Inspection citations
13’23
9’24
15’25
37 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Dec 18, 2025 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Dec 18, 2025 | D · potential | 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. | Routine |
| Dec 18, 2025 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Dec 18, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Dec 18, 2025 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Dec 18, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Dec 18, 2025 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Dec 18, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 18, 2025 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Dec 18, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Dec 18, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 18, 2025 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Dec 18, 2025 | E · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Nov 14, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Nov 14, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 11, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Oct 11, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Oct 11, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Oct 11, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 11, 2024 | D · potential | 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. | Routine |
| Oct 11, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Oct 11, 2024 | D · potential | 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. | Routine |
| Oct 11, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 11, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 5, 2023 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Oct 5, 2023 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Oct 5, 2023 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Oct 5, 2023 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Oct 5, 2023 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Oct 5, 2023 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Oct 5, 2023 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Oct 5, 2023 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Oct 5, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Oct 5, 2023 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Oct 5, 2023 | E · potential | 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. | Routine |
| Oct 5, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 5, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Solheim Senior Community
2236 Merton Ave., Los Angeles, CA 90041 · (323) 257-7518
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555432
- Certified beds
- 76
- Legal owner
- Solheim Lutheran Home
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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