St. John of God Retirement
2468 South St Andrews Place · Los Angeles, CA · 90018 · 3237310641
156 certified beds Non profit - Corporation Chain: Corporate Interface Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- 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.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 4.28 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $124,440 |
Inspection citations (77 in the current record)
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Potential for harm · D February 24, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 12, 2026 · Resident Rights
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Potential for harm · D January 15, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2026 · 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 January 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · D December 5, 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 December 26, 2025 · Resident Rights
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Potential for harm · D December 5, 2025
Ensure each resident receives an accurate assessment.
Corrected December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 26, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 26, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2025
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 December 26, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 26, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 26, 2025 · Quality of Life and Care
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Potential for harm · E December 5, 2025
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected December 26, 2025 · Nursing and Physician Services
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Potential for harm · E December 5, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 26, 2025 · Pharmacy Service
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Potential for harm · E December 5, 2025
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 December 26, 2025 · Pharmacy Service
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Potential for harm · F December 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 26, 2025 · Nutrition and Dietary
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Potential for harm · D December 5, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 26, 2025 · Administration
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Potential for harm · E December 5, 2025
Provide and implement an infection prevention and control program.
Corrected December 26, 2025 · Infection Control
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Potential for harm · D December 5, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 26, 2025 · Environmental
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Potential for harm · D December 5, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 26, 2025 · Environmental
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No harm found · B December 5, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected December 26, 2025 · Administration
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No harm found · B December 5, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected December 26, 2025 · Administration
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Potential for harm · D March 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2024 | Fine | $14,050 |
| May 22, 2024 | Payment Denial | 45 days |
| November 20, 2023 | Fine | $95,479 |
| October 2, 2023 | Fine | $14,911 |
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 055253 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.