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NURSING HOME INSPECTION REPORT

Good Shepherd Health Care Center of Santa Monica in Santa Monica: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
1131 Arizona Ave, Santa Monica · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 2 state citations for Good Shepherd Health Care Center of Santa Monica since 2023, including 0 Class AA and 0 Class A, and 1 federal deficiency that inspectors rated at the actual-harm level or higher (G through L). The most serious federal finding was F686 (Treatment/Svcs to Prevent/Heal Pressure Ulcer) at severity level G (actual harm, one or a few residents), from the survey dated December 27, 2024. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date. Cal Health Find also lists 1 complaint or incident report since 2023 that included a sexual abuse allegation; CDPH substantiated 0.

Is your loved one at Good Shepherd Health Care Center of Santa Monica?

If they fell, developed a bed sore, lost weight, were hurt or abused at Good Shepherd Health Care Center of Santa Monica, leave your name and phone. We call back today, request the chart and the full inspection file, and tell you plainly whether there is a case. Free, confidential, English or Spanish.

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Good Shepherd Health Care Center of Santa Monica at a glance: owner, beds and ratings

Address
1131 Arizona Ave, Santa Monica, CA 90401
CDPH license / facility ID
910000056 / 910000043
Medicare CCN
555061
Licensed beds
48
Licensee (CDPH)
GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA
Chain / affiliated entity (CMS)
Il & Joan Lee (chain or affiliated entity listed by CMS)
Administrator of record
Morris, Monica
CMS overall rating
3 of 5 stars
CMS staffing rating
–
Nurse staffing (CMS)
nan reported nurse hours per resident per day*
CMS fines (last 3 years)
$8,424
CMS abuse icon
Not shown

* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.

Records: Cal Health Find ↗ · Medicare Care Compare ↗

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Good Shepherd Health Care Center of Santa Monica citations and inspection findings

Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.

DateSourceFindingRecord
November 20, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
January 28, 2025State (CDPH)Class B citation (Patient Care), penalty $3,000Government record (CDPH) ↗
December 27, 2024Federal (CMS-2567), CertificationF686 – Treatment/Svcs to Prevent/Heal Pressure Ulcer, severity G (actual harm, one or a few residents)
F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
AbusePressure injury ›
Government record (CDPH) ↗

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Complaints against Good Shepherd Health Care Center of Santa Monica

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20239633
20247521
2025101001
2026101000

Cal Health Find lists 36 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 5 of them. 10 intakes involved an allegation in CDPH’s abuse category, and 1 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.

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Sexual abuse reports at Good Shepherd Health Care Center of Santa Monica

Cal Health Find lists 1 intake for Good Shepherd Health Care Center of Santa Monica from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (0 from complaints and 1 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 0 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.

YearIntakes with a sexual abuse allegationSubstantiated
202410

Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →

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What this record means for your family

California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.

Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.

Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.

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What to do now

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Questions families ask

Has Good Shepherd Health Care Center of Santa Monica been cited by the State of California?

Cal Health Find lists 2 state citations for Good Shepherd Health Care Center of Santa Monica since 2023, including 0 Class AA and 0 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Good Shepherd Health Care Center of Santa Monica?

From 2023 through October 30, 2026, Cal Health Find lists 36 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 5 of them.

Does Medicare flag Good Shepherd Health Care Center of Santa Monica for abuse?

As of our data date, Medicare Care Compare does not show its abuse icon for Good Shepherd Health Care Center of Santa Monica. The icon is only one signal; read the citations above.

Have there been sexual abuse reports at Good Shepherd Health Care Center of Santa Monica?

Cal Health Find lists 1 complaint or facility-reported incident intake at Good Shepherd Health Care Center of Santa Monica since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 0. The section above breaks them down by year.

Where can I read reviews and complaints about Good Shepherd Health Care Center of Santa Monica?

Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.

How many beds does Good Shepherd Health Care Center of Santa Monica have?

Good Shepherd Health Care Center of Santa Monica is licensed by CDPH for 48 beds and has a CMS overall rating of 3 out of 5 stars.

Who owns or operates Good Shepherd Health Care Center of Santa Monica?

CDPH lists the licensee as GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA. CMS lists the facility under the chain or affiliated entity Il & Joan Lee.

My parent was hurt at Good Shepherd Health Care Center of Santa Monica. What should I do?

Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.

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Other nursing homes near Good Shepherd Health Care Center of Santa Monica

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Beachwood Post-Acute & RehabSanta Monica0.3 mi1/535
Berkley West Healthcare CenterSanta Monica0.4 mi3/512
Ocean Pointe Healthcare CenterSanta Monica0.4 mi3/512
Pacific Post – AcuteSanta Monica0.4 mi5/500
Santa Monica Health Care CenterSanta Monica0.6 mi4/513
Santa Monica Rehabilitation CenterSanta Monica0.6 mi1/567

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Methodology and sources

We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.

Sources

  1. Cal Health Find – Good Shepherd Health Care Center of Santa Monica
  2. Medicare Care Compare – Good Shepherd Health Care Center of Santa Monica
  3. CDPH – State Enforcement Actions (open data)
  4. CMS Provider Data Catalog – Nursing homes

Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.

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