 11, 2025 · 1 citation
  • E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Sep 12, 2025) · From a complaint

Inspection on Sep 4, 2025 · 1 citation
  • G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint

Inspection on Aug 23, 2025 · 2 citations
  • D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    F0694 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 19, 2025) · From a complaint

  • D

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 19, 2025) · From a complaint

Inspection on Aug 21, 2025 · 1 citation
  • D

    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

    F0620 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 19, 2025) · From a complaint

Inspection on Jul 31, 2025 · 1 citation
  • D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 1, 2025) · From a complaint

Inspection on Jul 23, 2025 · 1 citation
  • D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 19, 2025) · From a complaint

Inspection on Jul 22, 2025 · 1 citation
  • D

    Provide safe and appropriate respiratory care for a resident when needed.

    F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 1, 2025) · From a complaint

Inspection on Jun 26, 2025 · 2 citations
  • E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 18, 2025) · From a complaint

  • E

    Provide or get specialized rehabilitative services as required for a resident.

    F0825 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 18, 2025) · From a complaint

Inspection on Jun 16, 2025 · 2 citations
  • E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction (Jul 1, 2025) · From a complaint

  • E

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    F0561 · Resident Rights Deficiencies · Deficient, Provider has plan of correction (Jul 1, 2025) · From a complaint

Inspection on May 8, 2025 · 1 citation
  • D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 23, 2025) · From a complaint

Inspection on Apr 24, 2025 · 4 citations
  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 30, 2025) · From a complaint

  • E

    Provide or get specialized rehabilitative services as required for a resident.

    F0825 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 30, 2025) · From a complaint

  • D

    Reasonably accommodate the needs and preferences of each resident.

    F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 30, 2025) · From a complaint

  • E

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    F0850 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 30, 2025) · From a complaint

Inspection on Apr 14, 2025 · 1 citation
  • D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 18, 2025) · From a complaint

Inspection on Apr 8, 2025 · 1 citation
  • D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 20, 2025) · From a complaint

Inspection on Apr 4, 2025 · 4 citations
  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025) · From a complaint

  • D

    Ensure services provided by the nursing facility meet professional standards of quality.

    F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025) · From a complaint

  • D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025) · From a complaint

  • D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025) · From a complaint

Inspection on Apr 2, 2025 · 1 citation
  • G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 18, 2025) · From a complaint

Inspection on Apr 1, 2025 · 4 citations
  • D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 12, 2025) · From a complaint

  • D

    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.

    F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 12, 2025) · From a complaint

  • D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 12, 2025) · From a complaint

  • D

    Protect each resident from the wrongful use of the resident's belongings or money.

    F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 12, 2025) · From a complaint

Inspection on Mar 18, 2025 · 3 citations
  • D

    Reasonably accommodate the needs and preferences of each resident.

    F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 3, 2025) · From a complaint

  • D

    Keep residents' personal and medical records private and confidential.

    F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 3, 2025) · From a complaint

  • D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Apr 3, 2025) · From a complaint

Inspection on Feb 28, 2025 · 1 citation
  • D

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    F0837 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 20, 2025) · From a complaint

Inspection on Feb 27, 2025 · 2 citations
  • D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    F0573 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 23, 2025) · From a complaint

  • G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 23, 2025) · From a complaint

Inspection on Feb 6, 2025 · 14 citations
  • E

    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.

    F0578 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • D

    Provide safe and appropriate respiratory care for a resident when needed.

    F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • E

    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.

    F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • F

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025) · From a complaint

  • D

    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.

    F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • E

    Put firmly secured handrails on each side of hallways.

    F0924 · Environmental Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025) · From a complaint

Inspection on Jan 13, 2025 · 1 citation
  • E

    Keep all essential equipment working safely.

    F0908 · Environmental Deficiencies · Deficient, Provider has date of correction (Feb 7, 2025) · From a complaint

Inspection on Dec 4, 2024 · 1 citation
  • D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 27, 2024) · From a complaint

Inspection on Nov 26, 2024 · 3 citations
  • D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    F0925 · Environmental Deficiencies · Deficient, Provider has date of correction (Dec 14, 2024) · From a complaint

  • E

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Dec 14, 2024) · From a complaint

  • D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 14, 2024) · From a complaint

Inspection on Nov 5, 2024 · 2 citations
  • D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    F0573 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 5, 2024) · From a complaint

  • D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 5, 2024) · From a complaint

Inspection on Sep 25, 2024 · 1 citation
  • D

    Ensure that residents are free from significant medication errors.

    F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 7, 2024) · From a complaint

Inspection on Aug 8, 2024 · 2 citations
  • D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 29, 2024) · From a complaint

  • D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 29, 2024) · From a complaint

Inspection on Jul 1, 2024 · 2 citations
  • E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    F0919 · Environmental Deficiencies · Deficient, Provider has date of correction (Jul 19, 2024) · From a complaint

  • D

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 19, 2024) · From a complaint

Inspection on Apr 12, 2024 · 1 citation
  • D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (May 10, 2024) · From a complaint

Inspection on Apr 11, 2024 · 3 citations
  • D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024) · From a complaint

  • E

    Provide safe and appropriate respiratory care for a resident when needed.

    F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024) · From a complaint

  • E

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024) · From a complaint

Inspection on Mar 19, 2024 · 1 citation
  • D

    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.

    F0622 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 2, 2024) · From a complaint

Inspection on Mar 4, 2024 · 6 citations
  • E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 24, 2024) · From a complaint

  • D

    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.

    F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 24, 2024) · From a complaint

  • D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 24, 2024) · From a complaint

  • G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 24, 2024) · From a complaint

  • E

    Ensure services provided by the nursing facility meet professional standards of quality.

    F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 24, 2024) · From a complaint

  • D

    Provide safe, appropriate pain management for a resident who requires such services.

    F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 24, 2024) · From a complaint

Inspection on Feb 27, 2024 · 1 citation
  • D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 24, 2024) · From a complaint

Inspection on Jan 25, 2024 · 20 citations
  • D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    F0644 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    F0729 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    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.

    F0578 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • E

    Ensure medication error rates are not 5 percent or greater.

    F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    F0850 · Administration Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Reasonably accommodate the needs and preferences of each resident.

    F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • F

    Keep all essential equipment working safely.

    F0908 · Environmental Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Keep residents' personal and medical records private and confidential.

    F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Observe each nurse aide's job performance and give regular training.

    F0730 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • F

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    F0802 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Ensure each resident receives an accurate assessment.

    F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • E

    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.

    F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

  • D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Feb 18, 2024) · From a complaint

Inspection on Jan 16, 2024 · 1 citation
  • D

    Provide enough food/fluids to maintain a resident's health.

    F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 30, 2024) · From a complaint

Inspection on Jan 10, 2024 · 1 citation
  • D

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 29, 2024) · From a complaint

Inspection on Jan 8, 2024 · 12 citations
  • K

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

  • J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

  • D

    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.

    F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 11, 2024) · From a complaint

  • D

    Ensure that residents are free from significant medication errors.

    F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 11, 2024) · From a complaint

  • J

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    F0678 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

  • D

    Respond appropriately to all alleged violations.

    F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

  • D

    PASARR screening for Mental disorders or Intellectual Disabilities

    F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

  • F

    Keep residents' personal and medical records private and confidential.

    F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

  • E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 11, 2024) · From a complaint

  • D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    F0740 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

  • D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 28, 2024) · From a complaint

Inspection on Dec 12, 2023 · 4 citations
  • D

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 1, 2024) · From a complaint

  • D

    Provide safe and appropriate respiratory care for a resident when needed.

    F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 1, 2024) · From a complaint

  • D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 1, 2024) · From a complaint

  • D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 1, 2024) · From a complaint

Inspection on Nov 7, 2023 · 6 citations
  • D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Nov 30, 2023) · From a complaint

  • D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 30, 2023) · From a complaint

  • D

    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.

    F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Nov 30, 2023) · From a complaint

  • D

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Nov 30, 2023) · From a complaint

  • D

    Ensure services provided by the nursing facility meet professional standards of quality.

    F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 30, 2023) · From a complaint

  • D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 30, 2023) · From a complaint

Inspection on Nov 1, 2023 · 1 citation
  • D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Nov 10, 2023) · From a complaint

Inspection on Oct 31, 2023 · 1 citation
  • D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    F0919 · Environmental Deficiencies · Deficient, Provider has date of correction (Nov 25, 2023) · From a complaint

Inspection on Oct 16, 2023 · 1 citation
  • D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 27, 2023) · From a complaint

All fire-safety citations (21) [3]
Inspection on May 22, 2026 · 3 citations
  • F

    Have generator or other power source capable of supplying service within 10 seconds.

    K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 27, 2026)

  • F

    Have approved installation, maintenance and testing program for fire alarm systems.

    K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (May 27, 2026)

  • F

    Inspect, test, and maintain automatic sprinkler systems.

    K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 3, 2026)

Inspection on May 1, 2025 · 1 citation
  • E

    Have approved installation, maintenance and testing program for fire alarm systems.

    K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (May 20, 2025) · From a complaint

Inspection on Feb 6, 2025 · 3 citations
  • F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    K0521 · Services Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

  • D

    Inspect, test, and maintain automatic sprinkler systems.

    K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 1, 2025)

Inspection on Jan 25, 2024 · 14 citations
  • E

    Install corridor and hallway doors that block smoke.

    K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • E

    Have properly installed electrical wiring and gas equipment.

    K0511 · Services Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • E

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    K0342 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • E

    Construct fire resistant interior walls.

    K0331 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • C

    Provide emergency officials' contact information.

    E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • E

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

    K0925 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • F

    Have properly located and lighted "Exit" signs.

    K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • D

    Have properly installed hallway dispensers for alcohol-based hand rub.

    K0325 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • E

    Ensure proper usage of power strips and extension cords.

    K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • D

    Install an approved automatic sprinkler system.

    K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • F

    Conduct testing and exercise requirements.

    E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

  • E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)

Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]

Fines & penalties

CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.

Fines
3
State avg 0.8 · National 0.9
Total fined
$143,164
State avg 23,366 · National 30,351
Payment denials
2
Periods with no Medicare/Medicaid payment for new admissions

Fines by year

2024
2025
Every fine and payment denial, newest first
DateTypeAmountPayment denial
Aug 21, 2025 Fine $37,310 —
Feb 6, 2025 Fine $78,787 —
Feb 6, 2025 Payment Denial — 33 days from Mar 28, 2025
Jan 8, 2024 Fine $27,067 —
Jan 8, 2024 Payment Denial — 60 days from Feb 2, 2024

Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]

Resident quality measures

These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.

This home State average National average

Long-stay residents (14) [7]

Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
99.8

≈ About the state average. State 98.7 · National 93.7

Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
100.0

✓ Better than the state average. State 97.9 · National 95.3

Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
1.4

✓ Better than the state average. State 1.6 · National 3.2

Percentage of long-stay residents who have depressive symptoms Lower is better
3.2

✓ Better than the state average. State 7.6 · National 13.5

Percentage of long-stay residents who lose too much weight Lower is better
2.5

✓ Better than the state average. State 4.1 · National 5.1

Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
6.7

✓ Better than the state average. State 13.7 · National 19.5

Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
12.5

≈ About the state average. State 12.3 · National 15.4

Percentage of long-stay residents who were physically restrained Lower is better
0.0

✓ Better than the state average. State 0.3 · National 0.1

Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
4.3

✓ Better than the state average. State 8.9 · National 12.7

Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
11.0

✗ Worse than the state average. State 10.2 · National 13.5

Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
0.0

✓ Better than the state average. State 0.7 · National 0.7

Percentage of long-stay residents with a urinary tract infection ★ Lower is better
0.4

✓ Better than the state average. State 1.2 · National 1.5

Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
1.5

✓ Better than the state average. State 9.8 · National 18.3

Percentage of long-stay residents with pressure ulcers ★ Lower is better
2.1

✓ Better than the state average. State 4.3 · National 4.5

Short-stay residents (3) [7]

Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.

Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
98.7

✓ Better than the state average. State 94.6 · National 82.3

Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
1.4

✗ Worse than the state average. State 1.3 · National 1.5

Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
97.3

✓ Better than the state average. State 93.1 · National 80.1

Long-stay residents: hospital use (2) [8]

Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.

Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.7
3.1

✗ Worse than the state average. State 2.2 · National 1.8

Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.9
2.8

✗ Worse than the state average. State 1.5 · National 1.7

Short-stay residents: hospital use (2) [8]

Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.

Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 12.0
16.7

✗ Worse than the state average. State 11.1 · National 11.8

Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 24.2
29.0

✗ Worse than the state average. State 22.6 · National 23.4

Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]

Ownership & operator

Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.

Ownership type
For profit - Limited Liability company
Legal business name
1338 20TH STREET LLC
Certified for
Medicare and Medicaid
Certified beds
144
Residents per day (average)
134.6
In Medicare/Medicaid since
Jun 29, 2004
Resident and family council
Both
Sprinklers in all required areas
Yes
County
Los Angeles
Located in a hospital
No
Owners, officers and managers (14) [6]
5% Or Greater Direct Ownership Interest
  • 1338 SANTA MONICA PARTNERS LLC (organization, 50%, since 08/01/2024)
  • BERCOVICH, EZEQUIEL (individual, 20%, since 08/01/2024)
  • SANTA MONICA REHAB HOLLDINGS LLC (organization, 15%, since 08/01/2024)
  • ZENOU, ADAM (individual, 15%, since 08/01/2024)
Operational/Managerial Control
  • BERCOVICH, EZEQUIEL (individual, NOT APPLICABLE, since 08/01/2024)
  • RUBER, NURIT (individual, NOT APPLICABLE, since 08/01/2024)
  • WANG, SHUO (individual, NOT APPLICABLE, since 12/05/2024)
5% Or Greater Indirect Ownership Interest
  • CHUEKE-BERCOVICH, SARA (individual, since 08/01/2024)
  • HOROWICZ, AVI (individual, 15%, since 08/01/2024)
Adp Of The Snf
  • MENLO TRUST U/T/D FEBRUARY 22, 1983 (organization, NOT APPLICABLE, since 12/04/2024)
  • MIRACLE MILE PROPERTIES LP (organization, NOT APPLICABLE, since 12/05/2024)
  • MM2 BUSINESS SERVICES, LLLP (organization, NOT APPLICABLE, since 12/05/2024)
  • RUBER, NURIT (individual, NOT APPLICABLE, since 04/02/2026)
  • WANG, SHUO (individual, NOT APPLICABLE, since 12/05/2024)

Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]

Sources

All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.

  1. 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
  2. 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
  3. 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
  4. 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
  5. 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
  6. 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
  7. 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
  8. 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
  9. 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
  10. 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
  11. 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
  12. 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/

Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .

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