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NURSING HOME INSPECTION REPORT

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

Beverly Law
Published by Beverly Law
1320 20th St, 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 Santa Monica Health Care Center since 2023, including 1 Class AA and 0 Class A, and 3 federal deficiencies that inspectors rated at the actual-harm level or higher (G through L). The most serious state action was a Class AA citation (Patient Care), penalty $120,050, appealed by the facility, issued July 11, 2025. 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 3 complaint or incident reports since 2023 that included a sexual abuse allegation; CDPH substantiated 0.

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

Address
1320 20th St, Santa Monica, CA 90404
CDPH license / facility ID
910000096 / 910000074
Medicare CCN
055540
Licensed beds
59
Licensee (CDPH)
SANTA MONICA OPERATING COMPANY, LP
Chain / affiliated entity (CMS)
Mariner Health Care (chain or affiliated entity listed by CMS)
Administrator of record
Torres, Belinda
CMS overall rating
4 of 5 stars
CMS staffing rating
4 of 5 stars
Nurse staffing (CMS)
4.91 reported nurse hours per resident per day*
CMS fines (last 3 years)
$0
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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Santa Monica Health Care Center 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
July 11, 2025State (CDPH)Class AA citation (Patient Care), penalty $120,050, appealed by the facility
Read what inspectors found ↓
Government record (CDPH) ↗
May 21, 2025Federal (CMS-2567), ComplaintF678 – Cardio-Pulmonary Resuscitation (CPR), severity J (immediate jeopardy, one or a few residents)
F684 – Quality of Care, severity J (immediate jeopardy, one or a few residents)
Read what inspectors found ↓
Government record (CDPH) ↗
August 27, 2024State (CDPH)Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000, appealed by the facilityGovernment record (CDPH) ↗
December 27, 2023Federal (CMS-2567), ComplaintF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗

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What inspectors found at Santa Monica Health Care Center

Tap a finding to read the summary. Each one is written from the government report linked under it.

·
July 2025: Class AA citation, F678 (severity J) and F684 (severity J) after blood sugar went unmonitored and an inappropriate oxygen device was used during CPR

CDPH visited the facility on May 21, 2025, to investigate a complaint about a resident's care and death. According to the citation, Resident 1, an 85-year-old man with diabetes and chronic lung disease, was admitted on May 16, 2025, and received insulin twice a day and continuous tube feeding. The department determined the facility had no system to check his blood sugar, and no nurse asked the physician for a monitoring order, although facility policy calls for checks twice a day for residents on insulin.

Inspectors found that at 5:30 a.m. on May 19, 2025, LVN 1 saw the resident shaking with his eyes rolled back. He then had no pulse and was not breathing. LVN 1 began CPR but did not check his blood sugar, and she placed a non-rebreather mask on him. The director of nursing and the medical director told inspectors a resident who is not breathing needs positive pressure, such as an Ambu bag (a hand-squeezed bag that pushes air into the lungs), and other nurses said a non-rebreather mask can block the airway. Paramedics recorded a blood sugar of 457, and the resident was pronounced dead at 5:58 a.m.

CDPH issued a Class AA citation and assessed a $120,000 penalty, which the facility appealed. The 2567 report cited F678 (CPR) and F684 (quality of care), each at severity J. According to the report, the facility's immediate jeopardy removal plan included CPR training for licensed nurses on using the right oxygen devices.

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December 2023: F689 (severity G) after a resident tripped over a box in a hallway

Inspectors investigated a facility-reported incident in December 2023 and found the facility did not keep a hallway free of accident hazards. According to the 2567 report, Resident 1 had moderately impaired cognition and was at high risk for falls, but she walked on her own around the facility, often 1,000 feet several times a day. Her fall care plan had not been updated since March 2023.

The report states that on December 14, 2023, a delivery box was left against the wall by the nurses' station. LVN 1 told inspectors he asked the resident to wait while he moved another resident, but she stepped on the box and fell. She complained of left hip pain and was given Tylenol, and an X-ray soon after was negative. On December 19 she was sent to an acute care hospital because of continuing pain and was diagnosed with a fracture of the pubic bone in the pelvis. A physical therapy evaluation the next day found she needed maximal help with bed mobility and could walk only about 10 feet sideways along the bed with a walker.

According to the report, the unit secretary, the director of nursing and LVN 1 all said the box should not have been in the hallway, and the facility's fall policy lists obstacles in footpaths as a risk factor. The deficiency was cited as F689 (accident hazards and supervision) at severity G.

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Complaints against Santa Monica Health Care Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
2023155106
20247341
202514774
20267340

Cal Health Find lists 43 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 11 of them. 12 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 Santa Monica Health Care Center

Cal Health Find lists 3 intakes for Santa Monica Health Care Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (0 from complaints and 3 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
202420
202510

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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Staffing at Santa Monica Health Care Center

Payroll records Santa Monica Health Care Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.91 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.71 hours per resident per day (California average 0.68). Staffing averaged 4.20 hours on weekends and 5.20 on weekdays.

CMS reports nursing staff turnover of 41.0% at this facility (California average 36.6%) and RN turnover of 55.6% (California average 37.8%).

California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Santa Monica Health Care Center was below 3.5 on 0 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.

Agency or contract staff worked 15.0% of the facility’s nursing hours in the quarter.

Santa Monica Health Care CenterLA County medianCalifornia average
Total nursing hours per resident per day4.914.324.54
RN hours per resident per day0.710.460.68
Weekend nursing hours per resident per day4.203.894.10
Nursing staff turnover41.0%34.1%36.6%

Compare staffing, profits and fines across Los Angeles County nursing homes →

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Who owns Santa Monica Health Care Center

The owners and operators below are listed for Santa Monica Health Care Center in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.

Owner or operatorRoleShareSince
Gc Holding Company 2 LLC5% or greater direct ownership99%June 30, 2015
Grancare LLC5% or greater indirect ownershipNO PERCENTAGE PROVIDEDJune 30, 2015
Mariner Health Care, Inc.5% or greater indirect ownershipNO PERCENTAGE PROVIDEDJune 30, 2015
Mhc Holding Company5% or greater indirect ownershipNO PERCENTAGE PROVIDEDJune 30, 2015
Mhc West Holding Company5% or greater indirect ownershipNO PERCENTAGE PROVIDEDJune 30, 2015
National Senior Care, Inc.5% or greater indirect ownershipNO PERCENTAGE PROVIDEDJune 30, 2015
Emily Grunstein5% or greater indirect ownershipNO PERCENTAGE PROVIDEDFebruary 6, 2019
Dennis SarcaugaOperational or managerial control–February 6, 2025
Belinda TorresOperational or managerial control–November 11, 2021

In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending December 31, 2025, the facility listed $491,619 in payments to related companies (businesses that share owners or management with the facility): $437,095 to Ltc Administrative Support Services, Inc for operational services; $54,524 to Ltc Administrative Support Services, Inc for cbo. Payments to related companies are legal; California requires nursing homes to disclose them.

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Santa Monica Health Care Center finances

Santa Monica Health Care Center reported $10.0 million in health care revenue and net income of $44,524 for the year ending December 31, 2025, a margin of 0.4%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 52% of resident days. Salaries for RNs, LVNs and nurse aides came to $1.9 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$9.4 million$329,5703.5%88%–
2024$9.6 million-$197,498-2.1%86%51%
2025$10.0 million$44,5240.4%89%52%

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Federal fines and penalties: Santa Monica Health Care Center

CMS lists 0 federal fines totaling $0 and 1 Medicare payment denial for Santa Monica Health Care Center in the roughly three years its penalty file covers.

DatePenaltyAmount or length
December 28, 2023Payment denial3 days

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Santa Monica Health Care Center lawsuits and criminal cases

Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Santa Monica Health Care Center is not finished yet. This section will be updated when it is; until then, do not read the absence of a case here as a finding that none exists.

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

Cal Health Find lists 2 state citations for Santa Monica Health Care Center since 2023, including 1 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 Santa Monica Health Care Center?

From 2023 through October 30, 2026, Cal Health Find lists 43 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 11 of them.

Does Medicare flag Santa Monica Health Care Center for abuse?

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

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

Cal Health Find lists 3 complaint or facility-reported incident intakes at Santa Monica Health Care Center 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 Santa Monica Health Care Center?

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 Santa Monica Health Care Center have?

Santa Monica Health Care Center is licensed by CDPH for 59 beds and has a CMS overall rating of 4 out of 5 stars.

Who owns or operates Santa Monica Health Care Center?

CDPH lists the licensee as SANTA MONICA OPERATING COMPANY, LP. CMS lists the facility under the chain or affiliated entity Mariner Health Care. According to the CMS ownership file, Gc Holding Company 2 LLC holds 99% as a direct owner. The full list of owners and operators CMS reports is in the ownership section of this page.

How many nursing hours does Santa Monica Health Care Center provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 4.91 total nursing hours per resident per day, including 0.71 RN hours. The California average is 4.54.

My parent was hurt at Santa Monica Health Care Center. 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 Santa Monica Health Care Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Santa Monica Rehabilitation CenterSanta Monica0.0 mi1/567
Berkley East Healthcare CenterSanta Monica0.1 mi2/537
Pacific Post – AcuteSanta Monica0.2 mi5/500
Ocean Pointe Healthcare CenterSanta Monica0.2 mi3/512
Berkley West Healthcare CenterSanta Monica0.2 mi3/512
Beachwood Post-Acute & RehabSanta Monica0.4 mi1/535

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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 – Santa Monica Health Care Center
  2. Medicare Care Compare – Santa Monica Health Care Center
  3. CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
  4. CMS – Nursing home Provider Information (staffing, turnover)
  5. CMS – Nursing home Ownership
  6. CMS – Nursing home Penalties
  7. HCAI – Long-Term Care Facility Financial Data
  8. CDPH – State Enforcement Actions (open data)
  9. 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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