| Good Shepherd Health Care Center of Santa Monica | |
| 1131 Arizona Ave., Santa Monica, California 90401 | |
| (310) 451-4800 | |
| Name | Good Shepherd Health Care Center of Santa Monica |
|---|---|
| Location | 1131 Arizona Ave., Santa Monica, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 48 |
| Occupancy Rate | 90.42% |
| Medicare ID (CCN) | 555061 |
| Legal Business Name | Good Shepherd Health Care Center of Santa Monica |
| Ownership Type | For Profit - Corporation |
| Chain | Il & Joan Lee (4 nursing homes) |
| Chain Average Overall Rating | 2 out of 5 |
| NPI Number | 1114090206 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Good Shepherd Health Care Center of Santa Monica |
| Address | 1131 Arizona Ave, Santa Monica, CA 90401 |
| Phone Number | 310-451-4800 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 0.86 |
| Nurse aide hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: the staffing data did not meet CMS's criteria for this measure | 3.42 |
| RN hours per resident per day on the weekend | Not available: the staffing data did not meet CMS's criteria for this measure | 0.48 |
| Physical therapist hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $8,424 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 25, 2026 | 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, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | 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, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | 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, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | 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, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Feb 25, 2026 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | No revisit needed |
| Dec 29, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Ensure residents have reasonable access to and privacy in their use of communication methods. F0576, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Potential for harm, pattern | Waiver has been granted |
| Dec 29, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 27, 2025 |
| Dec 29, 2024 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.52 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.1 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.64 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.29 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 34.78 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.09 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.38 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.78 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.79 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.48 | 15.38 |
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