Good Shepherd Health Care Center of Santa Monica

1131 Arizona Ave. · Santa Monica, CA · 90401 · 3104514800

48 certified beds For profit - Corporation Chain: Il & Joan Lee

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

Get the Safety Report

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 94
Staffing 20% 60
Federal penalties 15% 77
Trend 10% 78
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: not rated Quality measures: 5 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $8,424

Inspection citations (48 in the current record)

  • Potential for harm · D February 25, 2026

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

    Corrected March 23, 2026 · Resident Rights

  • Potential for harm · D February 25, 2026

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected March 23, 2026 · Resident Rights

  • Potential for harm · E February 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.

    Corrected March 23, 2026 · Resident Rights

  • Potential for harm · E February 25, 2026

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

    Corrected March 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 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.

    Corrected March 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 25, 2026

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

    Corrected March 23, 2026 · Quality of Life and Care

  • Potential for harm · D February 25, 2026

    Assist a resident in gaining access to vision and hearing services.

    Corrected March 23, 2026 · Quality of Life and Care

  • Potential for harm · E February 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.

    Corrected March 23, 2026 · Nursing and Physician Services

  • Potential for harm · E February 25, 2026

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

    Corrected March 23, 2026 · Pharmacy Service

  • Potential for harm · D February 25, 2026

    Ensure that residents are free from significant medication errors.

    Corrected March 23, 2026 · Pharmacy Service

  • Potential for harm · D February 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.

    Corrected March 23, 2026 · Nutrition and Dietary

  • Potential for harm · D February 25, 2026

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

    Corrected March 23, 2026 · Nutrition and Dietary

  • Potential for harm · D February 25, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 23, 2026 · Infection Control

  • Potential for harm · D February 25, 2026

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 23, 2026 · Infection Control

  • Potential for harm · D February 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.

    Corrected March 23, 2026 · Infection Control

  • No harm found · B February 25, 2026

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    No revisit needed · Environmental

  • Actual harm · G December 29, 2024 · found via complaint

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

    Corrected January 27, 2025 · Quality of Life and Care

  • Potential for harm · D December 29, 2024

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

    Corrected January 27, 2025 · Resident Rights

  • Potential for harm · D December 29, 2024

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

    Corrected January 27, 2025 · Resident Rights

  • Potential for harm · E December 29, 2024

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

    Corrected January 27, 2025 · Resident Rights

  • Potential for harm · D December 29, 2024

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected January 27, 2025 · Quality of Life and Care

  • Potential for harm · D December 29, 2024

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

    Corrected January 27, 2025 · Quality of Life and Care

  • Potential for harm · D December 29, 2024

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

    Corrected January 27, 2025 · Quality of Life and Care

  • Potential for harm · E December 29, 2024

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

    Corrected January 27, 2025 · Quality of Life and Care

  • Potential for harm · D December 29, 2024

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected January 27, 2025 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 29, 2024Fine$8,424

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555061 · certified since March 22, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.