Solheim Senior Community

2236 Merton Ave. · Los Angeles, CA · 90041 · 3232577518

76 certified beds Non profit - Other Part of a CCRC

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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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 42
Serious harm & abuse 20% 94
Staffing 20% 78
Federal penalties 15% 100
Trend 10% 34
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: 3 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.613.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day4.21≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)none

Inspection citations (38 in the current record)

  • Potential for harm · E December 18, 2025

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

    Corrected January 15, 2026 · Resident Rights

  • Potential for harm · D December 18, 2025

    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.

    Corrected January 15, 2026 · Resident Rights

  • Potential for harm · E December 18, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 15, 2026 · Quality of Life and Care

  • Potential for harm · D December 18, 2025

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

    Corrected January 15, 2026 · Quality of Life and Care

  • Potential for harm · E December 18, 2025

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

    Corrected January 15, 2026 · Quality of Life and Care

  • Potential for harm · D December 18, 2025

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

    Corrected January 15, 2026 · Quality of Life and Care

  • Potential for harm · E December 18, 2025

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

    Corrected January 15, 2026 · Nutrition and Dietary

  • Potential for harm · E December 18, 2025

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

    Corrected January 15, 2026 · Nutrition and Dietary

  • Potential for harm · E December 18, 2025

    Dispose of garbage and refuse properly.

    Corrected January 15, 2026 · Nutrition and Dietary

  • Potential for harm · D December 18, 2025

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

    Corrected January 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 18, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 15, 2026 · Infection Control

  • Potential for harm · E December 18, 2025

    Implement a program that monitors antibiotic use.

    Corrected January 15, 2026 · Infection Control

  • Potential for harm · E December 18, 2025

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

    Corrected January 15, 2026 · Environmental

  • Actual harm · G November 14, 2025 · found via complaint

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

    Corrected December 10, 2025 · Quality of Life and Care

  • Potential for harm · D November 14, 2025 · found via complaint

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

    Corrected December 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D October 11, 2024

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

    Corrected November 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 11, 2024

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

    Corrected November 7, 2024 · Quality of Life and Care

  • Potential for harm · D October 11, 2024

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

    Corrected November 7, 2024 · Quality of Life and Care

  • Potential for harm · E October 11, 2024

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

    Corrected November 7, 2024 · Pharmacy Service

  • Potential for harm · D October 11, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected November 7, 2024 · Pharmacy Service

  • Potential for harm · E October 11, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 7, 2024 · Pharmacy Service

  • Potential for harm · D October 11, 2024

    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.

    Corrected November 7, 2024 · Pharmacy Service

  • Potential for harm · E October 11, 2024

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

    Corrected November 7, 2024 · Nutrition and Dietary

  • Potential for harm · E October 11, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 7, 2024 · Infection Control

  • Potential for harm · D October 5, 2023

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

    Corrected October 31, 2023 · Resident Rights

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

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555432 · certified since May 15, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.