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
Data as of July 1, 2026
2 of 5 overall
2 out of 5 stars overall. Health inspections are 2 stars and staffing is very low at 1 star, though quality measures are 5 stars; the facility also has a recent federal penalty and $8,424 in fines in the last 24 months.
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
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13%14.3%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2.8%5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20%31.2%Worsening
Residents whose ability to walk got worse
—13.3%—
Long-stay residents on antianxiety or sleep medication
11.6%5.3%Improving
Residents with a long-term catheter
5.7%3.6%Improving
Residents with new or worsening incontinence
0%0%No change
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.8%—
Long-stay residents given the pneumonia vaccine
95.3%100%Improving
Short-stay residents given the pneumonia vaccine
—34.8%—
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.
View the original federal record
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.
View the original federal record
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 stars avg
- Occupancy
- 43.4 residents on an average day (90% 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.