The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA
SANTA MONICA, CA · Medicare-certified · 48 beds
Needs attention
For-profitChain member
3 of 5 overall
3 of 5 stars overall. Health inspections are below average at 2 of 5 stars, quality measures are strong at 5 of 5 stars, staffing is not rated, and the facility has had $8,424 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: February 25, 2026Penalties, last 24 months: $8,424recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
17.5%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
6%Improving
Residents with a urinary tract infection
0.6%Steady
Residents who lost too much weight
2.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.1%Worsening
Residents whose ability to walk got worse
14.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
9.2%Improving
Residents with a long-term catheter
4.8%Worsening
Residents with new or worsening incontinence
0%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
97.8%Steady
Long-stay residents given the pneumonia vaccine
89.9%Worsening
Short-stay residents given the pneumonia vaccine
31.8%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to properly dispose of garbage and other waste. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
Recent history
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,424 was recorded.
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,424 in total fines.
- $8,424
Federal fine
Dec 29, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of IL & JOAN LEE · 4 homes · 2.5 stars avg
- Occupancy
- 44.4 residents on an average day (92% of 48 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.